1 00:00:05,271 --> 00:00:07,535 We are condemned to useless labor. 2 00:00:07,607 --> 00:00:09,541 Fourth circle of hell. 3 00:00:09,609 --> 00:00:13,409 Charting goes a lot faster when you eliminate all classic poetry. 4 00:00:13,480 --> 00:00:16,881 Writing down what we already know to be read by nobody. 5 00:00:16,950 --> 00:00:19,783 I'm pretty sure Dante would agree that qualifies as useless. 6 00:00:19,853 --> 00:00:21,912 You're over two weeks behind in your charting. 7 00:00:23,456 --> 00:00:26,357 Oops. I missed. 8 00:00:26,426 --> 00:00:29,418 - What are you, eight? - Could an eight-year-old do this? 9 00:00:30,463 --> 00:00:33,057 You'd better stop, or it'll stick that way. 10 00:00:33,133 --> 00:00:37,570 - You have a patient in Exam One. - Yeah, but, see, I'm off at 12:00, and it's already five of. 11 00:00:37,637 --> 00:00:41,095 She's been waiting for you since 11:00. 12 00:00:43,877 --> 00:00:48,814 Melancholy without hope. Which circle is that? 13 00:00:54,054 --> 00:00:56,488 Hi. I'm Dr. House. 14 00:00:56,556 --> 00:01:00,754 What seems to be the problem? Show him your hands, Augustine. 15 00:01:07,233 --> 00:01:11,499 - It-It looks like stigmata. - Shh. Pius. 16 00:01:11,571 --> 00:01:15,166 You must be all the talk around the "holy water" cooler. 17 00:01:15,241 --> 00:01:18,404 Been washing a lot of dishes recently? I help out in the kitchen. 18 00:01:18,478 --> 00:01:22,505 - Anything new in the kitchen? - We just got a donation of saucepans and pots this week. 19 00:01:22,582 --> 00:01:27,451 - I unpacked and washed them. - Should have spent your time saving souls. It's easier on the hands. 20 00:01:27,520 --> 00:01:30,751 This is contact dermatitis. You're allergic to dish soap. 21 00:01:30,824 --> 00:01:35,420 Nonsense. We've always used that soap. Why is there a problem now? 22 00:01:35,495 --> 00:01:39,431 I've been a doctor for years. Why do I have to keep assuring people that I know what I'm doing? 23 00:01:39,499 --> 00:01:41,933 Aperson can become allergic to substances... 24 00:01:42,001 --> 00:01:44,333 that they've had repeated and prolonged exposure to. 25 00:01:45,905 --> 00:01:48,897 The good news is-- free samples. 26 00:01:50,310 --> 00:01:52,938 Diphenhydramine. It's an antihistamine. 27 00:01:53,012 --> 00:01:55,776 It'll stop the allergic reaction. 28 00:01:55,849 --> 00:01:59,376 Take one every eight hours. It might make you feel a little sleepy. 29 00:01:59,452 --> 00:02:03,013 And get some of that over-the-counter cortisone cream. Thank you, Doctor. 30 00:02:03,089 --> 00:02:05,387 You want some water? I have some tea. 31 00:02:05,458 --> 00:02:09,155 Well, you just relax for a few minutes. That stuff works pretty fast. 32 00:02:14,934 --> 00:02:18,392 Still out by 12:00. 33 00:02:18,471 --> 00:02:22,237 How do you solve a problem like dermatitis? What? 34 00:02:22,308 --> 00:02:25,835 Doctor? I want to thank you for your patience. 35 00:02:25,912 --> 00:02:30,576 She talkin' to you? I don't know. She's certainly looking at me. 36 00:02:30,650 --> 00:02:34,051 Ah, it's good to get a secular diagnosis. 37 00:02:34,120 --> 00:02:38,181 The sisters tend to interpret their illnesses as divine intervention. 38 00:02:38,258 --> 00:02:41,022 And you don't? Then you're wearing an awfully funny hat. 39 00:02:41,094 --> 00:02:43,654 Ooh, boy. Excuse me. 40 00:02:43,730 --> 00:02:47,359 If I break my leg, I believe it happened for a reason. 41 00:02:47,433 --> 00:02:49,424 I believe God wanted me to break my leg. 42 00:02:49,502 --> 00:02:52,733 I also believe he wants me to put a cast on it. 43 00:02:52,805 --> 00:02:54,739 Doctor! Something's wrong. 44 00:03:04,918 --> 00:03:08,445 Lift up your chin. 45 00:03:08,521 --> 00:03:11,547 Sister, you're having an asthma attack. I need you to relax. 46 00:03:11,624 --> 00:03:14,559 Roll up her sleeve, please. I'm gonna give you epinephrine. 47 00:03:14,627 --> 00:03:17,460 It'll open your lungs and help you breathe. 48 00:03:36,549 --> 00:03:39,575 What happened? Did she take the pill? 49 00:03:39,652 --> 00:03:42,746 - Yes. - It's probably an allergic reaction. 50 00:03:42,822 --> 00:03:45,484 She's allergic to an anti-allergy medicine? 51 00:03:45,558 --> 00:03:47,549 You figure somebody's out to get her? 52 00:03:47,627 --> 00:03:49,561 - How are you feeling? - Better. 53 00:03:49,629 --> 00:03:52,723 I'll put you on some steroids instead. 54 00:03:52,799 --> 00:03:55,666 - Is my heart supposed to be feeling so funny? - It's called adrenaline. 55 00:03:55,735 --> 00:03:58,966 It makes your heart beat fast. 56 00:03:59,038 --> 00:04:02,007 But not this fast. 57 00:04:02,075 --> 00:04:06,102 Get a nurse, please. Hold on. 58 00:04:06,179 --> 00:04:08,670 Help! Somebody help us! 59 00:04:12,018 --> 00:04:15,181 Somebody get in here! 60 00:04:16,389 --> 00:04:19,187 Call a code and charge up a defibrillator. She's got no pulse. 61 00:05:17,183 --> 00:05:20,209 You diagnosed the patient with allergies and prescribed antihistamine. 62 00:05:20,286 --> 00:05:23,255 She went into respiratory distress, 63 00:05:23,323 --> 00:05:26,121 and you injected her with epinephrine. 64 00:05:26,192 --> 00:05:28,285 Presumably 1 c.c. 65 00:05:28,361 --> 00:05:32,195 .1 c.c. That is the standard dose. That is what I gave her. 66 00:05:32,265 --> 00:05:34,290 People don't go into cardiac arrest from .1 c.c. epinephrine. 67 00:05:34,367 --> 00:05:37,632 She must have a preexisting heart condition that got exacerbated by the epinephrine. 68 00:05:37,704 --> 00:05:39,638 It's too bad you didn't make a notation in the chart. 69 00:05:39,706 --> 00:05:41,640 I can make it up right now. 70 00:05:41,708 --> 00:05:44,575 The drawer has syringes with both dosages. You could have reached for the wrong-- 71 00:05:44,644 --> 00:05:47,078 - But I didn't. - Everyone makes mistakes. 72 00:05:47,146 --> 00:05:49,205 This is why doctors pay through the nose for malpractice insurance. 73 00:05:49,282 --> 00:05:51,807 Relax. They're not gonna sue. 74 00:05:51,884 --> 00:05:54,079 The worst they'd do is whack my hand with a ruler. 75 00:05:54,153 --> 00:05:57,554 - And the discipline board-- are they gonna whack your hand too? - You're gonna report me? 76 00:05:57,623 --> 00:06:01,320 - What choice do I have? - Uh, how about not report me? 77 00:06:03,996 --> 00:06:07,955 I can justify keeping her here for a 24-hour observation. 78 00:06:08,034 --> 00:06:10,662 If you haven't found an underlying cause for the cardiac arrest by then, 79 00:06:10,737 --> 00:06:12,671 I will have to notify our attorneys. 80 00:06:19,345 --> 00:06:21,176 Her hands were red and swollen. 81 00:06:21,247 --> 00:06:24,580 Maybe she has a skin infection. Cellulitis? That could manifest with tachycardia. 82 00:06:24,650 --> 00:06:27,949 There's no history of fever. Results from the C.B.C. didn't indicate an infection. 83 00:06:28,020 --> 00:06:32,081 The eosinophils are mildly elevated. Sed rate's up a bit. Could we be looking at a systemic allergic response? 84 00:06:32,158 --> 00:06:34,752 It's not allergic. Allergies don't cause cardiac arrest like this. 85 00:06:34,827 --> 00:06:39,264 - Could be inflammation of the blood vessels. - Vasculitis? That wouldn't give you an elevated eosinophil count. 86 00:06:39,332 --> 00:06:41,129 Churg-Strauss vasculitis would. 87 00:06:41,200 --> 00:06:43,862 The blood vessels of the heart, lungs and skin become inflamed, 88 00:06:43,936 --> 00:06:47,872 causing the asthma, rash and heart problems-- covers all her symptoms. 89 00:06:47,940 --> 00:06:50,272 You need a biopsy to diagnose. Chest C.T. would be quicker. 90 00:06:50,343 --> 00:06:53,278 The lady just came in with a rash. 91 00:06:53,346 --> 00:06:55,280 What the hell are those? 92 00:06:55,348 --> 00:06:57,282 Candy canes. 93 00:06:57,350 --> 00:07:01,047 Candy canes? Are you mocking me? 94 00:07:01,120 --> 00:07:04,988 No. It-It's Christmas, and I-- 95 00:07:05,057 --> 00:07:08,823 I thought-- Relax. It's a joke. 96 00:07:08,895 --> 00:07:10,886 Isn't the prognosis for Churg-Strauss a bit grim? 97 00:07:10,963 --> 00:07:15,161 Yeah. Untreated, only 33% of patients survive past a year. 98 00:07:15,234 --> 00:07:18,726 Treated-- five years. Then I definitely suggest treatment. 99 00:07:18,805 --> 00:07:21,171 If it was any other attending doctor, I'd say that he made a mistake... 100 00:07:21,240 --> 00:07:23,174 and gave her too much epinephrine. 101 00:07:23,242 --> 00:07:26,040 Saying you wouldn't say it was my mistake... 102 00:07:26,112 --> 00:07:28,205 is saying it was my mistake. 103 00:07:29,282 --> 00:07:31,716 Everyone screws up. Your rule. 104 00:07:31,784 --> 00:07:34,048 I think you fit within the subset of "everyone". 105 00:07:34,120 --> 00:07:36,088 I didn't screw up. 106 00:07:36,155 --> 00:07:41,252 - Order a chest C.T. and start the sister on prednisone-- 40 milligrams T.I.D. - The sister? 107 00:07:41,327 --> 00:07:45,923 Oh, didn't I mention? The patient's a nun-- Sister Augustine. 108 00:07:45,998 --> 00:07:48,523 I hate nuns. 109 00:07:50,369 --> 00:07:52,337 Who doesn't? 110 00:08:04,317 --> 00:08:07,548 - Sister Augustine? - We weren't watching. 111 00:08:07,620 --> 00:08:11,181 We were trying to see if this is the bed control. 112 00:08:11,257 --> 00:08:13,350 Oh. Uh, this one's the bed control. 113 00:08:13,426 --> 00:08:15,917 And that's the TV control. 114 00:08:15,995 --> 00:08:19,294 I'm Dr. Cameron. This is Dr. Chase and Dr. Foreman. 115 00:08:19,365 --> 00:08:22,232 I haven't seen television in over 20 years. 116 00:08:22,301 --> 00:08:24,132 Do you consider it the work of the devil, 117 00:08:24,203 --> 00:08:26,398 or do you just not get cable where you live? 118 00:08:27,373 --> 00:08:30,069 - Um-- - How are you feeling, Sister? 119 00:08:30,142 --> 00:08:32,542 I seem to be a little better. They gave me some medication. 120 00:08:32,612 --> 00:08:35,046 Prednisone. It's a steroid to help with the inflammation. 121 00:08:35,114 --> 00:08:37,548 Has Dr. House figured out what I have? 122 00:08:37,617 --> 00:08:39,744 Will I be okay? We're not sure what's wrong yet. 123 00:08:39,819 --> 00:08:42,947 You'll have a chest C.T. scan this afternoon that'll help with the diagnosis. 124 00:08:43,022 --> 00:08:46,185 Dr. House is giving her medication, and he doesn't know what she has yet? 125 00:08:46,259 --> 00:08:49,660 Trust, Sister Pius. It all happens for a reason. 126 00:08:49,729 --> 00:08:51,754 He doesn't know what he's doing. 127 00:08:51,831 --> 00:08:54,800 The only problem that woman has is that House grabbed the wrong syringe. 128 00:08:54,867 --> 00:08:59,065 You don't trust him? I don't trust a man who won't admit he might be wrong. 129 00:08:59,138 --> 00:09:02,471 I notice you weren't so quick to tell her she's got Churg-Strauss and only has a couple years left. 130 00:09:02,542 --> 00:09:04,510 I don't tell patients bad news unless it's conclusive. 131 00:09:04,577 --> 00:09:06,511 Because you know he might be wrong. 132 00:09:06,579 --> 00:09:08,911 About Churg-Strauss. Not about what happened in the clinic. 133 00:09:08,981 --> 00:09:12,417 What about you, Chase? You think he's infallible too? 134 00:09:12,485 --> 00:09:16,649 All I know is, if House didn't make a mistake and Sister Augustine has Churg-Strauss, 135 00:09:16,722 --> 00:09:19,623 he'll be self-satisfied and our lives will be good for a few weeks. 136 00:09:19,692 --> 00:09:23,560 If House did make a mistake, he'll be upset and our lives will be miserable for months. 137 00:09:23,629 --> 00:09:25,756 There is that. 138 00:09:25,831 --> 00:09:28,891 If Cuddy thinks I made a mistake, the least she could do is suspend me from clinic duty. 139 00:09:28,968 --> 00:09:31,801 She doesn't confuse making a mistake with being incompetent. 140 00:09:31,871 --> 00:09:34,339 Oh, here we go-- lesson time. 141 00:09:35,474 --> 00:09:38,272 I recognize that confidence is not my short suit. 142 00:09:38,344 --> 00:09:41,074 I also recognize that I am human and capable of error. 143 00:09:41,147 --> 00:09:44,139 So you might have screwed this up? No. 144 00:09:44,216 --> 00:09:47,617 So it's merely a theoretical capacity for error. Good point. 145 00:09:47,687 --> 00:09:50,281 Maybe there isn't one. Maybe that's my error. 146 00:09:50,356 --> 00:09:53,587 Most people who think as much of themselves as you do like to talk about themselves. 147 00:09:53,659 --> 00:09:57,390 Most people don't like to listen. So, what's wrong with you? 148 00:10:07,707 --> 00:10:11,165 Let me guess-- inflammatory bowel. 149 00:10:11,243 --> 00:10:15,009 Wow. Yeah. Is it that bad? Yes. 150 00:10:15,081 --> 00:10:18,448 It's also written on your chart. 151 00:10:18,517 --> 00:10:20,747 "Bloody diarrhea, gas, pain. 152 00:10:20,820 --> 00:10:22,845 Took sulfasalazine, but it didn't work". 153 00:10:22,922 --> 00:10:26,016 - No. Then-Then I-- - "Next, tried steroid enemas. 154 00:10:26,092 --> 00:10:29,084 Oral corticosteroids--5-A.S.A., 6-mercaptopurine". 155 00:10:29,161 --> 00:10:31,356 - I'm impressed. - By my medical history? 156 00:10:31,430 --> 00:10:33,898 By how well your last doctor charted. 157 00:10:33,966 --> 00:10:36,332 It's one thing to have to go to the bathroom every hour, 158 00:10:36,402 --> 00:10:39,235 but when the kids sit on my lap, it's-- 159 00:10:39,305 --> 00:10:41,398 The store sent me home. They're gonna fire me. 160 00:10:41,474 --> 00:10:44,443 Can't you put me back on 5-A.S.A.? Maybe it'll work this time. Not likely. 161 00:10:44,510 --> 00:10:48,276 I'm giving you a prescription. It's cheap, which is good, 162 00:10:48,347 --> 00:10:50,281 because your insurance company won't pay for it. 163 00:10:57,957 --> 00:11:01,358 - "Cogaritis"? - Cigarettes. 164 00:11:01,427 --> 00:11:03,395 One twice a day. No more, no less. 165 00:11:03,462 --> 00:11:05,862 Studies have shown that cigarette smoking... 166 00:11:05,931 --> 00:11:08,593 is one of the most effective ways to control inflammatory bowel. 167 00:11:08,668 --> 00:11:12,035 Plus it's been well established that you look 30% cooler. 168 00:11:12,104 --> 00:11:15,562 - Are you kidding me? - About the looking cooler, yeah. 169 00:11:15,641 --> 00:11:18,405 - The rest is true. - Isn't it addictive and dangerous? 170 00:11:18,477 --> 00:11:22,208 Pretty much all the drugs I prescribe are addictive and dangerous. 171 00:11:22,281 --> 00:11:24,875 The only difference with this one is it's completely legal. 172 00:11:26,519 --> 00:11:28,987 Merry Christmas. 173 00:11:29,055 --> 00:11:32,786 I was talking to the nurse-- Arsenio. Do you know him? 174 00:11:32,858 --> 00:11:37,022 Not really. He can take pictures with his phone. 175 00:11:37,096 --> 00:11:40,554 Cool. That woman from the lab was interesting too. 176 00:11:40,633 --> 00:11:43,761 She studied astrophysics before becoming a nurse. 177 00:11:43,836 --> 00:11:47,795 You know the staff better than I do. I love to hear all about people. 178 00:11:47,873 --> 00:11:51,001 - Yet you live in a monastery. - It's where I serve our Lord and the world best. 179 00:11:51,077 --> 00:11:54,843 Our Lord maybe. The rest of the world, on the other hand, 180 00:11:54,914 --> 00:11:58,680 - would probably get more out of feeding the homeless or-- - Healing the sick? 181 00:11:58,751 --> 00:12:02,710 As an example, yeah. Did you always want to be a doctor? 182 00:12:02,788 --> 00:12:06,849 Always. You always want to be a nun? My parents died when I was six. 183 00:12:06,926 --> 00:12:10,555 I was raised in a foster home run by the Church. 184 00:12:10,629 --> 00:12:14,656 When I was 18, I went to the monastery, where they let me take my vows. 185 00:12:14,734 --> 00:12:17,931 I've known no other life, and I haven't wanted to. 186 00:12:18,003 --> 00:12:21,530 Okay, Sister. We need you to lie as still as possible. 187 00:12:21,607 --> 00:12:23,598 If you get scared, just let us know. 188 00:12:23,676 --> 00:12:26,474 As Jonah said from inside the whale, 189 00:12:26,545 --> 00:12:30,811 "When I had lost all hope, I turned my thoughts to the Lord." 190 00:12:30,883 --> 00:12:34,444 - Well, she's got God on her side. - I don't believe in God. 191 00:12:34,520 --> 00:12:37,853 You're not even a little agnostic? Is it supposed to smell funny? 192 00:12:37,923 --> 00:12:41,825 Someone ralphed in there this morning. We cleaned it up, but-- 193 00:12:41,894 --> 00:12:45,295 - It's normal, Sister. It's just a few more minutes. - Mm. 194 00:12:45,364 --> 00:12:48,492 I believe in a higher order that's in control of what happens, 195 00:12:48,567 --> 00:12:51,365 but not one, anthropomorphic entity called "God"... 196 00:12:51,437 --> 00:12:53,632 that's concerned with the everyday workings of you and me. 197 00:12:53,706 --> 00:12:56,470 What else is there to control but the everyday workings of you and me? 198 00:12:56,542 --> 00:12:58,510 It's always about you, Foreman. 199 00:12:58,577 --> 00:13:00,374 What are you talking about-- the trees, the fish? 200 00:13:00,446 --> 00:13:02,414 Should they be the ones that think it's all about them? 201 00:13:02,481 --> 00:13:04,540 What about you, Chase? Do you believe in God? 202 00:13:06,685 --> 00:13:11,054 I believe Sister Augustine has no vascular pathology, which means no Churg-Strauss. 203 00:13:11,123 --> 00:13:13,523 Which means House made a mistake. No, not necessarily. 204 00:13:13,592 --> 00:13:17,392 It could be something else-- thyrotoxicosis or a carcinoid. I don't get you. 205 00:13:17,463 --> 00:13:21,194 You don't believe in God, but you're willing to put complete faith in one man? 206 00:13:21,267 --> 00:13:24,600 Please. The smell. Let's get her out of there. 207 00:13:26,138 --> 00:13:28,106 I'm coming, Sister. I gotcha. 208 00:13:28,174 --> 00:13:30,608 Please. The smell. I'm comin'. 209 00:13:30,676 --> 00:13:32,906 I'm gonna be sick. There's no smell. 210 00:13:32,978 --> 00:13:38,245 No. God. Oh! It's Jesus. It's Jesus! 211 00:13:38,317 --> 00:13:40,751 He's coming for me! 212 00:13:40,820 --> 00:13:43,288 He's burning me with his touch! 213 00:13:43,355 --> 00:13:45,220 Let's get her on some Ativan. 214 00:13:45,291 --> 00:13:49,125 The smells, religious visions-- it's symptomatic of temporal lobe swelling. 215 00:13:49,195 --> 00:13:51,789 - We don't want her to-- - She's seizing. 216 00:13:51,864 --> 00:13:54,560 - Jaw block! - Help me get her on her side. 217 00:13:57,002 --> 00:14:00,267 - Religious visions? - Yeah. And next comes-- 218 00:14:07,413 --> 00:14:09,813 Patient tested positive for herpetic encephalitis. 219 00:14:09,882 --> 00:14:12,442 - What's that tell us? - Her immune system is severely compromised. 220 00:14:12,518 --> 00:14:16,079 Oh, I know. Prednisone compromises the immune system. 221 00:14:16,155 --> 00:14:21,422 - Isn't that the medicine that you gave her for that thing she doesn't have? - Yeah, that-- Hey. 222 00:14:21,493 --> 00:14:25,657 - I'm thinking that's a trick question. - Her immune system is severely compromised. 223 00:14:25,731 --> 00:14:30,634 - Two doses of prednisone wouldn't do that. - Are you hanging your diagnosis on an adverb? 224 00:14:30,703 --> 00:14:35,731 - In 10 seconds, I'm going to announce that I gave her the wrong dose in the clinic. - You're gonna admit negligence? 225 00:14:35,808 --> 00:14:38,800 Unless you leave the room. If you stay, you'll have to testify. 226 00:14:38,878 --> 00:14:42,405 Five, four, 227 00:14:42,481 --> 00:14:45,075 three, two-- 228 00:14:45,150 --> 00:14:47,118 So, there I was in the clinic, drunk. 229 00:14:47,186 --> 00:14:49,245 I opened the drawer, closed my eyes, 230 00:14:49,321 --> 00:14:51,482 take the first syringe I can find -- 231 00:14:53,359 --> 00:14:56,192 So, what are the options for a compromised immune system? 232 00:14:56,262 --> 00:15:01,393 Mixed connective tissue disease. It'd explain why she was feeling better on the prednisone. 233 00:15:01,467 --> 00:15:04,493 Sure. She was feeling better right up to the moment it almost killed her. 234 00:15:04,570 --> 00:15:07,266 On the other hand, it explains the symptoms-- 235 00:15:07,339 --> 00:15:09,864 swollen hands, pulmonary problems, cardiac problems. 236 00:15:09,942 --> 00:15:11,842 It all fits. Except her A.N.A. was normal. 237 00:15:11,911 --> 00:15:14,641 - So redraw the blood. - But the treatment is corticosteroids-- 238 00:15:14,713 --> 00:15:16,943 prednisone-- and we can't go there because of the encephalitis. 239 00:15:17,016 --> 00:15:20,975 Then we'll treat it with something that modulates the immune system but doesn't suppress it-- 240 00:15:21,053 --> 00:15:23,851 hyperbaric oxygen chamber. 241 00:15:23,923 --> 00:15:28,690 There's no protocol for putting a patient in a high-pressure oxygen room to treat auto-immune problems. 242 00:15:28,761 --> 00:15:31,127 Oh, you people. Always with the protocols. 243 00:15:32,598 --> 00:15:36,329 Prep the nun and discontinue the prednisone. 244 00:15:41,907 --> 00:15:45,001 I am both amused and annoyed... 245 00:15:45,077 --> 00:15:47,568 that you think I should be less stubborn than you are. 246 00:15:49,014 --> 00:15:52,245 You are aware of the Hippocratic oath, right? 247 00:15:52,318 --> 00:15:56,584 The one that starts, "First, do no harm", then goes on to tell us no abortions, no seductions, 248 00:15:56,655 --> 00:15:59,351 and definitely no cutting of those who labor beneath the stone? 249 00:15:59,425 --> 00:16:01,359 Yeah. I took a read once. Wasn't impressed. 250 00:16:01,427 --> 00:16:05,488 Hyperbaric treatments could cause oxygen toxicity-- lung and eye damage. 251 00:16:05,564 --> 00:16:08,055 Every treatment has its dangers. Which is why we only treat... 252 00:16:08,133 --> 00:16:10,761 if we're convinced the patient actually needs the treatment. 253 00:16:10,836 --> 00:16:13,498 I'm convinced. You're not. 254 00:16:14,707 --> 00:16:17,039 Question is, what are you gonna do about it? Hmm? 255 00:16:20,112 --> 00:16:23,172 I have an opening Thursday at 3:00. Do you have a fourth? 256 00:16:24,183 --> 00:16:26,845 Is he any good? 257 00:16:26,919 --> 00:16:28,910 Can I call you right back? Okay. 258 00:16:30,823 --> 00:16:32,814 What's up? 259 00:16:35,761 --> 00:16:39,595 The pressure will force the oxygen into your system, saturate your blood. 260 00:16:39,665 --> 00:16:42,725 It will enhance white cell activity, reduce the inflammation. 261 00:16:42,801 --> 00:16:45,929 And that will help with this mixed connective tissue disease? 262 00:16:46,005 --> 00:16:49,168 We'll be doing about 10 treatments, and then we'll reevaluate. 263 00:16:49,241 --> 00:16:52,608 The last treatment with prednisone caused the seizures, right? 264 00:16:52,678 --> 00:16:56,546 How confident is Dr. House about this? 265 00:16:56,615 --> 00:16:59,379 That you reacted so strongly to the prednisone let us know... 266 00:16:59,451 --> 00:17:01,544 that you had an underlying problem with your immune system. 267 00:17:01,620 --> 00:17:05,078 I guess it was a blessing... of sorts. 268 00:17:09,495 --> 00:17:12,157 So, who's your favorite reindeer, Nurse Arnold? 269 00:17:12,231 --> 00:17:14,165 Rudolph. I would've thought it was Vixen. 270 00:17:14,233 --> 00:17:17,600 What are you implying? Nothing. 271 00:17:17,669 --> 00:17:20,297 But I saw you at the Christmas party with Dr. Riles... 272 00:17:20,372 --> 00:17:22,806 and Dr. Jorkins and Nurse Crandall. 273 00:17:22,875 --> 00:17:24,900 I was just doing some Christmas dancing. 274 00:17:24,977 --> 00:17:29,471 This is a chapel, a house of prayer. 275 00:17:29,548 --> 00:17:31,675 House of prayer? Huh. 276 00:17:31,750 --> 00:17:33,684 That explains the good reception. 277 00:17:33,752 --> 00:17:36,812 Also why nobody's ever here. 278 00:17:38,924 --> 00:17:41,017 I need to talk with you, Dr. House. 279 00:17:41,093 --> 00:17:44,221 Sister Augustine believes in things that aren't real. 280 00:17:45,531 --> 00:17:47,795 I thought that was a job requirement for you people. 281 00:17:47,866 --> 00:17:52,360 She's been known to lie to get sympathy. 282 00:17:52,438 --> 00:17:54,702 She's a hypochondriac. 283 00:17:54,773 --> 00:17:58,732 So you're warning me that I may be treating a nonexistent ailment. 284 00:17:58,811 --> 00:18:01,302 Sore throats, joint pains. 285 00:18:01,380 --> 00:18:04,247 There's always something wrong, and there's never a reason for it. 286 00:18:04,316 --> 00:18:06,341 Mother Superior plays right into it-- 287 00:18:06,418 --> 00:18:09,114 lets Augustine off work duties, 288 00:18:09,188 --> 00:18:11,952 treating her as fragile, special. 289 00:18:12,024 --> 00:18:14,822 That must make you angry. 290 00:18:14,893 --> 00:18:16,884 It bothers me. 291 00:18:16,962 --> 00:18:19,430 It's not really in Augustine's best interests. 292 00:18:23,102 --> 00:18:26,469 You want some? 293 00:18:26,538 --> 00:18:29,530 I shouldn't. 294 00:18:34,313 --> 00:18:37,373 I guess you gotta be good at reading people to be a good infirmarian, huh? 295 00:18:37,449 --> 00:18:40,475 Mm. Mm-hmm. 296 00:18:40,552 --> 00:18:43,180 So, we've got pride, anger, envy, gluttony-- 297 00:18:44,556 --> 00:18:47,753 That's four out of seven deadly sins in under two minutes. 298 00:18:47,826 --> 00:18:50,818 Do you people keep records of these things? Is there a "Cathlympics"? 299 00:18:52,998 --> 00:18:55,990 They say you have a gift. They like to talk. 300 00:18:56,068 --> 00:18:59,595 - You hide behind your intelligence. - Yeah. That's pretty stupid. 301 00:18:59,671 --> 00:19:02,663 And you make jokes because you're afraid to take anything seriously. 302 00:19:02,741 --> 00:19:05,005 Because if you take things seriously, they matter. 303 00:19:05,077 --> 00:19:08,171 And if they matter-- When things go wrong, I get hurt. 304 00:19:08,247 --> 00:19:11,341 - I'm not tough. I'm vulnerable. - I barely know you. 305 00:19:11,416 --> 00:19:14,613 And I don't know if I'm right. I just hope I am. 306 00:19:14,686 --> 00:19:17,086 Because the alternative is... 307 00:19:17,156 --> 00:19:19,624 you really are as miserable as you seem to be. 308 00:19:22,528 --> 00:19:25,656 You know, from the way you're looking at me right now, 309 00:19:25,731 --> 00:19:27,699 I'd say you just hit number five. 310 00:19:29,034 --> 00:19:31,400 Lust. 311 00:19:43,315 --> 00:19:46,580 Dr. Brown, I love you too. 312 00:19:55,127 --> 00:19:58,426 How are you feeling? A little weak. 313 00:19:58,497 --> 00:20:01,159 - That's from the oxygen. - My mouth is dry. 314 00:20:01,233 --> 00:20:04,600 Okay. Well, uh, I'll get you some of your tea. 315 00:20:06,805 --> 00:20:10,605 Mixed connective tissue disease? Her A.N.A. is barely elevated. 316 00:20:10,676 --> 00:20:13,406 Thanks for checking up on her. Good to know you got my back. 317 00:20:13,478 --> 00:20:17,141 O2 sat's down to 83. Pulmonary problems, breathing problems. 318 00:20:17,216 --> 00:20:19,241 Irritation from the oxygen is typical. 319 00:20:19,318 --> 00:20:22,219 She comes in with a rash, and you put her into cardiac arrest. 320 00:20:22,287 --> 00:20:24,448 That well just never runs dry, does it? 321 00:20:24,523 --> 00:20:28,015 If there was no underlying problem, why is she still having the rapid heart rate? 322 00:20:28,093 --> 00:20:30,721 Maybe from the herpetic encephalitis caused by you giving her prednisone. 323 00:20:30,796 --> 00:20:32,991 Her reaction is a symptom, not an error. 324 00:20:33,065 --> 00:20:35,226 There's always an explanation, isn't there? Yes, there is. 325 00:20:35,300 --> 00:20:38,235 And if this one doesn't work, we'll find another. But never one involving you screwing up. 326 00:20:38,303 --> 00:20:40,294 One that fits all the facts. 327 00:20:40,372 --> 00:20:43,671 Look, we obviously have a difference of opinion, and that's fine. 328 00:20:43,742 --> 00:20:47,337 But, unfortunately, I've used up all the time I budgeted today for banging my head against a wall. 329 00:20:47,412 --> 00:20:50,848 I'm gonna do you the biggest favor one doctor can do for another. 330 00:20:50,916 --> 00:20:53,714 I am gonna stop you from killing your patient. 331 00:20:53,785 --> 00:20:56,185 You're off the case. 332 00:21:14,473 --> 00:21:16,668 We're gonna treat the symptoms. Not the underlying condition? 333 00:21:16,742 --> 00:21:19,267 There is no underlying condition. What's her status? 334 00:21:19,344 --> 00:21:21,403 The sister's breathing is labored. 335 00:21:21,480 --> 00:21:23,880 Pneumonitis from the hyperbaric chamber. 336 00:21:23,949 --> 00:21:27,316 Put her on 40% oxygen until her O2 sats increase. B.U.N. and creatinine's rising. 337 00:21:27,386 --> 00:21:29,946 A.L.T. and A.S.T. twice the normal range. 338 00:21:30,022 --> 00:21:33,617 Could be from the hypotensive episode. Let's follow them with labs. 339 00:21:33,692 --> 00:21:37,355 She still has the rash and joint pain she came in with. 340 00:21:37,429 --> 00:21:40,956 Order a nonsteroidal anti-inflammatory. When we were looking at the differential diagnosis with Dr. House, 341 00:21:41,033 --> 00:21:43,934 we were considering-- I don't need to hear what Dr. House was considering. 342 00:21:44,002 --> 00:21:47,438 All of this woman's symptoms can be traced to Dr. House's considerations. 343 00:21:50,108 --> 00:21:52,042 Okay. 344 00:21:52,110 --> 00:21:54,601 Let's just get this patient healthy. 345 00:21:54,680 --> 00:21:57,410 I want her going out the front door and not the back. 346 00:21:59,418 --> 00:22:01,352 Hey, it's not like I betrayed him. 347 00:22:01,420 --> 00:22:03,888 Cuddy would have found out about the hyperbaric treatments eventually. 348 00:22:03,955 --> 00:22:06,116 You did what you thought you had to. 349 00:22:22,574 --> 00:22:24,508 Can't get enough of this place, huh? 350 00:22:26,311 --> 00:22:28,245 Came for my stethoscope. 351 00:22:28,313 --> 00:22:31,339 So I shouldn't read too much into the fact that you were looking for it... 352 00:22:31,416 --> 00:22:33,407 in the drawer with the epinephrine syringes in it? 353 00:22:35,520 --> 00:22:38,580 Okay. Yeah, I'd like to clear my reputation. 354 00:22:38,657 --> 00:22:42,218 Oh, right. I forgot how much you care about what people think. 355 00:22:42,294 --> 00:22:45,127 Prescribing cigarettes for inflammatory bowel? 356 00:22:45,197 --> 00:22:47,290 That's, uh-- They cause lung cancer, you know. 357 00:22:47,366 --> 00:22:50,130 You know why they have ribbons for breast cancer, 358 00:22:50,202 --> 00:22:53,968 colorectal cancer, prostate cancer-- and not for lung cancer? 359 00:22:54,039 --> 00:22:56,007 They ran out of colors? 360 00:22:56,074 --> 00:22:58,634 It's because people blame lung cancer patients. 361 00:22:58,710 --> 00:23:00,644 They smoke. They screwed up. They deserve to die. 362 00:23:00,712 --> 00:23:03,806 The reason people die from lung cancer is guilt. 363 00:23:03,882 --> 00:23:06,715 Huh. Well, guilt does a lot of damage. 364 00:23:08,687 --> 00:23:11,053 You said that with great significance. 365 00:23:11,123 --> 00:23:14,957 You're not here to find your stethoscope. You're not here to clear your reputation. 366 00:23:15,026 --> 00:23:19,190 You're here because you're having doubts. You might have screwed up. 367 00:23:19,264 --> 00:23:21,858 I'm here because, if I'm right, Cuddy is killing that patient. 368 00:23:21,933 --> 00:23:24,299 Okay. But if you're wrong? 369 00:23:26,772 --> 00:23:28,706 Then she's saving her. Fine. 370 00:23:28,774 --> 00:23:31,174 You're gonna have to go through every record of every patient... 371 00:23:31,243 --> 00:23:33,734 who's been through this clinic in the last two days. 372 00:23:33,812 --> 00:23:36,975 And you're gonna have to hope that those records can be trusted. 373 00:23:37,048 --> 00:23:39,243 Which, by the way, yours can't. 374 00:23:49,961 --> 00:23:53,089 These pills will help your kidneys function a little better, Sister. 375 00:24:00,105 --> 00:24:02,039 Get your wrist? 376 00:24:03,842 --> 00:24:06,242 What's that? 377 00:24:06,311 --> 00:24:08,677 104. 378 00:24:08,747 --> 00:24:11,739 Is that good? It's fine. 379 00:24:13,018 --> 00:24:16,954 You're a lousy liar, Dr. Chase. 380 00:24:22,861 --> 00:24:25,694 I have to get this. Excuse me. 381 00:24:28,300 --> 00:24:30,530 My mother's been dead for 10 years. 382 00:24:31,670 --> 00:24:33,638 But she's always with you in spirit. 383 00:24:33,705 --> 00:24:35,798 What do you know about the nun? Which one? 384 00:24:35,874 --> 00:24:39,310 The cute one. I think she likes me. 385 00:24:39,377 --> 00:24:43,108 - The sick one, obviously. - Her parents died when she was a child. 386 00:24:43,181 --> 00:24:45,775 She's been with the Church ever since. What's she lying about? 387 00:24:45,851 --> 00:24:48,319 - Why do you say that? - I always say that. 388 00:24:48,386 --> 00:24:51,082 And the old nun thinks the sick nun is a big fat nun liar. 389 00:24:51,156 --> 00:24:53,920 You know nuns. What do you think? I don't know nuns. 390 00:24:53,992 --> 00:24:56,984 You hate nuns. You can't hate someone if you don't know them. 391 00:24:57,062 --> 00:24:59,622 Know any Nazis? Maybe I hate them on principle. 392 00:25:01,199 --> 00:25:03,895 I have a theory about what makes good boys good. 393 00:25:03,969 --> 00:25:07,302 It's not because of some moral imperative. 394 00:25:07,372 --> 00:25:09,704 Good boys have the fear of God put into them. 395 00:25:09,774 --> 00:25:12,834 Catholic Church specializes in that kind of training-- 396 00:25:12,911 --> 00:25:15,903 to make good boys afraid of divine retribution, 397 00:25:15,981 --> 00:25:18,108 so they'll do what their daddies tell them-- 398 00:25:18,183 --> 00:25:22,085 like, for example, going into medical school when it's the last thing they wanna do. 399 00:25:22,153 --> 00:25:24,087 What do you think? 400 00:25:25,557 --> 00:25:28,287 I think, if she did have a secret, her boss would know. 401 00:25:33,865 --> 00:25:37,357 Did you paint or put in new carpets recently? No. 402 00:25:37,435 --> 00:25:39,630 Any way she could have got access to drugs? 403 00:25:39,704 --> 00:25:43,765 We lock all our medications in the infirmary, and we don't keep prescription drugs here. 404 00:25:43,842 --> 00:25:48,108 Why haven't you asked Sister Augustine about these things directly? 405 00:25:48,179 --> 00:25:51,114 I've found that when you want to know the truth about someone, 406 00:25:51,182 --> 00:25:53,946 that someone is probably the last person you should ask. 407 00:25:54,019 --> 00:25:56,647 Ah. And have you been speaking to Sister Eucharist? 408 00:25:56,721 --> 00:26:00,350 She ratted out her fellow sister pretty quickly. Oh. 409 00:26:00,425 --> 00:26:02,655 If I were you, I'd have her repeat a year of nun school. 410 00:26:02,727 --> 00:26:06,060 Well, becoming a nun doesn't make you a saint. 411 00:26:06,131 --> 00:26:08,565 Becoming a doctor doesn't make you a healer. 412 00:26:08,633 --> 00:26:12,467 And just because we live in a monastery, and we spend most of our time in prayer, 413 00:26:12,537 --> 00:26:15,404 doesn't mean we don't find time for drama. 414 00:26:15,473 --> 00:26:17,338 So, what is the sick one's drama? 415 00:26:17,409 --> 00:26:22,142 Sister Augustine lived in Catholic foster care until she came to us. 416 00:26:24,215 --> 00:26:26,911 - Tea? - Sure. 417 00:26:30,088 --> 00:26:32,716 Do all of you lie? 418 00:26:32,791 --> 00:26:35,316 It's a good strategy; it's simpler when you all tell the same lie. 419 00:26:35,393 --> 00:26:38,362 She has not spent her entire life as a good Catholic. 420 00:26:38,430 --> 00:26:42,366 When she had a cardiac arrest, I had to open her blouse to do C.P.R. 421 00:26:42,434 --> 00:26:45,426 And I learned two things: nuns can have nice breasts, 422 00:26:45,503 --> 00:26:49,997 and she has a tattoo on her shoulder-- of a skunk. 423 00:26:50,075 --> 00:26:54,171 Now, maybe it's the sacred skunk of Joseph, 424 00:26:54,245 --> 00:26:57,510 but, as far as I know, Catholic foster care and monasteries... 425 00:26:57,582 --> 00:27:00,380 do not keep tattoo parlors in their refectories. 426 00:27:00,452 --> 00:27:03,148 We consider that our life begins... 427 00:27:03,221 --> 00:27:05,746 when we put on our habits and take our vows. 428 00:27:07,459 --> 00:27:11,418 - What happens before then-- - Is irrelevant to you, but it's relevant to me. 429 00:27:15,567 --> 00:27:18,866 Sister Augustine went into foster care when she was six years old, 430 00:27:18,937 --> 00:27:21,531 but she left when she was 12. 431 00:27:21,606 --> 00:27:24,473 She lived on the streets. She got into drugs. 432 00:27:25,844 --> 00:27:27,937 When she was 15, she became pregnant. 433 00:27:28,013 --> 00:27:29,947 Tried to self-abort. 434 00:27:30,015 --> 00:27:32,950 She lost the child. She became ill. 435 00:27:33,018 --> 00:27:34,952 We took her in when she came back. 436 00:27:35,020 --> 00:27:39,548 If we had thought it was medically relevant, we would have told you. 437 00:27:41,626 --> 00:27:43,651 It's not. 438 00:27:51,770 --> 00:27:55,570 This tea is delicious. Local herbs? 439 00:27:56,574 --> 00:27:59,839 Any change with the medication? Yes. She's getting worse. 440 00:27:59,911 --> 00:28:03,210 Lung function's deteriorating. B.U.N. and creatinine continuing to rise. 441 00:28:03,281 --> 00:28:05,772 She's starting to run a fever, and the rash is spreading. 442 00:28:05,850 --> 00:28:08,080 At this rate, she's not gonna make Christmas. Maybe House is right. 443 00:28:08,153 --> 00:28:10,485 Maybe there is an underlying condition that explains the symptoms. 444 00:28:10,555 --> 00:28:13,149 Something we haven't considered. Like what? 445 00:28:13,224 --> 00:28:15,351 It could be a metabolic disorder. Specifically? 446 00:28:15,427 --> 00:28:17,361 Might be genetic. Specifically? 447 00:28:17,429 --> 00:28:19,761 I'm just saying-- You're just saying you think House is right. 448 00:28:19,831 --> 00:28:22,356 Might be right. Ofcourse he might be right. 449 00:28:22,434 --> 00:28:25,267 It might be the hand of God at work. Don't say it's something else... 450 00:28:25,336 --> 00:28:27,634 unless you've got something concrete to offer. 451 00:28:29,941 --> 00:28:32,136 What's this, hemlock? 452 00:28:32,210 --> 00:28:35,509 I'm gonna do you the biggest favor one doctor can do another. 453 00:28:35,580 --> 00:28:37,514 I'm gonna stop you from killing your patient. 454 00:28:38,883 --> 00:28:42,876 It's figwort tea-- great for that little pick-me-up we're all looking for in the morning. 455 00:28:42,954 --> 00:28:46,549 Opens the lungs, increases the blood pressure, stimulates the heart. 456 00:28:46,624 --> 00:28:50,526 Unfortunately, if you then get injected with even .1 c.c. of epinephrine-- 457 00:28:50,595 --> 00:28:53,155 instant cardiac arrest. 458 00:28:54,232 --> 00:28:56,496 - Still, what the hell, it tastes great. - Sister Augustine-- 459 00:28:56,568 --> 00:28:59,059 Has been drinking it religiously, so to speak. 460 00:28:59,137 --> 00:29:02,129 And if you take the cardiac arrest out of the equation-- 461 00:29:02,207 --> 00:29:06,405 All the rest of the symptoms can be explained by a severe long-term allergic reaction. 462 00:29:06,478 --> 00:29:08,639 Well, that's what Cameron said in the beginning. 463 00:29:08,713 --> 00:29:12,308 Yes, she did. Well done. 464 00:29:12,383 --> 00:29:17,582 But your unwillingness to stick by your diagnosis almost killed this woman. 465 00:29:17,655 --> 00:29:20,215 Take a lesson from Foreman-- stand up for what you believe. 466 00:29:21,760 --> 00:29:25,924 Okay. Let's go figure out how to save a nun. 467 00:29:25,997 --> 00:29:28,022 Damned if you do, damned if you don't. 468 00:29:29,501 --> 00:29:31,435 Because it's been untreated for so long, 469 00:29:31,503 --> 00:29:34,028 it's gone from a simple "watery eyes, scratchy throat" allergy... 470 00:29:34,105 --> 00:29:36,437 to a whopping "I'm gonna kick your ass" allergy-- 471 00:29:36,508 --> 00:29:40,501 compromising her immune system, diminishing her ability to heal and breaking down her organ systems. 472 00:29:40,578 --> 00:29:44,014 So, what's the source? The dish soap. 473 00:29:44,082 --> 00:29:47,108 No. The symptoms persisted days after the dish-washing episode. 474 00:29:47,185 --> 00:29:50,382 It's gotta be something she's been exposed to here in the hospital as well as the monastery. 475 00:29:50,455 --> 00:29:52,616 What about the tea? It caused her arrhythmia. 476 00:29:52,690 --> 00:29:54,624 Could be, but it's not definitive. 477 00:29:54,692 --> 00:29:57,490 We'll skin-test for allergens. Not yet. She's too reactive. 478 00:29:57,562 --> 00:29:59,496 She tests positive to everything. We need to stabilize her-- 479 00:29:59,564 --> 00:30:02,658 isolate her from all possible allergens-- give her system a rest. 480 00:30:02,734 --> 00:30:04,668 Get her in a clean room. Okay. 481 00:30:04,736 --> 00:30:06,863 Then gradually introduce allergens and see how she responds. 482 00:30:06,938 --> 00:30:09,805 When she reacts to something, we'll know that's what's killing her. 483 00:30:11,276 --> 00:30:14,211 There you go. No television, no books. 484 00:30:14,279 --> 00:30:16,543 - Not even my Bible? - I'm afraid not. 485 00:30:16,614 --> 00:30:18,980 This room has filtered air, filtered water. 486 00:30:19,050 --> 00:30:22,918 You even have silk sheets-- very decadent and hypoallergenic. 487 00:30:22,987 --> 00:30:25,455 You should be feeling better here. 488 00:30:27,959 --> 00:30:31,122 We'll be back to check on you in a little while. 489 00:30:31,196 --> 00:30:35,394 Can the other sisters come in and pray with me? 490 00:30:36,668 --> 00:30:39,432 It'd be better if you don't have any visitors. 491 00:30:39,504 --> 00:30:42,098 Once we isolate what's causing your allergy, 492 00:30:42,173 --> 00:30:44,107 then we can be a little more lax. 493 00:30:53,885 --> 00:30:57,753 I-I can pray with you. 494 00:30:57,822 --> 00:31:00,552 I don't wanna die. 495 00:31:00,625 --> 00:31:02,786 Why has he left me? 496 00:31:12,770 --> 00:31:14,795 I was in seminary school. 497 00:31:16,875 --> 00:31:19,139 They asked us once what our favorite passage was. 498 00:31:19,210 --> 00:31:22,373 I chose First Peter, chapter one, verse seven. 499 00:31:24,616 --> 00:31:28,450 "These trials only test your faith to see whether or not it is strong and pure. 500 00:31:28,519 --> 00:31:33,821 Your faith is being tested, as fire tests gold and purifies it". 501 00:31:33,892 --> 00:31:37,293 "And your faith is far more precious to the Lord than mere gold. 502 00:31:37,362 --> 00:31:39,694 "So if your faith remains strong after being tested, 503 00:31:39,764 --> 00:31:44,394 "it will bring you much praise and glory and honor... 504 00:31:45,870 --> 00:31:47,804 on the day of his return". 505 00:31:47,872 --> 00:31:49,999 He hasn't left you. 506 00:31:54,045 --> 00:31:57,071 The only thing in the way of you knowing he's there is your fear. 507 00:31:57,148 --> 00:32:02,848 You have a choice-- faith or fear. That's the test. 508 00:32:02,921 --> 00:32:05,082 Choosing faith doesn't mean I won't die. 509 00:32:05,156 --> 00:32:07,317 But it will affect how you experience your death... 510 00:32:07,392 --> 00:32:09,986 and, therefore, your life. 511 00:32:10,061 --> 00:32:11,824 It's up to you. 512 00:32:11,896 --> 00:32:14,888 Why did you leave seminary school? 513 00:32:16,634 --> 00:32:19,228 That test. 514 00:32:19,304 --> 00:32:21,898 You passed. I didn't. 515 00:32:23,308 --> 00:32:26,539 We'll call you if anything changes. Will she be all right? 516 00:32:26,611 --> 00:32:30,547 As long as she's not exposed to anything that can aggravate her allergy, she'll be fine. 517 00:32:31,983 --> 00:32:35,942 I need some help in here! 518 00:32:38,523 --> 00:32:41,583 Screw the procedure! She's in anaphylactic shock! 519 00:32:41,659 --> 00:32:43,889 No way. She's in a damn clean room. You kidding me? 520 00:32:43,962 --> 00:32:45,896 Get in here! 521 00:32:45,964 --> 00:32:50,594 . 1 c.c. of epi. We've got to intubate. 522 00:32:50,668 --> 00:32:53,102 I got it. Get the ambu bag. 523 00:33:04,849 --> 00:33:07,317 I'm in. 524 00:33:19,464 --> 00:33:21,955 Breathing's stabilized. 525 00:33:23,334 --> 00:33:25,802 It's a clean room. 526 00:33:33,711 --> 00:33:36,179 How do you get an allergic reaction in a clean room? 527 00:33:38,116 --> 00:33:42,143 Maybe it was the preservatives in the I.V.? Checked that. 528 00:33:42,220 --> 00:33:44,780 Latex tubing? Checked that. Checked everything. 529 00:33:44,856 --> 00:33:49,555 Well, it could be mast cell leukemia. It can cause anaphylaxis. 530 00:33:49,627 --> 00:33:55,122 I checked the blood levels, and it's not eosinophilia or idiopathic anaphylaxis. 531 00:33:55,199 --> 00:33:58,327 Maybe it's just divine will. 532 00:33:58,403 --> 00:34:00,894 It's not my will. 533 00:34:05,109 --> 00:34:09,876 You do realize, if you're wrong-- about the big picture, that is-- 534 00:34:09,947 --> 00:34:11,881 you're going to burn, right? 535 00:34:11,949 --> 00:34:14,110 What do you want me to do-- just accept it, pack it in? 536 00:34:14,185 --> 00:34:17,643 Yeah. I want you to accept that sometimes patients die against all reason, 537 00:34:17,722 --> 00:34:19,656 and sometimes they get better against all reason. 538 00:34:19,724 --> 00:34:22,215 No, they don't. We just don't know the reason. 539 00:34:22,293 --> 00:34:24,989 I think the nuns would agree with you on that. 540 00:34:34,172 --> 00:34:37,141 I just wanted to say that I know that you did everything you could. 541 00:34:37,208 --> 00:34:40,541 I don't need verification from you to know that I'm doing my job well. 542 00:34:40,611 --> 00:34:43,512 That's your problem, not mine. I was just being nice. 543 00:34:43,581 --> 00:34:46,345 Yeah, well, you don't need to always do that. 544 00:34:48,820 --> 00:34:50,685 Merry Christmas. 545 00:35:00,298 --> 00:35:03,665 Sister Augustine's been extubated. 546 00:35:05,970 --> 00:35:09,201 Good. She's requested to check out, against medical advice. 547 00:35:09,273 --> 00:35:11,207 She wants to go back to the monastery. 548 00:35:11,275 --> 00:35:13,539 Well, talk her out of it. 549 00:35:13,611 --> 00:35:16,910 I think I may have talked her into it. 550 00:35:33,764 --> 00:35:36,096 Room's paid up for the rest of the week. 551 00:35:37,602 --> 00:35:39,536 Might as well stick around. 552 00:35:39,604 --> 00:35:43,870 This illness... is a test of my faith. 553 00:35:43,941 --> 00:35:48,139 If it's his will to take me, it doesn't matter where I am. 554 00:35:48,212 --> 00:35:50,942 I can accept that. 555 00:35:51,015 --> 00:35:53,415 Does anybody believe anything you say? 556 00:35:55,319 --> 00:35:57,253 You're not accepting. 557 00:35:58,723 --> 00:36:00,657 You're running away. 558 00:36:00,725 --> 00:36:02,886 Just like you always do. 559 00:36:02,960 --> 00:36:05,793 You ran away from the monastery to get laid. 560 00:36:07,064 --> 00:36:10,864 You ran away from the real world when getting laid didn't work out so good. 561 00:36:10,935 --> 00:36:14,735 Now things aren't working out again, so off you go. 562 00:36:14,805 --> 00:36:18,741 Why is it so difficult for you to believe in God? 563 00:36:18,809 --> 00:36:23,143 What I have difficulty with is the whole concept of belief. 564 00:36:23,214 --> 00:36:25,682 Faith isn't based on logic and experience. 565 00:36:25,750 --> 00:36:29,186 I experience God on a daily basis... 566 00:36:29,253 --> 00:36:33,087 and the miracle of life all around-- 567 00:36:33,157 --> 00:36:37,025 the miracle of birth, the miracle of love. 568 00:36:37,094 --> 00:36:39,824 He is always with me. 569 00:36:39,897 --> 00:36:44,129 Where is the miracle in delivering a crack-addicted baby? 570 00:36:44,202 --> 00:36:46,534 Hmm? 571 00:36:46,604 --> 00:36:50,040 Then watching her mother abandon her 'cause she needs another score. 572 00:36:50,107 --> 00:36:52,234 Miracle of love. 573 00:36:52,310 --> 00:36:55,108 You're over twice as likely to be killed... 574 00:36:55,179 --> 00:36:58,148 by the person you love than by a stranger. 575 00:36:58,216 --> 00:37:01,413 Are you trying to talk me out of my faith? 576 00:37:01,485 --> 00:37:05,319 You can have all the faith you want in spirits and the afterlife... 577 00:37:05,389 --> 00:37:08,187 and heaven and hell. 578 00:37:08,259 --> 00:37:10,989 But when it comes to this world, don't be an idiot. 579 00:37:12,163 --> 00:37:15,599 'Cause you can tell me that you put your faith in God to get you through the day, 580 00:37:15,666 --> 00:37:18,692 but when it comes time to cross the road, I know you look both ways. 581 00:37:18,769 --> 00:37:23,536 I don't believe he is inside me and is going to save me. 582 00:37:23,608 --> 00:37:28,341 I believe he is inside me whether I live or die. 583 00:37:28,412 --> 00:37:30,403 Then you might as well live. 584 00:37:32,350 --> 00:37:34,750 You got a better shot betting on me than on him. 585 00:37:36,621 --> 00:37:39,317 When I was 15, 586 00:37:39,390 --> 00:37:43,884 I was on every kind of birth control known to man-- 587 00:37:43,961 --> 00:37:47,294 and I still got pregnant. 588 00:37:47,365 --> 00:37:52,268 I blamed God. I hated him for ruining my life. 589 00:37:52,336 --> 00:37:54,270 But then I realized something. 590 00:37:54,338 --> 00:37:59,970 You can't be angry with God and not believe in him at the same time. 591 00:38:00,044 --> 00:38:03,775 No one can. Not even you, Dr. House. 592 00:38:08,953 --> 00:38:12,912 How'd it go? She has God inside her. 593 00:38:12,990 --> 00:38:16,187 It would have been easier to deal with a tumor. 594 00:38:16,260 --> 00:38:18,490 Maybe she's allergic to God? 595 00:38:23,501 --> 00:38:26,436 We've looked everywhere for an allergen that could be causing this reaction... 596 00:38:26,504 --> 00:38:28,597 except one place-- inside her. 597 00:38:28,673 --> 00:38:32,040 On her medical history, she didn't mention any surgery. She had one. 598 00:38:32,109 --> 00:38:35,545 Can we get her records? What hospital was it at? She didn't have it at a hospital. 599 00:38:35,613 --> 00:38:38,707 Order a full body scan. What if she refuses? 600 00:38:38,783 --> 00:38:42,310 Tell her I'm looking for a miracle. 601 00:38:43,454 --> 00:38:46,423 No piercings. No fillings. 602 00:38:46,490 --> 00:38:50,153 No surgical pins in the arm. No implants. 603 00:38:50,227 --> 00:38:53,025 It's clean as a whistle. What's House looking for? 604 00:38:54,598 --> 00:38:58,261 - What is that? - Don't know. 605 00:38:58,336 --> 00:39:00,930 Lock on it. Get a 3-D representation. 606 00:39:06,110 --> 00:39:08,943 Oh, my God. 607 00:39:11,882 --> 00:39:16,444 The copper cross-- a form of birth control pulled off the market in the '80s. 608 00:39:16,520 --> 00:39:20,217 - So she's allergic to copper. - Rare, but it happens. 609 00:39:20,291 --> 00:39:22,122 Wouldn't she know she had an I.U.D.? 610 00:39:22,193 --> 00:39:24,684 She had an abortion. I.U.D. must have been left in, 611 00:39:24,762 --> 00:39:27,856 embedded in the endometrial tissue where it couldn't be detected. 612 00:39:27,932 --> 00:39:31,060 So, all we have to do is remove the I.U.D. 613 00:39:31,135 --> 00:39:33,433 Then the symptoms should subside. 614 00:39:33,504 --> 00:39:38,203 I got this I.U.D. when I was 15. It-It's been more than 20 years. 615 00:39:38,275 --> 00:39:41,369 Prolonged exposure to an allergen with minimal symptoms. 616 00:39:41,445 --> 00:39:45,939 But at some point. all it takes is one last contact to cause a full-blown reaction. 617 00:39:46,016 --> 00:39:49,349 Just like a balloon filled with air-- one last breath, it explodes. 618 00:39:50,354 --> 00:39:53,721 The first time I got the rash was when I was washing the copper cookware. 619 00:39:53,791 --> 00:39:58,751 And all your subsequent symptoms came from ingesting food prepared in it. 620 00:39:58,829 --> 00:40:01,320 Dr. House found his miracle. 621 00:40:01,399 --> 00:40:03,333 I doubt he'll interpret it that way. 622 00:40:05,636 --> 00:40:07,661 You told me your favorite passage. 623 00:40:07,738 --> 00:40:09,729 Would you like to hear mine? 624 00:40:11,976 --> 00:40:14,035 "Celebrate and be glad, 625 00:40:14,111 --> 00:40:17,046 because your brother was dead and is alive again". 626 00:40:17,114 --> 00:40:20,083 The prodigal son. 627 00:40:20,151 --> 00:40:23,450 He'll be waiting for you when you're ready. 628 00:40:25,289 --> 00:40:27,519 We'll schedule your surgery for tomorrow. 629 00:40:34,565 --> 00:40:36,499 The sixth circle of hell. 630 00:40:36,567 --> 00:40:40,298 Confined in a sweat box with a bloody nose, and all the tissues are soggy. 631 00:40:40,371 --> 00:40:42,635 I think that's the seventh. No. The seventh is-- 632 00:40:42,706 --> 00:40:46,642 God, you must be fun at parties. I think we both know the flaw in that theory. 633 00:40:46,710 --> 00:40:50,202 How's the sister? Heart rate is normal, kidneys functioning. 634 00:40:50,281 --> 00:40:53,614 You know how it is with nuns. You take out their I.U.D.'s, they just bounce right back. 635 00:40:53,684 --> 00:40:56,050 Great. Told you I didn't screw up. 636 00:40:57,688 --> 00:41:00,885 You screwed up. I gave her .1 c.c. of epinephrine. 637 00:41:00,958 --> 00:41:03,552 Yeah, and if Cuddy hadn't taken you off the case, you would have killed her. 638 00:41:06,030 --> 00:41:08,999 You wanna come over for Christmas dinner? 639 00:41:09,066 --> 00:41:12,502 You're Jewish. Yeah. Hanukkah dinner. 640 00:41:12,570 --> 00:41:15,334 What do you care? It's food. It's people. No, thanks. 641 00:41:17,508 --> 00:41:21,945 Maybe I'll come to your place. Your wife doesn't mind being alone at Christmas? 642 00:41:22,012 --> 00:41:24,776 I'm a doctor. She's used to being alone. 643 00:41:26,217 --> 00:41:28,276 I don't wanna talk about it. Neither do I. 644 00:41:33,290 --> 00:41:35,315 You did good with the nun. 645 00:41:35,392 --> 00:41:40,125 - Congratulations. - Thank you. 646 00:41:40,197 --> 00:41:44,327 Merry Christmas, Dr. House. Dr. Wilson. 647 00:41:45,636 --> 00:41:47,604 Good night. 648 00:41:49,273 --> 00:41:51,798 That was sweet. 649 00:43:55,032 --> 00:43:56,294 Ripped by phaelox for divxstation.com 9999 00:00:0,500 --> 00:00:2,00 www.tvsubtitles.net