House (2004–2012): Season 1, Episode 16 - Heavy - full transcript

MRS. SIMMS: Jessica.

Jessica, come on. We gotta go.

- Move it or lose it, sister.
- I don't feel good.

(KISSES)

- You don't feel warm.
- My stomach hurts.

- Honey, if you don't have a fever...
- I don't want to go to school.

I can do my work at home.

Jessica, what's wrong?

Everybody hates me.

No, they don't hate you.

They don't even know you,
because they're too ignorant to try.



- I hate myself.
- Jessica, don't say that.

Honey. Look at me.
Look at me.

You are a wonderful,
beautiful little girl.

- Don't let a few bad apples...
- A few?

Try my whole class.

Remember the story
where the guy keeps saying

that he hates green eggs and ham?

And then at the end,
he realized he really loved them?

One day, they're gonna realize
what a great kid you really are.

You just gotta be like Sam-l-Am,
and don't give up.

Okay.

CONROY: That's it. Keep going.

Good. Nice. You're doing great,
Jessica. You're doing great.

(KIDS LAUGHING)



Hey. Hey, Seth. You want to spend
the rest of class sitting on the bench?

No.

Keep going, Jess.
You got 40 more seconds.

- My arm hurts.
- Come on. Tough it up.

- You can do it. You can do it.
- My chest hurts.

- How do you think the ground feels?
- Hey, Seth. Two laps. Bye.

Jess, It's just a stitch. Okay?
Just keep breathing. You got it.

- I can't.
- Only 10 more seconds. You got it.

Jessica? Jessica? Jessica?

Oh, my God. Hey, go to the office.
Get Miss Parsons. Now.

(CELL PHONE BEEPS)

I'm on the playground
at Finley Elementary.

One of my students is
having a heart attack.

Yeah, she's 10.
Don't you think I know that?

Just send the damn ambulance. Come on.
Wake up. Come on, sweetie.

WOMAN ON PA: Dr. Bender, 6370.
Dr. Bender, call extension 6370.

You ever seen
an infected pierced scrotum?

No, but I know a few people
on whom I'd like to see it happen.

We need to talk.

Well, if pain's what you're after,
the penis is really the way to go.

- I'd recommend the apadravya.
- We're not talking.

It sounded like we were.

No, you're attempting to avoid talking

because you know what
I want to talk about.

Nipples?

You need to get rid
of one of your people.

Absolutely. As soon as I do
performance reviews.

And then review the reviews, of course.

A decision like this can't be made
without proper, you know, review.

Shouldn't take longer
than a month, maybe two.

Four at the most,
unless it gets complicated.

There's no way out of this.

Get it over with as fast as you can,
like ripping off a band-aid.

Only instead of a two-cent piece
of tape and gauze, it's a human being.

- Like you care.
- Like you don't.

You have a week. Get it done.

We have a referral from Dr. Lenkiewicz.

- Don't know him.
- He knows you.

- What's the problem?
- Heart attack.

- Definitely don't know him.
- The patient's 10.

Ten-year-olds do not have heart attacks.
It's gotta be a mistake.

Right. Simplest explanation is she's a
40-year-old lying about her age.

Maybe an actress trying to hang on.

- I meant maybe the tests were wrong.
- That's what the ER thought.

Three CK-MBs were positive.

The EKG shows classic signs
of ST elevation. It's a heart attack.

She's morbidly obese.

The morbid part of that raises alarms.

It takes decades to eat
your way into a heart attack.

Doesn't take decades to kill yourself.
If I was that fat, I'd be pretty tempted

- to knock back a bottle of pills.
- CAMERON: It's not a drug overdose.

The fatigue, muscle pain
and difficulty concentrating

have been bothering her for over a year.

That's because of her weight,
because of her depression.

That's what five pediatricians,

two nutritionists
and a psychologist said.

The heart attack would seem
to indicate that they missed something.

- It's gotta be something genetic.
- What about metabolic syndrome X?

- Insulin resistance?
- Syndrome X could cause a stroke.

I don't know about a heart attack.

It could, if her blood pressure
was high enough.

Which is likely, considering her weight.

Fits the symptoms. Me likee.

Do a hyperinsulinemic-euglycemic clamp.

Oh, and one more thing.

I've been told that I gotta get rid of
one of you guys by the end of the week.

New sheriff. Belt tightening.
You know how it goes.

Okay. Carry on.

Some kind of game.
House's own version of Punk'd.

It's not House. It's Vogler.
We can't let it get to us.

- We've got to stick together.
- Why?

Are you suggesting we start
slashing each other's throats?

I'm suggesting it's a zero-sum game.
Your loss is my win.

- That's not conducive to team play.
- Which is what House seems to want.

Look, I'm with Cameron.

It may be a bad strategy, but I don't
want to give House the satisfaction.

Come on. Sick kid, remember?

- MRS. SIMMS: She's diabetic?
- CAMERON: No, but it's similar.

MSX patients
don't respond normally to insulin,

which causes their body
to create too much,

and that leads
to metabolic abnormalities.

We're going to do a test to be sure,
but there are certain dangers.

Is this thing treatable?

It's controllable
through proper diet and exercise.

Wait.

Jessica already eats right,
and she exercises every day.

You've already seen
several nutritionists...

We've done everything
they've recommended.

I understand...

Why can't any of you doctors
see past her weight?

If diet and exercise are the treatment,
then the diagnosis is wrong.

It might be.

But the only way we'll know
is if you let us do this test.

It's really bad,
especially at night.

It's like my heart is on fire.
Like it's, oh, I don't know. Like...

- HOUSE: Burning?
- Exactly.

Sounds almost like heartburn.

- So, can you give me something?
- Like a thesaurus?

What?

I take it you never mentioned this
during any of your prenatal visits.

Prenatal?

I'm not pregnant.

You don't get to make that call unless
you have a stethoscope. Union rules.

I know when I'm pregnant, all right?
I have six kids.

That's why my husband
had a vasectomy, and we use condoms.

Vasectomies can reverse themselves.
Condoms break.

Okay. This is what a woman
is supposed to look like.

Okay? We're not just skin and bones.
We have flesh. We have curves.

You have little people inside you.

Okay, okay. I'm sorry.

I guess I must have just been
brainwashed by the media,

- all those years of medical training.
- Damn right.

I'll see if I can find some antacids
while the nurse gets some blood.

- Blood? Why?
- The heartburn.

Gotta make sure it's not spreading.

I don't want to.

The test involves
some pretty precise measurements.

If we don't know exactly
how much you weigh,

we won't get the right answers.

Let me tell you a secret.

When I was your age, I was heavy, too.

Were you over 100?

Way over. Kids in my neighborhood
used to call me Rerun.

- Rerun?
- He was a heavy guy from TV.

I used to pretend I liked it,
but I didn't.

- How come you're not heavy anymore?
- Ninth grade, grew five inches.

- Everything kind of evened out.
- You think that'll happen to me?

Well, yeah. Your mom's tall, and you
are a little short for your age.

Probably spring right up.

Obesity isn't something
you just grow out of.

- I take it you've never seen a baby?
- CHASE: She's not a baby. She's 10.

And you figure making her feel like crap
would do her a world of good?

Yeah, if it gets her off the couch.

CAMERON: I'm sure she's already
under enough pressure.

Not from Mummy.

Everything in society tells us
we have to be thin to be successful.

No. Society tells you,

you have to be thin to be attractive.
And guess what?

That's what attractive means,
that society likes looking at you.

I think we should be telling our kids
it's fine as long as they're healthy.

You weigh 90 pounds
because it makes you healthier?

Forget it. He's just
cranky because he knows

he's the one who's gonna get the axe.

So, any thoughts?

On what? Sharon's plan for Gaza?

Who you gonna let go?

I'm thinking I can convince Vogler

it would be more cost-efficient
to keep all of them.

You should be able to pull that off.

Most billionaires
aren't very good with numbers.

It will be more cost-efficient
once I grab Cameron's ass,

call Foreman a spade, and Chase, well,
I'll grab his ass, too.

You are uniquely
talented in many areas,

but office politics is not one of them.

Don't take Vogler on.

- Separate or together?
- Together.

Increasing glucose
to 6.9 milligrams per minute.

- CAMERON: Are you okay?
- I'm thirsty.

Just a little longer and you'll be done.

Like Dr. Chase.

Want to put some money on it?

- I said I'm thirsty.
- Just five more minutes, sweetheart.

I'm not your sweetheart.
Don't call me that.

- That's not nice.
- They're the ones who aren't nice.

You're not, either.
I don't want to do this anymore.

Jessica. Jessica,
you have to calm down.

No. No. Let me go.

CAMERON: Check her blood sugar.
She's got to be getting hypoglycemic.

I've never seen her like this before.
Something's wrong.

Let go of me. Get it out of me.

Let go, you son of a bitch.
You bastard. No.

Help her.

(SCREAMING)

She's sedated.
Mrs. Simms, don't worry.

Hypoglycemia can cause
temporary psychosis,

and is a common complication
during an HEC procedure.

I never wanted it done
in the first place.

We understand you're upset...

You were supposed to be
monitoring her condition,

but instead you were bickering
and placing bets.

I apologize if we weren't devoting
our full attention to your daughter,

- but I assure you that we...
- Oh, please.

Save your pathetic insincerity
for your boyfriend.

You're wrong. She is, in fact,
pathetically sincere.

- And they didn't screw it up.
- Who are you?

I'm from the lab. The blood tests show
your daughter was not hypoglycemic,

which means her psychosis wasn't
caused by anything these doctors did.

- So then what was it caused by?
- I've no idea.

But you'll be happy to hear it cannot
be cured by diet or exercise.

What else could cause
uncontrollable rage in a 10-year-old?

Nothing that could
also cause a heart attack.

I assume
I don't have to point out

that now would be
an extremely good time

for one of you to distinguish yourself
with a brilliant idea.

A hypercoagulable state
can cause a blood clot.

Blood clots can cause a heart attack.

More likely to cause a stroke,
not the psychosis.

No, you're wrong. If a clot made it
to the amygdala area of the brain,

it might cause uncontrollable rage.

Right, because anything's possible,

but nothing's gonna cause
multiple clots in a kid this age.

- She's fat.
- Obesity doesn't cause blood clots.

CHASE: Extremely obese patients
can get a fat embolus.

Right, after they've had liposuction,
which she's clearly never had.

How do you know?

CAMERON: Because we
have her medical records,

and because no plastic surgeon
in his right mind

is gonna give a 10-year-old liposuction.

Have you ever met a plastic surgeon
who was in their right mind?

- She hasn't had liposuction.
- Thank you.

But what about some other
ridiculous obesity treatment?

Like what?

Diet pills can
cause heart attacks and blood clots.

Her tox screen was negative.

Wouldn't show over-the-counter
weight-loss drugs.

Her mother wouldn't give her diet pills.

She thinks her daughter's perfect
just the way she is.

She's lying.

You two, heparin and warfarin
to prevent further clotting.

And you find those pills.

Not diet pills.

You might want to broaden
the search just a little.

Don't just ask the mom. If she hasn't
mentioned it yet, she's not...

If you're gonna fire someone,
go ahead and do it.

But don't treat us like lab rats,

testing how long it takes
to get us at one another's throats.

- So what should I do?
- I don't give a damn what you do.

Yes, I had noticed
your complete indifference.

You don't even offer
a medical opinion anymore.

Who would you fire?

- Not my call.
- I want your opinion.

Fine, it's you.

Either way, you're making a choice.

Chase.

Because he screwed up
an angio a month ago?

- Anyone can make a mistake.
- Right. So it's the money.

You resent it, but you're gonna tell me
that he doesn't need the job.

He doesn't appreciate the job.

He was ready to go three rounds
with Cameron for it.

He wants the job.
He just doesn't appreciate it.

There's nothing wrong
with wanting to hang out,

but this is not the place to do it.

- I'm surprised.
- You thought I'd pick Cameron?

I didn't think you'd pick at all.

(ELEVATOR BELL DINGS)

Guess he's not the rise-above-the-fray
guy he'd like us to think he is.

You practically forced it out of him.

He's scared of losing his job,
just like everybody else.

I've been thinking. You've made it quite
clear that you're miserable here.

- I am not miserable.
- You're not happy.

- And you are?
- With my job, yes.

I am exactly where I want to be,
doing exactly what I want to do.

Think I sense
a hint of sarcasm there.

Why don't you pick yourself? Quit.

Hmm, I was wrong.

- About Vogler or Foreman?
- Mrs. Hernandez's pregnancy test.

Who's Mrs. Hernandez?

Either a woman carrying
an alien baby or your newest patient.

So you never saw her with any pills.
She never mentioned anything?

No, of course not.

Would it be all right
if I talk to a couple of her friends?

- Her friends?
- I'm not gonna interrogate them.

I just want to ask if Jessica
ever mentioned anything.

It's pretty important. She's very sick.

I understand. It's just, well...

Jessica really
doesn't have any friends.

- Not one?
- I've tried to help,

make the kids include her more,
but, kids can be...

- Kids?
- I was gonna say jerks.

(BELL RINGS)

All the fifth-graders are assigned
an eighth-grade buddy.

Maybe you could talk to hers.

What's the status on House?

He asked for time
to complete performance reviews

for everyone in his department.

- You told him no and gave him how long?
- A week. He'll do it.

VOGLER: Guy's never done what he's told.
I don't see why he's gonna start now.

Hi. Edward Vogler.

Is Dr. House claiming that I'm forcing
him to get rid of one of you?

I assume his goal is to stir up
antagonism toward me.

- And your goal is?
- I am forcing him.

I'll do whatever I can to ease
the transition for whoever he chooses.

If you're feeling guilty about your
decision, there is an easy solution.

I don't feel guilty.

Then why approach me
and tell me all this?

I don't feel guilty. That doesn't mean
I don't feel bad.

I'm rich, but I'm still human.

I just wanted you to know that

if there's anything I can do for you,
my door is open.

Thank you.

You're looking for info?

Thought you already had House
all figured out.

I do.
Don't know his team, though.

WILSON: The ultrasound and biopsy
confirmed our worry.

The tumor is extremely large,
at least 30 pounds.

Oh, God.

It's actually
a personal record for this clinic.

But it's completely benign.
There's no sign of cancer at all.

(GASPS)

I've already spoken with Dr. Bergin,

and he's available
first thing in the morning.

For what?

For the surgery.

But if it's not cancer,
it can't kill me, right?

- No.
- I'll have a huge scar.

- I won't be able to wear a bikini.
- Do you wear a bikini now?

- Yeah. You got a problem with that?
- Nope.

But I've never gone swimming with you.

I knew it.
That's what this is all about.

You are trying to force me
to have cosmetic surgery.

Yeah, that's exactly why I planted
a 30-pound tumor on your ovary.

It's not gonna kill me.

The only thing surgery is gonna do
is change the way I look.

That is the definition
of cosmetic surgery.

It would also relieve
your heartburn and discomfort.

Yeah, right. Why give an antacid
if you can cut someone up

and make them
a little easier on your eyes?

My husband loves my body.

He can't get enough of it. You think
he's gonna want to touch me

if I look like I've been gutted
like a fish?

That was unexpected.

Yeah, it was.

All she does during recess
is run laps around the playground.

She says she's exercising, but
everyone knows it's just because

no one wants to play with her.

I mean, I am only her buddy
because Ms. Ayers assigned her to me.

That does not mean I am her friend.

I'll make sure her doctors
are all clear on that.

Thanks.

So, has she ever said anything
to you about diet pills?

- She told you that, too?
- What do you mean?

I busted her for taking drugs one day.
She totally lied,

said that they were diet pills her mom
had given her. Come on. Get real.

No way a girl like that
is taking diet pills.

I didn't give her diet pills.
I would never do that.

Right. So it was her imaginary mom.

She didn't take any pills.
The girl was lying.

FOREMAN: Why would she lie?

Because she's another mean little jerk.

- Mom.
- I'm sorry, honey.

Clemmie didn't lie.

I did. I took the pills.

I told her you gave them to me
because I didn't want to get in trouble.

- FOREMAN: Where did you get them?
- I took them from the store.

- Why? Why would you do that?
- I didn't want to be ugly anymore.

- Oh, baby. You're not ugly.
- Yes, I am.

I know you don't think so,
but I am. I'm disgusting.

Jessica, please don't say that.
(SNIFFLING)

I just wanted to fit in.
You know, have friends.

Or at least have one person
my age be nice to me.

(SNIFFLES)

Listen, the...

The pills cause blood clots,
heart attacks and insomnia.

It explains everything. We'll keep
her overnight to make sure,

but she'll be fine.

Thank you.

CAMERON: I can't believe
she was that desperate.

HOUSE: Yeah, I'm sure
that if everyone I knew hated me

and couldn't bear to look at me,
I wouldn't go so far as to shoplift.

I'm not talking about the shoplifting.

I'm sure she didn't even know
they were dangerous.

She probably saw them advertised
on TV or over the Internet.

Right. So I guess it's the media
and pharmaceutical companies' fault now,

not the fact that she can't stop
shoveling food down her throat.

No one forced her to get fat.

No one forced a cancer patient
to get cancer.

- It's not a disease.
- Have you seen the latest research?

CHASE: Yes, I have.

What I haven't seen lately is a kid
eating an apple or riding a bike.

You Americans can't even compete with

the rest of the world
in basketball anymore,

unless, of course,
it's the type you play

with a remote control
on a big-screen TV.

Right.

- Wait, wait, wait.
- Are you gonna let him say that?

He insulted our basketball teams.

(PAGER BEEPS)

JESSICA: Oh, my God.

- It hurts so bad. Please.
- What happened?

- She's bleeding.
- From where?

Oh, my gosh. (SOBBING)

Just please stop it. Please. God.

Diet pills don't cause skin necrosis.

Could be something
related to the pills.

- Or not.
- Or both.

Diet pills brought her to us.
We gave her the sores.

You think she got a staph infection
from something here?

I'm not saying the hospital
gave her the sores.

We did, by treating her.
Warfarin-induced skin necrosis.

Highly unlikely. We started her
on heparin before the warfarin.

- Who gave her the heparin?
- I did warfarin. She did heparin.

Sure you didn't both give her warfarin?

Yes. I did not screw up.

Did you actually see her prepare
and administer the heparin?

(SIGHS)

- Enough said.
- You were standing right there.

- I was preparing my own dose.
- Yeah, right.

- There's gotta be some other cause.
- None that I can think of.

Let's fix the mistake. Give her
unfractionated IV heparin

and low-molecular-weight heparin
by subcutaneous injection, stat.

Making me look bad
is not gonna save your job.

You think you're incapable
of making a mistake?

You think that I am that weak that
I'm gonna just roll over and take this?

House isn't gonna protect you
just because you kiss his ass.

Vogler wants to know
what he can do for me.

Stop worrying about your asses
and start worrying about the patient's.

(MONITOR BEEPING)

She sleeping?

As a result of the sedatives, yeah.

We can't let her wake up.
Too much pain.

Warfarin-induced skin necrosis.

I have no idea what that means.

But it says here we
gave her the warfarin.

And I do know
what induced means.

We did this?

At this point, it's not exactly clear.

You should probably talk
to Dr. House.

Oh. You two need time
to get your story straight.

He doesn't tell me what to do.

So you don't just blindly follow
his commands. You're your own man.

And yet here you are,
working for a guy you can't stand.

- I respect him.
- What exactly is it you respect?

His attitude toward humanity?
He thinks we're all idiots and liars.

How about his attitude toward you?

Plays with you like a cat
with a ball of string.

What do you want?

I want to know if you
want to keep your job.

If he chooses to let me go,
I can live with that.

- That's not an answer.
- Are you offering to protect me?

- Still not an answer.
- I want my job.

Dr. Chase.

CHASE: Boss.

What was that about?

He wanted to know what warfarin is.
I don't know.

(SHUDDERS)

Icy.

I'll definitely think twice before
correcting one of your mistakes again.

Correct all you want.

Of course, it's a bit more productive
if there's an actual mistake.

Right. I always forget that part.

I gave her the heparin,

which means the necrosis
is not a reaction to the warfarin,

which is probably why
she's not responding to your treatment.

Yet.

If you didn't screw up,
then what is it?

- You don't have an answer.
- Yet.

When you come up with something,
let me know.

I'll be in the clinic, warming up.

I'm the only one who's always stood
behind you when you've screwed up.

Why? Why would you support
someone who screws up?

Because I'm not insanely insecure,

and because I can actually trust
in another human being,

and I am not an angry,
misanthropic son of a bitch.

I'm sorry.
You said you weren't angry.

Who would you fire?

- No one.
- Not an option.

If everyone took a pay cut
and put in a few more hours,

we could all stay
for the same amount of money.

Figures you'd try and come up
with a solution where no one gets hurt.

The problem is, the world doesn't work
that way just 'cause you want it to.

Figures you'd stall
and refuse to deal with the issue.

Problem is, the world doesn't
go away just because you want it to.

Excuse me. Dr. House?

My wife saw you yesterday.
Lucille Hernandez?

- He's not in today.
- My wife said he walked with a cane.

He's also got a bit of a drug problem,
sometimes doesn't show up for weeks.

CUDDY: The MRIs are rented, but...

- Did you make a decision?
- He's not gonna fire anybody.

I'm gonna cut
the pay of all four of us.

Seventeen percent across the board

will allow you to keep us all
for the same amount of money.

I believe it's what
you suits call win-win.

- CUDDY: All right, if you...
- No.

If he can work it so we keep the current
staff for the same amount of money,

what difference does it make?

It's not about the money.

This is not a negotiation.
It never was.

I need to know that whatever
I ask you to do,

however distasteful
you find it, you'll do it.

And just as importantly,
you need to know that.

(SIGHS)

What's going on with my wife?

Even if I was Dr. House,
physician-patient confidentiality

protects me
from annoying conversations.

She told me about the tumor.

Yeah? She also tell you
why she's refusing to have it removed?

I don't care about a scar. And
she can always gain the weight back.

You want her to regain the weight?

Yeah. I mean, only if she wants to.

Why?

I've always thought she looked
sexiest when she was pregnant.

Something about knowing
she's a mother just makes me want...

- Tell her that and leave me alone.
- I did. You gotta talk to her.

I couldn't bear it
if something happened to her.

The tumor is benign. Nothing's gonna
happen, except maybe some heartburn.

What if it gets even bigger,
or it changes?

You know where to find us.
Building's not going anywhere.

Tell her it's cancer. You obviously
don't have a problem with lying.

- Oh. Way to win me over.
- We've got six kids.

She can't afford to take a chance.

You have kids. How novel.
That changes everything.

So if Mommy gets heartburn,
one of them might catch on fire.

Please. I don't know what we'd do.

They are cute.

- Have her come back in.
- What?

Your plight has moved me.
Tell your wife to come back.

The necrosis is getting worse.

Maybe because we're treating her
for the wrong thing.

Have you found the right thing?

No.

Then we continue the treatment,

hope it's just taking
longer than it should.

At this point, it doesn't matter
what caused the necrosis.

HOUSE: Or who.

If we don't stop it from spreading, it
will kill her before the end of the day.

- What else can we do?
- WILSON: Get rid of it.

Remove the dying flesh before
it penetrates the abdominal wall.

Do it.

There's still a chance the heparin
treatment could start to take effect.

We're gonna wait as long as we can,

but if there's no change
in the next few hours,

we're gonna have to treat
the symptoms directly.

- So you can get rid of the sores?
- Through surgery.

Technically, it's an amputation.

Amputation? But the sores are...

Warfarin-induced necrosis attacks
fatty tissue, mainly in the breasts.

Wait. Are you talking
about cutting off my daughter's breasts?

She's 10 years old.

A radical mastectomy may be
her only chance for survival.

I'm sorry, but I'm gonna have
to ask you to sign this.

Could we talk?

What, no roses, no chocolates?

- If you're here to apologize...
- I'm not here to apologize.

Uh-oh.

That means you're here
for something more complicated.

Do you want to fire me?

Yes. Just waiting for an excuse.
Thank God Vogler came along.

It's the only reason I can think of

why you're insisting
that I made a mistake.

Really? Because there is
another explanation.

Perhaps not as much fun
as your Freudian analysis,

but maybe you actually made a mistake.

You're doing this because you can't deal
with your feelings for me.

I believe that you were the only one
to express feelings.

If we're gonna look at this
from a first-year psych point of view,

maybe you want me to fire you.
Maybe that's why you're acting weird.

You're the one being different.

You're always pushing things,
pushing the rules, pushing us.

But not this time. You jumped
on this idea like a life raft.

Not one question
about what else it could be.

No riding us for other answers.

I have the answer.

Then why aren't you watching TV
or playing your damn Game Boy,

or whatever else you have
so much fun doing by yourself?

Maybe I should just quit.
Make it easy for everyone.

Maybe you should.

- HOUSE: Men are pigs.
- You called me in to tell me...

I should've realized
the vasectomy and condoms was overkill,

but this was too obvious to miss.

Cute kids.

Love her green eyes
and his baby blues.

Of course, since both you
and your husband have brown eyes...

Where'd you get that?

From the father of three,
maximum four, of your six children.

I'm thinking maybe the reason
you don't want surgery

is that while your husband will find
you attractive no matter what,

all the other men you're sleeping
with might not be so open-minded.

Which brings me back
to my original thesis, men are pigs.

You got nothing to worry about.

They'll pretty much
have sex with anyone,

fat, skinny, married, single,
complete strangers, relatives.

You are sick.

So are you.

And I'm sure there are
web sites full of men

looking for married women
with surgical scars.

So have the surgery. Please?

Okay.

Thanks.

Why have you been talking to Cameron?

If House picks you, I'll be needing
a new source in that room.

If he picks me?

Sure. Foreman's smarter.
House has got a thing for Cameron.

I've been feeding you information
so you'll protect me.

And I will protect you,
as long as I need you.

And you will feed me information
as long as you need me.

I spoke with Cameron
because if I have alternatives,

I don't need you.

She's not gonna rat on House.

Foreman never said anything
about talking to me?

Interesting, huh?

(MONITOR BEEPING)

It's been almost three hours.
Still no change in her condition.

I think we should
get her into surgery.

So what do you want to do?

Assume that Cameron didn't screw up.

What if it's not the warfarin?

It has to be. The sores presented
right after we administered it.

Right, right, right.
But let's just say it's not.

Come on. What do you got?

- Can I have a second to think?
- There's no time to think.

Just say the first thing
that comes into your head.

- She's fat.
- Enough already.

- We got it. You hate fat people.
- That's not what I meant.

We already considered
obesity as a cause.

- FOREMAN: So did all her other doctors.
- I mean, what if it's not a cause?

What if it's a symptom?

So, what could cause obesity
and skin necrosis?

I don't care if it makes sense.
Just give me something.

- Ulcers secondary to vasculitis.
- No, that's just sores, not obesity.

- Pyoderma gangrenosum.
- More sores.

Let's look at it from the other side.
What has obesity as a symptom?

- Hypothyroidism?
- Genetics are more likely.

Her mom's heavy, too.

She's not just heavy, she's tall.

- We have any history on the dad?
- Yeah.

6'1".

Kid's short.

We got stunted growth, high
blood pressure, blood clots, obesity.

- It's Cushing's.
- No. Necrosis doesn't present...

In rare cases,
Cushing's can cause hypercalcemia,

which can lead to the same
skin necrosis as warfarin.

- It's perfect. It explains everything.
- Except it's not Cushing's.

She's had multiple blood tests, and
none show abnormal cortisol levels.

The hypercortisolism could be cyclical.
We didn't catch it in the right phase.

- We'll have to do another UFC.
- There's no time.

We've got less than
an hour to make a call.

If we treat for Cushing's
and we're wrong, she's dead.

If we assume it's not Cushing's, she'll
lose her breasts and may still be sick.

Do an MRI.

You want us to look
for hypercortisolism with an MRI?

I want you to look for what could cause
hypercortisolism with an MRI.

FOREMAN: Nothing on the adrenals.

- Heard Cameron went home. Is she sick?
- Go back to the pituitary views.

She seemed okay.

Think she's got
another reason for leaving?

I hope so. Wait, stop.
There. What's that?

A tumor.

It's Cushing's.

The tumor causes Cushing's.

And Cushing's messes
with hormone production.

Hormones control everything,
growth, weight.

Can you fix it?

She'll need surgery
to remove the tumor.

Once it's gone, everything
will get normal very fast.

- No mastectomy?
- No.

- Thank God.
- The surgery is dangerous.

The pituitary's located
between the cavernous sinuses,

basically right between the eyes.

The area contains the nerves
that control eye movement

and the major arteries
that feed the brain.

Oh, my God.

The surgeon will approach
the gland transsphenoidally.

An incision will be made under the lip,

through which he'll insert
a fiber-optic microscope.

Once the tumor's found,
he'll cut it into small pieces

and remove it through
the same hole under the lip.

The whole procedure
should take about three hours,

and your daughter should be able
to go home in a few days.

The sores will go away, as well
as her fatigue and the muscle pain.

She'll even start losing weight.

- FOREMAN: Jessica.
- Hi.

- Is that really you?
- Yep, it's me.

You look fantastic.

She always looked fantastic.

Yeah.

- It's been a week.
- Actually, it's over a week.

How have you guys been?

Who is it?

Chase.

No, Chase stays.

- Pick someone else.
- The deal was...

The deal's changed.

Pick someone else.

No.

Pick someone else, or it'll be
the whole department.