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Andie
I've nEver kissed a boy.
Chase
There's time yet for that.
Andie
There was a boy last summer; I was at one of those cancer camps.
Chase
Uh huh.
Andie
I just nEver had the guts to ask him. You know there's a good chance I'm not gonna walk out of this hospital. Even if I do I'm nine. There's not a lot of kissing going on in the third grade.
Chase
You will walk out of here, alright, and you will kiss a boy. There you go. A smile.
Andie
Will you kiss me?
Chase
No.
Andie
No one will Ever know.
Chase
I'm! I'm! I'm sorry I can't.
Andie
I won't tell anyone.
Chase
Listen, you're nine years old I'm thirty.
Andie
I just want to know what it feels like. Once.
Chase
This isn't your last chance for that.
Andie
What if it is? Please kiss me.
House
Bagels.
Foreman
You didn't sleep in.
House
Didn't sleep. Didn't breathe. I'm dying.
Chase
Pulmonary angiogram of Andie's lungs was clean. Arterial blood gasses and a CT scan were also normal. Her heart and lungs are fine.
House
Which gives us no explanation for the diminished sat percentage.
Foreman
Yeah oddly enough sometimes normal is normal.
House
Sometime we can't see why normal isn't normal. Get her symptoms on the board.
Cameron
Whoa; you're letting me touch the markers?
House
It's written down in my advanced health care directive, should I be incapacitated in any way you run the board, then Foreman. Chase you're just not ready yet. What else?
Foreman
Guys, I know we ruled out infection but if we forget the labs for a minute, there is one infection we didn't test for because of her age. Neurosyphilis.
Chase
There's no way.
Foreman
If the infection dipped into her cerebral cortex all peripheral functions could be compromised.
Chase
No she hasn't had sex, she's nine!
Foreman
Maybe it wasn't her idea. I mean she's been around a lot of adults; all the hospital visits, the counselors at the cancer camps.
Cameron
You think she's been molested.
Chase
She's hiding it pretty well if there's any of that going on.
House
Yeah, all girls who've been molested want to talk about it. Break out the rape kit.
Chase
She hasn't had sex.
House
Why are you so sure?
Chase
She told me she'd nEver kissed a boy.
House
You read her diary too?
Chase
She asked me to kiss her.
House
I rest my case. A regular nine year old girl does not have sex on the brain, not when a doctor is threading a catheter through her vein.
Chase
But she's not a regular nine year old. She's got terminal cancer.
House
Cancer doesn't make you special. Molestation on the other hand!
Chase
She wanted one kiss before she dies. If she's nEver kissed a boy it's a fair bet she's nEver had sex.
House
Tell that to all the hookers who won't kiss me on the mouth. Hey, here's a theory, she has been molested, seeks refuge in roMantic fantasies with older men with great hair. And I think you left out the punch line, victims of molestation learn to work the angles. Manipulate people. You did it didn't you. You kissed her.
Chase
It wasn't sick. [Foreman and Cameron freak out quietly] It was one kiss for a dying girl. One small! one small kiss before she dies. Thank you. Thanks.
House
This is exactly why you can't touch my markers. Go see if she's had sex.
Cameron
Okay.
Andie
No one's Ever touched me.
Cameron
We just need to be sure.
Andie
I like your hair. I used to have really curly hair. I always wanted it to be like yours is.
Cameron
Thank you. Alright, that's it, you're fine.
Wilson
With a Patient.
House
Is she dying?
Wilson
No.
House
Then she can wait.
Wilson
Would you excuse me, just 2 minutes.
House
If only she'd been molested then we'd have something to go on. [He tries to open a jar of mentholatum] No forced entry.
Wilson
One hallucination; maybe it was just bad pork, maybe there's nothing!
House
She's not fine. Her sat percentage dropped another point.
Wilson
Which could suggest a tumor in her lung.
House
Lung wouldn't explain the hallucination. CT scan showed both lungs were clean, which means there's a tumor in her heart.
Wilson
Not a chance. Give me that.
House
I loosened it.
Wilson
I opened it. We've got an MRI and an echo of her heart, there's nothing there.
House
Give me one other explanation for low oxygen saturation.
Wilson
I can't. There's only one condition that simultaneously affects the heart and the brain but she!
House
Perfect let's go with that.
Wilson
Tuberous Sclerosis in a kid that also has Alveolar Rhabdomyosarcoma. Two different unrelated cancers at the same time is a statistical no no.
House
What's the rate of cancer in the general population? 1 in 10,000?
Wilson
Don't, don't start with the numbers.
House
The way I figure it 1 in 10,000 of them should have another cancer. Little girl won the lottery twice. It happens.
Wilson
So you're gonna cut her open?
House
Exploratory surgery, gotta find this thing.
Wilson
You're just going to grope around inside an immuno-compromised nine year old? She could die on the table.
House
I know it's somewhere near the heart.
Wilson
House, you've gotta do better than that.
Foreman
Why are we here?
House
Better acoustics. Now listen to this.
Chase
That's a mitral heart valve.
House
No, get the wax out of your ears. This is the Patient's aortic valve. I downloaded the audio of her echocardiogram.
Foreman
What are we trying to hear?
House
Tumor.
Chase
They tend to keep quiet on account of them not having any mouths.
House
But we could hear an abnormality in the sound of the valve, which would indiCate the presence of something; a tumor for example. If we can tell the surgeon where to look this is no longer exploratory surgery it's a precision strike.
Foreman
Her aortic valve sounds normal.
House
Too bad. Now listen to the dulcet tones of Andie's tricuspid valve.
Cameron
Normal.
House
And this is her mitral valve.
Chase
I don't hear anything weird.
House
You guys make me sad. Listen again.
Chase
She's had one hallucination. Why are we operating on her? Why are we risking her life?
House
Because Wilson thinks it'll be nice to give the girl a year to say good bye to her mommy. I guess maybe she stutters or something. Now shut up and listen. Tricuspid. Mitral. Again.
Cameron
Wait. There. There's an extra flap.
House
I'm gonna ask the surgeon to look at the mitral valve first. Chase, I want you there. I don't like reading surgeons reports, they're boring.
Chase
I'm not really sure I should be spending more time!
House
She'll be unconscious you'll be safe.
Mom
I'll be there when you wake up.
Andie
I'm gonna be fine mom.
Wilson
Brave kid, she Even gave her mom a pep talk.
House
Sure. Brave. She's a wonder.
Wilson
What's your pRoblem?
House
These cancer kids; you can't put them all on a pedestal. It's basic statistics some of them have to be whiny little fraidy cats.