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Wilson | You're unbelievable. |
House | If there's not one yellow-belly in the group then being brave doesn't have any meaning. |
Wilson | Andie handles an impossible situation with grace. That's not to be admired? |
House | You see grace because you wanna to see grace. |
Wilson | You don't see grace because you won't go anywhere near her. |
House | Idolizing is pathological with you people. You see things to admire where there's nothing. |
Wilson | Yeah, well, we're evil. |
House | You find things to admire where you shouldn't be sniffing at all; like Debbie in accounting. |
Wilson | She's nice. |
House | You shouldn't know that, you're married. |
Wilson | So the little kid dying of cancer, I shouldn't like her? |
House | If you're dying suddenly Everybody loves you. |
Wilson | You have a cane, nobody Even likes you. |
House | I'm not terminal, merely pathetic; you wouldn't beliEve the crap people let me get away with. |
Wilson | They found a tumor it's in her lung extending into her heart. It wasn't visible on the MRI because it's growing along the heart wall. Now because of the placement, the surgeon has to temporarily remove Andie's heart. It's called an explant. They cut out the tumor and replace any damaged heart muscle with bovine patches. That's a patch made from cow's pericardium. It's a sac that encloses the heart. |
Mom | What are her chances? |
Wilson | The pRoblem is there might not be enough heart left once they remove all of the tumor. And if the tumor's metastasized there nothing we can do. |
Chase | Dr. Murphy. |
Murphy | Just let me tie this off. |
Chase | Doctor. |
Murphy | What? |
Chase | She's got a bleed in her eye. |
House | They got the tumor, repaired her heart but she bled out of her eye. |
Wilson | She didn't bleed out of her eye from a heart tumor. |
House | True. The cardiac tumor was benign. |
Wilson | That's impossible. |
House | Statistically. |
Wilson | Oh shut up. If the tumor's benign that means it didn't cause her hallucinations. |
House | That's why I'm mentioning it. |
Wilson | So the tumor is a coincidence. |
House | This is bad you're starting to state the obvious. |
Wilson | No, you said it would be there, it was there. It can't be a coincidence. |
House | A nine year old with terminal cancer gets an unrelated benign tumor growing in her heart why? |
Cameron | It's benign? That's impossible. |
House | Talk to Wilson. |
Wilson | And the retinal bleed? Another coincidence? |
Chase | A clot could create pressure behind the eye cause the bleed. |
Wilson | A clot could explain the eye, but doesn't explain the hallucinations. |
Foreman | A clot could cause mini seizures. |
Wilson | Great; another thing that's not causing the hallucinations. |
Foreman | Post seizure psychosis; the brain sort of corrects itself after the seizure by hallucinating. |
Wilson | The clot could explain the eye and the hallucinations, but what about the tumor. Tumors the size of an octopus wrapped around a little girl's heart are not just a coincidence. |
Cameron | She's not healthy. She's nEver been healthy. |
Wilson | What's the theory here? This girl's body's a lemon? Faulty Manufacturing? Everything's falling apart. |
House | The tumor is Afghanistan the clot is Buffalo. Does that need more explanation? Ok the tumor is Al Qaeda. Big bad guy with brains. We went in and wiped it out but it had already sent out a splinter cell; a small team of low lEvel terrorists quietly living in some suburb of Buffalo, waiting to kill us all. |
Foreman | Whoa, whoa, you're trying to say that the tumor threw a clot before we removed it. |
House | It was an excellent metaphor, angio her brain for this clot before it straps on an explosive vest. |
House | Angio was clean. |
Wilson | There's no clot? |
House | There's a clot, we just can't find it. |
Wilson | We can't do exploratory surgery on her brain. |
House | Are you sure you're not a neurologist? |
Wilson | [Sighs] Okay, she's gonna die. |
House | Well the clots not gonna to go away quietly. It could blow at anytime. Are you gonna let them know? |
Wilson | I guess so. |
Wilson | To tell Andie she's going to die? That's very un-you. |
House | She's such a brave girl. I want to see how brave she is when you tell her she's gonna die. |
Wilson | Go to hell. |
House | What would you do if you were told you were gonna die? |
Foreman | I don't know, I'd be devastated. |
House | You'd cry like a baby, Everybody would, but she's not doing anything. She's a rock. |
Cameron | She's brave. |
House | Yeah. Yeah. Yeah. Why? |
Chase | She's gone through more than most people do in a lifetime. |
House | So what? Does that mean she's ready to die? What if her bravery is a symptom? The clot is causing hallucinations and messing with her emotions. |
Foreman | You think her bravery is chemically based. |
House | Would tell us where to look for the clot. Where's the fears center? |
Foreman | The Amygdala near the hippocampus; it's a big area and a busy one. You blindly cut in there you'll kill her. The only time you're going to see this clot is at autopsy. |
House | Then let's do that. |
House | Is it still illegal to perform an autopsy on a living person? |
Cuddy | Are you high? |
House | If it's Tuesday, I'm wasted. |
Cuddy | It's Wednesday. |
House | I want to induce a hypothermic cardiac arrest. Once the Patients on bypass we siphon off two liters of blood then perfuse the brain while she's in an MRI. |
Cuddy | You're actually talking about killing her. |
House | Just for a little while, I'll bring her right back. |
Cuddy | Oh, well, in that case go ahead. Why are we Even talking? |
House | If we do nothing she's dead in a day, maybe a week; the kind that lasts. |
Cuddy | We need FDA approval for any surgical technique that's used for diagnostic purposes. |
House | Absolutely. If we were doing anything invasive; but there's nothing invasive. [He almost sneezes] Gah. You know, I'm not cutting into her head I'm just looking for a clot. |
Cuddy | Not invasive? You're killing her. |
House | Don't split hairs, if it works she lives. |
Cuddy | Make sure the mom understands that this is a million to one shot. |
House | I'll see that Wilson passes that along. |
Wilson | The plan is basically to... reboot your daughter. Like a computer. We shut her down then restart her. |
Mom | How do you restart a nine year old girl? |
Wilson | We cool her core body temperature to 21 degrees Celsius. Use blankets. Ice. |
Mom | Sort of like! like hibernation? |
Wilson | Not quite, in hibernation a bear's heart beat is just very slow; in cardiac arrest there is no heart beat. |
Mom | So she's dead. |
Wilson | Temporarily yes. By cooling her we limit the risk of damage when we remove her blood. Not all of it, two to three liters. |
Mom | Half her blood. |
Wilson | Then we put it back. It's called perfusing the circuit. In this case her brain, and using an MRI we'd have a very brief window to, hopefully, see the outline of the clot. If it's there and if it's operable, we go get it. And Andie walks out of here. |
Wilson | Signed consent forms. |
House | Great. Thanks. |
Wilson | You sound better. |
House | I stacked a combo of mentholatum, a few vicodin and something else which I can't remember. Should be able to ride the high for a couple hours; what did Andie say? |
Wilson | About what? |
House | About this. |
Wilson | I didn't talk to her; she doesn't need to know the specifics of this procedure. |