"It's almost 11:00." "She needs a lot of sleepthese days." "Please, Mrs. Bardach." "I haven't seen her for a week." "I'll see how she's feeling." " Thank you." " You know what to do." "Bardach:" "All done?" " Yeah." "I, uh, scrubbed for 45 seconds, did the nails, all the way downthe elbows, the whole deal." "[Sneezes]" " Are you sick?" " No, no, no." " Cough, sore throat?" " No, no." "I just--Sometimes I sneeze when I look at lights." "I always have." "I'm sorry." "You better" "I would never get her sick." "Please." "A mask." "Got me by the bouncer." "She's crazy." "She's let me out like six times in the last two months." "Every time it's just to go to the hospital." "I'm a prisoner." "Aw, it's okay." " It's ugly." " No." "I wasn't looking at the scar anyways." "Take off your mask." "Uh..." "If your mom comes in here, she" "Hey, give me a kiss or I'll kill you." "Your skin." "Are you okay?" "[Wheezes]" "Augh." "Melinda, can you" "What's wrong?" "What's wrong?" "Can you breathe?" "What's wrong?" "Is it your heart?" "What's wrong?" "Mrs. Bardach!" "Melinda, I don't know how to use this." "I've never used one of these before." "[Choking]" "[Catches her wind]" "What did you do to her?" "2X16" " Safe" "Original Airdate (FOX): 4 APR-2006" "Cuddy called." "I know." "Saw the caller ID." "Young girl, anaphylactic shock." "You answered?" "Turns out that's what stops the ringing." "It's a weird case." "I thought you did the dishes last night." "It was your day." "I did." "Those are new." "Midnight snack." "For a midnight snack, you made a pot roast." "The same pot roast I made last night." "Yeah." "Actually, it was after midnight." "Today is your day, right?" "You want me out of here." "I get it." "No, it's fine if you stay." "The place I was gonna move, the guy never called." " Otherwise, I'll already be there." " I said it's fine if you stay." "Yeah." "That's why you're making me miserable." "Maybe I just want to make sure you do your fair share around here." "Tha" "What's weird about it?" "The girl with the allergies." "Yeah." " She's immunocompromised." " What are you doing?" "What?" "You asked me" "You knew that I was interested." "That gives you a valuable bargaining chip." "You could've had me doing dishes for a week." "Okay." "The allergic reaction happened while she was in a clean room." "Why does she have a clean room in her home?" "Heart transplant." "Immune system's in the toilet." "Mommy builds her little angel a John Travolta-quality bubble." "Six months after the transplant, she doesn't need to be confined to a clean room." "Six months without putting out, Dr. Cuddy doesn't need to wear thong panties, but it's not our call." "I was wondering when you'd get around to my panties." "She's had four days of workups." "They've tested everyone who came anywhere near that room, everything in the room." "It's like an Agatha Christie mystery." "Maybe it's not what was there." "It's what she was doing." "Exercise allergy." "Love it." "What sort of exercise could a strapping young man and a nubile teenage nymphet possibly" "Mom was in the room within seconds." "So the boyfriend brought in an allergen and is lying about it." "Or the girl snuck out and she's lying about that." "Or the parents are lying about the room being clean." "These are your big ideas?" "Somebody's lying?" "Hasn't let me down yet." "Recheck Mom, Dad, the girl, the boy, the room, and the home." "Any of you have a new soap, detergent, perfume?" "No." "Barbara's really careful about that stuff." "And you haven't been outside recently?" "How could I?" "I'm trapped up there." "You're not trapped." "It's just safe" "They won't even tell me the alarm code." "Just tell her I can go back to school." "Till we clear this up." "Fine." "Find out what I'm allergic to, and I'll stay away from it." "Then I can go back to school, right?" "It's up to your parents." "But medically, there's no reason" "Told you." "Could I speak to you outside for a second, please?" "You know, this is hard enough without you in there giving" "She asked my opinion." "She is 16 years old." "Lie to her." "When I was eight, my mom, she hated" "I know." "I-I need to loosen up." "I'm overprotective." "I saw Finding Nemo." "I get it." "I don't need another story." "But you're not just being overprotective." "You're one of the most overprotective parents I've ever seen." "She has the best private tutors." "I let her friends visit." "I'm not going to apologize." "Just giving you my thoughts." "She almost died three times during her childhood." "Penicillin, bee stings, peanuts." "I've seen her file." "Six month ago, we leave her home alone for the first time on a weekend." "She goes out, buys one chocolate chip cookie." "Peanut butter in the dough." "She's forgotten her epi pen, she drives to the hospital, passes out, has an accident." "Steering wheel crushed her chest." "She ended up losing her heart." "So when you say to me that I'm one of the most overprotective parents you've seen, please... please introduce me to the ones who were more protective so that I can find out what they're doing right." "She's allergic to having a sucky social life." "Give the parents a break." "They're just trying to keep her healthy." "Everything in here's labeled "hypoallergenic."" "Check it anyway." "Cameron." "This place is cleaner than her hospital room." "No alarm on this window." "It's 20-foot drop." "You can get to the tree from here." "There's some bark scraped off." "Sure." "Heart-transplant girl swung down there on a vine." "Maybe she was hooking up with Tarzan and Cheetah down by the elephant graveyard." "Or..." "Jane stayed in the tree house and Tarzan came up." "Okay." "Um, I spent most of the night Friday." "But if her mom finds out about that, she will totally freak." "You guys had sex?" "Yeah, but, you know, I did everything I could to make sure she wouldn't get sick." "A latex allergy?" "What do you mean, like a condom?" "We didn't" "You had unsafe sex?" "The whole unsafe thing didn't tell you something?" "Yeah, but we didn't like plan on it, you know?" "It just" "I don't know." "We're in love." "We've been dating for two years." "Practically a lifetime." "How about a semen allergy?" "We're gonna need a semen sample." "You can use the bathroom over there." "Right." "Uh, how do I..." "Aim and shoot." "No thinking about Dr. Cameron." "We'll know." "We should tell her parents." "Why stop there?" "Call the cops." "Melinda's a minor." "And if we nip it in the bud here, teenagers will never again have sex." "The parents will find out when they get the bill anyway." "Oh, so you're fine with them finding out as long as you don't have to tell them personally?" "Pretty much." "Too bad it's not you giving the sample." "We'd be done by now." "Test was negative." "No semen allergy." "Boyfriend sneaks in to get his freak on the night before the anaphylaxis." "I don't buy that it's unrelated." "He loves her." "Did everything he could to make sure she wouldn't get sick." "What does that mean?" "Love is an emotion certain people experience, similar to happiness." "No." "Maybe I should give a more relatable example." "Oh, snap!" "What did he do to protect her?" "Brillo-pad his privates?" " I assumed he washed and he" " Oh, good work." "Assumptions are so much faster than actual questions." "House:" "You the boyfriend?" "Need to borrow you." "What is going on?" "Don't worry." "I'll return him in roughly the same condition." "Do you take anything to stay healthy?" "Something stronger than an apple a day?" "Is he okay?" "He's just tired..." "from being in a coma so long." "What'd you take?" "Don't worry." "He can keep a secret." "Antibiotics?" "Penicillin?" "Any of those names ring a bell?" "Yeah, uh...my friend Elliot, his dad had, like, a whole bottle that he hadn't finished, so..." "I swiped it and took a bunch for, like, a week." "There's no way I was gonna risk breathing germs on Melinda." "This is the one downside of teenage sex:" "You're idiots." "You almost killed your girlfriend." "She's allergic to penicillin." "What, do you think there was still some on my lips?" "I brushed my teeth." "Think lower and more fun." "I mean, it can" "It can go through your stuff?" "Totally, dude." "There's this administrator here, whenever she gets sick, she just gives me the prescription." "But you know, they tested Melinda, they said...she wasn't allergic to my stuff." "Yeah, four days later." "By that time, the penicillin was crusting up a sock at the bottom of your hamper." "Do you have to tell her it was my fault?" "No." "Great part of being a grownup, you never have to do anything." "You're releasing her?" "What happened?" "What did you find out?" "Tests on your house ruled out any environmental allergens." "Yeah, but what caused this?" "We believe it's highly unlikely that this set of circumstances will repeat itself." "What set of circumstances?" "It's good news." "She's healthy." " But you might want to talk" " Cameron!" " I can't breathe." " Getting the epi." "Lewis:" "Give her the shot!" " No murmurs, no friction rubs." " What are you waiting for?" " Quiet." "She's coughing up white sputum." "Crackling two-thirds of the way up." "Look at her neck." "Please." "She is vomiting." "Would you give her the shot?" "It's not an allergy." "It's her heart." "What's the good news?" "What's the bad news?" "Congestive heart failure." "Is which?" " Good news." " Why?" "I don't know." "It just sounded like you." "New puzzle piece." "Always good news." "What's the bad news?" "We've got two puzzle pieces from two different puzzles." "Seems that way." "What if her anaphylaxis wasn't anaphylaxis?" "Toxicity from the anti-rejection meds could cause a seizure and then heart failure." "And get cured by a mommy-wielded epi pen?" "It's anaphylaxis." "What else?" "What if they really are two puzzles?" "You think she had two unrelated rare conditions in one week?" " We explained the anaphylaxis." " What do you mean, we?" "I did!" "At least I thought I did." "Maybe I didn't." "Still, it was all me." "Heart problems aren't so rare for someone who's had a heart transplant." "I say we assume House was right about the anaphylaxis." "It is tempting." "Heart failure could be either infection, coronary disease, or rejection." "Sorry." "There's a reason they call it the white board." "It's not my rule." "What ties both these conditions together?" "Okay, we can all stare at each other, or we can investigate what caused the heart failure." "Just the heart failure." "You wanna give me that black marker?" "There's no fever, so it's probably not infection." "Or no fever because she's been on immunosuppressants for the last six months." "Let's do a C.T., get a heart biopsy and redo the blood work." " Anything?" " Not yet." "So I hear you don't want teenagers having sex." "Teen suicide rate isn't high enough for you already?" "I just think those two are brats." "The girl undercuts her mother any chance she gets." "Yeah, it's the daughter's fault." "Has nothing to do with mom infantilizing her." "Good point." "Explains why parents who don't pay attention get such nice, well-adjusted children." "What's this?" "Think it's vegetation?" "Yeah." "The kind made of muscle that opens your heart valves." "It's nothing." "She's clean." "It's good news." "You don't show any signs of coronary artery disease." "So what's next?" "Well, blood work to rule out infection, and then a heart surgical biopsy to rule out rejection." "But you don't think you're gonna rule out both things, do you?" "No." "I'm gonna lose this heart, right?" "Hopefully we'll find the problem and fix it." "You'll keep your heart a long time." "How long?" "Well, there could be drug breakthroughs that allow you to keep it for decades more." "[Chuckles] Yeah." "That's the answer my cardiologist always gives me." "I looked it up on the web." "It's like five or ten years, right?" "That's about the average." "That's why I need to have a life." "Why can't you convince my mom to let me go back to school?" "M elinda, you've got bigger worries right now than missing school." "Until we figure out what's wrong with your heart, the safest place for you to be is right here." ""Pain in My Heart" by Otis's Reddings" "# Pain in my heart #" "# Is treating me poor #" "# Where can my baby be #" "# Lord, no one knows #" "# Pain in my heart #" "# Just won't let me sleep #" "# Where can my baby be?" "#" "# Lord, where can she be?" "#" "# And now the days #" "# Has begin to get tough #" "# Said I want you to come back #" "# Come back, come back, baby #" "# I've had enough, oh-oh...#" "Where's..." "the hooker, I assume?" "Right up here, buddy." "You said you'd hang the stethoscope if you were having sex." "I didn't say it had to be with another person." "Can you think of anything that would tie together anaphylaxis and heart failure?" "No." "I was waiting out there for hours!" "I need a lot of foreplay." "And then there's the cuddling afterwards." "Any way that anaphylaxis isn't anaphylaxis even it responds to epi?" "No." "Oh, no wonder you were in the mood." "This month's New Jersey Journal of Cardiology." "Have you seen the centerfold?" "There's no way those valves are real." "Any chance that the heart failure could be unrelated to" "No." "If you need time alone to work, you just have to say so." "You don't have to lie about it." " Lying's more fun." " Being lied to, not as much fun." "Please have an answer to this question:" "What's for dinner?" "Wilson:" "You still haven't done the dishes?" "You want one of these?" "I think I got a couple of blueberries." "Nope." "Sorry." "Just one." "Oh, don't look all weepy." "You got a problem with me, deal with it." "Short my sheets or something." "[Sighs]" "[Wilson does the dishes]" "Biopsy was negative for rejection." "Thank God." "And what about the blood tests?" "Showed no infection." "So we still don't know what caused her heart failure." "Let's just be happy she doesn't need a new heart." "Mrs. Bardach, it could have just been a one-time thing." "So she has an allergic reaction and heart failure, and neither of them can be explained." "Are they doing any more tests on her?" " No." " She's not here." "Notify local hospitals, cab companies, the state troopers, and local cops." "Any security officers off duty are back on duty." "Woman:" "We're on it." "And I'm going to need some pictures." "And go through those drawers." "And I want at least two people going over the surveillance tapes." "That work?" "Are those all her clothes?" "Uh, yeah." "She's obviously still in the building." "So where did she go?" "What does she want?" "See her boyfriend?" "She didn't take her phone." "She wants to be outside." "If you're trying to scare your parents, great job." "Can we go back now?" "I hate her." "When I was eight years old, I was sick." " Not really sick, but the point is, my mom, she" " She was like this before." "Home by 9:00 every night." "Can't go out on the weekends." "Can't do sports." " Transplant just gave her what she always wanted." " Melinda..." "You had heart failure." "This is kind of an insane time to be criticizing your mom about being overprotective." "I know." "I mean, this is what makes it even worse." "All of her craziness, it just..." "It makes sense now." "Everything's gonna be all right." "I didn't even try to get outside." "I was too scared." "Come on." "Whoa, whoa." "Melinda, please walk back towards me." "Why?" "Please?" "It feels kind of weird." "It's called steppage gait." "Lewis:" "Is it serious?" "No, not necessarily." "All right, stick your leg out, hold it up." "She was under anesthesia for the biopsy." "If she lost oxygen" "C.T. ruled out brain damage." "Put your leg down." "Relax." "Why is her leg twitching like that?" "Fasciculation." "Is that serious?" "It's paralysis, and it's ascending." "She's going to lose the use of her legs?" "To start with." "It's ascending fast." "She can hardly extend her leg now." "At this rate, it'll be up to her lungs in a matter of days." "So, anaphylaxis, heart failure, paralysis." "Couldn't put the first two together." "I'm guessing we can't put all three together." "Tick paralysis?" "Could also explain the anaphylaxis, maybe even the" "Penicillin allergy explains the allergic reaction much better." "Particularly because tick paralysis is usually accompanied by a tick." "We did two comprehensive physicals looking for insect bites." "Can we put any two of those together?" "How about we stipulate?" "You argued that there must be something to connect all three symptoms, you mocked us for not figuring it out, and finally you let us discuss the paralysis on its own because it's what's gonna kill her." "Now, it's ascending." "Her MRIs are clean, so rule out stroke or aneurysm." " ALS?" "MS?" " Progression's too quick." " Spinal lesion from leukemia?" " Too slow." "It's most likely Guillain-Barre." "She's immunosuppressed." "What about botulism?" "Not unless she's been walking around on her hands the last couple of days." "Botulism paralysis is descending, not ascending." "Could be a virus." "West Nile, even polio with her immune system shot." "Get an LP and do PCRs for the viruses." "And get an EMG to check for Guillain-Barre." "Foreman's right." "We gotta find out why she's paralyzed." "But not before staring at me dumbly for a few seconds." "Foreman:" "We ran more tests on your daughter." "We took a lumbar puncture, got some spinal fluid." "Then we brought her to the lab to look for infections that could be affecting her brain." "We also did an EMG to check how her muscles and nerves are responding to electrical impulses." "Unfortunately, her muscles are showing increased weakness above the knee." "You mean she's getting worse?" "The LP and PCRs ruled out polio and West Nile." "We think it's Guillain-Barre." "The body's immune response goes haywire and starts attacking the peripheral nerves." "It causes muscle weakness and paralysis." "How bad is it?" "It's serious, but Guillain-Barre usually responds very well to plasmapheresis." "Foreman:" "You see, the plasma, the clear liquid part of her blood, contains most of the antibodies, which are overreacting and attacking her nervous system." "The machine spins her blood in a centrifuge and separates parts of the blood based on weight." "White blood cells are the heaviest, then the red cells, then platelets and plasma." "We discard the stuff that's causing all the trouble and return the good blood cells back to her body in a replacement fluid." "If it works, we'll see results in a couple of days." "You didn't get any messages for me last week, did you?" "Nope." "That's funny." "The guy finally called back." "The place I lost?" "He said he left three voice mails." "Gotta pee." "Which I never got, if that wasn't clear." "He must be lying." "You wouldn't want to live with a liar." " You erased my messages?" " Yup." "Decided I wanted you to stay." "Told you that, didn't I?" "You're...miserable, and you're lonely, and you're gonna trap me here to keep me every bit as miserable and lonely, too." " Yeah, and you're happy, happy, happy." " Okay." "Hey, I'm obviously going through a rough patch here." "Wife leaves, tends to bum somebody out." "Do you know where my pee went?" "You're missing some?" "No." "Came out of me and went right into the toilet." "Now, why would that be?" "You're William Tell." "You could pick an apple off someone's head?" "No, it's because there was no clear plastic wrap over the toilet." "Stuff's in the kitchen." "You have plenty of time." "All that was missing was the will." "This isn't a college dorm." "It could be." "We're not 18!" "So what?" "What did I do to you?" "I scammed you into doing the dishes, I made you sit on the steps." "I didn't kill your puppy." "I did not make you miserable." "Oh, so this is therapy?" "No." "It's just..." "makes me smile." "All right, I'm finding a new place tomorrow." "Right, but not tonight." "[Pops cork]" "Well, I figure you wanna shave my eyebrows while I'm asleep." "I wouldn't wanna deprive you of that last smile." "You're not going anywhere." "You're gonna sit on my couch, and depress us both, because you just can't admit that it's over with your wife." "That's right." "I'm here on vacation." "Have you gotten a lawyer yet?" " That's--That's not..." " You even called one?" "As long as you're here, it's just a fight." "As soon as you get a place, then it's a divorce." "Everything sucks." "Might as well find something to smile about." "Reflexes are marginally weaker." "The paralysis is getting worse?" "Sometimes it takes a few treatments for the plasmapheresis to work." "Why do these things keep happening to me?" "Dan's back." "Hey, baby, did you hear that?" "Dan's here." "I don't want to see him." "I'll tell him to come back later." "No." "Mommy, stay here, please." "Of course." "..." "Is she okay?" "She's sleeping." "I'm sure she's exhausted." "Mood swings are common with the anti-rejection meds." "No." "She's had mood swings." "This isn't it." "This is" "She's given up." "I know you think I'm" "This isn't what I wanted." "She's always fought with me." "Ever since she was a baby, she was so damn stubborn." "But I never wanted her like this." "I just wanted her safe." "Doctor!" "Doctor!" "[Beeping]" "She can't breathe!" "She couldn't get a whole sentence out." "She's using accessory muscles." " 02 sat's down to 90." "Lungs clear?" " Yeah." "Does your tongue feel swollen?" "Is it itchy?" "No hives." "It's not an allergy." "Lips are cyanotic." "We got to intubate." "What are you doing?" "Pushing lorazepam." "She's not getting enough oxygen." "We've got to assist her breathing." "What was that?" "Was that a reaction to the treatment?" "It's the paralysis." "It's reaching her lungs." "Chase:" "Melinda's dying." "We're all dying." "How fast?" "Too fast for Guillain-Barre." "Cuddy wants to get her an MRI to rule out a spinal lesion." "Cuddy?" "What's shedoing on this?" "The family lost confidence in us." "I don't blame them." "I'll be right in." "It's like she got poisoned with a nerve agent." "Glue inhalation." "Would explain why she hasn't admitted it." "Tox screen was clear for pot." "Middle-class heart transplant patient's gonna huff glue?" "Pesticides?" "Cameron:" "This time of year, they're not spraying." "This girl's tough." "She gets what she wants." "She's deprived of human contact, she gets herself a backdoor man." "Or in her case, a side window boy." "What else has she been deprived of?" "She's on a special diet because of her allergies." "The boyfriend brings the hot beef." "He also brings a side dish: botulism." "This is paralysis is ascending, remember?" "Not if the heart problem's really a paralytic problem." "Why would she admit the sex and not the food?" "She didn't admit anything." "He admitted the sex, and we didn't ask him about food." "Get me a rat." " You have a rat." " What?" "I'm not gonna kill Steve." "Only way to confirm this... inject the rat with her blood and wait for it to get all botulistic on your ass." "In the meantime, I'm going downstairs to browbeat a scared, dying teenage girl until she... breaks down like a scared, dying teenage girl." " You're up early." " Cuddy needed a consult." "We're checking for spinal lesions from leukemia." "Yeah, I know." "Fits perfectly." "Unless this is the patient with the anaphylaxis, the heart failure, and the paralysis, in which case, you're wasting your time." "We wanted a second opinion." "Second?" "We must have given you at least eight." "Okay, well here's nine." "Botulism." "Listen to me." "Have you eaten anything abnormal?" " Any canned foods?" " No." "You sure?" "Lying to your parents is usually the right thing to do, but there is an impending death exception." "Don't talk to her like that." "You're right." "She never lies." "I was being rude." "When your boyfriend snuck in on Friday night-- surprise-- perhaps he got you some sexy little treats, huh?" "Some honey or some edible underwear, some massage oils." "Come on, anything." "[Gags] We didn't" "Yeah, yeah, we know about the sex." "Turns out that Danny's little Danny is full of penicillin." "That's what caused your anaphylactic shock." "You didn't tell us that's what" "It was-- He took clindamycin." "What I use." "He said he was on penicillin." "I saw the bottle." "It's a non-penicillin antibiotic." "If the antibiotics didn't cause the anaphylaxis..." "It's still on the table." "Everything is connected." "What did we discuss?" "What was the differential?" "Cameron said..." "When Dan came to your house that night, did he go through any tall grass?" "Climbed a fence." "What are you doing?" "Your daughter had two visitors on Friday night." "One of them is still in the room." "She has tick paralysis." "Dan tracked a tick onto his jeans, which wouldn't be a problem." "But being a teenager," "Dan couldn't keep his tick in his pants." "Foreman:" "We already checked her." "Now I'm checking her." "Tick bites don't ordinarily cause anaphylactic shock." "This girl's allergies are not ordinary." "House, get out of here." "We have to re-intubate her, get her into the MRI." "The time course is perfect." "The bite itself sets off an allergic reaction." "Venom takes four days to kick in, heart's vulnerable, hits that first, and a day later sets off the ascending paralysis." "Except that ticks aren't usually invisible." "They are until you find them." "Oh no, that's dandruff." "That wasn't nearly as dramatic as I'd hoped." "Just means the next time it'll be even better." "[Monitors start beeping]" "What's happening?" "That's the tick venom ascending." "That or you stressed her into heart failure." "BP's dropping." " Heart rate, 47." " I'm administering atropine." "She's going to need a transvenous pacing wire." "Okay, magical tick hunt is over." "Only real doctor stuff now." "This is just gonna get worse." "Ticks produce more toxins the longer they feed." "She's gonna be dead in an hour even if you pump her heartfull of jet fuel, unless you let me find the tick." "Could he be right?" "The only thing I know for sure is that your daughter's heart won't last another 20 minutes without treatment." "Okay, I just need one final instruction." "When I find the tick on the autopsy, do you want to know?" "I'm thinking not." "Probably make the coping easier." "Stop talking to them!" "Page Borsisky in cardiology." "Get her team down here stat." "Get them out of here." "Get House out of here, too." "Dr. Wilson, I could use your help." "Well, I don't know if the dopamine's enough." "She may need inamrinone lactate." "Why?" "What's that?" "She doesn't" "She might need stronger pressors." "They don't have any in radiology." "Inamrinone can cause arrhythmia and thrombocytopenia." "Not inamrinone could cause death." "Death's worse." "We have to get her up to the ICU." "Sorry." "Little crowded here." "House, get out of the elevator." "You're welcome to wait for the next one." "You got her?" "Got her." "[Stops the elevator] [Alarm goes off]" "Well, as long as we're stuck here, this might be a good time to look for that tick." "Turn the elevator back on." "Just be a minute, honey." "[Beeping] [Chokes]" "Atropine's wearing off." " So inject her again." " That's just temporary." "Temporary's fine." "We're not hanging wallpaper." "We've got to get her upstairs and put her on norepinephrine." "It wasn't penicillin." "You still think the symptoms are unconnected?" "We've got to take care of her heart before" "You wake up in the morning, your paint's peeling, your curtains are gone, and the water's boiling." "Which problem do you deal with first?" " House" " None of them!" "The building's on fire!" "We treat her symptoms, she dies." "We find the cause, she lives." "That tick is an I.V. drip of poison." "We unhook it, she'll be fine." "It's my last atropine." "Last us about three minutes." "Let's get her gown up." "[Starts breathing]" "Her heart rate falls below 35, we're getting her to the ICU." "I'm not gonna let her die in this elevator." "[Elevator dings]" "Where are they?" "Get maintenance up here right away." "Ear canal's clean." "Left foot's clean." "If it's not here, we've only got" "[Beeping]" " Heart rate's 46." " It's here." "Looks like a mole or a freckle." "Something we missed." "Check the armpits." "[Wheezes]" "Dr. Foreman's an excellent doctor." "He'll be able to handle it." "Yeah?" "You know that from experience?" "You lose a lot of patients on elevators?" "The maintenance guy said it didn't just stop on its own, that they hit the emergency stop button." "Well, I'm sure he must be mistaken." " Perineum." " We checked it." " If we get her upstairs" " Maxilla." " Checked." "Down to 38." "We don't have a lot of time." "Eyebrows, eardrums, pubic hair." "Checked, checked, checked." "We checked everywhere!" "It's not-- [beeping] 35." "We got to get her to the ICU." "We haven't found the tick yet." "We already kidnapped her!" "You want to add murder?" "We've looked over every inch of skin on her body, House!" "It's over." "Hey, is that the first time you had sex?" "With all the other stuff going on down there, she might not have realized." "Oh..." "[Elevator dings]" "You sick, miserable" " What are you doing?" " Oh, my God!" "Whoa, whoa, whoa!" "See?" "Told you it'd be even more dramatic." "Push norepinephrine." "Get her heart back to normal." "She'll be completely cured by tomorrow." "Foreman, let's get her into the ICU." "Inamrinone was a stupid idea, unless you wanted me to get that girl on the elevator." "Oh, I wouldn't do that." "Wouldn't respect you if you did." "Wow." "Looks like somebody filed halfway through your cane while you were sleeping." "Reflexes back to normal." "Heart's looking good, too." "I'll send in the nurse, we'll get you transferred out of ICU, you'll be discharged in the morning." "Thank God." "I just want to get home." "And back to school on Monday." "I'm-I'm not ready." "You're ready." "I'm sick, Mom." "You're not sick." "You're gonna go to class, and you're gonna see your friends and your boyfriend." "[James Stewart on TV] What's this doohickey?" "Barbara Bel Geddes:" "It's a brassiere." "Bel Geddes:" "You know about those things." "You're a big boy now." "James:" "Well, I've never across one like that." "Bel Geddes:" "It's brand new." "Revolutionary uplift." "I've explained to you" "Stewart:" "I know, I know." "I have acrophobia, which gives me vertigo." "And I get dizzy." "Stewart:" "What a moment to find out I had it." "Bel Geddes:" "You've got it, and there's no losing it." "And there's no one to blame." "So why quit?" "Stewart:" "You mean, and sit behind a desk, chair-borne?" "Bel Geddes:" "Where you belong." "Stewart:" "What about my acrophobia?" "I called a divorce lawyer today." "Does that mean you're leaving?" "At some point." "You might not wanna sit exactly there."