She caught it off fleas from the dog, which had been to the Southwest U.S., where it is endemic among prairie dogs. He looks at the patient's armpits, which show newly formed buboes, a sign of bubonic plague. However, House realizes their dog had been out of the country. House thinks it might be something exotic, but the patient hasn't been out of the country. They realize it's an infection, which is raising the white blood cell count. Her white blood cell count turns out to be normal, when it should be low. House realizes they have to stop the patient'ss immunosuppressive drugs in order to do a proper drug work up. House finds Cuddy and Cameron together and tells Cameron to get back to the patient's case.Īfter the successful transplant, the team goes back to the differential. The girlfriend goes into cardiac arrest, but is revived. Cuddy tells her to write another article, and wait to get back at Foreman when he needs a reference. Cameron changes the subject and tells Cuddy about Foreman stealing her article. Just before the patient is about to confess to the girlfriend, House anesthetizes her. House realizes Cameron is alone with the patient and the girlfriend. The transplant is ready to go ahead, but the tests are all turning out negative. However, House tells Wilson that Foreman would have done it anyway. Wilson tells him that he has to deal with these problems, or else his team will be at each other's throats. Wilson comes to House over Foreman's article. The patient says she doesn't want to die. Cuddy does so, and the girlfriend still wants to proceed.Ĭameron proceeds with the testing, and asks the patient how she can proceed with the transplant without telling her girlfriend how she feels. Cuddy agrees not to press House about what the interests are, and agrees to advise the girlfriend about the risks of the procedure. However, House goes to Cuddy to tell them the patient and girlfriend have differing interests. House orders as many relevant tests as possible, and warns Cameron not to tell the girlfriend. However, this will only give them an extra 36 hours. The girlfriend agrees to donate a part of hers. House tells the patient her liver is failing. House realizes the girlfriend could donate her liver (they are the same blood type), but the team is opposed based on the fact the patient wants to break up the relationship. She needs a transplant, but she can't get one without a diagnosis of what made her liver fail. Foreman comes in and tells them her liver is failing. They concentrate on the sleep disorder and the internal bleeding. Cameron then notices the patient has a large contusion. House agrees to an allergy scratch test.ĭuring the test, the patient admits that she wants to break up with her girlfriend. The patient obviously lied about being allergic to the dog, because the drugs for her poison ivy would have taken care of the allergies as well. They did have a dog for a week, and House realizes the patient wants to leave her girlfriend because having the dog would indicate a long term relationship. Chase suggests rabies, but there doesn't seem to be any exposure source. All of a sudden, the patients eyes go into rapid-eye-movement, such as occurs during sleep, even though her eyes were open and she was sitting up. House tells her that Foreman just did what was best for him.Ĭhase starts a biopsy of the patient's nasal tissues. He orders cortisteroids.Ĭameron confronts House about allowing Foreman to scoop her on the article. They start discussing her exposure to poison ivy, and House thinks it might be something more serious.
They start discussing what could cause such a massive nosebleed.
The patient goes into respiratory arrest and starts bleeding from her nose.
They do a colonoscopy on the patient without an anasthetic in order to keep her awake and test for a tumor in her colon.
Suddenly, the patient starts having rectal bleeding. The patient doesn't realize when she's asleep. Since the tests aren't showing why she's ill, House orders that they keep her awake to put her under stress and make her sicker. While discussing the case, House admits he signed Foreman's article, but didn't read it.įoreman and Cameron go to examine the patient's optical pressure, and notice that she is sleeping for very short periods. He finds Foreman and Cameron arguing about Foreman stealing an article from Cameron (about the case in Autopsy). However, House is intrigued that the patient took sleeping pills and still couldn't sleep. Cuddy comes to him with the patient's case, but House thinks its a psychiatric problem and explains the insomnia as a lie. Meanwhile, House is taking the opportunity to catch a nap while on clinic duty. A woman who has not slept in ten days takes a whole bottle of sleeping pills and her lesbian partner calls an ambulance.
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