Bullied Teenager Hiding a Major Secret | House M.D.

Ajouté : 2026-05-07

[00:00:00]What did you do to Natalie?

[00:00:02]It's not my fault. I didn't stop her from being a total pig.

[00:00:06]>> [laughter] >> What are you >> Your friends live at East Failing. We're doing what we can, but she still might need a transplant. She could die unless you tell us what you gave her.

[00:00:15]Just tell him. Shut up. We gave her some shrooms.

[00:00:19]We took some ourselves. We just wanted to make her loosen up a little.

[00:00:23]Thoughtful of you. They're in Simon's locker.

[00:00:27]This was your idea? No way.

[00:00:29]I didn't give her anything. Right. You just knew about it and let them do it.

[00:00:33]>> Poisonous mushrooms and hallucinogenic ones are different.

[00:00:35]>> Not if they don't dry correctly.

[00:00:37]Get back to school. You better hope we got to her in time.

[00:00:40]Uh-oh.

[00:00:42]Maybe it wasn't those kids who poisoned Natalie. Maybe it was Natalie herself.

[00:00:46]>> I didn't [music] try to kill myself.

[00:00:47]Then why'd you have all those painkillers?

[00:00:50]In case I get a headache.

[00:00:52]Well, maybe you took a few too many.

[00:00:53]>> Do you have any kids?

[00:00:55]No, but high school wasn't all that different when I was your age.

[00:01:01]Teenagers can be incredibly mean. I know what you're going through. I bet you're cool.

[00:01:07]You're pretty. You're pretty, too.

[00:01:09]I'm fat.

[00:01:12]I'm a loser.

[00:01:14]They'll hate me.

[00:01:17]You know what they did last year?

[00:01:19]They took these >> [music] >> photos of me for the yearbook.

[00:01:23]But it wasn't.

[00:01:25]It was for this website [music] making fun of me.

[00:01:28]Calling me a pig. Forget about them.

[00:01:31]Acetylcysteine could save her liver, but we have to act fast if there's any chance that she took all those pills.

[00:01:36]>> chance.

[00:01:37]>> Okay.

[00:01:38]She was the happiest, sweetest little girl.

[00:01:42]A year ago, she hits puberty and it's like this secretive little stranger moved into her room. I tried it to talk to her about what she's going through.

[00:01:55]Give her the treatment. I can't really think that she tried to kill herself.

[00:01:58]>> to think.

[00:02:01]Heartbeat?

[00:02:03]150. BP 180 over 110. Crackling 3/4 of the way up.

[00:02:10]At least this means she didn't try to kill herself. Yeah.

[00:02:13]Liver, lungs, and now brain.

[00:02:16]Which has mysteriously reappeared.

[00:02:20]Speaking of mysteriously reappeared.

[00:02:23]>> Her ALT is 20 times normal.

[00:02:25]Transaminases and PTs way up. She's going to lose her liver. We've got to get her on the transplant list. Keep showing up. She's a nice kid. I want to make sure she's okay.

[00:02:33]>> Hepatic fibrosis. Normal complement level. Normal size liver.

[00:02:36]>> She remind you of you?

[00:02:39]Ah, you weren't a loser in high school.

[00:02:41]You had every Tom, Dick, and Hershel wet dreaming about you.

[00:02:44]>> If we hadn't ruled out the mushrooms Maybe we shouldn't have.

[00:02:47]Forget toxic, think allergic. Severe mold allergy could cause a liver failure, respiratory arrest, and encephalopathy. [music] >> She ate the shrooms days ago. There's no way she'd still be sick. Unless it also give her a fungal infection.

[00:03:00]Give her a prick test and antifungals.

[00:03:02]>> No reaction.

[00:03:03]That's bad. If you had a mold allergy, it would explain your symptoms.

[00:03:07]>> We'll find out what's wrong. Don't worry.

[00:03:09]And uh I know some things are hard to talk about with your parents around, but kids can be really mean. There are people you can talk to, programs.

[00:03:16]>> I'll I'll be okay.

[00:03:19]You're in good spirits. You feeling better?

[00:03:22]No.

[00:03:23]I was just doing my homework.

[00:03:26]I'm such a dork, I guess that cheers me up. Parents brought it?

[00:03:29]No. Simon did.

[00:03:31]The jockey kid in your class?

[00:03:33]Yeah.

[00:03:34]He just left.

[00:03:36]Security? We used to be friends.

[00:03:39]And I'd be friends with her now if, you know, people wouldn't make fun of me.

[00:03:43]There's nothing you could tell us that'll help?

[00:03:46]Did she mention she used to drink a lot?

[00:03:49]No. How do you know that?

[00:03:52]Look, don't tell me you want to rat.

[00:03:54]I have my brother's ID and I kind of supply people. I used to get her a few bottles of vodka each week. Why'd you stop? She got her own ID. Said it was cheaper buying it herself.

[00:04:05]You can go.

[00:04:09]I think we got our diagnosis.

[00:04:12]Our little girl's a drunk.

[00:04:14]I don't drink.

[00:04:16]I did back then.

[00:04:18]But You could die.

[00:04:20]We can't get you on the transplant list until we know why your liver is failing.

[00:04:24]Alcohol abuse would explain that.

[00:04:27]The seizures could be from withdrawal.

[00:04:29]>> I haven't drunk in 6 months.

[00:04:32]I didn't even drink that much back then.

[00:04:34]A couple of vodka bottles a week?

[00:04:37]I didn't open half of them.

[00:04:39]I just bought them because you know, cuz Simon was selling them. We used to be friends and that's like the only way I could get him to even talk to me. Then why did you stop buying from him? He said you got your own ID. I don't know.

[00:04:53]See, that's not a good answer. Remember when you asked me if I had any kids?

[00:04:58]I don't. I don't know. Maybe it has nothing to do with it, but I was good at school, good at work, lousy at life. I screwed up every relationship I ever had.

[00:05:07]And I thought, why would I want to bring a child into this?

[00:05:11]But then I got older.

[00:05:13]And how you feel now will pass.

[00:05:21]Don't let it screw up your whole life.

[00:05:25]It's already screwed up.

[00:05:27]The parents said no to the benzos, but I still think Natalie's not being honest with me. So she's willing to die to cover up some boozing. She's very depressed. She feels like she deserves what the other kids are dishing out on her. I think she either wants to die or she wants the attention that dying gives her.

[00:05:43]I have no idea why you care so much.

[00:05:45]They'll cut her off the Ativan benzos.

[00:05:47]How is the parents just >> Uh-uh. Not the alcoholism. Seizures.

[00:05:51]Totally different. Don't need their approval for that.

[00:05:54]That's a towel. She was talking to me then she just passed out.

[00:05:57]>> slowing down. Can you fix it?

[00:06:00]Can you fix it?

[00:06:01]>> I'm trying. Push one amp epinephrine.

[00:06:06]Natalie's liver's continuing to fail and now bradycardia. Atropine isn't keeping the heart rate up. We're going to have to put her on a pacemaker.

[00:06:13]Alcohol withdrawal cause her heart to race, not crawl. There's nothing structurally wrong with her heart. EKG, echo, electrolyte panel all normal.

[00:06:21]Multiple endocrine syndrome? Free T4 is normal. Hypothalamic brain tumor? Didn't come up on the CT scan.

[00:06:28]It's hitting all her organs.

[00:06:31]Look at the blood. What's her alk phos?

[00:06:33]300.

[00:06:36]It can't be leukemia.

[00:06:39]High alk phos could also be from liver failure. She's a teenager means bone growth and destruction could throw it off. Maybe, but it's higher than you'd expect.

[00:06:47]Start her on chemo.

[00:06:50]Do a bone marrow biopsy to confirm. Why are you ordering tests instead of treatment? Her heart and liver are about to give up. Do whatever you need to.

[00:06:57]>> Why are you so attached to this girl?

[00:07:00]It's her call.

[00:07:02]He doesn't want us to treat her.

[00:07:04]If it's leukemia, even if we kill every cancer cell, her heart and liver are too far gone.

[00:07:09]>> transplant?

[00:07:10]>> With brain involvement, the committee won't even open the file.

[00:07:14]There's no reason to put a dying girl through a painful treatment if it can't save her.

[00:07:19]He's being kind.

[00:07:21]I'll arrange a biopsy.

[00:07:24]It's not leukemia.

[00:07:27]Seizures, liver failure.

[00:07:31]It's eclampsia. It means we don't have one dead patient.

[00:07:38]We have two. You have a disease called eclampsia.

[00:07:41]It causes liver failure, pulmonary edema, and seizures.

[00:07:46]It's also associated with cardiomyopathy. That's a pregnancy disease. You tested her when she came in.

[00:07:53]Uh you can get eclampsia up to a month after giving birth. That's ridiculous.

[00:07:58]How could she hide a pregnancy?

[00:08:00]>> Loose clothes. She's heavy to begin with. It was probably premature.

[00:08:04]If it was 3 weeks ago, they could have missed it on a physical exam.

[00:08:08]The baby's why you quit drinking, isn't it?

[00:08:11]Why you asked me if I had kids.

[00:08:15]Why you feel guilty.

[00:08:21]I'm sorry.

[00:08:23]Oh.

[00:08:25]Who did this to you?

[00:08:26]Simon.

[00:08:29]He wasn't bad.

[00:08:31]We were like boyfriend-girlfriend for a while. We just didn't tell anyone.

[00:08:37]He doesn't even know about what happened to the baby. I was going to give her away.

[00:08:47]If they found out in school I was at the soup kitchen and she started coming.

[00:08:54]There was this empty house down [music] the street, but and she wasn't breathing.

[00:09:01]I tried so hard, but I couldn't do anything.

[00:09:04]I'm so sorry.

[00:09:07]>> [snorts] >> If I had her [laughter] in a hospital, maybe she'd be alive.

[00:09:13]Can you cure this?

[00:09:16]The damage to the heart and liver are permanent.

[00:09:20]I'm going to die?

[00:09:29]I'm sorry.