Pulmonary angiography. I was not looking forward to this. As Dr. Chase brought me out of House's office my mother spotted us. She had been waiting in my room, and had obviously been wondering where I'd got to. Her face was flushed and her hair was unkempt as she ran up to me.
"Emily, where were you? I went to your room and you were gone!" My mother cried.
"Calm down. I was talking to the doctors." I explained. Chase nodded from beside me in agreement. My mother scowled and glared at Chase.
"You should have been talking to me." My mum hissed, she then looked me up and down, "Honey, why aren't you in your hospital gown? Go on, get back into bed."
"Actually, she's going for a pulmonary angriography." Chase told her. My mum's face dropped and she looked from me to Chase and back again.
"A what?"
"It's nothing mom." I reassured her, "I'll be fine!"
"There are risks..." Chase murmured slowly. I glared at him. My mothers eyes widened.
"Risks, what type of risks?" She cried.
"She could have a bad reaction to the contrast medium." Chase told her quietly. I shook my head.
"I'm not going to." I insisted, "trust me, I'll be okay."
"What is it? This pulmonary angy-" My mom started, still sounding panicked.
"It's basically an X-ray of the blood vessels in the lungs." Chase explained. My mom took a deep breath and tried to smile shakily.
"An X-ray, that's okay right?" She said to herself. I nodded and smiled supportively.
"Yes, it's absolutely fine." I told her, I flashed her a reassuring smile, "Everything's going to be fine, they're trying to help me." Mom nodded, but was lost in thought. Chase tugged on my arm.
"Come on. X-ray's waiting." Chase whispered to me. I nodded and waved goodbye to my mother, making my way over to the elevator.
--
I lay on my back, the X-ray table was cold, and very hard on my back. But I did not mind, I knew that this was nothing. Both Dr. Chase and Dr. Foreman were standing next to me. I was wearing a hospital gown, I had just got out of it and now I was just back in it.
"Ready?" Chase asked me. I pursed my lips together and slowly nodded.
"Sure." I whimpered. I felt the sting of the needle as Chase injected my leg with the anaesthetic.
"We're going to insert the Catheter now, okay?" I nodded again, "Your leg's been numbed, but your artery hasn't. So this is going to hurt."
"I know." I moaned. Dr. Foreman raised an eyebrow at me. I shut my eyes as I felt the pressure of the needle going through my skin and winced as a sharp pain shot up my leg, it was in my artery. I exhaled slowly, and noticed that my hands were both balled into fists at either side of me, my nails digging into my palms.
"You okay there?" Foreman asked. I nodded quickly.
"Yeah." I squeaked. I giggled slightly, "It stings."
"I know." He sighed, "We're going to inject the dye now..." I took a deep breath.
"This is going to burn, isn't it?" I looked up at Chase and he nodded. I shrugged, "No pain, no gain, right?"
"Right." Chase said, "Okay, here we go." I inhaled again as the burning sensation started at where the needle had gone in, and gradually moved, coursing up my leg and through my body. It was odd, as if I was burning from the inside. I bit down on my lower lip and grimaced at the discomfort, but kept quiet.
"See anything?" Chase asked Foreman who's eyes were glued on a screen of the x-rays of my lungs, I looked over at him as he shook his head, "Keep looking."
This continued on for a good few minutes, I was getting used to the discomfort and I watched as Dr. Foreman kept his eyes peeled, but didn't find anything.
"Nothing's there." I whispered. Foreman swung round, surprised I had spoken.
"Nothing yet, but we'll find it." He reassured me. I let out a breathy laugh and shook my head.
"No, seriously. Nothing's there." I insisted, "I've had this done before. I don't have a clot." Foreman frowned, realising I was probably right and turned to Chase.
"House did say it wasn't a pulmonary embolism." Chase murmured. He then decided to withdraw the needle and Catheter. I stayed stock still on the table, not moving an inch after my last experience with Chase and a needle. Quickly after I felt pressure on my leg and looked up, Chase was pressing down on it to stop it from bleeding.
"You can sit up now." Foreman told me. I nodded and pushed myself upright, taking over applying the pressure to the hole in my leg and swinging round so I was sitting on the edge of the table. Suddenly the door to the X-ray room swung open and House was standing there.
"So, any news?" He asked, limping in. Foreman and Chase both shook their heads.
"Damn it. I got all excited for nothing." He walked over to where they were both standing and stopped looking me up and down, "Got the good ol' hospital gown back on I see, it was only a matter of time." I shook my head and glared him, but kept my mouth shut, "What's next on the agenda?"
"Nothing." Foreman said quickly, "You ruled everything out."
"Not everything." House murmured, attempting to be mysterious. I cocked my head to one side, curious about what he was talking about. He turned to leave, "Chase, bring her back to her room. Foreman, come with me." Chase sighed slightly and helped me get into a nearby wheelchair. I wasn't actually able to walk, due to the hole in my leg, so I gladly allowed him to wheel me out of X-ray and all the way up to my room.
"What does House want with Dr. Foreman?" I asked as I arrived at the door of my hospital room. My mother was sitting inside, chewing on her nails, looking terrified. Chase shrugged.
"No idea."
--
"Wegeners granulomatosis?" Foreman asked House, he was standing in his office, facing his desk. House, who was lazing back in his chair quickly nodded, "But her X-Ray came back clean."
"Yeah, but she has pulmonary vasculitis..." House pointed out. He furrowed his brow for a second, "At least, I think she does."
"Her kidneys are fine." Foreman groaned, "Apart from haemoptysis there's nothing to suggest Wegeners, she doesn't have oral ulcers or bloody nasal discharge. All she has is a cough."
"Biopsy her lung." House murmured. Foreman folded his arms across his chest.
"No."
"What do you mean 'no'? Go biopsy her lung!" He cried. Foreman shook his head.
"There's nothing to biopsy! No mass, no disease. I'm not going to put her through another painful unnecessary test, just to prove that she hasn't got what we know she hasn't got!" Foreman spat. House glared at him.
"Fine then." He moaned. He rubbed his forehead, trying to think, "Do a bronchoscopy."
"Why?" Foreman asked. House pushed himself up out of the chair.
"Something's wrong with her lungs." He cried, "So we look at her lungs. You're the one who doesn't want to poke needles in her anymore, go shove a tube down her throat instead!"
Foreman continued to scowl, House was being weird. He never usually liked to test for things which had been ruled out already. He stuck to the symptoms, and tried to figure out what would cause those symptoms, not try and add any on to fit his diagnosis.
"House, whatever this is, she's had it for five years. Five years!" Foreman pointed out, "Whatever it is obviously isn't killing her."
"You don't know that." House spat. He turned round and limped out of his office. Foreman slowly exhaled, wondering why this case was getting to House so much.
