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1
00:00:00,000 --> 00:00:01,927
[Chattering]
2
00:00:02,003 --> 00:00:05,001
[Man]
On your right.
On your right. On your right.
3
00:00:05,068 --> 00:00:07,181
Back, back, back, back, back.
Come on, buddy.
4
00:00:10,830 --> 00:00:13,184
Yeah, Dan! Yeah!
5
00:00:13,256 --> 00:00:15,001
Yea.!
[Woman]
Yea.!
6
00:00:15,075 --> 00:00:18,440
[Man]
Back, back, back, back, back.
Watch the winger.!
7
00:00:25,655 --> 00:00:28,411
[Chattering]
8
00:00:30,540 --> 00:00:32,722
Yeah.!
9
00:00:56,383 --> 00:00:58,393
You okay?
10
00:00:58,472 --> 00:01:00,551
Dan? Dan, talk to me.
11
00:01:00,629 --> 00:01:03,351
Dan. Dan.
12
00:01:03,425 --> 00:01:06,285
Get a doctor!
13
00:01:46,250 --> 00:01:48,549
- Hey.
- Close the door.
14
00:01:48,620 --> 00:01:51,181
Close the door.
15
00:01:53,927 --> 00:01:57,022
Is Cuddy down the hall
counting to 50?
16
00:01:57,099 --> 00:01:59,933
She knows I'm in here,
in the clinic, as she commanded.
17
00:02:00,003 --> 00:02:03,235
- She just doesn't know I'm alone.
- Well, you've got a full waiting room.
18
00:02:03,308 --> 00:02:06,039
- How long do you think you can ignore them?
- I'm off at 4:00.
19
00:02:07,781 --> 00:02:10,046
You're doing this
to avoid five minutes of work?
20
00:02:10,118 --> 00:02:12,747
If I go out there, I get assigned
a kid with a runny nose.
21
00:02:12,822 --> 00:02:16,054
That's 30 seconds looking at the nose,
25 minutes talking to a worried mom...
22
00:02:16,127 --> 00:02:18,926
who won't leave until she's sure
it's not meningitis or a tumor.
23
00:02:18,998 --> 00:02:21,365
Yes. Concerned parents
can be so annoying.
24
00:02:21,434 --> 00:02:25,064
Just tell Cuddy you've got an urgent
case. You had to leave early.
That would be lying.
25
00:02:25,140 --> 00:02:30,045
And that would be wrong. But luckily
the definition of"urgent" is fungible.
26
00:02:30,114 --> 00:02:32,743
Not the definition
of"case" though.
27
00:02:36,156 --> 00:02:38,921
You have no cases?
28
00:02:38,993 --> 00:02:41,052
You have no cases?
29
00:02:41,130 --> 00:02:44,862
You've got handpicked
doctors-specialists-
30
00:02:44,936 --> 00:02:47,838
working for you,
and they're sitting on their hands?
31
00:02:47,907 --> 00:02:51,742
- Cameron's answering my mail.
- Oh, time well spent, I'm sure.
32
00:02:51,812 --> 00:02:53,803
Foreman and Chase?
33
00:02:53,882 --> 00:02:55,873
Research?
34
00:02:55,952 --> 00:02:58,922
[Typing]
35
00:03:02,561 --> 00:03:05,292
Nine letters.
Iodine deficiency in children.
36
00:03:05,366 --> 00:03:07,528
Cretinism.
37
00:03:16,916 --> 00:03:19,818
So, 4:03 p.m.,
Dr. House checks out.
38
00:03:19,887 --> 00:03:21,821
Please write that down.
39
00:03:21,890 --> 00:03:24,086
Dr. House.
Sorry. Done for the day.
40
00:03:24,160 --> 00:03:27,062
Plenty of docs here
to take care of you.
But we had an appointment.
41
00:03:27,131 --> 00:03:30,465
Nice try, but this is
a walk-in clinic, which means
there are no appointments.
42
00:03:30,536 --> 00:03:32,767
You walk in, sign the chart,
and a doctor will see you.
43
00:03:32,840 --> 00:03:36,333
Just not me.
Your letter says that we'd see you.
44
00:03:37,380 --> 00:03:39,781
Not a big letter writer.
Here.
45
00:03:42,353 --> 00:03:45,846
When did my signature get so girlie?
46
00:03:45,925 --> 00:03:48,121
- I can explain.
- See that "G"?
47
00:03:48,195 --> 00:03:50,630
See how it makes a big loop on top?
48
00:03:50,699 --> 00:03:54,067
Doesn't even look like my handwriting.
Think I have something?
49
00:03:54,138 --> 00:03:57,540
What's the differential diagnosis
for writing G's like
a junior high school girl?
50
00:03:57,609 --> 00:04:01,341
It's impossible to get to you
through normal channels.
They have called, e-mailed.
51
00:04:01,415 --> 00:04:05,318
Perseverance does not equal worthiness.
Next time you want to get my attention,
wear something fun.
52
00:04:05,387 --> 00:04:07,355
Low-rider jeans are hot.
53
00:04:07,424 --> 00:04:12,489
Sixteen-year-old male. Sudden onset
of double vision and night terrors,
with no apparent cause.
54
00:04:12,564 --> 00:04:15,033
The kid's been to
two neurologists, and he-
Night terrors?
55
00:04:15,102 --> 00:04:17,901
- As in big scary monsters?
- Yes.
56
00:04:20,743 --> 00:04:24,236
- Where are you going?
- To see the family.
57
00:04:24,315 --> 00:04:28,377
- You're going to examine a patient?
- Nine times out of 10,
there's no reason to talk to a patient.
58
00:04:28,455 --> 00:04:32,290
But night terrors in a 16-year-old
is a very good reason
to talk to this family.
59
00:04:32,361 --> 00:04:34,295
Good work.
60
00:04:37,267 --> 00:04:39,201
Margins are fine.
61
00:04:39,270 --> 00:04:41,204
No lesions.
62
00:04:42,441 --> 00:04:44,740
Color is good.
63
00:04:44,812 --> 00:04:48,146
How long have you been
having night terrors?
Three weeks.
64
00:04:48,217 --> 00:04:51,415
He's afraid to go to bed.
He's exhausted,
can barely function.
65
00:04:53,492 --> 00:04:56,985
- What does that tell you?
- Nothing. It's just fun
watching him blink.
66
00:04:57,063 --> 00:05:00,556
Name as many animals as you can
that begin with the letter "B." Go.
67
00:05:07,311 --> 00:05:11,408
- Baby elephant?
- Baby elephant is actually
a good answer.
68
00:05:11,484 --> 00:05:14,010
- "B" is a bear of a letter.
- What does that tell you?
69
00:05:14,088 --> 00:05:18,116
Proves two things:
No neurological damage, and your son
is never gonna be chief fry cook.
70
00:05:18,194 --> 00:05:21,926
In teens, there are two
likely causes of night terrors.
71
00:05:22,000 --> 00:05:25,698
- Posttraumatic stress. Any recent
shoot-outs at your high school?
- No.
72
00:05:25,772 --> 00:05:27,000
- Then, Dave-
- Dan.
73
00:05:27,073 --> 00:05:31,135
If there's no trauma,
the other cause is... sexual abuse.
74
00:05:33,851 --> 00:05:37,288
So who's molesting you?
Teacher?
75
00:05:37,355 --> 00:05:40,348
Extra-friendly neighbor?
I'd ask if either of you
were involved, but you'd deny it.
76
00:05:40,427 --> 00:05:42,156
We would never hurt Dan.
77
00:05:42,230 --> 00:05:44,631
I say it here,
it comes out there.
78
00:05:44,700 --> 00:05:47,192
This lack of response
is consistent with abuse.
79
00:05:47,270 --> 00:05:50,069
There's no one, okay?
L- I swear.
80
00:05:50,141 --> 00:05:53,236
There was trauma.
I got hit in the head
during a lacrosse game.
81
00:05:55,082 --> 00:05:58,450
Did you know
that he got hit in the head?
82
00:05:58,520 --> 00:06:02,048
- They didn't mention it. No.
- Yeah. Why bother?
83
00:06:04,963 --> 00:06:07,489
No, no. We took him
to the E.R. After the game.
84
00:06:07,567 --> 00:06:10,093
He was scanned. They tested him.
They said he was fine.
85
00:06:10,171 --> 00:06:12,105
No concussion.
It's gotta be something else.
86
00:06:12,174 --> 00:06:15,667
You hound me for my opinion,
and then you question my diagnosis.
87
00:06:15,745 --> 00:06:19,147
Cool. E.R. Obviously screwed up.
Kid's got a concussion.
88
00:06:19,217 --> 00:06:22,346
I had double vision before I was hit.
Well, that changes everything.
89
00:06:22,422 --> 00:06:25,221
You need glasses.
That's why you had double vision,
90
00:06:25,293 --> 00:06:29,994
which is why you got hit,
which is why you have a concussion,
which is why you have night terrors.
91
00:06:30,066 --> 00:06:33,093
You need to see an ophthalmologist,
which I am not.
92
00:06:33,171 --> 00:06:38,543
You enjoyed that. I brought a reasonable
case to your attention, and you shoved it
in my face just to humiliate me.
93
00:06:38,612 --> 00:06:41,480
You're an only child, aren't you?
Why would you say that?
94
00:06:41,551 --> 00:06:43,280
Because everything is about you.
95
00:06:44,421 --> 00:06:48,723
This may seem incredibly controversial,
but I think sexual abuse is bad.
96
00:06:48,794 --> 00:06:51,787
I just wanted to make sure
he wasn't being diddled
by Daddy- or Mommy.
97
00:06:51,865 --> 00:06:53,890
Anything else is just a bonus.
98
00:07:04,817 --> 00:07:08,151
I'm not an only child.
Interesting.
99
00:07:08,222 --> 00:07:10,487
What?
Don't move.
100
00:07:11,261 --> 00:07:15,198
- Did I bore you in there?
- What? Uh, no. Not- Not really.
101
00:07:15,266 --> 00:07:17,633
Are you tired?
102
00:07:17,704 --> 00:07:19,763
- Sometimes.
- He never sleeps.
Of course he's tired.
103
00:07:19,840 --> 00:07:22,309
- Right now. At this moment.
Are you tired?
- No. No.
104
00:07:22,377 --> 00:07:24,608
That twitch in your leg.
Did you feel that?
105
00:07:25,982 --> 00:07:28,213
- Didn't hurt.
- His leg twitched.
I don't see what-
106
00:07:28,286 --> 00:07:32,053
It's called a myoclonic jerk.
It's very common
when you're falling asleep.
107
00:07:32,124 --> 00:07:37,496
Respiration rate falls, and the brain
sometimes interprets this as the body dying,
so it sends a pulse to wake it up.
108
00:07:37,566 --> 00:07:39,762
- So?
- So, he's not asleep.
109
00:07:39,836 --> 00:07:42,567
He's awake.
110
00:07:42,640 --> 00:07:44,631
Admit him.
111
00:07:47,648 --> 00:07:51,050
[House]
I recognize that loopy "G. '"
112
00:07:51,119 --> 00:07:53,110
So, what does thejerk tell us?
113
00:07:53,188 --> 00:07:55,487
Nothing good.
The brain's losing control of the body.
114
00:07:55,558 --> 00:07:59,325
Can't order the eyes to focus,
regulate sleep patterns
or control muscles.
115
00:07:59,398 --> 00:08:01,423
A movement disorder
or a degenerative brain disease.
116
00:08:01,501 --> 00:08:05,029
Either way, this kid's gonna be
picking up his diploma
in diapers and a wheelchair.
117
00:08:05,106 --> 00:08:07,074
Maybe not that bad.
Could be an infection.
118
00:08:07,143 --> 00:08:09,168
You wish.
No fever, no white count.
119
00:08:09,246 --> 00:08:14,686
Anyone think this differential diagnosis
might be compromised because
we don't have an accurate family history?
120
00:08:14,753 --> 00:08:18,019
- I took an accurate family history.
- You didn't even take an accurate family.
121
00:08:18,959 --> 00:08:21,190
- His father's not his father.
- Why would you say that?
122
00:08:21,263 --> 00:08:24,324
Thirty percent of all dads
don't realize they're raising
someone else's kid.
123
00:08:24,401 --> 00:08:27,530
False paternity's more like 10%.
That's what our moms
would like us to believe.
124
00:08:27,605 --> 00:08:30,097
Who cares?
If he got it from his parents,
they'd both be dead.
125
00:08:30,177 --> 00:08:33,045
- Can we get on with
the differential diagnosis?
- Fifty bucks says I'm right.
126
00:08:33,114 --> 00:08:35,675
- I'll take your money.
- Hit a nerve?
127
00:08:35,751 --> 00:08:39,210
- Don't worry. I'm sure the guy who
tucked you in was your daddy.
- Make it a hundred.
128
00:08:39,290 --> 00:08:43,091
What about leukoencephalopathy
in a 16-year-old?
129
00:08:43,162 --> 00:08:45,461
It doesn't necessarily
have to be that bad.
130
00:08:45,532 --> 00:08:48,559
If we exclude the night terrors,
it could be something systemic.
131
00:08:48,636 --> 00:08:51,162
- His liver, kidneys.
Something outside the brain.
- Yes.
132
00:08:51,241 --> 00:08:54,973
- Feel free to exclude any symptom
if it makes your job easier.
- Night terrors were anecdotal.
133
00:08:55,046 --> 00:08:59,781
- He could've had a bad dream.
- No. Parents said he was conscious during
and didn't remember anything afterwards.
134
00:08:59,854 --> 00:09:01,788
- That's a night terror.
- Parents said?
135
00:09:01,857 --> 00:09:03,950
[House]
That's a good point.
136
00:09:04,026 --> 00:09:07,292
Before we condemn this kid,
maybe we should entertain
Dr. Chase's skepticism.
137
00:09:07,364 --> 00:09:12,429
I want a detailed polysomnograph.
If he's having night terrors,
I want to see them.
138
00:09:23,555 --> 00:09:26,024
[Breathing Erratically]
139
00:09:34,971 --> 00:09:37,167
I usually don't move
during night terrors.
140
00:09:37,241 --> 00:09:39,175
I'm not restraining you for them.
141
00:09:42,049 --> 00:09:45,281
E.E.G. Revealed abnormalities
in your brain-
142
00:09:45,353 --> 00:09:47,720
caused nerve damage in your toes.
143
00:09:54,400 --> 00:09:57,529
What are you doing?
144
00:09:57,605 --> 00:10:00,700
- Fixing it.
- Can I talk to my parents?
145
00:10:00,776 --> 00:10:02,835
Oh, they know all about this.
146
00:10:02,912 --> 00:10:05,438
I'd really like to see them.
147
00:10:13,963 --> 00:10:17,365
Please. I'd really like them here.
148
00:10:19,136 --> 00:10:21,127
This is gonna hurt, Dan.
149
00:10:21,206 --> 00:10:23,197
Oh. Oh, God.
150
00:10:24,979 --> 00:10:27,141
- [Screams]
- [Crunching]
151
00:10:27,215 --> 00:10:29,206
[Snap]
[Screams]
152
00:10:40,034 --> 00:10:42,560
That's a night terror.
153
00:10:52,719 --> 00:10:56,884
[Foreman]
We did a C. T., M.R.I., C.B.C.,
CHEM-7 and chest X-ray.
154
00:10:56,959 --> 00:11:00,020
All the tests came back normal.
There's nothing to explain his symptoms.
155
00:11:00,096 --> 00:11:03,931
Okay, but let's pretend
there's something and go from there.
Who sees something on this M.R.I.?
156
00:11:06,105 --> 00:11:08,904
No lesions in the white matter.
No structural abnormalities.
157
00:11:08,976 --> 00:11:10,944
No space-occupying tumors.
158
00:11:11,012 --> 00:11:15,951
He's 16, so he should have
an absolutely pristine brain.
The smallest thing is abnormal.
159
00:11:17,255 --> 00:11:19,622
Meningeal enhancement.
160
00:11:19,692 --> 00:11:22,253
- My bet is viral meningitis.
- Excellent.
161
00:11:22,330 --> 00:11:24,264
Do you see what he did there?
162
00:11:24,333 --> 00:11:28,100
Took a small clue that
there's a neurological problem
and wasn't afraid to run with it.
163
00:11:28,171 --> 00:11:30,640
There's no evidence
of meningitis on that M.R.I.
164
00:11:30,709 --> 00:11:32,609
No, there's not.
He's completely wrong.
165
00:11:32,678 --> 00:11:34,703
Then what clue
are you talking about?
166
00:11:34,781 --> 00:11:39,584
He knew that I saw something
on the M.R.I., so he figured there must be
something there and took a guess.
167
00:11:39,655 --> 00:11:43,148
- Clever, but also pathetic.
- So what did you find?
168
00:11:43,227 --> 00:11:46,220
Take a close look at the corpus callosum.
169
00:11:48,868 --> 00:11:52,305
- Looks okay.
- Are we all looking at the same thing?
170
00:11:52,374 --> 00:11:54,843
Two hundred million
interhemispheric nerve fibers.
171
00:11:54,910 --> 00:11:57,971
The George Washington Bridge
between the left and right side
of the brain.
172
00:11:59,717 --> 00:12:02,346
It's subtle.
173
00:12:04,425 --> 00:12:06,758
There's some bowing. There.
174
00:12:06,828 --> 00:12:08,819
An upward arch.
Are you guessing?
175
00:12:08,898 --> 00:12:10,798
Yes.
176
00:12:10,868 --> 00:12:14,635
- Too bad. You're right.
- He probably just moved.
177
00:12:14,706 --> 00:12:17,301
Nobody stays perfectly still
for the entire M.R.I.
178
00:12:17,377 --> 00:12:22,874
Yeah. Probably got restless
and shifted one hemisphere of his brain
to a more comfortable position.
179
00:12:22,951 --> 00:12:26,217
Something is pushing on it.
If there was bowing,
could be a tumor.
180
00:12:26,290 --> 00:12:29,749
Do you see a tumor
on this M.R.I.?
No, but I don't see any bowing either.
181
00:12:29,828 --> 00:12:33,356
There's no tumor.
Just a blockage causing pressure
causing symptoms.
182
00:12:33,434 --> 00:12:36,871
Today, night terrors.
Tomorrow, he's bleeding
out of his eyes.
183
00:12:36,939 --> 00:12:41,708
Get him a radionucleotide cisternogram.
I guarantee you'll see a blockage.
184
00:12:44,616 --> 00:12:46,607
[Dan Whimpering]
185
00:12:47,621 --> 00:12:49,612
Okay.
186
00:12:52,462 --> 00:12:54,191
Easy.
187
00:12:54,264 --> 00:12:56,529
Okay. Squeeze my hand.
188
00:13:00,340 --> 00:13:02,433
All right. Squeeze hard.
189
00:13:02,510 --> 00:13:04,945
[Dan Whimpering]
190
00:13:05,013 --> 00:13:06,947
[Father]
All right.
191
00:13:13,159 --> 00:13:16,425
Now I'm injecting a material
that's tagged with a radioisotope.
192
00:13:16,497 --> 00:13:20,332
It's gonna enter your spine
and travel up to your brain.
193
00:13:20,402 --> 00:13:24,305
It'll make you able to
think deep thoughts,
194
00:13:24,375 --> 00:13:26,309
run a hundred miles an hour.
195
00:13:27,580 --> 00:13:29,845
Easy.
196
00:13:42,702 --> 00:13:45,763
Their eyes aren't the same color,
but that fleck in the eyes-
197
00:13:45,840 --> 00:13:48,867
That's maybe a one-in-10 chance
if they're not related?
198
00:13:48,945 --> 00:13:51,346
No. House isn't gonna pay you
based on that.
199
00:13:51,415 --> 00:13:55,284
[Chuckles]
Any excuse we can give the folks
to justify a D.N.A. Test?
200
00:13:55,354 --> 00:13:59,485
We could tell them he's got Huntington's-
whole family should be tested
or they'll all die.
201
00:13:59,561 --> 00:14:01,792
[Chuckles]
202
00:14:03,032 --> 00:14:04,966
Hey.
203
00:14:05,035 --> 00:14:08,904
There's a lot of blockage.
I've scheduled him for surgery.
204
00:14:08,974 --> 00:14:12,809
We're gonna put a shunt
into one of the ventricles
to give the cerebrospinal fluid an out.
205
00:14:12,880 --> 00:14:15,509
No more pressure,
everything goes back to normal.
206
00:14:15,584 --> 00:14:18,520
He's lucky to have you
as his doctors.
207
00:14:24,463 --> 00:14:27,160
[Woman Chuckles]
208
00:14:27,235 --> 00:14:30,228
No formula. Just Mommy's
healthy, natural breast milk.
209
00:14:30,305 --> 00:14:32,000
Yummy.
210
00:14:32,075 --> 00:14:35,170
Her whole face just got
swollen like this overnight.
211
00:14:35,247 --> 00:14:37,478
Mm-hmm.
212
00:14:38,484 --> 00:14:40,817
No fever.
213
00:14:40,887 --> 00:14:43,721
Glands normal.
Missing her vaccination dates.
214
00:14:43,792 --> 00:14:46,455
- We're not vaccinating.
- [Baby Cooing]
215
00:14:47,530 --> 00:14:50,022
Gribbet! Gribbet!
216
00:14:50,102 --> 00:14:51,626
Gribbet!
217
00:14:51,703 --> 00:14:53,398
Think they don't work?
218
00:14:53,473 --> 00:14:56,773
I think some multinational
pharmaceutical company
wants me to think they work-
219
00:14:56,845 --> 00:15:00,077
pad their bottom line.
Mm-hmm.
220
00:15:00,149 --> 00:15:02,448
- May I?
- Sure.
221
00:15:03,454 --> 00:15:06,117
Gribbet. Gribbet.
222
00:15:06,191 --> 00:15:08,490
Gribbet.
[Baby Giggles]
223
00:15:08,561 --> 00:15:11,463
Yeah. All-natural,
no dyes is a good business.
224
00:15:11,533 --> 00:15:13,661
All-natural children's toys.
225
00:15:13,736 --> 00:15:16,228
Toy companies- they don't
arbitrarily mark up their frogs.
226
00:15:16,307 --> 00:15:19,334
They don't lie about how much
they spend on research
and development.
227
00:15:19,411 --> 00:15:25,010
The worst that a toy company
could be accused of is making
a really boring frog.
228
00:15:25,086 --> 00:15:27,920
- [Chuckles]
- Gribbet, gribbet, gribbet.
229
00:15:27,990 --> 00:15:30,824
You know another
really good business?
230
00:15:30,895 --> 00:15:33,126
Teeny, tiny baby coffins.
231
00:15:34,433 --> 00:15:36,698
You can get 'em
in frog green,
232
00:15:36,770 --> 00:15:39,205
fire-engine red- really.
233
00:15:39,274 --> 00:15:43,507
The antibodies in yummy Mummy
only protect the kid for six months,
234
00:15:43,580 --> 00:15:46,175
which is why these companies
think they can gouge you.
235
00:15:46,250 --> 00:15:49,982
They think that you'll spend
whatever they ask
to keep your kid alive.
236
00:15:50,056 --> 00:15:52,081
Want to change things?
Prove 'em wrong.
237
00:15:52,159 --> 00:15:56,757
Few hundred parents like you decide
they'd rather let their kid die
than cough up 40 bucks for a vaccination,
238
00:15:56,833 --> 00:15:59,325
believe me,
prices will drop really fast.
239
00:15:59,403 --> 00:16:02,339
Gribbet, gribbet, gribbet,
gribbet, gribbet.
240
00:16:02,408 --> 00:16:03,807
Gribbet.
241
00:16:03,876 --> 00:16:05,707
Tell me what she has.
242
00:16:08,851 --> 00:16:11,377
A cold.
243
00:16:11,454 --> 00:16:13,547
[Cameron]
There's a problem.
244
00:16:13,624 --> 00:16:16,753
Complications in surgery?
Surgery went fine.
He's in recovery.
245
00:16:16,828 --> 00:16:19,161
But we took a vial
of C.S.F. And tested it.
Really?
246
00:16:19,232 --> 00:16:22,202
Turns out the bowing
wasn't the cause of his problems.
It was a symptom.
247
00:16:22,270 --> 00:16:24,363
Oligoclonal bands
and increased intrathecal IgG.
248
00:16:24,440 --> 00:16:28,605
Which means multiple sclerosis.
And the reason it takes
three of you to tell me this?
249
00:16:28,679 --> 00:16:31,410
Because we're having a disagreement
about whether or not it is M.S.
250
00:16:31,483 --> 00:16:35,045
No lesions on the M.R.I.
It's early. He's had the disease
for maybe two weeks.
251
00:16:35,122 --> 00:16:38,854
- McDonald criteria requires six months
to make a definitive diagnosis.
- Who cares about MacPhearson?
252
00:16:38,928 --> 00:16:40,862
- I hear he tortured kittens.
- McDonald.
253
00:16:40,931 --> 00:16:43,423
Oh, McDonald.
Wonderful doctor, loved kittens.
254
00:16:43,501 --> 00:16:45,469
The V.E.P. Indicates slowing of the brain.
255
00:16:45,538 --> 00:16:47,506
[Cameron]
Without the lesions,
we can't be sure.
256
00:16:47,574 --> 00:16:50,009
Well, if it is, it's gone from
zero to 60 in three weeks,
257
00:16:50,077 --> 00:16:52,045
which would indicate
rapidly progressive M.S.
258
00:16:52,114 --> 00:16:55,448
Not the fun M.S.
With the balloons and the bike rides
for cripples in wheelchairs.
259
00:16:55,519 --> 00:16:58,648
- We should wait until-
- Start treating him now,
260
00:16:58,723 --> 00:17:02,991
maybe he can walk
for another couple of years,
maybe live for another five.
261
00:17:03,063 --> 00:17:05,589
Break it to the family.
I'm going home.
262
00:17:05,667 --> 00:17:09,729
[Chase] It'll take months
for a definitive diagnosis.
What'll happen to me?
263
00:17:11,409 --> 00:17:13,674
M.S. Is an incredibly variable disease.
264
00:17:13,745 --> 00:17:17,147
If it is M.S., and we're not
a hundred percent sure.
265
00:17:17,218 --> 00:17:19,687
What do you think is gonna happen?
266
00:17:23,026 --> 00:17:25,325
There are some medications
to manage the symptoms,
267
00:17:25,396 --> 00:17:28,525
but as the disease progresses,
the problems will become more severe.
268
00:17:28,601 --> 00:17:30,934
Bowel and bladder dysfunction,
269
00:17:31,004 --> 00:17:33,599
loss of cognitive function, pain-
270
00:17:33,675 --> 00:17:36,167
So it's gonna hurt?
271
00:17:37,380 --> 00:17:39,815
The brain's like a big jumble of wires.
272
00:17:39,884 --> 00:17:42,445
M.S. Strips them of the insulation,
and the nerves die.
273
00:17:42,522 --> 00:17:45,151
Brain interprets it as pain.
274
00:17:45,225 --> 00:17:48,491
But by starting treatment,
we're gonna prevent that
for as long as possible.
275
00:17:49,498 --> 00:17:51,432
We're looking into
a couple of specialists,
276
00:17:51,501 --> 00:17:55,029
and until we get you squared away,
you'll stay here, okay?
277
00:18:15,736 --> 00:18:18,228
Security checked the videotapes
from all perimeter cameras.
278
00:18:18,308 --> 00:18:20,539
He's still gotta be in the hospital.
Where's Chase?
279
00:18:20,611 --> 00:18:23,172
Main floor.
Okay. You take the cafeteria
and administration.
280
00:18:23,248 --> 00:18:25,843
I'll hit the research annex
and work my way back to you.
281
00:18:49,386 --> 00:18:51,617
[Ringing]
282
00:19:03,207 --> 00:19:05,198
Dan?
283
00:19:06,711 --> 00:19:09,374
[Ringing Continues]
284
00:19:09,449 --> 00:19:12,317
[Answering Machine Clicks]
[House]
I'm not here. Leave a message.
285
00:19:12,387 --> 00:19:14,321
[Beep]
286
00:19:18,663 --> 00:19:21,462
Dr. Cuddy.
Great outfit.
287
00:19:21,533 --> 00:19:23,798
What are you doing
back here? Patient?
288
00:19:23,870 --> 00:19:27,363
No. Hooker. Went to my office
instead of my home.
289
00:19:28,744 --> 00:19:30,735
[Elevator Bell Dings]
290
00:19:37,757 --> 00:19:40,192
Dr. House.
291
00:19:40,261 --> 00:19:43,060
Dan's missing.
Yeah. I got that part from the message.
292
00:19:43,131 --> 00:19:46,363
You said I was needed immediately.
He shouldn't move
after a lumbar puncture.
293
00:19:46,437 --> 00:19:49,134
I agree. He's gonna have
a very nasty headache.
294
00:19:49,207 --> 00:19:52,336
That would also be my opinion
if consulted tomorrow morning.
295
00:19:52,412 --> 00:19:55,576
We wanted to keep you informed.
He heard some pretty heavy news.
296
00:19:57,419 --> 00:20:00,116
This is not a toddler wandering
around a department store.
297
00:20:00,191 --> 00:20:03,389
He's 16. You'll find him.
298
00:20:03,462 --> 00:20:05,396
I'm going home.
299
00:20:05,465 --> 00:20:08,435
So when you say,
"Call me if you need anything,"
you mean don't call?
300
00:20:08,502 --> 00:20:10,733
No, I mean call me
if I could do something.
301
00:20:10,806 --> 00:20:14,937
I'm bad at search parties,
and I'm bad at sitting around
looking nervous, doing nothing.
302
00:20:15,012 --> 00:20:17,037
What about his parents?
Should we call them?
303
00:20:17,115 --> 00:20:19,516
Why? Do you think
they're hiding him?
304
00:20:19,586 --> 00:20:21,554
Make sure someone
checks the roof.
305
00:20:22,623 --> 00:20:26,424
Some of the orderlies
keep the door propped open
so they can grab a smoke.
306
00:21:00,979 --> 00:21:03,847
[Chase]
Dan. You okay?
307
00:21:10,594 --> 00:21:14,326
There are experimental treatments.
Ongoing research.
308
00:21:14,399 --> 00:21:16,800
Who knows what they'll discover
in a year or two.
309
00:21:16,870 --> 00:21:18,838
This is where I dropped the ball.
310
00:21:18,906 --> 00:21:21,432
Dan, we're standing
on the roof of the hospital.
311
00:21:24,113 --> 00:21:26,104
Dan.
312
00:21:26,183 --> 00:21:28,208
Dan, you're not on the field.
313
00:21:28,286 --> 00:21:30,448
He doesn't know where he is.
Dan.
314
00:21:30,523 --> 00:21:31,888
Foreman.
315
00:21:33,093 --> 00:21:34,856
Dan.
316
00:21:36,098 --> 00:21:38,032
- Dan?
- Dan, no!
317
00:21:48,717 --> 00:21:51,209
Dr. Foreman.
318
00:21:52,856 --> 00:21:54,847
I assume you found the kid.
319
00:21:54,926 --> 00:21:57,521
He almost walked off
the roof.
Suicidal?
320
00:21:57,596 --> 00:22:01,465
No, he thought he was on his
lacrosse field. Look, I was gonna
run home, shower, change-
321
00:22:01,535 --> 00:22:03,469
Conscious?
Yeah.
322
00:22:04,539 --> 00:22:07,134
How'd you talk him down?
Actually, Chase tackled him.
323
00:22:07,210 --> 00:22:09,144
How come you didn't do it?
324
00:22:09,213 --> 00:22:11,648
Right. Well, I am black,
but he was closer.
325
00:22:11,716 --> 00:22:14,151
[Elevator Bell Dings]
326
00:22:14,221 --> 00:22:16,212
Come on.
You can ride up with me.
327
00:22:17,292 --> 00:22:19,454
[Sighs]
328
00:22:22,900 --> 00:22:26,632
Anybody tell the family that
their boy almost stepped off a roof?
They must be thrilled.
329
00:22:26,706 --> 00:22:28,902
They're not suing,
but I think only because
Chase asked-
330
00:22:28,976 --> 00:22:31,502
Why does everybody
always think I'm being sarcastic?
331
00:22:31,579 --> 00:22:33,775
This is great news.
He doesn't have M.S.
332
00:22:33,849 --> 00:22:37,547
Parents should be thrilled.
The mom anyway. Of course,
the dad probably doesn't know-
333
00:22:37,622 --> 00:22:41,924
- Why doesn't he have M.S.?
- He was on the roof, thinking
he was on a lacrosse field.
334
00:22:41,995 --> 00:22:45,864
- Conscious, and therefore not
a night terror. You want some of this?
- Yeah, sure.
335
00:22:45,934 --> 00:22:48,027
He was in an acute
confusional state,
336
00:22:48,104 --> 00:22:50,903
which doesn't fit with
a demyelinating disease like M.S.
337
00:22:50,975 --> 00:22:53,034
Oligoclonal bands-
Were real.
338
00:22:53,111 --> 00:22:56,639
They just mean something
other than M.S.
So, what are they telling us?
339
00:22:56,717 --> 00:22:58,708
That the immune system
is working?
Right.
340
00:22:58,786 --> 00:23:00,914
He has an infection in his brain.
341
00:23:00,990 --> 00:23:02,981
What about sex?
342
00:23:03,059 --> 00:23:06,291
Well, it might get complicated.
I mean, we work together.
343
00:23:06,364 --> 00:23:09,425
- I'm older, certainly, but maybe you like that.
- I meant maybe he has neurosyphilis.
344
00:23:09,502 --> 00:23:13,269
- Huh. Nice cover.
- Sorry. R.P.R. Was negative.
345
00:23:13,340 --> 00:23:16,799
[House] We don't need
a definitive test to confirm.
Sure. Didn't need one to confirm M.S.
346
00:23:16,879 --> 00:23:21,375
Okay. Let's wait for you to
run titers on 1,400 viruses while
this kid's brain turns to mush.
347
00:23:21,452 --> 00:23:25,048
So the fact that
he doesn't have M.S.,
it's- it's really not good news after all.
348
00:23:25,125 --> 00:23:27,253
Well, it is if it's neurosyphilis.
349
00:23:27,328 --> 00:23:30,389
The likelihood of a false negative
on an R.P.R. Test: 30%.
350
00:23:30,466 --> 00:23:33,959
Likelihood of a 16-year-old having sex:
Roughly 120%.
351
00:23:34,038 --> 00:23:36,473
I'll start him on I.V. Penicillin.
We're not gonna wait for that.
352
00:23:36,541 --> 00:23:40,069
The most effective way
to deliver the drug is
right into his brain via the spine.
353
00:23:40,147 --> 00:23:42,081
We can't.
In a cramped space like the brain,
354
00:23:42,150 --> 00:23:45,917
increased intracranial pressure
from a high-volume drug like penicillin
could herniate his brain stem.
355
00:23:45,989 --> 00:23:49,016
It'd kill him.
No neurologist in his right mind
would recommend that.
356
00:23:49,093 --> 00:23:51,927
Show of hands.
Who thinks I'm not
in my right mind?
357
00:23:51,998 --> 00:23:55,867
And who thinks I forget this
fairly basic neurological fact?
358
00:23:55,937 --> 00:23:58,168
Who thinks there's a third option?
359
00:24:00,243 --> 00:24:04,180
- Very good. What's the third choice?
- No idea. You just asked
if I thought there was one.
360
00:24:07,987 --> 00:24:11,082
The patient has a shunt in his brain.
There'll be no increased pressure.
361
00:24:11,159 --> 00:24:13,685
We can put as much penicillin
into his body as we want.
362
00:24:13,763 --> 00:24:16,699
Excellent. Inject him through
a lumbar puncture.
363
00:24:19,605 --> 00:24:22,734
One of us is gonna do this to you
twice a day for the next two weeks.
364
00:24:22,809 --> 00:24:25,472
[Inhales, Exhales Deeply]
365
00:24:25,546 --> 00:24:28,311
- I'm ready. Go.
- He could get syphilis...
366
00:24:28,384 --> 00:24:30,979
even if he's not sexually active?
367
00:24:32,057 --> 00:24:35,459
Well, it's- it's unusual,
but it's possible.
368
00:24:36,463 --> 00:24:38,454
Okay. Relax.
369
00:24:51,252 --> 00:24:54,416
It's infected,
with a really big hole,
370
00:24:54,489 --> 00:24:56,856
like you stuck a nail in it
to relieve the pressure.
371
00:24:56,926 --> 00:24:59,919
I wouldn't do that.
Although the wound
is irregular.
372
00:24:59,998 --> 00:25:03,264
It's not cylindrical.
It's shaped like a triangle.
So, not a nail.
373
00:25:03,335 --> 00:25:05,394
- Steak knife?
- Wife's nail file.
374
00:25:05,472 --> 00:25:07,964
Nail file.
375
00:25:08,042 --> 00:25:10,101
Yeah. Pain will make you
do stupid things.
376
00:25:11,181 --> 00:25:14,208
- Something to take the edge off?
- Yeah.
377
00:25:16,354 --> 00:25:18,345
Cheers.
378
00:25:22,163 --> 00:25:25,190
So, you have family here
in Princeton?
379
00:25:25,268 --> 00:25:27,999
No.
Here on work?
380
00:25:28,072 --> 00:25:30,268
- No. Why are you-
- Does your penis hurt?
381
00:25:30,342 --> 00:25:32,504
No. What?
Should it?
382
00:25:32,579 --> 00:25:36,107
No. Just thought I'd toss you
a really inappropriate question.
383
00:25:36,184 --> 00:25:40,315
- Your lawyer's gonna love it.
- Why would I want to sue you?
I want you to treat me.
384
00:25:40,390 --> 00:25:42,859
- You're from Maplewood,
New Jersey, right?
- Yeah.
385
00:25:42,927 --> 00:25:45,192
Now, why would you
drive 70 miles...
386
00:25:45,264 --> 00:25:48,200
to get treatment for a condition
that a nine-year-old could diagnose?
387
00:25:49,737 --> 00:25:52,673
It's the free-flowing pus
that's the tip-off.
388
00:25:52,742 --> 00:25:55,644
I was in town.
Not for family.
Not for work.
389
00:25:55,713 --> 00:25:59,047
You drove 70 miles
to a walk-in clinic.
You passed two hospitals on the road.
390
00:25:59,118 --> 00:26:02,611
Either you've got a problem
with those hospitals,
or they have a problem with you.
391
00:26:02,689 --> 00:26:05,215
My guess is you've sued
half the doctors in Maplewood,
392
00:26:05,293 --> 00:26:07,352
and the rest are now
refusing to help you.
393
00:26:07,429 --> 00:26:11,161
It's ironic, isn't it?
Sort of like the boy who sued wolf.
394
00:26:11,235 --> 00:26:14,467
You know, I bet we have
a doctor here named Wolf.
395
00:26:14,540 --> 00:26:16,975
How perfect would that be?
396
00:26:17,044 --> 00:26:19,343
- I'm gonna page him.
- Okay. You know what?
Thank you.
397
00:26:19,414 --> 00:26:21,679
I'm gonna find a doctor
to take care of this.
398
00:26:21,751 --> 00:26:23,685
I didn't say I wouldn't treat you.
399
00:26:23,754 --> 00:26:27,088
- We'll drain your knee,
run some lab work. Fix you up.
- Why would you do that?
400
00:26:27,159 --> 00:26:29,093
I'm a people person.
401
00:26:29,162 --> 00:26:31,688
[Elevator Bell Dings]
You actually treated him?
402
00:26:31,766 --> 00:26:33,734
All I know is he sued some doctors.
403
00:26:33,802 --> 00:26:36,135
Who am I to assume they didn't
have it coming to them?
404
00:26:36,205 --> 00:26:39,539
The cutest little tennis outfit.
My God, I thought I was
gonna have a heart attack.
405
00:26:39,611 --> 00:26:42,843
Oh, my. Didn't see you there.
That is so embarrassing.
How's your hooker doing?
406
00:26:42,915 --> 00:26:44,849
Sweet of you to ask.
Funny story.
407
00:26:44,918 --> 00:26:48,719
She was gonna be hospital
administrator, but just hated
having to screw people like that.
408
00:26:48,791 --> 00:26:51,590
- Heard you found her on the roof.
- You have very acute hearing.
409
00:26:51,661 --> 00:26:53,356
You notify the parents?
410
00:26:53,431 --> 00:26:55,365
In due course, of course.
411
00:26:55,434 --> 00:26:58,927
And is there a paternity bet
on the father of the patient?
412
00:26:59,006 --> 00:27:02,306
Doesn't sound like me.
Well, it does, actually,
but doesn't mean you're guilty.
413
00:27:02,377 --> 00:27:04,368
You think?
I saw the parents in the lobby.
414
00:27:04,447 --> 00:27:09,477
- Smart money's obviously on the father.
- My guy knows a guy who can
get you in for 50 bucks.
415
00:27:09,555 --> 00:27:13,458
Fine. Tell your guy, if I win,
you attend the faculty symposium,
and you wear a tie.
416
00:27:13,527 --> 00:27:15,996
And if I win,
no clinic hours for a week.
417
00:27:16,064 --> 00:27:18,397
My guy will call your guy.
418
00:27:20,904 --> 00:27:23,100
She's very good at her job.
419
00:27:26,480 --> 00:27:29,848
[Whimpers]
The treatments should
start helping soon.
420
00:27:29,917 --> 00:27:33,285
Let us know if it gets easier
to focus on things,
remember stuff.
421
00:27:35,292 --> 00:27:38,751
Hey, Dan. Isn't Dr. Cameron's
necklace a beauty?
422
00:27:38,830 --> 00:27:40,889
Something South American, I think.
423
00:27:40,967 --> 00:27:42,935
Yeah. Guatemalan.
424
00:27:44,005 --> 00:27:46,030
It's a cool necklace.
425
00:27:47,778 --> 00:27:50,441
- Thank you so much.
- The kid's in pain.
426
00:27:52,050 --> 00:27:54,611
[Man]
Don't fight it. Just let it happen.
No.
427
00:27:54,687 --> 00:27:56,712
[Woman]
You'll be dead in two days.
No what?
428
00:27:56,791 --> 00:27:59,056
[Woman #2]
I give it a day.
Dan? You okay?
429
00:27:59,127 --> 00:28:00,287
Dan?
430
00:28:00,363 --> 00:28:02,832
- [Man]
Night terrors.
- Decomposition once he's in the grave.
431
00:28:02,900 --> 00:28:05,802
- [Man] Say good-bye to
your mother and father.
- He's hearing voices.
432
00:28:05,870 --> 00:28:08,339
[Woman]
You're dying.
It's all over, Dan.
433
00:28:09,576 --> 00:28:12,808
You're dying.
Dying. Dead.!
434
00:28:13,816 --> 00:28:16,877
Push two milligrams
I.V. Ativan, stat.
435
00:28:16,953 --> 00:28:19,582
- [Woman]
It's all over.
- Come on, Dan.
436
00:28:19,658 --> 00:28:21,489
Get out of my head!
437
00:28:23,296 --> 00:28:26,289
Auditory hallucination shows
further brain degeneration.
438
00:28:26,367 --> 00:28:30,395
Penicillin's not working.
So either it's
a bad batch of penicillin,
439
00:28:30,474 --> 00:28:32,465
or our diagnosis is wrong.
440
00:28:34,313 --> 00:28:36,304
Square one.
441
00:28:36,382 --> 00:28:40,319
Midnite.
[Foreman]
L.F. T.'s, B.U.N. And creatinine are all normal.
442
00:28:40,387 --> 00:28:42,856
- Diabetes is out, and no gap.
- There goes metabolic.
443
00:28:42,925 --> 00:28:45,588
- M.R.A. Rules out vasculitis.
- "L" for inflammation.
444
00:28:45,662 --> 00:28:48,291
- Too young for anything
degenerative.
- "D," see ya.
445
00:28:48,366 --> 00:28:50,631
"N" for neoplastic.
M.R.I. Was clean.
446
00:28:51,705 --> 00:28:54,334
- "L" for inflammation.
- We already did that.
447
00:28:54,408 --> 00:28:57,674
- Stupid to have two I's in one mnemonic.
What's the other one?
- Infection.
448
00:28:57,747 --> 00:29:01,844
- Oligoclonal bands still have to mean something.
- But no fevers. White count's elevated,
but within range.
449
00:29:01,920 --> 00:29:04,549
We've tested for anything remotely
possible. Everything's negative.
450
00:29:04,624 --> 00:29:08,322
- C.T. Scan rules out subdural.
- Trauma. Later much.
451
00:29:13,603 --> 00:29:17,734
You know the problem?
"Midnight'"is actually spelled
with a "G'"and an "H. '"
452
00:29:18,744 --> 00:29:21,612
If we could just figure out
what those letters stand for.
453
00:29:25,788 --> 00:29:29,316
It's a sick brain,
having fun,
454
00:29:30,895 --> 00:29:33,057
torturing him, talking to him.
455
00:29:38,607 --> 00:29:40,598
Scaring the hell out of him.
456
00:29:43,080 --> 00:29:47,849
Get him an E.E.G., left and right E.O.G.,
esophageal microphones.
457
00:29:47,920 --> 00:29:51,789
If this thing wants to talk,
let's listen.
458
00:29:53,495 --> 00:29:57,432
We're missing something.
This is screwed-up.
459
00:29:57,501 --> 00:30:01,029
That's why you came up with
the brain talking to the virus thing?
460
00:30:01,106 --> 00:30:02,903
I panicked, okay?
461
00:30:02,976 --> 00:30:06,777
Sounded cool though.
They bought it.
462
00:30:09,352 --> 00:30:12,083
Oh, crap.
463
00:30:12,156 --> 00:30:16,686
Another reason I don't like
meeting patients. If they don't know
what you look like, they can't yell at you.
464
00:30:16,763 --> 00:30:18,754
Here we go.
465
00:30:21,970 --> 00:30:24,405
How can you just sit there?
466
00:30:25,843 --> 00:30:27,811
If I eat standing up, I spill.
467
00:30:27,879 --> 00:30:30,940
Our son is dying,
and you could care less.
468
00:30:32,119 --> 00:30:35,146
We're going through hell.
You're doing nothing?
469
00:30:36,158 --> 00:30:39,959
- I'm sorry. You need to vent.
I understand.
- Don't be condescending.
470
00:30:41,032 --> 00:30:43,433
You haven't checked
in on him once.
471
00:30:43,502 --> 00:30:46,165
Blood pressure is 110 over 70.
472
00:30:46,240 --> 00:30:49,039
His shunt is patent, well-placed
in the right lateral ventricle.
473
00:30:49,110 --> 00:30:53,640
The E.K.G. Shows a normal Q. R.S.
With deep-wave inversions throughout
both limb and precordial leads.
474
00:30:53,717 --> 00:30:56,619
L.F. T.'s are elevated,
but only twice the normal range.
475
00:30:56,689 --> 00:30:59,158
Oh, yeah. And he's hearing voices.
476
00:31:03,398 --> 00:31:05,389
Go hold his hand.
477
00:31:07,304 --> 00:31:09,899
Go on. I'll bus your tray.
478
00:31:13,747 --> 00:31:15,738
[No Audible Dialogue]
479
00:31:23,861 --> 00:31:26,763
- Got any sample bags on you?
- I don't believe you.
480
00:31:26,833 --> 00:31:30,497
You're gonna run D.N.A. Tests?
Their son is deathly ill.
481
00:31:30,572 --> 00:31:34,703
I know. It's terrible.
But the fact is, if I don't keep busy
with trivial things like this,
482
00:31:34,778 --> 00:31:36,906
I'm afraid
I might start to cry.
You're an ass.
483
00:31:36,981 --> 00:31:39,883
Yeah? You want to double the bet?
484
00:31:50,601 --> 00:31:53,264
General Hospital is on channel 6.
485
00:31:53,338 --> 00:31:56,900
Dan's brain's not showing
channel 6 right now.
Only mush.
486
00:31:56,977 --> 00:31:59,173
No epileptiform activity.
487
00:32:00,849 --> 00:32:03,614
What are you doing?
Waiting for C.B.C. And CHEM-7.
488
00:32:03,686 --> 00:32:06,588
Good. Run D.N.A. On these.
489
00:32:08,160 --> 00:32:11,028
What's this?
Parents' coffee cups.
490
00:32:12,733 --> 00:32:15,134
I can't believe you.
I've had this conversation
once already.
491
00:32:15,204 --> 00:32:17,799
If you've got
something else to do, do it.
Otherwise, do this.
492
00:32:26,053 --> 00:32:29,114
Dr. House.
Hey. Mr. Funsten.
493
00:32:29,191 --> 00:32:32,252
I was wondering
when you'd be back.
You got some papers for me?
494
00:32:32,329 --> 00:32:35,766
You've caused me
considerable mental distress.
I certainly hope so.
495
00:32:36,802 --> 00:32:40,864
What? Too cheap to get
your lawyer to serve it for you,
or is it just more fun this way?
496
00:32:40,942 --> 00:32:43,138
I'm obviously prepared
to consider a settlement.
497
00:32:43,212 --> 00:32:45,305
You have gonorrhea.
498
00:32:47,117 --> 00:32:50,952
No, I don't.
Well, maybe you're right,
but I have the lab result says you do.
499
00:32:51,022 --> 00:32:53,617
Could be a false positive,
and normally I'd run a second test,
500
00:32:53,694 --> 00:32:57,096
but since you're here,
I'll just go with the first.
You're just trying to scare me.
501
00:32:57,165 --> 00:33:00,499
It's reportable, you know.
Public health issue.
I'll be sure to let my wife know.
502
00:33:00,570 --> 00:33:03,199
Don't bother yourself.
The state will call for you.
503
00:33:03,274 --> 00:33:05,835
If you're clean, I'm sure
it'll all blow over. No big deal.
504
00:33:05,911 --> 00:33:09,245
There's an easy way to find out.
Get one of your doctors to run a test.
505
00:33:11,219 --> 00:33:13,153
Uh-uh.
506
00:33:13,222 --> 00:33:15,987
These are mine now.
I'll see you in court.
[Elevator Bell Dings]
507
00:33:20,432 --> 00:33:24,301
West Nile negative. Not surprising
since not too many mosquitoes passing
through Jersey in December.
508
00:33:24,372 --> 00:33:26,864
No eastern equine encephalitis.
You guys aren't gonna believe this.
509
00:33:26,942 --> 00:33:30,879
What's that?
House is right.
The father's not the father.
510
00:33:30,948 --> 00:33:34,851
[Sighs]
Dude doubled up on me.
511
00:33:34,921 --> 00:33:36,980
You're not gonna believe this.
512
00:33:37,057 --> 00:33:39,549
The mother's not the mother either.
513
00:33:40,829 --> 00:33:43,856
It's not a good idea
to move your son in his condition.
514
00:33:43,934 --> 00:33:46,529
- We just want a second opinion.
- [Father]
We need an answer.
515
00:33:47,339 --> 00:33:50,798
You idiots.
You lied to me.
516
00:33:50,878 --> 00:33:52,812
We didn't lie about anything.
517
00:33:52,881 --> 00:33:56,079
- You, on the other hand,
accused us of molesting our son.
- Perfect.
518
00:33:56,152 --> 00:33:58,917
Can we get off my screwups
and focus on theirs?
519
00:33:58,989 --> 00:34:01,082
Theirs is bigger.
You're not Dan's parents.
520
00:34:01,159 --> 00:34:03,993
We're his parents.
He was adopted.
He doesn't need to know.
521
00:34:04,064 --> 00:34:06,055
- I do.
- Adoption makes us just as much-
522
00:34:06,133 --> 00:34:10,469
Listen. When we were taking
his medical history, were you confused?
523
00:34:10,540 --> 00:34:13,339
Did you think we were looking for
a genetic clue to his condition,
524
00:34:13,410 --> 00:34:17,472
or did you think we were trying to
ascertain who loves him the most
in the whole wide world?
525
00:34:17,550 --> 00:34:19,712
How did you find out about this?
526
00:34:19,786 --> 00:34:23,188
- I sampled their D.N.A.
- We didn't give you any D.N.A.
527
00:34:23,258 --> 00:34:25,693
Your coffee cups from the cafeteria.
528
00:34:25,762 --> 00:34:29,699
- You can't do that.
- Again, why are we getting
hung up on what I did?
529
00:34:29,768 --> 00:34:35,606
- Your medical history is useless.
- No. We gave you a detailed history
of his biological mother.
530
00:34:35,677 --> 00:34:38,841
Her history.
Nonsmoker, good health,
531
00:34:38,914 --> 00:34:41,440
low cholesterol,
no blood pressure problems.
532
00:34:41,518 --> 00:34:43,646
Dan was adopted two weeks
after he was born.
533
00:34:43,721 --> 00:34:48,057
- You have his history. There's nothing
you need to know that we didn't tell you.
- Sounds reasonable.
534
00:34:48,129 --> 00:34:51,190
Well, if you want to transfer
your boy, that is your choice.
535
00:34:51,266 --> 00:34:53,963
I still think it's the wrong-
Was she vaccinated?
536
00:34:56,073 --> 00:34:59,043
The biological mother.
When she was a baby,
did she get her vaccinations?
537
00:34:59,111 --> 00:35:02,104
Dan was vaccinated.
At six months.
538
00:35:02,182 --> 00:35:05,880
Mm-hmm.
Do you know why kids
get vaccinated at six months?
539
00:35:05,954 --> 00:35:08,583
Because before that
they are protected...
540
00:35:08,658 --> 00:35:11,253
by their biological mother's
immune system.
541
00:35:11,328 --> 00:35:14,093
So, was she vaccinated?
542
00:35:17,872 --> 00:35:20,637
[House]
An infant picks up
a regular old measles virus.
543
00:35:20,709 --> 00:35:22,643
Gets a rash.
544
00:35:22,712 --> 00:35:26,342
He's extremely uncomfortable,
has a wicked fever, but he lives.
545
00:35:26,418 --> 00:35:30,287
Here's the kicker.
Once every million or so times,
546
00:35:30,356 --> 00:35:32,655
the virus mutates.
547
00:35:32,727 --> 00:35:35,253
Instead of Dan having
a fever and a rash,
548
00:35:35,331 --> 00:35:37,994
the virus travels
to his brain and hides,
549
00:35:38,068 --> 00:35:40,002
like a time bomb.
550
00:35:40,071 --> 00:35:42,438
In this case, for 16 years.
551
00:35:42,508 --> 00:35:45,069
Subacute sclerosing panencephalitis.
552
00:35:46,481 --> 00:35:49,940
I know. There's only been
20 cases in the United States
in the last 30 years.
553
00:35:50,019 --> 00:35:53,353
I suppose you could make
an argument the kid's still in stage I.
554
00:35:53,424 --> 00:35:55,552
Once S.S.P.E. Moves
to stage II, it's-
555
00:35:55,627 --> 00:35:58,756
Boom. Stage II is universally fatal.
556
00:35:58,832 --> 00:36:01,802
I assume its impossible to know
when he might move into stage II.
557
00:36:01,870 --> 00:36:06,069
He's already started showing symptoms.
Could be a month. Could be tonight.
558
00:36:06,143 --> 00:36:08,374
Can we treat it?
Ask the neurologist.
559
00:36:08,446 --> 00:36:10,539
Intraventricular interferon.
560
00:36:10,616 --> 00:36:14,485
Not gonna shove a spike
into his brain and drip interferon
without confirming this diagnosis.
561
00:36:14,555 --> 00:36:18,322
- Tap him.
- We won't get a reliable result
for measles antibodies in his C.S.F.
562
00:36:18,394 --> 00:36:20,328
Not after everything
we've given him.
563
00:36:20,397 --> 00:36:23,196
So the wrong treatment kills
any hope of the right diagnosis.
564
00:36:23,268 --> 00:36:26,033
Why do people lie to me?
565
00:36:26,106 --> 00:36:28,040
[Sighs]
Could also kill him.
566
00:36:28,109 --> 00:36:32,548
Your ball, Foreman.
Tell me I don't have to
biopsy his brain.
567
00:36:34,117 --> 00:36:36,210
Well, there is one other way.
568
00:36:37,789 --> 00:36:39,780
You sure this isn't gonna hurt?
569
00:36:39,859 --> 00:36:41,850
Yeah. It's just scary as hell.
570
00:36:41,929 --> 00:36:44,057
See, we go through the pupil.
571
00:36:44,132 --> 00:36:46,363
But you won't feel it.
The eye's been paralyzed.
572
00:36:46,435 --> 00:36:48,768
The needle travels
to the back of the eye,
573
00:36:48,838 --> 00:36:51,706
which is where we'll perform
the biopsy on your retina.
574
00:36:57,051 --> 00:37:00,078
So we've confirmed that
the problem is this mutated virus.
575
00:37:00,156 --> 00:37:03,957
The treatment for S.S.P.E.
Is intraventricular interferon.
576
00:37:04,028 --> 00:37:06,759
We implant an ommaya reservoir
under the scalp,
577
00:37:06,832 --> 00:37:09,063
which is connected to
a ventricular catheter...
578
00:37:09,135 --> 00:37:11,696
that delivers the antiviral
directly to the left hemisphere.
579
00:37:11,772 --> 00:37:15,607
You want us to consent to this?
I don't even understand
what you're talking about.
580
00:37:15,678 --> 00:37:17,737
Well, the antiviral-
581
00:37:20,518 --> 00:37:22,452
Look. I'm sorry.
582
00:37:22,521 --> 00:37:26,892
I can explain this as best I can,
but the notion that you're gonna fully
understand your son's treatment...
583
00:37:26,961 --> 00:37:31,092
and make an informed decision
is- is kind of insane.
584
00:37:32,837 --> 00:37:35,102
Here's what you need to know.
585
00:37:36,109 --> 00:37:38,077
It's dangerous.
586
00:37:38,145 --> 00:37:40,376
It could kill him.
587
00:37:40,448 --> 00:37:42,439
You should do it.
588
00:37:42,518 --> 00:37:45,511
[Machine Beeping]
[Chattering]
589
00:37:53,534 --> 00:37:55,765
[Woman]
Did you need something else?
590
00:38:14,398 --> 00:38:17,527
You can't order a $3,200
D.N.A. Test to win a bet.
591
00:38:17,602 --> 00:38:19,764
It's not an actual cost.
592
00:38:19,839 --> 00:38:23,708
I don't know if you know this,
but the hospital actually owns
the sequencing machine.
593
00:38:23,778 --> 00:38:26,373
- I'm serious.
- Tell the parents to submit
the bill to insurance.
594
00:38:26,449 --> 00:38:28,280
Insurance is not gonna
pay for a bet.
595
00:38:28,352 --> 00:38:32,723
Should. We don't make that bet,
the kid dies.
596
00:38:32,791 --> 00:38:35,659
If not for the paternity bet,
I never would have taken their D.N.A.
597
00:38:35,730 --> 00:38:40,533
Without their D.N.A., we never would have
discovered that Dan was adopted,
which was the key to this case.
598
00:38:40,603 --> 00:38:42,571
You just don't want to pay your end.
599
00:38:42,639 --> 00:38:45,541
Big mistake. My guy knows a guy.
600
00:38:45,610 --> 00:38:49,308
Fine. I will let you out of
clinic duty for one week,
601
00:38:49,383 --> 00:38:52,376
after you pay the 3,200
for the P.C.R. Test.
602
00:39:00,165 --> 00:39:01,689
Ooh.
603
00:39:01,768 --> 00:39:05,227
Well, now, there's
the hundred you owe me.
604
00:39:06,307 --> 00:39:08,241
Here's a hundred
I won from Cameron.
605
00:39:08,310 --> 00:39:10,871
200 I took off of Foreman.
606
00:39:12,250 --> 00:39:14,719
And 600...
607
00:39:14,787 --> 00:39:17,279
I got from Wilson.
608
00:39:18,492 --> 00:39:20,050
Very bitter.
609
00:39:24,000 --> 00:39:26,025
[Cameron]
Hey. Good morning.
610
00:39:26,103 --> 00:39:28,868
Good news on your E.E.G.
Treatment is working.
611
00:39:28,941 --> 00:39:31,034
And your immune system is responding.
612
00:39:31,111 --> 00:39:34,513
I know it's early,
but I just want to take a look.
613
00:39:35,851 --> 00:39:39,754
All right.
Let's see what that brain
of yours can do.
614
00:39:39,824 --> 00:39:43,283
Name as many animals as you can
that start with the letter "O."
615
00:39:43,362 --> 00:39:45,421
Ostrich.
616
00:39:46,200 --> 00:39:48,965
Ox. Old elephant.
617
00:39:49,037 --> 00:39:51,871
Well, that's two better
than last time.
618
00:39:52,943 --> 00:39:55,469
How you doing with
the whole adoption thing?
619
00:39:55,546 --> 00:39:58,345
- I knew since fifth grade.
- How's that?
620
00:39:58,418 --> 00:40:01,354
Cleft chin.
621
00:40:01,422 --> 00:40:04,017
I have one.
My dad doesn't.
622
00:40:04,092 --> 00:40:08,724
Looked it up on the Internet.
It's one of those trait things.
623
00:40:08,800 --> 00:40:11,292
That's right. It's autosomal dominant.
624
00:40:12,304 --> 00:40:16,743
Since neither of your parents have
cleft chins, it's highly unlikely
you're biologically related.
625
00:40:18,080 --> 00:40:22,781
- Are you sure you're okay?
- I've got no problems
with being adopted.
626
00:40:23,788 --> 00:40:25,779
I love my parents.
627
00:40:29,096 --> 00:40:31,531
How's he doing?
He's doing pretty well.
628
00:40:31,599 --> 00:40:33,157
He's a smart kid.
629
00:40:33,235 --> 00:40:35,203
I think he's gonna be fine.
630
00:40:38,977 --> 00:40:41,310
- Hey.
- Thanks.
631
00:40:52,564 --> 00:40:54,555
[Crowd Cheering]
632
00:41:16,700 --> 00:41:18,965
Wheels, 18. Wheels.
633
00:41:23,843 --> 00:41:25,834
[Cheering]
634
00:43:08,096 --> 00:43:09,358
That's some bad hat, Harry.
9999
00:00:0,500 --> 00:00:2,00
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