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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:05,130 --> 00:00:06,044 Whoo! 2 00:00:06,188 --> 00:00:08,363 All right, hold on. I got to turn up here. 3 00:00:10,530 --> 00:00:13,671 Whoo! Hoo-hoo-hoo-hoo! 4 00:00:18,514 --> 00:00:19,864 How cool was that? 5 00:00:19,918 --> 00:00:21,881 That was way cool. 6 00:00:22,189 --> 00:00:23,220 Oh. 7 00:00:26,567 --> 00:00:27,417 My turn. 8 00:00:27,567 --> 00:00:28,723 No, sorry, that's not allowed. 9 00:00:28,873 --> 00:00:32,062 I just signed 15 pages of forms, saying you gotta ride on the back of that thing. 10 00:00:32,146 --> 00:00:33,753 I don't see any lawyers around. 11 00:00:33,971 --> 00:00:35,076 You know that's not the point. 12 00:00:35,179 --> 00:00:38,277 No, you just wanna keep all the fun to yourself. 13 00:00:40,052 --> 00:00:41,506 Come on, Dad. 14 00:00:42,667 --> 00:00:45,192 You go over 15, we're pulling over. All right, I mean it. 15 00:00:45,276 --> 00:00:47,009 - You're the best. - All right, get on there. 16 00:00:47,623 --> 00:00:48,789 Put on your goggles. 17 00:00:50,597 --> 00:00:51,386 Ready? 18 00:00:51,928 --> 00:00:53,908 Got the clutch in? All right, that's my boy. 19 00:00:53,908 --> 00:00:57,069 Whoo! Hoo-hoo! 20 00:00:57,787 --> 00:00:59,788 Whoo! 21 00:01:01,669 --> 00:01:03,472 Whoo! 22 00:01:08,528 --> 00:01:10,665 Adam, you're going too fast. Slow it down. 23 00:01:14,630 --> 00:01:17,233 I mean it. You're going too fast. Slow down! 24 00:01:17,650 --> 00:01:18,559 Adam! 25 00:01:24,172 --> 00:01:25,545 Adam! 26 00:01:26,878 --> 00:01:28,737 Let go of the throttle! 27 00:01:33,079 --> 00:01:36,982 Adam! Adam! Adam! 28 00:01:38,687 --> 00:01:43,353 2x12 - Distractions 29 00:02:05,210 --> 00:02:08,812 Original Airdate (FOX): 14 February-2006 30 00:02:12,711 --> 00:02:13,412 What do you got? 31 00:02:13,474 --> 00:02:17,419 16-year-old, status post, ATV crash, 40% of burns on his body. 32 00:02:17,481 --> 00:02:20,518 Nasotracheal intubation. Start a bag of lactated Ringer's, wide open. 33 00:02:20,602 --> 00:02:21,377 Is he gonna be okay? 34 00:02:21,478 --> 00:02:23,670 We'll be with you when we can. Get him out! 35 00:02:24,578 --> 00:02:25,966 Wait, wait, wait. 36 00:02:26,398 --> 00:02:27,440 I'll start fluids. 37 00:02:27,741 --> 00:02:29,317 Let's go get him moved up. 38 00:02:44,676 --> 00:02:46,657 De-re-maki. 39 00:02:46,741 --> 00:02:49,163 De-re-maki. 40 00:02:51,614 --> 00:02:52,577 Been looking for you. 41 00:02:52,878 --> 00:02:54,484 Been avoiding you. 42 00:02:54,633 --> 00:02:55,785 Burn unit can handle it. 43 00:02:55,890 --> 00:02:58,772 If they could handle it, they wouldn't be asking for you. 44 00:03:01,236 --> 00:03:02,119 Is that a journal? 45 00:03:02,222 --> 00:03:03,373 A friend wrote an article. 46 00:03:03,521 --> 00:03:04,527 In Hindi? 47 00:03:04,629 --> 00:03:07,739 They have a cutting edge neuroscience program in India. 48 00:03:08,047 --> 00:03:10,193 Says so right on the cover. 49 00:03:13,847 --> 00:03:16,400 This kid's heart rate's messed. 50 00:03:16,453 --> 00:03:18,854 Tachycardia can be explained by the burn. 51 00:03:18,915 --> 00:03:21,070 I assume the burn unit knew that. 52 00:03:23,577 --> 00:03:25,089 His potassium's low. 53 00:03:25,193 --> 00:03:27,167 Which can also be explained by the burn. 54 00:03:27,368 --> 00:03:29,918 Except I'm sure the burn unit's pumping him with fluids, 55 00:03:29,960 --> 00:03:32,424 which means his potassium should be going up, not down. 56 00:03:32,591 --> 00:03:34,007 Could be amphetamines. 57 00:03:34,071 --> 00:03:36,079 Or bacteria lunching on his heart. 58 00:03:36,163 --> 00:03:39,518 Or cardiomyopathy, or some other very bad thing. 59 00:03:39,628 --> 00:03:41,227 He needs an EKG. 60 00:03:43,348 --> 00:03:44,674 Eww. 61 00:03:48,185 --> 00:03:51,459 Okay, no skin, no EKG. 62 00:03:51,543 --> 00:03:53,453 Is he even going to survive the burn? 63 00:03:54,095 --> 00:03:55,854 You got a date or something? 64 00:03:56,746 --> 00:03:58,747 40% of his body. 65 00:03:58,853 --> 00:04:01,179 If the burns unit can prevent an infection, 66 00:04:01,369 --> 00:04:05,257 his body will regenerate maybe 10%. Surgeon's will do 20 or so grafts. 67 00:04:05,341 --> 00:04:08,576 Six months in this room, he'll end up with a series of nasty scars. 68 00:04:09,044 --> 00:04:11,530 Maybe some pain, but he'll live. 69 00:04:12,098 --> 00:04:17,347 Unless his heart shuts down, because we can't figure out what's causing the low potassium and tachycardia. 70 00:04:18,811 --> 00:04:22,194 We need help from a Belgian Doc, named Einthoven. 71 00:04:22,426 --> 00:04:23,463 He's dead. 72 00:04:23,765 --> 00:04:27,556 While he was alive, he invented a little ditty called the Galvanometer. 73 00:04:27,900 --> 00:04:28,674 Where do we get one? 74 00:04:28,756 --> 00:04:32,411 Go to any electronics store that's been open since before 1905. 75 00:04:32,520 --> 00:04:35,367 There's a good chance they got one in the corner in the basement. 76 00:04:37,934 --> 00:04:40,237 We need an audio/visual setup for the lecture hall. 77 00:04:40,427 --> 00:04:42,134 - What for? - For the lecture. 78 00:04:42,279 --> 00:04:44,889 - What lecture? - Dr. Weber's lecture. 79 00:04:45,109 --> 00:04:48,818 - Who's Dr. Weber? - Uh, neurologist, I think. 80 00:04:49,146 --> 00:04:50,740 The memo was from you. 81 00:04:57,453 --> 00:04:59,613 - Where's my assistant? - She left. 82 00:04:59,697 --> 00:05:00,810 - When? - Wednesday. 83 00:05:00,893 --> 00:05:04,355 - Seriously? - The temp agency sent someone, but she got lost. 84 00:05:04,514 --> 00:05:07,432 Well, when she gets here, fire her. 85 00:05:27,633 --> 00:05:29,444 Oh, yeah. 86 00:05:29,510 --> 00:05:31,052 Did you issue this memo? 87 00:05:31,269 --> 00:05:32,465 Look at that. 88 00:05:34,096 --> 00:05:35,293 Congratulations. 89 00:05:35,478 --> 00:05:39,137 The patient that has been in a coma for two years and counting is still in a coma. 90 00:05:39,278 --> 00:05:40,891 This is not my signature. 91 00:05:41,039 --> 00:05:44,088 I don't know anything about this guy. I'm supposed to introduce him? 92 00:05:44,172 --> 00:05:45,487 Have lunch? 93 00:05:45,572 --> 00:05:47,118 [Monitor bleeping] 94 00:05:47,293 --> 00:05:49,208 The coma patient has a migraine? 95 00:05:49,292 --> 00:05:50,248 Oh, no, no, no. 96 00:05:50,332 --> 00:05:52,635 No, I gave him medication to prevent a migraine. 97 00:05:52,719 --> 00:05:56,494 That's a migraine. Increased flow velocity in his cerebral arteries. 98 00:05:56,578 --> 00:05:59,204 I did, subsequently, give him nitroglycerin, which could possibly-- 99 00:05:59,288 --> 00:06:03,554 You induced a migraine headache in a coma patient? 100 00:06:03,638 --> 00:06:05,164 I gave him a little headache. 101 00:06:05,329 --> 00:06:07,217 Similar to the one you're giving me now. 102 00:06:07,301 --> 00:06:09,905 Have you even read an ethical guideline? 103 00:06:10,026 --> 00:06:15,296 Well, it'd be wrong to try out a new migraine prevention medication on someone who can actually feel pain. 104 00:06:15,347 --> 00:06:16,543 Did you sign this? 105 00:06:16,645 --> 00:06:18,568 Uh...yeah. 106 00:06:19,784 --> 00:06:22,839 We can talk later about the appropriate discipline. 107 00:06:26,636 --> 00:06:30,197 Because of the burn, we can't perform any of our normal tests to see what's wrong. 108 00:06:30,281 --> 00:06:32,522 So we're going to try a Galvanometer. 109 00:06:33,631 --> 00:06:36,615 It picks up a pulse in the wrists and the ankles. 110 00:06:37,099 --> 00:06:39,980 Hopefully it will tell us why his heart rhythm is abnormal. 111 00:06:40,389 --> 00:06:41,841 What have I done to him. I-- 112 00:06:41,997 --> 00:06:43,500 It was an accident. 113 00:06:44,410 --> 00:06:45,868 All right, so... 114 00:06:46,956 --> 00:06:50,476 he's got all these burns. And now there's something wrong with his heart? 115 00:06:50,560 --> 00:06:53,210 We're trying to figure out if the two are somehow connected. 116 00:06:53,395 --> 00:06:55,376 Had he been sick lately? 117 00:06:55,460 --> 00:06:56,492 No, nothing. 118 00:06:56,576 --> 00:06:59,288 Anything unusual with his behavior? Had he been tired a lot? 119 00:06:59,396 --> 00:07:01,361 - Nothing. - He was great. He was happy. 120 00:07:01,545 --> 00:07:03,957 He was just having a great time and then-- 121 00:07:04,182 --> 00:07:07,840 If he was experimenting with amphetamines or cocaine-- 122 00:07:07,932 --> 00:07:08,786 No. 123 00:07:09,638 --> 00:07:12,372 We gave him some pot about a year ago to try. 124 00:07:12,456 --> 00:07:13,497 It was just once. 125 00:07:13,952 --> 00:07:17,947 We thought if we took the mystery out of drugs and alcohol, the less he'd experiment. 126 00:07:18,031 --> 00:07:19,872 We'll know more after the tests. 127 00:07:22,342 --> 00:07:24,906 It looks like they're gonna electrocute him. 128 00:07:26,454 --> 00:07:27,411 Plug it in. 129 00:07:29,298 --> 00:07:30,848 You plug it in. 130 00:07:31,510 --> 00:07:33,379 Fine. Gimme the cord. 131 00:07:40,404 --> 00:07:41,517 Works. 132 00:07:43,863 --> 00:07:45,431 Prominent U-waves. 133 00:07:45,515 --> 00:07:46,860 No inverted T-wave. 134 00:07:47,005 --> 00:07:48,439 No ischemia. 135 00:07:48,587 --> 00:07:50,152 Q-wave normal. 136 00:07:51,097 --> 00:07:52,551 That's not good. 137 00:07:56,453 --> 00:07:57,668 Chase, turn it off. 138 00:07:57,794 --> 00:07:58,773 Turn it off! 139 00:07:58,857 --> 00:08:00,587 - What's happening? - What is that? 140 00:08:01,081 --> 00:08:02,734 He's seizing, get in here. 141 00:08:10,299 --> 00:08:12,029 Who electrocuted my patient? 142 00:08:12,108 --> 00:08:13,911 - He had a seizure. - He wasn't electrocuted. 143 00:08:13,995 --> 00:08:15,418 What does the seizure tell us? 144 00:08:15,689 --> 00:08:16,864 Move. 145 00:08:17,007 --> 00:08:18,035 What are you looking for? 146 00:08:18,120 --> 00:08:21,884 Same as you. Love, acceptance. Solid return on investments. 147 00:08:21,969 --> 00:08:23,518 Differential diagnosis. Go. 148 00:08:23,588 --> 00:08:25,547 Could be epilepsy, or seizure disorder. 149 00:08:25,631 --> 00:08:27,120 Not with the tachycardia. 150 00:08:27,270 --> 00:08:29,034 It could be a virus in his brain. 151 00:08:29,117 --> 00:08:30,936 Specificity's impressive. 152 00:08:31,460 --> 00:08:33,061 Adrenoleukodystrophy. 153 00:08:33,145 --> 00:08:37,039 Could be M.S., seizures could be caused by plaques and lesions on the brain. 154 00:08:37,123 --> 00:08:39,646 Well, let's find out which. Get him an MRI. 155 00:08:39,730 --> 00:08:41,364 No nuclear imaging. 156 00:08:43,372 --> 00:08:44,960 He wouldn't survive the move to Radiology. 157 00:08:45,044 --> 00:08:47,185 MRI and CT scan are both out. 158 00:08:47,614 --> 00:08:52,287 Okay. Lumbar puncture'll tell us if his proteins are elevated. At least we can exclude M.S. 159 00:08:52,381 --> 00:08:54,326 Can't do a lumbar puncture either. 160 00:08:56,187 --> 00:08:58,093 You're cramping my exits. 161 00:08:58,270 --> 00:09:00,144 Don't tell me, no skin on his spine. 162 00:09:00,250 --> 00:09:03,020 We'd be inserting a needle into an area that's teeming with bacteria. 163 00:09:03,087 --> 00:09:05,771 If he doesn't have a brain infection already, we'd give him one for sure. 164 00:09:05,962 --> 00:09:08,037 There's no other way to look at a brain. 165 00:09:09,694 --> 00:09:11,980 Transcranial Doppler Sonography. 166 00:09:12,064 --> 00:09:16,159 She said brain, not pregnant woman's uterus. They do sound alike. 167 00:09:16,243 --> 00:09:17,828 I used one to look at a brain this morning. 168 00:09:17,927 --> 00:09:20,539 Why didn't you take the patient to Radiology, get an MRA? 169 00:09:20,690 --> 00:09:22,894 Obviously, I was doing something illegal, 170 00:09:22,960 --> 00:09:25,239 and using nuclear imaging would've raised questions. 171 00:09:25,290 --> 00:09:28,115 You're not gonna get a diagnosis of M.S. from a sonogram. 172 00:09:28,199 --> 00:09:33,179 Not definitively, but patients with M.S. have more reactive neurons in their occipital cortex. 173 00:09:37,218 --> 00:09:38,603 Okay, then? 174 00:09:41,689 --> 00:09:46,857 Thank you for all coming to today's lecture by Dr. Phillip Weber, 175 00:09:47,172 --> 00:09:53,848 who is our guest today at our hospital to talk about headaches. 176 00:09:54,537 --> 00:09:58,090 Dr. Weber is at the Weber Center for Pain. That makes sense. 177 00:09:58,704 --> 00:10:01,663 Weber-Weber, um. So please welcome, Dr. Weber. 178 00:10:08,944 --> 00:10:12,424 Thank you, Doctor...Cuddy. 179 00:10:14,229 --> 00:10:18,172 I suppose I should tell you a little bit more about myself. 180 00:10:18,584 --> 00:10:21,267 I went to school in Virginia, 181 00:10:22,130 --> 00:10:25,182 You've never to one of these things in your life. Who is this guy? 182 00:10:25,908 --> 00:10:26,982 No idea. 183 00:10:28,083 --> 00:10:29,576 What's with the outfit? 184 00:10:30,301 --> 00:10:33,363 Sudden chills, and light sensitivity. 185 00:10:33,509 --> 00:10:35,046 Inexplicable. 186 00:10:35,852 --> 00:10:39,269 I received my medical degree at Johns Hopkins University, 187 00:10:39,838 --> 00:10:42,442 where I studied under Brightman and Gilmar. 188 00:10:42,773 --> 00:10:45,791 Hmm...he must be good. You went to Hopkins 189 00:10:45,875 --> 00:10:47,556 and studied under Brightman and Gilmar. 190 00:10:47,652 --> 00:10:49,213 Shh... 191 00:10:49,297 --> 00:10:52,633 ...helped me win the Doyle internship at the Mayo clinic. 192 00:10:52,717 --> 00:10:55,561 You were supposed to get the Doyle internship. 193 00:10:58,179 --> 00:11:00,182 This guy's Von Lieberman? 194 00:11:00,335 --> 00:11:01,873 The guy got you thrown out for cheating? 195 00:11:01,941 --> 00:11:03,817 The Dean threw me out. 196 00:11:03,901 --> 00:11:05,788 Von Lieberman just ratted on me. 197 00:11:05,855 --> 00:11:07,868 This guy's name is Weber, not Von Lieberman. 198 00:11:07,962 --> 00:11:09,870 I call Weber Von Lieberman. 199 00:11:10,057 --> 00:11:12,346 Way eviler. Shh... 200 00:11:12,536 --> 00:11:18,045 ...and five HT Sub 1D receptors have improved the acute treatment of migraines. 201 00:11:18,614 --> 00:11:20,026 To this point... 202 00:11:20,376 --> 00:11:21,863 So what's the plan? 203 00:11:22,005 --> 00:11:24,882 You wanna wait 'til he bends over and make a fart sound? 204 00:11:25,720 --> 00:11:28,017 I'm not here about the past. 205 00:11:28,067 --> 00:11:30,224 He's a bad scientist. 206 00:11:30,761 --> 00:11:34,143 Well, you cheated off him, how bad can he be? 207 00:11:35,244 --> 00:11:37,233 He got the answer wrong. 208 00:11:45,300 --> 00:11:46,724 Doug: Are they trying to wake him up? 209 00:11:46,724 --> 00:11:48,891 They can't do that, right? He'll be in too much pain. 210 00:11:48,975 --> 00:11:51,030 Don't worry, he's still under. 211 00:11:51,427 --> 00:11:54,481 But the brain never completely sleeps, it's always working. 212 00:11:54,661 --> 00:11:58,460 Controlling your heart rate. Breathing. Temperature. 213 00:11:59,448 --> 00:12:01,406 Cameron: The eyes respond to visual stimuli. 214 00:12:01,490 --> 00:12:05,541 Blood flow increases in certain areas of the brain and we can track that with a sonogram. 215 00:12:06,082 --> 00:12:10,670 With M.S., blood vessels are more reactive, so flow is faster. 216 00:12:10,754 --> 00:12:12,960 If Adam has an infection, 217 00:12:13,106 --> 00:12:15,430 there'd be swelling which would constrict the arteries, 218 00:12:15,515 --> 00:12:17,429 and the flow would be slower. 219 00:12:17,691 --> 00:12:21,313 Chase, near the subarachnoid space. 220 00:12:22,372 --> 00:12:25,241 [Monitor bleeping] 221 00:12:26,908 --> 00:12:34,427 Data from control subjects were analyzed with a two-way ANOVA with status and side as within-subject factors. 222 00:12:35,640 --> 00:12:39,635 You stalked this guy for 20 years just for the shot to humiliate him? 223 00:12:39,719 --> 00:12:41,394 Shh. I'm trying to learn. 224 00:12:41,478 --> 00:12:43,713 ...vessels without significant rebound. 225 00:12:43,815 --> 00:12:45,851 He doesn't even know what that means. 226 00:12:46,532 --> 00:12:48,033 You're going to interrupt him, aren't you? 227 00:12:48,194 --> 00:12:49,569 If I have a question. 228 00:12:49,824 --> 00:12:51,448 And what's that going to accomplish? 229 00:12:51,797 --> 00:12:53,847 Why can't you just enjoy this? 230 00:12:53,952 --> 00:12:55,598 Why can't you just be happy for me? 231 00:12:55,707 --> 00:12:59,963 You have got to find less debilitating outlets than humiliating people. 232 00:13:00,064 --> 00:13:03,817 I hear bowling is more fun than stalking. 233 00:13:04,186 --> 00:13:05,420 But I'm better at this. 234 00:13:05,632 --> 00:13:08,186 If P is less than point zero... 235 00:13:08,270 --> 00:13:10,864 Blow a ton of money on a plasma TV. 236 00:13:12,243 --> 00:13:14,368 We found a subarachnoid bleed. 237 00:13:15,792 --> 00:13:18,140 Bleed in the head isn't causing seizures. 238 00:13:18,294 --> 00:13:21,526 It could be. 10% with damage to the cerebral cortex have seizures. 239 00:13:21,610 --> 00:13:23,171 Or bacterial meningitis. 240 00:13:23,271 --> 00:13:24,331 Viral encephalitis? 241 00:13:24,415 --> 00:13:25,446 There's no way to tell without-- 242 00:13:25,530 --> 00:13:26,901 Shut up! 243 00:13:28,042 --> 00:13:29,413 Excuse me? 244 00:13:30,748 --> 00:13:31,703 Not you. 245 00:13:31,850 --> 00:13:35,382 If my lecture is interrupting your meeting, I can wait. 246 00:13:35,609 --> 00:13:37,372 [Says something in Hindi] 247 00:13:38,666 --> 00:13:41,644 As your people say in India. Appreciate it. 248 00:13:41,730 --> 00:13:45,386 We'll figure out why later. Um, fix the bleed, or he dies. 249 00:13:45,491 --> 00:13:46,990 Talk to you in a couple of hours. 250 00:13:50,175 --> 00:13:51,983 De-re-maki. 251 00:14:01,688 --> 00:14:03,667 I'm in the subarachnoid space. 252 00:14:05,210 --> 00:14:06,107 Can you get it? 253 00:14:06,338 --> 00:14:07,438 I think so. 254 00:14:09,721 --> 00:14:11,748 Put the probe back where it was so I can see the wire. 255 00:14:11,832 --> 00:14:13,556 - We're looking for the bleed-- - Look when I get there! 256 00:14:13,640 --> 00:14:16,418 I'm flying blind without a contrast CT here. 257 00:14:26,382 --> 00:14:30,907 And with a p value of less than .001, 258 00:14:31,052 --> 00:14:37,669 we have strong statistical evidence that this drug prevents migraine headaches without daily administration. 259 00:14:37,729 --> 00:14:39,959 Uh, excuse me, Doctor. 260 00:14:40,023 --> 00:14:41,746 He knows this field better than you do. 261 00:14:41,830 --> 00:14:44,019 It's always been my understanding that, uh, 262 00:14:44,071 --> 00:14:47,960 unless you follow a daily regimen, no drug can prevent a migraine. 263 00:14:48,060 --> 00:14:49,754 That's why they call it a breakthrough. 264 00:14:49,858 --> 00:14:51,821 That's why YOU call it a breakthrough. 265 00:14:52,070 --> 00:14:57,798 No, the, uh, pharmaceutical company sponsoring my clinical trials also hails it as a breakthrough. 266 00:14:57,882 --> 00:15:00,649 I'm sure your wife and lawyer do too. 267 00:15:01,887 --> 00:15:05,636 Is there anybody who doesn't stand to make a fortune from it, calling it a breakthrough? 268 00:15:05,744 --> 00:15:06,594 Who are you? 269 00:15:06,711 --> 00:15:09,476 Just a lunatic who desperately needs a hobby. 270 00:15:09,664 --> 00:15:11,459 How exactly do these studies work? 271 00:15:11,543 --> 00:15:13,419 Do you give this drug to a bunch of people and 272 00:15:13,504 --> 00:15:16,856 they don't get a migraine, you go, voila, my drug works? 273 00:15:17,220 --> 00:15:18,902 Uh, excuse me, Miss? 274 00:15:19,189 --> 00:15:21,135 Uh, do you have cancer? 275 00:15:22,649 --> 00:15:25,800 Wow. Mango juice prevents cancer. 276 00:15:26,070 --> 00:15:29,000 Perhaps I should've taken my medication before this lecture. 277 00:15:29,155 --> 00:15:31,359 [Roars with laughter] 278 00:15:31,443 --> 00:15:33,852 Dr. Weber: We had a very specific control group. 279 00:15:33,936 --> 00:15:35,818 Chronic migraine sufferers. 280 00:15:35,881 --> 00:15:37,774 I don't have time to go through all the math right now, 281 00:15:37,843 --> 00:15:41,781 - but the incidence was dramatically-- - Sure, in India. 282 00:15:42,048 --> 00:15:44,687 Two plus two equals five there, right? 283 00:15:45,742 --> 00:15:46,937 Do I know you? 284 00:15:47,021 --> 00:15:49,159 I know your math skills. 285 00:15:49,343 --> 00:15:50,836 They blow. 286 00:15:51,228 --> 00:15:52,296 Touch�. 287 00:15:52,380 --> 00:15:54,267 You sound very familiar. 288 00:15:54,574 --> 00:15:57,222 Why did you publish it in an obscure journal in India? 289 00:15:57,278 --> 00:16:01,916 Why not publish in Really Really Cool Head Cases of South Philly? 290 00:16:02,019 --> 00:16:04,556 Neuroscience New Delhi is a respected journal. 291 00:16:04,620 --> 00:16:08,312 Yeah, the guy running Slurp 'N' Gulp tells me it's one of the best. 292 00:16:08,391 --> 00:16:10,072 Get a hooker. Anything. 293 00:16:10,296 --> 00:16:11,800 See, I'm thinking that 294 00:16:12,054 --> 00:16:16,783 publishing studies is probably the easiest way to get a pharmaceutical company to give you a reach-around. 295 00:16:16,857 --> 00:16:21,083 And choosing a journal that no one can actually read, well, that's, that's shrewd. 296 00:16:21,192 --> 00:16:22,807 I know I know you. 297 00:16:23,209 --> 00:16:24,169 Sure you do. 298 00:16:24,397 --> 00:16:25,400 Dick. 299 00:16:25,551 --> 00:16:26,629 The name's Philip. 300 00:16:26,744 --> 00:16:28,126 Oh, my bad. 301 00:16:28,225 --> 00:16:29,784 Something to do with your face. 302 00:16:29,846 --> 00:16:31,772 I always think your name is Dick. 303 00:16:32,126 --> 00:16:33,395 House? 304 00:16:33,505 --> 00:16:34,739 Here. 305 00:16:36,157 --> 00:16:38,127 Medical school was 20 years ago. 306 00:16:38,221 --> 00:16:39,913 Give it a rest, grow up. 307 00:16:39,985 --> 00:16:43,413 Yeah, you were always the grown-up, do the responsible thing. 308 00:16:43,560 --> 00:16:45,014 Tattletale. 309 00:16:45,198 --> 00:16:48,214 - You cheated. - I cheated then, you're cheating now. 310 00:16:48,298 --> 00:16:49,433 Your drug doesn't work. 311 00:16:49,517 --> 00:16:52,744 Oh, yes, you would like to believe that, because it plays right into your fantasy-- 312 00:16:52,828 --> 00:16:54,854 - I tested it. - Oh, really? 313 00:16:55,351 --> 00:16:57,415 What are your parameters? Where's your study? 314 00:17:00,772 --> 00:17:02,435 Room 2134. 315 00:17:02,645 --> 00:17:03,572 One patient? 316 00:17:03,683 --> 00:17:05,254 The coma patient? 317 00:17:06,259 --> 00:17:07,961 You haven't changed a bit. 318 00:17:09,024 --> 00:17:12,962 You took short cuts in med school, you're taking short cuts now. 319 00:17:13,110 --> 00:17:16,345 You cannot test this on an abnormal brain. 320 00:17:16,429 --> 00:17:20,379 That's so closed-minded. He's not abnormal, he's special. 321 00:17:20,454 --> 00:17:24,342 Cerebral cortex atrophies in coma patients. 322 00:17:25,922 --> 00:17:28,832 You need live, conscious people. 323 00:17:32,159 --> 00:17:33,996 You don't know everything, House. 324 00:17:38,805 --> 00:17:41,218 It's something that disrupts brain function. 325 00:17:41,777 --> 00:17:45,045 Plaques are perfect. Interrupt neuronal communication. 326 00:17:45,151 --> 00:17:46,328 - M.S.? - No. 327 00:17:46,641 --> 00:17:50,996 M.S. is complicated. I think this is more basic. It's just tachycardia and seizures. 328 00:17:51,433 --> 00:17:54,302 How much longer the burn unit guys gonna keep him in that thing? 329 00:17:54,604 --> 00:17:57,209 Lecture's over. Let's go. House wants to... 330 00:18:00,370 --> 00:18:01,872 Adam's waking up. 331 00:18:02,545 --> 00:18:04,305 Get the anesthesiologist in here now. 332 00:18:04,389 --> 00:18:05,849 Cameron: He's in pain. 333 00:18:07,471 --> 00:18:08,922 That's not pain. 334 00:18:10,067 --> 00:18:11,605 Need some help in here. 335 00:18:12,380 --> 00:18:15,533 [Gasps for air] 336 00:19:13,691 --> 00:19:15,529 Adam had an orgasm. 337 00:19:17,259 --> 00:19:18,273 What? 338 00:19:18,488 --> 00:19:20,023 You mean while he was-- 339 00:19:21,983 --> 00:19:23,334 Oh! 340 00:19:23,863 --> 00:19:25,286 God! 341 00:19:26,585 --> 00:19:27,819 What's wrong? 342 00:19:29,643 --> 00:19:31,678 I'm having a migraine. 343 00:19:32,055 --> 00:19:33,367 Are you okay? 344 00:19:33,692 --> 00:19:36,291 Uh, yes. 345 00:19:38,010 --> 00:19:39,882 I was right. 346 00:19:41,465 --> 00:19:42,878 Oh! 347 00:19:50,355 --> 00:19:52,318 We'll knock you out for a couple of hours. 348 00:19:52,383 --> 00:19:54,227 No, I got work to do. 349 00:19:54,458 --> 00:20:00,108 Just gimme sumatriptan for the pain and verapamil so it doesn't recur. 350 00:20:03,435 --> 00:20:07,144 I heard the patient had fun in the hyperbaric chamber. 351 00:20:07,293 --> 00:20:08,227 Yeah. 352 00:20:08,333 --> 00:20:10,593 Gotta schedule me some time in there. 353 00:20:13,703 --> 00:20:16,204 Weber's meds aren't even legal in the U.S. 354 00:20:16,886 --> 00:20:18,351 It's legal in India. 355 00:20:20,167 --> 00:20:21,887 I was disoriented. 356 00:20:26,857 --> 00:20:29,847 Um, moving around is a bad idea. 357 00:20:30,197 --> 00:20:32,676 Hey, if you feel chest pain, you need to let me know. 358 00:20:32,760 --> 00:20:35,396 Verapamil can cause congestive heart failure. 359 00:20:35,903 --> 00:20:38,447 Nothing can hurt my heart. 360 00:20:41,055 --> 00:20:43,631 Foreman: Hey, you're gonna feel some dizziness. 361 00:20:43,742 --> 00:20:45,846 Definitely gonna be constipated. 362 00:20:49,795 --> 00:20:54,302 Differential diagnosis for getting off. 363 00:20:54,512 --> 00:20:55,579 Is he gonna be okay? 364 00:20:55,663 --> 00:20:58,021 No, something's seriously wrong with him. 365 00:20:58,105 --> 00:21:03,521 Differential diagnosis for ejaculation. 366 00:21:04,970 --> 00:21:06,506 Don't make me say it again. 367 00:21:06,611 --> 00:21:08,779 We're not stalling, we just don't know. 368 00:21:08,846 --> 00:21:10,348 Then guess. 369 00:21:11,004 --> 00:21:13,155 Could pain medication cause an orgasm? 370 00:21:13,239 --> 00:21:13,965 I wish. 371 00:21:14,078 --> 00:21:15,729 Maybe pain caused the orgasm. 372 00:21:15,881 --> 00:21:19,667 You get a tattoo, the brain releases endorphins which create pleasure. 373 00:21:19,751 --> 00:21:22,109 Most people don't orgasm from a needle prick. 374 00:21:22,193 --> 00:21:23,768 Well, Chase has a point. 375 00:21:23,879 --> 00:21:27,867 The brain is like a huge train station. If the switches-- 376 00:21:28,491 --> 00:21:30,132 Ow. 377 00:21:30,956 --> 00:21:32,884 You're the neurologist, talk for me. 378 00:21:33,034 --> 00:21:37,037 If sensory information got misinterpreted by the medial forebrain bundle, 379 00:21:37,109 --> 00:21:40,046 it's possible for bad to feel good and good to feel bad. 380 00:21:40,127 --> 00:21:43,805 He's a lucky kid. Let's not fix him until the burns heal. 381 00:21:43,889 --> 00:21:45,826 So what attacks the medial forebrain bundle? 382 00:21:45,910 --> 00:21:48,249 Infective neuropathies. Vasculitic neuropathies. 383 00:21:48,333 --> 00:21:50,631 Krabbe's disease, metachromatic leukodystrophy. 384 00:21:50,715 --> 00:21:53,233 House: All very bad things. 385 00:21:53,579 --> 00:21:56,065 No way to look for any of them in his condition. 386 00:21:56,212 --> 00:21:57,411 Could be an infection. 387 00:21:57,473 --> 00:21:59,239 I said infection about eight seconds ago. 388 00:21:59,323 --> 00:22:00,872 You listed some brain infections. 389 00:22:01,323 --> 00:22:05,803 But what if it's just a regular old infection festering in the burned skin? 390 00:22:05,887 --> 00:22:08,492 Pus on his arm isn't causing problems in the forebrain. 391 00:22:08,576 --> 00:22:13,805 He's on 20 different medications to manage his pain, his heart, how often he urinates. 392 00:22:13,889 --> 00:22:16,690 His brain is like a waiter that's got too many-- 393 00:22:16,774 --> 00:22:17,588 Hey, hey. 394 00:22:17,997 --> 00:22:19,569 I do the metaphors. 395 00:22:21,521 --> 00:22:23,004 The brain is stressed. 396 00:22:23,088 --> 00:22:25,019 An infection elsewhere could put it over the edge. 397 00:22:25,079 --> 00:22:28,054 So we just wait for his burns to heal to see if you're right? 398 00:22:28,582 --> 00:22:30,924 If you're wrong, he doesn't have that kind of time. 399 00:22:33,257 --> 00:22:35,249 Dominic Larrey. 400 00:22:35,630 --> 00:22:37,194 He another dead doctor? 401 00:22:37,677 --> 00:22:40,499 He was Napoleon's Surgeon in Chief. 402 00:22:40,583 --> 00:22:42,115 Cleaned a lot of battle wounds. 403 00:22:42,199 --> 00:22:43,430 By amputating legs. 404 00:22:43,581 --> 00:22:45,668 And with bugs. 405 00:22:50,138 --> 00:22:52,869 Cameron: Maggots are implanted directly into Adam's burns. 406 00:22:54,161 --> 00:22:57,093 Maggots--eat dead people. I-- 407 00:22:57,177 --> 00:23:01,006 Maggots eat dead flesh. Only dead flesh. 408 00:23:01,195 --> 00:23:03,644 So they're perfectly suited to clean wounds. 409 00:23:04,919 --> 00:23:08,633 They also kill the bacteria that thrive in injured tissues. 410 00:23:38,291 --> 00:23:39,443 Ho! 411 00:23:46,115 --> 00:23:49,058 Dr. Jekyll, I presume, they found a half-eaten sheep in the zoo. 412 00:23:49,123 --> 00:23:50,773 The police want to ask you a few questions. 413 00:23:50,856 --> 00:23:52,435 I need something to wash it down. 414 00:23:52,852 --> 00:23:56,485 Coffee? Bad idea. You're better off with water! 415 00:23:56,659 --> 00:23:58,272 Coffee's closer. 416 00:24:00,102 --> 00:24:01,891 Foolproof plan, by the way. 417 00:24:01,975 --> 00:24:03,698 Either his meds would work, 418 00:24:03,847 --> 00:24:08,673 and you'd be in psychic pain, because Von Evil is gonna be rich. 419 00:24:09,635 --> 00:24:13,642 Or they wouldn't, and you get to be in agony all day. 420 00:24:14,419 --> 00:24:17,354 Perfect lose/lose situation. Very you. 421 00:24:17,438 --> 00:24:18,758 I had to prove-- 422 00:24:18,842 --> 00:24:20,353 You proved nothing. 423 00:24:22,764 --> 00:24:23,685 Right. 424 00:24:24,230 --> 00:24:26,002 This isn't a migraine. 425 00:24:26,429 --> 00:24:31,361 Yeah, Dear New England Journal of Medicine, I took this guy's drug, and still got a headache. 426 00:24:31,423 --> 00:24:34,954 Thus scientifically proving that my arch enemy is an idiot. 427 00:24:35,183 --> 00:24:36,348 You just wanted the pain. 428 00:24:36,432 --> 00:24:39,647 The meds are supposed to prevent migraine. 429 00:24:40,231 --> 00:24:44,207 You get distracted by pain. Leaves less room for the things you don't wanna think about. 430 00:24:44,586 --> 00:24:47,965 Like the Flyers sucking, or the price of gas, or, 431 00:24:48,259 --> 00:24:51,215 oh, the fact that you pushed the love of your life out of your life. 432 00:24:51,325 --> 00:24:54,182 God, I wish the pain would go away. 433 00:24:54,404 --> 00:24:57,202 Next time you need to get your mind off her, stick a needle in your eye. 434 00:24:57,286 --> 00:24:59,755 It's less annoying to the rest of us when you can still walk. 435 00:25:08,287 --> 00:25:09,896 Did you sleep here? 436 00:25:13,736 --> 00:25:15,332 Lower. 437 00:25:15,919 --> 00:25:17,642 Do you want a pillow? 438 00:25:18,447 --> 00:25:20,630 Not softer, lower. 439 00:25:20,852 --> 00:25:23,343 The frequency of your voice is grating. 440 00:25:23,427 --> 00:25:25,124 You should've been better by now. 441 00:25:25,208 --> 00:25:26,683 I'm super. 442 00:25:27,203 --> 00:25:28,380 The patient? 443 00:25:28,961 --> 00:25:30,762 The maggots did great for the burn. 444 00:25:31,021 --> 00:25:33,790 But the brainwaves are still all over the map. 445 00:25:33,874 --> 00:25:38,095 Which means your regular old infection isn't causing his brain dysfunction. 446 00:25:38,221 --> 00:25:42,464 Which means there's an underlying condition. Which means we gotta get inside his head. 447 00:25:43,008 --> 00:25:44,495 Do a lumbar puncture. 448 00:25:44,684 --> 00:25:46,868 We've already established that we can't get a lumbar-- 449 00:25:46,952 --> 00:25:48,989 C2, C3. 450 00:25:49,287 --> 00:25:51,818 No, no, no way. 451 00:25:51,994 --> 00:25:55,134 I only saw a cervical tap once, and that guy got paralyzed. 452 00:25:55,371 --> 00:26:00,274 Ask the parents if they prefer to have their son in a wheelchair, or dead. 453 00:26:04,256 --> 00:26:06,928 Something's causing his brain to lose control. 454 00:26:07,260 --> 00:26:09,099 Eventually it will shut off. 455 00:26:09,183 --> 00:26:13,681 We need to do a lumbar puncture to get some of the fluid in his spine so we can test it. 456 00:26:13,807 --> 00:26:15,693 You need us to sign a consent? 457 00:26:15,922 --> 00:26:17,453 I have to warn you. 458 00:26:17,761 --> 00:26:21,269 There's a serious risk of paralysis or death. 459 00:26:21,725 --> 00:26:23,556 Are you saying we shouldn't do this? 460 00:26:24,221 --> 00:26:25,404 You have to do this. 461 00:26:25,488 --> 00:26:27,436 Then why are you telling us what can go wrong? 462 00:26:27,520 --> 00:26:28,624 I just think you should know. 463 00:26:28,708 --> 00:26:32,410 Either you're cruel or this clipboard is a way for you to cover your ass in case you cripple our son. 464 00:26:32,516 --> 00:26:34,868 - This isn't his fault-- - No, it's not, it's yours. 465 00:26:34,952 --> 00:26:36,458 That's what you keep telling me. 466 00:26:36,664 --> 00:26:40,757 My son is lying in there half dead. I am just trying to find a way to get through this. 467 00:26:41,625 --> 00:26:44,251 - I'm sorry. - Yeah, I know. 468 00:27:03,720 --> 00:27:04,627 Needle. 469 00:27:20,251 --> 00:27:22,505 - It's not going in. - Don't force it. 470 00:27:23,207 --> 00:27:24,396 I'm going one space higher. 471 00:27:24,480 --> 00:27:27,070 It's too close to his brain stem, it'll herniate. 472 00:27:28,001 --> 00:27:29,982 - You're gonna paralyze him. - Not helping. 473 00:27:30,066 --> 00:27:31,191 [Monitars start beeping] 474 00:27:31,255 --> 00:27:32,998 His blood pressure's spiking. Stop. 475 00:27:33,082 --> 00:27:33,776 I can get it. 476 00:27:33,844 --> 00:27:36,591 He's 180 over 120. He's gonna stroke. 477 00:27:38,174 --> 00:27:40,447 I'm in the space. Gimme the vial. 478 00:27:49,764 --> 00:27:53,524 [Monitars stops beeping and go back to normal] 479 00:27:58,127 --> 00:28:00,606 He doesn't have M.S. or an infection. 480 00:28:02,606 --> 00:28:04,702 His proteins aren't elevated? 481 00:28:04,965 --> 00:28:07,860 Wrong protein. IgM, not IgG. 482 00:28:07,989 --> 00:28:10,319 Elevation was probably caused by the bleeding. 483 00:28:12,219 --> 00:28:16,415 What if there was tingling in his extremities prior to the crash? 484 00:28:16,830 --> 00:28:18,438 How can you still be on M.S.? 485 00:28:18,522 --> 00:28:20,089 You gotta be on something. 486 00:28:21,005 --> 00:28:24,763 Something's interrupting his neurons' chit-chat. Like lesions. 487 00:28:24,889 --> 00:28:26,527 We can't scan for them. 488 00:28:26,670 --> 00:28:29,668 Only test we can do we just did, and it was negative. 489 00:28:29,944 --> 00:28:31,967 He has no tingling, no numbness. 490 00:28:32,081 --> 00:28:34,570 You read his history. Parents didn't say anything about-- 491 00:28:34,654 --> 00:28:36,227 What about Adam? 492 00:28:37,609 --> 00:28:40,829 We can't look into his brain, but you want us to read his mind? 493 00:28:42,475 --> 00:28:43,831 Good point. 494 00:28:53,303 --> 00:28:55,855 Yeah, you can finish the sponge bath in a minute. 495 00:28:55,939 --> 00:28:57,756 They're just redoing his dressings. 496 00:28:57,874 --> 00:28:59,357 He's out, he's fine. 497 00:28:59,441 --> 00:29:02,913 I didn't page you to put him out, I paged you to wake him up. 498 00:29:03,314 --> 00:29:05,467 Why are these lights so damn bright? 499 00:29:06,321 --> 00:29:07,608 Thank you. 500 00:29:07,764 --> 00:29:09,633 Come on, I need to talk to him. 501 00:29:09,827 --> 00:29:12,600 House, you can't wake up a burn victim to play 20 Questions. 502 00:29:12,660 --> 00:29:14,547 - It's torture. - He won't remember. 503 00:29:14,631 --> 00:29:16,392 He's gonna be in extraordinary pain-- 504 00:29:16,476 --> 00:29:19,184 God, you're good. You're putting me to sleep. 505 00:29:19,358 --> 00:29:24,541 I know he's gonna be in pain, I know you disapprove, I'm his attending, wake him up. 506 00:29:41,693 --> 00:29:45,227 Mmm...Oh, my God. 507 00:29:45,327 --> 00:29:46,719 I'm Dr. House. 508 00:29:46,828 --> 00:29:47,987 It hurts! 509 00:29:48,216 --> 00:29:50,166 It's gonna get a lot worse, so answer fast. 510 00:29:50,250 --> 00:29:54,609 Before the accident, did you experience any numbness or any tingling in your fingers? 511 00:29:55,052 --> 00:29:57,311 You got burnt, it's healing, I need an answer. 512 00:29:57,368 --> 00:29:58,670 Ow! It really hurts! 513 00:29:58,736 --> 00:30:00,990 Any tingling in your arms or legs? 514 00:30:01,074 --> 00:30:02,311 Do something! I can't-- 515 00:30:02,373 --> 00:30:05,249 Adam, you gotta listen to me. Did you feel anything? 516 00:30:06,826 --> 00:30:12,429 I pissed my pants and then I don't...remember-- 517 00:30:14,310 --> 00:30:17,692 Ahh! Ahhhh! 518 00:30:51,274 --> 00:30:52,506 Is he okay? 519 00:30:52,590 --> 00:30:54,430 Get everyone in my office. 520 00:30:55,274 --> 00:30:56,419 Where are you going? 521 00:30:57,109 --> 00:30:59,111 Kid's screaming gave me a headache. 522 00:30:59,282 --> 00:31:00,907 I gotta take an aspirin. 523 00:32:00,010 --> 00:32:01,135 House. 524 00:32:01,663 --> 00:32:03,539 You okay? We've been waiting for you. 525 00:32:07,944 --> 00:32:10,281 I'm hallucinating. 526 00:32:13,076 --> 00:32:15,760 Hallucinations with migraines are pretty uncommon. 527 00:32:16,979 --> 00:32:18,501 What'd you see? 528 00:32:19,018 --> 00:32:20,652 I saw music. 529 00:32:22,058 --> 00:32:24,015 Sensory deception makes no sense. 530 00:32:24,084 --> 00:32:25,382 Shh... 531 00:32:29,028 --> 00:32:31,498 You took something. [Sounds hollow] 532 00:32:31,614 --> 00:32:34,548 The kid's fighting for his life. 533 00:32:39,152 --> 00:32:41,235 # Get miles away # 534 00:32:41,796 --> 00:32:44,342 # Get miles away # 535 00:32:44,644 --> 00:32:47,101 # Get miles away # 536 00:32:47,495 --> 00:32:50,158 # Get miles away # 537 00:32:50,444 --> 00:32:53,126 # Get miles away # 538 00:32:53,435 --> 00:32:56,091 # Get miles away # 539 00:32:56,297 --> 00:32:59,081 # Get miles # 540 00:33:03,611 --> 00:33:04,680 Hey, you find him? 541 00:33:04,780 --> 00:33:06,727 He was hallucinating in the locker room. 542 00:33:07,029 --> 00:33:08,440 He okay? 543 00:33:08,559 --> 00:33:10,323 He's feeling no pain, he's high. 544 00:33:10,385 --> 00:33:11,720 Vicodin high? 545 00:33:11,804 --> 00:33:14,269 Past that. He's seeing sounds. 546 00:33:14,655 --> 00:33:15,918 Took something. 547 00:33:19,225 --> 00:33:21,820 Why is it so dark in here? Beautiful day outside. 548 00:33:21,912 --> 00:33:24,432 Open the shades. Let the sunshine in. 549 00:33:24,575 --> 00:33:26,199 It's nighttime. 550 00:33:27,887 --> 00:33:29,262 It's still Tuesday, right? 551 00:33:29,329 --> 00:33:30,442 You look better. 552 00:33:31,280 --> 00:33:32,299 I took something. 553 00:33:32,570 --> 00:33:34,031 Mind if I ask what? 554 00:33:34,354 --> 00:33:37,340 Uh, little of this, little of that. 555 00:33:37,687 --> 00:33:39,484 I know what's wrong with our patient. 556 00:33:39,669 --> 00:33:41,212 He's depressed. 557 00:33:41,364 --> 00:33:43,018 - He told you that when you woke him up? - No, 558 00:33:43,098 --> 00:33:44,861 he told me he pissed his pants and blacked out. 559 00:33:44,945 --> 00:33:46,555 That's not a diagnostic of depression. 560 00:33:46,655 --> 00:33:47,999 Lack of appetite. Isolating yourself-- 561 00:33:48,083 --> 00:33:51,438 Uncontrollable urination and blacking out are good predictors of what? 562 00:33:51,522 --> 00:33:52,141 Seizure. 563 00:33:52,239 --> 00:33:56,093 Which means the seizure he had when you tested his heart was at least his second seizure. 564 00:33:56,177 --> 00:33:59,025 So what? Depression and seizures aren't correlated. 565 00:33:59,109 --> 00:34:01,162 No, but you know what is? 566 00:34:01,502 --> 00:34:04,120 Depression and anti-depression medicine. 567 00:34:04,244 --> 00:34:05,604 Tox screen was clean. 568 00:34:05,959 --> 00:34:09,277 Yeah, but you know how much crap he's got in his system for dealing with those burns. 569 00:34:09,361 --> 00:34:13,246 The guy could have the Spanish Armada floating through his bloodstream, we wouldn't know about it, 570 00:34:13,431 --> 00:34:14,918 'til they started firing cannons. 571 00:34:15,002 --> 00:34:18,683 Antidepressants have been known to cause seizures in kids, but not orgasms. 572 00:34:18,767 --> 00:34:19,894 This is a brain in trouble. 573 00:34:19,978 --> 00:34:22,912 This is a brain with too much serotonin. 574 00:34:22,996 --> 00:34:26,816 Serotonin affects mood, appetite. It doesn't cause a brain to shut down. 575 00:34:26,881 --> 00:34:31,365 Antidepressants fake brains into thinking they have more serotonin than they actually do. 576 00:34:31,449 --> 00:34:35,056 Every 10 million or so cases, it sets off a chain reaction. 577 00:34:35,223 --> 00:34:37,950 It produces too much, enough to fry itself. 578 00:34:38,016 --> 00:34:40,369 If Adam has Serotonin Storm, it's deadly. 579 00:34:40,453 --> 00:34:42,588 But treatable. Cyproheptadine. 580 00:34:42,663 --> 00:34:44,380 Unless he doesn't have Serotonin Storm. 581 00:34:44,439 --> 00:34:46,767 He could just as easily have too much dopamine as serotonin. 582 00:34:46,851 --> 00:34:49,609 But if it's dopamine, the cyproheptadine will kill him. 583 00:34:50,681 --> 00:34:51,451 Where are you going? 584 00:34:51,535 --> 00:34:53,676 I'm gonna talk to the kid again. Seems nice. 585 00:34:53,771 --> 00:34:54,722 You can't. 586 00:34:55,439 --> 00:34:56,953 Why? Did he say he doesn't like me? 587 00:34:57,058 --> 00:34:59,521 The anesthesiologist told the parents what you did. 588 00:35:00,299 --> 00:35:02,286 Everyone's a tattletale. 589 00:35:08,728 --> 00:35:10,665 Is your son depressed? 590 00:35:12,220 --> 00:35:13,511 No, who are you? 591 00:35:13,595 --> 00:35:14,707 I'm Dr. House. 592 00:35:14,791 --> 00:35:15,667 Oh, you're the idiot who-- 593 00:35:15,751 --> 00:35:17,713 I heard him screaming all the way down the hallway. 594 00:35:17,797 --> 00:35:20,276 If I didn't wake him up, I wouldn't have learned what caused the crash. 595 00:35:20,562 --> 00:35:21,996 I think he had a seizure. 596 00:35:24,857 --> 00:35:27,261 Th-this wasn't my fault? 597 00:35:28,676 --> 00:35:31,767 Well, if he hadn't had the brain problem, he wouldn't have the burns. 598 00:35:31,869 --> 00:35:35,072 On the other hand, if you hadn't put him on the ATV, he also wouldn't have the burns. 599 00:35:35,156 --> 00:35:37,506 You can debate your personal responsibility after I leave. 600 00:35:37,590 --> 00:35:38,838 I need to wake him up again. 601 00:35:38,978 --> 00:35:41,158 I need to know if he's taking anti-depressants. 602 00:35:41,158 --> 00:35:42,307 He's not. 603 00:35:43,185 --> 00:35:44,686 He's the happiest kid I know. 604 00:35:44,745 --> 00:35:46,308 But you don't know, do you? 605 00:35:49,168 --> 00:35:50,176 He's my son. 606 00:35:50,281 --> 00:35:52,586 Mmm, that's sort of my point. 607 00:35:52,828 --> 00:35:55,133 At 16, they'll tell anyone anything. 608 00:35:55,217 --> 00:35:56,396 Except their parents. 609 00:35:56,480 --> 00:35:57,942 Adam talks to us about everything. 610 00:35:58,048 --> 00:36:00,255 Yeah, I know about the pot and the cocaine. 611 00:36:00,339 --> 00:36:02,987 - There was never cocaine-- - You sure? 612 00:36:03,316 --> 00:36:04,997 You having him followed? 613 00:36:05,309 --> 00:36:07,868 He told us when he got drunk at a party. 614 00:36:07,937 --> 00:36:09,849 He told us when he started having sex. 615 00:36:09,933 --> 00:36:11,656 16, way to go. 616 00:36:11,740 --> 00:36:13,197 He told us when he cheated on a math test. 617 00:36:13,308 --> 00:36:15,576 He told us when his girlfriend cheated on him. 618 00:36:15,651 --> 00:36:17,310 He doesn't hide anything from us. 619 00:36:17,394 --> 00:36:19,945 - But if he was depressed? - He'd tell us. 620 00:36:20,443 --> 00:36:23,158 We don't judge. He's not depressed, we're sure. 621 00:36:23,498 --> 00:36:25,735 "Bet his life on it" sure? 622 00:36:27,350 --> 00:36:28,797 Just hypothetically. 623 00:36:30,569 --> 00:36:31,736 Yeah. 624 00:36:35,078 --> 00:36:36,837 Okay. 625 00:36:39,261 --> 00:36:40,755 Kid's happy. 626 00:36:41,648 --> 00:36:43,693 Happy, happy, happy. 627 00:36:43,824 --> 00:36:46,845 Then we're back to where we started, seizure disorders. 628 00:36:47,362 --> 00:36:50,312 Seizure disorders aren't causing orgasms. 629 00:36:50,396 --> 00:36:51,987 Vascular malformations. 630 00:36:52,315 --> 00:36:54,085 Would've seen it on the sonogram. 631 00:36:54,187 --> 00:36:55,854 Hepatic encephalopathy? 632 00:36:56,374 --> 00:36:58,629 Liver enzyme tests were normal. 633 00:37:04,669 --> 00:37:05,655 Where are you going? 634 00:37:05,739 --> 00:37:07,209 Take a leak. 635 00:37:15,156 --> 00:37:16,131 What are you doing? 636 00:37:16,215 --> 00:37:17,385 Can't come in here. 637 00:37:17,553 --> 00:37:18,247 You're not sterile. 638 00:37:18,331 --> 00:37:19,506 Don't touch our son, we told you. 639 00:37:19,613 --> 00:37:22,387 Seriously, millions of bacteria, microbes on you. 640 00:37:22,491 --> 00:37:23,532 He'll die of sepsis. 641 00:37:23,680 --> 00:37:25,183 If you go in there... 642 00:37:29,307 --> 00:37:30,821 I think he's gonna wake him up again. 643 00:37:31,012 --> 00:37:32,347 I know he is. 644 00:37:34,261 --> 00:37:36,109 House, you can't do this. 645 00:37:36,215 --> 00:37:39,302 Oh, if I had a nickel for every time I've heard that. 646 00:37:39,594 --> 00:37:41,667 Relax. They gonna sue us? 647 00:37:41,895 --> 00:37:44,010 If I'm right, I save his life. 648 00:37:44,109 --> 00:37:47,233 If I'm wrong, he's dead no matter what I do. 649 00:37:47,317 --> 00:37:49,430 Either way, how much have I really hurt them? 650 00:37:50,245 --> 00:37:51,804 Leave him alone! 651 00:37:51,888 --> 00:37:53,806 You're not sterile. You wanna kill the kid? 652 00:37:54,224 --> 00:37:55,192 Give me the syringe. 653 00:37:55,259 --> 00:37:58,542 - No pain, no gain. - Hey, you gotta stop this. 654 00:38:02,337 --> 00:38:03,646 You're right. 655 00:38:04,828 --> 00:38:07,344 - He's not depressed. - Yeah, sure. 656 00:38:07,619 --> 00:38:10,147 I'm not letting you go until you give me that syringe. 657 00:38:10,292 --> 00:38:11,898 What's that on his wrist? 658 00:38:13,380 --> 00:38:14,445 A burn. 659 00:38:14,595 --> 00:38:16,831 - Why on his wrist? - Why not on his wrist? 660 00:38:16,916 --> 00:38:20,856 His back, his torso, everything's a mess. His forearms are clean. 661 00:38:21,066 --> 00:38:22,147 Except right there. 662 00:38:22,230 --> 00:38:23,425 So what? 663 00:38:24,572 --> 00:38:25,954 It's a perfect circle. 664 00:38:26,053 --> 00:38:29,990 So a drop of burning gasoline fell on his wrist. A screw from the ATV. 665 00:38:31,059 --> 00:38:32,364 Maybe. 666 00:38:42,278 --> 00:38:43,778 Why are you torturing him? 667 00:38:43,844 --> 00:38:45,421 Does your son smoke? 668 00:38:46,538 --> 00:38:47,880 I'd kill him. 669 00:38:49,975 --> 00:38:52,694 So he talked to you about sex, crack. 670 00:38:52,778 --> 00:38:54,622 Anything except cigarettes. 671 00:38:55,618 --> 00:38:58,066 He has a cigarette burn on his wrist. 672 00:38:58,723 --> 00:39:02,433 Also a fading nicotine stain between two fingers. 673 00:39:02,732 --> 00:39:05,929 Bad news, you son has a filthy, unhealthy habit. 674 00:39:06,013 --> 00:39:08,398 Good news, he's trying to quit. 675 00:39:08,455 --> 00:39:10,650 Bad news, the quitting's killing him. 676 00:39:10,734 --> 00:39:12,364 Good news, I can cure him. 677 00:39:12,447 --> 00:39:13,691 Bad news... 678 00:39:15,001 --> 00:39:16,641 nope, that's the end of it. 679 00:39:17,355 --> 00:39:19,068 Quitting smoking can kill? 680 00:39:19,320 --> 00:39:21,634 No-smoke meds are anti-depressants. 681 00:39:21,737 --> 00:39:23,843 The crappy ones you get over the Internet. 682 00:39:23,948 --> 00:39:26,555 They're loaded with whatever anti-depressants they can get cheap. 683 00:39:26,659 --> 00:39:29,919 Since Mommy and Daddy obviously didn't take him to a pediatrician... 684 00:39:33,340 --> 00:39:36,003 Sorry, I was wrong about him being depressed. 685 00:39:36,901 --> 00:39:38,044 Treat him. 686 00:39:56,368 --> 00:39:57,835 Cuddy: Hey. 687 00:39:58,654 --> 00:40:01,367 Did you drop acid? 688 00:40:02,479 --> 00:40:03,977 Why would I do that? 689 00:40:04,313 --> 00:40:05,352 To annoy me. 690 00:40:05,523 --> 00:40:07,803 Or maybe because you're miserable. 691 00:40:07,887 --> 00:40:11,418 Or because you wanna self-destruct. 692 00:40:11,578 --> 00:40:12,761 Pick one. 693 00:40:13,361 --> 00:40:19,801 How 'bout because LSD acts on serotonin receptors in the brain, which can stop a migraine in its tracks. 694 00:40:20,727 --> 00:40:23,068 I'm just saying it's also a possibility. 695 00:40:23,277 --> 00:40:25,967 - How did you know-- - Cameron is worried about you. 696 00:40:26,766 --> 00:40:30,446 I told her that LSD lasts up to 12 hours. If you were functional, she must be wrong. 697 00:40:30,530 --> 00:40:35,714 Either that, or I also took a whole bunch of anti-depressants, which short-circuited the LSD. 698 00:40:35,857 --> 00:40:37,436 I'm just saying that would also explain it. 699 00:40:37,622 --> 00:40:40,045 Thank you for ruining my clinical trials. 700 00:40:40,045 --> 00:40:42,111 Pharmaceutical company's shutting me down. 701 00:40:42,170 --> 00:40:43,201 You're kidding, really? 702 00:40:43,285 --> 00:40:44,252 How could that surprise you? 703 00:40:44,361 --> 00:40:46,658 You sent them an email complaining about my math. 704 00:40:46,742 --> 00:40:48,159 Telling them about your stunt. 705 00:40:48,311 --> 00:40:50,517 I didn't know people actually read emails. 706 00:40:50,601 --> 00:40:52,405 Delete button is so conveniently located-- 707 00:40:52,489 --> 00:40:53,264 So what's next? 708 00:40:53,413 --> 00:40:55,782 You gonna follow me my whole life, torture me? 709 00:40:55,849 --> 00:40:56,808 Why would I do that? 710 00:40:56,912 --> 00:40:58,425 You waited 20 years to do this. 711 00:40:58,490 --> 00:41:00,821 What's next? Break up my marriage? 712 00:41:01,861 --> 00:41:04,279 No. We're even. 713 00:41:04,432 --> 00:41:05,564 Right. 714 00:41:07,292 --> 00:41:09,886 Oh, thanks for setting me up. 715 00:41:13,146 --> 00:41:16,523 Eye for an eye, LSD, and antidepressants, 716 00:41:17,315 --> 00:41:19,193 everything in balance. 717 00:41:19,277 --> 00:41:23,987 Buddhists call it Karma, Christians call it the Golden Rule, Jews call it... 718 00:41:25,882 --> 00:41:26,575 I don't know. 719 00:41:26,902 --> 00:41:29,326 Rabbi Hillel said something poignant. 720 00:41:30,657 --> 00:41:33,455 Universe always settles the score. 721 00:41:33,868 --> 00:41:34,977 Does it? 722 00:41:35,848 --> 00:41:36,729 No. 723 00:41:38,263 --> 00:41:39,901 But it should. 724 00:41:47,379 --> 00:41:50,718 Do you think you'll ever be able to look at him and not blame me? 725 00:41:52,413 --> 00:41:56,009 Yeah. Will you? 726 00:42:24,940 --> 00:42:26,458 [Knocking on the door] 727 00:42:47,181 --> 00:42:48,598 I'm Paula. 728 00:42:48,966 --> 00:42:50,277 Hey, Paula. 729 00:42:50,659 --> 00:42:51,915 How you doing? 730 00:42:52,972 --> 00:42:56,088 You work over at the college? Or are you full time over at-- 731 00:42:56,144 --> 00:42:58,338 I'm looking for a distraction. 732 00:42:59,185 --> 00:43:02,044 You don't need to talk to do that, do you? 733 00:43:09,382 --> 00:43:11,037 Transcript : Raceman Synchro : Vaccine 734 00:43:11,037 --> 00:43:13,907 www.forom.com 735 00:00:05,833 --> 00:00:07,333 www.tvsubtitles.net 9999 00:00:0,500 --> 00:00:2,00 www.tvsubtitles.net 56087

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