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1
00:00:03,880 --> 00:00:06,680
I didn't sleep well last night,
and I woke up with a scratchy throat.
2
00:00:06,760 --> 00:00:11,320
I just don't feel so good. Uh, cough.
3
00:00:11,400 --> 00:00:16,840
Yeah, um-um,
I have a bit of an upset stomach too,
and I think I'm running a fever.
4
00:00:16,880 --> 00:00:21,680
I'm just worried
I might be contagious.
5
00:00:21,760 --> 00:00:26,400
Inventory. Tomorrow.
I'm-- Yeah, I'm sure
I'll be feeling better by then.
6
00:00:27,360 --> 00:00:29,600
Thanks, Mr. Innabe.
7
00:00:31,280 --> 00:00:35,120
I cannot believe you just did that.
8
00:00:35,200 --> 00:00:37,920
I-I really do have a cough.
9
00:00:38,000 --> 00:00:40,240
Oh. So you weren't lying.
10
00:00:40,280 --> 00:00:44,760
You'd be curled up in bed
with a bowl of chicken soup--
11
00:00:44,840 --> 00:00:46,920
even if you didn't have
a horny girl in your bed?
12
00:00:46,960 --> 00:00:50,800
Yes.
Because I really do-- Hey.
13
00:00:50,880 --> 00:00:55,360
I really do have a cough.
You also have a little rash.
14
00:00:55,440 --> 00:01:00,840
Um, I'm not sure
we should be kissing.
15
00:01:00,920 --> 00:01:04,920
Oh. It's okay.
Because I have almost
no interest in kissing you.
16
00:01:05,000 --> 00:01:07,400
Perfect.
Good.
17
00:01:09,520 --> 00:01:12,360
Uh-uh-uh.
18
00:01:14,720 --> 00:01:17,520
Oh, baby.
19
00:01:45,880 --> 00:01:51,120
Oh, Brandon.
20
00:01:51,160 --> 00:01:55,000
Brandon.
21
00:01:56,320 --> 00:01:59,360
I know I'm good,
but come on.
22
00:02:01,720 --> 00:02:03,760
Brandon?
23
00:02:05,560 --> 00:02:08,520
Brandon. Brandon. Brandon.
24
00:02:08,600 --> 00:02:11,640
Brandon! Brandon!
25
00:02:43,320 --> 00:02:48,120
Any additional R.N. to Surgical.
Any additional R.N. to Surgical.
26
00:03:02,320 --> 00:03:04,360
Why do you want me to treat this guy?
27
00:03:04,400 --> 00:03:06,320
Blood pressure's not responding
to I.V. fluids.
28
00:03:06,400 --> 00:03:08,880
No, no. I didn't ask how you plan to
con me into treating him.
29
00:03:08,960 --> 00:03:11,520
I asked you why
you want me to treat him.
30
00:03:11,600 --> 00:03:14,120
He's sick. I care.
I'm pathetic.
31
00:03:14,200 --> 00:03:16,760
There are about a billion sick people
on the planet. Why this one?
32
00:03:16,840 --> 00:03:20,680
Because this one's
in our emergency room.
Ah, so it's a proximity issue.
33
00:03:20,720 --> 00:03:23,600
If somebody was sick in
the third-floor stairwell,
that's who'd we be talking about.
34
00:03:23,680 --> 00:03:26,720
Yes. I checked the stairwell.
It's clear.
35
00:03:26,800 --> 00:03:29,160
Okay, then.
Emergency room guy it is.
36
00:03:29,240 --> 00:03:32,760
Wait. Why was that so easy?
You know why.
37
00:03:34,000 --> 00:03:37,240
- Blood pressure's not responding to
I.V. fluids?
- Yeah.
38
00:03:38,640 --> 00:03:41,320
That's just weird.
39
00:03:42,960 --> 00:03:45,960
C.B.C. was unremarkable.
Abdominal C.T. scan didn't show anything.
40
00:03:46,040 --> 00:03:48,600
So, people, differential diagnosis.
What's wrong with her?
41
00:03:48,680 --> 00:03:50,520
- Him.
- Him. Her. Does it matter?
42
00:03:50,600 --> 00:03:54,600
Does anyone think
it's a testicular problem? No. So, Chase?
43
00:03:54,640 --> 00:03:57,520
- Yersinia infection?
- No. You wouldn't get the rash or cough.
44
00:03:57,600 --> 00:04:00,800
What about arthritis?
Accompanying vasculitis
causes nerve damage--
45
00:04:00,880 --> 00:04:04,520
- No. It wouldn't cause
the blood pressure problems. Allergy?
- The kid's got abdominal pain.
46
00:04:04,560 --> 00:04:06,760
Maybe carcinoid?
No. But then you wouldn't get the--
47
00:04:06,800 --> 00:04:11,240
Foreman, if you're going to list
all the things it's not,
it might be quicker to do it alphabetically.
48
00:04:11,280 --> 00:04:16,200
Let's see, now. "Absidia". Excellent.
Doesn't account for any of the symptoms.
49
00:04:16,280 --> 00:04:19,000
- No condition accounts for
all these symptoms.
- Oh, good.
50
00:04:19,080 --> 00:04:22,000
Because I thought maybe he was sick.
But, apparently, he's not.
51
00:04:22,080 --> 00:04:24,520
Who wants to do up
the discharge papers?
52
00:04:25,640 --> 00:04:29,320
Okay. Unless we control
the blood pressure,
53
00:04:29,360 --> 00:04:32,400
he's gonna start circling the drain
before we can figure out
what's wrong with him.
54
00:04:32,480 --> 00:04:36,840
Treat him for sepsis, broad-spectrum
antibiotics, and I want a Cort-stim test
and an echocardiogram.
55
00:04:43,040 --> 00:04:46,240
You all right?
Yeah.
56
00:04:46,320 --> 00:04:50,280
The Cort-stim test will tell us
if your pituitary and adrenal glands
are working properly.
57
00:04:50,360 --> 00:04:53,400
- His glands? What does that mean?
- We have a few theories we're working on.
58
00:04:53,480 --> 00:04:56,040
- You mean you don't know.
- Mindy.
59
00:04:56,080 --> 00:04:58,760
I'm just saying, if they knew
they wouldn't be testing you,
they'd be treating you.
60
00:04:58,800 --> 00:05:03,560
Yeah, well, that's the way it works.
First we find out what it is,
then we get you better.
61
00:05:11,960 --> 00:05:14,920
You're half an hour late.
Busy caseload.
62
00:05:14,960 --> 00:05:17,240
One case is not a load.
63
00:05:17,320 --> 00:05:21,000
So how are we doing
on cotton swabs today? If there's
an acute shortage, I could run home--
64
00:05:21,040 --> 00:05:24,400
No, you couldn't.
Nice.
65
00:05:29,200 --> 00:05:32,440
Hello, sick people
and their loved ones.
66
00:05:32,520 --> 00:05:36,680
In the interest of saving time
and avoiding a lot of boring
chitchat later, I'm Dr. Gregory House.
67
00:05:36,720 --> 00:05:40,840
You can call me Greg.
I'm one of three doctors
staffing this clinic this morning.
68
00:05:40,880 --> 00:05:44,840
Short. Sweet. Grab a file.
This ray of sunshine
is Dr. Lisa Cuddy.
69
00:05:44,920 --> 00:05:48,280
Dr. Cuddy runs this whole hospital,
so, unfortunately, she's much
too busy to deal with you.
70
00:05:48,360 --> 00:05:51,800
I am a board-certified diagnostician,
71
00:05:51,880 --> 00:05:54,360
with a double specialty of
infectious disease and nephrology.
72
00:05:54,440 --> 00:05:58,120
I'm also the only doctor
currently employed at this clinic who is
forced to be here against his will.
73
00:05:58,160 --> 00:06:00,560
That is true, isn't it? But not to worry.
74
00:06:00,640 --> 00:06:04,200
Because for most of you, this job could be
done by a monkey with a bottle of Motrin.
75
00:06:04,240 --> 00:06:08,200
Speaking of which,
if you're particularly annoying,
you may see me reach for this.
76
00:06:08,240 --> 00:06:11,760
This is Vicodin. It's mine.
You can't have any.
77
00:06:11,840 --> 00:06:15,680
And, no, I do not have
a pain management problem.
I have a pain problem.
78
00:06:15,760 --> 00:06:19,880
But who knows? Maybe I'm wrong.
Maybe I'm too stoned to tell.
79
00:06:19,920 --> 00:06:22,160
So, who wants me?
80
00:06:25,840 --> 00:06:28,200
And who would rather wait
for one of the other two guys?
81
00:06:29,840 --> 00:06:34,160
Okay. Well, I'll be in Exam Room One
if you change your mind.
82
00:06:36,360 --> 00:06:39,120
Jodi Matthews?
83
00:06:39,160 --> 00:06:42,320
Please accompany Dr. House
to Exam Room One.
84
00:06:47,040 --> 00:06:49,600
Dr. Chase.
85
00:06:49,680 --> 00:06:53,000
I'm not sure scaring your boyfriend
is the best medicine for him right now.
86
00:06:53,080 --> 00:06:57,240
I know. I get stupid
when I'm scared.
Don't go rock climbing.
87
00:06:57,320 --> 00:07:00,520
Look, I was wondering.
Before this happened, we were having sex.
88
00:07:02,800 --> 00:07:06,640
What? You're wondering if
whatever he has, you might've gotten it?
89
00:07:06,720 --> 00:07:09,600
It-It's unlikely.
We ran a complete S.T.D. panel, so--
90
00:07:09,680 --> 00:07:14,120
No. I'm wondering if maybe
I did this to him. I was kind of rough.
91
00:07:20,720 --> 00:07:24,360
It was yellow.
It was?
92
00:07:24,440 --> 00:07:27,440
It's not anymore.
Well, that's a shame.
93
00:07:27,520 --> 00:07:32,000
I thought that might be a problem,
so I brought you this.
94
00:07:35,360 --> 00:07:39,200
Your mucus was "pale goldenrod".
95
00:07:39,280 --> 00:07:42,800
Last week, yes.
Should I be worried?
Oh, yes. Very.
96
00:07:42,880 --> 00:07:46,160
Really?
I thought it was okay now.
97
00:07:46,240 --> 00:07:48,640
And yet, here you are.
What happened?
98
00:07:48,720 --> 00:07:51,160
Paramedics took a week
to respond to your 911 call?
99
00:07:51,240 --> 00:07:54,000
You're not a very nice doctor,
are you?
100
00:07:54,080 --> 00:07:56,680
And you are very bad at
whatever it is you do.
101
00:07:56,760 --> 00:07:59,920
You don't even know me.
I know you're gonna get fired.
102
00:08:00,000 --> 00:08:03,920
That's why you got the new glasses.
That's why your teeth are sparkly white.
103
00:08:04,000 --> 00:08:07,360
You're getting the most of
your health insurance while you still can.
104
00:08:08,800 --> 00:08:10,720
I might be quitting.
105
00:08:10,800 --> 00:08:15,080
If you were quitting, you'd have known
that last week when your snot was still
pale goldenrod. You're getting fired.
106
00:08:16,720 --> 00:08:19,240
I just don't like being told what to do.
107
00:08:23,120 --> 00:08:25,640
I can get you in
for a full body scan later this week.
108
00:08:25,680 --> 00:08:28,080
Thanks.
109
00:08:30,640 --> 00:08:33,360
It's got to be viral.
We should start running gels and titers.
110
00:08:33,440 --> 00:08:37,360
Maybe we should look into
the girlfriend's theory.
She thinks she rode him to death.
111
00:08:37,440 --> 00:08:40,680
What'd you tell her?
112
00:08:40,720 --> 00:08:43,120
I told her 22-year-old men
don't die of sex.
113
00:08:43,160 --> 00:08:45,160
- What'd you ask her?
- What do you mean?
114
00:08:45,240 --> 00:08:48,120
I mean, I hope you got some specifics
on exactly what was going on.
115
00:08:48,200 --> 00:08:51,880
If the girl thinks it could kill you,
it's worth knowing about.
116
00:08:55,240 --> 00:08:57,160
Have you ever taken a life?
117
00:09:06,360 --> 00:09:08,240
We should stop the antibiotics.
118
00:09:08,280 --> 00:09:10,160
It's too soon to say
they're not having an effect.
119
00:09:10,200 --> 00:09:12,200
They're having an effect.
120
00:09:13,680 --> 00:09:17,160
His B.P.'s falling fast.
There's fluid filling his lungs.
121
00:09:17,240 --> 00:09:19,400
His creatinine is rising.
122
00:09:25,200 --> 00:09:27,080
His kidneys are shutting down.
123
00:09:28,560 --> 00:09:32,560
Our treatment isn't making him better.
It's killing him.
124
00:09:35,680 --> 00:09:40,640
So, we had six symptoms that didn't
add up to anything. Now we got seven.
Who's excited?
125
00:09:40,720 --> 00:09:44,200
I don't think it complicates things.
The kidney failure was caused by
the antibiotics.
126
00:09:44,280 --> 00:09:48,760
- Maybe.
- Typically, low blood pressure
and abdominal pain means an infection.
127
00:09:48,840 --> 00:09:51,600
An abdominal infection causes sepsis,
low blood pressure.
128
00:09:51,680 --> 00:09:54,480
Except we checked for
abdominal infections.
129
00:09:54,560 --> 00:09:58,400
But what if it's the other way around?
What if the low blood pressure's
causing the abdominal pain?
130
00:09:58,480 --> 00:10:02,760
Viral heart infection.
The intestines aren't getting
enough blood, and the result is belly pain.
131
00:10:02,840 --> 00:10:06,640
- I know it's not
the standard presentation.
- It's a 10 million-to-1 shot.
132
00:10:06,720 --> 00:10:09,280
I thought that's what we dealt with here.
133
00:10:09,360 --> 00:10:14,760
It explains the cardiomyopathy, the pain,
the low B.P., the fever.
134
00:10:16,720 --> 00:10:20,680
You read the book.
Impressive.
135
00:10:20,760 --> 00:10:26,040
It's a ludicrously long shot that
explains every one of those symptoms--
except for the cough and the rash.
136
00:10:26,120 --> 00:10:29,640
Should we just erase those?
Well, anything can cause a rash.
137
00:10:31,280 --> 00:10:34,520
Okay. Cardiac infection.
138
00:10:35,960 --> 00:10:38,800
- Cameron, you thought allergy.
- Mm-hmm.
139
00:10:40,480 --> 00:10:43,080
Chase, what was it you thought?
Carcinoid?
140
00:10:43,120 --> 00:10:45,800
Then there's hypothyroidism.
141
00:10:45,840 --> 00:10:49,480
Could be parasites.
142
00:10:52,280 --> 00:10:54,160
Finally, sinus infection.
143
00:10:54,200 --> 00:10:57,680
If you're gonna list
all the things it can't be,
you're gonna need more colors.
144
00:10:57,760 --> 00:11:01,920
Cameron was right.
No condition explains all these symptoms.
145
00:11:03,040 --> 00:11:07,960
- But orange and green covers everything.
- Orange and green?
146
00:11:08,040 --> 00:11:10,920
Two conditions contracted simultaneously?
147
00:11:11,000 --> 00:11:14,120
Occam's Razor.
The simplest explanation
is always the best.
148
00:11:14,200 --> 00:11:17,040
- And you think one is simpler than two?
- Pretty sure it is, yeah.
149
00:11:18,960 --> 00:11:23,760
Baby shows up. Chase tells you that
two people exchanged fluids
to create this being.
150
00:11:23,840 --> 00:11:28,240
I tell you that one stork
dropped the little tyke off in a diaper.
Are you gonna go with the two or the one?
151
00:11:28,320 --> 00:11:30,840
- I think your argument is specious.
- I think your tie is ugly.
152
00:11:30,920 --> 00:11:35,760
Why is one simpler than two?
It's lower, lonelier. Is it simpler?
153
00:11:35,840 --> 00:11:38,800
Each one of these conditions
is about a thousand-to-one shot.
154
00:11:38,880 --> 00:11:42,400
That means that any two of them
happening at the same time
is a million-to-one shot.
155
00:11:42,480 --> 00:11:45,200
Chase says the cardiac infection
is a 10 million-to-1 shot,
156
00:11:45,240 --> 00:11:47,720
which makes my idea
10 times better than yours.
157
00:11:47,800 --> 00:11:50,480
Get a calculator. Run the numbers.
158
00:11:50,560 --> 00:11:52,040
We'll run the tests.
Tests take time.
159
00:11:52,080 --> 00:11:55,760
Treatment's quicker.
Start the kid on Unasyn
for the sinus infection,
160
00:11:55,840 --> 00:12:00,280
and... what was orange?
Hypothyroidism.
161
00:12:00,360 --> 00:12:04,360
My uncle has hypothyroidism.
Not like this.
162
00:12:04,400 --> 00:12:07,880
Intravenous Levothyroxin
is an artificial thyroid medication
that should take care of it.
163
00:12:07,960 --> 00:12:11,320
Also, the nurses are going to
start you on Unasyn.
It's a more targeted antibiotic.
164
00:12:11,400 --> 00:12:13,000
For the sinus infection?
Yes.
165
00:12:13,040 --> 00:12:16,560
- The other stuff is
for something else entirely.
- Bad luck, huh?
166
00:12:16,640 --> 00:12:20,200
Don't worry. He should be
back to ditching work in no time.
167
00:12:20,280 --> 00:12:22,600
Brandon?
168
00:12:25,320 --> 00:12:29,480
Hey, Mom.
169
00:12:29,520 --> 00:12:31,240
We're his parents.
How's he doing?
170
00:12:31,280 --> 00:12:33,680
Um, Brandon is--
171
00:12:33,760 --> 00:12:38,200
Uh, Mom. Dad--
This is Mindy.
172
00:12:39,320 --> 00:12:44,240
I was gonna bring her home for Christmas.
Um, we're engaged.
173
00:12:53,240 --> 00:12:57,240
Dr. Hall to the recovery room.
Dr. Hall--
174
00:12:57,320 --> 00:12:58,920
Did you tell the family House's theory?
175
00:12:58,960 --> 00:13:02,800
Two odd conditions striking
completely coincidentally
at the exact same time?
176
00:13:02,880 --> 00:13:05,760
I didn't phrase it
quite that way.
They agree to treatment?
177
00:13:05,840 --> 00:13:09,000
Ofcourse they did. We're doctors.
They believe whatever we tell them.
178
00:13:09,080 --> 00:13:11,640
So, is that our job?
House's puppets?
179
00:13:11,720 --> 00:13:14,440
He comes up with an insane idea,
we get to pretend it's not?
180
00:13:14,480 --> 00:13:17,520
His insane ideas are usually right.
We've been here long enough to--
181
00:13:17,600 --> 00:13:19,680
We've been here long enough
to have Stockholm syndrome.
182
00:13:19,760 --> 00:13:24,200
What, because we don't hate him?
He thinks outside the box.
Is that so evil?
183
00:13:24,280 --> 00:13:26,840
He has no idea where the box is.
184
00:13:26,920 --> 00:13:31,400
If you guys think he's right, go home.
Relax. Just wait for
the kid to get all better.
185
00:13:31,440 --> 00:13:34,160
I'm going to the lab
to test for viral infections.
186
00:13:44,440 --> 00:13:47,120
Negative for Coxsackie "B" virus.
187
00:13:47,200 --> 00:13:49,760
Seven down, about 5,000 to go.
188
00:13:49,840 --> 00:13:53,960
You really think we're gonna
come up with your mystery virus just by
running gels till we guess it right?
189
00:13:55,840 --> 00:13:59,280
No. I think we're gonna do it
by standing around
watching other people work.
190
00:13:59,360 --> 00:14:02,960
I'm waiting for
the Epstein-Barr virus.
191
00:14:06,400 --> 00:14:08,520
- She's weird, isn't she?
- Bad idea.
192
00:14:08,600 --> 00:14:11,800
- What?
- Bad idea. You work with her.
193
00:14:11,880 --> 00:14:13,720
What did I say?
194
00:14:13,800 --> 00:14:19,240
Is weird some new
ghetto euphemism for sexy,
like bad is good and phat is good?
195
00:14:19,280 --> 00:14:21,720
- Then what the hell does "good" mean?
- "Ghetto euphemism"?
196
00:14:21,800 --> 00:14:24,880
You don't think she's hot?
197
00:14:24,960 --> 00:14:26,680
No.
198
00:14:26,760 --> 00:14:31,040
Wow. Then you're brilliant.
And I am using "brilliant" as a euphemism.
199
00:14:31,120 --> 00:14:34,280
Obviously, the girl is hot.
Y-You're not talking about her aesthetics.
200
00:14:34,360 --> 00:14:36,720
You're talking about
if I want to jump her. I don't.
201
00:14:36,760 --> 00:14:38,760
Brilliant.
202
00:14:42,520 --> 00:14:45,320
Your Epstein-Barr is ready.
203
00:14:50,720 --> 00:14:52,960
What are you doing?
Level four.
204
00:14:53,040 --> 00:14:56,440
No, no. I mean--
I know what you meant.
We're waiting.
205
00:14:56,520 --> 00:14:59,720
My throat hurts.
So you said.
206
00:14:59,800 --> 00:15:04,120
How long are we waiting?
Two minutes less than when
you asked me two minutes ago.
207
00:15:05,960 --> 00:15:11,560
- Hi.
- Hi. I'm Dr. Cuddy.
Nice to meet you.
208
00:15:11,600 --> 00:15:16,080
Dr. Cuddy, thanks for the consult.
His throat seems to have some condition.
209
00:15:18,840 --> 00:15:21,960
Say "Ah".
Ah.
210
00:15:23,440 --> 00:15:25,000
He has a sore throat.
211
00:15:26,760 --> 00:15:29,800
Ofcourse. Yes, why didn't I--
212
00:15:29,840 --> 00:15:33,640
I mean, because he said that
it hurt, and I should have deduced
that meant it was sore.
213
00:15:33,680 --> 00:15:36,080
I was in a board meeting.
Patients come first, right?
214
00:15:36,160 --> 00:15:38,720
Wouldn't want to prescribe a lozenge
if there's any doubt about
its efficacy, huh?
215
00:15:38,800 --> 00:15:42,760
You once asked me
why I think I'm always right,
and I realized that you're right.
216
00:15:42,840 --> 00:15:45,840
At least, I think you're right.
I don't really know, now do I?
217
00:15:47,040 --> 00:15:51,200
- Hey. I'm here.
- Go home. Drink some hot tea.
218
00:15:55,840 --> 00:15:57,960
Excellent counsel.
219
00:15:58,000 --> 00:16:01,200
Negative on parvovirus B-19.
220
00:16:01,280 --> 00:16:04,320
I'm impressed.
Thank you.
I was born to run gels.
221
00:16:04,400 --> 00:16:07,400
I meant about Chase.
What about Chase?
222
00:16:08,520 --> 00:16:10,960
Well, the man has no
physical interest in you.
223
00:16:11,040 --> 00:16:16,320
He has a completely professional
relationship with you, respects you
as a colleague and a doctor.
224
00:16:16,400 --> 00:16:20,200
And yet, he can't look at you
without thinking sex.
225
00:16:20,280 --> 00:16:22,160
Because I asked
what kind of sex could kill you?
226
00:16:22,200 --> 00:16:25,680
You now have total control
over your relationship with him.
227
00:16:25,760 --> 00:16:29,920
So, a woman can't express
her interest in sex without it
being some professional power play?
228
00:16:30,000 --> 00:16:33,640
No. If you look the way you do
and you say what you said,
229
00:16:33,720 --> 00:16:36,520
you have to be aware of the effect
that it's going to have on men.
230
00:16:36,560 --> 00:16:39,760
- Men should grow up.
- Yeah, and dogs should stop
licking themselves.
231
00:16:39,840 --> 00:16:41,360
It's not gonna happen.
What's going on?
232
00:16:42,800 --> 00:16:45,200
- Yeah, what are you doing here?
- Looking for you guys.
233
00:16:45,280 --> 00:16:47,280
- Why didn't you page us?
- 'Cause I knew you'd be here.
234
00:16:47,360 --> 00:16:49,360
Who told him?
No one.
235
00:16:49,440 --> 00:16:53,840
I assume you're trying to prove
my crazy, two-illness theory wrong,
so, obviously, you're gonna be in the lab.
236
00:16:53,920 --> 00:16:55,880
- You spin the urine?
- Not yet.
237
00:16:55,920 --> 00:16:58,360
Talk to me when you have.
238
00:17:05,200 --> 00:17:09,520
What'd you find out?
Kidney failure.
It's acute interstitial nephritis.
239
00:17:10,560 --> 00:17:15,560
- I wonder if that's significant.
- It means the antibiotics
didn't cause the kidney failure.
240
00:17:15,640 --> 00:17:17,520
How'd you know?
241
00:17:17,560 --> 00:17:20,880
If you guys hadn't been so busy
trying to prove me wrong,
you might've checked in on the poor kid.
242
00:17:20,960 --> 00:17:23,160
You visited a patient?
243
00:17:23,240 --> 00:17:27,120
I was sitting by his bed all morning, just
so he'd know someone was there for him.
244
00:17:27,200 --> 00:17:28,920
I looked in on him.
He's much better.
245
00:17:29,000 --> 00:17:31,800
Ergo, the treatment's working.
Ergo, me right, you wrong.
246
00:17:31,880 --> 00:17:34,120
Hey, I'm glad for the kid.
247
00:17:37,640 --> 00:17:40,840
That smugness of yours
really is an attractive quality.
Thank you.
248
00:17:40,880 --> 00:17:45,040
It was either that
or get my hair highlighted.
Smugness is easier to maintain.
249
00:17:45,120 --> 00:17:48,000
I get that you're not
a big believer in the
"catching flies with honey" approach,
250
00:17:48,080 --> 00:17:51,400
but do you honestly think
you'll collect a jarful
by cleverly taunting them?
251
00:17:51,480 --> 00:17:54,200
Flies, no. Doctors, sure.
If I'd said to Foreman,
252
00:17:54,280 --> 00:17:57,640
"Nice try. Great guess,
but sorry, not this time",
what do you think he'd be doing right now?
253
00:17:57,720 --> 00:18:01,880
I think he'd go home
not feeling like a piece of crap.
Exactly.
254
00:18:01,960 --> 00:18:05,480
You want him to
feel like a piece of crap?
No. I don't want him going home.
255
00:18:09,000 --> 00:18:12,040
Dr. Foreman.
256
00:18:12,080 --> 00:18:15,280
Still have the cough.
I'm feeling a lot better though.
257
00:18:15,360 --> 00:18:18,400
His fever is gone.
His rash is going away.
258
00:18:18,480 --> 00:18:22,280
I see.
Is everything okay?
259
00:18:22,360 --> 00:18:26,040
Just ordering some tests.
Absolutely nothing to worry about.
260
00:18:41,560 --> 00:18:47,120
- How much longer?
- 9:30. I figure she was on
the eighth hole when I paged her.
261
00:18:51,120 --> 00:18:53,360
You probably got another half hour.
262
00:18:58,080 --> 00:19:03,760
I ran a T.S.H., T3 and T4.
The patient's negative for hypothyroidism.
I'm not talking about you.
263
00:19:03,800 --> 00:19:07,680
The fact that he's getting better would
indicate the unreliability of the tests.
264
00:19:07,760 --> 00:19:10,600
If I'm right and it's a viral infection,
one of two things always happen:
265
00:19:10,680 --> 00:19:14,040
the patient dies,
or the patient's immune system
fights off the invader.
266
00:19:14,120 --> 00:19:15,920
What's with her?
267
00:19:16,000 --> 00:19:19,840
Her leg hurts after running six miles.
Who knows? Could be anything.
268
00:19:19,920 --> 00:19:22,840
He's getting better.
That doesn't prove you're right.
That just proves he's getting better.
269
00:19:24,200 --> 00:19:27,600
It-It's not two illnesses.
It can't be two illnesses.
270
00:19:27,680 --> 00:19:30,440
I am so glad you work here.
271
00:19:30,480 --> 00:19:34,000
If I'm right,
the antibiotics you prescribed...
272
00:19:34,080 --> 00:19:37,120
could box his kidneys and liver,
impeding his ability
to fight off the virus.
273
00:19:37,200 --> 00:19:42,120
- It could kill him.
- Well, that certainly would be a concern.
274
00:19:42,200 --> 00:19:43,880
Fifty bucks?
275
00:19:43,920 --> 00:19:46,520
Don't look away.
The space monkeys
will be all over you.
276
00:19:46,600 --> 00:19:49,080
- You wanna bet on the patient's health?
- You think that's bad luck?
277
00:19:49,160 --> 00:19:53,600
You think that God will smite him
because of our insensitivity?
278
00:19:53,680 --> 00:19:55,960
Well, if God does,
you make a quick 50.
279
00:19:58,600 --> 00:20:02,400
- Oh.
- Go check his white blood count.
280
00:20:02,480 --> 00:20:05,520
If he's fighting off a virus
like you think, it'll be way up.
281
00:20:11,120 --> 00:20:15,160
Hey. Cuddy said you needed a consult.
What's up? I'm busy.
282
00:20:23,640 --> 00:20:25,640
Oh!
283
00:20:31,120 --> 00:20:33,960
- I was just being glib.
- You haven't said anything.
284
00:20:34,040 --> 00:20:39,600
No. Before, when I was talking about
Brandon's girlfriend thinking sex
could kill you.
285
00:20:39,680 --> 00:20:41,880
I was just making a joke
because I was uncomfortable.
286
00:20:41,960 --> 00:20:44,680
Oh, I don't even
remember what you said.
I'm uncomfortable about sex.
287
00:20:46,480 --> 00:20:50,920
- Well, we don't have to talk about this.
- Sex could kill you.
288
00:20:51,000 --> 00:20:53,960
Do you know what
the human body goes through
when you have sex?
289
00:20:54,040 --> 00:20:56,440
Pupils dilate. Arteries constrict.
290
00:20:56,520 --> 00:20:59,400
Core temperature rises, heart races,
blood pressure skyrockets.
291
00:20:59,480 --> 00:21:02,640
Respiration becomes rapid and shallow.
292
00:21:02,720 --> 00:21:05,920
The brain fires bursts of
electrical impulses
from nowhere to nowhere.
293
00:21:06,000 --> 00:21:07,720
Secretions spit out of every gland,
294
00:21:07,760 --> 00:21:11,760
and the muscles tense
and spasm like you're lifting
three times your body weight.
295
00:21:11,840 --> 00:21:16,320
It's violent, it's ugly,
and it's messy.
296
00:21:16,400 --> 00:21:21,960
And if God hadn't made it
unbelievably fun, the human race
would've died out eons ago.
297
00:21:24,920 --> 00:21:27,320
Men are lucky
they can only have one orgasm.
298
00:21:27,400 --> 00:21:31,240
You know that women
can have an hour-long orgasm?
299
00:21:31,320 --> 00:21:33,240
Hey, Foreman. What's up?
300
00:21:33,320 --> 00:21:35,440
- Hey, Foreman.
- Hey.
301
00:21:36,400 --> 00:21:41,440
- White cell count isn't up, is it?
- No. We were both wrong.
302
00:21:41,520 --> 00:21:44,520
White cell count is down--
way down-- and dropping.
303
00:21:44,600 --> 00:21:47,960
His immune system is shot.
We need to get him into a clean room.
304
00:21:53,720 --> 00:21:56,600
Can you walk, Brandon?
305
00:21:56,680 --> 00:21:58,560
Yeah. A little.
306
00:21:58,640 --> 00:22:02,920
Okay. 'Cause we'll need to
leave the chair outside. Thank you.
307
00:22:03,000 --> 00:22:05,520
Where's April? April?
308
00:22:05,600 --> 00:22:10,240
Can you take that chair, please?
Thank you.
Yes, Robert.
309
00:22:10,320 --> 00:22:13,480
I'll need to take your, um--
your mask and your robe too.
310
00:22:20,080 --> 00:22:24,520
You might wanna block your ears
for this, it's quite loud.
311
00:22:34,640 --> 00:22:36,720
Something's made him
immuno-compromised.
312
00:22:36,800 --> 00:22:41,120
His white blood cell count is down,
which means his body
can't fight off infections.
313
00:22:41,200 --> 00:22:45,320
If he gets sick, he'll die.
Sick? How sick?
314
00:22:45,400 --> 00:22:47,960
If he gets a cold, he'll die.
315
00:22:57,840 --> 00:23:03,400
Okay. I'm gonna push the needle
into your hip bone
and take some of the marrow.
316
00:23:05,840 --> 00:23:07,680
That's not so bad.
317
00:23:07,760 --> 00:23:12,000
Uh-uh. That was just the anesthetic.
318
00:23:12,080 --> 00:23:16,520
The core biopsy needle,
it's a bit bigger.
319
00:23:16,600 --> 00:23:21,560
Hey, man. Take a deep breath.
This-This is gonna hurt... a lot.
320
00:23:26,880 --> 00:23:30,080
Your marrow makes the blood cells.
321
00:23:31,840 --> 00:23:34,120
We take a peek at it
under a microscope,
322
00:23:34,160 --> 00:23:38,000
and maybe we find a viral infection.
323
00:23:38,080 --> 00:23:40,000
Maybe we find some fibrosis.
324
00:23:40,080 --> 00:23:43,920
Something to explain why
your blood count is so low.
325
00:23:44,880 --> 00:23:46,760
There we go.
326
00:23:48,200 --> 00:23:50,320
One step closer to an answer.
327
00:23:50,400 --> 00:23:53,280
If you don't find one,
328
00:23:55,080 --> 00:23:57,520
I can't stay here forever.
329
00:24:05,520 --> 00:24:08,440
- The patient could've died.
- The one with the pulled muscle?
330
00:24:08,520 --> 00:24:13,160
Those symptoms are consistent
with a dozen other conditions.
331
00:24:13,200 --> 00:24:16,000
I'm entitled to a consult.
- You are not getting out of clinic duty.
332
00:24:16,080 --> 00:24:20,520
Come on. You got a hundred other
idiot doctors in this building who go...
333
00:24:20,560 --> 00:24:24,120
all warm and fuzzy every time
they pull a toy car out of a nose--
you don't need me here.
334
00:24:24,200 --> 00:24:27,240
No, I don't. But working with people
actually makes you a better doctor.
335
00:24:27,280 --> 00:24:30,280
When did I sign up for that course?
When did I give you
the impression that I care?
336
00:24:31,560 --> 00:24:35,080
Working in this clinic obviously instills
a deep sense of compassion.
337
00:24:35,120 --> 00:24:39,440
I've got your home number, right?
In case anything comes up at 3:00
in the morning.
338
00:24:39,520 --> 00:24:42,040
It's not gonna work.
You know why?
339
00:24:42,120 --> 00:24:44,480
Because this is fun.
340
00:24:44,560 --> 00:24:48,320
You think of something to make
me miserable. I think of something
to make you miserable--
341
00:24:48,400 --> 00:24:52,840
It's a game, and I'm gonna win
because I got a head start.
You are already miserable.
342
00:24:56,680 --> 00:24:58,480
Uh--
Is this important?
343
00:24:58,560 --> 00:25:00,400
Uh, no.
Good.
344
00:25:02,320 --> 00:25:04,200
What's with you and her?
Don't.
345
00:25:04,240 --> 00:25:06,320
You have a thing for her?
The only people who can get to you--
346
00:25:06,400 --> 00:25:08,480
No. There is not a thin line
between love and hate.
347
00:25:08,560 --> 00:25:13,480
There is, in fact, a Great Wall of China,
with armed sentries posted every 20 feet
between love and hate.
348
00:25:13,560 --> 00:25:15,800
Thirty-six Vicodin.
Who's the patient?
349
00:25:15,880 --> 00:25:17,640
I am.
You can't--
350
00:25:17,680 --> 00:25:20,080
Dr. Wilson is
the prescribing physician.
Yeah.
351
00:25:20,160 --> 00:25:24,160
You will lie, cheat and steal
to get what you want, but you're
incapable of kissing a little ass?
352
00:25:24,240 --> 00:25:26,080
We all have our limitations.
353
00:25:26,160 --> 00:25:30,200
House?
Wrong bottle. Do me a favor.
354
00:25:30,280 --> 00:25:35,040
Take one of these,
wait five minutes for it to kick in,
then find Cuddy and kiss her ass.
355
00:25:36,680 --> 00:25:39,520
What was the kid's first symptom?
356
00:25:39,600 --> 00:25:42,960
You did the history.
Of his 800 symptoms,
which one hit him first?
357
00:25:43,040 --> 00:25:44,880
Uh, the cough.
358
00:27:08,080 --> 00:27:09,960
Gout.
359
00:27:15,560 --> 00:27:18,080
Um, are we talking about Brandon?
Gout?
360
00:27:18,160 --> 00:27:20,000
Uric acid crystals in the joints?
361
00:27:20,080 --> 00:27:25,680
The symptoms are pain,
swelling, redness, stiffness.
Not one of which do I see on that board.
362
00:27:25,760 --> 00:27:27,960
Because he doesn't have gout.
363
00:27:30,200 --> 00:27:32,440
Every day, cells die.
364
00:27:35,320 --> 00:27:38,640
We survive because the remaining cells
divide and replace the losses.
365
00:27:40,080 --> 00:27:45,520
The colchicine, a gout medicine,
blocks mitosis and stops cell division,
366
00:27:46,640 --> 00:27:49,920
which will result in
abdominal pain, rash,
367
00:27:50,000 --> 00:27:54,440
nausea, fever, kidney failure,
low blood pressure...
368
00:27:54,520 --> 00:27:56,480
and will also mess with the bone marrow.
369
00:27:56,560 --> 00:27:58,600
But he doesn't have gout.
Why would he have gout medication?
370
00:27:58,680 --> 00:28:02,000
Because you guys were right.
He didn't have two conditions
at the exact same time.
371
00:28:02,080 --> 00:28:05,400
First, he got a cough.
And because he's an idiot,
he went to a doctor.
372
00:28:05,480 --> 00:28:09,280
In order to justify charging $200,
that doctor felt
he should actually do something.
373
00:28:09,360 --> 00:28:11,880
Oops. He wrote a prescription.
374
00:28:11,960 --> 00:28:15,640
Seven thousand people die each year
from pharmacy screwups.
375
00:28:15,720 --> 00:28:17,560
Not nearly as many as die
from doctor screwups,
376
00:28:17,640 --> 00:28:20,160
but still, not something
they use in their promotional materials.
377
00:28:20,240 --> 00:28:23,560
The pharmacist gave him
gout medicine instead of cough medicine.
378
00:28:23,640 --> 00:28:25,720
And the only thing it wouldn't do,
379
00:28:25,800 --> 00:28:29,600
it would do absolutely nothing
to relieve his cough.
380
00:28:29,680 --> 00:28:31,640
Occam's Razor--
381
00:28:31,720 --> 00:28:35,360
the simplest explanation is
almost always that somebody screwed up.
382
00:28:35,440 --> 00:28:39,240
But once he checked into this hospital,
he was completely in our control.
383
00:28:39,320 --> 00:28:41,400
Our food, our pills, our everything.
384
00:28:41,480 --> 00:28:44,040
So even if you're right,
no more gout medication.
385
00:28:44,080 --> 00:28:46,960
He'd either continue to deteriorate,
or he would've gotten better.
386
00:28:47,040 --> 00:28:49,760
But he got better,
and then he got worse.
387
00:28:49,840 --> 00:28:52,200
It doesn't fit.
It doesn't make sense.
388
00:28:52,240 --> 00:28:55,120
Okay. Two people screwed up.
389
00:28:55,200 --> 00:28:57,600
Not as simple as one, but--
390
00:29:06,760 --> 00:29:09,320
He's resting. He's--
I'm Dr. House.
391
00:29:09,360 --> 00:29:13,200
I'm your son's physician.
Oh. You're the one
we haven't met yet.
392
00:29:13,280 --> 00:29:17,520
You're the one he hasn't met.
How can you treat someone
without meeting them?
393
00:29:17,560 --> 00:29:20,600
It's easy if you don't
give a crap about him.
394
00:29:20,680 --> 00:29:23,040
That's a good thing.
395
00:29:23,120 --> 00:29:27,360
If emotions made you act rationally, well,
they wouldn't be called emotions, right?
396
00:29:27,440 --> 00:29:31,080
That's why we have
this nice division of labor.
You hold his hand, I get him better.
397
00:29:31,160 --> 00:29:33,720
If I start tucking him in at night,
well, that's not fair to you guys.
398
00:29:33,800 --> 00:29:36,120
And if you start prescribing medicine,
well, that's not fair to me.
399
00:29:36,200 --> 00:29:39,760
So, what I wanna know is,
who stepped on my side of the net?
400
00:29:39,840 --> 00:29:44,520
Who cared enough
to get stupid enough
to give him his cough medicine?
401
00:29:44,560 --> 00:29:46,440
When we checked in, Dr. Foreman--
402
00:29:46,480 --> 00:29:50,320
Tuesday, he's getting better.
Wednesday, he's getting sick again.
403
00:29:50,400 --> 00:29:53,960
Somebody gave him
his cough medicine Wednesday.
404
00:29:57,680 --> 00:30:00,560
Come on. Nobody's gonna be mad.
405
00:30:00,640 --> 00:30:04,000
I just wanna know
who tried to kill the kid.
406
00:30:08,320 --> 00:30:12,120
- Dr. House, maybe we should--
- His throat was sore.
407
00:30:15,000 --> 00:30:18,200
Page Dr. Occam.
He's gonna wanna hear about this.
I'm sorry.
408
00:30:18,280 --> 00:30:22,280
He was coughing,
and I just wanted to help him--
Aren't you a dear.
409
00:30:22,320 --> 00:30:26,040
Where are the pills?
He took the last of'em before
he was switched into that room.
410
00:30:26,120 --> 00:30:27,720
They're all gone?
It was just cough medicine.
411
00:30:27,760 --> 00:30:30,280
No, it wasn't.
Where's the bottle?
412
00:30:38,320 --> 00:30:40,880
We need to know
exactly what you put in this bottle.
413
00:30:40,960 --> 00:30:42,800
We think it was colchicine,
a gout medication.
414
00:30:42,880 --> 00:30:45,760
If the prescription said cough medicine,
that's what I dispensed.
415
00:30:45,840 --> 00:30:47,880
The family is prepared
to waive liability, all right?
416
00:30:47,960 --> 00:30:51,960
We just need to know what it was,
what dosage it was--
It was cough medicine.
417
00:30:52,040 --> 00:30:54,400
Refill it.
418
00:30:56,280 --> 00:30:59,960
He's gonna be okay.
You don't know that.
419
00:31:01,800 --> 00:31:05,120
Does Brandon like
that quality in you?
420
00:31:05,200 --> 00:31:07,280
You're a little negative.
421
00:31:09,040 --> 00:31:13,240
Things don't always
work out for the best.
Doesn't hurt to hope they do.
422
00:31:13,320 --> 00:31:17,960
No. Not unless that makes you figure
you can do whatever you want,
like give people cough medicine.
423
00:31:19,320 --> 00:31:23,600
This is cough medication.
This is what Brandon
was supposed to get.
424
00:31:23,680 --> 00:31:26,280
They're small, round and yellow.
425
00:31:26,320 --> 00:31:30,480
Can you tell this man what
the pills in your son's medicine bottle
actually looked like?
426
00:31:32,720 --> 00:31:35,240
They were small, round and yellow,
exactly like this.
427
00:31:35,280 --> 00:31:37,360
Those were the pills
that Brandon was taking.
428
00:31:37,440 --> 00:31:42,320
Hey, I'm just a pharmacist,
but I know what
cough medicine looks like, Doctor.
429
00:31:46,320 --> 00:31:49,520
It was so perfect.
It was beautiful.
430
00:31:49,600 --> 00:31:52,640
Beauty often seduces us
on the road to truth.
431
00:31:54,240 --> 00:31:56,960
And triteness kicks us in the nads.
432
00:31:57,040 --> 00:32:00,040
So true.
This doesn't bother you?
433
00:32:00,120 --> 00:32:03,320
That you were wrong?
I try to work through the pain.
434
00:32:03,400 --> 00:32:08,160
I was not wrong.
Everything I said was true.
It fit. It was elegant.
435
00:32:08,240 --> 00:32:13,680
- So, reality was wrong?
- Reality's almost always wrong.
436
00:32:19,440 --> 00:32:22,480
The cough medicine did something.
437
00:32:22,560 --> 00:32:25,160
Aggravated the condition.
438
00:32:26,240 --> 00:32:28,160
It's all over the place.
Must be in his blood.
439
00:32:28,240 --> 00:32:30,840
- What if it is his blood?
- Lymphoma?
440
00:32:30,920 --> 00:32:33,160
Unless you've got something better.
441
00:32:33,200 --> 00:32:36,560
We foolishly ruled out lymphoma because
his C.T. scan showed no adenopathy,
442
00:32:36,640 --> 00:32:41,160
C.B.C. showed a normal differen-smear,
bone marrow showed no--
Screw the tests.
443
00:32:41,200 --> 00:32:44,000
Do an exploratory laparotomy
and find out what's in there.
444
00:32:44,080 --> 00:32:48,560
He has no blood pressure,
no immune system and no kidneys.
Surgery will kill him.
445
00:32:48,640 --> 00:32:52,480
Yeah, you're right.
Let's stick with the wrong pill theory.
446
00:32:56,360 --> 00:32:59,560
I'll schedule him for surgery.
447
00:33:03,400 --> 00:33:06,440
Okay, Brandon, we're running this tube
through your heart....
448
00:33:06,480 --> 00:33:09,480
and into the pulmonary arteries
in your lungs.
449
00:33:09,520 --> 00:33:12,840
The sensors will give us
information we need for the exploratory
surgery later this afternoon.
450
00:33:17,200 --> 00:33:19,880
- My fingers are numb.
- Try not to move.
451
00:33:19,960 --> 00:33:25,000
We're in the right atrium,
trying to catch the flow
through the tricuspid valve.
452
00:33:25,080 --> 00:33:27,680
I think the catheter's curling
in the atrium.
453
00:33:27,760 --> 00:33:32,000
Got it. We're in the R.V. now.
454
00:33:32,080 --> 00:33:34,600
Ectopy.
455
00:33:34,680 --> 00:33:37,960
- You must've irritated the heart wall.
- It'll calm down.
456
00:33:38,000 --> 00:33:40,720
- He can't tolerate any cardiac arrhythmia.
Pull back.
- He needs the surgery.
457
00:33:51,000 --> 00:33:55,320
Pressure's dropped.
458
00:33:55,400 --> 00:33:57,840
- You still with us, Brandon?
- Get the curtains.
459
00:33:57,920 --> 00:34:00,400
V.F.
460
00:34:08,440 --> 00:34:12,560
Charging. Clear.
461
00:34:15,280 --> 00:34:18,800
Sinus rhythm.
462
00:34:20,280 --> 00:34:22,400
I got a pulse.
463
00:34:24,720 --> 00:34:27,400
Yeah, but no surgery today.
464
00:34:33,840 --> 00:34:37,200
- How're you doing?
- Okay.
465
00:34:37,280 --> 00:34:39,520
Great. I'm doing good too.
466
00:34:39,600 --> 00:34:42,760
I get to knock off an hour early today.
You know why?
467
00:34:42,840 --> 00:34:46,440
Because I kissed my boss's ass.
Do you ever do that?
468
00:34:46,520 --> 00:34:49,080
I think she just said yes 'cause
she wants to reinforce that behavior.
469
00:34:49,160 --> 00:34:52,680
Wants me to kiss a lot of
other people's ass,
like she wants me to kiss yours.
470
00:34:52,720 --> 00:34:56,720
What would you want?
A doctor who holds your hand
while you die,
471
00:34:56,800 --> 00:34:59,120
or a doctor who ignores you
while you get better?
472
00:34:59,200 --> 00:35:02,960
I guess it would particularly suck
to have a doctor
who ignores you while you die.
473
00:35:04,240 --> 00:35:06,800
- I should go.
- You think it's gonna come out on its own?
474
00:35:11,600 --> 00:35:15,200
Are we talking
bigger than a breadbasket?
475
00:35:15,280 --> 00:35:18,000
Because, actually,
it will come out on its own.
476
00:35:18,080 --> 00:35:22,880
Which for small stuff is no problem.
It's wrapped up in a nice,
soft package, and plop.
477
00:35:22,960 --> 00:35:24,680
Big stuff, you're gonna rip something,
478
00:35:24,760 --> 00:35:27,360
which, speaking medically,
is when the fun stops.
How did you--
479
00:35:27,440 --> 00:35:31,280
You've been here half an hour,
you haven't sat down.
That tells me its location.
480
00:35:31,360 --> 00:35:34,400
You haven't told me what it is.
That tells me it's humiliating.
481
00:35:34,480 --> 00:35:38,160
You have a little birdie carved on
your arm. That tells me you have
a high tolerance for humiliation.
482
00:35:38,240 --> 00:35:41,480
So I figure it's not hemorrhoids.
483
00:35:44,640 --> 00:35:46,880
I've been a doctor 20 years.
You're not gonna surprise me.
484
00:35:48,720 --> 00:35:51,920
It's an MP3 player.
485
00:35:57,640 --> 00:35:59,720
Mm.
486
00:35:59,760 --> 00:36:05,360
Is it-- Is it because of the size,
or the shape,
487
00:36:05,440 --> 00:36:08,040
or is it the pounding bass line?
488
00:36:08,120 --> 00:36:10,720
What are we gonna do?
489
00:36:13,840 --> 00:36:16,160
- I'm gonna wait.
- For what?
490
00:36:18,240 --> 00:36:20,320
Okay. It's 3:00. I'm off.
491
00:36:20,400 --> 00:36:23,560
Would you tell Dr. Cuddy
there's a patient in Exam Room Two
needs her attention?
492
00:36:23,640 --> 00:36:26,680
And the R.I.A.A. wants her to check
for illegal downloads.
493
00:36:27,920 --> 00:36:30,280
Brandon's not ready for surgery.
Okay.
494
00:36:30,360 --> 00:36:34,360
Let's leave it a couple of weeks.
He should be feeling better by then.
Oh, wait. Which way does time go?
495
00:36:34,440 --> 00:36:37,640
He crashed during prep.
He's also experiencing
pain in his fingers.
496
00:36:37,680 --> 00:36:39,600
Think some bug
may have gotten in the clean room.
497
00:36:39,680 --> 00:36:44,000
I think we should double his dosage
of G-CSF to temporarily boost
his white blood cell count.
498
00:36:44,080 --> 00:36:47,840
Pain in his fingers. Right.
499
00:36:55,600 --> 00:36:58,000
Hi again.
He can't--
500
00:36:58,040 --> 00:37:00,920
Where's he going?
501
00:37:02,000 --> 00:37:04,040
Hey. How you all doing?
502
00:37:04,120 --> 00:37:08,400
Interesting fact. Every seven years,
it's a whole new you.
Inspiring metaphor, huh?
503
00:37:08,480 --> 00:37:12,000
Dr. House,
this is a clean room.
Yeah. I read the sign.
504
00:37:12,080 --> 00:37:16,560
But cells of different organs
reproduce at different rates.
505
00:37:16,640 --> 00:37:20,000
- So, you get a new kidney
every three years.
506
00:37:20,080 --> 00:37:22,280
Get a new stomach lining every week.
507
00:37:22,360 --> 00:37:26,440
This is why colchicine poisoning
causes all these symptoms,
but not all at once.
508
00:37:26,480 --> 00:37:28,880
But we went to the pharmacy.
We saw the pills.
509
00:37:28,960 --> 00:37:31,840
Colchicine does its damage
in a very specific order.
510
00:37:31,920 --> 00:37:36,000
First of all, there's the pain in
the abdomen, the rash, the fever.
Isn't that what you got first?
511
00:37:36,080 --> 00:37:40,320
Then the kidneys go,
which is exactly what happened to--
512
00:37:40,400 --> 00:37:42,240
- Brandon.
- Right.
513
00:37:42,320 --> 00:37:47,120
Then it screws up your bone marrow,
and then neuropathy.
514
00:37:47,200 --> 00:37:50,560
A painful tingling
in the fingers and toes.
515
00:37:50,640 --> 00:37:53,120
And what do you suppose
happens after that?
516
00:37:56,960 --> 00:38:00,640
Hair loss. The bad news is...
517
00:38:00,720 --> 00:38:04,000
your special boy is doing drugs.
No, he's not.
518
00:38:04,080 --> 00:38:06,440
Ecstasy?
No.
519
00:38:06,480 --> 00:38:11,280
- Twice with Dan and Mike.
- You know what they cut that stuff with?
520
00:38:11,360 --> 00:38:15,680
Apparently, colchicine.
Unless you ingested the colchicine
through your contact lens solution,
521
00:38:15,760 --> 00:38:18,320
or skin cream
or some other drug you're lying about.
522
00:38:18,400 --> 00:38:23,080
I don't know how it happened.
I don't care how it happened.
It happened. Start, uh--
523
00:38:23,120 --> 00:38:26,480
- Brandon.
- Lovely name.
524
00:38:26,560 --> 00:38:30,560
Start Brandon on FAB fragments,
and get him some Tylenol
for the hair I pulled out.
525
00:38:30,640 --> 00:38:32,680
And get some air in here.
526
00:38:34,400 --> 00:38:36,960
Make a note.
I should never doubt myself.
527
00:38:37,040 --> 00:38:40,520
I think you'll remember.
You know, it wouldn't hurt you
to be wrong every now and then.
528
00:38:40,600 --> 00:38:42,880
What, you don't care about
these people?
529
00:38:46,840 --> 00:38:51,000
The colchicine interferes with
the ability of the heart muscle
to contract,
530
00:38:51,080 --> 00:38:53,800
pumping blood,
lowering your blood pressure.
531
00:38:56,040 --> 00:39:00,320
The antibodies we're giving you
should neutralize the colchicine,
532
00:39:01,960 --> 00:39:04,640
allowing your heart
to beat at its normal rate.
533
00:39:05,600 --> 00:39:08,800
When will you know?
534
00:39:08,880 --> 00:39:10,720
We know now.
535
00:39:12,000 --> 00:39:14,560
Thank God.
536
00:39:14,640 --> 00:39:16,480
Mmm.
537
00:39:35,760 --> 00:39:39,520
Big weekend?
It's not for me.
I'm fully stocked.
538
00:39:39,600 --> 00:39:43,840
- Cuddy got you doing inventory?
- Nope. Trying to solve that kid's case.
539
00:39:43,920 --> 00:39:46,480
The gout medicine O.D.?
Yeah.
540
00:39:46,560 --> 00:39:49,800
The fact that I know it's a gout
medicine O.D. would indicate
the case is already solved.
541
00:39:49,880 --> 00:39:51,760
Well, you'd be wrong.
542
00:39:51,800 --> 00:39:56,440
What about the fact that
the kid is now-- I believe
the technical term is-- "not sick"?
543
00:39:56,520 --> 00:39:58,760
You know how many forms
of colchicine there are on the market?
544
00:39:58,800 --> 00:40:01,200
- Stop it.
- Neither do I. But it's a lot.
545
00:40:01,240 --> 00:40:04,320
Pills, powders, liquids, I. V. fluids.
546
00:40:04,400 --> 00:40:08,360
Somewhere at a party, in his coffee,
up his nose, in his ear, this kid had some.
547
00:40:08,440 --> 00:40:10,280
You're not happy with
your Ecstasy theory?
548
00:40:10,320 --> 00:40:12,560
- He said he used it twice.
- People lie.
549
00:40:12,640 --> 00:40:14,760
- If you're gonna lie, it's--
- You know what? I'm not interested.
550
00:40:14,800 --> 00:40:18,920
- Not curious?
- No. Because I'm well-adjusted.
551
00:40:18,960 --> 00:40:21,640
Right.
552
00:40:23,600 --> 00:40:26,760
Temperature's normal.
I want cousin Sharon there.
553
00:40:26,800 --> 00:40:28,960
If we invite Sharon,
we have to invite all the cousins.
554
00:40:29,040 --> 00:40:32,080
So what? My side of the family
doesn't need anything.
555
00:40:36,400 --> 00:40:39,720
I don't suppose I could have
some of those cough pills, huh?
They're okay, right?
556
00:40:39,800 --> 00:40:42,160
- Yes. You're doing great.
- You should invite Dr. House.
557
00:40:42,240 --> 00:40:45,000
- Will he come?
- No. But he'll send a gift.
558
00:40:45,040 --> 00:40:47,440
I'll make sure it's a good one.
559
00:40:47,520 --> 00:40:51,040
There's a letter
on the back of these pills.
560
00:40:52,080 --> 00:40:54,240
Your old pills
didn't have a letter on them?
561
00:40:54,320 --> 00:40:57,480
No. Round and yellow,
but no letter.
562
00:41:04,200 --> 00:41:07,280
Well, these will help your cough.
563
00:41:10,800 --> 00:41:12,880
Hey, you wanna go get some--
No.
51988
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