1 00:00:03,171 --> 00:00:04,797 It's all about the tongue, man. 2 00:00:04,922 --> 00:00:07,091 You stick it in their mouth, 3 00:00:08,676 --> 00:00:10,595 but not all the way. 4 00:00:10,720 --> 00:00:11,971 They like that? 5 00:00:12,096 --> 00:00:13,639 Dude, they love it. 6 00:00:15,391 --> 00:00:16,726 What are you doing? 7 00:00:16,851 --> 00:00:18,102 Climbing. 8 00:00:21,022 --> 00:00:22,857 Just deep enough to lick her teeth, 9 00:00:22,982 --> 00:00:25,985 slow, one at a time, like you're painting them. 10 00:00:27,028 --> 00:00:29,447 This girl Rachel, she's a junior. 11 00:00:29,572 --> 00:00:30,948 She's experienced. 12 00:00:31,073 --> 00:00:32,909 Mom says I gotta be home by 5:00. 13 00:00:33,034 --> 00:00:36,996 Just chill, okay? And hop the fence before someone sees you. 14 00:00:44,170 --> 00:00:45,338 Are you sure this is okay? 15 00:00:45,463 --> 00:00:47,006 Dave's mom's a realtor. 16 00:00:47,131 --> 00:00:49,717 If it's for sale and empty, it's a clubhouse. 17 00:00:49,842 --> 00:00:52,386 And if you say anything, you're dead. 18 00:00:53,971 --> 00:00:55,890 I told them you were cool. 19 00:00:56,015 --> 00:00:57,892 These are very serious dudes. 20 00:01:01,270 --> 00:01:02,688 Come on. 21 00:01:03,940 --> 00:01:06,776 Cub scout meeting's down the street, boys. 22 00:01:10,571 --> 00:01:11,906 - What a loser. - Lame. 23 00:01:12,031 --> 00:01:14,533 Tommy: Gabe's cool, man. He's one of us. 24 00:01:14,659 --> 00:01:15,993 Dave: He better be. 25 00:01:21,082 --> 00:01:22,833 I'm not thirsty. 26 00:01:24,961 --> 00:01:25,961 What's this? 27 00:01:26,045 --> 00:01:27,380 Dave: Club business, little man. 28 00:01:27,505 --> 00:01:28,798 What shall we ask? 29 00:01:28,923 --> 00:01:30,091 Put your hands on. 30 00:01:32,927 --> 00:01:37,682 0 dark spirit, will any of us die in the year to come? 31 00:01:42,895 --> 00:01:43,729 You're moving it. 32 00:01:43,854 --> 00:01:45,564 Put your hands back. 33 00:01:47,066 --> 00:01:48,234 Now. 34 00:01:54,031 --> 00:01:56,033 Who among us will die? 35 00:02:12,091 --> 00:02:13,467 Oh, man. 36 00:02:23,853 --> 00:02:25,271 Tommy: "Gabe." 37 00:02:25,396 --> 00:02:26,814 Dave: That blows. 38 00:02:34,071 --> 00:02:36,866 That's it. We're going to the hospital. 39 00:02:36,991 --> 00:02:39,493 No, mom. I'm too tired. 40 00:02:39,618 --> 00:02:42,747 Come on, sweetie. You've had a fever for almost a week now. 41 00:02:50,671 --> 00:02:51,714 Oh, my god. 42 00:02:51,839 --> 00:02:54,800 0h, Gabe. Are you okay? 43 00:02:54,925 --> 00:02:58,095 Are you okay? Baby, what's wrong? 44 00:03:01,265 --> 00:03:02,808 I'm dying. 45 00:03:50,564 --> 00:03:53,818 12-year-old male. Spiking fever, congested chest, 46 00:03:53,943 --> 00:03:56,362 coughing up green sputum, pain in breathing. 47 00:03:56,487 --> 00:03:58,906 Baffling, though I vaguely recall a disease 48 00:03:59,031 --> 00:04:01,450 called "meunomia"? "Pneumania"? 49 00:04:01,575 --> 00:04:05,162 But his chest X-ray and ct scan show an atypical pattern for pneumonia. 50 00:04:05,287 --> 00:04:06,956 Pneumonia! That's it. 51 00:04:07,081 --> 00:04:10,042 Just a guess here, but his parents big donors? 52 00:04:10,167 --> 00:04:13,462 No infiltrate, just enlarged hilar lymph nodes. 53 00:04:13,587 --> 00:04:16,966 Tiny unicorns goring his bronchial tubes would be cooler, 54 00:04:17,091 --> 00:04:19,009 and the way you're ignoring the question, 55 00:04:19,135 --> 00:04:21,720 wow, they're extremely big donors. 56 00:04:21,846 --> 00:04:23,806 He's not responding to cefuroxime, 57 00:04:23,931 --> 00:04:27,268 his pulse ox is dropping much faster than it should for pneumonia, 58 00:04:27,393 --> 00:04:28,978 and plus he's got an odd little rash. 59 00:04:29,103 --> 00:04:29,979 Excessive irritation. 60 00:04:30,104 --> 00:04:32,523 - He's 12. He's on auto-stroke. - On his arm. 61 00:04:32,648 --> 00:04:36,068 Papular lesion, one centimeter, on top of a long, thin scab. 62 00:04:36,193 --> 00:04:39,113 Ah. You need a dermatologist. 63 00:04:39,238 --> 00:04:41,365 If it's dry, keep it wet. If it's wet, keep it dry. 64 00:04:41,490 --> 00:04:43,218 If it's not supposed to be there, cut it off. 65 00:04:43,242 --> 00:04:44,785 I never could master all that. 66 00:04:44,910 --> 00:04:46,370 There you are. 67 00:04:47,246 --> 00:04:48,831 Were you scared? 68 00:04:48,956 --> 00:04:50,416 It's okay. You're home now. 69 00:04:51,542 --> 00:04:53,419 Fine. 70 00:04:53,544 --> 00:04:54,879 Cuddy. 71 00:04:57,590 --> 00:04:58,841 As a special favor to you... 72 00:04:58,966 --> 00:05:02,344 No. Admit it. I got you with the rash. 73 00:05:02,470 --> 00:05:07,558 The rash is a total snooze, unless it's connected to the pneumonia, 74 00:05:09,602 --> 00:05:11,395 then it's party time. 75 00:05:15,191 --> 00:05:18,694 Purulent sputum, dyspnea, rhonchi bilaterally. 76 00:05:18,819 --> 00:05:20,988 What kind of pneumonia causes this kind of rash? 77 00:05:21,113 --> 00:05:22,113 Legionnaire's disease. 78 00:05:22,156 --> 00:05:23,991 Usually means industrial ventilation systems, 79 00:05:24,116 --> 00:05:25,743 convention centers. He's 12 years old. 80 00:05:25,868 --> 00:05:29,330 Send off a urine antigen and check if he's joined the elks. Next? 81 00:05:29,455 --> 00:05:30,748 - Fungal. - Excellent. 82 00:05:30,873 --> 00:05:32,500 Maybe the lodge went spelunking. 83 00:05:32,625 --> 00:05:33,792 Chlamydia pneumonia. 84 00:05:33,918 --> 00:05:35,961 12-year-olds don't have sex. 85 00:05:36,086 --> 00:05:37,713 Their mistake. 86 00:05:39,006 --> 00:05:41,550 That's it? Other possibilities? 87 00:05:41,675 --> 00:05:43,469 What if we're thinking about this backwards? 88 00:05:43,594 --> 00:05:47,097 The rash came first, caused the pneumonia. Nice. 89 00:05:47,223 --> 00:05:48,891 Rickettsial. Tick bite. 90 00:05:49,016 --> 00:05:51,894 Nymphal ticks are out now. They're bloodthirsty little bastards. 91 00:05:52,019 --> 00:05:53,604 Rash would be more pustular. 92 00:05:53,729 --> 00:05:55,689 Not always, and there's only one rash, which fits. 93 00:05:55,773 --> 00:05:57,483 New Jersey, it's most likely lyme disease. 94 00:05:57,608 --> 00:05:59,985 All right. Let's keep him on fluids 95 00:06:00,110 --> 00:06:02,238 and the cefuroxime to be safe. 96 00:06:02,363 --> 00:06:04,198 Biopsy that rash. 97 00:06:05,157 --> 00:06:08,244 And take another history. Even if we don't learn what's causing this, 98 00:06:08,369 --> 00:06:12,748 we definitely need to know if 12-year-olds are getting any action. 99 00:06:15,751 --> 00:06:17,127 What are you doing now? 100 00:06:17,253 --> 00:06:18,773 We're collecting fluids from the rash. 101 00:06:18,879 --> 00:06:19,879 Why? 102 00:06:19,964 --> 00:06:21,066 They know what they're doing, Jeffrey. 103 00:06:21,090 --> 00:06:24,718 Great endorsement coming from the woman who thought it was a nasty cold. 104 00:06:24,843 --> 00:06:26,053 If I had had him last week... 105 00:06:26,178 --> 00:06:27,888 This isn't helping. 106 00:06:29,848 --> 00:06:32,309 We're checking to see if your son has a tick bite. 107 00:06:32,434 --> 00:06:35,020 Gabe, have you been camping recently, 108 00:06:35,145 --> 00:06:37,690 playing sports outside, anything like that? 109 00:06:37,815 --> 00:06:39,066 I'm not that good at sports. 110 00:06:39,191 --> 00:06:41,026 No hanging out anywhere new, strange places? 111 00:06:41,151 --> 00:06:42,027 Jeffrey: We've been through this. 112 00:06:42,152 --> 00:06:45,281 We don't let him run wild through the neighborhood, right? 113 00:06:48,075 --> 00:06:51,370 Okay. This might be a bit delicate. 114 00:06:53,372 --> 00:06:55,541 We need to know if you're sexually active. 115 00:06:55,666 --> 00:06:56,667 I beg your pardon? 116 00:06:56,792 --> 00:06:57,832 Mr. Reilich, we need to... 117 00:07:01,171 --> 00:07:02,923 Nothing like that. 118 00:07:05,593 --> 00:07:08,721 We've gotta get another ct scan, check his lungs again. 119 00:07:08,846 --> 00:07:10,782 - Third floor, right? - Yeah, radiology is just... 120 00:07:10,806 --> 00:07:13,517 Sorry, medical personnel only. 121 00:07:16,895 --> 00:07:18,105 Where's the machine? 122 00:07:18,230 --> 00:07:20,024 Well, we passed it, actually. 123 00:07:20,149 --> 00:07:21,734 A little tension in the room back there. 124 00:07:21,859 --> 00:07:23,485 Thought you could use a break. 125 00:07:23,611 --> 00:07:26,322 Your dad's a pretty high-powered guy. 126 00:07:26,447 --> 00:07:30,200 Yeah. He was an air force test pilot. 127 00:07:30,326 --> 00:07:32,036 Real "top gun" stuff. 128 00:07:32,494 --> 00:07:34,079 Flew mach 3. 129 00:07:34,705 --> 00:07:36,457 Hard to deal with sometimes? 130 00:07:36,582 --> 00:07:38,584 Guess I'm more like my mom. 131 00:07:38,709 --> 00:07:39,710 Listen. 132 00:07:41,170 --> 00:07:44,673 I promise to keep my mouth shut, but I need to know. 133 00:07:44,798 --> 00:07:48,802 You definitely haven't had any sexual contact of any kind? 134 00:07:48,927 --> 00:07:50,220 I wish. 135 00:07:51,472 --> 00:07:52,973 You know what? 136 00:07:53,098 --> 00:07:56,352 Girls like the cool guys now, but give it a few years. 137 00:07:56,477 --> 00:07:58,896 They start liking the smart guys. 138 00:07:59,021 --> 00:08:00,814 You'll be all right. 139 00:08:04,360 --> 00:08:06,445 Can you keep a secret? 140 00:08:06,570 --> 00:08:08,781 I have to. It's my job. 141 00:08:11,742 --> 00:08:15,037 I'm cursed. I'm not kidding. 142 00:08:15,162 --> 00:08:17,873 This séance thing the kids did? 143 00:08:17,998 --> 00:08:19,708 It spelled out my name. 144 00:08:19,833 --> 00:08:21,835 Said I was gonna die. 145 00:08:21,960 --> 00:08:23,754 First name and last name? 146 00:08:23,879 --> 00:08:26,799 We've got a Gabe upstairs who's very old, very sick. 147 00:08:26,924 --> 00:08:30,761 No. It's me. I have the worst luck. 148 00:08:30,886 --> 00:08:33,847 One time I broke this mirror, 149 00:08:33,972 --> 00:08:37,142 the next week, my parents got separated. 150 00:08:37,267 --> 00:08:39,436 My parents split up, too. 151 00:08:39,561 --> 00:08:43,107 Every kid feels like it's his fault. It never is. 152 00:08:44,108 --> 00:08:46,402 So, what about the rest of the stuff? 153 00:08:46,527 --> 00:08:48,946 Any playing outside your parents don't know about? 154 00:08:49,071 --> 00:08:50,989 Anything like that? 155 00:08:51,990 --> 00:08:54,030 Maybe you were somewhere you weren't supposed to be? 156 00:08:54,076 --> 00:08:55,786 Man on pa: Triage nurse, pick up line 274. 157 00:08:55,911 --> 00:08:57,788 Oh, man. 158 00:08:57,913 --> 00:09:00,999 Gabe, it's important. 159 00:09:04,044 --> 00:09:07,047 A secret club. What's the secret? 160 00:09:07,172 --> 00:09:08,841 They're all morons? 161 00:09:08,966 --> 00:09:10,551 He fell on something in the attic, 162 00:09:10,676 --> 00:09:13,595 scraped his arm, got the rash the next day. 163 00:09:13,721 --> 00:09:15,973 Said it smelled really moldy up there. 164 00:09:16,098 --> 00:09:19,768 Fungal pneumonia without the cave. Clever. 165 00:09:19,893 --> 00:09:21,103 I'm gonna get a sample. 166 00:09:22,980 --> 00:09:27,943 Dr. Chase, you have a few moments? 167 00:09:30,112 --> 00:09:31,989 Sorry, I've gotta go. 168 00:09:35,617 --> 00:09:37,244 These young doctors. 169 00:09:37,369 --> 00:09:39,580 It's like they don't care about people. 170 00:09:39,705 --> 00:09:40,873 No manners. 171 00:09:40,998 --> 00:09:42,624 My fault, probably. 172 00:09:43,876 --> 00:09:48,589 That's an interesting accent you have there. I'd say Czech 173 00:09:48,714 --> 00:09:51,467 with about 30 years of aussie. 174 00:09:51,592 --> 00:09:53,469 You have quite an ear. 175 00:09:54,470 --> 00:09:56,180 You're chase's dad. 176 00:09:58,348 --> 00:10:00,058 Hard to miss, you know, the big hug 177 00:10:00,184 --> 00:10:02,603 and how happy he was to see you. 178 00:10:11,695 --> 00:10:13,572 - Need a consult. - With a patient. 179 00:10:13,697 --> 00:10:15,491 Urgent doctor stuff. 180 00:10:18,118 --> 00:10:21,997 Twenty-six-year-old male, sudden loss of the ability to speak. 181 00:10:22,122 --> 00:10:24,762 Just because you got out of clinic duty doesn't mean everybody did. 182 00:10:24,792 --> 00:10:25,793 To his father. 183 00:10:25,918 --> 00:10:27,461 Differential diagnosis? 184 00:10:27,586 --> 00:10:28,587 Chase? 185 00:10:29,129 --> 00:10:31,590 Dad swoops in, chase swoops out. 186 00:10:31,715 --> 00:10:32,966 Dad say why he was here? 187 00:10:33,091 --> 00:10:35,010 See? You asked. 188 00:10:35,135 --> 00:10:39,014 Dad comes 5,000 miles, you're more curious than junior is. 189 00:10:39,139 --> 00:10:40,682 Can't just be about the divorce. 190 00:10:40,808 --> 00:10:43,894 It's been 15 years, and mom's been dead for 10 of them. 191 00:10:44,019 --> 00:10:45,646 You think daddy murdered her? 192 00:10:45,771 --> 00:10:48,249 You want to get to the bottom of this, you're doing it exactly right. 193 00:10:48,273 --> 00:10:49,775 Don't talk to the people involved. 194 00:10:49,900 --> 00:10:51,002 Drag your buddy away from work 195 00:10:51,026 --> 00:10:52,778 for some pointless speculation. 196 00:10:52,903 --> 00:10:55,531 You want to know how two chemicals interact, do you ask them? 197 00:10:55,656 --> 00:10:59,409 No. They're gonna lie through their lying little chemical teeth. 198 00:10:59,535 --> 00:11:02,287 Throw them in a beaker and apply heat. 199 00:11:02,412 --> 00:11:04,706 Even I don't like you. 200 00:11:04,832 --> 00:11:07,000 You know, words can hurt. 201 00:11:21,765 --> 00:11:25,519 Whoa, whoa, whoa. Hold on, guys. I don't care that you're up here. 202 00:11:26,311 --> 00:11:27,729 You a cop? 203 00:11:27,855 --> 00:11:30,649 Doctor. I'm treating Gabe reilich. 204 00:11:30,774 --> 00:11:32,901 He said he fell over near some pipes? 205 00:11:33,026 --> 00:11:34,653 Yeah, over there. 206 00:11:35,988 --> 00:11:37,698 What, here? 207 00:11:37,823 --> 00:11:38,907 Yeah. 208 00:11:40,075 --> 00:11:42,661 Any of you guys been feeling sick lately? 209 00:11:42,786 --> 00:11:44,788 Rash, cold, anything? 210 00:11:44,913 --> 00:11:46,123 Both: No. 211 00:11:52,212 --> 00:11:53,380 Oh, crap. 212 00:11:54,047 --> 00:11:55,047 He is a cop! 213 00:11:55,132 --> 00:11:56,216 Damn it! 214 00:12:18,739 --> 00:12:21,783 He fell on it. Some weird kind of insulation. 215 00:12:21,909 --> 00:12:24,620 It's old. House was built in the '60s. 216 00:12:24,703 --> 00:12:26,121 What's it made of? 217 00:12:26,246 --> 00:12:28,665 Felt. Fibers of what, cotton? 218 00:12:33,003 --> 00:12:35,797 Sorry. Forgotten how funny your dad was. 219 00:12:35,923 --> 00:12:37,966 Not as funny as you. 220 00:12:38,091 --> 00:12:39,927 High praise. 221 00:12:40,052 --> 00:12:43,221 I know how protective kids can be of their parents. 222 00:12:48,143 --> 00:12:50,771 Not cotton. Animal hair. 223 00:12:53,523 --> 00:12:54,733 Get me the ct scan. 224 00:12:59,237 --> 00:13:03,241 First, find the name of the company that made the insulation, 225 00:13:03,367 --> 00:13:05,035 and second, tell me what I'm seeing 226 00:13:05,160 --> 00:13:08,080 that makes me want to short their stock. 227 00:13:08,872 --> 00:13:10,999 Foreman: Enlarged hilar lymph nodes. 228 00:13:11,124 --> 00:13:12,185 Cameron: Peribronchial thickening. 229 00:13:12,209 --> 00:13:13,251 Pleural effusions. 230 00:13:13,377 --> 00:13:15,712 Less obvious, more scary. 231 00:13:17,422 --> 00:13:19,758 Well, the mediastinum doesn't look right. 232 00:13:19,883 --> 00:13:21,176 Slightly widened. 233 00:13:22,469 --> 00:13:23,762 Oh, god. 234 00:13:24,888 --> 00:13:27,432 It can be transmitted through infected animal hair. 235 00:13:27,557 --> 00:13:28,660 But the gram's stain would have shown... 236 00:13:28,684 --> 00:13:30,036 No. The cefuroxime would have killed 237 00:13:30,060 --> 00:13:31,687 some of it, clouded the result. 238 00:13:31,770 --> 00:13:34,564 We've gotta get this kid on Levaquin. 239 00:13:36,650 --> 00:13:38,443 What does he have? 240 00:13:38,986 --> 00:13:43,448 Anthrax. This house belong to old man Hussein? 241 00:13:46,994 --> 00:13:48,745 Maybe he is cursed. 242 00:14:03,343 --> 00:14:04,678 Jeffrey: Anthrax. 243 00:14:04,803 --> 00:14:07,514 So what, you think there were terrorists in that attic? 244 00:14:07,639 --> 00:14:09,599 It's a naturally occurring bacteria. 245 00:14:09,725 --> 00:14:11,518 We believe it was in the insulation. 246 00:14:11,643 --> 00:14:12,644 How sick is he? 247 00:14:12,769 --> 00:14:15,897 Anthrax is very dangerous, but we've caught it early. 248 00:14:16,023 --> 00:14:18,316 He's on Levaquin. It's the best antibiotic we have. 249 00:14:18,442 --> 00:14:19,526 Lisa, you buy this? 250 00:14:19,651 --> 00:14:22,070 Jeff, you've helped our hospital a lot. 251 00:14:22,195 --> 00:14:24,035 I wouldn't have assigned Dr. House to your case 252 00:14:24,072 --> 00:14:25,591 if I didn't have every confidence in him. 253 00:14:25,615 --> 00:14:27,701 - Then who's this guy? - Jeffrey! 254 00:14:27,826 --> 00:14:29,804 There's all these weird diseases that can cause a rash. 255 00:14:29,828 --> 00:14:32,289 What about ieishmaniasis or filariasis? 256 00:14:32,414 --> 00:14:33,574 Where'd you hear about those? 257 00:14:33,623 --> 00:14:34,726 Internet. I did some research. 258 00:14:34,750 --> 00:14:36,543 Well, those are very rare conditions. 259 00:14:36,668 --> 00:14:38,545 And Anthrax grows along the interstate? 260 00:14:38,670 --> 00:14:40,881 Leishmaniasis doesn't cause pneumonia, and filariasis... 261 00:14:41,006 --> 00:14:42,174 Just look into everything. 262 00:14:42,299 --> 00:14:43,800 This is my son, all right? 263 00:14:43,925 --> 00:14:46,261 And I'm gonna stay on top of you until I know he's safe. 264 00:14:46,386 --> 00:14:48,847 I wouldn't expect anything else. 265 00:14:52,059 --> 00:14:53,852 Everyone's a doctor. 266 00:15:00,650 --> 00:15:02,152 Breathe, baby. It's okay. 267 00:15:02,277 --> 00:15:03,612 Breathe. I need you to breathe. 268 00:15:03,737 --> 00:15:05,465 - His breathing... - Foreman: It's on the inhale. 269 00:15:05,489 --> 00:15:06,490 What does that mean? 270 00:15:06,615 --> 00:15:08,200 It means his aiwvay's closing up. 271 00:15:08,325 --> 00:15:10,827 Is the Anthrax doing it? 272 00:15:10,952 --> 00:15:12,162 All right. Hold still, Gabe. 273 00:15:12,287 --> 00:15:15,290 This is gonna be a little uncomfortable. 274 00:15:23,256 --> 00:15:25,300 Cuddy: We've got you. It's okay. 275 00:15:27,135 --> 00:15:28,303 Nodules in his throat. 276 00:15:28,428 --> 00:15:29,513 Aiwvay's occluded? 277 00:15:29,638 --> 00:15:31,223 We've got to intubate. Ativan! 278 00:15:31,348 --> 00:15:32,891 Cuddy: Pushing 3 cc's. 279 00:15:43,819 --> 00:15:44,820 Aiwvay's too tight. 280 00:15:44,945 --> 00:15:46,947 What's wrong? What's wrong? No, you're killing him! 281 00:15:47,072 --> 00:15:48,698 Jeffrey! Let them do their job. 282 00:15:48,824 --> 00:15:50,176 Aiwvay's too tight. Get me a smaller tube. 283 00:15:50,200 --> 00:15:51,200 We're traching. 284 00:15:51,284 --> 00:15:52,577 Smaller tube. 285 00:15:58,291 --> 00:16:00,103 - His lips are cyanotic. - Oh, my god, he's not breathing. 286 00:16:00,127 --> 00:16:01,378 Foreman, we're traching. 287 00:16:01,503 --> 00:16:03,421 No. I can do it. I'll get it. 288 00:16:04,714 --> 00:16:06,067 Chase: Foreman, you're not getting through. 289 00:16:06,091 --> 00:16:07,843 Cuddy: He's not getting air. 290 00:16:07,968 --> 00:16:09,028 We have to trach him right now. 291 00:16:09,052 --> 00:16:10,053 No, I can do it. 292 00:16:10,178 --> 00:16:11,680 Chase: Betadine. 293 00:16:17,310 --> 00:16:18,979 I'm doing this. 294 00:16:20,730 --> 00:16:21,982 Got it. 295 00:16:34,327 --> 00:16:35,912 He's okay. 296 00:16:40,083 --> 00:16:42,085 Allergic reaction to the antibiotics? 297 00:16:42,210 --> 00:16:43,420 I don't think so. 298 00:16:43,545 --> 00:16:46,298 We switched him to rifampin, and there was no change in the swelling. 299 00:16:46,423 --> 00:16:47,841 We should try another antibiotic. 300 00:16:47,966 --> 00:16:50,177 You really think he's allergic to two antibiotics? 301 00:16:50,302 --> 00:16:52,721 I wanna know what Dr. Chase thinks. 302 00:16:52,846 --> 00:16:54,031 It's possible he's allergic... 303 00:16:54,055 --> 00:16:56,308 Oh! I'm sorry. Not you. 304 00:16:56,433 --> 00:16:58,143 Understandable mistake. 305 00:16:58,268 --> 00:16:59,603 The other Dr. Chase. 306 00:17:03,398 --> 00:17:04,441 Boy gets Anthrax 307 00:17:04,566 --> 00:17:08,028 and happens to be allergic to two antibiotics. 308 00:17:08,153 --> 00:17:09,946 Hate to step on anybody's toes, 309 00:17:10,071 --> 00:17:12,908 but is it possible your guys got this one wrong? 310 00:17:13,033 --> 00:17:14,910 The rash is classic Anthrax. 311 00:17:15,035 --> 00:17:16,203 Except the color. 312 00:17:16,328 --> 00:17:17,829 The rash hasn't turned black yet. 313 00:17:17,954 --> 00:17:19,164 No necrosis, no Anthrax. 314 00:17:19,289 --> 00:17:22,959 Necrosis can theoretically take as long as two weeks. 315 00:17:25,128 --> 00:17:26,755 Whoa, whoa, whoa! 316 00:17:26,880 --> 00:17:29,841 Guys, it's not a competition. 317 00:17:29,966 --> 00:17:31,343 It's a diagnosis. 318 00:17:32,219 --> 00:17:35,305 Okay. Who thinks junior wins? 319 00:17:37,599 --> 00:17:39,684 Four to one. It's not Anthrax. 320 00:17:39,809 --> 00:17:41,686 So we start over. What's changed? 321 00:17:41,811 --> 00:17:43,647 What do the nodules tell us? 322 00:17:44,689 --> 00:17:46,233 Sarcoidosis. 323 00:17:46,358 --> 00:17:49,236 Excellent. Send an ace level. 324 00:17:49,361 --> 00:17:52,739 If it comes back positive, put him on methotrexate. 325 00:17:54,157 --> 00:17:57,994 Foreman: We ran some tests, and the results point toward sarcoidosis. 326 00:17:58,119 --> 00:18:00,664 It makes the body's tissue swell up. 327 00:18:00,789 --> 00:18:02,916 It seems to have gone after Gabriel's skin and lungs 328 00:18:03,041 --> 00:18:04,960 and given him this fever. 329 00:18:05,085 --> 00:18:06,127 Doctor. 330 00:18:11,007 --> 00:18:12,759 We don't know what causes it. 331 00:18:12,884 --> 00:18:14,844 But you're sure he has this one? 332 00:18:14,970 --> 00:18:17,555 We have a world-renowned doctor consulting. 333 00:18:17,681 --> 00:18:19,975 He's convinced this is sarcoidosis. 334 00:18:20,100 --> 00:18:21,101 Is it treatable? 335 00:18:21,226 --> 00:18:22,811 Very, actually. 336 00:18:22,936 --> 00:18:24,896 See, this is iv methotrexate. 337 00:18:25,021 --> 00:18:26,940 It's an anti-inflammatory. 338 00:18:27,065 --> 00:18:30,986 It should make all the swelling go down and get you all better. 339 00:18:31,111 --> 00:18:32,111 Stop. 340 00:18:35,407 --> 00:18:37,409 My god, it's black. 341 00:18:39,286 --> 00:18:40,829 Necrosis. 342 00:18:41,121 --> 00:18:44,291 It's definitely Anthrax, and it definitely can't be Anthrax. 343 00:18:44,416 --> 00:18:46,126 It doesn't cause throat nodules. 344 00:18:46,251 --> 00:18:51,089 Only explanation is, this kid's got Anthrax and sarcoidosis. 345 00:18:51,214 --> 00:18:55,510 Right, two incredibly rare diseases just happening to strike at once. 346 00:18:55,677 --> 00:18:57,345 Unless you've got a better theory. 347 00:18:57,470 --> 00:18:59,139 Anthrax plus an allergic reaction. 348 00:18:59,264 --> 00:19:02,934 Call 'the lancet', because that's one bizarre allergic reaction. 349 00:19:03,059 --> 00:19:06,229 Come on. There's no reason you both can't be wrong. 350 00:19:06,354 --> 00:19:08,732 It's not allergy, but it's not coincidence either. 351 00:19:08,857 --> 00:19:11,026 Disease number one set off disease number two. 352 00:19:11,151 --> 00:19:12,777 Anthrax weakened his immune system. 353 00:19:12,902 --> 00:19:15,238 And triggered a dormant sarcoidosis. 354 00:19:15,363 --> 00:19:18,241 Keep him on antibiotics for the Anthrax, and start the methotrexate 355 00:19:18,366 --> 00:19:21,161 for the sarcoidosis. See what happens. 356 00:19:21,286 --> 00:19:22,454 Fine. 357 00:19:24,831 --> 00:19:25,874 Better go with him. 358 00:19:25,999 --> 00:19:28,918 Make sure he doesn't snap and hurt somebody. 359 00:19:32,047 --> 00:19:34,424 Yeah, but you're treating him for both diseases. 360 00:19:34,549 --> 00:19:36,009 We're covering all the bases. 361 00:19:36,134 --> 00:19:38,511 What? Throw everything against the wall and see what sticks? 362 00:19:38,636 --> 00:19:40,388 Works for spaghetti. 363 00:20:05,080 --> 00:20:06,956 Are you being funny? 364 00:20:07,082 --> 00:20:08,583 Apparently not. 365 00:20:08,708 --> 00:20:11,086 You know why I give money to this hospital? 366 00:20:11,211 --> 00:20:13,797 It's the only way to get attention. See this? 367 00:20:13,922 --> 00:20:15,090 Is this a magic trick? 368 00:20:15,215 --> 00:20:17,550 'Cause I am a total David Copperfield fan. 369 00:20:17,675 --> 00:20:19,987 Although I thought that tornado of fire, that seemed a little fake. 370 00:20:20,011 --> 00:20:22,097 Pain in the wrist. It won't go away for months. 371 00:20:22,222 --> 00:20:25,266 Six doctors' brilliant conclusion is to take it easy. 372 00:20:25,392 --> 00:20:27,685 I write a check, name goes on a plaque, 373 00:20:27,811 --> 00:20:29,687 and 48 hours later I've got two mris, 374 00:20:29,813 --> 00:20:32,065 a bone scan and a diagnosis, carpal tunnel. 375 00:20:32,190 --> 00:20:34,943 I'm in surgery that afternoon. 376 00:20:35,068 --> 00:20:36,694 Fascinating story. 377 00:20:36,820 --> 00:20:39,781 Have you thought of adapting it for the stage? 378 00:20:41,241 --> 00:20:43,201 I love my... Look at me. I love my son. 379 00:20:43,326 --> 00:20:44,762 I love him more than anything else in the world. 380 00:20:44,786 --> 00:20:46,666 You're gonna start paying attention to this case 381 00:20:46,788 --> 00:20:47,890 or I'm gonna make things miserable... 382 00:20:47,914 --> 00:20:49,266 Go back to your son's room. I'm not leaving here 383 00:20:49,290 --> 00:20:50,458 until you get your ass... 384 00:20:50,583 --> 00:20:52,585 There's a problem. 385 00:21:01,344 --> 00:21:02,887 What is it? 386 00:21:04,305 --> 00:21:05,640 I don't know. 387 00:21:30,165 --> 00:21:32,333 Foreman: Skin lesions are spreading all over his body. 388 00:21:32,459 --> 00:21:35,044 They're opening up, and the fatty tissues are oozing out. 389 00:21:35,170 --> 00:21:36,045 He'll be septic in a matter of days. 390 00:21:36,171 --> 00:21:39,632 Death by dermatitis. 391 00:21:39,757 --> 00:21:41,259 Where's Robert? 392 00:21:41,384 --> 00:21:43,178 He has clinic duty this morning. 393 00:21:43,303 --> 00:21:44,637 No, he doesn't. 394 00:21:44,762 --> 00:21:46,282 I rescheduled you guys so you'd be free. 395 00:21:46,306 --> 00:21:49,517 Yeah, but he re-rescheduled himself. 396 00:21:50,101 --> 00:21:51,227 Hmm. 397 00:21:56,274 --> 00:21:57,901 It doesn't hurt yet. 398 00:21:58,026 --> 00:21:59,277 Keep going. 399 00:22:00,028 --> 00:22:01,529 You page me? 400 00:22:01,654 --> 00:22:03,323 No, I don't need you. Come on. 401 00:22:03,448 --> 00:22:04,741 We all need help now and again. 402 00:22:04,866 --> 00:22:07,410 You're getting a consult. 403 00:22:07,535 --> 00:22:09,537 Okay. We've got new skin lesions, 404 00:22:09,662 --> 00:22:11,262 bigger and uglier. What would cause that? 405 00:22:11,331 --> 00:22:12,332 My hand hurts. 406 00:22:12,457 --> 00:22:15,251 What if his body worked so hard attacking the Anthrax 407 00:22:15,376 --> 00:22:17,086 that it started attacking itself? 408 00:22:17,212 --> 00:22:18,213 Autoimmune. 409 00:22:18,338 --> 00:22:19,738 Wouldn't present this aggressively. 410 00:22:19,797 --> 00:22:21,758 It's not likely, but it is possible. 411 00:22:21,883 --> 00:22:23,760 What, in a 12-year-old male? 412 00:22:23,885 --> 00:22:25,220 This isn't about me, is it? 413 00:22:25,345 --> 00:22:26,888 Gabe's dad found ieishmaniasis 414 00:22:27,013 --> 00:22:29,015 and filariasis on the Internet yesterday. 415 00:22:29,140 --> 00:22:30,940 They didn't fit then, but now they kind of do. 416 00:22:31,017 --> 00:22:33,144 Sure, except for the nodules, 417 00:22:33,269 --> 00:22:35,438 and we're not working out of Calcutta general. 418 00:22:35,563 --> 00:22:37,190 Multiple neurofibromatosis. 419 00:22:37,315 --> 00:22:39,275 You think this is neurological? 420 00:22:39,400 --> 00:22:41,110 The only reason you're thinking autoimmune 421 00:22:41,236 --> 00:22:42,737 is because you're a rheumatologist. 422 00:22:42,862 --> 00:22:45,198 If you were a proctologist, you'd think rectal cancer. 423 00:22:45,323 --> 00:22:47,659 Gotta go with senior. 424 00:22:47,784 --> 00:22:49,744 He literally wrote the book on this one. 425 00:22:49,869 --> 00:22:51,037 Autoimmune is a big universe. 426 00:22:51,162 --> 00:22:53,998 It could be anything from scleroderrna to churg-Strauss. 427 00:22:54,123 --> 00:22:55,476 Whatever it is, we should start him on steroids, 428 00:22:55,500 --> 00:22:56,501 keep the swelling down. 429 00:22:56,626 --> 00:22:59,170 A hundred milligrams of cytoxan, it treats most autoimmunes. 430 00:22:59,295 --> 00:23:03,925 Well, give it to him now before the fat starts dripping out his eyeballs. 431 00:23:05,343 --> 00:23:08,012 Hey, my fingers are numb. 432 00:23:08,137 --> 00:23:10,306 Your watch is on too tight. 433 00:23:18,606 --> 00:23:20,316 You're messing with my head. 434 00:23:20,441 --> 00:23:21,734 Your relationship with your dad 435 00:23:21,859 --> 00:23:23,420 is messing with your ability to do your job. 436 00:23:23,444 --> 00:23:25,655 Only because you made my dad part of my job. 437 00:23:25,780 --> 00:23:26,780 Good point. 438 00:23:26,864 --> 00:23:28,759 You haven't seen him in years, he flies across the Atlantic 439 00:23:28,783 --> 00:23:29,909 - to see you. - Pacific. 440 00:23:30,034 --> 00:23:32,054 You breeze by him like he's a hare krishna at the airport, 441 00:23:32,078 --> 00:23:33,997 you don't even ask why he's in town. 442 00:23:34,122 --> 00:23:35,957 It's probably a conference. 443 00:23:36,082 --> 00:23:37,250 Probably. 444 00:23:38,126 --> 00:23:40,753 I was hoping to do this through sheer manipulation, 445 00:23:40,878 --> 00:23:43,673 but if you insist on talking, fine. Talk. 446 00:23:45,049 --> 00:23:47,010 What did he do to you? 447 00:23:47,135 --> 00:23:50,221 How would you feel if I interfered in your personal life? 448 00:23:50,346 --> 00:23:53,975 I'd hate it. That's why I cleverly have no personal life. 449 00:23:54,100 --> 00:23:56,144 I'm gonna biopsy his skin lesions. 450 00:23:56,269 --> 00:23:59,564 Good thinking. Prove your dad wrong. 451 00:23:59,689 --> 00:24:01,232 That'll solve everything. 452 00:24:19,167 --> 00:24:20,293 Who extubated him? 453 00:24:20,418 --> 00:24:21,418 I did. 454 00:24:21,502 --> 00:24:24,714 Temperature's down two degrees, and the swelling's almost gone. 455 00:24:24,839 --> 00:24:27,091 And his skin looks better, too. 456 00:24:27,216 --> 00:24:29,135 Cytoxan is working. 457 00:24:29,260 --> 00:24:30,386 Feeling better, Gabe? 458 00:24:30,511 --> 00:24:32,138 Yep, a lot. 459 00:24:32,889 --> 00:24:35,433 Chase: Dr. Chase, can you and I have a word? 460 00:24:38,978 --> 00:24:40,229 Your diagnosis is wrong. 461 00:24:40,355 --> 00:24:41,939 No autoimmune disease. 462 00:24:42,065 --> 00:24:44,745 The swelling's probably just down because we've got him on steroids. 463 00:24:44,776 --> 00:24:46,653 It's masking whatever's really wrong. 464 00:24:46,778 --> 00:24:47,987 Ana's are unreliable. 465 00:24:48,112 --> 00:24:52,325 Phospholipid antibodies are negative, so no lupus. Same for churg-Strauss. 466 00:24:52,450 --> 00:24:54,452 You're arguing with a rheumatologist. 467 00:24:54,577 --> 00:24:56,579 There's about 20 distinct autoimmune diseases. 468 00:24:56,704 --> 00:24:58,289 Why are you here? 469 00:25:01,042 --> 00:25:02,960 Sle conference. 470 00:25:03,711 --> 00:25:04,911 You were in New York last year 471 00:25:05,004 --> 00:25:08,007 for the scleroderrna conference. I didn't hear anything from you. 472 00:25:08,132 --> 00:25:09,884 Just wanted to say hi this time. 473 00:25:10,009 --> 00:25:12,053 You said it. You're still here. 474 00:25:12,887 --> 00:25:14,180 I miss you. 475 00:25:15,431 --> 00:25:18,601 I was 15 years old when you walked out. 476 00:25:18,726 --> 00:25:20,770 Now you're walking back in? 477 00:25:20,895 --> 00:25:23,272 I left your mother. I didn't leave you. 478 00:25:23,398 --> 00:25:25,108 Mum was living on gin and tonics. 479 00:25:25,233 --> 00:25:26,818 How was I supposed to take care of her? 480 00:25:26,943 --> 00:25:28,319 She wasn't your responsibility. 481 00:25:28,444 --> 00:25:30,863 I know! She was yours. 482 00:25:34,033 --> 00:25:35,827 I'm sorry she died. 483 00:25:35,952 --> 00:25:37,995 I'm sorry you had to deal with that. 484 00:25:40,164 --> 00:25:42,750 But she was falling apart long before... 485 00:25:42,875 --> 00:25:46,003 I've got to talk to house about this treatment. 486 00:25:51,384 --> 00:25:53,344 But the patient's getting better. 487 00:25:53,469 --> 00:25:55,346 In spite of the cytoxan. 488 00:25:55,471 --> 00:25:58,433 On the other hand, getting better. 489 00:25:58,558 --> 00:26:01,894 Cytoxan makes him more susceptible to infection. 490 00:26:02,019 --> 00:26:04,522 The Anthrax could relapse and be more resistant. 491 00:26:04,647 --> 00:26:05,690 Better! 492 00:26:05,815 --> 00:26:08,693 You want a negative test for every autoimmune disease known to man? 493 00:26:08,818 --> 00:26:10,611 Fine. I'll get them. 494 00:26:11,279 --> 00:26:15,158 Be home by midnight or you can't have the car this weekend. 495 00:26:16,325 --> 00:26:17,660 You guys talk? 496 00:26:17,785 --> 00:26:19,328 Did he tell you why he's here? 497 00:26:19,996 --> 00:26:22,248 The sle conference. 498 00:26:34,177 --> 00:26:35,970 House: Going back to the conference? 499 00:26:36,095 --> 00:26:39,348 Afternoon panel. I hope I can stay awake. 500 00:26:39,474 --> 00:26:41,392 I hope you can get in. 501 00:26:41,517 --> 00:26:42,852 You're not registered. 502 00:26:47,023 --> 00:26:50,735 I get it. You had to make up a lie. 503 00:26:51,235 --> 00:26:54,113 Can't just tell your kid you're here to see him. 504 00:26:54,238 --> 00:26:56,699 I mean, what father does that? 505 00:26:58,910 --> 00:27:01,579 That little blue dot under your collar, 506 00:27:01,746 --> 00:27:04,540 it's a tattoo for guiding radiation treatment. 507 00:27:05,625 --> 00:27:07,985 I was looking for it after I saw what you had for breakfast, 508 00:27:08,044 --> 00:27:09,128 brown rice, vegetables. 509 00:27:09,253 --> 00:27:11,172 It's a macrobiotic diet, 510 00:27:11,297 --> 00:27:15,218 popular with Hollywood starlets and cancer patients. 511 00:27:17,678 --> 00:27:19,722 Lungs. Stage iv. 512 00:27:21,516 --> 00:27:23,059 You look good. 513 00:27:23,184 --> 00:27:24,268 I'm not. 514 00:27:25,019 --> 00:27:29,774 Came to the states to go to Sloan-kettering and see Dr. Wilson. 515 00:27:29,899 --> 00:27:31,526 What'd he say? 516 00:27:32,443 --> 00:27:33,611 Three months. 517 00:27:34,737 --> 00:27:36,364 But you haven't told Robert. 518 00:27:36,489 --> 00:27:40,493 You don't want to burden him, because you were such a lousy dad. 519 00:27:42,620 --> 00:27:44,956 I'd prefer you not tell him. 520 00:27:46,833 --> 00:27:48,751 Yeah. That's better. 521 00:27:50,002 --> 00:27:53,297 I'll get to see his face when he reads his dad's obituary. 522 00:27:53,422 --> 00:27:55,341 It's not your business. 523 00:27:57,927 --> 00:27:59,887 I suppose it isn't. 524 00:28:09,105 --> 00:28:10,982 You sure do a lot of tests. 525 00:28:11,107 --> 00:28:13,943 If we figure out exactly which autoimmune condition it is, 526 00:28:14,068 --> 00:28:16,112 we can get you better quicker. 527 00:28:16,237 --> 00:28:18,406 Was that your dad before? 528 00:28:18,531 --> 00:28:19,615 Yeah. 529 00:28:20,283 --> 00:28:21,659 That's so cool. 530 00:28:21,784 --> 00:28:23,578 Do you guys work together a lot? 531 00:28:24,495 --> 00:28:26,163 Not really. 532 00:28:26,289 --> 00:28:28,124 When can I go home? 533 00:28:28,249 --> 00:28:29,417 We'll see. 534 00:28:30,793 --> 00:28:32,378 Looks like you got your appetite back. 535 00:28:32,503 --> 00:28:33,838 That's a good sign. 536 00:28:35,214 --> 00:28:37,300 - Want some water? - Yes. 537 00:28:42,638 --> 00:28:44,140 Here you go. 538 00:28:46,225 --> 00:28:47,268 Whoops! 539 00:28:47,393 --> 00:28:48,978 That's all right. Water's cheap. 540 00:28:49,103 --> 00:28:50,396 Oh, god. 541 00:28:51,814 --> 00:28:53,024 What? 542 00:28:54,358 --> 00:28:56,736 I... I can't move my hand. 543 00:29:07,204 --> 00:29:10,124 Chase: Can you squeeze my fingers for me, Gabe? 544 00:29:15,796 --> 00:29:16,881 He's getting worse. 545 00:29:17,006 --> 00:29:19,216 Now his entire right hand and forearm are paralyzed. 546 00:29:19,342 --> 00:29:21,135 And his fever's back. It's up over 105. 547 00:29:21,260 --> 00:29:23,030 If we don't stop the nerve deterioration quickly, 548 00:29:23,054 --> 00:29:24,555 he'll be paralyzed for life. 549 00:29:24,680 --> 00:29:27,808 Well, luckily, at this rate that should only last about a week. 550 00:29:27,934 --> 00:29:28,768 Okay. So... 551 00:29:28,893 --> 00:29:31,646 I told you we should get him off the cytoxan. 552 00:29:31,771 --> 00:29:33,272 This is toxic neuropathy. 553 00:29:33,397 --> 00:29:35,024 We've been shoving drugs into his system 554 00:29:35,149 --> 00:29:36,359 for a disease he doesn't have. 555 00:29:36,484 --> 00:29:38,277 Well, it could be neurological. 556 00:29:38,402 --> 00:29:40,988 What kind of brain process would cause a paralyzed hand, 557 00:29:41,113 --> 00:29:44,617 skin lesions and swollen throat nodules? 558 00:29:44,742 --> 00:29:46,869 Robert was right. 559 00:29:46,994 --> 00:29:49,413 You said multiple neurofibromatosis. 560 00:29:49,538 --> 00:29:52,166 Are you saying that for the chance at a beautiful family moment, 561 00:29:52,291 --> 00:29:53,876 or is there some medicine involved? 562 00:29:54,001 --> 00:29:55,461 Mmm-mmm. Fits better. 563 00:29:55,586 --> 00:29:57,922 Too bad. I was hoping for the other reason. 564 00:29:58,047 --> 00:29:59,882 I was gonna go get my camera. 565 00:30:00,007 --> 00:30:03,010 Get a ct scan. His brain this time. 566 00:30:11,727 --> 00:30:13,938 You'd think three copies would be enough, right? 567 00:30:14,063 --> 00:30:17,274 One's always been more than enough for me. 568 00:30:17,400 --> 00:30:21,237 Why didn't you tell me that Rowan chase was in to see you? 569 00:30:21,779 --> 00:30:22,989 Excuse me. 570 00:30:24,031 --> 00:30:27,702 Ethics, confidentiality, does any of this ring a bell? 571 00:30:27,827 --> 00:30:30,538 You could have covered yourself, called me in for a consult. 572 00:30:30,663 --> 00:30:32,665 It is a juicy piece of gossip. 573 00:30:32,790 --> 00:30:33,790 You know what happened? 574 00:30:33,874 --> 00:30:36,836 I got all focused on his cancer and lost perspective. 575 00:30:36,961 --> 00:30:38,796 You can't tell chase, but I can. 576 00:30:38,921 --> 00:30:40,047 What should I do? 577 00:30:40,172 --> 00:30:41,924 This is where I give you advice 578 00:30:42,049 --> 00:30:44,552 and pretend you're gonna listen to it. I like this part. 579 00:30:44,719 --> 00:30:45,970 Did Rowan ask you not to tell? 580 00:30:46,095 --> 00:30:47,555 I promised iwouldn't. 581 00:30:47,680 --> 00:30:49,682 My fingers were crossed, though, so I'm wide open. 582 00:30:49,807 --> 00:30:51,934 I was wrong. This is the musing-out-loud part. 583 00:30:52,059 --> 00:30:53,245 Do I actually need to be here? 584 00:30:53,269 --> 00:30:54,478 Telling him. 585 00:30:54,603 --> 00:30:56,313 Now, that's got real entertainment value. 586 00:30:56,439 --> 00:30:58,482 Mmm. He might even cry. 587 00:30:58,607 --> 00:31:01,068 On the other hand, there is the do-unto-others thingy. 588 00:31:01,193 --> 00:31:02,862 Well, then I should definitely tell him. 589 00:31:02,987 --> 00:31:05,156 - I'd wanna know. - You wanna know everything. 590 00:31:05,281 --> 00:31:08,075 There's also the keeping-your-promises thingy. 591 00:31:08,200 --> 00:31:10,745 You never run out of thingies, 592 00:31:10,870 --> 00:31:13,080 like that blonde thingy you were chatting up. 593 00:31:13,205 --> 00:31:16,584 She's the hospital accountant. We were going over billing procedures. 594 00:31:16,709 --> 00:31:18,586 Double-entry bookkeeping? 595 00:31:22,840 --> 00:31:24,759 What are you gonna do? 596 00:31:26,260 --> 00:31:27,928 Billing procedures. 597 00:31:28,054 --> 00:31:29,680 They're so complicated, aren't they? 598 00:31:47,073 --> 00:31:50,701 You know, parents are never as bad as kids think they are. 599 00:31:50,826 --> 00:31:53,579 If you like my dad so much, ask him out. 600 00:31:54,663 --> 00:31:55,956 I'd make an excellent step mom. 601 00:31:56,082 --> 00:31:57,833 I'm very lenient. 602 00:32:02,588 --> 00:32:05,132 He's your father. 603 00:32:05,257 --> 00:32:07,635 You never see him, and he's here. 604 00:32:07,760 --> 00:32:10,471 Unless he's done some unspeakable thing, you should lighten up. 605 00:32:10,596 --> 00:32:12,723 Great. Thanks for the tip. 606 00:32:13,974 --> 00:32:15,142 Okay. 607 00:32:17,436 --> 00:32:20,106 He beat your mom. He beat you. 608 00:32:21,941 --> 00:32:24,652 - What did he do? - Really, don't push it. 609 00:32:29,406 --> 00:32:32,993 All this hate. It's toxic. 610 00:32:35,454 --> 00:32:37,123 Then stay away. 611 00:32:47,049 --> 00:32:48,592 There's nothing there. 612 00:32:48,717 --> 00:32:52,638 No masses, no fibrous tangles, nothing. 613 00:32:52,763 --> 00:32:57,393 - It's not neurofibromatosis. - Drs. Chase are 0 for 3. 614 00:32:57,518 --> 00:32:59,520 Even when they agree, they're wrong. 615 00:32:59,645 --> 00:33:03,107 So, next, what else could cause neural damage as well as all the nodules? 616 00:33:03,232 --> 00:33:04,232 Berger's disease. 617 00:33:04,316 --> 00:33:05,544 He's never been out of the country. 618 00:33:05,568 --> 00:33:07,611 Have his parents? They could have brought it back. 619 00:33:07,736 --> 00:33:09,296 - I don't think so. - It doesn't matter. 620 00:33:09,405 --> 00:33:12,085 His lesions are in the wrong place. His feet are the one clear spot. 621 00:33:12,199 --> 00:33:14,201 Kid's dad mentioned ieishmaniasis. 622 00:33:14,326 --> 00:33:15,578 Yeah, and filariasis. 623 00:33:15,703 --> 00:33:17,514 But the throat nodules still don't fit with that. 624 00:33:17,538 --> 00:33:21,292 That's two diseases pretty much exclusive to Southeast Asia. 625 00:33:25,171 --> 00:33:28,757 What if the Anthrax didn't set off the second disease? 626 00:33:29,633 --> 00:33:30,913 We're back at coincidence again? 627 00:33:31,010 --> 00:33:33,804 No. What if something else was the trigger? 628 00:33:33,929 --> 00:33:35,222 Nothing else happened. 629 00:33:35,347 --> 00:33:36,473 We happened. 630 00:33:36,599 --> 00:33:37,641 Antibiotics? 631 00:33:37,766 --> 00:33:40,311 We've been through this. It's not an allergy. 632 00:33:41,478 --> 00:33:42,855 I gotta pee. 633 00:33:58,120 --> 00:33:59,747 What did the ct scan tell you? 634 00:33:59,872 --> 00:34:00,998 Nothing. 635 00:34:03,125 --> 00:34:04,793 Scale from one to ten, how painful? 636 00:34:04,919 --> 00:34:06,897 Not half as painful as when I punch you in the face. 637 00:34:06,921 --> 00:34:09,006 Don't do that. It'll hurt you. 638 00:34:09,131 --> 00:34:11,425 Carpal tunnel surgery obviously didn't work. 639 00:34:11,550 --> 00:34:12,718 Who are you? 640 00:34:12,843 --> 00:34:15,471 The little ones call me uncle Greg. 641 00:34:15,596 --> 00:34:17,973 Your dad never had carpal tunnel. 642 00:34:18,474 --> 00:34:20,893 You mentioned two obscure diseases to Dr. Chase. 643 00:34:21,018 --> 00:34:22,228 How did you know about them? 644 00:34:22,353 --> 00:34:23,496 I read about them on the Internet. 645 00:34:23,520 --> 00:34:24,521 What did you search for? 646 00:34:24,647 --> 00:34:26,941 "Diseases from Asia that don't match my son's symptoms"? 647 00:34:27,066 --> 00:34:28,226 You heard about them in Asia. 648 00:34:28,317 --> 00:34:29,360 I've never been there. 649 00:34:29,485 --> 00:34:32,404 Well, you probably just forgot. Let me refresh your memory, 650 00:34:32,529 --> 00:34:37,493 some remote, dusty village, close quarters, at least a year? 651 00:34:37,618 --> 00:34:39,471 - Starting to come back? - I'm calling Dr. Cuddy. 652 00:34:39,495 --> 00:34:41,830 Excuse me, what does this have to do with our son? 653 00:34:41,956 --> 00:34:43,707 Your dad's pissed off. 654 00:34:43,832 --> 00:34:45,042 He should be. 655 00:34:46,126 --> 00:34:48,295 Comes here expecting us to do an extra-good job 656 00:34:48,420 --> 00:34:50,440 because he gives a whole lot of money to this hospital. 657 00:34:50,464 --> 00:34:51,799 Don't talk to my son like that! 658 00:34:51,924 --> 00:34:53,610 Just telling him my job and my obligation... 659 00:34:53,634 --> 00:34:56,720 Stop! What's going on? 660 00:35:01,475 --> 00:35:04,728 There's only one thing you guys have gotta do. 661 00:35:06,480 --> 00:35:10,109 Tell the truth, or your son will die. 662 00:35:12,069 --> 00:35:14,113 How long were you in Asia? 663 00:35:18,367 --> 00:35:20,619 Jeff, it's a simple question. 664 00:35:24,832 --> 00:35:26,583 Two years, in India. 665 00:35:28,627 --> 00:35:29,980 Why would you lie about something like that? 666 00:35:30,004 --> 00:35:31,797 It was '87 and '88. 667 00:35:37,303 --> 00:35:38,470 This... 668 00:35:40,931 --> 00:35:44,727 This guru, I thought he had some answers. 669 00:35:45,853 --> 00:35:47,771 I went to his ashram 670 00:35:49,398 --> 00:35:54,361 and ended up with no money and no answers. 671 00:35:56,488 --> 00:35:59,658 I was embarrassed. I didn't want anyone to know. 672 00:36:04,204 --> 00:36:07,458 No. You were a test pilot. 673 00:36:07,583 --> 00:36:09,293 I'm so sorry, Gabe. 674 00:36:11,253 --> 00:36:14,006 What does this have to do with my son? 675 00:36:19,345 --> 00:36:21,847 Clue number one, if I were Jesus, 676 00:36:21,972 --> 00:36:25,601 curing this kid would be as easy as turning water into wine. 677 00:36:25,726 --> 00:36:27,269 Demonic possession? 678 00:36:27,394 --> 00:36:29,438 Close, but no wafer. 679 00:36:29,563 --> 00:36:32,900 Clue number two, rheumatology Rowan was almost right. 680 00:36:33,025 --> 00:36:35,527 It causes autoimmune symptoms. 681 00:36:35,652 --> 00:36:36,820 Leprosy? 682 00:36:36,945 --> 00:36:39,073 Yeah, that's real big in the Jersey suburbs. 683 00:36:40,074 --> 00:36:41,617 It's leprosy. 684 00:36:41,742 --> 00:36:43,577 Run a fite stain. It'll be positive. 685 00:36:44,411 --> 00:36:47,206 Daddy hung out on the wrong kind of Indian ashram. 686 00:36:47,331 --> 00:36:50,042 But it's obviously dormant in the dad. How could the kid catch it? 687 00:36:50,167 --> 00:36:52,628 It's not dormant in the dad. It's just slow. 688 00:36:52,753 --> 00:36:54,296 Damaged his ulnar nerves. 689 00:36:54,421 --> 00:36:59,885 Was misdiagnosed as carpal tunnel. Never trust doctors. Run a fite stain. 690 00:37:00,344 --> 00:37:04,473 No wonder he got Anthrax. The leprosy weakened his immune system. 691 00:37:04,598 --> 00:37:08,018 Vicious circle, the leprosy made him vulnerable to the Anthrax, 692 00:37:08,143 --> 00:37:10,729 and the Anthrax treatment put the leprosy in overdrive. 693 00:37:10,854 --> 00:37:13,273 But the antibiotics we gave him, they cure leprosy. 694 00:37:13,399 --> 00:37:16,902 Yeah. That's where the trouble starts. 695 00:37:17,027 --> 00:37:21,115 The antibiotics hit the nerve strands. They kill the leprosy bacteria, 696 00:37:21,240 --> 00:37:22,950 and the corpses get tossed into the system. 697 00:37:23,075 --> 00:37:26,120 And as fascinating as our bodies are, they're also stupid. 698 00:37:26,245 --> 00:37:30,332 They produce antibodies to beat dead bacteria. 699 00:37:30,457 --> 00:37:32,960 And these aren't the polite antibodies. 700 00:37:33,085 --> 00:37:36,755 They're the ones that won't sit still, kick during nap time. 701 00:37:36,880 --> 00:37:38,715 They attack his neural and fat cells, 702 00:37:38,841 --> 00:37:42,136 causing inflammation and all the rest of his symptoms. 703 00:37:42,261 --> 00:37:44,555 So the cure's killing him. 704 00:37:44,680 --> 00:37:46,890 I want you to call down to carville, Louisiana, 705 00:37:47,015 --> 00:37:49,935 home of the last leper colony in the lower 48. 706 00:37:50,060 --> 00:37:51,770 Get them to send up some thalidomide. 707 00:37:51,895 --> 00:37:52,896 Thalidomide? 708 00:37:53,021 --> 00:37:55,250 House: 12-year-olds don't have sex, right? So he can't be pregnant. 709 00:37:55,274 --> 00:37:56,900 Make the call. 710 00:38:01,321 --> 00:38:03,615 I need to speak to your boy. 711 00:38:16,253 --> 00:38:19,590 Why does everybody need to know my business? 712 00:38:19,715 --> 00:38:22,176 People like talking about people. 713 00:38:22,301 --> 00:38:26,013 Makes us feel superior, makes us feel in control, 714 00:38:26,138 --> 00:38:30,934 and sometimes, for some people, knowing some things makes them care. 715 00:38:31,059 --> 00:38:34,688 I tell you my dad left, my mum drank herself to death, 716 00:38:34,813 --> 00:38:37,774 - you gonna care about me more? - Cameron would. 717 00:38:37,900 --> 00:38:39,985 Me, I just like knowing stuff. 718 00:38:43,030 --> 00:38:44,740 I know you hate your dad. 719 00:38:44,865 --> 00:38:46,092 Now, I'm gonna tell you something. 720 00:38:46,116 --> 00:38:48,243 I don't hate him. 721 00:38:48,994 --> 00:38:50,329 I loved him until I figured out 722 00:38:50,454 --> 00:38:53,624 that it hurts a lot less to just not care. 723 00:38:54,416 --> 00:38:56,877 You don't expect him to turn up to your football match, 724 00:38:57,002 --> 00:38:58,962 no disappointments. 725 00:38:59,087 --> 00:39:00,565 You don't expect a call on your birthday, 726 00:39:00,589 --> 00:39:02,382 don't expect to see him for months, 727 00:39:02,508 --> 00:39:04,301 no disappointments. 728 00:39:05,802 --> 00:39:10,891 You want us to go make up, sink a few beers together, nice family hug? 729 00:39:14,144 --> 00:39:17,314 I've given him enough hugs. 730 00:39:17,439 --> 00:39:19,566 He's given me enough disappointments. 731 00:39:23,987 --> 00:39:25,197 Okay. 732 00:39:28,742 --> 00:39:29,952 That's it? 733 00:39:30,869 --> 00:39:32,079 That's it. 734 00:39:56,228 --> 00:39:57,354 Chase: Breathe. 735 00:40:00,899 --> 00:40:02,234 Breathe again. 736 00:40:04,403 --> 00:40:05,988 Breathe again. 737 00:40:07,948 --> 00:40:10,242 Are you gonna have to tell my friends I'm a leper? 738 00:40:10,367 --> 00:40:13,912 You had the antibiotics. You're not contagious anymore. 739 00:40:15,038 --> 00:40:17,457 Well, what if they already caught it? 740 00:40:17,583 --> 00:40:21,920 Leprosy is incredibly hard to catch. Even your mum didn't get it. 741 00:40:22,045 --> 00:40:24,381 Right. I want you to make a fist. 742 00:40:25,757 --> 00:40:27,968 It's still kinda stiff. 743 00:40:28,093 --> 00:40:30,178 It'll get back to normal in a month or two. 744 00:40:30,304 --> 00:40:32,514 Your skin, two or three weeks. 745 00:40:32,639 --> 00:40:34,766 Woman on pa: Security 12, call... 746 00:40:35,434 --> 00:40:37,936 You haven't asked about your dad. 747 00:40:39,479 --> 00:40:41,565 He lied about everything. 748 00:40:42,441 --> 00:40:46,153 He lied to my mom. He lied to his boss. 749 00:40:47,321 --> 00:40:49,114 He's just a liar. 750 00:40:50,616 --> 00:40:52,075 He loves you. 751 00:40:54,036 --> 00:40:55,621 I don't love him. 752 00:40:58,123 --> 00:40:59,499 Yeah, you do. 753 00:41:05,797 --> 00:41:09,593 Nothing you can do about it. He's your dad. 754 00:41:09,718 --> 00:41:13,096 It doesn't matter what he does. You're gonna love him. 755 00:41:26,151 --> 00:41:28,195 Here. Thanks. 756 00:41:30,072 --> 00:41:31,156 Chase: Hey! 757 00:41:42,793 --> 00:41:44,336 When's your flight? 758 00:41:44,461 --> 00:41:45,754 You got time for a drink? 759 00:41:46,922 --> 00:41:48,215 Wish I did. 760 00:41:49,132 --> 00:41:50,550 Man: Dr. Chase? 761 00:42:00,644 --> 00:42:02,062 I got it. 762 00:42:05,607 --> 00:42:08,777 You're gonna be getting down to oz any time soon? 763 00:42:10,362 --> 00:42:13,365 Not too long. Next Autumn, I hope. 764 00:42:14,616 --> 00:42:16,076 I'll call you. 765 00:42:19,454 --> 00:42:21,289 Well, you're all set. 766 00:42:30,424 --> 00:42:31,967 I'll see you. 767 00:42:32,175 --> 00:42:33,176 Yeah. 768 00:42:34,219 --> 00:42:35,846 I'll see you.