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1
00:00:05,131 --> 00:00:08,551
Brandon: I didn't sleep well last night,
and I woke up with a scratchy throat.
2
00:00:08,676 --> 00:00:09,969
I just don't feel so good.
3
00:00:11,721 --> 00:00:14,473
Cough.
4
00:00:14,849 --> 00:00:19,228
I have a bit of an upset stomach, too,
and I think I'm running a fever.
5
00:00:19,353 --> 00:00:23,816
I'm just worried I might be contagious.
6
00:00:23,941 --> 00:00:28,821
Inventory. Tomorrow, I'm... yeah, I'm
sure I'll be feeling better by then.
7
00:00:29,780 --> 00:00:31,699
Thanks, Mr. Innabe.
8
00:00:34,911 --> 00:00:37,580
I cannot believe
you just did that.
9
00:00:37,705 --> 00:00:40,499
I... I really do have a cough.
10
00:00:40,625 --> 00:00:42,793
So you weren't lying.
11
00:00:42,919 --> 00:00:46,464
You'd be curled up in bed
with a bowl of chicken soup
12
00:00:47,798 --> 00:00:49,884
even if you didn't have
a horny girl in your bed?
13
00:00:50,009 --> 00:00:52,762
Yes. Because I really do...
14
00:00:52,887 --> 00:00:55,890
Hey, I really do have a cough.
15
00:00:56,015 --> 00:00:58,392
You also have a little rash.
16
00:01:01,896 --> 00:01:04,607
I'm not sure we
should be kissing.
17
00:01:04,732 --> 00:01:06,525
It's okay.
18
00:01:06,651 --> 00:01:09,946
Because I have almost
no interest in kissing you.
19
00:01:18,829 --> 00:01:21,332
Mindy: Oh, baby.
20
00:01:54,865 --> 00:01:56,492
Brandon.
21
00:01:59,870 --> 00:02:01,122
Brandon.
22
00:02:03,708 --> 00:02:05,876
I know I'm good, but come on.
23
00:02:11,966 --> 00:02:14,802
Brandon. Brandon. Brandon.
24
00:02:15,594 --> 00:02:18,306
Brandon. Brandon.
25
00:02:52,548 --> 00:02:56,927
Woman on pa: Any additional rn
to surgical.
26
00:03:12,777 --> 00:03:14,212
House: Why do you want me to treat him?
27
00:03:14,236 --> 00:03:16,322
Blood pressure's not responding
to iv fluids.
28
00:03:16,447 --> 00:03:19,033
No, no. I didn't ask how you
plan to con me into treating him,
29
00:03:19,158 --> 00:03:21,744
I asked you why you
want me to treat him.
30
00:03:21,869 --> 00:03:24,246
He's sick. I care. I'm pathetic.
31
00:03:24,372 --> 00:03:27,166
There are about a billion sick people
on the planet. Why this one?
32
00:03:27,291 --> 00:03:29,460
Because this one's
in our emergency room.
33
00:03:29,585 --> 00:03:31,087
So it's a proximity issue.
34
00:03:31,212 --> 00:03:33,172
If somebody was sick
in the third-floor staiwvell,
35
00:03:33,214 --> 00:03:34,590
that's who'd we be talking about.
36
00:03:34,715 --> 00:03:37,468
I checked the staiwvell. It's clear.
37
00:03:37,593 --> 00:03:40,054
Okay, then. Emergency-room guy it is.
38
00:03:40,179 --> 00:03:43,808
- Wait. Why was that so easy?
- You know why.
39
00:03:45,142 --> 00:03:47,561
Blood pressure's not responding
to iv fluids?
40
00:03:47,686 --> 00:03:49,230
Yeah.
41
00:03:50,064 --> 00:03:52,149
That's just weird.
42
00:03:54,151 --> 00:03:57,738
Cbc was unremarkable. Abdominal
ct scan didn't show anything,
43
00:03:57,863 --> 00:04:00,324
so, people, differential diagnosis.
What's wrong with her?
44
00:04:00,449 --> 00:04:02,493
- Him.
- Him, her. Does it matter?
45
00:04:02,618 --> 00:04:05,329
Does anyone think
it's a testicular problem?
46
00:04:05,454 --> 00:04:07,581
- So, chase?
- Yersinia infection?
47
00:04:07,706 --> 00:04:09,708
No. You wouldn't get
the rash or cough.
48
00:04:09,834 --> 00:04:13,212
What about arthritis? Accompanying
vasculitis causes nerve damage.
49
00:04:13,337 --> 00:04:15,714
It wouldn't cause the blood pressure
problems. Allergy?
50
00:04:15,840 --> 00:04:18,050
The kid's got abdominal pain.
Maybe carcinoid?
51
00:04:18,175 --> 00:04:19,885
No, but then you
wouldn't get the...
52
00:04:20,010 --> 00:04:22,197
Foreman, if you're going to list
all the things it's not,
53
00:04:22,221 --> 00:04:24,181
it might be quicker
to do it alphabetically.
54
00:04:24,306 --> 00:04:27,184
Let's see, now.
Absidia. Excellent.
55
00:04:27,393 --> 00:04:29,228
Doesn't account for any of the symptoms.
56
00:04:29,353 --> 00:04:31,147
No condition accounts
for all these symptoms.
57
00:04:31,272 --> 00:04:35,109
Good. Because I thought maybe he was
sick, but, apparently, he's not.
58
00:04:35,276 --> 00:04:37,778
Who wants to do up
the discharge papers?
59
00:04:40,322 --> 00:04:44,201
Unless we control the blood pressure,
he's gonna start circling the drain
60
00:04:44,326 --> 00:04:46,166
before we can figure out
what's wrong with him.
61
00:04:46,203 --> 00:04:48,456
Treat him for sepsis,
broad-spectrum antibiotics,
62
00:04:48,581 --> 00:04:50,583
and I want a cort stim test
and an echocardiogram.
63
00:04:57,214 --> 00:04:59,842
- You all right?
- Yeah.
64
00:05:00,426 --> 00:05:01,986
Foreman: The cort stim test
will tell us
65
00:05:02,011 --> 00:05:04,763
if your pituitary and adrenal glands
are working properly.
66
00:05:04,889 --> 00:05:06,169
His glands? What does that mean?
67
00:05:06,265 --> 00:05:08,225
We have a few theories
we're working on.
68
00:05:08,350 --> 00:05:10,561
- You mean you don't know.
- Mindy.
69
00:05:10,686 --> 00:05:13,772
If they knew, they wouldn't be
testing you, they'd be treating you.
70
00:05:13,898 --> 00:05:15,024
That's the way it works.
71
00:05:15,149 --> 00:05:18,444
First we find out what it is,
then we get you better.
72
00:05:28,496 --> 00:05:30,581
- You're half an hour late.
- Busy caseload.
73
00:05:30,706 --> 00:05:32,917
One case is not a load.
74
00:05:33,042 --> 00:05:34,682
So how are we doing
on cotton swabs today?
75
00:05:34,710 --> 00:05:36,550
If there's an acute shortage,
I could run home.
76
00:05:36,629 --> 00:05:38,756
No, you couldn't.
77
00:05:38,881 --> 00:05:40,799
Nice.
78
00:05:45,387 --> 00:05:48,390
Hello, sick people
and their loved ones.
79
00:05:48,516 --> 00:05:51,519
In the interest of saving time and
avoiding a lot of boring chitchat later,
80
00:05:51,644 --> 00:05:54,188
I'm Dr. Gregory house.
You can call me Greg.
81
00:05:54,313 --> 00:05:56,899
I'm one of three doctors
staffing this clinic this morning.
82
00:05:57,024 --> 00:05:58,359
Short. Sweet. Grab a file.
83
00:05:58,484 --> 00:06:01,237
This ray of sunshine
is Dr. Lisa cuddy.
84
00:06:01,362 --> 00:06:02,863
Dr. Cuddy runs this whole hospital,
85
00:06:02,988 --> 00:06:05,199
so, unfortunately, she's much too busy
to deal with you.
86
00:06:05,324 --> 00:06:08,494
I am a board certified diagnostician,
87
00:06:08,619 --> 00:06:11,014
with a double specialty
of infectious disease and nephrology.
88
00:06:11,038 --> 00:06:13,319
I'm also the only doctor
currently employed at this clinic
89
00:06:13,374 --> 00:06:15,209
who is forced to be
here against his will.
90
00:06:15,334 --> 00:06:16,794
That is true, isn't it?
91
00:06:16,919 --> 00:06:18,754
But not to worry,
because for most of you,
92
00:06:18,879 --> 00:06:22,007
this job could be done
by a monkey with a bottle of motrin.
93
00:06:22,132 --> 00:06:24,510
Speaking of which,
if you're particularly annoying,
94
00:06:24,635 --> 00:06:26,554
you may see me reach for this.
95
00:06:26,679 --> 00:06:29,765
This is Vicodin. It's mine.
You can't have any.
96
00:06:29,890 --> 00:06:31,976
And, no, I do not have
a pain-management problem.
97
00:06:32,101 --> 00:06:34,186
I have a pain problem.
98
00:06:34,562 --> 00:06:38,649
But who knows? Maybe I'm wrong.
Maybe I'm too stoned to tell.
99
00:06:38,899 --> 00:06:41,193
So, who wants me?
100
00:06:44,280 --> 00:06:48,325
And who would rather wait
for one of the other two guys?
101
00:06:50,286 --> 00:06:54,415
Okay. Well, I'll be in exam room 1
if you change your mind.
102
00:06:55,374 --> 00:06:57,376
Jodi Matthews.
103
00:06:59,003 --> 00:07:02,381
Please accompany Dr. House
to exam room 1.
104
00:07:06,719 --> 00:07:08,887
Dr. Chase.
105
00:07:09,346 --> 00:07:12,600
I'm not sure scaring your boyfriend is
the best medicine for him right now.
106
00:07:12,725 --> 00:07:15,644
I know. I get stupid
when I'm scared.
107
00:07:15,769 --> 00:07:16,895
Don't go rock climbing.
108
00:07:17,021 --> 00:07:21,358
Look, I was wondering. Before
this happened, we were having sex.
109
00:07:22,860 --> 00:07:27,156
What? You're wondering if whatever
he has, you might have gotten it?
110
00:07:27,281 --> 00:07:29,742
It's unlikely. We ran
a complete std panel, so...
111
00:07:29,867 --> 00:07:33,037
No. I'm wondering
if maybe I did this to him.
112
00:07:33,162 --> 00:07:35,539
I was kind of rough.
113
00:07:41,629 --> 00:07:43,922
It was yellow.
114
00:07:44,048 --> 00:07:47,092
- It was?
- It's not anymore.
115
00:07:47,217 --> 00:07:48,969
Well, that's a shame.
116
00:07:49,094 --> 00:07:53,807
I thought that might be
a problem, so I brought you this.
117
00:07:57,102 --> 00:08:00,773
Your mucus was 'pale goldenrod.'
118
00:08:00,898 --> 00:08:05,444
- last week, yes. Should I be worried?
- Oh, yes. Very.
119
00:08:05,569 --> 00:08:07,946
Really? I thought it was okay now.
120
00:08:08,072 --> 00:08:10,824
And yet, here you are.
What happened?
121
00:08:10,949 --> 00:08:14,370
Paramedics took a week
to respond to your 911 call?
122
00:08:14,495 --> 00:08:16,372
You're not a very nice doctor,
are you?
123
00:08:16,497 --> 00:08:20,042
And you are very bad
at whatever it is you do.
124
00:08:20,167 --> 00:08:23,420
- You don't even know me.
- I know you're gonna get fired.
125
00:08:23,545 --> 00:08:25,172
That's why you got the new glasses.
126
00:08:25,297 --> 00:08:26,965
That's why your
teeth are sparkly white.
127
00:08:27,091 --> 00:08:31,595
You're getting the most of your health
insurance while you still can.
128
00:08:31,720 --> 00:08:33,639
I might be quitting.
129
00:08:33,764 --> 00:08:35,265
You'd have known that last week,
130
00:08:35,391 --> 00:08:37,101
when your snot was
still pale goldenrod.
131
00:08:37,226 --> 00:08:39,478
You're getting fired.
132
00:08:40,020 --> 00:08:43,482
I just don't like
being told what to do.
133
00:08:46,860 --> 00:08:50,739
I can get you in
for a full body scan later this week.
134
00:08:51,323 --> 00:08:53,200
Thanks.
135
00:08:54,368 --> 00:08:55,619
Foreman: It's got to be viral.
136
00:08:55,744 --> 00:08:57,371
We should start
running gels and titers.
137
00:08:57,496 --> 00:08:59,790
Maybe we should look
into the girlfriend's theory.
138
00:08:59,915 --> 00:09:02,918
She thinks she rode him to death.
139
00:09:03,043 --> 00:09:04,336
What did you tell her?
140
00:09:04,461 --> 00:09:07,923
I told her 22-year-old men
don't die of sex.
141
00:09:08,048 --> 00:09:09,758
- What did you ask her?
- What do you mean?
142
00:09:09,883 --> 00:09:12,970
I mean, I hope you got some specifics
on exactly what was going on.
143
00:09:13,095 --> 00:09:17,182
If the girl thinks it could kill you,
it's worth knowing about.
144
00:09:20,811 --> 00:09:23,397
Have you ever taken a life?
145
00:09:31,947 --> 00:09:33,574
We should stop the antibiotics.
146
00:09:34,032 --> 00:09:35,992
It's too soon to say
they're not having an effect.
147
00:09:36,034 --> 00:09:38,620
They're having an effect.
148
00:09:38,746 --> 00:09:42,833
His BP's falling fast.
There's fluid filling his lungs.
149
00:09:42,958 --> 00:09:44,960
His creatinine is rising.
150
00:09:51,550 --> 00:09:54,511
His kidneys are shutting down.
151
00:09:54,803 --> 00:09:57,431
Our treatment
isn't making him better.
152
00:09:57,931 --> 00:09:58,974
It's killing him.
153
00:10:02,478 --> 00:10:05,939
So, we had six symptoms
that didn't add up to anything,
154
00:10:06,064 --> 00:10:07,733
now we got seven. Who's excited?
155
00:10:07,858 --> 00:10:09,298
I don't think it complicates things.
156
00:10:09,359 --> 00:10:11,403
The kidney failure was caused
by the antibiotics.
157
00:10:11,528 --> 00:10:14,198
- Maybe.
- Foreman: Typically, low blood pressure
158
00:10:14,323 --> 00:10:16,617
and abdominal pain
means an infection.
159
00:10:16,742 --> 00:10:19,328
An abdominal infection causes
sepsis, low blood pressure.
160
00:10:19,453 --> 00:10:21,663
Except we checked
for abdominal infections.
161
00:10:21,789 --> 00:10:23,624
I know, but what
if it's the other way around?
162
00:10:23,749 --> 00:10:26,293
What if the low blood pressure's
causing the abdominal pain?
163
00:10:26,418 --> 00:10:29,046
Viral heart infection. The intestines
aren't getting enough blood,
164
00:10:29,171 --> 00:10:30,839
and the result is belly pain.
165
00:10:30,964 --> 00:10:33,383
I know it's
not the standard presentation.
166
00:10:33,509 --> 00:10:35,719
It's a 10-million-to-one shot.
167
00:10:35,844 --> 00:10:37,596
I thought
that's what we dealt with here.
168
00:10:37,721 --> 00:10:43,936
It explains the cardiomyopathy,
the pain, the low BP, the fever.
169
00:10:45,437 --> 00:10:49,358
You read the book. Impressive.
170
00:10:49,817 --> 00:10:52,820
It's a ludicrously long shot that
explains every one of those symptoms
171
00:10:53,028 --> 00:10:56,865
except for the cough and the rash.
Should we just erase those?
172
00:10:56,990 --> 00:10:59,368
Well, anything can cause a rash.
173
00:11:00,702 --> 00:11:03,914
House: Okay. Cardiac infection.
174
00:11:04,873 --> 00:11:07,543
Cameron, you thought allergy.
175
00:11:10,254 --> 00:11:11,755
Chase, what was it you thought?
176
00:11:11,880 --> 00:11:15,676
Carcinoid?
Then there's hypothyroidism.
177
00:11:15,801 --> 00:11:19,555
Could be parasites.
178
00:11:22,307 --> 00:11:24,351
Finally, sinus infection.
179
00:11:24,476 --> 00:11:28,605
If you're gonna list all it can't be,
you're gonna need more colors.
180
00:11:28,730 --> 00:11:33,443
Cameron was right. No condition
explains all these symptoms.
181
00:11:33,861 --> 00:11:36,780
But orange and green
covers everything.
182
00:11:36,905 --> 00:11:38,782
Orange and green?
183
00:11:39,241 --> 00:11:41,910
Two conditions
contracted simultaneously?
184
00:11:42,077 --> 00:11:45,330
Occam's razor. The simplest
explanation is always the best.
185
00:11:45,455 --> 00:11:49,751
- You think one is simpler than two?
- Pretty sure it is, yeah.
186
00:11:50,711 --> 00:11:52,462
Baby shows up. Chase tells you
187
00:11:52,588 --> 00:11:55,299
that two people exchanged fluids
to create this being.
188
00:11:55,424 --> 00:11:58,635
I tell you that one stork dropped
the little tyke off in a diaper.
189
00:11:58,760 --> 00:12:01,281
- Are you gonna go with two or one?
- I think your argument is specious.
190
00:12:01,305 --> 00:12:04,516
I think your tie is ugly.
Why is one simpler than two?
191
00:12:04,808 --> 00:12:07,811
It's lower, lonelier. Is it simpler?
192
00:12:08,562 --> 00:12:10,981
Each one of these conditions
is about a thousand-to-one shot.
193
00:12:11,398 --> 00:12:12,917
That means that any
two of them happening
194
00:12:12,941 --> 00:12:14,581
at the same time is
a million-to-one shot.
195
00:12:14,693 --> 00:12:17,946
Chase says the cardiac infection
is a 10-million-to-one shot,
196
00:12:18,071 --> 00:12:21,199
which makes my idea
10 times better than yours.
197
00:12:21,325 --> 00:12:23,660
- Get a calculator. Run the numbers.
- We'll run the tests.
198
00:12:23,785 --> 00:12:26,038
Tests take time.
Treatment's quicker.
199
00:12:26,163 --> 00:12:30,459
Start the kid on unasyn
for the sinus infection and...
200
00:12:31,209 --> 00:12:33,378
- What was orange?
- Cameron: Hypothyroidism.
201
00:12:33,754 --> 00:12:37,007
- My uncle has hypothyroidism.
- Not like this.
202
00:12:37,132 --> 00:12:40,093
Intravenous ievothyroxine
is an artificial thyroid medication
203
00:12:40,218 --> 00:12:41,428
that should take care of it.
204
00:12:41,553 --> 00:12:43,448
Also, the nurses are going
to start you on unasyn.
205
00:12:43,472 --> 00:12:44,765
It's a more targeted antibiotic.
206
00:12:44,890 --> 00:12:46,516
- For the sinus infection?
- Yes.
207
00:12:46,642 --> 00:12:48,769
And the other stuff is
for something else entirely?
208
00:12:48,894 --> 00:12:51,521
Bad luck, huh? Don't worry.
209
00:12:51,647 --> 00:12:54,149
He should be back
to ditching work in no time.
210
00:12:54,858 --> 00:12:56,610
Brandon?
211
00:12:59,488 --> 00:13:00,864
Brandon: Hey, ma.
212
00:13:03,909 --> 00:13:07,120
We're his parents.
How's he doing?
213
00:13:07,329 --> 00:13:12,000
- Brandon is...
- Mom, dad...
214
00:13:12,125 --> 00:13:13,919
This is mindy.
215
00:13:14,044 --> 00:13:17,673
I was gonna bring her home
for Christmas.
216
00:13:18,548 --> 00:13:21,176
We're engaged.
217
00:13:29,601 --> 00:13:32,521
Woman on pa: Dr. Hall
to the recovery room.
218
00:13:32,646 --> 00:13:34,439
Did you tell the family
house's theory?
219
00:13:34,564 --> 00:13:38,360
Two odd conditions striking completely
coincidentally at the exact same time.
220
00:13:38,485 --> 00:13:41,363
- I didn't phrase it quite that way.
- They agree to treatment?
221
00:13:41,488 --> 00:13:44,783
Of course they did. We're doctors.
They believe whatever we tell them.
222
00:13:44,908 --> 00:13:47,995
So, is that ourjob?
House's puppets?
223
00:13:48,120 --> 00:13:50,539
He comes up with an insane idea,
we get to pretend it's not?
224
00:13:50,664 --> 00:13:53,709
His insane ideas are usually right.
We've been here long enough to...
225
00:13:53,834 --> 00:13:56,378
We've been here long enough
to have Stockholm syndrome.
226
00:13:56,586 --> 00:13:58,422
What, because we don't hate him?
227
00:13:58,547 --> 00:14:01,133
He thinks outside the box.
Is that so evil?
228
00:14:01,258 --> 00:14:03,760
He has no idea where the box is.
229
00:14:03,885 --> 00:14:06,304
If you guys think he's right,
go home, relax.
230
00:14:06,430 --> 00:14:08,306
Just wait for the kid to get all better.
231
00:14:08,432 --> 00:14:12,602
I'm going to the lab
to test for viral infections.
232
00:14:22,320 --> 00:14:27,325
- Negative for coxsackie b virus.
- Seven down, about 5,000 to go.
233
00:14:27,993 --> 00:14:30,073
You think we're gonna
come up with your mystery virus
234
00:14:30,162 --> 00:14:33,206
just by running gels
till we guess it right?
235
00:14:33,331 --> 00:14:35,459
No. I think we're gonna do it
by standing around
236
00:14:35,584 --> 00:14:37,919
watching other people work.
237
00:14:38,128 --> 00:14:41,298
I'm waiting
for the Epstein-barr virus.
238
00:14:45,302 --> 00:14:47,721
- She's weird, isn't she?
- Bad idea.
239
00:14:47,846 --> 00:14:50,515
- What?
- Bad idea. You work with her.
240
00:14:50,891 --> 00:14:55,479
What did I say? Is weird some new,
ghetto euphemism for sexy,
241
00:14:55,604 --> 00:14:58,440
like bad is good
and phat is good?
242
00:14:58,565 --> 00:15:01,777
- Then what the hell does good mean?
- Ghetto euphemism?
243
00:15:02,486 --> 00:15:05,947
- You don't think she's hot?
- No.
244
00:15:07,115 --> 00:15:10,368
Then you're brilliant. And I am
using brilliant as a euphemism.
245
00:15:10,494 --> 00:15:13,872
Obviously, the girl is hot. You're not
talking about her aesthetics.
246
00:15:13,997 --> 00:15:17,334
You're talking about
if I want to jump her. I don't.
247
00:15:17,459 --> 00:15:18,585
Brilliant.
248
00:15:24,382 --> 00:15:26,843
Your Epstein-barr is ready.
249
00:15:31,348 --> 00:15:33,433
- Man: What are you doing?
- Level four.
250
00:15:33,558 --> 00:15:36,311
- No, no. I mean...
- I know what you meant.
251
00:15:36,520 --> 00:15:39,689
- We're waiting.
- My throat hurts.
252
00:15:39,898 --> 00:15:42,400
- So you said.
- How long are we waiting?
253
00:15:42,526 --> 00:15:46,655
Two minutes less than when
you asked me two minutes ago.
254
00:15:49,491 --> 00:15:53,036
Hi. I'm Dr. Cuddy.
Nice to meet you.
255
00:15:53,203 --> 00:15:55,288
Dr. Cuddy,
thanks for the consult.
256
00:15:55,413 --> 00:15:58,708
His throat seems
to have some condition.
257
00:16:00,502 --> 00:16:02,462
Cuddy: Say ah.
258
00:16:05,674 --> 00:16:08,552
He has a sore throat.
259
00:16:08,760 --> 00:16:11,638
Of course. Yes, why didn't I...
260
00:16:11,763 --> 00:16:14,182
I mean, because
he said that it hurt.
261
00:16:14,307 --> 00:16:16,067
I should have deduced
that meant it was sore.
262
00:16:16,184 --> 00:16:18,329
- I was in a board meeting.
- Patients come first, right?
263
00:16:18,353 --> 00:16:21,165
Wouldn't want to prescribe a lozenge if
there's any doubt about its efficacy?
264
00:16:21,189 --> 00:16:23,608
You once asked me why
I think I'm always right,
265
00:16:23,733 --> 00:16:26,695
and I realized that you're right.
At least, I think you're right.
266
00:16:26,820 --> 00:16:29,489
I don't really know, now do I?
267
00:16:29,948 --> 00:16:34,286
- Hey. I'm here.
- Go home. Drink some hot tea.
268
00:16:39,040 --> 00:16:41,168
Excellent counsel.
269
00:16:41,668 --> 00:16:44,838
Cameron: Negative on parvovirus b19.
270
00:16:44,963 --> 00:16:48,008
- I'm impressed.
- Thank you. I was born to run gels.
271
00:16:48,133 --> 00:16:52,012
- I meant about chase.
- What about chase?
272
00:16:52,345 --> 00:16:54,973
Well, the man has
no physical interest in you.
273
00:16:55,098 --> 00:16:57,684
He has a completely
professional relationship with you,
274
00:16:57,809 --> 00:17:00,645
respects you as a colleague
and a doctor,
275
00:17:00,770 --> 00:17:04,566
and yet, he can't look
at you without thinking sex.
276
00:17:04,691 --> 00:17:06,571
Because I asked
what kind of sex could kill you?
277
00:17:06,651 --> 00:17:10,030
You now have total control
over your relationship with him.
278
00:17:10,155 --> 00:17:12,407
So, a woman can't express
her interest in sex
279
00:17:12,532 --> 00:17:15,577
without it being some
professional power play?
280
00:17:16,036 --> 00:17:18,246
If you look the way you do
and you say what you said,
281
00:17:18,371 --> 00:17:21,458
you have to be aware of the effect
that it's going to have on men.
282
00:17:21,583 --> 00:17:23,043
Men should grow up.
283
00:17:23,168 --> 00:17:24,794
And dogs should stop licking themselves.
284
00:17:24,920 --> 00:17:27,672
- It's not gonna happen.
- What's going on?
285
00:17:28,131 --> 00:17:30,425
- What are you doing here?
- Looking for you guys.
286
00:17:30,550 --> 00:17:33,678
- Why didn't you page us?
- 'Cause I knew you'd be here.
287
00:17:33,803 --> 00:17:35,263
- Who told him?
- No one.
288
00:17:35,388 --> 00:17:38,266
I assume you're trying to prove
my crazy, two-illness theory wrong,
289
00:17:38,391 --> 00:17:40,977
so, obviously, you're gonna be
in the lab. You spin the urine?
290
00:17:41,102 --> 00:17:44,189
- Not yet.
- Talk to me when you have.
291
00:17:51,738 --> 00:17:54,199
- What'd you find out?
- Kidney failure.
292
00:17:54,324 --> 00:17:59,079
- It's acute interstitial nephritis.
- I wonder if that's significant.
293
00:17:59,204 --> 00:18:02,999
It means the antibiotics didn't
cause the kidney failure.
294
00:18:03,124 --> 00:18:05,669
- How'd you know?
- If you guys hadn't been so busy
295
00:18:05,794 --> 00:18:08,880
trying to prove me wrong, you might
have checked in on the poor kid.
296
00:18:09,047 --> 00:18:10,924
You visited a patient?
297
00:18:11,049 --> 00:18:14,344
I was sitting by his bed all morning,
so he'd know someone was there for him.
298
00:18:14,469 --> 00:18:17,555
- I looked in on him. He's much better.
- Ergo, the treatment's working.
299
00:18:17,681 --> 00:18:22,560
- Ergo, me right, you wrong.
- Hey, I'm glad for the kid.
300
00:18:24,896 --> 00:18:27,333
Wilson: That smugness of yours
really is an attractive quality.
301
00:18:27,357 --> 00:18:30,986
Thank you. It was either that
or get my hair highlighted.
302
00:18:31,111 --> 00:18:34,239
- Smugness is easier to maintain.
- I get that you're not a big believer
303
00:18:34,364 --> 00:18:35,883
in the catching-flies-with-honey
approach,
304
00:18:35,907 --> 00:18:39,494
but do you honestly think you'll collect
a jarful by cleverly taunting them?
305
00:18:39,619 --> 00:18:42,289
Flies, no. Doctors, sure.
If I'd said to foreman:
306
00:18:42,414 --> 00:18:44,734
"Nice try. It was a great guess,
but sorry, not this time,"
307
00:18:44,791 --> 00:18:45,871
what would he be doing now?
308
00:18:45,917 --> 00:18:48,753
I think he'd be going home
not feeling like a piece of crap.
309
00:18:48,878 --> 00:18:50,338
Exactly.
310
00:18:50,463 --> 00:18:52,465
You want him to feel
like a piece of crap?
311
00:18:52,590 --> 00:18:54,134
I don't want him going home.
312
00:18:57,762 --> 00:19:01,057
Dr. Foreman.
313
00:19:01,308 --> 00:19:04,311
- Foreman: You still have the cough.
- I'm feeling a lot better though.
314
00:19:04,436 --> 00:19:07,647
His fever is gone.
His rash is going away.
315
00:19:07,772 --> 00:19:09,733
Foreman: I see.
316
00:19:09,858 --> 00:19:11,901
Is everything okay?
317
00:19:12,027 --> 00:19:16,573
Just ordering some tests.
Absolutely nothing to worry about.
318
00:19:32,130 --> 00:19:33,590
How much longer?
319
00:19:33,715 --> 00:19:37,594
9:30. I figure she was
on the eighth hole when I paged her.
320
00:19:42,349 --> 00:19:45,060
You probably got another half hour.
321
00:19:49,189 --> 00:19:53,443
I ran a tsh, t3 and t4. The patient's
negative for hypothyroidism.
322
00:19:53,943 --> 00:19:55,236
I'm not talking about you.
323
00:19:55,362 --> 00:19:56,881
Well, the fact that he's getting better
324
00:19:56,905 --> 00:19:58,948
would indicate the unreliability
of the tests.
325
00:19:59,074 --> 00:20:01,993
If I'm right and it's a viral infection,
one of two things always happen,
326
00:20:02,118 --> 00:20:05,997
the patient dies or the patient's
immune system fights off the invader.
327
00:20:06,164 --> 00:20:07,916
What's with her?
328
00:20:08,166 --> 00:20:10,335
Her leg hurts after running six miles.
329
00:20:10,460 --> 00:20:12,629
- Who knows? Could be anything.
- He's getting better.
330
00:20:12,754 --> 00:20:16,174
That doesn't prove you're right.
Thatjust proves he's getting better.
331
00:20:16,424 --> 00:20:19,677
It's not two illnesses.
It can't be two illnesses.
332
00:20:20,804 --> 00:20:23,390
I am so glad you work here.
333
00:20:23,973 --> 00:20:26,393
If I'm right,
the antibiotics you prescribed
334
00:20:26,518 --> 00:20:27,936
could box his kidneys and liver,
335
00:20:28,061 --> 00:20:30,814
impeding his ability to fight off
the virus. It could kill him.
336
00:20:30,939 --> 00:20:34,692
Well, that certainly
would be a concern.
337
00:20:35,318 --> 00:20:36,736
Fifty bucks?
338
00:20:37,612 --> 00:20:39,757
Don't look away. The space monkeys
will be all over you.
339
00:20:39,781 --> 00:20:42,826
- You wanna bet on the patient's health?
- You think that's bad luck?
340
00:20:42,951 --> 00:20:46,913
You think that god will smite him
because of our insensitivity?
341
00:20:47,038 --> 00:20:49,666
Well, if god does,
you make a quick 50.
342
00:20:54,421 --> 00:20:56,047
Go check his white-blood count.
343
00:20:56,256 --> 00:21:00,009
If he's fighting off a virus
like you think, it'll be way up.
344
00:21:04,848 --> 00:21:08,351
Cuddy said you needed a consult.
What's up? I'm busy.
345
00:21:25,910 --> 00:21:28,997
- I was just being glib.
- You haven't said anything.
346
00:21:31,166 --> 00:21:33,793
Before, when I was talking
about Brandon's girlfriend
347
00:21:33,918 --> 00:21:35,044
thinking sex could kill you.
348
00:21:35,170 --> 00:21:38,047
I was just making a joke
because I was uncomfortable.
349
00:21:38,173 --> 00:21:42,051
- I don't even remember what you said.
- I'm uncomfortable about sex.
350
00:21:42,385 --> 00:21:47,140
- We don't have to talk about this.
- Sex could kill you.
351
00:21:47,390 --> 00:21:49,870
Do you know what the human body
goes through when you have sex?
352
00:21:50,018 --> 00:21:52,479
Pupils dilate, arteries constrict,
353
00:21:52,604 --> 00:21:56,357
core temperature rises, heart races,
blood pressure skyrockets.
354
00:21:56,483 --> 00:21:58,902
Respiration
becomes rapid and shallow.
355
00:21:59,027 --> 00:22:02,197
The brain fires bursts of electrical
impulses from nowhere to nowhere,
356
00:22:02,322 --> 00:22:04,824
and secretions spit
out of every gland,
357
00:22:05,325 --> 00:22:06,910
and the muscles tense and spasm
358
00:22:07,035 --> 00:22:09,746
like you're lifting three times
your body weight.
359
00:22:09,913 --> 00:22:13,374
It's violent, it's ugly, and it's messy.
360
00:22:13,666 --> 00:22:16,461
And if god hadn't made it
unbelievably fun,
361
00:22:16,628 --> 00:22:19,130
the human race would've
died out eons ago.
362
00:22:22,383 --> 00:22:24,719
Men are lucky they can only
have one orgasm.
363
00:22:24,844 --> 00:22:28,515
You know that women
can have an hour-long orgasm?
364
00:22:29,516 --> 00:22:31,476
Hey, foreman. What's up?
365
00:22:31,643 --> 00:22:33,478
- Hey, foreman.
- Hey.
366
00:22:34,187 --> 00:22:36,606
White-cell count isn't up, is it?
367
00:22:36,731 --> 00:22:39,275
No. We were both wrong.
368
00:22:39,651 --> 00:22:42,820
White-cell count is down,
way down and dropping.
369
00:22:43,029 --> 00:22:46,574
His immune system is shot. We need
to get him into a clean room.
370
00:22:52,163 --> 00:22:55,208
Chase: Can you walk, Brandon?
371
00:22:55,333 --> 00:22:56,960
Yeah. A little.
372
00:22:57,085 --> 00:23:00,964
Okay. 'Cause we'll need
to leave the chair outside.
373
00:23:01,089 --> 00:23:04,509
- Thank you.
- Where's April? April?
374
00:23:04,926 --> 00:23:08,763
- Can you take that chairr? Thank you.
- April: Yes, Robert.
375
00:23:09,556 --> 00:23:12,725
I'll need to take your mask
and your robe, too.
376
00:23:20,066 --> 00:23:24,237
You might wanna block
your ears for this, it's quite loud.
377
00:23:34,664 --> 00:23:37,000
Something's made him
immunocompromised.
378
00:23:37,125 --> 00:23:38,960
His white-blood-cell count is down,
379
00:23:39,085 --> 00:23:41,754
which means his body
can't fight off infections.
380
00:23:41,879 --> 00:23:45,925
- If he gets sick, he'll die.
- Sick? How sick?
381
00:23:46,134 --> 00:23:48,803
Foreman: If he gets a cold, he'll die.
382
00:24:00,106 --> 00:24:04,193
Foreman: Okay. I'm gonna push
the needle into your hip bone
383
00:24:04,319 --> 00:24:06,529
and take some of the marrow.
384
00:24:08,072 --> 00:24:11,159
- That's not so bad.
- Uh-uh.
385
00:24:11,909 --> 00:24:14,120
That was just the anesthetic.
386
00:24:14,704 --> 00:24:18,207
The core biopsy needle,
it's a bit bigger.
387
00:24:19,292 --> 00:24:24,380
Hey, man. Take a deep breath.
This is gonna hurt, a lot.
388
00:24:30,887 --> 00:24:33,640
Your marrow makes
the blood cells.
389
00:24:35,099 --> 00:24:37,977
We take a peek at it
under a microscope,
390
00:24:38,102 --> 00:24:41,481
and maybe we find
a viral infection.
391
00:24:41,606 --> 00:24:43,941
Maybe we find some fibrosis.
392
00:24:44,067 --> 00:24:48,613
Something to explain
why your blood count is so low.
393
00:24:49,656 --> 00:24:51,366
There we go.
394
00:24:52,367 --> 00:24:54,285
One step closer to an answer.
395
00:24:56,162 --> 00:24:58,498
If you don't find one,
396
00:25:00,124 --> 00:25:02,669
I can't stay here forever.
397
00:25:10,385 --> 00:25:14,305
- House: The patient could've died.
- The one with the pulled muscle?
398
00:25:14,430 --> 00:25:18,101
Those symptoms are consistent
with a dozen other conditions.
399
00:25:18,226 --> 00:25:19,977
You know, I'm entitled to a consult.
400
00:25:20,103 --> 00:25:21,688
You are not getting
out of clinic duty.
401
00:25:21,813 --> 00:25:25,149
Come on. You got a hundred other
idiot doctors in this building
402
00:25:25,274 --> 00:25:28,569
who go all warm and fuzzy every
time they pull a toy car out of a nose.
403
00:25:28,695 --> 00:25:30,571
- You don't need me here.
- No, I don't,
404
00:25:30,697 --> 00:25:33,032
but working with people actually
makes you a better doctor.
405
00:25:33,157 --> 00:25:34,575
When did isign up
for that course?
406
00:25:34,701 --> 00:25:37,328
When did I give you
the impression that I care?
407
00:25:37,453 --> 00:25:41,290
Working in this clinic obviously
instills a deep sense of compassion.
408
00:25:41,416 --> 00:25:42,959
I've got your home number, right?
409
00:25:43,084 --> 00:25:45,586
In case anything comes up
at 3:00 in the morning.
410
00:25:45,712 --> 00:25:48,464
It's not gonna work.
You know why?
411
00:25:48,589 --> 00:25:50,675
Because this is fun.
412
00:25:50,800 --> 00:25:52,927
You think of something
to make me miserable.
413
00:25:53,052 --> 00:25:54,804
I think of something
to make you miserable.
414
00:25:54,929 --> 00:25:57,724
It's a game, and I'm gonna win
because I got a head start.
415
00:25:57,849 --> 00:26:00,226
You are already miserable.
416
00:26:04,230 --> 00:26:05,773
- Is this important?
- No.
417
00:26:05,898 --> 00:26:07,525
Good.
418
00:26:09,569 --> 00:26:11,487
- What's with you and her?
- Don't.
419
00:26:11,612 --> 00:26:13,549
You have a thing for her?
The only people who can...
420
00:26:13,573 --> 00:26:15,825
No. There is not a thin line
between love and hate.
421
00:26:15,950 --> 00:26:17,618
There is, in fact,
a great wall of China,
422
00:26:17,744 --> 00:26:21,080
with armed sentries posted
every 20 feet between love and hate.
423
00:26:21,205 --> 00:26:23,499
- Thirty-six Vicodin.
- Pharmacist: Who's the patient?
424
00:26:23,624 --> 00:26:25,168
- I am.
- You can't...
425
00:26:25,293 --> 00:26:28,129
Dr. Wilson
is the prescribing physician.
426
00:26:28,254 --> 00:26:30,548
You will lie, cheat
and steal to get what you want,
427
00:26:30,673 --> 00:26:32,433
but you're incapable
of kissing a little ass?
428
00:26:32,508 --> 00:26:37,221
- Come on. We all have our limitations.
- House, wrong bottle.
429
00:26:37,513 --> 00:26:38,556
Do me a favor.
430
00:26:38,681 --> 00:26:41,225
Take one of these,
wait five minutes for it to kick in,
431
00:26:41,350 --> 00:26:43,978
then find cuddy
and kiss her ass.
432
00:26:45,188 --> 00:26:48,232
What was the kid's first symptom?
433
00:26:48,441 --> 00:26:52,236
You did the history. Of his
800 symptoms, which one hit him first?
434
00:26:52,361 --> 00:26:53,654
The cough.
435
00:28:20,616 --> 00:28:22,368
Gout.
436
00:28:28,499 --> 00:28:30,293
Are we talking about Brandon?
437
00:28:30,418 --> 00:28:32,920
Gout? Uric acid crystals in the joints?
438
00:28:33,296 --> 00:28:37,174
The symptoms are pain,
swelling, redness, stiffness.
439
00:28:37,300 --> 00:28:39,051
Not one of which do
I see on that board.
440
00:28:39,176 --> 00:28:42,263
Because he doesn't have gout.
441
00:28:43,556 --> 00:28:45,933
Every day, cells die.
442
00:28:49,103 --> 00:28:53,441
We survive because the remaining cells
divide and replace the losses.
443
00:28:53,983 --> 00:28:57,028
The colchicine, a gout medicine,
444
00:28:57,320 --> 00:29:00,281
blocks mitosis and
stops cell division,
445
00:29:00,573 --> 00:29:04,118
which will result
in abdominal pain, rash,
446
00:29:04,327 --> 00:29:08,581
nausea, fever, kidney failure,
low blood pressure
447
00:29:08,706 --> 00:29:10,541
and will also mess
with the bone marrow.
448
00:29:10,666 --> 00:29:13,002
He doesn't have gout.
Why would he have gout medication?
449
00:29:13,127 --> 00:29:14,462
Because you guys were right.
450
00:29:14,587 --> 00:29:16,881
He didn't have two conditions
at the exact same time.
451
00:29:17,006 --> 00:29:20,259
First, he got a cough. And because
he's an idiot, he went to a doctor.
452
00:29:20,426 --> 00:29:22,637
In order to justify charging $200,
453
00:29:22,762 --> 00:29:25,431
that doctor felt he should
actually do something. Oops!
454
00:29:25,556 --> 00:29:26,933
He wrote a prescription.
455
00:29:27,058 --> 00:29:30,978
Seven thousand people die
each year from pharmacy screw-ups.
456
00:29:31,103 --> 00:29:33,064
Not nearly as many as die
from doctor screw-ups,
457
00:29:33,189 --> 00:29:36,067
but still, not something they use
in their promotional materials.
458
00:29:36,192 --> 00:29:39,320
The pharmacist gave him gout medicine
instead of cough medicine,
459
00:29:39,445 --> 00:29:41,572
and the only thing it wouldn't do,
460
00:29:41,697 --> 00:29:45,534
it would do absolutely nothing
to relieve his cough.
461
00:29:45,785 --> 00:29:47,620
Occam's razor.
462
00:29:47,995 --> 00:29:51,248
The simplest explanation is almost
always that somebody screwed up.
463
00:29:51,374 --> 00:29:55,461
But once he checked into this hospital,
he was completely in our control.
464
00:29:55,586 --> 00:29:57,964
Our food, our pills, our everything,
465
00:29:58,089 --> 00:30:00,341
so even if you're right,
no more gout medication.
466
00:30:00,466 --> 00:30:03,761
He'd either continue to deteriorate,
or he would've gotten better.
467
00:30:03,886 --> 00:30:06,389
But he got better,
and then he got worse.
468
00:30:06,514 --> 00:30:09,058
It doesn't fit. It doesn't make sense.
469
00:30:09,225 --> 00:30:12,186
Okay. Two people screwed up.
470
00:30:12,478 --> 00:30:14,689
Not as simple as one, but...
471
00:30:24,323 --> 00:30:25,866
He's resting. He's...
472
00:30:25,992 --> 00:30:28,411
I'm Dr. House.
I'm your son's physician.
473
00:30:28,536 --> 00:30:33,165
- You're the one we haven't met yet.
- You're the one he hasn't met.
474
00:30:33,290 --> 00:30:35,418
How can you treat someone
without meeting them?
475
00:30:35,543 --> 00:30:38,671
It's easy if you don't
give a crap about him.
476
00:30:39,672 --> 00:30:41,298
That's a good thing.
477
00:30:41,424 --> 00:30:45,344
If emotions made you act rationally,
they wouldn't be called emotions, right?
478
00:30:45,469 --> 00:30:47,138
That's why we have
this division of labor.
479
00:30:47,263 --> 00:30:49,598
You hold his hand,
I get him better.
480
00:30:49,724 --> 00:30:52,309
If I start tucking him in at night,
that's not fair to you guys.
481
00:30:52,435 --> 00:30:54,854
If you start prescribing medicine,
that's not fair to me.
482
00:30:55,104 --> 00:30:58,899
What I wanna know is,
who stepped on my side of the net?
483
00:30:59,025 --> 00:31:03,946
Who cared enough to get stupid enough
to give him his cough medicine?
484
00:31:04,071 --> 00:31:07,658
- When we checked in, Dr. Foreman...
- Tuesday, he's getting better.
485
00:31:07,783 --> 00:31:09,910
Wednesday, he's getting sick again.
486
00:31:10,036 --> 00:31:13,247
Somebody gave him
his cough medicine Wednesday.
487
00:31:17,585 --> 00:31:20,755
Come on. Nobody's gonna be mad.
488
00:31:20,963 --> 00:31:24,216
I just wanna know
who tried to kill the kid.
489
00:31:28,763 --> 00:31:32,349
- Dr. House, maybe we should...
- His throat was sore.
490
00:31:35,269 --> 00:31:37,772
Page Dr. Occam.
He's gonna wanna hear about this.
491
00:31:37,897 --> 00:31:40,983
I'm sorry. He was coughing,
and I just wanted to help him.
492
00:31:41,108 --> 00:31:43,319
Aren't you a dear.
Where are the pills?
493
00:31:43,444 --> 00:31:46,530
He took the last of them before
he was switched into that room.
494
00:31:46,655 --> 00:31:48,783
- They're all gone?
- It was just cough medicine.
495
00:31:48,908 --> 00:31:51,535
No, it wasn't.
Where's the bottle?
496
00:31:59,835 --> 00:32:02,046
We need to know exactly
what you put in this bottle.
497
00:32:02,171 --> 00:32:04,090
We think it was colchicine,
a gout medication.
498
00:32:04,215 --> 00:32:07,218
If the prescription said cough medicine,
that's what I dispensed.
499
00:32:07,343 --> 00:32:09,720
The family is prepared
to waive liability, all right?
500
00:32:09,845 --> 00:32:12,098
We just need to know
what it was, what dosage it was.
501
00:32:12,223 --> 00:32:13,974
It was cough medicine.
502
00:32:14,475 --> 00:32:16,102
Refill it.
503
00:32:18,562 --> 00:32:22,817
- He's gonna be okay.
- You don't know that.
504
00:32:24,485 --> 00:32:27,655
Does Brandon like
that quality in you?
505
00:32:28,405 --> 00:32:30,825
You're a little negative.
506
00:32:31,951 --> 00:32:33,786
Things don't always
work out for the best.
507
00:32:33,911 --> 00:32:35,412
Doesn't hurt to hope they do.
508
00:32:35,538 --> 00:32:39,041
No. Not unless that makes you
figure you can do whatever you want,
509
00:32:39,166 --> 00:32:42,169
like give people cough medicine.
510
00:32:42,419 --> 00:32:44,255
This is cough medication.
511
00:32:44,380 --> 00:32:47,842
This is what Brandon
was supposed to get.
512
00:32:47,967 --> 00:32:50,386
They're small, round and yellow.
513
00:32:50,511 --> 00:32:53,180
Can you tell this man what the pills
in your son's medicine bottle
514
00:32:53,305 --> 00:32:55,224
actually looked like?
515
00:32:56,475 --> 00:32:59,228
They were small, round
and yellow, exactly like this.
516
00:32:59,353 --> 00:33:01,272
Those were the pills
that Brandon was taking.
517
00:33:01,397 --> 00:33:03,190
Hey, I'm just a pharmacist,
518
00:33:03,315 --> 00:33:06,443
but I know what cough medicine
looks like, doctor.
519
00:33:10,865 --> 00:33:14,034
House: It was so perfect.
It was beautiful.
520
00:33:14,326 --> 00:33:17,705
Beauty often seduces us
on the road to truth.
521
00:33:18,998 --> 00:33:21,709
And triteness kicks
us in the nads.
522
00:33:21,917 --> 00:33:24,795
- So true.
- This doesn't bother you?
523
00:33:25,171 --> 00:33:28,090
That you were wrong?
I try to work through the pain.
524
00:33:28,215 --> 00:33:31,093
I was not wrong.
Everything I said was true.
525
00:33:31,427 --> 00:33:35,097
- It fit. It was elegant.
- So, reality was wrong?
526
00:33:36,891 --> 00:33:39,435
Reality's almost always wrong.
527
00:33:45,232 --> 00:33:47,776
The cough medicine did something.
528
00:33:49,486 --> 00:33:51,864
Aggravated the condition.
529
00:33:52,072 --> 00:33:54,158
It's all over the place.
Must be in his blood.
530
00:33:54,325 --> 00:33:56,243
What if it is his blood?
531
00:33:56,452 --> 00:33:58,662
- Lymphoma?
- Unless you've got something better.
532
00:33:58,787 --> 00:34:00,497
We foolishly ruled out lymphoma
533
00:34:00,623 --> 00:34:02,833
because his ct scan
showed no adenopathy.
534
00:34:02,958 --> 00:34:05,794
Cbc showed a normal differen-smear,
bone marrow showed no...
535
00:34:05,920 --> 00:34:07,171
Screw the tests.
536
00:34:07,338 --> 00:34:11,175
Do an exploratory laparotomy
and find out what's in there.
537
00:34:11,592 --> 00:34:14,386
He has no blood pressure,
no immune system and no kidneys.
538
00:34:14,511 --> 00:34:17,223
- Surgery will kill him.
- Yeah, you're right.
539
00:34:17,431 --> 00:34:19,642
Let's stick with the wrong-pill theory.
540
00:34:24,104 --> 00:34:26,523
I'll schedule him for surgery.
541
00:34:31,111 --> 00:34:34,240
Foreman: Okay, Brandon, we're
running this tube through your heart
542
00:34:34,406 --> 00:34:36,909
and into the pulmonary arteries
in your lung.
543
00:34:37,034 --> 00:34:38,827
Cameron: The sensors
will give us information
544
00:34:38,953 --> 00:34:40,996
for the exploratory surgery
later this afternoon.
545
00:34:45,376 --> 00:34:48,337
- My fingers are numb.
- Foreman: Try not to move.
546
00:34:49,129 --> 00:34:50,839
We're in the right atrium,
547
00:34:51,048 --> 00:34:53,467
trying to catch the flow
through the tricuspid valve.
548
00:34:53,592 --> 00:34:56,929
Chase: I think the
catheter's curling in the atrium.
549
00:34:57,054 --> 00:35:00,182
Got it. We're in the rv now.
550
00:35:02,977 --> 00:35:05,646
Ectopy. You must've
irritated the heart wall.
551
00:35:05,771 --> 00:35:08,565
- It'll calm down.
- He can't tolerate cardiac arrhythmia.
552
00:35:08,691 --> 00:35:11,193
- Pull back.
- He needs the surgery.
553
00:35:23,163 --> 00:35:25,374
Pressure's dropped.
554
00:35:25,499 --> 00:35:27,960
- You still with us, Brandon?
- Get the curtains.
555
00:35:28,502 --> 00:35:29,962
Vf.
556
00:35:39,930 --> 00:35:42,850
Chase: Charging. Clear.
557
00:35:48,897 --> 00:35:50,733
Sinus rhythm.
558
00:35:52,109 --> 00:35:53,569
I got a pulse.
559
00:35:56,488 --> 00:35:58,991
Yeah, but no surgery today.
560
00:36:05,539 --> 00:36:06,540
How're you doing?
561
00:36:06,999 --> 00:36:08,375
Okay.
562
00:36:08,500 --> 00:36:11,462
Great. I'm doing good, too.
563
00:36:11,712 --> 00:36:15,132
I get to knock off
an hour early today. You know why?
564
00:36:15,257 --> 00:36:18,260
Because I kissed my boss' ass.
Do you ever do that?
565
00:36:18,385 --> 00:36:21,305
I think she just said yes 'cause
she wants to reinforce that behavior.
566
00:36:21,472 --> 00:36:25,559
Wants me to kiss a lot of other people's
ass, like she wants me to kiss yours.
567
00:36:25,684 --> 00:36:29,605
What would you want, a doctor
who holds your hand while you die
568
00:36:29,730 --> 00:36:31,899
or a doctor who ignores you
while you get better?
569
00:36:32,107 --> 00:36:34,318
I guess it would particularly suck
to have a doctor
570
00:36:34,443 --> 00:36:36,653
who ignores you while you die.
571
00:36:37,696 --> 00:36:38,696
I should go.
572
00:36:38,781 --> 00:36:41,116
You think it's gonna
come out on its own?
573
00:36:45,496 --> 00:36:48,540
Are we talking bigger
than a breadbasket?
574
00:36:49,500 --> 00:36:54,046
Actually, it will come out on its own.
Which, for small stuff, is no problem.
575
00:36:54,171 --> 00:36:56,507
It's wrapped up in a nice,
soft package, and plop.
576
00:36:56,632 --> 00:36:58,884
Big stuff,
you're gonna rip something,
577
00:36:59,009 --> 00:37:00,929
which, speaking medically,
is when the fun stops.
578
00:37:01,011 --> 00:37:02,763
How did you...
579
00:37:02,888 --> 00:37:06,266
After half an hour you haven't sat down.
That tells me its location.
580
00:37:06,392 --> 00:37:08,828
You haven't told me what it is.
That tells me it's humiliating.
581
00:37:08,852 --> 00:37:10,572
You have a little birdie
carved on your arm.
582
00:37:10,604 --> 00:37:12,815
That tells me you have
a high tolerance for humiliation,
583
00:37:12,940 --> 00:37:15,401
so I figure it's not hemorrhoids.
584
00:37:19,321 --> 00:37:22,783
I've been a doctor 20 years.
You're not gonna surprise me.
585
00:37:23,867 --> 00:37:26,286
It's an mp3 player.
586
00:37:35,754 --> 00:37:37,131
Is it...
587
00:37:37,756 --> 00:37:41,260
Is it because
of the size or the shape,
588
00:37:41,844 --> 00:37:44,638
or is it the pounding bass line?
589
00:37:45,264 --> 00:37:47,266
What are we gonna do?
590
00:37:49,852 --> 00:37:52,104
- I'm gonna wait.
- For what?
591
00:37:54,481 --> 00:37:58,152
It's 3:00. I'm off. Would you tell
Dr. Cuddy there's a patient
592
00:37:58,277 --> 00:38:00,028
in exam room 2 needs her attention?
593
00:38:00,154 --> 00:38:04,116
And the riaa wants her
to check for illegal downloads.
594
00:38:04,408 --> 00:38:08,078
- Brandon's not ready for surgery.
- Let's leave it a couple of weeks.
595
00:38:08,203 --> 00:38:11,206
He should be feeling better by then.
Wait. Which way does time go?
596
00:38:11,331 --> 00:38:14,543
He crashed during prep. He's also
experiencing pain in his fingers.
597
00:38:14,668 --> 00:38:16,521
Think some bug may have gotten
in the clean room.
598
00:38:16,545 --> 00:38:18,589
I think we should
double his dosage of g-csf
599
00:38:18,714 --> 00:38:21,592
to temporarily boost
his white-blood-cell count.
600
00:38:21,758 --> 00:38:24,511
Pain in his fingers. Right.
601
00:38:33,353 --> 00:38:34,938
Hi again.
602
00:38:35,063 --> 00:38:37,357
- You can't go in...
- Where's he going?
603
00:38:39,902 --> 00:38:41,904
Hey. How you all doing?
604
00:38:42,154 --> 00:38:45,282
Interesting fact. Every seven years,
it's a whole new you.
605
00:38:45,532 --> 00:38:48,619
- Inspiring metaphor, huh?
- Dr. House, this is a clean room.
606
00:38:48,744 --> 00:38:50,370
Yeah. I read the sign.
607
00:38:51,121 --> 00:38:54,833
But cells of different organs
reproduce at different rates.
608
00:38:56,001 --> 00:38:58,712
So, you get a new kidney
every three years.
609
00:38:58,962 --> 00:39:00,756
Get a new stomach lining
every week.
610
00:39:00,881 --> 00:39:04,968
This is why colchicine poisoning causes
all these symptoms, but not all at once.
611
00:39:05,093 --> 00:39:07,888
But we went to the pharmacy.
We saw the pills.
612
00:39:08,013 --> 00:39:11,016
Colchicine does its damage
in a very specific order.
613
00:39:11,141 --> 00:39:14,228
First of all, there's the pain
in the abdomen, the rash, the fever.
614
00:39:14,436 --> 00:39:17,523
Isn't that what you got first?
Then the kidneys go,
615
00:39:17,648 --> 00:39:20,526
which is exactly what happened to...
616
00:39:20,651 --> 00:39:22,736
- Brandon.
- Right.
617
00:39:23,070 --> 00:39:26,782
Then it screws up
your bone marrow and then neuropathy.
618
00:39:26,907 --> 00:39:29,910
A painful tingling
in the fingers and toes.
619
00:39:30,035 --> 00:39:32,579
And what do you suppose
happens after that?
620
00:39:37,751 --> 00:39:43,966
Hair loss. The bad news is
your special boy is doing drugs.
621
00:39:44,091 --> 00:39:45,801
- No, he's not.
- Ecstasy?
622
00:39:48,095 --> 00:39:49,513
Twice with Dan and Mike.
623
00:39:50,097 --> 00:39:53,559
House: You know what they cut that stuff
with? Apparently, colchicine.
624
00:39:53,684 --> 00:39:56,770
Unless you ingested the colchicine
through your contact lens solution
625
00:39:56,895 --> 00:39:59,815
or skin cream or some other drug
you're lying about.
626
00:39:59,940 --> 00:40:02,669
I don't know how it happened. I don't
care how it happened. It happened.
627
00:40:02,693 --> 00:40:04,278
Start...
628
00:40:05,529 --> 00:40:07,447
- Brandon.
- Lovely name.
629
00:40:07,573 --> 00:40:09,741
Start Brandon on fab fragments,
630
00:40:09,866 --> 00:40:12,286
and get him some Tylenol
for the hair I pulled out.
631
00:40:12,494 --> 00:40:14,538
And get some air in here.
632
00:40:16,540 --> 00:40:18,834
Make a note.
I should never doubt myself.
633
00:40:18,959 --> 00:40:20,544
I think you'll remember.
634
00:40:20,669 --> 00:40:23,130
It wouldn't hurt you
to be wrong every now and then.
635
00:40:23,255 --> 00:40:25,132
What, you don't care
about these people?
636
00:40:29,553 --> 00:40:33,557
The colchicine interferes with the
ability of the heart muscle to contract,
637
00:40:33,682 --> 00:40:37,060
pumping blood,
lowering your blood pressure.
638
00:40:38,895 --> 00:40:43,191
The antibodies we're giving you
should neutralize the colchicine,
639
00:40:45,027 --> 00:40:48,447
allowing your heart
to beat at its normal rate.
640
00:40:49,489 --> 00:40:51,533
When will you know?
641
00:40:52,367 --> 00:40:54,161
We know now.
642
00:40:55,621 --> 00:40:58,540
Oh, thank god.
643
00:41:20,812 --> 00:41:22,731
Big weekend?
644
00:41:22,856 --> 00:41:26,526
- It's not for me. I'm fully stocked.
- Cuddy got you doing inventory?
645
00:41:26,818 --> 00:41:30,197
- Trying to solve that kid's case.
- The gout medicine od?
646
00:41:30,322 --> 00:41:31,531
Yeah.
647
00:41:31,657 --> 00:41:33,343
The fact that I know
it's a gout medicine od
648
00:41:33,367 --> 00:41:35,261
would seem to indicate the case
is already solved.
649
00:41:35,285 --> 00:41:37,037
Well, you'd be wrong.
650
00:41:37,162 --> 00:41:39,247
What about the fact
that the kid is now,
651
00:41:39,373 --> 00:41:41,792
I believe the technical
term is not sick?
652
00:41:41,917 --> 00:41:44,753
You know how many forms of colchicine
there are on the market?
653
00:41:45,087 --> 00:41:50,092
Neither do I, but it's a lot.
Pills, powders, liquids, iv fluids.
654
00:41:50,217 --> 00:41:52,552
Somewhere at a party, in his coffee,
655
00:41:52,678 --> 00:41:54,358
up his nose, in his ear,
this kid had some.
656
00:41:54,429 --> 00:41:56,765
So, you're not happy
with your ecstasy theory?
657
00:41:56,890 --> 00:41:58,809
- He said he used it twice.
- People lie.
658
00:41:58,934 --> 00:42:01,061
- If you're gonna lie, it's...
- I'm not interested.
659
00:42:01,186 --> 00:42:04,981
- Not curious?
- No. Because I'm well adjusted.
660
00:42:06,191 --> 00:42:07,442
Right.
661
00:42:10,070 --> 00:42:13,115
- Cameron: Temperature's normal.
- I want cousin Sharon there.
662
00:42:13,240 --> 00:42:16,118
If we invite Sharon, we have to invite
all the cousins.
663
00:42:16,243 --> 00:42:19,037
So what? My side of the family
doesn't need anything.
664
00:42:23,750 --> 00:42:25,961
I don't suppose I could have
some of those cough pills?
665
00:42:26,086 --> 00:42:28,255
- They're okay, right?
- Yes. You're doing great.
666
00:42:28,380 --> 00:42:30,006
You should invite Dr. House.
667
00:42:30,132 --> 00:42:32,384
- Brandon: Will he come?
- No, but he'll send a gift.
668
00:42:32,509 --> 00:42:35,804
I'll make sure it's a good one.
669
00:42:35,971 --> 00:42:38,557
There's a letter
on the back of these pills.
670
00:42:40,600 --> 00:42:42,853
Your old pills
didn't have a letter on them?
671
00:42:42,978 --> 00:42:45,856
No. Round and yellow,
but no letter.
672
00:42:52,612 --> 00:42:55,240
Well, these will help your cough.
673
00:42:59,703 --> 00:43:02,205
- Hey, you wanna go get some...
- No.
53365
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