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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:05,131 --> 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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