1 00:00:02,232 --> 00:00:03,483 (CROWD CHEERING) 2 00:00:04,151 --> 00:00:07,154 MAN 1: On your right. On your right. On your right. 3 00:00:07,279 --> 00:00:08,322 Back,back,back, back,back. 4 00:00:08,447 --> 00:00:10,073 Come on, buddy. 5 00:00:12,951 --> 00:00:15,287 Yeah, Dan! Yeah! 6 00:00:15,412 --> 00:00:17,080 Yeah! Yeah! 7 00:00:17,247 --> 00:00:18,874 MAN 1: Back, back, back,back,back. 8 00:00:18,999 --> 00:00:21,168 MAN 2: Come on! Watch the winger! 9 00:00:32,304 --> 00:00:33,305 MAN 3: Yeah! 10 00:00:47,277 --> 00:00:48,153 (GROANS) 11 00:00:50,197 --> 00:00:51,406 (PANTING) 12 00:00:58,121 --> 00:00:58,955 You Okay? 13 00:00:59,915 --> 00:01:04,169 Dan? Dan, talk to me. Dan. Dan. 14 00:01:06,004 --> 00:01:07,839 Get a doctor! 15 00:01:48,922 --> 00:01:50,841 - Hey. - Close the door. 16 00:01:50,966 --> 00:01:52,300 Close the door. 17 00:01:55,721 --> 00:01:58,265 Is Cuddy down the hall counting to 50? 18 00:01:58,932 --> 00:02:01,685 She knows I'm in here, in the clinic, as she commanded. 19 00:02:01,810 --> 00:02:03,228 She just doesn't know I'm alone. 20 00:02:03,562 --> 00:02:05,272 Well, you've got a full waiting room. 21 00:02:05,397 --> 00:02:06,857 How long do you think you can ignore them? 22 00:02:06,982 --> 00:02:08,483 I'm off at 4:00. 23 00:02:09,651 --> 00:02:12,654 You're doing this to avoid five minutes of work? 24 00:02:12,779 --> 00:02:14,948 If I go out there, I get assigned a kid with a runny nose. 25 00:02:15,073 --> 00:02:16,241 That's 30 seconds looking at the nose, 26 00:02:16,366 --> 00:02:18,285 25 minutes talking to a worried mom 27 00:02:18,410 --> 00:02:20,746 who won't leave until she's sure it's not meningitis or a tumor. 28 00:02:20,871 --> 00:02:23,165 Yes. Concerned parents can be so annoying. 29 00:02:23,457 --> 00:02:25,667 Just tell Cuddy you've got an urgent case. You had to leave early. 30 00:02:25,792 --> 00:02:28,086 - That would be lying. - And that would be wrong. 31 00:02:28,211 --> 00:02:31,673 But luckily the definition of "urgent" is fungible. 32 00:02:32,090 --> 00:02:34,801 Not the definition of "case", though. 33 00:02:37,804 --> 00:02:39,431 You have no cases? 34 00:02:41,141 --> 00:02:43,226 You have no cases? 35 00:02:44,060 --> 00:02:46,730 You've got handpicked doctors, specialists 36 00:02:46,855 --> 00:02:49,983 working for you, and they're sitting on their hands? 37 00:02:50,108 --> 00:02:53,737 - Cameron's answering my mail. - Oh, time well spent, I'm sure. 38 00:02:53,862 --> 00:02:55,447 Foreman and Chase? 39 00:02:56,448 --> 00:02:57,491 Research? 40 00:03:04,498 --> 00:03:07,250 Nine letters. Iodine deficiency in children. 41 00:03:07,375 --> 00:03:08,794 Cretinism. 42 00:03:18,553 --> 00:03:21,932 So, 4:03 p.m., Dr. House checks out. 43 00:03:22,057 --> 00:03:24,601 - Please write that down. - Dr. House. 44 00:03:24,726 --> 00:03:27,479 Sorry. Done for the day. Plenty of docs here to take care of you. 45 00:03:27,604 --> 00:03:29,189 But we had an appointment. 46 00:03:29,314 --> 00:03:31,107 Nice try, but this is a walk-in clinic, 47 00:03:31,233 --> 00:03:32,234 which means there are no appointments. 48 00:03:32,359 --> 00:03:34,194 You walk in, sign the chart and a doctor will see you. 49 00:03:34,319 --> 00:03:35,320 Just not me. 50 00:03:35,445 --> 00:03:38,240 Your letter says that we'd see you. 51 00:03:39,157 --> 00:03:42,077 - Not a big letter writer. - Here. 52 00:03:44,996 --> 00:03:47,457 When did my signature get so girlie? 53 00:03:48,375 --> 00:03:49,376 I can explain. 54 00:03:49,501 --> 00:03:50,794 See that "G"? 55 00:03:50,919 --> 00:03:52,462 See how it makes a big loop on top? 56 00:03:52,587 --> 00:03:54,840 Doesn't even look like my handwriting. 57 00:03:54,965 --> 00:03:57,425 Think I have something? What's the differential diagnosis 58 00:03:57,551 --> 00:03:59,427 for writing G's like a junior high school girl? 59 00:03:59,553 --> 00:04:01,388 It's impossible to get to you through normal channels. 60 00:04:01,513 --> 00:04:02,639 They have called, e-mailed. 61 00:04:02,764 --> 00:04:04,140 Perseverance does not equal worthiness. 62 00:04:04,266 --> 00:04:06,893 Next time you want to get my attention, wear something fun. 63 00:04:07,018 --> 00:04:10,438 - Low-rider jeans are hot. - Sixteen-year-old male. 64 00:04:10,564 --> 00:04:12,858 Sudden onset of double vision and night terrors, 65 00:04:12,983 --> 00:04:14,150 with no apparent cause. 66 00:04:14,276 --> 00:04:16,903 - The kid's been to two neurologists... - Night terrors? 67 00:04:17,028 --> 00:04:20,198 - As in big scary monsters? - Yes. 68 00:04:23,368 --> 00:04:26,037 - Where are you going? - To see the family. 69 00:04:26,162 --> 00:04:27,163 You're going to examine a patient? 70 00:04:27,289 --> 00:04:29,916 Nine times out of 10, there's no reason to talk to a patient. 71 00:04:30,041 --> 00:04:31,835 But night terrors in a 16-year-old 72 00:04:31,960 --> 00:04:36,006 is a very good reason to talk to this family. Good work. 73 00:04:38,925 --> 00:04:40,844 Margins are fine. 74 00:04:41,469 --> 00:04:42,929 No lesions. 75 00:04:44,222 --> 00:04:45,974 Color is good. 76 00:04:46,641 --> 00:04:48,852 How long have you been having night terrors? 77 00:04:48,977 --> 00:04:51,062 - Three weeks. - He's afraid to go to bed. 78 00:04:51,187 --> 00:04:53,857 He's exhausted, can barely function. 79 00:04:55,191 --> 00:04:56,192 What does that tell you? 80 00:04:56,318 --> 00:04:58,737 Nothing. It's just fun watching him blink. 81 00:04:59,237 --> 00:05:00,739 Name as many animals as you can 82 00:05:00,864 --> 00:05:03,408 that begin with the letter "B". Go. 83 00:05:10,540 --> 00:05:11,541 Baby elephant? 84 00:05:11,666 --> 00:05:13,543 Baby elephant is actually a good answer. 85 00:05:13,668 --> 00:05:15,503 - "B" is a bear of a letter. - What does that tell you? 86 00:05:15,629 --> 00:05:17,714 HOUSE: Proves two things, no neurological damage, 87 00:05:17,839 --> 00:05:19,841 and your son is never gonna be chief fry cook. 88 00:05:20,675 --> 00:05:24,137 In teens, there are two likely causes of night terrors. 89 00:05:24,262 --> 00:05:25,221 Post-traumatic stress. 90 00:05:25,347 --> 00:05:27,098 Any recent shoot-outs at your high school? 91 00:05:27,223 --> 00:05:28,433 - No. - Well, then, Dave... 92 00:05:28,558 --> 00:05:30,101 - Dan. - If there's no trauma, 93 00:05:30,226 --> 00:05:33,146 the other cause is sexual abuse. 94 00:05:36,232 --> 00:05:37,776 So who's molesting you? 95 00:05:37,901 --> 00:05:39,945 Teacher? Extra-friendly neighbor? 96 00:05:40,528 --> 00:05:42,530 I'd ask if either of you were involved, but you'd deny it. 97 00:05:42,656 --> 00:05:44,240 No. We would never do anything to hurt Dan. 98 00:05:44,366 --> 00:05:46,326 I say it here, it comes out there. 99 00:05:46,868 --> 00:05:49,287 This lack of response is consistent with abuse. 100 00:05:49,412 --> 00:05:51,414 There's no one, okay? I swear. 101 00:05:52,248 --> 00:05:53,333 There was trauma. 102 00:05:53,458 --> 00:05:56,086 I got hit in the head during a lacrosse game. 103 00:05:56,962 --> 00:05:59,714 Did you know that he got hit in the head? 104 00:06:00,215 --> 00:06:02,175 They didn't mention it. No. 105 00:06:02,300 --> 00:06:03,760 Yeah. Why bother? 106 00:06:06,763 --> 00:06:09,766 No, no. We took him to the ER after the game. 107 00:06:09,891 --> 00:06:12,268 He was scanned. They tested him. They said he was fine. 108 00:06:12,394 --> 00:06:13,436 No concussion. It's gotta be... 109 00:06:13,561 --> 00:06:17,315 You hound me for my opinion, and then you question my diagnosis. 110 00:06:17,440 --> 00:06:18,525 Cool. 111 00:06:18,650 --> 00:06:20,902 ER obviously screwed up. Kid's got a concussion. 112 00:06:21,027 --> 00:06:22,487 I had double vision before I was hit. 113 00:06:22,612 --> 00:06:24,447 Well, that changes everything. 114 00:06:24,572 --> 00:06:27,242 You need glasses. That's why you had double vision, 115 00:06:27,367 --> 00:06:29,244 which is why you got hit, which is why you have a concussion, 116 00:06:29,369 --> 00:06:31,663 which is why you have night terrors. 117 00:06:31,788 --> 00:06:34,791 You need to see an ophthalmologist, which I am not. 118 00:06:35,291 --> 00:06:36,710 You enjoyed that. 119 00:06:36,835 --> 00:06:38,253 I brought a reasonable case to your attention, 120 00:06:38,378 --> 00:06:40,255 and you shoved it in my face just to humiliate me. 121 00:06:40,380 --> 00:06:43,258 - You're an only child, aren't you? - Why would you say that? 122 00:06:43,383 --> 00:06:44,968 Because everything is about you. 123 00:06:46,219 --> 00:06:48,054 This may seem incredibly controversial, 124 00:06:48,179 --> 00:06:50,390 but I think sexual abuse is bad. 125 00:06:50,515 --> 00:06:53,893 I just wanted to make sure he wasn't being diddled by daddy or mommy. 126 00:06:54,019 --> 00:06:56,062 Anything else is just a bonus. 127 00:07:06,573 --> 00:07:09,242 - I'm not an only child. - Interesting. 128 00:07:10,452 --> 00:07:12,620 - What? - Don't move. 129 00:07:13,455 --> 00:07:17,167 - Did I bore you in there? - What? No. Not really. 130 00:07:17,292 --> 00:07:18,126 Are you tired? 131 00:07:19,627 --> 00:07:21,713 - Sometimes. - He never sleeps. Of course he's tired. 132 00:07:21,838 --> 00:07:23,757 - Right now. Are you tired? - No. No. 133 00:07:23,882 --> 00:07:27,135 That twitch in your leg. Did you feel that? 134 00:07:28,303 --> 00:07:30,597 - Didn't hurt. - His leg twitched. I don't see what... 135 00:07:30,722 --> 00:07:32,432 It's called a myoclonic jerk. 136 00:07:32,557 --> 00:07:34,184 It's very common when you're falling asleep. 137 00:07:34,309 --> 00:07:35,518 Respiration rate falls, 138 00:07:35,643 --> 00:07:38,188 and the brain sometimes interprets this as the body dying, 139 00:07:38,313 --> 00:07:39,272 so it sends a pulse to wake it up. 140 00:07:39,397 --> 00:07:42,984 - So? - So, he's not asleep. He's awake. 141 00:07:44,903 --> 00:07:46,362 Admit him. 142 00:07:49,657 --> 00:07:52,452 HOUSE: I recognize that loopy "G". 143 00:07:53,328 --> 00:07:55,163 So, what does the jerk tell us? 144 00:07:55,288 --> 00:07:57,916 Nothing good. The brain's losing control of the body. 145 00:07:58,041 --> 00:07:59,250 Can't order the eyes to focus, 146 00:07:59,375 --> 00:08:00,835 regulate sleep patterns or control muscles. 147 00:08:00,960 --> 00:08:03,213 A movement disorder or a degenerative brain disease. 148 00:08:03,338 --> 00:08:05,215 Either way, this kid's gonna be picking up his diploma 149 00:08:05,340 --> 00:08:06,382 in diapers and a wheelchair. 150 00:08:06,508 --> 00:08:08,635 Maybe not that bad. Could be an infection. 151 00:08:08,760 --> 00:08:11,054 You wish. No fever, no white count. 152 00:08:11,179 --> 00:08:13,973 Anyone think this differential diagnosis might be compromised 153 00:08:14,099 --> 00:08:16,351 because we don't have an accurate family history? 154 00:08:16,476 --> 00:08:17,977 I took an accurate family history. 155 00:08:18,103 --> 00:08:20,605 You didn't even take an accurate family. 156 00:08:20,730 --> 00:08:22,649 - His father's not his father. - Why would you say that? 157 00:08:22,774 --> 00:08:24,025 Thirty percent of all dads out there 158 00:08:24,150 --> 00:08:25,944 don't realize they're raising someone else's kid. 159 00:08:26,069 --> 00:08:27,779 From what I've read, false paternity's more like 10%. 160 00:08:27,904 --> 00:08:29,405 That's what our moms would like us to believe. 161 00:08:29,531 --> 00:08:32,033 Who cares? If he got it from his parents, they'd both be dead by now. 162 00:08:32,158 --> 00:08:33,660 Can we get on with the differential diagnosis? 163 00:08:33,785 --> 00:08:34,953 Fifty bucks says I'm right. 164 00:08:35,078 --> 00:08:36,955 - I'll take your money. - Hit a nerve? 165 00:08:37,080 --> 00:08:38,039 Don't worry, Foreman. 166 00:08:38,164 --> 00:08:39,958 I'm sure the guy who tucked you in at night was your daddy. 167 00:08:40,083 --> 00:08:41,626 Make it $100. 168 00:08:41,751 --> 00:08:44,921 What about leukoencephalopathy in a 16-year-old? 169 00:08:45,046 --> 00:08:47,132 It doesn't necessarily have to be that bad. 170 00:08:47,257 --> 00:08:48,049 If we exclude the night terrors, 171 00:08:48,174 --> 00:08:49,134 it could be something systemic. 172 00:08:49,259 --> 00:08:51,845 His liver, kidneys. Something outside the brain. 173 00:08:51,970 --> 00:08:55,306 Yes. Feel free to exclude any symptom if it makes your job easier. 174 00:08:55,431 --> 00:08:57,684 The night terrors were anecdotal. He could've had a bad dream. 175 00:08:57,809 --> 00:08:59,602 No. Parents said he was conscious during the event 176 00:08:59,727 --> 00:09:01,855 and didn't remember anything afterwards. 177 00:09:01,980 --> 00:09:03,398 - That's a night terror. - Parents said? 178 00:09:04,274 --> 00:09:05,233 HOUSE: That's a good point. 179 00:09:05,358 --> 00:09:08,862 Before we condemn this kid, maybe we should entertain Dr. Chase's skepticism. 180 00:09:08,987 --> 00:09:10,488 I want a detailed polysomnograph. 181 00:09:10,613 --> 00:09:13,825 If he's having night terrors, I want to see them. 182 00:09:26,337 --> 00:09:28,173 (GASPING) 183 00:09:30,049 --> 00:09:31,301 (PANTING) 184 00:09:36,973 --> 00:09:39,100 I usually don't move during night terrors. 185 00:09:39,225 --> 00:09:40,727 I'm not restraining you for them. 186 00:09:43,688 --> 00:09:47,233 EEG revealed abnormalities in your brain, 187 00:09:47,358 --> 00:09:49,611 caused nerve damage in your toes. 188 00:09:56,034 --> 00:10:00,121 - What are you doing? - Fixing it. 189 00:10:00,705 --> 00:10:02,207 Can I talk to my parents? 190 00:10:02,749 --> 00:10:07,086 - Oh, they know all about this. - I'd really like to see them. 191 00:10:15,970 --> 00:10:19,182 Please. I'd really like them here. 192 00:10:21,309 --> 00:10:23,228 This is gonna hurt, Dan. 193 00:10:23,353 --> 00:10:25,063 Oh. Oh, God. 194 00:10:26,606 --> 00:10:27,857 (SCREAMS) 195 00:10:27,982 --> 00:10:29,025 (BONES CRUNCHING) 196 00:10:41,746 --> 00:10:43,581 That's a night terror. 197 00:10:55,218 --> 00:10:59,138 FOREMAN: We did a CT, MRI, CBC, CHEM-7 and chest X-ray. 198 00:10:59,264 --> 00:11:00,265 All the tests came back normal. 199 00:11:00,390 --> 00:11:01,599 There's nothing to explain his symptoms. 200 00:11:01,724 --> 00:11:04,227 HOUSE: Okay, but let's pretend there's something and go from there. 201 00:11:04,560 --> 00:11:06,145 Who sees something on this MRI? 202 00:11:08,398 --> 00:11:11,526 - No lesions in the white matter. - No structural abnormalities. 203 00:11:11,651 --> 00:11:13,111 No space-occupying tumors. 204 00:11:13,236 --> 00:11:16,823 He's 16, so he should have an absolutely pristine brain. 205 00:11:16,948 --> 00:11:19,284 The smallest thing is abnormal. 206 00:11:19,659 --> 00:11:21,494 Meningeal enhancement. 207 00:11:22,245 --> 00:11:24,914 - My bet is viral meningitis. - Excellent. 208 00:11:25,290 --> 00:11:26,874 Do you see what he did there? 209 00:11:27,000 --> 00:11:29,168 Took a small clue that there's a neurological problem 210 00:11:29,294 --> 00:11:30,420 and wasn't afraid to run with it. 211 00:11:30,545 --> 00:11:33,006 There's no evidence of meningitis on that MRI. 212 00:11:33,131 --> 00:11:35,383 No, there's not. He's completely wrong. 213 00:11:35,508 --> 00:11:37,051 Then what clue are you talking about? 214 00:11:37,176 --> 00:11:38,886 HOUSE: He knew that I saw something on the MRI, 215 00:11:39,012 --> 00:11:41,848 so he figured there must be something there and took a guess. 216 00:11:41,973 --> 00:11:45,351 - Clever, but also pathetic. - So what did you find? 217 00:11:46,060 --> 00:11:48,813 Take a close look at the corpus callosum. 218 00:11:51,190 --> 00:11:53,151 Looks okay. 219 00:11:53,318 --> 00:11:55,028 Are we all looking at the same thing? 220 00:11:55,153 --> 00:11:57,363 Two hundred million interhemispheric nerve fibers. 221 00:11:57,488 --> 00:12:01,826 The George Washington Bridge between the left and right side of the brain. 222 00:12:02,076 --> 00:12:02,910 It's subtle. 223 00:12:06,789 --> 00:12:10,418 There's some bowing. There. An upward arch. 224 00:12:10,543 --> 00:12:13,629 - Are you guessing? - Yes. 225 00:12:13,796 --> 00:12:16,716 - Too bad. You're right. - He probably just moved. 226 00:12:16,841 --> 00:12:19,510 Nobody stays perfectly still for the entire MRI. 227 00:12:19,635 --> 00:12:21,512 Yeah. Probably got restless 228 00:12:21,637 --> 00:12:23,431 and shifted one hemisphere of his brain 229 00:12:23,556 --> 00:12:26,642 to a more comfortable position. Something is pushing on it. 230 00:12:26,768 --> 00:12:28,227 If there was bowing, could be a tumor. 231 00:12:28,353 --> 00:12:30,146 Do you see a tumor on this MRI? 232 00:12:30,271 --> 00:12:32,023 No, but I don't see any bowing either. 233 00:12:32,148 --> 00:12:35,276 There's no tumor. Just a blockage causing pressure causing symptoms. 234 00:12:35,401 --> 00:12:39,197 Today, night terrors. Tomorrow, he's bleeding out of his eyes. 235 00:12:39,864 --> 00:12:41,657 Get him a radionucleotide cisternogram. 236 00:12:41,783 --> 00:12:43,618 I guarantee you'll see a blockage. 237 00:12:46,621 --> 00:12:48,122 (DAN WHIMPERING) 238 00:12:50,166 --> 00:12:51,334 Okay- 239 00:12:54,921 --> 00:12:55,922 Easy. 240 00:12:56,047 --> 00:12:57,882 Okay. Squeeze my hand. 241 00:13:02,345 --> 00:13:04,305 All right. Squeeze hard. 242 00:13:07,058 --> 00:13:08,518 All right. 243 00:13:15,274 --> 00:13:18,569 Now I'm injecting a material that's tagged with a radioisotope. 244 00:13:19,529 --> 00:13:23,199 It's gonna enter your spine and travel up to your brain. 245 00:13:23,741 --> 00:13:26,619 It'll make you able to think deep thoughts, 246 00:13:26,869 --> 00:13:28,454 run 100 miles an hour. 247 00:13:30,164 --> 00:13:31,207 DAN'S FATHER: Easy. 248 00:13:45,388 --> 00:13:48,516 Their eyes aren't the same color, but that fleck in the eyes, 249 00:13:48,641 --> 00:13:51,185 that's maybe a 1-in-10 chance if they're not related? 250 00:13:51,310 --> 00:13:53,604 No. House isn't gonna pay you based on that. 251 00:13:53,729 --> 00:13:54,856 (CHUCKLES) 252 00:13:54,981 --> 00:13:57,442 Any excuse we can give the folks to justify a DNA test? 253 00:13:57,567 --> 00:13:59,318 We could tell them he's got Huntington's, 254 00:13:59,444 --> 00:14:02,613 whole family should be tested or they'll all die. 255 00:14:05,241 --> 00:14:06,451 Hey. 256 00:14:07,160 --> 00:14:08,953 There's a lot of blockage. 257 00:14:09,078 --> 00:14:10,913 I've scheduled him for surgery. 258 00:14:11,038 --> 00:14:12,748 We're gonna put a shunt into one of the ventricles 259 00:14:12,874 --> 00:14:14,959 to give the cerebrospinal fluid an out. 260 00:14:15,084 --> 00:14:17,879 No more pressure, everything goes back to normal. 261 00:14:18,004 --> 00:14:20,506 He's lucky to have you as his doctors. 262 00:14:26,888 --> 00:14:28,097 (WOMAN CHUCKLES) 263 00:14:28,931 --> 00:14:32,560 No formula. Just Mommy's healthy, natural breast milk. 264 00:14:32,685 --> 00:14:33,728 (SIGHS) 265 00:14:33,853 --> 00:14:35,146 Yummy. 266 00:14:35,271 --> 00:14:38,357 Her whole face just got swollen like this overnight. 267 00:14:40,526 --> 00:14:41,903 No fever. 268 00:14:43,070 --> 00:14:46,365 Glands normal. Missing her vaccination dates. 269 00:14:46,491 --> 00:14:48,075 We're not vaccinating. 270 00:14:48,201 --> 00:14:49,202 (BABY GURGLES) 271 00:14:49,744 --> 00:14:51,078 (GIBBERING) 272 00:14:53,289 --> 00:14:54,123 (CHUCKLING) 273 00:14:54,540 --> 00:14:55,583 Think they don't work? 274 00:14:55,708 --> 00:14:58,002 I think some multinational pharmaceutical company 275 00:14:58,127 --> 00:15:01,214 wants me to think they work, pad their bottom line. 276 00:15:02,924 --> 00:15:04,258 - May I? - Sure. 277 00:15:06,219 --> 00:15:07,261 (GIBBERS) 278 00:15:10,598 --> 00:15:13,601 Yeah. All-natural, no dyes is a good business. 279 00:15:13,726 --> 00:15:15,561 All-natural children's toys. 280 00:15:15,686 --> 00:15:18,648 Toy companies, they don't arbitrarily mark up their frogs. 281 00:15:18,773 --> 00:15:22,151 They don't lie about how much they spend on research and development. 282 00:15:22,276 --> 00:15:24,529 The worst that a toy company could be accused of 283 00:15:24,654 --> 00:15:27,281 is making a really boring frog. 284 00:15:27,406 --> 00:15:28,324 (WOMAN CHUCKLES) 285 00:15:30,034 --> 00:15:32,578 You know another really good business? 286 00:15:32,828 --> 00:15:35,289 Teeny, tiny baby coffins. 287 00:15:37,041 --> 00:15:40,753 You can get them in frog green, fire-engine red. Really. 288 00:15:41,712 --> 00:15:45,633 The antibodies in yummy mummy only protect the kid for six months, 289 00:15:45,758 --> 00:15:48,219 which is why these companies think they can gouge you. 290 00:15:48,344 --> 00:15:51,973 They think that you'll spend whatever they ask to keep your kid alive. 291 00:15:52,098 --> 00:15:54,100 Want to change things? Prove them wrong. 292 00:15:54,225 --> 00:15:56,561 Few hundred parents like you decide they'd rather let their kid die 293 00:15:56,686 --> 00:15:58,604 than cough up 40 bucks for a vaccination, 294 00:15:58,729 --> 00:16:01,440 believe me, prices will drop really fast. 295 00:16:02,066 --> 00:16:03,067 (GIBBERS) 296 00:16:06,654 --> 00:16:08,155 Tell me what she has. 297 00:16:08,281 --> 00:16:09,615 (SIGHS) 298 00:16:11,075 --> 00:16:12,076 A cold. 299 00:16:13,911 --> 00:16:15,496 CAMERON: There's a problem. 300 00:16:15,621 --> 00:16:16,956 Complications in surgery? 301 00:16:17,081 --> 00:16:18,374 Surgery went fine. He's in recovery. 302 00:16:18,499 --> 00:16:20,376 But we took a vial of CSF and tested it. 303 00:16:20,501 --> 00:16:21,460 Really? 304 00:16:21,586 --> 00:16:23,045 Turns out the bowing wasn't the cause of his problems. 305 00:16:23,170 --> 00:16:24,171 It was a symptom. 306 00:16:24,297 --> 00:16:27,049 Oligoclonal bands and increased intrathecal lgG. 307 00:16:27,174 --> 00:16:28,926 Which means multiple sclerosis. 308 00:16:29,051 --> 00:16:30,970 And the reason it takes three of you to tell me this? 309 00:16:31,095 --> 00:16:33,264 Because we're having a disagreement about whether or not it is MS. 310 00:16:33,389 --> 00:16:34,724 No lesions on the MRI. 311 00:16:34,849 --> 00:16:36,475 It's early. He's had the disease for maybe two weeks. 312 00:16:36,601 --> 00:16:39,395 McDonald criteria requires six months to make a definitive diagnosis. 313 00:16:39,520 --> 00:16:41,147 Who cares about MacPhearson? 314 00:16:41,272 --> 00:16:43,107 - I hear he tortured kittens. - McDonald. 315 00:16:43,232 --> 00:16:45,276 Oh, McDonald. Wonderful doctor, loved kittens. 316 00:16:45,401 --> 00:16:47,987 The VEP indicates slowing of the brain. 317 00:16:48,112 --> 00:16:49,196 CAMERON: Without the lesions, we can't be sure. 318 00:16:49,322 --> 00:16:51,699 Well, if it is, it's gone from 0 to 60 in three weeks, 319 00:16:51,824 --> 00:16:54,243 which would indicate rapidly progressive MS. 320 00:16:54,368 --> 00:16:55,995 Not the fun MS with the balloons 321 00:16:56,120 --> 00:16:57,747 and the bike rides for cripples in wheelchairs. 322 00:16:57,872 --> 00:17:00,708 - We should wait until... - Start treating him now, 323 00:17:00,833 --> 00:17:02,627 maybe he can walk for another couple of years, 324 00:17:02,752 --> 00:17:05,129 maybe live for another five. 325 00:17:05,254 --> 00:17:07,423 Break it to the family. I'm going home. 326 00:17:07,548 --> 00:17:10,301 CHASE: It'll take months for a definitive diagnosis. 327 00:17:10,426 --> 00:17:11,761 What'll happen to me? 328 00:17:13,304 --> 00:17:16,057 MS is an incredibly variable disease. 329 00:17:16,182 --> 00:17:19,310 If it is MS, and we're not 100% sure. 330 00:17:19,435 --> 00:17:21,896 What do you think is gonna happen? 331 00:17:25,066 --> 00:17:27,109 There are some medications to manage the symptoms, 332 00:17:27,234 --> 00:17:31,280 but as the disease progresses, the problems will become more severe. 333 00:17:31,405 --> 00:17:33,324 Bowel and bladder dysfunction, 334 00:17:33,449 --> 00:17:35,576 loss of cognitive function, pain... 335 00:17:35,701 --> 00:17:37,119 So it's gonna hurt? 336 00:17:39,288 --> 00:17:41,832 The brain's like a big jumble of wires. 337 00:17:41,957 --> 00:17:45,002 MS strips them of the insulation, and the nerves die. 338 00:17:45,127 --> 00:17:47,171 Brain interprets it as pain. 339 00:17:47,296 --> 00:17:51,300 But by starting treatment, we're gonna prevent that for as long as possible. 340 00:17:51,425 --> 00:17:53,052 We're looking into a couple of specialists, 341 00:17:53,177 --> 00:17:56,931 and until we get you squared away, you'll stay here, okay? 342 00:18:02,895 --> 00:18:04,146 (WOMAN CHATTERING OVER PA) 343 00:18:17,660 --> 00:18:20,246 Security checked the videotapes from all perimeter cameras. 344 00:18:20,371 --> 00:18:21,372 He's still gotta be in the hospital. 345 00:18:21,497 --> 00:18:22,456 Where's Chase? 346 00:18:22,581 --> 00:18:23,749 - Main floor. - Okay. 347 00:18:23,874 --> 00:18:25,251 You take the cafeteria and administration. 348 00:18:25,376 --> 00:18:27,712 I'll hit the research annex and work my way back to you. 349 00:18:51,902 --> 00:18:53,112 (PHONE RINGS) 350 00:19:05,541 --> 00:19:06,709 Dan? 351 00:19:12,923 --> 00:19:15,009 HOUSE ON MACHINE: I'm not here. Leave a message. 352 00:19:20,681 --> 00:19:23,434 Dr. Cuddy. Great outfit. 353 00:19:23,559 --> 00:19:25,644 What are you doing back here? Patient? 354 00:19:25,770 --> 00:19:27,104 No. Hooker. 355 00:19:27,229 --> 00:19:29,023 Went to my office instead of my home. 356 00:19:30,900 --> 00:19:32,067 (ELEVATOR BELL DINGING) 357 00:19:39,909 --> 00:19:41,118 FOREMAN: Dr. House. 358 00:19:42,036 --> 00:19:43,245 Dan's missing. 359 00:19:43,370 --> 00:19:45,080 Yeah. I got that part from the message. 360 00:19:45,206 --> 00:19:46,165 You said I was needed immediately. 361 00:19:46,290 --> 00:19:48,167 He shouldn't move after a lumbar puncture. 362 00:19:48,292 --> 00:19:51,045 I agree. He's gonna have a very nasty headache. 363 00:19:51,170 --> 00:19:54,006 That would also be my opinion if consulted tomorrow morning. 364 00:19:54,131 --> 00:19:55,508 We wanted to keep you informed. 365 00:19:55,633 --> 00:19:58,052 He heard some pretty heavy news. 366 00:19:59,178 --> 00:20:01,806 This is not a toddler wandering around a department store. 367 00:20:01,931 --> 00:20:04,058 He's 16. You'll find him. 368 00:20:05,184 --> 00:20:06,811 I'm going home. 369 00:20:07,728 --> 00:20:10,022 When you say, "Call me if you need anything", you mean, "Don't call"? 370 00:20:10,147 --> 00:20:12,399 No, I mean call me if I could do something. 371 00:20:12,525 --> 00:20:13,609 I'm bad at search parties, 372 00:20:13,734 --> 00:20:16,821 and I'm bad at sitting around looking nervous, doing nothing. 373 00:20:16,946 --> 00:20:18,739 What about his parents? Should we call them? 374 00:20:18,864 --> 00:20:21,242 Why? Do you think they're hiding him? 375 00:20:22,076 --> 00:20:24,078 Make sure someone checks the roof. 376 00:20:24,203 --> 00:20:28,374 Some of the orderlies keep the door propped open so they can grab a smoke. 377 00:21:03,158 --> 00:21:04,994 CHASE: Dan. You okay? 378 00:21:12,418 --> 00:21:14,670 There are experimental treatments. 379 00:21:14,795 --> 00:21:16,005 Ongoing research. 380 00:21:16,672 --> 00:21:19,049 Who knows what they'll discover in a year or two. 381 00:21:19,174 --> 00:21:20,968 This is where I dropped the ball. 382 00:21:21,093 --> 00:21:24,179 Dan, we're standing on the roof of the hospital. 383 00:21:26,098 --> 00:21:27,182 Dan. 384 00:21:28,183 --> 00:21:30,102 Dan, you're not on the field. 385 00:21:30,978 --> 00:21:32,771 - He doesn't know where he is. - Dan! 386 00:21:32,897 --> 00:21:33,981 Foreman. 387 00:21:35,482 --> 00:21:36,650 Dan. 388 00:21:38,277 --> 00:21:39,862 - Dan? - Dan, no! 389 00:21:51,332 --> 00:21:52,791 Dr. Foreman. 390 00:21:54,710 --> 00:21:56,420 I assume you found the kid. 391 00:21:56,545 --> 00:21:59,048 - He almost walked off the roof. - Suicidal? 392 00:21:59,173 --> 00:22:01,342 No, he thought he was on his lacrosse field. 393 00:22:01,467 --> 00:22:03,427 Look, I was just gonna run home, shower, change... 394 00:22:03,552 --> 00:22:05,429 - Conscious? - Yeah. 395 00:22:06,805 --> 00:22:07,848 How'd you talk him down? 396 00:22:07,973 --> 00:22:11,101 - Actually, Chase tackled him. - How come you didn't do it? 397 00:22:11,226 --> 00:22:13,604 Right. Well, I am black, but he was closer. 398 00:22:13,729 --> 00:22:15,147 (ELEVATOR BELL DINGING) 399 00:22:16,774 --> 00:22:19,026 Come on. You can ride up with me. 400 00:22:24,865 --> 00:22:27,284 Anybody tell the family that their boy almost stepped off a roof? 401 00:22:27,409 --> 00:22:28,452 They must be thrilled. 402 00:22:28,577 --> 00:22:31,163 They're not suing, but I think only because Chase asked... 403 00:22:31,288 --> 00:22:33,290 Why does everybody always think I'm being sarcastic? 404 00:22:33,415 --> 00:22:36,502 This is great news. He doesn't have MS. 405 00:22:36,627 --> 00:22:38,754 Parents should be thrilled. Well, the mom anyway. 406 00:22:38,879 --> 00:22:40,005 Of course, the dad probably doesn't know... 407 00:22:40,130 --> 00:22:41,674 Why doesn't he have MS? 408 00:22:41,799 --> 00:22:43,842 He was on the roof, thinking he was on a lacrosse field. 409 00:22:43,968 --> 00:22:45,260 Conscious, and therefore not a night terror. 410 00:22:45,386 --> 00:22:47,763 - You want some of this? - Yeah, sure. 411 00:22:48,180 --> 00:22:50,307 He was in an acute confusional state, 412 00:22:50,432 --> 00:22:52,768 which doesn't fit with a demyelinating disease like MS. 413 00:22:52,893 --> 00:22:53,894 Oligoclonal bands... 414 00:22:54,019 --> 00:22:55,145 Were real. 415 00:22:55,270 --> 00:22:57,064 They just mean something other than MS. 416 00:22:57,189 --> 00:22:58,857 So, what are they telling us? 417 00:22:58,983 --> 00:23:00,109 That the immune system is working? 418 00:23:00,234 --> 00:23:01,276 Right. 419 00:23:01,402 --> 00:23:03,070 He has an infection in his brain. 420 00:23:03,195 --> 00:23:06,824 - What about sex? - Well, it might get complicated. 421 00:23:06,949 --> 00:23:07,992 I mean, we work together. 422 00:23:08,117 --> 00:23:09,535 I'm older, certainly, but maybe you like that. 423 00:23:09,660 --> 00:23:11,370 I meant maybe he has neurosyphilis. 424 00:23:12,246 --> 00:23:13,247 Nice cover. 425 00:23:13,372 --> 00:23:14,623 Sorry. RPR was negative. 426 00:23:14,748 --> 00:23:16,458 HOUSE: We don't need a definitive test to confirm this. 427 00:23:16,583 --> 00:23:18,377 Sure. Didn't need one to confirm MS. 428 00:23:18,502 --> 00:23:21,088 Okay. Let's wait for you to run titers on 1,400 viruses 429 00:23:21,213 --> 00:23:23,132 while this kid's brain turns to mush. 430 00:23:23,257 --> 00:23:25,050 So the fact that he doesn't have MS, 431 00:23:25,175 --> 00:23:27,136 it's really not good news after all. 432 00:23:27,261 --> 00:23:29,096 Well, it is if it's neurosyphilis. 433 00:23:29,221 --> 00:23:32,224 The likelihood of a false negative on an RPR test, 30%. 434 00:23:32,349 --> 00:23:35,978 Likelihood of a 16-year-old having sex, roughly 120%. 435 00:23:36,103 --> 00:23:37,146 I'll start him on IV penicillin. 436 00:23:37,271 --> 00:23:38,272 HOUSE: No. We're not gonna wait for that. 437 00:23:38,397 --> 00:23:39,982 The most effective way to deliver the drug 438 00:23:40,107 --> 00:23:41,400 is right into his brain via the spine. 439 00:23:41,525 --> 00:23:43,485 We can't. In a cramped space like the brain, 440 00:23:43,610 --> 00:23:46,363 increased intracranial pressure from a high-volume drug like penicillin 441 00:23:46,488 --> 00:23:48,782 could herniate his brain stem. It'd kill him. 442 00:23:48,907 --> 00:23:50,909 No neurologist in his right mind would recommend that. 443 00:23:51,035 --> 00:23:53,787 Show of hands. Who thinks I'm not in my right mind? 444 00:23:54,496 --> 00:23:57,750 And who thinks I forget this fairly basic neurological fact? 445 00:23:58,375 --> 00:24:00,878 Who thinks there's a third option? 446 00:24:02,296 --> 00:24:04,214 Very good. What's the third choice? 447 00:24:04,339 --> 00:24:07,384 No idea. You just asked if I thought there was one. 448 00:24:09,845 --> 00:24:11,597 The patient has a shunt in his brain. 449 00:24:11,722 --> 00:24:12,890 There'll be no increased pressure. 450 00:24:13,015 --> 00:24:15,309 We can put as much penicillin into his body as we want. 451 00:24:15,434 --> 00:24:18,270 Excellent. Inject him through a lumbar puncture. 452 00:24:21,273 --> 00:24:25,569 One of us is gonna do this to you twice a day for the next two weeks. 453 00:24:25,694 --> 00:24:26,862 (SIGHS) 454 00:24:27,738 --> 00:24:28,739 I'm ready. Go. 455 00:24:28,864 --> 00:24:32,493 He could get syphilis even if he's not sexually active? 456 00:24:33,494 --> 00:24:36,955 Well, it's unusual, but it's possible. 457 00:24:37,915 --> 00:24:39,833 Okay. Relax. 458 00:24:41,460 --> 00:24:42,795 (DAN WHIMPERS) 459 00:24:49,051 --> 00:24:50,052 (EXCLAIMS) 460 00:24:52,888 --> 00:24:56,183 It's infected, with a really big hole, 461 00:24:56,308 --> 00:24:58,644 like you stuck a nail in it to relieve the pressure. 462 00:24:58,769 --> 00:24:59,728 I wouldn't do that. 463 00:24:59,853 --> 00:25:00,896 HOUSE: Although the wound is irregular. 464 00:25:01,021 --> 00:25:03,023 It's not cylindrical. It's shaped like a triangle. 465 00:25:03,148 --> 00:25:05,317 So, not a nail. 466 00:25:05,442 --> 00:25:07,361 - Steak knife? - Wife's nail file. 467 00:25:07,486 --> 00:25:09,071 Nail file. 468 00:25:09,905 --> 00:25:12,699 Yeah. Pain will make you do stupid things. 469 00:25:13,117 --> 00:25:14,993 Something to take the edge off? 470 00:25:15,119 --> 00:25:15,994 Yeah. 471 00:25:18,539 --> 00:25:19,915 Cheers. 472 00:25:24,253 --> 00:25:27,047 So, you have family here in Princeton? 473 00:25:27,172 --> 00:25:28,215 No. 474 00:25:29,133 --> 00:25:30,134 Here on work? 475 00:25:30,259 --> 00:25:31,969 - No. Why are you... - Does your penis hurt? 476 00:25:32,094 --> 00:25:34,346 No. What? Should it? 477 00:25:34,471 --> 00:25:38,183 No. Just thought I'd toss you a really inappropriate question. 478 00:25:38,308 --> 00:25:39,518 Your lawyer's gonna love it. 479 00:25:39,643 --> 00:25:40,811 Why would I want to sue you? 480 00:25:40,936 --> 00:25:41,895 I want you to treat me. 481 00:25:42,020 --> 00:25:43,063 You're from Maplewood, New Jersey, right? 482 00:25:43,188 --> 00:25:44,189 Yeah. 483 00:25:44,314 --> 00:25:47,025 Now, why would you drive 70 miles 484 00:25:47,151 --> 00:25:48,026 to get treatment for a condition 485 00:25:48,152 --> 00:25:50,821 that a nine-year-old could diagnose? 486 00:25:51,989 --> 00:25:54,408 It's the free-flowing pus that's the tip-off. 487 00:25:54,533 --> 00:25:55,492 I was in town. 488 00:25:55,617 --> 00:25:57,452 Not for family. Not for work. 489 00:25:57,578 --> 00:25:59,538 You drove 70 miles to a walk-in clinic. 490 00:25:59,663 --> 00:26:00,956 You passed two hospitals on the road. 491 00:26:01,081 --> 00:26:03,292 Now, either you've got a problem with those hospitals, 492 00:26:03,417 --> 00:26:04,543 or they have a problem with you. 493 00:26:04,668 --> 00:26:07,337 My guess is you've sued half the doctors in Maplewood, 494 00:26:07,462 --> 00:26:09,173 and the rest are now refusing to help you. 495 00:26:09,298 --> 00:26:10,549 It's ironic, isn't it? 496 00:26:10,674 --> 00:26:13,218 Sort of like the boy who sued wolf. 497 00:26:13,802 --> 00:26:16,221 You know, I bet we have a doctor here named Wolf. 498 00:26:16,346 --> 00:26:18,307 How perfect would that be? 499 00:26:18,849 --> 00:26:19,850 I'm gonna page him. 500 00:26:19,975 --> 00:26:21,143 Okay. You know what? Thank you. 501 00:26:21,268 --> 00:26:23,645 I'm gonna find a doctor to take care of this. 502 00:26:23,770 --> 00:26:25,772 I didn't say I wouldn't treat you. 503 00:26:25,898 --> 00:26:28,025 We'll drain your knee, run some lab work. Fix you right up. 504 00:26:28,150 --> 00:26:30,861 - Why would you do that? - I'm a people person. 505 00:26:32,196 --> 00:26:33,614 You actually treated him? 506 00:26:33,739 --> 00:26:35,115 All I know is he sued some doctors. 507 00:26:35,240 --> 00:26:37,784 Who am I to assume they didn't have it coming to them? 508 00:26:37,910 --> 00:26:39,661 The cutest little tennis outfit. 509 00:26:39,786 --> 00:26:41,747 My God, I thought I was gonna have a heart attack. 510 00:26:41,872 --> 00:26:43,749 Oh, my. I didn't see you there. That is so embarrassing. 511 00:26:43,874 --> 00:26:45,209 How's your hooker doing? 512 00:26:45,334 --> 00:26:47,085 Sweet of you to ask. Funny story. 513 00:26:47,211 --> 00:26:48,670 She was gonna be hospital administrator, 514 00:26:48,795 --> 00:26:50,964 but just hated having to screw people like that. 515 00:26:51,089 --> 00:26:52,090 I heard you found her on the roof. 516 00:26:52,216 --> 00:26:55,260 - You have very acute hearing. - You notify the parents? 517 00:26:55,385 --> 00:26:56,511 In due course, of course. 518 00:26:56,637 --> 00:27:00,807 And is there a paternity bet on the father of the patient? 519 00:27:00,933 --> 00:27:01,934 Doesn't sound like me. 520 00:27:02,059 --> 00:27:04,228 Well, it does, actually, but doesn't mean you're guilty. 521 00:27:04,353 --> 00:27:06,563 - You think? - I saw the parents in the lobby. 522 00:27:06,688 --> 00:27:09,233 Smart money's obviously on the father. 523 00:27:09,358 --> 00:27:11,526 My guy knows a guy who can get you in for 50 bucks. 524 00:27:11,652 --> 00:27:13,362 Fine. Tell your guy, if I win, 525 00:27:13,487 --> 00:27:15,364 you attend the faculty symposium, and you wear a tie. 526 00:27:15,489 --> 00:27:18,825 And if I win, no clinic hours for a week. 527 00:27:18,951 --> 00:27:20,953 My guy will call your guy. 528 00:27:22,829 --> 00:27:24,957 She's very good at her job. 529 00:27:29,461 --> 00:27:31,672 The treatments should start helping soon. 530 00:27:31,797 --> 00:27:35,759 Let us know if it gets easier to focus on things, remember stuff. 531 00:27:37,010 --> 00:27:38,136 Hey, Dan. 532 00:27:38,262 --> 00:27:40,889 Isn't Dr. Cameron's necklace a beauty? 533 00:27:41,014 --> 00:27:43,141 Something South American, I think. 534 00:27:43,267 --> 00:27:45,018 Yeah. Guatemalan. 535 00:27:46,061 --> 00:27:48,063 It's a cool necklace. 536 00:27:49,690 --> 00:27:52,276 - Thank you so much. - The kid's in pain. 537 00:27:54,236 --> 00:27:55,779 MAN: Don't fight it. Just let it happen. 538 00:27:55,904 --> 00:27:56,863 No. 539 00:27:56,989 --> 00:27:58,156 WOMAN: You'll be dead in two days. CHASE: "No" what? 540 00:27:58,282 --> 00:27:59,241 WOMAN: I give it a day. 541 00:27:59,366 --> 00:28:01,076 Dan? You okay? 542 00:28:01,201 --> 00:28:02,494 Dan? MAN: Night terrors. 543 00:28:02,619 --> 00:28:04,955 WOMAN: Body decomposition once he's in the grave. 544 00:28:05,080 --> 00:28:06,373 MAN: Say goodbye to your mother and father. 545 00:28:06,498 --> 00:28:07,499 He's hearing voices. 546 00:28:07,624 --> 00:28:10,085 WOMAN: You're dying. It's all over, Dan. 547 00:28:12,087 --> 00:28:13,130 WOMAN: You're dying. Dying. Dead! 548 00:28:13,255 --> 00:28:15,173 MAN: You're a dead man! 549 00:28:16,049 --> 00:28:18,093 Push 2 milligrams IV Ativan, stat. 550 00:28:18,218 --> 00:28:20,053 WOMAN: It's all over. 551 00:28:20,387 --> 00:28:21,555 Come on, Dan. 552 00:28:21,680 --> 00:28:23,223 Get out of my head! 553 00:28:26,101 --> 00:28:28,687 Auditory hallucination shows further brain degeneration. 554 00:28:28,812 --> 00:28:30,022 CHASE: Penicillin's not working. 555 00:28:30,147 --> 00:28:32,941 So either it's a bad batch of penicillin, 556 00:28:33,066 --> 00:28:34,901 or our diagnosis is wrong. 557 00:28:36,528 --> 00:28:39,531 Square one. MIDNIT. 558 00:28:39,656 --> 00:28:42,659 FOREMAN: LFTs, BUN and creatinine are all nonnal. 559 00:28:42,784 --> 00:28:43,910 Diabetes is out, and no gap. 560 00:28:44,036 --> 00:28:46,580 - There goes metabolic. - MRA rules out vasculitis. 561 00:28:46,705 --> 00:28:47,956 "L" for inflammation. 562 00:28:48,081 --> 00:28:49,374 Too young for anything degenerative. 563 00:28:49,499 --> 00:28:50,959 HOUSE: "D", see ya. 564 00:28:51,084 --> 00:28:53,503 - "N" for neoplastic. - MRI was clean. 565 00:28:54,796 --> 00:28:56,715 - "L" for inflammation. - We already did that. 566 00:28:56,840 --> 00:28:59,134 Stupid to have two I's in one mnemonic. What's the other one? 567 00:28:59,259 --> 00:29:00,093 Infection. 568 00:29:00,218 --> 00:29:01,595 Oligoclonal bands still have to mean something. 569 00:29:01,720 --> 00:29:02,763 But no fevers. 570 00:29:02,888 --> 00:29:04,181 White count's elevated, but within range. 571 00:29:04,306 --> 00:29:07,100 We've tested for anything remotely possible. Everything's negative. 572 00:29:07,225 --> 00:29:08,769 CT scan rules out subdural. 573 00:29:08,935 --> 00:29:10,520 Trauma. Later much. 574 00:29:16,151 --> 00:29:17,361 You know the problem? 575 00:29:17,486 --> 00:29:20,906 "Midnight" is actually spelled with a "G" and an "H". 576 00:29:21,239 --> 00:29:24,826 If we could just figure out what those letters stand for. 577 00:29:28,080 --> 00:29:31,166 It's a sick brain, having fun, 578 00:29:33,210 --> 00:29:35,879 torturing him, talking to him. 579 00:29:41,051 --> 00:29:42,969 Scaring the hell out of him. 580 00:29:45,222 --> 00:29:49,476 Get him an EEG, left and right EOG, esophageal microphones. 581 00:29:50,227 --> 00:29:53,980 If this thing wants to talk, let's listen. 582 00:29:56,108 --> 00:30:00,070 We're missing something. This is screwed up. 583 00:30:00,195 --> 00:30:03,990 That's why you came up with the brain talking to the virus thing? 584 00:30:04,116 --> 00:30:06,201 I panicked, okay? 585 00:30:06,326 --> 00:30:08,787 Sounded cool, though. They bought it. 586 00:30:12,457 --> 00:30:13,583 Crap. 587 00:30:14,126 --> 00:30:16,128 Another reason I don't like meeting patients. 588 00:30:16,253 --> 00:30:19,131 If they don't know what you look like, they can't yell at you. 589 00:30:19,256 --> 00:30:20,674 Here we go. 590 00:30:25,429 --> 00:30:27,556 How can you just sit there? 591 00:30:28,682 --> 00:30:30,100 If I eat standing up, I spill. 592 00:30:30,225 --> 00:30:33,437 Our son is dying, and you could care less? 593 00:30:34,229 --> 00:30:37,274 We're going through hell. You're doing nothing? 594 00:30:38,608 --> 00:30:40,735 I'm sorry. You need to vent. I understand. 595 00:30:40,861 --> 00:30:42,696 Don't be condescending. 596 00:30:43,196 --> 00:30:45,824 You haven't checked in on him once. 597 00:30:46,032 --> 00:30:48,076 Blood pressure is 110 over 70. 598 00:30:48,869 --> 00:30:51,288 His shunt is patent, well-placed in the right lateral ventricle. 599 00:30:51,413 --> 00:30:53,165 The EKG shows a normal QRS 600 00:30:53,290 --> 00:30:56,042 with deep-wave inversions throughout both limb and precordial leads. 601 00:30:56,168 --> 00:30:59,087 LFTs are elevated, but only twice the normal range. 602 00:30:59,212 --> 00:31:01,506 Oh, yeah. And he's hearing voices. 603 00:31:06,636 --> 00:31:08,221 Go hold his hand. 604 00:31:10,265 --> 00:31:12,350 Go on. I'll bus your tray. 605 00:31:25,947 --> 00:31:27,782 Got any sample bags on you? 606 00:31:27,908 --> 00:31:30,952 I don't believe you. You're gonna run DNA tests? 607 00:31:31,077 --> 00:31:34,414 Their son is deathly ill. I know. It's terrible. 608 00:31:34,539 --> 00:31:35,874 But the fact is, if I don't keep busy 609 00:31:35,999 --> 00:31:38,335 with trivial things like this, I'm afraid I might start to cry. 610 00:31:38,460 --> 00:31:39,586 You're an ass. 611 00:31:39,711 --> 00:31:41,922 Yeah? You want to double the bet? 612 00:31:53,016 --> 00:31:55,810 General Hospital is on Channel 6. 613 00:31:55,936 --> 00:31:58,939 Dan's brain's not showing Channel 6 right now. Only mush. 614 00:31:59,064 --> 00:32:01,066 No epileptiform activity. 615 00:32:02,984 --> 00:32:04,027 What are you doing? 616 00:32:04,152 --> 00:32:07,864 - Waiting for CBC and CHEM-7. - Good. Run DNA on these. 617 00:32:10,909 --> 00:32:13,328 - What's this? - Parents' coffee cups. 618 00:32:14,746 --> 00:32:15,747 I can't believe you. 619 00:32:15,872 --> 00:32:17,040 I've had this conversation once already. 620 00:32:17,165 --> 00:32:20,126 If you've got something else to do, do it. Otherwise, do this. 621 00:32:28,260 --> 00:32:29,886 Dr. House? 622 00:32:30,011 --> 00:32:31,263 Hey. Mr. Funsten. 623 00:32:31,429 --> 00:32:32,973 I was wondering when you'd be back. 624 00:32:33,098 --> 00:32:34,683 You got some papers for me? 625 00:32:34,808 --> 00:32:36,810 You've caused me considerable mental distress. 626 00:32:36,935 --> 00:32:38,603 I certainly hope so. 627 00:32:39,145 --> 00:32:41,606 What? Too cheap to get your lawyer to serve it for you, 628 00:32:41,731 --> 00:32:42,983 or is it just more fun this way? 629 00:32:43,108 --> 00:32:45,193 I'm obviously prepared to consider a settlement. 630 00:32:45,318 --> 00:32:46,987 You have gonorrhea. 631 00:32:49,531 --> 00:32:50,657 No, I don't. 632 00:32:50,782 --> 00:32:53,410 Well, maybe you're right, but I have a lab result says you do. 633 00:32:53,535 --> 00:32:55,996 Could be a false positive, and normally I'd run a second test, 634 00:32:56,121 --> 00:32:57,664 but since you're here, I'll just go with the first. 635 00:32:57,789 --> 00:32:58,957 You're just trying to scare me. 636 00:32:59,082 --> 00:33:01,126 It's reportable, you know. Public health issue. 637 00:33:01,251 --> 00:33:03,003 I'll be sure to let my wife know. 638 00:33:03,128 --> 00:33:05,088 Don't bother yourself. The state will call for you. 639 00:33:05,213 --> 00:33:08,174 Look, if you're clean, I'm sure it'll all blow over. No big deal. 640 00:33:08,300 --> 00:33:09,467 There's an easy way to find out. 641 00:33:09,593 --> 00:33:11,553 Get one of your doctors to run a test. 642 00:33:13,555 --> 00:33:14,556 Uh-uh. 643 00:33:15,307 --> 00:33:18,101 These are mine now. I'll see you in court. 644 00:33:22,314 --> 00:33:25,400 FOREMAN: West Nile, negative. Not surprising since not too many mosquitoes 645 00:33:25,525 --> 00:33:26,860 passing through Jersey in December. 646 00:33:26,985 --> 00:33:28,028 CHASE: No eastern equine encephalitis. 647 00:33:28,153 --> 00:33:29,404 You guys aren't gonna believe this. 648 00:33:29,529 --> 00:33:30,572 What's that? 649 00:33:30,697 --> 00:33:33,116 House is right. The father's not the father. 650 00:33:33,366 --> 00:33:34,451 (SIGHS) 651 00:33:34,576 --> 00:33:36,369 Dude doubled up on me. 652 00:33:37,037 --> 00:33:39,164 You're not gonna believe this. 653 00:33:39,289 --> 00:33:41,124 The mother's not the mother either. 654 00:33:43,627 --> 00:33:46,379 It's not a good idea to move your son in his condition. 655 00:33:46,504 --> 00:33:48,798 - We just want a second opinion. - We need an answer. 656 00:33:50,300 --> 00:33:53,261 You idiots. You lied to me. 657 00:33:53,386 --> 00:33:55,180 We didn't lie about anything. 658 00:33:55,305 --> 00:33:58,141 You, on the other hand, accused us of molesting our son. 659 00:33:58,266 --> 00:34:00,185 - Perfect. - Can we get off my screw-ups 660 00:34:00,310 --> 00:34:02,270 and focus on theirs? Theirs is bigger. 661 00:34:02,395 --> 00:34:05,023 - You're not Dan's parents. - We're his parents. 662 00:34:05,148 --> 00:34:06,650 He was adopted. He doesn't need to know. 663 00:34:06,775 --> 00:34:07,734 I do. 664 00:34:07,859 --> 00:34:09,277 Adoption makes us just as much... 665 00:34:09,402 --> 00:34:13,281 Listen. When we were taking his medical history, were you confused? 666 00:34:13,448 --> 00:34:15,784 Did you think we were looking for a genetic clue to his condition, 667 00:34:15,909 --> 00:34:17,202 or did you think we were trying to ascertain 668 00:34:17,327 --> 00:34:19,954 who loves him the most in the whole wide world? 669 00:34:20,080 --> 00:34:22,207 How did you find out about this? 670 00:34:22,957 --> 00:34:26,002 - I sampled their DNA. - We didn't give you any DNA. 671 00:34:26,127 --> 00:34:28,088 Your coffee cups from the cafeteria. 672 00:34:28,213 --> 00:34:29,506 You can't do that. 673 00:34:29,631 --> 00:34:32,092 Again, why are we getting hung up on what I did? 674 00:34:32,217 --> 00:34:33,635 Your medical history is useless. 675 00:34:33,760 --> 00:34:37,972 No. We gave you a detailed history of his biological mother. 676 00:34:38,223 --> 00:34:41,267 Her history. Non-smoker, good health, 677 00:34:41,393 --> 00:34:44,187 low cholesterol, no blood pressure problems. 678 00:34:44,312 --> 00:34:46,231 Dan was adopted two weeks after he was born. 679 00:34:46,356 --> 00:34:47,899 You have his history. There's nothing you need to know 680 00:34:48,024 --> 00:34:50,193 - that we didn't tell you. - Sounds reasonable. 681 00:34:50,819 --> 00:34:54,155 Well, if you want to transfer your boy, that is your choice. 682 00:34:54,280 --> 00:34:55,407 I still think it's the wrong... 683 00:34:55,532 --> 00:34:57,242 Was she vaccinated? 684 00:34:58,451 --> 00:34:59,869 The biological mother. 685 00:34:59,994 --> 00:35:01,579 When she was a baby, did she get her vaccinations? 686 00:35:01,705 --> 00:35:04,290 Dan was vaccinated at six months. 687 00:35:05,709 --> 00:35:08,962 Do you know why kids get vaccinated at six months? 688 00:35:09,087 --> 00:35:10,547 Because before that they are protected 689 00:35:10,672 --> 00:35:14,008 by their biological mother's immune system. 690 00:35:14,134 --> 00:35:16,344 So, was she vaccinated? 691 00:35:19,889 --> 00:35:23,017 HOUSE: An infant picks up a regular old measles virus. 692 00:35:23,393 --> 00:35:26,146 Gets a rash. He's extremely uncomfortable, 693 00:35:26,271 --> 00:35:28,398 has a wicked fever, but he lives. 694 00:35:28,523 --> 00:35:29,941 Here's the kicker. 695 00:35:30,066 --> 00:35:33,737 Once every million or so times, the virus mutates. 696 00:35:34,738 --> 00:35:37,323 Instead of Dan having a fever and a rash, 697 00:35:37,449 --> 00:35:41,411 the virus travels to his brain and hides, like a time bomb. 698 00:35:42,036 --> 00:35:44,914 In this case, for 16 years. 699 00:35:45,039 --> 00:35:47,709 Subacute sclerosing panencephalitis. 700 00:35:48,418 --> 00:35:50,253 I know. There's only been 20 cases 701 00:35:50,378 --> 00:35:51,921 in the United States in the last 30 years. 702 00:35:52,046 --> 00:35:55,341 I suppose you could make an argument the kid's still in Stage 1. 703 00:35:55,467 --> 00:35:57,552 Once SSPE moves to Stage 2, it's... 704 00:35:57,677 --> 00:36:00,972 Boom. Stage 2 is universally fatal. 705 00:36:01,097 --> 00:36:02,056 I assume it's impossible to know 706 00:36:02,182 --> 00:36:03,600 when he might move into Stage 2. 707 00:36:03,725 --> 00:36:05,769 He's already started showing symptoms. 708 00:36:05,894 --> 00:36:08,104 Could be a month. Could be tonight. 709 00:36:08,480 --> 00:36:10,356 Can we treat it? HOUSE: Ask the neurologist. 710 00:36:10,482 --> 00:36:12,692 Intraventricular interferon. 711 00:36:12,817 --> 00:36:14,110 Not gonna shove a spike into his brain 712 00:36:14,235 --> 00:36:16,863 and drip interferon without confirming this diagnosis. 713 00:36:16,988 --> 00:36:19,032 - Tap him. - We won't get a reliable result 714 00:36:19,157 --> 00:36:20,700 for measles antibodies in his CSF. 715 00:36:20,825 --> 00:36:21,868 Not after everything we've given him. 716 00:36:21,993 --> 00:36:25,079 So the wrong treatment kills any hope of the right diagnosis. 717 00:36:25,205 --> 00:36:27,123 Why do people lie to me? 718 00:36:29,250 --> 00:36:32,086 Could also kill him. Your ball, Foreman. 719 00:36:32,212 --> 00:36:34,172 Tell me I don't have to biopsy his brain. 720 00:36:36,090 --> 00:36:38,218 Well, there is one other way. 721 00:36:39,886 --> 00:36:41,930 You sure this isn't gonna hurt? 722 00:36:42,055 --> 00:36:44,098 Yeah. It's just scary as hell. 723 00:36:44,516 --> 00:36:46,100 FOREMAN: See, we go through the pupil. 724 00:36:46,226 --> 00:36:48,728 But you won't feel it. The eye's been paralyzed. 725 00:36:48,853 --> 00:36:50,522 The needle travels to the back of the eye, 726 00:36:50,647 --> 00:36:53,900 which is where we'll perform the biopsy on your retina. 727 00:36:59,113 --> 00:37:02,283 So we've confirmed that the problem is this mutated virus. 728 00:37:02,534 --> 00:37:05,954 The treatment for SSPE is intraventricular interferon. 729 00:37:06,079 --> 00:37:09,082 We implant an Ommaya reservoir under the scalp, 730 00:37:09,207 --> 00:37:10,959 which is connected to a ventricular catheter 731 00:37:11,084 --> 00:37:14,045 that delivers the antiviral directly to the left hemisphere. 732 00:37:14,170 --> 00:37:15,505 You want us to consent to this? 733 00:37:15,630 --> 00:37:17,340 I don't even understand what you're talking about. 734 00:37:17,465 --> 00:37:19,300 Well, the antiviral... 735 00:37:22,929 --> 00:37:24,430 Look. I'm sorry. 736 00:37:24,556 --> 00:37:26,599 I can explain this as best I can, 737 00:37:26,724 --> 00:37:29,644 but the notion that you're gonna fully understand your son's treatment 738 00:37:29,769 --> 00:37:33,106 and make an informed decision is kind of insane. 739 00:37:35,149 --> 00:37:37,402 Here's what you need to know. 740 00:37:38,194 --> 00:37:41,906 It's dangerous. It could kill him. 741 00:37:42,949 --> 00:37:44,492 You should do it. 742 00:37:55,753 --> 00:37:57,922 WOMAN: Did you need something else? 743 00:37:58,965 --> 00:38:00,008 (WHIRRING) 744 00:38:16,858 --> 00:38:20,069 You can't order a $3,200 DNA test to win a bet. 745 00:38:20,194 --> 00:38:22,155 It's not an actual cost. 746 00:38:22,572 --> 00:38:23,615 I don't know if you know this, 747 00:38:23,740 --> 00:38:26,117 but the hospital actually owns the sequencing machine. 748 00:38:26,242 --> 00:38:27,368 - I'm serious. - Tell the parents 749 00:38:27,493 --> 00:38:28,828 to submit the bill to insurance. 750 00:38:28,953 --> 00:38:31,039 Insurance is not gonna pay for a bet. 751 00:38:31,164 --> 00:38:32,123 It should. 752 00:38:32,248 --> 00:38:34,167 We don't make that bet, the kid dies. 753 00:38:35,084 --> 00:38:37,503 If not for the paternity bet, I never would have taken their DNA. 754 00:38:37,629 --> 00:38:39,130 Without their DNA, we never would have discovered 755 00:38:39,255 --> 00:38:42,467 that Dan was adopted, which was the key to this case. 756 00:38:43,009 --> 00:38:45,470 You just don't want to pay your end. 757 00:38:45,887 --> 00:38:48,139 Big mistake. My guy knows a guy. 758 00:38:48,264 --> 00:38:51,309 Fine. I will let you out of clinic duty for one week, 759 00:38:51,434 --> 00:38:54,395 after you pay the $3,200 for the PCR test. 760 00:39:04,030 --> 00:39:06,866 Well, now, there's the $100 you owe me. 761 00:39:08,242 --> 00:39:10,370 Here's the $100 I won from Cameron. 762 00:39:10,495 --> 00:39:12,914 $200 I took off of Foreman. 763 00:39:14,248 --> 00:39:17,877 And $600 I got from Wilson. 764 00:39:20,964 --> 00:39:22,006 Very bitter. 765 00:39:26,052 --> 00:39:27,679 CAMERON: Hey. Good morning. 766 00:39:28,096 --> 00:39:29,681 FOREMAN: Good news on your EEG. 767 00:39:29,806 --> 00:39:31,057 Treatment is working. 768 00:39:31,182 --> 00:39:33,142 And your immune system is responding. 769 00:39:33,851 --> 00:39:37,105 I know it's early, but I just want to take a look. 770 00:39:38,189 --> 00:39:39,524 All right. 771 00:39:39,649 --> 00:39:42,026 Let's see what that brain of yours can do. 772 00:39:42,151 --> 00:39:43,486 Name as many animals as you can 773 00:39:43,611 --> 00:39:45,405 that start with the letter "O". 774 00:39:46,197 --> 00:39:47,490 Ostrich. 775 00:39:48,491 --> 00:39:51,202 Ox. Old elephant. 776 00:39:51,911 --> 00:39:54,580 Well, that's two better than last time. 777 00:39:54,956 --> 00:39:57,458 How you doing with the whole adoption thing? 778 00:39:57,583 --> 00:39:58,960 I knew since fifth grade. 779 00:39:59,836 --> 00:40:01,004 How's that? 780 00:40:01,129 --> 00:40:02,380 Cleft chin. 781 00:40:03,798 --> 00:40:06,300 I have one. My dad doesn't. 782 00:40:07,010 --> 00:40:07,927 Looked it up on the Internet. 783 00:40:08,052 --> 00:40:10,638 It's one of those trait things. 784 00:40:10,763 --> 00:40:13,307 That's right. It's autosomal dominant. 785 00:40:13,933 --> 00:40:16,060 Since neither of your parents have cleft chins, 786 00:40:16,185 --> 00:40:19,147 it's highly unlikely you're biologically related. 787 00:40:21,107 --> 00:40:22,567 Are you sure you're okay? 788 00:40:22,692 --> 00:40:25,111 I've got no problems with being adopted. 789 00:40:26,487 --> 00:40:28,072 I love my parents. 790 00:40:31,200 --> 00:40:32,201 How's he doing? 791 00:40:32,326 --> 00:40:35,246 He's doing pretty well. He's a smart kid. 792 00:40:35,955 --> 00:40:37,290 I think he's gonna be fine. 793 00:40:41,294 --> 00:40:43,171 - Hey. - Thanks. 794 00:41:01,189 --> 00:41:02,648 (CROWD CHEERING) 795 00:41:19,207 --> 00:41:21,292 Wheels, 18. Wheels.