1
00:00:03,275 --> 00:00:04,901
It's all about the tongue, man.
2
00:00:05,027 --> 00:00:07,195
You stick it in their mouth,
3
00:00:08,780 --> 00:00:10,699
but not all the way.
4
00:00:10,824 --> 00:00:12,075
They like that?
5
00:00:12,200 --> 00:00:13,744
Dude, they love it.
6
00:00:15,495 --> 00:00:16,830
What are you doing?
7
00:00:16,955 --> 00:00:18,206
Climbing.
8
00:00:21,126 --> 00:00:22,961
Just deep enough to lick her teeth,
9
00:00:23,086 --> 00:00:26,089
slow, one at a time,
like you're painting them.
10
00:00:27,132 --> 00:00:29,551
This girl Rachel, she's a junior.
11
00:00:29,676 --> 00:00:31,053
She's experienced.
12
00:00:31,178 --> 00:00:33,013
Mom says I gotta be home by 5:00.
13
00:00:33,138 --> 00:00:37,100
Just chill, okay? And hop the fence
before someone sees you.
14
00:00:44,274 --> 00:00:45,442
Are you sure this is okay?
15
00:00:45,567 --> 00:00:47,110
Dave's mom's a realtor.
16
00:00:47,235 --> 00:00:49,821
If it's for sale and empty,
it's a clubhouse.
17
00:00:49,946 --> 00:00:52,491
And if you say anything, you're dead.
18
00:00:54,076 --> 00:00:55,994
I told them you were cool.
19
00:00:56,119 --> 00:00:57,996
These are very serious dudes.
20
00:01:01,375 --> 00:01:02,793
Come on.
21
00:01:04,044 --> 00:01:06,880
Cub Scout meeting's down the street,
boys.
22
00:01:08,465 --> 00:01:09,424
(GRUNTS)
23
00:01:09,549 --> 00:01:10,550
(SAM CHUCKLING)
24
00:01:10,676 --> 00:01:12,010
- What a loser.
- Lame.
25
00:01:12,135 --> 00:01:14,638
TOMMY: Gabe's cool, man.
He's one of us.
26
00:01:14,763 --> 00:01:16,098
DAVE: He better be.
27
00:01:21,186 --> 00:01:22,938
I'm not thirsty.
28
00:01:25,065 --> 00:01:26,024
What's this?
29
00:01:26,149 --> 00:01:27,484
DAVE: Club business, little man.
30
00:01:27,609 --> 00:01:28,902
What shall we ask?
31
00:01:29,027 --> 00:01:30,195
Put your hands on.
32
00:01:33,031 --> 00:01:37,786
O dark spirit, will any of us die
in the year to come?
33
00:01:42,999 --> 00:01:43,834
You're moving it.
34
00:01:43,959 --> 00:01:45,669
Put your hands back.
35
00:01:47,170 --> 00:01:48,338
Now.
36
00:01:54,136 --> 00:01:56,138
Who among us will die?
37
00:02:04,312 --> 00:02:05,439
"G'"
38
00:02:10,026 --> 00:02:11,069
"A-"
39
00:02:12,195 --> 00:02:13,572
Oh, man.
40
00:02:15,240 --> 00:02:16,366
"B "
41
00:02:22,372 --> 00:02:23,832
"E-"
42
00:02:23,957 --> 00:02:25,375
TOMMY: "Gabe."
43
00:02:25,500 --> 00:02:26,918
DAVE: That blows.
44
00:02:27,419 --> 00:02:28,879
(GABE COUGHING)
45
00:02:34,176 --> 00:02:36,970
That's it. We're going to the hospital.
46
00:02:37,095 --> 00:02:39,598
No, Mom. I'm too tired.
47
00:02:39,723 --> 00:02:42,851
Come on, sweetie. You've had a fever
for almost a week now.
48
00:02:42,976 --> 00:02:44,186
(COUGHING)
49
00:02:49,649 --> 00:02:50,650
0w!
50
00:02:50,776 --> 00:02:51,818
Oh, my God.
51
00:02:51,943 --> 00:02:54,905
Oh, Gabe. Are you okay?
52
00:02:55,030 --> 00:02:58,200
Are you okay? Baby, what's wrong?
53
00:02:59,993 --> 00:03:01,203
(BREATHING HEAVILY)
54
00:03:01,369 --> 00:03:02,913
I'm dying-
55
00:03:45,497 --> 00:03:46,748
(COUGHING)
56
00:03:50,669 --> 00:03:53,922
12-year-old male.
Spiking fever, congested chest,
57
00:03:54,047 --> 00:03:56,466
coughing up green sputum,
pain in breathing.
58
00:03:56,591 --> 00:03:59,010
Baffling,
though I vaguely recall a disease
59
00:03:59,135 --> 00:04:01,555
called "meunomia"? "Pneumania"?
60
00:04:01,680 --> 00:04:05,267
But his chest X-ray and CT scan
show an atypical pattern for pneumonia.
61
00:04:05,392 --> 00:04:07,060
Pneumonia! That's it.
62
00:04:07,185 --> 00:04:10,146
Just a guess here,
but his parents big donors?
63
00:04:10,272 --> 00:04:13,567
No infiltrate,
just enlarged hilar lymph nodes.
64
00:04:13,692 --> 00:04:17,070
Tiny unicorns goring his bronchial
tubes would be cooler,
65
00:04:17,195 --> 00:04:19,114
and the way
you're ignoring the question,
66
00:04:19,239 --> 00:04:21,825
wow, they're extremely big donors.
67
00:04:21,950 --> 00:04:23,910
He's not responding to cefuroxime,
68
00:04:24,035 --> 00:04:27,372
his pulse ox is dropping much faster
than it should for pneumonia,
69
00:04:27,497 --> 00:04:29,082
and plus he's got an odd little rash.
70
00:04:29,207 --> 00:04:30,083
Excessive irritation.
71
00:04:30,208 --> 00:04:32,627
- He's 12. He's on auto-stroke.
- On his arm.
72
00:04:32,752 --> 00:04:36,172
Papular lesion, one centimeter,
on top of a long, thin scab.
73
00:04:36,298 --> 00:04:39,217
Ah. You need a dermatologist.
74
00:04:39,342 --> 00:04:41,469
If it's dry, keep it wet.
If it's wet, keep it dry.
75
00:04:41,595 --> 00:04:43,221
If it's not supposed to be there,
cut it off.
76
00:04:43,346 --> 00:04:44,890
I never could master all that.
77
00:04:45,015 --> 00:04:46,474
There you are.
78
00:04:47,350 --> 00:04:48,935
Were you scared?
79
00:04:49,060 --> 00:04:50,520
It's okay. You're home now.
80
00:04:51,646 --> 00:04:53,523
Fine.
81
00:04:53,648 --> 00:04:54,983
Cuddy.
82
00:04:57,694 --> 00:04:58,945
As a special favor to you...
83
00:04:59,070 --> 00:05:02,449
No. Admit it. I got you with the rash.
84
00:05:02,574 --> 00:05:07,662
The rash is a total snooze, unless
it's connected to the pneumonia,
85
00:05:09,706 --> 00:05:11,499
then it's party time.
86
00:05:15,295 --> 00:05:18,798
Purulent sputum, dyspnea,
rhonchi bilaterally.
87
00:05:18,924 --> 00:05:21,092
What kind of pneumonia
causes this kind of rash?
88
00:05:21,217 --> 00:05:22,135
Legionnaire's disease.
89
00:05:22,260 --> 00:05:24,095
Usually means
industrial ventilation systems,
90
00:05:24,220 --> 00:05:25,847
convention centers. He's 12 years old.
91
00:05:25,972 --> 00:05:29,434
Send off a urine antigen and check
if he's joined the Elks. Next?
92
00:05:29,559 --> 00:05:30,852
- Fungal.
- Excellent.
93
00:05:30,977 --> 00:05:32,604
Maybe the lodge went spelunking.
94
00:05:32,729 --> 00:05:33,897
Chlamydia pneumonia.
95
00:05:34,022 --> 00:05:36,066
12-year-olds don't have sex.
96
00:05:36,191 --> 00:05:37,817
Their mistake.
97
00:05:39,110 --> 00:05:41,655
That's it? Other possibilities?
98
00:05:41,780 --> 00:05:43,573
What if we're thinking about
this backwards?
99
00:05:43,698 --> 00:05:47,202
The rash came first,
caused the pneumonia. Nice.
100
00:05:47,327 --> 00:05:48,995
Rickettsial. Tick bite.
101
00:05:49,120 --> 00:05:51,998
Nymphal ticks are out now.
They're bloodthirsty little bastards.
102
00:05:52,123 --> 00:05:53,708
Rash would be more pustular.
103
00:05:53,833 --> 00:05:55,752
Not always,
and there's only one rash, which fits.
104
00:05:55,877 --> 00:05:57,587
New Jersey,
it's most likely Lyme Disease.
105
00:05:57,712 --> 00:06:00,090
All right. Let's keep him on fluids
106
00:06:00,215 --> 00:06:02,342
and the cefuroxime to be safe.
107
00:06:02,467 --> 00:06:04,302
Biopsy that rash.
108
00:06:05,261 --> 00:06:08,348
And take another history. Even if we
don't learn what's causing this,
109
00:06:08,473 --> 00:06:12,852
we definitely need to know if
12-year-olds are getting any action.
110
00:06:15,855 --> 00:06:17,232
What are you doing now?
111
00:06:17,357 --> 00:06:18,858
We're collecting fluids from the rash.
112
00:06:18,984 --> 00:06:19,943
Why?
113
00:06:20,068 --> 00:06:21,069
They know what they're doing, Jeffrey.
114
00:06:21,194 --> 00:06:24,823
Great endorsement coming from the
woman who thought it was a nasty cold.
115
00:06:24,948 --> 00:06:26,157
If I had had him last week...
116
00:06:26,282 --> 00:06:27,993
This isn't helping.
117
00:06:29,953 --> 00:06:32,414
We're checking to see
if your son has a tick bite.
118
00:06:32,539 --> 00:06:35,125
Gabe, have you been camping recently,
119
00:06:35,250 --> 00:06:37,794
playing sports outside,
anything like that?
120
00:06:37,919 --> 00:06:39,170
I'm not that good at sports.
121
00:06:39,295 --> 00:06:41,131
No hanging out anywhere new,
strange places?
122
00:06:41,256 --> 00:06:42,132
JEFFREY: We've been through this.
123
00:06:42,257 --> 00:06:45,385
We don't let him run wild
through the neighborhood, right?
124
00:06:48,179 --> 00:06:51,474
Okay. This might be a bit delicate.
125
00:06:53,476 --> 00:06:55,645
We need to know
if you're sexually active.
126
00:06:55,770 --> 00:06:56,771
I beg your pardon?
127
00:06:56,896 --> 00:06:57,856
Mr. Reilich, we need to...
128
00:06:57,981 --> 00:06:59,149
No.
129
00:07:01,276 --> 00:07:03,028
Nothing like that.
130
00:07:04,571 --> 00:07:05,572
(COUGHING)
131
00:07:05,697 --> 00:07:08,825
We've gotta get another CT scan,
check his lungs again.
132
00:07:08,950 --> 00:07:10,785
- Third floor, right?
- Yeah, Radiology is just...
133
00:07:10,910 --> 00:07:13,621
Sorry, medical personnel only.
134
00:07:17,000 --> 00:07:18,209
Where's the machine?
135
00:07:18,334 --> 00:07:20,128
Well, we passed it, actually.
136
00:07:20,253 --> 00:07:21,838
A little tension in the room
back there.
137
00:07:21,963 --> 00:07:23,590
Thought you could use a break.
138
00:07:23,715 --> 00:07:26,426
Your dad's a pretty high-powered guy.
139
00:07:26,551 --> 00:07:30,305
Yeah. He was an Air Force test pilot.
140
00:07:30,430 --> 00:07:32,140
Real "Top Gun" stuff.
141
00:07:32,599 --> 00:07:34,184
Flew mach 3.
142
00:07:34,809 --> 00:07:36,561
Hard to deal with sometimes?
143
00:07:36,686 --> 00:07:38,688
Guess I'm more like my mom.
144
00:07:38,813 --> 00:07:39,814
Listen.
145
00:07:41,274 --> 00:07:44,778
I promise to keep my mouth shut,
but I need to know.
146
00:07:44,903 --> 00:07:48,907
You definitely haven't had
any sexual contact of any kind?
147
00:07:49,032 --> 00:07:50,325
I wish.
148
00:07:50,450 --> 00:07:51,451
(COUGHS)
149
00:07:51,576 --> 00:07:53,078
You know what?
150
00:07:53,203 --> 00:07:56,456
Girls like the cool guys now,
but give it a few years.
151
00:07:56,581 --> 00:07:59,000
They start liking the smart guys.
152
00:07:59,125 --> 00:08:00,919
You'll be all right.
153
00:08:04,464 --> 00:08:06,549
Can you keep a secret?
154
00:08:06,674 --> 00:08:08,885
I have to. It's my job.
155
00:08:11,846 --> 00:08:15,141
I'm cursed. I'm not kidding.
156
00:08:15,266 --> 00:08:17,977
This séance thing the kids did?
157
00:08:18,103 --> 00:08:19,813
It spelled out my name.
158
00:08:19,938 --> 00:08:21,940
Said I was gonna die.
159
00:08:22,065 --> 00:08:23,858
First name and last name?
160
00:08:23,983 --> 00:08:26,903
We've got a Gabe upstairs
who's very old, very sick.
161
00:08:27,028 --> 00:08:30,865
No. It's me. I have the worst luck.
162
00:08:30,990 --> 00:08:33,952
One time I broke this mirror,
163
00:08:34,077 --> 00:08:37,247
the next week,
my parents got separated.
164
00:08:37,372 --> 00:08:39,541
My parents split up, too.
165
00:08:39,666 --> 00:08:43,211
Every kid feels like it's his fault.
It never is.
166
00:08:44,212 --> 00:08:46,506
So, what about the rest of the stuff?
167
00:08:46,631 --> 00:08:49,050
Any playing outside
your parents don't know about?
168
00:08:49,175 --> 00:08:51,094
Anything like that?
169
00:08:52,095 --> 00:08:54,055
Maybe you were somewhere
you weren't supposed to be?
170
00:08:54,180 --> 00:08:55,890
MAN ON PA: Triage nurse,
pick up line 274.
171
00:08:56,015 --> 00:08:57,892
Oh, man.
172
00:08:58,017 --> 00:09:01,104
Gabe, it's important.
173
00:09:04,149 --> 00:09:07,152
A secret club. What's the secret?
174
00:09:07,277 --> 00:09:08,945
They're all morons?
175
00:09:09,070 --> 00:09:10,655
He fell on something in the attic,
176
00:09:10,780 --> 00:09:13,700
scraped his arm,
got the rash the next day.
177
00:09:13,825 --> 00:09:16,077
Said it smelled really moldy up there.
178
00:09:16,202 --> 00:09:19,873
Fungal pneumonia
without the cave. Clever.
179
00:09:19,998 --> 00:09:21,207
I'm gonna get a sample.
180
00:09:23,084 --> 00:09:28,047
Dr. Chase, you have a few moments?
181
00:09:30,216 --> 00:09:32,093
Sorry, I've gotta go.
182
00:09:35,722 --> 00:09:37,348
These young doctors.
183
00:09:37,473 --> 00:09:39,684
It's like they don't care about people.
184
00:09:39,809 --> 00:09:40,977
No manners.
185
00:09:41,102 --> 00:09:42,729
My fault, probably.
186
00:09:43,980 --> 00:09:48,693
That's an interesting accent
you have there. I'd say Czech
187
00:09:48,818 --> 00:09:51,571
with about 30 years of Aussie.
188
00:09:51,696 --> 00:09:53,573
You have quite an ear.
189
00:09:54,574 --> 00:09:56,284
You're Chase's dad.
190
00:09:58,453 --> 00:10:00,163
Hard to miss, you know, the big hug
191
00:10:00,288 --> 00:10:02,707
and how happy he was to see you.
192
00:10:11,799 --> 00:10:13,676
- Need a consult.
- With a patient.
193
00:10:13,801 --> 00:10:15,595
Urgent doctor stuff.
194
00:10:18,223 --> 00:10:22,101
Twenty-six-year-old male,
sudden loss of the ability to speak.
195
00:10:22,227 --> 00:10:24,771
Just because you got out of clinic duty
doesn't mean everybody did.
196
00:10:24,896 --> 00:10:25,897
To his father.
197
00:10:26,022 --> 00:10:27,565
Differential diagnosis?
198
00:10:27,690 --> 00:10:28,691
Chase?
199
00:10:29,234 --> 00:10:31,694
Dad swoops in, Chase swoops out.
200
00:10:31,819 --> 00:10:33,071
Dad say why he was here?
201
00:10:33,196 --> 00:10:35,114
See? You asked.
202
00:10:35,240 --> 00:10:39,118
Dad comes 5,000 miles,
you're more curious than Junior is.
203
00:10:39,244 --> 00:10:40,787
Can't just be about the divorce.
204
00:10:40,912 --> 00:10:43,998
It's been 15 years,
and Mom's been dead for 10 of them.
205
00:10:44,123 --> 00:10:45,750
You think Daddy murdered her?
206
00:10:45,875 --> 00:10:48,253
You want to get to the bottom of this,
you're doing it exactly right.
207
00:10:48,378 --> 00:10:49,879
Don't talk to the people involved.
208
00:10:50,004 --> 00:10:51,005
Drag your buddy away from work
209
00:10:51,130 --> 00:10:52,882
for some pointless speculation.
210
00:10:53,007 --> 00:10:55,635
You want to know how two chemicals
interact, do you ask them?
211
00:10:55,760 --> 00:10:59,514
No. They're gonna lie through
their lying little chemical teeth.
212
00:10:59,639 --> 00:11:02,392
Throw them in a beaker and apply heat.
213
00:11:02,517 --> 00:11:04,811
Even I don't like you.
214
00:11:04,936 --> 00:11:07,105
You know, words can hurt.
215
00:11:21,869 --> 00:11:25,623
Whoa, whoa, whoa. Hold on, guys.
I don't care that you're up here.
216
00:11:26,416 --> 00:11:27,834
You a cop?
217
00:11:27,959 --> 00:11:30,753
Doctor. I'm treating Gabe Reilich.
218
00:11:30,878 --> 00:11:33,006
He said he fell over near some pipes?
219
00:11:33,131 --> 00:11:34,757
Yeah, over there.
220
00:11:36,092 --> 00:11:37,802
What, here?
221
00:11:37,927 --> 00:11:39,012
Yeah.
222
00:11:40,179 --> 00:11:42,765
Any of you guys
been feeling sick lately?
223
00:11:42,890 --> 00:11:44,892
Rash, cold, anything?
224
00:11:45,018 --> 00:11:46,227
BOTH: No.
225
00:11:49,731 --> 00:11:51,524
(CHATTERING ON POLICE RADIO)
226
00:11:52,317 --> 00:11:53,484
Oh, crap.
227
00:11:54,152 --> 00:11:55,111
He is a cop!
228
00:11:55,236 --> 00:11:56,321
Damn it!
229
00:12:10,626 --> 00:12:11,919
(GRUNTS)
230
00:12:18,843 --> 00:12:21,888
He fell on it.
Some weird kind of insulation.
231
00:12:22,013 --> 00:12:24,724
It's old. House was built in the '60s.
232
00:12:24,807 --> 00:12:26,225
What's it made of?
233
00:12:26,351 --> 00:12:28,770
Felt. Fibers of what, cotton?
234
00:12:28,895 --> 00:12:29,979
(EXCLAIMS)
235
00:12:30,104 --> 00:12:31,314
(CHUCKLES)
236
00:12:33,107 --> 00:12:35,902
Sorry. Forgotten
how funny your dad was.
237
00:12:36,027 --> 00:12:38,071
Not as funny as you.
238
00:12:38,196 --> 00:12:40,031
High praise.
239
00:12:40,156 --> 00:12:43,326
I know how protective
kids can be of their parents.
240
00:12:48,247 --> 00:12:50,875
Not cotton. Animal hair.
241
00:12:53,628 --> 00:12:54,837
Get me the CT scan.
242
00:12:59,342 --> 00:13:03,346
First, find the name of the company
that made the insulation,
243
00:13:03,471 --> 00:13:05,139
and second, tell me what I'm seeing
244
00:13:05,264 --> 00:13:08,184
that makes me want to
short their stock.
245
00:13:08,976 --> 00:13:11,104
FOREMAN: Enlarged hilar lymph nodes.
246
00:13:11,229 --> 00:13:12,188
CAMERON: Peribronchial thickening.
247
00:13:12,313 --> 00:13:13,356
Pleural effusions.
248
00:13:13,481 --> 00:13:15,817
Less obvious, more scary.
249
00:13:17,527 --> 00:13:19,862
Well, the mediastinum
doesn't look right.
250
00:13:19,987 --> 00:13:21,280
Slightly widened.
251
00:13:22,573 --> 00:13:23,866
Oh, God.
252
00:13:24,992 --> 00:13:27,537
It can be transmitted through
infected animal hair.
253
00:13:27,662 --> 00:13:28,663
But the Gram's stain
would have shown...
254
00:13:28,788 --> 00:13:30,039
No. The cefuroxime would have killed
255
00:13:30,164 --> 00:13:31,791
some of it, clouded the result.
256
00:13:31,874 --> 00:13:34,669
We've gotta get this kid on Levaquin.
257
00:13:36,754 --> 00:13:38,548
What does he have?
258
00:13:39,090 --> 00:13:43,553
Anthrax.
This house belong to old man Hussein?
259
00:13:47,098 --> 00:13:48,850
Maybe he is cursed.
260
00:13:53,771 --> 00:13:55,314
(MONITOR BEEPING)
261
00:14:03,448 --> 00:14:04,782
JEFFREY: Anthrax.
262
00:14:04,907 --> 00:14:07,618
So what, you think there were
terrorists in that attic?
263
00:14:07,743 --> 00:14:09,704
It's a naturally occurring bacteria.
264
00:14:09,829 --> 00:14:11,622
We believe it was in the insulation.
265
00:14:11,747 --> 00:14:12,748
How sick is he?
266
00:14:12,874 --> 00:14:16,002
Anthrax is very dangerous,
but we've caught it early.
267
00:14:16,127 --> 00:14:18,421
He's on Levaquin.
It's the best antibiotic we have.
268
00:14:18,546 --> 00:14:19,630
Lisa, you buy this?
269
00:14:19,755 --> 00:14:22,175
Jeff, you've helped our hospital a lot.
270
00:14:22,300 --> 00:14:24,051
I wouldn't have assigned
Dr. House to your case
271
00:14:24,177 --> 00:14:25,595
if I didn't have
every confidence in him.
272
00:14:25,720 --> 00:14:27,805
- Then who's this guy?
- Jeffrey!
273
00:14:27,930 --> 00:14:29,849
There's all these weird diseases that
can cause a rash.
274
00:14:29,932 --> 00:14:32,393
What about leishmaniasis or filariasis?
275
00:14:32,518 --> 00:14:33,603
Where'd you hear about those?
276
00:14:33,728 --> 00:14:34,729
Internet. I did some research.
277
00:14:34,854 --> 00:14:36,647
Well, those are very rare conditions.
278
00:14:36,772 --> 00:14:38,649
And anthrax grows along the interstate?
279
00:14:38,774 --> 00:14:40,985
Leishmaniasis doesn't cause pneumonia,
and filariasis...
280
00:14:41,110 --> 00:14:42,278
Just look into everything.
281
00:14:42,403 --> 00:14:43,905
This is my son, all right?
282
00:14:44,030 --> 00:14:46,365
And I'm gonna stay on top of you
until I know he's safe.
283
00:14:46,491 --> 00:14:48,951
I wouldn't expect anything else.
284
00:14:52,163 --> 00:14:53,956
Everyone's a doctor.
285
00:14:54,874 --> 00:14:56,292
(ALARM BEEPING)
286
00:14:58,377 --> 00:14:59,795
(wmzeznqe)
287
00:15:00,755 --> 00:15:02,256
Breathe, baby. It's okay.
288
00:15:02,381 --> 00:15:03,716
Breathe. I need you to breathe.
289
00:15:03,841 --> 00:15:05,468
- His breathing...
- FOREMAN: It's on the inhale.
290
00:15:05,593 --> 00:15:06,594
What does that mean?
291
00:15:06,719 --> 00:15:08,304
It means his airway's closing up.
292
00:15:08,429 --> 00:15:10,932
Is the anthrax doing it?
293
00:15:11,057 --> 00:15:12,266
All right. Hold still, Gabe.
294
00:15:12,391 --> 00:15:15,394
This is gonna be
a little uncomfortable.
295
00:15:21,526 --> 00:15:22,985
(COUGHING)
296
00:15:23,361 --> 00:15:25,404
CUDDY: We've got you. It's okay.
297
00:15:27,240 --> 00:15:28,407
Nodules in his throat.
298
00:15:28,533 --> 00:15:29,617
Airway's occluded?
299
00:15:29,742 --> 00:15:31,327
We've got to intubate. Ativan!
300
00:15:31,452 --> 00:15:32,995
CUDDY: Pushing 3 cc's.
301
00:15:33,704 --> 00:15:34,956
(wmzeznqe)
302
00:15:39,752 --> 00:15:40,795
(GABE GAGS)
303
00:15:40,920 --> 00:15:42,338
(GABE COUGHING)
304
00:15:43,923 --> 00:15:44,924
Airway's too tight.
305
00:15:45,049 --> 00:15:47,051
What's wrong? What's wrong?
No, you're killing him!
306
00:15:47,176 --> 00:15:48,803
Jeffrey! Let them do their job.
307
00:15:48,928 --> 00:15:50,179
Airway's too tight.
Get me a smaller tube.
308
00:15:50,304 --> 00:15:51,264
We're traching.
309
00:15:51,389 --> 00:15:52,682
Smaller tube.
310
00:15:58,396 --> 00:16:00,106
- His lips are cyanotic.
- Oh, my God, he's not breathing.
311
00:16:00,231 --> 00:16:01,482
Foreman, we're traching.
312
00:16:01,607 --> 00:16:03,526
No. I can do it. I'll get it.
313
00:16:04,819 --> 00:16:06,070
CHASE: Foreman,
you're not getting through.
314
00:16:06,195 --> 00:16:07,947
CUDDY: He's not getting air.
315
00:16:08,072 --> 00:16:09,031
We have to trash him fight now.
316
00:16:09,156 --> 00:16:10,157
No, I can do it.
317
00:16:10,283 --> 00:16:11,784
CHASE: Betadine.
318
00:16:17,415 --> 00:16:19,083
I'm doing this.
319
00:16:20,835 --> 00:16:22,086
Got it.
320
00:16:29,760 --> 00:16:31,304
(INSTRUMENT BEEPS)
321
00:16:34,432 --> 00:16:36,017
He's okay.
322
00:16:36,183 --> 00:16:37,435
($055)
323
00:16:40,187 --> 00:16:42,189
Allergic reaction to the antibiotics?
324
00:16:42,315 --> 00:16:43,524
I don't think so.
325
00:16:43,649 --> 00:16:46,402
We switched him to rifampin, and there
was no change in the swelling.
326
00:16:46,527 --> 00:16:47,945
We should try another antibiotic.
327
00:16:48,070 --> 00:16:50,281
You really think he's allergic to
two antibiotics?
328
00:16:50,406 --> 00:16:52,825
I wanna know what Dr. Chase thinks.
329
00:16:52,950 --> 00:16:54,035
It's possible he's allergic...
330
00:16:54,160 --> 00:16:56,412
Oh! I'm sorry. Not you.
331
00:16:56,537 --> 00:16:58,247
Understandable mistake.
332
00:16:58,372 --> 00:16:59,707
The other Dr. Chase.
333
00:17:03,502 --> 00:17:04,545
Boy gets anthrax
334
00:17:04,670 --> 00:17:08,132
and happens to be allergic to
two antibiotics.
335
00:17:08,257 --> 00:17:10,051
Hate to step on anybody's toes,
336
00:17:10,176 --> 00:17:13,012
but is it possible your guys
got this one wrong?
337
00:17:13,137 --> 00:17:15,014
The rash is classic anthrax.
338
00:17:15,139 --> 00:17:16,307
Except the color.
339
00:17:16,432 --> 00:17:17,933
The rash hasn't turned black yet.
340
00:17:18,059 --> 00:17:19,268
No necrosis, no anthrax.
341
00:17:19,393 --> 00:17:23,064
Necrosis can theoretically take
as long as two weeks.
342
00:17:25,232 --> 00:17:26,859
Whoa, whoa, whoa!
343
00:17:26,984 --> 00:17:29,945
Guys, it's not a competition.
344
00:17:30,071 --> 00:17:31,447
It's a diagnosis.
345
00:17:32,323 --> 00:17:35,409
Okay. Who thinks Junior wins?
346
00:17:37,703 --> 00:17:39,789
Four to one. It's not anthrax.
347
00:17:39,914 --> 00:17:41,791
So we start over. What's changed?
348
00:17:41,916 --> 00:17:43,751
What do the nodules tell us?
349
00:17:44,794 --> 00:17:46,337
Sarcoidosis.
350
00:17:46,462 --> 00:17:49,340
Excellent. Send an ACE level.
351
00:17:49,465 --> 00:17:52,843
If it comes back positive,
put him on methotrexate.
352
00:17:54,261 --> 00:17:58,099
FOREMAN: We ran some tests, and
the results point toward sarcoidosis.
353
00:17:58,224 --> 00:18:00,768
It makes the body's tissue swell up.
354
00:18:00,893 --> 00:18:03,020
It seems to have gone
after Gabriel's skin and lungs
355
00:18:03,145 --> 00:18:05,064
and given him this fever.
356
00:18:05,189 --> 00:18:06,232
Doctor.
357
00:18:11,112 --> 00:18:12,863
We don't know what causes it.
358
00:18:12,988 --> 00:18:14,949
But you're sure he has this one?
359
00:18:15,074 --> 00:18:17,660
We have a world-renowned doctor
consulting.
360
00:18:17,785 --> 00:18:20,079
He's convinced this is sarcoidosis.
361
00:18:20,204 --> 00:18:21,205
Is it treatable?
362
00:18:21,330 --> 00:18:22,915
Very, actually.
363
00:18:23,040 --> 00:18:25,000
See, this is IV methotrexate.
364
00:18:25,126 --> 00:18:27,044
It's an anti-inflammatory.
365
00:18:27,169 --> 00:18:31,090
It should make all the swelling go down
and get you all better.
366
00:18:31,215 --> 00:18:32,174
Stop.
367
00:18:35,511 --> 00:18:37,513
My God, it's black.
368
00:18:39,390 --> 00:18:40,933
Necrosis.
369
00:18:41,225 --> 00:18:44,395
It's definitely anthrax,
and it definitely can't be anthrax.
370
00:18:44,520 --> 00:18:46,230
It doesn't cause throat nodules.
371
00:18:46,355 --> 00:18:51,193
Only explanation is, this kid's got
anthrax and sarcoidosis.
372
00:18:51,318 --> 00:18:55,614
Right, two incredibly rare diseases
just happening to strike at once.
373
00:18:55,781 --> 00:18:57,450
Unless you've got a better theory.
374
00:18:57,575 --> 00:18:59,243
Anthrax plus an allergic reaction.
375
00:18:59,368 --> 00:19:03,038
Call 'The Lancet', because that's
one bizarre allergic reaction.
376
00:19:03,164 --> 00:19:06,333
Come on. There's no reason
you both can't be wrong.
377
00:19:06,459 --> 00:19:08,836
It's not allergy,
but it's not coincidence either.
378
00:19:08,961 --> 00:19:11,130
Disease number one set off
disease number two.
379
00:19:11,255 --> 00:19:12,882
Anthrax weakened his immune system.
380
00:19:13,007 --> 00:19:15,342
And triggered a dormant sarcoidosis.
381
00:19:15,468 --> 00:19:18,345
Keep him on antibiotics for the
anthrax, and start the methotrexate
382
00:19:18,471 --> 00:19:21,265
for the sarcoidosis. See what happens.
383
00:19:21,390 --> 00:19:22,558
Fine.
384
00:19:24,935 --> 00:19:25,978
Better go with him.
385
00:19:26,103 --> 00:19:29,023
Make sure he doesn't snap
and hurt somebody.
386
00:19:32,151 --> 00:19:34,528
Yeah, but you're treating him
for both diseases.
387
00:19:34,653 --> 00:19:36,113
We're covering all the bases.
388
00:19:36,238 --> 00:19:38,616
What? Throw everything against the wall
and see what sticks?
389
00:19:38,741 --> 00:19:40,493
Works for spaghetti.
390
00:19:42,620 --> 00:19:44,079
(CLEARS THROAT)
391
00:19:44,747 --> 00:19:45,998
(VIDEO GAME GUNFIRE)
392
00:20:05,184 --> 00:20:07,061
Are you being funny?
393
00:20:07,186 --> 00:20:08,687
Apparently not.
394
00:20:08,813 --> 00:20:11,190
You know why I give money
to this hospital?
395
00:20:11,315 --> 00:20:13,901
It's the only way to get attention.
See this?
396
00:20:14,026 --> 00:20:15,194
Is this a magic trick?
397
00:20:15,319 --> 00:20:17,655
'Cause I am
a total David Copperfield fan.
398
00:20:17,780 --> 00:20:19,990
Although I thought that tornado of
fire, that seemed a little fake.
399
00:20:20,115 --> 00:20:22,201
Pain in the wrist.
it won't go away for months.
400
00:20:22,326 --> 00:20:25,371
Six doctors' brilliant conclusion is
to take it easy.
401
00:20:25,496 --> 00:20:27,790
I write a check, name goes on a plaque,
402
00:20:27,915 --> 00:20:29,792
and 48 hours later I've got two MRls,
403
00:20:29,917 --> 00:20:32,169
a bone scan and a diagnosis,
carpal tunnel.
404
00:20:32,294 --> 00:20:35,047
I'm in surgery that afternoon.
405
00:20:35,172 --> 00:20:36,799
Fascinating story.
406
00:20:36,924 --> 00:20:39,885
Have you thought of
adapting it for the stage?
407
00:20:40,010 --> 00:20:41,178
(PAGER BEEPING)
408
00:20:41,345 --> 00:20:43,305
I love my...
Look at me. I love my son.
409
00:20:43,430 --> 00:20:44,765
I love him more than anything else
in the world.
410
00:20:44,890 --> 00:20:46,767
You're gonna start
paying attention to this case
411
00:20:46,892 --> 00:20:47,893
or I'm gonna make things miserable...
412
00:20:48,018 --> 00:20:49,270
Go back to your son's room.
I'm not leaving here
413
00:20:49,395 --> 00:20:50,563
until you get your ass...
414
00:20:50,688 --> 00:20:52,690
There's a problem.
415
00:20:58,362 --> 00:21:00,155
(GABE WHIMPERING)
416
00:21:01,448 --> 00:21:02,992
What is it?
417
00:21:04,410 --> 00:21:05,744
I don't know.
418
00:21:30,269 --> 00:21:32,438
FOREMAN: Skin lesions are spreading
all over his body.
419
00:21:32,563 --> 00:21:35,149
They're opening up,
and the fatty tissues are oozing out.
420
00:21:35,274 --> 00:21:36,150
He'll be septic in a matter of days.
421
00:21:36,275 --> 00:21:39,737
(SIGHS) Death by dermatitis.
422
00:21:39,862 --> 00:21:41,363
Where's Robert?
423
00:21:41,488 --> 00:21:43,282
He has clinic duty this morning.
424
00:21:43,407 --> 00:21:44,742
No, he doesn't.
425
00:21:44,867 --> 00:21:46,285
I rescheduled you guys
so you'd be free.
426
00:21:46,410 --> 00:21:49,622
Yeah, but he re-rescheduled himself.
427
00:21:50,205 --> 00:21:51,332
Hmm.
428
00:21:56,378 --> 00:21:58,005
It doesn't hurt yet.
429
00:21:58,130 --> 00:21:59,381
Keep going.
430
00:22:00,132 --> 00:22:01,634
You page me?
431
00:22:01,759 --> 00:22:03,427
No, I don't need you. Come on.
432
00:22:03,552 --> 00:22:04,845
We all need help now and again.
433
00:22:04,970 --> 00:22:07,514
You're getting a consult.
434
00:22:07,640 --> 00:22:09,642
Okay. We've got new skin lesions,
435
00:22:09,767 --> 00:22:11,310
bigger and uglier.
What would cause that?
436
00:22:11,435 --> 00:22:12,436
My hand hurts.
437
00:22:12,561 --> 00:22:15,356
What if his body worked so hard
attacking the anthrax
438
00:22:15,481 --> 00:22:17,191
that it started attacking itself?
439
00:22:17,316 --> 00:22:18,317
Autoimmune.
440
00:22:18,442 --> 00:22:19,777
Wouldn't present this aggressively.
441
00:22:19,902 --> 00:22:21,862
It's not likely, but it is possible.
442
00:22:21,987 --> 00:22:23,864
What, in a 12-year-old male?
443
00:22:23,989 --> 00:22:25,324
This isn't about me, is it?
444
00:22:25,449 --> 00:22:26,992
Gabe's dad found leishmaniasis
445
00:22:27,117 --> 00:22:29,119
and filariasis
on the Internet yesterday.
446
00:22:29,244 --> 00:22:30,996
They didn't fit then,
but now they kind of do.
447
00:22:31,121 --> 00:22:33,248
Sure, except for the nodules,
448
00:22:33,374 --> 00:22:35,542
and we're not working out of
Calcutta General.
449
00:22:35,668 --> 00:22:37,294
Multiple neurofibromatosis.
450
00:22:37,419 --> 00:22:39,380
You think this is neurological?
451
00:22:39,505 --> 00:22:41,215
The only reason
you're thinking autoimmune
452
00:22:41,340 --> 00:22:42,841
is because you're a rheumatologist.
453
00:22:42,967 --> 00:22:45,302
If you were a proctologist,
you'd think rectal cancer.
454
00:22:45,427 --> 00:22:47,763
Gotta go with Senior.
455
00:22:47,888 --> 00:22:49,848
He literally wrote the book
on this one.
456
00:22:49,974 --> 00:22:51,141
Autoimmune is a big universe.
457
00:22:51,266 --> 00:22:54,103
It could be anything from scleroderma
to Churg-Strauss.
458
00:22:54,228 --> 00:22:55,479
Whatever it is,
we should start him on steroids,
459
00:22:55,604 --> 00:22:56,605
keep the swelling down.
460
00:22:56,730 --> 00:22:59,274
A hundred milligrams of cytoxan,
it treats most autoimmunes.
461
00:22:59,400 --> 00:23:04,029
Well, give it to him now before the fat
starts dripping out his eyeballs.
462
00:23:05,447 --> 00:23:08,117
Hey, my fingers are numb.
463
00:23:08,242 --> 00:23:10,411
Your watch is on too tight.
464
00:23:18,711 --> 00:23:20,421
You're messing with my head.
465
00:23:20,546 --> 00:23:21,839
Your relationship with your dad
466
00:23:21,964 --> 00:23:23,424
is messing with your ability
to do your job.
467
00:23:23,549 --> 00:23:25,759
Only because you made my dad
part of my job.
468
00:23:25,884 --> 00:23:26,844
Good point.
469
00:23:26,969 --> 00:23:28,762
You haven't seen him in years,
he flies across the Atlantic
470
00:23:28,887 --> 00:23:30,014
- to see you.
- Pacific.
471
00:23:30,139 --> 00:23:32,057
You breeze by him like he's
a Hare Krishna at the airport,
472
00:23:32,182 --> 00:23:34,101
you don't even ask why he's in town.
473
00:23:34,226 --> 00:23:36,061
It's probably a conference.
474
00:23:36,186 --> 00:23:37,354
Probably.
475
00:23:38,230 --> 00:23:40,858
I was hoping to do this through
sheer manipulation,
476
00:23:40,983 --> 00:23:43,777
but if you insist on talking, fine.
Talk.
477
00:23:45,154 --> 00:23:47,114
What did he do to you?
478
00:23:47,239 --> 00:23:50,325
How would you feel if I interfered
in your personal life?
479
00:23:50,451 --> 00:23:54,079
I'd hate it. That's why I cleverly have
no personal life.
480
00:23:54,204 --> 00:23:56,248
I'm gonna biopsy his skin lesions.
481
00:23:56,373 --> 00:23:59,668
Good thinking.
Prove your dad wrong.
482
00:23:59,793 --> 00:24:01,336
That'll solve everything.
483
00:24:19,271 --> 00:24:20,397
Who extubated him?
484
00:24:20,522 --> 00:24:21,482
I did.
485
00:24:21,607 --> 00:24:24,818
Temperature's down two degrees,
and the swelling's almost gone.
486
00:24:24,943 --> 00:24:27,196
And his skin looks better, too.
487
00:24:27,321 --> 00:24:29,239
Cytoxan is working.
488
00:24:29,364 --> 00:24:30,491
Feeling better, Gabe?
489
00:24:30,616 --> 00:24:32,242
Yep, a lot.
490
00:24:32,993 --> 00:24:35,537
CHASE: Dr. Chase,
can you and I have a word?
491
00:24:39,083 --> 00:24:40,334
Your diagnosis is wrong.
492
00:24:40,459 --> 00:24:42,044
No autoimmune disease.
493
00:24:42,169 --> 00:24:44,755
The swelling's probably just down
because we've got him on steroids.
494
00:24:44,880 --> 00:24:46,757
It's masking whatever's really wrong.
495
00:24:46,882 --> 00:24:48,092
ANA's are unreliable.
496
00:24:48,217 --> 00:24:52,429
Phospholipid antibodies are negative,
so no lupus. Same for Churg-Strauss.
497
00:24:52,554 --> 00:24:54,556
You're arguing with a rheumatologist.
498
00:24:54,681 --> 00:24:56,683
There's about 20 distinct
autoimmune diseases.
499
00:24:56,809 --> 00:24:58,393
Why are you here?
500
00:25:01,146 --> 00:25:03,065
SLE conference.
501
00:25:03,816 --> 00:25:04,983
You were in New York last year
502
00:25:05,109 --> 00:25:08,112
for the scleroderma conference.
I didn't hear anything from you.
503
00:25:08,237 --> 00:25:09,988
Just wanted to say hi this time.
504
00:25:10,114 --> 00:25:12,157
You said it. You're still here.
505
00:25:12,991 --> 00:25:14,284
I miss you.
506
00:25:15,536 --> 00:25:18,705
I was 15 years old when you walked out.
507
00:25:18,831 --> 00:25:20,874
Now you're walking back in?
508
00:25:20,999 --> 00:25:23,377
I left your mother. I didn't leave you.
509
00:25:23,502 --> 00:25:25,212
Mum was living on gin and tonics.
510
00:25:25,337 --> 00:25:26,922
How was I supposed to take care of her?
511
00:25:27,047 --> 00:25:28,423
She wasn't your responsibility.
512
00:25:28,549 --> 00:25:30,968
I know! She was yours.
513
00:25:34,138 --> 00:25:35,931
I'm sorry she died.
514
00:25:36,056 --> 00:25:38,100
I'm sorry you had to deal with that.
515
00:25:40,269 --> 00:25:42,855
But she was falling apart
long before...
516
00:25:42,980 --> 00:25:46,108
I've got to talk to House
about this treatment.
517
00:25:51,488 --> 00:25:53,448
But the patient's getting better.
518
00:25:53,574 --> 00:25:55,450
In spite of the cytoxan.
519
00:25:55,576 --> 00:25:58,537
On the other hand, getting better.
520
00:25:58,662 --> 00:26:01,999
Cytoxan makes him
more susceptible to infection.
521
00:26:02,124 --> 00:26:04,626
The anthrax could relapse
and be more resistant.
522
00:26:04,751 --> 00:26:05,794
Better!
523
00:26:05,919 --> 00:26:08,797
You want a negative test for every
autoimmune disease known to man?
524
00:26:08,922 --> 00:26:10,716
Fine. I'll get them.
525
00:26:11,383 --> 00:26:15,262
Be home by midnight or you can't have
the car this weekend.
526
00:26:16,430 --> 00:26:17,764
You guys talk?
527
00:26:17,890 --> 00:26:19,433
Did he tell you why he's here?
528
00:26:20,100 --> 00:26:22,352
The SLE conference.
529
00:26:34,281 --> 00:26:36,074
HOUSE: Going back to the conference?
530
00:26:36,200 --> 00:26:39,453
Afternoon panel.
I hope I can stay awake.
531
00:26:39,578 --> 00:26:41,496
I hope you can get in.
532
00:26:41,622 --> 00:26:42,956
You're not registered.
533
00:26:47,127 --> 00:26:50,839
I get it. You had to make up a lie.
534
00:26:51,340 --> 00:26:54,218
Can't just tell your kid
you're here to see him.
535
00:26:54,343 --> 00:26:56,803
I mean, what father does that?
536
00:26:59,014 --> 00:27:01,683
That little blue dot under your collar,
537
00:27:01,850 --> 00:27:04,645
it's a tattoo for guiding
radiation treatment.
538
00:27:05,729 --> 00:27:08,023
I was looking for it after I saw
what you had for breakfast,
539
00:27:08,148 --> 00:27:09,233
brown rice, vegetables.
540
00:27:09,358 --> 00:27:11,276
It's a macrobiotic diet,
541
00:27:11,401 --> 00:27:15,322
popular with Hollywood starlets
and cancer patients.
542
00:27:17,783 --> 00:27:19,826
Lungs. Stage IV.
543
00:27:21,620 --> 00:27:23,163
You look good.
544
00:27:23,288 --> 00:27:24,373
I'm not.
545
00:27:25,123 --> 00:27:29,878
Came to the States to go to
Sloan-Kettering and see Dr. Wilson.
546
00:27:30,003 --> 00:27:31,630
What'd he say?
547
00:27:32,547 --> 00:27:33,715
Three months.
548
00:27:34,841 --> 00:27:36,468
But you haven't told Robert.
549
00:27:36,593 --> 00:27:40,597
You don't want to burden him,
because you were such a lousy dad.
550
00:27:42,724 --> 00:27:45,060
I'd prefer you not tell him.
551
00:27:46,937 --> 00:27:48,855
Yeah. That's better.
552
00:27:50,107 --> 00:27:53,402
I'll get to see his face
when he reads his dad's obituary.
553
00:27:53,527 --> 00:27:55,445
It's not your business.
554
00:27:58,031 --> 00:27:59,992
I suppose it isn't.
555
00:28:09,209 --> 00:28:11,086
You sure do a lot of tests.
556
00:28:11,211 --> 00:28:14,047
If we figure out exactly
which autoimmune condition it is,
557
00:28:14,172 --> 00:28:16,216
we can get you better quicker.
558
00:28:16,341 --> 00:28:18,510
Was that your dad before?
559
00:28:18,635 --> 00:28:19,720
Yeah.
560
00:28:20,387 --> 00:28:21,763
That's so cool.
561
00:28:21,888 --> 00:28:23,682
Do you guys work together a lot?
562
00:28:24,599 --> 00:28:26,268
Not really.
563
00:28:26,393 --> 00:28:28,228
When can I go home?
564
00:28:28,353 --> 00:28:29,521
We'll see.
565
00:28:30,897 --> 00:28:32,482
Looks like you got your appetite back.
566
00:28:32,607 --> 00:28:33,942
That's a good sign.
567
00:28:34,067 --> 00:28:35,193
(COUGHING)
568
00:28:35,319 --> 00:28:37,404
- Want some water?
- Yes.
569
00:28:42,743 --> 00:28:44,244
Here you go.
570
00:28:46,330 --> 00:28:47,372
Whoops!
571
00:28:47,497 --> 00:28:49,082
That's all right. Water's cheap.
572
00:28:49,207 --> 00:28:50,500
Oh, God.
573
00:28:51,918 --> 00:28:53,128
What?
574
00:28:54,463 --> 00:28:56,840
I... I can't move my hand.
575
00:29:07,309 --> 00:29:10,228
CHASE: Can you squeeze my fingers
for me, Gabe?
576
00:29:15,901 --> 00:29:16,985
He's getting worse.
577
00:29:17,110 --> 00:29:19,321
Now his entire right hand
and forearm are paralyzed.
578
00:29:19,446 --> 00:29:21,239
And his fever's back. It's up over 105.
579
00:29:21,365 --> 00:29:23,033
If we don't stop
the nerve deterioration quickly,
580
00:29:23,158 --> 00:29:24,659
he'll be paralyzed for life.
581
00:29:24,785 --> 00:29:27,913
Well, luckily, at this rate
that should only last about a week.
582
00:29:28,038 --> 00:29:28,872
Okay. So...
583
00:29:28,997 --> 00:29:31,750
I told you we should get him off
the cytoxan.
584
00:29:31,875 --> 00:29:33,377
This is toxic neuropathy.
585
00:29:33,502 --> 00:29:35,128
We've been shoving drugs
into his system
586
00:29:35,253 --> 00:29:36,463
for a disease he doesn't have.
587
00:29:36,588 --> 00:29:38,382
Well, it could be neurological.
588
00:29:38,507 --> 00:29:41,093
What kind of brain process
would cause a paralyzed hand,
589
00:29:41,218 --> 00:29:44,721
skin lesions
and swollen throat nodules?
590
00:29:44,846 --> 00:29:46,973
Robert was right.
591
00:29:47,099 --> 00:29:49,518
You said multiple neurofibromatosis.
592
00:29:49,643 --> 00:29:52,270
Are you saying that for the chance
at a beautiful family moment,
593
00:29:52,396 --> 00:29:53,980
or is there some medicine involved?
594
00:29:54,106 --> 00:29:55,565
Mmm-mmm. Fits better.
595
00:29:55,690 --> 00:29:58,026
Too bad. I was hoping
for the other reason.
596
00:29:58,151 --> 00:29:59,986
I was gonna go get my camera.
597
00:30:00,112 --> 00:30:03,115
Get a CT scan. His brain this time.
598
00:30:11,832 --> 00:30:14,042
You'd think three copies
would be enough, right?
599
00:30:14,167 --> 00:30:17,379
One's always been
more than enough for me.
600
00:30:17,504 --> 00:30:21,341
Why didn't you tell me
that Rowan Chase was in to see you?
601
00:30:21,883 --> 00:30:23,093
Excuse me.
602
00:30:24,136 --> 00:30:27,806
Ethics, confidentiality,
does any of this ring a bell?
603
00:30:27,931 --> 00:30:30,642
You could have covered yourself,
called me in for a consult.
604
00:30:30,767 --> 00:30:32,769
It is a juicy piece of gossip.
605
00:30:32,894 --> 00:30:33,854
You know what happened?
606
00:30:33,979 --> 00:30:36,940
I got all focused on his cancer
and lost perspective.
607
00:30:37,065 --> 00:30:38,900
You can't tell Chase, but I can.
608
00:30:39,025 --> 00:30:40,152
What should I do?
609
00:30:40,277 --> 00:30:42,028
This is where I give you advice
610
00:30:42,154 --> 00:30:44,656
and pretend you're gonna listen to it.
I like this part.
611
00:30:44,823 --> 00:30:46,074
Did Rowan ask you not to tell?
612
00:30:46,199 --> 00:30:47,659
I promised I wouldn't.
613
00:30:47,784 --> 00:30:49,786
My fingers were crossed, though,
so I'm wide open.
614
00:30:49,911 --> 00:30:52,038
I was wrong.
This is the musing-out-loud part.
615
00:30:52,164 --> 00:30:53,248
Do I actually need to be here?
616
00:30:53,373 --> 00:30:54,583
Telling him.
617
00:30:54,708 --> 00:30:56,418
Now, that's got
real entertainment value.
618
00:30:56,543 --> 00:30:58,587
Mmm. He might even cry.
619
00:30:58,712 --> 00:31:01,173
On the other hand,
there is the do-unto-others thingy.
620
00:31:01,298 --> 00:31:02,966
Well,
then I should definitely tell him.
621
00:31:03,091 --> 00:31:05,260
- I'd wanna know.
- You wanna know everything.
622
00:31:05,385 --> 00:31:08,180
There's also
the keeping-your-promises thingy.
623
00:31:08,305 --> 00:31:10,849
You never run out of thingies,
624
00:31:10,974 --> 00:31:13,185
like that blonde thingy
you were chatting up.
625
00:31:13,310 --> 00:31:16,688
She's the hospital accountant.
We were going over billing procedures.
626
00:31:16,813 --> 00:31:18,690
Double-entry bookkeeping?
627
00:31:18,815 --> 00:31:20,317
(ELEVATOR DINGS)
628
00:31:22,944 --> 00:31:24,863
What are you gonna do?
629
00:31:26,364 --> 00:31:28,033
Billing procedures.
630
00:31:28,158 --> 00:31:29,784
They're so complicated, aren't they?
631
00:31:37,667 --> 00:31:38,919
(COUGHING)
632
00:31:42,464 --> 00:31:44,174
(CT SCANNER BEEPING)
633
00:31:47,177 --> 00:31:50,805
You know, parents are never as bad as
kids think they are.
634
00:31:50,931 --> 00:31:53,683
If you like my dad so much,
ask him out.
635
00:31:54,768 --> 00:31:56,061
I'd make an excellent step mom.
636
00:31:56,186 --> 00:31:57,938
I'm very lenient.
637
00:32:02,692 --> 00:32:05,237
He's your father.
638
00:32:05,362 --> 00:32:07,739
You never see him, and he's here.
639
00:32:07,864 --> 00:32:10,575
Unless he's done some unspeakable
thing, you should lighten up.
640
00:32:10,700 --> 00:32:12,827
Great. Thanks for the tip.
641
00:32:14,079 --> 00:32:15,247
Okay-
642
00:32:17,541 --> 00:32:20,210
He beat your mom. He beat you.
643
00:32:22,045 --> 00:32:24,756
- What did he do?
- Really, don't push it.
644
00:32:29,511 --> 00:32:33,098
All this hate. It's toxic.
645
00:32:35,559 --> 00:32:37,227
Then stay away.
646
00:32:47,153 --> 00:32:48,697
There's nothing there.
647
00:32:48,822 --> 00:32:52,742
No masses, no fibrous tangles, nothing.
648
00:32:52,867 --> 00:32:57,497
- It's not neurofibromatosis.
- Drs. Chase are 0 for 3.
649
00:32:57,622 --> 00:32:59,624
Even when they agree, they're wrong.
650
00:32:59,749 --> 00:33:03,211
So, next, what else could cause neural
damage as well as all the nodules?
651
00:33:03,336 --> 00:33:04,296
Berger's disease.
652
00:33:04,421 --> 00:33:05,547
He's never been out of the country.
653
00:33:05,672 --> 00:33:07,716
Have his parents?
They could have brought it back.
654
00:33:07,841 --> 00:33:09,384
- I don't think so.
- it doesn't matter.
655
00:33:09,509 --> 00:33:12,178
His lesions are in the wrong place.
His feet are the one clear spot.
656
00:33:12,304 --> 00:33:14,306
Kid's dad mentioned leishmaniasis.
657
00:33:14,431 --> 00:33:15,682
Yeah, and filariasis.
658
00:33:15,807 --> 00:33:17,517
But the throat nodules
still don't fit with that.
659
00:33:17,642 --> 00:33:21,396
That's two diseases pretty much
exclusive to Southeast Asia.
660
00:33:25,275 --> 00:33:28,862
What if the anthrax didn't set off
the second disease?
661
00:33:29,738 --> 00:33:30,989
We're back at coincidence again?
662
00:33:31,114 --> 00:33:33,908
No. What if something else
was the trigger?
663
00:33:34,034 --> 00:33:35,327
Nothing else happened.
664
00:33:35,452 --> 00:33:36,578
We happened.
665
00:33:36,703 --> 00:33:37,746
Antibiotics?
666
00:33:37,871 --> 00:33:40,415
We've been through this.
It's not an allergy.
667
00:33:41,583 --> 00:33:42,959
L 991-113 pee.
668
00:33:58,224 --> 00:33:59,851
What did the CT scan tell you?
669
00:33:59,976 --> 00:34:01,102
Nothing.
670
00:34:02,145 --> 00:34:03,104
0w!
671
00:34:03,229 --> 00:34:04,898
Scale from one to ten, how painful?
672
00:34:05,023 --> 00:34:06,900
Not half as painful as when
I punch you in the face.
673
00:34:07,025 --> 00:34:09,110
Don't do that. It'll hurt you.
674
00:34:09,235 --> 00:34:11,529
Carpal tunnel surgery
obviously didn't work.
675
00:34:11,655 --> 00:34:12,822
Who are you?
676
00:34:12,947 --> 00:34:15,575
The little ones call me Uncle Greg.
677
00:34:15,700 --> 00:34:18,078
Your dad never had carpal tunnel.
678
00:34:18,578 --> 00:34:20,997
You mentioned two obscure diseases
to Dr. Chase.
679
00:34:21,122 --> 00:34:22,332
How did you know about them?
680
00:34:22,457 --> 00:34:23,500
I read about them on the Internet.
681
00:34:23,625 --> 00:34:24,626
What did you search for?
682
00:34:24,751 --> 00:34:27,045
"Diseases from Asia that don't match
my son's symptoms"?
683
00:34:27,170 --> 00:34:28,296
You heard about them in Asia.
684
00:34:28,421 --> 00:34:29,464
I've never been there.
685
00:34:29,589 --> 00:34:32,509
Well, you probably just forgot.
Let me refresh your memory,
686
00:34:32,634 --> 00:34:37,597
some remote, dusty village,
close quarters, at least a year?
687
00:34:37,722 --> 00:34:39,474
- Starting to come back?
- I'm calling Dr. Cuddy.
688
00:34:39,599 --> 00:34:41,935
Excuse me, what does this have to do
with our son?
689
00:34:42,060 --> 00:34:43,812
Your dad's pissed off.
690
00:34:43,937 --> 00:34:45,146
He should be.
691
00:34:46,231 --> 00:34:48,400
Comes here expecting us to do
an extra-good job
692
00:34:48,525 --> 00:34:50,443
because he gives a whole lot of money
to this hospital.
693
00:34:50,568 --> 00:34:51,903
Don't talk to my son like that!
694
00:34:52,028 --> 00:34:53,613
Just telling him my job
and my obligation...
695
00:34:53,738 --> 00:34:56,825
Stop! What's going on?
696
00:35:01,579 --> 00:35:04,833
There's only one thing
you guys have gotta do.
697
00:35:06,584 --> 00:35:10,213
Tell the truth, or your son will die.
698
00:35:12,173 --> 00:35:14,217
How long were you in Asia?
699
00:35:18,471 --> 00:35:20,724
Jeff, it's a simple question.
700
00:35:24,936 --> 00:35:26,688
Two years, in India.
701
00:35:28,732 --> 00:35:29,983
Why would you lie
about something like that?
702
00:35:30,108 --> 00:35:31,901
It was '87 and '88.
703
00:35:37,407 --> 00:35:38,575
This...
704
00:35:41,035 --> 00:35:44,831
This guru,
I thought he had some answers.
705
00:35:45,957 --> 00:35:47,876
I went to his ashram
706
00:35:49,502 --> 00:35:54,466
and ended up with no money
and no answers.
707
00:35:56,593 --> 00:35:59,763
I was embarrassed.
I didn't want anyone to know.
708
00:36:01,264 --> 00:36:02,390
No.
709
00:36:04,309 --> 00:36:07,562
No. You were a test pilot.
710
00:36:07,687 --> 00:36:09,397
I'm so sorry, Gabe.
711
00:36:11,357 --> 00:36:14,110
What does this have to do with my son?
712
00:36:19,449 --> 00:36:21,951
Clue number one, if I were Jesus,
713
00:36:22,076 --> 00:36:25,705
curing this kid would be as easy as
turning water into wine.
714
00:36:25,830 --> 00:36:27,373
Demonic possession?
715
00:36:27,499 --> 00:36:29,542
Close, but no wafer.
716
00:36:29,667 --> 00:36:33,004
Clue number two,
Rheumatology Rowan was almost right.
717
00:36:33,129 --> 00:36:35,632
It causes autoimmune symptoms.
718
00:36:35,757 --> 00:36:36,925
Leprosy?
719
00:36:37,050 --> 00:36:39,177
Yeah, that's real big
in the Jersey suburbs.
720
00:36:40,178 --> 00:36:41,721
It's leprosy.
721
00:36:41,846 --> 00:36:43,681
Run a Fite stain. It'll be positive.
722
00:36:44,516 --> 00:36:47,310
Daddy hung out on the wrong kind of
Indian ashram.
723
00:36:47,435 --> 00:36:50,146
But it's obviously dormant in the dad.
How could the kid catch it?
724
00:36:50,271 --> 00:36:52,732
It's not dormant in the dad.
It's just slow.
725
00:36:52,857 --> 00:36:54,400
Damaged his ulnar nerves.
726
00:36:54,526 --> 00:36:59,989
Was misdiagnosed as carpal tunnel.
Never trust doctors. Run a Fite stain.
727
00:37:00,448 --> 00:37:04,577
No wonder he got anthrax. The leprosy
weakened his immune system.
728
00:37:04,702 --> 00:37:08,122
Vicious circle, the leprosy made him
vulnerable to the anthrax,
729
00:37:08,248 --> 00:37:10,834
and the anthrax treatment
put the leprosy in overdrive.
730
00:37:10,959 --> 00:37:13,378
But the antibiotics we gave him,
they cure leprosy.
731
00:37:13,503 --> 00:37:17,006
Yeah. That's where the trouble starts.
732
00:37:17,131 --> 00:37:21,219
The antibiotics hit the nerve strands.
They kill the leprosy bacteria,
733
00:37:21,344 --> 00:37:23,054
and the corpses
get tossed into the system.
734
00:37:23,179 --> 00:37:26,224
And as fascinating as our bodies are,
they're also stupid.
735
00:37:26,349 --> 00:37:30,436
They produce antibodies
to beat dead bacteria.
736
00:37:30,562 --> 00:37:33,064
And these aren't the polite antibodies.
737
00:37:33,189 --> 00:37:36,860
They're the ones that won't sit still,
kick during nap time.
738
00:37:36,985 --> 00:37:38,820
They attack his neural and fat cells,
739
00:37:38,945 --> 00:37:42,240
causing inflammation
and all the rest of his symptoms.
740
00:37:42,365 --> 00:37:44,659
So the cure's killing him.
741
00:37:44,784 --> 00:37:46,995
I want you to call down to Carville,
Louisiana,
742
00:37:47,120 --> 00:37:50,039
home of the last leper colony
in the Lower 48.
743
00:37:50,164 --> 00:37:51,875
Get them to send up some thalidomide.
744
00:37:52,000 --> 00:37:53,001
Thalidomide?
745
00:37:53,126 --> 00:37:55,253
HOUSE: 12-y ear-dds don't have sex,
fight'? So he can't be pregnant.
746
00:37:55,378 --> 00:37:57,005
Make the call.
747
00:38:01,426 --> 00:38:03,720
I need to speak to your boy.
748
00:38:16,357 --> 00:38:19,694
Why does everybody need to know
my business?
749
00:38:19,819 --> 00:38:22,280
People like talking about people.
750
00:38:22,405 --> 00:38:26,117
Makes us feel superior,
makes us feel in control,
751
00:38:26,242 --> 00:38:31,039
and sometimes, for some people,
knowing some things makes them care.
752
00:38:31,164 --> 00:38:34,792
I tell you my dad left,
my mum drank herself to death,
753
00:38:34,918 --> 00:38:37,879
- you gonna care about me more?
- Cameron would.
754
00:38:38,004 --> 00:38:40,089
Me, I just like knowing stuff.
755
00:38:43,134 --> 00:38:44,844
I know you hate your dad.
756
00:38:44,969 --> 00:38:46,095
Now, I'm gonna tell you something.
757
00:38:46,220 --> 00:38:48,348
I don't hate him.
758
00:38:49,098 --> 00:38:50,433
I loved him until I figured out
759
00:38:50,558 --> 00:38:53,728
that it hurts a lot less
to just not care.
760
00:38:54,520 --> 00:38:56,981
You don't expect him to turn up
to your football match,
761
00:38:57,106 --> 00:38:59,067
no disappointments.
762
00:38:59,192 --> 00:39:00,568
You don't expect a call
on your birthday,
763
00:39:00,693 --> 00:39:02,487
don't expect to see him for months,
764
00:39:02,612 --> 00:39:04,405
no disappointments.
765
00:39:05,907 --> 00:39:10,995
You want us to go make up, sink a few
beers together, nice family hug?
766
00:39:11,621 --> 00:39:12,956
(SCOFFS)
767
00:39:14,248 --> 00:39:17,418
I've given him enough hugs.
768
00:39:17,543 --> 00:39:19,671
He's given me enough disappointments.
769
00:39:24,092 --> 00:39:25,301
Okay-
770
00:39:28,846 --> 00:39:30,056
That's it?
771
00:39:30,974 --> 00:39:32,183
That's it.
772
00:39:56,332 --> 00:39:57,458
CHASE: Breathe.
773
00:39:57,583 --> 00:39:59,002
(BREATHES)
774
00:40:01,004 --> 00:40:02,338
Breathe again.
775
00:40:02,463 --> 00:40:03,881
(BREATHES)
776
00:40:04,507 --> 00:40:06,092
Breathe again.
777
00:40:06,634 --> 00:40:07,927
(BREATHES)
778
00:40:08,052 --> 00:40:10,346
Are you gonna have to tell my friends
I'm a leper?
779
00:40:10,471 --> 00:40:14,017
You had the antibiotics.
You're not contagious anymore.
780
00:40:15,143 --> 00:40:17,562
Well, what if they already caught it?
781
00:40:17,687 --> 00:40:22,025
Leprosy is incredibly hard to catch.
Even your mum didn't get it.
782
00:40:22,150 --> 00:40:24,485
Right. I want you to make a fist.
783
00:40:25,862 --> 00:40:28,072
It's still kinda stiff.
784
00:40:28,197 --> 00:40:30,283
It'll get back to normal
in a month or two.
785
00:40:30,408 --> 00:40:32,618
Your skin, two or three weeks.
786
00:40:32,744 --> 00:40:34,871
WOMAN ON PA: Security 12, call...
787
00:40:35,538 --> 00:40:38,041
You haven't asked about your dad.
788
00:40:39,584 --> 00:40:41,669
He lied about everything.
789
00:40:42,545 --> 00:40:46,257
He lied to my mom. He lied to his boss.
790
00:40:47,425 --> 00:40:49,218
He's just a liar.
791
00:40:50,720 --> 00:40:52,180
He loves you.
792
00:40:54,140 --> 00:40:55,725
I don't love him.
793
00:40:58,227 --> 00:40:59,604
Yeah, you do.
794
00:41:05,902 --> 00:41:09,697
Nothing you can do about it.
He's your dad.
795
00:41:09,822 --> 00:41:13,201
It doesn't matter what he does.
You're gonna love him.
796
00:41:26,255 --> 00:41:28,299
Here. Thanks.
797
00:41:30,176 --> 00:41:31,260
CHASE: Hey!
798
00:41:42,897 --> 00:41:44,440
When's your flight?
799
00:41:44,565 --> 00:41:45,858
You got time for a drink?
800
00:41:47,026 --> 00:41:48,319
Wish I did.
801
00:41:49,237 --> 00:41:50,655
MAN: Dr. Chase?
802
00:42:00,748 --> 00:42:02,166
I got it.
803
00:42:05,711 --> 00:42:08,881
You're gonna be getting down to Oz
any time soon?
804
00:42:10,466 --> 00:42:13,469
Not too long. Next autumn, I hope.
805
00:42:14,720 --> 00:42:16,180
I'll call you.
806
00:42:19,559 --> 00:42:21,394
Well, you're all set.
807
00:42:30,528 --> 00:42:32,071
I'll see you.
808
00:42:32,280 --> 00:42:33,281
Yeah.
809
00:42:34,323 --> 00:42:35,950
I'll see you.
810
00:42:49,755 --> 00:42:51,424
(CAR ENGINE STARTS)
811
00:42:55,845 --> 00:42:57,305
(CAR DOOR SHUTS)