1 00:00:01,044 --> 00:00:02,872 [crowd cheering] 2 00:00:06,528 --> 00:00:08,008 Ball back right! Ball back right! 3 00:00:08,051 --> 00:00:12,012 Ball right! 4 00:00:12,055 --> 00:00:13,056 Yeah, Dan! 5 00:00:13,100 --> 00:00:14,275 Yeah!Yeah! 6 00:00:20,455 --> 00:00:24,546 [ominous music] 7 00:00:26,635 --> 00:00:28,245 Left side, left side, left side! 8 00:00:31,205 --> 00:00:32,380 [crowd cheering] 9 00:00:32,423 --> 00:00:34,686 That's it! 10 00:00:34,730 --> 00:00:38,038 [ominous music] 11 00:00:44,174 --> 00:00:45,915 Hyuh! 12 00:00:45,958 --> 00:00:47,308 Uhh! 13 00:00:57,013 --> 00:00:58,101 You okay? 14 00:00:58,145 --> 00:01:00,886 Dan? Dan, talk to me. 15 00:01:00,930 --> 00:01:03,150 Dan! Dan. 16 00:01:04,803 --> 00:01:05,848 Get a doctor! 17 00:01:47,411 --> 00:01:49,587 Hey-- Close the door. 18 00:01:49,631 --> 00:01:52,416 Close the door. 19 00:01:54,592 --> 00:01:57,769 Is Cuddy down the hall, counting to fifty? 20 00:01:57,813 --> 00:01:59,771 She knows I'm in here in the clinic, 21 00:01:59,815 --> 00:02:01,164 as she commanded. 22 00:02:01,208 --> 00:02:02,470 She just doesn't know I'm alone. 23 00:02:02,513 --> 00:02:04,602 Well, you've got a full waiting room. 24 00:02:04,646 --> 00:02:05,690 How long do you think you can ignore them? 25 00:02:05,734 --> 00:02:07,301 I'm off at four. 26 00:02:07,344 --> 00:02:10,304 You're doing this to avoid five minutes 27 00:02:10,347 --> 00:02:11,653 of work? 28 00:02:11,696 --> 00:02:12,828 If I to out there, 29 00:02:12,871 --> 00:02:14,351 I get assigned a kid with a runny nose. 30 00:02:14,395 --> 00:02:15,570 That's 30 seconds looking at the nose 31 00:02:15,613 --> 00:02:17,267 and 25 minutes talking to a worried mom 32 00:02:17,311 --> 00:02:18,355 who won't leave until she's sure 33 00:02:18,399 --> 00:02:19,617 it's not meningitis or a tumor. 34 00:02:19,661 --> 00:02:21,402 Yes, concerned parents can be so annoying. 35 00:02:21,445 --> 00:02:23,230 Just tell Cuddy you've got an urgent case. 36 00:02:23,273 --> 00:02:24,274 You had to leave early. 37 00:02:24,318 --> 00:02:25,275 That would be lying. 38 00:02:25,319 --> 00:02:26,711 And that would be wrong. 39 00:02:26,755 --> 00:02:30,411 But luckily, the definition of urgent is fungible. 40 00:02:30,454 --> 00:02:33,240 Not the definition of "case," though. 41 00:02:35,894 --> 00:02:37,331 You have no cases? 42 00:02:39,333 --> 00:02:42,597 You have no cases? 43 00:02:42,640 --> 00:02:43,859 You've got hand-picked doctors, 44 00:02:43,902 --> 00:02:46,035 specialists, working for you, 45 00:02:46,078 --> 00:02:48,472 and they're sitting on their hands? 46 00:02:48,516 --> 00:02:49,691 Cameron's answering my mail. 47 00:02:49,734 --> 00:02:52,998 Time well-spent, I'm sure. 48 00:02:53,042 --> 00:02:54,130 Foreman and Chase? 49 00:02:55,784 --> 00:02:57,307 Research? 50 00:03:03,618 --> 00:03:06,360 Nine letters. Iodine deficiency in children. 51 00:03:06,403 --> 00:03:07,404 Cretinism. 52 00:03:17,545 --> 00:03:21,070 So 4:03 p.m. Dr. House checks out. 53 00:03:21,113 --> 00:03:22,158 Please write that down. 54 00:03:22,202 --> 00:03:23,681 Dr. House. 55 00:03:23,725 --> 00:03:25,074 Sorry, done for the day. 56 00:03:25,117 --> 00:03:26,641 Plenty of docs here to take care of you. 57 00:03:26,684 --> 00:03:27,990 But we had an appointment. 58 00:03:28,033 --> 00:03:30,253 Ha, nice try. This is a walk-in clinic. 59 00:03:30,297 --> 00:03:31,428 Which means there are no appointments. 60 00:03:31,472 --> 00:03:32,603 You walk in, sign the chart, 61 00:03:32,647 --> 00:03:33,648 and a doctor will see you. 62 00:03:33,691 --> 00:03:34,692 Just not me. 63 00:03:34,736 --> 00:03:38,218 Your letter says that we'd see you. 64 00:03:38,261 --> 00:03:40,220 Not a big letter writer. 65 00:03:40,263 --> 00:03:41,786 Here. 66 00:03:44,311 --> 00:03:46,269 When did my signature get so girly? 67 00:03:46,313 --> 00:03:47,749 I can explain. 68 00:03:47,792 --> 00:03:49,098 See that "G"? 69 00:03:49,141 --> 00:03:51,448 See how it makes a big loop on top? 70 00:03:51,492 --> 00:03:53,537 It doesn't even look like my handwriting. 71 00:03:53,581 --> 00:03:55,104 Think I have something? 72 00:03:55,147 --> 00:03:56,410 What's the differential diagnosis 73 00:03:56,453 --> 00:03:58,412 for writing Gs like a junior high school girl? 74 00:03:58,455 --> 00:04:00,675 It's impossible to get to you through normal channels. 75 00:04:00,718 --> 00:04:02,111 They have called-- 76 00:04:02,154 --> 00:04:03,243 Perseverance does not equal worthiness. 77 00:04:03,286 --> 00:04:04,766 Next time you want to get my attention, 78 00:04:04,809 --> 00:04:05,941 wear something fun. 79 00:04:05,984 --> 00:04:07,943 Low-rider jeans are hot. 80 00:04:07,986 --> 00:04:09,510 16-year-old male. 81 00:04:09,553 --> 00:04:11,773 Sudden onset of double vision and night terrors 82 00:04:11,816 --> 00:04:13,470 with no apparent cause. 83 00:04:13,514 --> 00:04:15,646 Kid's been to two neurologists-- Night terrors? 84 00:04:15,690 --> 00:04:17,648 As in big, scary monsters? 85 00:04:17,692 --> 00:04:18,910 Yes. 86 00:04:21,609 --> 00:04:23,306 Where are you going? 87 00:04:23,350 --> 00:04:24,829 To see the family. 88 00:04:24,873 --> 00:04:26,266 You're going to examine a patient? 89 00:04:26,309 --> 00:04:27,919 Nine times out of ten, 90 00:04:27,963 --> 00:04:29,181 there's no reason to talk to a patient, 91 00:04:29,225 --> 00:04:30,835 but night terrors in a 16-year-old 92 00:04:30,879 --> 00:04:33,360 is a very good reason to talk to this family. 93 00:04:33,403 --> 00:04:35,362 Good work. 94 00:04:37,842 --> 00:04:40,323 Margins are fine. 95 00:04:40,367 --> 00:04:42,282 No lesions. 96 00:04:42,325 --> 00:04:44,284 Color is good. 97 00:04:45,720 --> 00:04:47,461 How long have you been having night terrors? 98 00:04:47,504 --> 00:04:49,071 Three weeks. 99 00:04:49,114 --> 00:04:50,202 He's afraid to go to bed. 100 00:04:50,246 --> 00:04:52,379 He's exhausted. He can barely function. 101 00:04:54,381 --> 00:04:55,338 What does that tell you? 102 00:04:55,382 --> 00:04:56,383 Nothing. 103 00:04:56,426 --> 00:04:58,080 Just fun watching him blink. 104 00:04:58,123 --> 00:04:59,995 Name as many animals as you can 105 00:05:00,038 --> 00:05:01,213 that begin with the letter "B." 106 00:05:01,257 --> 00:05:02,345 Go. 107 00:05:08,873 --> 00:05:09,961 Baby elephant? 108 00:05:10,005 --> 00:05:12,268 Baby elephant is actually a good answer. 109 00:05:12,312 --> 00:05:13,530 "B" is a bear of a letter. 110 00:05:13,574 --> 00:05:14,879 What does that tell you? 111 00:05:14,923 --> 00:05:16,490 It proves two things. No neurological damage. 112 00:05:16,533 --> 00:05:18,840 And your son is never gonna be chief fry cook. 113 00:05:18,883 --> 00:05:21,408 In teens, there are two likely causes 114 00:05:21,451 --> 00:05:22,670 of night terrors. 115 00:05:22,713 --> 00:05:24,019 Post-traumatic stress. 116 00:05:24,062 --> 00:05:26,326 Any recent shoot-outs at your high school? No. 117 00:05:26,369 --> 00:05:28,066 Well, then, Dave--Dan. 118 00:05:28,110 --> 00:05:30,373 If there's no trauma, the other cause is... 119 00:05:30,417 --> 00:05:31,896 sexual abuse. 120 00:05:34,421 --> 00:05:36,205 So who's molesting you? 121 00:05:36,248 --> 00:05:39,600 Teacher? Extra-friendly neighbor? 122 00:05:39,643 --> 00:05:40,862 I'd ask if either of you were involved, 123 00:05:40,905 --> 00:05:42,080 but you'd deny it. 124 00:05:42,124 --> 00:05:43,212 No, we would never do anything to hurt Dan. 125 00:05:43,255 --> 00:05:45,214 I say it here, it comes out there. 126 00:05:45,257 --> 00:05:47,912 This lack of response is consistent with abuse. 127 00:05:47,956 --> 00:05:50,741 There's no one, okay?I swear. 128 00:05:50,785 --> 00:05:52,090 There was trauma. 129 00:05:52,134 --> 00:05:54,092 I got hit in the head during a lacrosse game. 130 00:05:55,746 --> 00:05:58,532 Did you know that he got hit in the head? 131 00:05:58,575 --> 00:06:00,185 They didn't mention it. 132 00:06:00,229 --> 00:06:03,101 Yeah. Why bother? 133 00:06:05,626 --> 00:06:08,324 No, no, we took him to the ER after the game. 134 00:06:08,368 --> 00:06:09,934 He was scanned, they tested him. 135 00:06:09,978 --> 00:06:11,327 They said he was fine. 136 00:06:11,371 --> 00:06:12,372 No concussion. It's gotta be something else. 137 00:06:12,415 --> 00:06:13,547 You hound me for my opinion 138 00:06:13,590 --> 00:06:16,332 and then you question my diagnosis. 139 00:06:16,376 --> 00:06:17,638 Cool. 140 00:06:17,681 --> 00:06:19,901 ER obviously screwed up. Kid's got a concussion. 141 00:06:19,944 --> 00:06:21,772 I had double vision before I was hit. 142 00:06:21,816 --> 00:06:23,383 Well, that changes everything. 143 00:06:23,426 --> 00:06:24,558 You need glasses. 144 00:06:24,601 --> 00:06:25,950 That's why you had double vision, 145 00:06:25,994 --> 00:06:27,125 which is why you got hit, 146 00:06:27,169 --> 00:06:28,344 which is why you have a concussion, 147 00:06:28,388 --> 00:06:30,564 which is why you have night terrors. 148 00:06:30,607 --> 00:06:32,870 You need to see an opthalmologist, which I am not. 149 00:06:34,089 --> 00:06:35,525 You enjoyed that. 150 00:06:35,569 --> 00:06:37,092 I brought a reasonable case to your attention, 151 00:06:37,135 --> 00:06:38,136 and you shoved it in my face 152 00:06:38,180 --> 00:06:39,355 just to humiliate me. 153 00:06:39,399 --> 00:06:40,487 You're an only child, aren't you? 154 00:06:40,530 --> 00:06:42,184 Why would you say that? 155 00:06:42,227 --> 00:06:44,186 Because everything is about you. 156 00:06:44,229 --> 00:06:47,145 This may seem incredibly controversial, 157 00:06:47,189 --> 00:06:49,234 but I think sexual abuseis bad. 158 00:06:49,278 --> 00:06:50,627 I just wanted to make sure 159 00:06:50,671 --> 00:06:53,021 he wasn't being diddled by daddy...or mommy. 160 00:06:53,064 --> 00:06:54,762 Anything else is just a bonus. 161 00:07:05,599 --> 00:07:07,209 I'm not an only child. 162 00:07:07,252 --> 00:07:09,080 Interesting. 163 00:07:09,124 --> 00:07:10,081 What? 164 00:07:10,125 --> 00:07:12,127 Don't move. 165 00:07:12,170 --> 00:07:13,476 Did I bore you in there? 166 00:07:13,520 --> 00:07:16,131 What? Uh, no, not really. 167 00:07:16,174 --> 00:07:17,915 Are you tired? 168 00:07:17,959 --> 00:07:19,395 Sometimes. 169 00:07:19,439 --> 00:07:20,614 He never sleeps. Of course he's tired. 170 00:07:20,657 --> 00:07:22,224 Right now, at this moment, are you tired? 171 00:07:22,267 --> 00:07:23,225 No, no. 172 00:07:23,268 --> 00:07:24,269 That twitch in your leg. 173 00:07:24,313 --> 00:07:25,401 Did you feel that? 174 00:07:27,011 --> 00:07:28,186 Didn't hurt. 175 00:07:28,230 --> 00:07:29,623 His leg twitched. I don't see what-- 176 00:07:29,666 --> 00:07:31,233 It's called a myoclonic jerk. 177 00:07:31,276 --> 00:07:32,887 It's very common when you're falling asleep. 178 00:07:32,930 --> 00:07:34,497 Respiration rate falls, 179 00:07:34,541 --> 00:07:35,803 and the brain sometimes interprets this 180 00:07:35,846 --> 00:07:36,934 as the body dying, 181 00:07:36,978 --> 00:07:38,153 so it sends a pulse to wake it up. 182 00:07:38,196 --> 00:07:39,154 So? 183 00:07:39,197 --> 00:07:40,285 So he's not asleep. 184 00:07:40,329 --> 00:07:43,288 He's awake. 185 00:07:43,332 --> 00:07:45,682 Admit him. 186 00:07:48,337 --> 00:07:51,383 I recognize that loopy "G." 187 00:07:51,427 --> 00:07:53,995 So, what does the jerk tell us? 188 00:07:54,038 --> 00:07:55,213 Nothing good. 189 00:07:55,257 --> 00:07:57,259 The brain's losing control of the body. 190 00:07:57,302 --> 00:07:58,521 Can't order the eyes to focus, 191 00:07:58,565 --> 00:08:00,218 regulate sleep patters, or control muscles. 192 00:08:00,262 --> 00:08:01,306 A movement disorder 193 00:08:01,350 --> 00:08:02,786 or a degenerative brain disease. 194 00:08:02,830 --> 00:08:04,353 Either way, this kid's gonna be picking up his diploma 195 00:08:04,396 --> 00:08:05,572 in diapers and a wheelchair. 196 00:08:05,615 --> 00:08:06,921 Maybe not that bad. 197 00:08:06,964 --> 00:08:08,879 Could be an infection.You wish. 198 00:08:08,923 --> 00:08:10,098 No fever, no white count. 199 00:08:10,141 --> 00:08:12,274 Anyone think this differential diagnosis 200 00:08:12,317 --> 00:08:13,623 might be compromised 201 00:08:13,667 --> 00:08:15,495 because we don't have an accurate family history? 202 00:08:15,538 --> 00:08:17,366 I took an accurate family history. 203 00:08:17,409 --> 00:08:19,716 You didn't even take an accurate family. 204 00:08:19,760 --> 00:08:20,848 His father's not his father. 205 00:08:20,891 --> 00:08:22,153 Why would you say that? 206 00:08:22,197 --> 00:08:23,764 30% of all dads out there 207 00:08:23,807 --> 00:08:25,243 don't realize they're raising someone else's kid. 208 00:08:25,287 --> 00:08:26,810 From what I've read, false paternity's more like 10%. 209 00:08:26,854 --> 00:08:28,420 That's what our moms would like us to believe. 210 00:08:28,464 --> 00:08:31,032 If he got it from his parents, they'd both be dead by now. 211 00:08:31,075 --> 00:08:32,729 Can we get on with the differential diagnosis? 212 00:08:32,773 --> 00:08:33,948 50 bucks says I'm right. 213 00:08:33,991 --> 00:08:35,210 I'll take your money. 214 00:08:35,253 --> 00:08:36,777 Hit a nerve? Don't worry, Foreman. 215 00:08:36,820 --> 00:08:39,214 I'm sure the guy who tucked you in at night was your daddy. 216 00:08:39,257 --> 00:08:40,650 Make it 100. 217 00:08:40,694 --> 00:08:42,565 What about Leukoencephalopathy? 218 00:08:42,609 --> 00:08:44,175 In a sixteen-year-old. 219 00:08:44,219 --> 00:08:46,090 It doesn't necessarily have to be that bad. 220 00:08:46,134 --> 00:08:47,309 If we exclude the night terrors, 221 00:08:47,352 --> 00:08:48,745 it could be something systemic. 222 00:08:48,789 --> 00:08:50,660 His liver, kidneys, something outside the brain. 223 00:08:50,704 --> 00:08:51,705 Yes... 224 00:08:51,748 --> 00:08:52,836 Feel free to exclude any symptom 225 00:08:52,880 --> 00:08:55,317 if it makes your job easier. 226 00:08:55,360 --> 00:08:56,405 The night terrors were anecdotal. 227 00:08:56,448 --> 00:08:57,754 He could have had a bad dream. 228 00:08:57,798 --> 00:08:59,495 No, parents said he was conscious during the event 229 00:08:59,539 --> 00:09:01,062 and didn't remember anything afterwards. 230 00:09:01,105 --> 00:09:02,193 That's a night terror. 231 00:09:02,237 --> 00:09:03,194 Parents said? 232 00:09:03,238 --> 00:09:04,500 [House] Good point. 233 00:09:04,544 --> 00:09:06,589 Before we condemn this kid, 234 00:09:06,633 --> 00:09:08,591 maybe we should entertain Dr. Chase's skepticism. 235 00:09:08,635 --> 00:09:10,071 I want a detailed polysomnograph. 236 00:09:10,114 --> 00:09:13,770 If he's having night terrors, I want to see them. 237 00:09:36,358 --> 00:09:38,621 I usually don't move during night terrors. 238 00:09:38,665 --> 00:09:40,710 I'm not restraining you for them. 239 00:09:42,799 --> 00:09:46,716 EEG revealed abnormalities in your brain 240 00:09:46,760 --> 00:09:50,633 caused nerve damage in your toes. 241 00:09:54,811 --> 00:09:57,031 [whimpering] What are you doing? 242 00:09:58,859 --> 00:09:59,773 Fixing it. 243 00:09:59,816 --> 00:10:01,992 Can I talk to my parents? 244 00:10:02,036 --> 00:10:04,168 Oh, they know all about this. 245 00:10:04,212 --> 00:10:07,389 I'd really like to see them. 246 00:10:15,223 --> 00:10:16,703 [crying] Please... 247 00:10:16,746 --> 00:10:18,792 I'd really like them here. 248 00:10:21,055 --> 00:10:22,491 This is gonna hurt, Dan. 249 00:10:22,534 --> 00:10:24,580 Oh...Oh, God. 250 00:10:24,624 --> 00:10:26,190 [crunching] 251 00:10:26,234 --> 00:10:27,496 God! 252 00:10:27,539 --> 00:10:28,715 [crunching] 253 00:10:28,758 --> 00:10:30,630 Aaaaah! 254 00:10:40,727 --> 00:10:43,643 That's a night terror. 255 00:10:54,741 --> 00:10:56,612 [Foreman] We did a CT, MRI, 256 00:10:56,656 --> 00:10:58,701 CBC, Chem 7, and a chest X-ray. 257 00:10:58,745 --> 00:11:00,181 All the tests came back normal. 258 00:11:00,224 --> 00:11:01,356 There's nothing to explain his symptoms. 259 00:11:01,399 --> 00:11:02,270 Okay, but let's pretend there's something 260 00:11:02,313 --> 00:11:03,271 and go from there. 261 00:11:03,314 --> 00:11:05,186 Who sees something on this MRI? 262 00:11:07,318 --> 00:11:08,972 No lesions in the white matter. 263 00:11:09,016 --> 00:11:10,582 No structural abnormalities. 264 00:11:10,626 --> 00:11:12,149 No space-occupying tumors. 265 00:11:12,193 --> 00:11:13,542 He's sixteen, 266 00:11:13,585 --> 00:11:15,892 so we should have an absolutely pristine brain. 267 00:11:15,936 --> 00:11:17,154 The smallest thing is abnormal. 268 00:11:17,198 --> 00:11:20,636 Meningeal enhancement. 269 00:11:20,680 --> 00:11:22,551 My bet is viral meningitis. 270 00:11:22,594 --> 00:11:24,031 Excellent! 271 00:11:24,074 --> 00:11:25,772 You see what he did there? 272 00:11:25,815 --> 00:11:28,165 Took a small clue that there's a neurological problem, 273 00:11:28,209 --> 00:11:29,427 and wasn't afraid to run with it. 274 00:11:29,471 --> 00:11:31,995 There's no evidence of meningitis on that MRI. 275 00:11:32,039 --> 00:11:33,997 No, there's not. He's completely wrong. 276 00:11:34,041 --> 00:11:35,999 Then what clue are you talking about? 277 00:11:36,043 --> 00:11:37,914 He knew that I saw something on the MRI, 278 00:11:37,958 --> 00:11:38,959 so he figured there must be something there 279 00:11:39,002 --> 00:11:40,830 and took a guess. 280 00:11:40,874 --> 00:11:43,398 Clever...but also pathetic. 281 00:11:43,441 --> 00:11:44,616 So what did you find? 282 00:11:44,660 --> 00:11:47,619 Take a close look at the corpus callosum. 283 00:11:49,883 --> 00:11:51,058 Looks okay. 284 00:11:51,101 --> 00:11:53,713 Are we all looking at the same thing? 285 00:11:53,756 --> 00:11:56,063 200 million interhemispheric nerve fibers. 286 00:11:56,106 --> 00:11:57,717 The George Washington Bridge 287 00:11:57,760 --> 00:12:01,068 between the left and right side of the brain. 288 00:12:01,111 --> 00:12:02,199 It's subtle. 289 00:12:05,768 --> 00:12:06,900 There's some bowing. 290 00:12:06,943 --> 00:12:09,206 There... an upward arch. 291 00:12:09,250 --> 00:12:09,990 Are you guessing? 292 00:12:10,033 --> 00:12:12,209 Yes. 293 00:12:12,253 --> 00:12:13,733 Too bad. You're right. 294 00:12:13,776 --> 00:12:15,430 He probably just moved. 295 00:12:15,473 --> 00:12:18,781 Nobody stays perfectly still for their entire MRI. 296 00:12:18,825 --> 00:12:20,087 Yeah, probably got restless 297 00:12:20,130 --> 00:12:22,698 and shifted one hemisphere of his brain 298 00:12:22,742 --> 00:12:24,047 to a more comfortable position. 299 00:12:24,091 --> 00:12:25,396 Something is pushing on it. 300 00:12:25,440 --> 00:12:27,616 If there was bowing, could be a tumor. 301 00:12:27,659 --> 00:12:29,139 Do you see a tumor on this MRI? 302 00:12:29,183 --> 00:12:30,967 No, but I don't see any bowing, either. 303 00:12:31,011 --> 00:12:32,186 There's no tumor. 304 00:12:32,229 --> 00:12:33,404 Just a blockage causing the pressure 305 00:12:33,448 --> 00:12:34,449 causing symptoms. 306 00:12:34,492 --> 00:12:35,580 Today, night terrors. 307 00:12:35,624 --> 00:12:38,061 Tomorrow... bleeding out of his eyes. 308 00:12:38,105 --> 00:12:40,890 Get him a radionucleotide cisternogram. 309 00:12:40,934 --> 00:12:43,153 I guarantee you'll see a blockage. 310 00:12:45,852 --> 00:12:48,028 [Dan groaning faintly] 311 00:12:49,029 --> 00:12:50,857 Unh! Okay. 312 00:12:50,900 --> 00:12:52,119 [groaning] 313 00:12:53,860 --> 00:12:55,644 Easy, easy. It's okay. 314 00:12:58,038 --> 00:12:59,256 [Dan groaning] 315 00:13:14,402 --> 00:13:16,230 Now I'm injecting material that's tagged 316 00:13:16,273 --> 00:13:17,797 with a radioisotope. 317 00:13:17,840 --> 00:13:20,234 It's going to enter your spine, 318 00:13:20,277 --> 00:13:21,670 and travel up to your brain. 319 00:13:21,713 --> 00:13:25,935 It'll make you able to think deep thoughts 320 00:13:25,979 --> 00:13:27,632 at 100 miles an hour. 321 00:13:27,676 --> 00:13:28,851 [grunts] 322 00:13:28,895 --> 00:13:31,332 Easy. 323 00:13:44,475 --> 00:13:45,520 Their eyes aren't the same color, 324 00:13:45,563 --> 00:13:46,608 but that fleck in the eyes... 325 00:13:46,651 --> 00:13:48,305 That's maybe a one-in-ten chance 326 00:13:48,349 --> 00:13:49,698 if they're not related. 327 00:13:49,741 --> 00:13:52,048 No, House isn't gonna pay you based on that. 328 00:13:52,092 --> 00:13:53,267 [chuckles] 329 00:13:53,310 --> 00:13:54,616 Any excuse we can give the folks 330 00:13:54,659 --> 00:13:55,965 to justify a DNA test? 331 00:13:56,009 --> 00:13:57,793 We can tell them he's got Huntington's. 332 00:13:57,837 --> 00:13:58,838 Whole family should be tested 333 00:13:58,881 --> 00:14:01,275 or they'll all die. 334 00:14:03,581 --> 00:14:05,496 Hey. 335 00:14:05,540 --> 00:14:07,150 There's a lot of blockage. 336 00:14:07,194 --> 00:14:09,152 I've scheduled him for surgery. 337 00:14:09,196 --> 00:14:11,372 We're gonna put a shunt into one of the ventricles 338 00:14:11,415 --> 00:14:13,287 to give the cerebrospinal fluid an out. 339 00:14:13,330 --> 00:14:16,072 No more pressure, everything goes back to normal. 340 00:14:16,116 --> 00:14:19,293 He's lucky to have you as his doctors. 341 00:14:27,779 --> 00:14:32,175 No formula, just mommy's healthy, natural breast milk. 342 00:14:32,219 --> 00:14:33,916 Yummy. 343 00:14:33,960 --> 00:14:36,658 Her whole face just got swollen like this overnight. 344 00:14:36,701 --> 00:14:37,964 Mm-hmm. 345 00:14:39,530 --> 00:14:42,098 No fever. 346 00:14:42,142 --> 00:14:43,534 Glands normal. 347 00:14:43,578 --> 00:14:45,406 Missing her vaccination dates. 348 00:14:45,449 --> 00:14:46,886 We're not vaccinating. 349 00:14:48,626 --> 00:14:49,932 Gribbit! 350 00:14:49,976 --> 00:14:51,542 Gribbit! 351 00:14:51,586 --> 00:14:53,283 Gribbit! [giggles] 352 00:14:53,327 --> 00:14:54,981 Think they don't work? 353 00:14:55,024 --> 00:14:57,287 I think some multinational pharmaceutical company 354 00:14:57,331 --> 00:14:58,462 wants me to think they work. 355 00:14:58,506 --> 00:14:59,899 Pad their bottom line. 356 00:14:59,942 --> 00:15:01,378 Hmm. 357 00:15:01,422 --> 00:15:02,162 May I? 358 00:15:02,205 --> 00:15:04,468 Sure. 359 00:15:04,512 --> 00:15:05,600 Gribbet. 360 00:15:05,643 --> 00:15:07,254 Gribbet. 361 00:15:07,297 --> 00:15:09,212 Gribbet. 362 00:15:09,256 --> 00:15:11,998 All natural, no dyes. 363 00:15:12,041 --> 00:15:14,435 This is a good business. All natural children's toys. 364 00:15:14,478 --> 00:15:17,438 The toy companies, they don't arbitrarily mark up their frogs. 365 00:15:17,481 --> 00:15:19,222 They don't lie about how much they spend 366 00:15:19,266 --> 00:15:20,571 on research and development. 367 00:15:20,615 --> 00:15:23,661 The worst the toy company could be accused of 368 00:15:23,705 --> 00:15:26,142 is making a really boring frog. 369 00:15:26,186 --> 00:15:28,753 Gribbet, gribbet, gribbet. 370 00:15:28,797 --> 00:15:31,626 You know another really good business? 371 00:15:31,669 --> 00:15:34,281 Teeny, tiny baby coffins. 372 00:15:34,324 --> 00:15:37,980 You can get them in frog green, 373 00:15:38,024 --> 00:15:39,286 fire engine red. 374 00:15:39,329 --> 00:15:40,374 Really. 375 00:15:40,417 --> 00:15:42,071 The antibodies 376 00:15:42,115 --> 00:15:43,246 in yummy mummy 377 00:15:43,290 --> 00:15:45,118 only protect the kids for six months. 378 00:15:45,161 --> 00:15:47,337 Which is why these companies think they can gouge you. 379 00:15:47,381 --> 00:15:49,513 They think that you'll spend whatever they ask 380 00:15:49,557 --> 00:15:51,080 to keep your kid alive. 381 00:15:51,124 --> 00:15:53,213 Wanna change things, prove 'em wrong. 382 00:15:53,256 --> 00:15:54,431 A few hundred parents like you 383 00:15:54,475 --> 00:15:55,911 decide they'd rather let their kid die 384 00:15:55,955 --> 00:15:57,957 than cough up 40 bucks for a vaccination, 385 00:15:58,000 --> 00:16:01,525 believe me, prices will drop really fast. 386 00:16:01,569 --> 00:16:03,527 Gribbet, gribbet, gribbet, gribbet, gribbet. 387 00:16:03,571 --> 00:16:05,094 Gribbet. 388 00:16:05,138 --> 00:16:07,009 Tell me what she has. 389 00:16:09,925 --> 00:16:12,580 A cold. 390 00:16:12,623 --> 00:16:14,712 There's a problem. 391 00:16:14,756 --> 00:16:16,149 [House] Complications in surgery? 392 00:16:16,192 --> 00:16:17,628 [Foreman] Surgery went fine. He's in recovery. 393 00:16:17,672 --> 00:16:19,456 But we took a vial of CSF and tested it. 394 00:16:19,500 --> 00:16:20,980 Really? 395 00:16:21,023 --> 00:16:22,024 Turns out the bowing wasn't the cause of his problems. 396 00:16:22,068 --> 00:16:23,417 It was a symptom. 397 00:16:23,460 --> 00:16:26,550 Oligoclonal bands and increased intrathecal IgG. 398 00:16:26,594 --> 00:16:28,204 Which means multiple sclerosis. 399 00:16:28,248 --> 00:16:30,380 And the reason it takes three of you to tell me this? 400 00:16:30,424 --> 00:16:31,425 Because we're having a disagreement 401 00:16:31,468 --> 00:16:32,687 about whether or not it is MS. 402 00:16:32,730 --> 00:16:34,036 No lesions on the MRI. 403 00:16:34,080 --> 00:16:35,211 It's early. 404 00:16:35,255 --> 00:16:36,299 He's had the disease maybe three weeks. 405 00:16:36,343 --> 00:16:37,213 McDonald Criteria requires six months 406 00:16:37,257 --> 00:16:38,258 to make a definitive diagnosis. 407 00:16:38,301 --> 00:16:40,216 Oh, who cares about MacPhearson? 408 00:16:40,260 --> 00:16:41,217 I hear he tortured kittens. 409 00:16:41,261 --> 00:16:43,176 McDonald.Oh, McDonald. 410 00:16:43,219 --> 00:16:44,786 Wonderful doctor, loved kittens. 411 00:16:44,829 --> 00:16:46,831 VEP indicates slowing of the brain. 412 00:16:46,875 --> 00:16:48,703 Without the lesions, we can't be sure. 413 00:16:48,746 --> 00:16:50,183 Well, if it is, it's gone from zero to sixty 414 00:16:50,226 --> 00:16:51,619 in three weeks, which would indicate 415 00:16:51,662 --> 00:16:53,186 rapidly progressive MS. 416 00:16:53,229 --> 00:16:55,449 Not the fun MS with the balloons and the bike rides 417 00:16:55,492 --> 00:16:56,798 with cripples in wheelchairs. 418 00:16:56,841 --> 00:16:58,234 We should wait until-- 419 00:16:58,278 --> 00:16:59,670 If we start treating him now, 420 00:16:59,714 --> 00:17:01,803 maybe he can walk for another couple of years, 421 00:17:01,846 --> 00:17:03,761 maybe live for another five. 422 00:17:03,805 --> 00:17:06,982 Break it to the family. I'm going home. 423 00:17:07,026 --> 00:17:09,463 [Chase] It'll take months for a definitive diagnosis. 424 00:17:09,506 --> 00:17:11,117 What'll happen to me? 425 00:17:11,160 --> 00:17:15,077 MS is an incredibly variable disease, 426 00:17:15,121 --> 00:17:18,254 if it's MS, and we're not 100% sure. 427 00:17:18,298 --> 00:17:20,126 What do you think is gonna happen? 428 00:17:23,912 --> 00:17:26,393 There are some medications to manage the symptoms, 429 00:17:26,436 --> 00:17:28,351 but as the disease progresses, 430 00:17:28,395 --> 00:17:29,918 the problems will become more severe. 431 00:17:29,961 --> 00:17:33,139 Bowel and bladder dysfunction, 432 00:17:33,182 --> 00:17:35,010 loss of cognitive function, pain. 433 00:17:35,054 --> 00:17:36,403 It's gonna hurt? 434 00:17:38,187 --> 00:17:41,321 The brain's like a big jumble of wires. 435 00:17:41,364 --> 00:17:43,888 MS strips them of their insulation, and the nerves die. 436 00:17:43,932 --> 00:17:46,239 The brain interprets it as pain. 437 00:17:46,282 --> 00:17:47,588 But by starting treatment, 438 00:17:47,631 --> 00:17:50,156 we're gonna prevent that for as long as possible. 439 00:17:50,199 --> 00:17:52,506 We're looking into a couple of specialists, 440 00:17:52,549 --> 00:17:54,116 and until we get you squared away, 441 00:17:54,160 --> 00:17:55,204 you'll stay here. 442 00:17:55,248 --> 00:17:56,423 Okay? 443 00:18:16,182 --> 00:18:18,314 Security checked the videotapes 444 00:18:18,358 --> 00:18:19,576 from all perimeter cameras. 445 00:18:19,620 --> 00:18:20,708 He's still gotta be in the hospital. 446 00:18:20,751 --> 00:18:21,796 Where's Chase? 447 00:18:21,839 --> 00:18:23,102 Main floor. 448 00:18:23,145 --> 00:18:24,712 Okay, you take the cafeteria and administration. 449 00:18:24,755 --> 00:18:27,323 I'll hit the research annex and work my way back to you. 450 00:18:50,738 --> 00:18:52,653 [telephone rings] 451 00:18:52,696 --> 00:18:54,263 [sports talk show on television] 452 00:18:54,307 --> 00:18:56,135 [ring] 453 00:18:57,440 --> 00:18:59,138 [ring] 454 00:19:04,447 --> 00:19:05,840 Dan. 455 00:19:08,190 --> 00:19:11,193 [ringing] 456 00:19:11,237 --> 00:19:15,502 [House on answering machine] I'm not there, leave a message. 457 00:19:20,811 --> 00:19:22,552 Dr. Cuddy! Great outfit. 458 00:19:22,596 --> 00:19:23,901 What are you doing back here? 459 00:19:23,945 --> 00:19:24,989 Patient? 460 00:19:25,033 --> 00:19:26,208 No, hooker. 461 00:19:26,252 --> 00:19:28,906 Went to my office instead of my home. 462 00:19:38,699 --> 00:19:41,049 Dr. House. 463 00:19:41,092 --> 00:19:42,355 Dan's missing. 464 00:19:42,398 --> 00:19:44,052 Yeah, I got that part from the message. 465 00:19:44,095 --> 00:19:45,314 You said I was needed immediately. 466 00:19:45,358 --> 00:19:47,098 He shouldn't move after a lumbar puncture. 467 00:19:47,142 --> 00:19:49,753 I agree, he's gonna have a very nasty headache. 468 00:19:49,797 --> 00:19:52,930 That would also be my opinion if consulted tomorrow morning. 469 00:19:52,974 --> 00:19:54,715 We wanted to keep you informed. 470 00:19:54,758 --> 00:19:56,325 He heard some pretty heavy news. 471 00:19:58,284 --> 00:19:59,415 This is not a toddler 472 00:19:59,459 --> 00:20:01,025 wandering around a department store. 473 00:20:01,069 --> 00:20:02,244 He's sixteen. 474 00:20:02,288 --> 00:20:04,159 You'll find him. 475 00:20:04,203 --> 00:20:05,682 I'm going home. 476 00:20:06,901 --> 00:20:08,424 So when you say, "Call me if you need anything," 477 00:20:08,468 --> 00:20:09,643 you mean, "Don't call me"? 478 00:20:09,686 --> 00:20:11,340 No, I mean call me if I could do something. 479 00:20:11,384 --> 00:20:12,646 I'm bad at search parties, 480 00:20:12,689 --> 00:20:14,256 and I'm bad at sitting around looking nervous, 481 00:20:14,300 --> 00:20:15,692 doing nothing. 482 00:20:15,736 --> 00:20:17,085 What about his parents? 483 00:20:17,128 --> 00:20:18,260 Should we call them? 484 00:20:18,304 --> 00:20:19,348 Why, do you think they're hiding him? 485 00:20:20,784 --> 00:20:22,569 Make sure someone checks the roof. 486 00:20:22,612 --> 00:20:25,136 Some of the orderlies keep the door propped open 487 00:20:25,180 --> 00:20:27,443 so they can grab a smoke. 488 00:21:01,956 --> 00:21:05,046 Dan, you okay? 489 00:21:11,270 --> 00:21:13,663 There are experimental treatments. 490 00:21:13,707 --> 00:21:15,317 Ongoing research. 491 00:21:15,361 --> 00:21:17,972 Who knows what they'll discover in a year or two? 492 00:21:18,015 --> 00:21:19,974 This is where I dropped the ball. 493 00:21:20,017 --> 00:21:22,455 Dan, we're standing on the roof of the hospital. 494 00:21:25,284 --> 00:21:26,763 Dan... 495 00:21:26,807 --> 00:21:29,200 You're not on the field. 496 00:21:29,244 --> 00:21:31,464 He doesn't know where he is. 497 00:21:31,507 --> 00:21:33,030 Dan! Foreman. 498 00:21:34,249 --> 00:21:36,033 Dan... 499 00:21:37,252 --> 00:21:39,254 Dan...Dan! 500 00:21:50,831 --> 00:21:52,398 Dr. Foreman. 501 00:21:54,400 --> 00:21:56,315 I assume you've found the kid? 502 00:21:56,358 --> 00:21:57,577 He almost walked off the roof. 503 00:21:57,620 --> 00:21:58,882 Suicidal? 504 00:21:58,926 --> 00:22:00,493 No, he thought he was on his lacrosse field. 505 00:22:00,536 --> 00:22:03,104 Look, I was just gonna run home, shower, and change. 506 00:22:03,147 --> 00:22:04,192 Conscious? 507 00:22:04,235 --> 00:22:05,672 Yeah. 508 00:22:05,715 --> 00:22:06,890 How'd you talk him down? 509 00:22:06,934 --> 00:22:08,631 Actually, Chase tackled him. 510 00:22:08,675 --> 00:22:10,024 How come you didn't do it? 511 00:22:10,067 --> 00:22:11,373 Right, well... 512 00:22:11,417 --> 00:22:13,070 I am black, but he was closer. 513 00:22:15,943 --> 00:22:17,510 Come on. You can ride up with me. 514 00:22:24,299 --> 00:22:25,431 Anybody tell the family 515 00:22:25,474 --> 00:22:26,562 that their boy almost stepped off a roof? 516 00:22:26,606 --> 00:22:27,650 They must be thrilled. 517 00:22:27,694 --> 00:22:28,869 They're not suing, 518 00:22:28,912 --> 00:22:30,349 but I think only because Chase asked them. 519 00:22:30,392 --> 00:22:32,742 Why does everybody always think I'm being sarcastic? 520 00:22:32,786 --> 00:22:34,309 This is great news. 521 00:22:34,353 --> 00:22:35,876 He doesn't have MS. 522 00:22:35,919 --> 00:22:37,747 Parents should be thrilled. Well, the mom, anyway. 523 00:22:37,791 --> 00:22:39,009 Course, the dad probably doesn't know-- 524 00:22:39,053 --> 00:22:40,794 Why doesn't he have MS? 525 00:22:40,837 --> 00:22:43,187 He was on the roof thinking he was on a lacrosse field. 526 00:22:43,231 --> 00:22:44,624 Conscious, and therefore not a night terror. 527 00:22:44,667 --> 00:22:45,625 You want some of this? 528 00:22:45,668 --> 00:22:47,409 Yeah, sure. 529 00:22:47,453 --> 00:22:49,585 He was in an acute, confusional state. 530 00:22:49,629 --> 00:22:50,673 Which doesn't fit 531 00:22:50,717 --> 00:22:52,371 with a demyleninating disease like MS. 532 00:22:52,414 --> 00:22:53,546 But the oligoclonal bands-- 533 00:22:53,589 --> 00:22:54,721 Were real. 534 00:22:54,764 --> 00:22:56,679 It just means something other than MS. 535 00:22:56,723 --> 00:22:58,159 So what are they telling us? 536 00:22:58,202 --> 00:22:59,508 That the immune system is working? 537 00:22:59,552 --> 00:23:01,118 Right. 538 00:23:01,162 --> 00:23:02,598 He has an infection in his brain. 539 00:23:02,642 --> 00:23:04,078 What about sex? 540 00:23:04,121 --> 00:23:05,558 Well, it might get complicated. 541 00:23:05,601 --> 00:23:07,560 I mean, we work together. 542 00:23:07,603 --> 00:23:08,909 I'm older, certainly. But maybe you like that. 543 00:23:08,952 --> 00:23:10,737 I meant maybe he has neurosyphilis. 544 00:23:10,780 --> 00:23:12,956 Heh, nice cover. 545 00:23:13,000 --> 00:23:14,523 Sorry, the RPR was negative. 546 00:23:14,567 --> 00:23:16,003 We don't need a definitive test to confirm this. 547 00:23:16,046 --> 00:23:18,222 Sure, didn't need one to confirm MS. 548 00:23:18,266 --> 00:23:20,660 Okay, let's wait for you to run titers on 1,400 viruses 549 00:23:20,703 --> 00:23:22,662 while this kid's brain turns to mush. 550 00:23:22,705 --> 00:23:24,403 So the fact that he doesn't have MS, 551 00:23:24,446 --> 00:23:26,579 it's--it's really not good news after all. 552 00:23:26,622 --> 00:23:28,494 Well, it is if it's neurosyphilis. 553 00:23:28,537 --> 00:23:30,017 The likelihood of a false negative 554 00:23:30,060 --> 00:23:31,671 on an RPR test, 30%. 555 00:23:31,714 --> 00:23:35,457 Likelihood of a 16-year-old having sex, roughly 120%. 556 00:23:35,501 --> 00:23:36,763 I'll start him on IV penicillin. 557 00:23:36,806 --> 00:23:37,938 No, we're not gonna wait for that. 558 00:23:37,981 --> 00:23:39,287 The most effective way to deliver the drug 559 00:23:39,330 --> 00:23:41,637 is right into his brain via the spine. 560 00:23:41,681 --> 00:23:42,856 We can't, in a cramped space like the brain, 561 00:23:42,899 --> 00:23:44,466 increased intercranial pressure 562 00:23:44,510 --> 00:23:45,815 from a high-volume drug like penicillin 563 00:23:45,859 --> 00:23:47,730 could herniate his brain stem and kill him. 564 00:23:47,774 --> 00:23:49,210 No neurologist 565 00:23:49,253 --> 00:23:50,211 in his right mind would recommend that. 566 00:23:50,254 --> 00:23:51,430 Show of hands. 567 00:23:51,473 --> 00:23:53,214 Who thinks I'm not in my right mind? 568 00:23:53,257 --> 00:23:54,824 And who thinks I forget 569 00:23:54,868 --> 00:23:57,131 this fairly basic neurological fact? 570 00:23:57,174 --> 00:23:59,525 Who thinks there's a third option? 571 00:24:01,527 --> 00:24:02,963 Very good. What's the third choice? 572 00:24:03,006 --> 00:24:05,531 No idea--you just asked if I thought there was one. 573 00:24:08,708 --> 00:24:10,623 The patient has a shunt in his brain. 574 00:24:10,666 --> 00:24:12,451 There'll be no increased pressure. 575 00:24:12,494 --> 00:24:14,496 We can put as much penicillin into his body as we want. 576 00:24:14,540 --> 00:24:15,584 Excellent. 577 00:24:15,628 --> 00:24:17,934 Inject him through a lumbar puncture. 578 00:24:20,720 --> 00:24:22,461 One of us is gonna do this to you 579 00:24:22,504 --> 00:24:23,940 twice a day for the next two weeks. 580 00:24:23,984 --> 00:24:26,334 [sighs] 581 00:24:26,377 --> 00:24:27,596 I'm ready to go. 582 00:24:27,640 --> 00:24:29,511 He could get syphilis 583 00:24:29,555 --> 00:24:32,253 even if he's not sexually active? 584 00:24:32,296 --> 00:24:35,343 Well, it's unusual... 585 00:24:35,386 --> 00:24:36,431 but it's possible. 586 00:24:37,606 --> 00:24:39,826 Okay, relax. 587 00:24:48,138 --> 00:24:49,705 Jeez... 588 00:24:52,360 --> 00:24:53,535 It's infected. 589 00:24:53,579 --> 00:24:56,059 With a really big hole, 590 00:24:56,103 --> 00:24:58,105 like you stuck a nail in it to relieve the pressure. 591 00:24:58,148 --> 00:24:59,410 I wouldn't do that. 592 00:24:59,454 --> 00:25:01,195 Although the wound is irregular. 593 00:25:01,238 --> 00:25:02,544 It's not cylindrical. It's shaped like a triangle. 594 00:25:02,588 --> 00:25:04,154 So not a nail. 595 00:25:04,198 --> 00:25:05,373 Steak knife? 596 00:25:05,416 --> 00:25:06,548 Wife's nail file. 597 00:25:06,592 --> 00:25:09,290 Damn. 598 00:25:09,333 --> 00:25:11,422 Yeah, pain will make you do stupid things. 599 00:25:11,466 --> 00:25:13,686 Something to take the edge off? 600 00:25:13,729 --> 00:25:15,557 Yeah. 601 00:25:17,428 --> 00:25:18,865 Cheers. 602 00:25:24,435 --> 00:25:26,133 So, you have family here in Princeton? 603 00:25:26,176 --> 00:25:27,961 No. 604 00:25:28,004 --> 00:25:29,266 Here on work? 605 00:25:29,310 --> 00:25:30,311 No, why are you-- 606 00:25:30,354 --> 00:25:31,399 Does your penis hurt? 607 00:25:31,442 --> 00:25:33,749 No. What? Should it? 608 00:25:33,793 --> 00:25:35,577 No, just thought I'd toss you 609 00:25:35,621 --> 00:25:37,753 a really inappropriate question. 610 00:25:37,797 --> 00:25:38,841 Your lawyer's gonna love it. 611 00:25:38,885 --> 00:25:40,364 Why would I want to sue you? 612 00:25:40,408 --> 00:25:41,583 I want you to treat me. 613 00:25:41,627 --> 00:25:43,193 You're from Maplewood, New Jersey, right? 614 00:25:43,237 --> 00:25:44,499 Yeah. 615 00:25:44,543 --> 00:25:46,588 Now, why would you drive 70 miles 616 00:25:46,632 --> 00:25:47,676 to get treatment for a condition 617 00:25:47,720 --> 00:25:49,635 that a nine-year-old could diagnose? 618 00:25:51,027 --> 00:25:53,987 It's the free-flowing puss that's the tip-off. 619 00:25:54,030 --> 00:25:55,205 I was in town-- 620 00:25:55,249 --> 00:25:56,946 Not for family, not for work. 621 00:25:56,990 --> 00:25:59,035 You drove 70 miles to a walk-in clinic. 622 00:25:59,079 --> 00:26:00,602 You passed two hospitals on the road. 623 00:26:00,646 --> 00:26:02,604 Now, either you've got a problem with those hospitals, 624 00:26:02,648 --> 00:26:04,345 or they have a problem with you. 625 00:26:04,388 --> 00:26:06,608 My guess is you've sued half the doctors in Maplewood, 626 00:26:06,652 --> 00:26:08,610 and the rest are now refusing to help you. 627 00:26:08,654 --> 00:26:10,090 It's ironic, isn't it? 628 00:26:10,133 --> 00:26:12,614 Sort of like the boy who sued wolf. 629 00:26:12,658 --> 00:26:13,963 You know, I bet we have 630 00:26:14,007 --> 00:26:15,443 a doctor here named Wolfe. 631 00:26:15,486 --> 00:26:17,750 How perfect would that be? 632 00:26:17,793 --> 00:26:19,142 I'm gonna page him. 633 00:26:19,186 --> 00:26:20,491 Okay, you know what? Thank you. 634 00:26:20,535 --> 00:26:21,754 I'm gonna find a doctor to take care of this. 635 00:26:21,797 --> 00:26:24,626 I didn't say I wouldn't treat you. 636 00:26:24,670 --> 00:26:26,759 We'll drain your knee, run some lab work. 637 00:26:26,802 --> 00:26:28,499 Fix you right up.Why would you do that? 638 00:26:28,543 --> 00:26:30,545 I'm a people person. 639 00:26:31,546 --> 00:26:32,765 You actually treated him? 640 00:26:32,808 --> 00:26:34,767 All I know is he sued some doctors. 641 00:26:34,810 --> 00:26:36,986 Who am I to assume they didn't have it coming to them? 642 00:26:37,030 --> 00:26:39,423 The cutest little tennis outfit. 643 00:26:39,467 --> 00:26:41,077 My God, I thought I was gonna have a heart attack. 644 00:26:41,121 --> 00:26:43,166 Oh, my, I didn't see you there. That is so embarrassing. 645 00:26:43,210 --> 00:26:44,254 How's your hooker doing? 646 00:26:44,298 --> 00:26:46,561 Sweet of you to ask. Funny story. 647 00:26:46,605 --> 00:26:48,215 She was gonna be hospital administrator, 648 00:26:48,258 --> 00:26:50,130 but just hated having to screw people like that. 649 00:26:50,173 --> 00:26:51,522 I heard you found her on the roof. 650 00:26:51,566 --> 00:26:52,959 You have very acute hearing. 651 00:26:53,002 --> 00:26:54,656 You notify the parents? 652 00:26:54,700 --> 00:26:56,092 In due course, of course. 653 00:26:56,136 --> 00:26:58,529 And is there a paternity bet 654 00:26:58,573 --> 00:27:00,053 on the father of the patient? 655 00:27:00,096 --> 00:27:01,620 Doesn't sound like me. 656 00:27:01,663 --> 00:27:03,447 It does, actually, but that doesn't mean you're guilty. 657 00:27:03,491 --> 00:27:04,753 You think? 658 00:27:04,797 --> 00:27:05,928 I saw the parents in the lobby. 659 00:27:05,972 --> 00:27:07,451 Smart money's obviously on the father. 660 00:27:07,495 --> 00:27:10,716 My guy knows a guy who can get you in for 50 bucks. 661 00:27:10,759 --> 00:27:12,761 Fine...tell your guy if I win, 662 00:27:12,805 --> 00:27:14,676 you attend the faculty symposium, and you wear a tie. 663 00:27:14,720 --> 00:27:18,158 And if I win, no clinic hours for a week. 664 00:27:18,201 --> 00:27:19,638 My guy will call your guy. 665 00:27:21,988 --> 00:27:24,077 She's very good at her job. 666 00:27:28,734 --> 00:27:30,997 The treatments should start helping soon. 667 00:27:31,040 --> 00:27:32,999 Let us know if it gets easier to focus on things, 668 00:27:33,042 --> 00:27:34,435 remember stuff. 669 00:27:35,828 --> 00:27:39,527 Hey, Dan, isn't Dr. Cameron's necklace a beauty? 670 00:27:39,570 --> 00:27:42,095 Something South American,I think. 671 00:27:42,138 --> 00:27:43,923 Yeah, Guatemalan. 672 00:27:43,966 --> 00:27:47,056 It's a cool necklace. 673 00:27:47,100 --> 00:27:49,972 Thank you so much. 674 00:27:50,016 --> 00:27:51,321 The kid's in pain. 675 00:27:51,365 --> 00:27:52,975 [scoffs] 676 00:27:53,019 --> 00:27:54,673 [muddled voices] 677 00:27:54,716 --> 00:27:56,631 No. 678 00:27:56,675 --> 00:27:57,676 No what? 679 00:27:57,719 --> 00:28:00,069 Dan? You okay? 680 00:28:00,113 --> 00:28:01,157 Dan? 681 00:28:05,684 --> 00:28:06,772 He's hearing voices. 682 00:28:06,815 --> 00:28:07,947 [Dan] Leave me alone. 683 00:28:10,471 --> 00:28:12,038 [voice] I'm gonna eat your brain. 684 00:28:14,780 --> 00:28:17,913 Push two milligrams IV Atavan stat. 685 00:28:19,219 --> 00:28:20,524 Come on, Dan! 686 00:28:20,568 --> 00:28:22,396 Get out of my head! 687 00:28:25,442 --> 00:28:26,487 Auditory hallucination 688 00:28:26,530 --> 00:28:27,880 shows further brain degeneration. 689 00:28:27,923 --> 00:28:29,098 Penicillin's not working. 690 00:28:29,142 --> 00:28:31,274 So either it's a bad batch of penicillin 691 00:28:31,318 --> 00:28:35,931 or our diagnosis is wrong. 692 00:28:35,975 --> 00:28:38,107 Square one. 693 00:28:38,151 --> 00:28:39,543 Midnight. 694 00:28:39,587 --> 00:28:42,242 [Foreman] LFTs, BUN, and creatinine are all normal. 695 00:28:42,285 --> 00:28:44,113 Diabetes is out, and no GAP. 696 00:28:44,157 --> 00:28:45,027 There goes metabolic. 697 00:28:45,071 --> 00:28:46,028 MRA rules out vasculitis. 698 00:28:46,072 --> 00:28:47,595 "I" for inflammation. 699 00:28:47,638 --> 00:28:49,118 Too young for anything degenerative. 700 00:28:49,162 --> 00:28:51,120 "D," see ya. "N" for neoplastic. 701 00:28:51,164 --> 00:28:52,208 MRI was clean. 702 00:28:53,688 --> 00:28:55,777 "I" for inflammation.We already did that. 703 00:28:55,821 --> 00:28:58,040 Stupid to have two Is in one mnemonic. 704 00:28:58,084 --> 00:28:59,259 What's the other one?Infection. 705 00:28:59,302 --> 00:29:00,651 Oligoclonal bands have to mean something. 706 00:29:00,695 --> 00:29:01,870 But no fevers. 707 00:29:01,914 --> 00:29:03,654 White count's elevated, but within range. 708 00:29:03,698 --> 00:29:05,004 We've tested for anything remotely possible. 709 00:29:05,047 --> 00:29:06,048 Everything's negative. 710 00:29:06,092 --> 00:29:07,963 CT scan rules out subdural. 711 00:29:08,007 --> 00:29:09,530 Trauma, later-much. 712 00:29:14,187 --> 00:29:15,884 You know the problem? 713 00:29:15,928 --> 00:29:19,627 Midnight is actually spelled with a "G" and an "H." 714 00:29:19,670 --> 00:29:22,543 If I can just figure out what those letters stand for. 715 00:29:26,329 --> 00:29:28,505 It's a sick brain, 716 00:29:28,549 --> 00:29:31,639 having fun. 717 00:29:31,682 --> 00:29:33,119 Torturing him. 718 00:29:33,162 --> 00:29:34,555 Talking to him. 719 00:29:39,386 --> 00:29:41,910 Scaring the hell out of him. 720 00:29:43,956 --> 00:29:45,435 Get him an EEG, 721 00:29:45,479 --> 00:29:48,656 left and right EOG esophageal microphones. 722 00:29:48,699 --> 00:29:51,615 If this thing wants to talk, 723 00:29:51,659 --> 00:29:53,226 let's listen. 724 00:29:55,010 --> 00:29:56,272 We're missing something. 725 00:29:56,316 --> 00:29:58,666 This is screwed up. 726 00:29:58,709 --> 00:30:00,059 That's why you came up 727 00:30:00,102 --> 00:30:02,409 with the brain talking to the virus thing? 728 00:30:02,452 --> 00:30:04,280 I panicked, okay? 729 00:30:04,324 --> 00:30:06,152 Sounded cool, though. 730 00:30:06,195 --> 00:30:08,154 They bought it. 731 00:30:10,547 --> 00:30:13,507 Oh, crap. 732 00:30:13,550 --> 00:30:14,943 Another reason I don't like meeting patients. 733 00:30:14,987 --> 00:30:16,379 They don't know what you look like, 734 00:30:16,423 --> 00:30:18,251 they can't yell at you. 735 00:30:18,294 --> 00:30:20,122 Here we go. 736 00:30:23,299 --> 00:30:25,780 How can you just sit there? 737 00:30:27,564 --> 00:30:29,218 If I eat standing up, I spill. 738 00:30:29,262 --> 00:30:30,959 Our son is dying. 739 00:30:31,003 --> 00:30:32,395 And you could care less? 740 00:30:32,439 --> 00:30:34,745 We're going through hell. 741 00:30:34,789 --> 00:30:36,922 You're doing nothing? 742 00:30:36,965 --> 00:30:38,053 I'm sorry. 743 00:30:38,097 --> 00:30:39,359 You need to vent. I understand. 744 00:30:39,402 --> 00:30:41,404 Don't be condescending. 745 00:30:41,448 --> 00:30:44,451 You haven't checked in on him once. 746 00:30:44,494 --> 00:30:47,367 Blood pressure's 110 over 70. 747 00:30:47,410 --> 00:30:48,585 The shunt is patent, 748 00:30:48,629 --> 00:30:50,326 well-placed in the right lateral ventricle. 749 00:30:50,370 --> 00:30:52,372 The EKG shows a normal QRS 750 00:30:52,415 --> 00:30:53,895 with deep wave inversions 751 00:30:53,939 --> 00:30:54,940 throughout both limb and precordial leads. 752 00:30:54,983 --> 00:30:56,463 LFTs are elevated, 753 00:30:56,506 --> 00:30:57,899 but only twice the normal range. 754 00:30:57,943 --> 00:31:00,641 Oh, yeah, and he's hearing voices. 755 00:31:04,688 --> 00:31:06,690 Go hold his hand. 756 00:31:08,475 --> 00:31:11,260 Go on, I'll bus your tray. 757 00:31:24,665 --> 00:31:26,580 Got any sample bags on you? 758 00:31:26,623 --> 00:31:28,147 I don't believe you. 759 00:31:28,190 --> 00:31:30,236 You're gonna run DNA tests? 760 00:31:30,279 --> 00:31:32,978 Her son is deathly ill. I know it's terrible. 761 00:31:33,021 --> 00:31:34,501 The fact is, if I don't keep busy 762 00:31:34,544 --> 00:31:36,068 with trivial things like this, 763 00:31:36,111 --> 00:31:37,243 I'm afraid I might start to cry. 764 00:31:37,286 --> 00:31:38,331 You're an ass. 765 00:31:38,374 --> 00:31:39,767 Yeah? 766 00:31:39,810 --> 00:31:41,377 You wanna double the bet? 767 00:31:51,953 --> 00:31:54,477 General Hospital's on channel six. 768 00:31:54,521 --> 00:31:56,479 Dan's brain is not showing channel six right now. 769 00:31:56,523 --> 00:31:58,394 Only mush. 770 00:31:58,438 --> 00:32:01,745 No epilepti-form activity. 771 00:32:01,789 --> 00:32:03,269 What are you doing? 772 00:32:03,312 --> 00:32:04,923 Waiting for CBC and Chem seven. 773 00:32:04,966 --> 00:32:07,360 Good. Run DNA on these. 774 00:32:09,188 --> 00:32:10,145 What's this? 775 00:32:10,189 --> 00:32:12,147 Parents' coffee cups. 776 00:32:12,191 --> 00:32:13,670 I can't believe you-- 777 00:32:13,714 --> 00:32:15,803 I've had this conversation once already. 778 00:32:15,846 --> 00:32:17,109 You've got something else to do, do it. 779 00:32:17,152 --> 00:32:18,937 Otherwise, do this. 780 00:32:26,509 --> 00:32:28,033 Dr. House? 781 00:32:28,076 --> 00:32:30,078 Hey, Mr. Funsten. 782 00:32:30,122 --> 00:32:31,601 I was wondering when you'd be back. 783 00:32:31,645 --> 00:32:33,168 You got some papers for me? 784 00:32:33,212 --> 00:32:35,431 You've caused me considerable mental distress. 785 00:32:35,475 --> 00:32:37,477 I certainly hope so. 786 00:32:37,520 --> 00:32:40,132 What, too cheap to get your lawyer to serve it for you, 787 00:32:40,175 --> 00:32:41,829 or is it just more fun this way? 788 00:32:41,872 --> 00:32:44,049 I'm obviously prepared to consider a settlement. 789 00:32:44,092 --> 00:32:45,572 You have gonorrhea. 790 00:32:48,053 --> 00:32:49,184 No, I don't. 791 00:32:49,228 --> 00:32:50,229 Well, maybe you're right, 792 00:32:50,272 --> 00:32:52,231 but I have a lab result says you do. 793 00:32:52,274 --> 00:32:53,275 Could be a false positive, 794 00:32:53,319 --> 00:32:54,798 and normally, I'd run a second test, 795 00:32:54,842 --> 00:32:56,539 but since you're here, I'll just go with the first. 796 00:32:56,583 --> 00:32:57,671 You're just trying to scare me. 797 00:32:57,714 --> 00:32:58,759 It's reportable, you know. 798 00:32:58,802 --> 00:32:59,890 Public health issue. 799 00:32:59,934 --> 00:33:01,283 Well, I'll be sure to let my wife know. 800 00:33:01,327 --> 00:33:02,328 Oh, don't bother yourself. 801 00:33:02,371 --> 00:33:04,025 The state will call for you. 802 00:33:04,069 --> 00:33:05,766 Look, if you're clean, I'm sure it'll all blow over. 803 00:33:05,809 --> 00:33:06,897 No big deal. 804 00:33:06,941 --> 00:33:08,160 But there's an easy way to find out. 805 00:33:08,203 --> 00:33:10,162 Get one of your doctors to run a test. 806 00:33:12,164 --> 00:33:15,776 Uh-uh. These are mine now. 807 00:33:15,819 --> 00:33:17,082 I'll see you in court. 808 00:33:20,346 --> 00:33:21,956 [Foreman] West Nile, negative. 809 00:33:22,000 --> 00:33:23,740 Not surprising, since not too many mosquitoes 810 00:33:23,784 --> 00:33:25,090 passing through Jersey in December. 811 00:33:25,133 --> 00:33:26,743 [Chase] No Eastern Equine Encephalitis. 812 00:33:26,787 --> 00:33:28,006 You guys aren't gonna believe this. 813 00:33:28,049 --> 00:33:29,268 What's that? 814 00:33:29,311 --> 00:33:32,706 House is right. The father's not the father. 815 00:33:32,749 --> 00:33:34,969 Dude doubled upon me. 816 00:33:35,013 --> 00:33:37,580 Ohh, you're not gonna believe this. 817 00:33:37,624 --> 00:33:39,278 The mother's not the mother, either. 818 00:33:42,890 --> 00:33:43,891 It's not a good idea 819 00:33:43,934 --> 00:33:45,197 to move your son in his condition. 820 00:33:45,240 --> 00:33:46,328 We just want a second opinion. 821 00:33:46,372 --> 00:33:48,200 [Andy] We need an answer. 822 00:33:48,243 --> 00:33:50,680 You idiots. 823 00:33:50,724 --> 00:33:51,899 You lied to me. 824 00:33:51,942 --> 00:33:53,770 We didn't lie about anything. 825 00:33:53,814 --> 00:33:56,077 You, on the other hand, accused of molesting our son! 826 00:33:56,121 --> 00:33:57,209 Perfect. 827 00:33:57,252 --> 00:33:58,601 Could we get off my screw-ups 828 00:33:58,645 --> 00:33:59,820 and focus on theirs? 829 00:33:59,863 --> 00:34:01,039 Theirs is bigger. 830 00:34:01,082 --> 00:34:02,214 You're not Dan's parents. 831 00:34:02,257 --> 00:34:03,345 We're his parents. 832 00:34:03,389 --> 00:34:05,086 He was adopted. He doesn't need to know. 833 00:34:05,130 --> 00:34:06,653 I do. 834 00:34:06,696 --> 00:34:08,176 Adoption makes us just as much his-- 835 00:34:08,220 --> 00:34:10,874 Listen, when we were taking his medical history, 836 00:34:10,918 --> 00:34:12,093 were you confused? 837 00:34:12,137 --> 00:34:13,312 Did you think we were looking 838 00:34:13,355 --> 00:34:14,661 for a genetic clue to his condition 839 00:34:14,704 --> 00:34:16,402 or did you think we were trying to ascertain 840 00:34:16,445 --> 00:34:18,708 who loves him the most in the whole, wide world? 841 00:34:18,752 --> 00:34:21,276 How did you find out about this? 842 00:34:21,320 --> 00:34:23,104 I sampled their DNA. 843 00:34:23,148 --> 00:34:24,410 We didn't give you any DNA. 844 00:34:24,453 --> 00:34:27,108 Your coffee cups from the cafeteria. 845 00:34:27,152 --> 00:34:28,457 You can't do that. 846 00:34:28,501 --> 00:34:30,938 Again, why are we getting hung up on what I did? 847 00:34:30,981 --> 00:34:32,418 Your medical history is useless. 848 00:34:32,461 --> 00:34:35,073 No, we gave you a detailed history 849 00:34:35,116 --> 00:34:36,770 of his biological mother. 850 00:34:36,813 --> 00:34:37,988 Her history. 851 00:34:38,032 --> 00:34:40,078 Non-smoker, good health, 852 00:34:40,121 --> 00:34:41,253 low cholesterol, 853 00:34:41,296 --> 00:34:42,471 no blood pressure problems. 854 00:34:42,515 --> 00:34:45,039 Dan was adopted two weeks after he was born. 855 00:34:45,083 --> 00:34:46,562 You have his history. 856 00:34:46,606 --> 00:34:48,216 There's nothing you need to know that we didn't tell you. 857 00:34:48,260 --> 00:34:49,391 Sounds reasonable. 858 00:34:49,435 --> 00:34:50,653 Well, if you want 859 00:34:50,697 --> 00:34:52,307 to transfer your boy, that is your choice. 860 00:34:52,351 --> 00:34:54,309 I still think it's the wrong-- 861 00:34:54,353 --> 00:34:56,224 Was she vaccinated? 862 00:34:56,268 --> 00:34:58,270 The biological mother. 863 00:34:58,313 --> 00:35:00,272 When she was a baby, did she get her vaccinations? 864 00:35:00,315 --> 00:35:02,317 Dan was vaccinated at six months. 865 00:35:02,361 --> 00:35:04,450 Mm-hmm. 866 00:35:04,493 --> 00:35:07,105 Do you know why kids get vaccinated at six months? 867 00:35:07,148 --> 00:35:09,324 Because before that, they are protected 868 00:35:09,368 --> 00:35:12,501 by their biological mother's immune system. 869 00:35:12,545 --> 00:35:15,374 So, was she vaccinated? 870 00:35:18,377 --> 00:35:21,902 [House] An infant picks up a regular old measles virus. 871 00:35:21,945 --> 00:35:23,512 He gets a rash. 872 00:35:23,556 --> 00:35:24,731 He's extremely uncomfortable. 873 00:35:24,774 --> 00:35:26,036 Has a wicked fever. 874 00:35:26,080 --> 00:35:28,169 But he lives. Here's the kicker. 875 00:35:28,213 --> 00:35:30,911 Once every million or so times, 876 00:35:30,954 --> 00:35:32,913 the virus mutates. 877 00:35:32,956 --> 00:35:34,132 Instead of Dan having 878 00:35:34,175 --> 00:35:35,829 a fever and a rash, 879 00:35:35,872 --> 00:35:37,657 the virus travels to his brain 880 00:35:37,700 --> 00:35:40,399 and hides, like a time bomb. 881 00:35:40,442 --> 00:35:44,794 In this case, for sixteen years. 882 00:35:44,838 --> 00:35:47,928 Subacute sclerosing panencephalitis. 883 00:35:47,971 --> 00:35:49,930 I know, there's only been 20 cases 884 00:35:49,973 --> 00:35:51,671 in the United States in the last 30 years. 885 00:35:51,714 --> 00:35:53,020 I suppose you can make an argument 886 00:35:53,063 --> 00:35:54,674 the kid's still in stage one. 887 00:35:54,717 --> 00:35:57,111 Once SSPE moves to stage two-- 888 00:35:57,155 --> 00:36:00,070 Boom, stage two is universally fatal. 889 00:36:00,114 --> 00:36:01,855 I assume it's impossible to know 890 00:36:01,898 --> 00:36:03,161 when he might move into stage two. 891 00:36:03,204 --> 00:36:04,988 He's already started showing symptoms. 892 00:36:05,032 --> 00:36:06,860 It could be a month. It could be tonight. 893 00:36:06,903 --> 00:36:07,861 Can we treat it? 894 00:36:07,904 --> 00:36:09,254 You're the neurologist. 895 00:36:09,297 --> 00:36:11,952 Intraventricular interferon. 896 00:36:11,995 --> 00:36:13,867 Not gonna shove a spike into his brain 897 00:36:13,910 --> 00:36:15,999 and drip interferon without confirming this diagnosis. 898 00:36:16,043 --> 00:36:16,913 Tap him. 899 00:36:16,957 --> 00:36:18,001 We won't get a reliable result 900 00:36:18,045 --> 00:36:19,786 for measles antibodies in his CSF. 901 00:36:19,829 --> 00:36:21,266 Not after everything we've given him. 902 00:36:21,309 --> 00:36:22,441 So the wrong treatment 903 00:36:22,484 --> 00:36:24,617 kills any hope of the right diagnosis. 904 00:36:24,660 --> 00:36:28,098 Why do people lie to me? 905 00:36:28,142 --> 00:36:29,404 It could also kill him. 906 00:36:29,448 --> 00:36:31,363 Your ball, Foreman. 907 00:36:31,406 --> 00:36:34,714 Tell me I don't have to biopsy his brain. 908 00:36:34,757 --> 00:36:37,717 Well... there is one other way. 909 00:36:38,544 --> 00:36:41,024 You sure this isn't gonna hurt? 910 00:36:41,068 --> 00:36:43,984 Yeah, it's just scary as hell. 911 00:36:44,027 --> 00:36:45,638 We go through the pupil. 912 00:36:45,681 --> 00:36:47,640 You won't feel it-- the eye's been paralyzed. 913 00:36:47,683 --> 00:36:49,903 The needle travels to the back of the eye, 914 00:36:49,946 --> 00:36:52,297 which is where we'll perform the biopsy on your retina. 915 00:36:58,520 --> 00:37:00,261 So we've confirmed that the problem 916 00:37:00,305 --> 00:37:01,784 is this mutated virus. 917 00:37:01,828 --> 00:37:05,179 The treatment for SSPE is intraventricular interferon. 918 00:37:05,223 --> 00:37:07,877 We implant an Ommaya Reservoir under the scalp, 919 00:37:07,921 --> 00:37:10,010 which is connected to a ventricular catheter 920 00:37:10,053 --> 00:37:11,707 that delivers the antiviral 921 00:37:11,751 --> 00:37:12,882 directly to the left hemisphere. 922 00:37:12,926 --> 00:37:14,275 You want us to consent to this? 923 00:37:14,319 --> 00:37:15,494 I don't even understand what you're talking about. 924 00:37:15,537 --> 00:37:18,714 Well, the antiviral... 925 00:37:21,195 --> 00:37:23,371 Look, I'm sorry. 926 00:37:23,415 --> 00:37:25,199 I can explain this as best I can, 927 00:37:25,243 --> 00:37:27,245 but the notion that you're gonna fully understand 928 00:37:27,288 --> 00:37:29,508 your son's treatment and make an informed decision is... 929 00:37:29,551 --> 00:37:32,250 it's kind of insane. 930 00:37:33,816 --> 00:37:36,558 Here's what you need to know. 931 00:37:36,602 --> 00:37:38,473 It's dangerous. 932 00:37:38,517 --> 00:37:41,302 It could kill him. 933 00:37:41,346 --> 00:37:43,348 You should do it. 934 00:37:43,391 --> 00:37:46,351 [heart monitor beeping] 935 00:37:57,666 --> 00:37:59,364 [whirr] 936 00:38:00,756 --> 00:38:03,106 [whirr] 937 00:38:07,546 --> 00:38:09,287 [whirring] 938 00:38:15,249 --> 00:38:19,166 You can't order a $3,200 DNA test to win a bet. 939 00:38:19,209 --> 00:38:21,516 It's not an actual cost. 940 00:38:21,560 --> 00:38:23,039 I don't know if you know this, 941 00:38:23,083 --> 00:38:25,085 but the hospital actually owns the sequencing machine. 942 00:38:25,128 --> 00:38:27,653 I'm serious. Tell the parents to submit the bill to insurance. 943 00:38:27,696 --> 00:38:29,524 Insurance is not gonna pay for a bet. 944 00:38:29,568 --> 00:38:31,265 They should. 945 00:38:31,309 --> 00:38:33,136 We don't make that bet, the kid dies. 946 00:38:33,180 --> 00:38:35,138 If not for the paternity bet. 947 00:38:35,182 --> 00:38:36,662 I never would have taken their DNA. 948 00:38:36,705 --> 00:38:38,925 Without their DNA, we never would have discovered 949 00:38:38,968 --> 00:38:42,145 that Dan was adopted, which was the key to this case. 950 00:38:42,189 --> 00:38:43,843 You just don't want to pay your end. 951 00:38:43,886 --> 00:38:45,540 Big mistake. 952 00:38:45,584 --> 00:38:47,847 My guy knows a guy. 953 00:38:47,890 --> 00:38:50,719 Fine, I will let you out of clinic duty for one week 954 00:38:50,763 --> 00:38:53,635 after you pay the $3,200 for the PCR test. 955 00:39:01,817 --> 00:39:02,992 Whoo. 956 00:39:03,036 --> 00:39:07,083 Well, now, there's the hundred you owe me. 957 00:39:07,127 --> 00:39:09,651 There's 100 I won from Cameron. 958 00:39:09,695 --> 00:39:12,219 200 I took from Foreman. 959 00:39:12,262 --> 00:39:14,569 And... 960 00:39:14,613 --> 00:39:17,659 600 I got from Wilson. 961 00:39:19,661 --> 00:39:21,446 Very bitter. 962 00:39:25,014 --> 00:39:26,755 [Cameron] Hey, good morning. 963 00:39:26,799 --> 00:39:28,627 [Foreman] Good news on your EEG. 964 00:39:28,670 --> 00:39:30,193 Treatment is working. 965 00:39:30,237 --> 00:39:32,413 And your immune system is responding. 966 00:39:32,457 --> 00:39:34,372 I know it's early, 967 00:39:34,415 --> 00:39:37,070 but I just want to take a look. 968 00:39:37,113 --> 00:39:41,030 Mm-hmm, let's see what that brain of yours can do. 969 00:39:41,074 --> 00:39:42,771 Name as many animals as you can 970 00:39:42,815 --> 00:39:44,686 that start with the letter "O." 971 00:39:44,730 --> 00:39:47,472 Ostrich. 972 00:39:47,515 --> 00:39:48,690 Ox. 973 00:39:48,734 --> 00:39:50,300 Old elephant. 974 00:39:50,344 --> 00:39:53,434 Well, that's two better than last time. 975 00:39:53,478 --> 00:39:55,697 How you doing with the whole adoption thing? 976 00:39:55,741 --> 00:39:57,656 I knew since fifth grade. 977 00:39:57,699 --> 00:39:59,745 How's that? 978 00:39:59,788 --> 00:40:02,574 Cleft chin. 979 00:40:02,617 --> 00:40:03,749 I have one. 980 00:40:03,792 --> 00:40:05,359 My dad doesn't. 981 00:40:05,403 --> 00:40:07,187 Looked it up on the Internet. 982 00:40:07,230 --> 00:40:09,624 It's one of those trait things. 983 00:40:09,668 --> 00:40:12,758 That's right, it's autosomal dominant. 984 00:40:12,801 --> 00:40:15,238 Since neither of your parents have cleft chins, 985 00:40:15,282 --> 00:40:17,850 it's highly unlikely you're biologically related. 986 00:40:20,026 --> 00:40:21,157 You sure you're okay? 987 00:40:21,201 --> 00:40:25,161 I've got no problems with being adopted. 988 00:40:25,205 --> 00:40:27,163 I love my parents. 989 00:40:30,471 --> 00:40:31,559 How's he doing? 990 00:40:31,603 --> 00:40:32,778 He's doing pretty well. 991 00:40:32,821 --> 00:40:34,562 He's a smart kid. 992 00:40:34,606 --> 00:40:36,651 I think he's gonna be fine. 993 00:40:40,133 --> 00:40:41,264 Hey. 994 00:40:41,308 --> 00:40:43,919 Thanks. 995 00:40:43,963 --> 00:40:46,748 [Ricky Lee Jones] ♪ The most as you'll ever go 996 00:40:46,792 --> 00:40:50,752 ♪ Is back where you used to know ♪ 997 00:40:50,796 --> 00:40:52,928 ♪ If grown-ups 998 00:40:52,972 --> 00:40:56,715 ♪ Could laugh this slow 999 00:40:56,758 --> 00:41:01,894 ♪ Where as you watch the hour snow ♪ 1000 00:41:01,937 --> 00:41:04,853 ♪ Years may go by 1001 00:41:08,814 --> 00:41:13,209 ♪ Years may go by 1002 00:41:14,907 --> 00:41:17,953 ♪ So hold on to your special friend ♪ 1003 00:41:17,997 --> 00:41:20,390 Wheels, one eight, wheels. 1004 00:41:20,434 --> 00:41:24,220 ♪ You'll need something to keep her in ♪ 1005 00:41:25,570 --> 00:41:30,879 ♪ Now you stay inside this foolish grin ♪ 1006 00:41:30,923 --> 00:41:35,101 ♪ Though any day your secrets end ♪ 1007 00:41:35,144 --> 00:41:37,016 ♪ But then again 1008 00:41:37,059 --> 00:41:39,801 ♪ Years may go by 1009 00:41:42,674 --> 00:41:47,766 ♪ Years may go by 1010 00:41:56,339 --> 00:42:00,561 ♪ You saved your own special friend ♪ 1011 00:42:00,605 --> 00:42:05,914 ♪ 'Cause you need something to hide her in ♪ 1012 00:42:05,958 --> 00:42:11,572 ♪ And you stay inside that foolish grin ♪ 1013 00:42:11,616 --> 00:42:15,837 ♪ When every day now secrets end ♪ 1014 00:42:15,881 --> 00:42:17,752 ♪ Oh, and then again 1015 00:42:17,796 --> 00:42:21,364 ♪ Years may go by 1016 00:42:23,323 --> 00:42:29,068 ♪ Years may go by ♪