0:00:03.003,0:00:05.971 On your right.[br]On your right. On your right. 0:00:06.039,0:00:08.132 Back, back, back, back, back.[br]Come on, buddy. 0:00:11.745,0:00:14.077 Yeah, Dan! Yeah! 0:00:14.147,0:00:15.876 Yea![br]Yea! 0:00:15.949,0:00:19.282 Back, back, back, back, back.[br]Watch the winger! 0:00:31.264,0:00:33.425 Yeah! 0:00:56.856,0:00:58.847 You okay? 0:00:58.925,0:01:00.984 Dan? Dan, talk to me. 0:01:01.061,0:01:03.757 Dan. Dan. 0:01:03.830,0:01:06.663 Get a doctor! 0:01:46.239,0:01:48.537 - Hey.[br]- Close the door. 0:01:48.608,0:01:51.168 Close the door. 0:01:53.913,0:01:57.007 Is Cuddy down the hall[br]counting to 50? 0:01:57.083,0:01:59.916 She knows I'm in here,[br]in the clinic, as she commanded. 0:01:59.986,0:02:03.217 - She just doesn't know I'm alone.[br]- Well, you've got a full waiting room. 0:02:03.289,0:02:06.019 - How long do you think you can ignore them?[br]- I'm off at 4:00. 0:02:07.760,0:02:10.024 You're doing this[br]to avoid five minutes of work? 0:02:10.096,0:02:12.724 If I go out there, I get assigned[br]a kid with a runny nose. 0:02:12.799,0:02:16.030 That's 30 seconds looking at the nose,[br]25 minutes talking to a worried mom... 0:02:16.102,0:02:18.900 who won't leave until she's sure[br]it's not meningitis or a tumor. 0:02:18.972,0:02:21.338 Yes. Concerned parents[br]can be so annoying. 0:02:21.407,0:02:25.036 Just tell Cuddy you've got an urgent case.[br]You had to leave early. That would be lying. 0:02:25.111,0:02:30.014 And that would be wrong. But luckily[br]the definition of "urgent" is fungible. 0:02:30.083,0:02:32.711 Not the definition[br]of "case" though. 0:02:36.122,0:02:38.886 You have no cases? 0:02:38.958,0:02:41.017 You have no cases? 0:02:41.094,0:02:44.825 You've got handpicked[br]doctors-- specialists-- 0:02:44.898,0:02:47.799 working for you,[br]and they're sitting on their hands? 0:02:47.867,0:02:51.701 - Cameron's answering my mail.[br]- Oh, time well spent, I'm sure. 0:02:51.771,0:02:53.762 Foreman and Chase? 0:02:53.840,0:02:55.831 Research? 0:03:02.515,0:03:05.245 Nine letters.[br]Iodine deficiency in children. 0:03:05.318,0:03:07.479 Cretinism. 0:03:16.863,0:03:19.764 So, 4:03 p.m.,[br]Dr. House checks out. 0:03:19.832,0:03:21.766 Please write that down. 0:03:21.834,0:03:24.029 Dr. House.[br]Sorry. Done for the day. 0:03:24.103,0:03:27.004 Plenty of docs here to take care[br]of you. But we had an appointment. 0:03:27.073,0:03:30.406 Nice try, but this is a walk-in clinic,[br]which means there are no appointments. 0:03:30.476,0:03:32.706 You walk in, sign the chart,[br]and a doctor will see you. 0:03:32.779,0:03:36.271 Just not me.[br]Your letter says that we'd see you. 0:03:37.317,0:03:39.717 Not a big letter writer.[br]Here. 0:03:42.288,0:03:45.780 When did my signature get so girlie? 0:03:45.858,0:03:48.053 - I can explain.[br]- See that "G"? 0:03:48.127,0:03:50.561 See how it makes a big loop on top? 0:03:50.630,0:03:53.997 Doesn't even look like my handwriting.[br]Think I have something? 0:03:54.067,0:03:57.468 What's the differential diagnosis for[br]writing G's like a junior high school girl? 0:03:57.537,0:04:01.268 It's impossible to get to you through[br]normal channels. They have called, e-mailed. 0:04:01.341,0:04:03.292 Perseverance does not[br]equal worthiness. Next time 0:04:03.293,0:04:05.243 you want to get my[br]attention, wear something fun. 0:04:05.311,0:04:07.279 Low-rider jeans are hot. 0:04:07.347,0:04:09.878 Sixteen-year-old male. Sudden onset of double 0:04:09.879,0:04:12.410 vision and night terrors,[br]with no apparent cause. 0:04:12.485,0:04:14.953 The kid's been to two neurologists,[br]and he-- Night terrors? 0:04:15.021,0:04:17.819 - As in big scary monsters?[br]- Yes. 0:04:20.660,0:04:24.152 - Where are you going?[br]- To see the family. 0:04:24.230,0:04:26.260 - You're going to examine[br]a patient? - Nine times 0:04:26.261,0:04:28.291 out of 10, there's no[br]reason to talk to a patient. 0:04:28.368,0:04:32.202 But night terrors in a 16-year-old is[br]a very good reason to talk to this family. 0:04:32.272,0:04:34.206 Good work. 0:04:37.176,0:04:39.110 Margins are fine. 0:04:39.178,0:04:41.112 No lesions. 0:04:42.348,0:04:44.646 Color is good. 0:04:44.717,0:04:48.050 How long have you been[br]having night terrors? Three weeks. 0:04:48.121,0:04:51.318 He's afraid to go to bed. He's[br]exhausted, can barely function. 0:04:53.393,0:04:56.885 - What does that tell you? -[br]Nothing. It's just fun watching him blink. 0:04:56.963,0:05:00.455 Name as many animals as you can[br]that begin with the letter "B". Go. 0:05:07.206,0:05:11.302 - Baby elephant? - Baby[br]elephant is actually a good answer. 0:05:11.377,0:05:13.902 - "B" is a bear of a letter.[br]- What does that tell you? 0:05:13.980,0:05:18.007 Proves two things: no neurological damage, and[br]your son is never gonna be chief fry cook. 0:05:18.084,0:05:21.815 In teens, there are two[br]likely causes of night terrors. 0:05:21.888,0:05:25.585 - Posttraumatic stress. Any recent[br]shoot-outs at your high school? - No. 0:05:25.658,0:05:26.886 - Then, Dave--[br]- Dan. 0:05:26.959,0:05:31.020 If there's no trauma,[br]the other cause is... sexual abuse. 0:05:33.733,0:05:37.169 So who's molesting you?[br]Teacher? 0:05:37.236,0:05:40.228 Extra-friendly neighbor? I'd ask if either[br]of you were involved, but you'd deny it. 0:05:40.306,0:05:42.035 We would never hurt Dan. 0:05:42.108,0:05:44.508 I say it here,[br]it comes out there. 0:05:44.577,0:05:47.068 This lack of response[br]is consistent with abuse. 0:05:47.146,0:05:49.944 There's no one, okay?[br]I-- I swear. 0:05:50.016,0:05:53.110 There was trauma. I got hit in[br]the head during a lacrosse game. 0:05:54.954,0:05:58.321 Did you know[br]that he got hit in the head? 0:05:58.391,0:06:01.918 - They didn't mention it. No.[br]- Yeah. Why bother? 0:06:04.831,0:06:07.356 No, no. We took him[br]to the E.R. after the game. 0:06:07.433,0:06:09.958 He was scanned. They tested him.[br]They said he was fine. 0:06:10.036,0:06:11.970 No concussion.[br]It's gotta be something else. 0:06:12.038,0:06:15.530 You hound me for my opinion,[br]and then you question my diagnosis. 0:06:15.608,0:06:19.009 Cool. E.R. obviously screwed up.[br]Kid's got a concussion. 0:06:19.078,0:06:22.206 I had double vision before I was hit.[br]Well, that changes everything. 0:06:22.281,0:06:25.079 You need glasses.[br]That's why you had double vision, 0:06:25.151,0:06:27.500 which is why you got hit,[br]which is why you have a 0:06:27.501,0:06:29.850 concussion, which is why you have night terrors. 0:06:29.922,0:06:32.948 You need to see an ophthalmologist,[br]which I am not. 0:06:33.025,0:06:35.710 You enjoyed that. I brought[br]a reasonable case to your 0:06:35.711,0:06:38.395 attention, and you shoved it in[br]my face just to humiliate me. 0:06:38.464,0:06:41.331 You're an only child, aren't you?[br]Why would you say that? 0:06:41.401,0:06:43.130 Because everything is about you. 0:06:44.270,0:06:48.570 This may seem incredibly controversial,[br]but I think sexual abuse is bad. 0:06:48.641,0:06:51.633 I just wanted to make sure he wasn't[br]being diddled by Daddy-- or Mommy. 0:06:51.711,0:06:53.736 Anything else is just a bonus. 0:07:04.657,0:07:07.990 I'm not an only child.[br]Interesting. 0:07:08.060,0:07:10.324 What?[br]Don't move. 0:07:11.097,0:07:15.033 - Did I bore you in there?[br]- What? Uh, no. Not-- Not really. 0:07:15.101,0:07:17.467 Are you tired? 0:07:17.537,0:07:19.596 - Sometimes. - He never[br]sleeps. Ofcourse he's tired. 0:07:19.672,0:07:22.140 - Right now. At this moment.[br]Are you tired? - No. No. 0:07:22.208,0:07:24.438 That twitch in your leg.[br]Did you feel that? 0:07:25.812,0:07:28.042 - Didn't hurt. - His leg[br]twitched. I don't see what-- 0:07:28.114,0:07:31.880 It's called a myoclonic jerk. It's very[br]common when you're falling asleep. 0:07:31.951,0:07:34.636 Respiration rate falls, and[br]the brain sometimes interprets 0:07:34.637,0:07:37.321 this as the body dying, so it[br]sends a pulse to wake it up. 0:07:37.390,0:07:39.585 - So?[br]- So, he's not asleep. 0:07:39.659,0:07:42.389 He's awake. 0:07:42.462,0:07:44.453 Admit him. 0:07:47.467,0:07:50.868 I recognize that loopy "G". 0:07:50.937,0:07:52.928 So, what does the jerk tell us? 0:07:53.005,0:07:55.303 Nothing good.[br]The brain's losing control of the body. 0:07:55.374,0:07:59.140 Can't order the eyes to focus,[br]regulate sleep patterns or control muscles. 0:07:59.212,0:08:01.237 A movement disorder[br]or a degenerative brain disease. 0:08:01.314,0:08:04.841 Either way, this kid's gonna be picking[br]up his diploma in diapers and a wheelchair. 0:08:04.917,0:08:06.885 Maybe not that bad.[br]Could be an infection. 0:08:06.953,0:08:08.978 You wish.[br]No fever, no white count. 0:08:09.055,0:08:11.774 Anyone think this differential[br]diagnosis might be compromised 0:08:11.775,0:08:14.493 because we don't have[br]an accurate family history? 0:08:14.560,0:08:17.825 - I took an accurate family history.[br]- You didn't even take an accurate family. 0:08:18.764,0:08:20.994 - His father's not his father.[br]- Why would you say that? 0:08:21.067,0:08:24.127 Thirty percent of all dads don't[br]realize they're raising someone else's kid. 0:08:24.203,0:08:27.331 False paternity's more like 10%. That's[br]what our moms would like us to believe. 0:08:27.406,0:08:29.897 Who cares? If he got it from[br]his parents, they'd both be dead. 0:08:29.976,0:08:32.842 - Can we get on with the differential[br]diagnosis? - Fifty bucks says I'm right. 0:08:32.912,0:08:35.472 - I'll take your money.[br]- Hit a nerve? 0:08:35.548,0:08:39.006 - Don't worry. I'm sure the guy who tucked[br]you in was your daddy. - Make it a hundred. 0:08:39.085,0:08:42.885 What about leukoencephalopathy[br]in a 16-year-old? 0:08:42.955,0:08:45.253 It doesn't necessarily[br]have to be that bad. 0:08:45.324,0:08:48.350 If we exclude the night terrors,[br]it could be something systemic. 0:08:48.427,0:08:50.952 - His liver, kidneys. Something[br]outside the brain. - Yes. 0:08:51.030,0:08:52.895 - Feel free to exclude any symptom if it makes 0:08:52.896,0:08:54.761 your job easier. - Night terrors were anecdotal. 0:08:54.834,0:08:57.200 - He could've had a bad[br]dream. - No. Parents said he was 0:08:57.201,0:08:59.567 conscious during and didn't[br]remember anything afterwards. 0:08:59.639,0:09:01.573 - That's a night terror.[br]- Parents said? 0:09:01.641,0:09:03.734 That's a good point. 0:09:03.809,0:09:07.074 Before we condemn this kid, maybe[br]we should entertain Dr. Chase's skepticism. 0:09:07.146,0:09:12.209 I want a detailed polysomnograph. If he's[br]having night terrors, I want to see them. 0:09:34.740,0:09:36.935 I usually don't move[br]during night terrors. 0:09:37.009,0:09:38.943 I'm not restraining you for them. 0:09:41.814,0:09:45.045 E.E.G. revealed abnormalities[br]in your brain-- 0:09:45.117,0:09:47.483 caused nerve damage in your toes. 0:09:54.160,0:09:57.288 What are you doing? 0:09:57.363,0:10:00.457 - Fixing it.[br]- Can I talk to my parents? 0:10:00.533,0:10:02.592 Oh, they know all about this. 0:10:02.668,0:10:05.193 I'd really like to see them. 0:10:13.713,0:10:17.114 Please. I'd really like them here. 0:10:18.884,0:10:20.875 This is gonna hurt, Dan. 0:10:20.953,0:10:22.944 Oh. Oh, God. 0:10:39.772,0:10:42.297 That's a night terror. 0:10:52.451,0:10:56.615 We did a C. T., M.R.I., C.B.C.,[br]CHEM-7 and chest X-ray. 0:10:56.689,0:10:59.749 All the tests came back normal.[br]There's nothing to explain his symptoms. 0:10:59.825,0:11:01.742 Okay, but let's pretend there's something and go 0:11:01.743,0:11:03.659 from there. Who sees something on this M.R.I.? 0:11:05.831,0:11:08.629 No lesions in the white matter.[br]No structural abnormalities. 0:11:08.701,0:11:10.669 No space-occupying tumors. 0:11:10.736,0:11:15.673 He's 16, so he should have an absolutely[br]pristine brain. The smallest thing is abnormal. 0:11:16.976,0:11:19.342 Meningeal enhancement. 0:11:19.412,0:11:21.972 - My bet is viral meningitis.[br]- Excellent. 0:11:22.048,0:11:23.982 Do you see what he did there? 0:11:24.050,0:11:27.816 Took a small clue that there's a neurological[br]problem and wasn't afraid to run with it. 0:11:27.887,0:11:30.355 There's no evidence[br]of meningitis on that M.R.I. 0:11:30.423,0:11:32.323 No, there's not.[br]He's completely wrong. 0:11:32.391,0:11:34.416 Then what clue[br]are you talking about? 0:11:34.493,0:11:36.893 He knew that I saw[br]something on the M.R.I., so he 0:11:36.894,0:11:39.294 figured there must be something[br]there and took a guess. 0:11:39.365,0:11:42.857 - Clever, but also pathetic.[br]- So what did you find? 0:11:42.935,0:11:45.927 Take a close look at the corpus callosum. 0:11:48.574,0:11:52.010 - Looks okay.[br]- Are we all looking at the same thing? 0:11:52.078,0:11:54.546 Two hundred million[br]interhemispheric nerve fibers. 0:11:54.613,0:11:57.673 The George Washington Bridge between[br]the left and right side of the brain. 0:11:59.418,0:12:02.046 It's subtle. 0:12:04.123,0:12:06.455 There's some bowing. There. 0:12:06.525,0:12:08.516 An upward arch.[br]Are you guessing? 0:12:08.594,0:12:10.494 Yes. 0:12:10.563,0:12:14.329 - Too bad. You're right.[br]- He probably just moved. 0:12:14.400,0:12:16.994 Nobody stays perfectly still[br]for the entire M.R.I. 0:12:17.069,0:12:19.816 Yeah. Probably got restless[br]and shifted one hemisphere 0:12:19.817,0:12:22.564 of his brain to a more comfortable position. 0:12:22.641,0:12:25.906 Something is pushing on it. If[br]there was bowing, could be a tumor. 0:12:25.978,0:12:29.436 Do you see a tumor on this M.R.I.?[br]No, but I don't see any bowing either. 0:12:29.515,0:12:33.042 There's no tumor. Just a blockage[br]causing pressure causing symptoms. 0:12:33.119,0:12:36.555 Today, night terrors. Tomorrow,[br]he's bleeding out of his eyes. 0:12:36.622,0:12:41.389 Get him a radionucleotide cisternogram.[br]I guarantee you'll see a blockage. 0:12:47.299,0:12:49.290 Okay. 0:12:52.138,0:12:53.867 Easy. 0:12:53.939,0:12:56.203 Okay. Squeeze my hand. 0:13:00.012,0:13:02.105 All right. Squeeze hard. 0:13:04.683,0:13:06.617 All right. 0:13:12.825,0:13:16.090 Now I'm injecting a material[br]that's tagged with a radioisotope. 0:13:16.162,0:13:19.996 It's gonna enter your spine[br]and travel up to your brain. 0:13:20.065,0:13:23.967 It'll make you able to[br]think deep thoughts, 0:13:24.036,0:13:25.970 run a hundred miles an hour. 0:13:27.239,0:13:29.503 Easy. 0:13:42.354,0:13:45.414 Their eyes aren't the same color,[br]but that fleck in the eyes-- 0:13:45.491,0:13:48.517 That's maybe a one-in-10 chance[br]if they're not related? 0:13:48.594,0:13:50.994 No. House isn't gonna pay you[br]based on that. 0:13:51.063,0:13:54.931 Any excuse we can give the folks[br]to justify a D.N.A. test? 0:13:55.000,0:13:59.130 We could tell them he's got Huntington's-- whole[br]family should be tested or they'll all die. 0:14:02.675,0:14:04.609 Hey. 0:14:04.677,0:14:08.545 There's a lot of blockage.[br]I've scheduled him for surgery. 0:14:08.614,0:14:10.531 We're gonna put a shunt[br]into one of the ventricles 0:14:10.532,0:14:12.448 to give the cerebrospinal fluid an out. 0:14:12.518,0:14:15.146 No more pressure,[br]everything goes back to normal. 0:14:15.221,0:14:18.156 He's lucky to have you[br]as his doctors. 0:14:26.866,0:14:29.858 No formula. Just Mommy's[br]healthy, natural breast milk. 0:14:29.935,0:14:31.630 Yummy. 0:14:31.704,0:14:34.798 Her whole face just got[br]swollen like this overnight. 0:14:34.874,0:14:37.104 Mm-hmm. 0:14:38.110,0:14:40.442 No fever. 0:14:40.512,0:14:43.345 Glands normal.[br]Missing her vaccination dates. 0:14:43.415,0:14:46.077 We're not vaccinating. 0:14:47.152,0:14:49.643 Gribbet! Gribbet! 0:14:49.722,0:14:51.246 Gribbet! 0:14:51.323,0:14:53.018 Think they don't work? 0:14:53.092,0:14:56.391 I think some multinational pharmaceutical[br]company wants me to think they work-- 0:14:56.462,0:14:59.693 pad their bottom line.[br]Mm-hmm. 0:14:59.765,0:15:02.063 - May I?[br]- Sure. 0:15:03.068,0:15:05.730 Gribbet. Gribbet. 0:15:05.804,0:15:08.102 Gribbet. 0:15:08.173,0:15:11.074 Yeah. All-natural,[br]no dyes is a good business. 0:15:11.143,0:15:13.270 All-natural children's toys. 0:15:13.345,0:15:15.836 Toy companies-- they don't[br]arbitrarily mark up their frogs. 0:15:15.915,0:15:18.941 They don't lie about how much they[br]spend on research and development. 0:15:19.018,0:15:24.615 The worst that a toy company could be[br]accused of is making a really boring frog. 0:15:24.690,0:15:27.523 Gribbet, gribbet, gribbet. 0:15:27.593,0:15:30.426 You know another[br]really good business? 0:15:30.496,0:15:32.726 Teeny, tiny baby coffins. 0:15:34.033,0:15:36.297 You can get 'em[br]in frog green, 0:15:36.368,0:15:38.802 fire-engine red-- really. 0:15:38.871,0:15:43.103 The antibodies in yummy Mummy[br]only protect the kid for six months, 0:15:43.175,0:15:45.769 which is why these companies[br]think they can gouge you. 0:15:45.844,0:15:49.575 They think that you'll spend whatever[br]they ask to keep your kid alive. 0:15:49.648,0:15:51.673 Want to change things?[br]Prove 'em wrong. 0:15:51.750,0:15:54.048 Few hundred parents like[br]you decide they'd rather let 0:15:54.049,0:15:56.346 their kid die than cough up[br]40 bucks for a vaccination, 0:15:56.422,0:15:58.913 believe me,[br]prices will drop really fast. 0:15:58.991,0:16:01.926 Gribbet, gribbet, gribbet,[br]gribbet, gribbet. 0:16:01.994,0:16:03.393 Gribbet. 0:16:03.462,0:16:05.293 Tell me what she has. 0:16:08.434,0:16:10.959 A cold. 0:16:11.036,0:16:13.129 There's a problem. 0:16:13.205,0:16:16.333 Complications in surgery? Surgery[br]went fine. He's in recovery. 0:16:16.408,0:16:18.740 But we took a vial of[br]C.S.F. and tested it. Really? 0:16:18.811,0:16:21.780 Turns out the bowing wasn't the cause[br]of his problems. It was a symptom. 0:16:21.847,0:16:23.940 Oligoclonal bands[br]and increased intrathecal IgG. 0:16:24.016,0:16:28.180 Which means multiple sclerosis. And the[br]reason it takes three of you to tell me this? 0:16:28.253,0:16:30.983 Because we're having a disagreement[br]about whether or not it is M.S. 0:16:31.056,0:16:34.617 No lesions on the M.R.I. It's early. He's[br]had the disease for maybe two weeks. 0:16:34.693,0:16:36.558 - McDonald criteria requires[br]six months to make a 0:16:36.559,0:16:38.424 definitive diagnosis. - Who[br]cares about MacPhearson? 0:16:38.497,0:16:40.431 - I hear he tortured kittens.[br]- McDonald. 0:16:40.499,0:16:42.990 Oh, McDonald.[br]Wonderful doctor, loved kittens. 0:16:43.068,0:16:45.036 The V.E.P. indicates slowing of the brain. 0:16:45.104,0:16:47.072 Without the lesions,[br]we can't be sure. 0:16:47.139,0:16:49.573 Well, if it is, it's gone from[br]zero to 60 in three weeks, 0:16:49.641,0:16:51.609 which would indicate[br]rapidly progressive M.S. 0:16:51.677,0:16:55.010 Not the fun M.S. with the balloons and[br]the bike rides for cripples in wheelchairs. 0:16:55.080,0:16:58.208 - We should wait until--[br]- Start treating him now, 0:16:58.283,0:17:02.549 maybe he can walk for another couple[br]of years, maybe live for another five. 0:17:02.621,0:17:05.146 Break it to the family.[br]I'm going home. 0:17:05.223,0:17:09.285 It'll take months for a definitive[br]diagnosis. What'll happen to me? 0:17:10.963,0:17:13.227 M.S. is an incredibly variable disease. 0:17:13.298,0:17:16.699 If it is M.S., and we're not[br]a hundred percent sure. 0:17:16.769,0:17:19.237 What do you think is gonna happen? 0:17:22.574,0:17:24.872 There are some medications[br]to manage the symptoms, 0:17:24.943,0:17:28.069 but as the disease progresses,[br]the problems will become more severe. 0:17:28.146,0:17:30.479 Bowel and bladder dysfunction, 0:17:30.549,0:17:33.143 loss of cognitive function, pain-- 0:17:33.218,0:17:35.709 So it's gonna hurt? 0:17:36.922,0:17:39.356 The brain's like a big jumble of wires. 0:17:39.425,0:17:41.985 M.S. strips them of the insulation,[br]and the nerves die. 0:17:42.061,0:17:44.689 Brain interprets it as pain. 0:17:44.763,0:17:48.028 But by starting treatment, we're gonna[br]prevent that for as long as possible. 0:17:49.034,0:17:50.968 We're looking into[br]a couple of specialists, 0:17:51.036,0:17:54.563 and until we get you squared away,[br]you'll stay here, okay? 0:18:15.260,0:18:17.751 Security checked the videotapes[br]from all perimeter cameras. 0:18:17.830,0:18:20.060 He's still gotta be in the hospital.[br]Where's Chase? 0:18:20.132,0:18:22.692 Main floor. Okay. You take[br]the cafeteria and administration. 0:18:22.768,0:18:25.362 I'll hit the research annex[br]and work my way back to you. 0:19:02.708,0:19:04.699 Dan? 0:19:08.947,0:19:11.814 I'm not here. Leave a message. 0:19:18.157,0:19:20.955 Dr. Cuddy.[br]Great outfit. 0:19:21.026,0:19:23.290 What are you doing[br]back here? Patient? 0:19:23.362,0:19:26.854 No. Hooker. Went to my office[br]instead of my home. 0:19:37.242,0:19:39.676 Dr. House. 0:19:39.745,0:19:42.543 Dan's missing.[br]Yeah. I got that part from the message. 0:19:42.614,0:19:45.845 You said I was needed immediately. He[br]shouldn't move after a lumbar puncture. 0:19:45.918,0:19:48.614 I agree. He's gonna have[br]a very nasty headache. 0:19:48.687,0:19:51.815 That would also be my opinion[br]if consulted tomorrow morning. 0:19:51.890,0:19:55.053 We wanted to keep you informed.[br]He heard some pretty heavy news. 0:19:56.895,0:19:59.591 This is not a toddler wandering[br]around a department store. 0:19:59.665,0:20:02.862 He's 16. You'll find him. 0:20:02.935,0:20:04.869 I'm going home. 0:20:04.937,0:20:07.906 So when you say, "Call me if you[br]need anything", you mean don't call? 0:20:07.973,0:20:10.203 No, I mean call me[br]if I could do something. 0:20:10.275,0:20:14.405 I'm bad at search parties, and I'm bad at[br]sitting around looking nervous, doing nothing. 0:20:14.479,0:20:16.504 What about his parents?[br]Should we call them? 0:20:16.582,0:20:18.982 Why? Do you think[br]they're hiding him? 0:20:19.051,0:20:21.019 Make sure someone[br]checks the roof. 0:20:22.087,0:20:25.887 Some of the orderlies keep the door[br]propped open so they can grab a smoke. 0:21:00.425,0:21:03.292 Dan. You okay? 0:21:10.035,0:21:13.766 There are experimental treatments.[br]Ongoing research. 0:21:13.839,0:21:16.239 Who knows what they'll discover[br]in a year or two. 0:21:16.308,0:21:18.276 This is where I dropped the ball. 0:21:18.343,0:21:20.868 Dan, we're standing[br]on the roof of the hospital. 0:21:23.548,0:21:25.539 Dan. 0:21:25.617,0:21:27.642 Dan, you're not on the field. 0:21:27.719,0:21:29.880 He doesn't know where he is.[br]Dan. 0:21:29.955,0:21:31.320 Foreman. 0:21:32.524,0:21:34.287 Dan. 0:21:35.527,0:21:37.461 - Dan?[br]- Dan, no! 0:21:48.140,0:21:50.631 Dr. Foreman. 0:21:52.277,0:21:54.268 I assume you found the kid. 0:21:54.346,0:21:56.940 He almost walked off the roof. Suicidal? 0:21:57.015,0:22:00.883 No, he thought he was on his lacrosse field.[br]Look, I was gonna run home, shower, change-- 0:22:00.952,0:22:02.886 Conscious?[br]Yeah. 0:22:03.955,0:22:06.549 How'd you talk him down?[br]Actually, Chase tackled him. 0:22:06.625,0:22:08.559 How come you didn't do it? 0:22:08.627,0:22:11.061 Right. Well, I am black,[br]but he was closer. 0:22:13.632,0:22:15.623 Come on.[br]You can ride up with me. 0:22:22.307,0:22:26.038 Anybody tell the family that their boy almost[br]stepped off a roof? They must be thrilled. 0:22:26.111,0:22:28.306 They're not suing, but I think[br]only because Chase asked-- 0:22:28.380,0:22:30.905 Why does everybody[br]always think I'm being sarcastic? 0:22:30.982,0:22:33.177 This is great news.[br]He doesn't have M.S. 0:22:33.251,0:22:36.948 Parents should be thrilled. The mom anyway.[br]Ofcourse, the dad probably doesn't know-- 0:22:37.022,0:22:41.322 - Why doesn't he have M.S.? - He was on[br]the roof, thinking he was on a lacrosse field. 0:22:41.393,0:22:45.261 - Conscious, and therefore not a night[br]terror. You want some of this? - Yeah, sure. 0:22:45.330,0:22:47.423 He was in an acute[br]confusional state, 0:22:47.499,0:22:50.297 which doesn't fit with[br]a demyelinating disease like M.S. 0:22:50.369,0:22:52.428 Oligoclonal bands--[br]Were real. 0:22:52.504,0:22:56.031 They just mean something other than[br]M.S. So, what are they telling us? 0:22:56.108,0:22:58.099 That the immune system is working? Right. 0:22:58.176,0:23:00.303 He has an infection in his brain. 0:23:00.379,0:23:02.370 What about sex? 0:23:02.447,0:23:05.678 Well, it might get complicated.[br]I mean, we work together. 0:23:05.751,0:23:08.811 - I'm older, certainly, but maybe you like that.[br]- I meant maybe he has neurosyphilis. 0:23:08.887,0:23:12.653 - Huh. Nice cover.[br]- Sorry. R.P.R. was negative. 0:23:12.724,0:23:16.182 We don't need a definitive test to confirm.[br]Sure. Didn't need one to confirm M.S. 0:23:16.261,0:23:20.755 Okay. Let's wait for you to run titers on 1,400[br]viruses while this kid's brain turns to mush. 0:23:20.832,0:23:24.427 So the fact that he doesn't have M.S.,[br]it's-- it's really not good news after all. 0:23:24.503,0:23:26.630 Well, it is if it's neurosyphilis. 0:23:26.705,0:23:29.765 The likelihood of a false negative[br]on an R.P.R. test: 30%. 0:23:29.841,0:23:33.333 Likelihood of a 16-year-old having sex:[br]roughly 120%. 0:23:33.412,0:23:35.846 I'll start him on I.V. penicillin.[br]We're not gonna wait for that. 0:23:35.914,0:23:39.441 The most effective way to deliver the[br]drug is right into his brain via the spine. 0:23:39.518,0:23:41.452 We can't.[br]In a cramped space like the brain, 0:23:41.520,0:23:43.403 increased intracranial[br]pressure from a high-volume 0:23:43.404,0:23:45.286 drug like penicillin could[br]herniate his brain stem. 0:23:45.357,0:23:48.383 It'd kill him. No neurologist in his[br]right mind would recommend that. 0:23:48.460,0:23:51.293 Show of hands. Who thinks[br]I'm not in my right mind? 0:23:51.363,0:23:55.231 And who thinks I forget this[br]fairly basic neurological fact? 0:23:55.300,0:23:57.530 Who thinks there's a third option? 0:23:59.604,0:24:03.540 - Very good. What's the third choice? - No[br]idea. You just asked if I thought there was one. 0:24:07.345,0:24:10.439 The patient has a shunt in his brain.[br]There'll be no increased pressure. 0:24:10.515,0:24:13.040 We can put as much penicillin[br]into his body as we want. 0:24:13.118,0:24:16.053 Excellent. Inject him through[br]a lumbar puncture. 0:24:18.957,0:24:22.085 One of us is gonna do this to you[br]twice a day for the next two weeks. 0:24:24.896,0:24:27.660 - I'm ready. Go.[br]- He could get syphilis... 0:24:27.732,0:24:30.326 even if he's not sexually active? 0:24:31.403,0:24:34.804 Well, it's-- it's unusual,[br]but it's possible. 0:24:35.807,0:24:37.798 Okay. Relax. 0:24:50.589,0:24:53.752 It's infected,[br]with a really big hole, 0:24:53.825,0:24:56.191 like you stuck a nail in it[br]to relieve the pressure. 0:24:56.261,0:24:59.253 I wouldn't do that. Although[br]the wound is irregular. 0:24:59.331,0:25:02.596 It's not cylindrical. It's shaped[br]like a triangle. So, not a nail. 0:25:02.667,0:25:04.726 - Steak knife?[br]- Wife's nail file. 0:25:04.803,0:25:07.294 Nail file. 0:25:07.372,0:25:09.431 Yeah. Pain will make you[br]do stupid things. 0:25:10.509,0:25:13.535 - Something to take the edge off?[br]- Yeah. 0:25:15.680,0:25:17.671 Cheers. 0:25:21.486,0:25:24.512 So, you have family here[br]in Princeton? 0:25:24.589,0:25:27.319 No.[br]Here on work? 0:25:27.392,0:25:29.587 - No. Why are you--[br]- Does your penis hurt? 0:25:29.661,0:25:31.822 No. What?[br]Should it? 0:25:31.897,0:25:35.424 No. Just thought I'd toss you[br]a really inappropriate question. 0:25:35.500,0:25:39.630 - Your lawyer's gonna love it. - Why would[br]I want to sue you? I want you to treat me. 0:25:39.704,0:25:42.172 - You're from Maplewood,[br]New Jersey, right? - Yeah. 0:25:42.240,0:25:44.504 Now, why would you[br]drive 70 miles... 0:25:44.576,0:25:47.511 to get treatment for a condition[br]that a nine-year-old could diagnose? 0:25:49.047,0:25:51.982 It's the free-flowing pus[br]that's the tip-off. 0:25:52.050,0:25:54.951 I was in town. Not for family. Not for work. 0:25:55.020,0:25:58.353 You drove 70 miles to a walk-in clinic.[br]You passed two hospitals on the road. 0:25:58.423,0:26:01.915 Either you've got a problem with those[br]hospitals, or they have a problem with you. 0:26:01.993,0:26:04.518 My guess is you've sued[br]half the doctors in Maplewood, 0:26:04.596,0:26:06.655 and the rest are now[br]refusing to help you. 0:26:06.731,0:26:10.462 It's ironic, isn't it?[br]Sort of like the boy who sued wolf. 0:26:10.535,0:26:13.766 You know, I bet we have[br]a doctor here named Wolf. 0:26:13.838,0:26:16.272 How perfect would that be? 0:26:16.341,0:26:18.639 - I'm gonna page him. -[br]Okay. You know what? Thank you. 0:26:18.710,0:26:20.974 I'm gonna find a doctor[br]to take care of this. 0:26:21.046,0:26:22.980 I didn't say I wouldn't treat you. 0:26:23.048,0:26:26.381 - We'll drain your knee, run some lab[br]work. Fix you up. - Why would you do that? 0:26:26.451,0:26:28.385 I'm a people person. 0:26:28.453,0:26:30.978 You actually treated him? 0:26:31.056,0:26:33.024 All I know is he sued some doctors. 0:26:33.091,0:26:35.423 Who am I to assume they didn't[br]have it coming to them? 0:26:35.493,0:26:38.826 The cutest little tennis outfit. My God, I[br]thought I was gonna have a heart attack. 0:26:38.897,0:26:42.128 Oh, my. Didn't see you there. That is[br]so embarrassing. How's your hooker doing? 0:26:42.200,0:26:44.134 Sweet of you to ask.[br]Funny story. 0:26:44.202,0:26:48.002 She was gonna be hospital administrator, but[br]just hated having to screw people like that. 0:26:48.073,0:26:50.871 - Heard you found her on the roof.[br]- You have very acute hearing. 0:26:50.942,0:26:52.637 You notify the parents? 0:26:52.711,0:26:54.645 In due course, ofcourse. 0:26:54.713,0:26:58.205 And is there a paternity bet[br]on the father of the patient? 0:26:58.283,0:27:01.582 Doesn't sound like me. Well, it does,[br]actually, but doesn't mean you're guilty. 0:27:01.653,0:27:03.644 You think?[br]I saw the parents in the lobby. 0:27:03.722,0:27:06.236 - Smart money's obviously[br]on the father. - My guy 0:27:06.237,0:27:08.750 knows a guy who can get you in for 50 bucks. 0:27:08.827,0:27:12.729 Fine. Tell your guy, if I win, you attend[br]the faculty symposium, and you wear a tie. 0:27:12.797,0:27:15.265 And if I win,[br]no clinic hours for a week. 0:27:15.333,0:27:17.665 My guy will call your guy. 0:27:20.171,0:27:22.366 She's very good at her job. 0:27:25.744,0:27:29.111 The treatments should[br]start helping soon. 0:27:29.180,0:27:32.547 Let us know if it gets easier to[br]focus on things, remember stuff. 0:27:34.552,0:27:38.010 Hey, Dan. Isn't Dr. Cameron's[br]necklace a beauty? 0:27:38.089,0:27:40.148 Something South American, I think. 0:27:40.225,0:27:42.193 Yeah. Guatemalan. 0:27:43.261,0:27:45.286 It's a cool necklace. 0:27:47.032,0:27:49.694 - Thank you so much.[br]- The kid's in pain. 0:27:51.302,0:27:53.862 Don't fight it. Just let it happen.[br]No. 0:27:53.938,0:27:55.963 You'll be dead in two days.[br]No what? 0:27:56.041,0:27:58.305 I give it a day.[br]Dan? You okay? 0:27:58.376,0:27:59.536 Dan? 0:27:59.611,0:28:02.079 Night terrors.[br]- Decomposition once he's in the grave. 0:28:02.147,0:28:05.048 - Say good-bye to your mother[br]and father. - He's hearing voices. 0:28:05.116,0:28:07.584 You're dying.[br]It's all over, Dan. 0:28:08.820,0:28:12.051 You're dying.[br]Dying. Dead! 0:28:13.058,0:28:16.118 Push two milligrams[br]I.V. Ativan, stat. 0:28:16.194,0:28:18.822 It's all over.[br]- Come on, Dan. 0:28:18.897,0:28:20.728 Get out of my head! 0:28:22.534,0:28:25.526 Auditory hallucination shows[br]further brain degeneration. 0:28:25.603,0:28:29.630 Penicillin's not working. So either[br]it's a bad batch of penicillin, 0:28:29.708,0:28:31.699 or our diagnosis is wrong. 0:28:33.545,0:28:35.536 Square one. 0:28:35.613,0:28:39.549 Midnite.[br]L.F. T.'s, B.U.N. and creatinine are all normal. 0:28:39.617,0:28:42.085 - Diabetes is out, and no gap.[br]- There goes metabolic. 0:28:42.153,0:28:44.815 - M.R.A. rules out vasculitis.[br]- "I" for inflammation. 0:28:44.889,0:28:47.517 - Too young for anything[br]degenerative. - "D", see ya. 0:28:47.592,0:28:49.856 "N" for neoplastic.[br]M.R.I. was clean. 0:28:50.929,0:28:53.557 - "I" for inflammation.[br]- We already did that. 0:28:53.631,0:28:56.896 - Stupid to have two I's in one[br]mnemonic. What's the other one? - Infection. 0:28:56.968,0:28:59.016 - Oligoclonal bands still have[br]to mean something. - But 0:28:59.017,0:29:01.064 no fevers. White count's[br]elevated, but within range. 0:29:01.139,0:29:03.767 We've tested for anything remotely[br]possible. Everything's negative. 0:29:03.842,0:29:07.539 - C.T. scan rules out subdural.[br]- Trauma. Later much. 0:29:12.817,0:29:16.947 You know the problem? "Midnight" is[br]actually spelled with a "G" and an "H". 0:29:17.956,0:29:20.823 If we could just figure out[br]what those letters stand for. 0:29:24.996,0:29:28.523 It's a sick brain,[br]having fun, 0:29:30.101,0:29:32.262 torturing him, talking to him. 0:29:37.809,0:29:39.800 Scaring the hell out of him. 0:29:42.280,0:29:47.047 Get him an E.E.G., left and right E.O.G.,[br]esophageal microphones. 0:29:47.118,0:29:50.986 If this thing wants to talk,[br]let's listen. 0:29:52.690,0:29:56.626 We're missing something.[br]This is screwed-up. 0:29:56.694,0:30:00.221 That's why you came up with[br]the brain talking to the virus thing? 0:30:00.298,0:30:02.095 I panicked, okay? 0:30:02.167,0:30:05.967 Sounded cool though.[br]They bought it. 0:30:08.540,0:30:11.270 Oh, crap. 0:30:11.342,0:30:13.606 Another reason I don't[br]like meeting patients. If they 0:30:13.607,0:30:15.870 don't know what you look[br]like, they can't yell at you. 0:30:15.947,0:30:17.938 Here we go. 0:30:21.152,0:30:23.586 How can you just sit there? 0:30:25.023,0:30:26.991 If I eat standing up, I spill. 0:30:27.058,0:30:30.118 Our son is dying,[br]and you could care less. 0:30:31.296,0:30:34.322 We're going through hell.[br]You're doing nothing? 0:30:35.333,0:30:39.133 - I'm sorry. You need to vent. I[br]understand. - Don't be condescending. 0:30:40.205,0:30:42.605 You haven't checked[br]in on him once. 0:30:42.674,0:30:45.336 Blood pressure is 110 over 70. 0:30:45.410,0:30:48.208 His shunt is patent, well-placed[br]in the right lateral ventricle. 0:30:48.279,0:30:50.543 The E.K.G. shows a normal Q.R.S. with deep-wave 0:30:50.544,0:30:52.807 inversions throughout both[br]limb and precordial leads. 0:30:52.884,0:30:55.785 L.F. T.'s are elevated,[br]but only twice the normal range. 0:30:55.854,0:30:58.322 Oh, yeah. And he's hearing voices. 0:31:02.560,0:31:04.551 Go hold his hand. 0:31:06.464,0:31:09.058 Go on. I'll bus your tray. 0:31:23.014,0:31:25.915 - Got any sample bags on you?[br]- I don't believe you. 0:31:25.984,0:31:29.647 You're gonna run D.N.A. tests?[br]Their son is deathly ill. 0:31:29.721,0:31:33.851 I know. It's terrible. But the fact is, if I[br]don't keep busy with trivial things like this, 0:31:33.925,0:31:36.052 I'm afraid I might start to cry. You're an ass. 0:31:36.127,0:31:39.028 Yeah? You want to double the bet? 0:31:49.741,0:31:52.403 General Hospital is on channel 6. 0:31:52.477,0:31:56.038 Dan's brain's not showing[br]channel 6 right now. Only mush. 0:31:56.114,0:31:58.309 No epileptiform activity. 0:31:59.984,0:32:02.748 What are you doing?[br]Waiting for C.B.C. and CHEM-7. 0:32:02.820,0:32:05.721 Good. Run D.N.A. on these. 0:32:07.292,0:32:10.159 What's this?[br]Parents' coffee cups. 0:32:11.863,0:32:14.263 I can't believe you. I've had[br]this conversation once already. 0:32:14.332,0:32:16.926 If you've got something else[br]to do, do it. Otherwise, do this. 0:32:25.176,0:32:28.236 Dr. House.[br]Hey. Mr. Funsten. 0:32:28.313,0:32:31.373 I was wondering when you'd be[br]back. You got some papers for me? 0:32:31.449,0:32:34.885 You've caused me considerable[br]mental distress. I certainly hope so. 0:32:35.920,0:32:39.981 What? Too cheap to get your lawyer to serve[br]it for you, or is it just more fun this way? 0:32:40.058,0:32:42.253 I'm obviously prepared[br]to consider a settlement. 0:32:42.327,0:32:44.420 You have gonorrhea. 0:32:46.230,0:32:50.064 No, I don't. Well, maybe you're right,[br]but I have the lab result says you do. 0:32:50.134,0:32:52.728 Could be a false positive,[br]and normally I'd run a second test, 0:32:52.804,0:32:56.205 but since you're here, I'll just go with[br]the first. You're just trying to scare me. 0:32:56.274,0:32:59.607 It's reportable, you know. Public health[br]issue. I'll be sure to let my wife know. 0:32:59.677,0:33:02.305 Don't bother yourself.[br]The state will call for you. 0:33:02.380,0:33:04.940 If you're clean, I'm sure[br]it'll all blow over. No big deal. 0:33:05.016,0:33:08.349 There's an easy way to find out.[br]Get one of your doctors to run a test. 0:33:10.321,0:33:12.255 Uh-uh. 0:33:12.323,0:33:15.087 These are mine now.[br]I'll see you in court. 0:33:19.530,0:33:21.464 West Nile negative. Not surprising since not too 0:33:21.465,0:33:23.398 many mosquitoes passing[br]through Jersey in December. 0:33:23.468,0:33:25.959 No eastern equine encephalitis.[br]You guys aren't gonna believe this. 0:33:26.037,0:33:29.973 What's that? House is right.[br]The father's not the father. 0:33:30.041,0:33:33.943 Dude doubled up on me. 0:33:34.012,0:33:36.071 You're not gonna believe this. 0:33:36.147,0:33:38.638 The mother's not the mother either. 0:33:39.917,0:33:42.943 It's not a good idea[br]to move your son in his condition. 0:33:43.021,0:33:45.615 - We just want a second opinion.[br]We need an answer. 0:33:46.424,0:33:49.882 You idiots.[br]You lied to me. 0:33:49.961,0:33:51.895 We didn't lie about anything. 0:33:51.963,0:33:55.160 - You, on the other hand, accused[br]us of molesting our son. - Perfect. 0:33:55.233,0:33:57.997 Can we get off my screwups[br]and focus on theirs? 0:33:58.069,0:34:00.162 Theirs is bigger.[br]You're not Dan's parents. 0:34:00.238,0:34:03.071 We're his parents. He was[br]adopted. He doesn't need to know. 0:34:03.141,0:34:05.132 - I do.[br]- Adoption makes us just as much-- 0:34:05.209,0:34:09.543 Listen. When we were taking[br]his medical history, were you confused? 0:34:09.614,0:34:12.411 Did you think we were looking for[br]a genetic clue to his condition, 0:34:12.483,0:34:16.543 or did you think we were trying to ascertain[br]who loves him the most in the whole wide world? 0:34:16.621,0:34:18.782 How did you find out about this? 0:34:18.856,0:34:22.257 - I sampled their D.N.A.[br]- We didn't give you any D.N.A. 0:34:22.326,0:34:24.760 Your coffee cups from the cafeteria. 0:34:24.829,0:34:28.764 - You can't do that. - Again, why[br]are we getting hung up on what I did? 0:34:28.833,0:34:31.751 - Your medical history is useless. - No. We gave 0:34:31.752,0:34:34.668 you a detailed history of his biological mother. 0:34:34.739,0:34:37.902 Her history.[br]Nonsmoker, good health, 0:34:37.975,0:34:40.500 low cholesterol,[br]no blood pressure problems. 0:34:40.578,0:34:42.705 Dan was adopted two weeks[br]after he was born. 0:34:42.780,0:34:44.947 - You have his history.[br]There's nothing you need to 0:34:44.947,0:34:47.114 know that we didn't tell[br]you. - Sounds reasonable. 0:34:47.185,0:34:50.245 Well, if you want to transfer[br]your boy, that is your choice. 0:34:50.321,0:34:53.016 I still think it's the wrong--[br]Was she vaccinated? 0:34:55.126,0:34:58.095 The biological mother. When she was[br]a baby, did she get her vaccinations? 0:34:58.162,0:35:01.154 Dan was vaccinated.[br]At six months. 0:35:01.232,0:35:04.929 Mm-hmm. Do you know why[br]kids get vaccinated at six months? 0:35:05.002,0:35:07.630 Because before that[br]they are protected... 0:35:07.705,0:35:10.299 by their biological mother's[br]immune system. 0:35:10.374,0:35:13.138 So, was she vaccinated? 0:35:16.914,0:35:19.678 An infant picks up[br]a regular old measles virus. 0:35:19.750,0:35:21.684 Gets a rash. 0:35:21.752,0:35:25.381 He's extremely uncomfortable,[br]has a wicked fever, but he lives. 0:35:25.456,0:35:29.324 Here's the kicker.[br]Once every million or so times, 0:35:29.393,0:35:31.691 the virus mutates. 0:35:31.762,0:35:34.287 Instead of Dan having[br]a fever and a rash, 0:35:34.365,0:35:37.027 the virus travels[br]to his brain and hides, 0:35:37.101,0:35:39.035 like a time bomb. 0:35:39.103,0:35:41.469 In this case, for 16 years. 0:35:41.539,0:35:44.099 Subacute sclerosing panencephalitis. 0:35:45.510,0:35:48.968 I know. There's only been 20 cases in[br]the United States in the last 30 years. 0:35:49.046,0:35:52.379 I suppose you could make[br]an argument the kid's still in stage I. 0:35:52.450,0:35:54.577 Once S.S.P.E. moves[br]to stage II, it's-- 0:35:54.652,0:35:57.780 Boom. Stage II is universally fatal. 0:35:57.855,0:36:00.824 I assume its impossible to know[br]when he might move into stage II. 0:36:00.892,0:36:05.090 He's already started showing symptoms.[br]Could be a month. Could be tonight. 0:36:05.163,0:36:07.393 Can we treat it?[br]Ask the neurologist. 0:36:07.465,0:36:09.558 Intraventricular interferon. 0:36:09.634,0:36:13.502 Not gonna shove a spike into his brain and drip[br]interferon without confirming this diagnosis. 0:36:13.571,0:36:17.337 - Tap him. - We won't get a reliable[br]result for measles antibodies in his C.S.F. 0:36:17.408,0:36:19.342 Not after everything[br]we've given him. 0:36:19.410,0:36:22.208 So the wrong treatment kills[br]any hope of the right diagnosis. 0:36:22.280,0:36:25.044 Why do people lie to me? 0:36:25.116,0:36:27.050 Could also kill him. 0:36:27.118,0:36:31.555 Your ball, Foreman. Tell me I[br]don't have to biopsy his brain. 0:36:33.124,0:36:35.217 Well, there is one other way. 0:36:36.794,0:36:38.785 You sure this isn't gonna hurt? 0:36:38.863,0:36:40.854 Yeah. It's just scary as hell. 0:36:40.932,0:36:43.059 See, we go through the pupil. 0:36:43.134,0:36:45.364 But you won't feel it.[br]The eye's been paralyzed. 0:36:45.436,0:36:47.768 The needle travels[br]to the back of the eye, 0:36:47.838,0:36:50.705 which is where we'll perform[br]the biopsy on your retina. 0:36:56.047,0:36:59.073 So we've confirmed that[br]the problem is this mutated virus. 0:36:59.150,0:37:02.950 The treatment for S.S.P.E.[br]is intraventricular interferon. 0:37:03.020,0:37:05.750 We implant an ommaya reservoir[br]under the scalp, 0:37:05.823,0:37:08.053 which is connected to[br]a ventricular catheter... 0:37:08.125,0:37:10.685 that delivers the antiviral[br]directly to the left hemisphere. 0:37:10.761,0:37:14.595 You want us to consent to this? I don't[br]even understand what you're talking about. 0:37:14.665,0:37:16.724 Well, the antiviral-- 0:37:19.503,0:37:21.437 Look. I'm sorry. 0:37:21.505,0:37:23.689 I can explain this as best[br]I can, but the notion that 0:37:23.690,0:37:25.874 you're gonna fully understand[br]your son's treatment... 0:37:25.943,0:37:30.073 and make an informed decision[br]is-- is kind of insane. 0:37:31.816,0:37:34.080 Here's what you need to know. 0:37:35.086,0:37:37.054 It's dangerous. 0:37:37.121,0:37:39.351 It could kill him. 0:37:39.423,0:37:41.414 You should do it. 0:37:52.503,0:37:54.733 Did you need something else? 0:38:13.357,0:38:16.485 You can't order a $3,200[br]D.N.A. test to win a bet. 0:38:16.560,0:38:18.721 It's not an actual cost. 0:38:18.796,0:38:22.664 I don't know if you know this, but the[br]hospital actually owns the sequencing machine. 0:38:22.733,0:38:25.327 - I'm serious. - Tell the parents[br]to submit the bill to insurance. 0:38:25.403,0:38:27.234 Insurance is not gonna[br]pay for a bet. 0:38:27.305,0:38:31.674 Should. We don't make that bet,[br]the kid dies. 0:38:31.742,0:38:34.609 If not for the paternity bet,[br]I never would have taken their D.N.A. 0:38:34.679,0:38:37.079 Without their D.N.A., we[br]never would have discovered 0:38:37.080,0:38:39.480 that Dan was adopted, which[br]was the key to this case. 0:38:39.550,0:38:41.518 You just don't want to pay your end. 0:38:41.585,0:38:44.486 Big mistake. My guy knows a guy. 0:38:44.555,0:38:48.252 Fine. I will let you out of[br]clinic duty for one week, 0:38:48.326,0:38:51.318 after you pay the 3,200[br]for the P.C.R. test. 0:38:59.103,0:39:00.627 Ooh. 0:39:00.705,0:39:04.163 Well, now, there's[br]the hundred you owe me. 0:39:05.242,0:39:07.176 Here's a hundred[br]I won from Cameron. 0:39:07.244,0:39:09.804 200 I took off of Foreman. 0:39:11.182,0:39:13.650 And 600... 0:39:13.718,0:39:16.209 I got from Wilson. 0:39:17.421,0:39:18.979 Very bitter. 0:39:22.927,0:39:24.952 Hey. Good morning. 0:39:25.029,0:39:27.793 Good news on your E.E.G.[br]Treatment is working. 0:39:27.865,0:39:29.958 And your immune system is responding. 0:39:30.034,0:39:33.435 I know it's early,[br]but I just want to take a look. 0:39:34.772,0:39:38.674 All right. Let's see what[br]that brain of yours can do. 0:39:38.743,0:39:42.201 Name as many animals as you can[br]that start with the letter "O". 0:39:42.279,0:39:44.338 Ostrich. 0:39:45.116,0:39:47.880 Ox. Old elephant. 0:39:47.952,0:39:50.785 Well, that's two better[br]than last time. 0:39:51.856,0:39:54.381 How you doing with[br]the whole adoption thing? 0:39:54.458,0:39:57.256 - I knew since fifth grade.[br]- How's that? 0:39:57.328,0:40:00.263 Cleft chin. 0:40:00.331,0:40:02.925 I have one.[br]My dad doesn't. 0:40:03.000,0:40:07.630 Looked it up on the Internet.[br]It's one of those trait things. 0:40:07.705,0:40:10.196 That's right. It's autosomal dominant. 0:40:11.208,0:40:13.426 Since neither of your parents have cleft chins, 0:40:13.427,0:40:15.645 it's highly unlikely[br]you're biologically related. 0:40:16.981,0:40:21.680 - Are you sure you're okay? - I've[br]got no problems with being adopted. 0:40:22.686,0:40:24.677 I love my parents. 0:40:27.992,0:40:30.426 How's he doing?[br]He's doing pretty well. 0:40:30.494,0:40:32.052 He's a smart kid. 0:40:32.129,0:40:34.097 I think he's gonna be fine. 0:40:37.868,0:40:40.200 - Hey.[br]- Thanks. 0:41:15.573,0:41:17.837 Wheels, 18. Wheels. 0:43:06.917,0:43:08.179 Ripped by phaelox for divxstation.com