1 00:00:05,130 --> 00:00:08,549 I didn't sleep well last night, and I woke up with a scratchy throat. 2 00:00:08,676 --> 00:00:09,967 I just don't feel so good. 3 00:00:11,720 --> 00:00:14,472 Cough. 4 00:00:14,848 --> 00:00:19,227 I have a bit of an upset stomach, too, and I think I'm running a fever. 5 00:00:19,353 --> 00:00:23,815 I'm just worried I might be contagious. 6 00:00:23,941 --> 00:00:28,820 Inventory. Tomorrow, I'm... Yeah, I'm sure I'll be feeling better by then. 7 00:00:29,780 --> 00:00:31,698 Thanks, Mr. Innabe. 8 00:00:34,910 --> 00:00:37,578 I cannot believe you just did that. 9 00:00:37,705 --> 00:00:40,498 I... I really do have a cough. 10 00:00:40,624 --> 00:00:42,792 So you weren't lying. 11 00:00:42,918 --> 00:00:46,462 You'd be curled up in bed with a bowl of chicken soup 12 00:00:47,798 --> 00:00:49,882 even if you didn't have a horny girl in your bed? 13 00:00:50,008 --> 00:00:52,760 Yes. Because I really do... 14 00:00:52,886 --> 00:00:55,888 Hey, I really do have a cough. 15 00:00:56,014 --> 00:00:58,391 You also have a little rash. 16 00:01:01,895 --> 00:01:04,605 I'm not sure we should be kissing. 17 00:01:04,732 --> 00:01:06,524 It's okay. 18 00:01:06,650 --> 00:01:09,944 Because I have almost no interest in kissing you. 19 00:01:18,829 --> 00:01:21,330 Oh, baby. 20 00:01:54,865 --> 00:01:56,491 Brandon. 21 00:01:59,870 --> 00:02:01,120 Brandon. 22 00:02:03,707 --> 00:02:05,875 I know I'm good, but come on. 23 00:02:11,965 --> 00:02:14,801 Brandon. Brandon. Brandon. 24 00:02:15,594 --> 00:02:18,304 Brandon. Brandon. 25 00:02:52,548 --> 00:02:56,926 Any additional RN to Surgical. 26 00:03:12,776 --> 00:03:14,110 Why do you want me to treat him? 27 00:03:14,236 --> 00:03:16,320 Blood pressure's not responding to IV fluids. 28 00:03:16,446 --> 00:03:19,031 No, no. I didn't ask how you plan to con me into treating him, 29 00:03:19,157 --> 00:03:21,742 I asked you why you want me to treat him. 30 00:03:21,869 --> 00:03:24,245 He's sick. I care. I'm pathetic. 31 00:03:24,371 --> 00:03:27,164 There are about a billion sick people on the planet. Why this one? 32 00:03:27,291 --> 00:03:29,458 Because this one's in our emergency room. 33 00:03:29,585 --> 00:03:31,085 So it's a proximity issue. 34 00:03:31,211 --> 00:03:33,087 If somebody was sick in the third-floor stairwell, 35 00:03:33,213 --> 00:03:34,589 that's who'd we be talking about. 36 00:03:34,715 --> 00:03:37,466 I checked the stairwell. It's clear. 37 00:03:37,593 --> 00:03:40,052 Okay, then. Emergency-room guy it is. 38 00:03:40,178 --> 00:03:43,806 - Wait. Why was that so easy? - You know why. 39 00:03:45,142 --> 00:03:47,560 Blood pressure's not responding to IV fluids? 40 00:03:47,686 --> 00:03:49,228 Yeah. 41 00:03:50,063 --> 00:03:52,148 That's just weird. 42 00:03:54,151 --> 00:03:57,737 CBC was unremarkable. Abdominal CT scan didn't show anything, 43 00:03:57,863 --> 00:04:00,323 so, people, differential diagnosis. What's wrong with her? 44 00:04:00,449 --> 00:04:02,491 - Him. - Him, her. Does it matter? 45 00:04:02,618 --> 00:04:05,328 Does anyone think it's a testicular problem? 46 00:04:05,454 --> 00:04:07,580 - So, Chase? - Yersinia infection? 47 00:04:07,706 --> 00:04:09,707 No. You wouldn't get the rash or cough. 48 00:04:09,833 --> 00:04:13,210 What about arthritis? Accompanying vasculitis causes nerve damage. 49 00:04:13,337 --> 00:04:15,713 It wouldn't cause the blood pressure problems. Allergy? 50 00:04:15,839 --> 00:04:18,049 The kid's got abdominal pain. Maybe carcinoid? 51 00:04:18,175 --> 00:04:19,884 No, but then you wouldn't get the... 52 00:04:20,010 --> 00:04:22,094 Foreman, if you're going to list all the things it's not, 53 00:04:22,220 --> 00:04:24,180 it might be quicker to do it alphabetically. 54 00:04:24,306 --> 00:04:27,183 Let's see, now. Absidia. Excellent. 55 00:04:27,392 --> 00:04:29,226 Doesn't account for any of the symptoms. 56 00:04:29,353 --> 00:04:31,145 No condition accounts for all these symptoms. 57 00:04:31,271 --> 00:04:35,107 Good. Because I thought maybe he was sick, but, apparently, he's not. 58 00:04:35,275 --> 00:04:37,777 Who wants to do up the discharge papers? 59 00:04:40,322 --> 00:04:44,200 Unless we control the blood pressure, he's gonna start circling the drain 60 00:04:44,326 --> 00:04:46,077 before we can figure out what's wrong with him. 61 00:04:46,203 --> 00:04:48,454 Treat him for sepsis, broad-spectrum antibiotics, 62 00:04:48,580 --> 00:04:50,581 and I want a Cort Stim test and an echocardiogram. 63 00:04:57,214 --> 00:04:59,840 - You all right? - Yeah. 64 00:05:00,425 --> 00:05:01,884 The Cort Stim test will tell us 65 00:05:02,010 --> 00:05:04,762 if your pituitary and adrenal glands are working properly. 66 00:05:04,888 --> 00:05:06,138 His glands? What does that mean? 67 00:05:06,264 --> 00:05:08,224 We have a few theories we're working on. 68 00:05:08,350 --> 00:05:10,559 - You mean you don't know. - Mindy. 69 00:05:10,686 --> 00:05:13,771 If they knew, they wouldn't be testing you, they'd be treating you. 70 00:05:13,897 --> 00:05:15,022 That's the way it works. 71 00:05:15,148 --> 00:05:18,442 First we find out what it is, then we get you better. 72 00:05:28,495 --> 00:05:30,579 - You're half an hour late. - Busy caseload. 73 00:05:30,706 --> 00:05:32,915 One case is not a load. 74 00:05:33,041 --> 00:05:34,583 So how are we doing on cotton swabs today? 75 00:05:34,710 --> 00:05:36,502 If there's an acute shortage, I could run home. 76 00:05:36,628 --> 00:05:38,754 No, you couldn't. 77 00:05:38,880 --> 00:05:40,798 Nice. 78 00:05:45,387 --> 00:05:48,389 Hello, sick people and their loved ones. 79 00:05:48,515 --> 00:05:51,517 In the interest of saving time and avoiding a lot of boring chitchat later, 80 00:05:51,643 --> 00:05:54,186 I'm Dr. Gregory House. You can call me Greg. 81 00:05:54,312 --> 00:05:56,897 I'm one of three doctors staffing this clinic this morning. 82 00:05:57,024 --> 00:05:58,357 Short. Sweet. Grab a file. 83 00:05:58,483 --> 00:06:01,235 This ray of sunshine is Dr. Lisa Cuddy. 84 00:06:01,361 --> 00:06:02,862 Dr. Cuddy runs this whole hospital, 85 00:06:02,988 --> 00:06:05,197 so, unfortunately, she's much too busy to deal with you. 86 00:06:05,323 --> 00:06:08,492 I am a board certified diagnostician, 87 00:06:08,618 --> 00:06:10,911 with a double specialty of infectious disease and nephrology. 88 00:06:11,038 --> 00:06:13,247 I'm also the only doctor currently employed at this clinic 89 00:06:13,373 --> 00:06:15,207 who is forced to be here against his will. 90 00:06:15,333 --> 00:06:16,792 That is true, isn't it? 91 00:06:16,918 --> 00:06:18,753 But not to worry, because for most of you, 92 00:06:18,879 --> 00:06:22,006 this job could be done by a monkey with a bottle of Motrin. 93 00:06:22,132 --> 00:06:24,508 Speaking of which, if you're particularly annoying, 94 00:06:24,634 --> 00:06:26,552 you may see me reach for this. 95 00:06:26,678 --> 00:06:29,764 This is Vicodin. It's mine. You can't have any. 96 00:06:29,890 --> 00:06:31,974 And, no, I do not have a pain-management problem. 97 00:06:32,100 --> 00:06:34,185 I have a pain problem. 98 00:06:34,561 --> 00:06:38,647 But who knows? Maybe I'm wrong. Maybe I'm too stoned to tell. 99 00:06:38,899 --> 00:06:41,192 So, who wants me? 100 00:06:44,279 --> 00:06:48,324 And who would rather wait for one of the other two guys? 101 00:06:50,285 --> 00:06:54,413 Okay. Well, I'll be in Exam Room 1 if you change your mind. 102 00:06:55,373 --> 00:06:57,374 Jodi Matthews. 103 00:06:59,002 --> 00:07:02,379 Please accompany Dr. House to Exam Room 1. 104 00:07:06,718 --> 00:07:08,886 Dr. Chase. 105 00:07:09,346 --> 00:07:12,598 I'm not sure scaring your boyfriend is the best medicine for him right now. 106 00:07:12,724 --> 00:07:15,643 I know. I get stupid when I'm scared. 107 00:07:15,769 --> 00:07:16,894 Don't go rock climbing. 108 00:07:17,020 --> 00:07:21,357 Look, I was wondering. Before this happened, we were having sex. 109 00:07:22,859 --> 00:07:27,154 What? You're wondering if whatever he has, you might have gotten it? 110 00:07:27,280 --> 00:07:29,740 It's unlikely. We ran a complete STD panel, so... 111 00:07:29,866 --> 00:07:33,035 No. I'm wondering if maybe I did this to him. 112 00:07:33,161 --> 00:07:35,538 I was kind of rough. 113 00:07:41,628 --> 00:07:43,921 It was yellow. 114 00:07:44,047 --> 00:07:47,091 - It was? - It's not anymore. 115 00:07:47,217 --> 00:07:48,968 Well, that's a shame. 116 00:07:49,094 --> 00:07:53,806 I thought that might be a problem, so I brought you this. 117 00:07:57,102 --> 00:08:00,771 Your mucus was 'pale goldenrod.' 118 00:08:00,897 --> 00:08:05,442 - Last week, yes. Should I be worried? - Oh, yes. Very. 119 00:08:05,569 --> 00:08:07,945 Really? I thought it was okay now. 120 00:08:08,071 --> 00:08:10,823 And yet, here you are. What happened? 121 00:08:10,949 --> 00:08:14,368 Paramedics took a week to respond to your 911 call? 122 00:08:14,494 --> 00:08:16,370 You're not a very nice doctor, are you? 123 00:08:16,496 --> 00:08:20,040 And you are very bad at whatever it is you do. 124 00:08:20,167 --> 00:08:23,419 - You don't even know me. - I know you're gonna get fired. 125 00:08:23,545 --> 00:08:25,171 That's why you got the new glasses. 126 00:08:25,297 --> 00:08:26,964 That's why your teeth are sparkly white. 127 00:08:27,090 --> 00:08:31,594 You're getting the most of your health insurance while you still can. 128 00:08:31,720 --> 00:08:33,637 I might be quitting. 129 00:08:33,763 --> 00:08:35,264 You'd have known that last week, 130 00:08:35,390 --> 00:08:37,099 when your snot was still pale goldenrod. 131 00:08:37,225 --> 00:08:39,476 You're getting fired. 132 00:08:40,020 --> 00:08:43,480 I just don't like being told what to do. 133 00:08:46,860 --> 00:08:50,738 I can get you in for a full body scan later this week. 134 00:08:51,323 --> 00:08:53,199 Thanks. 135 00:08:54,367 --> 00:08:55,618 It's got to be viral. 136 00:08:55,744 --> 00:08:57,369 We should start running gels and titers. 137 00:08:57,495 --> 00:08:59,788 Maybe we should look into the girlfriend's theory. 138 00:08:59,915 --> 00:09:02,917 She thinks she rode him to death. 139 00:09:03,043 --> 00:09:04,335 What did you tell her? 140 00:09:04,461 --> 00:09:07,922 I told her 22-year-old men don't die of sex. 141 00:09:08,048 --> 00:09:09,757 - What did you ask her? - What do you mean? 142 00:09:09,883 --> 00:09:12,968 I mean, I hope you got some specifics on exactly what was going on. 143 00:09:13,094 --> 00:09:17,181 If the girl thinks it could kill you, it's worth knowing about. 144 00:09:20,810 --> 00:09:23,395 Have you ever taken a life? 145 00:09:31,947 --> 00:09:33,572 We should stop the antibiotics. 146 00:09:34,032 --> 00:09:35,908 It's too soon to say they're not having an effect. 147 00:09:36,034 --> 00:09:38,619 They're having an effect. 148 00:09:38,745 --> 00:09:42,831 His BP's falling fast. There's fluid filling his lungs. 149 00:09:42,958 --> 00:09:44,959 His creatinine is rising. 150 00:09:51,549 --> 00:09:54,510 His kidneys are shutting down. 151 00:09:54,803 --> 00:09:57,429 Our treatment isn't making him better. 152 00:09:57,931 --> 00:09:58,973 It's killing him. 153 00:10:02,477 --> 00:10:05,938 So, we had six symptoms that didn't add up to anything, 154 00:10:06,064 --> 00:10:07,731 now we got seven. Who's excited? 155 00:10:07,857 --> 00:10:09,233 I don't think it complicates things. 156 00:10:09,359 --> 00:10:11,402 The kidney failure was caused by the antibiotics. 157 00:10:11,528 --> 00:10:14,196 - Maybe. - Typically, low blood pressure 158 00:10:14,322 --> 00:10:16,615 and abdominal pain means an infection. 159 00:10:16,741 --> 00:10:19,326 An abdominal infection causes sepsis, low blood pressure. 160 00:10:19,452 --> 00:10:21,662 Except we checked for abdominal infections. 161 00:10:21,788 --> 00:10:23,622 I know, but what if it's the other way around? 162 00:10:23,748 --> 00:10:26,292 What if the low blood pressure's causing the abdominal pain? 163 00:10:26,418 --> 00:10:29,044 Viral heart infection. The intestines aren't getting enough blood, 164 00:10:29,170 --> 00:10:30,838 and the result is belly pain. 165 00:10:30,964 --> 00:10:33,382 I know it's not the standard presentation. 166 00:10:33,508 --> 00:10:35,718 It's a 10-million-to-one shot. 167 00:10:35,844 --> 00:10:37,594 I thought that's what we dealt with here. 168 00:10:37,721 --> 00:10:43,934 It explains the cardiomyopathy, the pain, the low BP, the fever. 169 00:10:45,437 --> 00:10:49,356 You read the book. Impressive. 170 00:10:49,816 --> 00:10:52,818 It's a ludicrously long shot that explains every one of those symptoms 171 00:10:53,028 --> 00:10:56,864 except for the cough and the rash. Should we just erase those? 172 00:10:56,990 --> 00:10:59,366 Well, anything can cause a rash. 173 00:11:00,702 --> 00:11:03,912 Okay. Cardiac infection. 174 00:11:04,873 --> 00:11:07,541 Cameron, you thought allergy. 175 00:11:10,253 --> 00:11:11,754 Chase, what was it you thought? 176 00:11:11,880 --> 00:11:15,674 Carcinoid? Then there's hypothyroidism. 177 00:11:15,800 --> 00:11:19,553 Could be parasites. 178 00:11:22,307 --> 00:11:24,350 Finally, sinus infection. 179 00:11:24,476 --> 00:11:28,604 If you're gonna list all it can't be, you're gonna need more colors. 180 00:11:28,730 --> 00:11:33,442 Cameron was right. No condition explains all these symptoms. 181 00:11:33,860 --> 00:11:36,779 But orange and green covers everything. 182 00:11:36,905 --> 00:11:38,781 Orange and green? 183 00:11:39,240 --> 00:11:41,909 Two conditions contracted simultaneously? 184 00:11:42,077 --> 00:11:45,329 Occam's razor. The simplest explanation is always the best. 185 00:11:45,455 --> 00:11:49,750 - You think one is simpler than two? - Pretty sure it is, yeah. 186 00:11:50,710 --> 00:11:52,461 Baby shows up. Chase tells you 187 00:11:52,587 --> 00:11:55,297 that two people exchanged fluids to create this being. 188 00:11:55,423 --> 00:11:58,634 I tell you that one stork dropped the little tyke off in a diaper. 189 00:11:58,760 --> 00:12:01,178 - Are you gonna go with two or one? - I think your argument is specious. 190 00:12:01,304 --> 00:12:04,515 I think your tie is ugly. Why is one simpler than two? 191 00:12:04,808 --> 00:12:07,810 It's lower, lonelier. Is it simpler? 192 00:12:08,561 --> 00:12:10,979 Each one of these conditions is about a thousand-to-one shot. 193 00:12:11,398 --> 00:12:12,815 That means that any two of them happening 194 00:12:12,941 --> 00:12:14,566 at the same time is a million-to-one shot. 195 00:12:14,692 --> 00:12:17,945 Chase says the cardiac infection is a 10-million-to-one shot, 196 00:12:18,071 --> 00:12:21,198 which makes my idea 10 times better than yours. 197 00:12:21,324 --> 00:12:23,659 - Get a calculator. Run the numbers. - We'll run the tests. 198 00:12:23,785 --> 00:12:26,036 Tests take time. Treatment's quicker. 199 00:12:26,162 --> 00:12:30,457 Start the kid on Unasyn for the sinus infection and... 200 00:12:31,209 --> 00:12:33,377 - What was orange? - Hypothyroidism. 201 00:12:33,753 --> 00:12:37,005 - My uncle has hypothyroidism. - Not like this. 202 00:12:37,132 --> 00:12:40,092 Intravenous levothyroxine is an artificial thyroid medication 203 00:12:40,218 --> 00:12:41,427 that should take care of it. 204 00:12:41,553 --> 00:12:43,345 Also, the nurses are going to start you on Unasyn. 205 00:12:43,471 --> 00:12:44,763 It's a more targeted antibiotic. 206 00:12:44,889 --> 00:12:46,515 - For the sinus infection? - Yes. 207 00:12:46,641 --> 00:12:48,767 And the other stuff is for something else entirely? 208 00:12:48,893 --> 00:12:51,520 Bad luck, huh? Don't worry. 209 00:12:51,646 --> 00:12:54,148 He should be back to ditching work in no time. 210 00:12:54,858 --> 00:12:56,608 Brandon? 211 00:12:59,487 --> 00:13:00,863 Hey, Ma. 212 00:13:03,908 --> 00:13:07,119 We're his parents. How's he doing? 213 00:13:07,328 --> 00:13:11,999 - Brandon is... - Mom, Dad... 214 00:13:12,125 --> 00:13:13,917 This is Mindy. 215 00:13:14,043 --> 00:13:17,671 I was gonna bring her home for Christmas. 216 00:13:18,548 --> 00:13:21,175 We're engaged. 217 00:13:29,601 --> 00:13:32,519 Dr. Hall to the recovery room. 218 00:13:32,645 --> 00:13:34,438 Did you tell the family House's theory? 219 00:13:34,564 --> 00:13:38,358 Two odd conditions striking completely coincidentally at the exact same time. 220 00:13:38,485 --> 00:13:41,361 - I didn't phrase it quite that way. - They agree to treatment? 221 00:13:41,488 --> 00:13:44,781 Of course they did. We're doctors. They believe whatever we tell them. 222 00:13:44,908 --> 00:13:47,993 So, is that our job? House's puppets? 223 00:13:48,119 --> 00:13:50,537 He comes up with an insane idea, we get to pretend it's not? 224 00:13:50,663 --> 00:13:53,707 His insane ideas are usually right. We've been here long enough to... 225 00:13:53,833 --> 00:13:56,376 We've been here long enough to have Stockholm syndrome. 226 00:13:56,586 --> 00:13:58,420 What, because we don't hate him? 227 00:13:58,546 --> 00:14:01,131 He thinks outside the box. Is that so evil? 228 00:14:01,257 --> 00:14:03,759 He has no idea where the box is. 229 00:14:03,885 --> 00:14:06,303 If you guys think he's right, go home, relax. 230 00:14:06,429 --> 00:14:08,305 Just wait for the kid to get all better. 231 00:14:08,431 --> 00:14:12,601 I'm going to the lab to test for viral infections. 232 00:14:22,320 --> 00:14:27,324 - Negative for Coxsackie B virus. - Seven down, about 5,000 to go. 233 00:14:27,992 --> 00:14:30,035 You think we're gonna come up with your mystery virus 234 00:14:30,161 --> 00:14:33,205 just by running gels till we guess it right? 235 00:14:33,331 --> 00:14:35,457 No. I think we're gonna do it by standing around 236 00:14:35,583 --> 00:14:37,918 watching other people work. 237 00:14:38,127 --> 00:14:41,296 I'm waiting for the Epstein-Barr virus. 238 00:14:45,301 --> 00:14:47,719 - She's weird, isn't she? - Bad idea. 239 00:14:47,845 --> 00:14:50,514 - What? - Bad idea. You work with her. 240 00:14:50,890 --> 00:14:55,477 What did I say? Is weird some new, ghetto euphemism for sexy, 241 00:14:55,603 --> 00:14:58,438 like bad is good and phat is good? 242 00:14:58,565 --> 00:15:01,775 - Then what the hell does good mean? - Ghetto euphemism? 243 00:15:02,485 --> 00:15:05,946 - You don't think she's hot? - No. 244 00:15:07,115 --> 00:15:10,367 Then you're brilliant. And I am using brilliant as a euphemism. 245 00:15:10,493 --> 00:15:13,870 Obviously, the girl is hot. You're not talking about her aesthetics. 246 00:15:13,997 --> 00:15:17,332 You're talking about if I want to jump her. I don't. 247 00:15:17,458 --> 00:15:18,584 Brilliant. 248 00:15:24,382 --> 00:15:26,842 Your Epstein-Barr is ready. 249 00:15:31,347 --> 00:15:33,432 - What are you doing? - Level four. 250 00:15:33,558 --> 00:15:36,310 - No, no. I mean... - I know what you meant. 251 00:15:36,519 --> 00:15:39,688 - We're waiting. - My throat hurts. 252 00:15:39,897 --> 00:15:42,399 - So you said. - How long are we waiting? 253 00:15:42,525 --> 00:15:46,653 Two minutes less than when you asked me two minutes ago. 254 00:15:47,614 --> 00:15:49,197 Hi. 255 00:15:49,490 --> 00:15:53,035 Hi. I'm Dr. Cuddy. Nice to meet you. 256 00:15:53,202 --> 00:15:55,287 Dr. Cuddy, thanks for the consult. 257 00:15:55,413 --> 00:15:58,707 His throat seems to have some condition. 258 00:16:00,501 --> 00:16:02,461 Say ah. 259 00:16:05,673 --> 00:16:08,550 He has a sore throat. 260 00:16:08,760 --> 00:16:11,637 Of course. Yes, why didn't I... 261 00:16:11,763 --> 00:16:14,181 I mean, because he said that it hurt. 262 00:16:14,307 --> 00:16:16,058 I should have deduced that meant it was sore. 263 00:16:16,184 --> 00:16:18,226 - I was in a board meeting. - Patients come first, right? 264 00:16:18,353 --> 00:16:21,063 Wouldn't want to prescribe a lozenge if there's any doubt about its efficacy? 265 00:16:21,189 --> 00:16:23,607 You once asked me why I think I'm always right, 266 00:16:23,733 --> 00:16:26,693 and I realized that you're right. At least, I think you're right. 267 00:16:26,819 --> 00:16:29,488 I don't really know, now do I? 268 00:16:29,947 --> 00:16:34,284 - Hey. I'm here. - Go home. Drink some hot tea. 269 00:16:39,040 --> 00:16:41,166 Excellent counsel. 270 00:16:41,668 --> 00:16:44,836 Negative on Parvovirus B19. 271 00:16:44,962 --> 00:16:48,006 - I'm impressed. - Thank you. I was born to run gels. 272 00:16:48,132 --> 00:16:52,010 - I meant about Chase. - What about Chase? 273 00:16:52,345 --> 00:16:54,971 Well, the man has no physical interest in you. 274 00:16:55,098 --> 00:16:57,683 He has a completely professional relationship with you, 275 00:16:57,809 --> 00:17:00,644 respects you as a colleague and a doctor, 276 00:17:00,770 --> 00:17:04,564 and yet, he can't look at you without thinking sex. 277 00:17:04,691 --> 00:17:06,525 Because I asked what kind of sex could kill you? 278 00:17:06,651 --> 00:17:10,028 You now have total control over your relationship with him. 279 00:17:10,154 --> 00:17:12,406 So, a woman can't express her interest in sex 280 00:17:12,532 --> 00:17:15,575 without it being some professional power play? 281 00:17:16,035 --> 00:17:18,245 If you look the way you do and you say what you said, 282 00:17:18,371 --> 00:17:21,456 you have to be aware of the effect that it's going to have on men. 283 00:17:21,582 --> 00:17:23,041 Men should grow up. 284 00:17:23,167 --> 00:17:24,793 And dogs should stop licking themselves. 285 00:17:24,919 --> 00:17:27,671 - It's not gonna happen. - What's going on? 286 00:17:28,131 --> 00:17:30,424 - What are you doing here? - Looking for you guys. 287 00:17:30,550 --> 00:17:33,677 - Why didn't you page us? - 'Cause I knew you'd be here. 288 00:17:33,803 --> 00:17:35,262 - Who told him? - No one. 289 00:17:35,388 --> 00:17:38,265 I assume you're trying to prove my crazy, two-illness theory wrong, 290 00:17:38,391 --> 00:17:40,976 so, obviously, you're gonna be in the lab. You spin the urine? 291 00:17:41,102 --> 00:17:44,187 - Not yet. - Talk to me when you have. 292 00:17:51,738 --> 00:17:54,197 - What'd you find out? - Kidney failure. 293 00:17:54,323 --> 00:17:59,077 - It's acute interstitial nephritis. - I wonder if that's significant. 294 00:17:59,203 --> 00:18:02,998 It means the antibiotics didn't cause the kidney failure. 295 00:18:03,124 --> 00:18:05,667 - How'd you know? - If you guys hadn't been so busy 296 00:18:05,793 --> 00:18:08,879 trying to prove me wrong, you might have checked in on the poor kid. 297 00:18:09,046 --> 00:18:10,922 You visited a patient? 298 00:18:11,048 --> 00:18:14,342 I was sitting by his bed all morning, so he'd know someone was there for him. 299 00:18:14,469 --> 00:18:17,554 - I looked in on him. He's much better. - Ergo, the treatment's working. 300 00:18:17,680 --> 00:18:22,559 - Ergo, me right, you wrong. - Hey, I'm glad for the kid. 301 00:18:24,896 --> 00:18:27,230 That smugness of yours really is an attractive quality. 302 00:18:27,356 --> 00:18:30,984 Thank you. It was either that or get my hair highlighted. 303 00:18:31,110 --> 00:18:34,237 - Smugness is easier to maintain. - I get that you're not a big believer 304 00:18:34,363 --> 00:18:35,781 in the catching-flies-with-honey approach, 305 00:18:35,907 --> 00:18:39,493 but do you honestly think you'll collect a jarful by cleverly taunting them? 306 00:18:39,619 --> 00:18:42,287 Flies, no. Doctors, sure. If I'd said to Foreman: 307 00:18:42,413 --> 00:18:44,664 "Nice try. It was a great guess, but sorry, not this time," 308 00:18:44,791 --> 00:18:45,791 what would he be doing now? 309 00:18:45,917 --> 00:18:48,752 I think he'd be going home not feeling like a piece of crap. 310 00:18:48,878 --> 00:18:50,337 Exactly. 311 00:18:50,463 --> 00:18:52,464 You want him to feel like a piece of crap? 312 00:18:52,590 --> 00:18:54,132 I don't want him going home. 313 00:18:57,762 --> 00:19:01,056 Dr. Foreman. 314 00:19:01,307 --> 00:19:04,309 - You still have the cough. - I'm feeling a lot better though. 315 00:19:04,435 --> 00:19:07,646 His fever is gone. His rash is going away. 316 00:19:07,772 --> 00:19:09,731 I see. 317 00:19:09,857 --> 00:19:11,900 Is everything okay? 318 00:19:12,026 --> 00:19:16,571 Just ordering some tests. Absolutely nothing to worry about. 319 00:19:32,129 --> 00:19:33,588 How much longer? 320 00:19:33,714 --> 00:19:37,592 9:30. I figure she was on the eighth hole when I paged her. 321 00:19:42,348 --> 00:19:45,058 You probably got another half hour. 322 00:19:49,188 --> 00:19:53,441 I ran a TSH, T3 and T4. The patient's negative for hypothyroidism. 323 00:19:53,943 --> 00:19:55,235 I'm not talking about you. 324 00:19:55,361 --> 00:19:56,736 Well, the fact that he's getting better 325 00:19:56,904 --> 00:19:58,947 would indicate the unreliability of the tests. 326 00:19:59,073 --> 00:20:01,992 If I'm right and it's a viral infection, one of two things always happen, 327 00:20:02,118 --> 00:20:05,996 the patient dies or the patient's immune system fights off the invader. 328 00:20:06,163 --> 00:20:07,914 What's with her? 329 00:20:08,165 --> 00:20:10,333 Her leg hurts after running six miles. 330 00:20:10,459 --> 00:20:12,627 - Who knows? Could be anything. - He's getting better. 331 00:20:12,753 --> 00:20:16,172 That doesn't prove you're right. That just proves he's getting better. 332 00:20:16,424 --> 00:20:19,676 It's not two illnesses. It can't be two illnesses. 333 00:20:20,803 --> 00:20:23,388 I am so glad you work here. 334 00:20:23,973 --> 00:20:26,391 If I'm right, the antibiotics you prescribed 335 00:20:26,517 --> 00:20:27,934 could box his kidneys and liver, 336 00:20:28,060 --> 00:20:30,812 impeding his ability to fight off the virus. It could kill him. 337 00:20:30,938 --> 00:20:34,691 Well, that certainly would be a concern. 338 00:20:35,318 --> 00:20:36,735 Fifty bucks? 339 00:20:37,612 --> 00:20:39,654 Don't look away. The space monkeys will be all over you. 340 00:20:39,780 --> 00:20:42,824 - You wanna bet on the patient's health? - You think that's bad luck? 341 00:20:42,950 --> 00:20:46,912 You think that God will smite him because of our insensitivity? 342 00:20:47,038 --> 00:20:49,664 Well, if God does, you make a quick 50. 343 00:20:54,420 --> 00:20:56,046 Go check his white-blood count. 344 00:20:56,255 --> 00:21:00,008 If he's fighting off a virus like you think, it'll be way up. 345 00:21:04,847 --> 00:21:08,350 Cuddy said you needed a consult. What's up? I'm busy. 346 00:21:25,910 --> 00:21:28,995 - I was just being glib. - You haven't said anything. 347 00:21:29,330 --> 00:21:30,914 No. 348 00:21:31,165 --> 00:21:33,792 Before, when I was talking about Brandon's girlfriend 349 00:21:33,918 --> 00:21:35,043 thinking sex could kill you. 350 00:21:35,169 --> 00:21:38,046 I was just making a joke because I was uncomfortable. 351 00:21:38,172 --> 00:21:42,050 - I don't even remember what you said. - I'm uncomfortable about sex. 352 00:21:42,385 --> 00:21:47,138 - We don't have to talk about this. - Sex could kill you. 353 00:21:47,390 --> 00:21:49,849 Do you know what the human body goes through when you have sex? 354 00:21:50,017 --> 00:21:52,477 Pupils dilate, arteries constrict, 355 00:21:52,603 --> 00:21:56,356 core temperature rises, heart races, blood pressure skyrockets. 356 00:21:56,482 --> 00:21:58,900 Respiration becomes rapid and shallow. 357 00:21:59,026 --> 00:22:02,195 The brain fires bursts of electrical impulses from nowhere to nowhere, 358 00:22:02,321 --> 00:22:04,823 and secretions spit out of every gland, 359 00:22:05,324 --> 00:22:06,908 and the muscles tense and spasm 360 00:22:07,034 --> 00:22:09,744 like you're lifting three times your body weight. 361 00:22:09,912 --> 00:22:13,373 It's violent, it's ugly, and it's messy. 362 00:22:13,666 --> 00:22:16,459 And if God hadn't made it unbelievably fun, 363 00:22:16,627 --> 00:22:19,129 the human race would've died out eons ago. 364 00:22:22,383 --> 00:22:24,718 Men are lucky they can only have one orgasm. 365 00:22:24,844 --> 00:22:28,513 You know that women can have an hour-long orgasm? 366 00:22:29,515 --> 00:22:31,474 Hey, Foreman. What's up? 367 00:22:31,642 --> 00:22:33,476 - Hey, Foreman. - Hey. 368 00:22:34,186 --> 00:22:36,604 White-cell count isn't up, is it? 369 00:22:36,731 --> 00:22:39,274 No. We were both wrong. 370 00:22:39,650 --> 00:22:42,819 White-cell count is down, way down and dropping. 371 00:22:43,029 --> 00:22:46,573 His immune system is shot. We need to get him into a clean room. 372 00:22:52,163 --> 00:22:55,206 Can you walk, Brandon? 373 00:22:55,332 --> 00:22:56,958 Yeah. A little. 374 00:22:57,084 --> 00:23:00,962 Okay. 'Cause we'll need to leave the chair outside. 375 00:23:01,088 --> 00:23:04,507 - Thank you. - Where's April? April? 376 00:23:04,925 --> 00:23:08,762 - Can you take that chair? Thank you. - Yes, Robert. 377 00:23:09,555 --> 00:23:12,724 I'll need to take your mask and your robe, too. 378 00:23:20,066 --> 00:23:24,235 You might wanna block your ears for this, it's quite loud. 379 00:23:34,663 --> 00:23:36,998 Something's made him immunocompromised. 380 00:23:37,124 --> 00:23:38,958 His white-blood-cell count is down, 381 00:23:39,085 --> 00:23:41,753 which means his body can't fight off infections. 382 00:23:41,879 --> 00:23:45,924 - If he gets sick, he'll die. - Sick? How sick? 383 00:23:46,133 --> 00:23:48,802 If he gets a cold, he'll die. 384 00:24:00,106 --> 00:24:04,192 Okay. I'm gonna push the needle into your hip bone 385 00:24:04,318 --> 00:24:06,528 and take some of the marrow. 386 00:24:08,072 --> 00:24:11,157 - That's not so bad. - Uh-uh. 387 00:24:11,909 --> 00:24:14,119 That was just the anesthetic. 388 00:24:14,703 --> 00:24:18,206 The core biopsy needle, it's a bit bigger. 389 00:24:19,291 --> 00:24:24,379 Hey, man. Take a deep breath. This is gonna hurt, a lot. 390 00:24:30,886 --> 00:24:33,638 Your marrow makes the blood cells. 391 00:24:35,099 --> 00:24:37,976 We take a peek at it under a microscope, 392 00:24:38,102 --> 00:24:41,479 and maybe we find a viral infection. 393 00:24:41,605 --> 00:24:43,940 Maybe we find some fibrosis. 394 00:24:44,066 --> 00:24:48,611 Something to explain why your blood count is so low. 395 00:24:49,655 --> 00:24:51,364 There we go. 396 00:24:52,366 --> 00:24:54,284 One step closer to an answer. 397 00:24:56,162 --> 00:24:58,496 If you don't find one, 398 00:25:00,124 --> 00:25:02,667 I can't stay here forever. 399 00:25:10,384 --> 00:25:14,304 - The patient could've died. - The one with the pulled muscle? 400 00:25:14,430 --> 00:25:18,099 Those symptoms are consistent with a dozen other conditions. 401 00:25:18,225 --> 00:25:19,976 You know, I'm entitled to a consult. 402 00:25:20,102 --> 00:25:21,686 You are not getting out of clinic duty. 403 00:25:21,812 --> 00:25:25,148 Come on. You got a hundred other idiot doctors in this building 404 00:25:25,274 --> 00:25:28,568 who go all warm and fuzzy every time they pull a toy car out of a nose. 405 00:25:28,694 --> 00:25:30,570 - You don't need me here. - No, I don't, 406 00:25:30,696 --> 00:25:33,031 but working with people actually makes you a better doctor. 407 00:25:33,157 --> 00:25:34,574 When did I sign up for that course? 408 00:25:34,700 --> 00:25:37,327 When did I give you the impression that I care? 409 00:25:37,453 --> 00:25:41,289 Working in this clinic obviously instills a deep sense of compassion. 410 00:25:41,415 --> 00:25:42,957 I've got your home number, right? 411 00:25:43,083 --> 00:25:45,585 In case anything comes up at 3:00 in the morning. 412 00:25:45,711 --> 00:25:48,463 It's not gonna work. You know why? 413 00:25:48,589 --> 00:25:50,673 Because this is fun. 414 00:25:50,799 --> 00:25:52,926 You think of something to make me miserable. 415 00:25:53,052 --> 00:25:54,802 I think of something to make you miserable. 416 00:25:54,929 --> 00:25:57,722 It's a game, and I'm gonna win because I got a head start. 417 00:25:57,848 --> 00:26:00,225 You are already miserable. 418 00:26:04,230 --> 00:26:05,772 - Is this important? - No. 419 00:26:05,898 --> 00:26:07,523 Good. 420 00:26:09,568 --> 00:26:11,486 - What's with you and her? - Don't. 421 00:26:11,612 --> 00:26:13,446 You have a thing for her? The only people who can... 422 00:26:13,572 --> 00:26:15,823 No. There is not a thin line between love and hate. 423 00:26:15,950 --> 00:26:17,617 There is, in fact, a Great Wall of China, 424 00:26:17,743 --> 00:26:21,079 with armed sentries posted every 20 feet between love and hate. 425 00:26:21,205 --> 00:26:23,498 - Thirty-six Vicodin. - Who's the patient? 426 00:26:23,624 --> 00:26:25,166 - I am. - You can't... 427 00:26:25,292 --> 00:26:28,127 Dr. Wilson is the prescribing physician. 428 00:26:28,254 --> 00:26:30,546 You will lie, cheat and steal to get what you want, 429 00:26:30,673 --> 00:26:32,382 but you're incapable of kissing a little ass? 430 00:26:32,508 --> 00:26:37,220 - Come on. We all have our limitations. - House, wrong bottle. 431 00:26:37,513 --> 00:26:38,554 Do me a favor. 432 00:26:38,681 --> 00:26:41,224 Take one of these, wait five minutes for it to kick in, 433 00:26:41,350 --> 00:26:43,977 then find Cuddy and kiss her ass. 434 00:26:45,187 --> 00:26:48,231 What was the kid's first symptom? 435 00:26:48,440 --> 00:26:52,235 You did the history. Of his 800 symptoms, which one hit him first? 436 00:26:52,361 --> 00:26:53,653 The cough. 437 00:28:20,616 --> 00:28:22,367 Gout. 438 00:28:28,499 --> 00:28:30,291 Are we talking about Brandon? 439 00:28:30,417 --> 00:28:32,919 Gout? Uric acid crystals in the joints? 440 00:28:33,295 --> 00:28:37,173 The symptoms are pain, swelling, redness, stiffness. 441 00:28:37,299 --> 00:28:39,050 Not one of which do I see on that board. 442 00:28:39,176 --> 00:28:42,261 Because he doesn't have gout. 443 00:28:43,555 --> 00:28:45,932 Every day, cells die. 444 00:28:49,103 --> 00:28:53,439 We survive because the remaining cells divide and replace the losses. 445 00:28:53,982 --> 00:28:57,026 The colchicine, a gout medicine, 446 00:28:57,319 --> 00:29:00,279 blocks mitosis and stops cell division, 447 00:29:00,572 --> 00:29:04,117 which will result in abdominal pain, rash, 448 00:29:04,326 --> 00:29:08,579 nausea, fever, kidney failure, low blood pressure 449 00:29:08,705 --> 00:29:10,540 and will also mess with the bone marrow. 450 00:29:10,666 --> 00:29:13,000 He doesn't have gout. Why would he have gout medication? 451 00:29:13,127 --> 00:29:14,460 Because you guys were right. 452 00:29:14,586 --> 00:29:16,879 He didn't have two conditions at the exact same time. 453 00:29:17,005 --> 00:29:20,258 First, he got a cough. And because he's an idiot, he went to a doctor. 454 00:29:20,426 --> 00:29:22,635 In order to justify charging $200, 455 00:29:22,761 --> 00:29:25,430 that doctor felt he should actually do something. Oops! 456 00:29:25,556 --> 00:29:26,931 He wrote a prescription. 457 00:29:27,057 --> 00:29:30,977 Seven thousand people die each year from pharmacy screw-ups. 458 00:29:31,103 --> 00:29:33,062 Not nearly as many as die from doctor screw-ups, 459 00:29:33,188 --> 00:29:36,065 but still, not something they use in their promotional materials. 460 00:29:36,191 --> 00:29:39,318 The pharmacist gave him gout medicine instead of cough medicine, 461 00:29:39,445 --> 00:29:41,571 and the only thing it wouldn't do, 462 00:29:41,697 --> 00:29:45,533 it would do absolutely nothing to relieve his cough. 463 00:29:45,784 --> 00:29:47,618 Occam's razor. 464 00:29:47,995 --> 00:29:51,247 The simplest explanation is almost always that somebody screwed up. 465 00:29:51,373 --> 00:29:55,460 But once he checked into this hospital, he was completely in our control. 466 00:29:55,586 --> 00:29:57,962 Our food, our pills, our everything, 467 00:29:58,088 --> 00:30:00,339 so even if you're right, no more gout medication. 468 00:30:00,466 --> 00:30:03,759 He'd either continue to deteriorate, or he would've gotten better. 469 00:30:03,886 --> 00:30:06,387 But he got better, and then he got worse. 470 00:30:06,513 --> 00:30:09,056 It doesn't fit. It doesn't make sense. 471 00:30:09,224 --> 00:30:12,185 Okay. Two people screwed up. 472 00:30:12,478 --> 00:30:14,687 Not as simple as one, but... 473 00:30:24,323 --> 00:30:25,865 He's resting. He's... 474 00:30:25,991 --> 00:30:28,409 I'm Dr. House. I'm your son's physician. 475 00:30:28,535 --> 00:30:33,164 - You're the one we haven't met yet. - You're the one he hasn't met. 476 00:30:33,290 --> 00:30:35,416 How can you treat someone without meeting them? 477 00:30:35,542 --> 00:30:38,669 It's easy if you don't give a crap about him. 478 00:30:39,671 --> 00:30:41,297 That's a good thing. 479 00:30:41,423 --> 00:30:45,343 If emotions made you act rationally, they wouldn't be called emotions, right? 480 00:30:45,469 --> 00:30:47,136 That's why we have this division of labor. 481 00:30:47,262 --> 00:30:49,597 You hold his hand, I get him better. 482 00:30:49,723 --> 00:30:52,308 If I start tucking him in at night, that's not fair to you guys. 483 00:30:52,434 --> 00:30:54,852 If you start prescribing medicine, that's not fair to me. 484 00:30:55,103 --> 00:30:58,898 What I wanna know is, who stepped on my side of the net? 485 00:30:59,024 --> 00:31:03,945 Who cared enough to get stupid enough to give him his cough medicine? 486 00:31:04,071 --> 00:31:07,657 - When we checked in, Dr. Foreman... - Tuesday, he's getting better. 487 00:31:07,783 --> 00:31:09,909 Wednesday, he's getting sick again. 488 00:31:10,035 --> 00:31:13,246 Somebody gave him his cough medicine Wednesday. 489 00:31:17,584 --> 00:31:20,753 Come on. Nobody's gonna be mad. 490 00:31:20,963 --> 00:31:24,215 I just wanna know who tried to kill the kid. 491 00:31:28,762 --> 00:31:32,348 - Dr. House, maybe we should... - His throat was sore. 492 00:31:35,269 --> 00:31:37,770 Page Dr. Occam. He's gonna wanna hear about this. 493 00:31:37,896 --> 00:31:40,982 I'm sorry. He was coughing, and I just wanted to help him. 494 00:31:41,108 --> 00:31:43,317 Aren't you a dear. Where are the pills? 495 00:31:43,443 --> 00:31:46,529 He took the last of them before he was switched into that room. 496 00:31:46,655 --> 00:31:48,781 - They're all gone? - It was just cough medicine. 497 00:31:48,907 --> 00:31:51,534 No, it wasn't. Where's the bottle? 498 00:31:59,835 --> 00:32:02,044 We need to know exactly what you put in this bottle. 499 00:32:02,170 --> 00:32:04,088 We think it was colchicine, a gout medication. 500 00:32:04,214 --> 00:32:07,216 If the prescription said cough medicine, that's what I dispensed. 501 00:32:07,342 --> 00:32:09,719 The family is prepared to waive liability, all right? 502 00:32:09,845 --> 00:32:12,096 We just need to know what it was, what dosage it was. 503 00:32:12,222 --> 00:32:13,973 It was cough medicine. 504 00:32:14,474 --> 00:32:16,100 Refill it. 505 00:32:18,562 --> 00:32:22,815 - He's gonna be okay. - You don't know that. 506 00:32:24,484 --> 00:32:27,653 Does Brandon like that quality in you? 507 00:32:28,405 --> 00:32:30,823 You're a little negative. 508 00:32:31,950 --> 00:32:33,784 Things don't always work out for the best. 509 00:32:33,910 --> 00:32:35,411 Doesn't hurt to hope they do. 510 00:32:35,537 --> 00:32:39,040 No. Not unless that makes you figure you can do whatever you want, 511 00:32:39,166 --> 00:32:42,168 like give people cough medicine. 512 00:32:42,419 --> 00:32:44,253 This is cough medication. 513 00:32:44,379 --> 00:32:47,840 This is what Brandon was supposed to get. 514 00:32:47,966 --> 00:32:50,384 They're small, round and yellow. 515 00:32:50,510 --> 00:32:53,179 Can you tell this man what the pills in your son's medicine bottle 516 00:32:53,305 --> 00:32:55,222 actually looked like? 517 00:32:56,475 --> 00:32:59,226 They were small, round and yellow, exactly like this. 518 00:32:59,353 --> 00:33:01,270 Those were the pills that Brandon was taking. 519 00:33:01,396 --> 00:33:03,189 Hey, I'm just a pharmacist, 520 00:33:03,315 --> 00:33:06,442 but I know what cough medicine looks like, Doctor. 521 00:33:10,864 --> 00:33:14,033 It was so perfect. It was beautiful. 522 00:33:14,326 --> 00:33:17,703 Beauty often seduces us on the road to truth. 523 00:33:18,997 --> 00:33:21,707 And triteness kicks us in the nads. 524 00:33:21,917 --> 00:33:24,794 - So true. - This doesn't bother you? 525 00:33:25,170 --> 00:33:28,089 That you were wrong? I try to work through the pain. 526 00:33:28,215 --> 00:33:31,092 I was not wrong. Everything I said was true. 527 00:33:31,426 --> 00:33:35,096 - It fit. It was elegant. - So, reality was wrong? 528 00:33:36,890 --> 00:33:39,433 Reality's almost always wrong. 529 00:33:45,232 --> 00:33:47,775 The cough medicine did something. 530 00:33:49,486 --> 00:33:51,862 Aggravated the condition. 531 00:33:52,072 --> 00:33:54,156 It's all over the place. Must be in his blood. 532 00:33:54,324 --> 00:33:56,242 What if it is his blood? 533 00:33:56,451 --> 00:33:58,661 - Lymphoma? - Unless you've got something better. 534 00:33:58,787 --> 00:34:00,496 We foolishly ruled out lymphoma 535 00:34:00,622 --> 00:34:02,832 because his CT scan showed no adenopathy. 536 00:34:02,958 --> 00:34:05,793 CBC showed a normal differen-smear, bone marrow showed no... 537 00:34:05,919 --> 00:34:07,169 Screw the tests. 538 00:34:07,337 --> 00:34:11,173 Do an exploratory laparotomy and find out what's in there. 539 00:34:11,591 --> 00:34:14,385 He has no blood pressure, no immune system and no kidneys. 540 00:34:14,511 --> 00:34:17,221 - Surgery will kill him. - Yeah, you're right. 541 00:34:17,431 --> 00:34:19,640 Let's stick with the wrong-pill theory. 542 00:34:24,104 --> 00:34:26,522 I'll schedule him for surgery. 543 00:34:31,111 --> 00:34:34,238 Okay, Brandon, we're running this tube through your heart 544 00:34:34,406 --> 00:34:36,907 and into the pulmonary arteries in your lung. 545 00:34:37,033 --> 00:34:38,826 The sensors will give us information 546 00:34:38,952 --> 00:34:40,995 for the exploratory surgery later this afternoon. 547 00:34:45,375 --> 00:34:48,335 - My fingers are numb. - Try not to move. 548 00:34:49,129 --> 00:34:50,838 We're in the right atrium, 549 00:34:51,047 --> 00:34:53,466 trying to catch the flow through the tricuspid valve. 550 00:34:53,592 --> 00:34:56,927 I think the catheter's curling in the atrium. 551 00:34:57,053 --> 00:35:00,181 Got it. We're in the RV now. 552 00:35:02,976 --> 00:35:05,644 Ectopy. You must've irritated the heart wall. 553 00:35:05,771 --> 00:35:08,564 - It'll calm down. - He can't tolerate cardiac arrhythmia. 554 00:35:08,690 --> 00:35:11,192 - Pull back. - He needs the surgery. 555 00:35:23,163 --> 00:35:25,372 Pressure's dropped. 556 00:35:25,499 --> 00:35:27,958 - You still with us, Brandon? - Get the curtains. 557 00:35:28,502 --> 00:35:29,960 VF. 558 00:35:39,930 --> 00:35:42,848 Charging. Clear. 559 00:35:48,897 --> 00:35:50,731 Sinus rhythm. 560 00:35:52,108 --> 00:35:53,567 I got a pulse. 561 00:35:56,488 --> 00:35:58,989 Yeah, but no surgery today. 562 00:36:05,539 --> 00:36:06,539 How're you doing? 563 00:36:06,998 --> 00:36:08,374 Okay. 564 00:36:08,500 --> 00:36:11,460 Great. I'm doing good, too. 565 00:36:11,711 --> 00:36:15,130 I get to knock off an hour early today. You know why? 566 00:36:15,257 --> 00:36:18,259 Because I kissed my boss' ass. Do you ever do that? 567 00:36:18,385 --> 00:36:21,303 I think she just said yes 'cause she wants to reinforce that behavior. 568 00:36:21,471 --> 00:36:25,558 Wants me to kiss a lot of other people's ass, like she wants me to kiss yours. 569 00:36:25,684 --> 00:36:29,603 What would you want, a doctor who holds your hand while you die 570 00:36:29,729 --> 00:36:31,897 or a doctor who ignores you while you get better? 571 00:36:32,107 --> 00:36:34,316 I guess it would particularly suck to have a doctor 572 00:36:34,442 --> 00:36:36,652 who ignores you while you die. 573 00:36:37,696 --> 00:36:38,654 I should go. 574 00:36:38,780 --> 00:36:41,115 You think it's gonna come out on its own? 575 00:36:45,495 --> 00:36:48,539 Are we talking bigger than a breadbasket? 576 00:36:49,499 --> 00:36:54,044 Actually, it will come out on its own. Which, for small stuff, is no problem. 577 00:36:54,170 --> 00:36:56,505 It's wrapped up in a nice, soft package, and plop. 578 00:36:56,631 --> 00:36:58,883 Big stuff, you're gonna rip something, 579 00:36:59,009 --> 00:37:00,885 which, speaking medically, is when the fun stops. 580 00:37:01,011 --> 00:37:02,761 How did you... 581 00:37:02,888 --> 00:37:06,265 After half an hour you haven't sat down. That tells me its location. 582 00:37:06,391 --> 00:37:08,726 You haven't told me what it is. That tells me it's humiliating. 583 00:37:08,852 --> 00:37:10,477 You have a little birdie carved on your arm. 584 00:37:10,604 --> 00:37:12,813 That tells me you have a high tolerance for humiliation, 585 00:37:12,939 --> 00:37:15,399 so I figure it's not hemorrhoids. 586 00:37:19,321 --> 00:37:22,781 I've been a doctor 20 years. You're not gonna surprise me. 587 00:37:23,867 --> 00:37:26,285 It's an MP3 player. 588 00:37:35,754 --> 00:37:37,129 Is it... 589 00:37:37,756 --> 00:37:41,258 Is it because of the size or the shape, 590 00:37:41,843 --> 00:37:44,637 or is it the pounding bass line? 591 00:37:45,263 --> 00:37:47,264 What are we gonna do? 592 00:37:49,851 --> 00:37:52,102 - I'm gonna wait. - For what? 593 00:37:54,481 --> 00:37:58,150 It's 3:00. I'm off. Would you tell Dr. Cuddy there's a patient 594 00:37:58,276 --> 00:38:00,027 in Exam Room 2 needs her attention? 595 00:38:00,153 --> 00:38:04,114 And the RIAA wants her to check for illegal downloads. 596 00:38:04,407 --> 00:38:08,077 Brandon's not ready for surgery. - Let's leave it a couple of weeks. 597 00:38:08,203 --> 00:38:11,205 He should be feeling better by then. Wait. Which way does time go? 598 00:38:11,331 --> 00:38:14,541 He crashed during prep. He's also experiencing pain in his fingers. 599 00:38:14,668 --> 00:38:16,418 Think some bug may have gotten in the clean room. 600 00:38:16,544 --> 00:38:18,587 I think we should double his dosage of G-CSF 601 00:38:18,713 --> 00:38:21,590 to temporarily boost his white-blood-cell count. 602 00:38:21,758 --> 00:38:24,510 Pain in his fingers. Right. 603 00:38:33,353 --> 00:38:34,937 Hi again. 604 00:38:35,063 --> 00:38:37,356 - You can't go in... - Where's he going? 605 00:38:39,901 --> 00:38:41,902 Hey. How you all doing? 606 00:38:42,153 --> 00:38:45,280 Interesting fact. Every seven years, it's a whole new you. 607 00:38:45,532 --> 00:38:48,617 - Inspiring metaphor, huh? - Dr. House, this is a clean room. 608 00:38:48,743 --> 00:38:50,369 Yeah. I read the sign. 609 00:38:51,121 --> 00:38:54,832 But cells of different organs reproduce at different rates. 610 00:38:56,001 --> 00:38:58,711 So, you get a new kidney every three years. 611 00:38:58,962 --> 00:39:00,754 Get a new stomach lining every week. 612 00:39:00,880 --> 00:39:04,967 This is why colchicine poisoning causes all these symptoms, but not all at once. 613 00:39:05,093 --> 00:39:07,886 But we went to the pharmacy. We saw the pills. 614 00:39:08,013 --> 00:39:11,015 Colchicine does its damage in a very specific order. 615 00:39:11,141 --> 00:39:14,226 First of all, there's the pain in the abdomen, the rash, the fever. 616 00:39:14,436 --> 00:39:17,521 Isn't that what you got first? Then the kidneys go, 617 00:39:17,647 --> 00:39:20,524 which is exactly what happened to... 618 00:39:20,650 --> 00:39:22,735 - Brandon. - Right. 619 00:39:23,069 --> 00:39:26,780 Then it screws up your bone marrow and then neuropathy. 620 00:39:26,906 --> 00:39:29,908 A painful tingling in the fingers and toes. 621 00:39:30,035 --> 00:39:32,578 And what do you suppose happens after that? 622 00:39:37,751 --> 00:39:43,964 Hair loss. The bad news is your special boy is doing drugs. 623 00:39:44,090 --> 00:39:45,799 - No, he's not. - Ecstasy? 624 00:39:45,925 --> 00:39:47,092 No. 625 00:39:48,094 --> 00:39:49,511 Twice with Dan and Mike. 626 00:39:50,096 --> 00:39:53,557 You know what they cut that stuff with? Apparently, colchicine. 627 00:39:53,683 --> 00:39:56,769 Unless you ingested the colchicine through your contact lens solution 628 00:39:56,895 --> 00:39:59,813 or skin cream or some other drug you're lying about. 629 00:39:59,939 --> 00:40:02,566 I don't know how it happened. I don't care how it happened. It happened. 630 00:40:02,692 --> 00:40:04,276 Start... 631 00:40:05,528 --> 00:40:07,446 - Brandon. - Lovely name. 632 00:40:07,572 --> 00:40:09,740 Start Brandon on Fab fragments, 633 00:40:09,866 --> 00:40:12,284 and get him some Tylenol for the hair I pulled out. 634 00:40:12,494 --> 00:40:14,536 And get some air in here. 635 00:40:16,539 --> 00:40:18,832 Make a note. I should never doubt myself. 636 00:40:18,958 --> 00:40:20,542 I think you'll remember. 637 00:40:20,668 --> 00:40:23,128 It wouldn't hurt you to be wrong every now and then. 638 00:40:23,254 --> 00:40:25,130 What, you don't care about these people? 639 00:40:29,552 --> 00:40:33,555 The colchicine interferes with the ability of the heart muscle to contract, 640 00:40:33,681 --> 00:40:37,059 pumping blood, lowering your blood pressure. 641 00:40:38,895 --> 00:40:43,190 The antibodies we're giving you should neutralize the colchicine, 642 00:40:45,026 --> 00:40:48,445 allowing your heart to beat at its normal rate. 643 00:40:49,489 --> 00:40:51,532 When will you know? 644 00:40:52,367 --> 00:40:54,159 We know now. 645 00:40:55,620 --> 00:40:58,539 Oh, thank God. 646 00:41:20,812 --> 00:41:22,729 Big weekend? 647 00:41:22,856 --> 00:41:26,525 - It's not for me. I'm fully stocked. - Cuddy got you doing inventory? 648 00:41:26,818 --> 00:41:30,195 - Trying to solve that kid's case. - The gout medicine OD? 649 00:41:30,321 --> 00:41:31,530 Yeah. 650 00:41:31,656 --> 00:41:33,240 The fact that I know it's a gout medicine OD 651 00:41:33,366 --> 00:41:35,159 would seem to indicate the case is already solved. 652 00:41:35,285 --> 00:41:37,035 Well, you'd be wrong. 653 00:41:37,162 --> 00:41:39,246 What about the fact that the kid is now, 654 00:41:39,372 --> 00:41:41,790 I believe the technical term is not sick? 655 00:41:41,916 --> 00:41:44,751 You know how many forms of colchicine there are on the market? 656 00:41:45,086 --> 00:41:50,090 Neither do I, but it's a lot. Pills, powders, liquids, IV fluids. 657 00:41:50,216 --> 00:41:52,551 Somewhere at a party, in his coffee, 658 00:41:52,677 --> 00:41:54,303 up his nose, in his ear, this kid had some. 659 00:41:54,429 --> 00:41:56,763 So, you're not happy with your Ecstasy theory? 660 00:41:56,890 --> 00:41:58,807 - He said he used it twice. - People lie. 661 00:41:58,933 --> 00:42:01,059 - If you're gonna lie, it's... - I'm not interested. 662 00:42:01,186 --> 00:42:04,980 - Not curious? - No. Because I'm well adjusted. 663 00:42:06,191 --> 00:42:07,441 Right. 664 00:42:10,069 --> 00:42:13,113 - Temperature's normal. - I want cousin Sharon there. 665 00:42:13,239 --> 00:42:16,116 If we invite Sharon, we have to invite all the cousins. 666 00:42:16,242 --> 00:42:19,036 So what? My side of the family doesn't need anything. 667 00:42:23,750 --> 00:42:25,959 I don't suppose I could have some of those cough pills? 668 00:42:26,085 --> 00:42:28,253 - They're okay, right? - Yes. You're doing great. 669 00:42:28,379 --> 00:42:30,005 You should invite Dr. House. 670 00:42:30,131 --> 00:42:32,382 - Will he come? - No, but he'll send a gift. 671 00:42:32,508 --> 00:42:35,802 I'll make sure it's a good one. 672 00:42:35,970 --> 00:42:38,555 There's a letter on the back of these pills. 673 00:42:40,600 --> 00:42:42,851 Your old pills didn't have a letter on them? 674 00:42:42,977 --> 00:42:45,854 No. Round and yellow, but no letter. 675 00:42:52,612 --> 00:42:55,239 Well, these will help your cough. 676 00:42:59,702 --> 00:43:02,204 - Hey, you wanna go get some... - No.