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1
00:00:03,171 --> 00:00:04,797
It's all about the tongue, man.
2
00:00:04,922 --> 00:00:07,091
You stick it in their mouth,
3
00:00:08,676 --> 00:00:10,595
but not all the way.
4
00:00:10,720 --> 00:00:11,971
They like that?
5
00:00:12,096 --> 00:00:13,639
Dude, they love it.
6
00:00:15,391 --> 00:00:16,726
What are you doing?
7
00:00:16,851 --> 00:00:18,102
Climbing.
8
00:00:21,022 --> 00:00:22,857
Just deep enough to lick her teeth,
9
00:00:22,982 --> 00:00:25,985
slow, one at a time,
like you're painting them.
10
00:00:27,028 --> 00:00:29,447
This girl Rachel, she's a junior.
11
00:00:29,572 --> 00:00:30,948
She's experienced.
12
00:00:31,073 --> 00:00:32,909
Mom says I gotta be home by 5:00.
13
00:00:33,034 --> 00:00:36,996
Just chill, okay? And hop the fence
before someone sees you.
14
00:00:44,170 --> 00:00:45,338
Are you sure this is okay?
15
00:00:45,463 --> 00:00:47,006
Dave's mom's a realtor.
16
00:00:47,131 --> 00:00:49,717
If it's for sale and empty,
it's a clubhouse.
17
00:00:49,842 --> 00:00:52,386
And if you say anything, you're dead.
18
00:00:53,971 --> 00:00:55,890
I told them you were cool.
19
00:00:56,015 --> 00:00:57,892
These are very serious dudes.
20
00:01:01,270 --> 00:01:02,688
Come on.
21
00:01:03,940 --> 00:01:06,776
Cub scout meeting's down the street,
boys.
22
00:01:10,571 --> 00:01:11,906
- What a loser.
- Lame.
23
00:01:12,031 --> 00:01:14,533
Tommy: Gabe's cool, man.
He's one of us.
24
00:01:14,659 --> 00:01:15,993
Dave: He better be.
25
00:01:21,082 --> 00:01:22,833
I'm not thirsty.
26
00:01:24,961 --> 00:01:25,961
What's this?
27
00:01:26,045 --> 00:01:27,380
Dave: Club business, little man.
28
00:01:27,505 --> 00:01:28,798
What shall we ask?
29
00:01:28,923 --> 00:01:30,091
Put your hands on.
30
00:01:32,927 --> 00:01:37,682
0 dark spirit, will any of us die
in the year to come?
31
00:01:42,895 --> 00:01:43,729
You're moving it.
32
00:01:43,854 --> 00:01:45,564
Put your hands back.
33
00:01:47,066 --> 00:01:48,234
Now.
34
00:01:54,031 --> 00:01:56,033
Who among us will die?
35
00:02:12,091 --> 00:02:13,467
Oh, man.
36
00:02:23,853 --> 00:02:25,271
Tommy: "Gabe."
37
00:02:25,396 --> 00:02:26,814
Dave: That blows.
38
00:02:34,071 --> 00:02:36,866
That's it. We're going to the hospital.
39
00:02:36,991 --> 00:02:39,493
No, mom. I'm too tired.
40
00:02:39,618 --> 00:02:42,747
Come on, sweetie. You've had a fever
for almost a week now.
41
00:02:50,671 --> 00:02:51,714
Oh, my god.
42
00:02:51,839 --> 00:02:54,800
0h, Gabe. Are you okay?
43
00:02:54,925 --> 00:02:58,095
Are you okay? Baby, what's wrong?
44
00:03:01,265 --> 00:03:02,808
I'm dying.
45
00:03:50,564 --> 00:03:53,818
12-year-old male.
Spiking fever, congested chest,
46
00:03:53,943 --> 00:03:56,362
coughing up green sputum,
pain in breathing.
47
00:03:56,487 --> 00:03:58,906
Baffling,
though I vaguely recall a disease
48
00:03:59,031 --> 00:04:01,450
called "meunomia"? "Pneumania"?
49
00:04:01,575 --> 00:04:05,162
But his chest X-ray and ct scan
show an atypical pattern for pneumonia.
50
00:04:05,287 --> 00:04:06,956
Pneumonia! That's it.
51
00:04:07,081 --> 00:04:10,042
Just a guess here,
but his parents big donors?
52
00:04:10,167 --> 00:04:13,462
No infiltrate,
just enlarged hilar lymph nodes.
53
00:04:13,587 --> 00:04:16,966
Tiny unicorns goring his bronchial
tubes would be cooler,
54
00:04:17,091 --> 00:04:19,009
and the way
you're ignoring the question,
55
00:04:19,135 --> 00:04:21,720
wow, they're extremely big donors.
56
00:04:21,846 --> 00:04:23,806
He's not responding to cefuroxime,
57
00:04:23,931 --> 00:04:27,268
his pulse ox is dropping much faster
than it should for pneumonia,
58
00:04:27,393 --> 00:04:28,978
and plus he's got an odd little rash.
59
00:04:29,103 --> 00:04:29,979
Excessive irritation.
60
00:04:30,104 --> 00:04:32,523
- He's 12. He's on auto-stroke.
- On his arm.
61
00:04:32,648 --> 00:04:36,068
Papular lesion, one centimeter,
on top of a long, thin scab.
62
00:04:36,193 --> 00:04:39,113
Ah. You need a dermatologist.
63
00:04:39,238 --> 00:04:41,365
If it's dry, keep it wet.
If it's wet, keep it dry.
64
00:04:41,490 --> 00:04:43,218
If it's not supposed to be there,
cut it off.
65
00:04:43,242 --> 00:04:44,785
I never could master all that.
66
00:04:44,910 --> 00:04:46,370
There you are.
67
00:04:47,246 --> 00:04:48,831
Were you scared?
68
00:04:48,956 --> 00:04:50,416
It's okay. You're home now.
69
00:04:51,542 --> 00:04:53,419
Fine.
70
00:04:53,544 --> 00:04:54,879
Cuddy.
71
00:04:57,590 --> 00:04:58,841
As a special favor to you...
72
00:04:58,966 --> 00:05:02,344
No. Admit it. I got you with the rash.
73
00:05:02,470 --> 00:05:07,558
The rash is a total snooze, unless
it's connected to the pneumonia,
74
00:05:09,602 --> 00:05:11,395
then it's party time.
75
00:05:15,191 --> 00:05:18,694
Purulent sputum, dyspnea,
rhonchi bilaterally.
76
00:05:18,819 --> 00:05:20,988
What kind of pneumonia
causes this kind of rash?
77
00:05:21,113 --> 00:05:22,113
Legionnaire's disease.
78
00:05:22,156 --> 00:05:23,991
Usually means
industrial ventilation systems,
79
00:05:24,116 --> 00:05:25,743
convention centers. He's 12 years old.
80
00:05:25,868 --> 00:05:29,330
Send off a urine antigen and check
if he's joined the elks. Next?
81
00:05:29,455 --> 00:05:30,748
- Fungal.
- Excellent.
82
00:05:30,873 --> 00:05:32,500
Maybe the lodge went spelunking.
83
00:05:32,625 --> 00:05:33,792
Chlamydia pneumonia.
84
00:05:33,918 --> 00:05:35,961
12-year-olds don't have sex.
85
00:05:36,086 --> 00:05:37,713
Their mistake.
86
00:05:39,006 --> 00:05:41,550
That's it? Other possibilities?
87
00:05:41,675 --> 00:05:43,469
What if we're thinking about
this backwards?
88
00:05:43,594 --> 00:05:47,097
The rash came first,
caused the pneumonia. Nice.
89
00:05:47,223 --> 00:05:48,891
Rickettsial. Tick bite.
90
00:05:49,016 --> 00:05:51,894
Nymphal ticks are out now.
They're bloodthirsty little bastards.
91
00:05:52,019 --> 00:05:53,604
Rash would be more pustular.
92
00:05:53,729 --> 00:05:55,689
Not always,
and there's only one rash, which fits.
93
00:05:55,773 --> 00:05:57,483
New Jersey,
it's most likely lyme disease.
94
00:05:57,608 --> 00:05:59,985
All right. Let's keep him on fluids
95
00:06:00,110 --> 00:06:02,238
and the cefuroxime to be safe.
96
00:06:02,363 --> 00:06:04,198
Biopsy that rash.
97
00:06:05,157 --> 00:06:08,244
And take another history. Even if we
don't learn what's causing this,
98
00:06:08,369 --> 00:06:12,748
we definitely need to know if
12-year-olds are getting any action.
99
00:06:15,751 --> 00:06:17,127
What are you doing now?
100
00:06:17,253 --> 00:06:18,773
We're collecting fluids from the rash.
101
00:06:18,879 --> 00:06:19,879
Why?
102
00:06:19,964 --> 00:06:21,066
They know what they're doing, Jeffrey.
103
00:06:21,090 --> 00:06:24,718
Great endorsement coming from the
woman who thought it was a nasty cold.
104
00:06:24,843 --> 00:06:26,053
If I had had him last week...
105
00:06:26,178 --> 00:06:27,888
This isn't helping.
106
00:06:29,848 --> 00:06:32,309
We're checking to see
if your son has a tick bite.
107
00:06:32,434 --> 00:06:35,020
Gabe, have you been camping recently,
108
00:06:35,145 --> 00:06:37,690
playing sports outside,
anything like that?
109
00:06:37,815 --> 00:06:39,066
I'm not that good at sports.
110
00:06:39,191 --> 00:06:41,026
No hanging out anywhere new,
strange places?
111
00:06:41,151 --> 00:06:42,027
Jeffrey: We've been through this.
112
00:06:42,152 --> 00:06:45,281
We don't let him run wild
through the neighborhood, right?
113
00:06:48,075 --> 00:06:51,370
Okay. This might be a bit delicate.
114
00:06:53,372 --> 00:06:55,541
We need to know
if you're sexually active.
115
00:06:55,666 --> 00:06:56,667
I beg your pardon?
116
00:06:56,792 --> 00:06:57,832
Mr. Reilich, we need to...
117
00:07:01,171 --> 00:07:02,923
Nothing like that.
118
00:07:05,593 --> 00:07:08,721
We've gotta get another ct scan,
check his lungs again.
119
00:07:08,846 --> 00:07:10,782
- Third floor, right?
- Yeah, radiology is just...
120
00:07:10,806 --> 00:07:13,517
Sorry, medical personnel only.
121
00:07:16,895 --> 00:07:18,105
Where's the machine?
122
00:07:18,230 --> 00:07:20,024
Well, we passed it, actually.
123
00:07:20,149 --> 00:07:21,734
A little tension in the room
back there.
124
00:07:21,859 --> 00:07:23,485
Thought you could use a break.
125
00:07:23,611 --> 00:07:26,322
Your dad's a pretty high-powered guy.
126
00:07:26,447 --> 00:07:30,200
Yeah. He was an air force test pilot.
127
00:07:30,326 --> 00:07:32,036
Real "top gun" stuff.
128
00:07:32,494 --> 00:07:34,079
Flew mach 3.
129
00:07:34,705 --> 00:07:36,457
Hard to deal with sometimes?
130
00:07:36,582 --> 00:07:38,584
Guess I'm more like my mom.
131
00:07:38,709 --> 00:07:39,710
Listen.
132
00:07:41,170 --> 00:07:44,673
I promise to keep my mouth shut,
but I need to know.
133
00:07:44,798 --> 00:07:48,802
You definitely haven't had
any sexual contact of any kind?
134
00:07:48,927 --> 00:07:50,220
I wish.
135
00:07:51,472 --> 00:07:52,973
You know what?
136
00:07:53,098 --> 00:07:56,352
Girls like the cool guys now,
but give it a few years.
137
00:07:56,477 --> 00:07:58,896
They start liking the smart guys.
138
00:07:59,021 --> 00:08:00,814
You'll be all right.
139
00:08:04,360 --> 00:08:06,445
Can you keep a secret?
140
00:08:06,570 --> 00:08:08,781
I have to. It's my job.
141
00:08:11,742 --> 00:08:15,037
I'm cursed. I'm not kidding.
142
00:08:15,162 --> 00:08:17,873
This séance thing the kids did?
143
00:08:17,998 --> 00:08:19,708
It spelled out my name.
144
00:08:19,833 --> 00:08:21,835
Said I was gonna die.
145
00:08:21,960 --> 00:08:23,754
First name and last name?
146
00:08:23,879 --> 00:08:26,799
We've got a Gabe upstairs
who's very old, very sick.
147
00:08:26,924 --> 00:08:30,761
No. It's me. I have the worst luck.
148
00:08:30,886 --> 00:08:33,847
One time I broke this mirror,
149
00:08:33,972 --> 00:08:37,142
the next week,
my parents got separated.
150
00:08:37,267 --> 00:08:39,436
My parents split up, too.
151
00:08:39,561 --> 00:08:43,107
Every kid feels like it's his fault.
It never is.
152
00:08:44,108 --> 00:08:46,402
So, what about the rest of the stuff?
153
00:08:46,527 --> 00:08:48,946
Any playing outside
your parents don't know about?
154
00:08:49,071 --> 00:08:50,989
Anything like that?
155
00:08:51,990 --> 00:08:54,030
Maybe you were somewhere
you weren't supposed to be?
156
00:08:54,076 --> 00:08:55,786
Man on pa: Triage nurse,
pick up line 274.
157
00:08:55,911 --> 00:08:57,788
Oh, man.
158
00:08:57,913 --> 00:09:00,999
Gabe, it's important.
159
00:09:04,044 --> 00:09:07,047
A secret club. What's the secret?
160
00:09:07,172 --> 00:09:08,841
They're all morons?
161
00:09:08,966 --> 00:09:10,551
He fell on something in the attic,
162
00:09:10,676 --> 00:09:13,595
scraped his arm,
got the rash the next day.
163
00:09:13,721 --> 00:09:15,973
Said it smelled really moldy up there.
164
00:09:16,098 --> 00:09:19,768
Fungal pneumonia
without the cave. Clever.
165
00:09:19,893 --> 00:09:21,103
I'm gonna get a sample.
166
00:09:22,980 --> 00:09:27,943
Dr. Chase, you have a few moments?
167
00:09:30,112 --> 00:09:31,989
Sorry, I've gotta go.
168
00:09:35,617 --> 00:09:37,244
These young doctors.
169
00:09:37,369 --> 00:09:39,580
It's like they don't care about people.
170
00:09:39,705 --> 00:09:40,873
No manners.
171
00:09:40,998 --> 00:09:42,624
My fault, probably.
172
00:09:43,876 --> 00:09:48,589
That's an interesting accent
you have there. I'd say Czech
173
00:09:48,714 --> 00:09:51,467
with about 30 years of aussie.
174
00:09:51,592 --> 00:09:53,469
You have quite an ear.
175
00:09:54,470 --> 00:09:56,180
You're chase's dad.
176
00:09:58,348 --> 00:10:00,058
Hard to miss, you know, the big hug
177
00:10:00,184 --> 00:10:02,603
and how happy he was to see you.
178
00:10:11,695 --> 00:10:13,572
- Need a consult.
- With a patient.
179
00:10:13,697 --> 00:10:15,491
Urgent doctor stuff.
180
00:10:18,118 --> 00:10:21,997
Twenty-six-year-old male,
sudden loss of the ability to speak.
181
00:10:22,122 --> 00:10:24,762
Just because you got out of clinic duty
doesn't mean everybody did.
182
00:10:24,792 --> 00:10:25,793
To his father.
183
00:10:25,918 --> 00:10:27,461
Differential diagnosis?
184
00:10:27,586 --> 00:10:28,587
Chase?
185
00:10:29,129 --> 00:10:31,590
Dad swoops in, chase swoops out.
186
00:10:31,715 --> 00:10:32,966
Dad say why he was here?
187
00:10:33,091 --> 00:10:35,010
See? You asked.
188
00:10:35,135 --> 00:10:39,014
Dad comes 5,000 miles,
you're more curious than junior is.
189
00:10:39,139 --> 00:10:40,682
Can't just be about the divorce.
190
00:10:40,808 --> 00:10:43,894
It's been 15 years,
and mom's been dead for 10 of them.
191
00:10:44,019 --> 00:10:45,646
You think daddy murdered her?
192
00:10:45,771 --> 00:10:48,249
You want to get to the bottom of this,
you're doing it exactly right.
193
00:10:48,273 --> 00:10:49,775
Don't talk to the people involved.
194
00:10:49,900 --> 00:10:51,002
Drag your buddy away from work
195
00:10:51,026 --> 00:10:52,778
for some pointless speculation.
196
00:10:52,903 --> 00:10:55,531
You want to know how two chemicals
interact, do you ask them?
197
00:10:55,656 --> 00:10:59,409
No. They're gonna lie through
their lying little chemical teeth.
198
00:10:59,535 --> 00:11:02,287
Throw them in a beaker and apply heat.
199
00:11:02,412 --> 00:11:04,706
Even I don't like you.
200
00:11:04,832 --> 00:11:07,000
You know, words can hurt.
201
00:11:21,765 --> 00:11:25,519
Whoa, whoa, whoa. Hold on, guys.
I don't care that you're up here.
202
00:11:26,311 --> 00:11:27,729
You a cop?
203
00:11:27,855 --> 00:11:30,649
Doctor. I'm treating Gabe reilich.
204
00:11:30,774 --> 00:11:32,901
He said he fell over near some pipes?
205
00:11:33,026 --> 00:11:34,653
Yeah, over there.
206
00:11:35,988 --> 00:11:37,698
What, here?
207
00:11:37,823 --> 00:11:38,907
Yeah.
208
00:11:40,075 --> 00:11:42,661
Any of you guys
been feeling sick lately?
209
00:11:42,786 --> 00:11:44,788
Rash, cold, anything?
210
00:11:44,913 --> 00:11:46,123
Both: No.
211
00:11:52,212 --> 00:11:53,380
Oh, crap.
212
00:11:54,047 --> 00:11:55,047
He is a cop!
213
00:11:55,132 --> 00:11:56,216
Damn it!
214
00:12:18,739 --> 00:12:21,783
He fell on it.
Some weird kind of insulation.
215
00:12:21,909 --> 00:12:24,620
It's old. House was built in the '60s.
216
00:12:24,703 --> 00:12:26,121
What's it made of?
217
00:12:26,246 --> 00:12:28,665
Felt. Fibers of what, cotton?
218
00:12:33,003 --> 00:12:35,797
Sorry. Forgotten
how funny your dad was.
219
00:12:35,923 --> 00:12:37,966
Not as funny as you.
220
00:12:38,091 --> 00:12:39,927
High praise.
221
00:12:40,052 --> 00:12:43,221
I know how protective
kids can be of their parents.
222
00:12:48,143 --> 00:12:50,771
Not cotton. Animal hair.
223
00:12:53,523 --> 00:12:54,733
Get me the ct scan.
224
00:12:59,237 --> 00:13:03,241
First, find the name of the company
that made the insulation,
225
00:13:03,367 --> 00:13:05,035
and second, tell me what I'm seeing
226
00:13:05,160 --> 00:13:08,080
that makes me want to
short their stock.
227
00:13:08,872 --> 00:13:10,999
Foreman: Enlarged hilar lymph nodes.
228
00:13:11,124 --> 00:13:12,185
Cameron: Peribronchial thickening.
229
00:13:12,209 --> 00:13:13,251
Pleural effusions.
230
00:13:13,377 --> 00:13:15,712
Less obvious, more scary.
231
00:13:17,422 --> 00:13:19,758
Well, the mediastinum
doesn't look right.
232
00:13:19,883 --> 00:13:21,176
Slightly widened.
233
00:13:22,469 --> 00:13:23,762
Oh, god.
234
00:13:24,888 --> 00:13:27,432
It can be transmitted through
infected animal hair.
235
00:13:27,557 --> 00:13:28,660
But the gram's stain
would have shown...
236
00:13:28,684 --> 00:13:30,036
No. The cefuroxime would have killed
237
00:13:30,060 --> 00:13:31,687
some of it, clouded the result.
238
00:13:31,770 --> 00:13:34,564
We've gotta get this kid on Levaquin.
239
00:13:36,650 --> 00:13:38,443
What does he have?
240
00:13:38,986 --> 00:13:43,448
Anthrax.
This house belong to old man Hussein?
241
00:13:46,994 --> 00:13:48,745
Maybe he is cursed.
242
00:14:03,343 --> 00:14:04,678
Jeffrey: Anthrax.
243
00:14:04,803 --> 00:14:07,514
So what, you think there were
terrorists in that attic?
244
00:14:07,639 --> 00:14:09,599
It's a naturally occurring bacteria.
245
00:14:09,725 --> 00:14:11,518
We believe it was in the insulation.
246
00:14:11,643 --> 00:14:12,644
How sick is he?
247
00:14:12,769 --> 00:14:15,897
Anthrax is very dangerous,
but we've caught it early.
248
00:14:16,023 --> 00:14:18,316
He's on Levaquin.
It's the best antibiotic we have.
249
00:14:18,442 --> 00:14:19,526
Lisa, you buy this?
250
00:14:19,651 --> 00:14:22,070
Jeff, you've helped our hospital a lot.
251
00:14:22,195 --> 00:14:24,035
I wouldn't have assigned
Dr. House to your case
252
00:14:24,072 --> 00:14:25,591
if I didn't have
every confidence in him.
253
00:14:25,615 --> 00:14:27,701
- Then who's this guy?
- Jeffrey!
254
00:14:27,826 --> 00:14:29,804
There's all these weird diseases that
can cause a rash.
255
00:14:29,828 --> 00:14:32,289
What about ieishmaniasis or filariasis?
256
00:14:32,414 --> 00:14:33,574
Where'd you hear about those?
257
00:14:33,623 --> 00:14:34,726
Internet. I did some research.
258
00:14:34,750 --> 00:14:36,543
Well, those are very rare conditions.
259
00:14:36,668 --> 00:14:38,545
And Anthrax grows along the interstate?
260
00:14:38,670 --> 00:14:40,881
Leishmaniasis doesn't cause pneumonia,
and filariasis...
261
00:14:41,006 --> 00:14:42,174
Just look into everything.
262
00:14:42,299 --> 00:14:43,800
This is my son, all right?
263
00:14:43,925 --> 00:14:46,261
And I'm gonna stay on top of you
until I know he's safe.
264
00:14:46,386 --> 00:14:48,847
I wouldn't expect anything else.
265
00:14:52,059 --> 00:14:53,852
Everyone's a doctor.
266
00:15:00,650 --> 00:15:02,152
Breathe, baby. It's okay.
267
00:15:02,277 --> 00:15:03,612
Breathe. I need you to breathe.
268
00:15:03,737 --> 00:15:05,465
- His breathing...
- Foreman: It's on the inhale.
269
00:15:05,489 --> 00:15:06,490
What does that mean?
270
00:15:06,615 --> 00:15:08,200
It means his aiwvay's closing up.
271
00:15:08,325 --> 00:15:10,827
Is the Anthrax doing it?
272
00:15:10,952 --> 00:15:12,162
All right. Hold still, Gabe.
273
00:15:12,287 --> 00:15:15,290
This is gonna be
a little uncomfortable.
274
00:15:23,256 --> 00:15:25,300
Cuddy: We've got you. It's okay.
275
00:15:27,135 --> 00:15:28,303
Nodules in his throat.
276
00:15:28,428 --> 00:15:29,513
Aiwvay's occluded?
277
00:15:29,638 --> 00:15:31,223
We've got to intubate. Ativan!
278
00:15:31,348 --> 00:15:32,891
Cuddy: Pushing 3 cc's.
279
00:15:43,819 --> 00:15:44,820
Aiwvay's too tight.
280
00:15:44,945 --> 00:15:46,947
What's wrong? What's wrong?
No, you're killing him!
281
00:15:47,072 --> 00:15:48,698
Jeffrey! Let them do their job.
282
00:15:48,824 --> 00:15:50,176
Aiwvay's too tight.
Get me a smaller tube.
283
00:15:50,200 --> 00:15:51,200
We're traching.
284
00:15:51,284 --> 00:15:52,577
Smaller tube.
285
00:15:58,291 --> 00:16:00,103
- His lips are cyanotic.
- Oh, my god, he's not breathing.
286
00:16:00,127 --> 00:16:01,378
Foreman, we're traching.
287
00:16:01,503 --> 00:16:03,421
No. I can do it. I'll get it.
288
00:16:04,714 --> 00:16:06,067
Chase: Foreman,
you're not getting through.
289
00:16:06,091 --> 00:16:07,843
Cuddy: He's not getting air.
290
00:16:07,968 --> 00:16:09,028
We have to trach him right now.
291
00:16:09,052 --> 00:16:10,053
No, I can do it.
292
00:16:10,178 --> 00:16:11,680
Chase: Betadine.
293
00:16:17,310 --> 00:16:18,979
I'm doing this.
294
00:16:20,730 --> 00:16:21,982
Got it.
295
00:16:34,327 --> 00:16:35,912
He's okay.
296
00:16:40,083 --> 00:16:42,085
Allergic reaction to the antibiotics?
297
00:16:42,210 --> 00:16:43,420
I don't think so.
298
00:16:43,545 --> 00:16:46,298
We switched him to rifampin, and there
was no change in the swelling.
299
00:16:46,423 --> 00:16:47,841
We should try another antibiotic.
300
00:16:47,966 --> 00:16:50,177
You really think he's allergic to
two antibiotics?
301
00:16:50,302 --> 00:16:52,721
I wanna know what Dr. Chase thinks.
302
00:16:52,846 --> 00:16:54,031
It's possible he's allergic...
303
00:16:54,055 --> 00:16:56,308
Oh! I'm sorry. Not you.
304
00:16:56,433 --> 00:16:58,143
Understandable mistake.
305
00:16:58,268 --> 00:16:59,603
The other Dr. Chase.
306
00:17:03,398 --> 00:17:04,441
Boy gets Anthrax
307
00:17:04,566 --> 00:17:08,028
and happens to be allergic to
two antibiotics.
308
00:17:08,153 --> 00:17:09,946
Hate to step on anybody's toes,
309
00:17:10,071 --> 00:17:12,908
but is it possible your guys
got this one wrong?
310
00:17:13,033 --> 00:17:14,910
The rash is classic Anthrax.
311
00:17:15,035 --> 00:17:16,203
Except the color.
312
00:17:16,328 --> 00:17:17,829
The rash hasn't turned black yet.
313
00:17:17,954 --> 00:17:19,164
No necrosis, no Anthrax.
314
00:17:19,289 --> 00:17:22,959
Necrosis can theoretically take
as long as two weeks.
315
00:17:25,128 --> 00:17:26,755
Whoa, whoa, whoa!
316
00:17:26,880 --> 00:17:29,841
Guys, it's not a competition.
317
00:17:29,966 --> 00:17:31,343
It's a diagnosis.
318
00:17:32,219 --> 00:17:35,305
Okay. Who thinks junior wins?
319
00:17:37,599 --> 00:17:39,684
Four to one. It's not Anthrax.
320
00:17:39,809 --> 00:17:41,686
So we start over. What's changed?
321
00:17:41,811 --> 00:17:43,647
What do the nodules tell us?
322
00:17:44,689 --> 00:17:46,233
Sarcoidosis.
323
00:17:46,358 --> 00:17:49,236
Excellent. Send an ace level.
324
00:17:49,361 --> 00:17:52,739
If it comes back positive,
put him on methotrexate.
325
00:17:54,157 --> 00:17:57,994
Foreman: We ran some tests, and
the results point toward sarcoidosis.
326
00:17:58,119 --> 00:18:00,664
It makes the body's tissue swell up.
327
00:18:00,789 --> 00:18:02,916
It seems to have gone
after Gabriel's skin and lungs
328
00:18:03,041 --> 00:18:04,960
and given him this fever.
329
00:18:05,085 --> 00:18:06,127
Doctor.
330
00:18:11,007 --> 00:18:12,759
We don't know what causes it.
331
00:18:12,884 --> 00:18:14,844
But you're sure he has this one?
332
00:18:14,970 --> 00:18:17,555
We have a world-renowned doctor
consulting.
333
00:18:17,681 --> 00:18:19,975
He's convinced this is sarcoidosis.
334
00:18:20,100 --> 00:18:21,101
Is it treatable?
335
00:18:21,226 --> 00:18:22,811
Very, actually.
336
00:18:22,936 --> 00:18:24,896
See, this is iv methotrexate.
337
00:18:25,021 --> 00:18:26,940
It's an anti-inflammatory.
338
00:18:27,065 --> 00:18:30,986
It should make all the swelling go down
and get you all better.
339
00:18:31,111 --> 00:18:32,111
Stop.
340
00:18:35,407 --> 00:18:37,409
My god, it's black.
341
00:18:39,286 --> 00:18:40,829
Necrosis.
342
00:18:41,121 --> 00:18:44,291
It's definitely Anthrax,
and it definitely can't be Anthrax.
343
00:18:44,416 --> 00:18:46,126
It doesn't cause throat nodules.
344
00:18:46,251 --> 00:18:51,089
Only explanation is, this kid's got
Anthrax and sarcoidosis.
345
00:18:51,214 --> 00:18:55,510
Right, two incredibly rare diseases
just happening to strike at once.
346
00:18:55,677 --> 00:18:57,345
Unless you've got a better theory.
347
00:18:57,470 --> 00:18:59,139
Anthrax plus an allergic reaction.
348
00:18:59,264 --> 00:19:02,934
Call 'the lancet', because that's
one bizarre allergic reaction.
349
00:19:03,059 --> 00:19:06,229
Come on. There's no reason
you both can't be wrong.
350
00:19:06,354 --> 00:19:08,732
It's not allergy,
but it's not coincidence either.
351
00:19:08,857 --> 00:19:11,026
Disease number one set off
disease number two.
352
00:19:11,151 --> 00:19:12,777
Anthrax weakened his immune system.
353
00:19:12,902 --> 00:19:15,238
And triggered a dormant sarcoidosis.
354
00:19:15,363 --> 00:19:18,241
Keep him on antibiotics for the
Anthrax, and start the methotrexate
355
00:19:18,366 --> 00:19:21,161
for the sarcoidosis. See what happens.
356
00:19:21,286 --> 00:19:22,454
Fine.
357
00:19:24,831 --> 00:19:25,874
Better go with him.
358
00:19:25,999 --> 00:19:28,918
Make sure he doesn't snap
and hurt somebody.
359
00:19:32,047 --> 00:19:34,424
Yeah, but you're treating him
for both diseases.
360
00:19:34,549 --> 00:19:36,009
We're covering all the bases.
361
00:19:36,134 --> 00:19:38,511
What? Throw everything against the wall
and see what sticks?
362
00:19:38,636 --> 00:19:40,388
Works for spaghetti.
363
00:20:05,080 --> 00:20:06,956
Are you being funny?
364
00:20:07,082 --> 00:20:08,583
Apparently not.
365
00:20:08,708 --> 00:20:11,086
You know why I give money
to this hospital?
366
00:20:11,211 --> 00:20:13,797
It's the only way to get attention.
See this?
367
00:20:13,922 --> 00:20:15,090
Is this a magic trick?
368
00:20:15,215 --> 00:20:17,550
'Cause I am
a total David Copperfield fan.
369
00:20:17,675 --> 00:20:19,987
Although I thought that tornado of
fire, that seemed a little fake.
370
00:20:20,011 --> 00:20:22,097
Pain in the wrist.
It won't go away for months.
371
00:20:22,222 --> 00:20:25,266
Six doctors' brilliant conclusion is
to take it easy.
372
00:20:25,392 --> 00:20:27,685
I write a check, name goes on a plaque,
373
00:20:27,811 --> 00:20:29,687
and 48 hours later I've got two mris,
374
00:20:29,813 --> 00:20:32,065
a bone scan and a diagnosis,
carpal tunnel.
375
00:20:32,190 --> 00:20:34,943
I'm in surgery that afternoon.
376
00:20:35,068 --> 00:20:36,694
Fascinating story.
377
00:20:36,820 --> 00:20:39,781
Have you thought of
adapting it for the stage?
378
00:20:41,241 --> 00:20:43,201
I love my...
Look at me. I love my son.
379
00:20:43,326 --> 00:20:44,762
I love him more than anything else
in the world.
380
00:20:44,786 --> 00:20:46,666
You're gonna start
paying attention to this case
381
00:20:46,788 --> 00:20:47,890
or I'm gonna make things miserable...
382
00:20:47,914 --> 00:20:49,266
Go back to your son's room.
I'm not leaving here
383
00:20:49,290 --> 00:20:50,458
until you get your ass...
384
00:20:50,583 --> 00:20:52,585
There's a problem.
385
00:21:01,344 --> 00:21:02,887
What is it?
386
00:21:04,305 --> 00:21:05,640
I don't know.
387
00:21:30,165 --> 00:21:32,333
Foreman: Skin lesions are spreading
all over his body.
388
00:21:32,459 --> 00:21:35,044
They're opening up,
and the fatty tissues are oozing out.
389
00:21:35,170 --> 00:21:36,045
He'll be septic in a matter of days.
390
00:21:36,171 --> 00:21:39,632
Death by dermatitis.
391
00:21:39,757 --> 00:21:41,259
Where's Robert?
392
00:21:41,384 --> 00:21:43,178
He has clinic duty this morning.
393
00:21:43,303 --> 00:21:44,637
No, he doesn't.
394
00:21:44,762 --> 00:21:46,282
I rescheduled you guys
so you'd be free.
395
00:21:46,306 --> 00:21:49,517
Yeah, but he re-rescheduled himself.
396
00:21:50,101 --> 00:21:51,227
Hmm.
397
00:21:56,274 --> 00:21:57,901
It doesn't hurt yet.
398
00:21:58,026 --> 00:21:59,277
Keep going.
399
00:22:00,028 --> 00:22:01,529
You page me?
400
00:22:01,654 --> 00:22:03,323
No, I don't need you. Come on.
401
00:22:03,448 --> 00:22:04,741
We all need help now and again.
402
00:22:04,866 --> 00:22:07,410
You're getting a consult.
403
00:22:07,535 --> 00:22:09,537
Okay. We've got new skin lesions,
404
00:22:09,662 --> 00:22:11,262
bigger and uglier.
What would cause that?
405
00:22:11,331 --> 00:22:12,332
My hand hurts.
406
00:22:12,457 --> 00:22:15,251
What if his body worked so hard
attacking the Anthrax
407
00:22:15,376 --> 00:22:17,086
that it started attacking itself?
408
00:22:17,212 --> 00:22:18,213
Autoimmune.
409
00:22:18,338 --> 00:22:19,738
Wouldn't present this aggressively.
410
00:22:19,797 --> 00:22:21,758
It's not likely, but it is possible.
411
00:22:21,883 --> 00:22:23,760
What, in a 12-year-old male?
412
00:22:23,885 --> 00:22:25,220
This isn't about me, is it?
413
00:22:25,345 --> 00:22:26,888
Gabe's dad found ieishmaniasis
414
00:22:27,013 --> 00:22:29,015
and filariasis
on the Internet yesterday.
415
00:22:29,140 --> 00:22:30,940
They didn't fit then,
but now they kind of do.
416
00:22:31,017 --> 00:22:33,144
Sure, except for the nodules,
417
00:22:33,269 --> 00:22:35,438
and we're not working out of
Calcutta general.
418
00:22:35,563 --> 00:22:37,190
Multiple neurofibromatosis.
419
00:22:37,315 --> 00:22:39,275
You think this is neurological?
420
00:22:39,400 --> 00:22:41,110
The only reason
you're thinking autoimmune
421
00:22:41,236 --> 00:22:42,737
is because you're a rheumatologist.
422
00:22:42,862 --> 00:22:45,198
If you were a proctologist,
you'd think rectal cancer.
423
00:22:45,323 --> 00:22:47,659
Gotta go with senior.
424
00:22:47,784 --> 00:22:49,744
He literally wrote the book
on this one.
425
00:22:49,869 --> 00:22:51,037
Autoimmune is a big universe.
426
00:22:51,162 --> 00:22:53,998
It could be anything from scleroderrna
to churg-Strauss.
427
00:22:54,123 --> 00:22:55,476
Whatever it is,
we should start him on steroids,
428
00:22:55,500 --> 00:22:56,501
keep the swelling down.
429
00:22:56,626 --> 00:22:59,170
A hundred milligrams of cytoxan,
it treats most autoimmunes.
430
00:22:59,295 --> 00:23:03,925
Well, give it to him now before the fat
starts dripping out his eyeballs.
431
00:23:05,343 --> 00:23:08,012
Hey, my fingers are numb.
432
00:23:08,137 --> 00:23:10,306
Your watch is on too tight.
433
00:23:18,606 --> 00:23:20,316
You're messing with my head.
434
00:23:20,441 --> 00:23:21,734
Your relationship with your dad
435
00:23:21,859 --> 00:23:23,420
is messing with your ability
to do your job.
436
00:23:23,444 --> 00:23:25,655
Only because you made my dad
part of my job.
437
00:23:25,780 --> 00:23:26,780
Good point.
438
00:23:26,864 --> 00:23:28,759
You haven't seen him in years,
he flies across the Atlantic
439
00:23:28,783 --> 00:23:29,909
- to see you.
- Pacific.
440
00:23:30,034 --> 00:23:32,054
You breeze by him like he's
a hare krishna at the airport,
441
00:23:32,078 --> 00:23:33,997
you don't even ask why he's in town.
442
00:23:34,122 --> 00:23:35,957
It's probably a conference.
443
00:23:36,082 --> 00:23:37,250
Probably.
444
00:23:38,126 --> 00:23:40,753
I was hoping to do this through
sheer manipulation,
445
00:23:40,878 --> 00:23:43,673
but if you insist on talking, fine.
Talk.
446
00:23:45,049 --> 00:23:47,010
What did he do to you?
447
00:23:47,135 --> 00:23:50,221
How would you feel if I interfered
in your personal life?
448
00:23:50,346 --> 00:23:53,975
I'd hate it. That's why I cleverly have
no personal life.
449
00:23:54,100 --> 00:23:56,144
I'm gonna biopsy his skin lesions.
450
00:23:56,269 --> 00:23:59,564
Good thinking.
Prove your dad wrong.
451
00:23:59,689 --> 00:24:01,232
That'll solve everything.
452
00:24:19,167 --> 00:24:20,293
Who extubated him?
453
00:24:20,418 --> 00:24:21,418
I did.
454
00:24:21,502 --> 00:24:24,714
Temperature's down two degrees,
and the swelling's almost gone.
455
00:24:24,839 --> 00:24:27,091
And his skin looks better, too.
456
00:24:27,216 --> 00:24:29,135
Cytoxan is working.
457
00:24:29,260 --> 00:24:30,386
Feeling better, Gabe?
458
00:24:30,511 --> 00:24:32,138
Yep, a lot.
459
00:24:32,889 --> 00:24:35,433
Chase: Dr. Chase,
can you and I have a word?
460
00:24:38,978 --> 00:24:40,229
Your diagnosis is wrong.
461
00:24:40,355 --> 00:24:41,939
No autoimmune disease.
462
00:24:42,065 --> 00:24:44,745
The swelling's probably just down
because we've got him on steroids.
463
00:24:44,776 --> 00:24:46,653
It's masking whatever's really wrong.
464
00:24:46,778 --> 00:24:47,987
Ana's are unreliable.
465
00:24:48,112 --> 00:24:52,325
Phospholipid antibodies are negative,
so no lupus. Same for churg-Strauss.
466
00:24:52,450 --> 00:24:54,452
You're arguing with a rheumatologist.
467
00:24:54,577 --> 00:24:56,579
There's about 20 distinct
autoimmune diseases.
468
00:24:56,704 --> 00:24:58,289
Why are you here?
469
00:25:01,042 --> 00:25:02,960
Sle conference.
470
00:25:03,711 --> 00:25:04,911
You were in New York last year
471
00:25:05,004 --> 00:25:08,007
for the scleroderrna conference.
I didn't hear anything from you.
472
00:25:08,132 --> 00:25:09,884
Just wanted to say hi this time.
473
00:25:10,009 --> 00:25:12,053
You said it. You're still here.
474
00:25:12,887 --> 00:25:14,180
I miss you.
475
00:25:15,431 --> 00:25:18,601
I was 15 years old when you walked out.
476
00:25:18,726 --> 00:25:20,770
Now you're walking back in?
477
00:25:20,895 --> 00:25:23,272
I left your mother. I didn't leave you.
478
00:25:23,398 --> 00:25:25,108
Mum was living on gin and tonics.
479
00:25:25,233 --> 00:25:26,818
How was I supposed to take care of her?
480
00:25:26,943 --> 00:25:28,319
She wasn't your responsibility.
481
00:25:28,444 --> 00:25:30,863
I know! She was yours.
482
00:25:34,033 --> 00:25:35,827
I'm sorry she died.
483
00:25:35,952 --> 00:25:37,995
I'm sorry you had to deal with that.
484
00:25:40,164 --> 00:25:42,750
But she was falling apart
long before...
485
00:25:42,875 --> 00:25:46,003
I've got to talk to house
about this treatment.
486
00:25:51,384 --> 00:25:53,344
But the patient's getting better.
487
00:25:53,469 --> 00:25:55,346
In spite of the cytoxan.
488
00:25:55,471 --> 00:25:58,433
On the other hand, getting better.
489
00:25:58,558 --> 00:26:01,894
Cytoxan makes him
more susceptible to infection.
490
00:26:02,019 --> 00:26:04,522
The Anthrax could relapse
and be more resistant.
491
00:26:04,647 --> 00:26:05,690
Better!
492
00:26:05,815 --> 00:26:08,693
You want a negative test for every
autoimmune disease known to man?
493
00:26:08,818 --> 00:26:10,611
Fine. I'll get them.
494
00:26:11,279 --> 00:26:15,158
Be home by midnight or you can't have
the car this weekend.
495
00:26:16,325 --> 00:26:17,660
You guys talk?
496
00:26:17,785 --> 00:26:19,328
Did he tell you why he's here?
497
00:26:19,996 --> 00:26:22,248
The sle conference.
498
00:26:34,177 --> 00:26:35,970
House: Going back to the conference?
499
00:26:36,095 --> 00:26:39,348
Afternoon panel.
I hope I can stay awake.
500
00:26:39,474 --> 00:26:41,392
I hope you can get in.
501
00:26:41,517 --> 00:26:42,852
You're not registered.
502
00:26:47,023 --> 00:26:50,735
I get it. You had to make up a lie.
503
00:26:51,235 --> 00:26:54,113
Can't just tell your kid
you're here to see him.
504
00:26:54,238 --> 00:26:56,699
I mean, what father does that?
505
00:26:58,910 --> 00:27:01,579
That little blue dot under your collar,
506
00:27:01,746 --> 00:27:04,540
it's a tattoo for guiding
radiation treatment.
507
00:27:05,625 --> 00:27:07,985
I was looking for it after I saw
what you had for breakfast,
508
00:27:08,044 --> 00:27:09,128
brown rice, vegetables.
509
00:27:09,253 --> 00:27:11,172
It's a macrobiotic diet,
510
00:27:11,297 --> 00:27:15,218
popular with Hollywood starlets
and cancer patients.
511
00:27:17,678 --> 00:27:19,722
Lungs. Stage iv.
512
00:27:21,516 --> 00:27:23,059
You look good.
513
00:27:23,184 --> 00:27:24,268
I'm not.
514
00:27:25,019 --> 00:27:29,774
Came to the states to go to
Sloan-kettering and see Dr. Wilson.
515
00:27:29,899 --> 00:27:31,526
What'd he say?
516
00:27:32,443 --> 00:27:33,611
Three months.
517
00:27:34,737 --> 00:27:36,364
But you haven't told Robert.
518
00:27:36,489 --> 00:27:40,493
You don't want to burden him,
because you were such a lousy dad.
519
00:27:42,620 --> 00:27:44,956
I'd prefer you not tell him.
520
00:27:46,833 --> 00:27:48,751
Yeah. That's better.
521
00:27:50,002 --> 00:27:53,297
I'll get to see his face
when he reads his dad's obituary.
522
00:27:53,422 --> 00:27:55,341
It's not your business.
523
00:27:57,927 --> 00:27:59,887
I suppose it isn't.
524
00:28:09,105 --> 00:28:10,982
You sure do a lot of tests.
525
00:28:11,107 --> 00:28:13,943
If we figure out exactly
which autoimmune condition it is,
526
00:28:14,068 --> 00:28:16,112
we can get you better quicker.
527
00:28:16,237 --> 00:28:18,406
Was that your dad before?
528
00:28:18,531 --> 00:28:19,615
Yeah.
529
00:28:20,283 --> 00:28:21,659
That's so cool.
530
00:28:21,784 --> 00:28:23,578
Do you guys work together a lot?
531
00:28:24,495 --> 00:28:26,163
Not really.
532
00:28:26,289 --> 00:28:28,124
When can I go home?
533
00:28:28,249 --> 00:28:29,417
We'll see.
534
00:28:30,793 --> 00:28:32,378
Looks like you got your appetite back.
535
00:28:32,503 --> 00:28:33,838
That's a good sign.
536
00:28:35,214 --> 00:28:37,300
- Want some water?
- Yes.
537
00:28:42,638 --> 00:28:44,140
Here you go.
538
00:28:46,225 --> 00:28:47,268
Whoops!
539
00:28:47,393 --> 00:28:48,978
That's all right. Water's cheap.
540
00:28:49,103 --> 00:28:50,396
Oh, god.
541
00:28:51,814 --> 00:28:53,024
What?
542
00:28:54,358 --> 00:28:56,736
I... I can't move my hand.
543
00:29:07,204 --> 00:29:10,124
Chase: Can you squeeze my fingers
for me, Gabe?
544
00:29:15,796 --> 00:29:16,881
He's getting worse.
545
00:29:17,006 --> 00:29:19,216
Now his entire right hand
and forearm are paralyzed.
546
00:29:19,342 --> 00:29:21,135
And his fever's back. It's up over 105.
547
00:29:21,260 --> 00:29:23,030
If we don't stop
the nerve deterioration quickly,
548
00:29:23,054 --> 00:29:24,555
he'll be paralyzed for life.
549
00:29:24,680 --> 00:29:27,808
Well, luckily, at this rate
that should only last about a week.
550
00:29:27,934 --> 00:29:28,768
Okay. So...
551
00:29:28,893 --> 00:29:31,646
I told you we should get him off
the cytoxan.
552
00:29:31,771 --> 00:29:33,272
This is toxic neuropathy.
553
00:29:33,397 --> 00:29:35,024
We've been shoving drugs
into his system
554
00:29:35,149 --> 00:29:36,359
for a disease he doesn't have.
555
00:29:36,484 --> 00:29:38,277
Well, it could be neurological.
556
00:29:38,402 --> 00:29:40,988
What kind of brain process
would cause a paralyzed hand,
557
00:29:41,113 --> 00:29:44,617
skin lesions
and swollen throat nodules?
558
00:29:44,742 --> 00:29:46,869
Robert was right.
559
00:29:46,994 --> 00:29:49,413
You said multiple neurofibromatosis.
560
00:29:49,538 --> 00:29:52,166
Are you saying that for the chance
at a beautiful family moment,
561
00:29:52,291 --> 00:29:53,876
or is there some medicine involved?
562
00:29:54,001 --> 00:29:55,461
Mmm-mmm. Fits better.
563
00:29:55,586 --> 00:29:57,922
Too bad. I was hoping
for the other reason.
564
00:29:58,047 --> 00:29:59,882
I was gonna go get my camera.
565
00:30:00,007 --> 00:30:03,010
Get a ct scan. His brain this time.
566
00:30:11,727 --> 00:30:13,938
You'd think three copies
would be enough, right?
567
00:30:14,063 --> 00:30:17,274
One's always been
more than enough for me.
568
00:30:17,400 --> 00:30:21,237
Why didn't you tell me
that Rowan chase was in to see you?
569
00:30:21,779 --> 00:30:22,989
Excuse me.
570
00:30:24,031 --> 00:30:27,702
Ethics, confidentiality,
does any of this ring a bell?
571
00:30:27,827 --> 00:30:30,538
You could have covered yourself,
called me in for a consult.
572
00:30:30,663 --> 00:30:32,665
It is a juicy piece of gossip.
573
00:30:32,790 --> 00:30:33,790
You know what happened?
574
00:30:33,874 --> 00:30:36,836
I got all focused on his cancer
and lost perspective.
575
00:30:36,961 --> 00:30:38,796
You can't tell chase, but I can.
576
00:30:38,921 --> 00:30:40,047
What should I do?
577
00:30:40,172 --> 00:30:41,924
This is where I give you advice
578
00:30:42,049 --> 00:30:44,552
and pretend you're gonna listen to it.
I like this part.
579
00:30:44,719 --> 00:30:45,970
Did Rowan ask you not to tell?
580
00:30:46,095 --> 00:30:47,555
I promised iwouldn't.
581
00:30:47,680 --> 00:30:49,682
My fingers were crossed, though,
so I'm wide open.
582
00:30:49,807 --> 00:30:51,934
I was wrong.
This is the musing-out-loud part.
583
00:30:52,059 --> 00:30:53,245
Do I actually need to be here?
584
00:30:53,269 --> 00:30:54,478
Telling him.
585
00:30:54,603 --> 00:30:56,313
Now, that's got
real entertainment value.
586
00:30:56,439 --> 00:30:58,482
Mmm. He might even cry.
587
00:30:58,607 --> 00:31:01,068
On the other hand,
there is the do-unto-others thingy.
588
00:31:01,193 --> 00:31:02,862
Well,
then I should definitely tell him.
589
00:31:02,987 --> 00:31:05,156
- I'd wanna know.
- You wanna know everything.
590
00:31:05,281 --> 00:31:08,075
There's also
the keeping-your-promises thingy.
591
00:31:08,200 --> 00:31:10,745
You never run out of thingies,
592
00:31:10,870 --> 00:31:13,080
like that blonde thingy
you were chatting up.
593
00:31:13,205 --> 00:31:16,584
She's the hospital accountant.
We were going over billing procedures.
594
00:31:16,709 --> 00:31:18,586
Double-entry bookkeeping?
595
00:31:22,840 --> 00:31:24,759
What are you gonna do?
596
00:31:26,260 --> 00:31:27,928
Billing procedures.
597
00:31:28,054 --> 00:31:29,680
They're so complicated, aren't they?
598
00:31:47,073 --> 00:31:50,701
You know, parents are never as bad as
kids think they are.
599
00:31:50,826 --> 00:31:53,579
If you like my dad so much,
ask him out.
600
00:31:54,663 --> 00:31:55,956
I'd make an excellent step mom.
601
00:31:56,082 --> 00:31:57,833
I'm very lenient.
602
00:32:02,588 --> 00:32:05,132
He's your father.
603
00:32:05,257 --> 00:32:07,635
You never see him, and he's here.
604
00:32:07,760 --> 00:32:10,471
Unless he's done some unspeakable
thing, you should lighten up.
605
00:32:10,596 --> 00:32:12,723
Great. Thanks for the tip.
606
00:32:13,974 --> 00:32:15,142
Okay.
607
00:32:17,436 --> 00:32:20,106
He beat your mom. He beat you.
608
00:32:21,941 --> 00:32:24,652
- What did he do?
- Really, don't push it.
609
00:32:29,406 --> 00:32:32,993
All this hate. It's toxic.
610
00:32:35,454 --> 00:32:37,123
Then stay away.
611
00:32:47,049 --> 00:32:48,592
There's nothing there.
612
00:32:48,717 --> 00:32:52,638
No masses, no fibrous tangles, nothing.
613
00:32:52,763 --> 00:32:57,393
- It's not neurofibromatosis.
- Drs. Chase are 0 for 3.
614
00:32:57,518 --> 00:32:59,520
Even when they agree, they're wrong.
615
00:32:59,645 --> 00:33:03,107
So, next, what else could cause neural
damage as well as all the nodules?
616
00:33:03,232 --> 00:33:04,232
Berger's disease.
617
00:33:04,316 --> 00:33:05,544
He's never been out of the country.
618
00:33:05,568 --> 00:33:07,611
Have his parents?
They could have brought it back.
619
00:33:07,736 --> 00:33:09,296
- I don't think so.
- It doesn't matter.
620
00:33:09,405 --> 00:33:12,085
His lesions are in the wrong place.
His feet are the one clear spot.
621
00:33:12,199 --> 00:33:14,201
Kid's dad mentioned ieishmaniasis.
622
00:33:14,326 --> 00:33:15,578
Yeah, and filariasis.
623
00:33:15,703 --> 00:33:17,514
But the throat nodules
still don't fit with that.
624
00:33:17,538 --> 00:33:21,292
That's two diseases pretty much
exclusive to Southeast Asia.
625
00:33:25,171 --> 00:33:28,757
What if the Anthrax didn't set off
the second disease?
626
00:33:29,633 --> 00:33:30,913
We're back at coincidence again?
627
00:33:31,010 --> 00:33:33,804
No. What if something else
was the trigger?
628
00:33:33,929 --> 00:33:35,222
Nothing else happened.
629
00:33:35,347 --> 00:33:36,473
We happened.
630
00:33:36,599 --> 00:33:37,641
Antibiotics?
631
00:33:37,766 --> 00:33:40,311
We've been through this.
It's not an allergy.
632
00:33:41,478 --> 00:33:42,855
I gotta pee.
633
00:33:58,120 --> 00:33:59,747
What did the ct scan tell you?
634
00:33:59,872 --> 00:34:00,998
Nothing.
635
00:34:03,125 --> 00:34:04,793
Scale from one to ten, how painful?
636
00:34:04,919 --> 00:34:06,897
Not half as painful as when
I punch you in the face.
637
00:34:06,921 --> 00:34:09,006
Don't do that. It'll hurt you.
638
00:34:09,131 --> 00:34:11,425
Carpal tunnel surgery
obviously didn't work.
639
00:34:11,550 --> 00:34:12,718
Who are you?
640
00:34:12,843 --> 00:34:15,471
The little ones call me uncle Greg.
641
00:34:15,596 --> 00:34:17,973
Your dad never had carpal tunnel.
642
00:34:18,474 --> 00:34:20,893
You mentioned two obscure diseases
to Dr. Chase.
643
00:34:21,018 --> 00:34:22,228
How did you know about them?
644
00:34:22,353 --> 00:34:23,496
I read about them on the Internet.
645
00:34:23,520 --> 00:34:24,521
What did you search for?
646
00:34:24,647 --> 00:34:26,941
"Diseases from Asia that don't match
my son's symptoms"?
647
00:34:27,066 --> 00:34:28,226
You heard about them in Asia.
648
00:34:28,317 --> 00:34:29,360
I've never been there.
649
00:34:29,485 --> 00:34:32,404
Well, you probably just forgot.
Let me refresh your memory,
650
00:34:32,529 --> 00:34:37,493
some remote, dusty village,
close quarters, at least a year?
651
00:34:37,618 --> 00:34:39,471
- Starting to come back?
- I'm calling Dr. Cuddy.
652
00:34:39,495 --> 00:34:41,830
Excuse me, what does this have to do
with our son?
653
00:34:41,956 --> 00:34:43,707
Your dad's pissed off.
654
00:34:43,832 --> 00:34:45,042
He should be.
655
00:34:46,126 --> 00:34:48,295
Comes here expecting us to do
an extra-good job
656
00:34:48,420 --> 00:34:50,440
because he gives a whole lot of money
to this hospital.
657
00:34:50,464 --> 00:34:51,799
Don't talk to my son like that!
658
00:34:51,924 --> 00:34:53,610
Just telling him my job
and my obligation...
659
00:34:53,634 --> 00:34:56,720
Stop! What's going on?
660
00:35:01,475 --> 00:35:04,728
There's only one thing
you guys have gotta do.
661
00:35:06,480 --> 00:35:10,109
Tell the truth, or your son will die.
662
00:35:12,069 --> 00:35:14,113
How long were you in Asia?
663
00:35:18,367 --> 00:35:20,619
Jeff, it's a simple question.
664
00:35:24,832 --> 00:35:26,583
Two years, in India.
665
00:35:28,627 --> 00:35:29,980
Why would you lie
about something like that?
666
00:35:30,004 --> 00:35:31,797
It was '87 and '88.
667
00:35:37,303 --> 00:35:38,470
This...
668
00:35:40,931 --> 00:35:44,727
This guru,
I thought he had some answers.
669
00:35:45,853 --> 00:35:47,771
I went to his ashram
670
00:35:49,398 --> 00:35:54,361
and ended up with no money
and no answers.
671
00:35:56,488 --> 00:35:59,658
I was embarrassed.
I didn't want anyone to know.
672
00:36:04,204 --> 00:36:07,458
No. You were a test pilot.
673
00:36:07,583 --> 00:36:09,293
I'm so sorry, Gabe.
674
00:36:11,253 --> 00:36:14,006
What does this have to do with my son?
675
00:36:19,345 --> 00:36:21,847
Clue number one, if I were Jesus,
676
00:36:21,972 --> 00:36:25,601
curing this kid would be as easy as
turning water into wine.
677
00:36:25,726 --> 00:36:27,269
Demonic possession?
678
00:36:27,394 --> 00:36:29,438
Close, but no wafer.
679
00:36:29,563 --> 00:36:32,900
Clue number two,
rheumatology Rowan was almost right.
680
00:36:33,025 --> 00:36:35,527
It causes autoimmune symptoms.
681
00:36:35,652 --> 00:36:36,820
Leprosy?
682
00:36:36,945 --> 00:36:39,073
Yeah, that's real big
in the Jersey suburbs.
683
00:36:40,074 --> 00:36:41,617
It's leprosy.
684
00:36:41,742 --> 00:36:43,577
Run a fite stain. It'll be positive.
685
00:36:44,411 --> 00:36:47,206
Daddy hung out on the wrong kind of
Indian ashram.
686
00:36:47,331 --> 00:36:50,042
But it's obviously dormant in the dad.
How could the kid catch it?
687
00:36:50,167 --> 00:36:52,628
It's not dormant in the dad.
It's just slow.
688
00:36:52,753 --> 00:36:54,296
Damaged his ulnar nerves.
689
00:36:54,421 --> 00:36:59,885
Was misdiagnosed as carpal tunnel.
Never trust doctors. Run a fite stain.
690
00:37:00,344 --> 00:37:04,473
No wonder he got Anthrax. The leprosy
weakened his immune system.
691
00:37:04,598 --> 00:37:08,018
Vicious circle, the leprosy made him
vulnerable to the Anthrax,
692
00:37:08,143 --> 00:37:10,729
and the Anthrax treatment
put the leprosy in overdrive.
693
00:37:10,854 --> 00:37:13,273
But the antibiotics we gave him,
they cure leprosy.
694
00:37:13,399 --> 00:37:16,902
Yeah. That's where the trouble starts.
695
00:37:17,027 --> 00:37:21,115
The antibiotics hit the nerve strands.
They kill the leprosy bacteria,
696
00:37:21,240 --> 00:37:22,950
and the corpses
get tossed into the system.
697
00:37:23,075 --> 00:37:26,120
And as fascinating as our bodies are,
they're also stupid.
698
00:37:26,245 --> 00:37:30,332
They produce antibodies
to beat dead bacteria.
699
00:37:30,457 --> 00:37:32,960
And these aren't the polite antibodies.
700
00:37:33,085 --> 00:37:36,755
They're the ones that won't sit still,
kick during nap time.
701
00:37:36,880 --> 00:37:38,715
They attack his neural and fat cells,
702
00:37:38,841 --> 00:37:42,136
causing inflammation
and all the rest of his symptoms.
703
00:37:42,261 --> 00:37:44,555
So the cure's killing him.
704
00:37:44,680 --> 00:37:46,890
I want you to call down to carville,
Louisiana,
705
00:37:47,015 --> 00:37:49,935
home of the last leper colony
in the lower 48.
706
00:37:50,060 --> 00:37:51,770
Get them to send up some thalidomide.
707
00:37:51,895 --> 00:37:52,896
Thalidomide?
708
00:37:53,021 --> 00:37:55,250
House: 12-year-olds don't have sex,
right? So he can't be pregnant.
709
00:37:55,274 --> 00:37:56,900
Make the call.
710
00:38:01,321 --> 00:38:03,615
I need to speak to your boy.
711
00:38:16,253 --> 00:38:19,590
Why does everybody need to know
my business?
712
00:38:19,715 --> 00:38:22,176
People like talking about people.
713
00:38:22,301 --> 00:38:26,013
Makes us feel superior,
makes us feel in control,
714
00:38:26,138 --> 00:38:30,934
and sometimes, for some people,
knowing some things makes them care.
715
00:38:31,059 --> 00:38:34,688
I tell you my dad left,
my mum drank herself to death,
716
00:38:34,813 --> 00:38:37,774
- you gonna care about me more?
- Cameron would.
717
00:38:37,900 --> 00:38:39,985
Me, I just like knowing stuff.
718
00:38:43,030 --> 00:38:44,740
I know you hate your dad.
719
00:38:44,865 --> 00:38:46,092
Now, I'm gonna tell you something.
720
00:38:46,116 --> 00:38:48,243
I don't hate him.
721
00:38:48,994 --> 00:38:50,329
I loved him until I figured out
722
00:38:50,454 --> 00:38:53,624
that it hurts a lot less
to just not care.
723
00:38:54,416 --> 00:38:56,877
You don't expect him to turn up
to your football match,
724
00:38:57,002 --> 00:38:58,962
no disappointments.
725
00:38:59,087 --> 00:39:00,565
You don't expect a call
on your birthday,
726
00:39:00,589 --> 00:39:02,382
don't expect to see him for months,
727
00:39:02,508 --> 00:39:04,301
no disappointments.
728
00:39:05,802 --> 00:39:10,891
You want us to go make up, sink a few
beers together, nice family hug?
729
00:39:14,144 --> 00:39:17,314
I've given him enough hugs.
730
00:39:17,439 --> 00:39:19,566
He's given me enough disappointments.
731
00:39:23,987 --> 00:39:25,197
Okay.
732
00:39:28,742 --> 00:39:29,952
That's it?
733
00:39:30,869 --> 00:39:32,079
That's it.
734
00:39:56,228 --> 00:39:57,354
Chase: Breathe.
735
00:40:00,899 --> 00:40:02,234
Breathe again.
736
00:40:04,403 --> 00:40:05,988
Breathe again.
737
00:40:07,948 --> 00:40:10,242
Are you gonna have to tell my friends
I'm a leper?
738
00:40:10,367 --> 00:40:13,912
You had the antibiotics.
You're not contagious anymore.
739
00:40:15,038 --> 00:40:17,457
Well, what if they already caught it?
740
00:40:17,583 --> 00:40:21,920
Leprosy is incredibly hard to catch.
Even your mum didn't get it.
741
00:40:22,045 --> 00:40:24,381
Right. I want you to make a fist.
742
00:40:25,757 --> 00:40:27,968
It's still kinda stiff.
743
00:40:28,093 --> 00:40:30,178
It'll get back to normal
in a month or two.
744
00:40:30,304 --> 00:40:32,514
Your skin, two or three weeks.
745
00:40:32,639 --> 00:40:34,766
Woman on pa: Security 12, call...
746
00:40:35,434 --> 00:40:37,936
You haven't asked about your dad.
747
00:40:39,479 --> 00:40:41,565
He lied about everything.
748
00:40:42,441 --> 00:40:46,153
He lied to my mom. He lied to his boss.
749
00:40:47,321 --> 00:40:49,114
He's just a liar.
750
00:40:50,616 --> 00:40:52,075
He loves you.
751
00:40:54,036 --> 00:40:55,621
I don't love him.
752
00:40:58,123 --> 00:40:59,499
Yeah, you do.
753
00:41:05,797 --> 00:41:09,593
Nothing you can do about it.
He's your dad.
754
00:41:09,718 --> 00:41:13,096
It doesn't matter what he does.
You're gonna love him.
755
00:41:26,151 --> 00:41:28,195
Here. Thanks.
756
00:41:30,072 --> 00:41:31,156
Chase: Hey!
757
00:41:42,793 --> 00:41:44,336
When's your flight?
758
00:41:44,461 --> 00:41:45,754
You got time for a drink?
759
00:41:46,922 --> 00:41:48,215
Wish I did.
760
00:41:49,132 --> 00:41:50,550
Man: Dr. Chase?
761
00:42:00,644 --> 00:42:02,062
I got it.
762
00:42:05,607 --> 00:42:08,777
You're gonna be getting down to oz
any time soon?
763
00:42:10,362 --> 00:42:13,365
Not too long. Next Autumn, I hope.
764
00:42:14,616 --> 00:42:16,076
I'll call you.
765
00:42:19,454 --> 00:42:21,289
Well, you're all set.
766
00:42:30,424 --> 00:42:31,967
I'll see you.
767
00:42:32,175 --> 00:42:33,176
Yeah.
768
00:42:34,219 --> 00:42:35,846
I'll see you.
53372