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1
00:00:06,507 --> 00:00:09,635
All right, hold on.
I got the turn up here.
2
00:00:17,685 --> 00:00:20,354
0h! How cool was that?
3
00:00:20,479 --> 00:00:22,231
That was way cool!
4
00:00:26,652 --> 00:00:29,071
- My turn.
- Sorry, that's not allowed.
5
00:00:29,197 --> 00:00:30,990
I just signed
15 pages of forms saying
6
00:00:31,115 --> 00:00:34,202
- you gotta rideon the back.
- I don't see any lawyers around.
7
00:00:34,327 --> 00:00:36,287
- You know that's not the point.
- No.
8
00:00:36,412 --> 00:00:39,290
You just wanna keep
all the fun to yourself.
9
00:00:40,333 --> 00:00:41,709
Come on, dad!
10
00:00:42,835 --> 00:00:45,171
You go over 15, we're
pulling over, all right? I mean it.
11
00:00:45,296 --> 00:00:47,632
- You're the best.
- All right, get on there.
12
00:00:47,757 --> 00:00:49,842
- Put on your goggles.
- Okay.
13
00:00:50,760 --> 00:00:52,803
- Ready?
- Got the clutch in?
14
00:00:52,929 --> 00:00:54,931
All right, that's my boy.
15
00:01:08,694 --> 00:01:11,489
Adam, you're going too fast,
slow it down!
16
00:01:14,659 --> 00:01:17,662
I mean it, you're going
too fast. Slow down!
17
00:01:17,787 --> 00:01:19,080
Adam!
18
00:01:24,210 --> 00:01:25,336
Adam!
19
00:01:27,129 --> 00:01:29,006
Let go of the throttle!
20
00:01:33,302 --> 00:01:34,302
Adam!
21
00:01:34,679 --> 00:01:36,430
Adam! No!
22
00:02:11,799 --> 00:02:14,427
Paramedic: What've you got?
Sixteen-year-old, status post,
23
00:02:14,552 --> 00:02:16,345
atv crash,
40% burns on his body.
24
00:02:16,637 --> 00:02:17,888
Nasotracheal intubation.
25
00:02:18,014 --> 00:02:19,890
Start a bag of lactated
ringer's, wide open...
26
00:02:20,016 --> 00:02:22,016
- Will he be okay?
- We'll be with you when we can.
27
00:02:22,101 --> 00:02:23,561
Get him out!
28
00:02:23,769 --> 00:02:25,563
Wait, wait, wait!
29
00:02:25,855 --> 00:02:28,733
Nurse: I'll start fluids.
Let's go get him hooked up.
30
00:02:30,526 --> 00:02:31,986
Surgeon: Watch the line.
31
00:02:50,629 --> 00:02:53,674
- Been looking for you.
- Been avoiding you.
32
00:02:53,799 --> 00:02:54,884
Burn unit can handle it.
33
00:02:55,009 --> 00:02:58,679
If they could handle it,
they wouldn't be asking for you.
34
00:03:00,514 --> 00:03:02,641
- Is that a journal?
- Friend wrote an article.
35
00:03:02,767 --> 00:03:03,934
In hindi?
36
00:03:04,060 --> 00:03:07,313
They have a cutting-edge
neuroscience program in India.
37
00:03:07,438 --> 00:03:09,690
It says so right on the cover.
38
00:03:13,486 --> 00:03:15,654
Kid's heart rate's messed.
39
00:03:15,780 --> 00:03:17,948
Tachycardia
can be explained by the burn.
40
00:03:18,074 --> 00:03:20,576
I assume
the burn unit knew that.
41
00:03:22,745 --> 00:03:24,622
His potassium's low.
42
00:03:24,747 --> 00:03:26,624
Which can also be explained
by the burn.
43
00:03:26,749 --> 00:03:29,126
Except I'm sure the burn unit's
pumping him with fluids
44
00:03:29,251 --> 00:03:31,712
which means his potassium
should be going up, not down.
45
00:03:31,837 --> 00:03:33,506
Could be amphetamines.
46
00:03:33,631 --> 00:03:35,424
Or bacteria
lunching on his heart.
47
00:03:35,549 --> 00:03:38,677
Or cardiomyopathy,
or some other very bad thing.
48
00:03:38,803 --> 00:03:40,554
House: He needs an EKG.
49
00:03:47,520 --> 00:03:50,689
Okay, no skin, no EKG.
50
00:03:50,815 --> 00:03:53,067
Chase: Is he even
gonna survive the burn?
51
00:03:53,275 --> 00:03:55,444
What, you got
a date or something?
52
00:03:55,820 --> 00:03:58,030
Forty percent of his body.
53
00:03:58,155 --> 00:04:00,699
If the burns unit
can prevent an infection,
54
00:04:00,825 --> 00:04:02,701
his body will regenerate
maybe 10%,
55
00:04:02,827 --> 00:04:05,746
surgeons will do 20 or so grafts,
six months in this room,
56
00:04:05,871 --> 00:04:09,291
he'll end up with a series of nasty
scars, maybe some pain,
57
00:04:09,417 --> 00:04:10,626
but he'll live.
58
00:04:11,377 --> 00:04:12,628
Unless his heart shuts down
59
00:04:12,753 --> 00:04:17,466
'cause we can't figure out what's
causing the low potassium and tachycardia.
60
00:04:18,217 --> 00:04:21,554
We need help from a Belgian doc
named einthoven.
61
00:04:21,679 --> 00:04:22,972
He's dead.
62
00:04:23,097 --> 00:04:26,892
While he was alive, he invented a little
dittie called the galvanometer.
63
00:04:27,017 --> 00:04:28,060
Where do we get one?
64
00:04:28,185 --> 00:04:31,856
Go to any electronics store
that's been open since before 1905.
65
00:04:31,981 --> 00:04:35,776
There's a good chance they've got one
in a corner in the basement.
66
00:04:37,153 --> 00:04:39,697
Brenda: We need an audio-visual setup
for the lecture hall.
67
00:04:39,822 --> 00:04:41,699
- What for?
- For the lecture.
68
00:04:41,824 --> 00:04:44,160
- What iectu re?
- Dr. Weber's lecture.
69
00:04:44,452 --> 00:04:47,872
- Who is Dr. Weber?
- A neurologist, I think.
70
00:04:48,414 --> 00:04:50,291
The memo was from you.
71
00:04:56,714 --> 00:04:58,799
- Where is my assistant?
- She left.
72
00:04:58,924 --> 00:05:00,092
- When?
- Wednesday.
73
00:05:00,217 --> 00:05:02,636
- Seriously?
- Well, the temp agency sent someone,
74
00:05:02,761 --> 00:05:03,804
but she got lost.
75
00:05:03,929 --> 00:05:06,515
Well, when she gets here,
fire her.
76
00:05:27,036 --> 00:05:28,829
Oh, yeah.
77
00:05:28,954 --> 00:05:31,582
- Did you issue this memo?
- Look at that.
78
00:05:33,501 --> 00:05:34,877
Congratulations.
79
00:05:35,002 --> 00:05:37,189
The patient that has been in a
coma for two years and counting
80
00:05:37,213 --> 00:05:38,589
is still in a coma.
81
00:05:38,714 --> 00:05:40,049
This is not my signature.
82
00:05:40,174 --> 00:05:41,634
I don't know
anything about this guy.
83
00:05:41,759 --> 00:05:44,553
I'm supposed to introduce him?
Have lunch?
84
00:05:46,555 --> 00:05:49,391
- The coma patient has a migraine?
- Oh, no, no, no.
85
00:05:49,517 --> 00:05:51,644
No, I gave him medication
to prevent a migraine.
86
00:05:51,769 --> 00:05:53,312
That's a migraine.
87
00:05:53,437 --> 00:05:55,523
Increased flow velocity
in his cerebral arteries.
88
00:05:55,648 --> 00:05:58,442
I did subsequently give him
Nitroglycerin, which could possibly...
89
00:05:58,567 --> 00:06:02,530
You induced a migraine
headache in a coma patient?
90
00:06:02,655 --> 00:06:06,450
I gave him a little headache, similar
to the one you're giving me now.
91
00:06:06,575 --> 00:06:08,994
Have you even read
an ethical guideline?
92
00:06:09,119 --> 00:06:12,039
Well, it would be wrong to try out a
new migraine prevention medication
93
00:06:12,164 --> 00:06:14,416
on someone
who can actually feel pain.
94
00:06:14,542 --> 00:06:17,628
- Did you sign this?
- Yeah.
95
00:06:18,921 --> 00:06:22,383
We can talk later about
the appropriate discipline.
96
00:06:25,719 --> 00:06:26,879
Cameron: Because of the burn,
97
00:06:26,971 --> 00:06:29,515
we can't perform any of our
normal tests to see what's wrong.
98
00:06:29,640 --> 00:06:32,101
So we're going to try
a galvanometer.
99
00:06:32,685 --> 00:06:35,896
It picks up a pulse
in the wrists and the ankles.
100
00:06:36,313 --> 00:06:39,567
Hopefully it'll tell us why
his heart rhythm is abnormal.
101
00:06:39,692 --> 00:06:42,736
- What have I done to him? I...
- It was an accident.
102
00:06:43,612 --> 00:06:45,114
All right? So...
103
00:06:46,031 --> 00:06:47,449
He's got all these burns
104
00:06:47,575 --> 00:06:49,535
and now there's something
wrong with his heart?
105
00:06:49,660 --> 00:06:52,580
We're trying to figure out if the
two are somehow connected.
106
00:06:52,705 --> 00:06:55,666
- Had he been sick lately?
- No, nothing.
107
00:06:55,791 --> 00:06:57,293
Anything unusual
with his behavior?
108
00:06:57,418 --> 00:06:59,003
- Had he been tired a lot?
- Nothing.
109
00:06:59,128 --> 00:07:03,340
He was great, he was happy, he
was just having a great time, and then...
110
00:07:03,465 --> 00:07:06,969
If he was experimenting with
amphetamines or cocaine...
111
00:07:08,679 --> 00:07:11,599
We gave him some pot
about a year ago, to try...
112
00:07:11,724 --> 00:07:13,100
It was just once.
113
00:07:13,225 --> 00:07:15,644
We thought if we took the
mystery out of drugs and alcohol,
114
00:07:15,769 --> 00:07:17,146
the less he'd experiment.
115
00:07:17,271 --> 00:07:19,648
We'll know more after the tests.
116
00:07:21,525 --> 00:07:24,445
It looks like
they're gonna electrocute him.
117
00:07:25,696 --> 00:07:26,947
Plug it in.
118
00:07:28,574 --> 00:07:29,992
You plug it in.
119
00:07:30,701 --> 00:07:32,620
Fine. Give me the cord.
120
00:07:39,501 --> 00:07:40,544
Works.
121
00:07:43,088 --> 00:07:44,632
Prominent u waves.
122
00:07:44,757 --> 00:07:47,593
No inverted t wave. No ischemia.
123
00:07:47,718 --> 00:07:49,386
Q wave normal.
124
00:07:50,262 --> 00:07:51,805
That's not good.
125
00:07:55,684 --> 00:07:57,853
Okay, turn it off. Turn it off!
126
00:07:57,978 --> 00:07:59,855
- What's happening?
- What is that?
127
00:07:59,980 --> 00:08:01,315
Chase: The seizure's getting...
128
00:08:01,440 --> 00:08:03,108
Can't you stop that?
129
00:08:10,282 --> 00:08:11,950
Who electrocuted my patient?
130
00:08:12,076 --> 00:08:14,054
- He had a seizure.
- Cameron: He wasn't electrocuted.
131
00:08:14,078 --> 00:08:16,622
What does the seizure tell us?
Move.
132
00:08:16,747 --> 00:08:17,998
What are you looking for?
133
00:08:18,123 --> 00:08:21,794
Same as you are, love, acceptance,
solid return on an investment.
134
00:08:21,919 --> 00:08:23,379
Differential diagnosis. Go.
135
00:08:23,504 --> 00:08:25,339
Could be epilepsy
or seizure disorder.
136
00:08:25,464 --> 00:08:28,884
Not with the tachycardia. It
could be a virus in his brain.
137
00:08:29,009 --> 00:08:31,095
Your specificity's impressive.
138
00:08:31,220 --> 00:08:32,846
Ad renoleukodystrophy.
139
00:08:32,971 --> 00:08:34,056
Could be Ms.
140
00:08:34,181 --> 00:08:36,975
The seizures could be caused by
plaques and lesions on the brain.
141
00:08:37,101 --> 00:08:39,603
Well, let's find out which.
Get him an mri.
142
00:08:39,728 --> 00:08:41,397
No nuclear imaging!
143
00:08:43,107 --> 00:08:47,486
He wouldn't survive the move to
radiology. Mri and ct scan are both out.
144
00:08:47,611 --> 00:08:50,864
Okay, lumbar puncture will tell
us if his proteins are elevated,
145
00:08:50,989 --> 00:08:52,116
at least we can exclude Ms.
146
00:08:52,282 --> 00:08:54,243
We can't do
a lumbar puncture either.
147
00:08:56,078 --> 00:08:58,163
You're cramping my exits.
148
00:08:58,288 --> 00:09:00,040
Don't tell me,
no skin on his spine.
149
00:09:00,165 --> 00:09:03,127
We'd be inserting a needle into
an area that's teeming with bacteria.
150
00:09:03,252 --> 00:09:06,106
If he doesn't have a brain infection
already, we'd give him one for sure.
151
00:09:06,130 --> 00:09:08,757
There's no other way
to look at a brain.
152
00:09:09,591 --> 00:09:11,927
Transcranial doppler sonography.
153
00:09:12,052 --> 00:09:15,222
She said "brain",
not "pregnant woman's uterus."
154
00:09:15,347 --> 00:09:18,016
They do sound alike. I used
one to look at a brain this morning.
155
00:09:18,142 --> 00:09:20,686
Why didn't you take the patient
to radiology, get an mra?
156
00:09:20,811 --> 00:09:22,896
Obviously
I was doing something illegal.
157
00:09:23,021 --> 00:09:25,315
Using nuclear imaging
would have raised questions.
158
00:09:25,441 --> 00:09:28,152
You're not gonna get a
diagnosis of ms from a sonogram.
159
00:09:28,277 --> 00:09:30,320
Not definitively,
but patients with ms
160
00:09:30,446 --> 00:09:33,282
have more reactive neurons
in their occipital cortex.
161
00:09:37,286 --> 00:09:38,454
Okay then.
162
00:09:41,582 --> 00:09:44,501
Thank you for all coming
to today's lecture
163
00:09:44,626 --> 00:09:46,670
by Dr. Phillip weber,
164
00:09:47,212 --> 00:09:49,757
who is our guest today
at our hospital
165
00:09:49,882 --> 00:09:53,260
to talk about headaches.
166
00:09:54,428 --> 00:09:58,348
Dr. Weber is at the weber
center for pain, that makes sense.
167
00:09:58,599 --> 00:10:01,351
Weber, weber.
So please welcome Dr. Weber!
168
00:10:08,901 --> 00:10:11,987
Thank you Dr. Cuddy.
169
00:10:14,281 --> 00:10:17,910
I suppose I should tell you
a little bit more about myself.
170
00:10:18,619 --> 00:10:20,996
I went to school in Virginia.
171
00:10:21,997 --> 00:10:24,100
You've never been to one
of these things in your life.
172
00:10:24,124 --> 00:10:26,502
- Who is this guy?
- No idea.
173
00:10:27,920 --> 00:10:29,797
What's with the outfit?
174
00:10:30,339 --> 00:10:33,091
Sudden chills
and light sensitivity.
175
00:10:33,342 --> 00:10:34,927
Inexplicable.
176
00:10:35,719 --> 00:10:39,223
I received my medical degree
at Johns Hopkins university,
177
00:10:39,765 --> 00:10:42,684
where I studied under
brightman and gilmar...
178
00:10:42,810 --> 00:10:44,561
Hmm. He must be good.
179
00:10:44,686 --> 00:10:47,689
You went to Hopkins, and studied
under brightman and gilmar.
180
00:10:47,815 --> 00:10:49,274
Shh.
181
00:10:49,399 --> 00:10:52,611
Helped me win the Doyle
internship at the Mayo clinic.
182
00:10:52,736 --> 00:10:55,697
You were supposed
to get the Doyle internship.
183
00:10:58,242 --> 00:11:01,829
This guy's Von lieberman? The guy
who got you thrown out for cheating?
184
00:11:01,954 --> 00:11:05,582
The Dean threw me out. Von
lieberman just ratted on me.
185
00:11:05,707 --> 00:11:07,960
This guy's name is weber,
not Von lieberman.
186
00:11:08,085 --> 00:11:11,296
I call weber Von lieberman,
way eviler.
187
00:11:11,713 --> 00:11:12,714
Shh.
188
00:11:13,757 --> 00:11:17,886
1d receptors have improved
the acute treatment of migraines,
189
00:11:18,720 --> 00:11:20,430
to this point...
190
00:11:20,556 --> 00:11:21,974
So what's the plan?
191
00:11:22,099 --> 00:11:25,519
You gonna wait until he bends
over and make a fart sound?
192
00:11:25,811 --> 00:11:29,690
I'm not here about the past.
He's a bad scientist.
193
00:11:30,816 --> 00:11:33,735
Well, you cheated off him,
how bad can he be?
194
00:11:35,320 --> 00:11:37,281
He got the answer wrong.
195
00:11:44,997 --> 00:11:46,582
Doug: Are they trying
to wake him up?
196
00:11:46,707 --> 00:11:48,959
They can't do that, right?
He'll be in too much pain.
197
00:11:49,084 --> 00:11:51,420
Don't worry, he's still under.
198
00:11:51,545 --> 00:11:54,590
But the brain never completely
sleeps, it's always working.
199
00:11:54,715 --> 00:11:58,302
Controlling your heart rate,
breathing, temperature.
200
00:11:59,261 --> 00:12:01,388
The eyes
respond to visual stimuli.
201
00:12:01,513 --> 00:12:03,473
Blood flow increases
in certain areas of the brain
202
00:12:03,557 --> 00:12:06,143
and we can track that
with a sonogram.
203
00:12:06,268 --> 00:12:10,564
With ms, blood vessels are
more reactive, so flow is faster.
204
00:12:10,814 --> 00:12:12,900
If Adam has an infection,
205
00:12:13,108 --> 00:12:15,402
there'd be swelling, which
would constrict the arteries.
206
00:12:15,527 --> 00:12:17,779
And the flow would be slower.
207
00:12:17,905 --> 00:12:20,657
Chase.
Near the subarachnoid space.
208
00:12:27,039 --> 00:12:31,084
Weber: Data from control subjects
were analyzed of a two-way anova
209
00:12:31,209 --> 00:12:34,296
with status and side
as within-subject factors.
210
00:12:35,672 --> 00:12:39,301
You stalked this guy for 20 years
just for this shot to humiliate him?
211
00:12:39,426 --> 00:12:41,345
I'm trying to learn.
212
00:12:41,470 --> 00:12:43,847
Vessels without
significant rebound...
213
00:12:43,972 --> 00:12:46,516
He doesn't even know
what that means.
214
00:12:46,642 --> 00:12:48,185
You're gonna interrupt him,
aren't you?
215
00:12:48,310 --> 00:12:49,811
If I have a question.
216
00:12:49,937 --> 00:12:51,855
And what's that
gonna accomplish?
217
00:12:51,980 --> 00:12:55,651
Why can't you just enjoy this?
Why can't you just be happy for me?
218
00:12:55,776 --> 00:13:00,155
You have got to find less debilitating
outlets than humiliating people.
219
00:13:00,280 --> 00:13:03,617
I hear bowling is more fun
than stalking.
220
00:13:04,368 --> 00:13:05,744
But I'm better at this.
221
00:13:05,869 --> 00:13:08,413
If "p" is less than
point-zero...
222
00:13:08,538 --> 00:13:10,874
Blow a ton of money
on a plasma TV.
223
00:13:12,376 --> 00:13:14,419
We found a subarachnoid bleed.
224
00:13:15,837 --> 00:13:18,423
Bleed in the head
isn't causing seizures.
225
00:13:18,548 --> 00:13:21,635
It could be. 10% with damage
to cerebral cortex have a seizure.
226
00:13:21,760 --> 00:13:23,428
Or bacterial meningitis.
227
00:13:23,553 --> 00:13:25,657
- Viral encephalitis?
- There's no way to tell without...
228
00:13:25,681 --> 00:13:26,932
Shut up!
229
00:13:28,183 --> 00:13:29,434
Excuse me.
230
00:13:30,769 --> 00:13:32,104
Not you.
231
00:13:32,229 --> 00:13:35,774
You know, if my lecture is
interrupting your meeting, I can wait.
232
00:13:38,777 --> 00:13:41,780
As your people say in India.
Appreciate it.
233
00:13:41,905 --> 00:13:45,575
We'll figure out why later.
Fix the bleed or he dies.
234
00:13:45,701 --> 00:13:47,703
Talk to you in a couple hours.
235
00:14:01,675 --> 00:14:03,969
I'm in the subarachnoid space.
236
00:14:05,095 --> 00:14:07,180
- Can you get it?
- Think so.
237
00:14:09,641 --> 00:14:11,744
Put the probe back where
it was so I can see the wire!
238
00:14:11,768 --> 00:14:12,954
We're looking for the bleed
in...
239
00:14:12,978 --> 00:14:17,107
Look when I get there, I'm flying
blind without a contrast ct here!
240
00:14:26,158 --> 00:14:30,620
And with a p-value
of less than 0.001,
241
00:14:31,038 --> 00:14:35,250
we have strong statistical evidence that
this drug prevents migraine headaches
242
00:14:35,375 --> 00:14:37,794
without daily administration.
243
00:14:38,336 --> 00:14:40,047
Excuse me, doctor.
244
00:14:40,172 --> 00:14:41,715
He knows his field
better than you do.
245
00:14:41,840 --> 00:14:45,761
It's always been my understanding
that, unless you follow a daily regimen,
246
00:14:45,886 --> 00:14:47,888
no drug can prevent a migraine.
247
00:14:48,013 --> 00:14:49,848
That's why they call it
a breakthrough.
248
00:14:49,973 --> 00:14:52,184
That's why
you call it a breakthrough.
249
00:14:52,309 --> 00:14:55,395
No, the pharmaceutical company
sponsoring my clinical trials
250
00:14:55,520 --> 00:14:57,773
also hails it as a breakthrough.
251
00:14:57,898 --> 00:15:00,400
I'm sure your wife
and lawyer do, too.
252
00:15:01,777 --> 00:15:04,154
Is there anybody who doesn't
stand to make a fortune from it
253
00:15:04,279 --> 00:15:05,572
calling it a breakthrough?
254
00:15:05,697 --> 00:15:06,865
Who are you?
255
00:15:06,990 --> 00:15:09,326
Just a lunatic
who desperately needs a hobby.
256
00:15:09,451 --> 00:15:11,411
How exactly
do these studies work?
257
00:15:11,536 --> 00:15:13,413
Do you give this drug
to a bunch of people,
258
00:15:13,538 --> 00:15:17,292
and if they don't get a migraine,
you go, "voila, my drug works"?
259
00:15:17,417 --> 00:15:18,877
Excuse me, miss?
260
00:15:19,336 --> 00:15:21,046
Do you have cancer?
261
00:15:22,506 --> 00:15:25,467
Wow! Mango juice
prevents cancer.
262
00:15:26,051 --> 00:15:29,304
Perhaps I should have taken
my medication before this lecture.
263
00:15:31,264 --> 00:15:35,685
Weber: We had a very specific
control group, chronic migraine sufferers.
264
00:15:35,811 --> 00:15:37,971
I don't have time to go
through all the math right now,
265
00:15:38,063 --> 00:15:41,358
- but the incidence was dramatically...
- Sure, in India.
266
00:15:42,109 --> 00:15:44,694
Two plus two
equals five there, right?
267
00:15:45,695 --> 00:15:47,030
Do I know you?
268
00:15:47,155 --> 00:15:50,617
I know your math skills.
They blow.
269
00:15:51,326 --> 00:15:52,327
Touché.
270
00:15:52,452 --> 00:15:54,287
You sound very familiar.
271
00:15:54,412 --> 00:15:57,207
Why did you publish it in
an obscure journal in India?
272
00:15:57,332 --> 00:16:02,003
Why not publish it in really, really
cool head cases of south Philly?
273
00:16:02,129 --> 00:16:04,714
Neuroscience New Delhi
is a respected journal.
274
00:16:04,840 --> 00:16:08,385
Yeah. The guy running slurp n'
gulp tells me it's one of the best.
275
00:16:08,510 --> 00:16:10,387
Get a hooker, anything.
276
00:16:10,512 --> 00:16:14,224
See, I'm thinking that publishing
studies is probably the easiest way
277
00:16:14,349 --> 00:16:16,852
to get a pharmaceutical company
to give you a reach-around.
278
00:16:16,977 --> 00:16:20,063
And choosing ajournal that no
one can actually read, well, that's...
279
00:16:20,188 --> 00:16:21,398
That's shrewd.
280
00:16:21,523 --> 00:16:25,193
- I know I know you.
- Sure you do, dick.
281
00:16:25,527 --> 00:16:26,611
The name's Philip.
282
00:16:26,736 --> 00:16:29,823
My bad. Something to do
with your face.
283
00:16:29,948 --> 00:16:32,200
I always think
your name is dick.
284
00:16:32,325 --> 00:16:34,286
- House?
- Here.
285
00:16:36,204 --> 00:16:40,000
Medical school was 20 years
ago. Give it a rest. Grow up.
286
00:16:40,125 --> 00:16:44,796
Yeah. You were always the grown-up.
Do the responsible thing, tattletale!
287
00:16:45,380 --> 00:16:48,383
- You cheated!
- I cheated then, you're cheating now!
288
00:16:48,508 --> 00:16:49,342
Your drug doesn't work.
289
00:16:49,467 --> 00:16:53,013
Oh, yes, you would like to believe that
because it plays right into your fantasy...
290
00:16:53,138 --> 00:16:55,098
- I tested it.
- Oh, really?
291
00:16:55,265 --> 00:16:58,435
What are your parameters?
Where's your study?
292
00:17:00,812 --> 00:17:02,397
Room 2134.
293
00:17:02,772 --> 00:17:05,150
- One patient?
- The coma patient?
294
00:17:06,484 --> 00:17:08,278
You haven't changed a bit.
295
00:17:09,237 --> 00:17:13,074
You took shortcuts in med
school, you're taking shortcuts now.
296
00:17:13,325 --> 00:17:16,411
You cannot test this
on an abnormal brain.
297
00:17:16,536 --> 00:17:20,540
That's so close-minded. He's
not abnormal, he's special.
298
00:17:20,665 --> 00:17:24,169
Cerebral cortex
atrophies in coma patients.
299
00:17:26,046 --> 00:17:28,632
You need live, conscious people.
300
00:17:32,469 --> 00:17:34,763
You don't know everything,
house!
301
00:17:38,808 --> 00:17:41,478
Foreman: Something
that disrupts brain function.
302
00:17:41,811 --> 00:17:45,357
Plaques are perfect. Interrupt
neuronal communication.
303
00:17:45,482 --> 00:17:47,609
- Ms?
- No, ms is complicated.
304
00:17:47,734 --> 00:17:51,488
I think this is more basic. It's
just tachycardia and seizures.
305
00:17:51,613 --> 00:17:54,658
How much longer the burn unit
guys gonna keep him in that thing?
306
00:17:54,783 --> 00:17:57,619
Lecture's over, let's go.
House wants to...
307
00:18:00,497 --> 00:18:02,415
Adam's waking up.
308
00:18:02,666 --> 00:18:04,417
Get the anesthesiologist
in here now.
309
00:18:04,542 --> 00:18:05,877
Cameron: He's in pain.
310
00:18:07,379 --> 00:18:09,464
That's not pain.
311
00:18:10,131 --> 00:18:12,050
Need some help in here!
312
00:19:13,987 --> 00:19:15,697
Adam had an orgasm.
313
00:19:17,449 --> 00:19:20,452
What? You mean,
while he was sedated...
314
00:19:26,875 --> 00:19:28,460
What's wrong?
315
00:19:29,919 --> 00:19:31,880
I'm having a migraine.
316
00:19:32,380 --> 00:19:33,715
Are you okay?
317
00:19:35,091 --> 00:19:36,217
Yes.
318
00:19:37,927 --> 00:19:39,220
I was right.
319
00:19:51,399 --> 00:19:53,318
I'm gonna knock you out
for a couple of hours.
320
00:19:53,443 --> 00:19:55,403
No, I got work to do.
321
00:19:55,612 --> 00:19:58,406
Just give me sumatriptan
for the pain
322
00:19:58,531 --> 00:20:01,117
and verapamil
so it doesn't recur.
323
00:20:04,704 --> 00:20:08,458
I heard the patient had fun
in the hyperbaric chamber.
324
00:20:08,583 --> 00:20:09,459
Yeah.
325
00:20:09,584 --> 00:20:12,295
Gotta schedule me
some time in there.
326
00:20:14,881 --> 00:20:17,675
Weber's meds
aren't even legal in the U.S.
327
00:20:17,967 --> 00:20:19,677
It's legal in India.
328
00:20:21,221 --> 00:20:22,847
I was disoriented.
329
00:20:28,728 --> 00:20:30,939
Moving around is a bad idea.
330
00:20:31,398 --> 00:20:33,983
Hey, if you feel chest pain,
you need to let me know.
331
00:20:34,109 --> 00:20:36,986
Verapamil can cause
congestive heart failure.
332
00:20:37,153 --> 00:20:39,197
Nothing can hurt my heart.
333
00:20:42,325 --> 00:20:46,496
Hey, you're gonna feel some
dizziness. Definitely gonna be constipated.
334
00:20:51,209 --> 00:20:55,004
Differential diagnosis
for getting off.
335
00:20:55,755 --> 00:20:56,589
Is he gonna be okay?
336
00:20:56,714 --> 00:20:59,217
No. Something's seriously wrong
with him.
337
00:20:59,342 --> 00:21:03,847
Differential diagnosis
for ejaculation.
338
00:21:06,307 --> 00:21:07,851
Don't make me say it again.
339
00:21:07,976 --> 00:21:10,145
We're not stalling,
we just don't know.
340
00:21:10,270 --> 00:21:11,438
Then guess.
341
00:21:12,105 --> 00:21:14,858
- Could pain medication cause an orgasm?
- I wish.
342
00:21:14,983 --> 00:21:16,901
Maybe pain caused the orgasm.
343
00:21:17,026 --> 00:21:20,280
You get a tattoo, the brain releases
endorphins which create pleasure.
344
00:21:20,405 --> 00:21:23,074
Most people don't orgasm
from a needle prick.
345
00:21:23,199 --> 00:21:24,993
House: Well, chase has a point.
346
00:21:25,118 --> 00:21:28,705
The brain is like a huge
train station, if the switches...
347
00:21:32,083 --> 00:21:34,043
You're the neurologist,
talk for me.
348
00:21:34,169 --> 00:21:38,256
If sensory information got misinterpreted
by the medial forebrain bundle,
349
00:21:38,381 --> 00:21:41,259
it's possible for bad to feel
good, and good to feel bad.
350
00:21:41,384 --> 00:21:44,929
He's a lucky kid. Let's not
fix him until the burns heal.
351
00:21:45,054 --> 00:21:47,098
So what attacks
the medial forebrain bundle?
352
00:21:47,223 --> 00:21:49,267
Infective neuropathies,
vasculitic neuropathies...
353
00:21:49,392 --> 00:21:51,519
Krabbe's disease,
metachromatic ieukodystrophy.
354
00:21:51,644 --> 00:21:54,272
House: All very bad things.
355
00:21:54,397 --> 00:21:57,150
No way to look for any of them
in his condition.
356
00:21:57,275 --> 00:21:58,443
Could be an infection.
357
00:21:58,568 --> 00:22:00,168
I said infection
about eight seconds ago.
358
00:22:00,236 --> 00:22:02,238
You listed
some brain infections.
359
00:22:02,363 --> 00:22:06,951
But what if it's just a regular old
infection festering in the burned skin?
360
00:22:07,076 --> 00:22:09,454
Pus on his arm isn't causing
problems in the forebrain.
361
00:22:09,579 --> 00:22:13,249
He's on 20 different medications
to manage his pain, his heart,
362
00:22:13,374 --> 00:22:14,918
how often he urinates.
363
00:22:15,043 --> 00:22:17,545
His brain is like a waiter
that's got too many...
364
00:22:17,670 --> 00:22:20,298
Hey, hey. I do the metaphors.
365
00:22:22,342 --> 00:22:24,093
The brain is stressed.
366
00:22:24,219 --> 00:22:26,179
An infection elsewhere
could put it over the edge.
367
00:22:26,304 --> 00:22:29,390
So we just wait for his burns
to heal to see if you're right?
368
00:22:29,516 --> 00:22:32,810
If you're wrong, he doesn't
have that kind of time.
369
00:22:34,103 --> 00:22:35,813
Dominic larrey.
370
00:22:36,648 --> 00:22:38,691
He another dead doctor?
371
00:22:38,816 --> 00:22:41,361
He's Napoleon's
surgeon in chief.
372
00:22:41,486 --> 00:22:43,154
Cleaned a lot of battle wounds.
373
00:22:43,279 --> 00:22:44,489
By amputating legs.
374
00:22:44,614 --> 00:22:46,157
And with bugs.
375
00:22:51,120 --> 00:22:54,123
Cameron: Maggots are implanted
directly into Adam's burns.
376
00:22:55,166 --> 00:22:58,169
Maggots, they eat dead people,
I...
377
00:22:58,294 --> 00:23:01,589
Maggots eat dead flesh.
Only dead flesh.
378
00:23:02,257 --> 00:23:05,260
So they're perfectly suited
to clean wounds.
379
00:23:06,094 --> 00:23:09,305
They also kill the bacteria
that thrive in injured tissues.
380
00:23:47,260 --> 00:23:48,386
Dr. Jekyll, I presume.
381
00:23:48,511 --> 00:23:52,307
They found a half-eaten sheep in the zoo.
The police wanna ask you a few questions.
382
00:23:52,432 --> 00:23:53,891
I need something
to wash it down.
383
00:23:54,017 --> 00:23:56,060
Coffee? Bad idea.
384
00:23:56,185 --> 00:23:59,272
- You're better off with water!
- Coffee's closer.
385
00:24:01,232 --> 00:24:03,192
Foolproof plan, by the way.
386
00:24:03,318 --> 00:24:05,028
Either his meds would work,
387
00:24:05,153 --> 00:24:09,657
and you'd be in psychic pain
because Von evil is gonna be rich.
388
00:24:10,700 --> 00:24:14,329
Or they wouldn't, and you
get to be in agony all day.
389
00:24:15,496 --> 00:24:18,458
Perfect lose-lose situation.
Very you.
390
00:24:18,583 --> 00:24:21,336
- I had to prove...
- You've proved nothing.
391
00:24:23,963 --> 00:24:26,799
Right. This isn't a migraine.
392
00:24:27,550 --> 00:24:29,719
Yeah. "Dear new england
journal of medicine,
393
00:24:29,844 --> 00:24:32,430
I took this guy's drug
and still got a headache.
394
00:24:32,555 --> 00:24:36,351
Thus, scientifically proving
that my arch enemy is an idiot."
395
00:24:36,476 --> 00:24:37,602
You just wanted the pain.
396
00:24:37,727 --> 00:24:41,314
Meds are supposed
to prevent migraine.
397
00:24:41,439 --> 00:24:42,940
You get distracted by pain.
398
00:24:43,066 --> 00:24:45,735
Leaves less room for the things
you don't wanna think about.
399
00:24:45,860 --> 00:24:49,197
Like the flyers sucking,
or the price of gas,
400
00:24:49,364 --> 00:24:52,617
or the fact that you pushed the
love of your life out of your life.
401
00:24:52,742 --> 00:24:55,453
God, I wish the pain
would go away.
402
00:24:55,870 --> 00:24:58,710
Next time you need to get your
mind off her, stick a needle in your eye.
403
00:24:58,790 --> 00:25:02,585
It's less annoying to the rest
of us when you can still walk.
404
00:25:09,801 --> 00:25:11,469
Cameron: Did you sleep here?
405
00:25:15,390 --> 00:25:16,390
Lower.
406
00:25:17,266 --> 00:25:18,976
Do you want a pillow?
407
00:25:19,977 --> 00:25:21,562
Not softer, lower.
408
00:25:22,313 --> 00:25:24,816
Frequency of your voice
is grating.
409
00:25:24,941 --> 00:25:26,567
You should've been better
by now.
410
00:25:26,693 --> 00:25:28,319
I'm super.
411
00:25:28,569 --> 00:25:29,946
Patient?
412
00:25:30,363 --> 00:25:32,990
The maggots
did great for the burn.
413
00:25:33,408 --> 00:25:35,284
But the brain waves
are still all over the map.
414
00:25:35,410 --> 00:25:39,664
Which means your regular old infection
isn't causing his brain dysfunction.
415
00:25:39,789 --> 00:25:41,582
Which means there's
an underlying condition,
416
00:25:41,708 --> 00:25:44,335
which means we've
gotta get inside his head.
417
00:25:44,460 --> 00:25:46,421
Do a lumbar puncture.
418
00:25:46,546 --> 00:25:48,649
We've already established
that we can't get a lumbar...
419
00:25:48,673 --> 00:25:50,633
Cz, c3.
420
00:25:50,758 --> 00:25:52,719
No. No. No way.
421
00:25:53,469 --> 00:25:56,806
I only saw a cervical tap once,
and that guy got paralyzed.
422
00:25:56,931 --> 00:26:01,436
Ask the parents if they prefer to
have their son in a wheelchair or dead.
423
00:26:05,857 --> 00:26:08,735
Something's causing his brain
to lose control.
424
00:26:08,860 --> 00:26:10,695
Eventually it'll shut off.
425
00:26:10,820 --> 00:26:12,447
We need to do a lumbar puncture
426
00:26:12,572 --> 00:26:15,199
to get some of the fluid in
his spine so we can test it.
427
00:26:15,324 --> 00:26:17,243
You need us to sign a consent?
428
00:26:17,368 --> 00:26:19,245
I have to warn you.
429
00:26:19,370 --> 00:26:22,331
There's a serious risk
of paralysis or death.
430
00:26:23,249 --> 00:26:25,001
Are you saying
we shouldn't do this?
431
00:26:25,585 --> 00:26:26,878
You have to do this.
432
00:26:27,003 --> 00:26:28,803
Then why are you telling us
what can go wrong?
433
00:26:28,921 --> 00:26:31,081
- I just think you should know...
- Either you're cruel
434
00:26:31,132 --> 00:26:33,068
or this clipboard is a way
for you to cover your ass,
435
00:26:33,092 --> 00:26:34,862
- in case you cripple our son.
- This isn't his fault.
436
00:26:34,886 --> 00:26:37,930
No, it's not. It's yours, that's
what you keep telling me.
437
00:26:38,055 --> 00:26:39,557
My son is lying in there
half-dead,
438
00:26:39,682 --> 00:26:42,935
I am just trying to find a way
to get through this.
439
00:26:43,060 --> 00:26:45,188
- I'm sorry.
- Yeah, I know.
440
00:27:05,249 --> 00:27:06,250
Needle.
441
00:27:21,682 --> 00:27:24,310
- It's not going in.
- Don't force it.
442
00:27:24,602 --> 00:27:25,895
I'm going one space higher.
443
00:27:26,020 --> 00:27:29,232
It's too close to his
brain stem, it'll herniate.
444
00:27:29,357 --> 00:27:32,443
- You're gonna paralyze him.
- You're not helping.
445
00:27:32,652 --> 00:27:34,195
His blood pressure's spiking,
stop.
446
00:27:34,320 --> 00:27:35,363
I can get it.
447
00:27:35,488 --> 00:27:37,990
He's 180 over 120, he's gonna stroke.
448
00:27:39,575 --> 00:27:42,203
I'm in the space.
Give me the vial.
449
00:27:59,595 --> 00:28:02,223
He doesn't have ms
or an infection.
450
00:28:04,183 --> 00:28:06,394
His proteins aren't elevated?
451
00:28:06,519 --> 00:28:09,313
Wrong protein. Igm, not igg.
452
00:28:09,438 --> 00:28:12,275
Elevation was probably caused
by the bleed.
453
00:28:13,651 --> 00:28:17,697
What if there was tingling in
his extremities prior to the crash?
454
00:28:18,489 --> 00:28:21,826
- How can you still be on ms?
- I gotta be on something.
455
00:28:22,410 --> 00:28:26,455
Something's interrupting his
neurons' chitchat, like lesions.
456
00:28:26,581 --> 00:28:28,249
We can't scan for them.
457
00:28:28,374 --> 00:28:31,294
The only test we can do, we
just did and it was negative.
458
00:28:31,419 --> 00:28:33,462
He has no tingling, no numbness.
459
00:28:33,588 --> 00:28:36,132
And you read his history,
parents didn't say anything about...
460
00:28:36,257 --> 00:28:37,717
What about Adam?
461
00:28:39,176 --> 00:28:43,055
We can't look into his brain,
but you want us to read his mind?
462
00:28:43,973 --> 00:28:45,474
Good point.
463
00:28:54,692 --> 00:28:57,403
Yeah, you can finish
the sponge bath in a minute.
464
00:28:57,528 --> 00:29:00,698
They're just re-doing his
dressings. He's out, he's fine.
465
00:29:00,823 --> 00:29:04,660
I didn't page you to put him
out. I paged you to wake him up.
466
00:29:04,827 --> 00:29:07,288
Why are these lights
so damn bright?
467
00:29:07,872 --> 00:29:09,332
Thank you.
468
00:29:09,457 --> 00:29:11,417
Come on, I need to talk to him.
469
00:29:11,542 --> 00:29:14,128
House, you can't wake up a burn
victim to play twenty questions.
470
00:29:14,253 --> 00:29:16,172
- It's torture.
- He won't remember.
471
00:29:16,297 --> 00:29:18,841
- He's gonna be in extraordinary...
- God, you're good!
472
00:29:18,966 --> 00:29:20,676
You're putting me to sleep.
473
00:29:20,801 --> 00:29:24,221
I know he's gonna be in pain, I
know you disapprove. I'm his attending.
474
00:29:24,347 --> 00:29:25,806
Wake him up.
475
00:29:45,451 --> 00:29:46,786
Oh, my god!
476
00:29:46,911 --> 00:29:49,288
- I'm Dr. House.
- It hurts!
477
00:29:49,455 --> 00:29:51,415
It's gonna get a lot worse,
so answer fast.
478
00:29:51,540 --> 00:29:56,379
Before the accident, did you experience
any numbness or tingling in your fingers?
479
00:29:56,504 --> 00:29:58,839
You got burned, it's healing,
I need an answer.
480
00:29:58,965 --> 00:30:00,174
It really hurts!
481
00:30:00,299 --> 00:30:02,134
Any tingling
in your arms or legs?
482
00:30:02,259 --> 00:30:03,844
You gotta do something,
I can't...
483
00:30:03,970 --> 00:30:07,348
Adam, you gotta listen to me,
did you feel anything?
484
00:30:08,891 --> 00:30:13,354
I pissed in my pants
and then I don't remember...
485
00:30:52,727 --> 00:30:55,438
- Was he okay?
- Get everyone in my office.
486
00:30:56,564 --> 00:30:58,357
Where you going?
487
00:30:58,566 --> 00:31:02,528
Kid's screaming gave me a
headache. I gotta take an aspirin.
488
00:32:01,462 --> 00:32:04,757
House, you okay?
We've been waiting for you.
489
00:32:09,386 --> 00:32:11,222
I'm hallucinating.
490
00:32:14,433 --> 00:32:17,686
Hallucinations with migraines
are pretty uncommon.
491
00:32:18,395 --> 00:32:21,732
- What did you see?
- I saw music.
492
00:32:23,651 --> 00:32:26,195
Sensory deception
makes no sense.
493
00:32:30,574 --> 00:32:32,284
You took something.
494
00:32:32,952 --> 00:32:35,412
The kid's fighting for his life.
495
00:33:05,401 --> 00:33:06,735
Hey, you find him?
496
00:33:06,861 --> 00:33:08,946
He was hallucinating
in the locker room.
497
00:33:09,071 --> 00:33:10,281
He okay?
498
00:33:10,406 --> 00:33:12,116
He's feeling no pain, he's high.
499
00:33:12,241 --> 00:33:13,576
Vicodin high?
500
00:33:13,701 --> 00:33:16,162
Past that. He's seeing sounds.
501
00:33:16,495 --> 00:33:18,205
Took something.
502
00:33:21,041 --> 00:33:23,627
Why is it so dark in here?
It's a beautiful day outside.
503
00:33:23,752 --> 00:33:26,255
Open the shades,
let the sun shine in.
504
00:33:26,380 --> 00:33:28,048
It's nighttime.
505
00:33:29,842 --> 00:33:32,803
- It's still Tuesday, right?
- You look better.
506
00:33:33,262 --> 00:33:35,806
- I took something.
- Mind if I ask what?
507
00:33:37,308 --> 00:33:39,393
Little of this, little of that.
508
00:33:39,518 --> 00:33:41,478
I know
what's wrong with our patient.
509
00:33:41,604 --> 00:33:43,230
He's depressed.
510
00:33:43,355 --> 00:33:45,041
- He told you that when you woke him up?
- Nope.
511
00:33:45,065 --> 00:33:46,835
He told me he pissed his pants
and blacked out.
512
00:33:46,859 --> 00:33:50,070
That's not diagnostic of depression.
Lack of appetite, isolating yourself.
513
00:33:50,196 --> 00:33:53,324
Uncontrollable urination and blacking
out are good predictors of what?
514
00:33:53,449 --> 00:33:54,283
Seizure.
515
00:33:54,408 --> 00:33:56,869
Which means the seizure he had
when you tested his heart
516
00:33:56,994 --> 00:33:58,913
- was at least his second seizure.
- So what?
517
00:33:59,038 --> 00:34:00,678
Depression and seizures
aren't correlated.
518
00:34:00,706 --> 00:34:03,334
No, but you know what is?
519
00:34:03,459 --> 00:34:06,170
Depression
and anti-depression medicine.
520
00:34:06,295 --> 00:34:07,713
Tox screen was clean.
521
00:34:07,838 --> 00:34:10,049
Yeah, but you know how
much crap he's got in his system
522
00:34:10,174 --> 00:34:11,342
for dealing with those burns.
523
00:34:11,467 --> 00:34:14,228
The guy could have the Spanish
armada floating through his bloodstream
524
00:34:14,261 --> 00:34:16,972
and we wouldn't know about
it, till they started firing cannons.
525
00:34:17,097 --> 00:34:20,559
Antidepressants have been known to
cause seizures in kids, but not orgasms.
526
00:34:20,684 --> 00:34:21,764
This is a brain in trouble.
527
00:34:21,810 --> 00:34:24,855
This is a brain
with too much serotonin.
528
00:34:24,980 --> 00:34:28,692
Serotonin affects mood, appetite, it
doesn't cause the brain to shut down.
529
00:34:28,817 --> 00:34:31,946
Antidepressants fake brains into
thinking they have more serotonin
530
00:34:32,071 --> 00:34:33,197
than they actually do.
531
00:34:33,322 --> 00:34:37,201
Every ten million or so cases
sets off a chain reaction.
532
00:34:37,326 --> 00:34:39,828
Produces too much,
enough to fry itself.
533
00:34:39,954 --> 00:34:42,373
If Adam has serotonin storm,
it's deadly.
534
00:34:42,498 --> 00:34:44,500
But treatable. Cyproheptadine.
535
00:34:44,625 --> 00:34:46,293
Unless he doesn't have
serotonin storm.
536
00:34:46,418 --> 00:34:48,921
He could just as easily have
too much dopamine as serotonin,
537
00:34:49,046 --> 00:34:52,466
but if it's dopamine, the
cyproheptadine will kill him.
538
00:34:52,591 --> 00:34:53,425
Where are you going?
539
00:34:53,550 --> 00:34:55,511
Gonna talk to the kid again,
he seems nice.
540
00:34:55,636 --> 00:34:57,054
You can't.
541
00:34:57,304 --> 00:34:58,931
Why? Did he say
he doesn't like me?
542
00:34:59,056 --> 00:35:02,184
Anesthesiologist
told the parents what you did.
543
00:35:02,309 --> 00:35:04,353
Everyone's a tattletale.
544
00:35:10,651 --> 00:35:12,486
Is your son depressed?
545
00:35:14,196 --> 00:35:16,532
- No. Who are you?
- I'm Dr. House.
546
00:35:16,657 --> 00:35:18,017
Oh, you're the idiot
who thought...
547
00:35:18,075 --> 00:35:19,886
I heard him screaming
all the way down the hallway.
548
00:35:19,910 --> 00:35:22,710
If I didn't wake him up, I wouldn't
have learned what caused the crash.
549
00:35:22,830 --> 00:35:24,331
He had a seizure.
550
00:35:27,793 --> 00:35:29,586
This wasn't my fault?
551
00:35:30,504 --> 00:35:33,716
Well, if he hadn't had the brain
problem, he wouldn't have the burns.
552
00:35:33,841 --> 00:35:35,926
On the other hand, if you
hadn't put him on the atv,
553
00:35:36,051 --> 00:35:37,331
he also wouldn't have the burns.
554
00:35:37,428 --> 00:35:39,447
You can debate your personal
responsibility after I leave.
555
00:35:39,471 --> 00:35:41,056
I need to wake him up again.
556
00:35:41,181 --> 00:35:42,981
I need to know if
he's taking antidepressants.
557
00:35:43,058 --> 00:35:44,101
He's not.
558
00:35:45,144 --> 00:35:48,814
- He's the happiest kid I know.
- But you don't know, do you?
559
00:35:51,025 --> 00:35:52,276
He's my son.
560
00:35:52,985 --> 00:35:54,570
That's sort of my point.
561
00:35:54,695 --> 00:35:58,157
At 16, they'll tell anyone
anything, except their parents.
562
00:35:58,282 --> 00:35:59,867
Adam talks to us
about everything.
563
00:35:59,992 --> 00:36:02,036
Yeah, I know
about the pot and the cocaine.
564
00:36:02,161 --> 00:36:04,038
There was never... cocaine.
What...
565
00:36:04,163 --> 00:36:07,249
Are you sure?
Are you having him followed?
566
00:36:07,374 --> 00:36:09,835
He told us
when he got drunk at a party.
567
00:36:09,960 --> 00:36:11,712
He told us
when he started having sex.
568
00:36:11,837 --> 00:36:13,422
At 16? Way to go.
569
00:36:13,547 --> 00:36:15,187
He told us when he
cheated on a math test.
570
00:36:15,299 --> 00:36:17,551
He told us when his
girlfriend cheated on him.
571
00:36:17,676 --> 00:36:20,596
- He doesn't hide anything from us.
- But if he was depressed?
572
00:36:20,721 --> 00:36:21,764
He'd tell us.
573
00:36:22,222 --> 00:36:25,017
We don't judge, he's not
depressed, we're sure.
574
00:36:25,142 --> 00:36:27,269
"Bet his life on it" sure?
575
00:36:29,104 --> 00:36:30,856
Just hypothetically.
576
00:36:32,316 --> 00:36:33,442
Yeah.
577
00:36:37,112 --> 00:36:38,112
Okay.
578
00:36:41,033 --> 00:36:42,326
Kid's happy.
579
00:36:43,243 --> 00:36:45,287
Happy, happy, happy-
580
00:36:45,662 --> 00:36:49,166
then we're back to where
we started. Seizure disorders.
581
00:36:49,291 --> 00:36:52,127
Seizure disorders
aren't causing orgasms.
582
00:36:52,252 --> 00:36:53,754
Vascular malformations?
583
00:36:53,879 --> 00:36:55,923
Would've seen it
on the sonogram.
584
00:36:56,048 --> 00:36:58,092
Hepatic encephalopathy?
585
00:36:58,217 --> 00:37:00,302
Liver enzyme tests were normal.
586
00:37:06,266 --> 00:37:08,852
- Where are you going?
- Take a leak.
587
00:37:16,944 --> 00:37:18,112
What are you doing?
588
00:37:18,237 --> 00:37:20,197
You can't come in here,
you're not sterile.
589
00:37:20,322 --> 00:37:21,633
Don't touch our son,
we told you...
590
00:37:21,657 --> 00:37:24,118
Seriously, millions of
bacteria, microbes on you.
591
00:37:24,243 --> 00:37:27,121
He'll die of sepsis.
If you go in there...
592
00:37:31,166 --> 00:37:32,626
I think
he's gonna wake him up again.
593
00:37:32,751 --> 00:37:34,169
I know he is.
594
00:37:36,130 --> 00:37:37,881
House, you can't do this.
595
00:37:38,006 --> 00:37:42,136
Oh, if I had a nickel for every
time I've heard that. Relax.
596
00:37:42,261 --> 00:37:45,764
Are they gonna sue us?
If I'm right, I save his life.
597
00:37:45,889 --> 00:37:48,809
If I'm wrong,
he's dead no matter what I do.
598
00:37:49,226 --> 00:37:52,187
Either way, how much
have I really hurt them?
599
00:37:52,312 --> 00:37:53,355
Leave him alone!
600
00:37:53,480 --> 00:37:55,941
You're not sterile.
Do you wanna kill the kid?
601
00:37:56,066 --> 00:37:57,985
- Give me the syringe.
- No pain, no gain.
602
00:37:58,110 --> 00:38:00,070
Hey, you gotta stop this.
603
00:38:04,116 --> 00:38:05,701
They're right.
604
00:38:06,535 --> 00:38:09,204
- He's not depressed.
- Foreman: Yeah, sure.
605
00:38:09,329 --> 00:38:12,082
I'm not letting you go
till you give me that syringe.
606
00:38:12,207 --> 00:38:14,168
What's that on his wrist?
607
00:38:15,252 --> 00:38:16,295
A burn.
608
00:38:16,420 --> 00:38:18,797
- Why on his wrist?
- Why not on his wrist?
609
00:38:18,922 --> 00:38:22,759
His back, his torso, everything's
a mess. His forearms are clean.
610
00:38:22,885 --> 00:38:25,095
- Except right there.
- So what?
611
00:38:26,388 --> 00:38:27,848
It's a perfect circle.
612
00:38:27,973 --> 00:38:32,060
So a drop of burning gasoline fell
on his wrist, a screw from the atv.
613
00:38:32,978 --> 00:38:34,188
Maybe.
614
00:38:44,281 --> 00:38:47,159
- Why are you torturing him?
- Does your son smoke?
615
00:38:48,285 --> 00:38:49,870
I'd kill him.
616
00:38:51,872 --> 00:38:56,084
So, he can talk to you about sex,
crack, anything except cigarettes.
617
00:38:57,377 --> 00:39:00,130
He has a cigarette burn
on his wrist.
618
00:39:00,631 --> 00:39:03,967
Also a fading nicotine stain
between two fingers.
619
00:39:04,718 --> 00:39:07,971
Bad news, your son has
a filthy, unhealthy habit.
620
00:39:08,096 --> 00:39:10,265
Good news, he's trying to quit.
621
00:39:10,390 --> 00:39:12,518
Bad news,
the quitting's killing him.
622
00:39:12,643 --> 00:39:15,354
Good news,
I can cure him. Bad news...
623
00:39:16,939 --> 00:39:21,318
- Nope, that's the end of it.
- Quitting smoking can kill?
624
00:39:21,443 --> 00:39:23,445
No-smoke meds
are antidepressants.
625
00:39:23,570 --> 00:39:25,614
The crappy ones
you get over the Internet
626
00:39:25,739 --> 00:39:28,450
are loaded with whatever
antidepressants they can get cheap.
627
00:39:28,575 --> 00:39:32,913
And since mommy and daddy obviously
didn't take him to a pediatrician...
628
00:39:35,123 --> 00:39:38,335
Sorry, I was wrong
about him being depressed.
629
00:39:38,835 --> 00:39:40,254
Treat him.
630
00:39:58,313 --> 00:39:59,356
Cuddy: Hey!
631
00:40:00,482 --> 00:40:02,693
Did you drop acid?
632
00:40:04,319 --> 00:40:07,155
- Why would I do that?
- To annoy me.
633
00:40:07,322 --> 00:40:09,783
Or maybe because
you're miserable,
634
00:40:09,908 --> 00:40:13,245
or because
you want to self-destruct.
635
00:40:13,412 --> 00:40:14,788
Pick one.
636
00:40:15,372 --> 00:40:19,334
How about because LSD acts
on serotonin receptors in the brain,
637
00:40:19,459 --> 00:40:22,170
which can stop
a migraine in its tracks.
638
00:40:22,588 --> 00:40:25,173
I'm just saying
that's also a possibility.
639
00:40:25,299 --> 00:40:28,552
- How did you know about it?
- Cameron is worried about you.
640
00:40:28,677 --> 00:40:32,514
I told her that LSD lasts up to 12 hours,
if you were functional, she must be wrong.
641
00:40:32,639 --> 00:40:35,392
Either that or I also took a
whole bunch of antidepressants,
642
00:40:35,517 --> 00:40:37,603
which short-circuited the LSD.
643
00:40:37,728 --> 00:40:39,479
I'm just saying
that would also explain it.
644
00:40:39,605 --> 00:40:41,940
Thank you for ruining
my clinical trials.
645
00:40:42,065 --> 00:40:44,026
Pharmaceutical company's
shutting me down.
646
00:40:44,151 --> 00:40:46,403
- You're kidding. Really?
- How could that surprise you?
647
00:40:46,528 --> 00:40:47,528
You sent them an email
648
00:40:47,613 --> 00:40:50,282
complaining about my math,
telling them about your stunt.
649
00:40:50,407 --> 00:40:52,367
I didn't know
people actually read emails.
650
00:40:52,492 --> 00:40:54,052
Delete button's
so conveniently located.
651
00:40:54,161 --> 00:40:56,913
So what's next?
You gonna follow me my whole life?
652
00:40:57,039 --> 00:40:58,749
- Torture me?
- Why would I do that?
653
00:40:58,874 --> 00:41:02,961
You waited 20 years to do this.
What's next? Break up my marriage?
654
00:41:03,837 --> 00:41:07,174
- No. We're even.
- Right.
655
00:41:09,301 --> 00:41:11,303
Oh, thanks for setting me up.
656
00:41:15,182 --> 00:41:18,393
Eye for an eye,
LSD and antidepressants.
657
00:41:19,394 --> 00:41:21,188
Everything in balance.
658
00:41:21,313 --> 00:41:24,358
Buddhists call it Karma.
Christians call it the golden rule.
659
00:41:24,483 --> 00:41:25,942
Jews call it...
660
00:41:27,986 --> 00:41:31,323
I don't know, rabbi hillel
said something poignant.
661
00:41:32,532 --> 00:41:35,077
Universe
always settles the score.
662
00:41:35,744 --> 00:41:38,330
- Does it?
- No.
663
00:41:40,207 --> 00:41:41,625
But it should.
664
00:41:49,257 --> 00:41:53,261
Do you think you'll ever be able
to look at him and not blame me?
665
00:41:54,137 --> 00:41:57,182
Yeah. Will you?
666
00:42:49,234 --> 00:42:50,402
Paula: I'm Paula.
667
00:42:50,736 --> 00:42:53,238
- Hey, Paula.
- How you doing?
668
00:42:54,906 --> 00:42:57,951
You work over at the college,
or are you full-time over at the...
669
00:42:58,076 --> 00:43:00,370
I'm looking for a distraction.
670
00:43:01,079 --> 00:43:03,957
You don't need to talk
to do that, do you?
50334