All language subtitles for House.S01E02.WEBRip.x264-ION10

[crowd cheering]

Ball back right!
Ball back right!

Ball right!

Yeah, Dan!

Yeah!
Yeah!

[ominous music]

Left side, left side,
left side!

[crowd cheering]

That's it!

[ominous music]

Hyuh!

Uhh!

You okay?

Dan?
Dan, talk to me.

Dan! Dan.

Get a doctor!

Hey--
Close the door.

Close the door.

Is Cuddy down the hall,
counting to fifty?

She knows I'm in here
in the clinic,

as she commanded.

She just doesn't
know I'm alone.

Well, you've got
a full waiting room.

How long do you think
you can ignore them?

I'm off at four.

You're doing this
to avoid five minutes

of work?

If I to out there,

I get assigned a kid
with a runny nose.

That's 30 seconds
looking at the nose

and 25 minutes talking
to a worried mom

who won't leave
until she's sure

it's not
meningitis or a tumor.

Yes, concerned parents
can be so annoying.

Just tell Cuddy
you've got an urgent case.

You had to leave early.

That would be lying.

And that
would be wrong.

But luckily, the definition
of urgent is fungible.

Not the definition
of "case," though.

You have no cases?

You have no cases?

You've got
hand-picked doctors,

specialists,
working for you,

and they're sitting
on their hands?

Cameron's answering my mail.

Time well-spent, I'm sure.

Foreman and Chase?

Research?

Nine letters.
Iodine deficiency in children.

Cretinism.

So 4:03 p.m.
Dr. House checks out.

Please write that down.

Dr. House.

Sorry,
done for the day.

Plenty of docs here
to take care of you.

But we had an appointment.

Ha, nice try.
This is a walk-in clinic.

Which means
there are no appointments.

You walk in,
sign the chart,

and a doctor
will see you.

Just not me.

Your letter says
that we'd see you.

Not a big
letter writer.

Here.

When did my signature
get so girly?

I can explain.

See that "G"?

See how it makes
a big loop on top?

It doesn't even
look like my handwriting.

Think I have something?

What's
the differential diagnosis

for writing Gs like
a junior high school girl?

It's impossible to get to you
through normal channels.

They have called--

Perseverance
does not equal worthiness.

Next time you want
to get my attention,

wear something fun.

Low-rider jeans are hot.

16-year-old male.

Sudden onset of double vision
and night terrors

with no apparent cause.

Kid's been to
two neurologists--
Night terrors?

As in big,
scary monsters?

Yes.

Where are you going?

To see the family.

You're going
to examine a patient?

Nine times out of ten,

there's no reason
to talk to a patient,

but night terrors
in a 16-year-old

is a very good reason
to talk to this family.

Good work.

Margins are fine.

No lesions.

Color is good.

How long have you been
having night terrors?

Three weeks.

He's afraid
to go to bed.

He's exhausted.
He can barely function.

What does that tell you?

Nothing.

Just fun
watching him blink.

Name as many animals
as you can

that begin
with the letter "B."

Go.

Baby elephant?

Baby elephant
is actually a good answer.

"B" is a bear
of a letter.

What does that
tell you?

It proves two things.
No neurological damage.

And your son is never
gonna be chief fry cook.

In teens, there are
two likely causes

of night terrors.

Post-traumatic stress.

Any recent shoot-outs
at your high school?
No.

Well, then, Dave--
Dan.

If there's no trauma,
the other cause is...

sexual abuse.

So who's molesting you?

Teacher?
Extra-friendly neighbor?

I'd ask if either of you
were involved,

but you'd deny it.

No, we would never
do anything to hurt Dan.

I say it here,
it comes out there.

This lack of response
is consistent with abuse.

There's no one, okay?
I swear.

There was trauma.

I got hit in the head
during a lacrosse game.

Did you know that
he got hit in the head?

They didn't mention it.

Yeah.
Why bother?

No, no, we took him
to the ER after the game.

He was scanned,
they tested him.

They said he was fine.

No concussion.
It's gotta be something else.

You hound me
for my opinion

and then you question
my diagnosis.

Cool.

ER obviously screwed up.
Kid's got a concussion.

I had double vision
before I was hit.

Well,
that changes everything.

You need glasses.

That's why you had
double vision,

which is why
you got hit,

which is why
you have a concussion,

which is why
you have night terrors.

You need to see an
opthalmologist, which I am not.

You enjoyed that.

I brought a reasonable case
to your attention,

and you shoved it
in my face

just to humiliate me.

You're an only child,
aren't you?

Why would you say that?

Because everything
is about you.

This may seem
incredibly controversial,

but I think sexual abuse
is bad.

I just wanted to make sure

he wasn't being diddled
by daddy...or mommy.

Anything else is
just a bonus.

I'm not an only child.

Interesting.

What?

Don't move.

Did I bore you in there?

What?
Uh, no, not really.

Are you tired?

Sometimes.

He never sleeps.
Of course he's tired.

Right now, at this moment,
are you tired?

No, no.

That twitch in your leg.

Did you feel that?

Didn't hurt.

His leg twitched.
I don't see what--

It's called a myoclonic jerk.

It's very common
when you're falling asleep.

Respiration rate falls,

and the brain
sometimes interprets this

as the body dying,

so it sends a pulse
to wake it up.

So?

So he's not asleep.

He's awake.

Admit him.

I recognize
that loopy "G."

So, what does
the jerk tell us?

Nothing good.

The brain's losing control
of the body.

Can't order the eyes
to focus,

regulate sleep patters,
or control muscles.

A movement disorder

or a degenerative
brain disease.

Either way, this kid's gonna be
picking up his diploma

in diapers
and a wheelchair.

Maybe not that bad.

Could be an infection.
You wish.

No fever, no white count.

Anyone think
this differential diagnosis

might be compromised

because we don't have
an accurate family history?

I took an accurate
family history.

You didn't even take
an accurate family.

His father's
not his father.

Why would you say that?

30% of all dads out there

don't realize they're
raising someone else's kid.

From what I've read,
false paternity's more like 10%.

That's what our moms
would like us to believe.

If he got it from his parents,
they'd both be dead by now.

Can we get on with
the differential diagnosis?

50 bucks says I'm right.

I'll take your money.

Hit a nerve?
Don't worry, Foreman.

I'm sure the guy who tucked you
in at night was your daddy.

Make it 100.

What about
Leukoencephalopathy?

In a sixteen-year-old.

It doesn't necessarily
have to be that bad.

If we exclude
the night terrors,

it could be
something systemic.

His liver, kidneys,
something outside the brain.

Yes...

Feel free
to exclude any symptom

if it makes your job easier.

The night terrors
were anecdotal.

He could have had a bad dream.

No, parents said he was
conscious during the event

and didn't remember
anything afterwards.

That's a night terror.

Parents said?

(House)
Good point.

Before we
condemn this kid,

maybe we should entertain
Dr. Chase's skepticism.

I want a detailed
polysomnograph.

If he's having night terrors,
I want to see them.

I usually don't move
during night terrors.

I'm not restraining you
for them.

EEG revealed abnormalities
in your brain

caused nerve damage
in your toes.

[whimpering]
What are you doing?

Fixing it.

Can I talk
to my parents?

Oh, they know
all about this.

I'd really
like to see them.

[crying]
Please...

I'd really like them here.

This is gonna hurt, Dan.

Oh...Oh, God.

[crunching]

God!

[crunching]

Aaaaah!

That's a night terror.

(Foreman)
We did a CT, MRI,

CBC, Chem 7,
and a chest X-ray.

All the tests
came back normal.

There's nothing
to explain his symptoms.

Okay, but let's pretend
there's something

and go from there.

Who sees something
on this MRI?

No lesions
in the white matter.

No structural
abnormalities.

No space-occupying tumors.

He's sixteen,

so we should have
an absolutely pristine brain.

The smallest thing
is abnormal.

Meningeal enhancement.

My bet
is viral meningitis.

Excellent!

You see what
he did there?

Took a small clue that there's
a neurological problem,

and wasn't afraid
to run with it.

There's no evidence
of meningitis on that MRI.

No, there's not.
He's completely wrong.

Then what clue
are you talking about?

He knew that I saw something
on the MRI,

so he figured there must
be something there

and took a guess.

Clever...but also pathetic.

So what did you find?

Take a close look
at the corpus callosum.

Looks okay.

Are we all looking
at the same thing?

200 million interhemispheric
nerve fibers.

The George Washington Bridge

between the left and right
side of the brain.

It's subtle.

There's some bowing.

There...
an upward arch.

Are you guessing?

Yes.

Too bad.
You're right.

He probably just moved.

Nobody stays perfectly still
for their entire MRI.

Yeah,
probably got restless

and shifted one hemisphere
of his brain

to a more comfortable
position.

Something
is pushing on it.

If there was bowing,
could be a tumor.

Do you see a tumor
on this MRI?

No, but I don't see
any bowing, either.

There's no tumor.

Just a blockage
causing the pressure

causing symptoms.

Today, night terrors.

Tomorrow...
bleeding out of his eyes.

Get him a radionucleotide
cisternogram.

I guarantee
you'll see a blockage.

[Dan groaning faintly]

Unh!
Okay.

[groaning]

Easy, easy.
It's okay.

[Dan groaning]

Now I'm injecting material
that's tagged

with a radioisotope.

It's going to enter your spine,

and travel up to your brain.

It'll make you able
to think deep thoughts

at 100 miles an hour.

[grunts]

Easy.

Their eyes aren't
the same color,

but that fleck
in the eyes...

That's maybe
a one-in-ten chance

if they're not related.

No, House isn't gonna
pay you based on that.

[chuckles]

Any excuse
we can give the folks

to justify a DNA test?

We can tell them
he's got Huntington's.

Whole family
should be tested

or they'll all die.

Hey.

There's a lot of blockage.

I've scheduled him
for surgery.

We're gonna put a shunt
into one of the ventricles

to give the cerebrospinal
fluid an out.

No more pressure,
everything goes back to normal.

He's lucky to have you
as his doctors.

No formula, just mommy's
healthy, natural breast milk.

Yummy.

Her whole face just got swollen
like this overnight.

Mm-hmm.

No fever.

Glands normal.

Missing her
vaccination dates.

We're not vaccinating.

Gribbit!

Gribbit!

Gribbit!
[giggles]

Think they don't work?

I think some multinational
pharmaceutical company

wants me to think
they work.

Pad their bottom line.

Hmm.

May I?

Sure.

Gribbet.

Gribbet.

Gribbet.

All natural, no dyes.

This is a good business.
All natural children's toys.

The toy companies, they don't
arbitrarily mark up their frogs.

They don't lie about
how much they spend

on research
and development.

The worst the toy company
could be accused of

is making
a really boring frog.

Gribbet,
gribbet, gribbet.

You know another
really good business?

Teeny, tiny baby coffins.

You can get them
in frog green,

fire engine red.

Really.

The antibodies

in yummy mummy

only protect the kids
for six months.

Which is why these companies
think they can gouge you.

They think that you'll
spend whatever they ask

to keep your kid alive.

Wanna change things,
prove 'em wrong.

A few hundred
parents like you

decide they'd rather
let their kid die

than cough up
40 bucks for a vaccination,

believe me, prices will drop
really fast.

Gribbet, gribbet,
gribbet, gribbet, gribbet.

Gribbet.

Tell me what she has.

A cold.

There's a problem.

(House)
Complications in surgery?

(Foreman)
Surgery went fine.
He's in recovery.

But we took a vial
of CSF and tested it.

Really?

Turns out the bowing wasn't
the cause of his problems.

It was a symptom.

Oligoclonal bands and
increased intrathecal IgG.

Which means
multiple sclerosis.

And the reason it takes
three of you to tell me this?

Because we're having
a disagreement

about whether or not
it is MS.

No lesions on the MRI.

It's early.

He's had the disease
maybe three weeks.

McDonald Criteria
requires six months

to make a definitive
diagnosis.

Oh, who cares
about MacPhearson?

I hear he tortured kittens.

McDonald.
Oh, McDonald.

Wonderful doctor,
loved kittens.

VEP indicates
slowing of the brain.

Without the lesions,
we can't be sure.

Well, if it is,
it's gone from zero to sixty

in three weeks,
which would indicate

rapidly progressive MS.

Not the fun MS with the balloons
and the bike rides

with cripples
in wheelchairs.

We should wait until--

If we start treating him now,

maybe he can walk
for another couple of years,

maybe live
for another five.

Break it to the family.
I'm going home.

(Chase)
It'll take months
for a definitive diagnosis.

What'll happen to me?

MS is an incredibly
variable disease,

if it's MS,
and we're not 100% sure.

What do you think
is gonna happen?

There are some medications
to manage the symptoms,

but as the disease
progresses,

the problems will
become more severe.

Bowel and bladder
dysfunction,

loss of cognitive function,
pain.

It's gonna hurt?

The brain's like
a big jumble of wires.

MS strips them of their
insulation, and the nerves die.

The brain interprets it
as pain.

But by starting treatment,

we're gonna prevent that
for as long as possible.

We're looking into
a couple of specialists,

and until we get you
squared away,

you'll stay here.

Okay?

Security
checked the videotapes

from all perimeter cameras.

He's still gotta be
in the hospital.

Where's Chase?

Main floor.

Okay, you take the cafeteria
and administration.

I'll hit the research annex
and work my way back to you.

[telephone rings]

[sports talk show
on television]

[ring]

[ring]

Dan.

[ringing]

(House on answering machine)
I'm not there, leave a message.

(Foreman)
Dr. House, sorry,
it's an emergency.

You've got to come back
to the hospital.

Great outfit.

What are you
doing back here?

Patient?

No, hooker.

Went to my office
instead of my home.

Dr. House.

Dan's missing.

Yeah, I got that part
from the message.

You said I was
needed immediately.

He shouldn't move
after a lumbar puncture.

I agree, he's gonna have
a very nasty headache.

That would also be my opinion
if consulted tomorrow morning.

We wanted
to keep you informed.

He heard some
pretty heavy news.

This is not a toddler

wandering around
a department store.

He's sixteen.

You'll find him.

I'm going home.

So when you say, "Call me
if you need anything,"

you mean,
"Don't call me"?

No, I mean call me
if I could do something.

I'm bad at search parties,

and I'm bad at sitting around
looking nervous,

doing nothing.

What about his parents?

Should we call them?

Why, do you think
they're hiding him?

Make sure someone
checks the roof.

Some of the orderlies
keep the door propped open

so they can
grab a smoke.

Dan, you okay?

There are experimental
treatments.

Ongoing research.

Who knows what they'll
discover in a year or two?

This is where
I dropped the ball.

Dan, we're standing
on the roof of the hospital.

Dan...

You're not
on the field.

He doesn't know
where he is.

Dan!
Foreman.

Dan...

Dan...Dan!

Dr. Foreman.

I assume you've
found the kid?

He almost
walked off the roof.

Suicidal?

No, he thought he was
on his lacrosse field.

Look, I was just gonna
run home, shower, and change.

Conscious?

Yeah.

How'd you talk him down?

Actually,
Chase tackled him.

How come you didn't do it?

Right, well...

I am black,
but he was closer.

Come on.
You can ride up with me.

Anybody tell the family

that their boy almost
stepped off a roof?

They must be thrilled.

They're not suing,

but I think only because
Chase asked them.

Why does everybody always think
I'm being sarcastic?

This is great news.

He doesn't have MS.

Parents should be thrilled.
Well, the mom, anyway.

Course, the dad
probably doesn't know--

Why doesn't he
have MS?

He was on the roof thinking
he was on a lacrosse field.

Conscious, and therefore
not a night terror.

You want some of this?

Yeah, sure.

He was in an acute,
confusional state.

Which doesn't fit

with a demyleninating
disease like MS.

But the oligoclonal bands--

Were real.

It just means something
other than MS.

So what are they
telling us?

That the immune system
is working?

Right.

He has an infection
in his brain.

What about sex?

Well, it might
get complicated.

I mean,
we work together.

I'm older, certainly.
But maybe you like that.

I meant maybe he has
neurosyphilis.

Heh, nice cover.

Sorry, the RPR was negative.

We don't need a definitive test
to confirm this.

Sure, didn't need one
to confirm MS.

Okay, let's wait for you
to run titers on 1,400 viruses

while this kid's brain
turns to mush.

So the fact that he
doesn't have MS,

it's--it's really not
good news after all.

Well, it is if it's
neurosyphilis.

The likelihood
of a false negative

on an RPR test, 30%.

Likelihood of a 16-year-old
having sex, roughly 120%.

I'll start him on
IV penicillin.

No, we're not gonna
wait for that.

The most effective way
to deliver the drug

is right into his brain
via the spine.

In a cramped space
like the brain,

increased
intercranial pressure

from a high-volume drug
like penicillin

could herniate his brain stem
and kill him.

No neurologist

in his right mind
would recommend that.

Show of hands.

Who thinks I'm not
in my right mind?

And who thinks I forget

this fairly basic
neurological fact?

Who thinks
there's a third option?

Very good.
What's the third choice?

No idea--you just asked
if I thought there was one.

The patient has
a shunt in his brain.

There'll be no
increased pressure.

We can put as much penicillin
into his body as we want.

Excellent.

We inject him through
a lumbar puncture.

One of us
is gonna do this to you

twice a day
for the next two weeks.

[sighs]

I'm ready to go.

He could get syphilis

even if he's not
sexually active?

Well, it's unusual...

but it's possible.

Okay, relax.

Jeez...

It's infected.

With a really big hole,

like you stuck a nail in it
to relieve the pressure.

I wouldn't do that.

Although the wound
is irregular.

It's not cylindrical.
It's shaped like a triangle.

So not a nail.

Steak knife?

Wife's nail file.

Damn.

Yeah, pain will make you
do stupid things.

Something to take
the edge off?

Yeah.

Cheers.

So, you have family
here in Princeton?

No.

Here on work?

No, why are you--

Does your penis hurt?

No. What?
Should it?

No, just thought
I'd toss you

a really
inappropriate question.

Your lawyer's gonna love it.

Why would I want
to sue you?

I want you to treat me.

You're from Maplewood,
New Jersey, right?

Yeah.

Now, why would you
drive 70 miles

to get treatment
for a condition

that a nine-year-old
could diagnose?

It's the free-flowing puss
that's the tip-off.

I was in town--

Not for family,
not for work.

You drove 70 miles
to a walk-in clinic.

You passed two hospitals
on the road.

Now, either you've got
a problem with those hospitals,

or they have
a problem with you.

My guess is you've sued
half the doctors in Maplewood,

and the rest are now
refusing to help you.

It's ironic, isn't it?

Sort of like
the boy who sued wolf.

You know,
I bet we have

a doctor here named Wolfe.

How perfect
would that be?

I'm gonna page him.

Okay, you know what?
Thank you.

I'm gonna find a doctor
to take care of this.

I didn't say
I wouldn't treat you.

We'll drain your knee,
run some lab work.

Fix you right up.
Why would you do that?

I'm a people person.

You actually
treated him?

All I know
is he sued some doctors.

Who am I to assume they didn't
have it coming to them?

The cutest
little tennis outfit.

My God, I thought I was
gonna have a heart attack.

Oh, my, I didn't see you there.
That is so embarrassing.

How's your hooker doing?

Sweet of you to ask.
Funny story.

She was gonna be
hospital administrator,

but just hated having
to screw people like that.

I heard you found her
on the roof.

You have very
acute hearing.

You notify the parents?

In due course,
of course.

And is there
a paternity bet

on the father
of the patient?

Doesn't sound like me.

It does, actually, but that
doesn't mean you're guilty.

You think?

I saw the parents
in the lobby.

Smart money's obviously
on the father.

My guy knows a guy who can
get you in for 50 bucks.

Fine...tell your guy
if I win,

you attend the faculty
symposium, and you wear a tie.

And if I win,
no clinic hours for a week.

My guy will
call your guy.

She's very good
at her job.

The treatments should
start helping soon.

Let us know if it gets
easier to focus on things,

remember stuff.

Hey, Dan, isn't Dr. Cameron's
necklace a beauty?

Something south American,
I think.

Yeah, Guatemalan.

It's a cool necklace.

Thank you so much.

The kid's in pain.

[scoffs]

[muddled voices]

No.

No what?

Dan? You okay?

Dan?

He's hearing voices.

(Dan)
Leave me alone.

(voice)
I'm gonna eat your brain.

Push two milligrams IV
Atavan stat.

Come on, Dan!

Get out of my head!

Auditory hallucination

shows further
brain degeneration.

Penicillin's
not working.

So either it's a bad batch
of penicillin

or our diagnosis
is wrong.

Square one.

Midnight.

(Foreman)
LFTs, BUN, and creatinine
are all normal.

Diabetes is out,
and no GAP.

There goes metabolic.

MRA rules out
vasculitis.

"I" for inflammation.

Too young for anything
degenerative.

"D," see ya.
"N" for neoplastic.

MRI was clean.

"I" for inflammation.
We already did that.

Stupid to have two Is
in one mnemonic.

What's the other one?
Infection.

Oligoclonal bands
have to mean something.

But no fevers.

White count's elevated,
but within range.

We've tested for anything
remotely possible.

Everything's negative.

CT scan rules out subdural.

Trauma, later-much.

You know the problem?

Midnight is actually
spelled with a "G" and an "H."

If I can just figure out
what those letters stand for.

It's a sick brain,

having fun.

Torturing him.

Talking to him.

Scaring the hell
out of him.

Get him an EEG,

left and right EOG
esophageal microphones.

If this thing
wants to talk,

let's listen.

We're missing something.

This is screwed up.

That's why you came up

with the brain
talking to the virus thing?

I panicked, okay?

Sounded cool, though.

They bought it.

Oh, crap.

Another reason I don't
like meeting patients.

They don't know
what you look like,

they can't yell at you.

Here we go.

How can you
just sit there?

If I eat standing up,
I spill.

Our son is dying.

And you could care less?

We're going
through hell.

You're doing nothing?

I'm sorry.

You need to vent.
I understand.

Don't be condescending.

You haven't checked in
on him once.

Blood pressure's 110 over 70.

The shunt is patent,

well-placed in the right
lateral ventricle.

The EKG shows
a normal QRS

with deep wave inversions

throughout both limb
and precordial leads.

LFTs are elevated,

but only twice
the normal range.

Oh, yeah, and he's
hearing voices.

Go hold his hand.

Go on,
I'll bus your tray.

Got any sample bags on you?

I don't believe you.

You're gonna run
DNA tests?

Her son is deathly ill.
I know it's terrible.

The fact is,
if I don't keep busy

with trivial things
like this,

I'm afraid I might
start to cry.

You're an ass.

Yeah?

You wanna double the bet?

General Hospital's
on channel six.

Dan's brain is not
showing channel six right now.

Only mush.

No epilepti-form activity.

What are you doing?

Waiting for CBC
and Chem seven.

Good.
Run DNA on these.

What's this?

Parents' coffee cups.

I can't believe you--

I've had this conversation
once already.

You've got something else
to do, do it.

Otherwise, do this.

Dr. House?

Hey, Mr. Funsten.

I was wondering
when you'd be back.

You got some papers
for me?

You've caused me
considerable mental distress.

I certainly hope so.

What, too cheap to get
your lawyer to serve it for you,

or is it just
more fun this way?

I'm obviously prepared
to consider a settlement.

You have gonorrhea.

No, I don't.

Well, maybe you're right,

but I have a lab result
says you do.

Could be a false positive,

and normally,
I'd run a second test,

but since you're here,
I'll just go with the first.

You're just
trying to scare me.

It's reportable,
you know.

Public health issue.

Well, I'll be sure
to let my wife know.

Oh, don't
bother yourself.

The state will call
for you.

Look, if you're clean,
I'm sure it'll all blow over.

No big deal.

But there's an easy way
to find out.

Get one of your doctors
to run a test.

Uh-uh.
These are mine now.

I'll see you in court.

(Foreman)
West Nile, negative.

Not surprising, since
not too many mosquitoes

passing through Jersey
in December.

(Chase)
No Eastern Equine
Encephalitis.

You guys aren't gonna
believe this.

What's that?

House is right.
The father's not the father.

Dude doubled up
on me.

Ohh, you're not
gonna believe this.

The mother's
not the mother, either.

It's not a good idea

to move your son
in his condition.

We just want
a second opinion.

(Andy)
We need an answer.

You idiots.

You lied to me.

We didn't lie
about anything.

You, on the other hand,
accused of molesting our son!

Perfect.

Could we get off
my screw-ups

and focus on theirs?

Theirs is bigger.

You're not Dan's parents.

We're his parents.

He was adopted.
He doesn't need to know.

I do.

Adoption makes us
just as much his--

Listen, when we were
taking his medical history,

were you confused?

Did you think
we were looking

for a genetic clue
to his condition

or did you think we were
trying to ascertain

who loves him the most
in the whole, wide world?

How did you find out
about this?

I sampled their DNA.

We didn't give you
any DNA.

Your coffee cups
from the cafeteria.

You can't do that.

Again, why are we getting
hung up on what I did?

Your medical history
is useless.

No, we gave you
a detailed history

of his biological mother.

Her history.

Non-smoker,
good health,

low cholesterol,

no blood pressure
problems.

Dan was adopted
two weeks after he was born.

You have his history.

There's nothing you need to
know that we didn't tell you.

Sounds reasonable.

Well, if you want

to transfer your boy,
that is your choice.

I still think
it's the wrong--

Was she vaccinated?

The biological mother.

When she was a baby,
did she get her vaccinations?

Dan was vaccinated
at six months.

Mm-hmm.

Do you know why kids
get vaccinated at six months?

Because before that,
they are protected

by their biological mother's
immune system.

So, was she vaccinated?

(House)
An infant picks up
a regular old measles virus.

He gets a rash.

He's extremely
uncomfortable.

Has a wicked fever.

But he lives.
Here's the kicker.

Once every million
or so times,

the virus mutates.

Instead of Dan having

a fever and a rash,

the virus travels
to his brain

and hides,
like a time bomb.

In this case,
for sixteen years.

Subacute sclerosing
panencephalitis.

Missed it
on my boards.

I know, there's only been
20 cases

in the United States
in the last 30 years.

I suppose you can
make an argument

the kid's still
in stage one.

Once SSPE moves
to stage two--

Boom, stage two
is universally fatal.

I assume
it's impossible to know

when he might move
into stage two.

He's already started
showing symptoms.

It could be a month.
It could be tonight.

Can we treat it?

You're the neurologist.

Intraventricular interferon.

Not gonna shove a spike
into his brain

and drip interferon without
confirming this diagnosis.

Tap him.

We won't get
a reliable result

for measles antibodies
in his CSF.

Not after everything
we've given him.

So the wrong treatment

kills any hope
of the right diagnosis.

Why do people
lie to me?

Brain biopsy
will confirm it.

It could also kill him.

Your ball, Foreman.

Tell me I don't have
to biopsy his brain.

Well...
there is one other way.

You sure this isn't
gonna hurt?

Yeah, it's just
scary as hell.

We go through the pupil.

You won't feel it--
the eye's been paralyzed.

The needle travels
to the back of the eye,

which is where we'll perform
the biopsy on your retina.

So we've confirmed
that the problem

is this mutated virus.

The treatment for SSPE
is intraventricular interferon.

We implant an Ommaya Reservoir
under the scalp,

which is connected
to a ventricular catheter

that delivers
the antiviral

directly to
the left hemisphere.

You want us
to consent to this?

I don't even understand
what you're talking about.

Well, the antiviral...

Look, I'm sorry.

I can explain this
as best I can,

but the notion that
you're gonna fully understand

your son's treatment and make
an informed decision is...

it's kind of insane.

Here's what
you need to know.

It's dangerous.

It could kill him.

You should do it.

[heart monitor beeping]

[whirr]

[whirr]

[whirring]

You can't order a $3,200
DNA test to win a bet.

That's not an actual cost.

I don't know
if you know this,

but the hospital actually
owns the sequencing machine.

I'm serious.
Tell the parents
to submit the bill to insurance.

Insurance is not
gonna pay for a bet.

They should.

We don't make that bet,
the kid dies.

If not for
the paternity bet.

I never would have
taken their DNA.

Without their DNA,
we never would have discovered

that Dan was adopted,
which was the key to this case.

You just don't want
to pay your end.

Big mistake.

My guy knows a guy.

Fine, I will let you out
of clinic duty for one week

after you pay the $3,200
for the PCR test.

Whoo.

Well, now, there's
the hundred you owe me.

There's 100
I won from Cameron.

200 I took from Foreman.

And...

600 I got from Wilson.

Very bitter.

(Cameron)
Hey, good morning.

(Foreman)
Good news on your EEG.

Treatment is working.

And your immune system
is responding.

I know it's early,

but I just want
to take a look.

Mm-hmm, let's see what
that brain of yours can do.

Name as many
animals as you can

that start with
the letter "O."

Ostrich.

Ox.

Old elephant.

Well, that's two
better than last time.

How you doing with
the whole adoption thing?

I knew since fifth grade.

How's that?

Cleft chin.

I have one.

My dad doesn't.

Looked it up
on the Internet.

It's one of those
trait things.

That's right,
it's autosomal dominant.

Since neither of your parents
have cleft chins,

it's highly unlikely
you're biologically related.

You sure you're okay?

I've got no problems
with being adopted.

I love my parents.

How's he doing?

He's doing
pretty well.

He's a smart kid.

I think
he's gonna be fine.

Hey.

Thanks.

(Ricky Lee Jones)
* The most as you'll ever go

* Is back where
you used to know *

* If grown-ups

* Could laugh this slow

* Where as you watch
the hour snow *

* Years may go by

* Years may go by

* So hold on
to your special friend *

Wheels, one eight, wheels.

* You'll need something
to keep her in *

* Now you stay inside
this foolish grin *

* Though any day
your secrets end *

* But then again

* Years may go by

* Years may go by

* You saved your own
special friend *

* 'Cause you need something
to hide her in *

* And you stay inside
that foolish grin *

* When every day now
secrets end *

* Oh, and then again

* Years may go by

* Years may go by *

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