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00:00Viewer discretion is advised.
00:05So, you got a Green Beret, a Navy SEAL, and a sister from Brooklyn.
00:09The general hands each of them a gun and says,
00:12your spouse is seated next door in a room in a chair.
00:16In order to pass this test, you must go inside and kill him.
00:21Immediately, the Green Beret says,
00:23no, sir, I could never kill my wife, I just can't do it.
00:25The general looks at him and says, you know what?
00:27You ain't got what it takes.
00:29Finally, the sister from Brooklyn,
00:29Take your wife and go on home.
00:31The Navy SEALs then heads in.
00:32Five minutes later, comes out, tears strolling down his face.
00:35I tried, I tried, I tried, I just can't do it.
00:37She looks so beautiful in the chair, I can't do it.
00:39General looks at him and says, you know what?
00:41You ain't got what it takes.
00:43Finally, the sister from Brooklyn strolls in with a swagger.
00:47Blah, blah, blah!
00:48Shots rang out, there's banging and screaming,
00:50it's going crazy.
00:50Suddenly, everything goes silent.
00:54General says, well what the hell happened inside?
00:56The sister from Brooklyn screams back.
00:57The damn gun had blanks in it.
00:59So I had to beat him to death with my best.
01:03What the hell?
01:04A little bit of warning would have been nice.
01:06The sound of a saw cutting a hole in the wall wasn't warning enough?
01:09Biting.
01:19What, are you kidding me?
01:21Top of goo, there's gotta be over six bills.
01:23You ain't gonna lift him with a couple of blankets.
01:24You got a better right, the Einstein?
01:26Yeah, just roll him off.
01:28What, he's already dead, ain't like he's gonna feel it.
01:30How the hell's a guy get that big?
01:32If you roll him off from this side,
01:33he's likely to go right through the floor and take us with him.
01:34Are you ready?
01:35Alright, one, two, lift!
01:40Come on, man!
01:41Me?
01:41You're the kibasa king.
01:42Wasn't me.
01:44Oh.
01:44Well, it wasn't me either.
01:50Don't look at me.
01:55Please tell me dead guys can fart.
01:56Of course, dead bodies are full of all sorts of gases.
01:59But a dead body can't tighten a sphincter.
02:00You need a tight sphincter to make a fart.
02:02I need a loose sphincter, a tight sphincter.
02:03Will you check his femoral?
02:05No.
02:06He peed all over himself.
02:08Look, I've heard dead bodies moan, groan, hiss.
02:10Hell, I've even seen him sit straight up on a gurney.
02:12Trust me, skin's cold, pupils are fixed and dilated.
02:15He's not breathing.
02:16He's got a pulse.
02:17No way.
02:18Alright, give me an ambu-vagant EKG.
02:19It's ready, but it's there.
02:20Let's get him in a basket.
02:21Ready?
02:23One, two, lift!
02:58146 years old guy in a coma, doesn't appear to be anything wrong with him except for the fact that
03:04he weighs over 600 pounds.
03:05What time does he usually get in?
03:07Any time between 8 and 10.
03:08Did you say 600?
03:10At least. Biggest scale we got only goes up to 350,
03:12but this guy's waistline's over seven feet.
03:14Which means he's a diabetic with blood thicker than pancake batter.
03:17The mystery there. How much we can do?
03:19Blood sugar's normal. Cholesterol's lower than mine.
03:22Tox screen's clean. No sign of trauma.
03:24Sure there wasn't a mix-up with the lab?
03:26Three times. It's almost 11. Where is house?
03:31Have my baby. What a lovely way of saying how much you love me.
03:38Have my baby. What a lovely way of saying you love me.
03:45Have my baby. What a lovely way of saying how you love me.
03:54Have my baby, what a lovely way of sayin' how do you love me?
04:02Have my baby, what a lovely way of sayin' how much I love you.
04:10Excuse-moi, garçon!
04:12Have my baby, what a lovely way of sayin' how much you love me?
04:17It's 11 o'clock.
04:18Which means my friend is ready for a sponge bath and I shouldn't be here.
04:24Hey, go over and pile!
04:27I know you can hear me.
04:39I think you mean Barney Fife.
04:41So many great idiot icons to choose from.
04:45You need time to think of some more?
04:48Either arraign me or let me go.
04:50No problem.
04:51What'd she prefer?
05:02What took you so long?
05:04Sorry, I didn't have 15 grand in my loose change jar.
05:07What the hell did you do?
05:09Nothing.
05:10The motorcycle was impounded.
05:11That explains the speeding, DUI, and driving without a license.
05:15The fact that you're you explains the illegal possession of narcotics and resisting arrest.
05:22Where's your car?
05:24What happened?
05:24Some idiot cop with crotch rot obviously thought that I didn't treat him with deference due to a man of
05:30his stature.
05:31Trumped up at a traffic stop.
05:32Next thing I know I'm sharing a cage with a guy who thinks the showers are the way the devil
05:36fits inside you.
05:38Does Cutty know?
05:39Everything she needs to.
05:42I'm innocent.
05:43Still proven guilty.
05:45Guy wanted to punish me, he did it. It's over.
05:47Better get yourself a lawyer.
05:49Already got one.
05:50You know what they say about the lawyer who has himself as a client?
05:53Same thing they say about the doctor who lends 15 grand to a friend he knows can't pay him back.
05:57Well, I actually get it.
05:59Where am I gonna take off to?
06:06Does Silma Hayek live in Mexico or Spain?
06:10There's nothing abnormal in the EEG or the neurological exam.
06:14I'm guessing it's food related.
06:16Improperly prepared puffer fish can have toxins that could cause a coma and might not show up on the talk
06:20screen.
06:22Where do you think he is?
06:23He's probably the track.
06:25If he was at the track, he'd tell us so we don't have to page him.
06:27And if it was a puffer fish, he'd be dead in six to eight hours' times. He's been in a
06:30coma at least 24.
06:31The guy didn't get to 600 pounds eating a load of sushi.
06:34What if he was in a motorcycle accident?
06:36He explains the coma. How'd he get back in bed?
06:39Aw, Cameron's talking about house.
06:41You ever see how he drives?
06:42No, we haven't.
06:44But I have seen how many pills he's been popping lately.
06:46I wouldn't be surprised if he's in a coma somewhere himself.
06:48If I am, this is one lame hallucination.
06:50What happened to you?
06:51If you ever end up in a bar with a Cambridge women's heavyweight aid,
06:55do not accept an offer of an upside-down kamikaze shot.
06:58We have a case.
06:59Fat guy in a coma, I know.
07:00Cody found you?
07:00Nope.
07:01But the wall between Wilson's office and this one is thinner than you think,
07:04which means we need to stop talking about what a pathetic loser he is.
07:07Start treating Jabba for Pickwickian Syndrome.
07:09His 96 double Z's are probably putting pressure on his chest, suffocating him.
07:14CO2 and oxygen sites are normal.
07:15For you and me, what's normal for a hippopotamus?
07:18Get a detailed medical history.
07:19From who? He was brought in alone.
07:21In our debt, a guy who weighs 600 pounds bothers with annual physicals.
07:24Talk to the neighbors and search the house.
07:26Let's see what else Shamu's been up to besides eating.
07:30This conversation is over because I've officially run out of clever things to call a guy.
07:42It's hard to believe you can even attach this much flesh to a human skeleton.
07:46I wouldn't exactly call this attached.
07:49This is ridiculous.
07:50A person shouldn't be able to eat themselves into oblivion and then just expect everyone to pull out the stops
07:55to fix everything.
07:56What are we supposed to do?
07:57Refuse treatment to anyone who's obese?
07:59Come on, give me a break. This guy isn't obese.
08:01He's not even morbidly obese. He's suicidal.
08:04People who attempt suicide get treated.
08:06Plenty of non-compliant diabetics don't.
08:08We don't give drug addicts dialysis or alcoholics liver transplants.
08:12What is your problem?
08:14You get beat up by a gang of fat kids when you were in grade school or something?
08:17Yeah, I'm the one with the problem.
08:20So, um, I think his bedroom's through there and kitchen's to the left.
08:25Have you seen any changes in his personality? Any trouble with memory or balance?
08:29No, but I really don't see him that often. He's not unfriendly or anything. I guess he just likes to
08:35keep to himself.
08:36I think he only gave me a spare set of keys because I gave him mine.
08:41What?
08:43Nothing. Just reminds me of someone I know who is unfriendly.
08:47Does George have a job?
08:48Uh, he has a headhunting business he runs from home. Occasionally he'll interview people here, but he does most of
08:53it over the phone.
08:55Wow.
08:56Yeah. He loves to cook. And eat, obviously. Four-course gourmet meals almost every night. Sometimes for lunch, too.
09:05Do you know if he ever uses any unpasteurized cheese or wild game?
09:08I'm not sure. If he gets all his groceries delivered from that market down on Alden, they'd probably know.
09:15Do you have any friends?
09:17No.
09:18I mean, sometimes women do come by. Young, attractive, never the same one twice, if you know what I mean.
09:24I see. There can't be many women who'd want to be with a guy like him.
09:36It's usually worse in the morning, especially if I've slept on my arm. If I sleep on my back or,
09:41you know, with my arms out, I'm usually okay.
09:43So your arm only hurts after you lie on top of it all night?
09:47Yeah. Hmm. Well, have you thought about, I don't know, not doing that?
09:53Yeah. But it's how I sleep. It's how I've always slept.
09:56Well, there's always surgery. To do what? To clean out some cartilage or something?
10:00You're not sleeping on some cartilage. You're sleeping on your arm.
10:03You want to remove my arm?
10:06Well, it is your left. That guy's got to sleep.
10:09Are you insane?
10:21I see spending a night in jail less than humbles you a bit.
10:23Well, following my every move is flattering. A single rose on my doorstep each morning would be more enticing.
10:29It's just bringing your boss up to speed, which I guess you didn't feel was necessary.
10:33You can add that to my list of charges.
10:36People who are innocent tend not to try to hide their arrest.
10:39Is that based on your years of experience arresting innocent people?
10:45The way you're going at that gum is obviously not having the desired effect.
10:50You're the addict. You're going to be back on the butts in a month.
10:53I'm just taking out your frustration on me because my meds actually work.
10:57Why don't you quit while you're ahead before you end up as a security guard working the night shift at
11:02some strip mall?
11:04I think working around a bunch of nurses is giving you a false sense of your ability to intimidate.
11:18Who's that?
11:21Apparently, Cuddy's Widener's sperm donor search to include Neanderthals.
11:26Cuddy's looking for a sperm donor?
11:29Just a joke.
11:31Like Cuddy would ever want a kid.
11:32Or a kid would ever want Cuddy.
11:34Hello?
11:34That's why it's funny.
11:36Why are you guys here?
11:38It's not Pickwick's.
11:40Intubation and steroids have had no effect.
11:42Except maybe to cause whatever it is to get worse.
11:43He's got a fever now.
11:45What'd you find out?
11:46That you and George have the same taste in home furnishings and women.
11:49Danish modern and Russian gymnasts?
11:51Pianos and prostitutes.
11:52You should do an LP with neurosyphilis.
11:53It's not syphilis.
11:55How do you know?
11:56Because you get STDs from people you trust.
11:58People you don't feel the need to protect yourself from.
12:00Whatever he has is connected to his gut.
12:02Now what's below it?
12:03MRA his brain.
12:04Look for clots.
12:05Weight limit on the MRI machine is 450 pounds.
12:08So do a CT.
12:09Limit's 350.
12:11Then just start treatment.
12:12We give him blood thinners and the coma's caused by a bleed instead of a clot.
12:15We kill him.
12:16Either start treatment or start building a stronger MRI.
12:19Whatever you do, do it fast.
12:21The longer he stays in the coma, the less likely it is he'll ever wake up.
12:27There's no way.
12:29His head's the only part that we have to get in the machine.
12:32We can just get him on the table.
12:33If we get him on the table, we break the table.
12:35If we break the table, hospital's out a million dollars.
12:38And we're out of our jobs.
12:39The weight limit's obviously just an estimation.
12:41It's not like he can hold 450 pounds fine.
12:43It'll instantly collapse under 451.
12:45He's not one pound over, he's 150 pounds over.
12:49I don't care.
12:50He still deserves the same standard of care as anyone else.
12:53And you believe the machine will stand on principle?
13:01You guys gonna help or not?
13:05How much does this guy weigh?
13:07440.
13:07Looks like a lot more than that.
13:09It's cause he's lying down.
13:10You guys ready?
13:11One, two, three.
13:29Here.
13:30What's this?
13:32I made some calls for you.
13:34The guy's the best criminal attorney in Princeton.
13:36Thanks, but I don't need it.
13:38I assume you told Inspector Clouseau
13:40that I have a valid prescription for the Vicodin.
13:41Yeah.
13:42And I assume you did as well.
13:43Did it make a difference?
13:44The guy's pissed.
13:45And with the DEA now treating pain doctors like Colombian...
13:48I'm not a pain doctor.
13:50I'm a pain patient.
13:52Tell it to your lawyer.
14:08No inline shifts, no bleeds, clats, influx.
14:12I don't see any edema either.
14:13So what do we do now?
14:15An LP.
14:16Even if it's not an STD, a fever boils towards some sort of infection.
14:19I'm not sure we can do an LP on a guy his size.
14:26What?
14:26You have to be able to palpate the spine and know where to go.
14:29We could use fluoroscopy to guide us.
14:30He's still going to be able to bring his knees up and bend forward in order to open a space
14:34between...
14:38George, it's alright, you're in a hospital.
14:40Calm down, man, calm down.
14:42Get him out already!
14:43I'm trying.
14:44Come on!
14:48I'm gonna get you out!
14:50Oh!
14:51Oh!
14:53Oh!
14:54Oh!
14:55Oh!
14:57When two bodies are found in the desert, Booth and Bones have to go undercover in Vegas.
15:02What do you think?
15:03I have enough Bibles, thank you, but why don't you try next door?
15:05And Sin City won't know what hit him.
15:08He has calcium deposits on his left medial at the condom.
15:12And that helps me how?
15:13Bones, followed by the OC.
15:15All new tomorrow on Fox.
15:16Fewer discretion advised.
15:17We still have no idea why he was in the coma to begin with.
15:20Or why he woke up.
15:22It was probably just some sort of head trauma and we missed the swelling because, well, his head's already swollen.
15:28The bump on the nugget doesn't explain the fever.
15:30The infection made worse by the steroids we gave him for Pickwix does.
15:33He's not worse.
15:34He's better.
15:35You just replaced the last MRI you broke.
15:38Referring to the fundraising fun bags by the royal we now?
15:41Let me explain cause and effect to you.
15:43I specifically told them to skip the boring testing part and jump right to the dangerous treatment.
15:48You blow stuff up makes my life miserable.
15:51Makes me need to make your life miserable.
15:53He's telling the truth.
16:00Kids these days got no respect for other people's property.
16:03Repair men cost less than lawyers.
16:06Morbid obesity is a legally defined disability, which means if we denied access to the MRI, he could have sued
16:12us for discrimination as well as malpractice.
16:14This was your idea?
16:16Yeah.
16:27Looks like Cameron's gonna be having a lot more ideas in future.
16:31Who knew that being bloated and bitchy could actually come in handy?
16:34Shut up.
16:35What if it is hormones?
16:36It's not hormones.
16:37I'm talking about George.
16:38Acute adrenal insufficiency could cause a temporary coma.
16:41A glandular problem would cause his temperature to be low, not high.
16:44Maybe the fever's not related.
16:45If the fever's not related, there's nothing to talk about.
16:47We should do an ACTH stimulation test and check his skin for an acanthosis nigricans.
16:51Or the fever is related and so are the prostitutes.
16:54We should do a full STD panel and check his genitals for shankers.
16:57We should do nothing.
16:58Just keep him a couple of days for observation.
17:01If it doesn't get any worse, it was probably just a hematoma that dissipated on its own.
17:06Or we do all of the above.
17:09You check his belly for patches.
17:11You check underneath his sores.
17:12And you just sit on your ass.
17:23Acanthosis nigricans is a hyperpigmentation of the skin.
17:26It usually indicates some sort of hormonal imbalance.
17:28There's nothing wrong with my hormones.
17:30It's the first thing every doctor I've ever gone to has checked.
17:33Then it's the blood pressure.
17:35Then it's gotta be diabetes.
17:36They all figure there's gotta be something wrong with me.
17:40Are you having any problems with your vision?
17:42No, I have nystagmus.
17:44I've had it since birth.
17:45I'm fine.
17:45You're not fine.
17:46You were in a coma for two days.
17:47There's something wrong with you.
17:49Was something wrong with me.
17:50Now I'm better.
17:51Now I'd like to go home.
17:53A coma's not like a stomach ache.
17:55You can't just shrug it off and hope it's not anything serious.
17:57My company places a lot of insurance executives.
18:00There are over 300,000 deaths caused each year by medical mistakes and hospital-associated infections.
18:07I'll come in for tests.
18:09There are over 400,000 deaths caused by obesity-related illnesses.
18:13CDC says those figures are a gross overestimation.
18:17George, you ever notice you don't see a lot of obese old men?
18:20If I'm gonna have a heart attack, I would rather it be caused by a perfect pan-roasted re-devoe
18:29than running 26 miles for no reason other than to brag that I can do it.
18:33Or to have an MRI machine break in the middle of a procedure.
18:37We're sorry about that.
18:39It was the only way to rule out a stroke or brain hemorrhage.
18:41And now that you have, when can I go?
18:53It's probably her mom.
18:55I bet she's huge.
18:57She's from the Midwest.
19:00Since when do you eat beets?
19:01Since I was five.
19:02And who are we talking about?
19:04You know, just in case you need me to chime in and tell you you're a lunatic at some point.
19:07Karen.
19:07She's lying.
19:09Destroying hospital equipment.
19:11Telling Cuddy off.
19:12Find out where she got the fat scratch fever.
19:14Yeah, you definitely better get to the bottom of that.
19:17I heard Cuddy gave you the name of the lawyer.
19:18Or it could just be pity.
19:20She feels guilty about being born beautiful until she overcompensates by being nice to ugly people.
19:25Would explain why she gets along so well with you.
19:27From what I hear, the patient reminds her of you, not me.
19:30Call the lawyer.
19:31Cameron sees a clump of dirt when she thinks of me.
19:33Or a lump of something else.
19:35You're a lunatic.
19:36Call the lawyer.
19:40Very mature.
19:41You started it.
19:42The skin exam and ACTH stimulation tests were both normal.
19:46He has nystagmus, but it's congenital.
19:48No way it's related to the coma.
19:49You say no way.
19:50I say...yeah, no way.
19:52Blood and urine were negative for chlamydia, herpes, and syphilis.
19:55Looks like we got ourselves a mystery.
19:57Not for long.
19:58He wants to be discharged.
19:59Oh, sure.
20:00Places to go.
20:01People to eat.
20:02He insists his chance of dying from a hospital-inquired infection is greater than him dying from whatever causes a
20:06coma.
20:06Did you tell him that statistics also say that he's a big fat idiot?
20:10Yeah, I did.
20:12He's not backing down.
20:13He says if we don't discharge him, he'll leave AMA.
20:15Selectively rational?
20:16Stubborn?
20:17Uncooperative?
20:18Maybe you ought to check his leg.
20:21See what he did there?
20:23The patient's like me.
20:25The patient's three me's.
20:28If I were him.
20:32Maybe it's not such a mystery after all.
20:45Enjoying your Salisbury steak?
20:46Pudding chopped parsley in a hamburger does not a Salisbury steak make.
20:51You must be Dr. House.
20:54And you must be full of bologna.
20:57Hmm.
20:58A lot of it.
20:59Right.
21:00Fat joke.
21:01Always fun.
21:02Only people you can still make fun of.
21:04And Christians.
21:06Oh, and black people.
21:08No one in their right mind comes out of a coma immediately asked to go home with an unknown
21:12condition.
21:13Which means that either you're not in your right mind or it's not an unknown condition.
21:16So what is it?
21:17You tried to off yourself?
21:18You figure I'm fat, therefore I hate myself.
21:23That's a huge leap of logic.
21:25I don't want to die.
21:27I just don't want to be here.
21:29Then it's a condition you've already had diagnosed or it's something you know you've inherited.
21:33Let's say your stomach has deep-seated feelings of abandonment written all over it.
21:37Which points towards sexual abuse, fear of hospitals, and points to a more specific traumatic
21:42event.
21:43So I'm gonna say your mom in the hospital with a candlestick.
21:47And by candlestick of course I mean inherited OTC deficiency.
21:51My parents are both alive and well and living in Boca Raton.
21:54Thyrotoxic periodic paralysis.
21:56I have no idea what that is.
21:58Leukoencephalopathy.
21:59Will you stop?
22:01If I knew what was wrong, I would tell you.
22:04I'm not an imbecile.
22:06And I'm not miserable.
22:09I'm just overweight.
22:16What?
22:18When?
22:21To be continued.
22:47What are you doing here?
22:49Executing a search of the premises.
22:51When you, uh, when you got bailed out, before we could get a judge to prove this, I almost didn't
23:01bother.
23:01I thought for sure you'd come straight home and throw everything out.
23:06Rookie mistake.
23:07Never underestimate the stupidity of an addict.
23:11There's gotta be over 600 Vicodin in here, which most DAs would say proves intent to traffic.
23:18Even if all you really intended was simply to be wasted 24-7 while practicing medicine.
23:24In case you hadn't noticed, those are prescription bottles.
23:27I'm not an expert on linguistics per se.
23:30I think that means they were prescribed.
23:35All these were legally prescribed to a, uh, man who's in constant pain but never misses a day of work.
23:40Ever occurred to you that's why I don't miss a day?
23:42Yeah.
23:44Yeah.
23:45Yeah, crossed my mind.
23:46Among other things, like, uh, what an unprofessional, unethical, arrogant ass you are.
23:52Because if you're unprofessional in one area, it only makes sense.
23:58Now maybe just, uh, a few of these aren't someone else's name.
24:04Forge prescription.
24:06Just, uh, swipe from the pharmacy when nobody's looking.
24:13No.
24:15You wouldn't do that.
24:16Right.
24:25Send him home.
24:26Why?
24:26You think he's healthy?
24:28Either I'm right.
24:29He knows what's wrong.
24:30He's just too stubborn to admit it.
24:32Where I was right, it's Pickwick's.
24:34Treatment just had a delayed effect.
24:36You don't have delayed effects to oxygen.
24:38And Pickwick's doesn't explain the fever.
24:40Being engulfed in an electric blanket and blubber could explain the fever.
24:43Yesterday you insisted we keep him here because of the fever.
24:46We have no idea what's wrong with the guy.
24:47For all we know, he could be dead in 12 hours.
24:49He does not want our help.
24:52Which means, he doesn't want your help.
24:54He's obviously just rationalizing.
24:56And so are you.
24:57You would never give up this easy if you weren't so busy dealing with your own personal problems.
25:02Send him home.
25:04What'd you tell that cop?
25:06Nothing.
25:07Nothing as in nothing or as in nothing would cause him to think that I have a stash in my
25:11apartment.
25:12He called to see if I prescribed the pills. I said yes. That's all.
25:15Obviously not.
25:16What happened?
25:17He searched my house, found a buttload of pills.
25:21This guy's gotta be prepared for a rainy day.
25:23Last I checked, pharmacies were still open when it rained.
25:25And because I never know when you're gonna be in one of your moods and cut me off.
25:29Oh, it's my fault. I'm not the one who talked to the cop.
25:32Well, I'm not the one who put a thermometer in his rectum.
25:35So stop yelling at me and start talking to your lawyer.
25:42Is there someone who can check on you?
25:44Oh, don't worry.
25:45There's gonna be a whole crew of carpenters in my bedroom for the next week at least.
25:50You know, there's no Raiders Anonymous meeting here at the hospital.
25:55If I wanted to jump out of airplanes or climb Mount Everest,
25:58would you be telling me to go to Daredevil Anonymous?
26:01I would be worried about you just like I am now.
26:03Don't be.
26:04I enjoy food.
26:06I like cooking it. I like looking at it. I like smelling it.
26:10And I especially like eating it.
26:15Whatever happens is gonna happen.
26:18Ultimately, it's all out of our control anyway.
26:22Why doesn't that philosophy apply to medical mistakes and hospital-acquired infections as well?
26:29I'm a complicated man, Dr. Cameron.
26:32But don't worry. The planet's staying that way for a long time.
26:35Wait, wait. Let us take you all the way outside.
26:37I'm fine.
26:39It doesn't matter. It's hospital rules.
26:41Oh, screw the rules. I've been on my back for four days.
26:44I need the exercise, right?
26:45George, come on. Let us just take you to the taxi.
26:47Don't worry. I may not be able to climb Everest, but I can walk, okay?
26:51George.
26:52Enough!
26:53All right.
27:01George, are you all right?
27:08George? You all right? George?
27:19Guys, are you all right?
27:20This orientation and loss of balance could mean a neurofibromatosis.
27:24Where's Chase?
27:25I don't know. I haven't seen him since you told him to sit on his ass yesterday.
27:28Interesting.
27:30NF2 is also inherited, which means I was right.
27:32I kept saying it was pickwick's.
27:33Between the first pickwick's and the second pickwick's, I said it was inherited.
27:36Whatever. NF2 doesn't explain fever. I think we should focus on the coma and the fever.
27:40Why? The disorientation and loss of balance are more recent.
27:42The coma was the most severe symptom.
27:44But he's not in the coma anymore, and he is disoriented.
27:48No, he's not.
27:49We have a rather large piece of tempered glass that begs to differ.
27:53I just mean it's not connected.
27:55You don't know that.
27:57Yeah, I do.
27:58How could you possibly know...
27:59Because I did it.
28:04I didn't think he should be discharged, so I gave him three grams of penitone.
28:10I wasn't going to just let him leave.
28:12But you were okay with him crashing through a glass wall?
28:15I tried to keep him in the wheelchair, but he's tough to stop.
28:18Nice audible, Peyton.
28:21So, what do we do now?
28:22The discharge report says he could eat his breakfast.
28:25A Humpty Dumpty didn't get to be the size of all the king's horses by skipping the most important meal
28:30of the day.
28:30What causes coma, fever, and loss of appetite?
28:33It can't be Chagas. He's never been outside the country.
28:36His stomach has.
28:37The food we eat no longer comes from America's heartland.
28:39It comes from South America's deforested jungle land, where lettuce now grows and lettuce picker is now poop.
28:44Get a sample of his CSF before the little bugs that are now feasting on his brain move on to
28:49dessert.
28:49How are we going to do that?
28:51He's too big to do an LP.
28:53So, go straight to the source.
28:57You want to drill a hole in my head?
29:00It's the only way.
29:01It's got to be something other than a parasite.
29:04I buy my produce at the best market in town, and I always wash it.
29:09Leafy vegetables can suck contaminated water through the roots right into the plant.
29:12You could have washed them in chlorine, and it still wouldn't have mattered.
29:16And other people would be sick as well.
29:19Parasites could have been on only a few items, or maybe they just didn't eat as much as you did.
29:23It's always about my weight, isn't it?
29:26Why can't you people come up with one theory?
29:29This one fits, George.
29:30It explains your coma, your fever, your loss of appetite.
29:39And the disorientation?
29:43It's all explained.
29:45And if we don't treat it while it's still in the acute stage, it'll be too late.
29:48It could go on to infect your heart, intestines, esophagus.
29:57This is what I get for eating salad.
30:07Suction.
30:09Suction.
30:10Aspirator.
30:13Guitar.
30:24Irrigation.
30:26Sponge.
30:28What'd you do?
30:29Nothing.
30:29Well, what's wrong?
30:30I can't...
30:31I can't see.
30:32Vision's blurry, or you've lost...
30:34I didn't lose it.
30:35You took it from me.
30:35George, calm down.
30:36I can't see!
30:37Give me some of the razzle, man.
30:38No, I'm calm down!
30:39What did you do to me?
30:40No, stop!
30:41Let you look out!
30:42Let's go!
30:42Let's go!
30:43No!
30:43What did you do to me?
30:47There's no inflammation in the optic nerve, and his retina is intact.
30:49The blindness has to have been caused by something in his brain.
30:52And not surprisingly, there was no sign of Chagas or any other parasites in his CSF.
30:56So, we ruled out his parents, prostitutes, the arugula.
31:00It means either I took this sample from the prefrontal.
31:02I was never anywhere near his visual cortex.
31:04Or, he missed a tumor on the MRI.
31:07Not a chance.
31:08The MRI was clean.
31:09Mind?
31:10Where are you going?
31:11Get a $400 butt plug.
31:13What about George?
31:14He's gonna have to get his own.
31:16Come on.
31:16Let's see if we can get this thing figured out by the time we get to the elevator.
31:19It could be MS.
31:21Explain the coma, the blindness, loss of balance, and the fever.
31:24It could also explain his lack of concern for his health.
31:26MS can cause excessive cheerfulness.
31:28Yeah.
31:28He's a delight.
31:29If you don't get to MS with comas, the first symptom of blindness plus coma says diabetes
31:33is just in time.
31:35No.
31:36Blood sugar, urine dipstick, and hemoglobin A1C are normal.
31:38We're normal.
31:39When you test it, he's been in and out of a coma.
31:41Whatever's going on is waxing and waning.
31:43Unlike his pan size, which only waxes, which also points to diabetes.
31:46Test him again.
31:47Stymatic glucose tolerance tested in HEC.
31:50We already have a CSF sample.
31:52We might as well check if a protein's a rule out MS first.
31:54Agreed.
31:55Except for the part about doing it first.
31:57Where are you going?
31:58The butt plug was my way of saying mind your own business.
32:01Apparently too subtle.
32:03George, all it is is sugar water.
32:04I promise.
32:06Just because I'm overweight doesn't make me diabetic.
32:08You tested me.
32:09Everybody's tested me.
32:10Sometimes the blood sugar levels can fluctuate and make it difficult to diagnose.
32:14You stuck a needle in my brain and ten seconds later I was blind.
32:17How's that difficult to diagnose?
32:19Who the hell knows what else you guys have done to me?
32:21I should have never come here.
32:22You didn't come here.
32:23You were brought here because you were in a coma and barely alive.
32:26We didn't do that to you.
32:28You need to let us figure out what did.
32:32For someone who insists he enjoys life as much as you do, you certainly don't seem willing to do much
32:35to prolong it.
32:36Yeah.
32:37Because I don't agree with the brilliant doctors.
32:40Suddenly I'm suicidal.
32:42Refusing to cooperate with us does not make you suicidal.
32:45It makes you an idiot.
32:46You think we want to see you blind or in a coma?
32:52I've been fat all my life.
32:54I've only been sick for the past few days.
32:59You look for a disease that has nothing to do with my size and I will help you.
33:07Otherwise, leave me alone.
33:12Speeding.
33:14DUI.
33:16Reckless driving.
33:17Resisting arrest.
33:19Possession of a class three narcotic.
33:21Now it looks like they've added another possession with intent to traffic charge as well.
33:28They found some pills at your house.
33:29All of which I have a prescription for.
33:32That's a lot of pills.
33:33I'm in a lot of pain.
33:35This is all because some cop came into the clinic.
33:38I was rude to him.
33:40This is his way of getting back at me.
33:41You've made it pretty easy.
33:42His insane reaction to a simple rectal thermometer reading probably says a lot more about his mother than it says
33:49about me.
33:51I'm inclined to think your particular charm may not be immediately appreciated by a jury.
33:59I'm not interested in the plea bargain.
34:01It's your best bet to make this go away.
34:03There is no this.
34:05There's a him.
34:06The only thing I'm guilty of is humiliating and bully.
34:09I wasn't speeding.
34:10I wasn't impaired.
34:11I didn't resist.
34:12And I certainly was not distributing narcotics to anyone but myself because I need those narcotics.
34:18Five grand retainer.
34:19If we end up going to trial, there'll be another 30 due before the first day.
34:23My hourly is 450.
34:25That work for you?
34:31What did your lawyer say?
34:33I looked up butt plug in a legal dictionary.
34:35What did he say?
34:36That a smile like mine can't lose.
34:39What did the test say?
34:40You're right about MS.
34:42No myelin basic proteins in the CSF.
34:44What about diabetes?
34:45I don't know.
34:45Says we only think it's diabetes because of his weight.
34:47Won't let us test him.
35:04So, you would rather be a blind invalid than admit the fact that maybe you might have a little problem
35:10with overeating.
35:10By a little problem, of course, I mean you've eaten yourself half to death.
35:13And you would rather let me die than consider the fact that whatever is wrong with me has nothing to
35:18do with my weight.
35:19I go where the symptoms tell me to go.
35:21But right now, they're asking why this stuff is the first thing you've ever refused to swallow.
35:26I am not diabetic.
35:28Grocery store is giving away medical degrees with the free turkeys now.
35:32The sooner you drink this, the sooner I get to go waste my time with something else.
35:34Grocery, get the hell off of me.
35:36No dessert until you've finished your dinner.
35:39Hey, hey, get the...
35:40Help me.
35:41George, just drink it.
35:42Nurse!
35:44Get the...
35:44Jacked ass off of me!
35:46What the hell is going on?
35:48Just trying to force a horse to...
35:51Go.
36:14What's going on?
36:16Get x-rays of his hands.
36:18Then bronc him, do a sputum cytology, and check his CSF for anti-hue antibodies.
36:22How are we going to get him to do all that?
36:23We can't even get him to drink a bottle of sugar water.
36:25Tell him that lung cancer is in no way connected to obesity.
36:28Uh, you don't think he'll realize we're lying?
36:30You're not.
36:31Lung cancer's got nothing to do with it.
36:32What about him having lung cancer?
36:34He didn't notice his fingers?
36:37Noticed they were fat?
36:38You should have pissed him off.
36:39He would have grabbed you.
36:40I mean, you would have felt the bones.
36:42They're not just fat.
36:43They're clubbed.
37:02Good job.
37:03Good job.
37:04Good job.
37:14It's a pleasure.
37:20George, it's me.
37:26Your tests were positive.
37:29You have a small cell lung carcinoma.
37:32It caused a peroneoplastic neurologic syndrome,
37:35which in turn caused your blindness and coma.
37:38The cancer's metastasized to your lymph nodes.
37:42It's inoperable, but there are radiation treatments available.
37:49They might give you a few more months.
37:55I never smoked.
38:11C'est la vie.
38:49You were right.
38:53So was he.
38:54He said c'est la vie.
38:55He's a complicated man.
38:57What about you?
38:59What are you going to do about your problem?
39:01Nothing.
39:01I'm just going to call from my lawyer to give the DA copies of my prescriptions.
39:05As soon as they confirm that bona fides are going to drop the possession DUI
39:09and resisting arrest, as soon as I pay my $85 speeding ticket,
39:12impound fine, and get my bike back.
39:14I guess that's good.
39:15You guess?
39:16No, it's good.
39:19You get to keep going like you always have.
39:24All right, I give up.
39:26Who was it?
39:26Who in your family had the weight problem?
39:29You think I can only care about a patient
39:30if I know someone else who's been through the same thing?
39:32You care for everybody.
39:33You only lied and stand up to Cuddy for a few.
39:36You lie for everybody.
39:37I only care about a few.
39:38You're avoiding the question.
39:40I like damaged people, remember?
39:43Explains everything I do.
39:45Almost everything.
39:48It wasn't you, was it?
39:51It doesn't matter.
39:52Oh, but it'd be interesting.
39:53Sorry to disappoint you.
39:55Sometimes the answers just aren't that simple.
40:03I know he can be a real ass,
40:05and he has no problem lying when it serves him,
40:07but he's not lying about the pain.
40:09He needs the medication,
40:10which is why I prescribed it.
40:12All of it.
40:13Well, I see a lot of cases where
40:18people who have real injuries
40:19end up getting addicted.
40:23And then, well,
40:25things kind of spiral out of control,
40:28and lives get ruined,
40:30and not just their own.
40:35Uh, I don't know what else to tell you.
40:49What about these?
40:50This is getting...
40:52If it's got my name on it,
40:53it's a legit script.
40:54You sure?
40:54Yeah.
40:56Because the, uh,
40:57the signatures on these
40:58look a little different
41:00than the signatures on those.
41:10You look surprised.
41:12No, I'm just...
41:14I hadn't thought about it.
41:15I do sign my name differently sometimes.
41:24Are you sure?
41:24Yeah.
41:26I just...
41:26I guess I get bored
41:27citing it the same way.
41:28You know what they say
41:29about Dr. Zan Redding.
41:31I'm gonna give you
41:34a moment
41:36to reconsider
41:38that answer.
41:39Because
41:40if you are
41:41for some reason
41:43mistaken,
41:46we will find out.
41:48And that will not be good for you.
41:51Or Dr. House.
41:55I am sure.
41:56Absolutely.
42:01All right.
42:04I guess that's it, then.
42:17Thank you for your help.
42:18Okay.
42:19No problem.
42:50A young man's father has been in a coma for 10 years.
42:53Joining my father for lunch.
42:54But when the son becomes deathly ill.
42:56God, I love this family.
42:58The only one who knows why is his father.
43:01No amount of drugs will wake a man from a coma.
43:03Put the syringe down.
43:04There's no way this is going to work.
43:06I could really go for a steak.
43:09Any winner John Larroquette guest stars in the most unforgettable episode of the season.
43:13There'll be a vegetable again by tomorrow.
43:15Yeah.
43:25That's some bad hat, Harry.
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