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00:10Alright, hold on and get the turn up here.
00:22How cool was that?
00:24That was way cool.
00:31My turn.
00:32Sorry, that's not allowed.
00:33You just signed 15 pages of form saying you got to write on the back of that thing.
00:37I don't see any lawyers around.
00:39You know that's not the point.
00:40No, you just want to keep all the fun to yourself.
00:45Come on, Dad!
00:47You go over at 15, we're pulling over.
00:49Alright, I mean it.
00:50You're the best.
00:50Alright, get on there.
00:52Put on your goggles.
00:55Ready?
00:56Got to let you in?
00:57Alright, that's my boy.
00:59Woo-hoo-hoo!
01:02Woo-hoo-hoo!
01:04Woo-hoo-hoo!
01:06Woo-hoo-hoo!
01:07Woo-hoo-hoo!
01:09Woo-hoo-hoo-hoo!
01:10Woo-hoo-hoo-hoo!
01:12Woo-hoo-hoo-hoo!
01:13Adam, you're going too fast. Slow it down.
01:19I mean it. You're going too fast. Slow down.
01:21Adam!
01:28Adam!
01:31We're going to the throttle!
01:37Adam!
01:39Adam!
01:40No!
02:15What do you got?
02:16Sixteen-year-old status post-ATP, crash 40% of burns on his body, nasotracheal intubation, start a bag of
02:22lactated ringers wide open.
02:23Is he gonna be okay?
02:24We'll be with you when we can. Let's get him out.
02:27Wait, wait, wait.
02:29We'll start fluids.
02:30Let's go get him hooked up.
02:34Last one.
02:53I've been looking for you.
02:55I've been avoiding you.
02:57Burn unit can handle it.
02:58If they could handle it, they wouldn't be asking for you.
03:04Is that a journal?
03:05A friend wrote an article.
03:06In Hindi?
03:07They have a cutting-edge neuroscience program in India.
03:10It says so right on the cover.
03:17It's heart rate's messed.
03:19Tachycardia can be explained by the burn.
03:21I assume the burn unit knew that.
03:26His potassium's low, which can also be explained by the burn.
03:30Except I'm sure the burn unit's pumping in the fluids, which means his potassium should be going up, not down.
03:35Could be amphetamines.
03:36Or bacteria lunging on his heart.
03:39Or cardiomyopathy, or some other very bad thing.
03:42Needs an EKG.
03:46Look at you.
03:51Okay.
03:52No skin, no EKG.
03:54Is he even going to survive the burn?
03:56Have you got a date or something?
03:5940% of his body.
04:01If the burn unit can prevent an infection, his body will regenerate maybe 10%.
04:06Surgeons will do 20 or so grafts.
04:08Six months in this room, he'll end up with a series of nasty scars.
04:11Maybe some pain that he'll live.
04:14Unless his heart shuts down because we can't figure out what's causing the low potassium and tachycardia.
04:21We need help from a Belgian doc named Eindhoven.
04:25He's dead.
04:26While he was alive, he invented a little ditty called the galvanometer.
04:30Where do we get one?
04:31Go to any electronics store that's been open since before 1905.
04:35There's a good chance they've got one in the corner in the basement.
04:40We need an audiovisual setup for the lecture hall.
04:43What for?
04:44For the lecture.
04:45What lecture?
04:46Dr. Webber's lecture.
04:47Who is Dr. Webber?
04:49A neurologist, I think.
04:51The memo was from you.
05:00Where's my assistant?
05:01She left.
05:02When?
05:03Wednesday.
05:03Seriously?
05:04Well, the temp agency sent someone, but she got lost.
05:07Well, when she gets here, fire her.
05:31Oh, yeah.
05:32Did you issue this memo?
05:34Look at that.
05:37Congratulations.
05:38The patient that has been in a coma for two years and counting is still in a coma.
05:42This is not my signature.
05:43I don't know anything about this guy.
05:45I'm supposed to introduce him, have lunch.
05:50A coma patient has a migraine?
05:52Oh, no, no, no.
05:53I gave him medication to prevent a migraine.
05:55That's a migraine.
05:57Increased flow velocity in his cerebral arteries.
05:59I did subsequently give him nitroglycerine, which could possibly...
06:02You induced a migraine headache in a coma patient?
06:06I gave him a little headache.
06:08Similar to the one you're giving me now.
06:10Have you even read an ethical guideline?
06:13Well, it would be wrong to try out a new migraine prevention medication on someone who can actually feel pain.
06:17Did you sign this?
06:19Uh, yeah.
06:22We can talk later about the appropriate discipline.
06:29Because of the burn, we can't perform any of our normal tests to see what's wrong.
06:33So we're going to try a galvanometer.
06:36It picks up a pulse in the wrists and the ankles.
06:40Hopefully it'll tell us why his heart rhythm is abnormal.
06:43What have I done to him, Mike?
06:44It was an accident.
06:47All right, so...
06:49He's got all these burns, and, uh, and now there's something wrong with his heart?
06:53We're trying to figure out if the two are somehow connected.
06:56Had he been sick lately?
06:58No, nothing.
06:59Anything unusual with his behavior?
07:01Had he been tired a lot?
07:02Nothing.
07:02He was great.
07:03He was happy.
07:04He was just having a great time, and then...
07:06If he was experimenting with amphetamines or cocaine...
07:10No.
07:12We gave him some pot about a year ago to try.
07:15It was just once.
07:16We thought if we took the mystery out of drugs and alcohol, the less he'd experiment.
07:20We'll know more after the tests.
07:25Looks like they're gonna electrocute him.
07:29Plug it in.
07:32You plug it in.
07:34Fine.
07:35Give me the cord.
07:43Works.
07:46How many U-waves?
07:48Uh, I've got a T-wife.
07:50I always came here.
07:51Q-wave normal?
07:53That's not good.
07:58Hey, James, turn it off.
08:00Turn it off!
08:01What's happening?
08:02What is that?
08:04You're seeking to get in here.
08:05Stop it!
08:06Stop it!
08:11Who electrocuted my patient?
08:13He had a seizure.
08:14He wasn't electrocuted.
08:15What's a seizure?
08:16Tell us.
08:17Move.
08:18What are you looking for?
08:19Same as you.
08:20Love, acceptance, solid return on investment.
08:23Differential diagnosis.
08:24It's a skull.
08:25Could be epilepsy or seizure disorder.
08:27Not with a tachycardia.
08:28It could be a virus in his brain.
08:31Specificity is impressive.
08:33Adrenal leukodystrophy.
08:34Could be MS.
08:35Seizures could be caused by plaques and lesions on the brain.
08:38Well, let's find out which.
08:39Get an MRI.
08:41No nuclear imaging.
08:44He wouldn't survive to move the radiology.
08:46MRI and CT scan are both out.
08:49Okay.
08:50Lumbar puncture will tell us if his proteins are elevated.
08:52At least we can exclude MS.
08:53Can't do a lumbar puncture either.
08:57You're cramping my exits.
08:59Don't tell me no skin out of the spine.
09:01We'd be inserting a needle into an area that's teeming with bacteria.
09:04If he doesn't have a brain infection already, we'd give him one for sure.
09:07There's no other way to look at a brain.
09:11Transcranial Doppler sonography.
09:13She said brain, not pregnant women's uterus.
09:16They do sound alike.
09:17I used one to look at a brain this morning.
09:19Why didn't you take the patient to radiology and get an MRA?
09:22Obviously, I was doing something illegal.
09:24Using nuclear imaging wouldn't raise questions.
09:26You're not gonna get a diagnosis of MS from a sonogram?
09:29Not definitively, but patients with MS have more reactive neurons in their occipital cortex.
09:38Okay.
09:42Thank you for all coming to today's lecture by Dr. Philip Weber, who is our guest today at our hospital
09:51to talk about headaches.
09:55Dr. Weber is at the Weber Center for Pain.
09:58That makes sense.
10:00Weber, Weber.
10:01So please welcome Dr. Weber.
10:10Thank you, Dr. Cuddy.
10:15I suppose I should tell you a little bit more about myself.
10:19I went to school in Virginia.
10:23You've never been to one of these things in your life.
10:25Who is this guy?
10:27No idea.
10:29What's with the outfit?
10:31Sudden chills and light sensitivity.
10:35Inexplicable.
10:37I received my medical degree at Johns Hopkins University, where I studied under Breitman and Gilmar.
10:44Hmm.
10:44He must be good.
10:46You went to Hopkins and studied under Breitman and Gilmar.
10:48Shhh.
10:50Shhh.
10:50Helped me win the Doyle Internship at the Mayo Clinic.
10:54You were supposed to get the Doyle Internship.
10:59This guy's Von Lieberman?
11:01The guy got you thrown out for cheating?
11:03The dean threw me out.
11:05Von Lieberman just ratted on me.
11:07This guy's name is Weber, not Von Lieberman.
11:09I call Weber Von Lieberman.
11:11Way eviler.
11:13Shhh.
11:13And the receptors have improved the acute treatment of migraines.
11:19To this point...
11:21So what's the plan?
11:23You gonna wait till he bends over and make a fart sound?
11:27Not to hear about the past.
11:29He's a bad scientist.
11:32Well, you cheated off him.
11:34How bad can he be?
11:34One of several neuropeptides found...
11:36You got the answer wrong.
11:46Are they trying to wake him up?
11:48They can't do that, right?
11:49He'll be in too much pain.
11:50Don't worry.
11:51He's still under.
11:52But the brain never completely sleeps.
11:54It's always working.
11:56Controlling your heart rate, breathing, temperature.
12:00The eyes respond to visual stimuli.
12:02Blood flow increases in certain areas of the brain.
12:05And we can track that with the sonogram.
12:07With MS, blood vessels are more reactive.
12:10So flows faster.
12:12If Adam has an infection,
12:14there'd be swelling which would constrict the arteries.
12:16And the flow would be slower.
12:19Chase.
12:20Need a subarachnoid space.
12:28Data from control subjects were analyzed of a two-way ANIVA
12:32with status and side as within subject factors.
12:37You stalked this guy for 20 years just for the shot to humiliate him?
12:41I'm trying to learn.
12:42Vessels without significant rebound.
12:45He doesn't even know what that means.
12:47You're going to interrupt him, aren't you?
12:49If I have a question, then what's that going to accomplish?
12:53Why can't you just enjoy this?
12:54Why can't you just be happy for me?
12:57You have got to find less debilitating outlets than humiliating people.
13:01I hear bowling is more fun than stalking.
13:05But I'm better at this.
13:07If P is less than point zero...
13:09Blow a ton of money on a plasma TV.
13:13We found some arachnoid bleed.
13:17Bleeding the head isn't causing seizures.
13:19It could be.
13:2010% with damage to the cerebral cortex of a seizure.
13:23No bacterial meningitis.
13:24Viral ocephalitis?
13:25There's no way to tell without...
13:27Shut up!
13:29Excuse me.
13:31Not you.
13:33If my lecture is interrupting your meeting, I can wait.
13:37Baha Chakriya.
13:39As your people say in India.
13:41Appreciate it.
13:43We'll figure out why later.
13:45Fix the bleed or he dies.
13:46Talk to you in a couple of hours.
13:51Dating monkey.
14:02I'm in the subarachnoid space.
14:06Can you get it?
14:07I think so.
14:11Put the probe back where it was so I can see the wire.
14:13We're looking for the bleeding.
14:14Look when I get there.
14:15I'm flying blind without a contrast CT here.
14:27And with a p-value of less than point zero zero one,
14:32we have strong statistical evidence that this drug prevents migraine headaches
14:36without daily administration.
14:39Excuse me, doctor.
14:41He knows his field better than you do.
14:43It's always been my understanding that unless you follow a daily regimen,
14:47no drug can prevent a migraine.
14:49That's why they call it a breakthrough.
14:51That's why you call it a breakthrough.
14:53No, the pharmaceutical company sponsoring my clinical trials
14:57also hails it as a breakthrough.
14:58I'm sure your wife and lawyer do too.
15:03Is there anybody who doesn't stand to make a fortune from it,
15:06calling it a breakthrough?
15:07Who are you?
15:08Just a lunatic who desperately needs a hobby.
15:11How exactly do these studies work?
15:13You give this drug to a bunch of people and if they don't get a migraine,
15:16you go, voila, my drug works.
15:18Excuse me, miss.
15:20Do you have cancer?
15:23Wow.
15:24Mango juice prevents cancer.
15:27Perhaps I should have taken my medication before this lecture.
15:32We had a very specific control group.
15:35Chronic migraine sufferers.
15:37I don't have time to go through all the math right now,
15:39but the incidence was dramatically...
15:41In India, two plus two equals five there, right?
15:46Do I know you?
15:48I know your math skills.
15:50They blow.
15:52Touche.
15:53You sound very familiar.
15:55Why did you publish in an obscure journal in India?
15:58Why not publish in really, really cool hit cases of South Philly?
16:03Neuroscience New Delhi is a respected journal.
16:06Yeah.
16:06The guy running Slurp and Gulp tells me it's one of the best.
16:09Get a hooker. Anything.
16:11See, I'm thinking that...
16:13Publishing studies is probably the easiest way to get a pharmaceutical company
16:16to give you a reach around.
16:18And choosing a journal that no one can actually read,
16:20well, that's... that's shrewd.
16:22I know I know you.
16:24Sure you do. Dick.
16:26The name's Philip.
16:28My bad.
16:29Something to do with your face.
16:31I always think your name is Dick.
16:33House?
16:34Here.
16:37Medical school was 20 years ago.
16:39Give it a rest. Grow up.
16:41Yeah. You were always the grown-up.
16:43Do the responsible thing.
16:45Tattletail.
16:46You cheated.
16:47I cheated then. You're cheating now.
16:49Your drug doesn't work.
16:51Oh, yes, you would like to believe that,
16:52because it plays right into your fantasy.
16:54I tested it.
16:55Oh, really?
16:56What are your parameters? Where's your study?
17:02Room 2134.
17:04One patient?
17:05The coma patient?
17:07You haven't changed a bit.
17:10You took shortcuts in med school.
17:12You're taking shortcuts now.
17:14You cannot test this on an abnormal brain.
17:17That's so close-minded.
17:19He's not abnormal.
17:20He's... special.
17:21Cerebral cortex atrophies in coma patients.
17:26You need live, conscious people.
17:33You don't know everything, House.
17:39It's something that disrupts brain function.
17:43Plaques are perfect.
17:44Interrupt neuronal communication.
17:46MS?
17:47No.
17:48MS is complicated.
17:49I think this is more basic.
17:50It's just tachycardia and seizures.
17:52How much longer the burn unit guy's gonna keep him in that thing?
17:56Lecture's over. Let's go.
17:57House wants to...
18:01Adam's waking up.
18:03Get the anesthesiologist in here now.
18:05He's in pain.
18:08That's no pain.
18:11Need some help in here.
18:12All right.
18:46All right.
18:52See you next time.
18:54Bye.
18:54Bye.
19:15Adam had an orgasm what you mean while he was
19:28what's wrong I'm having a migraine are you okay yes I was right
19:50I'm gonna knock you out for a couple of hours I got work to do
19:55just give me summa trip down for the pain and for rapamil so it doesn't recur
20:04I heard the patient had fun in the hyperbaric chamber yeah gotta schedule me some time in there
20:14whoever's meds aren't even legal in the US it's legal in India it was disoriented
20:28moving around is a bad idea hey if you feel chest pain you need to let me know
20:33if a rapamilic cause congestive heart failure nothing can hurt my heart
20:41hey you're gonna feel some dizziness definitely gonna be constipated
20:50differential diagnosis for getting off
20:54is he gonna be okay no something's seriously wrong with him differential diagnosis for
21:02ejaculation don't make me sad again we're not stalling we just don't know then guess
21:11could pain medication cause an orgasm I wish maybe pain caused the orgasm you get a tattoo
21:17the brain releases endorphins which create pleasure most people don't orgasm from a needle prick
21:22you know Chase has a point the brain is like a huge train station if the switch is
21:31you're the neurologist talk for me if sensory information got misinterpreted by the medial
21:36forebrain bundle it's possible for bad to feel good and good to feel bad he's a lucky kid
21:41let's not fix him until it burns heel so what attacks the medial forebrain bundle
21:46infective neuropathies vasculitic neuropathies
21:49crabs disease metachromatic leukodystrophy all very bad things no way to look for any of them
21:55in his condition could be an infection I said infection about eight seconds ago you listed
22:00some brain infections but what if it's just a regular old infection festering in the burned
22:06skin pus on his arm isn't causing problems in the forebrain he's on 20 different medications
22:10to manage his pain in his heart how often he urinates his brain is like a waiter that's got too
22:17many hey I did the metaphors the brain is stressed an infection elsewhere could put it over the edge
22:25so we just wait for his burns to heal to see if you're right if you're wrong he doesn't have
22:30that
22:30kind of time Dominic Larry he another dead doctor this Napoleon's surgeon-in-chief cleaned a lot of battle
22:42wounds by amputating legs and with bugs maggots are implanted directly into Adam's burns maggots
22:55eat dead people I maggots eat dead flesh only dead flesh so they're perfectly suited to clean wounds
23:05they also kill the bacteria that thrive in injured tissues
23:08eat dead flesh so they're perfectly suited to clean wounds by the blood of the blood of the blood of
23:16the blood of the blood of the blood of the blood of the blood of the blood of the blood
23:24of the blood of the blood of the blood of the blood of the blood of the blood of the
23:27blood of the blood of the blood of the blood of the blood of the blood of the blood of
23:27the blood of the blood of the blood of the blood of the blood of the blood of the blood
23:28of the blood of the blood of the blood of the blood of the blood of the blood of the
23:30blood of the blood of the blood of the blood of the blood of the blood of the blood of
23:30the blood of the blood of the blood of the blood of the blood of the blood of the blood
23:30of the blood of the blood of the blood of the blood of the blood of the blood of the
23:31blood of the blood of the blood of the blood of the blood of the blood of the blood of
23:32the blood of the blood of the blood of the blood of the blood of the blood of the blood
23:46Dr. Jekyll, I presume. They found a half-eaten sheep in the zoo. Police won't ask you a few questions.
23:51I need something to wash it down.
23:54Coffee? Bad idea. You're better off with water.
23:57Coffee's closer.
24:01Foolproof plan, by the way.
24:02Either it's meds woodwork, and you'd be in psychic pain because von evil is going to be rich.
24:10Or they wouldn't, and you get to be in agony all day.
24:15Perfect lose-lose situation. Very you.
24:17I had to prove.
24:19You proved nothing.
24:23Right. This isn't a migraine.
24:27Yeah. Dear New England Journal of Medicine, I took this guy's drug and still got a headache.
24:32Thus, scientifically proving that my arch-enemy is an idiot.
24:35You just wanted the pain.
24:37The meds are supposed to prevent migraine.
24:40You get distracted by pain.
24:42It leaves less room for the things you don't want to think about.
24:45Like the flyer is sucking, or the price of gas, or...
24:48Oh, the fact that you push the love of your life out of your life.
24:52God, I wish the pain would go away.
24:55Next time you need to get your mind off or stick a needle in your eye.
24:58It's less annoying to the rest of us when you can still walk.
25:08Did you sleep here?
25:14Lower.
25:16Do you want a pillow?
25:19Not softer. Lower.
25:21Frequency of your voice is grating.
25:24You should have been better by now.
25:26I'm super patient.
25:29The maggots did great for the burn.
25:32But the brainwaves are still all over the map.
25:34Which means your regular old infection isn't causing his brain dysfunction.
25:39Which means there's an underlying condition, which means we gotta get inside his head.
25:43Do a lumbar puncture.
25:45We've already established that we can't get a lumbar muscle.
25:48C2, C3.
25:49No, no, no way.
25:52I only saw a cervical tap once, and that guy got paralyzed.
25:56Ask the parents if they prefer to have their son in a wheelchair or dead.
26:05Something's causing his brain to lose control.
26:08Eventually it'll shut off.
26:10We need to do a lumbar puncture to get some of the fluid in the spine so we can test
26:13it.
26:14You need us to sign a consent?
26:16I have to warn you.
26:18There's a serious risk of paralysis with death.
26:22Are you saying we shouldn't do this?
26:25You have to do this.
26:26Then why are you telling us what can go wrong?
26:28I just think you should know.
26:29Either you're cruel to this clipboard as a way for you to cover your ass in case you cripple our
26:33son.
26:33This isn't his fault.
26:34No, it's not.
26:35It's yours.
26:35That's what you keep telling me.
26:37My son is lying in there half dead.
26:39I am just trying to find a way to get through this.
26:42I'm sorry.
26:43Yeah, I know.
27:04Lidl.
27:21It's not going, Ed.
27:22Don't force it.
27:24I'm going one space higher.
27:25It's too close to his brainstem.
27:26It'll herniate.
27:28You're going to paralyze him.
27:30I'm not helping.
27:32His blood pressure's spiking.
27:33Stop.
27:34I can get it.
27:34He's 180 over 120.
27:36He's going to stroke.
27:39I'm in this space.
27:40Give me the bell.
27:58He doesn't have MS or an infection.
28:03These proteins aren't elevated.
28:05Wrong protein.
28:07IGM, not IgG.
28:09Elevation was probably caused by the bleed.
28:12What if there was tingling in his extremities prior to the crash?
28:17How can you still be on MS?
28:19You've got to be on something.
28:22Something's interrupting his neurons' chit-chat like lesions.
28:25We can't scan for them.
28:27We can't scan for them.
28:27The only test we can do, we just did, and it was negative.
28:30He has no tingling, no numbness.
28:33And you read his history.
28:34Parents didn't say anything about...
28:35About Adam.
28:38We can't look into his brain, but you want us to read his mind.
28:43Good point.
28:54Yeah, you can finish the sponge bath in a minute.
28:56They're just redoing his dressings.
28:58He's out.
28:59He's fine.
29:00I didn't pay you to put him out.
29:01I paid you to wake him up.
29:04Why are these lights so damn bright?
29:08Come on.
29:09I need to talk to him.
29:10House, you can't wake up a burn victim to play 20 questions.
29:13It's torture.
29:14He won't remember.
29:15He's going to be an extraordinary...
29:17God, you're good.
29:18You're putting me to sleep.
29:20I know he's going to be in pain.
29:21I know you disapprove.
29:22I'm his attending.
29:24Wake him up.
29:44Oh, my God.
29:46I'm Dr. House.
29:47It hurts.
29:49It's going to get a lot worse, so answer fast.
29:51Before the accident, you experience any numbness or tingling in your fingers.
29:55You got burnt.
29:56It's healing.
29:57I need an answer.
29:58It really hurts.
29:59Any tingling in your arms or legs.
30:01Do something.
30:03I can't...
30:03Adam, you've got to listen to me.
30:04Did you feel anything?
30:06I pissed my pants and then I don't remember it.
30:29Oh, my God.
30:52Is he okay?
30:53Get everyone in my office.
30:56Where are you going?
30:58The kid's screaming, giving me a headache.
30:59Okay, I've got to take an aspirin.
31:01I've got to take a drink.
31:08I'll take a bath.
31:10I'll take it.
31:10I'll take it.
31:13I'll take it.
31:19I'll take it.
31:22I'll take it.
31:26I'm sorry.
31:27I'll take it.
32:00House, are you okay?
32:03We've been waiting for you.
32:08I'm hallucinating.
32:14Hallucinations with migrants are pretty uncommon.
32:17What did you see?
32:19I saw music.
32:23Sensory deception makes no sense.
32:29You took something.
32:32The kids are fighting.
32:33The kids are fighting.
32:34The kids are fighting.
32:35The kids are fighting.
32:35The kids are fighting.
32:36The kids are fighting.
32:37The kids are fighting.
32:39The kids are fighting.
32:42The kids are fighting.
32:45The kids are fighting.
32:45The kids are fighting.
32:47The kids are fighting.
32:48The kids are fighting.
32:51The kids are fighting.
33:02Hey, you find him?
33:03He was hallucinating in the locker room.
33:06He okay?
33:07He's feeling no pain. He's high.
33:09Vicodin high?
33:10Past that. He's seeing sounds.
33:13Took something.
33:18Why is it so dark in here?
33:19Beautiful day outside.
33:21Open the shades. Let the sunshine in.
33:23It's nighttime.
33:26It's still Tuesday, right?
33:28You look better.
33:30I took something.
33:31Mind if I ask what?
33:33Uh, a little of this, a little of that.
33:36I know what's wrong with our patient.
33:38He's depressed.
33:40He told you that when you woke him up?
33:42He told me he pissed his pants and blacked out.
33:44It's not diagnostic of depression.
33:45Lack of appetite, isolating yourself.
33:47Uncontrollable. Urination and blacking out
33:49are good predictors of what?
33:50Seizure.
33:51Which means the seizure he had when you tested his heart
33:53was at least his second seizure.
33:55So what? Depression and seizures aren't correlated.
33:58No.
33:58But you know what is?
34:01Depression and anti-depression medicine.
34:03Toxgram is clean.
34:05Yeah, but you know how much crap he's got in his system
34:07for dealing with those burns?
34:08The guy can have the Spanish Armada
34:10floating through his bloodstream.
34:11We wouldn't know about it
34:12until he started firing cannons.
34:14Anti-depressants have been known
34:15to cause seizures in kids, but not orgasms.
34:17This is a brain in trouble.
34:19This is a brain with too much serotonin.
34:22Serotonin affects mood, appetite.
34:24It doesn't cause a brain to shut down.
34:26Anti-depressants fake brains into thinking
34:28they have more serotonin than they actually do.
34:30Every 10 million or so cases
34:32sets off a chain reaction.
34:34Produces too much, enough to fry itself.
34:37If Adam has serotonin storm, it's deadly.
34:39Betreatable.
34:40It's hyperheptadine.
34:41Unless he doesn't have serotonin storm,
34:43he could just as easily have too much dopamine
34:45and serotonin, but if it's dopamine,
34:46this hyperheptadine will kill him.
34:49Where are you going?
34:50I'm going to talk to the kid again.
34:52Seems nice.
34:52You can't.
34:54Why?
34:55Did he say he doesn't like me?
34:56Anesthesiologist told the parents what you did.
34:59Everyone's a tattletale.
35:07Is your son depressed?
35:11No.
35:11Who are you?
35:12I'm Dr. House.
35:13Oh, you're the idiot who-
35:14I heard him screaming all the way down the hallway.
35:16If I didn't wake him up,
35:17I wouldn't have learned what caused the crash.
35:19I think he had a seizure.
35:24This wasn't my fault?
35:27If he hadn't had the brain problem,
35:29he wouldn't have the burns.
35:31On the other hand,
35:32if you hadn't put him on the ATV,
35:33he also wouldn't have the burns.
35:34You can debate your personal responsibility after I leave.
35:36I need to wake him up again.
35:38I need to know if he's taking antidepressants.
35:40He's not.
35:42He's the happiest kid I know.
35:43Oh, but you don't know, do you?
35:48He's my son.
35:50That's sort of my point.
35:51At 16, they'll tell anyone anything except their parents.
35:55Adam talks to us about everything.
35:57Yeah, I know about the pot and the cocaine.
35:59There was never cocaine.
36:00You sure?
36:02Having him followed?
36:04He told us when he got drunk at a party.
36:07He told us when he started having sex.
36:0916.
36:09Way to go.
36:10He told us when he cheated on a math test.
36:12He told us when his girlfriend cheated on him.
36:14He doesn't hide anything from us.
36:16But if he was depressed...
36:17He'd tell us.
36:19We don't judge.
36:20He's not depressed.
36:21We're sure.
36:22Bet his life on it, sure.
36:26Just hypothetically.
36:29Yeah.
36:34Okay.
36:38The kid's happy.
36:40Happy, happy, happy, happy.
36:42Then we're back to where we started.
36:44Seizure disorders.
36:46Seizure disorders aren't causing orgasms.
36:49Vascular malformations?
36:51We've seen it on the sonogram.
36:53Hepatic encephalopathy?
36:55Liver enzyme test when normally.
37:03Where are you going?
37:04Take a leak.
37:14What are you doing?
37:15You can't come in here.
37:16You're not sterile.
37:17Don't touch our son.
37:18We told you.
37:19Millions of bacteria, microbes on you.
37:21He'll die of sepsis.
37:22If you go in there.
37:28I think he's going to wake him up again.
37:30I know he is.
37:33House, you can't do this.
37:35Oh, if I had a nickel for every time I've heard that.
37:38Relax.
37:39Are they going to sue us?
37:40If I'm right, I save his life.
37:43If I'm wrong, he's dead no matter what I do.
37:46Either way, how much have I really hurt them?
37:49Leave him alone.
37:50You're not sterile.
37:51Do you want to kill the kid?
37:53Give me this, Orange.
37:54No pain, no gain.
37:55Hey, you got to stop this.
38:01You're right.
38:03He's not depressed.
38:04Yeah, sure.
38:06I'm not letting you go until you give me that syringe.
38:09What's that on his wrist?
38:12A burn.
38:13Why on his wrist?
38:14Why not on his wrist?
38:16His back, his torso.
38:17Everything's a mess.
38:18His forearms are clean.
38:20Except right there.
38:21So what?
38:23It's a perfect circle.
38:25So a drop of burning gasoline fell on his wrist.
38:27A screw from the ATV.
38:30Maybe.
38:41Why are you torturing him?
38:43Is your son smoke?
38:45I'd kill him.
38:48So?
38:49We can talk to you about sex, crack, anything except cigarettes.
38:54He has a cigarette burn on his wrist.
38:57Also a fading nicotine stain between two fingers.
39:01Bad news.
39:02Your son has a filthy, unhealthy habit.
39:05Good news.
39:06He's trying to quit.
39:07Bad news.
39:08Quitting's killing him.
39:09Good news.
39:10I can cure him.
39:11Bad news.
39:13Well, that's the end of it.
39:16Quitting smoking can kill.
39:18No smoke vids or antidepressants.
39:20The crappy ones you get over the internet.
39:23Loaded with whatever antidepressants they can get cheap.
39:25And since mommy and daddy obviously didn't take him to a pediatrician.
39:32Sorry, I was wrong about him being depressed.
39:35Treat him.
39:54Hey.
39:57Did you drop acid?
40:01Why would I do that?
40:03To annoy me?
40:04Or maybe because you're miserable?
40:07Or because you want to self-destruct?
40:10Pick one.
40:12How about because LSD acts on serotonin receptors in the brain,
40:16which can stop a migraine in its tracks?
40:19I'm just saying that's also a possibility.
40:22How did you know about that?
40:23Cameron is worried about you.
40:25I told her that LSD lasts up to 12 hours.
40:28If you were functional, she must be wrong.
40:29Well, either that or I also took a whole bunch of antidepressants
40:32which short-circuited the LSD.
40:34I'm just saying that would also explain it.
40:36Thank you for ruining my clinical trials.
40:39Pharmaceutical company shutting me down.
40:41You're kidding. Really?
40:42How could that surprise you?
40:43You sent them an email complaining about my math,
40:45telling them about your stunt.
40:47I don't know. People actually read emails.
40:49Delete buttons so conveniently located.
40:51So what's next?
40:52You're gonna follow me my whole life?
40:54Torture me?
40:54Why would I do that?
40:55You waited 20 years to do this.
40:57What's next?
40:58Break up my marriage?
41:00No.
41:02We're even.
41:03Right.
41:06Well, thanks for setting me up.
41:12Eye for an eye.
41:13LSD and antidepressants.
41:16Everything in balance.
41:18Buddhists call it karma.
41:19Christians call it the golden rule.
41:21Jews call it...
41:24I don't know.
41:26Rabbi Hillel said something poignant.
41:29Universe always settles the score.
41:32Does it?
41:34No.
41:36But it should.
41:45Do you think you'll ever be able to look at him
41:47and not blame me?
41:51Yeah.
41:53Will you?
41:55Will you?
42:33I'm Paula.
42:34I'm Paula.
42:47Hey, Paula.
42:49How you doing?
42:51You work over at the college
42:53or are you full-time over at the...
42:55I'm looking for a distraction.
42:57You don't need to talk to do that, do you?
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