- 10 minutes ago
مسلسل House مترجم - Episode 2
Category
📺
TVTranscript
00:01Ready, ready.
00:02Are you right?
00:03Are you right?
00:05Back, back, back, back, back!
00:07Yes!
00:16Back, back, back!
00:17You know what?
00:18A good look.
00:48Go, go, go!
00:56You okay?
00:58You alright?
00:58Dan?
00:59Dan, talk to me!
01:00Dan!
01:02Dan!
01:03Huh?
01:04Get a doctor!
01:47Dan, talk to me!
01:49Close the door.
01:49Close the door.
01:54Is Cuddy down the hall counting to 50?
01:57She knows I'm in here, in the clinic, as she commanded.
02:00She just doesn't know I'm alone.
02:02Well, you've got a full waiting room.
02:04How long do you think you can ignore them?
02:05I'm off at four.
02:08You're doing this to avoid five minutes of work?
02:10I go up there, I get assigned a kid with a runny nose.
02:14That's 30 seconds looking at the nose, 25 minutes talking to a worried mom
02:17who won't leave until she's sure it's not meningitis or tumor.
02:19Yes, concerned parents can be so annoying.
02:22Just tell Cuddy you've got an urgent case.
02:24You had to leave early.
02:24That would be lying.
02:25And that would be wrong.
02:27But luckily, the definition of urgent is fungible.
02:30Not the definition of case, though.
02:36You have no cases?
02:39You have no cases?
02:42You've got hand-picked doctors, specialists working for you,
02:46and they're sitting on their hands?
02:49Cameron's answering my mail.
02:50Well, time well spent, I'm sure.
02:52Foreman and Chase?
02:55Research.
03:03Nine letters. Iodine deficiency in children.
03:06Crutinism.
03:17So, 4.03 p.m., Dr. House checks out.
03:21Please write that down.
03:22Dr. House.
03:23Sorry, done for the day.
03:24Plenty of docs here to take care of you.
03:26But we had an appointment.
03:28Huh, nice try.
03:29This is a walk-in clinic, which means there are no appointments.
03:31You walk in, sign the chart, and a doctor will see you, just not me.
03:34Your letter says that we'd see you.
03:37I'm not a big letter writer.
03:40Here.
03:43When did my signature get so girly?
03:47I can explain.
03:48See that G?
03:49See how it makes a big loop on top?
03:51Doesn't even look like my handwriting.
03:53You think I have something?
03:54What's the differential diagnosis for writing G's like a junior high school girl?
03:58It's impossible to get G's through normal channels.
04:00They have called, emailed.
04:01Perseverance does not equal worthiness next time you want to get married.
04:04If you get my attention, wear something fun.
04:05Low-rider jeans are hot.
04:08Sixteen-year-old male.
04:09Sudden onset of double vision and night terrors, with no apparent cause.
04:13The kid's been to two neurologists and Ian-
04:14Night terrors?
04:15Yeah, as in big scary monsters?
04:17Yes.
04:22Where are you going?
04:23See the family.
04:24You're going to examine a patient?
04:26Nine times out of ten there's no reason to talk to a patient, but night terrors in a sixteen-year
04:30-old
04:30is a very good reason to talk to this family.
04:33Good work.
04:37The margins are fine.
04:41The lesions...
04:42The color is good.
04:45How long have you been having night terrors?
04:47Three weeks.
04:48He's afraid to go to bed.
04:50He's exhausted, can barely function.
04:54What does that tell you?
04:55Nothing.
04:56Just fun watching him blink.
04:58Name as many animals as you can that begin with the letter B.
05:01Go.
05:09Baby elephant?
05:10Baby elephant is actually a good answer.
05:12B is a bear of a letter.
05:13What does that tell you?
05:14Proves two things.
05:15No neurological damage, and your son is never going to be chief fry cook.
05:19In teens there are two likely causes of night terrors.
05:23Post-traumatic stress, any recent shootouts at your high school?
05:26No.
05:26Well then, Dave.
05:27Dan.
05:28There's no trauma.
05:29The other cause is sexual abuse.
05:33Oh.
05:35So who's molesting you?
05:36Teacher?
05:37Extra friendly neighbor?
05:39I'd ask if either of you were involved, but you'd deny it.
05:41No, we would never do anything to hurt Dan.
05:43I said, here it comes out there.
05:45This lack of response is consistent with abuse.
05:48There's no one, okay?
05:49I swear.
05:51There was trauma.
05:52I got hit in the head during the lacrosse game.
05:55Did you know that he got hit in the head?
05:59They didn't mention it, no.
06:01Yeah.
06:01Why bother?
06:05No.
06:06No.
06:06We took him to the ER after the game.
06:08He was scanned.
06:09They tested him.
06:10He said he was fine.
06:11No concussion.
06:11It's gotta be something else.
06:12You hound me for my opinion and then you questioned my diagnosis.
06:16Cool.
06:17ER obviously screwed up.
06:18Kid's got a concussion.
06:19I had double vision before I was hit.
06:21Well, that changes everything.
06:23You need glasses.
06:24That's why you had double vision, which is why you got hit, which is why you have a concussion,
06:28which is why you have night terrors.
06:30You need to see an ophthalmologist, which I am not.
06:34You enjoyed that.
06:35I brought a reasonable case to your attention and you shoved it in my face just to humiliate me.
06:39You're an only child, aren't you?
06:41Why would you say that?
06:42Because everything is about you.
06:45This may seem incredibly controversial, but I think sexual abuse is bad.
06:49I just wanted to make sure he wasn't being diddled by daddy or mommy.
06:52Anything else is just a bonus.
07:05I'm not an only child.
07:07Interesting.
07:09What?
07:10Don't move.
07:12Did I bore you in there?
07:13What?
07:15No, not really.
07:16Are you tired?
07:18Sometimes.
07:19He never sleeps, of course he's tired.
07:20Right now, at this moment, are you tired?
07:22No, no.
07:22That twitch in your leg.
07:24Did you feel that?
07:27Didn't hurt.
07:28His leg twitched.
07:29I don't see what...
07:29It's called a myoclonic jerk.
07:31It's very common when you're falling asleep.
07:33The respiration rate falls and the brain sometimes interprets this as the body dying,
07:37so it sends a pulse to wake it up.
07:38So?
07:38So, he's not asleep.
07:40He's awake.
07:43Admit him.
07:48I recognize that loopy G.
07:52So, what does the jerk tell us?
07:54Nothing good.
07:55The brain's losing control of the body.
07:56Can't order the eyes to focus, regulate sleep patterns, or control muscles.
08:00A movement disorder or degenerative brain disease.
08:02Either way, this kid's gonna be picking up his diploma in diapers in a wheelchair.
08:05Maybe not that bad.
08:06Could be an infection.
08:07You wish.
08:08No fever, no white count.
08:10Anyone think this differential diagnosis might be compromised because we don't have an accurate
08:14family history?
08:15I took an accurate family history.
08:17You didn't even take an accurate family.
08:19His father's not his father.
08:21Why would you say that?
08:2130% of all dads out there don't realize they're raising someone else's kid.
08:25What I've read, false paternity is more like 10%.
08:27That's what our moms would like us to believe.
08:28Who cares?
08:29If he got it from his parents, they'd both be dead by now.
08:31Can we get on with the differential diagnosis?
08:3250 bucks says I'm right.
08:34I'll take your money.
08:35Hit a nerve?
08:36Don't worry, Foreman.
08:37I'm sure the guy who tucked you in at night was your daddy.
08:39Make it 100.
08:40What about leucoencephalopathy in a 16-year-old?
08:43That doesn't necessarily have to be that bad.
08:46If we exclude the night terrors, it could be something systemic.
08:48His liver, kidneys, something outside the brain.
08:51Yes.
08:51Feel free to exclude any symptom if it makes your job easier.
08:54The night terrors were anecdotal.
08:55He could have had a bad dream.
08:56No.
08:57Parents said he was conscious during the event and didn't remember anything afterwards.
09:00That's a night terror.
09:01Parents said?
09:02That's a good point.
09:04Before we condemn this kid, maybe we should entertain Dr. Chase's skepticism.
09:07I want a detailed polysomnograph.
09:09If he's having night terrors, I want to see them.
09:26They usually don't move during night terrors.
09:29I'm not restraining you for them.
09:33EEG revealed abnormalities in your brain.
09:37Caused nerve damage in your toes.
09:45What are you doing?
09:49Fixing it.
09:50Can I talk to my parents?
09:52Oh, they know all about this.
09:55I'd really like to see them.
10:06Please.
10:07I'd really like to see them.
10:09I'd really like them here.
10:11This is gonna hurt, Dan.
10:12Oh, my God.
10:16Oh, my God.
10:19Oh, my God.
10:31That's a night terror.
10:45we did a ct mri cbc chem 7 and chest x-ray all the tests came back normal there's nothing
10:51to
10:51explain the symptoms okay but let's pretend there's something and go from there who sees
10:55something on this mri lesions in the white matter no structural abnormalities no space
11:02occupying tumors he's 16 so he should have an absolutely pristine brain the smallest thing is
11:08abnormal meningial enhancement my bed is viral meningitis excellent did you see what he did
11:16there took a small clue that there's a neurological problem and wasn't afraid to run with it there's
11:21no evidence of meningitis on that mri no there's not he's completely wrong then what clue are you
11:26talking about he knew that i saw something on the mri so he figured there must be something there and
11:30took a guess clever but also pathetic so what did you find take a close look at the corpus callosum
11:41looks okay are we all looking at the same thing 200 million interhemispheric nerve fibers the
11:47george washington bridge between the left and right side of the brain it's subtle
11:57there's some boeing there an upward arch are you guessing yes too bad you're right he probably just
12:06moved nobody stays perfectly still for the entire mri yeah he probably got restless and shifted one
12:12hemisphere of his brain to a more comfortable position something is pushing on it if there was
12:17boeing could be a tumor do you see a tumor on this mri no but i don't see any boeing
12:22either
12:22there's no tumor just a blockage causing pressure causing symptoms today night terrors tomorrow
12:27he's bleeding out of his eyes get him a radionucleotide cisternogram i guarantee you'll see a blockage
12:39okay
12:41okay
12:43okay
12:44oh
12:45easy
12:45okay
13:05now i'm injecting a material that's tied with a radio isotope it's going to enter your spine and travel up
13:12to your brain
13:13it'll make it'll make you able to think deep thoughts run 100 miles an hour
13:20easy
13:35their eyes aren't the same color but that fleck in the eyes it's maybe a one in ten chance if
13:40they're not related
13:42no house isn't going to pay you based on that any excuse we can give the folks to justify dna
13:47tests
13:47we could tell him he's got huntingtons whole family should be tested a little diet
13:57hey there's a lot of blockage i've scheduled in for surgery we're going to put a shunt into one of
14:02the
14:02ventricles to give the cerebrospinal fluid and out no more pressure everything goes back to normal
14:07he's lucky to have you as his doctors
14:18no formula just mommy's healthy natural breast milk
14:23yummy
14:24her whole face just got swollen like this overnight
14:27mm-hmm
14:30no fever
14:33glands normal
14:34missing her vaccination dates
14:36we're not vaccinating
14:41grubbit grubbit grubbit
14:45think they don't work i think some multinational pharmaceutical company wants me to think they
14:49work pad their bottom line
14:52may i sure
14:57grubbit grubbit grubbit
15:01all natural no dyes is a good business all natural children's toys
15:05toys toy companies they don't arbitrarily mark up their frogs they don't lie about how much they
15:10spend on research and development the worst the toy company could be accused of is making a really
15:15boring frog
15:18grubbit grubbit grubbit grubbit grubbit grubbit
15:20you know another really good business
15:23tiny tiny
15:24tiny tiny baby coffins
15:27you can get them in frog green
15:28fire engine red
15:30really
15:31and the antibodies
15:33and the antibodies
15:33and yummy mummy
15:34and they all protect the kid for six months which is why these companies think they
15:37can gouge you
15:38they think that you'll spend whatever they ask to keep your kid alive
15:41want to change things prove them wrong
15:44A few hundred parents like you decide they'd rather let their kid die than cuff up 40 bucks for a
15:48vaccination.
15:49Believe me, prices will drop really fast.
15:52Gribbit, gribbit, gribbit, gribbit, gribbit, gribbit.
15:56Tell me what she has.
16:01A cold.
16:04There's a problem.
16:06Complications in surgery?
16:07Surgery went fine. He's in recovery.
16:09But we took a vial of CSF and tested it.
16:11Really?
16:11It turns out the bowing wasn't the cause of his problems. It was a symptom.
16:14I look at clonal bands and increased intrathecal IgG.
16:17Which means multiple sclerosis.
16:19And the reason it takes three of you to tell me this?
16:21Because we're having a disagreement about whether or not it is MS.
16:23No lesions on the MRI.
16:25It's early. He's had the disease for maybe two weeks.
16:27McDonald's criteria requires six months to make a definitive diagnosis.
16:30Oh, who cares about McPherson? I hear he tortured kittens.
16:33McDonald.
16:33Oh, McDonald. Wonderful doctor. Love kittens.
16:35The VEP indicates slowing of the brain.
16:38Is that the lesions? We can't be sure.
16:39Well, if it is, it's gone from zero to 60 in three weeks,
16:42which would indicate rapidly progressive MS.
16:44Not the fun MS with the balloons and the bike rides for cripples and wheelchairs.
16:48We should wait until we...
16:49Start treating him now.
16:51Maybe he can walk for another couple of years.
16:52Maybe live for another five.
16:55Break it to the family. I'm going home.
16:57It'll take months for a definitive diagnosis.
17:00What'll happen to me?
17:03MS is an incredibly variable disease, if it is MS, and we're not 100% sure.
17:09What do you think is going to happen?
17:15There are some medications to manage the symptoms, but as the disease progresses, the problems will become more severe.
17:21Bowel and bladder dysfunction, loss of cognitive function, pain...
17:26What's it going to hurt?
17:29The brain's like a big jumble of wires.
17:32MS strips them of the insulation and the nerves die.
17:35Brain interprets it as pain.
17:37But by starting treatment, we're going to prevent that for as long as possible.
17:41We're looking into a couple of specialists, and until we get you squared away, you'll stay here.
17:45Okay?
17:53Okay?
18:07Security check the videotapes from all perimeter cameras.
18:10He's still got to be in the hospital.
18:12Where's Chase?
18:12Main floor.
18:13Okay, you take the cafeteria and administration.
18:15I'll hit the research annex and work my way back to you.
18:41I don't mean that you're indicates that you have to be in the hospital.
18:44I don't think it's going to hurt anyone.
18:44I'm going to keep scratch on taking the槍.
18:46Oh, ok.
18:47We've won known myself.
18:47God with fire dogs? Remember
18:47that they have to meet rocks? They've
18:55Dan?
19:03I'm not here.
19:04Leave a message.
19:10Dr. McCutty.
19:12Great outfit.
19:13What are you doing back here?
19:15Patient?
19:15No.
19:16Hooker.
19:17Went to my office instead of my home.
19:30Dr. House.
19:32Dan's missing.
19:33Yeah.
19:34I got that part from the message.
19:35You said I was needed immediately.
19:36He shouldn't move after a lumbar puncher.
19:38I agree.
19:39He's going to have a very nasty headache.
19:41That would also be my opinion if consulted tomorrow morning.
19:44We wanted to keep you informed.
19:46He heard some pretty heavy news.
19:49This is not a toddler wandering around a department store.
19:52He's 16.
19:53You'll find him.
19:55I'm going home.
19:58So when you say call me if you need anything, you mean don't call me?
20:00I mean call me if I can do something.
20:02I'm bad at search parties and I'm bad at sitting around looking nervous doing nothing.
20:07What about his parents?
20:08Should we call them?
20:09Why, do you think they're hiding him?
20:12Make sure someone checks the roof.
20:14Some of the orderlies keep the door propped open so they can grab a smoke.
20:17Let's go.
20:19Let's go.
20:32Let's go.
20:40Let's go.
20:53Dan, you okay?
21:02There are experimental treatments, ongoing research.
21:06Who knows what they'll discover in a year or two?
21:09This is where I dropped the ball.
21:11Dan, we're standing on the roof of the hospital.
21:16Dan.
21:18Dan, you're not on the field.
21:21He doesn't know where he is.
21:22There!
21:23For me.
21:25Dan.
21:28Dan?
21:29Dan, no!
21:29Dan!
21:41Dr. Foreman.
21:44I assume you found the kid?
21:46He almost walked off the roof.
21:49Suicidal?
21:49No, he thought he was on his lacrosse field.
21:51Look, I was just going to run home, shower, change.
21:54Conscious?
21:55Yeah.
21:56How'd you talk him down?
21:58Actually, Chase tackled him.
21:59How come you didn't do it?
22:01Right.
22:01Well, I am black, but he was closer.
22:07Come on, you can ride up with me.
22:15Anybody tell the family that their boy almost stepped off a roof?
22:17They must be thrilled.
22:18They're not suing, but I think only because Chase asked them.
22:21Why does everybody always think I'm being sarcastic?
22:23This is great news.
22:25He doesn't have MS.
22:26Parents should be thrilled.
22:27Well, a mom, anyway.
22:29Of course, the dad probably doesn't know.
22:30Why doesn't he have MS?
22:32He was on the roof thinking he was on all the lacrosse field.
22:34Conscious and therefore not a night terror.
22:35You want some of this?
22:37Yeah, sure.
22:38He was in an acute, confusional state,
22:40which doesn't fit with a demyelinating disease like MS.
22:43Oh, look at clonal bands.
22:44We're real.
22:45They just mean something other than MS.
22:47So, what are they telling us?
22:49You mean the system is working?
22:50Right.
22:51He has an infection in his brain.
22:53What about sex?
22:55Well, it might get complicated.
22:57I mean, we work together.
22:58I'm older, certainly, but maybe you'll like that.
23:00I meant maybe he has neurosyphilis.
23:01Huh. Nice cover.
23:03Sorry, RPI was negative.
23:05We don't need a definitive test to confirm this.
23:07Sure. Didn't need one to confirm MS.
23:08Okay, let's wait for you to run titers on 1,400 viruses
23:11while this kid's brain turns to mush.
23:13So, the fact that he doesn't have MS,
23:15it's really not good news after all.
23:17Well, it is if it's neurosyphilis.
23:19Likelihood of a false negative on an RPR test, 30%.
23:22Likelihood of a 16-year-old having sex, roughly 120%.
23:26I'll start him on IV penicillin.
23:27No, we're not going to wait for that.
23:28The most effective way to deliver the drug
23:30is right into his brain by the spine.
23:31We can't.
23:32In a cramped space like the brain,
23:34increased intracranial pressure from a high-volume drug like penicillin
23:36could herniate his brainstem and kill him.
23:39A neurologist in his right mind would recommend that.
23:41Show of hands, who thinks I'm not in my right mind?
23:44And who thinks I forget this fairly basic neurological fact?
23:48Who thinks there's a third option?
23:52Very good.
23:53What's the third choice?
23:54No idea.
23:55You just asked if I thought there was one.
23:59The patient has a shunt in his brain.
24:02There'll be no increased pressure.
24:03We can put as much penicillin into his body as we want.
24:06Excellent.
24:06Inject him through a lumbar puncture.
24:11One of us is going to do this to you
24:13twice a day for the next two weeks.
24:18I'm ready to go.
24:19He could get cephalus even if he's not sexually active.
24:23Well, it's unusual, but it's possible.
24:29Relax.
24:43It's infected with a really big hole like you stuck a nail in it to relieve the pressure.
24:49I wouldn't do that.
24:50Although the wound is irregular.
24:51It's not cylindrical, shaped like a triangle, so not a nail.
24:55Steak knife?
24:56Wife's nail file.
24:57Nail file.
25:00Yeah, well, pain will make you do stupid things.
25:03Something to take the edge off?
25:05Yeah.
25:08Cheers.
25:14So, you have family here in Princeton?
25:17No.
25:19You're on work?
25:20No.
25:21Why are you...
25:21Does your penis hurt?
25:22No.
25:23What?
25:24Should it?
25:24No.
25:25Just thought I'd toss you a really inappropriate question.
25:28Your lawyer's gonna love it.
25:30Why would I want to sue you?
25:31I want you to treat me.
25:32You're from Maplewood, New Jersey, right?
25:34Yeah.
25:34Now, why would you drive 70 miles to get treatment for a condition that a nine-year-old could diagnose?
25:42It's the free-flowing pus that's the tip-off.
25:45I was in town.
25:45Not for family.
25:46Not for work.
25:47You drove 70 miles to a walk-in clinic.
25:50You passed two hospitals on the road.
25:51Now, either you've got a problem with those hospitals or they have a problem with you.
25:55My guess is you've sued half the doctors in Maplewood and the rest are now refusing to help you.
25:59It's ironic, isn't it?
26:00Sort of like the boy who sued Wolf.
26:03You know, I bet we have a doctor here named Wolf.
26:06How perfect would that be?
26:09I'm gonna page him.
26:10Okay.
26:10You know what?
26:11I'm gonna find a doctor to take care of this.
26:13I didn't say I wouldn't treat you.
26:16We'll drain your knee and run some lab work.
26:18Fix you right up.
26:18Why would you do that?
26:19I'm a people person.
26:22You actually treated him?
26:24All I know is he sued some doctors.
26:25Who am I to assume they didn't have it coming to them?
26:28The cutest little tennis outfit.
26:30My God, I thought I was gonna have a heart attack.
26:32Oh, my, I didn't see you there.
26:33That is so embarrassing.
26:34How's your hooker doing?
26:35Oh, sweet of you to ask.
26:36Funny story.
26:37She was gonna be hospital administrative, but just hated having to screw people like that.
26:41I heard you found her on the roof.
26:42You have very acute hearing.
26:44You notify the parents?
26:45In due course, of course.
26:47And is there a paternity bet on the father of the patient?
26:51Doesn't sound like me.
26:52Well, it does, actually.
26:53It doesn't mean you're guilty.
26:54You think?
26:55I saw the parents in the lobby.
26:57Smart money's obviously on the father.
26:59My guy knows a guy who can get you in for 50 bucks.
27:02Fine.
27:02Tell your guy if I win, you attend the Faculty Symposium and you wear a tie.
27:05And if I win, no clinic hours for a week.
27:09My guy will call your guy.
27:13She's very good at her job.
27:19The treatment should start helping soon.
27:21But it's not if it gets easier to focus on things or other stuff.
27:26Hey, Dan.
27:28Isn't Dr. Cameron's necklace a beauty?
27:31Something South American, I think.
27:33Yeah, Guatemalan.
27:36It's a cool necklace.
27:39Thank you so much.
27:41The kid's in pain.
27:44Don't fight it.
27:45Just let it happen.
27:46No.
27:47Know what?
27:48I give it a day.
27:49Dan?
27:50You okay?
27:51Dan?
27:52Body decomposition once he's in the grave.
27:56He's hearing voices.
27:58It's all over the place.
28:00It's all over the place.
28:01That's all over the place.
28:03You're a dead man.
28:05You're a dead man.
28:06Push two milligrams, Ivy.
28:07Animate stat.
28:08It's all over the place.
28:10Come on, Dan.
28:11Come on, Dan.
28:12Come on, Dan.
28:12Come on, Dan.
28:12Come on, Dan.
28:12Come on, Dan.
28:14Come on, Dan.
28:16Auditory hallucination shows further brain degeneration.
28:19Penicillin's not working.
28:20So, either it's a bad batch of penicillin, or our diagnosis is wrong.
28:26Square one.
28:29Midnight.
28:30LFTs, BUN, and creatinine are all normal.
28:33Diabetes is out, no gap.
28:34There goes metabolic.
28:35Amari rules at vasculitis.
28:37I for inflammation.
28:38Too young for anything degenerative.
28:40D-C-N.
28:41N for neoplastic.
28:42MRI was clean.
28:45I for inflammation.
28:46We already did that.
28:47Stupid to have two eyes and one mnemonic.
28:49What's the other one?
28:49Infection.
28:50Logo clonal bands still have to mean something.
28:52But no fevers.
28:53White counts elevated, but within range.
28:54We've tested for anything remotely possible.
28:56Everything is negative.
28:57CT scan, rosat subduro.
28:59Trauma.
28:59Later much.
29:06You know the problem?
29:07Midnight is actually spelled with a G and an H.
29:11You just figure out what those letters stand for.
29:18It's a sick brain.
29:19I mean, having fun.
29:23Torturing him.
29:25Talking to him.
29:30I'm scaring the hell out of him.
29:35Get him an EEG.
29:36Left and right EOG esophageal microphones.
29:40This thing wants to talk.
29:42Let's listen.
29:46We're missing something.
29:48This is screwed up.
29:50That's why you came up with the brain talking to the virus thing?
29:54I panicked.
29:55Okay.
29:56Sounded cool.
29:57They bought it.
30:02Oh, crap.
30:04Another reason I don't like meeting patients.
30:06They don't know what you look like.
30:07They can't yell at you.
30:09Here we go.
30:15How can you just sit there?
30:18If I eat standing up, I smell.
30:20Our son is dying.
30:22And you could care less?
30:24We're going through hell.
30:26You're doing nothing?
30:28I'm sorry.
30:29You need to vent.
30:30I understand.
30:31Don't be condescending.
30:33You haven't checked in on him once.
30:36Blood pressure is 110 over 70.
30:39The shot is patent.
30:40Well placed in the right lateral ventricle.
30:41The EKG shows a normal QRS with deep wave inversions throughout both lame and precordial leads.
30:46LFTs are elevated, but only twice the normal range.
30:49Oh, yeah.
30:49And he's hearing voices.
30:56Go hold his hand.
31:00Go on.
31:01I'll bust your train.
31:16Got any sample bags on you?
31:18I don't believe you.
31:19You're going to run DNA tests?
31:21Your son is deathly ill.
31:23I know.
31:23It's terrible.
31:24The fact is, if I don't keep busy with trivial things like this, I'm afraid I might start to cry.
31:29You're an ass.
31:30Yeah?
31:31You want to double the bet?
31:43General Hospital is on Channel 6.
31:46Dan's brain is not showing Channel 6 right now.
31:48Only mush.
31:49No epileptiform activity.
31:53What are you doing?
31:54Waiting for CBC and Chem 7.
31:56Good.
31:57Run DNA on these.
32:01What's this?
32:02Parents coffee cups.
32:04I can't believe you.
32:05I've had this conversation once already.
32:07If you've got something else to do, do it.
32:08Otherwise, do this.
32:18Dr. House?
32:20Hey, Mr. Funston.
32:21I was wondering when you'd be back.
32:23Got some papers for me?
32:25You've caused me considerable mental distress.
32:27Certainly hope so.
32:29What?
32:30Too cheap to get your lawyer to serve it for you?
32:32Or is it just more fun this way?
32:33I'm obviously prepared to consider a settlement.
32:35You have gonorrhea.
32:39No, I don't.
32:41Well, maybe you're right.
32:42But I have lab results, as you do.
32:43Could be a false positive.
32:45Normally, I'd run a second test.
32:46But since you're here, I'll just go with the first.
32:48You're just trying to scare me.
32:49It's reportable, you know.
32:50Public health issue.
32:51I'll be sure to let my wife know.
32:52Oh, don't bother yourself.
32:54The state will call for you.
32:55Look, if you're clean, I'm sure it'll all blow over.
32:57No big deal.
32:58There's an easy way to find out.
32:59Get one of your doctors to run a test.
33:04Uh-uh.
33:05These are mine now.
33:07I'll see you in court.
33:12West Nile negative.
33:13Not surprising since not too many mosquitoes passing from Jersey in December.
33:17No eastern equine encephalitis.
33:18You guys aren't going to believe this.
33:19What's that?
33:20House is right.
33:21The father's not the father.
33:24Who doubled up on me.
33:27You're not going to believe this.
33:29The mother's not the mother either.
33:33It's not a good idea to move your son in his condition.
33:36We just want a second opinion.
33:38We need an answer.
33:40You idiots.
33:42You lied to me.
33:43We didn't lie about anything.
33:45You, on the other hand, accused us of molesting our son.
33:48Perfect.
33:49Could we get off my scrubs and focus on theirs?
33:51Theirs is bigger.
33:52You're not Dan's parents.
33:54We're his parents.
33:55He was adopted.
33:56He doesn't need to know.
33:57I do.
33:58Adoption makes us just as much as...
33:59Listen.
34:00When we were taking his medical history, were you confused?
34:03Did you think we were looking for a genetic clue to his condition?
34:06Or did you think we were trying to ascertain who loves him the most in the whole wide world?
34:10How did you find out about this?
34:12I sampled their DNA.
34:14We wouldn't give you any DNA.
34:16Your coffee cups from the cafeteria.
34:18You can't do that.
34:19Again.
34:20Why are we getting hung up on what I did?
34:22Your medical history is useless.
34:24No.
34:24We gave you a detailed history of his biological mother.
34:28Her history.
34:29Non-smoker.
34:30Good health.
34:31Low cholesterol.
34:32No blood pressure problems.
34:34Dan was adopted two weeks after he was born.
34:36You have his history.
34:37There's nothing you need to know that we didn't tell you.
34:39Sounds reasonable.
34:40Well, if you want to transfer your boy, that is your choice.
34:44I still think it's the wrong...
34:46Was she vaccinated?
34:48The biological mother, when she was a baby, did she get her vaccinations?
34:52Dan was vaccinated at six months.
34:54Mm-hmm.
34:56Do you know why kids get vaccinated at six months?
34:59Because before that, they are protected by their biological mother's immune system.
35:03So, was she vaccinated?
35:10An infant picks up a regular old measles virus.
35:13He gets a rash.
35:14He's extremely uncomfortable.
35:16Has a wicked fever.
35:18But he lives.
35:19Here's the kicker.
35:20Once every million or so times, the virus mutates.
35:25Instead of Dan having a fever and a rash, the virus travels to his brain and hides like a time
35:31bomb.
35:32In this case, for 16 years.
35:35Subacute sclerosing panencephalitis.
35:38I know.
35:39There's only been 20 cases in the United States in the last 30 years.
35:42Suppose you can make an argument the kid's still in stage one.
35:46Once SSPE moves to stage two...
35:48Boom.
35:48Stage two is universally fatal.
35:51I assume it's impossible to know when he might move into stage two.
35:54He's already started showing symptoms.
35:56Could be a month.
35:57Could be tonight.
35:58Can we treat it?
35:59Ask the neurologist.
36:01Intraventricular interferon.
36:03I'm not going to shove a spike into his brain and drip interferon without confirming this diagnosis.
36:07Tap him.
36:08We won't get a reliable result from measles antibodies in his CSF.
36:11Not after everything we've given him.
36:12So the wrong treatment kills any hope of the right diagnosis.
36:15Why do people lie to me?
36:19I could also kill him.
36:21You're a ball, Foreman.
36:22Tell me I don't have to biopsy his brain.
36:26Well, there is one other way.
36:30You sure this isn't going to hurt?
36:32Yeah.
36:33It's just scary as hell.
36:35See, we go through the pupil.
36:36You won't feel it.
36:37The eye's been paralyzed.
36:38The needle travels to the back of the eye, which is where we'll perform the biopsy on your retina.
36:49So we've confirmed that the problem is this mutated virus.
36:52The treatment for SSPE is intraventricular interferon.
36:56We implant an Omeyer reservoir under the scalp, which is connected to a ventricular catheter that delivers the antiviral directly
37:03to the left hemisphere.
37:04You want us to consent to this?
37:05I don't even understand what you're talking about.
37:07Well, the antiviral.
37:12Look, I'm sorry.
37:15I can explain this as best I can, but the notion that you're going to fully understand your son's treatment
37:20and make an informed decision is kind of insane.
37:25Here's what you need to know.
37:28It's dangerous.
37:30It could kill him.
37:33You should do it.
37:34You're going to go in there.
37:38Yes, ma'am.
37:45Did you need something there?
37:48Yes.
37:49Yes.
37:52Yes.
37:54Yes.
37:55Yes.
37:56Yes.
37:57Yes.
37:58Yes.
38:00Yes.
38:01Yes.
38:07You can't order a $3,200 DNA test to win a bet.
38:10It's not an actual cost.
38:12I don't know if you know this, but the hospital actually owns the sequencing machine.
38:16I'm serious.
38:17Tell the parents to submit the bill to insurance.
38:19Insurance is not going to pay for a bet.
38:21It should.
38:22We don't make that bet.
38:23The kid dies.
38:25Not for the paternity bet.
38:26I never would have taken their DNA.
38:27Without their DNA, we never would have discovered that Dan was adopted, which was the key to this case.
38:33You just don't want to pay your end.
38:36Big mistake.
38:37My guy knows a guy.
38:38Fine.
38:39I will let you out of clinic duty for one week after you pay the $3,200 for the PCR
38:44test.
38:54Well, now, there's the $100 you owe me.
38:58There's a $100 I won from Cameron.
39:00$200 I took off of Foreman.
39:05And $600 I got from Wilson.
39:11Very bitter.
39:16Hey, good morning.
39:18Good news on your EEG.
39:20Treatment is working.
39:21And your immune system is responding.
39:24I know it's early.
39:25I just want to take a look.
39:29Let's see what that brain of yours can do.
39:32Name as many animals as you can that start with the letter O.
39:36Ostrich.
39:38Ox.
39:40Old elephant.
39:42Well, it's too better than last time.
39:44How are you doing with the whole adoption thing?
39:47And you're since fifth grade.
39:50How's that?
39:51Cleft chin.
39:53I have one.
39:55My dad doesn't.
39:57Looked it up on the internet.
39:58It's one of those trait things.
40:01That's right.
40:01It's autosomal dominant.
40:04Since neither of your parents have cleft chins, it's highly unlikely biologically related.
40:11You sure you're okay?
40:12I've got no problems with being adopted.
40:16I love my parents.
40:21How's he doing?
40:22He's doing pretty well.
40:23He's a smart kid.
40:25I think he's going to be fine.
40:32Nice.
40:35Nice.
40:37Nice.
40:39Nice.
40:41Nice.
40:41Nice.
40:41Nice.
40:53Nice.
41:09Wheels, one-eight, wheels.
41:10Here you want something to keep you in
41:15Now you stay inside this foolish grave
41:21Though any day your secrets end
41:25Then again years may go by
41:33Years may go by
41:46You saved your own special friend
41:51You saved your own special friend
42:07Then again years may go by
42:10Then again years may go by
42:15Years may go by
42:17Years may go by
42:31Years may go by
43:03That's some bad news.
43:03Get ahead, Harry.
Comments