1 00:00:03,170 --> 00:00:04,796 It's all about the tongue, man. 2 00:00:04,922 --> 00:00:07,090 You stick it in their mouth, 3 00:00:08,676 --> 00:00:10,593 but not all the way. 4 00:00:10,719 --> 00:00:11,969 They like that? 5 00:00:12,096 --> 00:00:13,638 Dude, they love it. 6 00:00:15,391 --> 00:00:16,724 What are you doing? 7 00:00:16,850 --> 00:00:18,101 Climbing. 8 00:00:21,021 --> 00:00:22,855 Just deep enough to lick her teeth, 9 00:00:22,981 --> 00:00:25,983 slow, one at a time, like you're painting them. 10 00:00:27,027 --> 00:00:29,445 This girl Rachel, she's a junior. 11 00:00:29,571 --> 00:00:30,947 She's experienced. 12 00:00:31,073 --> 00:00:32,907 Mom says I gotta be home by 5:00. 13 00:00:33,033 --> 00:00:36,994 Just chill, okay? And hop the fence before someone sees you. 14 00:00:44,169 --> 00:00:45,336 Are you sure this is okay? 15 00:00:45,462 --> 00:00:47,004 Dave's mom's a realtor. 16 00:00:47,131 --> 00:00:49,716 If it's for sale and empty, it's a clubhouse. 17 00:00:49,842 --> 00:00:52,385 And if you say anything, you're dead. 18 00:00:53,971 --> 00:00:55,888 I told them you were cool. 19 00:00:56,014 --> 00:00:57,890 These are very serious dudes. 20 00:01:01,270 --> 00:01:02,687 Come on. 21 00:01:03,939 --> 00:01:06,774 Cub Scout meeting's down the street, boys. 22 00:01:10,571 --> 00:01:11,904 - What a loser. - Lame. 23 00:01:12,030 --> 00:01:14,532 Gabe's cool, man. He's one of us. 24 00:01:14,658 --> 00:01:15,992 He better be. 25 00:01:21,081 --> 00:01:22,832 I'm not thirsty. 26 00:01:24,960 --> 00:01:25,918 What's this? 27 00:01:26,044 --> 00:01:27,378 Club business, little man. 28 00:01:27,504 --> 00:01:28,796 What shall we ask? 29 00:01:28,922 --> 00:01:30,089 Put your hands on. 30 00:01:32,926 --> 00:01:37,680 O dark spirit, will any of us die in the year to come? 31 00:01:42,895 --> 00:01:43,728 You're moving it. 32 00:01:43,854 --> 00:01:45,563 Put your hands back. 33 00:01:47,065 --> 00:01:48,232 Now. 34 00:01:54,031 --> 00:01:56,032 Who among us will die? 35 00:02:04,208 --> 00:02:05,333 "G," 36 00:02:09,922 --> 00:02:10,963 "A." 37 00:02:12,090 --> 00:02:13,466 Oh, man. 38 00:02:15,135 --> 00:02:16,260 "B," 39 00:02:22,267 --> 00:02:23,726 "E." 40 00:02:23,852 --> 00:02:25,269 "Gabe." 41 00:02:25,395 --> 00:02:26,813 That blows. 42 00:02:34,071 --> 00:02:36,864 That's it. We're going to the hospital. 43 00:02:36,990 --> 00:02:39,492 No, Mom. I'm too tired. 44 00:02:39,618 --> 00:02:42,745 Come on, sweetie. You've had a fever for almost a week now. 45 00:02:49,545 --> 00:02:50,545 Ow! 46 00:02:50,671 --> 00:02:51,712 Oh, my God. 47 00:02:51,839 --> 00:02:54,799 Oh, Gabe. Are you okay? 48 00:02:54,925 --> 00:02:58,094 Are you okay? Baby, what's wrong? 49 00:03:01,265 --> 00:03:02,807 I'm dying. 50 00:03:50,564 --> 00:03:53,816 12-year-old male. Spiking fever, congested chest, 51 00:03:53,942 --> 00:03:56,360 coughing up green sputum, pain in breathing. 52 00:03:56,486 --> 00:03:58,905 Baffling, though I vaguely recall a disease 53 00:03:59,031 --> 00:04:01,449 called "meunomia"? "Pneumania"? 54 00:04:01,575 --> 00:04:05,161 But his chest X-ray and CT scan show an atypical pattern for pneumonia. 55 00:04:05,287 --> 00:04:06,954 Pneumonia! That's it. 56 00:04:07,080 --> 00:04:10,041 Just a guess here, but his parents big donors? 57 00:04:10,167 --> 00:04:13,461 No infiltrate, just enlarged hilar lymph nodes. 58 00:04:13,587 --> 00:04:16,964 Tiny unicorns goring his bronchial tubes would be cooler, 59 00:04:17,090 --> 00:04:19,008 and the way you're ignoring the question, 60 00:04:19,134 --> 00:04:21,719 wow, they're extremely big donors. 61 00:04:21,845 --> 00:04:23,804 He's not responding to cefuroxime, 62 00:04:23,931 --> 00:04:27,266 his pulse ox is dropping much faster than it should for pneumonia, 63 00:04:27,392 --> 00:04:28,976 and plus he's got an odd little rash. 64 00:04:29,102 --> 00:04:29,977 Excessive irritation. 65 00:04:30,103 --> 00:04:32,521 - He's 12. He's on auto-stroke. - On his arm. 66 00:04:32,648 --> 00:04:36,067 Papular lesion, one centimeter, on top of a long, thin scab. 67 00:04:36,193 --> 00:04:39,111 Ah. You need a dermatologist. 68 00:04:39,237 --> 00:04:41,364 If it's dry, keep it wet. If it's wet, keep it dry. 69 00:04:41,490 --> 00:04:43,115 If it's not supposed to be there, cut it off. 70 00:04:43,241 --> 00:04:44,784 I never could master all that. 71 00:04:44,910 --> 00:04:46,369 There you are. 72 00:04:47,245 --> 00:04:48,829 Were you scared? 73 00:04:48,956 --> 00:04:50,414 It's okay. You're home now. 74 00:04:51,541 --> 00:04:53,417 Fine. 75 00:04:53,543 --> 00:04:54,877 Cuddy. 76 00:04:57,589 --> 00:04:58,839 As a special favor to you... 77 00:04:58,966 --> 00:05:02,343 No. Admit it. I got you with the rash. 78 00:05:02,469 --> 00:05:07,556 The rash is a total snooze, unless it's connected to the pneumonia, 79 00:05:09,601 --> 00:05:11,394 then it's party time. 80 00:05:15,190 --> 00:05:18,693 Purulent sputum, dyspnea, rhonchi bilaterally. 81 00:05:18,819 --> 00:05:20,987 What kind of pneumonia causes this kind of rash? 82 00:05:21,113 --> 00:05:22,029 Legionnaire's disease. 83 00:05:22,155 --> 00:05:23,990 Usually means industrial ventilation systems, 84 00:05:24,116 --> 00:05:25,741 convention centers. He's 12 years old. 85 00:05:25,867 --> 00:05:29,328 Send off a urine antigen and check if he's joined the Elks. Next? 86 00:05:29,454 --> 00:05:30,746 - Fungal. - Excellent. 87 00:05:30,872 --> 00:05:32,498 Maybe the lodge went spelunking. 88 00:05:32,624 --> 00:05:33,791 Chlamydia pneumonia. 89 00:05:33,917 --> 00:05:35,960 12-year-olds don't have sex. 90 00:05:36,086 --> 00:05:37,712 Their mistake. 91 00:05:39,006 --> 00:05:41,549 That's it? Other possibilities? 92 00:05:41,675 --> 00:05:43,467 What if we're thinking about this backwards? 93 00:05:43,593 --> 00:05:47,096 The rash came first, caused the pneumonia. Nice. 94 00:05:47,222 --> 00:05:48,889 Rickettsial. Tick bite. 95 00:05:49,016 --> 00:05:51,892 Nymphal ticks are out now. They're bloodthirsty little bastards. 96 00:05:52,019 --> 00:05:53,602 Rash would be more pustular. 97 00:05:53,729 --> 00:05:55,646 Not always, and there's only one rash, which fits. 98 00:05:55,772 --> 00:05:57,481 New Jersey, it's most likely Lyme Disease. 99 00:05:57,607 --> 00:05:59,984 All right. Let's keep him on fluids 100 00:06:00,110 --> 00:06:02,236 and the cefuroxime to be safe. 101 00:06:02,362 --> 00:06:04,196 Biopsy that rash. 102 00:06:05,157 --> 00:06:08,242 And take another history. Even if we don't learn what's causing this, 103 00:06:08,368 --> 00:06:12,747 we definitely need to know if 12-year-olds are getting any action. 104 00:06:15,751 --> 00:06:17,126 What are you doing now? 105 00:06:17,252 --> 00:06:18,753 We're collecting fluids from the rash. 106 00:06:18,879 --> 00:06:19,837 Why? 107 00:06:19,963 --> 00:06:20,963 They know what they're doing, Jeffrey. 108 00:06:21,089 --> 00:06:24,717 Great endorsement coming from the woman who thought it was a nasty cold. 109 00:06:24,843 --> 00:06:26,052 If I had had him last week... 110 00:06:26,178 --> 00:06:27,887 This isn't helping. 111 00:06:29,848 --> 00:06:32,308 We're checking to see if your son has a tick bite. 112 00:06:32,434 --> 00:06:35,019 Gabe, have you been camping recently, 113 00:06:35,145 --> 00:06:37,688 playing sports outside, anything like that? 114 00:06:37,814 --> 00:06:39,065 I'm not that good at sports. 115 00:06:39,191 --> 00:06:41,025 No hanging out anywhere new, strange places? 116 00:06:41,151 --> 00:06:42,026 We've been through this. 117 00:06:42,152 --> 00:06:45,279 We don't let him run wild through the neighborhood, right? 118 00:06:48,075 --> 00:06:51,368 Okay. This might be a bit delicate. 119 00:06:53,371 --> 00:06:55,539 We need to know if you're sexually active. 120 00:06:55,665 --> 00:06:56,665 I beg your pardon? 121 00:06:56,792 --> 00:06:57,750 Mr. Reilich, we need to... 122 00:06:57,876 --> 00:06:59,043 No. 123 00:07:01,171 --> 00:07:02,922 Nothing like that. 124 00:07:05,592 --> 00:07:08,719 We've gotta get another CT scan, check his lungs again. 125 00:07:08,845 --> 00:07:10,679 - Third floor, right? - Yeah, Radiology is just... 126 00:07:10,806 --> 00:07:13,516 Sorry, medical personnel only. 127 00:07:16,895 --> 00:07:18,104 Where's the machine? 128 00:07:18,230 --> 00:07:20,022 Well, we passed it, actually. 129 00:07:20,148 --> 00:07:21,732 A little tension in the room back there. 130 00:07:21,858 --> 00:07:23,484 Thought you could use a break. 131 00:07:23,610 --> 00:07:26,320 Your dad's a pretty high-powered guy. 132 00:07:26,446 --> 00:07:30,199 Yeah. He was an Air Force test pilot. 133 00:07:30,325 --> 00:07:32,034 Real "Top Gun" stuff. 134 00:07:32,494 --> 00:07:34,078 Flew mach 3. 135 00:07:34,704 --> 00:07:36,455 Hard to deal with sometimes? 136 00:07:36,581 --> 00:07:38,582 Guess I'm more like my mom. 137 00:07:38,708 --> 00:07:39,708 Listen. 138 00:07:41,169 --> 00:07:44,672 I promise to keep my mouth shut, but I need to know. 139 00:07:44,798 --> 00:07:48,801 You definitely haven't had any sexual contact of any kind? 140 00:07:48,927 --> 00:07:50,219 I wish. 141 00:07:51,471 --> 00:07:52,972 You know what? 142 00:07:53,098 --> 00:07:56,350 Girls like the cool guys now, but give it a few years. 143 00:07:56,476 --> 00:07:58,894 They start liking the smart guys. 144 00:07:59,020 --> 00:08:00,813 You'll be all right. 145 00:08:04,359 --> 00:08:06,443 Can you keep a secret? 146 00:08:06,570 --> 00:08:08,779 I have to. It's my job. 147 00:08:11,741 --> 00:08:15,035 I'm cursed. I'm not kidding. 148 00:08:15,162 --> 00:08:17,872 This séance thing the kids did? 149 00:08:17,998 --> 00:08:19,707 It spelled out my name. 150 00:08:19,833 --> 00:08:21,834 Said I was gonna die. 151 00:08:21,960 --> 00:08:23,752 First name and last name? 152 00:08:23,879 --> 00:08:26,797 We've got a Gabe upstairs who's very old, very sick. 153 00:08:26,923 --> 00:08:30,759 No. It's me. I have the worst luck. 154 00:08:30,886 --> 00:08:33,846 One time I broke this mirror, 155 00:08:33,972 --> 00:08:37,141 the next week, my parents got separated. 156 00:08:37,267 --> 00:08:39,435 My parents split up, too. 157 00:08:39,561 --> 00:08:43,105 Every kid feels like it's his fault. It never is. 158 00:08:44,107 --> 00:08:46,400 So, what about the rest of the stuff? 159 00:08:46,526 --> 00:08:48,944 Any playing outside your parents don't know about? 160 00:08:49,070 --> 00:08:50,988 Anything like that? 161 00:08:51,990 --> 00:08:53,949 Maybe you were somewhere you weren't supposed to be? 162 00:08:54,075 --> 00:08:55,784 Triage nurse, pick up line 274. 163 00:08:55,911 --> 00:08:57,786 Oh, man. 164 00:08:57,913 --> 00:09:00,998 Gabe, it's important. 165 00:09:04,044 --> 00:09:07,046 A secret club. What's the secret? 166 00:09:07,172 --> 00:09:08,839 They're all morons? 167 00:09:08,965 --> 00:09:10,549 He fell on something in the attic, 168 00:09:10,675 --> 00:09:13,594 scraped his arm, got the rash the next day. 169 00:09:13,720 --> 00:09:15,971 Said it smelled really moldy up there. 170 00:09:16,097 --> 00:09:19,767 Fungal pneumonia without the cave. Clever. 171 00:09:19,893 --> 00:09:21,101 I'm gonna get a sample. 172 00:09:22,979 --> 00:09:27,942 Dr. Chase, you have a few moments? 173 00:09:30,111 --> 00:09:31,987 Sorry, I've gotta go. 174 00:09:35,617 --> 00:09:37,243 These young doctors. 175 00:09:37,369 --> 00:09:39,578 It's like they don't care about people. 176 00:09:39,704 --> 00:09:40,871 No manners. 177 00:09:40,997 --> 00:09:42,623 My fault, probably. 178 00:09:43,875 --> 00:09:48,587 That's an interesting accent you have there. I'd say Czech 179 00:09:48,713 --> 00:09:51,465 with about 30 years of Aussie. 180 00:09:51,591 --> 00:09:53,467 You have quite an ear. 181 00:09:54,469 --> 00:09:56,178 You're Chase's dad. 182 00:09:58,348 --> 00:10:00,057 Hard to miss, you know, the big hug 183 00:10:00,183 --> 00:10:02,601 and how happy he was to see you. 184 00:10:11,695 --> 00:10:13,570 - Need a consult. - With a patient. 185 00:10:13,697 --> 00:10:15,489 Urgent doctor stuff. 186 00:10:18,118 --> 00:10:21,996 Twenty-six-year-old male, sudden loss of the ability to speak. 187 00:10:22,122 --> 00:10:24,665 Just because you got out of clinic duty doesn't mean everybody did. 188 00:10:24,791 --> 00:10:25,791 To his father. 189 00:10:25,917 --> 00:10:27,459 Differential diagnosis? 190 00:10:27,585 --> 00:10:28,585 Chase? 191 00:10:29,129 --> 00:10:31,588 Dad swoops in, Chase swoops out. 192 00:10:31,715 --> 00:10:32,965 Dad say why he was here? 193 00:10:33,091 --> 00:10:35,009 See? You asked. 194 00:10:35,135 --> 00:10:39,013 Dad comes 5,000 miles, you're more curious than Junior is. 195 00:10:39,139 --> 00:10:40,681 Can't just be about the divorce. 196 00:10:40,807 --> 00:10:43,892 It's been 15 years, and Mom's been dead for 10 of them. 197 00:10:44,019 --> 00:10:45,644 You think Daddy murdered her? 198 00:10:45,770 --> 00:10:48,147 You want to get to the bottom of this, you're doing it exactly right. 199 00:10:48,273 --> 00:10:49,773 Don't talk to the people involved. 200 00:10:49,899 --> 00:10:50,899 Drag your buddy away from work 201 00:10:51,026 --> 00:10:52,776 for some pointless speculation. 202 00:10:52,902 --> 00:10:55,529 You want to know how two chemicals interact, do you ask them? 203 00:10:55,655 --> 00:10:59,408 No. They're gonna lie through their lying little chemical teeth. 204 00:10:59,534 --> 00:11:02,286 Throw them in a beaker and apply heat. 205 00:11:02,412 --> 00:11:04,705 Even I don't like you. 206 00:11:04,831 --> 00:11:06,999 You know, words can hurt. 207 00:11:21,765 --> 00:11:25,517 Whoa, whoa, whoa. Hold on, guys. I don't care that you're up here. 208 00:11:26,311 --> 00:11:27,728 You a cop? 209 00:11:27,854 --> 00:11:30,647 Doctor. I'm treating Gabe Reilich. 210 00:11:30,774 --> 00:11:32,900 He said he fell over near some pipes? 211 00:11:33,026 --> 00:11:34,651 Yeah, over there. 212 00:11:35,987 --> 00:11:37,696 What, here? 213 00:11:37,822 --> 00:11:38,906 Yeah. 214 00:11:40,075 --> 00:11:42,659 Any of you guys been feeling sick lately? 215 00:11:42,786 --> 00:11:44,787 Rash, cold, anything? 216 00:11:44,913 --> 00:11:46,121 No. 217 00:11:52,212 --> 00:11:53,379 Oh, crap. 218 00:11:54,047 --> 00:11:55,005 He is a cop! 219 00:11:55,131 --> 00:11:56,215 Damn it! 220 00:12:18,738 --> 00:12:21,782 He fell on it. Some weird kind of insulation. 221 00:12:21,908 --> 00:12:24,618 It's old. House was built in the '60s. 222 00:12:24,702 --> 00:12:26,120 What's it made of? 223 00:12:26,246 --> 00:12:28,664 Felt. Fibers of what, cotton? 224 00:12:33,002 --> 00:12:35,796 Sorry. Forgotten how funny your dad was. 225 00:12:35,922 --> 00:12:37,965 Not as funny as you. 226 00:12:38,091 --> 00:12:39,925 High praise. 227 00:12:40,051 --> 00:12:43,220 I know how protective kids can be of their parents. 228 00:12:48,143 --> 00:12:50,769 Not cotton. Animal hair. 229 00:12:53,523 --> 00:12:54,731 Get me the CT scan. 230 00:12:59,237 --> 00:13:03,240 First, find the name of the company that made the insulation, 231 00:13:03,366 --> 00:13:05,033 and second, tell me what I'm seeing 232 00:13:05,160 --> 00:13:08,078 that makes me want to short their stock. 233 00:13:08,872 --> 00:13:10,998 Enlarged hilar lymph nodes. 234 00:13:11,124 --> 00:13:12,082 Peribronchial thickening. 235 00:13:12,208 --> 00:13:13,250 Pleural effusions. 236 00:13:13,376 --> 00:13:15,711 Less obvious, more scary. 237 00:13:17,422 --> 00:13:19,756 Well, the mediastinum doesn't look right. 238 00:13:19,883 --> 00:13:21,175 Slightly widened. 239 00:13:22,469 --> 00:13:23,760 Oh, God. 240 00:13:24,888 --> 00:13:27,431 It can be transmitted through infected animal hair. 241 00:13:27,557 --> 00:13:28,557 But the Gram's stain would have shown... 242 00:13:28,683 --> 00:13:29,933 No. The cefuroxime would have killed 243 00:13:30,059 --> 00:13:31,685 some of it, clouded the result. 244 00:13:31,769 --> 00:13:34,563 We've gotta get this kid on Levaquin. 245 00:13:36,649 --> 00:13:38,442 What does he have? 246 00:13:38,985 --> 00:13:43,447 Anthrax. This house belong to old man Hussein? 247 00:13:46,993 --> 00:13:48,744 Maybe he is cursed. 248 00:14:03,343 --> 00:14:04,676 Anthrax. 249 00:14:04,802 --> 00:14:07,513 So what, you think there were terrorists in that attic? 250 00:14:07,639 --> 00:14:09,598 It's a naturally occurring bacteria. 251 00:14:09,724 --> 00:14:11,517 We believe it was in the insulation. 252 00:14:11,643 --> 00:14:12,643 How sick is he? 253 00:14:12,769 --> 00:14:15,896 Anthrax is very dangerous, but we've caught it early. 254 00:14:16,022 --> 00:14:18,315 He's on Levaquin. It's the best antibiotic we have. 255 00:14:18,441 --> 00:14:19,525 Lisa, you buy this? 256 00:14:19,651 --> 00:14:22,069 Jeff, you've helped our hospital a lot. 257 00:14:22,195 --> 00:14:23,946 I wouldn't have assigned Dr. House to your case 258 00:14:24,072 --> 00:14:25,489 if I didn't have every confidence in him. 259 00:14:25,615 --> 00:14:27,699 - Then who's this guy? - Jeffrey! 260 00:14:27,825 --> 00:14:29,743 There's all these weird diseases that can cause a rash. 261 00:14:29,827 --> 00:14:32,287 What about leishmaniasis or filariasis? 262 00:14:32,413 --> 00:14:33,497 Where'd you hear about those? 263 00:14:33,623 --> 00:14:34,623 Internet. I did some research. 264 00:14:34,749 --> 00:14:36,542 Well, those are very rare conditions. 265 00:14:36,668 --> 00:14:38,544 And anthrax grows along the interstate? 266 00:14:38,670 --> 00:14:40,879 Leishmaniasis doesn't cause pneumonia, and filariasis... 267 00:14:41,005 --> 00:14:42,172 Just look into everything. 268 00:14:42,298 --> 00:14:43,799 This is my son, all right? 269 00:14:43,925 --> 00:14:46,260 And I'm gonna stay on top of you until I know he's safe. 270 00:14:46,386 --> 00:14:48,845 I wouldn't expect anything else. 271 00:14:52,058 --> 00:14:53,850 Everyone's a doctor. 272 00:15:00,650 --> 00:15:02,150 Breathe, baby. It's okay. 273 00:15:02,277 --> 00:15:03,610 Breathe. I need you to breathe. 274 00:15:03,736 --> 00:15:05,362 - His breathing... It's on the inhale. 275 00:15:05,488 --> 00:15:06,488 What does that mean? 276 00:15:06,614 --> 00:15:08,198 It means his airway's closing up. 277 00:15:08,324 --> 00:15:10,826 Is the anthrax doing it? 278 00:15:10,952 --> 00:15:12,160 All right. Hold still, Gabe. 279 00:15:12,287 --> 00:15:15,289 This is gonna be a little uncomfortable. 280 00:15:23,256 --> 00:15:25,299 We've got you. It's okay. 281 00:15:27,135 --> 00:15:28,302 Nodules in his throat. 282 00:15:28,428 --> 00:15:29,511 Airway's occluded? 283 00:15:29,637 --> 00:15:31,221 We've got to intubate. Ativan! 284 00:15:31,347 --> 00:15:32,889 Pushing 3 cc's. 285 00:15:43,818 --> 00:15:44,818 Airway's too tight. 286 00:15:44,944 --> 00:15:46,945 What's wrong? What's wrong? No, you're killing him! 287 00:15:47,071 --> 00:15:48,697 Jeffrey! Let them do their job. 288 00:15:48,823 --> 00:15:50,073 Airway's too tight. Get me a smaller tube. 289 00:15:50,199 --> 00:15:51,158 We're traching. 290 00:15:51,284 --> 00:15:52,576 Smaller tube. 291 00:15:58,291 --> 00:16:00,000 - His lips are cyanotic. - Oh, my God, he's not breathing. 292 00:16:00,126 --> 00:16:01,376 Foreman, we're traching. 293 00:16:01,502 --> 00:16:03,420 No. I can do it. I'll get it. 294 00:16:04,714 --> 00:16:05,964 Foreman, you're not getting through. 295 00:16:06,090 --> 00:16:07,841 He's not getting air. 296 00:16:07,967 --> 00:16:08,925 We have to trach him right now. 297 00:16:09,052 --> 00:16:10,052 No, I can do it. 298 00:16:10,178 --> 00:16:11,678 Betadine. 299 00:16:17,310 --> 00:16:18,977 I'm doing this. 300 00:16:20,730 --> 00:16:21,980 Got it. 301 00:16:34,327 --> 00:16:35,911 He's okay. 302 00:16:40,083 --> 00:16:42,084 Allergic reaction to the antibiotics? 303 00:16:42,210 --> 00:16:43,418 I don't think so. 304 00:16:43,544 --> 00:16:46,296 We switched him to rifampin, and there was no change in the swelling. 305 00:16:46,422 --> 00:16:47,839 We should try another antibiotic. 306 00:16:47,965 --> 00:16:50,175 You really think he's allergic to two antibiotics? 307 00:16:50,301 --> 00:16:52,719 I wanna know what Dr. Chase thinks. 308 00:16:52,845 --> 00:16:53,929 It's possible he's allergic... 309 00:16:54,055 --> 00:16:56,306 Oh! I'm sorry. Not you. 310 00:16:56,432 --> 00:16:58,141 Understandable mistake. 311 00:16:58,267 --> 00:16:59,601 The other Dr. Chase. 312 00:17:03,398 --> 00:17:04,439 Boy gets anthrax 313 00:17:04,565 --> 00:17:08,026 and happens to be allergic to two antibiotics. 314 00:17:08,152 --> 00:17:09,945 Hate to step on anybody's toes, 315 00:17:10,071 --> 00:17:12,906 but is it possible your guys got this one wrong? 316 00:17:13,032 --> 00:17:14,908 The rash is classic anthrax. 317 00:17:15,034 --> 00:17:16,201 Except the color. 318 00:17:16,327 --> 00:17:17,828 The rash hasn't turned black yet. 319 00:17:17,954 --> 00:17:19,162 No necrosis, no anthrax. 320 00:17:19,288 --> 00:17:22,958 Necrosis can theoretically take as long as two weeks. 321 00:17:25,128 --> 00:17:26,753 Whoa, whoa, whoa! 322 00:17:26,879 --> 00:17:29,840 Guys, it's not a competition. 323 00:17:29,966 --> 00:17:31,341 It's a diagnosis. 324 00:17:32,218 --> 00:17:35,303 Okay. Who thinks Junior wins? 325 00:17:37,598 --> 00:17:39,683 Four to one. It's not anthrax. 326 00:17:39,809 --> 00:17:41,685 So we start over. What's changed? 327 00:17:41,811 --> 00:17:43,645 What do the nodules tell us? 328 00:17:44,689 --> 00:17:46,231 Sarcoidosis. 329 00:17:46,357 --> 00:17:49,234 Excellent. Send an ACE level. 330 00:17:49,360 --> 00:17:52,738 If it comes back positive, put him on methotrexate. 331 00:17:54,157 --> 00:17:57,993 We ran some tests, and the results point toward sarcoidosis. 332 00:17:58,119 --> 00:18:00,662 It makes the body's tissue swell up. 333 00:18:00,788 --> 00:18:02,914 It seems to have gone after Gabriel's skin and lungs 334 00:18:03,040 --> 00:18:04,958 and given him this fever. 335 00:18:05,084 --> 00:18:06,126 Doctor. 336 00:18:11,007 --> 00:18:12,758 We don't know what causes it. 337 00:18:12,884 --> 00:18:14,843 But you're sure he has this one? 338 00:18:14,969 --> 00:18:17,554 We have a world-renowned doctor consulting. 339 00:18:17,680 --> 00:18:19,973 He's convinced this is sarcoidosis. 340 00:18:20,099 --> 00:18:21,099 Is it treatable? 341 00:18:21,225 --> 00:18:22,809 Very, actually. 342 00:18:22,935 --> 00:18:24,895 See, this is IV methotrexate. 343 00:18:25,021 --> 00:18:26,938 It's an anti-inflammatory. 344 00:18:27,064 --> 00:18:30,984 It should make all the swelling go down and get you all better. 345 00:18:31,110 --> 00:18:32,068 Stop. 346 00:18:35,406 --> 00:18:37,407 My God, it's black. 347 00:18:39,285 --> 00:18:40,827 Necrosis. 348 00:18:41,120 --> 00:18:44,289 It's definitely anthrax, and it definitely can't be anthrax. 349 00:18:44,415 --> 00:18:46,124 It doesn't cause throat nodules. 350 00:18:46,250 --> 00:18:51,087 Only explanation is, this kid's got anthrax and sarcoidosis. 351 00:18:51,214 --> 00:18:55,509 Right, two incredibly rare diseases just happening to strike at once. 352 00:18:55,676 --> 00:18:57,344 Unless you've got a better theory. 353 00:18:57,470 --> 00:18:59,137 Anthrax plus an allergic reaction. 354 00:18:59,263 --> 00:19:02,933 Call 'The Lancet', because that's one bizarre allergic reaction. 355 00:19:03,059 --> 00:19:06,228 Come on. There's no reason you both can't be wrong. 356 00:19:06,354 --> 00:19:08,730 It's not allergy, but it's not coincidence either. 357 00:19:08,856 --> 00:19:11,024 Disease number one set off disease number two. 358 00:19:11,150 --> 00:19:12,776 Anthrax weakened his immune system. 359 00:19:12,902 --> 00:19:15,237 And triggered a dormant sarcoidosis. 360 00:19:15,363 --> 00:19:18,240 Keep him on antibiotics for the anthrax, and start the methotrexate 361 00:19:18,366 --> 00:19:21,159 for the sarcoidosis. See what happens. 362 00:19:21,285 --> 00:19:22,452 Fine. 363 00:19:24,831 --> 00:19:25,872 Better go with him. 364 00:19:25,998 --> 00:19:28,917 Make sure he doesn't snap and hurt somebody. 365 00:19:32,046 --> 00:19:34,422 Yeah, but you're treating him for both diseases. 366 00:19:34,549 --> 00:19:36,007 We're covering all the bases. 367 00:19:36,133 --> 00:19:38,510 What? Throw everything against the wall and see what sticks? 368 00:19:38,636 --> 00:19:40,387 Works for spaghetti. 369 00:20:05,079 --> 00:20:06,955 Are you being funny? 370 00:20:07,081 --> 00:20:08,582 Apparently not. 371 00:20:08,708 --> 00:20:11,084 You know why I give money to this hospital? 372 00:20:11,210 --> 00:20:13,795 It's the only way to get attention. See this? 373 00:20:13,921 --> 00:20:15,088 Is this a magic trick? 374 00:20:15,214 --> 00:20:17,549 'Cause I am a total David Copperfield fan. 375 00:20:17,675 --> 00:20:19,885 Although I thought that tornado of fire, that seemed a little fake. 376 00:20:20,011 --> 00:20:22,095 Pain in the wrist. It won't go away for months. 377 00:20:22,221 --> 00:20:25,265 Six doctors' brilliant conclusion is to take it easy. 378 00:20:25,391 --> 00:20:27,684 I write a check, name goes on a plaque, 379 00:20:27,810 --> 00:20:29,686 and 48 hours later I've got two MRIs, 380 00:20:29,812 --> 00:20:32,063 a bone scan and a diagnosis, carpal tunnel. 381 00:20:32,189 --> 00:20:34,941 I'm in surgery that afternoon. 382 00:20:35,067 --> 00:20:36,693 Fascinating story. 383 00:20:36,819 --> 00:20:39,779 Have you thought of adapting it for the stage? 384 00:20:41,240 --> 00:20:43,199 I love my... Look at me. I love my son. 385 00:20:43,326 --> 00:20:44,659 I love him more than anything else in the world. 386 00:20:44,785 --> 00:20:46,661 You're gonna start paying attention to this case 387 00:20:46,787 --> 00:20:47,787 or I'm gonna make things miserable... 388 00:20:47,914 --> 00:20:49,164 Go back to your son's room. I'm not leaving here 389 00:20:49,290 --> 00:20:50,457 until you get your ass... 390 00:20:50,583 --> 00:20:52,584 There's a problem. 391 00:21:01,344 --> 00:21:02,886 What is it? 392 00:21:04,305 --> 00:21:05,639 I don't know. 393 00:21:30,164 --> 00:21:32,332 Skin lesions are spreading all over his body. 394 00:21:32,458 --> 00:21:35,043 They're opening up, and the fatty tissues are oozing out. 395 00:21:35,169 --> 00:21:36,044 He'll be septic in a matter of days. 396 00:21:36,170 --> 00:21:39,631 (SIGHS) Death by dermatitis. 397 00:21:39,757 --> 00:21:41,257 Where's Robert? 398 00:21:41,384 --> 00:21:43,176 He has clinic duty this morning. 399 00:21:43,302 --> 00:21:44,636 No, he doesn't. 400 00:21:44,762 --> 00:21:46,179 I rescheduled you guys so you'd be free. 401 00:21:46,305 --> 00:21:49,516 Yeah, but he re-rescheduled himself. 402 00:21:50,101 --> 00:21:51,226 Hmm. 403 00:21:56,273 --> 00:21:57,899 It doesn't hurt yet. 404 00:21:58,025 --> 00:21:59,275 Keep going. 405 00:22:00,027 --> 00:22:01,528 You page me? 406 00:22:01,654 --> 00:22:03,321 No, I don't need you. Come on. 407 00:22:03,447 --> 00:22:04,739 We all need help now and again. 408 00:22:04,865 --> 00:22:07,409 You're getting a consult. 409 00:22:07,535 --> 00:22:09,536 Okay. We've got new skin lesions, 410 00:22:09,662 --> 00:22:11,204 bigger and uglier. What would cause that? 411 00:22:11,330 --> 00:22:12,330 My hand hurts. 412 00:22:12,456 --> 00:22:15,250 What if his body worked so hard attacking the anthrax 413 00:22:15,376 --> 00:22:17,085 that it started attacking itself? 414 00:22:17,211 --> 00:22:18,211 Autoimmune. 415 00:22:18,337 --> 00:22:19,671 Wouldn't present this aggressively. 416 00:22:19,797 --> 00:22:21,756 It's not likely, but it is possible. 417 00:22:21,882 --> 00:22:23,758 What, in a 12-year-old male? 418 00:22:23,884 --> 00:22:25,218 This isn't about me, is it? 419 00:22:25,344 --> 00:22:26,886 Gabe's dad found leishmaniasis 420 00:22:27,013 --> 00:22:29,014 and filariasis on the Internet yesterday. 421 00:22:29,140 --> 00:22:30,890 They didn't fit then, but now they kind of do. 422 00:22:31,017 --> 00:22:33,143 Sure, except for the nodules, 423 00:22:33,269 --> 00:22:35,437 and we're not working out of Calcutta General. 424 00:22:35,563 --> 00:22:37,188 Multiple neurofibromatosis. 425 00:22:37,314 --> 00:22:39,274 You think this is neurological? 426 00:22:39,400 --> 00:22:41,109 The only reason you're thinking autoimmune 427 00:22:41,235 --> 00:22:42,736 is because you're a rheumatologist. 428 00:22:42,862 --> 00:22:45,196 If you were a proctologist, you'd think rectal cancer. 429 00:22:45,322 --> 00:22:47,657 Gotta go with Senior. 430 00:22:47,783 --> 00:22:49,743 He literally wrote the book on this one. 431 00:22:49,869 --> 00:22:51,036 Autoimmune is a big universe. 432 00:22:51,162 --> 00:22:53,997 It could be anything from scleroderma to Churg-Strauss. 433 00:22:54,123 --> 00:22:55,373 Whatever it is, we should start him on steroids, 434 00:22:55,499 --> 00:22:56,499 keep the swelling down. 435 00:22:56,625 --> 00:22:59,169 A hundred milligrams of cytoxan, it treats most autoimmunes. 436 00:22:59,295 --> 00:23:03,923 Well, give it to him now before the fat starts dripping out his eyeballs. 437 00:23:05,342 --> 00:23:08,011 Hey, my fingers are numb. 438 00:23:08,137 --> 00:23:10,305 Your watch is on too tight. 439 00:23:18,606 --> 00:23:20,315 You're messing with my head. 440 00:23:20,441 --> 00:23:21,733 Your relationship with your dad 441 00:23:21,859 --> 00:23:23,318 is messing with your ability to do your job. 442 00:23:23,444 --> 00:23:25,653 Only because you made my dad part of my job. 443 00:23:25,780 --> 00:23:26,738 Good point. 444 00:23:26,864 --> 00:23:28,656 You haven't seen him in years, he flies across the Atlantic 445 00:23:28,783 --> 00:23:29,908 - to see you. - Pacific. 446 00:23:30,034 --> 00:23:31,951 You breeze by him like he's a Hare Krishna at the airport, 447 00:23:32,078 --> 00:23:33,995 you don't even ask why he's in town. 448 00:23:34,121 --> 00:23:35,955 It's probably a conference. 449 00:23:36,082 --> 00:23:37,248 Probably. 450 00:23:38,125 --> 00:23:40,752 I was hoping to do this through sheer manipulation, 451 00:23:40,878 --> 00:23:43,671 but if you insist on talking, fine. Talk. 452 00:23:45,049 --> 00:23:47,008 What did he do to you? 453 00:23:47,134 --> 00:23:50,220 How would you feel if I interfered in your personal life? 454 00:23:50,346 --> 00:23:53,973 I'd hate it. That's why I cleverly have no personal life. 455 00:23:54,100 --> 00:23:56,142 I'm gonna biopsy his skin lesions. 456 00:23:56,268 --> 00:23:59,562 Good thinking. Prove your dad wrong. 457 00:23:59,688 --> 00:24:01,231 That'll solve everything. 458 00:24:19,166 --> 00:24:20,291 Who extubated him? 459 00:24:20,417 --> 00:24:21,376 I did. 460 00:24:21,502 --> 00:24:24,712 Temperature's down two degrees, and the swelling's almost gone. 461 00:24:24,839 --> 00:24:27,090 And his skin looks better, too. 462 00:24:27,216 --> 00:24:29,134 Cytoxan is working. 463 00:24:29,260 --> 00:24:30,385 Feeling better, Gabe? 464 00:24:30,511 --> 00:24:32,137 Yep, a lot. 465 00:24:32,888 --> 00:24:35,431 Dr. Chase, can you and I have a word? 466 00:24:38,978 --> 00:24:40,228 Your diagnosis is wrong. 467 00:24:40,354 --> 00:24:41,938 No autoimmune disease. 468 00:24:42,064 --> 00:24:44,649 The swelling's probably just down because we've got him on steroids. 469 00:24:44,775 --> 00:24:46,651 It's masking whatever's really wrong. 470 00:24:46,777 --> 00:24:47,986 ANA's are unreliable. 471 00:24:48,112 --> 00:24:52,323 Phospholipid antibodies are negative, so no lupus. Same for Churg-Strauss. 472 00:24:52,449 --> 00:24:54,450 You're arguing with a rheumatologist. 473 00:24:54,577 --> 00:24:56,578 There's about 20 distinct autoimmune diseases. 474 00:24:56,704 --> 00:24:58,288 Why are you here? 475 00:25:01,041 --> 00:25:02,959 SLE conference. 476 00:25:03,711 --> 00:25:04,878 You were in New York last year 477 00:25:05,004 --> 00:25:08,006 for the scleroderma conference. I didn't hear anything from you. 478 00:25:08,132 --> 00:25:09,883 Just wanted to say hi this time. 479 00:25:10,009 --> 00:25:12,051 You said it. You're still here. 480 00:25:12,887 --> 00:25:14,179 I miss you. 481 00:25:15,431 --> 00:25:18,600 I was 15 years old when you walked out. 482 00:25:18,726 --> 00:25:20,768 Now you're walking back in? 483 00:25:20,895 --> 00:25:23,271 I left your mother. I didn't leave you. 484 00:25:23,397 --> 00:25:25,106 Mum was living on gin and tonics. 485 00:25:25,232 --> 00:25:26,816 How was I supposed to take care of her? 486 00:25:26,942 --> 00:25:28,318 She wasn't your responsibility. 487 00:25:28,444 --> 00:25:30,862 I know! She was yours. 488 00:25:34,033 --> 00:25:35,825 I'm sorry she died. 489 00:25:35,951 --> 00:25:37,994 I'm sorry you had to deal with that. 490 00:25:40,164 --> 00:25:42,749 But she was falling apart long before... 491 00:25:42,875 --> 00:25:46,002 I've got to talk to House about this treatment. 492 00:25:51,383 --> 00:25:53,343 But the patient's getting better. 493 00:25:53,469 --> 00:25:55,345 In spite of the cytoxan. 494 00:25:55,471 --> 00:25:58,431 On the other hand, getting better. 495 00:25:58,557 --> 00:26:01,893 Cytoxan makes him more susceptible to infection. 496 00:26:02,019 --> 00:26:04,520 The anthrax could relapse and be more resistant. 497 00:26:04,647 --> 00:26:05,688 Better! 498 00:26:05,814 --> 00:26:08,691 You want a negative test for every autoimmune disease known to man? 499 00:26:08,817 --> 00:26:10,610 Fine. I'll get them. 500 00:26:11,278 --> 00:26:15,156 Be home by midnight or you can't have the car this weekend. 501 00:26:16,325 --> 00:26:17,659 You guys talk? 502 00:26:17,785 --> 00:26:19,327 Did he tell you why he's here? 503 00:26:19,995 --> 00:26:22,247 The SLE conference. 504 00:26:34,176 --> 00:26:35,969 Going back to the conference? 505 00:26:36,095 --> 00:26:39,347 Afternoon panel. I hope I can stay awake. 506 00:26:39,473 --> 00:26:41,391 I hope you can get in. 507 00:26:41,517 --> 00:26:42,850 You're not registered. 508 00:26:47,022 --> 00:26:50,733 I get it. You had to make up a lie. 509 00:26:51,235 --> 00:26:54,112 Can't just tell your kid you're here to see him. 510 00:26:54,238 --> 00:26:56,698 I mean, what father does that? 511 00:26:58,909 --> 00:27:01,577 That little blue dot under your collar, 512 00:27:01,745 --> 00:27:04,539 it's a tattoo for guiding radiation treatment. 513 00:27:05,624 --> 00:27:07,917 I was looking for it after I saw what you had for breakfast, 514 00:27:08,043 --> 00:27:09,127 brown rice, vegetables. 515 00:27:09,253 --> 00:27:11,170 It's a macrobiotic diet, 516 00:27:11,297 --> 00:27:15,216 popular with Hollywood starlets and cancer patients. 517 00:27:17,678 --> 00:27:19,721 Lungs. Stage IV. 518 00:27:21,515 --> 00:27:23,057 You look good. 519 00:27:23,183 --> 00:27:24,267 I'm not. 520 00:27:25,019 --> 00:27:29,772 Came to the States to go to Sloan-Kettering and see Dr. Wilson. 521 00:27:29,898 --> 00:27:31,524 What'd he say? 522 00:27:32,443 --> 00:27:33,609 Three months. 523 00:27:34,737 --> 00:27:36,362 But you haven't told Robert. 524 00:27:36,488 --> 00:27:40,491 You don't want to burden him, because you were such a lousy dad. 525 00:27:42,619 --> 00:27:44,954 I'd prefer you not tell him. 526 00:27:46,832 --> 00:27:48,750 Yeah. That's better. 527 00:27:50,002 --> 00:27:53,296 I'll get to see his face when he reads his dad's obituary. 528 00:27:53,422 --> 00:27:55,340 It's not your business. 529 00:27:57,926 --> 00:27:59,886 I suppose it isn't. 530 00:28:09,104 --> 00:28:10,980 You sure do a lot of tests. 531 00:28:11,106 --> 00:28:13,941 If we figure out exactly which autoimmune condition it is, 532 00:28:14,068 --> 00:28:16,110 we can get you better quicker. 533 00:28:16,236 --> 00:28:18,404 Was that your dad before? 534 00:28:18,530 --> 00:28:19,614 Yeah. 535 00:28:20,282 --> 00:28:21,657 That's so cool. 536 00:28:21,784 --> 00:28:23,576 Do you guys work together a lot? 537 00:28:24,495 --> 00:28:26,162 Not really. 538 00:28:26,288 --> 00:28:28,122 When can I go home? 539 00:28:28,248 --> 00:28:29,415 We'll see. 540 00:28:30,793 --> 00:28:32,377 Looks like you got your appetite back. 541 00:28:32,503 --> 00:28:33,836 That's a good sign. 542 00:28:35,214 --> 00:28:37,298 - Want some water? - Yes. 543 00:28:42,638 --> 00:28:44,138 Here you go. 544 00:28:46,225 --> 00:28:47,266 Whoops! 545 00:28:47,393 --> 00:28:48,976 That's all right. Water's cheap. 546 00:28:49,103 --> 00:28:50,395 Oh, God. 547 00:28:51,814 --> 00:28:53,022 What? 548 00:28:54,358 --> 00:28:56,734 I... I can't move my hand. 549 00:29:07,204 --> 00:29:10,123 Can you squeeze my fingers for me, Gabe? 550 00:29:15,796 --> 00:29:16,879 He's getting worse. 551 00:29:17,005 --> 00:29:19,215 Now his entire right hand and forearm are paralyzed. 552 00:29:19,341 --> 00:29:21,134 And his fever's back. It's up over 105. 553 00:29:21,260 --> 00:29:22,927 If we don't stop the nerve deterioration quickly, 554 00:29:23,053 --> 00:29:24,554 he'll be paralyzed for life. 555 00:29:24,680 --> 00:29:27,807 Well, luckily, at this rate that should only last about a week. 556 00:29:27,933 --> 00:29:28,766 Okay. So... 557 00:29:28,892 --> 00:29:31,644 I told you we should get him off the cytoxan. 558 00:29:31,770 --> 00:29:33,271 This is toxic neuropathy. 559 00:29:33,397 --> 00:29:35,022 We've been shoving drugs into his system 560 00:29:35,149 --> 00:29:36,357 for a disease he doesn't have. 561 00:29:36,483 --> 00:29:38,276 Well, it could be neurological. 562 00:29:38,402 --> 00:29:40,987 What kind of brain process would cause a paralyzed hand, 563 00:29:41,113 --> 00:29:44,615 skin lesions and swollen throat nodules? 564 00:29:44,741 --> 00:29:46,868 Robert was right. 565 00:29:46,994 --> 00:29:49,412 You said multiple neurofibromatosis. 566 00:29:49,538 --> 00:29:52,165 Are you saying that for the chance at a beautiful family moment, 567 00:29:52,291 --> 00:29:53,875 or is there some medicine involved? 568 00:29:54,001 --> 00:29:55,460 Mmm-mmm. Fits better. 569 00:29:55,586 --> 00:29:57,920 Too bad. I was hoping for the other reason. 570 00:29:58,046 --> 00:29:59,881 I was gonna go get my camera. 571 00:30:00,007 --> 00:30:03,009 Get a CT scan. His brain this time. 572 00:30:11,727 --> 00:30:13,936 You'd think three copies would be enough, right? 573 00:30:14,062 --> 00:30:17,273 One's always been more than enough for me. 574 00:30:17,399 --> 00:30:21,235 Why didn't you tell me that Rowan Chase was in to see you? 575 00:30:21,778 --> 00:30:22,987 Excuse me. 576 00:30:24,031 --> 00:30:27,700 Ethics, confidentiality, does any of this ring a bell? 577 00:30:27,826 --> 00:30:30,536 You could have covered yourself, called me in for a consult. 578 00:30:30,662 --> 00:30:32,663 It is a juicy piece of gossip. 579 00:30:32,789 --> 00:30:33,748 You know what happened? 580 00:30:33,874 --> 00:30:36,834 I got all focused on his cancer and lost perspective. 581 00:30:36,960 --> 00:30:38,794 You can't tell Chase, but I can. 582 00:30:38,921 --> 00:30:40,046 What should I do? 583 00:30:40,172 --> 00:30:41,923 This is where I give you advice 584 00:30:42,049 --> 00:30:44,550 and pretend you're gonna listen to it. I like this part. 585 00:30:44,718 --> 00:30:45,968 Did Rowan ask you not to tell? 586 00:30:46,094 --> 00:30:47,553 I promised I wouldn't. 587 00:30:47,679 --> 00:30:49,680 My fingers were crossed, though, so I'm wide open. 588 00:30:49,806 --> 00:30:51,933 I was wrong. This is the musing-out-loud part. 589 00:30:52,059 --> 00:30:53,142 Do I actually need to be here? 590 00:30:53,268 --> 00:30:54,477 Telling him. 591 00:30:54,603 --> 00:30:56,312 Now, that's got real entertainment value. 592 00:30:56,438 --> 00:30:58,481 Mmm. He might even cry. 593 00:30:58,607 --> 00:31:01,067 On the other hand, there is the do-unto-others thingy. 594 00:31:01,193 --> 00:31:02,860 Well, then I should definitely tell him. 595 00:31:02,986 --> 00:31:05,154 - I'd wanna know. - You wanna know everything. 596 00:31:05,280 --> 00:31:08,074 There's also the keeping-your-promises thingy. 597 00:31:08,200 --> 00:31:10,743 You never run out of thingies, 598 00:31:10,869 --> 00:31:13,079 like that blonde thingy you were chatting up. 599 00:31:13,205 --> 00:31:16,582 She's the hospital accountant. We were going over billing procedures. 600 00:31:16,708 --> 00:31:18,584 Double-entry bookkeeping? 601 00:31:22,839 --> 00:31:24,757 What are you gonna do? 602 00:31:26,260 --> 00:31:27,927 Billing procedures. 603 00:31:28,053 --> 00:31:29,679 They're so complicated, aren't they? 604 00:31:47,072 --> 00:31:50,700 You know, parents are never as bad as kids think they are. 605 00:31:50,826 --> 00:31:53,578 If you like my dad so much, ask him out. 606 00:31:54,663 --> 00:31:55,955 I'd make an excellent step mom. 607 00:31:56,081 --> 00:31:57,832 I'm very lenient. 608 00:32:02,588 --> 00:32:05,131 He's your father. 609 00:32:05,257 --> 00:32:07,633 You never see him, and he's here. 610 00:32:07,759 --> 00:32:10,469 Unless he's done some unspeakable thing, you should lighten up. 611 00:32:10,596 --> 00:32:12,722 Great. Thanks for the tip. 612 00:32:13,974 --> 00:32:15,141 Okay. 613 00:32:17,436 --> 00:32:20,104 He beat your mom. He beat you. 614 00:32:21,940 --> 00:32:24,650 - What did he do? - Really, don't push it. 615 00:32:29,406 --> 00:32:32,992 All this hate. It's toxic. 616 00:32:35,454 --> 00:32:37,121 Then stay away. 617 00:32:47,049 --> 00:32:48,591 There's nothing there. 618 00:32:48,717 --> 00:32:52,637 No masses, no fibrous tangles, nothing. 619 00:32:52,763 --> 00:32:57,391 - It's not neurofibromatosis. - Drs. Chase are 0 for 3. 620 00:32:57,517 --> 00:32:59,518 Even when they agree, they're wrong. 621 00:32:59,645 --> 00:33:03,105 So, next, what else could cause neural damage as well as all the nodules? 622 00:33:03,231 --> 00:33:04,190 Berger's disease. 623 00:33:04,316 --> 00:33:05,441 He's never been out of the country. 624 00:33:05,567 --> 00:33:07,610 Have his parents? They could have brought it back. 625 00:33:07,736 --> 00:33:09,278 - I don't think so. - It doesn't matter. 626 00:33:09,404 --> 00:33:12,073 His lesions are in the wrong place. His feet are the one clear spot. 627 00:33:12,199 --> 00:33:14,200 Kid's dad mentioned leishmaniasis. 628 00:33:14,326 --> 00:33:15,576 Yeah, and filariasis. 629 00:33:15,702 --> 00:33:17,411 But the throat nodules still don't fit with that. 630 00:33:17,537 --> 00:33:21,290 That's two diseases pretty much exclusive to Southeast Asia. 631 00:33:25,170 --> 00:33:28,756 What if the anthrax didn't set off the second disease? 632 00:33:29,633 --> 00:33:30,883 We're back at coincidence again? 633 00:33:31,009 --> 00:33:33,803 No. What if something else was the trigger? 634 00:33:33,929 --> 00:33:35,221 Nothing else happened. 635 00:33:35,347 --> 00:33:36,472 We happened. 636 00:33:36,598 --> 00:33:37,640 Antibiotics? 637 00:33:37,766 --> 00:33:40,309 We've been through this. It's not an allergy. 638 00:33:41,478 --> 00:33:42,853 I gotta pee. 639 00:33:58,120 --> 00:33:59,745 What did the CT scan tell you? 640 00:33:59,871 --> 00:34:00,996 Nothing. 641 00:34:02,040 --> 00:34:02,998 Ow! 642 00:34:03,125 --> 00:34:04,792 Scale from one to ten, how painful? 643 00:34:04,918 --> 00:34:06,794 Not half as painful as when I punch you in the face. 644 00:34:06,920 --> 00:34:09,004 Don't do that. It'll hurt you. 645 00:34:09,131 --> 00:34:11,424 Carpal tunnel surgery obviously didn't work. 646 00:34:11,550 --> 00:34:12,717 Who are you? 647 00:34:12,843 --> 00:34:15,469 The little ones call me Uncle Greg. 648 00:34:15,595 --> 00:34:17,972 Your dad never had carpal tunnel. 649 00:34:18,473 --> 00:34:20,891 You mentioned two obscure diseases to Dr. Chase. 650 00:34:21,017 --> 00:34:22,226 How did you know about them? 651 00:34:22,352 --> 00:34:23,394 I read about them on the Internet. 652 00:34:23,520 --> 00:34:24,520 What did you search for? 653 00:34:24,646 --> 00:34:26,939 "Diseases from Asia that don't match my son's symptoms"? 654 00:34:27,065 --> 00:34:28,190 You heard about them in Asia. 655 00:34:28,316 --> 00:34:29,358 I've never been there. 656 00:34:29,484 --> 00:34:32,403 Well, you probably just forgot. Let me refresh your memory, 657 00:34:32,529 --> 00:34:37,491 some remote, dusty village, close quarters, at least a year? 658 00:34:37,617 --> 00:34:39,368 - Starting to come back? - I'm calling Dr. Cuddy. 659 00:34:39,494 --> 00:34:41,829 Excuse me, what does this have to do with our son? 660 00:34:41,955 --> 00:34:43,706 Your dad's pissed off. 661 00:34:43,832 --> 00:34:45,040 He should be. 662 00:34:46,126 --> 00:34:48,294 Comes here expecting us to do an extra-good job 663 00:34:48,420 --> 00:34:50,337 because he gives a whole lot of money to this hospital. 664 00:34:50,464 --> 00:34:51,797 Don't talk to my son like that! 665 00:34:51,923 --> 00:34:53,507 Just telling him my job and my obligation... 666 00:34:53,633 --> 00:34:56,719 Stop! What's going on? 667 00:35:01,475 --> 00:35:04,727 There's only one thing you guys have gotta do. 668 00:35:06,480 --> 00:35:10,107 Tell the truth, or your son will die. 669 00:35:12,068 --> 00:35:14,111 How long were you in Asia? 670 00:35:18,366 --> 00:35:20,618 Jeff, it's a simple question. 671 00:35:24,831 --> 00:35:26,582 Two years, in India. 672 00:35:28,627 --> 00:35:29,877 Why would you lie about something like that? 673 00:35:30,003 --> 00:35:31,796 It was '87 and '88. 674 00:35:37,302 --> 00:35:38,469 This... 675 00:35:40,931 --> 00:35:44,725 This guru, I thought he had some answers. 676 00:35:45,852 --> 00:35:47,770 I went to his ashram 677 00:35:49,397 --> 00:35:54,360 and ended up with no money and no answers. 678 00:35:56,488 --> 00:35:59,657 I was embarrassed. I didn't want anyone to know. 679 00:36:01,159 --> 00:36:02,284 No. 680 00:36:04,204 --> 00:36:07,456 No. You were a test pilot. 681 00:36:07,582 --> 00:36:09,291 I'm so sorry, Gabe. 682 00:36:11,253 --> 00:36:14,004 What does this have to do with my son? 683 00:36:19,344 --> 00:36:21,846 Clue number one, if I were Jesus, 684 00:36:21,972 --> 00:36:25,599 curing this kid would be as easy as turning water into wine. 685 00:36:25,725 --> 00:36:27,268 Demonic possession? 686 00:36:27,394 --> 00:36:29,436 Close, but no wafer. 687 00:36:29,563 --> 00:36:32,898 Clue number two, Rheumatology Rowan was almost right. 688 00:36:33,024 --> 00:36:35,526 It causes autoimmune symptoms. 689 00:36:35,652 --> 00:36:36,819 Leprosy? 690 00:36:36,945 --> 00:36:39,071 Yeah, that's real big in the Jersey suburbs. 691 00:36:40,073 --> 00:36:41,615 It's leprosy. 692 00:36:41,741 --> 00:36:43,576 Run a Fite stain. It'll be positive. 693 00:36:44,411 --> 00:36:47,204 Daddy hung out on the wrong kind of Indian ashram. 694 00:36:47,330 --> 00:36:50,040 But it's obviously dormant in the dad. How could the kid catch it? 695 00:36:50,166 --> 00:36:52,626 It's not dormant in the dad. It's just slow. 696 00:36:52,752 --> 00:36:54,295 Damaged his ulnar nerves. 697 00:36:54,421 --> 00:36:59,884 Was misdiagnosed as carpal tunnel. Never trust doctors. Run a Fite stain. 698 00:37:00,343 --> 00:37:04,471 No wonder he got anthrax. The leprosy weakened his immune system. 699 00:37:04,598 --> 00:37:08,017 Vicious circle, the leprosy made him vulnerable to the anthrax, 700 00:37:08,143 --> 00:37:10,728 and the anthrax treatment put the leprosy in overdrive. 701 00:37:10,854 --> 00:37:13,272 But the antibiotics we gave him, they cure leprosy. 702 00:37:13,398 --> 00:37:16,901 Yeah. That's where the trouble starts. 703 00:37:17,027 --> 00:37:21,113 The antibiotics hit the nerve strands. They kill the leprosy bacteria, 704 00:37:21,239 --> 00:37:22,948 and the corpses get tossed into the system. 705 00:37:23,074 --> 00:37:26,118 And as fascinating as our bodies are, they're also stupid. 706 00:37:26,244 --> 00:37:30,331 They produce antibodies to beat dead bacteria. 707 00:37:30,457 --> 00:37:32,958 And these aren't the polite antibodies. 708 00:37:33,084 --> 00:37:36,754 They're the ones that won't sit still, kick during nap time. 709 00:37:36,880 --> 00:37:38,714 They attack his neural and fat cells, 710 00:37:38,840 --> 00:37:42,134 causing inflammation and all the rest of his symptoms. 711 00:37:42,260 --> 00:37:44,553 So the cure's killing him. 712 00:37:44,679 --> 00:37:46,889 I want you to call down to Carville, Louisiana, 713 00:37:47,015 --> 00:37:49,934 home of the last leper colony in the Lower 48. 714 00:37:50,060 --> 00:37:51,769 Get them to send up some thalidomide. 715 00:37:51,895 --> 00:37:52,895 Thalidomide? 716 00:37:53,021 --> 00:37:55,147 12-year-olds don't have sex, right? So he can't be pregnant. 717 00:37:55,273 --> 00:37:56,899 Make the call. 718 00:38:01,321 --> 00:38:03,614 I need to speak to your boy. 719 00:38:16,252 --> 00:38:19,588 Why does everybody need to know my business? 720 00:38:19,714 --> 00:38:22,174 People like talking about people. 721 00:38:22,300 --> 00:38:26,011 Makes us feel superior, makes us feel in control, 722 00:38:26,137 --> 00:38:30,933 and sometimes, for some people, knowing some things makes them care. 723 00:38:31,059 --> 00:38:34,687 I tell you my dad left, my mum drank herself to death, 724 00:38:34,813 --> 00:38:37,773 - you gonna care about me more? - Cameron would. 725 00:38:37,899 --> 00:38:39,984 Me, I just like knowing stuff. 726 00:38:43,029 --> 00:38:44,738 I know you hate your dad. 727 00:38:44,864 --> 00:38:45,990 Now, I'm gonna tell you something. 728 00:38:46,116 --> 00:38:48,242 I don't hate him. 729 00:38:48,994 --> 00:38:50,327 I loved him until I figured out 730 00:38:50,453 --> 00:38:53,622 that it hurts a lot less to just not care. 731 00:38:54,416 --> 00:38:56,875 You don't expect him to turn up to your football match, 732 00:38:57,002 --> 00:38:58,961 no disappointments. 733 00:38:59,087 --> 00:39:00,462 You don't expect a call on your birthday, 734 00:39:00,588 --> 00:39:02,381 don't expect to see him for months, 735 00:39:02,507 --> 00:39:04,299 no disappointments. 736 00:39:05,802 --> 00:39:10,889 You want us to go make up, sink a few beers together, nice family hug? 737 00:39:14,144 --> 00:39:17,312 I've given him enough hugs. 738 00:39:17,439 --> 00:39:19,565 He's given me enough disappointments. 739 00:39:23,987 --> 00:39:25,195 Okay. 740 00:39:28,742 --> 00:39:29,950 That's it? 741 00:39:30,869 --> 00:39:32,077 That's it. 742 00:39:56,227 --> 00:39:57,352 Breathe. 743 00:40:00,899 --> 00:40:02,232 Breathe again. 744 00:40:04,402 --> 00:40:05,986 Breathe again. 745 00:40:07,947 --> 00:40:10,240 Are you gonna have to tell my friends I'm a leper? 746 00:40:10,366 --> 00:40:13,911 You had the antibiotics. You're not contagious anymore. 747 00:40:15,038 --> 00:40:17,456 Well, what if they already caught it? 748 00:40:17,582 --> 00:40:21,919 Leprosy is incredibly hard to catch. Even your mum didn't get it. 749 00:40:22,045 --> 00:40:24,379 Right. I want you to make a fist. 750 00:40:25,757 --> 00:40:27,966 It's still kinda stiff. 751 00:40:28,093 --> 00:40:30,177 It'll get back to normal in a month or two. 752 00:40:30,303 --> 00:40:32,513 Your skin, two or three weeks. 753 00:40:32,639 --> 00:40:34,765 Security 12, call... 754 00:40:35,433 --> 00:40:37,935 You haven't asked about your dad. 755 00:40:39,479 --> 00:40:41,563 He lied about everything. 756 00:40:42,440 --> 00:40:46,151 He lied to my mom. He lied to his boss. 757 00:40:47,320 --> 00:40:49,113 He's just a liar. 758 00:40:50,615 --> 00:40:52,074 He loves you. 759 00:40:54,035 --> 00:40:55,619 I don't love him. 760 00:40:58,123 --> 00:40:59,498 Yeah, you do. 761 00:41:05,797 --> 00:41:09,591 Nothing you can do about it. He's your dad. 762 00:41:09,717 --> 00:41:13,095 It doesn't matter what he does. You're gonna love him. 763 00:41:26,151 --> 00:41:28,193 Here. Thanks. 764 00:41:30,071 --> 00:41:31,155 Hey! 765 00:41:42,792 --> 00:41:44,334 When's your flight? 766 00:41:44,460 --> 00:41:45,752 You got time for a drink? 767 00:41:46,921 --> 00:41:48,213 Wish I did. 768 00:41:49,132 --> 00:41:50,549 Dr. Chase? 769 00:42:00,643 --> 00:42:02,060 I got it. 770 00:42:05,607 --> 00:42:08,775 You're gonna be getting down to Oz any time soon? 771 00:42:10,361 --> 00:42:13,363 Not too long. Next autumn, I hope. 772 00:42:14,616 --> 00:42:16,074 I'll call you. 773 00:42:19,454 --> 00:42:21,288 Well, you're all set. 774 00:42:30,423 --> 00:42:31,965 I'll see you. 775 00:42:32,175 --> 00:42:33,175 Yeah. 776 00:42:34,219 --> 00:42:35,844 I'll see you.