1 00:00:08,740 --> 00:00:09,654 Whoo! 2 00:00:09,798 --> 00:00:11,973 All right, hold on. I got to turn up here. 3 00:00:14,140 --> 00:00:17,281 Whoo! Hoo-hoo-hoo-hoo! 4 00:00:22,124 --> 00:00:23,474 How cool was that? 5 00:00:23,528 --> 00:00:25,491 That was way cool. 6 00:00:25,799 --> 00:00:26,830 Oh. 7 00:00:30,177 --> 00:00:31,027 My turn. 8 00:00:31,177 --> 00:00:32,333 No, sorry, that's not allowed. 9 00:00:32,483 --> 00:00:35,672 I just signed 15 pages of forms, saying you gotta ride on the back of that thing. 10 00:00:35,756 --> 00:00:37,363 I don't see any lawyers around. 11 00:00:37,581 --> 00:00:38,682 You know that's not the point. 12 00:00:38,783 --> 00:00:41,887 No, you just wanna keep all the fun to yourself. 13 00:00:43,677 --> 00:00:45,111 Come on, Dad. 14 00:00:46,277 --> 00:00:48,802 You go over 15, we're pulling over. All right, I mean it. 15 00:00:48,886 --> 00:00:50,619 - You're the best. - All right, get on there. 16 00:00:51,233 --> 00:00:52,399 Put on your goggles. 17 00:00:54,197 --> 00:00:54,996 Ready? 18 00:00:55,538 --> 00:00:57,518 Got the clutch in? All right, that's my boy. 19 00:00:57,518 --> 00:01:00,679 Whoo! Hoo-hoo! 20 00:01:01,397 --> 00:01:03,398 Whoo! 21 00:01:05,279 --> 00:01:07,082 Whoo! 22 00:01:12,138 --> 00:01:14,275 Adam, you're going too fast. Slow it down. 23 00:01:18,240 --> 00:01:20,843 I mean it. You're going too fast. Slow down! 24 00:01:21,260 --> 00:01:22,169 Adam! 25 00:01:27,782 --> 00:01:29,155 Adam! 26 00:01:30,488 --> 00:01:32,347 Let go of the throttle! 27 00:01:36,689 --> 00:01:40,592 Adam! Adam! Adam! 28 00:01:42,297 --> 00:01:46,963 2x12 - Distractions 29 00:02:08,820 --> 00:02:12,422 Original Airdate (FOX): 14 February-2006 30 00:02:14,709 --> 00:02:15,410 What do you got? 31 00:02:15,472 --> 00:02:19,417 16-year-old, status post, ATV crash, 40% of burns on his body. 32 00:02:19,479 --> 00:02:22,516 Nasotracheal intubation. Start a bag of lactated Ringer's, wide open. 33 00:02:22,600 --> 00:02:23,375 Is he gonna be okay? 34 00:02:23,476 --> 00:02:25,668 We'll be with you when we can. Get him out! 35 00:02:26,576 --> 00:02:27,964 Wait, wait, wait. 36 00:02:28,396 --> 00:02:29,438 I'll start fluids. 37 00:02:29,739 --> 00:02:31,315 Let's go get him moved up. 38 00:02:46,674 --> 00:02:48,655 De-re-maki. 39 00:02:48,739 --> 00:02:51,161 De-re-maki. 40 00:02:53,612 --> 00:02:54,575 Been looking for you. 41 00:02:54,876 --> 00:02:56,482 Been avoiding you. 42 00:02:56,631 --> 00:02:57,783 Burn unit can handle it. 43 00:02:57,888 --> 00:03:00,770 If they could handle it, they wouldn't be asking for you. 44 00:03:03,234 --> 00:03:04,117 Is that a journal? 45 00:03:04,220 --> 00:03:05,371 A friend wrote an article. 46 00:03:05,519 --> 00:03:06,525 In Hindi? 47 00:03:06,627 --> 00:03:09,737 They have a cutting edge neuroscience program in India. 48 00:03:10,045 --> 00:03:12,191 Says so right on the cover. 49 00:03:15,845 --> 00:03:18,398 This kid's heart rate's messed. 50 00:03:18,451 --> 00:03:20,852 Tachycardia can be explained by the burn. 51 00:03:20,913 --> 00:03:23,068 I assume the burn unit knew that. 52 00:03:25,575 --> 00:03:27,087 His potassium's low. 53 00:03:27,191 --> 00:03:29,165 Which can also be explained by the burn. 54 00:03:29,366 --> 00:03:31,916 Except I'm sure the burn unit's pumping him with fluids, 55 00:03:31,958 --> 00:03:34,422 which means his potassium should be going up, not down. 56 00:03:34,589 --> 00:03:36,005 Could be amphetamines. 57 00:03:36,069 --> 00:03:38,077 Or bacteria lunching on his heart. 58 00:03:38,161 --> 00:03:41,516 Or cardiomyopathy, or some other very bad thing. 59 00:03:41,626 --> 00:03:43,225 He needs an EKG. 60 00:03:45,346 --> 00:03:46,672 Eww. 61 00:03:50,183 --> 00:03:53,457 Okay, no skin, no EKG. 62 00:03:53,541 --> 00:03:55,451 Is he even going to survive the burn? 63 00:03:56,093 --> 00:03:57,852 You got a date or something? 64 00:03:58,744 --> 00:04:00,745 40% of his body. 65 00:04:00,851 --> 00:04:03,177 If the burns unit can prevent an infection, 66 00:04:03,367 --> 00:04:07,255 his body will regenerate maybe 10%. Surgeon's will do 20 or so grafts. 67 00:04:07,339 --> 00:04:10,574 Six months in this room, he'll end up with a series of nasty scars. 68 00:04:11,042 --> 00:04:13,528 Maybe some pain, but he'll live. 69 00:04:14,096 --> 00:04:19,345 Unless his heart shuts down, because we can't figure out what's causing the low potassium and tachycardia. 70 00:04:20,809 --> 00:04:24,192 We need help from a Belgian Doc, named Einthoven. 71 00:04:24,424 --> 00:04:25,461 He's dead. 72 00:04:25,763 --> 00:04:29,554 While he was alive, he invented a little ditty called the Galvanometer. 73 00:04:29,898 --> 00:04:30,672 Where do we get one? 74 00:04:30,754 --> 00:04:34,409 Go to any electronics store that's been open since before 1905. 75 00:04:34,518 --> 00:04:37,365 There's a good chance they got one in the corner in the basement. 76 00:04:39,932 --> 00:04:42,235 We need an audio/visual setup for the lecture hall. 77 00:04:42,425 --> 00:04:44,132 - What for? - For the lecture. 78 00:04:44,277 --> 00:04:46,887 - What lecture? - Dr. Weber's lecture. 79 00:04:47,107 --> 00:04:50,816 - Who's Dr. Weber? - Uh, neurologist, I think. 80 00:04:51,144 --> 00:04:52,738 The memo was from you. 81 00:04:59,451 --> 00:05:01,611 - Where's my assistant? - She left. 82 00:05:01,695 --> 00:05:02,808 - When? - Wednesday. 83 00:05:02,891 --> 00:05:06,353 - Seriously? - The temp agency sent someone, but she got lost. 84 00:05:06,512 --> 00:05:09,430 Well, when she gets here, fire her. 85 00:05:29,631 --> 00:05:31,442 Oh, yeah. 86 00:05:31,508 --> 00:05:33,050 Did you issue this memo? 87 00:05:33,267 --> 00:05:34,463 Look at that. 88 00:05:36,094 --> 00:05:37,291 Congratulations. 89 00:05:37,476 --> 00:05:41,135 The patient that has been in a coma for two years and counting is still in a coma. 90 00:05:41,276 --> 00:05:42,889 This is not my signature. 91 00:05:43,037 --> 00:05:46,086 I don't know anything about this guy. I'm supposed to introduce him? 92 00:05:46,170 --> 00:05:47,485 Have lunch? 93 00:05:49,291 --> 00:05:51,206 The coma patient has a migraine? 94 00:05:51,290 --> 00:05:52,246 Oh, no, no, no. 95 00:05:52,330 --> 00:05:54,633 No, I gave him medication to prevent a migraine. 96 00:05:54,717 --> 00:05:58,492 That's a migraine. Increased flow velocity in his cerebral arteries. 97 00:05:58,576 --> 00:06:01,202 I did, subsequently, give him nitroglycerin, which could possibly— 98 00:06:01,286 --> 00:06:05,552 You induced a migraine headache in a coma patient? 99 00:06:05,636 --> 00:06:07,162 I gave him a little headache. 100 00:06:07,327 --> 00:06:09,215 Similar to the one you're giving me now. 101 00:06:09,299 --> 00:06:11,903 Have you even read an ethical guideline? 102 00:06:12,024 --> 00:06:17,294 Well, it'd be wrong to try out a new migraine prevention medication on someone who can actually feel pain. 103 00:06:17,345 --> 00:06:18,541 Did you sign this? 104 00:06:18,643 --> 00:06:20,566 Uh... yeah. 105 00:06:21,782 --> 00:06:24,837 We can talk later about the appropriate discipline. 106 00:06:28,634 --> 00:06:32,195 Because of the burn, we can't perform any of our normal tests to see what's wrong. 107 00:06:32,279 --> 00:06:34,520 So we're going to try a Galvanometer. 108 00:06:35,629 --> 00:06:38,613 It picks up a pulse in the wrists and the ankles. 109 00:06:39,097 --> 00:06:41,978 Hopefully it will tell us why his heart rhythm is abnormal. 110 00:06:42,387 --> 00:06:43,839 What have I done to him. I— 111 00:06:43,995 --> 00:06:45,498 It was an accident. 112 00:06:46,408 --> 00:06:47,866 All right, so... 113 00:06:48,954 --> 00:06:52,474 he's got all these burns. And now there's something wrong with his heart? 114 00:06:52,558 --> 00:06:55,208 We're trying to figure out if the two are somehow connected. 115 00:06:55,393 --> 00:06:57,374 Had he been sick lately? 116 00:06:57,458 --> 00:06:58,490 No, nothing. 117 00:06:58,574 --> 00:07:01,286 Anything unusual with his behavior? Had he been tired a lot? 118 00:07:01,394 --> 00:07:03,359 - Nothing. - He was great. He was happy. 119 00:07:03,543 --> 00:07:05,955 He was just having a great time and then— 120 00:07:06,180 --> 00:07:09,838 If he was experimenting with amphetamines or cocaine— 121 00:07:09,930 --> 00:07:10,784 No. 122 00:07:11,636 --> 00:07:14,370 We gave him some pot about a year ago to try. 123 00:07:14,454 --> 00:07:15,495 It was just once. 124 00:07:15,950 --> 00:07:19,945 We thought if we took the mystery out of drugs and alcohol, the less he'd experiment. 125 00:07:20,029 --> 00:07:21,870 We'll know more after the tests. 126 00:07:24,340 --> 00:07:26,904 It looks like they're gonna electrocute him. 127 00:07:28,452 --> 00:07:29,409 Plug it in. 128 00:07:31,296 --> 00:07:32,846 You plug it in. 129 00:07:33,508 --> 00:07:35,377 Fine. Gimme the cord. 130 00:07:42,402 --> 00:07:43,515 Works. 131 00:07:45,861 --> 00:07:47,429 Prominent U-waves. 132 00:07:47,513 --> 00:07:48,858 No inverted T-wave. 133 00:07:49,003 --> 00:07:50,437 No ischemia. 134 00:07:50,585 --> 00:07:52,150 Q-wave normal. 135 00:07:53,095 --> 00:07:54,549 That's not good. 136 00:07:58,451 --> 00:07:59,666 Chase, turn it off. 137 00:07:59,802 --> 00:08:00,771 Turn it off! 138 00:08:00,855 --> 00:08:02,585 - What's happening? - What is that? 139 00:08:03,079 --> 00:08:04,732 He's seizing, get in here. 140 00:08:10,411 --> 00:08:12,141 Who electrocuted my patient? 141 00:08:12,220 --> 00:08:14,023 - He had a seizure. - He wasn't electrocuted. 142 00:08:14,107 --> 00:08:15,530 What does the seizure tell us? 143 00:08:15,801 --> 00:08:16,972 Move. 144 00:08:17,113 --> 00:08:18,147 What are you looking for? 145 00:08:18,237 --> 00:08:21,991 Same as you. Love, acceptance. Solid return on investments. 146 00:08:22,081 --> 00:08:23,630 Differential diagnosis. Go. 147 00:08:23,700 --> 00:08:25,659 Could be epilepsy, or seizure disorder. 148 00:08:25,743 --> 00:08:27,232 Not with the tachycardia. 149 00:08:27,382 --> 00:08:29,146 It could be a virus in his brain. 150 00:08:29,229 --> 00:08:31,048 Specificity's impressive. 151 00:08:31,572 --> 00:08:33,173 Adrenoleukodystrophy. 152 00:08:33,257 --> 00:08:37,151 Could be M.S., seizures could be caused by plaques and lesions on the brain. 153 00:08:37,235 --> 00:08:39,758 Well, let's find out which. Get him an MRI. 154 00:08:39,842 --> 00:08:41,476 No nuclear imaging. 155 00:08:43,484 --> 00:08:45,072 He wouldn't survive the move to Radiology. 156 00:08:45,156 --> 00:08:47,297 MRI and CT scan are both out. 157 00:08:47,726 --> 00:08:52,399 Okay. Lumbar puncture'll tell us if his proteins are elevated. At least we can exclude M.S. 158 00:08:52,493 --> 00:08:54,438 Can't do a lumbar puncture either. 159 00:08:56,299 --> 00:08:58,205 You're cramping my exits. 160 00:08:58,382 --> 00:09:00,256 Don't tell me, no skin on his spine. 161 00:09:00,362 --> 00:09:03,132 We'd be inserting a needle into an area that's teeming with bacteria. 162 00:09:03,199 --> 00:09:05,883 If he doesn't have a brain infection already, we'd give him one for sure. 163 00:09:06,074 --> 00:09:08,149 There's no other way to look at a brain. 164 00:09:09,806 --> 00:09:12,092 Transcranial Doppler Sonography. 165 00:09:12,176 --> 00:09:16,271 She said brain, not pregnant woman's uterus. They do sound alike. 166 00:09:16,355 --> 00:09:17,940 I used one to look at a brain this morning. 167 00:09:18,039 --> 00:09:20,651 Why didn't you take the patient to Radiology, get an MRA? 168 00:09:20,802 --> 00:09:23,006 Obviously, I was doing something illegal, 169 00:09:23,072 --> 00:09:25,351 and using nuclear imaging would've raised questions. 170 00:09:25,402 --> 00:09:28,227 You're not gonna get a diagnosis of M.S. from a sonogram. 171 00:09:28,311 --> 00:09:33,291 Not definitively, but patients with M.S. have more reactive neurons in their occipital cortex. 172 00:09:37,330 --> 00:09:38,715 Okay, then? 173 00:09:41,801 --> 00:09:46,969 Thank you for all coming to today's lecture by Dr. Phillip Weber, 174 00:09:47,284 --> 00:09:53,960 who is our guest today at our hospital to talk about headaches. 175 00:09:54,649 --> 00:09:58,202 Dr. Weber is at the Weber Center for Pain. That makes sense. 176 00:09:58,816 --> 00:10:01,775 Weber-Weber, um. So please welcome, Dr. Weber. 177 00:10:09,056 --> 00:10:12,536 Thank you, Doctor... Cuddy. 178 00:10:14,341 --> 00:10:18,284 I suppose I should tell you a little bit more about myself. 179 00:10:18,696 --> 00:10:21,379 I went to school in Virginia, 180 00:10:22,242 --> 00:10:25,294 You've never to one of these things in your life. Who is this guy? 181 00:10:26,020 --> 00:10:27,094 No idea. 182 00:10:28,195 --> 00:10:29,688 What's with the outfit? 183 00:10:30,413 --> 00:10:33,475 Sudden chills, and light sensitivity. 184 00:10:33,621 --> 00:10:35,158 Inexplicable. 185 00:10:35,964 --> 00:10:39,381 I received my medical degree at Johns Hopkins University, 186 00:10:39,950 --> 00:10:42,554 where I studied under Brightman and Gilmar. 187 00:10:42,885 --> 00:10:45,903 Hmm... he must be good. You went to Hopkins 188 00:10:45,987 --> 00:10:47,668 and studied under Brightman and Gilmar. 189 00:10:47,764 --> 00:10:49,325 Shh... 190 00:10:49,409 --> 00:10:52,745 helped me win the Doyle internship at the Mayo clinic. 191 00:10:52,829 --> 00:10:55,673 You were supposed to get the Doyle internship. 192 00:10:58,291 --> 00:11:00,294 This guy's Von Lieberman? 193 00:11:00,447 --> 00:11:01,985 The guy got you thrown out for cheating? 194 00:11:02,053 --> 00:11:03,929 The Dean threw me out. 195 00:11:04,013 --> 00:11:05,900 Von Lieberman just ratted on me. 196 00:11:05,967 --> 00:11:07,980 This guy's name is Weber, not Von Lieberman. 197 00:11:08,064 --> 00:11:09,982 I call Weber Von Lieberman. 198 00:11:10,169 --> 00:11:12,458 Way eviler. Shh... 199 00:11:12,648 --> 00:11:18,157 and five HT Sub 1D receptors have improved the acute treatment of migraines. 200 00:11:18,726 --> 00:11:20,138 To this point... 201 00:11:20,488 --> 00:11:21,975 So what's the plan? 202 00:11:22,117 --> 00:11:24,994 You wanna wait 'til he bends over and make a fart sound? 203 00:11:25,832 --> 00:11:28,129 I'm not here about the past. 204 00:11:28,179 --> 00:11:30,336 He's a bad scientist. 205 00:11:30,873 --> 00:11:34,255 Well, you cheated off him, how bad can he be? 206 00:11:35,356 --> 00:11:37,345 He got the answer wrong. 207 00:11:45,412 --> 00:11:46,836 Are they trying to wake him up? 208 00:11:46,836 --> 00:11:49,003 They can't do that, right? He'll be in too much pain. 209 00:11:49,087 --> 00:11:51,142 Don't worry, he's still under. 210 00:11:51,539 --> 00:11:54,593 But the brain never completely sleeps, it's always working. 211 00:11:54,773 --> 00:11:58,572 Controlling your heart rate. Breathing. Temperature. 212 00:11:59,560 --> 00:12:01,518 The eyes respond to visual stimuli. 213 00:12:01,602 --> 00:12:05,653 Blood flow increases in certain areas of the brain and we can track that with a sonogram. 214 00:12:06,194 --> 00:12:10,782 With M.S., blood vessels are more reactive, so flow is faster. 215 00:12:10,866 --> 00:12:13,072 If Adam has an infection, 216 00:12:13,218 --> 00:12:15,542 there'd be swelling which would constrict the arteries, 217 00:12:15,627 --> 00:12:17,541 and the flow would be slower. 218 00:12:17,803 --> 00:12:21,425 Chase, near the subarachnoid space. 219 00:12:27,020 --> 00:12:34,539 Data from control subjects were analyzed with a two-way ANOVA with status and side as within-subject factors. 220 00:12:35,752 --> 00:12:39,747 You stalked this guy for 20 years just for the shot to humiliate him? 221 00:12:39,831 --> 00:12:41,506 Shh. I'm trying to learn. 222 00:12:41,590 --> 00:12:43,825 vessels without significant rebound. 223 00:12:43,927 --> 00:12:45,963 He doesn't even know what that means. 224 00:12:46,644 --> 00:12:48,145 You're going to interrupt him, aren't you? 225 00:12:48,296 --> 00:12:49,681 If I have a question. 226 00:12:49,936 --> 00:12:51,560 And what's that going to accomplish? 227 00:12:51,909 --> 00:12:53,959 Why can't you just enjoy this? 228 00:12:54,064 --> 00:12:55,710 Why can't you just be happy for me? 229 00:12:55,819 --> 00:13:00,075 You have got to find less debilitating outlets than humiliating people. 230 00:13:00,176 --> 00:13:03,929 I hear bowling is more fun than stalking. 231 00:13:04,298 --> 00:13:05,532 But I'm better at this. 232 00:13:05,744 --> 00:13:08,298 If P is less than point zero... 233 00:13:08,382 --> 00:13:10,976 Blow a ton of money on a plasma TV. 234 00:13:12,355 --> 00:13:14,480 We found a subarachnoid bleed. 235 00:13:15,904 --> 00:13:18,252 Bleed in the head isn't causing seizures. 236 00:13:18,406 --> 00:13:21,638 It could be. 10% with damage to the cerebral cortex have seizures. 237 00:13:21,722 --> 00:13:23,283 Or bacterial meningitis. 238 00:13:23,383 --> 00:13:24,443 Viral encephalitis? 239 00:13:24,527 --> 00:13:25,558 There's no way to tell without— 240 00:13:25,642 --> 00:13:27,013 Shut up! 241 00:13:28,154 --> 00:13:29,525 Excuse me? 242 00:13:30,860 --> 00:13:31,815 Not you. 243 00:13:31,962 --> 00:13:35,494 If my lecture is interrupting your meeting, I can wait. 244 00:13:38,778 --> 00:13:41,756 As your people say in India. Appreciate it. 245 00:13:41,842 --> 00:13:45,498 We'll figure out why later. Um, fix the bleed, or he dies. 246 00:13:45,603 --> 00:13:47,102 Talk to you in a couple of hours. 247 00:13:50,287 --> 00:13:52,095 De-re-maki. 248 00:14:01,800 --> 00:14:03,779 I'm in the subarachnoid space. 249 00:14:05,322 --> 00:14:06,219 Can you get it? 250 00:14:06,450 --> 00:14:07,550 I think so. 251 00:14:09,833 --> 00:14:11,860 Put the probe back where it was so I can see the wire. 252 00:14:11,944 --> 00:14:13,668 - We're looking for the bleed— - Look when I get there! 253 00:14:13,752 --> 00:14:16,530 I'm flying blind without a contrast CT here. 254 00:14:26,494 --> 00:14:31,019 And with a p value of less than.001, 255 00:14:31,164 --> 00:14:37,781 we have strong statistical evidence that this drug prevents migraine headaches without daily administration. 256 00:14:37,841 --> 00:14:40,071 Uh, excuse me, Doctor. 257 00:14:40,135 --> 00:14:41,858 He knows this field better than you do. 258 00:14:41,942 --> 00:14:44,131 It's always been my understanding that, uh, 259 00:14:44,183 --> 00:14:48,072 unless you follow a daily regimen, no drug can prevent a migraine. 260 00:14:48,172 --> 00:14:49,866 That's why they call it a breakthrough. 261 00:14:49,970 --> 00:14:51,933 That's why YOU call it a breakthrough. 262 00:14:52,182 --> 00:14:57,910 No, the, uh, pharmaceutical company sponsoring my clinical trials also hails it as a breakthrough. 263 00:14:57,994 --> 00:15:00,761 I'm sure your wife and lawyer do too. 264 00:15:01,999 --> 00:15:05,748 Is there anybody who doesn't stand to make a fortune from it, calling it a breakthrough? 265 00:15:05,856 --> 00:15:06,706 Who are you? 266 00:15:06,823 --> 00:15:09,588 Just a lunatic who desperately needs a hobby. 267 00:15:09,776 --> 00:15:11,571 How exactly do these studies work? 268 00:15:11,655 --> 00:15:13,531 Do you give this drug to a bunch of people and 269 00:15:13,626 --> 00:15:16,968 they don't get a migraine, you go, voila, my drug works? 270 00:15:17,332 --> 00:15:19,014 Uh, excuse me, Miss? 271 00:15:19,301 --> 00:15:21,247 Uh, do you have cancer? 272 00:15:22,761 --> 00:15:25,912 Wow. Mango juice prevents cancer. 273 00:15:26,182 --> 00:15:29,112 Perhaps I should've taken my medication before this lecture. 274 00:15:31,555 --> 00:15:33,964 Dr. We had a very specific control group. 275 00:15:34,048 --> 00:15:35,930 Chronic migraine sufferers. 276 00:15:35,993 --> 00:15:37,886 I don't have time to go through all the math right now, 277 00:15:37,955 --> 00:15:41,893 - but the incidence was dramatically— - Sure, in India. 278 00:15:42,160 --> 00:15:44,799 Two plus two equals five there, right? 279 00:15:45,854 --> 00:15:47,049 Do I know you? 280 00:15:47,133 --> 00:15:49,271 I know your math skills. 281 00:15:49,455 --> 00:15:50,948 They blow. 282 00:15:51,340 --> 00:15:52,408 Touché. 283 00:15:52,492 --> 00:15:54,379 You sound very familiar. 284 00:15:54,686 --> 00:15:57,334 Why did you publish it in an obscure journal in India? 285 00:15:57,390 --> 00:16:02,028 Why not publish in Really Really Cool Head Cases of South Philly? 286 00:16:02,131 --> 00:16:04,668 Neuroscience New Delhi is a respected journal. 287 00:16:04,732 --> 00:16:08,424 Yeah, the guy running Slurp 'N' Gulp tells me it's one of the best. 288 00:16:08,503 --> 00:16:10,184 Get a hooker. Anything. 289 00:16:10,408 --> 00:16:11,912 See, I'm thinking that 290 00:16:16,969 --> 00:16:21,195 And choosing a journal that no one can actually read, well, that's, that's shrewd. 291 00:16:21,304 --> 00:16:22,919 I know I know you. 292 00:16:23,321 --> 00:16:24,281 Sure you do. 293 00:16:24,509 --> 00:16:25,512 Dick. 294 00:16:25,663 --> 00:16:26,741 The name's Philip. 295 00:16:26,856 --> 00:16:28,238 Oh, my bad. 296 00:16:28,337 --> 00:16:29,896 Something to do with your face. 297 00:16:29,958 --> 00:16:31,884 I always think your name is Dick. 298 00:16:32,238 --> 00:16:33,507 House? 299 00:16:33,617 --> 00:16:34,851 Here. 300 00:16:36,269 --> 00:16:38,239 Medical school was 20 years ago. 301 00:16:38,333 --> 00:16:40,025 Give it a rest, grow up. 302 00:16:40,097 --> 00:16:43,525 Yeah, you were always the grown-up, do the responsible thing. 303 00:16:43,672 --> 00:16:45,126 Tattletale. 304 00:16:45,310 --> 00:16:48,326 - You cheated. - I cheated then, you're cheating now. 305 00:16:48,410 --> 00:16:49,545 Your drug doesn't work. 306 00:16:49,629 --> 00:16:52,856 Oh, yes, you would like to believe that, because it plays right into your fantasy— 307 00:16:52,940 --> 00:16:54,966 - I tested it. - Oh, really? 308 00:16:55,463 --> 00:16:57,527 What are your parameters? Where's your study? 309 00:17:00,884 --> 00:17:02,547 Room 2134. 310 00:17:02,757 --> 00:17:03,684 One patient? 311 00:17:03,795 --> 00:17:05,366 The coma patient? 312 00:17:06,371 --> 00:17:08,073 You haven't changed a bit. 313 00:17:09,136 --> 00:17:13,074 You took short cuts in med school, you're taking short cuts now. 314 00:17:13,222 --> 00:17:16,457 You cannot test this on an abnormal brain. 315 00:17:16,541 --> 00:17:20,491 That's so closed-minded. He's not abnormal, he's special. 316 00:17:20,566 --> 00:17:24,454 Cerebral cortex atrophies in coma patients. 317 00:17:26,034 --> 00:17:28,944 You need live, conscious people. 318 00:17:32,271 --> 00:17:34,108 You don't know everything, House. 319 00:17:38,917 --> 00:17:41,330 It's something that disrupts brain function. 320 00:17:41,889 --> 00:17:45,157 Plaques are perfect. Interrupt neuronal communication. 321 00:17:45,263 --> 00:17:46,440 - M.S.? - No. 322 00:17:46,753 --> 00:17:51,108 M.S. is complicated. I think this is more basic. It's just tachycardia and seizures. 323 00:17:51,545 --> 00:17:54,414 How much longer the burn unit guys gonna keep him in that thing? 324 00:17:54,716 --> 00:17:57,321 Lecture's over. Let's go. House wants to... 325 00:18:00,482 --> 00:18:01,984 Adam's waking up. 326 00:18:02,657 --> 00:18:04,417 Get the anesthesiologist in here now. 327 00:18:04,501 --> 00:18:05,961 He's in pain. 328 00:18:07,583 --> 00:18:09,034 That's not pain. 329 00:18:10,179 --> 00:18:11,717 Need some help in here. 330 00:19:13,803 --> 00:19:15,641 Adam had an orgasm. 331 00:19:17,371 --> 00:19:18,385 What? 332 00:19:18,600 --> 00:19:20,135 You mean while he was— 333 00:19:22,095 --> 00:19:23,446 Oh! 334 00:19:23,975 --> 00:19:25,398 God! 335 00:19:26,697 --> 00:19:27,931 What's wrong? 336 00:19:29,755 --> 00:19:31,790 I'm having a migraine. 337 00:19:32,167 --> 00:19:33,479 Are you okay? 338 00:19:33,804 --> 00:19:36,403 Uh, yes. 339 00:19:38,122 --> 00:19:39,994 I was right. 340 00:19:41,577 --> 00:19:42,990 Oh! 341 00:19:50,467 --> 00:19:52,430 We'll knock you out for a couple of hours. 342 00:19:52,495 --> 00:19:54,339 No, I got work to do. 343 00:19:54,570 --> 00:20:00,220 Just gimme sumatriptan for the pain and verapamil so it doesn't recur. 344 00:20:03,547 --> 00:20:07,256 I heard the patient had fun in the hyperbaric chamber. 345 00:20:07,405 --> 00:20:08,339 Yeah. 346 00:20:08,445 --> 00:20:10,705 Gotta schedule me some time in there. 347 00:20:13,815 --> 00:20:16,316 Weber's meds aren't even legal in the U.S. 348 00:20:16,998 --> 00:20:18,463 It's legal in India. 349 00:20:20,279 --> 00:20:21,999 I was disoriented. 350 00:20:26,969 --> 00:20:29,959 Um, moving around is a bad idea. 351 00:20:30,309 --> 00:20:32,788 Hey, if you feel chest pain, you need to let me know. 352 00:20:32,872 --> 00:20:35,508 Verapamil can cause congestive heart failure. 353 00:20:36,015 --> 00:20:38,559 Nothing can hurt my heart. 354 00:20:41,167 --> 00:20:43,743 Hey, you're gonna feel some dizziness. 355 00:20:43,854 --> 00:20:45,958 Definitely gonna be constipated. 356 00:20:49,907 --> 00:20:54,414 Differential diagnosis for getting off. 357 00:20:54,624 --> 00:20:55,691 Is he gonna be okay? 358 00:20:55,775 --> 00:20:58,133 No, something's seriously wrong with him. 359 00:20:58,217 --> 00:21:03,633 Differential diagnosis for ejaculation. 360 00:21:05,082 --> 00:21:06,618 Don't make me say it again. 361 00:21:06,723 --> 00:21:08,891 We're not stalling, we just don't know. 362 00:21:08,958 --> 00:21:10,460 Then guess. 363 00:21:11,116 --> 00:21:13,267 Could pain medication cause an orgasm? 364 00:21:13,351 --> 00:21:14,077 I wish. 365 00:21:14,190 --> 00:21:15,841 Maybe pain caused the orgasm. 366 00:21:15,993 --> 00:21:19,779 You get a tattoo, the brain releases endorphins which create pleasure. 367 00:21:19,863 --> 00:21:22,221 Most people don't orgasm from a needle prick. 368 00:21:22,305 --> 00:21:23,880 Well, Chase has a point. 369 00:21:23,991 --> 00:21:27,979 The brain is like a huge train station. If the switches— 370 00:21:28,603 --> 00:21:30,244 Ow. 371 00:21:31,068 --> 00:21:32,996 You're the neurologist, talk for me. 372 00:21:33,146 --> 00:21:37,149 If sensory information got misinterpreted by the medial forebrain bundle, 373 00:21:37,221 --> 00:21:40,158 it's possible for bad to feel good and good to feel bad. 374 00:21:40,239 --> 00:21:43,917 He's a lucky kid. Let's not fix him until the burns heal. 375 00:21:44,001 --> 00:21:45,938 So what attacks the medial forebrain bundle? 376 00:21:46,022 --> 00:21:48,361 Infective neuropathies. Vasculitic neuropathies. 377 00:21:48,445 --> 00:21:50,743 Krabbe's disease, metachromatic leukodystrophy. 378 00:21:50,827 --> 00:21:53,345 All very bad things. 379 00:21:53,691 --> 00:21:56,177 No way to look for any of them in his condition. 380 00:21:56,324 --> 00:21:57,523 Could be an infection. 381 00:21:57,585 --> 00:21:59,351 I said infection about eight seconds ago. 382 00:21:59,435 --> 00:22:00,984 You listed some brain infections. 383 00:22:01,435 --> 00:22:05,915 But what if it's just a regular old infection festering in the burned skin? 384 00:22:05,999 --> 00:22:08,604 Pus on his arm isn't causing problems in the forebrain. 385 00:22:08,688 --> 00:22:13,917 He's on 20 different medications to manage his pain, his heart, how often he urinates. 386 00:22:14,001 --> 00:22:16,802 His brain is like a waiter that's got too many— 387 00:22:16,886 --> 00:22:17,700 Hey, hey. 388 00:22:18,109 --> 00:22:19,681 I do the metaphors. 389 00:22:21,633 --> 00:22:23,116 The brain is stressed. 390 00:22:23,200 --> 00:22:25,131 An infection elsewhere could put it over the edge. 391 00:22:25,191 --> 00:22:28,166 So we just wait for his burns to heal to see if you're right? 392 00:22:28,694 --> 00:22:31,036 If you're wrong, he doesn't have that kind of time. 393 00:22:33,369 --> 00:22:35,361 Dominic Larrey. 394 00:22:35,742 --> 00:22:37,306 He another dead doctor? 395 00:22:37,789 --> 00:22:40,611 He was Napoleon's Surgeon in Chief. 396 00:22:40,695 --> 00:22:42,227 Cleaned a lot of battle wounds. 397 00:22:42,311 --> 00:22:43,542 By amputating legs. 398 00:22:43,693 --> 00:22:45,780 And with bugs. 399 00:22:50,250 --> 00:22:52,981 Maggots are implanted directly into Adam's burns. 400 00:22:54,273 --> 00:22:57,205 Maggots—eat dead people. I— 401 00:22:57,289 --> 00:23:01,118 Maggots eat dead flesh. Only dead flesh. 402 00:23:01,307 --> 00:23:03,756 So they're perfectly suited to clean wounds. 403 00:23:05,031 --> 00:23:08,745 They also kill the bacteria that thrive in injured tissues. 404 00:23:38,403 --> 00:23:39,555 Ho! 405 00:23:46,227 --> 00:23:49,170 Dr. Jekyll, I presume, they found a half-eaten sheep in the zoo. 406 00:23:49,235 --> 00:23:50,885 The police want to ask you a few questions. 407 00:23:50,968 --> 00:23:52,547 I need something to wash it down. 408 00:23:52,964 --> 00:23:56,597 Coffee? Bad idea. You're better off with water! 409 00:23:56,771 --> 00:23:58,384 Coffee's closer. 410 00:24:00,214 --> 00:24:02,003 Foolproof plan, by the way. 411 00:24:02,087 --> 00:24:03,810 Either his meds would work, 412 00:24:03,959 --> 00:24:08,785 and you'd be in psychic pain, because Von Evil is gonna be rich. 413 00:24:09,747 --> 00:24:13,754 Or they wouldn't, and you get to be in agony all day. 414 00:24:14,531 --> 00:24:17,466 Perfect lose/lose situation. Very you. 415 00:24:17,550 --> 00:24:18,870 I had to prove— 416 00:24:18,954 --> 00:24:20,465 You proved nothing. 417 00:24:22,876 --> 00:24:23,797 Right. 418 00:24:24,342 --> 00:24:26,114 This isn't a migraine. 419 00:24:26,541 --> 00:24:31,473 Yeah, Dear New England Journal of Medicine, I took this guy's drug, and still got a headache. 420 00:24:31,535 --> 00:24:35,066 Thus scientifically proving that my arch enemy is an idiot. 421 00:24:35,295 --> 00:24:36,460 You just wanted the pain. 422 00:24:36,544 --> 00:24:39,759 The meds are supposed to prevent migraine. 423 00:24:40,343 --> 00:24:44,319 You get distracted by pain. Leaves less room for the things you don't wanna think about. 424 00:24:44,698 --> 00:24:48,077 Like the Flyers sucking, or the price of gas, or, 425 00:24:48,371 --> 00:24:51,327 oh, the fact that you pushed the love of your life out of your life. 426 00:24:51,437 --> 00:24:54,294 God, I wish the pain would go away. 427 00:24:54,516 --> 00:24:57,314 Next time you need to get your mind off her, stick a needle in your eye. 428 00:24:57,398 --> 00:24:59,867 It's less annoying to the rest of us when you can still walk. 429 00:25:08,399 --> 00:25:10,008 Did you sleep here? 430 00:25:13,848 --> 00:25:15,444 Lower. 431 00:25:16,031 --> 00:25:17,754 Do you want a pillow? 432 00:25:18,559 --> 00:25:20,742 Not softer, lower. 433 00:25:20,964 --> 00:25:23,455 The frequency of your voice is grating. 434 00:25:23,539 --> 00:25:25,236 You should've been better by now. 435 00:25:25,320 --> 00:25:26,795 I'm super. 436 00:25:27,315 --> 00:25:28,492 The patient? 437 00:25:29,073 --> 00:25:30,874 The maggots did great for the burn. 438 00:25:31,133 --> 00:25:33,902 But the brainwaves are still all over the map. 439 00:25:33,986 --> 00:25:38,207 Which means your regular old infection isn't causing his brain dysfunction. 440 00:25:38,333 --> 00:25:42,576 Which means there's an underlying condition. Which means we gotta get inside his head. 441 00:25:43,120 --> 00:25:44,607 Do a lumbar puncture. 442 00:25:44,796 --> 00:25:46,980 We've already established that we can't get a lumbar— 443 00:25:47,064 --> 00:25:49,101 C2, C3. 444 00:25:49,399 --> 00:25:51,930 No, no, no way. 445 00:25:52,106 --> 00:25:55,246 I only saw a cervical tap once, and that guy got paralyzed. 446 00:25:55,483 --> 00:26:00,386 Ask the parents if they prefer to have their son in a wheelchair, or dead. 447 00:26:04,368 --> 00:26:07,040 Something's causing his brain to lose control. 448 00:26:07,372 --> 00:26:09,211 Eventually it will shut off. 449 00:26:09,295 --> 00:26:13,793 We need to do a lumbar puncture to get some of the fluid in his spine so we can test it. 450 00:26:13,919 --> 00:26:15,805 You need us to sign a consent? 451 00:26:16,034 --> 00:26:17,565 I have to warn you. 452 00:26:17,873 --> 00:26:21,381 There's a serious risk of paralysis or death. 453 00:26:21,837 --> 00:26:23,668 Are you saying we shouldn't do this? 454 00:26:24,333 --> 00:26:25,516 You have to do this. 455 00:26:25,600 --> 00:26:27,548 Then why are you telling us what can go wrong? 456 00:26:27,632 --> 00:26:28,736 I just think you should know. 457 00:26:28,820 --> 00:26:32,522 Either you're cruel or this clipboard is a way for you to cover your ass in case you cripple our son. 458 00:26:32,628 --> 00:26:34,980 - This isn't his fault— - No, it's not, it's yours. 459 00:26:35,064 --> 00:26:36,570 That's what you keep telling me. 460 00:26:36,776 --> 00:26:40,869 My son is lying in there half dead. I am just trying to find a way to get through this. 461 00:26:41,737 --> 00:26:44,363 - I'm sorry. - Yeah, I know. 462 00:27:03,832 --> 00:27:04,739 Needle. 463 00:27:20,363 --> 00:27:22,617 - It's not going in. - Don't force it. 464 00:27:23,319 --> 00:27:24,508 I'm going one space higher. 465 00:27:24,592 --> 00:27:27,182 It's too close to his brain stem, it'll herniate. 466 00:27:28,113 --> 00:27:30,094 - You're gonna paralyze him. - Not helping. 467 00:27:31,367 --> 00:27:33,110 His blood pressure's spiking. Stop. 468 00:27:33,194 --> 00:27:33,888 I can get it. 469 00:27:33,956 --> 00:27:36,703 He's 180 over 120. He's gonna stroke. 470 00:27:38,286 --> 00:27:40,559 I'm in the space. Gimme the vial. 471 00:27:58,239 --> 00:28:00,718 He doesn't have M.S. or an infection. 472 00:28:02,718 --> 00:28:04,814 His proteins aren't elevated? 473 00:28:05,077 --> 00:28:07,972 Wrong protein. IgM, not IgG. 474 00:28:08,101 --> 00:28:10,431 Elevation was probably caused by the bleeding. 475 00:28:12,331 --> 00:28:16,527 What if there was tingling in his extremities prior to the crash? 476 00:28:16,942 --> 00:28:18,550 How can you still be on M.S.? 477 00:28:18,634 --> 00:28:20,201 You gotta be on something. 478 00:28:21,117 --> 00:28:24,875 Something's interrupting his neurons' chit-chat. Like lesions. 479 00:28:25,001 --> 00:28:26,639 We can't scan for them. 480 00:28:26,782 --> 00:28:29,780 Only test we can do we just did, and it was negative. 481 00:28:30,056 --> 00:28:32,079 He has no tingling, no numbness. 482 00:28:32,193 --> 00:28:34,682 You read his history. Parents didn't say anything about— 483 00:28:34,766 --> 00:28:36,339 What about Adam? 484 00:28:37,721 --> 00:28:40,941 We can't look into his brain, but you want us to read his mind? 485 00:28:42,587 --> 00:28:43,943 Good point. 486 00:28:53,415 --> 00:28:55,967 Yeah, you can finish the sponge bath in a minute. 487 00:28:56,051 --> 00:28:57,868 They're just redoing his dressings. 488 00:28:57,986 --> 00:28:59,469 He's out, he's fine. 489 00:28:59,553 --> 00:29:03,025 I didn't page you to put him out, I paged you to wake him up. 490 00:29:03,426 --> 00:29:05,579 Why are these lights so damn bright? 491 00:29:06,433 --> 00:29:07,720 Thank you. 492 00:29:07,876 --> 00:29:09,745 Come on, I need to talk to him. 493 00:29:09,939 --> 00:29:12,712 House, you can't wake up a burn victim to play 20 Questions. 494 00:29:12,772 --> 00:29:14,659 - It's torture. - He won't remember. 495 00:29:14,743 --> 00:29:16,504 He's gonna be in extraordinary pain— 496 00:29:16,588 --> 00:29:19,296 God, you're good. You're putting me to sleep. 497 00:29:19,470 --> 00:29:24,653 I know he's gonna be in pain, I know you disapprove, I'm his attending, wake him up. 498 00:29:41,805 --> 00:29:45,339 Mmm... Oh, my God. 499 00:29:45,439 --> 00:29:46,831 I'm Dr. House. 500 00:29:46,940 --> 00:29:48,099 It hurts! 501 00:29:48,328 --> 00:29:50,278 It's gonna get a lot worse, so answer fast. 502 00:29:50,362 --> 00:29:54,721 Before the accident, did you experience any numbness or any tingling in your fingers? 503 00:29:55,164 --> 00:29:57,423 You got burnt, it's healing, I need an answer. 504 00:29:57,480 --> 00:29:58,782 Ow! It really hurts! 505 00:29:58,848 --> 00:30:01,102 Any tingling in your arms or legs? 506 00:30:01,186 --> 00:30:02,423 Do something! I can't— 507 00:30:02,485 --> 00:30:05,361 Adam, you gotta listen to me. Did you feel anything? 508 00:30:06,938 --> 00:30:12,541 I pissed my pants and then I don't... remember— 509 00:30:14,422 --> 00:30:17,804 Ahh! Ahhhh! 510 00:30:51,386 --> 00:30:52,618 Is he okay? 511 00:30:52,702 --> 00:30:54,542 Get everyone in my office. 512 00:30:55,386 --> 00:30:56,531 Where are you going? 513 00:30:57,221 --> 00:30:59,223 Kid's screaming gave me a headache. 514 00:30:59,394 --> 00:31:01,019 I gotta take an aspirin. 515 00:32:00,122 --> 00:32:01,247 House. 516 00:32:01,775 --> 00:32:03,651 You okay? We've been waiting for you. 517 00:32:08,056 --> 00:32:10,393 I'm hallucinating. 518 00:32:13,188 --> 00:32:15,872 Hallucinations with migraines are pretty uncommon. 519 00:32:17,091 --> 00:32:18,613 What'd you see? 520 00:32:19,130 --> 00:32:20,764 I saw music. 521 00:32:22,170 --> 00:32:24,127 Sensory deception makes no sense. 522 00:32:24,196 --> 00:32:25,494 Shh... 523 00:32:29,140 --> 00:32:31,610 You took something. 524 00:32:31,726 --> 00:32:34,660 The kid's fighting for his life. 525 00:33:01,888 --> 00:33:02,957 Hey, you find him? 526 00:33:03,057 --> 00:33:05,004 He was hallucinating in the locker room. 527 00:33:05,306 --> 00:33:06,717 He okay? 528 00:33:06,836 --> 00:33:08,600 He's feeling no pain, he's high. 529 00:33:08,662 --> 00:33:09,997 Vicodin high? 530 00:33:10,081 --> 00:33:12,546 Past that. He's seeing sounds. 531 00:33:12,932 --> 00:33:14,195 Took something. 532 00:33:17,502 --> 00:33:20,097 Why is it so dark in here? Beautiful day outside. 533 00:33:20,189 --> 00:33:22,709 Open the shades. Let the sunshine in. 534 00:33:22,852 --> 00:33:24,476 It's nighttime. 535 00:33:26,164 --> 00:33:27,539 It's still Tuesday, right? 536 00:33:27,606 --> 00:33:28,719 You look better. 537 00:33:29,557 --> 00:33:30,576 I took something. 538 00:33:30,847 --> 00:33:32,308 Mind if I ask what? 539 00:33:32,631 --> 00:33:35,617 Uh, little of this, little of that. 540 00:33:35,964 --> 00:33:37,761 I know what's wrong with our patient. 541 00:33:37,946 --> 00:33:39,489 He's depressed. 542 00:33:39,641 --> 00:33:41,295 - He told you that when you woke him up? - No, 543 00:33:41,375 --> 00:33:43,138 he told me he pissed his pants and blacked out. 544 00:33:43,222 --> 00:33:44,832 That's not a diagnostic of depression. 545 00:33:44,932 --> 00:33:46,276 Lack of appetite. Isolating yourself— 546 00:33:46,360 --> 00:33:49,715 Uncontrollable urination and blacking out are good predictors of what? 547 00:33:49,799 --> 00:33:50,418 Seizure. 548 00:33:50,516 --> 00:33:54,370 Which means the seizure he had when you tested his heart was at least his second seizure. 549 00:33:54,454 --> 00:33:57,302 So what? Depression and seizures aren't correlated. 550 00:33:57,386 --> 00:33:59,439 No, but you know what is? 551 00:33:59,779 --> 00:34:02,397 Depression and anti-depression medicine. 552 00:34:02,521 --> 00:34:03,881 Tox screen was clean. 553 00:34:04,236 --> 00:34:07,554 Yeah, but you know how much crap he's got in his system for dealing with those burns. 554 00:34:07,638 --> 00:34:11,523 The guy could have the Spanish Armada floating through his bloodstream, we wouldn't know about it, 555 00:34:11,708 --> 00:34:13,195 'til they started firing cannons. 556 00:34:13,279 --> 00:34:16,960 Antidepressants have been known to cause seizures in kids, but not orgasms. 557 00:34:17,044 --> 00:34:18,171 This is a brain in trouble. 558 00:34:18,255 --> 00:34:21,189 This is a brain with too much serotonin. 559 00:34:21,273 --> 00:34:25,093 Serotonin affects mood, appetite. It doesn't cause a brain to shut down. 560 00:34:25,158 --> 00:34:29,642 Antidepressants fake brains into thinking they have more serotonin than they actually do. 561 00:34:29,726 --> 00:34:33,333 Every 10 million or so cases, it sets off a chain reaction. 562 00:34:33,500 --> 00:34:36,227 It produces too much, enough to fry itself. 563 00:34:36,293 --> 00:34:38,646 If Adam has Serotonin Storm, it's deadly. 564 00:34:38,730 --> 00:34:40,865 But treatable. Cyproheptadine. 565 00:34:40,940 --> 00:34:42,657 Unless he doesn't have Serotonin Storm. 566 00:34:42,716 --> 00:34:45,044 He could just as easily have too much dopamine as serotonin. 567 00:34:45,128 --> 00:34:47,886 But if it's dopamine, the cyproheptadine will kill him. 568 00:34:48,958 --> 00:34:49,728 Where are you going? 569 00:34:49,812 --> 00:34:51,953 I'm gonna talk to the kid again. Seems nice. 570 00:34:52,048 --> 00:34:52,999 You can't. 571 00:34:53,716 --> 00:34:55,230 Why? Did he say he doesn't like me? 572 00:34:55,335 --> 00:34:57,798 The anesthesiologist told the parents what you did. 573 00:34:58,576 --> 00:35:00,563 Everyone's a tattletale. 574 00:35:07,005 --> 00:35:08,942 Is your son depressed? 575 00:35:10,497 --> 00:35:11,788 No, who are you? 576 00:35:11,872 --> 00:35:12,984 I'm Dr. House. 577 00:35:13,068 --> 00:35:13,944 Oh, you're the idiot who— 578 00:35:14,028 --> 00:35:15,990 I heard him screaming all the way down the hallway. 579 00:35:16,074 --> 00:35:18,553 If I didn't wake him up, I wouldn't have learned what caused the crash. 580 00:35:18,839 --> 00:35:20,273 I think he had a seizure. 581 00:35:23,134 --> 00:35:25,538 Th-this wasn't my fault? 582 00:35:26,953 --> 00:35:30,044 Well, if he hadn't had the brain problem, he wouldn't have the burns. 583 00:35:30,146 --> 00:35:33,349 On the other hand, if you hadn't put him on the ATV, he also wouldn't have the burns. 584 00:35:33,433 --> 00:35:35,783 You can debate your personal responsibility after I leave. 585 00:35:35,867 --> 00:35:37,115 I need to wake him up again. 586 00:35:37,255 --> 00:35:39,435 I need to know if he's taking anti-depressants. 587 00:35:39,435 --> 00:35:40,584 He's not. 588 00:35:41,462 --> 00:35:42,963 He's the happiest kid I know. 589 00:35:43,022 --> 00:35:44,585 But you don't know, do you? 590 00:35:47,445 --> 00:35:48,453 He's my son. 591 00:35:48,558 --> 00:35:50,863 Mmm, that's sort of my point. 592 00:35:51,105 --> 00:35:53,410 At 16, they'll tell anyone anything. 593 00:35:53,494 --> 00:35:54,673 Except their parents. 594 00:35:54,757 --> 00:35:56,219 Adam talks to us about everything. 595 00:35:56,325 --> 00:35:58,532 Yeah, I know about the pot and the cocaine. 596 00:35:58,616 --> 00:36:01,264 - There was never cocaine— - You sure? 597 00:36:01,593 --> 00:36:03,274 You having him followed? 598 00:36:03,586 --> 00:36:06,145 He told us when he got drunk at a party. 599 00:36:06,214 --> 00:36:08,126 He told us when he started having sex. 600 00:36:08,210 --> 00:36:09,933 16, way to go. 601 00:36:10,017 --> 00:36:11,474 He told us when he cheated on a math test. 602 00:36:11,585 --> 00:36:13,853 He told us when his girlfriend cheated on him. 603 00:36:13,928 --> 00:36:15,587 He doesn't hide anything from us. 604 00:36:15,671 --> 00:36:18,222 - But if he was depressed? - He'd tell us. 605 00:36:18,720 --> 00:36:21,435 We don't judge. He's not depressed, we're sure. 606 00:36:21,775 --> 00:36:24,012 "Bet his life on it" sure? 607 00:36:25,627 --> 00:36:27,074 Just hypothetically. 608 00:36:28,846 --> 00:36:30,013 Yeah. 609 00:36:33,355 --> 00:36:35,114 Okay. 610 00:36:37,538 --> 00:36:39,032 Kid's happy. 611 00:36:39,925 --> 00:36:41,970 Happy, happy, happy. 612 00:36:42,101 --> 00:36:45,122 Then we're back to where we started, seizure disorders. 613 00:36:45,639 --> 00:36:48,589 Seizure disorders aren't causing orgasms. 614 00:36:48,673 --> 00:36:50,264 Vascular malformations. 615 00:36:50,592 --> 00:36:52,362 Would've seen it on the sonogram. 616 00:36:52,464 --> 00:36:54,131 Hepatic encephalopathy? 617 00:36:54,651 --> 00:36:56,906 Liver enzyme tests were normal. 618 00:37:02,946 --> 00:37:03,932 Where are you going? 619 00:37:04,016 --> 00:37:05,486 Take a leak. 620 00:37:13,433 --> 00:37:14,408 What are you doing? 621 00:37:14,492 --> 00:37:15,662 Can't come in here. 622 00:37:15,830 --> 00:37:16,524 You're not sterile. 623 00:37:16,608 --> 00:37:17,783 Don't touch our son, we told you. 624 00:37:17,890 --> 00:37:20,664 Seriously, millions of bacteria, microbes on you. 625 00:37:20,768 --> 00:37:21,809 He'll die of sepsis. 626 00:37:21,957 --> 00:37:23,460 If you go in there... 627 00:37:27,584 --> 00:37:29,098 I think he's gonna wake him up again. 628 00:37:29,289 --> 00:37:30,624 I know he is. 629 00:37:32,538 --> 00:37:34,386 House, you can't do this. 630 00:37:34,492 --> 00:37:37,579 Oh, if I had a nickel for every time I've heard that. 631 00:37:37,871 --> 00:37:39,944 Relax. They gonna sue us? 632 00:37:40,172 --> 00:37:42,287 If I'm right, I save his life. 633 00:37:42,386 --> 00:37:45,510 If I'm wrong, he's dead no matter what I do. 634 00:37:45,594 --> 00:37:47,707 Either way, how much have I really hurt them? 635 00:37:48,522 --> 00:37:50,081 Leave him alone! 636 00:37:50,165 --> 00:37:52,083 You're not sterile. You wanna kill the kid? 637 00:37:52,501 --> 00:37:53,469 Give me the syringe. 638 00:37:53,536 --> 00:37:56,819 - No pain, no gain. - Hey, you gotta stop this. 639 00:38:00,614 --> 00:38:01,923 You're right. 640 00:38:03,105 --> 00:38:05,621 - He's not depressed. - Yeah, sure. 641 00:38:05,896 --> 00:38:08,424 I'm not letting you go until you give me that syringe. 642 00:38:08,569 --> 00:38:10,175 What's that on his wrist? 643 00:38:11,657 --> 00:38:12,722 A burn. 644 00:38:12,872 --> 00:38:15,108 - Why on his wrist? - Why not on his wrist? 645 00:38:15,193 --> 00:38:19,133 His back, his torso, everything's a mess. His forearms are clean. 646 00:38:19,343 --> 00:38:20,424 Except right there. 647 00:38:20,507 --> 00:38:21,702 So what? 648 00:38:22,849 --> 00:38:24,231 It's a perfect circle. 649 00:38:24,330 --> 00:38:28,267 So a drop of burning gasoline fell on his wrist. A screw from the ATV. 650 00:38:29,336 --> 00:38:30,641 Maybe. 651 00:38:40,555 --> 00:38:42,055 Why are you torturing him? 652 00:38:42,121 --> 00:38:43,698 Does your son smoke? 653 00:38:44,815 --> 00:38:46,157 I'd kill him. 654 00:38:48,252 --> 00:38:50,971 So he talked to you about sex, crack. 655 00:38:51,055 --> 00:38:52,899 Anything except cigarettes. 656 00:38:53,895 --> 00:38:56,343 He has a cigarette burn on his wrist. 657 00:38:57,000 --> 00:39:00,710 Also a fading nicotine stain between two fingers. 658 00:39:01,009 --> 00:39:04,206 Bad news, you son has a filthy, unhealthy habit. 659 00:39:04,290 --> 00:39:06,675 Good news, he's trying to quit. 660 00:39:06,732 --> 00:39:08,927 Bad news, the quitting's killing him. 661 00:39:09,011 --> 00:39:10,641 Good news, I can cure him. 662 00:39:10,724 --> 00:39:11,968 Bad news... 663 00:39:13,278 --> 00:39:14,918 nope, that's the end of it. 664 00:39:15,632 --> 00:39:17,345 Quitting smoking can kill? 665 00:39:17,597 --> 00:39:19,911 No-smoke meds are anti-depressants. 666 00:39:20,014 --> 00:39:22,120 The crappy ones you get over the Internet. 667 00:39:22,225 --> 00:39:24,832 They're loaded with whatever anti-depressants they can get cheap. 668 00:39:24,936 --> 00:39:28,196 Since Mommy and Daddy obviously didn't take him to a pediatrician... 669 00:39:31,617 --> 00:39:34,280 Sorry, I was wrong about him being depressed. 670 00:39:35,178 --> 00:39:36,321 Treat him. 671 00:39:54,645 --> 00:39:56,112 Hey. 672 00:39:56,931 --> 00:39:59,644 Did you drop acid? 673 00:40:00,756 --> 00:40:02,254 Why would I do that? 674 00:40:02,590 --> 00:40:03,629 To annoy me. 675 00:40:03,800 --> 00:40:06,080 Or maybe because you're miserable. 676 00:40:06,164 --> 00:40:09,695 Or because you wanna self-destruct. 677 00:40:09,855 --> 00:40:11,038 Pick one. 678 00:40:11,638 --> 00:40:18,078 How 'bout because LSD acts on serotonin receptors in the brain, which can stop a migraine in its tracks. 679 00:40:19,004 --> 00:40:21,345 I'm just saying it's also a possibility. 680 00:40:21,554 --> 00:40:24,244 - How did you know— - Cameron is worried about you. 681 00:40:28,807 --> 00:40:33,991 Either that, or I also took a whole bunch of anti-depressants, which short-circuited the LSD. 682 00:40:34,134 --> 00:40:35,713 I'm just saying that would also explain it. 683 00:40:35,899 --> 00:40:38,322 Thank you for ruining my clinical trials. 684 00:40:38,322 --> 00:40:40,388 Pharmaceutical company's shutting me down. 685 00:40:40,447 --> 00:40:41,478 You're kidding, really? 686 00:40:41,562 --> 00:40:42,529 How could that surprise you? 687 00:40:42,638 --> 00:40:44,935 You sent them an email complaining about my math. 688 00:40:45,019 --> 00:40:46,436 Telling them about your stunt. 689 00:40:46,588 --> 00:40:48,794 I didn't know people actually read emails. 690 00:40:48,878 --> 00:40:50,682 Delete button is so conveniently located— 691 00:40:50,766 --> 00:40:51,541 So what's next? 692 00:40:51,690 --> 00:40:54,059 You gonna follow me my whole life, torture me? 693 00:40:54,126 --> 00:40:55,085 Why would I do that? 694 00:40:55,189 --> 00:40:56,702 You waited 20 years to do this. 695 00:40:56,767 --> 00:40:59,098 What's next? Break up my marriage? 696 00:41:00,138 --> 00:41:02,556 No. We're even. 697 00:41:02,709 --> 00:41:03,841 Right. 698 00:41:05,569 --> 00:41:08,163 Oh, thanks for setting me up. 699 00:41:11,423 --> 00:41:14,800 Eye for an eye, LSD, and antidepressants, 700 00:41:15,592 --> 00:41:17,470 everything in balance. 701 00:41:17,554 --> 00:41:22,264 Buddhists call it Karma, Christians call it the Golden Rule, Jews call it... 702 00:41:24,159 --> 00:41:24,852 I don't know. 703 00:41:25,179 --> 00:41:27,603 Rabbi Hillel said something poignant. 704 00:41:28,934 --> 00:41:31,732 Universe always settles the score. 705 00:41:32,145 --> 00:41:33,254 Does it? 706 00:41:34,125 --> 00:41:35,006 No. 707 00:41:36,540 --> 00:41:38,178 But it should. 708 00:41:45,656 --> 00:41:48,995 Do you think you'll ever be able to look at him and not blame me? 709 00:41:50,690 --> 00:41:54,286 Yeah. Will you? 710 00:42:45,458 --> 00:42:46,875 I'm Paula. 711 00:42:47,243 --> 00:42:48,554 Hey, Paula. 712 00:42:48,936 --> 00:42:50,192 How you doing? 713 00:42:51,249 --> 00:42:54,365 You work over at the college? Or are you full time over at— 714 00:42:54,421 --> 00:42:56,615 I'm looking for a distraction. 715 00:42:57,462 --> 00:43:00,321 You don't need to talk to do that, do you? 716 00:43:07,659 --> 00:43:09,314 Transcript : Raceman Synchro : Vaccine 717 00:43:09,314 --> 00:43:12,184 www.forom.com