1 00:00:37,739 --> 00:00:39,939 Yo, yo! Turn that back on. Put it back on! 2 00:00:40,400 --> 00:00:43,067 Don't look at me, 'cause you know I didn't do it. All right? 3 00:00:43,068 --> 00:00:45,786 You better have put fresh batteries in that thing, like I told you. 4 00:00:45,787 --> 00:00:48,410 I did, Sarge, right when you— when you gave it to me, I-I did. 5 00:00:48,411 --> 00:00:49,361 I put 'em in. 6 00:00:49,629 --> 00:00:51,046 Well, then, hit it or something. 7 00:00:51,047 --> 00:00:53,797 Otherwise, y'all are gonna have to listen to me sing! 8 00:01:29,016 --> 00:01:29,966 Here. 9 00:01:32,671 --> 00:01:33,871 All right, don't panic. 10 00:01:34,100 --> 00:01:35,050 Don't shoot us, 11 00:01:35,858 --> 00:01:36,808 and don't die. 12 00:01:38,075 --> 00:01:39,025 You got it, G? 13 00:02:02,080 --> 00:02:03,030 Up and at 'em. 14 00:02:04,303 --> 00:02:06,203 You're supposed to be in clinic duty. 15 00:02:06,986 --> 00:02:10,436 Yeah, like I can sleep down there with all the crying and coughing. 16 00:02:11,804 --> 00:02:12,738 Here. 17 00:02:12,739 --> 00:02:14,989 Ex-Marine. Thinks he has Gulf War Syndrome. 18 00:02:16,271 --> 00:02:18,422 - There's no such thing. - So he's been told. 19 00:02:18,423 --> 00:02:21,961 It hasn't stopped the unexplained fatigue, rashes, and joint pain. 20 00:02:23,030 --> 00:02:26,113 And just so you know, he's the nephew of a benefactor I owe a favor, 21 00:02:26,114 --> 00:02:28,778 so you're gonna take this case whether you like it or not. 22 00:02:28,779 --> 00:02:30,679 Why wouldn't I want to take the case? 23 00:02:31,651 --> 00:02:33,097 The guy's tired and sore. 24 00:02:33,822 --> 00:02:35,522 It's gonna be chapter one in my— 25 00:02:41,341 --> 00:02:42,291 Don't panic. 26 00:02:42,802 --> 00:02:43,752 Don't shoot us. 27 00:02:44,479 --> 00:02:45,429 Don't die. 28 00:02:48,154 --> 00:02:49,104 You know him? 29 00:02:49,886 --> 00:02:51,536 Never met him before in my life. 30 00:02:52,085 --> 00:02:55,707 Okay, well, you're about to. He's on his way here. 31 00:02:56,154 --> 00:02:59,454 Get your ass up and get your team together. You have work to do. 32 00:03:09,395 --> 00:03:13,893 swsub.com/jh26 jh26 33 00:03:44,123 --> 00:03:45,914 - That's amazing. - No, it's not. 34 00:03:47,342 --> 00:03:48,171 It's not? 35 00:03:48,172 --> 00:03:50,122 I can play the harmonica with my nose, 36 00:03:50,408 --> 00:03:52,361 make a penny come out of a child's ear— 37 00:03:52,362 --> 00:03:54,362 or any other orifice, for that matter— 38 00:03:54,454 --> 00:03:58,139 given the right circumstances, can bring two women to simultaneous ecstasy. 39 00:03:58,140 --> 00:03:59,640 The right circumstances being 40 00:03:59,722 --> 00:04:01,967 their agreement to bill you on the same credit card. 41 00:04:01,968 --> 00:04:05,968 And what I absolutely cannot do is dream about someone I've never seen before. 42 00:04:07,139 --> 00:04:10,460 Well, just because you don't understand it doesn't mean it can't happen. 43 00:04:10,461 --> 00:04:11,411 True... 44 00:04:11,453 --> 00:04:13,636 it can't happen because it can't happen! 45 00:04:15,063 --> 00:04:18,018 Well, maybe you didn't dream about this guy specifically. 46 00:04:19,209 --> 00:04:21,771 Right, just some other guy who looks exactly like him. 47 00:04:21,772 --> 00:04:23,938 No, you imagined some generic Marine, 48 00:04:24,106 --> 00:04:27,406 then you placed his face in the dream after you saw the picture. 49 00:04:27,758 --> 00:04:30,340 Sort of a coincidence mixed with a little déjà vu. 50 00:04:30,341 --> 00:04:32,876 There's no record of him ever coming into the clinic. 51 00:04:32,877 --> 00:04:34,797 So I must have seen him before somewhere else. 52 00:04:34,798 --> 00:04:36,848 Fine, you've known him since Cub Scouts. 53 00:04:36,952 --> 00:04:40,052 A more interesting question isn't what you dreamed, but why? 54 00:04:40,228 --> 00:04:44,250 I'm guessing you're longing for either a renewed relationship with your dad... 55 00:04:46,328 --> 00:04:48,728 or a new relationship with one of the Village People. 56 00:04:48,729 --> 00:04:50,579 He was in the Navy, not the Marines. 57 00:04:50,675 --> 00:04:52,625 I thought your dad was in the Marines. 58 00:04:53,428 --> 00:04:54,978 The guy in the Village People. 59 00:04:55,378 --> 00:04:58,077 Actually, he's only in the Navy when they sing "In the Navy." 60 00:04:58,078 --> 00:05:00,778 The rest of the time, he's just in generic fatigues. 61 00:05:02,733 --> 00:05:03,683 What? 62 00:05:04,767 --> 00:05:05,717 You brought it up. 63 00:05:08,141 --> 00:05:10,172 - You didn't flush. - I didn't pee. 64 00:05:13,848 --> 00:05:15,441 Male. 34. 65 00:05:15,731 --> 00:05:18,431 Just got out of the Marines after two years in Iraq. 66 00:05:18,769 --> 00:05:21,758 Admitted complaining of chronic fatigue, joint pains, 67 00:05:22,157 --> 00:05:24,107 intermittent rashes, and sore throats. 68 00:05:24,697 --> 00:05:27,950 - Thinks he has Gulf War Syndrome. - Why is he here instead of the VA? 69 00:05:27,951 --> 00:05:30,991 Because he has a rich uncle Cuddy's trying to avoid fellating 70 00:05:30,992 --> 00:05:34,192 who doesn't buy the VA's diagnosis of "nothing's wrongatosis." 71 00:05:34,600 --> 00:05:37,482 The VA's right. There's no such thing as Gulf War Syndrome, 72 00:05:37,483 --> 00:05:39,934 especially in veterans who've never served in the Gulf War. 73 00:05:39,935 --> 00:05:43,815 Different war, same place. Whatever was there in 1990 is still there. 74 00:05:43,988 --> 00:05:45,866 What's there can send you home in a pine box, 75 00:05:45,867 --> 00:05:48,511 but it can't get you sick three months after you've gotten home. 76 00:05:48,512 --> 00:05:52,077 What, so thousands of soldiers are lying about their symptoms? 77 00:05:52,204 --> 00:05:56,381 You send 700,000 people on vacation to Hawaii, some are gonna come back sick. 78 00:05:56,382 --> 00:05:58,074 Doesn't mean it was caused by snorkeling. 79 00:05:58,075 --> 00:06:00,707 He's right. The studies all show the same pattern of symptoms 80 00:06:00,708 --> 00:06:03,560 in veterans who were sent to the Gulf and those who weren't. 81 00:06:03,561 --> 00:06:05,754 That's it? You believe her but not me? 82 00:06:05,918 --> 00:06:07,268 Stick to your guns, Chase. 83 00:06:07,775 --> 00:06:10,392 Just 'cause there isn't a single unifying symptom doesn't mean 84 00:06:10,393 --> 00:06:13,280 there isn't something going on. It could just affect everyone differently. 85 00:06:13,281 --> 00:06:15,431 You think this guy has Gulf War Syndrome? 86 00:06:15,437 --> 00:06:16,387 'Course not. 87 00:06:16,719 --> 00:06:19,247 He's depressed, and he's looking for a disability check. 88 00:06:19,248 --> 00:06:22,077 Most likely because he's just realized that knowing how to barter 89 00:06:22,078 --> 00:06:24,528 for sex in six languages and open a beer bottle 90 00:06:24,626 --> 00:06:27,303 with your eye socket are not the most marketable skills. 91 00:06:27,304 --> 00:06:29,424 - Why'd you take this case? - Because a good scientist 92 00:06:29,425 --> 00:06:32,275 continually questions his own theories and assumptions. 93 00:06:32,537 --> 00:06:34,787 - Cuddy's making him. - Now I'm making you. 94 00:06:35,504 --> 00:06:36,504 Do a full physical. 95 00:06:36,659 --> 00:06:39,868 Recheck his blood for HIV, Hep C, malaria, schistosomiasis, 96 00:06:40,053 --> 00:06:43,557 and "T strain" A. baumannii just to make sure the VA's dotted their Is. 97 00:06:43,558 --> 00:06:46,137 And find out every hospital and clinic he's ever visited, 98 00:06:46,138 --> 00:06:48,038 every city he's ever lived in, and... 99 00:06:49,280 --> 00:06:50,780 whether he's ever been on TV. 100 00:06:51,444 --> 00:06:52,394 TV? 101 00:06:52,765 --> 00:06:54,315 Problem could be neurological. 102 00:06:54,603 --> 00:06:56,586 Everyone knows TV rots your brain. 103 00:06:59,666 --> 00:07:02,386 It's usually the worst on my palms and the bottoms of my feet. 104 00:07:02,387 --> 00:07:04,851 I get these black dots all over. 105 00:07:06,062 --> 00:07:08,362 - I don't see anything. - It comes and goes. 106 00:07:08,844 --> 00:07:11,094 You sure it's not just scrapes and bruises? 107 00:07:12,464 --> 00:07:14,725 I know the difference between a rash and a bruise. 108 00:07:14,726 --> 00:07:17,542 Sometimes it's harder than you realize to distinguish between the two. 109 00:07:17,543 --> 00:07:19,252 You obviously exercise. 110 00:07:19,371 --> 00:07:21,125 My problems aren't caused by my workouts. 111 00:07:21,126 --> 00:07:24,426 But you do work out, and by the look of you, pretty strenuously. 112 00:07:24,492 --> 00:07:27,657 That's not usually the case with patients whose principal complaint 113 00:07:27,658 --> 00:07:29,197 is chronic fatigue and joint pain. 114 00:07:29,198 --> 00:07:32,598 I was in the Marines for 12 years. I'm used to doing PT every day. 115 00:07:32,968 --> 00:07:35,749 Just because I can push through the pain doesn't mean it's not there. 116 00:07:35,750 --> 00:07:37,617 We're not saying we don't believe you. 117 00:07:37,618 --> 00:07:38,668 The hell you aren't. 118 00:07:39,117 --> 00:07:42,417 We just need to be specific about what exactly the problems are. 119 00:07:44,921 --> 00:07:47,871 I sleep ten hours a night, but I feel tired all the time. 120 00:07:48,155 --> 00:07:50,900 I constantly get coughs, rashes, sore throats. 121 00:07:51,251 --> 00:07:54,401 My knees and hips feel like someone poured sand in my joints. 122 00:07:54,476 --> 00:07:56,890 I get these weird tingling sensations in my legs. 123 00:07:56,891 --> 00:08:00,441 Sometimes, they're cold. Other times, feels like my blood is boiling. 124 00:08:01,818 --> 00:08:02,768 Specific enough? 125 00:08:05,988 --> 00:08:08,019 Look, I don't care what you guys call it— 126 00:08:08,020 --> 00:08:11,164 Gulf War Syndrome, Iraq Fever, or just Crappy Sickness X. 127 00:08:12,026 --> 00:08:15,376 I just want someone to figure out what it is so they can cure it. 128 00:08:17,108 --> 00:08:19,073 Except for the supposed pain in his joints, 129 00:08:19,074 --> 00:08:22,018 none of the other symptoms he's complaining about are currently evident. 130 00:08:22,019 --> 00:08:25,960 Besides low potassium probably caused by him over hydrating after working out, 131 00:08:26,121 --> 00:08:27,412 his blood work's all normal. 132 00:08:27,413 --> 00:08:31,172 Low potassium could also probably be caused by the experiments or vaccines 133 00:08:31,173 --> 00:08:34,674 in anti-chemical warfare pills he was given before he deployed to Iraq. 134 00:08:34,675 --> 00:08:37,661 Not to mention the fact that whole country's littered with hundreds of tons 135 00:08:37,662 --> 00:08:40,236 of radioactive shrapnel from depleted uranium munitions. 136 00:08:40,364 --> 00:08:41,925 Did you go to medical school in France? 137 00:08:41,926 --> 00:08:43,665 There's no trace of uranium in his urine. 138 00:08:43,666 --> 00:08:45,845 And he was given the vaccines and meds two years ago 139 00:08:45,846 --> 00:08:47,996 without any allergic or adverse reaction. 140 00:08:48,376 --> 00:08:49,926 Has he ever done any modeling? 141 00:08:50,580 --> 00:08:51,530 We forgot to ask. 142 00:08:52,244 --> 00:08:55,002 We should send his urine to the U. of Leicester. There's a professor 143 00:08:55,003 --> 00:08:57,806 there who's developed a more advanced screening technique for uranium. 144 00:08:57,807 --> 00:08:59,542 If the levels are too low for us to detect, 145 00:08:59,543 --> 00:09:01,834 they're way too low to cause any damage. 146 00:09:03,431 --> 00:09:04,381 Where you goin'? 147 00:09:05,804 --> 00:09:06,754 This way. 148 00:09:07,073 --> 00:09:09,837 Did you find out about any television or other media exposure? 149 00:09:09,866 --> 00:09:12,655 Do you really care? Or are you just trying to waste hospital resources 150 00:09:12,656 --> 00:09:14,676 to get back at Cuddy for making you take the case? 151 00:09:14,677 --> 00:09:15,659 Of course I care. 152 00:09:16,388 --> 00:09:17,888 What a horrible thing to say. 153 00:09:18,557 --> 00:09:21,236 Do a LexisNexis search. Get a copy of his credit report. 154 00:09:21,237 --> 00:09:24,368 Before or after we tell him to eat a banana and discharge him 155 00:09:24,369 --> 00:09:26,369 with a psych referral? - I say before. 156 00:09:26,467 --> 00:09:29,273 And I say in-between, give him a polysomnogram. 157 00:09:29,480 --> 00:09:32,154 Sleep apnea can cause chronic fatigue and paranoia. 158 00:09:33,075 --> 00:09:35,025 Find out where he went to summer camp. 159 00:09:39,239 --> 00:09:40,189 Are you okay? 160 00:09:41,202 --> 00:09:43,379 Yeah, it's just a little too much coffee this morning. 161 00:09:43,380 --> 00:09:44,310 Were we... 162 00:09:44,311 --> 00:09:45,761 walking you to the bathroom? 163 00:09:46,502 --> 00:09:47,452 I wish. 164 00:09:49,284 --> 00:09:50,584 Wilson was just in there. 165 00:09:50,911 --> 00:09:52,911 These guys know what I'm talking about. 166 00:09:56,328 --> 00:09:59,072 That's his third REM cycle, and his breathing's completely normal. 167 00:09:59,073 --> 00:10:01,263 There's obviously nothing wrong with his sleep pattern. 168 00:10:01,264 --> 00:10:04,105 If it's not uranium, it's gotta be some other sort of toxin. 169 00:10:04,106 --> 00:10:05,056 Or nothing at all. 170 00:10:05,506 --> 00:10:08,423 You really think there's something wrong, or do you just want Foreman 171 00:10:08,424 --> 00:10:09,392 to be wrong? - Both. 172 00:10:10,443 --> 00:10:11,969 Well, it's not his sleep pattern. 173 00:10:11,970 --> 00:10:15,019 If you really think it's a toxin, you can do a liver biopsy in the morning. 174 00:10:15,020 --> 00:10:16,280 We can't leave. 175 00:10:16,425 --> 00:10:19,239 If we don't monitor the whole test, House won't accept the results. 176 00:10:19,240 --> 00:10:21,834 - He'll just make us do it over. - It doesn't take two doctors 177 00:10:21,835 --> 00:10:24,485 to monitor what's clearly gonna be a normal polysomnogram. 178 00:10:24,721 --> 00:10:26,740 Oh, so you want me to stay? 179 00:10:27,010 --> 00:10:29,146 You're the one who thought there was something wrong. 180 00:10:29,147 --> 00:10:32,064 - I never said it was a sleep disorder. - You wanna flip for it? 181 00:10:34,035 --> 00:10:35,711 Just go. 182 00:10:36,892 --> 00:10:37,842 Oh, come on. 183 00:10:38,791 --> 00:10:39,741 Don't be a baby. 184 00:10:42,542 --> 00:10:43,492 Fine. 185 00:10:44,333 --> 00:10:45,283 I'll stay. 186 00:10:51,298 --> 00:10:52,648 You know what we could do. 187 00:10:58,575 --> 00:10:59,733 - Here? - Why not? 188 00:10:59,995 --> 00:11:02,031 We're surrounded by empty rooms with beds in them. 189 00:11:02,032 --> 00:11:05,374 - Yeah, and video cameras too. - So we turn 'em off. 190 00:11:05,540 --> 00:11:08,390 That's all I need is House or Foreman walking in on us. 191 00:11:08,476 --> 00:11:09,426 We have the keys. 192 00:11:11,410 --> 00:11:12,360 No. 193 00:11:12,765 --> 00:11:14,848 - What if he wakes up? - All right. 194 00:11:20,371 --> 00:11:21,321 Suit yourself. 195 00:11:41,442 --> 00:11:42,392 Damn it! 196 00:12:28,577 --> 00:12:31,645 Hello? Is anybody out there? 197 00:12:34,168 --> 00:12:35,918 I think there's a problem in here! 198 00:12:40,118 --> 00:12:40,999 What's wrong? 199 00:12:41,000 --> 00:12:43,746 What do you mean, what's wrong? You don't smell that? 200 00:12:43,747 --> 00:12:44,847 Nothing smells, John. 201 00:12:45,956 --> 00:12:47,607 Are you kidding me? It's disgusting. 202 00:12:47,608 --> 00:12:49,008 How long have you thought— 203 00:12:49,513 --> 00:12:50,463 Wait. 204 00:12:51,771 --> 00:12:52,721 Open your mouth. 205 00:12:57,107 --> 00:12:59,407 Smell's not in the room. It's in your mouth. 206 00:13:02,840 --> 00:13:03,790 What's going on? 207 00:13:05,113 --> 00:13:06,063 Good question. 208 00:13:42,339 --> 00:13:43,086 What? 209 00:13:43,087 --> 00:13:45,637 You were wrong about the "nothing's wrongatosis." 210 00:13:45,681 --> 00:13:47,498 You can fake fatigue and joint paint, 211 00:13:47,499 --> 00:13:50,249 but you can't fake bacterial vaginosis in your mouth. 212 00:13:50,325 --> 00:13:51,350 Where's his mouth been? 213 00:13:51,351 --> 00:13:54,401 Says he hasn't performed oral sex on anyone in over a year. 214 00:13:54,418 --> 00:13:55,723 Selfish bastard. 215 00:13:56,222 --> 00:13:59,244 Because he hasn't been with anyone since his last girlfriend dumped him 216 00:13:59,245 --> 00:14:01,173 and after he deployed to Iraq the second time. 217 00:14:01,174 --> 00:14:02,223 Selfish bitch! 218 00:14:03,329 --> 00:14:06,779 We've ruled out HIV, diabetes, and any other endocrine abnormality. 219 00:14:06,974 --> 00:14:07,921 Could be autoimmune; 220 00:14:07,922 --> 00:14:11,077 Sjoegren's decreases salivary flow, creates a hospitable home for bacteria. 221 00:14:11,078 --> 00:14:12,948 No, his eyes and tear ducts are fine. 222 00:14:12,949 --> 00:14:14,399 Who was his last girlfriend? 223 00:14:15,153 --> 00:14:16,853 Yeah, we'll... get right on that. 224 00:14:17,400 --> 00:14:21,320 Chronic fatigue, joint pain, and opportunistic infection spells cancer. 225 00:14:21,994 --> 00:14:23,012 Probably lymphoma. 226 00:14:23,237 --> 00:14:26,387 We should biopsy his tonsillar and submandibular lymph nodes. 227 00:14:26,483 --> 00:14:28,942 Right about cancer. Wrong about lymphoma. 228 00:14:29,542 --> 00:14:32,275 Unless you're simply hiding the fact that his lymph nodes are swollen. 229 00:14:32,371 --> 00:14:35,987 Get Wilson to biopsy his salivary glands. He's got parotid cancer. 230 00:14:36,314 --> 00:14:38,964 And see if you can get to the truth about who he's been dating. 231 00:14:38,965 --> 00:14:42,565 No way a Marine goes a year without getting some blood on his bayonet. 232 00:14:42,684 --> 00:14:44,611 It's not an STD. You just said— 233 00:14:44,730 --> 00:14:45,680 Just do it. 234 00:14:49,447 --> 00:14:51,862 The antibiotics should at least relieve the infection, 235 00:14:51,863 --> 00:14:54,213 also reduce the odor and taste in your mouth. 236 00:14:54,348 --> 00:14:55,298 Not soon enough. 237 00:15:00,447 --> 00:15:01,397 All right. 238 00:15:01,743 --> 00:15:03,393 You're gonna feel a little burn. 239 00:15:03,935 --> 00:15:05,485 You know, I never even dipped. 240 00:15:06,501 --> 00:15:09,960 Chewing tobacco. Practically everyone in my unit did but me. 241 00:15:11,444 --> 00:15:13,044 I was so paranoid about cancer. 242 00:15:14,218 --> 00:15:15,783 Well, if it's parotid cancer, 243 00:15:16,749 --> 00:15:18,749 it's very treatable if diagnosed early. 244 00:15:20,183 --> 00:15:23,633 My mom had cancer. Which is why I know that diagnosing cancer early 245 00:15:23,732 --> 00:15:25,932 means before there's any serious symptoms. 246 00:15:31,553 --> 00:15:34,503 Certainly tastes like a pretty serious symptom, you know? 247 00:15:35,174 --> 00:15:36,774 We'll know more after the test. 248 00:15:37,906 --> 00:15:40,636 If he was just trying to mess with Cuddy for wasting his time, 249 00:15:40,637 --> 00:15:41,594 this would have stopped 250 00:15:41,595 --> 00:15:43,952 as soon as the patient started exhibiting actual symptoms. 251 00:15:43,953 --> 00:15:46,281 So the question is, why is he wasting our time? 252 00:15:46,303 --> 00:15:47,806 Or is he wasting our time? 253 00:15:47,984 --> 00:15:51,147 You think he's got a medical reason for asking for the guy's credit report? 254 00:15:51,148 --> 00:15:52,098 I don't. 255 00:15:52,857 --> 00:15:54,907 Where were you two when the guy woke up? 256 00:15:58,002 --> 00:16:00,052 Uh, we just— stepped out for a second. 257 00:16:00,731 --> 00:16:01,681 To do what? 258 00:16:02,436 --> 00:16:03,937 To... get a coffee. 259 00:16:04,045 --> 00:16:05,645 We'd been up most of the night. 260 00:16:06,347 --> 00:16:08,662 He's just pushing to make sure we have a complete history. 261 00:16:08,663 --> 00:16:11,763 Obviously, we're missing something, or we'd have the answer. 262 00:16:12,408 --> 00:16:14,808 You didn't have any coffee when you came back. 263 00:16:15,920 --> 00:16:18,896 All right, already. We confess, you caught us. 264 00:16:18,897 --> 00:16:21,056 We snuck into one of the sleep lab rooms to have sex. 265 00:16:21,057 --> 00:16:22,682 We shouldn't have done it while working, 266 00:16:22,683 --> 00:16:24,490 and we're sorry. Now can we move on? 267 00:16:28,476 --> 00:16:30,476 House'll do Wilson before you do Chase. 268 00:16:31,008 --> 00:16:34,501 No, you would do House and Wilson before I do Chase. 269 00:16:35,565 --> 00:16:37,015 Now can we get back to work? 270 00:16:37,587 --> 00:16:38,559 She did me once. 271 00:16:39,784 --> 00:16:40,934 She was stoned! 272 00:16:53,707 --> 00:16:56,074 Biopsy's inconclusive. I'm gonna do a sialogram 273 00:16:56,075 --> 00:16:58,557 while we wait for the results from the additional blood work. 274 00:16:58,558 --> 00:17:01,558 No hurry. Probably nothing we can do at this point anyway. 275 00:17:01,605 --> 00:17:03,060 As long as the cancer hasn't spread. 276 00:17:03,061 --> 00:17:04,232 He's spitting stink. 277 00:17:04,929 --> 00:17:06,529 You should focus on the living. 278 00:17:07,745 --> 00:17:08,895 I need a prescription. 279 00:17:10,246 --> 00:17:11,671 I just wrote you a prescription. 280 00:17:11,672 --> 00:17:13,828 For Vicodin. I need alfuzosin. 281 00:17:14,512 --> 00:17:15,462 No, you don't. 282 00:17:16,456 --> 00:17:18,906 Have you figured out where you met your Marine? 283 00:17:18,954 --> 00:17:19,904 What? 284 00:17:20,662 --> 00:17:23,247 Oh, that. Haven't really thought about it. 285 00:17:25,169 --> 00:17:26,119 I can't pee. 286 00:17:26,446 --> 00:17:29,382 - You can't remember him, can you? - I can't pee. 287 00:17:29,500 --> 00:17:31,124 So stop taking the Vicodin. 288 00:17:31,314 --> 00:17:34,514 - I wanna pee and not be in pain. - Why don't you go to sleep? 289 00:17:35,301 --> 00:17:36,585 I don't pee when I'm asleep. 290 00:17:36,586 --> 00:17:39,900 Maybe you'll dream about him again. Maybe he'll give you an address. 291 00:17:39,901 --> 00:17:41,401 I haven't peed in three days. 292 00:17:41,476 --> 00:17:44,303 I read that REM sleep is the brain's way of working out problems. 293 00:17:44,304 --> 00:17:46,259 Very useful. Did you hear what I just said? 294 00:17:46,260 --> 00:17:49,529 Yeah, you lied because you want to avoid talking about your obsession. 295 00:17:49,530 --> 00:17:50,480 I'm not obsessing. 296 00:17:50,790 --> 00:17:53,917 - Why don't you just ask him? - I haven't peed in three days! 297 00:17:53,918 --> 00:17:54,868 You'd be dead. 298 00:17:54,894 --> 00:17:58,042 - I'm not counting intermittent drips. - You'd be in agony. 299 00:17:58,319 --> 00:18:00,219 I passed agony yesterday around 4:00. 300 00:18:18,569 --> 00:18:20,643 His mother, brother, uncle, and best friend 301 00:18:20,644 --> 00:18:23,144 all confirm he hasn't had a date in over a year. 302 00:18:23,419 --> 00:18:24,869 Which means it's not an STD. 303 00:18:25,304 --> 00:18:28,304 If you come up with something medically relevant, page me. 304 00:18:33,678 --> 00:18:35,978 What did you want me to tell him, the truth? 305 00:18:36,074 --> 00:18:37,024 No. 306 00:18:37,212 --> 00:18:39,360 You didn't have to be so convincing. 307 00:18:39,802 --> 00:18:41,652 Don't worry. I'll make it up to you. 308 00:18:43,806 --> 00:18:45,406 This is getting out of control. 309 00:18:46,024 --> 00:18:46,974 Don't pout. 310 00:18:47,653 --> 00:18:51,453 Our patient woke up with an infection while we were getting our rocks off. 311 00:18:53,258 --> 00:18:54,308 Do you want to stop? 312 00:18:55,427 --> 00:18:56,377 No. 313 00:18:56,796 --> 00:18:59,046 But, uh, I don't want to get caught either. 314 00:18:59,321 --> 00:19:00,271 You think I do? 315 00:19:00,745 --> 00:19:03,328 You certainly didn't go out of your way to keep the volume down 316 00:19:03,329 --> 00:19:06,129 when we were in the sleep lab. - I couldn't help that. 317 00:19:08,683 --> 00:19:10,183 Why would I wanna get caught? 318 00:19:10,947 --> 00:19:13,547 Maybe you wanna give House a reason to be jealous. 319 00:19:15,314 --> 00:19:16,264 I'm over House. 320 00:19:17,348 --> 00:19:20,822 All this is is uncomplicated sex. Don't try to make it more than that. 321 00:19:20,823 --> 00:19:22,523 I'm not doing it at work anymore. 322 00:19:24,097 --> 00:19:25,047 Fine. 323 00:19:34,794 --> 00:19:36,094 Wanna go grab some lunch? 324 00:19:42,161 --> 00:19:43,911 I think the pill is the way to go. 325 00:19:43,913 --> 00:19:47,563 We haven't had a condom break yet, thank God, but it's bound to happen. 326 00:19:47,605 --> 00:19:49,605 Especially the way we've been doing it. 327 00:19:51,282 --> 00:19:52,410 On a bed of nails? 328 00:19:52,802 --> 00:19:55,391 No. He's not kinky. He's just... 329 00:19:56,051 --> 00:19:57,269 insatiable. 330 00:19:57,644 --> 00:20:00,244 I can barely make it to any of my morning classes. 331 00:20:02,624 --> 00:20:04,291 - You smoke? - No way. 332 00:20:05,715 --> 00:20:06,665 Stop it! 333 00:20:07,841 --> 00:20:08,791 Sorry. 334 00:20:11,003 --> 00:20:13,946 Any history of hypertension, blood clots, strokes? 335 00:20:14,370 --> 00:20:16,919 Nope. Besides my OCD, I'm fit as a fiddle. 336 00:20:19,886 --> 00:20:22,995 - You have OCD? - Duh. Can't you tell? 337 00:20:23,339 --> 00:20:26,783 Any other compulsions besides drinking massive amounts of water? 338 00:20:26,911 --> 00:20:28,211 No, that's it, thank God. 339 00:20:28,440 --> 00:20:30,640 My therapist says it could be a lot worse. 340 00:20:30,641 --> 00:20:32,577 You get up in the middle of the night to drink? 341 00:20:32,578 --> 00:20:34,175 Yeah, every couple of hours. 342 00:20:35,260 --> 00:20:37,210 Well, then your therapist is an idiot. 343 00:20:37,393 --> 00:20:39,373 Unconscious people don't have OCD. 344 00:20:39,844 --> 00:20:42,094 They can, however, have diabetes insipidus. 345 00:20:42,771 --> 00:20:45,125 That's impossible. I eat candy all the time. 346 00:20:45,143 --> 00:20:48,785 Different kind of diabetes. This kind is caused by a banged-up pituitary. 347 00:20:48,786 --> 00:20:50,839 You're obviously more of a lover than a fighter. 348 00:20:50,840 --> 00:20:52,890 I'm guessing either a car accident or... 349 00:20:53,577 --> 00:20:55,827 you cracked your skull on the balance beam. 350 00:20:57,088 --> 00:20:58,210 How'd you know? 351 00:20:58,772 --> 00:21:02,500 Easy. Nice ass, no boobs. You got palms like a longshoreman. 352 00:21:03,270 --> 00:21:04,870 Wait here. You need a CAT scan. 353 00:21:05,494 --> 00:21:06,994 - Oh, my God. - Don't worry, 354 00:21:07,640 --> 00:21:11,090 just means you'll be taking two hormone supplements instead of one. 355 00:21:17,242 --> 00:21:19,435 Okay, this time you're gonna feel a little pressure. 356 00:21:19,436 --> 00:21:21,386 We're injecting the contrast material. 357 00:21:24,176 --> 00:21:26,192 - Could you turn up the music? - Sure. 358 00:21:32,974 --> 00:21:34,274 Looks pretty good so far. 359 00:21:34,338 --> 00:21:35,888 Still can't hear it that well. 360 00:21:40,681 --> 00:21:41,731 Can you hear it now? 361 00:21:48,809 --> 00:21:49,959 John, can you hear me? 362 00:21:55,818 --> 00:21:57,883 Still no... relief? 363 00:21:58,503 --> 00:21:59,453 I got relief. 364 00:22:00,058 --> 00:22:01,247 Just got no pee. 365 00:22:02,538 --> 00:22:04,757 If the pills didn't work, you may need a catheter. 366 00:22:04,758 --> 00:22:07,230 You didn't come here to talk to me about my pee. 367 00:22:07,231 --> 00:22:08,181 What's going on? 368 00:22:09,409 --> 00:22:10,809 He's got cancer, all right. 369 00:22:11,356 --> 00:22:14,206 But it's not in his salivary glands. It's in his brain. 370 00:22:15,467 --> 00:22:16,417 And it's bad. 371 00:22:16,919 --> 00:22:19,275 At least six tumors, maybe more. 372 00:22:21,734 --> 00:22:24,461 He lost his hearing. His sight's probably next. 373 00:22:25,883 --> 00:22:27,154 Death is probably next. 374 00:22:29,346 --> 00:22:31,531 No way he could have grown all these in a week. 375 00:22:31,532 --> 00:22:34,213 They can't be older. The VA couldn't have missed all these. 376 00:22:34,214 --> 00:22:36,664 Maybe they didn't miss them, just mixed 'em up. 377 00:22:36,786 --> 00:22:39,536 Switched his films with another patient's by mistake. 378 00:22:39,870 --> 00:22:40,820 Maybe. 379 00:22:41,453 --> 00:22:45,445 But it means some poor sap's getting his melon sliced at the VA for no reason. 380 00:22:45,446 --> 00:22:48,646 And this poor sergeant's gonna be dead by the end of the week. 381 00:22:49,640 --> 00:22:50,725 Where have you two been? 382 00:22:50,726 --> 00:22:52,549 Lunch. Why, what happened? 383 00:22:53,535 --> 00:22:57,258 Wilson's found some fast-growing, elusive, or magic brain tumors. 384 00:22:57,885 --> 00:22:58,835 What'd you find? 385 00:22:59,344 --> 00:23:01,226 Nothing. He's telling the truth. 386 00:23:02,107 --> 00:23:03,857 - About what? - About everything. 387 00:23:04,086 --> 00:23:05,749 Where he's lived, who he's dated. 388 00:23:05,750 --> 00:23:08,180 Besides forgetting to mention his dad's shin splits, 389 00:23:08,181 --> 00:23:11,420 his granddad's nose bleeds and to return a few rented DVDs, 390 00:23:11,577 --> 00:23:13,589 everything he's told us has checked out. 391 00:23:13,590 --> 00:23:15,623 You have them researching your dream? 392 00:23:16,053 --> 00:23:18,256 No. I have them researching my patient. 393 00:23:18,922 --> 00:23:20,572 You had a dream about a patient? 394 00:23:21,265 --> 00:23:23,446 This poor guy's brain is riddled with tumors, 395 00:23:23,447 --> 00:23:25,397 and you're checking his credit report? 396 00:23:29,503 --> 00:23:30,803 Come on. I need you guys. 397 00:23:31,745 --> 00:23:33,753 - Where are you going? - To do my job. 398 00:23:34,222 --> 00:23:35,372 He's not your patient. 399 00:23:35,660 --> 00:23:37,820 He is now. Go home and go to sleep. 400 00:23:37,908 --> 00:23:40,758 Maybe you'll dream the cure to late-stage brain cancer. 401 00:23:50,100 --> 00:23:51,050 How is he? 402 00:23:52,176 --> 00:23:53,126 He's dead. 403 00:23:53,896 --> 00:23:54,923 Oh... God. 404 00:23:55,145 --> 00:23:56,945 At least, he will be in a few days. 405 00:23:59,058 --> 00:24:00,108 The question is why? 406 00:24:00,941 --> 00:24:03,841 The only explanation is that the VA hospital screwed up. 407 00:24:04,046 --> 00:24:06,696 There was definitely no mix-up. I had them recheck. 408 00:24:06,935 --> 00:24:07,885 Yes. 409 00:24:08,209 --> 00:24:11,267 Why would a government agency lie to cover up a mistake 410 00:24:11,268 --> 00:24:14,090 that might have caused the death of a guy they'd been trying to kill 411 00:24:14,091 --> 00:24:16,641 for the last two years anyway? - They didn't lie. 412 00:24:18,531 --> 00:24:22,184 - Did you just take two Vicodin? - No. It was an antidepressant. 413 00:24:23,115 --> 00:24:26,165 I was told to take two every time you walked into the room. 414 00:24:29,138 --> 00:24:31,413 The VA scan of his brain. No tumors. 415 00:24:33,076 --> 00:24:37,062 Yes, this is proof positive that someone didn't have tumors in their brain. 416 00:24:37,610 --> 00:24:39,941 You see that bright spot below his left orbit? 417 00:24:39,942 --> 00:24:43,203 That is a titanium pin your patient had inserted 20 years ago. 418 00:24:43,581 --> 00:24:46,360 Unless you think the VA happened to mix up his scans 419 00:24:46,463 --> 00:24:49,663 with someone who had the exact same pin, they didn't screw up. 420 00:24:54,555 --> 00:24:55,505 You paged us? 421 00:24:57,291 --> 00:25:00,043 Why didn't you send his urine to Leicester like I told you? 422 00:25:00,044 --> 00:25:01,470 Because you told me not to. 423 00:25:02,536 --> 00:25:04,986 Why did you choose that moment to listen to me? 424 00:25:05,081 --> 00:25:07,973 You think depleted uranium might have something to do with his tumors? 425 00:25:07,974 --> 00:25:10,624 Radiation's the only thing that would make tumors grow that fast. 426 00:25:10,625 --> 00:25:12,191 High doses of radiation. 427 00:25:12,192 --> 00:25:14,983 Even if he ate depleted uranium bullets for breakfast, he still would 428 00:25:14,984 --> 00:25:18,154 have been exposed to less radiation than we've given him in the last two days. 429 00:25:18,155 --> 00:25:21,201 Do it anyway. And you, call his uncle back. 430 00:25:21,743 --> 00:25:25,699 Find out if he ever brought his nephew to any hospital parties or fundraisers. 431 00:25:25,700 --> 00:25:27,645 No. Not until you give me a reason. 432 00:25:28,897 --> 00:25:30,558 Because... I'm your boss. 433 00:25:30,665 --> 00:25:33,815 A rational reason. Or at least admit that you don't have one. 434 00:25:33,935 --> 00:25:36,239 I've got a full bladder, and I'm not afraid to use it. 435 00:25:36,240 --> 00:25:38,702 But you are, apparently, afraid of discovering something 436 00:25:38,703 --> 00:25:40,803 you can't rationally explain. - Shut up! 437 00:25:42,623 --> 00:25:43,673 Do what you're told. 438 00:25:45,242 --> 00:25:48,242 Cuddy and Wilson may not have to listen to me, but you do. 439 00:25:53,680 --> 00:25:55,161 What the hell was that all about? 440 00:25:55,162 --> 00:25:56,112 I don't care. 441 00:25:56,214 --> 00:25:59,292 Which is why I didn't feel the need to ask him eight personal questions. 442 00:25:59,293 --> 00:26:00,303 I'm over him. 443 00:26:03,559 --> 00:26:04,959 Just making an observation. 444 00:26:08,872 --> 00:26:10,622 All right, ready whenever you are. 445 00:26:11,182 --> 00:26:12,132 I'm ready. 446 00:26:15,621 --> 00:26:17,406 Wait a minute. Zoom in. 447 00:26:21,029 --> 00:26:23,879 I don't see it. You sure you got the right coordinates? 448 00:26:24,535 --> 00:26:26,135 Yeah, she's in the right place. 449 00:26:26,987 --> 00:26:30,419 Go 10 millimeters above the AC-PC line on the Z access. 450 00:26:30,581 --> 00:26:32,231 Ten mil above AC-PC on Z. 451 00:26:35,662 --> 00:26:36,862 It's not there anymore. 452 00:26:36,867 --> 00:26:38,657 Are you sure you got the gantry angle right? 453 00:26:38,658 --> 00:26:39,608 Yeah, I'm sure. 454 00:26:40,280 --> 00:26:41,230 It's not there. 455 00:26:44,082 --> 00:26:45,032 It disappeared. 456 00:26:45,405 --> 00:26:47,055 Six tumors don't just disappear. 457 00:26:47,373 --> 00:26:49,430 Unless they were never there to begin with. 458 00:26:49,431 --> 00:26:52,081 - The VA didn't screw up. - Maybe someone else did. 459 00:26:52,641 --> 00:26:54,291 Maybe it was Dr. Self-Righteous. 460 00:26:54,337 --> 00:26:56,940 I saw the tumors. There was no mix-up. 461 00:26:56,941 --> 00:26:59,570 Maybe there's something wrong with the portable imager in the O.R. 462 00:26:59,571 --> 00:27:02,348 Something that would cause it to show brain tissue in perfect detail 463 00:27:02,349 --> 00:27:04,299 but completely miss neoplastic tissue? 464 00:27:05,241 --> 00:27:07,026 Then they were never tumors to begin with. 465 00:27:07,027 --> 00:27:08,179 I told you, I saw— 466 00:27:08,391 --> 00:27:11,239 I know, you saw something that looked like tumors. We all did. 467 00:27:11,240 --> 00:27:13,934 We were all wrong. Well, maybe he doesn't have cancer. 468 00:27:13,935 --> 00:27:16,658 Maybe he has a brain infection that's causing multiple abscesses. 469 00:27:16,659 --> 00:27:18,860 - That miraculously healed. - No, they were healed 470 00:27:18,861 --> 00:27:21,602 by the antibiotics we're giving him for the vaginosis in his mouth. 471 00:27:21,603 --> 00:27:24,803 If it's an infection, why didn't it show up in his blood work? 472 00:27:24,970 --> 00:27:26,731 I don't know. Yet. 473 00:27:27,972 --> 00:27:29,522 Dr. Wilson, we have a problem. 474 00:27:30,711 --> 00:27:31,661 What did you do? 475 00:27:32,482 --> 00:27:33,582 I can't feel my legs! 476 00:27:35,094 --> 00:27:36,012 What'd you guys do? 477 00:27:36,013 --> 00:27:37,808 John, calm down. We didn't even operate. 478 00:27:37,809 --> 00:27:39,031 Could it be a residual effect— 479 00:27:39,032 --> 00:27:41,210 - I can't move my legs! - It's not the anesthesia. 480 00:27:41,211 --> 00:27:44,161 John, John, we're gonna figure out what's wrong with you. 481 00:27:44,532 --> 00:27:46,232 First we need to know one thing— 482 00:27:47,240 --> 00:27:50,459 Have you ever appeared in any pornos? 483 00:27:51,936 --> 00:27:55,781 Chronic fatigue. Sore throats. Rashes. Putrid discharge in the mouth. 484 00:27:55,802 --> 00:27:58,202 Multiple abscesses in the brain. Hearing loss. 485 00:27:58,336 --> 00:28:01,667 And last, but not least, lower limb paralysis. 486 00:28:02,228 --> 00:28:04,139 He's certainly given us plenty of clues. 487 00:28:04,140 --> 00:28:07,899 - It's gotta be some sort of infection. - That's miraculously improving 488 00:28:08,016 --> 00:28:10,716 in his brain but getting worse in his ears and legs? 489 00:28:10,966 --> 00:28:14,866 Could be an infection and cancer. Neoplastic Syndrome could depress 490 00:28:14,972 --> 00:28:17,155 his immune system and cause the other symptoms. 491 00:28:17,156 --> 00:28:19,706 You're basing this theory on the negative biopsy, 492 00:28:19,743 --> 00:28:21,505 the lymph nodes that aren't swollen, 493 00:28:21,506 --> 00:28:24,100 or the tumors that were never there to begin with? 494 00:28:24,101 --> 00:28:27,701 And what are you gonna base your theory on— his favorite restaurants? 495 00:28:28,523 --> 00:28:32,415 I was right. He's excreting depleted uranium in his urine. 496 00:28:33,058 --> 00:28:36,103 We should start him on an IV infusion of isotonic sodium bicarbonate. 497 00:28:36,104 --> 00:28:38,121 - It's not depleted uranium. - You're the one— 498 00:28:38,122 --> 00:28:41,009 Who asked for the test when we were thinking cancer. We no longer are. 499 00:28:41,010 --> 00:28:43,452 Depleted uranium doesn't just cause cells to mutate. 500 00:28:43,453 --> 00:28:46,756 It can cause cell death as well. - Not spinal cord cells. At least, 501 00:28:46,757 --> 00:28:50,048 not until the dose is high enough to kill all his other cells first. 502 00:28:50,049 --> 00:28:53,549 So you're saying the radioactive uranium in his urine is irrelevant. 503 00:28:54,257 --> 00:28:56,819 The sun's radioactive. The earth is radioactive. 504 00:28:56,937 --> 00:28:58,937 This hospital is filled with radiation. 505 00:28:59,223 --> 00:29:01,823 The issue is not where it is but how much there is 506 00:29:01,969 --> 00:29:05,065 and what damage that amount could cause in someone's spinal cord. 507 00:29:05,066 --> 00:29:07,666 And as I already stated quite clearly— 508 00:29:07,841 --> 00:29:10,191 Got it. We're all idiots. What's your theory? 509 00:29:10,954 --> 00:29:12,589 - Gimme your keys. - Why? 510 00:29:12,840 --> 00:29:15,940 You ever tried riding a motorcycle with a distended bladder? 511 00:29:18,529 --> 00:29:22,029 Keep him on antibiotics. Check his hearing and paralysis every hour. 512 00:29:22,263 --> 00:29:24,085 So you basically want us to do nothing. 513 00:29:24,086 --> 00:29:27,676 No, I basically wanna do nothing. I want you to keep him on antibiotics 514 00:29:27,677 --> 00:29:30,127 and check his hearing and paralysis every hour. 515 00:29:31,159 --> 00:29:32,679 Wait, you can't go home now. 516 00:29:33,060 --> 00:29:36,859 Actually, I have to go home now. It's two days past my bedtime. 517 00:29:37,314 --> 00:29:40,067 - House, he needs your help. - And I need sleep. 518 00:29:40,592 --> 00:29:43,760 Hey, it's the brain's way of working out problems 519 00:29:43,858 --> 00:29:47,008 that the conscious mind can't solve during the day, remember? 520 00:29:59,993 --> 00:30:01,270 No. Nothing. 521 00:30:05,182 --> 00:30:07,182 I'm gonna die, aren't I? 522 00:30:12,807 --> 00:30:17,013 No, we're not. We should start treatment for the uranium toxicity like you said. 523 00:30:17,173 --> 00:30:18,742 - But House— - Isn't here. 524 00:30:22,747 --> 00:30:25,047 If House wanted to be involved in the case— 525 00:30:27,530 --> 00:30:30,399 If he wanted us to start this treatment, he would have told us to do it 526 00:30:30,400 --> 00:30:32,725 the last time you brought it up. - You have a better idea? 527 00:30:32,726 --> 00:30:34,776 - No. - Then we're going with Chase's. 528 00:32:23,132 --> 00:32:24,827 Tell him not to get the lines tangled. 529 00:32:24,828 --> 00:32:27,387 The infusion is slow. We can't have any kinks in the line. 530 00:32:27,388 --> 00:32:28,888 I went to medical school too. 531 00:32:33,518 --> 00:32:36,165 Keep your arms on your body, above your heart. 532 00:32:39,908 --> 00:32:41,158 I can't feel my stomach! 533 00:32:45,131 --> 00:32:46,081 I don't feel that. 534 00:32:47,245 --> 00:32:48,395 I don't feel anything! 535 00:32:48,496 --> 00:32:51,694 Paralysis is ascending. If it keeps going, we're gonna need a respirator. 536 00:32:51,695 --> 00:32:53,035 What? What are you saying? 537 00:32:53,036 --> 00:32:53,986 Can you breathe? 538 00:32:58,619 --> 00:32:59,569 No. 539 00:33:00,605 --> 00:33:01,555 Not yet. 540 00:33:49,913 --> 00:33:51,808 So, where were we? 541 00:33:53,447 --> 00:33:55,262 - You have a nice night? - No. 542 00:33:57,902 --> 00:33:59,302 The paralysis is ascending. 543 00:33:59,434 --> 00:34:01,855 The last check, it was nearly to his diaphragm. 544 00:34:01,856 --> 00:34:04,225 - Tells us something. - Means it's getting worse. 545 00:34:04,226 --> 00:34:05,421 Worse is something. 546 00:34:05,654 --> 00:34:07,498 Also tells us it's not the uranium. 547 00:34:09,976 --> 00:34:11,026 Did we think it was? 548 00:34:11,630 --> 00:34:15,446 We started him on sodium bicarb to try to flush the uranium out of his system. 549 00:34:15,447 --> 00:34:18,597 Great. Now the fact that he's getting worse tells us nothing. 550 00:34:18,717 --> 00:34:20,105 Never thought it was uranium. 551 00:34:20,106 --> 00:34:22,553 For all we know, the uranium treatment is what's making him— 552 00:34:22,554 --> 00:34:24,742 A sodium bicarb infusion wouldn't have any effect on— 553 00:34:24,743 --> 00:34:27,922 On what? Kind of hard to say what it wouldn't have an effect on 554 00:34:27,923 --> 00:34:29,624 if you've no idea what's there to affect. 555 00:34:29,625 --> 00:34:31,472 - We had to do something. - Well, next time... 556 00:34:31,473 --> 00:34:33,668 go with something that has a chance of working. 557 00:34:33,669 --> 00:34:34,619 Like what? 558 00:34:34,807 --> 00:34:37,365 You come up with some brilliant idea while you're warm and cozy 559 00:34:37,366 --> 00:34:39,290 in your bed at home? - We need more information. 560 00:34:39,291 --> 00:34:41,648 How much more information could you possibly want? 561 00:34:41,649 --> 00:34:44,878 We have a medical history going all the way back to his great-grandparents. 562 00:34:44,879 --> 00:34:47,204 A non-medical history going— - It's not enough. 563 00:34:47,985 --> 00:34:49,285 It's all we're gonna get. 564 00:34:52,889 --> 00:34:53,839 Wanna bet? 565 00:35:00,117 --> 00:35:02,067 Who approved a sodium bicarb infusion? 566 00:35:02,475 --> 00:35:04,325 Don't look at me. I was home in bed. 567 00:35:04,521 --> 00:35:06,417 - What's wrong? - He's unconscious. 568 00:35:06,640 --> 00:35:10,011 His skin has lost all color, and his BP and hematocrit are plunging. 569 00:35:10,012 --> 00:35:11,475 He was only on the sodium bicarb— 570 00:35:11,476 --> 00:35:12,353 He's bleeding out. 571 00:35:12,354 --> 00:35:14,168 He can't be. There's no blood in the bed. 572 00:35:14,169 --> 00:35:15,264 Fine, he's bleeding in. 573 00:35:15,265 --> 00:35:17,399 There's no sign of bruising or internal hemorrhaging. 574 00:35:17,400 --> 00:35:19,093 Paralysis must have reached his diaphragm. 575 00:35:19,094 --> 00:35:20,633 He's not able to oxygenate his blood. 576 00:35:20,634 --> 00:35:23,519 He's not able to do it because he doesn't have any left. 577 00:35:23,520 --> 00:35:26,086 - There's no evidence— - It's the only thing that would explain 578 00:35:26,087 --> 00:35:28,619 - There's no reason for blood loss. - There has to be a reason. 579 00:35:28,620 --> 00:35:31,601 He needs a transfusion. Get me 4 units of O negative. Stat! 580 00:35:31,994 --> 00:35:33,194 Let's elevate his feet. 581 00:35:34,004 --> 00:35:35,554 He doesn't need a transfusion. 582 00:35:36,299 --> 00:35:37,249 Nobody asked you. 583 00:35:37,888 --> 00:35:39,185 In fact, why are you even here? 584 00:35:39,186 --> 00:35:41,086 Because, obviously, you need my help. 585 00:35:41,232 --> 00:35:42,182 Get out. 586 00:35:42,273 --> 00:35:44,973 House, his blood obviously didn't just vanish into— 587 00:35:47,475 --> 00:35:48,625 What the hell is this? 588 00:35:49,964 --> 00:35:51,483 Somebody must have spilled something. 589 00:35:51,484 --> 00:35:53,834 Somebody else should be getting me 4 units... 590 00:35:54,298 --> 00:35:55,448 What the hell is that? 591 00:36:00,126 --> 00:36:02,849 It's a urine catheter collection bag with a rip in it— 592 00:36:02,850 --> 00:36:04,500 what the hell does it look like? 593 00:36:09,986 --> 00:36:10,936 What? 594 00:36:13,312 --> 00:36:14,862 It's just urine. It's sterile. 595 00:36:16,362 --> 00:36:19,562 No one's getting me blood. Why isn't anybody getting me blood? 596 00:36:19,765 --> 00:36:20,715 You're bleeding. 597 00:36:23,142 --> 00:36:24,442 House, are you all right? 598 00:36:28,072 --> 00:36:29,222 Why are you even here? 599 00:36:31,173 --> 00:36:32,123 I'm always here. 600 00:36:34,346 --> 00:36:35,296 No, you're not. 601 00:36:36,818 --> 00:36:39,180 There's a reason. There has to be. 602 00:37:14,698 --> 00:37:16,683 So. Where were we? 603 00:37:18,557 --> 00:37:21,177 - You have a nice night? - Yes, I did, thank you. 604 00:37:21,682 --> 00:37:23,571 I'm guessing better than our patient, 605 00:37:23,572 --> 00:37:26,079 probably due to his BP and hematocrit plunging. 606 00:37:27,226 --> 00:37:28,176 How'd you know? 607 00:37:37,712 --> 00:37:40,312 The answer was staring right at us the whole time, 608 00:37:40,443 --> 00:37:44,011 as plain as the nose on our faces. Or the nose on his face. 609 00:37:44,412 --> 00:37:46,076 What's going on? What'd he say? 610 00:37:46,431 --> 00:37:48,378 No hairs, and cauterization scars. 611 00:37:49,855 --> 00:37:50,805 Which means? 612 00:37:52,118 --> 00:37:54,718 - He had it cauterized. - How could you know that? 613 00:37:55,016 --> 00:37:58,030 Just makes sense. Undoubtedly done to stop the same 614 00:37:58,179 --> 00:38:00,779 childhood nosebleeds that plagued his grandfather. 615 00:38:01,047 --> 00:38:01,869 Undoubtedly, 616 00:38:01,870 --> 00:38:05,313 because they were both born with Hereditary Hemorrhagic Telangiectasia. 617 00:38:05,314 --> 00:38:06,134 What's he saying? 618 00:38:06,135 --> 00:38:09,445 I'm saying you've got a genetic disease that's destroying your capillaries. 619 00:38:09,446 --> 00:38:12,117 That no one in his family's ever been diagnosed with before? 620 00:38:12,118 --> 00:38:14,607 Not surprising, since the most common initial symptoms— 621 00:38:14,608 --> 00:38:15,961 skin rashes and nose bleeds— 622 00:38:15,962 --> 00:38:19,412 are often written off as the result or minor trauma or dry weather. 623 00:38:19,829 --> 00:38:23,613 But they can also be the result of his arteries and veins merging together. 624 00:38:23,614 --> 00:38:27,157 He obviously has AVMs. AVM near the spine caused the paralysis. 625 00:38:27,290 --> 00:38:30,240 AVM in his lungs prevented his blood from being filtered. 626 00:38:30,392 --> 00:38:32,733 Dirty blood caused the joint pain, fatigue, 627 00:38:32,918 --> 00:38:35,118 and the infections in his mouth and brain. 628 00:38:35,363 --> 00:38:37,663 Nothing that a few surgeries won't clear up. 629 00:38:37,870 --> 00:38:39,920 Get MR angiograms of the aforementioned. 630 00:38:40,721 --> 00:38:43,021 The Marines weren't hiding anything. He was. 631 00:38:43,151 --> 00:38:46,101 Or at least he forgot to mention his bloody tissue issue. 632 00:38:48,497 --> 00:38:50,664 What's going on? What'd he say? 633 00:38:56,288 --> 00:38:59,288 Oh, looks like solving the case solved your other problem. 634 00:38:59,415 --> 00:39:01,265 There is no medicine like happiness. 635 00:39:01,727 --> 00:39:02,927 Except maybe, laughter. 636 00:39:03,726 --> 00:39:05,967 Or rubber tube shoved up your urethra. 637 00:39:07,079 --> 00:39:08,431 You cathed yourself? 638 00:39:08,561 --> 00:39:12,361 Actually, it's not that bad after the first, I don't know, 9 or 10 inches. 639 00:39:12,894 --> 00:39:15,394 The cath relieved the spasm, and I'm good as new. 640 00:39:15,734 --> 00:39:18,984 Of course, just a minor spasm, and the muscle you've been using 641 00:39:19,178 --> 00:39:22,422 multiple times a day without any problem for the past 45 years. 642 00:39:22,943 --> 00:39:24,245 Not a major side-effect 643 00:39:24,246 --> 00:39:27,799 caused by the overuse of a particular narcotic pain-killer. 644 00:39:28,108 --> 00:39:29,658 Yeah, that was my thought too. 645 00:39:29,980 --> 00:39:30,945 So, 646 00:39:31,206 --> 00:39:35,442 no reason to think about cutting back on your use of that particular pill. 647 00:39:35,519 --> 00:39:36,494 Thanks god. 648 00:39:36,803 --> 00:39:38,848 Actually it was a triple dose of the good stuff 649 00:39:38,849 --> 00:39:41,897 that allowed me to finally get to sleep and solve the case. 650 00:39:43,029 --> 00:39:45,008 Pills made all my dreams come true. 651 00:39:45,297 --> 00:39:47,447 You really got your answer in your sleep? 652 00:39:48,144 --> 00:39:51,094 Yeah, one in my sleep, the other one I got in the shower. 653 00:39:58,279 --> 00:39:59,732 I've been thinking about you, 654 00:40:01,779 --> 00:40:02,744 you lied. 655 00:40:03,624 --> 00:40:08,644 I didn't lie, I simply chose not to share completely irrelevant facts. 656 00:40:08,910 --> 00:40:10,325 Like the fact that you lied? 657 00:40:11,512 --> 00:40:13,362 No wonder I couldn't place his face. 658 00:40:13,869 --> 00:40:16,422 You were pratically swallowing it on the dance floor. 659 00:40:16,423 --> 00:40:17,444 I was not. 660 00:40:17,684 --> 00:40:19,008 Talk about the cool uncle, 661 00:40:19,443 --> 00:40:22,001 he donates the money, the nephew gets the right off. 662 00:40:22,871 --> 00:40:25,559 Of course by right off, I mean, he gets to put your ankles— 663 00:40:25,560 --> 00:40:29,210 This is exactly why I didn't mentioned our one date over two years ago. 664 00:40:30,711 --> 00:40:31,861 Because of my T-shirt? 665 00:40:32,889 --> 00:40:34,928 Because you are an obnoxious ass. 666 00:40:35,575 --> 00:40:37,527 Because you would have spent the whole time— 667 00:40:37,528 --> 00:40:38,478 That's very smart, 668 00:40:38,491 --> 00:40:41,847 because this way I spent my whole time completely focused on the patient. 669 00:40:41,848 --> 00:40:45,325 How did you even remember him? We were only at that party for like 10 min. 670 00:40:45,326 --> 00:40:46,826 Is that some new health plan? 671 00:40:47,069 --> 00:40:50,419 Service the dean of medecine, you get free healthcare for a year. 672 00:40:52,680 --> 00:40:53,730 Why are you smiling? 673 00:40:54,853 --> 00:40:57,303 You remembered him because he made out with me. 674 00:40:59,167 --> 00:41:00,217 I'm good with faces. 675 00:41:01,078 --> 00:41:02,878 So this plan, is it open to anyone? 676 00:41:03,941 --> 00:41:05,304 You're lousy with faces. 677 00:41:05,514 --> 00:41:08,164 Don't make this about me. This is your humiliation. 678 00:41:08,716 --> 00:41:10,666 So how much for private room coverage? 679 00:41:11,634 --> 00:41:12,584 Get over me. 680 00:41:14,425 --> 00:41:16,130 Give me a break. You hired me— 681 00:41:16,131 --> 00:41:19,140 'Cause you're a good doctor who couldn't get himself hired at a blood bank. 682 00:41:19,141 --> 00:41:20,109 So I got you cheap. 683 00:41:20,307 --> 00:41:23,930 You gave me everything I asked for cause one night,I gave you everything— 684 00:41:23,931 --> 00:41:27,065 Stop staring at my ass when you think I'm not looking. 685 00:41:27,192 --> 00:41:29,940 Showing up at restaurants where I happen to be on a date 686 00:41:30,135 --> 00:41:32,234 and fantasizing about me in the shower. 687 00:41:33,041 --> 00:41:34,741 That ship sailed long ago, House. 688 00:41:36,023 --> 00:41:36,973 Get over it. 689 00:41:39,095 --> 00:41:42,748 If you're still referring to your ass, I think that "super tanker sailed" 690 00:41:42,749 --> 00:41:44,546 would be the more precise metaphore. 691 00:42:19,555 --> 00:42:22,444 Sorry, I was looking for an extra large trashcan. 692 00:42:29,130 --> 00:42:31,249 Since when does he clear anything out? 693 00:42:45,609 --> 00:42:49,661 swsub.com/jh26 jh26