Boys are playing lacrosse and parents are cheering them on. A player starts
to have blurred vision and then gets knocked down by opposing player, his
helmet pops off. He is very disorientated. The coach asks him if he is all
right and then yells to call a doctor.
House is in an exam room reading a magazine. Wilson comes in and House
tells him to close the door. House asks Wilson if Dr. Cuddy is around. House
tells Wilson that Dr. Cuddy knows House is here, but not that he is alone.
Wilson points out that there is a full waiting room. House is trying to get
out of the last 5 minutes of work. Wilson tells House that he would not have
to lie if he had a case, and House informs him he has no cases right now.
Wilson emphasizes to House that he has a brilliant team just sitting around
Back at Housesí office we see Dr. Chase doing a crossword puzzle and
Forman giving him one of the answers
House goes to clinic main desk and informs the nurse on duty he is
officially checking out for the day. A man approaches Dr. House, and House
tells him he is done for the day. The man informs House that they have an
appointment. The man shows House a letter saying he would see them. House
tells them he is not a big letter writer and takes a look at the letter.
House wonders when did his signature get ďso girlyĒ?
Dr. Cameron offers to explain why she signed the letter with his name.
House tells her the next time to get his attention try wearing something
hot. She explains the case of the young athlete to House. When she mentions
night terrors, House suddenly gets interested. House gets up and Dr. Cameron
asks where he is going and House answers he is off to see the family. She is
puzzled that he wants to personally examine the patient. He tells her that a
teenager having night terrors is very interesting.
House begins examining the young man (Dan) and asks him questions about
his symptoms. He tells him to name as many animals as he can that begin with
the letter ďBĒ. Dan has trouble doing it. He tells the family that in teens,
there are two likely causes of night terrors, Post traumatic stress and then
ruling out trauma, that leaves sexual abuse. He asks Dan who is molesting
him? He tells the parents that asking if it is them would be useless as they
would deny it. Dan tells House he got hit in the head during a lacrosse
game. House asks Dr. Cameron if she knew he got hit on the head and she
tells House that the family did not mention that to her. The father tells
House they took Dan to the ER right away and had all the tests run and the
ER said Dan was fine. House tells the father that he hounded him for a
diagnosis and now he does not like what House has told them. It is obvious
the ER screwed up the tests and he has a concussion. Dan tells House he had
double vision before he was hit. House says he needs glasses. Dr. Cameron
tells House she brought him a reasonable case and she shoved it back in her
face just to humiliate her. House tells Cameron she must be an only child
because everything is about her. House looks back and notices the Danís leg
jerks. House goes back to the Dan and asks if he bored him back there or is
he tired? House asks him if he tired right now? House tells the family that
Dan had a myoclonic jerk, this happens when you fall asleep. House tells the
parents that since he is not sleeping his leg should not jerk, House then
tells Cameron to admit the Dan.
House is back in his office with his team starting to do a differential.
Foreman says that his symptoms do not look good and that the brain is losing
control over the body. Chase says it might not be that bad, it could be an
infection. House disagrees with Chase. House asks the team if this diagnosis
might be compromised because they do not have an accurate family history?
Cameron speaks up and insists she did take an accurate family history. House
now tells Cameron that she did not take an accurate history as Danís father
is not really his biological father, and that 30% of all dads out there do
not realize they are raising someone elseís kid. Foreman disagrees with
House on this point. Cameron insists if Dan got whatever he has from his
parents, his parents would be dead by now. House offers up a bet of $50 that
says he is right. Foreman takes the bet and ups it to $100. Chase continues
the differential with other alternative ideas. House decides to see if Dan
is really is having night terrors and orders a test.
Now Dan is in a bed in a testing lab with Foreman and Chase. We see House
walk into the room pushing a surgical table towards Danís bed. House
secures Danís restraints and tells him the EEG revealed abnormalities in his
brain, which effects the nerves in his toes. House goes to put surgical
gloves on, and Dan starts to get visibly upset wondering what is happening.
He asks House what he is doing? House starts cutting his toe off, and Dan
starts to scream. This turns out to be just one of Danís night terror
dreams. Chase looks at the monitor and tells Foreman he is definitely having
a night terror.
Dan is now getting a MRI. Foreman is telling House all the tests that
they have run and the results, which all came back normal. House looks at
the MRI. Foreman says there is nothing to explain his symptoms. House says
lets pretend there is something and go from there, and asks them all who
sees anything on the MRI? The whole team says they see nothing wrong with
his MRI. House says Dan is 16 and should have an absolutely pristine brain,
that the smallest thing would be abnormal. Chase suggests meningitis.
Foreman disagrees and House says that Chase knew House sees something in the
MRI and just took a guess. House tells them to look closer at the MRI and
can not believe they do not see it. Chase now sees what House saw, bowing in
the brain. Foreman says it is a tumor but House disagrees with him and that
the problem is blockage, causing pressure on the brain. He tells them what
tests to run.
Foreman starts with a lumbar puncture and injects some radioactive
material into Dan. Now at the lab Foreman informs everyone that the Dan and
his dad have different color eyes. Foreman asks Chase is there any excuse
they can give the parents to run a DNA test to settle the bet. Chase
jokingly says he could tell them that the whole family has to be tested or
theyíll die. House enters the lab, Foreman informs him there is a lot of
blockage and Chase has scheduled Dan for surgery and then Dan should be just
fine. House tells Foreman and Chase that Dan is lucky to have them for his
doctors and walks off.
House is now at the clinic with a patient. A mother is there with her
baby and she tells House that she just uses breast milk and no formula to
feed her baby. The mother tells House the babyís face just got swollen
overnight. House checks, no fever and the glands feel normal. He now notices
that the babyís vaccination dates are missing from the record. The mom tells
him she is not vaccinating. That she believes the whole idea of giving
babyís vaccinations is a plot by the drug companies just to make money.
House asks the mom if he can hold the babyís toy frog. He takes the frog and
starts playing with the baby. He tells them mom (sarcastically) what a great
company that made the toy frog he is playing with. He then goes on to tell
her that another really good businesses are companies that make tiny, teeny
coffins. That they comes in all different colors. The mom now starts to look
horrified. House goes on to explain to her that the antibodies she gives the
baby while nursing protect the kid for just six months, that the drug
companies know this and think they can gouge you to spend whatever they can
to keep your kid alive. He tells her to go ahead and prove the drug
companies wrong and not get the $40 vaccination. When enough people like her
have their kids die then prices will drop real quickly. The mother now
terrified asks House what the baby has, and he tells her a cold.
The team meets House at the clinic and tells him the surgery and recovery
went fine but that there are complications. The bowing was not the cause of
the problem but it was a symptom. Chase shows House the test results and he
tells them that Dan has multiple sclerosis. The team is skeptical about MS
for many reasons. House says if it is MS it is progressing rapidly and they
should start treating Dan right now. He tells them to break the news to the
family and that he is going home.
Chase starts explaining to Dan and his parents what he has and itís
progression. The family is very scared about this news. Chase gives a full
explanation of what MS is and what is going to happen to Dan due to this
It is now nighttime and a nurse goes into Danís room only to find he is
not there. The team is informed and starts looking for Dan. House is at home
and the phone rings, he ignores it. House listens to the message and returns
to the hospital. As he enters the hospital he runs into Dr. Cuddy who is in
her tennis clothes. She asks what he is doing back at the hospital, a
patient? House answers ďnoĒ a hooker, they mistakenly went to his office and
not his home. Dr. Cuddy is stunned. House gets off the elevator and runs
into Foreman who tells him Dan is missing. House tells him he got that part
of the message and that he was needed immediately. Foreman tells House Dan
should not be moved after at LP at which House agrees and says that he could
have told him that the next morning. Foreman says that they wanted to keep
House informed. House tells Foreman Dan is not a toddler wandering around a
department store, he is 16 and they will find him. House tells Foreman he is
going home. Foreman asks House should they not call him about stuff at which
House tells him only if he can do something about it. House finally tells
Foreman to check the roof as sometimes the orderlies leave the door open
when they catch a smoke. The team rushes up the stairs to the roof where
they finally find Dan. Dan is imagining he is a lacrosse field. He starts
walking around and finally he hears Chase ask him if he is okay? Chase tells
Dan they are on the roof of the hospital. Dan walks to the ledge and they
all realize he does not know where he is. Dan goes to take a step off the
roof when Chase tackles him and saves him from falling.
The next day House sees Foreman and asks if he found Dan. Foreman tells
House that Dan thought he was on his lacrosse field. House and Foreman both
go back to the office. He tells them that Dan does not have MS since he was
conscious when he was on the roof, therefore it was not a night terror and
not MS. They all start thinking of what this new information means and what
he could have.
Foreman is now with Dan injecting medicine into his spine telling him
they will be doing this twice a day for the next two weeks.
House is back with a patient at the clinic that has some sort of
disgusting wound on his knee. House says it looks like a puncture wound, as
if the patient stuck a nail in himself to relieve the pressure. The patient
says he would not do something like that. The patient finally admits to
House he that he used his wifeís nail file to puncture the wound. House
tells him that pain will make you do stupid things. He takes out his bottle
of vicodin and offers the patient some. House starts asking the man
questions like where he lives, is he in town for work, etc. The man does
not understand why he wants to know. House says that the man is from out of
town, drove 70 miles to a free clinic, passed two hospitals to get treatment
for a simple problem. He probably has pissed off and/or sued the hospitals
close to him as well as his local doctors and now no one will treat him. The
man starts to get ticked off and goes to leave saying he will find someone
else to treat him. House tells him he never said he would not treat him.
Wilson is with House asking him why did he treat this patient? House says
because he does not know that the doctors the man is suing do not deserve
it. House tells Wilson about seeing Cuddy in her cute little tennis outfit
last night. Cuddy then walks up and asks House how his hooker is doing?
Cuddy asks House if there a paternity bet on the father of the patient?
Cuddy tells Wilson and House she saw the father in the lobby and her money
is on the father. Cuddy enters the bet telling House if she wins, he attends
the symposium and wears a tie, and House tells her if he wins no clinic
hours for a week.
Chase is with Dan again trying another treatment. He tells Dan to try and
focus on something. Then he points out Cameronís necklace (she is on his
other side of Dan holding him down). Chase knows Dan is looking right at
Cameronís breasts. Dan starts to have hallucinations again. Cameron tells
Chase that Dan is hearing voices. Dan begins to scream.
House and his team are back in their office discussing the newest
symptom. House says that the penicillin is either bad or their diagnosis is
wrong. They start to discuss new theories about the case. They are stumped
and are running out of ideas. House instructs the team to do some new tests
House is outside eating lunch with Wilson discussing the case. House
looks and sees Danís parents walking nearby. He is pissed that the parents
see him and might want to talk and/or yell at him. Danís mother asks House
how he can just sit there while their son is so sick? The father tells
House that he does not care about their son and has not even checked on him.
House then tells them Danís most recent blood pressure reading, that his
shunt is in place, what the EKG shows, and that he is hearing voices. House
tells them to go back in and be with their son. After they leave House grabs
their drinking cups so he can run a DNA test. Wilson can not believe he is
doing this. House offers Wilson to double the bet.
House finds Cameron and Foreman in the lab running tests. House gives
them the cups and tells them to run DNA test.
House is walking in the hospital and runs into the patient that he
treated who sues his doctors. He has papers for House. The man tells House
that he (House) has caused him severe mental stress. He tells House he is
willing to consider a settlement. House tells him has gonorrhea. The man
says he doesnít but House says he has the lab results to prove he does.
House tells the man that his condition must be reported and that his wife
must be informed. The man now wants the papers back but House tells him no
and that they are his and House will see him in court.
The team is back in the lab running the tests and getting the results. So
far nothing that helps. Cameron suddenly tells Chase and Foreman that House
is right, the father is not the father. Chase goes one further and informs
them that the mother is not his mother either.
The parents are in Cuddyís office telling her they want to send Dan to
another hospital and get another opinion. She explains to them that in his
condition it is not a good idea to move Dan. Suddenly House bursts in the
office and tells the parents they are idiots and they lied to him. The
father tells House they did not lie about anything. He informs Danís parents
that he knows they are not his biological parents. They tell House they are
his parents for all that matters. The father admits Dan was adopted and that
Dan does not need to know about that. House tells them he needed to know to
properly treat Dan. He explains to the parents that when they were taking a
medical history, the doctors needed biological information and not who loves
him the most in the whole wide world. Cuddy wants to know how House found
out about this? He tells them all that he sampled their DNA. He explains how
he took their cups for samples and Cuddy is outraged and House can not do
something like that. The father tells House the medical history they
provided was a detailed history of his biological mother. The mother tells
House all about Danís birth motherís medical history. The father says Dan
was adopted two weeks after he was born. House asks the parents was the
mother vaccinated? The father says that Dan was vaccinated at six months.
House explains that kids get vaccinated at six months because prior to that
they are protected by the motherís immune system. Again he asks them, was
House explains a child picks up a regular measles virus. He gets a fever
and rash but he lives. The kicker is every so often the virus mutates and
instead of Dan having a fever and rash, the virus traveled to his brain and
hides like a time bomb. In this case for 16 years, and he now has subacute
sclerosing panencephalitis. It is a very rare occurrence. Dan is now in
stage one of the disease and there is no way to know when he might go into
stage two. It can be treated with interferon. If they treat him and they are
wrong it could kill him. House leaves the decision to Foreman.
Dan is in a treatment room and they are going to put a needle into his
pupil but they tell him he will not feel it. This is so they can perform a
biopsy on his retina. They confirm the diagnosis and Foreman informs the
parents about Danís treatment. Foreman tells the parents the treatment is
dangerous and could kill Dan but they should do it.
Dan is now getting the treatment in the OR.
Cuddy is in her office with House saying he canít run a $3200 DNA test
and charge it to the hospital. House says insurance will pay, Cuddy says
they will not. House explains they did it for the bet, but in the end the
DNA test saved the kidís life. Cuddy tells House she will let him out of
clinic duty for a week after he pays for the DNA test. House gives her the
money he won from everyone who bet against him.
Cameron and Foreman are with Dan and tell him the treatment is working.
Dan tells them he has known he was adopted because of his cleft chin. He has
one and his Dad does not.
Final scene is of House watching a lacrosse game and then standing in an
empty playing field.
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