Mental

She might not be so easy to recognize.

I'll know her.

And none of these are her.

Four years on the street is a long time, dr. Gallagher.

You want me to stay on it?

Of course.

At the same level?

If you need more people, it isn't be an issue.

I'm staying.

You might wanna scale back.

Why would I do that?

Rebecca's name and picture has been out to the police,

The neighbourhood, and any shelter, aid organization, church

Every clinic in the area for months.

I can't say we're any closer to finding your sister

Than were the first day you walked into my office.

I'm trying to be straight with you.

I appreciate it.

Same level.

Ethan!

You have to take your meds.

They make me sleepy.

Even so...

What if he calls?

He'll call back.

What if he doesn't?

Bottoms up.

He promised that he'd call.

Calloway, Ethan. Obsessive Delusional Disorder.

You know, why don't I stay here for a little while?

Just in case?

There you are.

It's okay, ethan.

Hey, stranger.

Rebecca?

How did you get here?

I don't know. i --

I-i don't know. it -- it just happened, jack.

I -- i woke up, and i was back.

Are you okay? i-i can't explain it.

Sit down. sit down.

I don't know if it will last, but i'm here.

You -- you okay?

i tried to speak,

But i couldn't.

When i called and you talked to me...

I know.

I know.

I want to get better, jack.

We're gonna make that happen.

I'm gonna get you some water.

Okay. it's okay.

Are you hungry? what can i get you to eat?

surprise me.

Omelet -- um, spinach, mushrooms.

My computer is fine, Carl.

Mm, it's obsolete. it is a doorstop, as is mine.

oh, which is the point of this conversation.

What's the point?

Oh, carl wants a new, upgraded company laptop.

He assumes if i join in the chorus,

you'll be more likely to lend your support.

Why would carl assume that?

well, carl thinks you favor me. ridiculous.

I think i favor carl.

Ridiculous that this hospital expects us to do our jobs

Lacking the requisite tools.

Hard-drive envy.

It's a guy thing.

Ira: carl!

Ira. how are ya?

Slumming?

You know i enjoy these visits to loony land.

Uh, dr. gallagher, ira greenbaum,

Senior staff, neurology.

Zan's dr. gallagher?

What brings you?

Oh, transferring a patient --

Bauer, william -- new-onset asthma,

Atypical retinal signs, thermoregulatory dysfunction.

Requiring the services of a pulmonary specialist,

Endocrinologist, and ophthalmologist.

Done, done, and, oh, done.

Also, infectious diseases,

Allergic medicine, and neurology.

We all drew blanks. he's not symptomatic?

Well, his symptoms are real enough.

They're just not physiologically based.

Could be multisystem conversion disorder,

Something in the somatoform family?

My god, sherlock, you've cracked the case!

Obviously, i'm in the right place.

Yeah.

I'll, uh, e-mail his file.

Be right back.

There you go.

Tell me about the accident, billy.

It was about four -- four months ago on a site.

You work construction.

Yeah, i'm getting my contractor's license.

"was."

What happened?

we were tearing down this old apartment building.

we were excavating the basement,

when i thought i was clear of the pit,

but the ground gave way underneath me.

it took them about eight hours to dig me out.

Must have been terrifying, being swallowed up like that.

yeah.

dark?

pretty much.

cold?

real cold.

Must have been a lot of dust in the air,

What little air there was.

yeah.

i still wake up every morning choking.

You all right?

No.

Mr. bauer...

You could have been killed.

Instead, you survived an accident

With only minor injuries.

You might consider yourself fortunate.

Well, i can't drive.

I can't work.

I can't go to school.

I can barely get around.

i feel very fortunate, thank you.

Carl: you wanted to see me?

William bauer.

Somatoform disorder,

Possibly heightened by latent claustrophobia,

Activated by the accident.

you do know about the accident.

I read the file.

Well, then, you realize the correspondence

Between what bauer experienced while buried

And the symptoms now are too exact to be coincidental.

He's immobilized, in fear of his life.

He's cold, can't see, can't breathe.

Symptoms you accentuated

By feeding the patient images during intake.

Now, why would i do that?

To validate your diagnosis.

Treatment options.

Carl: pharmacotherapy and psychotherapy.

With an ssri to elevate mood

And the right sleep medication and a good talk therapist,

Billy's life should resume normal patterns

Within a fairly short period of time.

That's optimistic.

no, it is not.

Bauer's a healthy young man

With no prior history of psychological disturbance.

What about the time gap --

Three months between the accident

And the onset of physical symptoms?

how does that sit with conversion?

You think i'm giving the patient short shrift,

A too-quick diagnosis leading to a hasty prescription.

what do you think?

I think your bloated ego

Occasionally clouds your judgment.

Occasionally?

Rylan.

Hola.

You don't smoke.

i don't smoke around you.

Today's the exception.

Okay, what the hell happened?

Nora told me you walked out on a patient in the e.r.?

Well...

Nora, as usual, is...

Very well-informed.

It's true?

With an explanation.

What, you're joking about this?

That is the essential rylan moore --

Service with a smile.

Ugh. cut the crap.

Paramedics brought in a prostitute --

Christine.

Apparently, one of christine's johns demanded a refund

And when she objected, stuck a knife between her legs.

We managed to stop the bleeding, but, uh, she's very close.

As we were finishing up with chrtine,

Police brought in the john --

He had a gsw to the right shoulder,

Resisting arrest.

He was very lucky. it barely clipped him.

Well, you've dealt with similar situations

Dozens of times.

I probably would have helped this case, too,

If he hadn't opened his mouth.

And said?

"let the whore bleed."