House

145 pounds!

Johnson! Miller!

Aaaah!

Aaaaah!

House.

House.

I know you're not asleep.

- That insight would be a lot more impressive

if you weren't just a product of my exhausted brain.

- Aren't you curious about why I'm here?

- curious why no french maid's outfit.

No spanky pants.

- I'm a hallucination... not a fantasy.

It's insomnia.

Four nights without REM sleep can cause--

- That might explain why you're hallucinating.

Doesn't explain why you're hallucinating

Wilson's dead girlfriend.

- Probably just my secret and very unconscious desire

to get Wilson into my bedroom.

- Or maybe your guilt of Kutner's suicide

reminds you how guilty you felt about me.

Who cares why you're here?

A decent night's sleep, you won't be.

- Guess I'll be around a few more hours.

Need some coffee?

- Addictive substances are no substitute

for nature's healing balm.

Let's make this fast. I need to sleep.

- Deaf 14-year-old started hearing imaginary explosions.

Exploding head syndrome.

Cool.

Well, obviously his brain knows how to hear.

- Patient went deaf at age four.

Complication of meningitis.

So why no cochlear implant?

Usual suspects are insomnia,

which he doesn't have, migraines, which he doesn't get,

and head trauma which didn't show up on the CT.

Damn imaginary pen.

- Mom's signature's on everything.

Did the dad die?

- No, I doubt it. He was a sperm donor.

Medical records couldn't be cleaner.

- So we're left with temporal lobe seizure.

Wrong.

- Someone at the wrestling meet

would have noticed a seizure.

- Could have just looked like a bad shot to the leg.

Put him in the seizure lab.

See if his head blows up all over again.

- You're gonna ignore your own subconscious?

Gonna be the limp leading the blind.

I need a 'scrip, for sleeping pills.

My neighbor's dog's been keeping me awake,

and seems strangely invulnerable to poison.

Why is the soon-to-be- second-prettiest Dr. Chase here?

- I'll take that as a congratulations.

We're discussing a case.

- Why did he close that file?

Wedding in two weeks?

I'd say you were pregnant,

but I don't think Chase's body is mature enough

to produce sperm.

- It's a small ceremony. Why wait?

Nighty night.

Drugs with no lecture?

He wants you out.

Interesting case?

- Possible prostate cancer came into the E.R.

Pencil cup.

Oh!

No wonder his prostate's enlarged.

It's full of pool cues and cigars.

- Chase's best man doesn't get here

till the day of the wedding,

so I asked Wilson to throw his bachelor party.

- No retired ministers available to plan it?

- Chase doesn't want some big, raucous party.

So she says.

- Luckily, there are people in this world

ready to stand up for what's right.

- No, no, no, I don't want-- I don't want you to--

- Listen, two things I do well.

Bachelor parties rank towards the top.

I get to help, right?

Starting five hertz.

House made it through that entire differential

without mocking our patient

for not having a cochlear implant.

- The patient doesn't want an implant

because he's comfortable with who he is.

It's admirable.

He's deaf.

It's not an identity, it's a disability.

It's also a culture.

The deaf have their own schools, their own language.

Still no spiking.

Going to 20.

Anything I can simulate with a $3.00 pair of ear plugs

is not a culture.

No sign of seizure.

Temporal lobe activity is still clean.

- Doctors...doctors, he can't see.

One of his eyes.

The limp leading the blind.

- Is that supposed to mean something?

I didn't think so.

- So exploding head syndrome, plus vision loss.

Subclavian steal syndrome.

Vascular defect coupled with constant arm movement

could siphon blood flow from the brain.

- We should do an angio, check his--

Knock yourselves out.

- How did I know he was gonna go blind?

Don't get cute, gazoo.

You're in my mind. You're obviously there.

C-reactive protein.

I noticed in his file it was slightly elevated.

I figured the stress of the seizure lab

would drive inflammation even higher,

lead to optic neuritis.

- That's a lot clearer than "the limp leading the blind."

- It was just a glimmer. I couldn't put it into words.

It was a long shot.

I don't even remember the C-reactive protein level.

Obviously you do.

You just don't know it.

How high is K2?

- I don't know. - Me neither.

But I read a book about it years ago.

Fierce, sexy sherpa on the cover, bending over--

28,251 feet.

Cool.

An all-access pass to my own brain.

- Go play the kid some music.

Why?

Another long shot.

- We're using iodine dye to track blood flow

in your neck and arm.

# fight the power #

# fight the power #

# fight the power #

# fight the power #

# fight the power #

# fight the power #

# fight the power #

# we've got to fight the powers that be... #

House, what are you doing?

- What does it look like I'm doing?

Fighting the power.

Feel that?

How cool is that?

Apparently your mom doesn't care what you're missing.

You're an ass.

- He says he feels the vibrations in his abdomen,

but not his hands.

What does that mean?

It's a new symptom.

Neuropathy.

- Thought you were gonna get some sleep.

Case got interesting.

Like the zoo.

Except you can bang on the glass as much as you want.

- How did you know about the neuropathy?

Good question.

Enough with the riddles.

Tell me about it.

Think "wrestling record."

Juggling.

No, pins.

Three pins.

Patient was pinned in his last three matches.

Leading up to that, he was 15 and 0.

I figured his balance was off from diminished sensation.

- Could be increased ICP from a brain tumor.

- That we missed on the head CT?

- Cutting weight for wrestling

could have led to rhabdomyolysis.

- He just went up a weight class three months ago.

Foreman's right.

- Actually, increased ICP could make sense.

You just said--

I was processing.

- It also puts a new symptom on the table.

His deafness.

What if it was caused by NF2 cancer

instead of his childhood meningitis?

- So meningitis was a coincidence?

- Or a byproduct of the cancer suppressing his immune system.

MRI his head.

- If you're right about NF2, his deafness may be reversible.

I'll set it up and talk to the patient.

You two...doing anything?

- You know what a broken cowboy is?

It was on House's list of requirements.

I have three theories.

- Why is House so into this bachelor party thing?

- He needs to have a reason to be into a bachelor party?

- He needs a reason to be into anything.