A girl crashes a Porsche after her boyfriend starts coughing up blood and continues to have unexplained bleeds. Clinic Cases: Cuddy gives House a month off clinic duties if he can spend a week off his pain meds.



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Episode cast overview:
Mr. Foster
Keith Foster
Marco Pelaez ...
Ingrid (as Ameríca Olivo)
Akiko Morison ...
Anesthesiologist (as Akiko Ann Morison)


16-year-old Keith Foster suddenly starts bleeding while joy-riding with his cheeky girlfriend Pam behind the wheel of his dad's Porsche. Mr. Foster fears ex-junkie Pam got his good boy on drugs. Keith tests clean yet shows a confusing set of symptoms, including blood clots, hemophilia, liver failure, vomiting and hallucinations. After various negative tests and Chase's success at preventing him going blind, only hyper-rare hepatitis E (possibly caught on foreign travels) or lupus (immunity turning against the patient himself) seem likely. House, grumpier than usual, remains increasingly distracted due to a wager with Cuddy: one month off clinic duty for one week off Vicodin (to prove he's no addict). Through his haze of pain, House comes upon a possible clue to Keith's life-threatening ailment- a death in the family no one felt worthy of mention. Written by KGF Vissers/revised by statmanjeff

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Drama | Mystery


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Release Date:

15 February 2005 (USA)  »

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Aspect Ratio:

1.78 : 1
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Did You Know?


The coffee machine in the diagnostic room next to House's office says "Good Coffee - Cheaper than Prozac!" See more »


Opiate is a term used to describe the naturally occurring narcotics in opium, which are mainly codeine and morphine, whereas opioid is a term used for the semi-synthetic analgesics like hydrocodone (Vicodin, Lortab and Norco), oxycodone (Percocet and OxyContin) and Hydromorphone (Dilaudid), as well as the fully synthetic narcotic analgesics like methadone and fentanyl. When House exhibits the effects of opioid withdrawal, Dr. Cuddy states it is because House is addicted to the Vicodin; however, just because someone is experiencing withdrawal after stopping an opiate or opioid does not mean that they are addicted. It just means that their body, mainly the brain and nervous system, had become tolerant to the drug. Only some people using opiates and opioids become addicted to them (meaning they take the drug for the high). Everyone else taking opiates or opioids for more then a couple weeks just becomes tolerant to the drug because of its similarity to chemicals secreted in the brain, mainly endorphins and dopamine (our bodies' natural painkiller and "feel good hormone"). In fact, endorphins are very similar to morphine, both chemically and in its effects on the nervous system; so, since these drugs are a lot like those chemical neurotransmitters secreted in the brain, the brain stops making them. Any sudden halt to taking opiates or opioids throws the brain into a chemical imbalance, which is what withdrawals are. Once our brains are able to catch up and start producing normal levels of endorphins and dopamine, the withdrawal subsides. To sum it up, going into withdrawal after the cessation of opiates or opioids does not necessarily mean one is addicted to them. See more »


Dr. Gregory House: Your fourth diagnostic criterion for lupus is psychosis. This is just a kid missing his cat.
Dr. Robert Chase: He was being attacked by an animal that wasn't in the room! That's psychosis.
Dr. Gregory House: There is a difference between psychosis and hallucination.
Dr. Eric Foreman: So if he was imagining a fake cat it would be lupus, but since it was a real cat it's not?
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You Don't Have To Worry
Written by Wayne Jones and Windy Wagner
Performed by Windy Wagner
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User Reviews

Difficult to watch, and truly excellent
26 March 2006 | by (Connecticut) – See all my reviews

When I look back, I believe this is the first episode I saw of HOUSE. A college student is admitted with conflicting symptoms, not the least of which is uncontrolled bleeding. This episode goes right for the gut and we watch House and his colleagues poke and prod this kid to the point of death. I had trouble watching all of it, as it took me back to my days working first as an emergency room orderly and later as a floating nurse's aide in a large city hospital when I was a mere teen. You haven't lived until you've seen a doctor straddle a suffocating patient and plunge a large stainless steel cylinder into his chest to alleviate fluid on the lungs. This episode of HOUSE is so realistic, it reminds me of those good old days -- may they never return. This also is the episode where House is sort-of blackmailed into giving up his painkillers. You'll have to watch for yourself to see if he does.

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