- First Broadcast
- March 22, 2005
- Writer / Director
- Davod Foster & John Mankiewicz / Tim Hunter
- The patient
- A "mobster" named Joey who is giving evidence and going into Federal Witness Protection.
- How House gets involved
- As he says, "Got served with a federal court order. Some witness went into a coma and they want me to take a look at it."
- The mis-diagnoses
- Foreman suggests subdural hematoma but before he can drill into the brain, the patient wakes up. Then he is released and ends up back in a coma. When they get back lab results, Chase is sure it is Hepatitis C and indeed the patient has that, but House can't believe it caused the sudden coma. But even House is confused by the high estrogen levels. Then there is the idea that someone is trying to poison Joey.
- The privacy invasion / major ethical breach
- House accepts a car as a gift from the patient and his lawyer/brother after he says he can leave off the chart that he has Hep C (which is usually caused by an exchange of bodily fluids and the brother doesn't like how that sounds)
- The final diagnosis
- Ornithine Transcarbamylase Deficiency. "it can present at any time" like when "the patient eats a large amount of protein, especially if he's not used to it." The high estrogen levels were unrelated.
- The clinic patient(s)
- A teenage boy and his baby brother (who he is watching while their parents are away). The baby keeps stuffing small toys up one nostril. House finally figures out why the child is doing it.
- For information on this episode,