|First Appearance||Failure to Communicate|
Fletcher was diagnosed as being bipolar but he couldn't tell anyone because being bipolar makes you seek excitement and make up stories. He took topamax to try and control it. To try and completly stop being bipolar Fletcher got a bilateral cingulotomy however it failed. He also took sleeping pills and amphetamines.
Fletcher Stone was at his boss Greta's retirement party. He told the story of the first story that he ever wrote. He was taken hostage by a man named "Barrelhead" who was transporting guns to NYC. Afterwards the DA wanted to know Barrelheads real name. He tells them how afterwards Greta and him went to a bar. She told him that the magazine was behind him. He asked if she could get the DA off his back. She told him no but when he gets out of jail he'll still have a job. He told them that he gave up drinking and he gave up drugs. But Greta taught him that there are two things that you never give up, one's rock and roll, the other's a source. He made a toast to Greta. He was in the middle of telling her that he hopes she can adjust to the lack of stress in her life when he collapsed and banged his head. He was briefly unconscious. He got up though, his wife asked if he was okay. he said "I flung the investment." his wife laughed and asked what he said. He said I flung the investment again and then said "Why consign?" Everyone stared at him. He said it again. Greta went to call 911. Fletcher said "It's proficient.", and then "Why disqualify the rush? I'm tabled". He said I'm tabled again. He seemed unaware of what he iwas saying.
Cuddy is reluctant to give the case to Foreman since House is in Baltimore lying about his billings. Foreman asks what the symptoms are so that he can know which hospital to recommend. Cuddy tells him that the EMT's report is that he struck his head and is suffering from aphasia. Foreman asks for the case because he is a neurologist, Cuddy tells him that it's Fletcher stone. He wrote twelve books and exposed three administrations. Foreman tells her sarcastically that a famous patient needs a famous doctor. He calls a neurologist named Taylor that House was about to hire until he got Foreman's resume. Foreman convinces Cuddy to give him the case.
Chase goes to see Fletcher, he asks if he is taking any drugs, but since Fletcher can't talk he just says something that doesn't make sense. His wife says that he used to drink regularly, but he's been clean and sober for nearly a year. Foreman tells him that he thinks he's speaking normally. But really his speech is impaired, he tells the wife that he knows what he wants to say but when he reaches for a word, he finds something else. He thinks that he is talking normally. He tells Fletcher to write his name and draw a face, he can't do that either, he has agraphia loss of ability to write but most often it's temporary. Foreman asks how hard he hit his head. His wife Elizabeth says that it was a pretty hard crack and it made a really ugly noise. Foreman asks if Fletcher can understand what he is saying, Fletcher says "Of golf" (Golf Course-Of golf=Of course). Foreman tells him to give them simple yes or no answers. Fletcher manages to say "yes". Greta comes in and asks if he is okay, Elizabeth says that they don't know and introduces Chase and Foreman to Greta. Greta says that she wanted to make sure that the EMTs told them the right story, Chase asks how many stories there are. Greta tells them that he didn't trip, he just fell out of the blue. His foot jerked a little bit first and that's what made it look like a trip.
Foreman thinks that it may have been a stroke or a seizure. Chase says that they shouldn't believe Greta because everyone else in the room saw him trip. Cameron adds that his symptoms can all be explained by the head trauma. It causes a contusion or a seizure and that causes the aphasia. They should get an EEG. If it was a stroke it could be a clotting issue. Chase says that even if he fell drug use is far more likely. He is going to order a tox screen. Foreman stops him and says that they aren't done with the differential. Chase tells him that he isn't his boss. Foreman tells him that he is House's boss and House is his boss so that makes him Chases boss.
They do a scan. Foreman tells Fletcher that it will show them if there's a problem with his carotid artery that might cause a blood clot. If it went to his brain it would cause the aphasia and the falling down. Cameron tells her that the EEG is just incase there is swelling and they need to keep him stable until the body can repair the damage. Greta asks if Chase thinks that they're both wrong, Foreman tells her that they're just covering all the bases, they're being safe. Suddenly Fletcher starts coughing, his O2 stats are going down. There is fluid in his lungs. They push 40 IV lasix. They need to intubate he's losing his respiratory drive. They intubate.
A seizure can't cause aphasia and fluid in his lungs neither can a stroke unless he had an abnormal heart rhythm. His urine test was positive for amphetamine. But amphetamines don't cause pulmonary edema unless you smoke them. But in one of his books he talked about giving up drugs and alcohol and how it changed his life. Chase says Everybody Lies and tosses a ball around.
House calls Wilson and asks how his team is. He asks whats new with "Mr. Aphasia". Wilson asks if Cuddy told him about Fletcher and his aphasia. House tells him that everybody covers their ass. Wilson tells him how Chase did the tox screen and it came back positive for amphetamines. House tells Wilson that he thinks that there is more to it. Wilson tells House that Foreman asked Fletcher about his drug test and found him running a temperature. Meaning that it's not the drugs.
Foreman thinks that encephalitis or meningitis are the obvious suspects. He tells them to start him on antibiotics, Cameron thinks that it could be an autoimmune disease such as lupus or behcet's. She thinks that they should start him on a high dose of steroids. But if he does have encephalitis, steroids could weaken his immune system. House calls and asks how high a fever he has and asks why they haven't called him. Foreman tells him that it is 101. House tells them to start with broad-spectrum antibiotics for the possible bacteria meningitis, and an antiviral in case it's herpes encephalitis. Cameron asks what if it's autoimmune. House tells them that they need more information. Foreman reminds him that he can't talk so his medical records are a little sketchy and his wife's only known him a couple of years. House asks if the MRI showed anything, Foreman says that the CT scan was negative, House asks about the MRI. Chase tells him that they have one schedules in twenty minutes. Which was the earliest that Foreman could get. House tells them to get an MRI and a better medical history.
Chase asks him a series of questions, they find out that he stopped travelling for work two years ago. His last vacation was six months ago golf resort an Key Biscayne. Greta says that there was no way that it was a golf resort. She says that knowing Fletch, she assumed he was working his way through every bar in the Keys as a last hurrah before settling down. Chase asks Fletcher about alcohol and amphetamines he says no. Chase tells him that he tested positive. Elizabeth says that there is no way that it is drugs he wouldn't do that. Greta tells Foreman that before he met Elizabeth he used to use drugs recreationally. Greta tells him that now he takes medicinal drugs because he was having trouble sleeping. But she says that when the sleeping pills knocked him out, he needed something to perk him back up during the day. Chase does the MRI. He tells him that he won't tell the wife about the drugs.
There is a little edema which is brain swelling and an area of scarring. Elizabeth asks if that is what was causing the aphasia. But Foreman tells her that the scarring is in the part of the brain that is not normally associated with aphasia. And it happened before he hit his head, he might of had a small stroke or some other underlying condition or it might be something completely different. Foreman asks if he has had head trauma before. But he hasn't.
Cameron says that the scarring on the MRI could be anything. And if it's meningitis they need to identify the bug fast. Chase thinks that they need to do a lumbar puncture, Foreman says that they can't because it will paralyse him. Cameron asks what House says but Foreman tells her that he turned off his phone. Foreman tells them to break into his house.
Foreman and Chase break into Fletchers house. Foreman finds the caffeine pills and amphetamines. Chase finds topamax, which is an anticonvulsant, but Fletcher had said that there was no history of prior seizure. It's not even prescribed to him, he's probably just using it for weight loss. Which gives them another lie. Chase thinks that the wife may be hiding something, there's nothing but aspirin and flu meds in the bathroom.
Fletcher is complaining about something. He trys to tell them by licking a fork. Cameron trys to guess what he means. Cameron asks if he means taste, Fletcher says yes. Elizabeth asks if it's a metallic taste, he says yes.
Wilson calls House and tells that Fletcher is tasting metal. House asks where his creatinine is. Wilson tells him that it's 6.8 and he's got kidney failure. Cameron has him on dialysis and he's stable for the moment.
Cuddy tells the team to call House, Chase tells her that he's not answering his phone. Foreman thinks that they need to to a lumbar puncture. House calls him, he tells Foreman to do the lumbar puncture just right. House tells him that the guy could know something that they don't. House asks if he has tried to tell them something important, but he hasn't. House tells them that he isn't scared enough. He tells them to tell Fletcher that he is going to die. He tells them not to let Cameron do it. Chase tells him. He asks if there is anything they need to know.
As Cameron is about to do the LP Fletcher tells her that "He couldn't tackle the bear." and "They took my stain.".
Foreman calls House, he asks how the LP went. Chase tells him that it points to some kind of infection. Chase adds that at the way his organs are deteriorating, he's got maybe a day or two. Cameron tells House that he was trying to tell them something, Cameron tells House what he said. House explains that an aphasic retrieves words that are stored somewhere close to the one he that wants. It can be based on sound or meaning. e.g. if he wanted to say table he could say label or chair.
Cameron asks what he meant by stain, if he meant dirty or soiled, he didn't. Foreman asks Fletcher about pain or brain. They continue to ask questions.
House is trying to find out what he meant in a hotel in Baltimore. He is writing down words on a wall with Stacy's makeup. Foreman has been taking to him for hours. Cameron tells House that he mentioned stain once before when Chase was giving him his MRI. Before they scared him, he has always mentioned stain when his wife is out of the room.
They wake Cuddy up to get Elizabeth out of the room. Foreman tells her to tells Elizabeth that there has been a miscommunication over their insurance coverage. He gives her a coffee.
Meanwhile in Baltimore, House is still trying to figure out what he meant. In New Jersey they put House on speakerphone to talk to Fletcher. He tells Fletcher to start talking. He repeats the couldn't tackle the bear took my stain sentences. He says yes to brain. House figures it out. House says polar bear, Fletcher grabs Cameron's hand and nods. House asks if he is bipolar, he says yes. House tells them that Topamax isn't just off-label for weight loss. It's off-label for mood disorders. house tells them that he's been medicating for years with alcohol and sleeping through the bad hours. It explains the danger journalism. House tells them that being bipolar makes you take risks, you seek excitement and make up stories, he couldn't tell anyone because people might think that he made up his stories. House tells them that he got a bilateral cingulotomy, an experimental surgery that some people claim can help mood disorders. Elizabeth walks in while House is taking about Fletcher drug use. Elizabeth gets mad at him because "some guy on speakerphone" knows him better that her, he doesn't trust him.
Fletcher was last seen talking to Greta who tells him that Elizabeth will be back.