The team takTes on the case of a deaf 14-year-old named Seth who collapsed after he started "hearing" explosions while competing in a wrestling match. When the team tries to test him for seizures, Seth loses vision in one eye, complicating House's bunk theory of "Exploding Head Syndrome." As his condition worsens, the team has an ethical disagreement about the patient and his mother's adamant decision to forego cochlear implants to supplement his hearing. When the prospect of giving Seth the ability to hear for the first time in his life arises, House and the team are faced with a resounding decision. Meanwhile, House's lack of sleep starts to play tricks on his mind, but he finds his insomnia may be a gift instead of a burden.
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