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The episode's theme explores the lies told between parents and children. While House avoids a visit from his own overbearing parents, Carnell's father lies to his son about his true profession (owning a scrap yard) and eventually about the boy's terminal prognosis to offer him comfort.

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The team eventually discovers that Carnell is suffering from radiation poisoning . The source is a small metal "good luck charm" gifted to him by his father, which was actually a highly radioactive piece of scrap metal used to test welds. The episode's theme explores the lies told between