1
00:00:02,566 --> 00:00:04,026
(MAN PANTING)
2
00:00:04,151 --> 00:00:07,529
So now the plan is either
find ourselves a new counselor,
3
00:00:07,654 --> 00:00:09,072
stick it out with the old one
but go more often,
4
00:00:09,281 --> 00:00:12,909
or resign ourselves to the fact
that she's never gonna be happy
5
00:00:13,035 --> 00:00:14,911
no matter what I do, so let's
just take the money we're wasting
6
00:00:15,037 --> 00:00:17,331
and put it towards
a membership at Lakeview.
7
00:00:17,748 --> 00:00:19,958
I'm guessing the last option
has yet to be formally presented.
8
00:00:20,083 --> 00:00:21,043
Yeah.
9
00:00:21,168 --> 00:00:24,004
Jeez. What's with you? You usually
run half speed to stay with me.
10
00:00:24,129 --> 00:00:26,131
Didn't get a lot
of sleep last night.
11
00:00:26,256 --> 00:00:28,342
(BOTH PANTING)
12
00:00:28,634 --> 00:00:31,887
- How are things with Elyse?
- Great.
13
00:00:32,471 --> 00:00:34,222
- Great?
- Yeah.
14
00:00:36,433 --> 00:00:39,436
One-syllable answers. You're either out
of breath, or you're lying to me.
15
00:00:39,561 --> 00:00:43,106
Yeah. We have our moments,
but they usually work out.
16
00:00:43,231 --> 00:00:45,317
- Man, you got some water?
- Yeah.
17
00:00:46,401 --> 00:00:48,695
So how do you
work things out?
18
00:00:49,112 --> 00:00:51,782
I don't know.
We talk, someone apologizes.
19
00:00:52,074 --> 00:00:55,327
- I shouldn't have drank last night.
- Hey, you mean you apologize.
20
00:00:56,828 --> 00:00:59,206
- Yeah, I guess.
- How often do you guys have sex?
21
00:00:59,956 --> 00:01:02,000
- Enough.
- You do it this morning?
22
00:01:03,794 --> 00:01:05,420
You did.
You did it this morning.
23
00:01:05,545 --> 00:01:08,840
Maybe that's why
you can't stand up, huh? Come on.
24
00:01:10,050 --> 00:01:11,176
Elyse.
25
00:01:15,722 --> 00:01:19,142
Great.
Honey, I'm dehydrated.
26
00:01:19,643 --> 00:01:22,229
Do we have anything
with electrolytes?
27
00:01:24,147 --> 00:01:26,274
Sleeping Beauty, wake up.
28
00:01:28,193 --> 00:01:29,986
This is
an emergency.
29
00:01:30,445 --> 00:01:31,655
The fridge is empty.
30
00:01:31,780 --> 00:01:32,781
(ELYSE GROANING)
31
00:01:32,906 --> 00:01:34,908
Come on.
It's almost 4:00.
32
00:01:37,327 --> 00:01:39,121
Elyse. Sweetie.
33
00:01:41,039 --> 00:01:44,960
Call Jacques. Tell him
I'm not feeling well.
34
00:01:45,669 --> 00:01:49,631
It's Saturday. You haven't been to work
in three days. Remember?
35
00:01:50,090 --> 00:01:51,675
Just let me sleep.
36
00:01:52,175 --> 00:01:55,137
Come on. You haven't been out of bed
since Wednesday.
37
00:01:55,262 --> 00:01:58,557
- Leave me alone.
- Come on. What's up?
38
00:01:58,682 --> 00:02:01,727
- No. Leave me alone.
- Honey.
39
00:02:01,852 --> 00:02:03,103
I said leave me alone!
40
00:02:11,027 --> 00:02:12,028
(WHIMPERS)
41
00:02:13,238 --> 00:02:15,907
I think there's
something wrong with me.
42
00:02:48,857 --> 00:02:51,860
She's been averaging 18 hours of sleep
a day since her admission.
43
00:02:51,985 --> 00:02:55,155
Clinical depression.
Incredibly contagious.
44
00:02:55,280 --> 00:02:57,115
Every time I'm around one of them,
I get blue.
45
00:02:57,240 --> 00:02:58,742
It's not clinical depression.
46
00:02:58,867 --> 00:03:02,037
Great. Got it all figured out.
You don't need me.
47
00:03:04,164 --> 00:03:05,707
Three ER doctors, two neurologists
48
00:03:05,832 --> 00:03:07,459
and a radiologist have all figured out
what it's not.
49
00:03:07,584 --> 00:03:08,710
We need to
figure out what it is.
50
00:03:08,835 --> 00:03:11,171
If any of those doctors
were interested in my opinion,
51
00:03:11,296 --> 00:03:12,297
they would have asked for it.
52
00:03:12,422 --> 00:03:15,300
None of them are willing to subject
themselves to you.
53
00:03:15,425 --> 00:03:16,968
No pain, no gain.
54
00:03:18,470 --> 00:03:20,430
The blood work
shows no signs of inflammation,
55
00:03:20,555 --> 00:03:22,224
and no one can figure out
what's actually the cause...
56
00:03:22,349 --> 00:03:23,183
(EXCLAIMS)
57
00:03:23,308 --> 00:03:24,226
What?
58
00:03:24,351 --> 00:03:27,437
Husband described her
as being unusually irritable recently.
59
00:03:27,562 --> 00:03:28,772
And?
60
00:03:28,897 --> 00:03:32,108
I didn't realize it was possible
for a woman to be unusually irritable.
61
00:03:32,234 --> 00:03:33,235
(ELEVATOR BELL DINGS)
62
00:03:36,446 --> 00:03:39,366
Nice try, but you're a misanthrope,
not a misogynist.
63
00:03:39,491 --> 00:03:42,160
What's the first thing you ask a doctor
who's referring a patient?
64
00:03:42,285 --> 00:03:44,788
Are you questioning
my ability to take a history?
65
00:03:46,456 --> 00:03:47,457
What's the primary...
66
00:03:47,582 --> 00:03:50,335
- Not "what?" Why?
- Diseases don't have motives.
67
00:03:50,460 --> 00:03:52,337
No, but doctors do.
68
00:03:52,587 --> 00:03:55,340
Why this patient?
What interests you?
69
00:03:56,216 --> 00:03:58,385
- Give me the chart.
- Why?
70
00:04:00,136 --> 00:04:02,430
I find your
interest interesting.
71
00:04:05,016 --> 00:04:08,103
HOUSE: She's irritable and
sleeping 18 hours a day.
72
00:04:08,228 --> 00:04:09,688
What's interesting about that?
73
00:04:09,813 --> 00:04:13,149
Hypersomnia's usually accompanied
by irritability in depressed patients.
74
00:04:13,275 --> 00:04:15,861
True, but not relevant.
She's not depressed.
75
00:04:15,986 --> 00:04:18,363
Hello.
She's sleeping 18 hours a day.
76
00:04:18,488 --> 00:04:21,116
Fever. Clinical depression
does not cause fever.
77
00:04:21,241 --> 00:04:22,242
She could be
sick and depressed.
78
00:04:22,367 --> 00:04:23,535
She's sick.
79
00:04:23,660 --> 00:04:25,537
(EXCLAIMS) Damn it.
Why didn't I think of that?
80
00:04:25,662 --> 00:04:26,663
Yeah, that's
what I meant.
81
00:04:26,788 --> 00:04:28,456
Elevated sed rate
indicates inflammation.
82
00:04:28,582 --> 00:04:30,876
Hypersomnia and personality changes
point toward the brain.
83
00:04:31,001 --> 00:04:34,337
Not the spleen?
Thank goodness we hired a neurologist.
84
00:04:34,462 --> 00:04:37,007
Brain symptoms... Hmm.
Could this be a brain problem?
85
00:04:37,132 --> 00:04:39,676
No other systemic signs of inflammation.
Probably not vasculitis.
86
00:04:39,801 --> 00:04:42,012
What about parasites?
Malaria, Chagas.
87
00:04:42,137 --> 00:04:44,347
But the patient's never been
outside of the United States,
88
00:04:44,472 --> 00:04:45,473
especially the tropics.
89
00:04:45,599 --> 00:04:48,059
You mean she claims
she's never been outside the U.S.
90
00:04:48,184 --> 00:04:49,102
Very good.
CAMERON: Doesn't matter.
91
00:04:49,227 --> 00:04:51,396
Blood and CSF smears
show no sign of parasites.
92
00:04:51,521 --> 00:04:52,522
Has to be a tumor then.
93
00:04:52,647 --> 00:04:54,816
A tumor sitting directly
on top of the brain stem
94
00:04:54,941 --> 00:04:58,111
that three ER doctors, two neurologists
and a radiologist missed?
95
00:04:58,236 --> 00:05:00,113
Partridge in a pear tree
missed it too.
96
00:05:00,238 --> 00:05:02,073
Redo the blood work,
and get a new MRI
97
00:05:02,198 --> 00:05:05,368
with 2mm cuts
through the mesodiencephalic.
98
00:05:05,493 --> 00:05:07,078
And check for
evil stepmothers.
99
00:05:07,203 --> 00:05:09,998
This much sleep usually indicates
poison apples.
100
00:05:10,749 --> 00:05:13,293
Anything else besides
the shortness of breath?
101
00:05:13,418 --> 00:05:14,377
Not really.
102
00:05:14,502 --> 00:05:16,463
It's actually just
kind of a tightness.
103
00:05:16,588 --> 00:05:18,506
- You smoke?
- No, never.
104
00:05:18,632 --> 00:05:21,217
- Exercise?
- Eight hours a day.
105
00:05:22,260 --> 00:05:25,180
- I teach preschool.
- Sounds fun.
106
00:05:27,223 --> 00:05:29,267
Any history of heart disease
in your family?
107
00:05:29,392 --> 00:05:31,770
- Not that I know of.
- Take a deep breath.
108
00:05:34,689 --> 00:05:36,816
Been under
a lot of stress lately?
109
00:05:36,942 --> 00:05:38,610
No more than usual.
110
00:05:38,735 --> 00:05:40,820
You're probably
just a little anemic.
111
00:05:40,946 --> 00:05:43,239
I'm gonna do an EKG
just to make sure.
112
00:05:43,365 --> 00:05:44,199
Do I need to take this off?
113
00:05:44,324 --> 00:05:47,243
No. You can just
pull that down in front.
114
00:05:51,998 --> 00:05:53,375
Good Lord.
115
00:05:54,960 --> 00:05:58,672
- Are those real?
- Do they look real?
116
00:05:59,005 --> 00:06:00,715
They look pretty damn good.
117
00:06:00,966 --> 00:06:03,009
They were a present
for my husband's 40th.
118
00:06:03,134 --> 00:06:06,096
I figured he'd enjoy them
more than a sweater.
119
00:06:06,304 --> 00:06:08,056
That's so sweet.
120
00:06:08,473 --> 00:06:10,183
But I'm afraid
the cause of your problem
121
00:06:10,308 --> 00:06:12,143
could be staring us
right in the face.
122
00:06:12,268 --> 00:06:14,521
Actually, I guess
I'm the one doing the staring.
123
00:06:15,230 --> 00:06:17,941
Of course, I can't be sure.
I'd like to consult a colleague.
124
00:06:18,066 --> 00:06:21,236
He's actually somewhat
of an expert in these matters.
125
00:06:23,363 --> 00:06:25,740
Can I get a page
on Dr. Wilson?
126
00:06:28,284 --> 00:06:30,036
- A tumor?
- We don't know.
127
00:06:30,161 --> 00:06:31,663
We're checking
just to be safe.
128
00:06:31,788 --> 00:06:32,831
Y'all already
checked for that.
129
00:06:32,956 --> 00:06:34,749
The previous MRI
had a broader view.
130
00:06:34,874 --> 00:06:38,670
Some tumors are almost impossible to see
unless you know exactly where to look.
131
00:06:38,795 --> 00:06:40,130
That means it would be small,
right?
132
00:06:40,255 --> 00:06:41,256
Yeah.
133
00:06:41,381 --> 00:06:43,758
Then you'd be able to
operate, take it out?
134
00:06:43,883 --> 00:06:46,678
If it's a tumor, there are a variety
of treatment options,
135
00:06:46,803 --> 00:06:49,139
but there are variables
other than just size.
136
00:06:51,558 --> 00:06:55,562
- Don't worry.
- Too late.
137
00:07:00,567 --> 00:07:02,777
CAMERON: Try to remain
as still as possible.
138
00:07:02,902 --> 00:07:05,447
The less distortion there is,
the more detail we'll be able to see.
139
00:07:05,572 --> 00:07:06,698
Okay-
140
00:07:17,417 --> 00:07:20,045
MAN ON PA: X-ray tech,
report to Radiology Room 3.
141
00:07:21,588 --> 00:07:24,340
Well. That's what
breasts look like.
142
00:07:24,758 --> 00:07:27,302
Is a lie a lie
if everybody knows it's a lie?
143
00:07:27,427 --> 00:07:29,345
Well, if a tree
pretends to fall in a forest...
144
00:07:29,471 --> 00:07:30,930
House, come on.
They're breasts.
145
00:07:31,056 --> 00:07:33,308
They're a birthday present,
not a philosophical treatise.
146
00:07:33,433 --> 00:07:36,436
Lie number one.
She did not do that for her husband.
147
00:07:36,561 --> 00:07:37,562
She did that for herself.
148
00:07:37,687 --> 00:07:39,272
She thinks if she looks different,
she'll be different.
149
00:07:39,397 --> 00:07:41,900
No. She thinks if she looks different,
she'll be more attractive,
150
00:07:42,025 --> 00:07:45,111
- which I have to say...
- Not to her husband.
151
00:07:45,236 --> 00:07:48,281
Cosmetic surgery is so everyone else
will look at us differently.
152
00:07:48,823 --> 00:07:50,784
The same reason
you're wearing that tie.
153
00:07:50,909 --> 00:07:53,286
Well, exactly.
That was gonna be my next point.
154
00:07:53,411 --> 00:07:55,705
Last three months,
same five ties.
155
00:07:55,830 --> 00:07:57,749
Thursday should be
that paisley thing.
156
00:07:57,874 --> 00:08:00,168
- It's a gift from my wife.
- No, it's not.
157
00:08:00,293 --> 00:08:02,545
Julie hates green.
You bought that yourself.
158
00:08:02,670 --> 00:08:05,048
You want to look
pretty at work.
159
00:08:06,049 --> 00:08:08,218
(MOCKINGLY)
Wilson's got a girlfriend.
160
00:08:08,551 --> 00:08:10,678
Stop. Stop. I don't.
161
00:08:11,763 --> 00:08:14,849
It takes two department heads
to treat shortness of breath?
162
00:08:15,391 --> 00:08:18,937
What, do the complications
increase exponentially with cup size?
163
00:08:19,270 --> 00:08:24,192
I want an EKG and blood tests,
including tox screen on Mrs...
164
00:08:24,317 --> 00:08:25,235
Exam Room 1.
165
00:08:25,360 --> 00:08:28,321
You're ordering tests
to cover your lechery.
166
00:08:28,446 --> 00:08:30,657
- Interesting.
- Very tricky case.
167
00:08:32,867 --> 00:08:35,662
You love everybody.
That's your pathology.
168
00:08:38,081 --> 00:08:41,751
There were no lesions
and no mass effect that we could see.
169
00:08:42,710 --> 00:08:44,462
What does that mean?
170
00:08:45,004 --> 00:08:48,258
It means we're still not sure what's
causing the neurological problems.
171
00:08:48,383 --> 00:08:51,010
I know some things
are hard to cure,
172
00:08:51,469 --> 00:08:53,847
but what I just don't get
is why it's taking so long
173
00:08:53,972 --> 00:08:55,306
to figure out
what's wrong with her.
174
00:08:55,431 --> 00:08:57,058
I know you're scared.
I would be too.
175
00:08:57,183 --> 00:09:00,061
- I don't feel good.
- You feeling nauseous?
176
00:09:01,271 --> 00:09:03,314
Honey, are you all right?
177
00:09:06,151 --> 00:09:07,777
CAMERON: She's seizing!
178
00:09:09,362 --> 00:09:10,613
Get her on her side.
179
00:09:10,738 --> 00:09:11,739
I need some Ativan!
180
00:09:11,865 --> 00:09:12,699
NURSE: I'll get it.
181
00:09:14,075 --> 00:09:16,411
- What's happened?
- She's having a seizure.
182
00:09:16,536 --> 00:09:17,620
(GAGGING)
183
00:09:17,745 --> 00:09:19,330
She's aspirating. Suction.
184
00:09:26,754 --> 00:09:28,173
Come on, Elyse.
185
00:09:47,525 --> 00:09:49,194
WILSON: The MRI
reveals nothing.
186
00:09:49,319 --> 00:09:50,612
FOREMAN: That we were
able to detect.
187
00:09:50,737 --> 00:09:51,905
It's not a tumor.
188
00:09:52,030 --> 00:09:54,157
A small glioma could
hide from contrast.
189
00:09:54,282 --> 00:09:55,283
We could do a PET scan.
190
00:09:55,408 --> 00:09:59,245
Yes. That's how a responsible doctor
would waste his time in this situation.
191
00:09:59,370 --> 00:10:02,373
Suddenly tests and radiologists
are incapable of error?
192
00:10:02,498 --> 00:10:04,959
A glioma not presenting
on a contrast MRI
193
00:10:05,084 --> 00:10:07,337
would have to be smaller
than a grain of sand,
194
00:10:07,462 --> 00:10:09,756
which does not
a gravely ill person make.
195
00:10:09,881 --> 00:10:12,175
It could be just
postictal disorientation.
196
00:10:12,300 --> 00:10:13,593
We would have seen
improvement by now.
197
00:10:13,718 --> 00:10:15,803
Late-stage Lyme disease
can cause seizures.
198
00:10:15,929 --> 00:10:18,556
- Does the husband care about her?
- He hasn't left her bedside.
199
00:10:18,681 --> 00:10:19,974
How annoying.
200
00:10:20,099 --> 00:10:22,101
It also means she doesn't
have Lyme disease.
201
00:10:22,227 --> 00:10:23,770
What, love conquers all?
202
00:10:23,895 --> 00:10:25,980
Lyme disease initially
presents with a rash.
203
00:10:26,105 --> 00:10:27,106
Mr. Clingy would have noticed.
204
00:10:27,232 --> 00:10:30,318
- We've looked at everything else.
- Did you look at her breasts?
205
00:10:30,652 --> 00:10:32,070
(SCOFFS) Men.
206
00:10:32,779 --> 00:10:34,906
It could be paraneoplastic.
207
00:10:35,323 --> 00:10:37,784
She have any family history
of breast cancer?
208
00:10:37,909 --> 00:10:39,744
Her mother died of it.
209
00:10:40,536 --> 00:10:44,624
The brain, but not the brain.
Clever, huh?
210
00:10:51,923 --> 00:10:54,467
How can breast cancer
cause problems in her brain?
211
00:10:55,134 --> 00:10:56,719
There are
molecular similarities
212
00:10:56,844 --> 00:10:58,680
between brain cells
and tumor cells.
213
00:10:58,805 --> 00:11:01,349
Paraneoplastic syndrome
causes the body's own antibodies
214
00:11:01,474 --> 00:11:03,226
to get thrown off track.
215
00:11:03,351 --> 00:11:06,104
They end up attacking the brain
instead of the tumor.
216
00:11:06,437 --> 00:11:08,898
So, if you do find a tumor,
what do you do?
217
00:11:09,274 --> 00:11:11,943
We treat the
underlying malignancy.
218
00:11:12,068 --> 00:11:13,111
Once there's no
tumor to attack,
219
00:11:13,236 --> 00:11:15,530
there's nothing for the antibodies
to get confused about.
220
00:11:15,655 --> 00:11:18,366
- If the tumor's treatable.
- Exactly.
221
00:11:23,746 --> 00:11:24,580
ELYSE: Ow!
222
00:11:24,706 --> 00:11:26,791
CAMERON: I'm sorry.
I know it's uncomfortable.
223
00:11:26,916 --> 00:11:30,169
The tighter we go,
the better the image will be.
224
00:11:30,295 --> 00:11:31,629
(MACHINE WHIRRING)
225
00:11:33,965 --> 00:11:36,634
- At least it'll keep me awake.
- Don't worry. It's almost over.
226
00:11:38,011 --> 00:11:40,555
I wish people would stop
telling me not to worry.
227
00:11:40,680 --> 00:11:41,681
(GROANS)
228
00:11:41,806 --> 00:11:43,099
I'm sorry.
229
00:11:45,810 --> 00:11:47,729
My mom was
the same age.
230
00:11:58,323 --> 00:12:00,241
We've been trying to get pregnant
for over a year.
231
00:12:00,366 --> 00:12:02,410
Guess we're lucky
we didn't.
232
00:12:02,535 --> 00:12:04,996
A lot has changed
since your mom died.
233
00:12:05,455 --> 00:12:06,789
Don't worry...
234
00:12:08,958 --> 00:12:10,084
Don't give up.
235
00:12:21,054 --> 00:12:22,597
HOUSE: No tumor?
236
00:12:22,722 --> 00:12:25,975
The MRI and the mammogram only
showed a few benign calcifications.
237
00:12:26,100 --> 00:12:28,227
It's most likely
a small-cell tumor.
238
00:12:28,353 --> 00:12:30,438
It's no surprise
we're having trouble finding it.
239
00:12:30,646 --> 00:12:32,940
We should do a PET scan.
Start with her lungs,
240
00:12:33,066 --> 00:12:34,275
then maybe her bones.
241
00:12:34,400 --> 00:12:36,069
Sometimes it presents
with no tumor at all.
242
00:12:36,194 --> 00:12:39,030
How can a disease caused by a tumor
present if there's no tumor?
243
00:12:39,238 --> 00:12:41,032
It happens.
12% of cases.
244
00:12:41,157 --> 00:12:43,201
And how do you treat it
if there's no tumor?
245
00:12:43,326 --> 00:12:46,371
You don't.
Those 12%, no treatment.
246
00:12:47,080 --> 00:12:49,248
They were too busy
looking for the tumor
247
00:12:49,374 --> 00:12:51,250
right till they put
the patient in the ground.
248
00:12:51,751 --> 00:12:52,877
What choice do we have?
249
00:12:53,002 --> 00:12:56,005
Treat the symptoms.
IV immunoglobulin.
250
00:12:56,130 --> 00:12:58,174
So we're just
gonna ignore the tumor?
251
00:12:58,299 --> 00:13:00,176
Well, eventually
it'll get bigger.
252
00:13:00,301 --> 00:13:02,095
Then it'll be
really easy to find.
253
00:13:02,220 --> 00:13:04,263
One of you needs to
check out where she works.
254
00:13:04,389 --> 00:13:06,516
- Why?
- 'Cause the husband's not sick.
255
00:13:06,766 --> 00:13:07,767
CHASE: Meaning?
256
00:13:07,892 --> 00:13:11,813
If it's not paraneoplastic, and it is
a reaction to some sort of toxin,
257
00:13:11,938 --> 00:13:14,774
it's obviously not
coming from their home.
258
00:13:15,483 --> 00:13:17,151
Foreman, you do it.
259
00:13:20,696 --> 00:13:23,032
Why are you riding me?
260
00:13:23,157 --> 00:13:25,952
It's what I do.
Has it got worse lately?
261
00:13:26,077 --> 00:13:28,704
- Yeah. Seems to me.
- Really?
262
00:13:29,205 --> 00:13:31,040
Well, that rules out
the race thing.
263
00:13:31,165 --> 00:13:34,127
'Cause you were just
as black last week.
264
00:13:35,294 --> 00:13:36,504
FOREMAN: How long has
Elyse worked here?
265
00:13:36,629 --> 00:13:38,840
Oh, three years.
She's my best rotisseur.
266
00:13:38,965 --> 00:13:39,924
And what's that?
267
00:13:40,049 --> 00:13:43,302
The rotisseur prepares
the roasted meats and gravies.
268
00:13:43,719 --> 00:13:45,012
How do you
clean your grill?
269
00:13:45,138 --> 00:13:46,472
(SPEAKING IN FRENCH)
270
00:13:46,597 --> 00:13:49,267
- You say "elbow grease".
- Do you use chemical cleaners?
271
00:13:49,392 --> 00:13:50,309
Non. Absolument.
272
00:13:50,435 --> 00:13:52,228
The chefs don't do
the cleaning anyway.
273
00:13:52,353 --> 00:13:55,815
What about pesticides? You must spray
for roaches and that sort of thing.
274
00:13:55,940 --> 00:13:58,818
No. My kitchen is clean.
No roaches.
275
00:13:58,943 --> 00:14:01,279
(BOTH SPEAKING FRENCH)
276
00:14:02,280 --> 00:14:04,532
I need to get
back to work.
277
00:14:05,074 --> 00:14:07,285
So the fact that I'm here
asking you these questions,
278
00:14:07,410 --> 00:14:09,245
it doesn't worry you?
279
00:14:09,370 --> 00:14:11,164
(LAUGHS) Look at me.
I'm here 18 hours a day.
280
00:14:11,289 --> 00:14:13,040
That guy
practically lives here.
281
00:14:13,166 --> 00:14:14,625
He does live here.
282
00:14:14,750 --> 00:14:16,544
I use the same detergents
for 15 years,
283
00:14:16,669 --> 00:14:18,379
and everyone is
healthy as a horse.
284
00:14:18,504 --> 00:14:21,215
Whatever Elyse has,
she didn't get here.
285
00:14:21,799 --> 00:14:23,718
Tell herl hope
she feels better.
286
00:14:23,843 --> 00:14:26,095
And I had to get
a new rotisseur.
287
00:14:35,897 --> 00:14:37,231
(MAN CHATTERING ON PA)
288
00:14:38,774 --> 00:14:39,859
Where's Ed?
289
00:14:40,276 --> 00:14:42,695
He went down to the gift shop
to buy a shirt.
290
00:14:42,820 --> 00:14:44,822
I told him I'd stay up here
just in case you woke up.
291
00:14:46,365 --> 00:14:48,868
You must have
better things to do.
292
00:14:49,327 --> 00:14:51,162
I send my laundry out.
293
00:14:52,079 --> 00:14:54,165
- You're not married?
- No.
294
00:14:54,707 --> 00:14:56,876
Waiting for the perfect guy?
295
00:14:57,710 --> 00:15:00,630
Let me guess.
You've already found him.
296
00:15:04,675 --> 00:15:07,220
He threw my towels
out the window.
297
00:15:07,345 --> 00:15:08,679
(CHUCKLES)
298
00:15:09,222 --> 00:15:10,890
That's how we met.
299
00:15:11,307 --> 00:15:16,354
Freshman year, Ed came to a party
that my roommate and I threw.
300
00:15:17,104 --> 00:15:20,316
He spent most of the night
on the bathroom floor.
301
00:15:21,776 --> 00:15:25,279
He figured I wouldn't notice
the vomit on the towels
302
00:15:25,404 --> 00:15:27,240
if I didn't have
any towels.
303
00:15:30,117 --> 00:15:32,286
I'm assuming he came back
the next day to apologize?
304
00:15:32,411 --> 00:15:34,997
No way.
I had to track him down.
305
00:15:36,874 --> 00:15:37,917
(SIGHS)
306
00:15:38,042 --> 00:15:41,754
Conflict resolution has never been
one of Ed's strong points.
307
00:15:43,172 --> 00:15:47,343
- Nobody's perfect, right?
- I guess.
308
00:15:48,219 --> 00:15:49,679
Oh, my neck hurts.
309
00:15:51,264 --> 00:15:54,350
You've been in this bed
for a really long time.
310
00:15:56,894 --> 00:15:59,605
We're gonna do the same test
we did last night, okay?
311
00:15:59,730 --> 00:16:03,150
- Do you know what day it is?
- My arm itches.
312
00:16:03,276 --> 00:16:04,735
It's probably
a mild skin irritation.
313
00:16:04,860 --> 00:16:07,196
I'll get you some
hydrocortisone in a minute.
314
00:16:07,321 --> 00:16:10,157
- Do you know what day it is?
- Tuesday. It really itches.
315
00:16:11,576 --> 00:16:14,328
How about I get you
that cream right now?
316
00:16:22,712 --> 00:16:25,089
Oh, my God! Get them off!
Get 'em off of me!
317
00:16:25,214 --> 00:16:26,299
Get 'em off me!
Get 'em off me!
318
00:16:26,424 --> 00:16:29,010
- Elyse, calm down.
- Get them off me!
319
00:16:29,135 --> 00:16:30,970
Elyse, calm down.
Calm down.
320
00:16:31,095 --> 00:16:33,097
They're biting me!
They're biting me!
321
00:16:33,222 --> 00:16:35,099
I'm gonna need some Haldol,
five milligrams.
322
00:16:35,224 --> 00:16:36,225
Honey, what's wrong?
323
00:16:36,350 --> 00:16:37,560
Get 'em off!
324
00:16:40,521 --> 00:16:41,647
Get 'em off.
Get 'em off.
325
00:16:41,772 --> 00:16:45,860
There's nothing there, Elyse.
There's nothing there.
326
00:16:45,985 --> 00:16:46,986
0w!
327
00:16:50,323 --> 00:16:51,907
FOREMAN: We had to sedate her.
328
00:16:52,033 --> 00:16:55,328
You gave sedatives to a patient
who's already sleeping 18 hours a day?
329
00:16:55,453 --> 00:16:57,955
It was better than letting her
scratch all the skin off her arms.
330
00:16:58,080 --> 00:16:59,040
HOUSE: Where's Wilson?
331
00:16:59,165 --> 00:17:01,834
Creepy-crawlies are consistent
with paraneoplastic syndrome.
332
00:17:01,959 --> 00:17:04,170
Onset immediately
after IV IG isn't.
333
00:17:04,295 --> 00:17:06,130
There is
a simple explanation.
334
00:17:06,255 --> 00:17:08,633
Maybe she really has
bugs under her skin.
335
00:17:08,758 --> 00:17:09,592
Infection?
336
00:17:10,384 --> 00:17:13,721
That's whata worsening of symptoms
after immunotherapy would suggest.
337
00:17:13,846 --> 00:17:16,349
Blood cultures and the timeline
rule out most bacteria.
338
00:17:16,474 --> 00:17:19,185
Patient throws up on your shoes,
do you clean up most of it?
339
00:17:19,310 --> 00:17:22,855
The symptoms rule out the rest.
Serology rules out viruses.
340
00:17:22,980 --> 00:17:25,024
CSF smears rule out parasites.
341
00:17:25,149 --> 00:17:28,319
HOUSE: In the final stage
of African trypanosomiasis,
342
00:17:28,444 --> 00:17:30,696
almost all the parasites
are inside the brain.
343
00:17:30,821 --> 00:17:32,907
It's possible they
wouldn't show on smears.
344
00:17:33,032 --> 00:17:36,243
But it's not possible for a patient
who's never been to Africa
345
00:17:36,369 --> 00:17:37,828
to have African
sleeping sickness.
346
00:17:37,953 --> 00:17:39,330
I'm just saying it
fits the symptoms.
347
00:17:39,455 --> 00:17:40,831
She could've got it
from a transfusion.
348
00:17:40,956 --> 00:17:43,125
Or I'm just saying she could've got it
from a transfusion.
349
00:17:43,417 --> 00:17:45,336
Which she never had.
350
00:17:45,711 --> 00:17:47,588
Okay.
WILSON: What about toxins?
351
00:17:47,713 --> 00:17:50,758
No, the kitchen she works in
is cleaner than some hospitals.
352
00:17:50,883 --> 00:17:55,513
But they do serve rabbit.
Rabbit fever fits her symptoms.
353
00:17:55,638 --> 00:17:58,891
Tularemia initially presents with a rash
or ulcer near the infection site.
354
00:17:59,016 --> 00:18:00,726
Not if she inhaled it.
355
00:18:00,851 --> 00:18:04,230
Chopping the meat with the cleaver
could easily aerosolize the bacteria.
356
00:18:04,355 --> 00:18:06,273
No. Then she'd have
respiratory symptoms.
357
00:18:06,399 --> 00:18:08,317
Maybe she ignored it,
figured she had a cold.
358
00:18:08,442 --> 00:18:09,360
We rejected Lyme disease
359
00:18:09,485 --> 00:18:11,112
because the couple would
have noticed a rash,
360
00:18:11,237 --> 00:18:14,115
but a wet, hacking cough
is just gonna slip right by?
361
00:18:14,240 --> 00:18:17,118
It's either that or
she missed her exit on the turnpike
362
00:18:17,243 --> 00:18:18,911
and wound up in Africa.
363
00:18:19,245 --> 00:18:20,955
Okay, two lousy ideas.
364
00:18:21,372 --> 00:18:23,582
Unfortunately, they're better
than all the other ideas.
365
00:18:23,958 --> 00:18:26,836
Tularemia. Bizarre.
366
00:18:28,629 --> 00:18:32,007
Very nice.
That's why I ride you.
367
00:18:41,392 --> 00:18:43,519
Did he just turn on the TV?
368
00:18:43,978 --> 00:18:45,563
He needs to think.
369
00:18:46,731 --> 00:18:49,316
So this should tell us
whether or not she's got rabbit fever?
370
00:18:49,442 --> 00:18:50,776
For a diagnosis
of tularemia
371
00:18:50,901 --> 00:18:53,738
you need a fourfold increase
in serum antibody levels.
372
00:18:53,863 --> 00:18:55,990
To measure an increase you need
a before. All we have is an after.
373
00:18:56,115 --> 00:18:58,451
A single titer over 160
would be a big clue.
374
00:18:58,576 --> 00:18:59,994
"That's why I ride you."
What does that mean?
375
00:19:00,119 --> 00:19:01,829
Even when I have a good idea,
it's because of him?
376
00:19:02,037 --> 00:19:04,540
Actually, I think he said
your idea was a lousy idea.
377
00:19:04,665 --> 00:19:06,125
CAMERON: It has to be
one of these two conditions.
378
00:19:06,333 --> 00:19:09,044
I say we take our best guess
and just start treatment. Or treat both.
379
00:19:09,170 --> 00:19:11,672
The treatment for tularemia
can cause aplastic anemia.
380
00:19:11,797 --> 00:19:13,007
How come he
doesn't ride you guys?
381
00:19:13,132 --> 00:19:15,718
- Got a crush on you.
- He just doesn't know how to show it.
382
00:19:15,843 --> 00:19:17,178
Get over it.
He rides everybody.
383
00:19:17,303 --> 00:19:20,055
And the treatment for sleeping sickness
kills one in 10 patients.
384
00:19:20,181 --> 00:19:21,682
So we start with
the safer treatment.
385
00:19:22,016 --> 00:19:26,353
By "safer", you mean the one that's
slightly less likely to kill her.
386
00:19:39,283 --> 00:19:41,952
Foreman got the gang
testing for tularemia?
387
00:19:42,077 --> 00:19:45,164
Yep. Probably inconclusive,
but worth doing.
388
00:19:46,081 --> 00:19:48,709
So, what's her name?
When do I get to meet her?
389
00:19:48,834 --> 00:19:50,002
There's nobody.
Give it up.
390
00:19:50,252 --> 00:19:52,296
Your lips say no.
Your shoes say yes.
391
00:19:52,421 --> 00:19:55,341
Well, they're French.
You can't trust a word they say.
392
00:19:55,466 --> 00:19:57,551
Solid, yet stylish.
393
00:19:57,927 --> 00:20:00,262
A professional woman
would be impressed.
394
00:20:00,387 --> 00:20:03,265
I'm thinking accountant.
Actuary, maybe.
395
00:20:03,682 --> 00:20:07,311
It's somebody in the hospital.
Patient?
396
00:20:07,436 --> 00:20:10,439
No. Chemo's not sexy.
Daughter of a patient?
397
00:20:10,815 --> 00:20:13,025
She would certainly have
the neediness you need.
398
00:20:13,150 --> 00:20:14,944
I'm not gonna date
a patient's daughter.
399
00:20:15,069 --> 00:20:16,445
Very ethical.
400
00:20:16,570 --> 00:20:19,156
Of course, most married men would say
they don't date at all.
401
00:20:19,281 --> 00:20:20,825
There was no date.
402
00:20:21,909 --> 00:20:24,328
I had lunch with
one of the nurses.
403
00:20:24,453 --> 00:20:25,955
It's her first time
in an oncology unit.
404
00:20:26,080 --> 00:20:28,040
She's having
a tough time emotionally.
405
00:20:28,165 --> 00:20:30,125
- Perfect.
- I wanted to be nice.
406
00:20:30,751 --> 00:20:32,586
That's all. I mean it.
407
00:20:32,962 --> 00:20:35,506
You always do.
It's part of your charm.
408
00:20:36,090 --> 00:20:39,426
Hi, boys.
Mrs. Campbell's test results.
409
00:20:39,552 --> 00:20:42,721
You remember her. The preschool teacher
with the heart of silicone.
410
00:20:42,847 --> 00:20:45,808
- No. Doesn't ring a bell.
- They came in yesterday.
411
00:20:45,933 --> 00:20:47,518
I figured you guys
would have been all over them.
412
00:20:47,643 --> 00:20:50,271
- I know how concerned you were.
- She's all upset
413
00:20:50,396 --> 00:20:52,314
'cause we paid more attention
to the other girl.
414
00:20:52,523 --> 00:20:54,900
You check out her ass.
I've got the chest.
415
00:20:55,734 --> 00:20:58,320
The tests were normal.
Of course, that's just my opinion.
416
00:20:58,445 --> 00:21:00,114
You might wanna call
a couple of guys from maintenance
417
00:21:00,239 --> 00:21:01,615
in for a consult.
418
00:21:01,740 --> 00:21:04,410
You check her EKG results
before she left the other day?
419
00:21:04,535 --> 00:21:06,453
- You ordered it.
- You're the responsible one.
420
00:21:06,579 --> 00:21:08,122
What's wrong?
They look normal to me.
421
00:21:08,247 --> 00:21:11,000
- Where is she?
- Waiting downstairs. Why?
422
00:21:11,333 --> 00:21:12,877
I was right.
423
00:21:20,092 --> 00:21:22,845
Do I have
to get rid of the implants?
424
00:21:23,137 --> 00:21:24,972
Surprisingly, no.
425
00:21:25,431 --> 00:21:28,142
But your EKG shows
a slightly decreased heart rate.
426
00:21:28,267 --> 00:21:29,268
Is that a problem?
427
00:21:29,393 --> 00:21:31,520
You told me you hadn't changed
your diet or exercise.
428
00:21:31,645 --> 00:21:34,231
- Were you lying?
- Lying?
429
00:21:34,356 --> 00:21:36,442
Does your husband have
high blood pressure?
430
00:21:36,567 --> 00:21:38,235
- My husband?
- Yeah, you see,
431
00:21:38,360 --> 00:21:40,154
if you're gonna
repeat everything I say,
432
00:21:40,279 --> 00:21:43,115
this conversation's
gonna take twice as long.
433
00:21:43,240 --> 00:21:44,658
Yes. He was diagnosed
six months ago.
434
00:21:44,783 --> 00:21:46,201
He do a lot of
cooking at home?
435
00:21:46,327 --> 00:21:48,162
Not really, other than
oatmeal in the morning.
436
00:21:48,287 --> 00:21:52,291
Did you happen to notice a slightly
odd taste to the oatmeal lately?
437
00:21:52,416 --> 00:21:53,292
Wait. Are you saying that...
438
00:21:53,417 --> 00:21:54,960
That it looks like
your husband stirred in
439
00:21:55,085 --> 00:21:56,337
some of his blood
pressure medication
440
00:21:56,462 --> 00:21:57,630
along with the brown sugar.
441
00:21:57,755 --> 00:21:59,506
You think my husband's
trying to poison me?
442
00:21:59,632 --> 00:22:01,675
No. Nothing like that.
443
00:22:02,927 --> 00:22:05,638
He just doesn't want
to have sex with you.
444
00:22:05,763 --> 00:22:08,057
Decreased sex drive is one of the most
common side effects
445
00:22:08,182 --> 00:22:09,642
of the beta-blockers
he's been taking.
446
00:22:09,767 --> 00:22:13,437
I'm guessing he figured if you're
both frigid, no harm, no foul.
447
00:22:13,604 --> 00:22:15,105
Should've gotten
him the sweater.
448
00:22:15,773 --> 00:22:17,942
- That's ridiculous.
- Fine.
449
00:22:18,067 --> 00:22:19,735
But if you're still concerned
about the shortness of breath,
450
00:22:19,860 --> 00:22:22,154
I'd start making
your own breakfast.
451
00:22:22,279 --> 00:22:23,489
Wait.
452
00:22:25,157 --> 00:22:26,951
What should I do?
453
00:22:28,619 --> 00:22:32,831
If you care about your husband at all,
I'd do the responsible thing.
454
00:22:32,957 --> 00:22:36,043
Buy yourself some condoms,
go to a bar, find...
455
00:22:41,757 --> 00:22:43,050
Huh.
456
00:22:54,103 --> 00:22:55,980
Lab tests inconclusive?
457
00:22:56,397 --> 00:22:57,815
Not surprisingly.
458
00:22:57,940 --> 00:22:59,274
HOUSE: No. But too bad.
459
00:22:59,984 --> 00:23:03,362
- Luckily, I have the answer.
- To what?
460
00:23:03,779 --> 00:23:06,740
Thanks for asking.
To life itself. Sex.
461
00:23:06,865 --> 00:23:08,242
Anything that can be transmitted
via the blood
462
00:23:08,367 --> 00:23:09,785
can be transmitted
through sex.
463
00:23:09,910 --> 00:23:12,579
- Sleeping sickness from sex?
- It's not without precedent.
464
00:23:12,705 --> 00:23:13,831
I'm pretty sure it is,
465
00:23:13,956 --> 00:23:15,374
unless you're talking
about going to Africa
466
00:23:15,499 --> 00:23:17,126
and having sex
with a tsetse fly.
467
00:23:17,251 --> 00:23:20,087
A Portuguese man was diagnosed
three years ago
468
00:23:20,212 --> 00:23:21,547
with CNS-affected
sleeping sickness.
469
00:23:21,672 --> 00:23:23,257
His only connection with Africa
470
00:23:23,382 --> 00:23:26,218
was through a girlfriend who'd served
with the military in Angola.
471
00:23:26,343 --> 00:23:27,428
Boy. Where'd you find that?
472
00:23:27,553 --> 00:23:31,181
The Journal of the Instituto
de Higiene e Medicina Tropical.
473
00:23:31,724 --> 00:23:33,517
- You don't read Portuguese?
- You do?
474
00:23:33,642 --> 00:23:35,060
Pretty sure
that's what it said.
475
00:23:35,185 --> 00:23:37,271
Either that or it was
an ad for sunglasses.
476
00:23:37,563 --> 00:23:39,565
Her husband has never
been to Africa either.
477
00:23:39,690 --> 00:23:42,943
(EXCLAIMS) Stymied again.
Your logic is bulletproof.
478
00:23:43,068 --> 00:23:46,155
I think ignoring respiratory symptoms
is more likely than cheating.
479
00:23:46,280 --> 00:23:47,448
Because?
480
00:23:47,573 --> 00:23:49,616
They're completely
devoted to each other.
481
00:23:50,409 --> 00:23:53,454
- Because?
- They love each other.
482
00:23:53,912 --> 00:23:54,788
Or?
483
00:23:55,789 --> 00:23:58,208
They're overcompensating
for guilt.
484
00:23:59,543 --> 00:24:00,794
Find out which it is.
485
00:24:00,919 --> 00:24:02,463
You want me to
ask a man whose wife
486
00:24:02,588 --> 00:24:04,381
is about to die
if he cheated on her?
487
00:24:04,506 --> 00:24:07,426
No, I want you to be
polite and let her die.
488
00:24:07,801 --> 00:24:09,136
Actually, I don't want you
to ask her anything.
489
00:24:09,261 --> 00:24:11,722
Foreman, take the husband.
Chase, take the wife.
490
00:24:16,810 --> 00:24:18,353
(MAN CHATTERING ON PA)
491
00:24:21,565 --> 00:24:24,234
You don't trust me
to do my job?
492
00:24:24,610 --> 00:24:27,362
We all formulate questions based
on the answers we want to hear.
493
00:24:27,488 --> 00:24:30,616
And how exactly do you reformulate,
"Have you screwed around?"
494
00:24:30,741 --> 00:24:31,950
Did you know she's been
trying to get pregnant?
495
00:24:32,076 --> 00:24:33,619
- Yes.
- After you got so freaked
496
00:24:33,744 --> 00:24:36,455
about the sick babies a while ago,
I figured that was your thing.
497
00:24:36,580 --> 00:24:38,248
But you've never been
prescribed folic acid,
498
00:24:38,373 --> 00:24:40,209
and you can't lose a baby
if you've never been pregnant.
499
00:24:40,334 --> 00:24:43,295
- You pulled my medical records?
- You coughed the other day.
500
00:24:43,420 --> 00:24:44,630
I was concerned.
501
00:24:44,755 --> 00:24:47,007
You were curious,
like an eight-year-old boy
502
00:24:47,132 --> 00:24:51,428
with a puzzle that's just a little
too grown-up for him to figure out.
503
00:24:51,553 --> 00:24:53,180
"Tomayto, tomahto."
504
00:24:55,015 --> 00:24:59,019
So it's either sleeping sickness
or this rabbit thing?
505
00:24:59,311 --> 00:25:01,355
They're both fatal
without treatment.
506
00:25:01,480 --> 00:25:04,691
And unfortunately, the treatment
for both is extremely dangerous.
507
00:25:04,900 --> 00:25:07,778
- Are there tests you can do?
- Not at this stage.
508
00:25:08,112 --> 00:25:10,989
But each condition
has a unique history.
509
00:25:11,615 --> 00:25:15,369
We're hoping your answers
to a few questions will help us.
510
00:25:15,494 --> 00:25:17,871
Sure.
Whatever you need to know.
511
00:25:18,288 --> 00:25:21,583
Before the sleeping problems,
did you have any trouble breathing?
512
00:25:21,708 --> 00:25:24,962
A cough that wouldn't go away,
anything like that?
513
00:25:27,047 --> 00:25:28,090
No.
514
00:25:28,757 --> 00:25:29,842
Are you certain?
515
00:25:29,967 --> 00:25:30,926
Absolutely.
516
00:25:31,051 --> 00:25:32,928
I've never been away from her
for more than a night.
517
00:25:33,053 --> 00:25:36,223
If she had breathing troubles
I would've noticed.
518
00:25:37,724 --> 00:25:41,228
The other condition is
significantly more likely
519
00:25:43,522 --> 00:25:45,566
if you've had an affair.
520
00:25:45,691 --> 00:25:50,112
- Have you ever had an affair?
- Of course not.
521
00:25:50,654 --> 00:25:51,780
Are you sure?
522
00:25:51,905 --> 00:25:54,074
I think I'd remember
cheating on my wife.
523
00:25:54,199 --> 00:25:55,367
You might be
reluctant to admit it.
524
00:25:55,492 --> 00:25:56,493
No.
525
00:25:56,618 --> 00:25:58,412
I just want to be
perfectly clear.
526
00:25:58,620 --> 00:26:02,457
If your wife has sleeping sickness,
and we don't treat her,
527
00:26:03,500 --> 00:26:04,543
she'll die.
528
00:26:04,668 --> 00:26:06,628
ELYSE: I would never
do that to Ed.
529
00:26:08,547 --> 00:26:10,132
I love him.
530
00:26:10,257 --> 00:26:11,758
ED: Absolutely not.
531
00:26:12,718 --> 00:26:14,219
I love her.
532
00:26:27,941 --> 00:26:30,360
All right then.
They say no cheating,
533
00:26:30,485 --> 00:26:32,321
we cross off
sleeping sickness.
534
00:26:32,779 --> 00:26:34,156
Any new ideas?
535
00:26:36,325 --> 00:26:38,118
Okay. We go with
Foreman's tularemia.
536
00:26:38,243 --> 00:26:39,703
Start her on IV
chloramphenicol,
537
00:26:39,828 --> 00:26:42,206
25 milligrams per kilogram,
four times a day.
538
00:26:42,331 --> 00:26:43,874
Good night.
539
00:26:56,762 --> 00:26:58,472
Where's Ed?
540
00:26:58,597 --> 00:26:59,806
CAMERON: Right next to you.
541
00:27:00,807 --> 00:27:03,143
Well, you're two down,
two to go.
542
00:27:04,978 --> 00:27:08,899
- Two days?
- No. Doses.
543
00:27:09,024 --> 00:27:11,235
You have about 20 more days
of this fun.
544
00:27:12,361 --> 00:27:13,445
What time is it?
545
00:27:13,904 --> 00:27:16,990
About 4:00 a.m.
I pulled the short straw.
546
00:27:21,036 --> 00:27:22,788
Flow rate looks good.
547
00:27:27,626 --> 00:27:29,336
No rash or flushing.
548
00:27:30,629 --> 00:27:31,964
What time is it?
549
00:27:34,716 --> 00:27:36,051
4:00 a.m.
550
00:27:36,885 --> 00:27:39,471
Do you not remember
just asking?
551
00:27:41,765 --> 00:27:43,100
Lull
552
00:27:44,184 --> 00:27:45,394
Elyse?
553
00:27:48,146 --> 00:27:50,399
Elyse? Elyse?
554
00:27:51,024 --> 00:27:51,858
Elyse.
555
00:27:53,026 --> 00:27:54,945
- What are you doing?
- I'm trying to wake her.
556
00:27:55,070 --> 00:27:56,989
- She fall asleep again?
- In the middle of a sentence.
557
00:27:57,114 --> 00:27:58,740
Elyse. Elyse.
558
00:27:58,865 --> 00:27:59,992
MAN: What's happening?
559
00:28:00,117 --> 00:28:01,785
Patient's not responding.
560
00:28:02,119 --> 00:28:04,204
Pulse is fine.
Airway's open.
561
00:28:04,329 --> 00:28:06,248
Check her blood pressure.
562
00:28:08,583 --> 00:28:10,168
Pupils are reactive.
563
00:28:10,294 --> 00:28:12,546
Elyse, wake up.
You gotta wake up.
564
00:28:13,755 --> 00:28:15,048
What does that mean?
What are you doing?
565
00:28:15,173 --> 00:28:19,261
She's unresponsive to pain.
Come on, Elyse.
566
00:28:20,137 --> 00:28:22,931
- Is she dying?
- I don't know.
567
00:28:33,525 --> 00:28:35,068
She's in a coma.
568
00:28:43,327 --> 00:28:46,288
There's only one way
a tularemia patient goes into a coma
569
00:28:46,413 --> 00:28:48,123
while on
IV chloramphenicol.
570
00:28:48,248 --> 00:28:49,833
The patient
doesn't have tularemia.
571
00:28:49,958 --> 00:28:51,460
And then there was one.
572
00:28:51,585 --> 00:28:53,503
Patient comes in
'cause she's sleeping too much.
573
00:28:53,628 --> 00:28:56,590
It takes 10 doctors and a coma
to diagnose sleeping sickness.
574
00:28:56,715 --> 00:28:57,883
And then there was none.
575
00:28:58,091 --> 00:29:01,136
We still have the problem of explaining
how a white chick from Jersey
576
00:29:01,261 --> 00:29:04,306
who's never traveled south of DC
has African sleeping sickness.
577
00:29:04,431 --> 00:29:06,808
The obvious explanation.
578
00:29:06,933 --> 00:29:08,226
I made it clear.
579
00:29:08,352 --> 00:29:09,811
If this guy's lying
about sleeping around,
580
00:29:09,936 --> 00:29:12,272
he knows he's
murdering his wife.
581
00:29:12,397 --> 00:29:14,274
Does seem unlikely.
582
00:29:14,858 --> 00:29:16,401
Go away.
583
00:29:20,155 --> 00:29:21,239
(BEEPING)
584
00:29:34,419 --> 00:29:36,338
ED: What are you doing?
585
00:29:37,172 --> 00:29:42,010
Checking for lymphadenopathy.
And waiting for you.
586
00:29:42,135 --> 00:29:45,472
- Who are you?
- I'm Dr. House.
587
00:29:45,639 --> 00:29:48,642
Your wife has
human African trypanosomiasis.
588
00:29:50,477 --> 00:29:51,520
Sleeping sickness.
589
00:29:51,645 --> 00:29:56,566
You mean it's not tularemia,
a virus, tumor or cancer?
590
00:29:56,691 --> 00:29:57,692
No.
591
00:30:00,570 --> 00:30:02,572
I've never had an affair.
592
00:30:03,865 --> 00:30:07,244
- I believe you.
- And I trust Elyse.
593
00:30:09,413 --> 00:30:12,666
The treatment for
this disease is a drug
594
00:30:13,083 --> 00:30:16,002
that's fatal on its own
10% of the time.
595
00:30:17,087 --> 00:30:18,296
Which is why I need
your written consent
596
00:30:18,422 --> 00:30:20,048
before I can
legally prescribe it.
597
00:30:20,173 --> 00:30:22,467
Why would she lie
if she knew it could kill her?
598
00:30:22,592 --> 00:30:25,971
I don't ask why patients lie.
I just assume they all do.
599
00:30:26,596 --> 00:30:28,515
- But why?
- To protect you,
600
00:30:28,640 --> 00:30:32,269
because she didn't think it mattered,
it just seemed easier,
601
00:30:33,520 --> 00:30:35,313
because that's what people do.
602
00:30:38,108 --> 00:30:40,068
If you're absolutely
certain that your wife
603
00:30:40,193 --> 00:30:41,903
has never had sex
with anyone but you
604
00:30:42,028 --> 00:30:44,322
since you were married,
then I'm wrong.
605
00:30:46,366 --> 00:30:50,287
But if you think there's a possibility
that just one time
606
00:30:51,997 --> 00:30:53,665
she wasn't perfect,
607
00:30:54,624 --> 00:30:57,002
one weekend
you're out of town,
608
00:30:58,128 --> 00:30:59,963
one fight where
she ran to a friend,
609
00:31:00,088 --> 00:31:02,215
one stupid Christmas party,
610
00:31:05,051 --> 00:31:07,971
then you need to allow me
to start treatment.
611
00:31:09,306 --> 00:31:11,266
Because if we don't,
612
00:31:11,766 --> 00:31:13,643
she's gonna be dead
by tomorrow morning.
613
00:31:23,111 --> 00:31:25,238
You trust your
wife that much?
614
00:31:28,033 --> 00:31:29,409
I don't know.
615
00:31:34,164 --> 00:31:36,208
I'm gonna start the treatment.
616
00:31:51,181 --> 00:31:54,226
- Glass syringes?
- And special IV tubing.
617
00:31:55,352 --> 00:31:58,313
- Why do we need this stuff?
- Because melarsoprol melts plastic.
618
00:31:58,438 --> 00:32:02,150
This stuffs basically arsenic
mixed with antifreeze.
619
00:32:02,275 --> 00:32:04,027
What doesn't kill us
makes us stronger, huh?
620
00:32:04,152 --> 00:32:07,072
Nietzsche wouldn't have been so glib
if he'd been prescribed melarsoprol.
621
00:32:09,866 --> 00:32:11,993
"Can cause vomiting,
abdominal pain,
622
00:32:12,118 --> 00:32:14,996
blood toxicity, neural damage,
cardiac arrhythmia."
623
00:32:15,121 --> 00:32:17,415
They forgot to say
it's gonna hurt like all hell.
624
00:32:17,791 --> 00:32:19,543
She's lucky
she's in a coma.
625
00:32:37,227 --> 00:32:38,895
How long before we
know if it's working?
626
00:32:39,020 --> 00:32:40,438
It's tough to say.
627
00:32:41,022 --> 00:32:44,234
It's a good sign
that she hasn't gotten any worse.
628
00:32:46,820 --> 00:32:48,363
Does she even know I'm here?
629
00:32:49,489 --> 00:32:52,033
She knows you're
always there for her.
630
00:32:54,035 --> 00:32:55,161
Yeah.
631
00:32:56,162 --> 00:32:57,831
If she gets better,
632
00:32:58,415 --> 00:33:00,542
it means she wasn't
always there for me.
633
00:33:04,129 --> 00:33:06,298
It means
she made a mistake.
634
00:33:08,133 --> 00:33:09,884
I can't help it.
635
00:33:10,427 --> 00:33:14,431
Part of me, a big part of me,
can't handle that.
636
00:33:17,934 --> 00:33:19,144
It doesn't want
her to get better.
637
00:33:29,362 --> 00:33:32,032
Does that make me
a terrible person?
638
00:33:39,831 --> 00:33:41,249
Yes.
639
00:34:00,644 --> 00:34:01,978
(ELEVATOR BELL DINGS)
640
00:34:03,104 --> 00:34:06,149
So you're treating her
for African sleeping sickness
641
00:34:06,274 --> 00:34:07,400
because you don't
think it's possible
642
00:34:07,525 --> 00:34:09,277
for someone to be
faithful in a relationship?
643
00:34:09,402 --> 00:34:11,446
- And you do?
- Yes.
644
00:34:11,571 --> 00:34:12,864
And you need to
tell me that.
645
00:34:12,989 --> 00:34:13,948
(CHUCKLES)
646
00:34:14,074 --> 00:34:15,700
Look. I am not having an affair.
647
00:34:15,825 --> 00:34:17,952
I had lunch with
someone I work with.
648
00:34:18,078 --> 00:34:20,413
- At work. Once.
- I believe you.
649
00:34:20,538 --> 00:34:23,166
What I don't believe
is it'll be just once.
650
00:34:23,291 --> 00:34:25,377
- I love my wife.
- You certainly love saying it.
651
00:34:25,502 --> 00:34:26,586
(CHUCKLES)
652
00:34:27,379 --> 00:34:29,172
I'm sorry. I know
you love your wife.
653
00:34:29,297 --> 00:34:32,384
You loved all your wives.
Probably still do.
654
00:34:32,509 --> 00:34:33,593
In fact,
you probably love all
655
00:34:33,718 --> 00:34:35,261
the women you loved
who weren't your wife.
656
00:34:35,387 --> 00:34:36,930
You can be a real jerk sometimes,
you know that?
657
00:34:37,055 --> 00:34:38,348
Yeah. And you're
the good guy.
658
00:34:38,473 --> 00:34:39,391
At least I try.
659
00:34:39,516 --> 00:34:41,601
As long as you're trying to be good,
you can do whatever you want.
660
00:34:41,726 --> 00:34:43,144
And as long as
you're not trying,
661
00:34:43,269 --> 00:34:44,521
you can say
whatever you want.
662
00:34:44,646 --> 00:34:46,272
So, between us,
we can do anything.
663
00:34:46,398 --> 00:34:48,066
We can rule the world.
664
00:34:48,191 --> 00:34:49,150
(SIGHS)
665
00:35:01,371 --> 00:35:05,750
Mixing up some margaritas?
Mine's a double, senorita.
666
00:35:05,917 --> 00:35:08,086
- That's Portuguese, you know.
- Spanish.
667
00:35:09,754 --> 00:35:10,964
Uh-oh.
668
00:35:13,133 --> 00:35:17,095
- What's goin' on?
- I'm recalibrating the centrifuge.
669
00:35:17,929 --> 00:35:19,180
Turn around.
670
00:35:28,481 --> 00:35:32,944
It's a very sad thing,
an uncalibrated centrifuge.
671
00:35:33,278 --> 00:35:36,489
- Makes me cry too.
- I'm not crying.
672
00:35:37,657 --> 00:35:38,783
Okay-
673
00:35:52,964 --> 00:35:55,216
I told the husband
he was a jerk.
674
00:35:57,177 --> 00:35:58,261
Why?
675
00:36:05,518 --> 00:36:07,353
When I was in college,
676
00:36:10,774 --> 00:36:14,152
I fell in love,
and I got married.
677
00:36:17,906 --> 00:36:19,949
At that age,
the chances of a marriage lasting...
678
00:36:20,074 --> 00:36:21,785
It lasted six months.
679
00:36:24,329 --> 00:36:27,332
Thyroid cancer metastasized
to his brain.
680
00:36:27,457 --> 00:36:29,834
There was nothing
they could do.
681
00:36:31,711 --> 00:36:33,213
I was 21, and...
682
00:36:35,215 --> 00:36:37,050
I watched
my husband die.
683
00:36:41,513 --> 00:36:42,722
I'm sorry.
684
00:36:47,018 --> 00:36:48,853
But that's not
the whole story.
685
00:36:51,022 --> 00:36:53,566
It's a symptom,
not your illness.
686
00:36:54,108 --> 00:36:56,110
Thyroid cancer
would have been diagnosed
687
00:36:56,236 --> 00:36:57,445
at least
a year before his death.
688
00:36:57,570 --> 00:37:00,198
You knew he was dying
when you married him.
689
00:37:00,990 --> 00:37:03,743
Possibly when
you first met him.
690
00:37:06,371 --> 00:37:08,498
And you married
him anyway.
691
00:37:11,125 --> 00:37:15,046
You can't be that good a person
and well-adjusted.
692
00:37:16,130 --> 00:37:17,215
Why?
693
00:37:19,175 --> 00:37:21,970
'Cause you wind up
crying over centrifuges.
694
00:37:25,056 --> 00:37:26,766
Or hating people?
695
00:37:27,100 --> 00:37:28,351
(PAGER BEEPING)
696
00:37:35,733 --> 00:37:37,068
(PAGER BEEPING)
697
00:37:42,490 --> 00:37:44,450
CHASE: Her fever
spiked at 104.
698
00:37:44,576 --> 00:37:46,077
Echo shows
global hyperkinesis.
699
00:37:46,202 --> 00:37:48,246
- Blood pressure?
- Barely 90 over 40.
700
00:37:48,371 --> 00:37:49,497
Did you give her dopamine?
701
00:37:49,622 --> 00:37:52,584
Started 270 micrograms per minute
10 minutes ago.
702
00:37:52,709 --> 00:37:54,168
Still no change.
703
00:37:56,796 --> 00:37:58,256
(HEART MONITOR BEEPING)
704
00:38:01,050 --> 00:38:02,594
Killing the parasites
isn't gonna do much good
705
00:38:02,719 --> 00:38:04,429
if we kill her heart
at the same time.
706
00:38:04,554 --> 00:38:07,015
A heart can be replaced.
A brain can't.
707
00:38:07,140 --> 00:38:09,100
Right now
we're killing both.
708
00:38:09,809 --> 00:38:11,603
If she's gonna die,
we should at least let her do it
709
00:38:11,728 --> 00:38:14,355
without that acid
flowing through her veins.
710
00:38:14,480 --> 00:38:16,232
What's happening?
711
00:38:18,151 --> 00:38:20,278
We would've expected
your wife's condition
712
00:38:20,403 --> 00:38:22,614
to show some
improvement by now.
713
00:38:23,156 --> 00:38:24,324
It hasn't.
714
00:38:24,824 --> 00:38:26,826
It's going the other way.
715
00:38:57,899 --> 00:38:59,442
Please don't die.
716
00:39:01,778 --> 00:39:03,404
Please don't die.
717
00:39:13,790 --> 00:39:15,291
(BEEPING RAPIDLY)
718
00:39:29,555 --> 00:39:30,765
She's awake.
719
00:40:11,764 --> 00:40:13,766
Hey. She's gonna be okay.
720
00:40:14,892 --> 00:40:16,769
Yeah. Sure.
721
00:40:46,257 --> 00:40:48,176
What are you gonna do?
722
00:40:48,301 --> 00:40:50,928
Were you always
honest with her?
723
00:40:51,262 --> 00:40:53,139
Do you know how lucky you are?
Your wife is alive.
724
00:40:53,264 --> 00:40:54,724
She loves you.
725
00:40:55,391 --> 00:40:57,060
What she did...
726
00:40:58,144 --> 00:41:01,022
You can't love a person
and do that to them.
727
00:41:03,316 --> 00:41:04,942
She loves you.
728
00:41:26,297 --> 00:41:27,381
(sesame)
729
00:41:42,647 --> 00:41:45,525
I need to know
who you had the affair with.
730
00:41:48,986 --> 00:41:52,281
He has to be notified
so he can get treatment as well.
731
00:41:55,952 --> 00:41:57,787
Why did you lie to us?
732
00:41:58,412 --> 00:42:00,832
You knew your
life was at stake.
733
00:42:07,296 --> 00:42:09,465
He's not coming back, is he?
734
00:42:14,637 --> 00:42:18,850
We all make mistakes,
and we all pay a price.
735
00:42:25,481 --> 00:42:26,732
(SNIFFLING)
736
00:42:28,484 --> 00:42:30,027
I need that name.
737
00:42:43,749 --> 00:42:46,252
Hey, there.
How you doin'?
738
00:42:46,836 --> 00:42:47,920
Fine.
739
00:42:50,298 --> 00:42:52,592
Do you know
where your dad is?
740
00:43:01,017 --> 00:43:02,768
Can I help you?