1 00:00:04,651 --> 00:00:08,780 We're in the car, honey. We're going to the hospital for tests. 2 00:00:16,413 --> 00:00:20,250 We're in the hospital. We're going to the doctor's office. 3 00:00:26,882 --> 00:00:28,467 Can you tell me what this is called? 4 00:00:31,094 --> 00:00:33,472 You use it to get food from inside. 5 00:00:33,597 --> 00:00:35,223 Yes, but what's it called? 6 00:00:36,892 --> 00:00:38,435 Is it a spatula? 7 00:00:38,560 --> 00:00:39,853 No. 8 00:00:39,978 --> 00:00:41,772 - Good. - Is it a can opener? 9 00:00:41,897 --> 00:00:46,193 No. It's... It's... 10 00:00:48,862 --> 00:00:50,739 You're trying to make me look stupid. 11 00:00:51,907 --> 00:00:54,993 You can go to hell! Why don't you kill yourself? 12 00:00:55,118 --> 00:00:56,662 Andres. 13 00:00:58,330 --> 00:00:59,915 It's okay. 14 00:01:02,501 --> 00:01:03,877 (CHUCKLES) 15 00:01:04,336 --> 00:01:05,921 There she is. 16 00:01:06,421 --> 00:01:07,964 Here I am. 17 00:01:08,090 --> 00:01:09,216 Here. Come on. 18 00:01:14,262 --> 00:01:16,515 You just need to answer a few more questions, 19 00:01:16,640 --> 00:01:18,517 then we're going home. We'll have lunch, okay? 20 00:01:19,142 --> 00:01:20,352 Okay- 21 00:01:23,730 --> 00:01:24,940 I'm sorry. 22 00:01:26,942 --> 00:01:28,944 I have Alzheimer's. 23 00:01:29,277 --> 00:01:30,946 I know. 24 00:01:31,363 --> 00:01:36,034 The mood swings come on quickly, but it's under control. 25 00:01:36,159 --> 00:01:39,496 Don't worry. He's actually perfect for the drug trial. 26 00:01:40,539 --> 00:01:41,957 Oh. (SIGHS) (CHUCKLES) 27 00:01:43,333 --> 00:01:44,376 Thank God. 28 00:01:44,501 --> 00:01:46,336 We can start as soon as next week. 29 00:01:46,712 --> 00:01:47,963 (COUGHING) 30 00:01:50,257 --> 00:01:52,968 Andres! Oh, my God! 31 00:01:54,886 --> 00:01:56,179 Andres? 32 00:02:31,131 --> 00:02:31,172 FOREMAN: Early onset familial Alzheimer's. Brazilian descent. 33 00:02:31,173 --> 00:02:34,217 FOREMAN: Early onset familial Alzheimer's. Brazilian descent. 34 00:02:34,342 --> 00:02:36,011 Blood chemistries showed high ammonia. 35 00:02:36,344 --> 00:02:39,347 Vomiting stopped after the ER put him on antiemetics. 36 00:02:39,473 --> 00:02:41,183 Any recent health issues? 37 00:02:41,308 --> 00:02:43,977 Just a sore throat a few weeks ago. 38 00:02:44,102 --> 00:02:46,646 How advanced is he? Could be hyperalimentation. 39 00:02:46,772 --> 00:02:48,815 Advanced enough, but no IV feedings. 40 00:02:48,940 --> 00:02:50,942 The wife shut down her floral company to stay home 41 00:02:51,067 --> 00:02:53,361 and feed him every meal he's had in the last four years. 42 00:02:53,487 --> 00:02:55,280 Do we owe this case to your guilt 43 00:02:55,405 --> 00:02:57,449 at having ignored your own forgetful mommy? 44 00:02:57,574 --> 00:02:59,701 My guilt over my mom is why I put up with my dad. 45 00:02:59,826 --> 00:03:00,911 You're taking this case 46 00:03:01,036 --> 00:03:03,038 because we're running a Phase Two trial on an Alzheimer's drug. 47 00:03:03,163 --> 00:03:05,916 You couldn't round up enough doddering, old guinea pigs, 48 00:03:06,041 --> 00:03:07,876 so you need us to fix this little piggy? 49 00:03:08,001 --> 00:03:11,087 I'd like to sit in. Especially since you're short a team member. 50 00:03:11,213 --> 00:03:12,923 You mean Taub? Got him in here. 51 00:03:13,048 --> 00:03:15,008 He asked for personal days. His daughter's sick. 52 00:03:15,133 --> 00:03:17,594 Isn't that the point of having a spare? 53 00:03:17,719 --> 00:03:18,970 I denied his request. 54 00:03:19,095 --> 00:03:20,806 After I'd already approved it, 55 00:03:20,931 --> 00:03:22,307 which you knew because I sent you a memo. 56 00:03:24,184 --> 00:03:28,939 Dr. Adams, taped under your chair is an index card. 57 00:03:29,064 --> 00:03:30,232 Would you read it, please? 58 00:03:39,115 --> 00:03:41,409 "Wednesday, 2:43 p.m. 59 00:03:41,535 --> 00:03:45,539 "A black pawn will believe he's the black king 60 00:03:45,664 --> 00:03:49,626 "and attempt to capture the white head of diagnostics." 61 00:03:51,419 --> 00:03:53,380 It's 10:15 on Friday. 62 00:03:53,505 --> 00:03:56,967 Damn it. (SIGHS) Look, the point is, I saw this coming. 63 00:03:57,551 --> 00:03:59,970 Dr. Foreman and I did not always see eye to eye, 64 00:04:00,095 --> 00:04:01,972 but he never had the power to overrule me. 65 00:04:02,097 --> 00:04:03,181 Now that he has the power, 66 00:04:03,306 --> 00:04:05,600 he won't be able to resist the temptation to use it. 67 00:04:05,725 --> 00:04:08,603 With great power comes great micromanaging. 68 00:04:08,728 --> 00:04:09,980 And great vests. 69 00:04:10,105 --> 00:04:12,649 I know you're the better diagnostician. 70 00:04:12,774 --> 00:04:14,734 I'm not gonna interfere. I'm only here to help. 71 00:04:14,860 --> 00:04:17,487 Could be transient nitrogen load from a GI bleed. 72 00:04:17,612 --> 00:04:18,989 Not if the vomiting's persistent. 73 00:04:19,114 --> 00:04:22,492 Which we won't know, because the ER put him on antiemetics. 74 00:04:22,617 --> 00:04:23,577 Take him off. 75 00:04:23,702 --> 00:04:24,995 Wait. He was puking his guts out. 76 00:04:25,120 --> 00:04:27,080 We'd risk aspiration. 77 00:04:29,165 --> 00:04:31,126 I'm just disagreeing, not overruling. 78 00:04:31,793 --> 00:04:35,255 So glad you're on board. Take him off antiemetics. 79 00:04:35,380 --> 00:04:37,257 Do an upper endoscopy to check for bleeds. 80 00:04:43,638 --> 00:04:45,473 It could be a bladder infection. 81 00:04:45,599 --> 00:04:46,850 We'll run a pregnancy test. 82 00:04:46,975 --> 00:04:48,018 I'm not pregnant. 83 00:04:48,143 --> 00:04:50,520 Any type of birth control can fail. 84 00:04:50,645 --> 00:04:52,022 Not mine. 85 00:04:54,566 --> 00:04:57,110 Oh, I'm sorry. You said you were married? 86 00:04:57,235 --> 00:04:58,403 Yeah. Happily- 87 00:04:59,237 --> 00:05:04,117 It's okay. Sex can wane in any marriage over time. 88 00:05:04,367 --> 00:05:06,286 No, no. We've never had sex. 89 00:05:07,787 --> 00:05:11,833 We kiss and cuddle, but neither one of us is interested in sex. 90 00:05:13,835 --> 00:05:16,087 You're both celibate? 91 00:05:16,212 --> 00:05:18,173 No, neither of us. 92 00:05:18,298 --> 00:05:21,509 Celibacy is a choice. This is our orientation. 93 00:05:23,053 --> 00:05:24,137 We're asexual. 94 00:05:27,265 --> 00:05:30,810 Not quite sure what box to check here. 95 00:05:30,936 --> 00:05:32,062 CHASE: You're making a mistake. 96 00:05:32,187 --> 00:05:33,897 If I had the power to veto him, 97 00:05:34,022 --> 00:05:36,066 given all the crap I've put up with over the years, 98 00:05:36,191 --> 00:05:37,609 I don't know if I could use it objectively. 99 00:05:37,734 --> 00:05:38,777 I do. 100 00:05:38,902 --> 00:05:40,236 I can. I have. 101 00:05:40,820 --> 00:05:44,032 It might be easier if you'd stay out of the room. 102 00:05:44,157 --> 00:05:47,285 I thought it'd be different. This week. 103 00:05:47,410 --> 00:05:51,081 I'm supposed to talk to his PO about getting his ankle monitor off early. 104 00:05:51,206 --> 00:05:52,624 You're saying he should defer to you? 105 00:05:52,749 --> 00:05:55,752 No. I'm just saying what he's doing doesn't seem rational, 106 00:05:55,877 --> 00:05:59,172 which makes me think it's rational in a way I'm not privy to. 107 00:05:59,297 --> 00:06:01,091 He always has a plan. 108 00:06:01,216 --> 00:06:03,093 And he's always self-destructive. 109 00:06:03,218 --> 00:06:06,304 He may just be shooting himself in the ankle. 110 00:06:13,228 --> 00:06:17,107 I know it feels strange. Dr. Chase is just looking in your throat. 111 00:06:17,232 --> 00:06:19,651 We're in the hospital. You're fine. 112 00:06:21,111 --> 00:06:22,946 That's a pretty nice trophy there, Andres. 113 00:06:23,071 --> 00:06:24,406 NATALIE: He coached youth soccer. 114 00:06:24,531 --> 00:06:26,116 Took a team that was zero-and-six 115 00:06:26,241 --> 00:06:28,493 all the way to the state finals at Long Branch. 116 00:06:34,791 --> 00:06:36,126 Hey, thanks for doing this in here. 117 00:06:36,251 --> 00:06:38,461 Switching rooms can be very disorienting. 118 00:06:38,586 --> 00:06:40,005 You take very good care of him. 119 00:06:40,547 --> 00:06:43,174 I love him. Sickness and health, right? 120 00:06:43,299 --> 00:06:46,720 Upper esophagus is clear, moving on to the GE junction. 121 00:06:46,845 --> 00:06:47,846 (DOOR SLIDES OPEN) 122 00:06:49,014 --> 00:06:51,016 - Hi. - Hey. 123 00:06:51,141 --> 00:06:54,019 I'm sorry, family members only during procedures. 124 00:06:54,477 --> 00:06:56,021 I'll wait outside. 125 00:06:56,146 --> 00:06:58,565 Oh, no, please, it's okay. 126 00:06:58,690 --> 00:07:02,277 Joseph helps me with my husband sometimes. 127 00:07:03,361 --> 00:07:04,446 He's a good friend. 128 00:07:04,571 --> 00:07:07,282 Which means not family. 129 00:07:07,824 --> 00:07:09,159 Wait, we're gonna be here a while. 130 00:07:09,284 --> 00:07:12,412 Why don't you show Joseph where the visitor's lounge is? 131 00:07:12,537 --> 00:07:13,830 Okay- 132 00:07:19,419 --> 00:07:20,545 What? 133 00:07:21,296 --> 00:07:23,423 I'm surprised you didn't go into the diplomatic corps. 134 00:07:23,548 --> 00:07:25,800 Oh, you think they're... 135 00:07:27,927 --> 00:07:28,970 No. If they're having sex, 136 00:07:29,095 --> 00:07:30,638 it's probably with their genitals. 137 00:07:32,390 --> 00:07:36,436 Mallory-Weiss tear. Vomiting must have torn the lining. 138 00:07:39,939 --> 00:07:43,234 You know that close to 1% of the population identifies as asexual? 139 00:07:45,320 --> 00:07:48,198 We really got to get you laid. 140 00:07:48,323 --> 00:07:51,076 If I have to plow that furrow myself, so be it. 141 00:07:51,201 --> 00:07:53,244 I've a patient who's asexual. 142 00:07:53,369 --> 00:07:55,622 Is she a giant pool of algae? 143 00:07:55,747 --> 00:07:57,957 It's a valid sexual orientation, 144 00:07:58,083 --> 00:07:59,459 according to this article, at least. 145 00:07:59,834 --> 00:08:02,962 Yeah, I think I read that, too. Is that Fugliness Weekly? 146 00:08:03,088 --> 00:08:04,756 She's perfectly fine-looking. 147 00:08:04,881 --> 00:08:05,965 Happily married for 10 years. 148 00:08:06,091 --> 00:08:08,218 To a guy who loves penis enough for both of them. 149 00:08:09,344 --> 00:08:10,345 He's asexual, too. 150 00:08:11,471 --> 00:08:12,931 Ran a complete physical on her. 151 00:08:13,056 --> 00:08:15,350 Nothing wrong except a common bladder infection. 152 00:08:18,019 --> 00:08:21,064 Hundred bucks says I can find a medical reason 153 00:08:21,189 --> 00:08:22,232 why she doesn't want to have sex. 154 00:08:22,357 --> 00:08:23,733 You're out of your mind if you think 155 00:08:23,858 --> 00:08:25,485 I'm letting you anywhere near my patient. 156 00:08:25,610 --> 00:08:27,112 Fine, I won't go near her. 157 00:08:27,237 --> 00:08:30,990 Just give me her file and any blood samples you have left over. 158 00:08:33,827 --> 00:08:37,622 No contact whatsoever. You talk to her, the bet is void. 159 00:08:37,747 --> 00:08:41,376 No contact. Plays to my strengths, anyway. 160 00:08:46,256 --> 00:08:47,382 (DOOR SLIDES OPEN) 161 00:08:48,550 --> 00:08:50,135 Right now's not a good time, House. 162 00:08:50,260 --> 00:08:51,886 Not for the Dean of Medicine, 163 00:08:52,011 --> 00:08:54,264 but it's the perfect time if you're a member of my team. 164 00:08:54,389 --> 00:08:56,307 Which one are you? 165 00:08:57,392 --> 00:08:59,394 What did the endoscopy show? 166 00:09:00,186 --> 00:09:02,063 No signs of ulcers or blockages. 167 00:09:02,188 --> 00:09:03,398 (BEEPING) 168 00:09:06,484 --> 00:09:09,279 But you found a tear just below the esophagus. 169 00:09:09,404 --> 00:09:10,280 Explains the bleeding. 170 00:09:10,405 --> 00:09:13,283 Doesn't explain why he vomited so hard he ripped his insides. 171 00:09:13,408 --> 00:09:16,077 His liver enzymes are slightly elevated. Gallstones could... 172 00:09:16,202 --> 00:09:17,328 No complaints of pain. 173 00:09:17,453 --> 00:09:21,082 Steatohepatitis would make his AST and ATL levels rise. 174 00:09:22,292 --> 00:09:23,877 Are you calling his liver fat? 175 00:09:25,336 --> 00:09:26,462 Start the patient on statins, 176 00:09:26,588 --> 00:09:27,964 do a biopsy to confirm. 177 00:09:28,089 --> 00:09:29,924 And knock him out, I've heard he's a wiggler. 178 00:09:30,049 --> 00:09:31,134 There's no need to put him under. 179 00:09:31,259 --> 00:09:34,429 We can confirm fatty liver with an ultrasound. 180 00:09:35,138 --> 00:09:37,432 Just making an observation. 181 00:09:37,932 --> 00:09:40,977 Well done. And now, as a member of my team, 182 00:09:41,102 --> 00:09:44,147 you can make the equally useful observations that the sky is blue, 183 00:09:44,272 --> 00:09:47,609 I'm wearing pants, and I'm ignoring your first observation. 184 00:09:48,067 --> 00:09:49,152 Of course. 185 00:09:54,908 --> 00:09:55,867 Wait. 186 00:09:55,992 --> 00:09:57,452 And there it is. 187 00:09:57,827 --> 00:09:59,495 You're trying to screw with my confidence. 188 00:09:59,621 --> 00:10:00,622 Well, if I wanted to do that, 189 00:10:00,747 --> 00:10:02,332 I'd tell you how much the nurses hate you. 190 00:10:02,457 --> 00:10:05,168 You're trying to get me to define myself as a subordinate 191 00:10:05,293 --> 00:10:07,128 to keep me from ever intervening, 192 00:10:07,253 --> 00:10:09,339 even if it's fully in the scope of my duties. 193 00:10:09,464 --> 00:10:11,799 Like now. This isn't about diagnostics, 194 00:10:11,925 --> 00:10:13,259 it's about what's safe for the patient. 195 00:10:13,635 --> 00:10:14,886 Do the ultrasound. 196 00:10:16,054 --> 00:10:17,764 Ultrasound it is. 197 00:10:18,514 --> 00:10:19,974 And the nurses love you. 198 00:10:24,729 --> 00:10:27,065 You don't think I knew House was gonna tell you to ignore me 199 00:10:27,190 --> 00:10:28,566 and not do the ultrasound? 200 00:10:29,150 --> 00:10:30,360 This is an ultrasound machine. 201 00:10:30,485 --> 00:10:33,363 Which you're gonna use to do an ultrasound-guided biopsy. 202 00:10:33,863 --> 00:10:36,699 You've probably got a kit stashed here... 203 00:10:45,500 --> 00:10:50,004 "Cuddy Dark will waste his afternoon chasing conspiracy theories." 204 00:10:50,129 --> 00:10:52,006 You're letting him get inside your head. 205 00:10:52,131 --> 00:10:53,967 He can do a lot of damage in there. 206 00:10:55,510 --> 00:10:59,013 Dr. Chase, he started vomiting again. 207 00:11:01,599 --> 00:11:03,935 This is why we stopped the antiemetics. 208 00:11:04,060 --> 00:11:05,561 We needed to see if it was still a symptom. 209 00:11:05,687 --> 00:11:06,896 Okay- 210 00:11:07,814 --> 00:11:09,399 Here. You want this? 211 00:11:09,524 --> 00:11:12,527 Get your hands off me. You're taking my head! 212 00:11:13,611 --> 00:11:16,906 It's okay, Andres. You're in the hospital. 213 00:11:19,742 --> 00:11:20,868 (GRUNTING) 214 00:11:22,537 --> 00:11:23,413 (GLASS SHATTERING) 215 00:11:23,538 --> 00:11:24,914 10 milligrams of diazepam. 216 00:11:25,039 --> 00:11:26,416 Already on it. 217 00:11:26,541 --> 00:11:28,251 - Hey! - NATALIE: I'm fine. I'm fine. 218 00:11:32,213 --> 00:11:33,548 (PANTING) 219 00:11:34,382 --> 00:11:35,800 Foreman. 220 00:11:35,925 --> 00:11:37,552 FOREMAN: Blood in his urine. 221 00:11:43,558 --> 00:11:46,352 JESSICA: We resumed the antiemetics and increased his sedation. 222 00:11:46,477 --> 00:11:47,478 He really went after her. 223 00:11:47,603 --> 00:11:49,605 Maybe he found out about her "good friend." 224 00:11:49,731 --> 00:11:52,442 It was just paranoid rage. Typical of Alzheimer's. 225 00:11:52,567 --> 00:11:53,860 We don't even know if they were sleeping together. 226 00:11:53,985 --> 00:11:56,070 A few hours ago, you were sure. 227 00:11:56,195 --> 00:11:58,448 And that's significant why? 228 00:11:58,573 --> 00:12:01,075 Sorry, only the bleeding's medically relevant. 229 00:12:01,200 --> 00:12:02,452 No, I wasn't being rhetorical. 230 00:12:02,577 --> 00:12:06,581 If they are sleeping together, why do we disapprove? 231 00:12:07,582 --> 00:12:09,459 You're pro infidelity? 232 00:12:09,584 --> 00:12:10,585 She's not married. 233 00:12:12,587 --> 00:12:14,630 If marriage is feeding and cleaning someone 234 00:12:14,756 --> 00:12:18,343 and limiting conversation to repeating a few simple commands, 235 00:12:18,468 --> 00:12:20,094 then I was married to my pet rat. 236 00:12:20,219 --> 00:12:22,597 And a lot of people owe me wedding gifts. 237 00:12:22,722 --> 00:12:24,599 And we're walking, we're walking. 238 00:12:24,724 --> 00:12:28,269 I don't care how sick your spouse gets, you don't jump ship. 239 00:12:28,394 --> 00:12:31,356 Alzheimer's is different. She can't share her problems with him, 240 00:12:31,481 --> 00:12:33,691 or plan for the future. The man she married no longer exists. 241 00:12:33,816 --> 00:12:35,360 Yes, he does. He's in there. 242 00:12:35,485 --> 00:12:37,487 This is why you get married. 243 00:12:37,612 --> 00:12:40,281 Said the divorced woman to the divorced man. 244 00:12:40,406 --> 00:12:44,494 I didn't jump ship. My husband sank it when he cheated on me. 245 00:12:44,619 --> 00:12:46,287 Commitment's not conditional. 246 00:12:46,412 --> 00:12:49,207 She is there for him in the only way that matters now. 247 00:12:49,332 --> 00:12:50,500 She gave up her life to take care of him. 248 00:12:50,625 --> 00:12:51,709 Proves she's an idiot. 249 00:12:51,834 --> 00:12:54,087 If she had any sense, she'd have stuck him in a facility 250 00:12:54,212 --> 00:12:55,505 and jumped on that strange... 251 00:12:55,630 --> 00:12:58,341 Dr. Foreman. We were just looking for you. 252 00:12:58,466 --> 00:13:00,343 I was right about the antiemetics. 253 00:13:00,468 --> 00:13:01,594 If we kept him on them like I said, 254 00:13:01,719 --> 00:13:03,638 he wouldn't have gotten agitated and punched his wife. 255 00:13:03,763 --> 00:13:06,432 Yes, we're back to my supposed diabolical plan 256 00:13:06,557 --> 00:13:08,309 to shake your confidence. 257 00:13:08,434 --> 00:13:10,520 Let's see if this helps. 258 00:13:10,645 --> 00:13:12,939 If you're speaking as a team member, 259 00:13:13,064 --> 00:13:14,482 then I'd say you're a moron. 260 00:13:14,607 --> 00:13:16,192 'Cause taking him off the antiemetics 261 00:13:16,317 --> 00:13:18,152 gave us crucial diagnostic information. 262 00:13:18,277 --> 00:13:21,531 If you're speaking as Dean of Medicine, then I'd say you're a moron. 263 00:13:21,656 --> 00:13:24,242 'Cause your micromanaging kept us from doing a biopsy. 264 00:13:24,367 --> 00:13:26,828 And if we had, the patient would've been anesthetized hours ago 265 00:13:26,953 --> 00:13:29,539 thus unable to go all Chris Brown on her ass. 266 00:13:29,664 --> 00:13:32,542 Unless one of your index cards actually predicted 267 00:13:32,667 --> 00:13:33,835 the guy was gonna punch his wife, 268 00:13:33,960 --> 00:13:37,046 everything you're saying is post hoc rationalization. 269 00:13:37,171 --> 00:13:40,675 Dr. Park, would you please reach under that chair? 270 00:13:44,220 --> 00:13:46,013 "The patient will punch his wife." 271 00:13:47,807 --> 00:13:49,684 You clearly wrote that after the fact. 272 00:13:50,977 --> 00:13:54,313 Dr. Adams, would you please reach into my pants? 273 00:14:00,695 --> 00:14:03,573 "Dr. Blackenshmurtz will accuse me 274 00:14:03,698 --> 00:14:06,534 "of writing about the punch after the fact." 275 00:14:06,659 --> 00:14:08,411 And look, there's a photograph of me 276 00:14:08,536 --> 00:14:11,581 holding a newspaper dated last Tuesday. 277 00:14:11,706 --> 00:14:13,082 How could I have gotten my hands on that? 278 00:14:13,291 --> 00:14:16,586 You done? Rhabdomyolysis fits the vomiting, 279 00:14:16,711 --> 00:14:18,087 pigmenturia and renal failure. 280 00:14:18,212 --> 00:14:20,423 No muscle symptoms and urine had no myoglobin. 281 00:14:20,840 --> 00:14:22,467 TTP fits, though. 282 00:14:23,092 --> 00:14:26,512 Start him on plasmapheresis. Unless... 283 00:14:28,681 --> 00:14:30,725 Unless I need to say, "Mother, may I?" 284 00:14:31,851 --> 00:14:33,227 And "mother's" an abbreviation. 285 00:14:37,732 --> 00:14:40,193 CHASE: Fresh plasma will replace the damaged red blood cells 286 00:14:40,318 --> 00:14:41,360 that are clogging his kidneys. 287 00:14:41,486 --> 00:14:42,528 That sounds hopeful. 288 00:14:44,113 --> 00:14:45,948 How's that feeling? 289 00:14:46,073 --> 00:14:48,409 I've never been hit in the eye before. (LAUGHS) 290 00:14:49,827 --> 00:14:52,288 I feel kind of badass. 291 00:14:54,540 --> 00:14:56,584 I think maybe you should go. 292 00:14:56,709 --> 00:14:58,753 Look, I'm fine, okay? 293 00:14:59,504 --> 00:15:00,630 I'll see you tomorrow? 294 00:15:00,755 --> 00:15:01,756 Okay- 295 00:15:06,427 --> 00:15:07,637 We're not having an affair. 296 00:15:07,762 --> 00:15:08,804 It's none of my business. 297 00:15:08,930 --> 00:15:12,058 I mean, not really. 298 00:15:12,808 --> 00:15:17,063 'Cause nothing's happened, but we've talked about it a lot and... 299 00:15:18,773 --> 00:15:22,652 It's just really hard doing this by myself. 300 00:15:24,028 --> 00:15:26,113 When's the last time you had a full night's sleep? 301 00:15:28,241 --> 00:15:29,367 Um... 302 00:15:29,784 --> 00:15:32,495 I don't know. Three years? 303 00:15:33,788 --> 00:15:35,540 You're not gonna get any rest here. 304 00:15:37,750 --> 00:15:39,210 People who are sick are not the only ones 305 00:15:39,335 --> 00:15:41,254 who need to be taken care of. 306 00:15:48,803 --> 00:15:51,722 CHI: Why doesn't Chase have to be here? 307 00:15:51,847 --> 00:15:54,850 You think he knows anything about women who don't want to have sex? 308 00:15:56,727 --> 00:16:00,273 Hormone levels are normal. This woman seems perfectly healthy. 309 00:16:00,398 --> 00:16:02,066 What does it matter if she says she's asexual? 310 00:16:02,191 --> 00:16:05,152 It's the fundamental drive of our species. Sex is healthy. 311 00:16:05,278 --> 00:16:06,862 Orgasms oxygenate the brain, 312 00:16:06,988 --> 00:16:08,698 lighting up over 30 different areas 313 00:16:08,823 --> 00:16:11,367 and making us forget how boring Susie Cooper is. 314 00:16:13,411 --> 00:16:14,996 That last one may not be universal. 315 00:16:15,121 --> 00:16:16,831 How about damage to her spinal cord, 316 00:16:16,956 --> 00:16:18,708 blocking the signals from her genitals? 317 00:16:18,833 --> 00:16:20,501 Sex drive is in the brain. 318 00:16:20,626 --> 00:16:23,671 I suppose it could be psychological intimacy issues 319 00:16:23,796 --> 00:16:25,006 caused by childhood abuse. 320 00:16:25,131 --> 00:16:27,717 She's been sharing a toilet with the same guy for the last 10 years. 321 00:16:27,842 --> 00:16:28,843 It's not the same. 322 00:16:28,968 --> 00:16:32,305 Sex releases oxytocin, it's the neurochemical basis for bonding. 323 00:16:32,430 --> 00:16:34,724 And that's why men always marry their right hands. 324 00:16:34,849 --> 00:16:35,725 It's different for girls. 325 00:16:35,850 --> 00:16:37,935 No, it's not. I've tapped over 30 guys 326 00:16:38,060 --> 00:16:39,812 and never wanted to see most of them again. 327 00:16:42,732 --> 00:16:44,191 I lived next to a Jewish frat. 328 00:16:44,859 --> 00:16:48,154 We are veering wildly off track. Please continue. 329 00:16:48,279 --> 00:16:51,157 This woman's life is probably better off without sex. 330 00:16:51,866 --> 00:16:53,534 Eliminates most of her insecurities, 331 00:16:53,659 --> 00:16:54,827 she's immune to most advertising, 332 00:16:54,952 --> 00:16:57,872 and can have honest relationships with men. 333 00:16:57,997 --> 00:16:59,957 (LAUGHS) Not a lot of them. 334 00:17:00,082 --> 00:17:02,752 We've run every test and ruled out all the options. 335 00:17:02,877 --> 00:17:05,254 You're gonna have to accept she just doesn't want sex. 336 00:17:05,379 --> 00:17:06,756 Lots of people don't have sex. 337 00:17:06,881 --> 00:17:08,132 The only people who don't want it 338 00:17:08,257 --> 00:17:09,759 are either sick, dead or lying. 339 00:17:09,884 --> 00:17:11,218 So maybe she's lying. 340 00:17:11,344 --> 00:17:13,054 You think she's had a boyfriend on the side? 341 00:17:13,179 --> 00:17:14,263 For 10 years? 342 00:17:14,388 --> 00:17:17,642 Sticking around the whole time? It doesn't make sense. 343 00:17:19,018 --> 00:17:20,895 What does... 344 00:17:27,860 --> 00:17:28,903 Thirty? 345 00:17:29,904 --> 00:17:30,905 Everybody lies. 346 00:17:34,659 --> 00:17:36,911 Higher or lower? 347 00:17:41,332 --> 00:17:43,793 Followed your advice and took the night off. 348 00:17:43,918 --> 00:17:45,211 It seems to have done you some good. 349 00:17:45,336 --> 00:17:46,754 Mmm-hmm. 350 00:17:52,259 --> 00:17:54,220 Where's my husband? 351 00:17:56,597 --> 00:17:57,723 He's not in the hospital. 352 00:17:57,848 --> 00:17:58,808 So he just walked out? 353 00:17:58,933 --> 00:18:01,477 All of the shift nurses had their hands full with a double code. 354 00:18:01,602 --> 00:18:03,229 HOUSE: Perfectly reasonable explanation. 355 00:18:03,354 --> 00:18:05,898 Same thing happened to me. Couldn't find my keys for days. 356 00:18:06,440 --> 00:18:09,193 The police have been notified, I have staff searching. 357 00:18:09,318 --> 00:18:11,612 You told me it was okay to leave. 358 00:18:12,363 --> 00:18:13,489 I'm sorry. 359 00:18:13,614 --> 00:18:16,826 He has Alzheimer's! It's freezing outside! 360 00:18:16,951 --> 00:18:18,494 And he's sick! 361 00:18:18,619 --> 00:18:20,830 I mean, you don't even know what it is yet, do you? 362 00:18:20,955 --> 00:18:22,832 The plasmapheresis hasn't had time to work, 363 00:18:22,957 --> 00:18:24,417 but TTP is our most likely... 364 00:18:24,542 --> 00:18:25,960 Okay, I have to go look for him. 365 00:18:27,336 --> 00:18:30,506 Hey. Don't be an ass. Can't you see she's upset? 366 00:18:30,631 --> 00:18:32,550 No, she's guilty. 367 00:18:33,342 --> 00:18:37,513 Instead of being at her husband's side, she was under you. 368 00:18:37,638 --> 00:18:39,098 Okay. That's... 369 00:18:39,223 --> 00:18:41,976 Yeah, he already said I was an ass. 370 00:18:42,977 --> 00:18:45,563 Personally, I applaud your decision to step down off your cross 371 00:18:45,688 --> 00:18:47,857 and get on with your life, but your misplaced guilt 372 00:18:47,982 --> 00:18:49,150 is shutting down your brain. 373 00:18:49,275 --> 00:18:52,820 We need you to sit, focus, and answer our questions. 374 00:19:00,911 --> 00:19:03,038 So it's 6:00 a.m., patient wakes up, 375 00:19:03,998 --> 00:19:06,876 and the first thing he sees... 376 00:19:07,001 --> 00:19:10,796 In moments of confusion, Alzheimer's patients regress to old routines. 377 00:19:10,921 --> 00:19:13,090 HOUSE: So what would your husband do on a Saturday morning? 378 00:19:13,591 --> 00:19:15,968 Nothing. Be at home. 379 00:19:16,093 --> 00:19:18,471 What about a year ago, five years, or 10? 380 00:19:19,388 --> 00:19:20,723 I don't know. 381 00:19:21,724 --> 00:19:23,100 He trained for a marathon once. 382 00:19:23,225 --> 00:19:26,020 Soccer practice. We took a cooking class. 383 00:19:27,688 --> 00:19:30,941 The soccer trophy you were telling me about, it's gone. 384 00:19:31,066 --> 00:19:32,151 Where was practice? 385 00:19:32,276 --> 00:19:35,029 It was close to here, on Chesterfield. 386 00:19:49,710 --> 00:19:52,254 Okay, he comes, he thinks he's waiting for practice. 387 00:19:52,379 --> 00:19:54,548 He'd want to get out of the wind, 388 00:19:54,673 --> 00:19:57,051 but somewhere he could see the kids arrive. 389 00:19:58,052 --> 00:19:59,637 There. 390 00:20:02,056 --> 00:20:03,724 Over here! 391 00:20:13,067 --> 00:20:14,735 On three. One, two, three. 392 00:20:19,281 --> 00:20:20,282 Nothing. 393 00:20:20,407 --> 00:20:22,326 Not dead till he's warm and dead. 394 00:20:30,501 --> 00:20:31,836 Get him to the ICU. 395 00:20:31,961 --> 00:20:33,712 Start him on extracorporeal circulation. 396 00:20:33,838 --> 00:20:36,090 That'll raise his temperature too quickly, it'll cause acidosis. 397 00:20:36,215 --> 00:20:37,967 We can deal with his metabolism crashing. 398 00:20:38,092 --> 00:20:40,094 We can't reverse brain damage if we go too slowly. 399 00:20:40,219 --> 00:20:41,971 Either way, if we don't get his temperature above 95, 400 00:20:42,096 --> 00:20:43,138 it's not gonna matter. 401 00:20:43,264 --> 00:20:45,850 Multiple warm lavage is safer. 402 00:20:48,269 --> 00:20:50,104 Do what House says. 403 00:20:58,529 --> 00:21:02,575 NATALIE: He has no heartbeat, he's not breathing. 404 00:21:04,577 --> 00:21:05,995 How can he not be dead? 405 00:21:06,662 --> 00:21:09,832 Body slows down when it cools, but it doesn't fully stop. 406 00:21:09,957 --> 00:21:13,002 We're warming his blood outside of his body and then putting it back. 407 00:21:13,127 --> 00:21:14,336 It'll raise his temperature enough 408 00:21:14,461 --> 00:21:16,505 that his heart should naturally start. 409 00:21:17,006 --> 00:21:18,757 Then we can shock it back into rhythm. 410 00:21:18,883 --> 00:21:20,926 And if it doesn't start? 411 00:21:23,596 --> 00:21:24,889 Then there's nothing we can do. 412 00:21:32,146 --> 00:21:33,939 You think it's possible he knew what he was doing? 413 00:21:34,940 --> 00:21:38,235 Like some part of him gets what he's putting his wife through, 414 00:21:38,360 --> 00:21:39,987 - so he tried to... - Kill himself? 415 00:21:41,113 --> 00:21:43,032 It's what I'd do if I were him. 416 00:21:43,157 --> 00:21:45,034 At least I wish I would. 417 00:21:46,327 --> 00:21:48,037 I meant run away. 418 00:21:48,746 --> 00:21:51,040 You think you should kill yourself if you become a burden 419 00:21:51,165 --> 00:21:52,041 to the people who love you? 420 00:21:52,166 --> 00:21:56,045 If you really loved them back, then yes. 421 00:21:58,380 --> 00:22:00,215 That's really dark. 422 00:22:01,383 --> 00:22:03,177 It's not naive. 423 00:22:04,762 --> 00:22:08,807 I just believe people are capable of more than you do, apparently. 424 00:22:09,266 --> 00:22:10,935 (MONITOR BEEPS) 425 00:22:11,060 --> 00:22:12,186 We've got brain activity. 426 00:22:14,396 --> 00:22:17,775 Temp's at 93. His heart should start soon. 427 00:22:22,988 --> 00:22:25,282 My dad left me alone to care for my alcoholic mom 428 00:22:25,407 --> 00:22:26,700 and raise my baby sister. 429 00:22:26,825 --> 00:22:28,202 I was just a teenager. 430 00:22:29,203 --> 00:22:31,038 I spent half of my time changing diapers 431 00:22:31,163 --> 00:22:33,207 and the other half cleaning up my mom's vomit. 432 00:22:34,833 --> 00:22:36,293 But it must have been important 433 00:22:36,418 --> 00:22:38,587 that you stayed for both of them. 434 00:22:39,546 --> 00:22:41,465 Mom died after a few years. 435 00:22:41,590 --> 00:22:45,094 It was ugly and painful, and she went with me hating her. 436 00:22:45,219 --> 00:22:47,513 My sister ended up drinking half of her life away 437 00:22:47,638 --> 00:22:50,140 and hating me because I couldn't help. 438 00:22:50,265 --> 00:22:52,184 After Mom, I had nothing left. 439 00:22:53,602 --> 00:22:57,439 So do I wish Mom had used a gun instead of a bottle? 440 00:22:57,564 --> 00:22:58,857 Yes. 441 00:23:02,194 --> 00:23:03,195 I didn't know. 442 00:23:03,320 --> 00:23:04,780 That's why I told you. 443 00:23:06,240 --> 00:23:07,157 (MONITOR BEEPING) 444 00:23:07,282 --> 00:23:09,410 Ventricular fibrillation. 445 00:23:12,997 --> 00:23:15,249 Give him 300 milligrams amiodarone. 446 00:23:23,048 --> 00:23:24,133 (DEFIBRILLATOR CHARGING) 447 00:23:25,884 --> 00:23:28,012 Be careful. Once we establish rhythm, 448 00:23:28,137 --> 00:23:30,431 any accidental movement could crash him back into V-fib. 449 00:23:32,266 --> 00:23:33,267 Clear. 450 00:23:37,980 --> 00:23:38,981 (BEEPING) 451 00:23:43,485 --> 00:23:45,988 We still have a long way to go. 452 00:23:46,113 --> 00:23:47,573 Cold can be protective to the brain, 453 00:23:47,698 --> 00:23:51,160 but there is a possibility of damage. 454 00:23:51,285 --> 00:23:55,414 We also need to confirm and treat whatever's making him sick. 455 00:23:57,875 --> 00:24:00,169 I just gotta do a standard battery of tests. 456 00:24:00,294 --> 00:24:02,212 Blood, urine, EEG. 457 00:24:02,337 --> 00:24:04,715 Is that really necessary for a free flu shot? 458 00:24:04,840 --> 00:24:06,175 (KNOCKING ON DOOR) 459 00:24:06,300 --> 00:24:07,301 (SIGHS) 460 00:24:07,760 --> 00:24:11,472 Excuse me, I have to deal with someone who's having a panic attack. 461 00:24:19,021 --> 00:24:21,190 I specifically said the bet was off 462 00:24:21,315 --> 00:24:22,691 if you contacted the patient. 463 00:24:22,816 --> 00:24:25,778 Exactly. You never said anything about the patient's husband. 464 00:24:26,737 --> 00:24:30,199 The deal was a medical reason why she doesn't have sex. 465 00:24:30,324 --> 00:24:32,284 I admit I was stuck until I realized 466 00:24:32,409 --> 00:24:35,204 that the medical issue was not hers, but his. 467 00:24:35,329 --> 00:24:38,874 She's lying to compensate. It's a tale as old as time. 468 00:24:38,999 --> 00:24:41,210 Boy meets girl. Girl falls for boy. 469 00:24:41,335 --> 00:24:43,003 Boy says, "I'm asexual." 470 00:24:43,128 --> 00:24:44,838 Girls says, "Yeah, me, too." 471 00:24:45,756 --> 00:24:48,383 Your twisted logic can't hide the fact 472 00:24:48,509 --> 00:24:50,219 that tricking a patient into being tested 473 00:24:50,344 --> 00:24:52,012 is completely unethical. 474 00:24:53,013 --> 00:24:56,225 Come on. Don't you think she deserves to know why her husband 475 00:24:56,350 --> 00:24:58,393 won't bend her over the kitchen counter? 476 00:24:58,519 --> 00:25:00,229 You love all that caring crap. 477 00:25:00,354 --> 00:25:02,272 You're not doing this out of the kindness of your heart. 478 00:25:02,397 --> 00:25:04,858 You're not even doing this out of medical curiosity. 479 00:25:04,983 --> 00:25:07,194 I thought I made it clear I'm doing it for the cash. 480 00:25:07,402 --> 00:25:10,656 Two people are happy, and your natural impulse is to destroy it. 481 00:25:10,781 --> 00:25:12,699 How do you know she's happy? Did she tell you? 482 00:25:12,825 --> 00:25:16,286 No, chirping birds flew out of her butt carrying a banner. 483 00:25:16,411 --> 00:25:18,247 All right, I admit that my natural impulse 484 00:25:18,372 --> 00:25:20,249 is to doubt people's claims to happiness, 485 00:25:20,374 --> 00:25:22,292 but yours is to be a sucker for them. 486 00:25:22,417 --> 00:25:24,211 You tell me which one's worse. 487 00:25:25,462 --> 00:25:26,547 (DOOR CLOSES) 488 00:25:31,718 --> 00:25:33,137 (COUGHING) 489 00:25:34,221 --> 00:25:36,431 He just opened his eyes a little while ago. 490 00:25:36,557 --> 00:25:41,311 His heartbeat's doing well and his body temperature stabilized. 491 00:25:50,779 --> 00:25:51,989 There he is. 492 00:25:55,075 --> 00:25:56,410 (SPEAKING PORTUGUESE) 493 00:25:57,244 --> 00:25:58,328 Is that Portuguese? 494 00:25:58,453 --> 00:25:59,872 Yeah. 495 00:26:02,082 --> 00:26:03,917 Honey, I don't understand. 496 00:26:05,919 --> 00:26:07,254 (SPEAKING PORTUGUESE) 497 00:26:08,213 --> 00:26:09,631 What's he saying? (SIGHS) 498 00:26:10,591 --> 00:26:12,092 I don't know. 499 00:26:13,427 --> 00:26:16,013 I tried to learn when we got married, but I just... 500 00:26:17,431 --> 00:26:18,724 (BREATHING HEAVILY) 501 00:26:19,725 --> 00:26:22,102 It's okay, it's okay. 502 00:26:23,228 --> 00:26:24,438 (MONITOR BEEPING) 503 00:26:25,063 --> 00:26:28,609 His body temperature is rising. It's above normal. 504 00:26:28,734 --> 00:26:32,321 Wait, I thought you said it was stable. Why is it still rising? 505 00:26:32,446 --> 00:26:34,072 I don't know. 506 00:26:36,116 --> 00:26:39,077 Vomiting, liver, kidneys and now fever. 507 00:26:39,203 --> 00:26:40,454 (HOUSE COUGHING) 508 00:26:42,080 --> 00:26:44,625 I don't want to tell you how to do your job, Dr. Foreman, 509 00:26:44,750 --> 00:26:47,377 since telling people how to do their job is your job. 510 00:26:48,253 --> 00:26:49,630 But when your less-than-competent 511 00:26:49,755 --> 00:26:51,340 administration of this hospital 512 00:26:51,465 --> 00:26:53,342 affects what's written on my whiteboard... 513 00:26:53,467 --> 00:26:54,343 Get to the point. 514 00:26:54,468 --> 00:26:57,012 The word "fever." Could come from the patient's illness, 515 00:26:57,137 --> 00:26:58,764 or it could come from the fact that you allowed him 516 00:26:58,889 --> 00:27:01,475 to saunter out of your hospital and take a nap in the snow. 517 00:27:02,059 --> 00:27:03,602 He couldn't have caught a virus while he was outside, 518 00:27:03,727 --> 00:27:05,354 fever came on too fast. 519 00:27:05,479 --> 00:27:07,564 The hypothermia could have caused cell necrosis. 520 00:27:10,108 --> 00:27:12,527 TTP was the diagnosis when he walked out. 521 00:27:12,653 --> 00:27:14,905 Fever's a little high, but it still fits. 522 00:27:15,489 --> 00:27:17,574 We should continue plasmapheresis. 523 00:27:17,699 --> 00:27:19,284 We're missing symptoms. 524 00:27:19,409 --> 00:27:21,370 We should add language loss and aggression. 525 00:27:21,495 --> 00:27:24,039 Should we also add forgetfulness? He's got Alzheimer's. 526 00:27:24,164 --> 00:27:25,249 We've just been assuming. 527 00:27:25,374 --> 00:27:27,751 Because the patient's wife said he exhibited both for a year. 528 00:27:27,876 --> 00:27:29,795 He's never hit her before or lost all his English. 529 00:27:29,920 --> 00:27:31,255 We have to consider any change 530 00:27:31,380 --> 00:27:32,506 since he's been admitted as relevant. 531 00:27:32,756 --> 00:27:36,093 "Have to?" Do I need to pull out another card? 532 00:27:36,510 --> 00:27:39,346 Disseminated viral infection, with encephalitis. 533 00:27:39,596 --> 00:27:42,099 Patient complained of a sore throat a few weeks ago. 534 00:27:46,186 --> 00:27:47,521 Start him on interferon. 535 00:27:52,734 --> 00:27:54,611 CHASE: Encephalitis makes his brain swell, 536 00:27:54,736 --> 00:27:57,614 which causes symptoms that are hard to distinguish from his Alzheimer's. 537 00:27:57,739 --> 00:28:00,784 With the interferon, his English should come back 538 00:28:00,909 --> 00:28:02,619 and the aggression should subside. 539 00:28:03,328 --> 00:28:04,538 But you're not sure? 540 00:28:05,330 --> 00:28:06,915 Unfortunately, no. 541 00:28:07,040 --> 00:28:11,712 And you're not sure if he has brain damage from being frozen? 542 00:28:14,756 --> 00:28:18,176 So best-case scenario, 543 00:28:18,969 --> 00:28:20,804 I just had a glimpse into his future? 544 00:28:26,768 --> 00:28:28,437 I can't take care of him anymore. 545 00:28:28,562 --> 00:28:30,814 JESSICA: Chances are his mental state will improve. 546 00:28:30,939 --> 00:28:32,566 You could get more time with him. 547 00:28:34,568 --> 00:28:37,195 We married six months after I met him. 548 00:28:37,654 --> 00:28:40,866 A year after that, he started forgetting things. 549 00:28:42,576 --> 00:28:45,954 I've known my husband longer with his Alzheimer's than without. 550 00:28:46,079 --> 00:28:49,166 I've watched more of him disappear than I ever got to know. 551 00:28:52,169 --> 00:28:54,629 I just can't do this anymore. 552 00:28:59,801 --> 00:29:00,886 You lose. 553 00:29:01,970 --> 00:29:04,473 Blood work shows high levels of prolactin. 554 00:29:05,599 --> 00:29:08,268 Add that to some peripheral red-green confusion, 555 00:29:08,393 --> 00:29:11,980 puts my money, excuse me, your money, soon to be my money, 556 00:29:12,439 --> 00:29:14,358 on a tumor near his pituitary. 557 00:29:14,483 --> 00:29:16,485 Probably started growing in his early teens. 558 00:29:16,610 --> 00:29:20,989 Lowering his libido and causing erectile dysfunction. 559 00:29:21,114 --> 00:29:22,574 A year on dopamine agonists 560 00:29:22,699 --> 00:29:25,494 and he'll be a sex-crazed creep just like the rest of us. 561 00:29:25,786 --> 00:29:29,081 Completely fascinated by Susie Cooper. 562 00:29:29,206 --> 00:29:32,334 I would prefer to be paid in a single $100 bill. 563 00:29:32,459 --> 00:29:34,628 Always wanted to use one to light a cigar. 564 00:29:36,254 --> 00:29:39,508 Hooray for us. We disproved his asexuality. 565 00:29:39,633 --> 00:29:41,510 We also probably ruined his life. 566 00:29:41,635 --> 00:29:44,137 He'll thank us. Then he'll doze off. 567 00:29:44,262 --> 00:29:46,681 And then, in a couple of hours, he'll thank us again. 568 00:29:46,807 --> 00:29:48,767 It could destroy his identity. 569 00:29:48,892 --> 00:29:52,062 It's like a gay person being told they're really straight. 570 00:29:52,646 --> 00:29:53,522 So don't tell him. 571 00:29:53,647 --> 00:29:56,525 Yeah, why bother telling a guy he has a tumor growing in his head? 572 00:29:56,650 --> 00:29:59,027 He'll notice it eventually when it starts leaking out his ears. 573 00:29:59,152 --> 00:30:00,529 It's a slow-growing tumor. 574 00:30:00,654 --> 00:30:02,656 He'll probably die of boredom long before that. 575 00:30:04,324 --> 00:30:09,913 You always do this. You meddle and force me into impossible situations. 576 00:30:10,664 --> 00:30:12,416 You knew the second you told me 577 00:30:12,541 --> 00:30:13,959 about this case that I'd get involved. 578 00:30:14,084 --> 00:30:15,919 You wanted me to meddle. 579 00:30:16,044 --> 00:30:17,337 'Cause no matter how much you wanted 580 00:30:17,462 --> 00:30:19,005 to believe in this chaste romance, 581 00:30:19,131 --> 00:30:20,257 you didn't buy it either. 582 00:30:21,675 --> 00:30:23,552 Where's that petition House's PO sent over 583 00:30:23,677 --> 00:30:25,554 about him getting his ankle monitor off? 584 00:30:25,679 --> 00:30:27,097 On your desk. 585 00:30:30,392 --> 00:30:31,685 (SIGHS) 586 00:30:45,449 --> 00:30:46,658 You played me. 587 00:30:46,783 --> 00:30:49,327 This whole thing was about your ankle monitor. 588 00:30:50,328 --> 00:30:51,872 You weren't trying to undermine my confidence, 589 00:30:51,997 --> 00:30:53,081 you were trying to inflate it. 590 00:30:53,206 --> 00:30:55,542 You manufactured conflict with me 591 00:30:55,667 --> 00:30:56,835 so, eventually, you could let me win. 592 00:30:57,419 --> 00:30:58,587 You knew it was encephalitis, 593 00:30:58,712 --> 00:30:59,713 but you waited for me to say it, 594 00:30:59,838 --> 00:31:01,256 because then, with my ego boosted, 595 00:31:01,381 --> 00:31:03,258 you thought I'd be in the mood to take off your monitor. 596 00:31:03,383 --> 00:31:05,260 Because I'd think I could control you. 597 00:31:07,637 --> 00:31:11,433 You're right. Take off my monitor. 598 00:31:13,477 --> 00:31:15,437 See, the beauty of the plan 599 00:31:15,562 --> 00:31:18,148 is if it works, then you think you can control me. 600 00:31:18,273 --> 00:31:20,942 If it fails, then you will actually 601 00:31:21,067 --> 00:31:23,195 have proven that you can control me. 602 00:31:23,862 --> 00:31:25,030 It's pretty genius. 603 00:31:26,406 --> 00:31:29,451 These are your training wheels. 604 00:31:29,576 --> 00:31:31,953 If you think you're up to this job, it's time to lose them. 605 00:31:45,967 --> 00:31:47,844 Second half of my plan might need work. 606 00:31:49,137 --> 00:31:50,764 (PAGERS BEEPING) 607 00:31:54,643 --> 00:31:56,353 (MONITOR BEEPING RAPIDLY) 608 00:31:57,646 --> 00:31:59,397 V-fib. Two rounds at 360 609 00:31:59,523 --> 00:32:01,358 without establishing a rhythm. 610 00:32:01,483 --> 00:32:02,776 (DEFIBRILLATOR CHARGING) 611 00:32:03,818 --> 00:32:06,446 Wait! Dr. Foreman! 612 00:32:08,198 --> 00:32:09,449 Clear. 613 00:32:09,574 --> 00:32:10,784 (MONITOR BEEPS) 614 00:32:13,620 --> 00:32:14,788 He's back. 615 00:32:26,591 --> 00:32:28,552 I sure hope this Alzheimer's drug trial 616 00:32:28,677 --> 00:32:29,886 is worth a lot to this hospital, 617 00:32:30,011 --> 00:32:32,681 'cause we're wasting a crapload of time and man power 618 00:32:32,806 --> 00:32:34,683 just to let this guy watch his mind shrivel 619 00:32:34,808 --> 00:32:35,684 and keep his wife miserable. 620 00:32:35,809 --> 00:32:38,687 Heart attack while he was on interferon rules out encephalitis, 621 00:32:38,812 --> 00:32:41,064 but I still think I'm right about the neuro symptoms. 622 00:32:41,189 --> 00:32:42,691 It's probably aseptic meningitis. 623 00:32:42,816 --> 00:32:44,276 We would have seen meningeal signs. 624 00:32:44,401 --> 00:32:46,319 Given his abnormal mental status, not necessarily. 625 00:32:46,444 --> 00:32:49,239 Dr. Foreman! Would you please reach under your chair? 626 00:32:55,120 --> 00:32:56,913 It's just wet gum under here. 627 00:32:57,038 --> 00:32:58,832 Where's the card? What card? 628 00:33:01,501 --> 00:33:04,963 I'm happy to leave if you have a better theory than aseptic meningitis. 629 00:33:05,088 --> 00:33:06,214 Toxins. 630 00:33:06,339 --> 00:33:07,716 If this guy went on a walkabout, 631 00:33:07,841 --> 00:33:08,967 chances are he's done it before. 632 00:33:09,092 --> 00:33:10,135 Wife keeps the doors in the house locked. 633 00:33:10,260 --> 00:33:11,720 There's plenty of nasty stuff to get into 634 00:33:11,845 --> 00:33:12,762 during the middle of the night. 635 00:33:12,887 --> 00:33:14,097 We asked about toxins on the history. 636 00:33:14,222 --> 00:33:16,725 The wife said she was sure to clear the house for her husband's safety. 637 00:33:16,850 --> 00:33:17,809 And I'm sure she succeeded. 638 00:33:17,934 --> 00:33:19,936 She's a PhD in toxicology, right? 639 00:33:21,313 --> 00:33:24,107 She's an ex-florist. Search the home for toxic plants, 640 00:33:24,232 --> 00:33:25,942 methyl bromide, any medications. 641 00:33:27,277 --> 00:33:30,322 Stop. You're not infallible. 642 00:33:30,447 --> 00:33:31,448 You were wrong about encephalitis. 643 00:33:31,573 --> 00:33:32,574 Just before you were. 644 00:33:32,699 --> 00:33:35,118 Run CSF tests, find out what's causing the meningitis. 645 00:33:37,370 --> 00:33:39,748 You said you weren't gonna overrule me, diagnostically. 646 00:33:39,873 --> 00:33:42,125 And you said I wouldn't be able to help it. 647 00:33:42,250 --> 00:33:44,127 Apparently, you were right about that one. 648 00:33:46,880 --> 00:33:49,633 Fine. I'll look for toxins myself. 649 00:33:49,758 --> 00:33:51,760 You can't go to their house without Foreman's permission. 650 00:33:51,885 --> 00:33:55,639 Don't need it, I'm gonna talk to the toxicology PhD upstairs. 651 00:33:55,764 --> 00:33:57,766 HOUSE: What about gifts from South America? 652 00:33:57,891 --> 00:34:00,310 Anyone send any fruits or vegetables? 653 00:34:01,102 --> 00:34:02,604 I don't think so... No. 654 00:34:02,896 --> 00:34:04,648 (ANDRES MUTTERING IN PORTUGUESE) 655 00:34:06,274 --> 00:34:09,778 I'm gonna need your boyfriend to collect samples of plants 656 00:34:09,903 --> 00:34:12,113 in and around your house. Toxins are the most... 657 00:34:15,784 --> 00:34:17,577 (SPEAKING PORTUGUESE) 658 00:34:18,578 --> 00:34:22,165 Wait. You understand him? What's he saying? 659 00:34:24,334 --> 00:34:27,295 He's repeating "blue shack." 660 00:34:27,921 --> 00:34:28,963 You know what that is? 661 00:34:29,089 --> 00:34:31,424 Is it somewhere where pesticides may be kept? 662 00:34:33,218 --> 00:34:36,096 It's where we had our first date. 663 00:34:36,429 --> 00:34:37,972 (CONTINUES SPEAKING PORTUGUESE) 664 00:34:38,932 --> 00:34:42,936 Do you have a cleaning lady who might bring her own supplies? 665 00:34:43,937 --> 00:34:44,979 What's he saying? 666 00:34:45,814 --> 00:34:49,192 If it's not relevant to the case, I don't care, and neither should you. 667 00:34:49,317 --> 00:34:50,819 Please. 668 00:34:51,611 --> 00:34:53,947 This might be the last time I ever know what he's thinking. 669 00:35:02,580 --> 00:35:03,998 (TRANSLATING) "When I saw her waiting... 670 00:35:06,126 --> 00:35:08,044 "Waiting for me at the table... 671 00:35:09,838 --> 00:35:12,632 "The way her eyes looked when she smiled... 672 00:35:15,802 --> 00:35:17,178 "I felt like crying. 673 00:35:22,350 --> 00:35:25,395 "I knew she was the woman I wanted to marry. 674 00:35:26,438 --> 00:35:29,899 "And every time I see her, I say... 675 00:35:33,194 --> 00:35:35,864 "There she is." "There she is." 676 00:35:40,994 --> 00:35:43,079 He's still in there. 677 00:35:43,997 --> 00:35:45,123 (SPEAKING PORTUGUESE) 678 00:35:48,001 --> 00:35:49,794 What did he say? 679 00:35:51,713 --> 00:35:53,715 He asked who you were. 680 00:35:57,385 --> 00:35:59,429 Don't get your hopes up. 681 00:36:00,013 --> 00:36:03,016 Have your boyfriend get me those samples. 682 00:36:13,443 --> 00:36:15,069 How did you even know to look for a tumor? 683 00:36:16,738 --> 00:36:19,616 Dr. House noticed hormone levels in your blood 684 00:36:19,741 --> 00:36:21,618 and consulted with me as an oncologist... 685 00:36:21,743 --> 00:36:23,411 Who cares how they found it, okay? They found it. 686 00:36:24,871 --> 00:36:26,289 Are there any side effects to the treatment? 687 00:36:27,665 --> 00:36:31,628 Some nausea, dizziness, and as the tumor shrinks, 688 00:36:31,753 --> 00:36:33,713 there will be behavioral changes. 689 00:36:34,047 --> 00:36:35,507 Like what? 690 00:36:35,632 --> 00:36:37,050 Well... 691 00:36:37,967 --> 00:36:41,221 The tumor interferes with certain natural systems. 692 00:36:44,891 --> 00:36:48,061 It lowers libido and causes erectile dysfunction. 693 00:36:51,147 --> 00:36:55,568 You mean the treatment will make me want to have sex? 694 00:36:58,321 --> 00:36:59,781 What if I don't want the treatment? 695 00:36:59,906 --> 00:37:01,407 I would strongly advise... 696 00:37:01,533 --> 00:37:03,159 Look, you have a brain tumor, okay? 697 00:37:03,284 --> 00:37:04,285 You have to have the treatment. 698 00:37:04,410 --> 00:37:06,871 Okay, look, I know who I am, okay? 699 00:37:06,996 --> 00:37:07,956 And I'm not one of them. 700 00:37:08,081 --> 00:37:10,875 Hey, look, we'll adjust. 701 00:37:11,000 --> 00:37:14,003 Okay? We can go through this together. 702 00:37:14,128 --> 00:37:17,590 You mean have sex? I can't make you do that. 703 00:37:18,550 --> 00:37:20,301 Maybe it won't be so bad. 704 00:37:20,426 --> 00:37:21,970 It'll be terrible. 705 00:37:23,763 --> 00:37:26,349 It's actually pretty fun. 706 00:37:29,143 --> 00:37:31,104 From what I remember. 707 00:37:32,105 --> 00:37:33,690 - But you said that... - I know. 708 00:37:34,607 --> 00:37:37,986 I know. I wanted to spend my life with you 709 00:37:39,112 --> 00:37:41,698 and I knew that meant making certain sacrifices. 710 00:37:42,907 --> 00:37:46,119 But a girl has needs. 711 00:37:51,124 --> 00:37:53,251 You dropped in the U.S. News rankings. 712 00:37:53,376 --> 00:37:56,629 With respect, Mr. Laffont, that's only because we temporarily 713 00:37:56,754 --> 00:37:58,172 shut down our diagnostics department. 714 00:37:58,298 --> 00:37:59,632 It's up and running again. 715 00:37:59,757 --> 00:38:02,218 I'm actually concerned it might be because of the change in management. 716 00:38:02,343 --> 00:38:06,014 If you want my money, I'll need to see a five year plan. 717 00:38:10,143 --> 00:38:11,227 Am I boring you? 718 00:38:13,521 --> 00:38:18,943 No, I just, those flowers are from last week. 719 00:38:19,068 --> 00:38:21,029 They should be dead by now. 720 00:38:21,154 --> 00:38:22,155 Excuse me? 721 00:38:25,575 --> 00:38:27,035 Sorry, I have to go. 722 00:38:39,172 --> 00:38:40,632 It's Reye's Syndrome. 723 00:38:40,757 --> 00:38:43,301 Patient had a sore throat a few weeks ago before he was admitted. 724 00:38:43,426 --> 00:38:45,720 Reye's in adults is a reach. 725 00:38:45,845 --> 00:38:46,971 Not if he took aspirin. 726 00:38:47,096 --> 00:38:49,057 Aspirin in adults is a reach. 727 00:38:49,182 --> 00:38:51,309 Especially in a house with locked medicine cabinets. 728 00:38:51,434 --> 00:38:52,852 It wasn't in the medicine cabinet. 729 00:38:52,977 --> 00:38:55,229 The wife used to run a floral company, 730 00:38:55,355 --> 00:38:56,856 still does a few orders from home. 731 00:38:56,981 --> 00:38:58,775 She uses crushed aspirin in the water 732 00:38:58,900 --> 00:39:00,693 to make the flowers last longer. 733 00:39:03,071 --> 00:39:04,614 So the husband has a sore throat, 734 00:39:04,739 --> 00:39:06,240 takes an aspirin without her knowing, 735 00:39:06,366 --> 00:39:08,159 realizes he's got a sore throat, takes an aspirin, 736 00:39:08,284 --> 00:39:09,577 realizes he's got a sore throat... 737 00:39:09,702 --> 00:39:12,205 You can stop me whenever you like. 738 00:39:13,247 --> 00:39:15,208 Have Chase start him on steroids. 739 00:39:15,333 --> 00:39:17,210 I already did. 740 00:39:18,211 --> 00:39:19,504 Then why are you telling me? 741 00:39:19,629 --> 00:39:21,673 Because I wanted you to hear it from me. 742 00:39:38,231 --> 00:39:39,315 (SIGHS) 743 00:39:52,412 --> 00:39:54,288 There she is. 744 00:39:55,790 --> 00:39:57,000 (SIGHS) 745 00:39:57,250 --> 00:39:59,168 Here I am. 746 00:40:01,754 --> 00:40:04,549 Your eye. What happened? 747 00:40:07,260 --> 00:40:09,554 It's nothing I can't handle. 748 00:40:22,859 --> 00:40:25,945 MRI confirmed macroprolactinoma. 749 00:40:26,904 --> 00:40:28,114 He's doing the treatment. 750 00:40:28,239 --> 00:40:29,282 And the wife? 751 00:40:37,123 --> 00:40:41,169 Come on. We saved a man's life, 752 00:40:41,294 --> 00:40:45,214 course-corrected two people's wildly screwed up worldviews. 753 00:40:46,299 --> 00:40:48,301 Not bad for a day's work. 754 00:40:51,846 --> 00:40:55,808 I think they were happy, even if it was based on lies. 755 00:40:55,933 --> 00:40:57,727 Most happiness is. 756 00:41:00,938 --> 00:41:02,273 Better to have shtupped and lost 757 00:41:02,398 --> 00:41:04,317 than never to have shtupped at all. 758 00:41:05,318 --> 00:41:06,986 We can't smoke in here. 759 00:41:11,282 --> 00:41:13,868 We also can't summon people into the clinic based on a lie 760 00:41:13,993 --> 00:41:17,205 motivated by a petty bet, and yet it happens. 761 00:41:17,330 --> 00:41:19,457 It's an imperfect world. 762 00:41:31,094 --> 00:41:32,345 Well? 763 00:41:33,012 --> 00:41:34,514 Disgustingly satisfying. 764 00:41:36,808 --> 00:41:37,809 (KNOCKING ON DOOR) 765 00:41:38,309 --> 00:41:39,310 (DOOR OPENS) 766 00:41:41,813 --> 00:41:42,897 He said it was okay. 767 00:41:43,022 --> 00:41:45,108 Is one of you Dr. House? 768 00:41:46,359 --> 00:41:47,693 You've seen Spartacus, right? 769 00:41:47,819 --> 00:41:50,822 I got an order here to deactivate and remove his ankle monitor. 770 00:41:51,656 --> 00:41:53,366 (SLOW POP SONG PLAYING) 771 00:41:59,664 --> 00:42:00,706 (CELL PHONE BEEPS) 772 00:42:00,832 --> 00:42:02,166 (RINGING TONE) 773 00:42:04,544 --> 00:42:05,837 (OVER PHONE) Robbie? 774 00:42:05,962 --> 00:42:07,338 Hey, sis. 775 00:42:09,382 --> 00:42:11,092 It's been years. 776 00:42:11,217 --> 00:42:12,385 I know. 777 00:42:13,177 --> 00:42:15,763 I thought of you on Mom's birthday. 778 00:42:16,722 --> 00:42:18,724 Is everything okay? 779 00:42:18,850 --> 00:42:21,394 Yeah, yeah. Fine. I just... 780 00:42:22,979 --> 00:42:25,606 ...wanted to see how you were. 781 00:42:25,731 --> 00:42:26,983 I'm fine. 782 00:42:41,372 --> 00:42:43,457 Bikes go faster without training wheels. 783 00:42:47,837 --> 00:42:51,257 Now get out, I have work to do. 784 00:42:59,015 --> 00:43:00,892 Whoops.