1 00:00:02,461 --> 00:00:03,920 (MAN PANTING) 2 00:00:04,046 --> 00:00:07,423 So now the plan is either find ourselves a new counselor, 3 00:00:07,549 --> 00:00:08,966 stick it out with the old one but go more often, 4 00:00:09,176 --> 00:00:12,804 or resign ourselves to the fact that she's never gonna be happy 5 00:00:12,930 --> 00:00:14,806 no matter what I do, so let's just take the money we're wasting 6 00:00:14,932 --> 00:00:17,225 and put it towards a membership at Lakeview. 7 00:00:17,643 --> 00:00:19,852 I'm guessing the last option has yet to be formally presented. 8 00:00:19,978 --> 00:00:20,937 Yeah. 9 00:00:21,063 --> 00:00:23,898 Jeez. What's with you? You usually run half speed to stay with me. 10 00:00:24,024 --> 00:00:26,025 Didn't get a lot of sleep last night. 11 00:00:26,151 --> 00:00:28,236 (BOTH PANTING) 12 00:00:28,529 --> 00:00:31,781 - How are things with Elyse? - Great. 13 00:00:32,366 --> 00:00:34,117 - Great? - Yeah. 14 00:00:36,328 --> 00:00:39,330 One-syllable answers. You're either out of breath, or you're lying to me. 15 00:00:39,456 --> 00:00:43,000 Yeah. We have our moments, but they usually work out. 16 00:00:43,127 --> 00:00:45,211 - Man, you got some water? - Yeah. 17 00:00:46,296 --> 00:00:48,589 So how do you work things out? 18 00:00:49,007 --> 00:00:51,676 I don't know. We talk, someone apologizes. 19 00:00:51,969 --> 00:00:55,221 - I shouldn't have drank last night. - Hey, you mean you apologize. 20 00:00:56,724 --> 00:00:59,100 - Yeah, I guess. - How often do you guys have sex? 21 00:00:59,852 --> 00:01:01,894 - Enough. - You do it this morning? 22 00:01:03,689 --> 00:01:05,314 You did. You did it this morning. 23 00:01:05,441 --> 00:01:08,735 Maybe that's why you can't stand up, huh? Come on. 24 00:01:09,945 --> 00:01:11,070 Elyse. 25 00:01:15,617 --> 00:01:19,036 Great. Honey, I'm dehydrated. 26 00:01:19,538 --> 00:01:22,123 Do we have anything with electrolytes? 27 00:01:24,042 --> 00:01:26,169 Sleeping Beauty, wake up. 28 00:01:28,088 --> 00:01:29,881 This is an emergency. 29 00:01:30,340 --> 00:01:31,549 The fridge is empty. 30 00:01:31,675 --> 00:01:32,675 (ELYSE GROANING) 31 00:01:32,801 --> 00:01:34,802 Come on. It's almost 4:00. 32 00:01:37,222 --> 00:01:39,015 Elyse. Sweetie. 33 00:01:40,934 --> 00:01:44,854 Call Jacques. Tell him I'm not feeling well. 34 00:01:45,564 --> 00:01:49,525 It's Saturday. You haven't been to work in three days. Remember? 35 00:01:49,985 --> 00:01:51,569 Just let me sleep. 36 00:01:52,070 --> 00:01:55,031 Come on. You haven't been out of bed since Wednesday. 37 00:01:55,157 --> 00:01:58,451 - Leave me alone. - Come on. What's up? 38 00:01:58,577 --> 00:02:01,621 - No. Leave me alone. - Honey. 39 00:02:01,747 --> 00:02:02,997 I said leave me alone! 40 00:02:10,923 --> 00:02:11,923 (WHIMPERS) 41 00:02:13,133 --> 00:02:15,802 I think there's something wrong with me. 42 00:02:48,752 --> 00:02:51,754 She's been averaging 18 hours of sleep a day since her admission. 43 00:02:51,880 --> 00:02:55,049 Clinical depression. Incredibly contagious. 44 00:02:55,175 --> 00:02:57,009 Every time I'm around one of them, I get blue. 45 00:02:57,135 --> 00:02:58,636 It's not clinical depression. 46 00:02:58,762 --> 00:03:01,931 Great. Got it all figured out. You don't need me. 47 00:03:04,059 --> 00:03:05,601 Three ER doctors, two neurologists 48 00:03:05,727 --> 00:03:07,353 and a radiologist have all figured out what it's not. 49 00:03:07,479 --> 00:03:08,604 We need to figure out what it is. 50 00:03:08,730 --> 00:03:11,065 If any of those doctors were interested in my opinion, 51 00:03:11,191 --> 00:03:12,191 they would have asked for it. 52 00:03:12,317 --> 00:03:15,194 None of them are willing to subject themselves to you. 53 00:03:15,320 --> 00:03:16,863 No pain, no gain. 54 00:03:18,365 --> 00:03:20,324 The blood work shows no signs of inflammation, 55 00:03:20,450 --> 00:03:22,118 and no one can figure out what's actually the cause... 56 00:03:22,244 --> 00:03:23,077 (EXCLAIMS) 57 00:03:23,203 --> 00:03:24,120 What? 58 00:03:24,246 --> 00:03:27,331 Husband described her as being unusually irritable recently. 59 00:03:27,457 --> 00:03:28,666 And? 60 00:03:28,792 --> 00:03:32,003 I didn't realize it was possible for a woman to be unusually irritable. 61 00:03:32,129 --> 00:03:33,129 (ELEVATOR BELL DINGS) 62 00:03:36,341 --> 00:03:39,260 Nice try, but you're a misanthrope, not a misogynist. 63 00:03:39,386 --> 00:03:42,054 What's the first thing you ask a doctor who's referring a patient? 64 00:03:42,180 --> 00:03:44,682 Are you questioning my ability to take a history? 65 00:03:46,351 --> 00:03:47,351 What's the primary... 66 00:03:47,477 --> 00:03:50,229 - Not "what?" Why? - Diseases don't have motives. 67 00:03:50,355 --> 00:03:52,231 No, but doctors do. 68 00:03:52,482 --> 00:03:55,234 Why this patient? What interests you? 69 00:03:56,111 --> 00:03:58,279 - Give me the chart. - Why? 70 00:04:00,032 --> 00:04:02,325 I find your interest interesting. 71 00:04:04,912 --> 00:04:07,997 HOUSE: She's irritable and sleeping 18 hours a day. 72 00:04:08,123 --> 00:04:09,582 What's interesting about that? 73 00:04:09,708 --> 00:04:13,044 Hypersomnia's usually accompanied by irritability in depressed patients. 74 00:04:13,170 --> 00:04:15,755 True, but not relevant. She's not depressed. 75 00:04:15,881 --> 00:04:18,257 Hello. She's sleeping 18 hours a day. 76 00:04:18,383 --> 00:04:21,010 Fever. Clinical depression does not cause fever. 77 00:04:21,136 --> 00:04:22,136 She could be sick and depressed. 78 00:04:22,262 --> 00:04:23,429 She's sick. 79 00:04:23,555 --> 00:04:25,431 (EXCLAIMS) Damn it. Why didn't I think of that? 80 00:04:25,557 --> 00:04:26,557 Yeah, that's what I meant. 81 00:04:26,683 --> 00:04:28,351 Elevated sed rate indicates inflammation. 82 00:04:28,477 --> 00:04:30,770 Hypersomnia and personality changes point toward the brain. 83 00:04:30,896 --> 00:04:34,231 Not the spleen? Thank goodness we hired a neurologist. 84 00:04:34,358 --> 00:04:36,901 Brain symptoms... Hmm. Could this be a brain problem? 85 00:04:37,027 --> 00:04:39,570 No other systemic signs of inflammation. Probably not vasculitis. 86 00:04:39,696 --> 00:04:41,906 What about parasites? Malaria, Chagas. 87 00:04:42,032 --> 00:04:44,241 But the patient's never been outside of the United States, 88 00:04:44,368 --> 00:04:45,368 especially the tropics. 89 00:04:45,494 --> 00:04:47,954 You mean she claims she's never been outside the U.S. 90 00:04:48,080 --> 00:04:48,996 Very good. CAMERON: Doesn't matter. 91 00:04:49,122 --> 00:04:51,290 Blood and CSF smears show no sign of parasites. 92 00:04:51,416 --> 00:04:52,416 Has to be a tumor then. 93 00:04:52,542 --> 00:04:54,710 A tumor sitting directly on top of the brain stem 94 00:04:54,836 --> 00:04:58,005 that three ER doctors, two neurologists and a radiologist missed? 95 00:04:58,131 --> 00:05:00,007 Partridge in a pear tree missed it too. 96 00:05:00,133 --> 00:05:01,968 Redo the blood work, and get a new MRI 97 00:05:02,094 --> 00:05:05,262 with 2mm cuts through the mesodiencephalic. 98 00:05:05,389 --> 00:05:06,973 And check for evil stepmothers. 99 00:05:07,099 --> 00:05:09,892 This much sleep usually indicates poison apples. 100 00:05:10,644 --> 00:05:13,187 Anything else besides the shortness of breath? 101 00:05:13,313 --> 00:05:14,271 Not really. 102 00:05:14,398 --> 00:05:16,357 It's actually just kind of a tightness. 103 00:05:16,483 --> 00:05:18,401 - You smoke? - No, never. 104 00:05:18,527 --> 00:05:21,112 - Exercise? - Eight hours a day. 105 00:05:22,155 --> 00:05:25,074 - I teach preschool. - Sounds fun. 106 00:05:27,119 --> 00:05:29,161 Any history of heart disease in your family? 107 00:05:29,287 --> 00:05:31,664 - Not that I know of. - Take a deep breath. 108 00:05:34,584 --> 00:05:36,711 Been under a lot of stress lately? 109 00:05:36,837 --> 00:05:38,504 No more than usual. 110 00:05:38,630 --> 00:05:40,715 You're probably just a little anemic. 111 00:05:40,841 --> 00:05:43,134 I'm gonna do an EKG just to make sure. 112 00:05:43,260 --> 00:05:44,093 Do I need to take this off? 113 00:05:44,219 --> 00:05:47,138 No. You can just pull that down in front. 114 00:05:51,893 --> 00:05:53,269 Good Lord. 115 00:05:54,855 --> 00:05:58,566 - Are those real? - Do they look real? 116 00:05:58,900 --> 00:06:00,609 They look pretty damn good. 117 00:06:00,861 --> 00:06:02,903 They were a present for my husband's 40th. 118 00:06:03,030 --> 00:06:05,990 I figured he'd enjoy them more than a sweater. 119 00:06:06,199 --> 00:06:07,950 That's so sweet. 120 00:06:08,368 --> 00:06:10,077 But I'm afraid the cause of your problem 121 00:06:10,203 --> 00:06:12,038 could be staring us right in the face. 122 00:06:12,164 --> 00:06:14,415 Actually, I guess I'm the one doing the staring. 123 00:06:15,125 --> 00:06:17,835 Of course, I can't be sure. I'd like to consult a colleague. 124 00:06:17,961 --> 00:06:21,130 He's actually somewhat of an expert in these matters. 125 00:06:23,258 --> 00:06:25,634 Can I get a page on Dr. Wilson? 126 00:06:28,180 --> 00:06:29,930 - A tumor? - We don't know. 127 00:06:30,057 --> 00:06:31,557 We're checking just to be safe. 128 00:06:31,683 --> 00:06:32,725 Y'all already checked for that. 129 00:06:32,851 --> 00:06:34,643 The previous MRI had a broader view. 130 00:06:34,770 --> 00:06:38,564 Some tumors are almost impossible to see unless you know exactly where to look. 131 00:06:38,690 --> 00:06:40,024 That means it would be small, right? 132 00:06:40,150 --> 00:06:41,150 Yeah. 133 00:06:41,276 --> 00:06:43,652 Then you'd be able to operate, take it out? 134 00:06:43,779 --> 00:06:46,572 If it's a tumor, there are a variety of treatment options, 135 00:06:46,698 --> 00:06:49,033 but there are variables other than just size. 136 00:06:51,453 --> 00:06:55,456 - Don't worry. - Too late. 137 00:07:00,462 --> 00:07:02,671 CAMERON: Try to remain as still as possible. 138 00:07:02,798 --> 00:07:05,341 The less distortion there is, the more detail we'll be able to see. 139 00:07:05,467 --> 00:07:06,592 Okay. 140 00:07:17,312 --> 00:07:19,939 MAN ON PA: x-ray tech, report to Radiology Room 3. 141 00:07:21,483 --> 00:07:24,235 Well. That's what breasts look like. 142 00:07:24,653 --> 00:07:27,196 Is a lie a lie if everybody knows it's a lie? 143 00:07:27,322 --> 00:07:29,240 Well, if a tree pretends to fall in a forest... 144 00:07:29,366 --> 00:07:30,825 House, come on. They're breasts. 145 00:07:30,951 --> 00:07:33,202 They're a birthday present, not a philosophical treatise. 146 00:07:33,328 --> 00:07:36,330 Lie number one. She did not do that for her husband. 147 00:07:36,456 --> 00:07:37,456 She did that for herself. 148 00:07:37,582 --> 00:07:39,166 She thinks if she looks different, she'll be different. 149 00:07:39,292 --> 00:07:41,794 No. She thinks if she looks different, she'll be more attractive, 150 00:07:41,920 --> 00:07:45,005 - which I have to say... - Not to her husband. 151 00:07:45,132 --> 00:07:48,175 Cosmetic surgery is so everyone else will look at us differently. 152 00:07:48,718 --> 00:07:50,678 The same reason you're wearing that tie. 153 00:07:50,804 --> 00:07:53,180 Well, exactly. That was gonna be my next point. 154 00:07:53,306 --> 00:07:55,599 Last three months, same five ties. 155 00:07:55,725 --> 00:07:57,643 Thursday should be that paisley thing. 156 00:07:57,769 --> 00:08:00,062 - It's a gift from my wife. - No, it's not. 157 00:08:00,188 --> 00:08:02,439 Julie hates green. You bought that yourself. 158 00:08:02,566 --> 00:08:04,942 You want to look pretty at work. 159 00:08:05,944 --> 00:08:08,112 (MOCKINGLY) Wilson's got a girlfriend. 160 00:08:08,446 --> 00:08:10,573 Stop. Stop. I don't. 161 00:08:11,658 --> 00:08:14,743 It takes two department heads to treat shortness of breath? 162 00:08:15,287 --> 00:08:18,831 What, do the complications increase exponentially with cup size? 163 00:08:19,166 --> 00:08:24,086 I want an EKG and blood tests, including tox screen on Mrs... 164 00:08:24,212 --> 00:08:25,129 Exam Room 1. 165 00:08:25,255 --> 00:08:28,215 You're ordering tests to cover your lechery. 166 00:08:28,341 --> 00:08:30,551 - Interesting. - Very tricky case. 167 00:08:32,762 --> 00:08:35,556 You love everybody. That's your pathology. 168 00:08:37,976 --> 00:08:41,645 There were no lesions and no mass effect that we could see. 169 00:08:42,606 --> 00:08:44,356 What does that mean? 170 00:08:44,900 --> 00:08:48,152 It means we're still not sure what's causing the neurological problems. 171 00:08:48,278 --> 00:08:50,905 I know some things are hard to cure, 172 00:08:51,364 --> 00:08:53,741 but what I just don't get is why it's taking so long 173 00:08:53,867 --> 00:08:55,201 to figure out what's wrong with her. 174 00:08:55,327 --> 00:08:56,952 I know you're scared. I would be too. 175 00:08:57,078 --> 00:08:59,955 - I don't feel good. - You feeling nauseous? 176 00:09:01,166 --> 00:09:03,209 Honey, are you all right? 177 00:09:06,046 --> 00:09:07,671 CAMERON: She's seizing! 178 00:09:09,257 --> 00:09:10,507 Get her on her side. 179 00:09:10,634 --> 00:09:11,634 I need some Ativan! 180 00:09:11,760 --> 00:09:12,593 NURSE: I'll get it. 181 00:09:13,970 --> 00:09:16,305 - What's happened? - She's having a seizure. 182 00:09:16,431 --> 00:09:17,514 (GAGGING) 183 00:09:17,641 --> 00:09:19,225 She's aspirating. Suction. 184 00:09:26,650 --> 00:09:28,067 Come on, Elyse. 185 00:09:47,420 --> 00:09:49,088 WILSON: The MRI reveals nothing. 186 00:09:49,214 --> 00:09:50,506 FOREMAN: That we were able to detect. 187 00:09:50,632 --> 00:09:51,799 It's not a tumor. 188 00:09:51,925 --> 00:09:54,051 A small glioma could hide from contrast. 189 00:09:54,177 --> 00:09:55,177 We could do a PET scan. 190 00:09:55,303 --> 00:09:59,139 Yes. That's how a responsible doctor would waste his time in this situation. 191 00:09:59,266 --> 00:10:02,268 Suddenly tests and radiologists are incapable of error? 192 00:10:02,394 --> 00:10:04,853 A glioma not presenting on a contrast MRI 193 00:10:04,980 --> 00:10:07,231 would have to be smaller than a grain of sand, 194 00:10:07,357 --> 00:10:09,650 which does not a gravely ill person make. 195 00:10:09,776 --> 00:10:12,069 It could be just postictal disorientation. 196 00:10:12,195 --> 00:10:13,487 We would have seen improvement by now. 197 00:10:13,613 --> 00:10:15,698 Late-stage Lyme disease can cause seizures. 198 00:10:15,824 --> 00:10:18,450 - Does the husband care about her? - He hasn't left her bedside. 199 00:10:18,576 --> 00:10:19,868 How annoying. 200 00:10:19,995 --> 00:10:21,996 It also means she doesn't have Lyme disease. 201 00:10:22,122 --> 00:10:23,664 What, love conquers all? 202 00:10:23,790 --> 00:10:25,874 Lyme disease initially presents with a rash. 203 00:10:26,001 --> 00:10:27,001 Mr. Clingy would have noticed. 204 00:10:27,127 --> 00:10:30,212 - We've looked at everything else. - Did you look at her breasts? 205 00:10:30,547 --> 00:10:31,964 (SCOFFS) Men. 206 00:10:32,674 --> 00:10:34,800 It could be paraneoplastic. 207 00:10:35,218 --> 00:10:37,678 She have any family history of breast cancer? 208 00:10:37,804 --> 00:10:39,638 Her mother died of it. 209 00:10:40,432 --> 00:10:44,518 The brain, but not the brain. Clever, huh? 210 00:10:51,818 --> 00:10:54,361 How can breast cancer cause problems in her brain? 211 00:10:55,030 --> 00:10:56,613 There are molecular similarities 212 00:10:56,740 --> 00:10:58,574 between brain cells and tumor cells. 213 00:10:58,700 --> 00:11:01,243 Paraneoplastic syndrome causes the body's own antibodies 214 00:11:01,369 --> 00:11:03,120 to get thrown off track. 215 00:11:03,246 --> 00:11:05,998 They end up attacking the brain instead of the tumor. 216 00:11:06,333 --> 00:11:08,792 So, if you do find a tumor, what do you do? 217 00:11:09,169 --> 00:11:11,837 We treat the underlying malignancy. 218 00:11:11,963 --> 00:11:13,005 Once there's no tumor to attack, 219 00:11:13,131 --> 00:11:15,424 there's nothing for the antibodies to get confused about. 220 00:11:15,550 --> 00:11:18,260 - If the tumor's treatable. - Exactly. 221 00:11:23,641 --> 00:11:24,475 ELYSE: Ow! 222 00:11:24,601 --> 00:11:26,685 CAMERON: I'm sorry. I know it's uncomfortable. 223 00:11:26,811 --> 00:11:30,064 The tighter we go, the better the image will be. 224 00:11:30,190 --> 00:11:31,523 (MACHINE WHIRRING) 225 00:11:33,860 --> 00:11:36,528 - At least it'll keep me awake. - Don't worry. It's almost over. 226 00:11:37,906 --> 00:11:40,449 I wish people would stop telling me not to worry. 227 00:11:40,575 --> 00:11:41,575 (GROANS) 228 00:11:41,701 --> 00:11:42,993 I'm sorry. 229 00:11:45,705 --> 00:11:47,623 My mom was the same age. 230 00:11:58,218 --> 00:12:00,135 We've been trying to get pregnant for over a year. 231 00:12:00,261 --> 00:12:02,304 Guess we're lucky we didn't. 232 00:12:02,430 --> 00:12:04,890 A lot has changed since your mom died. 233 00:12:05,350 --> 00:12:06,683 Don't worry... 234 00:12:08,853 --> 00:12:09,978 Don't give up. 235 00:12:20,949 --> 00:12:22,491 HOUSE: No tumor? 236 00:12:22,617 --> 00:12:25,869 The MRI and the mammogram only showed a few benign calcifications. 237 00:12:25,995 --> 00:12:28,122 It's most likely a small-cell tumor. 238 00:12:28,248 --> 00:12:30,332 It's no surprise we're having trouble finding it. 239 00:12:30,542 --> 00:12:32,835 We should do a PET scan. Start with her lungs, 240 00:12:32,961 --> 00:12:34,169 then maybe her bones. 241 00:12:34,295 --> 00:12:35,963 Sometimes it presents with no tumor at all. 242 00:12:36,089 --> 00:12:38,924 How can a disease caused by a tumor present if there's no tumor? 243 00:12:39,134 --> 00:12:40,926 It happens. 12% of cases. 244 00:12:41,052 --> 00:12:43,095 And how do you treat it if there's no tumor? 245 00:12:43,221 --> 00:12:46,265 You don't. Those 12%, no treatment. 246 00:12:46,975 --> 00:12:49,143 They were too busy looking for the tumor 247 00:12:49,269 --> 00:12:51,145 right till they put the patient in the ground. 248 00:12:51,646 --> 00:12:52,771 What choice do we have? 249 00:12:52,897 --> 00:12:55,899 Treat the symptoms. IV immunoglobulin. 250 00:12:56,025 --> 00:12:58,068 So we're just gonna ignore the tumor? 251 00:12:58,194 --> 00:13:00,070 Well, eventually it'll get bigger. 252 00:13:00,196 --> 00:13:01,989 Then it'll be really easy to find. 253 00:13:02,115 --> 00:13:04,158 One of you needs to check out where she works. 254 00:13:04,284 --> 00:13:06,410 - Why? - 'Cause the husband's not sick. 255 00:13:06,661 --> 00:13:07,661 CHASE: Meaning? 256 00:13:07,787 --> 00:13:11,707 If it's not paraneoplastic, and it is a reaction to some sort of toxin, 257 00:13:11,833 --> 00:13:14,668 it's obviously not coming from their home. 258 00:13:15,378 --> 00:13:17,045 Foreman, you do it. 259 00:13:20,592 --> 00:13:22,926 Why are you riding me? 260 00:13:23,052 --> 00:13:25,846 It's what I do. Has it got worse lately? 261 00:13:25,972 --> 00:13:28,599 - Yeah. Seems to me. - Really? 262 00:13:29,100 --> 00:13:30,934 Well, that rules out the race thing. 263 00:13:31,060 --> 00:13:34,021 'Cause you were just as black last week. 264 00:13:35,190 --> 00:13:36,398 FOREMAN: How long has Elyse worked here? 265 00:13:36,524 --> 00:13:38,734 Oh, three years. She's my best rotisseur. 266 00:13:38,860 --> 00:13:39,818 And what's that? 267 00:13:39,944 --> 00:13:43,197 The rotisseur prepares the roasted meats and gravies. 268 00:13:43,615 --> 00:13:44,907 How do you clean your grill? 269 00:13:45,033 --> 00:13:46,366 (SPEAKING IN FRENCH) 270 00:13:46,493 --> 00:13:49,161 - You say "elbow grease". - Do you use chemical cleaners? 271 00:13:49,287 --> 00:13:50,204 Non. Absolument. 272 00:13:50,330 --> 00:13:52,122 The chefs don't do the cleaning anyway. 273 00:13:52,248 --> 00:13:55,709 What about pesticides? You must spray for roaches and that sort of thing. 274 00:13:55,835 --> 00:13:58,712 No. My kitchen is clean. No roaches. 275 00:13:58,838 --> 00:14:01,173 (BOTH SPEAKING FRENCH) 276 00:14:02,175 --> 00:14:04,426 I need to get back to work. 277 00:14:04,969 --> 00:14:07,179 So the fact that I'm here asking you these questions, 278 00:14:07,305 --> 00:14:09,139 it doesn't worry you? 279 00:14:09,265 --> 00:14:11,058 (LAUGHS) Look at me. I'm here 18 hours a day. 280 00:14:11,184 --> 00:14:12,935 That guy practically lives here. 281 00:14:13,061 --> 00:14:14,520 He does live here. 282 00:14:14,646 --> 00:14:16,438 I use the same detergents for 15 years, 283 00:14:16,564 --> 00:14:18,273 and everyone is healthy as a horse. 284 00:14:18,399 --> 00:14:21,109 Whatever Elyse has, she didn't get here. 285 00:14:21,694 --> 00:14:23,612 Tell her I hope she feels better. 286 00:14:23,738 --> 00:14:25,989 And I had to get a new rotisseur. 287 00:14:35,792 --> 00:14:37,125 (MAN CHATTERING ON PA) 288 00:14:38,670 --> 00:14:39,753 Where's Ed? 289 00:14:40,171 --> 00:14:42,589 He went down to the gift shop to buy a shirt. 290 00:14:42,715 --> 00:14:44,716 I told him I'd stay up here just in case you woke up. 291 00:14:46,261 --> 00:14:48,762 You must have better things to do. 292 00:14:49,222 --> 00:14:51,056 I send my laundry out. 293 00:14:51,975 --> 00:14:54,059 - You're not married? - No. 294 00:14:54,602 --> 00:14:56,770 Waiting for the perfect guy? 295 00:14:57,605 --> 00:15:00,524 Let me guess. You've already found him. 296 00:15:04,571 --> 00:15:07,114 He threw my towels out the window. 297 00:15:07,240 --> 00:15:08,574 (CHUCKLES) 298 00:15:09,117 --> 00:15:10,784 That's how we met. 299 00:15:11,202 --> 00:15:16,248 Freshman year, Ed came to a party that my roommate and I threw. 300 00:15:17,000 --> 00:15:20,210 He spent most of the night on the bathroom floor. 301 00:15:21,671 --> 00:15:25,173 He figured I wouldn't notice the vomit on the towels 302 00:15:25,300 --> 00:15:27,134 if I didn't have any towels. 303 00:15:30,013 --> 00:15:32,180 I'm assuming he came back the next day to apologize? 304 00:15:32,307 --> 00:15:34,891 No way. I had to track him down. 305 00:15:36,769 --> 00:15:37,811 (SIGHS) 306 00:15:37,937 --> 00:15:41,648 Conflict resolution has never been one of Ed's strong points. 307 00:15:43,067 --> 00:15:47,237 - Nobody's perfect, right? - I guess. 308 00:15:48,114 --> 00:15:49,573 Oh, my neck hurts. 309 00:15:51,159 --> 00:15:54,244 You've been in this bed for a really long time. 310 00:15:56,789 --> 00:15:59,499 We're gonna do the same test we did last night, okay? 311 00:15:59,626 --> 00:16:03,045 - Do you know what day it is? - My arm itches. 312 00:16:03,171 --> 00:16:04,630 It's probably a mild skin irritation. 313 00:16:04,756 --> 00:16:07,090 I'll get you some hydrocortisone in a minute. 314 00:16:07,216 --> 00:16:10,052 - Do you know what day it is? - Tuesday. It really itches. 315 00:16:11,471 --> 00:16:14,222 How about I get you that cream right now? 316 00:16:22,607 --> 00:16:24,983 Oh, my God! Get them off! Get 'em off of me! 317 00:16:25,109 --> 00:16:26,193 Get 'em off me! Get 'em off me! 318 00:16:26,319 --> 00:16:28,904 - Elyse, calm down. - Get them off me! 319 00:16:29,030 --> 00:16:30,864 Elyse, calm down. Calm down. 320 00:16:30,990 --> 00:16:32,991 They're biting me! They're biting me! 321 00:16:33,117 --> 00:16:34,993 I'm gonna need some Haldol, five milligrams. 322 00:16:35,119 --> 00:16:36,119 Honey, what's wrong? 323 00:16:36,245 --> 00:16:37,454 Get 'em off! 324 00:16:40,416 --> 00:16:41,541 Get 'em off. Get 'em off. 325 00:16:41,668 --> 00:16:45,754 There's nothing there, Elyse. There's nothing there. 326 00:16:45,880 --> 00:16:46,880 Ow! 327 00:16:50,218 --> 00:16:51,802 FOREMAN: We had to sedate her. 328 00:16:51,928 --> 00:16:55,222 You gave sedatives to a patient who's already sleeping 18 hours a day? 329 00:16:55,348 --> 00:16:57,849 It was better than letting her scratch all the skin off her arms. 330 00:16:57,975 --> 00:16:58,934 HOUSE: Where's Wilson? 331 00:16:59,060 --> 00:17:01,728 Creepy-crawlies are consistent with paraneoplastic syndrome. 332 00:17:01,854 --> 00:17:04,064 Onset immediately after IV IG isn't. 333 00:17:04,190 --> 00:17:06,024 There is a simple explanation. 334 00:17:06,150 --> 00:17:08,527 Maybe she really has bugs under her skin. 335 00:17:08,653 --> 00:17:09,486 Infection? 336 00:17:10,279 --> 00:17:13,615 That's whata worsening of symptoms after immunotherapy would suggest. 337 00:17:13,741 --> 00:17:16,243 Blood cultures and the timeline rule out most bacteria. 338 00:17:16,369 --> 00:17:19,079 Patient throws up on your shoes, do you clean up most of it? 339 00:17:19,205 --> 00:17:22,749 The symptoms rule out the rest. Serology rules out viruses. 340 00:17:22,875 --> 00:17:24,918 CSF smears rule out parasites. 341 00:17:25,044 --> 00:17:28,213 HOUSE: In the final stage of African trypanosomiasis, 342 00:17:28,339 --> 00:17:30,590 almost all the parasites are inside the brain. 343 00:17:30,717 --> 00:17:32,801 It's possible they wouldn't show on smears. 344 00:17:32,927 --> 00:17:36,138 But it's not possible for a patient who's never been to Africa 345 00:17:36,264 --> 00:17:37,723 to have African sleeping sickness. 346 00:17:37,849 --> 00:17:39,224 I'm just saying it fits the symptoms. 347 00:17:39,350 --> 00:17:40,726 She could've got it from a transfusion. 348 00:17:40,852 --> 00:17:43,019 Or I'm just saying she could've got it from a transfusion. 349 00:17:43,312 --> 00:17:45,230 Which she never had. 350 00:17:45,606 --> 00:17:47,482 Okay. WILSON: What about toxins? 351 00:17:47,608 --> 00:17:50,652 No, the kitchen she works in is cleaner than some hospitals. 352 00:17:50,778 --> 00:17:55,407 But they do serve rabbit. Rabbit fever fits her symptoms. 353 00:17:55,533 --> 00:17:58,785 Tularemia initially presents with a rash or ulcer near the infection site. 354 00:17:58,911 --> 00:18:00,620 Not if she inhaled it. 355 00:18:00,747 --> 00:18:04,124 Chopping the meat with the cleaver could easily aerosolize the bacteria. 356 00:18:04,250 --> 00:18:06,168 No. Then she'd have respiratory symptoms. 357 00:18:06,294 --> 00:18:08,211 Maybe she ignored it, figured she had a cold. 358 00:18:08,337 --> 00:18:09,254 We rejected Lyme disease 359 00:18:09,380 --> 00:18:11,006 because the couple would have noticed a rash, 360 00:18:11,132 --> 00:18:14,009 but a wet, hacking cough is just gonna slip right by? 361 00:18:14,135 --> 00:18:17,012 It's either that or she missed her exit on the turnpike 362 00:18:17,138 --> 00:18:18,805 and wound up in Africa. 363 00:18:19,140 --> 00:18:20,849 Okay, two lousy ideas. 364 00:18:21,267 --> 00:18:23,477 Unfortunately, they're better than all the other ideas. 365 00:18:23,853 --> 00:18:26,730 Tularemia. Bizarre. 366 00:18:28,524 --> 00:18:31,902 Very nice. That's why I ride you. 367 00:18:41,287 --> 00:18:43,413 Did he just turn on the TV? 368 00:18:43,873 --> 00:18:45,457 He needs to think. 369 00:18:46,626 --> 00:18:49,211 So this should tell us whether or not she's got rabbit fever? 370 00:18:49,337 --> 00:18:50,670 For a diagnosis of tularemia 371 00:18:50,797 --> 00:18:53,632 you need a fourfold increase in serum antibody levels. 372 00:18:53,758 --> 00:18:55,884 To measure an increase you need a before. All we have is an after. 373 00:18:56,010 --> 00:18:58,345 A single titer over 160 would be a big clue. 374 00:18:58,471 --> 00:18:59,888 "That's why I ride you." What does that mean? 375 00:19:00,014 --> 00:19:01,723 Even when I have a good idea, it's because of him? 376 00:19:01,933 --> 00:19:04,434 Actually, I think he said your idea was a lousy idea. 377 00:19:04,560 --> 00:19:06,019 CAMERON: It has to be one of these two conditions. 378 00:19:06,229 --> 00:19:08,939 I say we take our best guess and just start treatment. Or treat both. 379 00:19:09,065 --> 00:19:11,566 The treatment for tularemia can cause aplastic anemia. 380 00:19:11,692 --> 00:19:12,901 How come he doesn't ride you guys? 381 00:19:13,027 --> 00:19:15,612 - Got a crush on you. - He just doesn't know how to show it. 382 00:19:15,738 --> 00:19:17,072 Get over it. He rides everybody. 383 00:19:17,198 --> 00:19:19,950 And the treatment for sleeping sickness kills one in 10 patients. 384 00:19:20,076 --> 00:19:21,576 So we start with the safer treatment. 385 00:19:21,911 --> 00:19:26,248 By "safer", you mean the one that's slightly less likely to kill her. 386 00:19:39,178 --> 00:19:41,847 Foreman got the gang testing for tularemia? 387 00:19:41,973 --> 00:19:45,058 Yep. Probably inconclusive, but worth doing. 388 00:19:45,977 --> 00:19:48,603 So, what's her name? When do I get to meet her? 389 00:19:48,729 --> 00:19:49,896 There's nobody. Give it up. 390 00:19:50,147 --> 00:19:52,190 Your lips say no. Your shoes say yes. 391 00:19:52,316 --> 00:19:55,235 Well, they're French. You can't trust a word they say. 392 00:19:55,361 --> 00:19:57,445 Solid, yet stylish. 393 00:19:57,822 --> 00:20:00,156 A professional woman would be impressed. 394 00:20:00,283 --> 00:20:03,159 I'm thinking accountant. Actuary, maybe. 395 00:20:03,578 --> 00:20:07,205 It's somebody in the hospital. Patient? 396 00:20:07,331 --> 00:20:10,333 No. Chemo's not sexy. Daughter of a patient? 397 00:20:10,710 --> 00:20:12,919 She would certainly have the neediness you need. 398 00:20:13,045 --> 00:20:14,838 I'm not gonna date a patient's daughter. 399 00:20:14,964 --> 00:20:16,339 Very ethical. 400 00:20:16,465 --> 00:20:19,050 Of course, most married men would say they don't date at all. 401 00:20:19,176 --> 00:20:20,719 There was no date. 402 00:20:21,804 --> 00:20:24,222 I had lunch with one of the nurses. 403 00:20:24,348 --> 00:20:25,849 It's her first time in an oncology unit. 404 00:20:25,975 --> 00:20:27,934 She's having a tough time emotionally. 405 00:20:28,060 --> 00:20:30,020 - Perfect. - I wanted to be nice. 406 00:20:30,646 --> 00:20:32,480 That's all. I mean it. 407 00:20:32,857 --> 00:20:35,400 You always do. It's part of your charm. 408 00:20:35,985 --> 00:20:39,321 Hi, boys. Mrs. Campbell's test results. 409 00:20:39,447 --> 00:20:42,616 You remember her. The preschool teacher with the heart of silicone. 410 00:20:42,742 --> 00:20:45,702 - No. Doesn't ring a bell. - They came in yesterday. 411 00:20:45,828 --> 00:20:47,412 I figured you guys would have been all over them. 412 00:20:47,538 --> 00:20:50,165 - I know how concerned you were. - She's all upset 413 00:20:50,291 --> 00:20:52,208 'cause we paid more attention to the other girl. 414 00:20:52,418 --> 00:20:54,794 You check out her ass. I've got the chest. 415 00:20:55,630 --> 00:20:58,214 The tests were normal. Of course, that's just my opinion. 416 00:20:58,341 --> 00:21:00,008 You might wanna call a couple of guys from maintenance 417 00:21:00,134 --> 00:21:01,509 in for a consult. 418 00:21:01,636 --> 00:21:04,304 You check her EKG results before she left the other day? 419 00:21:04,430 --> 00:21:06,348 - You ordered it. - You're the responsible one. 420 00:21:06,474 --> 00:21:08,016 What's wrong? They look normal to me. 421 00:21:08,142 --> 00:21:10,894 - Where is she? - Waiting downstairs. Why? 422 00:21:11,228 --> 00:21:12,771 I was right. 423 00:21:19,987 --> 00:21:22,739 Do I have to get rid of the implants? 424 00:21:23,032 --> 00:21:24,866 Surprisingly, no. 425 00:21:25,326 --> 00:21:28,036 But your EKG shows a slightly decreased heart rate. 426 00:21:28,162 --> 00:21:29,162 Is that a problem? 427 00:21:29,288 --> 00:21:31,414 You told me you hadn't changed your diet or exercise. 428 00:21:31,540 --> 00:21:34,125 - Were you lying? - Lying? 429 00:21:34,251 --> 00:21:36,336 Does your husband have high blood pressure? 430 00:21:36,462 --> 00:21:38,129 - My husband? - Yeah, you see, 431 00:21:38,255 --> 00:21:40,048 if you're gonna repeat everything I say, 432 00:21:40,174 --> 00:21:43,009 this conversation's gonna take twice as long. 433 00:21:43,135 --> 00:21:44,552 Yes. He was diagnosed six months ago. 434 00:21:44,679 --> 00:21:46,096 He do a lot of cooking at home? 435 00:21:46,222 --> 00:21:48,056 Not really, other than oatmeal in the morning. 436 00:21:48,182 --> 00:21:52,185 Did you happen to notice a slightly odd taste to the oatmeal lately? 437 00:21:52,311 --> 00:21:53,186 Wait. Are you saying that... 438 00:21:53,312 --> 00:21:54,854 That it looks like your husband stirred in 439 00:21:54,981 --> 00:21:56,231 some of his blood pressure medication 440 00:21:56,357 --> 00:21:57,524 along with the brown sugar. 441 00:21:57,650 --> 00:21:59,401 You think my husband's trying to poison me? 442 00:21:59,527 --> 00:22:01,569 No. Nothing like that. 443 00:22:02,822 --> 00:22:05,532 He just doesn't want to have sex with you. 444 00:22:05,658 --> 00:22:07,951 Decreased sex drive is one of the most common side effects 445 00:22:08,077 --> 00:22:09,536 of the beta-blockers he's been taking. 446 00:22:09,662 --> 00:22:13,331 I'm guessing he figured if you're both frigid, no harm, no foul. 447 00:22:13,499 --> 00:22:15,000 Should've gotten him the sweater. 448 00:22:15,668 --> 00:22:17,836 - That's ridiculous. - Fine. 449 00:22:17,962 --> 00:22:19,629 But if you're still concerned about the shortness of breath, 450 00:22:19,755 --> 00:22:22,048 I'd start making your own breakfast. 451 00:22:22,174 --> 00:22:23,383 Wait. 452 00:22:25,052 --> 00:22:26,845 What should I do? 453 00:22:28,514 --> 00:22:32,726 If you care about your husband at all, I'd do the responsible thing. 454 00:22:32,852 --> 00:22:35,937 Buy yourself some condoms, go to a bar, find... 455 00:22:41,652 --> 00:22:42,944 Huh. 456 00:22:53,998 --> 00:22:55,874 Lab tests inconclusive? 457 00:22:56,292 --> 00:22:57,709 Not surprisingly. 458 00:22:57,835 --> 00:22:59,169 HOUSE: No. But too bad. 459 00:22:59,879 --> 00:23:03,256 - Luckily, I have the answer. - To what? 460 00:23:03,674 --> 00:23:06,634 Thanks for asking. To life itself. Sex. 461 00:23:06,761 --> 00:23:08,136 Anything that can be transmitted via the blood 462 00:23:08,262 --> 00:23:09,679 can be transmitted through sex. 463 00:23:09,805 --> 00:23:12,474 - Sleeping sickness from sex? - It's not without precedent. 464 00:23:12,600 --> 00:23:13,725 I'm pretty sure it is, 465 00:23:13,851 --> 00:23:15,268 unless you're talking about going to Africa 466 00:23:15,394 --> 00:23:17,020 and having sex with a tsetse fly. 467 00:23:17,146 --> 00:23:19,981 A Portuguese man was diagnosed three years ago 468 00:23:20,107 --> 00:23:21,441 with CNS-affected sleeping sickness. 469 00:23:21,567 --> 00:23:23,151 His only connection with Africa 470 00:23:23,277 --> 00:23:26,112 was through a girlfriend who'd served with the military in Angola. 471 00:23:26,238 --> 00:23:27,322 Boy. Where'd you find that? 472 00:23:27,448 --> 00:23:31,076 The Journal of the Instituto de Higiene e Medicina Tropical. 473 00:23:31,619 --> 00:23:33,411 - You don't read Portuguese? - You do? 474 00:23:33,537 --> 00:23:34,954 Pretty sure that's what it said. 475 00:23:35,081 --> 00:23:37,165 Either that or it was an ad for sunglasses. 476 00:23:37,458 --> 00:23:39,459 Her husband has never been to Africa either. 477 00:23:39,585 --> 00:23:42,837 (EXCLAIMS) Stymied again. Your logic is bulletproof. 478 00:23:42,963 --> 00:23:46,049 I think ignoring respiratory symptoms is more likely than cheating. 479 00:23:46,175 --> 00:23:47,342 Because? 480 00:23:47,468 --> 00:23:49,511 They're completely devoted to each other. 481 00:23:50,304 --> 00:23:53,348 - Because? - They love each other. 482 00:23:53,808 --> 00:23:54,682 Or? 483 00:23:55,684 --> 00:23:58,103 They're overcompensating for guilt. 484 00:23:59,438 --> 00:24:00,688 Find out which it is. 485 00:24:00,815 --> 00:24:02,357 You want me to ask a man whose wife 486 00:24:02,483 --> 00:24:04,275 is about to die if he cheated on her? 487 00:24:04,401 --> 00:24:07,320 No, I want you to be polite and let her die. 488 00:24:07,696 --> 00:24:09,030 Actually, I don't want you to ask her anything. 489 00:24:09,156 --> 00:24:11,616 Foreman, take the husband. Chase, take the wife. 490 00:24:16,705 --> 00:24:18,248 (MAN CHATTERING ON PA) 491 00:24:21,460 --> 00:24:24,129 You don't trust me to do my job? 492 00:24:24,505 --> 00:24:27,257 We all formulate questions based on the answers we want to hear. 493 00:24:27,383 --> 00:24:30,510 And how exactly do you reformulate, "Have you screwed around?" 494 00:24:30,636 --> 00:24:31,845 Did you know she's been trying to get pregnant? 495 00:24:31,971 --> 00:24:33,513 - Yes. - After you got so freaked 496 00:24:33,639 --> 00:24:36,349 about the sick babies a while ago, I figured that was your thing. 497 00:24:36,475 --> 00:24:38,143 But you've never been prescribed folic acid, 498 00:24:38,269 --> 00:24:40,103 and you can't lose a baby if you've never been pregnant. 499 00:24:40,229 --> 00:24:43,189 - You pulled my medical records? - You coughed the other day. 500 00:24:43,315 --> 00:24:44,524 I was concerned. 501 00:24:44,650 --> 00:24:46,901 You were curious, like an eight-year-old boy 502 00:24:47,027 --> 00:24:51,322 with a puzzle that's just a little too grown-up for him to figure out. 503 00:24:51,448 --> 00:24:53,074 "Tomayto, tomahto." 504 00:24:54,910 --> 00:24:58,913 So it's either sleeping sickness or this rabbit thing? 505 00:24:59,206 --> 00:25:01,249 They're both fatal without treatment. 506 00:25:01,375 --> 00:25:04,586 And unfortunately, the treatment for both is extremely dangerous. 507 00:25:04,795 --> 00:25:07,672 - Are there tests you can do? - Not at this stage. 508 00:25:08,007 --> 00:25:10,884 But each condition has a unique history. 509 00:25:11,510 --> 00:25:15,263 We're hoping your answers to a few questions will help us. 510 00:25:15,389 --> 00:25:17,765 Sure. Whatever you need to know. 511 00:25:18,184 --> 00:25:21,477 Before the sleeping problems, did you have any trouble breathing? 512 00:25:21,604 --> 00:25:24,856 A cough that wouldn't go away, anything like that? 513 00:25:26,942 --> 00:25:27,984 No. 514 00:25:28,652 --> 00:25:29,736 Are you certain? 515 00:25:29,862 --> 00:25:30,820 Absolutely. 516 00:25:30,946 --> 00:25:32,822 I've never been away from her for more than a night. 517 00:25:32,948 --> 00:25:36,117 If she had breathing troubles I would've noticed. 518 00:25:37,620 --> 00:25:41,122 The other condition is significantly more likely 519 00:25:43,417 --> 00:25:45,460 if you've had an affair. 520 00:25:45,586 --> 00:25:50,006 - Have you ever had an affair? - Of course not. 521 00:25:50,549 --> 00:25:51,674 Are you sure? 522 00:25:51,800 --> 00:25:53,968 I think I'd remember cheating on my wife. 523 00:25:54,094 --> 00:25:55,261 You might be reluctant to admit it. 524 00:25:55,387 --> 00:25:56,387 No. 525 00:25:56,513 --> 00:25:58,306 I just want to be perfectly clear. 526 00:25:58,515 --> 00:26:02,352 If your wife has sleeping sickness, and we don't treat her, 527 00:26:03,395 --> 00:26:04,437 she'll die. 528 00:26:04,563 --> 00:26:06,522 ELYSE: I would never do that to Ed. 529 00:26:08,442 --> 00:26:10,026 I love him. 530 00:26:10,152 --> 00:26:11,653 ED: Absolutely not. 531 00:26:12,613 --> 00:26:14,113 I love her. 532 00:26:27,836 --> 00:26:30,255 All right then. They say no cheating, 533 00:26:30,381 --> 00:26:32,215 we cross off sleeping sickness. 534 00:26:32,675 --> 00:26:34,050 Any new ideas? 535 00:26:36,220 --> 00:26:38,012 Okay. We go with Foreman's tularemia. 536 00:26:38,138 --> 00:26:39,597 Start her on IV chloramphenicol, 537 00:26:39,723 --> 00:26:42,100 25 milligrams per kilogram, four times a day. 538 00:26:42,226 --> 00:26:43,768 Good night. 539 00:26:56,657 --> 00:26:58,366 Where's Ed? 540 00:26:58,492 --> 00:26:59,701 CAMERON: Right next to you. 541 00:27:00,703 --> 00:27:03,037 Well, you're two down, two to go. 542 00:27:04,873 --> 00:27:08,793 - Two days? - No. Doses. 543 00:27:08,919 --> 00:27:11,129 You have about 20 more days of this fun. 544 00:27:12,256 --> 00:27:13,339 What time is it? 545 00:27:13,799 --> 00:27:16,884 About 4:00 a.m. I pulled the short straw. 546 00:27:20,931 --> 00:27:22,682 Flow rate looks good. 547 00:27:27,521 --> 00:27:29,230 No rash or flushing. 548 00:27:30,524 --> 00:27:31,858 What time is it? 549 00:27:34,611 --> 00:27:35,945 4:00 a.m. 550 00:27:36,780 --> 00:27:39,365 Do you not remember just asking? 551 00:27:41,660 --> 00:27:42,994 I... 552 00:27:44,079 --> 00:27:45,288 Elyse? 553 00:27:48,042 --> 00:27:50,293 Elyse? Elyse? 554 00:27:50,919 --> 00:27:51,753 Elyse. 555 00:27:52,921 --> 00:27:54,839 - What are you doing? - I'm trying to wake her. 556 00:27:54,965 --> 00:27:56,883 - She fall asleep again? - In the middle of a sentence. 557 00:27:57,009 --> 00:27:58,634 Elyse. Elyse. 558 00:27:58,761 --> 00:27:59,886 MAN: What's happening? 559 00:28:00,012 --> 00:28:01,679 Patient's not responding. 560 00:28:02,014 --> 00:28:04,098 Pulse is fine. Airway's open. 561 00:28:04,224 --> 00:28:06,142 Check her blood pressure. 562 00:28:08,479 --> 00:28:10,063 Pupils are reactive. 563 00:28:10,189 --> 00:28:12,440 Elyse, wake up. You gotta wake up. 564 00:28:13,650 --> 00:28:14,942 What does that mean? What are you doing? 565 00:28:15,069 --> 00:28:19,155 She's unresponsive to pain. Come on, Elyse. 566 00:28:20,032 --> 00:28:22,825 - Is she dying? - I don't know. 567 00:28:33,420 --> 00:28:34,962 She's in a coma. 568 00:28:43,222 --> 00:28:46,182 There's only one way a tularemia patient goes into a coma 569 00:28:46,308 --> 00:28:48,017 while on IV chloramphenicol. 570 00:28:48,143 --> 00:28:49,727 The patient doesn't have tularemia. 571 00:28:49,853 --> 00:28:51,354 And then there was one. 572 00:28:51,480 --> 00:28:53,398 Patient comes in 'cause she's sleeping too much. 573 00:28:53,524 --> 00:28:56,484 It takes 10 doctors and a coma to diagnose sleeping sickness. 574 00:28:56,610 --> 00:28:57,777 And then there was none. 575 00:28:57,986 --> 00:29:01,030 We still have the problem of explaining how a white chick from Jersey 576 00:29:01,156 --> 00:29:04,200 who's never traveled south of DC has African sleeping sickness. 577 00:29:04,326 --> 00:29:06,702 The obvious explanation. 578 00:29:06,829 --> 00:29:08,121 I made it clear. 579 00:29:08,247 --> 00:29:09,705 If this guy's lying about sleeping around, 580 00:29:09,832 --> 00:29:12,166 he knows he's murdering his wife. 581 00:29:12,292 --> 00:29:14,168 Does seem unlikely. 582 00:29:14,753 --> 00:29:16,295 Go away. 583 00:29:20,050 --> 00:29:21,134 (BEEPING) 584 00:29:34,314 --> 00:29:36,232 ED: What are you doing? 585 00:29:37,067 --> 00:29:41,904 Checking for lymphadenopathy. And waiting for you. 586 00:29:42,030 --> 00:29:45,366 - Who are you? - I'm Dr. House. 587 00:29:45,534 --> 00:29:48,536 Your wife has human African trypanosomiasis. 588 00:29:50,372 --> 00:29:51,414 Sleeping sickness. 589 00:29:51,540 --> 00:29:56,461 You mean it's not tularemia, a virus, tumor or cancer? 590 00:29:56,587 --> 00:29:57,587 No. 591 00:30:00,466 --> 00:30:02,467 I've never had an affair. 592 00:30:03,760 --> 00:30:07,138 - I believe you. - And I trust Elyse. 593 00:30:09,308 --> 00:30:12,560 The treatment for this disease is a drug 594 00:30:12,978 --> 00:30:15,897 that's fatal on its own 10% of the time. 595 00:30:16,982 --> 00:30:18,191 Which is why I need your written consent 596 00:30:18,317 --> 00:30:19,942 before I can legally prescribe it. 597 00:30:20,068 --> 00:30:22,361 Why would she lie if she knew it could kill her? 598 00:30:22,488 --> 00:30:25,865 I don't ask why patients lie. I just assume they all do. 599 00:30:26,492 --> 00:30:28,409 - But why? - To protect you, 600 00:30:28,535 --> 00:30:32,163 because she didn't think it mattered, it just seemed easier, 601 00:30:33,415 --> 00:30:35,208 because that's what people do. 602 00:30:38,003 --> 00:30:39,962 If you're absolutely certain that your wife 603 00:30:40,088 --> 00:30:41,797 has never had sex with anyone but you 604 00:30:41,924 --> 00:30:44,217 since you were married, then I'm wrong. 605 00:30:46,261 --> 00:30:50,181 But if you think there's a possibility that just one time 606 00:30:51,892 --> 00:30:53,559 she wasn't perfect, 607 00:30:54,520 --> 00:30:56,896 one weekend you're out of town, 608 00:30:58,023 --> 00:30:59,857 one fight where she ran to a friend, 609 00:30:59,983 --> 00:31:02,109 one stupid Christmas party, 610 00:31:04,947 --> 00:31:07,865 then you need to allow me to start treatment. 611 00:31:09,201 --> 00:31:11,160 Because if we don't, 612 00:31:11,662 --> 00:31:13,538 she's gonna be dead by tomorrow morning. 613 00:31:23,006 --> 00:31:25,132 You trust your wife that much? 614 00:31:27,928 --> 00:31:29,303 I don't know. 615 00:31:34,059 --> 00:31:36,102 I'm gonna start the treatment. 616 00:31:51,076 --> 00:31:54,120 - Glass syringes? - And special IV tubing. 617 00:31:55,247 --> 00:31:58,207 - Why do we need this stuff? - Because melarsoprol melts plastic. 618 00:31:58,333 --> 00:32:02,044 This stuff's basically arsenic mixed with antifreeze. 619 00:32:02,170 --> 00:32:03,921 What doesn't kill us makes us stronger, huh? 620 00:32:04,047 --> 00:32:06,966 Nietzsche wouldn't have been so glib if he'd been prescribed melarsoprol. 621 00:32:09,761 --> 00:32:11,887 "Can cause vomiting, abdominal pain, 622 00:32:12,014 --> 00:32:14,890 blood toxicity, neural damage, cardiac arrhythmia." 623 00:32:15,017 --> 00:32:17,310 They forgot to say it's gonna hurt like all hell. 624 00:32:17,686 --> 00:32:19,437 She's lucky she's in a coma. 625 00:32:37,122 --> 00:32:38,789 How long before we know if it's working? 626 00:32:38,915 --> 00:32:40,333 It's tough to say. 627 00:32:40,917 --> 00:32:44,128 It's a good sign that she hasn't gotten any worse. 628 00:32:46,715 --> 00:32:48,257 Does she even know I'm here? 629 00:32:49,384 --> 00:32:51,927 She knows you're always there for her. 630 00:32:53,930 --> 00:32:55,056 Yeah. 631 00:32:56,058 --> 00:32:57,725 If she gets better, 632 00:32:58,310 --> 00:33:00,436 it means she wasn't always there for me. 633 00:33:04,024 --> 00:33:06,192 It means she made a mistake. 634 00:33:08,028 --> 00:33:09,779 I can't help it. 635 00:33:10,322 --> 00:33:14,325 Part of me, a big part of me, can't handle that. 636 00:33:17,829 --> 00:33:19,038 It doesn't want her to get better. 637 00:33:29,257 --> 00:33:31,926 Does that make me a terrible person? 638 00:33:39,726 --> 00:33:41,143 Yes. 639 00:34:00,539 --> 00:34:01,872 (ELEVATOR BELL DINGS) 640 00:34:02,999 --> 00:34:06,043 So you're treating her for African sleeping sickness 641 00:34:06,169 --> 00:34:07,294 because you don't think it's possible 642 00:34:07,421 --> 00:34:09,171 for someone to be faithful in a relationship? 643 00:34:09,297 --> 00:34:11,340 - And you do? - Yes. 644 00:34:11,466 --> 00:34:12,758 And you need to tell me that. 645 00:34:12,884 --> 00:34:13,843 (CHUCKLES) 646 00:34:13,969 --> 00:34:15,594 Look. I am not having an affair. 647 00:34:15,721 --> 00:34:17,847 I had lunch with someone I work with. 648 00:34:17,973 --> 00:34:20,307 - At work. Once. - I believe you. 649 00:34:20,434 --> 00:34:23,060 What I don't believe is it'll be just once. 650 00:34:23,186 --> 00:34:25,271 - I love my wife. - You certainly love saying it. 651 00:34:25,397 --> 00:34:26,480 (CHUCKLES) 652 00:34:27,274 --> 00:34:29,066 I'm sorry. I know you love your wife. 653 00:34:29,192 --> 00:34:32,278 You loved all your wives. Probably still do. 654 00:34:32,404 --> 00:34:33,487 In fact, you probably love all 655 00:34:33,613 --> 00:34:35,156 the women you loved who weren't your wife. 656 00:34:35,282 --> 00:34:36,824 You can be a real jerk sometimes, you know that? 657 00:34:36,950 --> 00:34:38,242 Yeah. And you're the good guy. 658 00:34:38,368 --> 00:34:39,285 At least I try. 659 00:34:39,411 --> 00:34:41,495 As long as you're trying to be good, you can do whatever you want. 660 00:34:41,621 --> 00:34:43,038 And as long as you're not trying, 661 00:34:43,165 --> 00:34:44,415 you can say whatever you want. 662 00:34:44,541 --> 00:34:46,167 So, between us, we can do anything. 663 00:34:46,293 --> 00:34:47,960 We can rule the world. 664 00:34:48,086 --> 00:34:49,044 (SIGHS) 665 00:35:01,266 --> 00:35:05,644 Mixing up some margaritas? Mine's a double, senorita. 666 00:35:05,812 --> 00:35:07,980 - That's Portuguese, you know. - Spanish. 667 00:35:09,649 --> 00:35:10,858 Uh-oh. 668 00:35:13,028 --> 00:35:16,989 - What's goin' on? - I'm recalibrating the centrifuge. 669 00:35:17,824 --> 00:35:19,074 Turn around. 670 00:35:28,376 --> 00:35:32,838 It's a very sad thing, an uncalibrated centrifuge. 671 00:35:33,173 --> 00:35:36,383 - Makes me cry too. - I'm not crying. 672 00:35:37,552 --> 00:35:38,677 Okay. 673 00:35:52,859 --> 00:35:55,110 I told the husband he was a jerk. 674 00:35:57,072 --> 00:35:58,155 Why? 675 00:36:05,413 --> 00:36:07,248 When I was in college, 676 00:36:10,669 --> 00:36:14,046 I fell in love, and I got married. 677 00:36:17,801 --> 00:36:19,844 At that age, the chances of a marriage lasting... 678 00:36:19,970 --> 00:36:21,679 It lasted six months. 679 00:36:24,224 --> 00:36:27,226 Thyroid cancer metastasized to his brain. 680 00:36:27,352 --> 00:36:29,728 There was nothing they could do. 681 00:36:31,606 --> 00:36:33,107 I was 21, and... 682 00:36:35,110 --> 00:36:36,944 I watched my husband die. 683 00:36:41,408 --> 00:36:42,616 I'm sorry. 684 00:36:46,913 --> 00:36:48,747 But that's not the whole story. 685 00:36:50,917 --> 00:36:53,460 It's a symptom, not your illness. 686 00:36:54,004 --> 00:36:56,005 Thyroid cancer would have been diagnosed 687 00:36:56,131 --> 00:36:57,339 at least a year before his death. 688 00:36:57,465 --> 00:37:00,092 You knew he was dying when you married him. 689 00:37:00,886 --> 00:37:03,637 Possibly when you first met him. 690 00:37:06,266 --> 00:37:08,392 And you married him anyway. 691 00:37:11,021 --> 00:37:14,940 You can't be that good a person and well-adjusted. 692 00:37:16,026 --> 00:37:17,109 Why? 693 00:37:19,070 --> 00:37:21,864 'Cause you wind up crying over centrifuges. 694 00:37:24,951 --> 00:37:26,660 Or hating people? 695 00:37:26,995 --> 00:37:36,962 (PAGER BEEPING) 696 00:37:42,385 --> 00:37:44,345 CHASE: Her fever spiked at 104. 697 00:37:44,471 --> 00:37:45,971 Echo shows global hyperkinesis. 698 00:37:46,097 --> 00:37:48,140 - Blood pressure? - Barely 90 over 40. 699 00:37:48,266 --> 00:37:49,391 Did you give her dopamine? 700 00:37:49,517 --> 00:37:52,478 Started 270 micrograms per minute 10 minutes ago. 701 00:37:52,604 --> 00:37:54,063 Still no change. 702 00:37:56,691 --> 00:37:58,150 (HEART MONITOR BEEPING) 703 00:38:00,946 --> 00:38:02,488 Killing the parasites isn't gonna do much good 704 00:38:02,614 --> 00:38:04,323 if we kill her heart at the same time. 705 00:38:04,449 --> 00:38:06,909 A heart can be replaced. A brain can't. 706 00:38:07,035 --> 00:38:08,994 Right now we're killing both. 707 00:38:09,704 --> 00:38:11,497 If she's gonna die, we should at least let her do it 708 00:38:11,623 --> 00:38:14,249 without that acid flowing through her veins. 709 00:38:14,376 --> 00:38:16,126 What's happening? 710 00:38:18,046 --> 00:38:20,172 We would've expected your wife's condition 711 00:38:20,298 --> 00:38:22,508 to show some improvement by now. 712 00:38:23,051 --> 00:38:24,218 It hasn't. 713 00:38:24,719 --> 00:38:26,720 It's going the other way. 714 00:38:57,794 --> 00:39:03,298 Please don't die. 715 00:39:13,685 --> 00:39:15,185 (BEEPING RAPIDLY) 716 00:39:29,451 --> 00:39:30,659 She's awake. 717 00:40:11,659 --> 00:40:13,660 Hey. She's gonna be okay. 718 00:40:14,788 --> 00:40:16,663 Yeah. Sure. 719 00:40:46,152 --> 00:40:48,070 What are you gonna do? 720 00:40:48,196 --> 00:40:50,823 Were you always honest with her? 721 00:40:51,157 --> 00:40:53,033 Do you know how lucky you are? Your wife is alive. 722 00:40:53,159 --> 00:40:54,618 She loves you. 723 00:40:55,286 --> 00:40:56,954 What she did... 724 00:40:58,039 --> 00:41:00,916 You can't love a person and do that to them. 725 00:41:03,211 --> 00:41:04,837 She loves you. 726 00:41:26,192 --> 00:41:27,276 (SOBBING) 727 00:41:42,542 --> 00:41:45,419 I need to know who you had the affair with. 728 00:41:48,882 --> 00:41:52,176 He has to be notified so he can get treatment as well. 729 00:41:55,847 --> 00:41:57,681 Why did you lie to us? 730 00:41:58,308 --> 00:42:00,726 You knew your life was at stake. 731 00:42:07,192 --> 00:42:09,359 He's not coming back, is he? 732 00:42:14,532 --> 00:42:18,744 We all make mistakes, and we all pay a price. 733 00:42:25,376 --> 00:42:26,627 (SNIFFLING) 734 00:42:28,379 --> 00:42:29,922 I need that name. 735 00:42:43,645 --> 00:42:46,146 Hey, there. How you doin'? 736 00:42:46,731 --> 00:42:47,814 Fine. 737 00:42:50,193 --> 00:42:52,486 Do you know where your dad is? 738 00:43:00,912 --> 00:43:02,663 Can I help you?