1 00:00:03,604 --> 00:00:07,711 We're in the car, honey. We're going to the hospital for tests. 2 00:00:15,449 --> 00:00:19,295 We're in the hospital. We're going to the doctor's office. 3 00:00:25,993 --> 00:00:27,472 Can you tell me what this is called? 4 00:00:30,163 --> 00:00:32,473 You use it to get food from inside. 5 00:00:32,566 --> 00:00:34,307 Yes, but what's it called? 6 00:00:35,969 --> 00:00:37,471 Is it a spatula? 7 00:00:37,538 --> 00:00:38,983 No. 8 00:00:39,072 --> 00:00:40,847 Good. Is it a can opener? 9 00:00:40,974 --> 00:00:45,252 No. It's... it's.4. 10 00:00:47,814 --> 00:00:49,691 You're trying to make me look stupid. 11 00:00:50,817 --> 00:00:54,094 You can go to hell! Why don'! You kill yourself? 12 00:00:54,187 --> 00:00:55,666 Andres. 13 00:00:57,357 --> 00:00:58,927 It's okay. 14 00:01:03,363 --> 00:01:04,933 There she is. 15 00:01:05,432 --> 00:01:07,070 Here I am. 16 00:01:07,167 --> 00:01:08,271 Here. Come on. 17 00:01:13,340 --> 00:01:15,513 You just need to answer a few more questions, 18 00:01:15,609 --> 00:01:17,520 then we're going home. We'll have lunch, okay? 19 00:01:18,211 --> 00:01:19,383 Okay. 20 00:01:22,683 --> 00:01:23,855 I'm sorry. 21 00:01:25,953 --> 00:01:27,864 I have Alzheimer's. 22 00:01:28,355 --> 00:01:30,028 I know. 23 00:01:30,390 --> 00:01:35,135 The mood swings come on quickly, but it's under control. 24 00:01:35,228 --> 00:01:38,539 Don't worry. He's actually perfect for the drug trial. 25 00:01:39,533 --> 00:01:41,069 On. 26 00:01:42,369 --> 00:01:43,404 Thank God. 27 00:01:43,537 --> 00:01:45,380 We can start as soon as next week. 28 00:01:49,309 --> 00:01:51,880 Andres! Oh, my God! 29 00:01:53,814 --> 00:01:55,259 And res'? 30 00:02:30,250 --> 00:02:33,322 Early onset familial Alzheimer's. Brazilian descent. 31 00:02:33,420 --> 00:02:34,922 Blood chemistries showed high ammonia. 32 00:02:35,422 --> 00:02:38,426 Vomiting stopped after the ER put him on antiemetics. 33 00:02:38,492 --> 00:02:40,267 Any recent health issues? 34 00:02:40,360 --> 00:02:43,102 Just a sore throat a few weeks ago. 35 00:02:43,196 --> 00:02:45,676 How advanced is he? Could be hyperalimentation. 36 00:02:45,766 --> 00:02:47,768 Advanced enough, but no IV feedings. 37 00:02:47,868 --> 00:02:50,109 The wife shut down her floral company to stay home 38 00:02:50,170 --> 00:02:52,446 and feed him every meal he's had in the last four years. 39 00:02:52,506 --> 00:02:54,349 Do we owe this case to your guilt 40 00:02:54,441 --> 00:02:56,512 at having ignored your own forgetful mommy? 41 00:02:56,610 --> 00:02:58,681 My guilt over my mom is why I put up with my dad. 42 00:02:58,779 --> 00:02:59,849 You're taking this case 43 00:02:59,946 --> 00:03:02,187 because we're running a Phase Two trial on an Alzheimer's drug. 44 00:03:02,282 --> 00:03:04,956 You couldn't round up enough doddering, old guinea pigs, 45 00:03:05,052 --> 00:03:06,861 so you need us to fix this little piggy? 46 00:03:06,953 --> 00:03:10,196 I'd like to sit in. Especially since you're short a team member. 47 00:03:10,290 --> 00:03:11,860 You mean Taub? Got him in here. 48 00:03:11,958 --> 00:03:14,131 He asked for personal days. His daughter's sick. 49 00:03:14,227 --> 00:03:16,639 Isn't that the point of having a spare? 50 00:03:16,697 --> 00:03:18,142 I denied his request 51 00:03:18,198 --> 00:03:19,802 After I'd already approved it, 52 00:03:19,866 --> 00:03:21,368 which you knew because I sent you a memo. 53 00:03:23,303 --> 00:03:27,877 Dr. Adams, taped under your chair is an index card. 54 00:03:27,974 --> 00:03:29,317 Would you read ii, please? 55 00:03:38,218 --> 00:03:40,494 "Wednesday, 2:43 p.m. 56 00:03:40,554 --> 00:03:44,559 "A black pawn will believe he's the black king 57 00:03:44,658 --> 00:03:48,663 "and attempt to capture the white head of diagnostics." 58 00:03:50,497 --> 00:03:52,443 It's 10:15 on Friday. 59 00:03:52,532 --> 00:03:55,911 Damn it. {SIGHS) Look, the point is, I saw this coming. 60 00:03:56,570 --> 00:03:58,948 Dr. Foreman and I did not always see eye to eye, 61 00:03:59,039 --> 00:04:00,950 but he never had the power to overrule me. 62 00:04:01,041 --> 00:04:02,281 Now that he has the power, 63 00:04:02,375 --> 00:04:04,616 he won't be able to resist the temptation to use it. 64 00:04:04,711 --> 00:04:07,624 With great power comes great micromanaging. 65 00:04:07,714 --> 00:04:09,022 And great vests. 66 00:04:09,082 --> 00:04:11,688 I know you're the better diagnostician. 67 00:04:11,752 --> 00:04:13,754 I'm not gonna interfere. I'm only hereto help. 68 00:04:13,854 --> 00:04:16,562 Could be transient nitrogen load from a GI bleed. 69 00:04:16,623 --> 00:04:18,068 Not if the vomiting's persistent. 70 00:04:18,125 --> 00:04:21,572 Which we won't know, because the ER put him on antiemetics. 71 00:04:21,628 --> 00:04:22,606 Take him off. 72 00:04:22,696 --> 00:04:24,073 Wait. He was puking his guts out. 73 00:04:24,131 --> 00:04:26,042 We'd risk aspiration. 74 00:04:28,268 --> 00:04:30,111 I'm just disagreeing, not overruling. 75 00:04:30,771 --> 00:04:34,378 So glad you're on board. Take him off antiemetics. 76 00:04:34,441 --> 00:04:36,387 Do an upper endoscopy to check for bleeds. 77 00:04:42,649 --> 00:04:44,560 It could be a bladder infection. 78 00:04:44,618 --> 00:04:45,824 We'll run a pregnancy test. 79 00:04:45,919 --> 00:04:47,159 I'm not pregnant. 80 00:04:47,254 --> 00:04:49,598 Any type of birth control can fail. 81 00:04:49,656 --> 00:04:50,964 Not mine. 82 00:04:53,593 --> 00:04:56,267 Oh, I'm sorry. You said you were married? 83 00:04:56,329 --> 00:04:57,467 Yeah. Happily... 84 00:04:58,331 --> 00:05:03,280 It's okay. Sex can wane in any marriage over time. 85 00:05:03,336 --> 00:05:05,407 No, no. We've never had sex. 86 00:05:06,773 --> 00:05:10,812 We kiss and cuddle, but neither one of us is interested in sex. 87 00:05:12,813 --> 00:05:15,259 You're both celibate? 88 00:05:15,315 --> 00:05:17,317 No, neither of us. 89 00:05:17,417 --> 00:05:20,591 Celibacy is a choice. This is our orientation. 90 00:05:21,988 --> 00:05:23,092 We're asexual. 91 00:05:26,359 --> 00:05:29,829 Not quite sure what box to check here. 92 00:05:29,930 --> 00:05:31,136 You're making a mistake. 93 00:05:31,198 --> 00:05:32,871 If I had the power to veto him, 94 00:05:32,966 --> 00:05:35,207 given all the crap I've put up with over the years, 95 00:05:35,302 --> 00:05:36,679 I don't know if I could use it objectively. 96 00:05:36,770 --> 00:05:37,805 I do. 97 00:05:37,871 --> 00:05:39,350 I can. I have. 98 00:05:39,806 --> 00:05:43,015 It might be easier if you'd stay out of the room. 99 00:05:43,109 --> 00:05:46,386 I thought it'd be different. This week. 100 00:05:46,479 --> 00:05:50,188 I'm supposed to talk to his PO about getting his ankle monitor off early. 101 00:05:50,283 --> 00:05:51,694 You're saying he should defer to you? 102 00:05:51,785 --> 00:05:54,789 No. I'm just saying what he's doing doesn't seem rational, 103 00:05:54,855 --> 00:05:58,325 which makes me think it's rational in a way I'm not privy to. 104 00:05:58,391 --> 00:06:00,166 He always has a plan. 105 00:06:00,227 --> 00:06:02,173 And he's always self-destructive. 106 00:06:02,229 --> 00:06:05,403 He may just be shooting himself in the ankle. 107 00:06:12,339 --> 00:06:16,253 I know it feels strange. Dr. Chase is just looking in your throat. 108 00:06:16,343 --> 00:06:18,687 We're in the hospital. You're fine. 109 00:06:20,046 --> 00:06:21,923 That's a pretty nice trophy there, Andres. 110 00:06:22,015 --> 00:06:23,517 He coached youth soccer. 111 00:06:23,583 --> 00:06:25,187 Took a team that was zero-and-six 112 00:06:25,252 --> 00:06:27,562 all the way to the state finals at Long Branch. 113 00:06:33,827 --> 00:06:35,170 Hey, thanks for doing this in here. 114 00:06:35,228 --> 00:06:37,572 Switching rooms can be very disorienting. 115 00:06:37,664 --> 00:06:39,007 You take very good care of him. 116 00:06:39,599 --> 00:06:42,341 I love him. Sickness and health, right? 117 00:06:42,402 --> 00:06:45,747 Upper esophagus is clear, moving on to the GE junction. 118 00:06:48,008 --> 00:06:50,010 Hi. Hey. 119 00:06:50,076 --> 00:06:53,023 I'm sorry, family members only during procedures. 120 00:06:53,546 --> 00:06:55,025 I'll wait outside. 121 00:06:55,081 --> 00:06:57,618 Oh, no, please, it's okay. 122 00:06:57,717 --> 00:07:01,255 Joseph helps me with my husband sometimes. 123 00:07:02,455 --> 00:07:03,559 He's a good friend. 124 00:07:03,623 --> 00:07:06,229 Which means not family. 125 00:07:06,860 --> 00:07:08,271 Wait, we're gonna be here a while. 126 00:07:08,361 --> 00:07:11,535 Why don't you show Joseph where the visitor's lounge is'? 127 00:07:11,598 --> 00:07:12,872 Okay. 128 00:07:18,538 --> 00:07:19,608 What? 129 00:07:20,273 --> 00:07:22,549 I'm surprised you didn't go into the diplomatic corps. 130 00:07:22,609 --> 00:07:24,816 Oh, you think they're... 131 00:07:26,913 --> 00:07:27,948 No. If they're having sex, 132 00:07:28,048 --> 00:07:29,721 it's probably with their genitals. 133 00:07:31,484 --> 00:07:35,557 Mallory-Weiss tear. Vomiting must have torn the lining. 134 00:07:38,925 --> 00:07:42,168 You know that close to 1% of the population identifies as asexual? 135 00:07:44,431 --> 00:07:47,310 We really got to get you laid. 136 00:07:47,400 --> 00:07:50,074 If I have to plow that furrow myself, so be it. 137 00:07:50,136 --> 00:07:52,412 I've a patient who's asexual. 138 00:07:52,472 --> 00:07:54,679 Is she a giant pool of algae? 139 00:07:54,774 --> 00:07:56,981 It's a valid sexual orientation, 140 00:07:57,077 --> 00:07:58,579 according to this article, at least. 141 00:07:58,845 --> 00:08:01,985 Yeah, I think I read that, too. Is that Fugliness Weekly? 142 00:08:02,082 --> 00:08:03,823 She's perfectly fine-looking. 143 00:08:03,917 --> 00:08:04,987 Happily married for 10 years. 144 00:08:05,085 --> 00:08:07,156 To a guy who loves penis enough for both of them. 145 00:08:08,288 --> 00:08:09,460 He's asexual, too. 146 00:08:10,590 --> 00:08:11,967 Ran a complete physical on her. 147 00:08:12,025 --> 00:08:14,301 Nothing wrong except a common bladder infection. 148 00:08:16,997 --> 00:08:20,035 Hundred bucks says I can find a medical reason 149 00:08:20,133 --> 00:08:21,203 why she doesn't want to have sex. 150 00:08:21,301 --> 00:08:22,803 You're out of your mind if you think 151 00:08:22,869 --> 00:08:24,610 I'm letting you anywhere near my patient. 152 00:08:24,671 --> 00:08:26,116 Fine, I won't go near her. 153 00:08:26,172 --> 00:08:29,984 Just give me her file and any blood samples you have leftover. 154 00:08:32,846 --> 00:08:36,692 No contact whatsoever. You talk to her, the bet is void. 155 00:08:36,783 --> 00:08:40,321 No contact. Plays to my strengths, anyway. 156 00:08:47,627 --> 00:08:49,129 Right now's not a good time, House. 157 00:08:49,195 --> 00:08:50,902 Not for the Dean of Medicine, 158 00:08:50,997 --> 00:08:53,375 but it's the perfect time if you're a member of my team. 159 00:08:53,466 --> 00:08:55,241 Which one are you? 160 00:08:56,503 --> 00:08:58,346 What did the endoscopy show? 161 00:08:59,139 --> 00:09:01,050 No signs of ulcers or blockages. 162 00:09:05,578 --> 00:09:08,218 But you found a tear just below the esophagus. 163 00:09:08,314 --> 00:09:09,384 Explains the bleeding. 164 00:09:09,482 --> 00:09:12,258 Doesn't explain why he vomited so hard he ripped his insides. 165 00:09:12,352 --> 00:09:15,060 His liver enzymes are slightly elevated. Gallstones could... 166 00:09:15,155 --> 00:09:16,498 No complaints of pain. 167 00:09:16,556 --> 00:09:20,060 Steatohepatitis would make his AST and ATL levels rise. 168 00:09:21,227 --> 00:09:22,900 Are you calling his liver fat? 169 00:09:24,264 --> 00:09:25,572 Start the patient on statins, 170 00:09:25,665 --> 00:09:27,008 do a biopsy to confirm. 171 00:09:27,067 --> 00:09:28,944 And knock him out, I've heard he's a wiggler. 172 00:09:29,035 --> 00:09:30,105 There's no need to put him under. 173 00:09:30,203 --> 00:09:33,377 We can confirm fatty liver with an ultrasound. 174 00:09:34,107 --> 00:09:36,417 Just making an observation. 175 00:09:36,943 --> 00:09:40,015 Well done. And now, as a member of my team, 176 00:09:40,080 --> 00:09:43,118 you can make the equally useful observations that the sky is blue, 177 00:09:43,216 --> 00:09:46,686 I'm wearing pants, and I'm ignoring your first observation. 178 00:09:47,053 --> 00:09:48,123 Of course. 179 00:09:53,927 --> 00:09:54,928 Wait. 180 00:09:55,028 --> 00:09:56,473 And there it is. 181 00:09:56,863 --> 00:09:58,604 You're trying to screw with my confidence. 182 00:09:58,698 --> 00:09:59,733 Well, if I wanted to do that, 183 00:09:59,799 --> 00:10:01,437 I'd tell you how much the nurses hate you. 184 00:10:01,534 --> 00:10:04,140 You're trying to get me to define myself as a subordinate 185 00:10:04,237 --> 00:10:06,114 to keep me from ever intervening, 186 00:10:06,206 --> 00:10:08,482 even if it's fully in the scope of my duties. 187 00:10:08,575 --> 00:10:10,885 Like now. This isn't about diagnostics, 188 00:10:10,944 --> 00:10:12,218 it's about what's safe for the patient. 189 00:10:12,712 --> 00:10:13,918 Do the ultrasound. 190 00:10:15,048 --> 00:10:16,823 Ultrasound it is. 191 00:10:17,617 --> 00:10:18,994 And the nurses love you. 192 00:10:23,790 --> 00:10:26,100 You don't think I knew House was gonna tell you to ignore me 193 00:10:26,159 --> 00:10:27,661 and not do the ultrasound? 194 00:10:28,128 --> 00:10:29,505 This is an ultrasound machine. 195 00:10:29,596 --> 00:10:32,304 Which you're gonna use to do an ultrasound-guided biopsy. 196 00:10:32,899 --> 00:10:35,778 You've probably got a kit stashed here... 197 00:10:44,410 --> 00:10:49,018 "Cuddy Dark will waste his afternoon chasing conspiracy theories." 198 00:10:49,115 --> 00:10:51,026 You're letting him get inside your head. 199 00:10:51,117 --> 00:10:52,994 He can do a lot of damage in there. 200 00:10:54,487 --> 00:10:58,025 Dr. Chase, he started vomiting again. 201 00:11:00,693 --> 00:11:03,003 This is why we stopped the antiemetics. 202 00:11:03,096 --> 00:11:04,666 We needed to see if it was still a symptom. 203 00:11:04,764 --> 00:11:05,936 Okay. 204 00:11:06,866 --> 00:11:08,436 Here. You want this? 205 00:11:08,501 --> 00:11:11,641 Get your hands off me. You're taking my head! 206 00:11:12,705 --> 00:11:15,948 It's okay, Andres. You're in the hospital. 207 00:11:22,549 --> 00:11:23,994 10 milligrams of diazepam. 208 00:11:24,050 --> 00:11:25,461 Already on it. 209 00:11:25,518 --> 00:11:27,225 Hey! NATALIE: I'm fine. I'm fine. 210 00:11:33,326 --> 00:11:34,862 Foreman. 211 00:11:34,961 --> 00:11:36,634 Blood in his urine. 212 00:11:42,502 --> 00:11:45,346 We resumed the antiemetics and increased his sedation. 213 00:11:45,405 --> 00:11:46,645 He really went after her. 214 00:11:46,706 --> 00:11:48,708 Maybe he found out about her "good friend." 215 00:11:48,808 --> 00:11:51,379 It was just paranoid rage. Typical of Alzheimer's. 216 00:11:51,477 --> 00:11:52,922 We don't even know if they were sleeping together. 217 00:11:53,012 --> 00:11:55,083 A few hours ago, you were sure. 218 00:11:55,181 --> 00:11:57,388 And that's significant why? 219 00:11:57,483 --> 00:12:00,089 Sorry, only the bleeding's medically relevant. 220 00:12:00,186 --> 00:12:01,563 No' I wasn't being rhetorical. 221 00:12:01,654 --> 00:12:05,659 If they are sleeping together, why do we disapprove? 222 00:12:06,693 --> 00:12:08,434 You're pro infidelity? 223 00:12:08,528 --> 00:12:09,700 She's not married. 224 00:12:11,497 --> 00:12:13,738 If marriage is feeding and cleaning someone 225 00:12:13,833 --> 00:12:17,337 and limiting conversation to repeating a few simple commands, 226 00:12:17,403 --> 00:12:19,110 then I was married to my pet rat. 227 00:12:19,205 --> 00:12:21,708 And a lot of people owe me wedding gifts. 228 00:12:21,841 --> 00:12:23,718 And we're walking, we're walking. 229 00:12:23,843 --> 00:12:27,256 I don't care how sick your spouse gets, you don't jump ship. 230 00:12:27,347 --> 00:12:30,351 Alzheimer's is different. She can't share her problems with him, 231 00:12:30,416 --> 00:12:32,794 or plan for the future. The man she married no longer exists. 232 00:12:32,885 --> 00:12:34,364 Yes, he does. He's in there. 233 00:12:34,420 --> 00:12:36,525 This is why you get married. 234 00:12:36,689 --> 00:12:39,260 Said the divorced woman to the divorced man. 235 00:12:39,359 --> 00:12:43,603 I didn't jump ship. My husband sank it when he cheated on me. 236 00:12:43,696 --> 00:12:45,266 Commitment's not conditional. 237 00:12:45,365 --> 00:12:48,209 She is there for him in the only way that matters now. 238 00:12:48,301 --> 00:12:49,609 She gave up her life to take care of him. 239 00:12:49,702 --> 00:12:50,806 Proves she's an idiot. 240 00:12:50,903 --> 00:12:53,110 If she had any sense, she'd have stuck him in a facility 241 00:12:53,206 --> 00:12:54,617 and jumped on that strange... 242 00:12:54,707 --> 00:12:57,313 Dr. Foreman. We were just looking for you. 243 00:12:57,410 --> 00:12:59,321 I was right about the antiemetics. 244 00:12:59,412 --> 00:13:00,720 If we kept him on them like I said, 245 00:13:00,813 --> 00:13:02,759 he wouldn't have gotten agitated and punched his wife. 246 00:13:02,882 --> 00:13:05,419 Yes, we're back to my supposed diabolical plan 247 00:13:05,485 --> 00:13:07,294 to shake your confidence. 248 00:13:07,387 --> 00:13:09,560 Let's see if this helps. 249 00:13:09,656 --> 00:13:12,000 If you're speaking as a team member, 250 00:13:12,091 --> 00:13:13,434 then I'd say you're a moron. 251 00:13:13,559 --> 00:13:15,232 'Cause taking him off the antiemetics 252 00:13:15,295 --> 00:13:17,172 gave us crucial diagnostic information. 253 00:13:17,263 --> 00:13:20,574 If you're speaking as Dean of Medicine, then I'd say you're a moron. 254 00:13:20,667 --> 00:13:23,238 'Cause your micromanaging kept us from doing a biopsy. 255 00:13:23,336 --> 00:13:25,907 And if we had, the patient would've been anesthetized hours ago 256 00:13:26,005 --> 00:13:28,645 thus unable to go all Chris Brown on her ass. 257 00:13:28,741 --> 00:13:31,585 Unless one of your index cards actually predicted 258 00:13:31,678 --> 00:13:32,918 the guy was gonna punch his wife, 259 00:13:33,012 --> 00:13:36,084 everything you're saying is post hoc rationalization. 260 00:13:36,182 --> 00:13:39,755 Dr. Park, would you please reach under that chair? 261 00:13:43,256 --> 00:13:45,099 "The patient will punch his wife." 262 00:13:46,926 --> 00:13:48,769 You clearly wrote that after the fact. 263 00:13:50,029 --> 00:13:53,306 Dr. Adams, would you please reach into my pants? 264 00:13:59,639 --> 00:14:02,711 "Dr. Blackenshmurtz will accuse me 265 00:14:02,809 --> 00:14:05,517 "of writing about the punch after the fact." 266 00:14:05,611 --> 00:14:07,386 And look, there's a photograph of me 267 00:14:07,480 --> 00:14:10,620 holding a newspaper dated last Tuesday. 268 00:14:10,717 --> 00:14:12,128 How could I have gotten my hands on that? 269 00:14:12,218 --> 00:14:15,631 You done? Rhabdomyolysis fits the vomiting, 270 00:14:15,688 --> 00:14:17,133 pigmenturia and renal failure. 271 00:14:17,223 --> 00:14:19,396 No muscle symptoms and urine had no myoglobin. 272 00:14:19,959 --> 00:14:21,461 TTP fits, though. 273 00:14:22,128 --> 00:14:25,473 Start him on plasmapheresis. Unless... 274 00:14:27,633 --> 00:14:29,806 Unless I need to say, "Mother, may I?" 275 00:14:30,970 --> 00:14:32,244 And "mother's" an abbreviation. 276 00:14:36,709 --> 00:14:39,212 Fresh plasma will replace the damaged red blood cells 277 00:14:39,312 --> 00:14:40,382 that are clogging his kidneys. 278 00:14:40,480 --> 00:14:41,481 That sounds hopeful. 279 00:14:43,149 --> 00:14:45,060 How's that feeling? 280 00:14:45,151 --> 00:14:47,392 I've never been hit in the eye before. 281 00:14:48,921 --> 00:14:51,333 I feel kind of badass. 282 00:14:53,493 --> 00:14:55,564 I think maybe you should go. 283 00:14:55,661 --> 00:14:57,663 Look, I'm fine, okay? 284 00:14:58,498 --> 00:14:59,568 I'll see you tomorrow? 285 00:14:59,665 --> 00:15:00,769 Okay. 286 00:15:05,405 --> 00:15:06,577 We're not having an affair. 287 00:15:06,672 --> 00:15:07,912 It's none of my business. 288 00:15:08,007 --> 00:15:11,113 I mean, not really. 289 00:15:11,911 --> 00:15:16,121 'Cause nothings happened, but we've talked about it a lot and... 290 00:15:17,850 --> 00:15:21,593 It's just really hard doing this by myself. 291 00:15:23,089 --> 00:15:25,194 When's the last time you had a full night's sleep? 292 00:15:27,260 --> 00:15:28,364 Um... 293 00:15:28,795 --> 00:15:31,469 I don't know. Three years? 294 00:15:32,865 --> 00:15:34,538 You're not gonna get any rest here. 295 00:15:36,702 --> 00:15:38,272 People who are sick are not the only ones 296 00:15:38,371 --> 00:15:40,282 who need to be taken care of. 297 00:15:47,880 --> 00:15:50,884 Why doesn't Chase have to be here? 298 00:15:50,950 --> 00:15:53,954 You think he knows anything about women who don't want to have sex? 299 00:15:55,655 --> 00:15:59,296 Hormone levels are normal. This woman seems perfectly healthy. 300 00:15:59,392 --> 00:16:01,133 What does it matter if she says she's asexual? 301 00:16:01,227 --> 00:16:04,231 It's the fundamental drive of our species. Sex is healthy. 302 00:16:04,297 --> 00:16:05,970 Orgasms oxygenate the brain, 303 00:16:06,065 --> 00:16:07,635 lighting up over 30 different areas 304 00:16:07,733 --> 00:16:10,407 and making us forget how boring Susie Cooper is. 305 00:16:12,405 --> 00:16:14,078 That last one may not be universal. 306 00:16:14,173 --> 00:16:15,982 How about damage to her spinal cord, 307 00:16:16,075 --> 00:16:17,816 blocking the signals from her genitals? 308 00:16:17,910 --> 00:16:19,480 Sex drive is in the brain. 309 00:16:19,579 --> 00:16:22,651 I suppose it could be psychological intimacy issues 310 00:16:22,748 --> 00:16:24,091 caused by childhood abuse. 311 00:16:24,183 --> 00:16:26,823 She's been sharing a toilet with the same guy for the last 10 years. 312 00:16:26,919 --> 00:16:27,989 It's not the same. 313 00:16:28,087 --> 00:16:31,330 Sex releases oxytocin, it's the neurochemical basis for bonding. 314 00:16:31,424 --> 00:16:33,665 And that's why men always marry their right hands. 315 00:16:33,759 --> 00:16:34,829 It's different for girls. 316 00:16:34,927 --> 00:16:37,032 No, it's not. I've tapped over 30 guys 317 00:16:37,129 --> 00:16:38,767 and never wanted to see most of them again. 318 00:16:41,667 --> 00:16:43,271 I lived next to a Jewish frat. 319 00:16:43,870 --> 00:16:47,215 We are veering wildly off track. Please continue. 320 00:16:47,306 --> 00:16:50,219 This woman's life is probably better off without sex. 321 00:16:50,810 --> 00:16:52,517 Eliminates most of her insecurities, 322 00:16:52,612 --> 00:16:53,989 she's immune to most advertising, 323 00:16:54,046 --> 00:16:56,822 and can have honest relationships with men. 324 00:16:57,116 --> 00:16:59,062 Not a lot of them. 325 00:16:59,151 --> 00:17:01,791 We've run every lest and ruled out all the options. 326 00:17:01,854 --> 00:17:04,334 You're gonna have to accept she just doesn't want sex. 327 00:17:04,390 --> 00:17:05,801 Lots of people don't have sex. 328 00:17:05,858 --> 00:17:07,201 The only people who don't want it 329 00:17:07,293 --> 00:17:08,863 are either sick, dead or lying. 330 00:17:08,961 --> 00:17:10,304 So maybe she's lying. 331 00:17:10,363 --> 00:17:12,172 You think she's had a boyfriend on the side? 332 00:17:12,231 --> 00:17:13,335 For 10 years? 333 00:17:13,399 --> 00:17:16,642 Sticking around the whole time? It doesn't make sense. 334 00:17:18,137 --> 00:17:19,878 What does.“ 335 00:17:26,812 --> 00:17:27,984 Thirty? 336 00:17:28,848 --> 00:17:29,986 Everybody lies. 337 00:17:33,653 --> 00:17:35,997 Higher or lower? 338 00:17:40,359 --> 00:17:42,930 Followed your advice and took the night off. 339 00:17:43,029 --> 00:17:44,269 It seems to have done you some good. 340 00:17:44,363 --> 00:17:45,706 Mmm-hmm. 341 00:17:51,337 --> 00:17:53,283 Where's my husband? 342 00:17:55,575 --> 00:17:56,713 He's not in the hospital. 343 00:17:56,776 --> 00:17:57,880 So he just walked out? 344 00:17:57,944 --> 00:18:00,515 All of the shift nurses had their hands full with a double code. 345 00:18:00,580 --> 00:18:02,287 Perfectly reasonable explanation. 346 00:18:02,381 --> 00:18:04,861 Same thing happened to me. Couldn't find my keys for days. 347 00:18:05,451 --> 00:18:08,261 The police have been notified, I have staff searching. 348 00:18:08,354 --> 00:18:10,595 You told me it was okay to leave. 349 00:18:11,390 --> 00:18:12,528 I'm sorry. 350 00:18:12,592 --> 00:18:15,801 He has Alzheimer's! It's freezing outside! 351 00:18:15,895 --> 00:18:17,533 And he's sick! 352 00:18:17,597 --> 00:18:19,804 I mean, you don't even know what it is yet, do you'? 353 00:18:19,899 --> 00:18:21,901 The plasmapheresis hasn't had time to work, 354 00:18:21,968 --> 00:18:23,447 but TTP is our most likely... 355 00:18:23,536 --> 00:18:24,981 Okay, I have to go look for him. 356 00:18:26,372 --> 00:18:29,546 Hey. Don't be an ass. Can't you see she's upset? 357 00:18:29,609 --> 00:18:31,555 No, she's guilty. 358 00:18:32,378 --> 00:18:36,554 Instead of being at her husband's side, she was under you. 359 00:18:36,616 --> 00:18:38,220 Okay. That's... 360 00:18:38,284 --> 00:18:41,094 Yeah, he already said I was an ass. 361 00:18:41,921 --> 00:18:44,595 Personally, I applaud your decision to step down off your cross 362 00:18:44,657 --> 00:18:46,898 and get on with your life, but your misplaced guilt 363 00:18:46,959 --> 00:18:48,267 is shutting down your brain. 364 00:18:48,327 --> 00:18:51,774 We need you to sit, focus, and answer our questions. 365 00:18:59,839 --> 00:19:02,149 So it's 6:00 a.m., patient wakes up, 366 00:19:02,975 --> 00:19:05,819 and the first thing he sees... 367 00:19:05,945 --> 00:19:09,791 In moments of confusion, Alzheimer's patients regress to old routines. 368 00:19:09,849 --> 00:19:12,193 So what would your husband do on a Saturday morning? 369 00:19:12,585 --> 00:19:15,122 Nothing. Be at home. 370 00:19:15,187 --> 00:19:17,497 What about a year ago, five years, or 10? 371 00:19:18,424 --> 00:19:19,698 I don't know. 372 00:19:20,693 --> 00:19:22,195 He trained for a marathon once. 373 00:19:22,294 --> 00:19:25,104 Soccer practice. We took a cooking class. 374 00:19:26,666 --> 00:19:30,113 The soccer trophy you were telling me about, it's gone. 375 00:19:30,169 --> 00:19:31,273 Where was practice? 376 00:19:31,337 --> 00:19:34,113 It was close to here, on Chesterfield. 377 00:19:48,688 --> 00:19:51,328 Okay, he comes, he thinks he's wailing for practice. 378 00:19:51,457 --> 00:19:53,562 He'd want to get out of the wind, 379 00:19:53,659 --> 00:19:56,162 but somewhere he could see the kids arrive. 380 00:19:56,962 --> 00:19:58,635 There. 381 00:20:01,000 --> 00:20:02,707 Over here! 382 00:20:12,178 --> 00:20:13,714 On three. One, two, three. 383 00:20:18,350 --> 00:20:19,385 Nothing. 384 00:20:19,485 --> 00:20:21,396 Not dead till he's warm and dead. 385 00:20:29,528 --> 00:20:30,836 Get him to the ICU. 386 00:20:30,896 --> 00:20:32,705 Start him on extracorporeal circulation. 387 00:20:32,832 --> 00:20:35,210 That'll raise his temperature too quickly it'll cause acidosis. 388 00:20:35,334 --> 00:20:37,041 We can deal with his metabolism crashing. 389 00:20:37,169 --> 00:20:39,206 We can't reverse brain damage if we go too slowly. 390 00:20:39,338 --> 00:20:41,079 Either way, if we don't get his temperature above 95, 391 00:20:41,173 --> 00:20:42,243 it's not gonna matter. 392 00:20:42,341 --> 00:20:44,844 Multiple warm lavage is safer. 393 00:20:47,346 --> 00:20:49,223 Do what House says. 394 00:20:57,556 --> 00:21:01,595 He has no heartbeat, he's not breathing. 395 00:21:03,596 --> 00:21:04,939 How can he not be dead? 396 00:21:05,698 --> 00:21:08,804 Body slows down when it cools, but it doesn't fully stop. 397 00:21:08,901 --> 00:21:11,973 We're warming his blood outside of his body and then putting it back. 398 00:21:12,071 --> 00:21:13,448 It'll raise his temperature enough 399 00:21:13,539 --> 00:21:15,541 that his heart should naturally start. 400 00:21:15,941 --> 00:21:17,750 Then we can shock it back into rhythm. 401 00:21:17,877 --> 00:21:19,879 And if it doesn't start? 402 00:21:22,615 --> 00:21:23,889 Then there's nothing we can do. 403 00:21:31,090 --> 00:21:32,899 You think it's possible he knew what he was doing? 404 00:21:33,893 --> 00:21:37,340 Like some part of him gets what he's putting his wife through, 405 00:21:37,429 --> 00:21:38,931 so he tried to... Kill himself? 406 00:21:40,065 --> 00:21:42,067 It's what I'd do if I were him. 407 00:21:42,134 --> 00:21:43,977 At least I wish I would. 408 00:21:45,404 --> 00:21:46,974 I meant run away. 409 00:21:47,740 --> 00:21:50,016 You think you should kill yourself if you become a burden 410 00:21:50,109 --> 00:21:51,179 to the people who love you? 411 00:21:51,277 --> 00:21:54,986 If you really loved them back, then yes. 412 00:21:57,449 --> 00:21:59,326 That's really dark. 413 00:22:00,452 --> 00:22:02,261 It's not naive. 414 00:22:03,756 --> 00:22:07,795 I just believe people are capable of more than you do, apparently. 415 00:22:09,995 --> 00:22:11,269 We've got brain activity. 416 00:22:13,465 --> 00:22:16,776 Temp's at 93. His heart should start soon. 417 00:22:21,941 --> 00:22:24,387 My dad left me alone to care for my alcoholic mom 418 00:22:24,476 --> 00:22:25,716 and raise my baby sister. 419 00:22:25,811 --> 00:22:27,290 I was just a teenager. 420 00:22:28,180 --> 00:22:29,989 I spent half of my time changing diapers 421 00:22:30,115 --> 00:22:32,288 and the other half cleaning up my mom's vomit. 422 00:22:33,819 --> 00:22:35,389 But it must have been important 423 00:22:35,487 --> 00:22:37,626 that you stayed for both of them. 424 00:22:38,624 --> 00:22:40,535 Mom died after a few years. 425 00:22:40,626 --> 00:22:44,233 It was ugly and painful, and she went with me hating her. 426 00:22:44,330 --> 00:22:46,571 My sister ended up drinking half of her life away 427 00:22:46,665 --> 00:22:49,305 and hating me because I couldn't help. 428 00:22:49,368 --> 00:22:51,143 After Mom, I had nothing left. 429 00:22:52,638 --> 00:22:56,518 So do I wish Mom had used a gun instead of a bottle? 430 00:22:56,642 --> 00:22:57,848 Yes. 431 00:23:01,146 --> 00:23:02,352 I didn't know. 432 00:23:02,414 --> 00:23:03,825 That's why I told you. 433 00:23:06,385 --> 00:23:08,490 Ventricular fibrillation. 434 00:23:11,991 --> 00:23:14,198 Give him 300 milligrams amiodarone. 435 00:23:24,870 --> 00:23:27,009 Be careful. Once we establish rhythm, 436 00:23:27,072 --> 00:23:29,518 any accidental movement could crash him back into V-fib. 437 00:23:31,176 --> 00:23:32,246 Clear. 438 00:23:42,554 --> 00:23:44,966 We still have a long way to go. 439 00:23:45,057 --> 00:23:46,627 Cold can be protective to the brain, 440 00:23:46,725 --> 00:23:50,104 but there is a possibility of damage. 441 00:23:50,195 --> 00:23:54,541 We also need to confirm and treat whatever's making him sick. 442 00:23:56,869 --> 00:23:59,213 I just gotta do a standard battery of tests. 443 00:23:59,271 --> 00:24:01,376 Blood, urine, EEG. 444 00:24:01,440 --> 00:24:03,784 Is that really necessary for a free flu shot'? 445 00:24:06,779 --> 00:24:10,556 Excuse me, I have to deal with someone who's having a panic attack. 446 00:24:17,990 --> 00:24:20,231 I specifically said the bet was off 447 00:24:20,292 --> 00:24:21,771 if you contacted the patient. 448 00:24:21,827 --> 00:24:24,808 Exactly. You never said anything about the patient's husband. 449 00:24:25,764 --> 00:24:29,302 The deal was a medical reason why she doesn't have sex. 450 00:24:29,401 --> 00:24:31,438 I admit I was stuck until I realized 451 00:24:31,503 --> 00:24:34,279 that the medical issue was not hers, but his. 452 00:24:34,340 --> 00:24:37,913 She's lying to compensate. It's a tale as old as time. 453 00:24:37,977 --> 00:24:40,150 Boy meets girl. Girl falls for boy. 454 00:24:40,245 --> 00:24:41,986 Boy says, "I'm asexual." 455 00:24:42,081 --> 00:24:43,856 Girls says, "Yeah, me, too." 456 00:24:44,783 --> 00:24:47,491 Your twisted logic can't hide the fact 457 00:24:47,586 --> 00:24:49,361 that tricking a patient into being tested 458 00:24:49,455 --> 00:24:50,991 is completely unethical. 459 00:24:51,991 --> 00:24:55,200 Come on. Don't you think she deserves to know why her husband 460 00:24:55,294 --> 00:24:57,501 won't bend her over the kitchen counter? 461 00:24:57,596 --> 00:24:59,303 You love all that caring crap. 462 00:24:59,365 --> 00:25:01,436 You're not doing this out of the kindness of your heart. 463 00:25:01,500 --> 00:25:03,878 You're not even doing this out of medical curiosity. 464 00:25:03,969 --> 00:25:06,142 I thought I made it clear I'm doing it for the cash. 465 00:25:06,505 --> 00:25:09,714 Two people are happy, and your natural impulse is to destroy it. 466 00:25:09,808 --> 00:25:11,788 How do you know she's happy? Did she tell you? 467 00:25:11,844 --> 00:25:15,451 No, chirping birds flew out of her butt carrying a banner. 468 00:25:15,514 --> 00:25:17,357 All right' I admit that my natural impulse 469 00:25:17,449 --> 00:25:19,224 is to doubt people's claims to happiness, 470 00:25:19,318 --> 00:25:21,457 but yours is to be a sucker for them. 471 00:25:21,520 --> 00:25:23,158 You tell me which one's worse. 472 00:25:33,165 --> 00:25:35,543 He just opened his eyes a little while ago. 473 00:25:35,634 --> 00:25:40,242 His heartbeat's doing well and his body temperature stabilized. 474 00:25:49,815 --> 00:25:50,987 There he is. 475 00:25:56,188 --> 00:25:57,496 Is that Portuguese? 476 00:25:57,556 --> 00:25:58,899 Yeah. 477 00:26:01,060 --> 00:26:02,937 Honey, I don't understand. 478 00:26:07,166 --> 00:26:08,702 What's he saying? 479 00:26:09,668 --> 00:26:11,079 I don't know. 480 00:26:12,337 --> 00:26:15,011 I tried to learn when we got married, but I just... 481 00:26:18,777 --> 00:26:21,087 It's okay, it's okay. 482 00:26:24,049 --> 00:26:27,724 His body temperature is rising. It's above normal. 483 00:26:27,786 --> 00:26:31,461 Wait, I thought you said it was stable Why is it still rising? 484 00:26:31,557 --> 00:26:33,059 I don't know. 485 00:26:35,094 --> 00:26:38,098 Vomiting, liver, kidneys and now fever. 486 00:26:41,066 --> 00:26:43,740 I don't want to tell you how to do your job, Dr. Foreman, 487 00:26:43,802 --> 00:26:46,305 since telling people how to do their job is your job. 488 00:26:47,206 --> 00:26:48,742 But when your less-than-competent 489 00:26:48,807 --> 00:26:50,309 administration of this hospital 490 00:26:50,442 --> 00:26:52,319 affects what's written on my whiteboard... 491 00:26:52,411 --> 00:26:53,481 Get to the point. 492 00:26:53,579 --> 00:26:56,059 The word "fever." Could come from the patient's illness 493 00:26:56,115 --> 00:26:57,822 or it could come from the fact that you allowed him 494 00:26:57,916 --> 00:27:00,556 to saunter out of your hospital and take a nap in the snow. 495 00:27:01,053 --> 00:27:02,726 He couldn't have caught a virus while he was outside, 496 00:27:02,788 --> 00:27:04,392 fever came on too fast. 497 00:27:04,456 --> 00:27:06,663 The hypothermia could have caused cell necrosis. 498 00:27:09,094 --> 00:27:11,631 TTP was the diagnosis when he walked out. 499 00:27:11,730 --> 00:27:13,937 Fever's a little high, but it still fits. 500 00:27:14,566 --> 00:27:16,671 We should continue plasmapheresis. 501 00:27:16,768 --> 00:27:18,270 We're missing symptoms. 502 00:27:18,337 --> 00:27:20,476 We should add language loss and aggression. 503 00:27:20,572 --> 00:27:23,075 Should we also add forgetfulness? He's got Alzheimer's. 504 00:27:23,142 --> 00:27:24,246 We've just been assuming. 505 00:27:24,309 --> 00:27:26,812 Because the patient's wife said he exhibited both for a year. 506 00:27:26,912 --> 00:27:28,858 He's never hit her before or lost all his English. 507 00:27:28,947 --> 00:27:30,255 We have to consider any change 508 00:27:30,315 --> 00:27:31,521 since he's been admitted as relevant. 509 00:27:31,817 --> 00:27:35,094 "Have to?" Do I need to pull out another card? 510 00:27:35,587 --> 00:27:38,295 Disseminated viral infection, with encephalitis. 511 00:27:38,690 --> 00:27:41,102 Patient complained of a sore throat a few weeks ago. 512 00:27:45,164 --> 00:27:46,507 Start him on interferon. 513 00:27:51,803 --> 00:27:53,714 Encephalitis makes his brain swell, 514 00:27:53,805 --> 00:27:56,718 which causes symptoms that are hard to distinguish from his Alzheimer's. 515 00:27:56,808 --> 00:27:59,846 With the interferon, his English should come back 516 00:27:59,945 --> 00:28:01,720 and the aggression should subside. 517 00:28:02,281 --> 00:28:03,453 But you're not sure? 518 00:28:04,283 --> 00:28:05,990 Unfortunately, no. 519 00:28:06,051 --> 00:28:10,796 And you're not sure if he has brain damage from being frozen? 520 00:28:13,825 --> 00:28:17,170 So best-case scenario, 521 00:28:17,996 --> 00:28:19,873 I just had a glimpse into his future? 522 00:28:25,837 --> 00:28:27,510 I can't take care of him anymore. 523 00:28:27,573 --> 00:28:29,883 Chances are his menial state will improve. 524 00:28:29,975 --> 00:28:31,648 You could get more time with him. 525 00:28:33,512 --> 00:28:36,186 We married six months after I met him. 526 00:28:36,748 --> 00:28:39,922 A year after that, he started forgetting things. 527 00:28:41,587 --> 00:28:45,034 I've known my husband longer with his Alzheimer's than without. 528 00:28:45,090 --> 00:28:48,162 I've watched more of him disappear than I ever got to know. 529 00:28:51,163 --> 00:28:53,734 I just can't do this anymore. 530 00:28:58,870 --> 00:28:59,940 You lose. 531 00:29:01,006 --> 00:29:03,418 Blood work shows high levels of prolactin. 532 00:29:04,576 --> 00:29:07,250 Add that to some peripheral red-green confusion, 533 00:29:07,346 --> 00:29:11,021 puts my money, excuse me, your money, soon to be my money, 534 00:29:11,383 --> 00:29:13,363 on a tumor near his pituitary. 535 00:29:13,418 --> 00:29:15,455 Probably started growing in his early teens. 536 00:29:15,554 --> 00:29:20,060 Lowering his libido and causing erectile dysfunction. 537 00:29:20,125 --> 00:29:21,729 A year on dopamine agonists 538 00:29:21,793 --> 00:29:24,433 and he'll be a sex-crazed creep just like the rest of us. 539 00:29:24,863 --> 00:29:28,106 Completely fascinated by Susie Cooper. 540 00:29:28,200 --> 00:29:31,306 I would prefer to be paid in a single $100 bill. 541 00:29:31,403 --> 00:29:33,576 Always wanted to use one to light a cigar. 542 00:29:35,240 --> 00:29:38,585 Hooray for us. We disproved his asexuality. 543 00:29:38,644 --> 00:29:40,590 We also probably ruined his life. 544 00:29:40,646 --> 00:29:43,149 He'll thank us. Then he'll doze off. 545 00:29:43,248 --> 00:29:45,785 And then, in a couple of hours, he'll thank us again. 546 00:29:45,884 --> 00:29:47,886 It could destroy his identity. 547 00:29:47,953 --> 00:29:51,093 It's like a gay person being told they're really straight. 548 00:29:51,556 --> 00:29:52,626 So don't tell him. 549 00:29:52,724 --> 00:29:55,637 Yeah, why bother telling a guy he has a tumor growing in his head? 550 00:29:55,727 --> 00:29:58,105 He'll notice it eventually when it starts leaking out his ears. 551 00:29:58,163 --> 00:29:59,574 It's a slow-growing tumor. 552 00:29:59,631 --> 00:30:01,633 He'll probably die of boredom long before that. 553 00:30:03,302 --> 00:30:08,980 You always do this. You meddle and force me into impossible situations. 554 00:30:09,641 --> 00:30:11,416 You knew the second you told me 555 00:30:11,476 --> 00:30:13,012 about this case that I'd get involved. 556 00:30:13,111 --> 00:30:14,954 You wanted me to meddle. 557 00:30:15,080 --> 00:30:16,320 'Cause no matter how much you wanted 558 00:30:16,415 --> 00:30:18,088 to believe in this chaste romance, 559 00:30:18,150 --> 00:30:19,254 you didn't buy it either. 560 00:30:20,652 --> 00:30:22,654 Where's that petition House's PO sent over 561 00:30:22,754 --> 00:30:24,631 about him getting his ankle monitor off? 562 00:30:24,690 --> 00:30:26,135 On your desk. 563 00:30:44,443 --> 00:30:45,820 You played me. 564 00:30:45,877 --> 00:30:48,323 This whole thing was about your ankle monitor. 565 00:30:49,314 --> 00:30:50,987 You weren't trying to undermine my confidence, 566 00:30:51,049 --> 00:30:52,153 you were trying to inflate it. 567 00:30:52,217 --> 00:30:54,527 You manufactured conflict with me 568 00:30:54,619 --> 00:30:55,962 so, eventually, you could let me win. 569 00:30:56,388 --> 00:30:57,731 You knew it was encephalitis, 570 00:30:57,823 --> 00:30:58,858 but you waited for me to say it, 571 00:30:58,957 --> 00:31:00,300 because then, with my ego boosted, 572 00:31:00,359 --> 00:31:02,305 you thought I'd be in the mood to take off your monitor. 573 00:31:02,361 --> 00:31:04,307 Because I'd think I could control you. 574 00:31:06,565 --> 00:31:10,411 You're right. Take off my monitor. 575 00:31:12,471 --> 00:31:14,417 See, the beauty of the plan 576 00:31:14,506 --> 00:31:17,214 is if ii works, then you think you can control me. 577 00:31:17,309 --> 00:31:20,051 If it fails, then you will actually 578 00:31:20,145 --> 00:31:22,216 have proven that you can control me. 579 00:31:22,981 --> 00:31:24,085 It's pretty genius. 580 00:31:25,384 --> 00:31:28,422 These are your training wheels. 581 00:31:28,520 --> 00:31:31,023 If you think you're up to this job, it's time to lose them. 582 00:31:45,036 --> 00:31:46,947 Second half of my plan might need work. 583 00:31:56,581 --> 00:31:58,424 V-fib. Two rounds at 360 584 00:31:58,517 --> 00:32:00,394 without establishing a rhythm. 585 00:32:02,921 --> 00:32:05,424 Wait! Dr. Foreman! 586 00:32:07,225 --> 00:32:08,431 Clear. 587 00:32:12,564 --> 00:32:13,872 He's back. 588 00:32:25,544 --> 00:32:27,546 I sure hope this Alzheimer's drug trial 589 00:32:27,612 --> 00:32:28,989 is worth a lot to this hospital, 590 00:32:29,080 --> 00:32:31,720 'cause we're wasting a crapload of time and man power 591 00:32:31,783 --> 00:32:33,626 just to let this guy watch his mind shrivel 592 00:32:33,718 --> 00:32:34,822 and keep his wife miserable. 593 00:32:34,920 --> 00:32:37,799 Heart attack while he was on interferon rules out encephalitis, 594 00:32:37,889 --> 00:32:40,130 but I still think I'm right about the neuro symptoms. 595 00:32:40,225 --> 00:32:41,829 It's probably aseptic meningitis. 596 00:32:41,927 --> 00:32:43,304 We would have seen meningeal signs. 597 00:32:43,395 --> 00:32:45,306 Given his abnormal mental status, not necessarily. 598 00:32:45,430 --> 00:32:48,274 Dr. Foreman! Would you please reach under your chair'? 599 00:32:54,172 --> 00:32:55,981 It's just wet gum under here. 600 00:32:56,107 --> 00:32:57,950 Where's the card? What card? 601 00:33:00,479 --> 00:33:04,086 I'm happy to leave if you have a better theory than aseptic meningitis. 602 00:33:04,149 --> 00:33:05,287 Toxins. 603 00:33:05,350 --> 00:33:06,693 If this guy went on a walkabout, 604 00:33:06,785 --> 00:33:08,093 chances are he's done it before. 605 00:33:08,153 --> 00:33:09,188 Wife keeps the doors in the house locked. 606 00:33:09,287 --> 00:33:10,664 There's plenty of nasty stuff to get into 607 00:33:10,755 --> 00:33:11,927 during the middle of the night. 608 00:33:11,990 --> 00:33:13,162 We asked about toxins on the history. 609 00:33:13,258 --> 00:33:15,761 The wife said she was sure to clear the house for her husband's safety. 610 00:33:15,827 --> 00:33:16,965 And I'm sure she succeeded. 611 00:33:17,028 --> 00:33:19,030 She's a PhD in toxicology, right? 612 00:33:20,332 --> 00:33:23,176 She's an ex-florist. Search the home for toxic plants, 613 00:33:23,268 --> 00:33:25,043 methyl bromide, any medications. 614 00:33:26,304 --> 00:33:29,342 Stop. You're not infallible. 615 00:33:29,441 --> 00:33:30,476 You were wrong about encephalitis. 616 00:33:30,542 --> 00:33:31,543 Just before you were. 617 00:33:31,643 --> 00:33:34,180 Run CSF tests, find out what's causing the meningitis. 618 00:33:36,381 --> 00:33:38,691 You said you weren't gonna overrule me, diagnostically. 619 00:33:38,783 --> 00:33:41,195 And you said I wouldn't be able to help it. 620 00:33:41,286 --> 00:33:43,197 Apparently, you were right about that one. 621 00:33:45,790 --> 00:33:48,634 Fine. I'll look for toxins myself. 622 00:33:48,693 --> 00:33:50,730 You can't go to their house without Foreman's permission. 623 00:33:50,829 --> 00:33:54,641 Don't need it, I'm gonna talk to the toxicology PhD upstairs. 624 00:33:54,699 --> 00:33:56,736 What about gifts from South America? 625 00:33:56,835 --> 00:33:59,338 Anyone send any fruits or vegetables? 626 00:34:00,171 --> 00:34:01,582 I don't think so... No. 627 00:34:05,310 --> 00:34:08,723 I'm gonna need your boyfriend to collect samples of plants 628 00:34:08,813 --> 00:34:11,191 in and around your house. Toxins are the most... 629 00:34:17,556 --> 00:34:21,231 Wait. You understand him? What's he saying? 630 00:34:23,361 --> 00:34:26,342 He's repeating "blue shack." 631 00:34:26,831 --> 00:34:28,071 You know what that is? 632 00:34:28,166 --> 00:34:30,442 Is it somewhere where pesticides may be kept? 633 00:34:32,270 --> 00:34:35,183 It's where we had our first date. 634 00:34:38,009 --> 00:34:42,014 Do you have a cleaning lady who might bring her own supplies? 635 00:34:42,847 --> 00:34:44,087 What's he saying? 636 00:34:44,749 --> 00:34:48,253 If it's not relevant to the case, I don't care, and neither should you. 637 00:34:48,353 --> 00:34:49,764 Please. 638 00:34:50,589 --> 00:34:52,899 This might be the last time I ever know what he's thinking. 639 00:35:01,566 --> 00:35:03,102 "When I saw her waiting... 640 00:35:05,203 --> 00:35:07,149 "Waiting for me at the table... 641 00:35:08,773 --> 00:35:11,617 "The way her eyes looked when she smiled... 642 00:35:14,746 --> 00:35:16,248 "I felt like crying. 643 00:35:21,386 --> 00:35:24,424 "I knew she was the woman I wanted to marry. 644 00:35:25,457 --> 00:35:28,836 "And every time I see her, I say... 645 00:35:32,263 --> 00:35:34,800 "There she is." "There she is." 646 00:35:40,005 --> 00:35:42,178 He's still in there. 647 00:35:46,978 --> 00:35:48,753 What did he say? 648 00:35:50,682 --> 00:35:52,684 He asked who you were. 649 00:35:56,421 --> 00:35:58,458 Don't get your hopes up. 650 00:35:59,090 --> 00:36:02,037 Have your boyfriend get me those samples. 651 00:36:12,470 --> 00:36:14,177 How did you even know to look for a tumor? 652 00:36:15,707 --> 00:36:18,654 Dr. House noticed hormone levels in your blood 653 00:36:18,710 --> 00:36:20,656 and consulted with me as an oncologist... 654 00:36:20,712 --> 00:36:22,453 Who cares how they found it, okay? They found it. 655 00:36:23,815 --> 00:36:25,351 Are there any side effects to the treatment? 656 00:36:26,651 --> 00:36:30,656 Some nausea, dizziness, and as the tumor shrinks, 657 00:36:30,722 --> 00:36:32,702 there will be behavioral changes. 658 00:36:32,991 --> 00:36:34,527 Like what? 659 00:36:34,626 --> 00:36:35,969 Well... 660 00:36:36,895 --> 00:36:40,308 The tumor interferes with certain natural systems. 661 00:36:43,835 --> 00:36:46,975 It lowers libido and causes erectile dysfunction. 662 00:36:50,241 --> 00:36:54,587 You mean the treatment will make me want to have sex'? 663 00:36:57,382 --> 00:36:58,759 What if I don't want the treatment? 664 00:36:58,850 --> 00:37:00,488 I would strongly advise... 665 00:37:00,552 --> 00:37:02,259 Look, you have a brain tumor, okay? 666 00:37:02,353 --> 00:37:03,388 You have to have the treatment. 667 00:37:03,488 --> 00:37:05,866 Okay, look, I know who I am, okay? 668 00:37:05,924 --> 00:37:07,028 And I'm not one of them. 669 00:37:07,092 --> 00:37:09,868 Hey, look, we'll adjust. 670 00:37:09,928 --> 00:37:13,171 Okay? We can go through this together. 671 00:37:13,231 --> 00:37:16,610 You mean have sex? I can't make you do that. 672 00:37:17,569 --> 00:37:19,412 Maybe it won't be so bad. 673 00:37:19,504 --> 00:37:20,915 It'll be terrible. 674 00:37:22,741 --> 00:37:25,415 It's actually pretty fun. 675 00:37:28,246 --> 00:37:30,192 From what I remember. 676 00:37:31,015 --> 00:37:32,688 But you said that... I know. 677 00:37:33,618 --> 00:37:36,929 I know. I wanted to spend my life with you 678 00:37:38,022 --> 00:37:40,696 and I knew that meant making certain sacrifices. 679 00:37:41,860 --> 00:37:45,069 But a girl has needs. 680 00:37:50,235 --> 00:37:52,374 You dropped in the US. News rankings. 681 00:37:52,437 --> 00:37:55,611 With respect, Mr. Laffont, that's only because we temporarily 682 00:37:55,740 --> 00:37:57,276 shut down our diagnostics department. 683 00:37:57,375 --> 00:37:58,649 It's up and running again. 684 00:37:58,743 --> 00:38:01,314 I'm actually concerned it might be because of the change in management. 685 00:38:01,412 --> 00:38:04,950 If you want my money, I'll need to see a five year plan. 686 00:38:09,254 --> 00:38:10,324 Am I boring you? 687 00:38:12,557 --> 00:38:17,939 No, I just, those flowers are from last week. 688 00:38:17,996 --> 00:38:19,998 They should be dead by now. 689 00:38:20,098 --> 00:38:21,168 Excuse me? 690 00:38:24,602 --> 00:38:25,979 Sorry, I have to go. 691 00:38:38,183 --> 00:38:39,662 It's Reye's Syndrome. 692 00:38:39,751 --> 00:38:42,425 Patient had a sore throat a few weeks ago before he was admitted. 693 00:38:42,487 --> 00:38:44,763 Reye's in adults is a reach. 694 00:38:44,823 --> 00:38:45,961 Not if he took aspirin. 695 00:38:46,024 --> 00:38:48,197 Aspirin in adults is a reach. 696 00:38:48,293 --> 00:38:50,432 Especially in a house with locked medicine cabinets. 697 00:38:50,495 --> 00:38:51,838 It wasn't in the medicine cabinet. 698 00:38:51,930 --> 00:38:54,342 The wife used to run a floral company, 699 00:38:54,432 --> 00:38:55,843 still does a few orders from home. 700 00:38:55,934 --> 00:38:57,811 She uses crushed aspirin in the water 701 00:38:57,869 --> 00:38:59,712 to make the flowers last longer. 702 00:39:02,006 --> 00:39:03,679 So the husband has a sore throat, 703 00:39:03,775 --> 00:39:05,345 takes an aspirin without her knowing, 704 00:39:05,443 --> 00:39:07,320 realizes he's got a sore throat, takes an aspirin, 705 00:39:07,378 --> 00:39:08,652 realizes he's got a sore throat... 706 00:39:08,713 --> 00:39:11,193 You can stop me whenever you like. 707 00:39:12,350 --> 00:39:14,352 Have Chase start him on steroids. 708 00:39:14,452 --> 00:39:16,125 I already did. 709 00:39:17,121 --> 00:39:18,566 Then why are you telling me? 710 00:39:18,656 --> 00:39:20,693 Because I wanted you to hear it from me. 711 00:39:51,489 --> 00:39:53,400 There she is. 712 00:39:56,160 --> 00:39:58,106 Here I am. 713 00:40:00,765 --> 00:40:03,609 Your eye. What happened? 714 00:40:06,271 --> 00:40:08,615 It's nothing I can't handle. 715 00:40:21,853 --> 00:40:24,925 MRI confirmed macroprolactinoma. 716 00:40:25,890 --> 00:40:27,096 He's doing the treatment 717 00:40:27,191 --> 00:40:28,295 And the wife? 718 00:40:36,067 --> 00:40:40,243 Come on. We saved a man's life, 719 00:40:40,305 --> 00:40:44,151 course-corrected two people's wildly screwed up worldviews. 720 00:40:45,310 --> 00:40:47,290 Not bad for a day's work. 721 00:40:50,882 --> 00:40:54,830 I think they were happy, even if it was based on lies. 722 00:40:54,919 --> 00:40:56,762 Most happiness is. 723 00:40:59,924 --> 00:41:01,426 Better to have shtupped and lost 724 00:41:01,492 --> 00:41:03,403 than never to have shtupped at all. 725 00:41:04,429 --> 00:41:05,965 We can't smoke in here. 726 00:41:10,234 --> 00:41:12,908 We also can't summon people into the clinic based on a lie 727 00:41:12,971 --> 00:41:16,316 motivated by a petty bet, and yet it happens. 728 00:41:16,407 --> 00:41:18,580 It's an imperfect world. 729 00:41:30,088 --> 00:41:31,328 Well? 730 00:41:31,990 --> 00:41:33,594 Disgustingly satisfying. 731 00:41:40,832 --> 00:41:41,936 He said it was okay. 732 00:41:42,000 --> 00:41:44,105 Is one of you Dr. House? 733 00:41:45,336 --> 00:41:46,781 You've seen Spartacus, right? 734 00:41:46,838 --> 00:41:49,842 I got an order here to deactivate and remove his ankle monitor. 735 00:42:03,621 --> 00:42:04,861 Robbie? 736 00:42:04,956 --> 00:42:06,299 Hey, sis. 737 00:42:08,459 --> 00:42:10,063 It's been years. 738 00:42:10,161 --> 00:42:11,469 I know. 739 00:42:12,130 --> 00:42:14,804 I thought of you on Mom's birthday. 740 00:42:15,800 --> 00:42:17,802 Is everything okay? 741 00:42:17,869 --> 00:42:20,349 Yeah, yeah. Fine. I just... 742 00:42:21,973 --> 00:42:24,715 wanted to see how you were. 743 00:42:24,809 --> 00:42:25,981 I'm fine. 744 00:42:40,324 --> 00:42:42,565 Bikes go faster without training wheels. 745 00:42:46,864 --> 00:42:50,209 Now get out, I have work to do. 746 00:42:58,009 --> 00:42:59,920 Whoops.