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1
00:00:03,802 --> 00:00:06,498
So now the plan is
either find ourselves
a new counselor,
2
00:00:06,572 --> 00:00:09,166
stick it out with the old one,
but go more often,
3
00:00:09,241 --> 00:00:12,074
or resign ourselves to the fact
that she's never gonna be happy...
4
00:00:12,144 --> 00:00:17,013
no matter what I do, so let's take
the money we're wasting and put it
towards a membership at Lakeview.
5
00:00:17,082 --> 00:00:20,210
I'm guessing the last
option has yet to be formally presented.
Yeah.
6
00:00:20,285 --> 00:00:23,254
Geez. What's with you?
You usually run half speed
to stay with me.
7
00:00:23,322 --> 00:00:27,122
Didn't get a lot of sleep last night.
8
00:00:28,193 --> 00:00:31,560
How are things with Elyse?
Great.
9
00:00:31,630 --> 00:00:33,894
Great?
Yeah.
10
00:00:35,000 --> 00:00:37,969
One-syllable answers.
You're either out of breath,
or you're lying to me.
11
00:00:38,037 --> 00:00:42,474
Yeah. We have our moments,
but they usually work out.
12
00:00:42,541 --> 00:00:45,772
Man, you got some water?
Yeah.
13
00:00:45,844 --> 00:00:47,869
So how do you work things out?
14
00:00:49,081 --> 00:00:51,447
I don't know.
We talk, someone apologizes.
15
00:00:51,517 --> 00:00:53,542
Man, I shouldn't have
drank last night.
16
00:00:53,619 --> 00:00:57,248
- Hey, you mean you apologize.
- Yeah, I guess.
17
00:00:57,322 --> 00:01:00,553
- How often do you guys have sex?
- Enough.
18
00:01:00,626 --> 00:01:02,685
You do it this morning?
19
00:01:02,761 --> 00:01:04,786
You did.
You did it this morning.
20
00:01:04,863 --> 00:01:08,492
Maybe that's why
you can't stand up, huh? Come on.
21
00:01:09,568 --> 00:01:11,559
Elyse.
22
00:01:14,673 --> 00:01:16,607
Great.
23
00:01:16,675 --> 00:01:18,802
Honey, I'm dehydrated.
24
00:01:18,877 --> 00:01:21,471
Do we have anything
with electrolytes?
25
00:01:23,916 --> 00:01:26,009
Sleeping Beauty, wake up.
26
00:01:26,085 --> 00:01:29,577
This is an emergency.
27
00:01:29,655 --> 00:01:31,623
The fridge is empty.
28
00:01:31,690 --> 00:01:34,250
Come on.
It's almost 4:00.
29
00:01:36,862 --> 00:01:39,228
Elyse. Sweetie.
30
00:01:40,766 --> 00:01:44,327
Call Jacques.
Tell him I'm not feeling well.
31
00:01:45,404 --> 00:01:48,635
It's Saturday.
You haven't been to work
in three days. Remember?
32
00:01:49,708 --> 00:01:51,835
Just let me sleep.
33
00:01:51,910 --> 00:01:55,004
Come on.
You haven't been out of bed
since Wednesday.
34
00:01:55,080 --> 00:01:58,106
- Leave me alone.
- Come on. What's up?
35
00:01:58,183 --> 00:02:00,651
No. Leave me alone.
36
00:02:00,719 --> 00:02:03,449
Honey.
I said leave me alone!
37
00:02:10,896 --> 00:02:14,332
Oh. I think there's
something wrong with me.
38
00:02:48,534 --> 00:02:51,435
She's been averaging 18 hours of sleep
a day since her admission.
39
00:02:51,503 --> 00:02:54,700
Clinical depression.
Incredibly contagious.
40
00:02:54,773 --> 00:02:58,140
Every time I'm around
one of them, I get blue.
It's not clinical depression.
41
00:02:58,210 --> 00:03:01,338
Great.
Got it all figured out.
You don't need me.
42
00:03:03,215 --> 00:03:06,707
Three E.R. doctors, two neurologists
and a radiologist have all
figured out what it's not.
43
00:03:06,785 --> 00:03:09,618
We need to figure out what it is.
If any of the above-mentioned
doctors...
44
00:03:09,688 --> 00:03:12,350
were interested in my opinion,
they would have asked for it.
45
00:03:12,424 --> 00:03:15,018
None of them are willing
to subject themselves to you.
46
00:03:15,093 --> 00:03:17,084
No pain, no gain.
47
00:03:17,162 --> 00:03:20,029
The blood work shows
no signs of inflammation,
48
00:03:20,098 --> 00:03:22,794
and no one can figure out
what's actually the cause--
Ah.
49
00:03:22,868 --> 00:03:27,100
What?
Husband described her as being
unusually irritable recently.
50
00:03:27,172 --> 00:03:31,836
And?
I didn't realize it was possible for
a woman to be unusually irritable.
51
00:03:35,380 --> 00:03:38,611
Nice try, but you're a misanthrope,
not a misogynist.
52
00:03:38,684 --> 00:03:41,585
What's the first thing
you ask a doctor
who's referring a patient?
53
00:03:41,653 --> 00:03:44,247
Are you questioning my ability
to take a history?
54
00:03:45,991 --> 00:03:48,118
What's the primary--
Not "What." "Why?".
55
00:03:48,193 --> 00:03:51,492
Diseases don't have motives.
No, but doctors do.
56
00:03:51,563 --> 00:03:53,690
Why this patient?
What interests you?
57
00:03:55,067 --> 00:03:57,729
Give me the chart.
Why?
58
00:03:59,004 --> 00:04:01,871
I find your interest interesting.
59
00:04:04,443 --> 00:04:07,537
She's irritable and sleeping
18 hours a day.
60
00:04:07,613 --> 00:04:09,547
What's interesting about that?
61
00:04:09,615 --> 00:04:12,675
Hypersomnia's usually accompanied
by irritability in depressed patients.
62
00:04:12,751 --> 00:04:15,049
True, but not relevant.
She's not depressed.
63
00:04:15,120 --> 00:04:18,146
Hello. She's sleeping
18 hours a day.
Fever.
64
00:04:18,223 --> 00:04:20,214
Clinical depression
does not cause fever.
65
00:04:20,292 --> 00:04:22,726
- She could be sick and depressed.
- She's sick.
66
00:04:22,794 --> 00:04:24,728
Oh, damn it.
Why didn't I think of that?
67
00:04:24,796 --> 00:04:27,697
- Yeah, that's what I meant.
- Elevated sed rate indicates inflammation.
68
00:04:27,766 --> 00:04:30,326
Hypersomnia and personality changes
point toward the brain.
69
00:04:30,402 --> 00:04:32,063
Not the spleen?
70
00:04:32,137 --> 00:04:34,230
Thank goodness we hired
a neurologist.
71
00:04:34,306 --> 00:04:36,331
Brain symptoms. Hmm.
Could this be a brain problem?
72
00:04:36,408 --> 00:04:38,899
No other systemic signs of inflammation.
Probably not vasculitis.
73
00:04:38,977 --> 00:04:41,673
What about parasites?
Malaria, Chagas.
74
00:04:41,747 --> 00:04:44,875
But the patient's never been outside of
the United States-- especially the tropics.
75
00:04:44,950 --> 00:04:47,976
- You mean she claims
she's never been outside the U.S.
- Very good.
76
00:04:48,053 --> 00:04:50,749
Doesn't matter.
Blood and C.S.F. smears
show no sign of parasites.
77
00:04:50,822 --> 00:04:54,417
- Has to be a tumor then.
- A tumor sitting directly
on top of the brain stem...
78
00:04:54,493 --> 00:04:57,428
that three E.R. doctors,
two neurologists
and a radiologist missed?
79
00:04:57,496 --> 00:05:00,329
Partridge in a pear tree
missed it too.
80
00:05:00,399 --> 00:05:04,529
Redo the blood work, and get a new M.R.I.
with two-millimeter cuts
through the mesodiencephalic.
81
00:05:04,603 --> 00:05:06,537
And check for evil stepmothers.
82
00:05:06,605 --> 00:05:08,539
This much sleep
usually indicates poison apples.
83
00:05:09,775 --> 00:05:12,938
Anything else besides
the shortness of breath?
84
00:05:13,011 --> 00:05:15,878
Not really.
It's actually just kind of a tightness.
85
00:05:15,947 --> 00:05:17,915
You smoke?
No, never.
86
00:05:17,983 --> 00:05:20,247
- Exercise?
- Eight hours a day.
87
00:05:21,687 --> 00:05:24,121
- I teach preschool.
- Sounds fun.
88
00:05:26,558 --> 00:05:28,719
Any history of heart disease
in your family?
89
00:05:28,794 --> 00:05:31,228
Not that I know of.
Take a deep breath.
90
00:05:33,832 --> 00:05:37,268
Been under
a lot of stress lately?
No more than usual.
91
00:05:37,336 --> 00:05:40,203
You're probably just a little anemic.
92
00:05:40,272 --> 00:05:42,263
I'm gonna do an E.K.G.
just to make sure.
93
00:05:42,341 --> 00:05:45,799
Do I need to take this off?
Uh, no. You can just
pull that down in front.
94
00:05:51,350 --> 00:05:54,251
Good Lord.
95
00:05:54,319 --> 00:05:58,119
- Are those real?
- Do they look real?
96
00:05:58,190 --> 00:06:00,158
They look pretty damn good.
97
00:06:00,225 --> 00:06:02,216
They were a present
for my husband's 40th.
98
00:06:02,294 --> 00:06:04,387
I figured he'd enjoy them
more than a sweater.
99
00:06:05,530 --> 00:06:07,691
That's so sweet.
100
00:06:07,766 --> 00:06:11,668
But I'm afraid the cause of your problem
could be staring us right in the face.
101
00:06:11,737 --> 00:06:13,967
Actually, I guess
I'm the one doing the staring.
102
00:06:14,039 --> 00:06:17,406
Ofcourse, I can't be sure.
I'd like to consult a colleague.
103
00:06:17,476 --> 00:06:20,172
He's actually somewhat
of an expert in these matters.
104
00:06:22,948 --> 00:06:24,973
Can I get a page on Dr. Wilson?
105
00:06:27,386 --> 00:06:29,479
A tumor?
We don't know.
106
00:06:29,554 --> 00:06:32,318
- We're checking just to be safe.
- Y'all already checked for that.
107
00:06:32,391 --> 00:06:37,624
The previous M.R.I. had a broader view.
Some tumors are almost impossible to see
unless you know exactly where to look.
108
00:06:37,696 --> 00:06:40,494
- That means it would be small, right?
- Yeah.
109
00:06:40,565 --> 00:06:43,033
Then you'd be able
to operate, take it out?
110
00:06:43,101 --> 00:06:46,036
If it's a tumor, there are
a variety of treatment options,
111
00:06:46,104 --> 00:06:48,595
but there are variables
other than just size.
112
00:06:50,909 --> 00:06:53,207
Don't worry.
113
00:06:53,278 --> 00:06:55,212
Too late.
114
00:06:59,885 --> 00:07:02,149
Try to remain as still as possible.
115
00:07:02,220 --> 00:07:06,782
The less distortion there is,
the more detail we'll be able to see.
Okay.
116
00:07:16,368 --> 00:07:19,735
X-ray tech, report to Radiology Room 3.
117
00:07:21,006 --> 00:07:24,032
Well. That's what
breasts look like.
118
00:07:24,109 --> 00:07:26,703
Is a lie a lie
if everybody knows it's a lie?
119
00:07:26,778 --> 00:07:30,612
Well, if a tree pretends
to fall in a forest--
House, come on. They're breasts.
120
00:07:30,682 --> 00:07:33,810
They're a birthday present,
not a philosophical treatise.
Lie number one.
121
00:07:33,885 --> 00:07:36,820
She did not do that for her husband.
She did that for herself.
122
00:07:36,888 --> 00:07:39,186
She thinks if she looks different,
she'll be different.
123
00:07:39,257 --> 00:07:43,284
No. She thinks if she looks different,
she'll be more attractive,
which I have to say--
124
00:07:43,361 --> 00:07:47,730
Not to her husband.
Cosmetic surgery is so everyone else
will look at us differently.
125
00:07:47,799 --> 00:07:49,824
The same reason
you're wearing that tie.
126
00:07:49,901 --> 00:07:52,495
Well, exactly.
That was gonna be my next point.
127
00:07:52,571 --> 00:07:54,505
Last three months,
same five ties.
128
00:07:54,573 --> 00:07:56,541
Thursday should be
that paisley thing.
129
00:07:56,608 --> 00:07:59,270
It's a gift from my wife.
No, it's not.
130
00:07:59,344 --> 00:08:01,778
Julie hates green.
You bought that yourself.
131
00:08:01,847 --> 00:08:05,044
You want to look pretty at work.
132
00:08:05,116 --> 00:08:06,913
Wilson's got a girlfriend.
133
00:08:06,985 --> 00:08:08,509
D-- Stop.
134
00:08:08,587 --> 00:08:10,748
Stop. I don't.
135
00:08:10,822 --> 00:08:14,280
It takes two department heads
to treat shortness of breath?
136
00:08:14,359 --> 00:08:18,386
What, do the complications
increase exponentially with cup size?
137
00:08:18,463 --> 00:08:22,263
I want an E.K.G. and blood tests,
including tox screen on Mrs.--
138
00:08:23,468 --> 00:08:27,268
- Exam Room One.
- You're ordering tests
to cover your lechery.
139
00:08:27,339 --> 00:08:30,069
- Interesting.
- Very tricky case.
140
00:08:32,244 --> 00:08:34,974
You love everybody.
That's your pathology.
141
00:08:37,315 --> 00:08:40,512
There were no lesions
and no mass effect that we could see.
142
00:08:42,087 --> 00:08:44,487
What does that mean?
143
00:08:44,556 --> 00:08:48,219
It means we're still not sure
what's causing
the neurological problems.
144
00:08:48,293 --> 00:08:50,727
I know some things are hard to cure,
145
00:08:50,795 --> 00:08:54,731
but what I just don't get
is why it's taking so long
to figure out what's wrong with her.
146
00:08:54,799 --> 00:08:57,768
- I know you're scared.
I would be too.
- I don't feel good.
147
00:08:58,537 --> 00:09:00,732
You feeling nauseous?
148
00:09:00,805 --> 00:09:03,273
Honey, are you all right?
149
00:09:05,377 --> 00:09:07,937
She's seizing!
150
00:09:08,013 --> 00:09:09,947
Get her on her side.
151
00:09:10,015 --> 00:09:12,142
- I need some Ativan!
I'll get it.
152
00:09:12,717 --> 00:09:15,914
- What's happened?
- She's having a seizure.
153
00:09:15,987 --> 00:09:18,785
She's aspirating. Suction.
154
00:09:26,097 --> 00:09:28,531
Come on, Elyse.
155
00:09:45,717 --> 00:09:47,708
The M.R.I. reveals nothing.
156
00:09:47,786 --> 00:09:50,254
That we were able to detect.
- It's not a tumor.
157
00:09:50,322 --> 00:09:54,088
A small glioma
could hide from contrast.
We could do a PETscan.
158
00:09:54,159 --> 00:09:57,856
Yes. That's how a responsible doctor
would waste his time in this situation.
159
00:09:57,929 --> 00:10:00,591
Suddenly tests and radiologists
are incapable of error?
160
00:10:00,665 --> 00:10:06,262
A glioma not presenting
on a contrast M.R.I. would have to be
smaller than a grain of sand,
161
00:10:06,338 --> 00:10:08,499
which does not
a gravely ill person make.
162
00:10:08,573 --> 00:10:12,441
- It could be just postictal disorientation.
- We would have seen
improvement by now.
163
00:10:12,510 --> 00:10:15,741
- Late-stage Lyme disease
can cause seizures.
- Does the husband care about her?
164
00:10:15,814 --> 00:10:18,146
- He hasn't left her bedside.
- How annoying.
165
00:10:18,216 --> 00:10:20,207
It also means
she doesn't have Lyme disease.
166
00:10:20,285 --> 00:10:22,412
What, love conquers all?
167
00:10:22,487 --> 00:10:24,455
Lyme disease initially presents
with a rash.
168
00:10:24,522 --> 00:10:27,013
- Mr. Clingy would have noticed.
- We've looked at everything else.
169
00:10:27,092 --> 00:10:28,923
Did you look at her breasts?
170
00:10:28,994 --> 00:10:30,256
Men.
171
00:10:30,328 --> 00:10:32,796
It could be paraneoplastic.
172
00:10:33,865 --> 00:10:36,527
She have any family history
of breast cancer?
173
00:10:36,601 --> 00:10:38,899
Her mother died of it.
174
00:10:38,970 --> 00:10:41,632
The brain, but not the brain.
175
00:10:41,706 --> 00:10:43,765
Clever, huh?
176
00:10:49,681 --> 00:10:53,082
How can breast cancer
cause problems in her brain?
177
00:10:53,151 --> 00:10:57,451
There are molecular similarities
between brain cells and tumor cells.
178
00:10:57,522 --> 00:11:01,788
Paraneoplastic syndrome
causes the body's own antibodies
to get thrown off track.
179
00:11:01,860 --> 00:11:04,727
They end up attacking the brain
instead of the tumor.
180
00:11:04,796 --> 00:11:07,492
So, if you do find a tumor,
what do you do?
181
00:11:07,565 --> 00:11:10,295
We treat the underlying malignancy.
182
00:11:10,368 --> 00:11:14,134
Once there's no tumor to attack,
there's nothing for the antibodies
to get confused about.
183
00:11:14,205 --> 00:11:16,969
- If the tumor's treatable.
- Exactly.
184
00:11:22,547 --> 00:11:25,448
Ow.
I'm sorry.
I know it's uncomfortable.
185
00:11:25,517 --> 00:11:28,782
The tighter we go,
the better the image will be.
186
00:11:32,424 --> 00:11:35,257
At least it'll keep me awake.
Don't worry. It's almost over.
187
00:11:36,661 --> 00:11:38,993
I wish people would stop
telling me not to worry.
188
00:11:39,064 --> 00:11:41,931
I'm sorry.
189
00:11:43,702 --> 00:11:47,468
My mom was the same age.
190
00:11:56,481 --> 00:12:01,043
We've been trying
to get pregnant for over a year.
Guess we're lucky we didn't.
191
00:12:01,119 --> 00:12:03,383
A lot has changed
since your mom died.
192
00:12:03,455 --> 00:12:05,389
Don't worr--
193
00:12:06,958 --> 00:12:08,823
Don't give up.
194
00:12:19,304 --> 00:12:21,238
No tumor?
195
00:12:21,306 --> 00:12:24,639
The M.R.I. and the mammogram
only showed a few benign calcifications.
196
00:12:24,709 --> 00:12:26,768
It's most likely a small-cell tumor.
197
00:12:26,845 --> 00:12:29,040
It's no surprise
we're having trouble finding it.
198
00:12:29,114 --> 00:12:32,982
We should do a PET scan.
Start with her lungs,
then maybe her bones.
199
00:12:33,051 --> 00:12:35,246
Sometimes it presents
with no tumor at all.
200
00:12:35,320 --> 00:12:40,087
- How can a disease caused by a tumor
present if there's no tumor?
- It happens-- 12% of cases.
201
00:12:40,158 --> 00:12:43,025
- And how do you treat it
if there's no tumor?
- You don't.
202
00:12:43,094 --> 00:12:45,619
Those 12%, no treatment.
203
00:12:45,697 --> 00:12:47,722
They were too busy
looking for the tumor--
204
00:12:47,799 --> 00:12:49,858
right till they put the patient
in the ground.
205
00:12:49,934 --> 00:12:52,926
- What choice do we have?
- Treat the symptoms.
206
00:12:53,004 --> 00:12:56,405
- I.V. immunoglobulin.
- So we're just gonna ignore the tumor?
207
00:12:56,474 --> 00:12:59,932
Well, eventually it'll get bigger.
Then it'll be really easy to find.
208
00:13:00,011 --> 00:13:03,503
- One of you needs to check out
where she works.
- Why?
209
00:13:03,581 --> 00:13:06,106
- 'Cause the husband's not sick.
Meaning?
210
00:13:06,184 --> 00:13:10,314
If it's not paraneoplastic,
and it is a reaction
to some sort of toxin,
211
00:13:10,388 --> 00:13:12,856
it's obviously not
coming from their home.
212
00:13:14,125 --> 00:13:16,355
Foreman, you do it.
213
00:13:19,364 --> 00:13:23,198
Why are you riding me?
It's what I do.
214
00:13:23,268 --> 00:13:25,896
Has it got worse lately?
Yeah. Seems to me.
215
00:13:25,970 --> 00:13:27,904
Really?
216
00:13:27,972 --> 00:13:31,772
Well, that rules out the race thing.
'Cause you were just as black last week.
217
00:13:33,378 --> 00:13:35,312
How long has Elyse worked here?
218
00:13:35,380 --> 00:13:37,780
Oh, three years.
She's my best rôtisseur.
219
00:13:37,849 --> 00:13:42,377
And what's that?
The rôtisseur prepares
the roasted meats and gravies.
220
00:13:42,453 --> 00:13:45,388
How do you clean your grill?
221
00:13:45,456 --> 00:13:47,822
You say "elbow grease".
Do you use chemical cleaners?
222
00:13:47,892 --> 00:13:51,055
Ah, non. Absolument.
And chefs don't do the cleaning anyway.
223
00:13:51,129 --> 00:13:54,394
What about pesticides?
You must spray for roaches
and that sort of thing.
224
00:13:54,465 --> 00:13:57,366
No. My kitchen is clean.
No roaches.
225
00:14:00,939 --> 00:14:03,635
I need to get back to work.
226
00:14:03,708 --> 00:14:07,075
So the fact that I'm here
asking you these questions,
it doesn't worry you?
227
00:14:07,145 --> 00:14:09,909
Look at me.
I'm here 18 hours a day.
228
00:14:09,981 --> 00:14:13,178
That guy practically lives here.
He does live here.
229
00:14:13,251 --> 00:14:17,017
I use the same detergents
for 15 years, and everyone
is healthy as a horse.
230
00:14:17,088 --> 00:14:20,251
Whatever Elyse has,
she didn't get here.
231
00:14:20,325 --> 00:14:22,316
Tell her I hope
she feels better.
232
00:14:22,393 --> 00:14:24,520
And I had to get a new rôtisseur.
233
00:14:37,308 --> 00:14:40,573
- Where's Ed?
- He went down to the gift shop
to buy a shirt.
234
00:14:40,645 --> 00:14:43,443
I told him I'd stay up here
in case you woke up.
235
00:14:44,916 --> 00:14:47,851
You must have better things to do.
236
00:14:47,919 --> 00:14:50,149
I send my laundry out.
237
00:14:50,221 --> 00:14:52,781
- You're not married?
- No.
238
00:14:52,857 --> 00:14:54,654
Waiting for the perfect guy?
239
00:14:56,361 --> 00:14:59,228
Let me guess.
You've already found him.
240
00:15:03,234 --> 00:15:05,828
He threw my towels out the window.
241
00:15:05,904 --> 00:15:09,499
That's how we met.
242
00:15:09,574 --> 00:15:14,876
Freshman year, Ed came to a party
that my roommate and I threw.
243
00:15:15,947 --> 00:15:19,041
He spent most of the night
on the bathroom floor.
244
00:15:20,451 --> 00:15:25,946
He figured I wouldn't notice
the vomit on the towels
if I didn't have any towels.
245
00:15:28,660 --> 00:15:31,151
I'm assuming he came back
the next day to apologize?
246
00:15:31,229 --> 00:15:33,595
No way.
I had to track him down.
247
00:15:35,566 --> 00:15:40,469
Conflict resolution has never
been one of Ed's strong points.
248
00:15:41,572 --> 00:15:43,597
Nobody's perfect, right?
249
00:15:43,675 --> 00:15:46,337
I guess.
250
00:15:46,411 --> 00:15:48,276
Oh, my neck hurts.
251
00:15:49,981 --> 00:15:52,506
You've been in this bed
for a really long time.
252
00:15:55,320 --> 00:16:00,087
We're gonna do the same test
we did last night, okay?
Do you know what day it is?
253
00:16:00,158 --> 00:16:05,357
My arm itches.
It's probably a mild skin irritation.
I'll get you some hydrocortisone in a minute.
254
00:16:05,430 --> 00:16:07,728
- Do you know what day it is?
- Tuesday.
255
00:16:07,799 --> 00:16:09,994
It really itches.
256
00:16:10,068 --> 00:16:12,366
How about I get you
that cream right now?
257
00:16:20,478 --> 00:16:23,242
Oh, my God! Get them off!
Get 'em off of me!
258
00:16:23,314 --> 00:16:26,044
- Get 'em off me! Get 'em off me!
- Elyse, calm down.
259
00:16:26,117 --> 00:16:28,984
- Get them off me!
- Elyse, calm down. Calm down.
260
00:16:29,053 --> 00:16:31,544
They're biting me!
Oh! They're biting me!
261
00:16:31,622 --> 00:16:33,647
I'm gonna need some Haldol,
five milligrams.
262
00:16:33,725 --> 00:16:35,955
- Honey, what's wrong?
- Get 'em off!
263
00:16:38,997 --> 00:16:41,465
Get 'em off. Get 'em off.
There's nothing there, Elyse.
264
00:16:41,532 --> 00:16:43,500
They're biting me.
There's nothing there.
265
00:16:43,568 --> 00:16:45,502
Ow!
266
00:16:48,905 --> 00:16:50,839
We had to sedate her.
267
00:16:50,907 --> 00:16:54,070
You gave sedatives to a patient
who's already sleeping
18 hours a day?
268
00:16:54,144 --> 00:16:56,942
It was better than letting her
scratch all the skin off her arms.
269
00:16:57,014 --> 00:17:00,711
- Where's Wilson?
- Creepy-crawlies are consistent
with paraneoplastic syndrome.
270
00:17:00,784 --> 00:17:03,082
Onset immediately after
I.V.I.G. isn't.
271
00:17:03,153 --> 00:17:05,383
There is a simple explanation.
272
00:17:05,455 --> 00:17:07,446
Maybe she really has
bugs under her skin.
273
00:17:07,524 --> 00:17:12,120
- Infection?
- That's what a worsening of symptoms
after immunotherapy would suggest.
274
00:17:12,195 --> 00:17:15,130
Blood cultures and the timeline
rule out most bacteria.
275
00:17:15,198 --> 00:17:18,656
Patient throws up on your shoes,
do you clean up most of it?
276
00:17:18,735 --> 00:17:21,966
The symptoms rule out the rest.
Serology rules out viruses.
277
00:17:22,039 --> 00:17:24,007
C.S.F. smears rule out parasites.
278
00:17:24,074 --> 00:17:27,271
In the final stage
of African trypanosomiasis...
279
00:17:27,344 --> 00:17:29,744
almost all the parasites
are inside the brain.
280
00:17:29,813 --> 00:17:31,906
It's possible
they wouldn't show on smears.
281
00:17:31,982 --> 00:17:36,476
But it's not possible for a patient
who's never been to Africa
to have African sleeping sickness.
282
00:17:36,553 --> 00:17:39,647
- I'm just saying it fits the symptoms.
- She could've got it from a transfusion.
283
00:17:39,723 --> 00:17:44,319
- Or I'm just saying she could've
got it from a transfusion.
- Which she never had.
284
00:17:44,394 --> 00:17:45,986
Okay.
What about toxins?
285
00:17:46,063 --> 00:17:49,590
No, the kitchen she works in
is cleaner than some hospitals.
286
00:17:49,666 --> 00:17:52,032
But they do serve rabbit.
287
00:17:52,102 --> 00:17:54,764
Rabbit fever fits her symptoms.
288
00:17:54,838 --> 00:17:57,864
Tularemia initially presents
with a rash or ulcer near the infection site.
289
00:17:57,941 --> 00:18:02,378
Not if she inhaled it.
Chopping the meat with the cleaver
could easily aerosolize the bacteria.
290
00:18:02,446 --> 00:18:06,815
- No. Then she'd have respiratory symptoms.
- Maybe she ignored it,
figured she had a cold.
291
00:18:06,883 --> 00:18:09,977
We rejected Lyme disease because
the couple would have noticed a rash,
292
00:18:10,053 --> 00:18:12,317
but a wet, hacking cough
is just gonna slip right by?
293
00:18:12,389 --> 00:18:17,622
It's either that or she missed her exit
on the turnpike and wound up in Africa.
294
00:18:17,694 --> 00:18:19,958
Okay, two lousy ideas.
295
00:18:20,030 --> 00:18:22,555
Unfortunately, they're better
than all the other ideas.
296
00:18:22,632 --> 00:18:26,124
Tularemia. Bizarre.
297
00:18:27,204 --> 00:18:30,799
Very nice.
That's why I ride you.
298
00:18:39,649 --> 00:18:42,584
Stay tuned--
Did he just turn on the TV?
299
00:18:42,652 --> 00:18:44,711
He needs to think.
300
00:18:44,788 --> 00:18:48,280
So this should tell us
whether or not she's got rabbit fever?
301
00:18:48,358 --> 00:18:51,885
For a diagnosis of tularemia
you need a fourfold increase
in serum antibody levels.
302
00:18:51,962 --> 00:18:54,760
To measure an increase you need a before.
All we have is an after.
303
00:18:54,831 --> 00:18:58,392
- A single titer over 160
would be a big clue.
- "That's why I ride you".
304
00:18:58,468 --> 00:19:00,834
What does that mean?
When I have a good idea
it's because of him?
305
00:19:00,904 --> 00:19:04,032
Actually, I think he said
your idea was a lousy idea.
306
00:19:04,107 --> 00:19:08,009
It has to be one of these two conditions.
I say we take our best guess
and start treatment. Or treat both.
307
00:19:08,078 --> 00:19:10,546
The treatment for tularemia
can cause aplastic anemia.
308
00:19:10,614 --> 00:19:13,242
- How come he doesn't ride you guys?
- Got a crush on you.
309
00:19:13,316 --> 00:19:16,877
- He just doesn't know how to show it.
- Get over it. He rides everybody.
310
00:19:16,953 --> 00:19:20,684
- The treatment for sleeping sickness
kills one in 10 patients.
- We start with the safer treatment.
311
00:19:20,757 --> 00:19:24,318
By "safer", you mean the one
that's slightly less likely to kill her.
312
00:19:38,141 --> 00:19:40,803
Foreman got the gang
testing for tularemia?
313
00:19:40,877 --> 00:19:44,608
- Yep.
- Probably inconclusive, but worth doing.
314
00:19:44,681 --> 00:19:47,479
So, what's her name?
When do I get to meet her?
315
00:19:47,551 --> 00:19:50,247
- There's nobody.
Give it up.
- Your lips say no.
316
00:19:50,320 --> 00:19:52,880
Your shoes say yes.
Well, they're French.
317
00:19:52,956 --> 00:19:56,687
- You can't trust a word they say.
- Solid, yet stylish.
318
00:19:56,760 --> 00:19:59,024
A professional woman
would be impressed.
319
00:19:59,095 --> 00:20:02,121
I'm thinking accountant.
Actuary maybe.
320
00:20:02,199 --> 00:20:04,394
It's somebody in the hospital.
321
00:20:04,467 --> 00:20:06,401
Patient?
322
00:20:06,469 --> 00:20:09,495
No. Chemo's not sexy.
Daughter of a patient.
323
00:20:09,573 --> 00:20:11,598
She would certainly have
the neediness you need.
324
00:20:11,675 --> 00:20:13,768
I'm not gonna date
a patient's daughter.
325
00:20:13,843 --> 00:20:17,939
Very ethical.
Ofcourse, most married men
would say they don't date at all.
326
00:20:18,014 --> 00:20:20,312
There was no date.
327
00:20:20,383 --> 00:20:22,977
I had lunch with one of the nurses.
328
00:20:23,053 --> 00:20:26,682
It's her first time in an oncology unit.
She's having a tough time-- emotionally.
329
00:20:26,756 --> 00:20:29,122
- Perfect.
- I wanted to be nice.
330
00:20:29,192 --> 00:20:31,626
That's all.
I mean it.
331
00:20:31,695 --> 00:20:34,027
You always do.
It's part of your charm.
332
00:20:34,097 --> 00:20:35,962
Hi, boys.
333
00:20:36,032 --> 00:20:38,500
Mrs. Campbell's test results.
334
00:20:38,568 --> 00:20:41,435
You remember her.
The preschool teacher
with the heart of silicone.
335
00:20:41,504 --> 00:20:43,131
No. Doesn't ring a bell.
336
00:20:43,206 --> 00:20:47,643
They came in yesterday. I figured you guys
would have been all over them.
I know how concerned you were.
337
00:20:47,711 --> 00:20:51,306
She's all upset 'cause we paid
more attention to the other girl.
338
00:20:51,381 --> 00:20:53,872
You check out her ass.
I've got the chest.
339
00:20:53,950 --> 00:20:56,942
The tests were normal.
Ofcourse, that's just my opinion.
340
00:20:57,020 --> 00:21:00,183
You might wanna call a couple of guys
from maintenance in for a consult.
341
00:21:00,257 --> 00:21:03,124
You check her E.K.G. results
before she left the other day?
342
00:21:03,193 --> 00:21:05,388
- You ordered it.
- You're the responsible one.
343
00:21:05,462 --> 00:21:08,659
- What's wrong?
They look normal to me.
- Where is she?
344
00:21:08,732 --> 00:21:11,701
- Waiting downstairs. Why?
- I was right.
345
00:21:19,242 --> 00:21:22,075
Do I have to get rid of the implants?
346
00:21:22,145 --> 00:21:24,409
Surprisingly, no.
347
00:21:24,481 --> 00:21:27,678
But your E.K.G. shows
a slightly decreased heart rate.
348
00:21:27,751 --> 00:21:31,312
Is that a problem?
You told me you hadn't changed
your diet or exercise. Were you lying?
349
00:21:31,388 --> 00:21:35,324
Lying?
Does your husband have
high blood pressure?
350
00:21:35,392 --> 00:21:37,326
My husband?
Yeah, you see,
351
00:21:37,394 --> 00:21:40,659
if you're gonna repeat
everything I say, this conversation's
gonna take twice as long.
352
00:21:40,730 --> 00:21:43,597
Yes. He was diagnosed
six months ago.
353
00:21:43,667 --> 00:21:46,727
He do a lot of cooking?
Not really, other than oatmeal
in the morning.
354
00:21:46,803 --> 00:21:50,705
Did you happen to notice
a slightly odd taste
to the oatmeal lately?
355
00:21:50,774 --> 00:21:53,242
Wait. Are you saying that--
That it looks like your husband...
356
00:21:53,310 --> 00:21:56,370
stirred in some of
his blood pressure medication
along with the brown sugar.
357
00:21:56,446 --> 00:22:01,349
You think my husband's
trying to poison me?
No. Nothing like that.
358
00:22:01,418 --> 00:22:04,581
He just doesn't
want to have sex with you.
359
00:22:04,654 --> 00:22:08,750
Decreased sex drive is one of
the most common side effects
of the beta-blockers he's been taking.
360
00:22:08,825 --> 00:22:12,420
I'm guessing he figured
if you're both frigid, no harm, no foul.
361
00:22:12,495 --> 00:22:15,623
Should've gotten him the sweater.
That's ridiculous.
362
00:22:15,699 --> 00:22:21,501
Fine. But if you're still concerned
about the shortness of breath,
I'd start making your own breakfast.
363
00:22:21,571 --> 00:22:23,732
Wait.
364
00:22:23,807 --> 00:22:26,002
What should I do?
365
00:22:27,577 --> 00:22:31,604
If you care about your husband at all,
I'd do the responsible thing.
366
00:22:31,681 --> 00:22:34,616
Buy yourself some condoms,
go to a bar, find--
367
00:22:40,290 --> 00:22:42,224
Huh.
368
00:22:52,836 --> 00:22:55,304
Lab tests inconclusive?
369
00:22:55,372 --> 00:22:58,136
Not surprisingly.
No. But too bad.
370
00:22:58,208 --> 00:23:01,302
Luckily, I have the answer.
371
00:23:01,378 --> 00:23:03,642
- To what?
- Thanks for asking.
372
00:23:03,713 --> 00:23:08,480
To life itself: sex. Anything that can be
transmitted via the blood
can be transmitted through sex.
373
00:23:08,551 --> 00:23:11,281
- Sleeping sickness from sex?
- It's not without precedent.
374
00:23:11,354 --> 00:23:15,814
I'm pretty sure it is, unless you're
talking about going to Africa
and having sex with a tsetse fly.
375
00:23:15,892 --> 00:23:20,420
A Portuguese man
was diagnosed three years ago
with C.N.S.-affected sleeping sickness.
376
00:23:20,497 --> 00:23:24,661
His only connection with Africa
was through a girlfriend
who'd served with the military in Angola.
377
00:23:24,734 --> 00:23:26,702
Boy. Where'd you find that?
378
00:23:26,770 --> 00:23:30,297
The Journal of the Instituto
de Higiene e Medicina Tropical.
379
00:23:30,373 --> 00:23:32,341
- You don't read Portuguese?
- You do?
380
00:23:32,409 --> 00:23:36,277
Pretty sure that's what it said.
Either that or it was
an ad for sunglasses.
381
00:23:36,346 --> 00:23:38,371
Her husband has never
been to Africa either.
382
00:23:38,448 --> 00:23:41,781
Oh, stymied again.
Your logic is bulletproof.
383
00:23:41,851 --> 00:23:45,116
I think ignoring respiratory symptoms
is more likely than cheating.
384
00:23:45,188 --> 00:23:49,090
Because?
They're completely
devoted to each other.
385
00:23:49,159 --> 00:23:51,787
Because?
They love each other.
386
00:23:51,861 --> 00:23:53,795
Or?
387
00:23:53,863 --> 00:23:56,354
They're overcompensating for guilt.
388
00:23:57,734 --> 00:24:03,195
- Find out which it is.
- You want me to ask a man whose wife
is about to die if he cheated on her?
389
00:24:03,273 --> 00:24:06,470
No, I want you to be polite
and let her die.
390
00:24:06,543 --> 00:24:10,707
Actually, I don't want you
to ask her anything. Foreman,
take the husband. Chase, take the wife.
391
00:24:20,690 --> 00:24:23,420
You don't trust me to do my job?
392
00:24:23,493 --> 00:24:26,462
We all formulate questions based on
the answers we want to hear.
393
00:24:26,529 --> 00:24:29,157
And how exactly do you reformulate
"Have you screwed around?"
394
00:24:29,232 --> 00:24:31,564
Did you know she's been
trying to get pregnant?
Yes.
395
00:24:31,634 --> 00:24:35,536
After you got so freaked
about the sick babies a while ago,
Ifigured that was your thing.
396
00:24:35,605 --> 00:24:39,598
But you've never been prescribed
folic acid, and you can't lose a baby
if you've never been pregnant.
397
00:24:39,676 --> 00:24:43,544
You pulled my medical records?
You coughed the other day.
I was concerned.
398
00:24:43,613 --> 00:24:49,415
You were curious, like an eight-year-old boy
with a puzzle that's just a little too
grown-up for him to figure out.
399
00:24:50,553 --> 00:24:52,578
Tomayto, tomahto.
400
00:24:53,656 --> 00:24:58,093
So it's either, uh, sleeping sickness
or this rabbit thing?
401
00:24:58,161 --> 00:25:00,152
They're both fatal without treatment.
402
00:25:00,230 --> 00:25:03,757
And unfortunately, the treatment
for both is extremely dangerous.
403
00:25:03,833 --> 00:25:06,768
Are there tests you can do?
Not at this stage.
404
00:25:06,836 --> 00:25:09,566
But each condition has a unique history.
405
00:25:10,573 --> 00:25:13,633
We're hoping your answers
to a few questions will help us.
406
00:25:13,710 --> 00:25:16,975
Sure. Whatever you need to know.
407
00:25:17,046 --> 00:25:20,607
Before the sleeping problems,
did you have any trouble breathing,
408
00:25:20,683 --> 00:25:23,709
a cough that wouldn't go away--
anything like that?
409
00:25:25,054 --> 00:25:27,045
No.
410
00:25:27,123 --> 00:25:29,455
Are you certain?
Absolutely.
411
00:25:29,526 --> 00:25:32,120
I've never been away from her
for more than a night.
412
00:25:32,195 --> 00:25:34,595
If she had breathing troubles
I would've noticed.
413
00:25:36,833 --> 00:25:40,394
The other condition is
significantly more likely if--
414
00:25:42,171 --> 00:25:44,264
if you've had an affair.
415
00:25:44,340 --> 00:25:47,002
Have you ever had an affair?
416
00:25:47,076 --> 00:25:49,101
Ofcourse not.
417
00:25:49,178 --> 00:25:53,080
- Are you sure?
- I think I'd remember
cheating on my wife.
418
00:25:53,149 --> 00:25:55,174
You might be
reluctant to admit it.
No.
419
00:25:55,251 --> 00:25:57,412
I just want to be perfectly clear.
420
00:25:57,487 --> 00:26:01,082
If your wife has sleeping sickness,
and we don't treat her,
421
00:26:02,091 --> 00:26:04,025
she'll die.
422
00:26:04,093 --> 00:26:07,426
I would never do that to Ed.
423
00:26:07,497 --> 00:26:10,864
I love him.
Absolutely not.
424
00:26:10,934 --> 00:26:12,925
I love her.
425
00:26:16,873 --> 00:26:18,864
All right.
426
00:26:26,215 --> 00:26:31,619
All right then.
They say no cheating,
we cross off sleeping sickness.
427
00:26:31,688 --> 00:26:33,815
Any new ideas?
428
00:26:35,091 --> 00:26:37,184
Okay. We go with Foreman's tularemia.
429
00:26:37,260 --> 00:26:41,390
Start her on I.V. chloramphenicol,
25 milligrams per kilogram,
four times a day.
430
00:26:41,464 --> 00:26:43,455
Good night.
431
00:26:55,945 --> 00:26:59,574
Where's Ed?
Right next to you.
432
00:26:59,649 --> 00:27:01,810
Well, you're two down,
two to go.
433
00:27:03,920 --> 00:27:05,854
Two days?
434
00:27:05,922 --> 00:27:09,688
No. Doses. You have about
20 more days of this fun.
435
00:27:09,759 --> 00:27:12,421
What time is it?
436
00:27:12,495 --> 00:27:16,329
About 4:00 a.m.
I pulled the short straw.
437
00:27:19,569 --> 00:27:21,560
Flow rate looks good.
438
00:27:26,442 --> 00:27:28,433
No rash or flushing.
439
00:27:29,445 --> 00:27:32,073
What time is it?
440
00:27:33,416 --> 00:27:35,976
4:00 a.m.
441
00:27:36,052 --> 00:27:38,452
Do you not remember just asking?
442
00:27:40,723 --> 00:27:42,714
I don't--
443
00:27:42,792 --> 00:27:45,056
Elyse?
444
00:27:46,929 --> 00:27:49,864
Elyse? Elyse?
445
00:27:49,932 --> 00:27:52,765
- Elyse.
- What are you doing?
446
00:27:52,835 --> 00:27:54,860
- I'm trying to wake her.
- She fall asleep again?
447
00:27:54,937 --> 00:27:57,201
In the middle of a sentence.
Elyse. Elyse.
448
00:27:57,273 --> 00:28:00,834
What's happening?
- Patient's not responding.
449
00:28:00,910 --> 00:28:03,174
Pulse is fine.
Airway's open.
450
00:28:03,246 --> 00:28:05,237
Check her blood pressure.
451
00:28:06,849 --> 00:28:09,113
Pupils are reactive.
452
00:28:09,185 --> 00:28:11,779
Elyse, wake up.
You gotta wake up.
453
00:28:11,854 --> 00:28:15,654
- What does that mean?
What are you doing?
- She's unresponsive to pain.
454
00:28:15,725 --> 00:28:18,626
Come on, Elyse.
455
00:28:18,695 --> 00:28:21,926
- Is she dying?
- I don't know.
456
00:28:32,375 --> 00:28:34,240
She's in a coma.
457
00:28:41,683 --> 00:28:45,244
There's only one way
a tularemia patient
goes into a coma...
458
00:28:45,320 --> 00:28:47,254
while on I.V. chloramphenicol.
459
00:28:47,322 --> 00:28:50,655
The patient doesn't have tularemia.
And then there was one.
460
00:28:50,726 --> 00:28:52,751
Patient comes in
'cause she's sleeping too much.
461
00:28:52,828 --> 00:28:56,992
It takes 10 doctors and a coma
to diagnose sleeping sickness.
And then there was none.
462
00:28:57,065 --> 00:29:00,125
We still have the problem
of explaining how
a white chick from Jersey...
463
00:29:00,202 --> 00:29:02,727
who's never traveled south of D.C.
has African sleeping sickness.
464
00:29:02,804 --> 00:29:05,034
Still have the obvious explanation.
465
00:29:06,041 --> 00:29:11,138
I made it clear.
If this guy's lying about sleeping around
he knows he's murdering his wife.
466
00:29:11,213 --> 00:29:13,374
Does seem unlikely.
467
00:29:13,448 --> 00:29:15,439
Go away.
468
00:29:32,734 --> 00:29:35,100
What are you doing?
469
00:29:36,304 --> 00:29:38,704
Checking for lymphadenopathy.
470
00:29:38,774 --> 00:29:42,403
And waiting for you.
Who are you?
471
00:29:42,477 --> 00:29:44,570
I'm Dr. House.
472
00:29:44,646 --> 00:29:47,615
Your wife has
human African trypanosomiasis.
473
00:29:49,117 --> 00:29:52,450
Sleeping sickness.
You mean it's not tularemia,
474
00:29:52,521 --> 00:29:55,081
a virus, tumor or-- or cancer?
475
00:29:55,157 --> 00:29:58,024
No.
476
00:29:59,728 --> 00:30:01,855
I've never had an affair.
477
00:30:01,930 --> 00:30:04,023
I believe you.
478
00:30:04,099 --> 00:30:06,693
And I trust Elyse.
479
00:30:08,470 --> 00:30:12,236
The treatment for this disease
is a drug that's...
480
00:30:12,307 --> 00:30:15,299
fatal on its own 10% of the time.
481
00:30:15,377 --> 00:30:19,438
Which is why I need
your written consent
before I can legally prescribe it.
482
00:30:19,514 --> 00:30:23,075
Why would she lie
if she knew it could kill her?
I don't ask why patients lie.
483
00:30:23,151 --> 00:30:25,085
I just assume they all do.
484
00:30:25,153 --> 00:30:27,747
But why?
To protect you,
485
00:30:27,823 --> 00:30:30,883
because she didn't think it mattered,
it just seemed easier, because...
486
00:30:32,427 --> 00:30:34,418
that's what people do.
487
00:30:37,265 --> 00:30:40,826
If you're absolutely certain
that your wife has never
had sex with anyone but you...
488
00:30:40,902 --> 00:30:43,427
since you were married,
then I'm wrong.
489
00:30:45,207 --> 00:30:49,701
But if you think there's
a possibility that just one time...
490
00:30:51,012 --> 00:30:53,674
she wasn't perfect--
491
00:30:53,748 --> 00:30:55,909
one weekend you're out of town,
492
00:30:56,918 --> 00:30:59,113
one fight where she ran to a friend,
493
00:30:59,187 --> 00:31:01,246
one stupid Christmas party--
494
00:31:03,959 --> 00:31:07,053
then you need to allow me
to start treatment.
495
00:31:08,597 --> 00:31:10,724
Because if we don't,
496
00:31:10,799 --> 00:31:12,767
she's gonna be dead
by tomorrow morning.
497
00:31:22,177 --> 00:31:24,338
You trust your wife that much?
498
00:31:26,615 --> 00:31:28,606
I don't know.
499
00:31:32,220 --> 00:31:35,314
I'm gonna start the treatment.
500
00:31:50,305 --> 00:31:54,264
Glass syringes?
And special I.V. tubing.
501
00:31:54,342 --> 00:31:57,368
Why do we need this stuff?
Because melarsoprol melts plastic.
502
00:31:57,445 --> 00:31:59,970
This stuff's basically arsenic
mixed with antifreeze.
503
00:32:01,082 --> 00:32:03,141
What doesn't kill us
makes us stronger, huh?
504
00:32:03,218 --> 00:32:06,187
Nietzsche wouldn't have been so glib
if he'd been prescribed melarsoprol.
505
00:32:08,323 --> 00:32:11,019
"Can cause vomiting, abdominal pain,
506
00:32:11,092 --> 00:32:13,856
blood toxicity, neural damage,
cardiac arrhythmia".
507
00:32:13,929 --> 00:32:16,523
They forgot to say
it's gonna hurt like all hell.
508
00:32:16,598 --> 00:32:19,158
She's lucky she's in a coma.
509
00:32:36,117 --> 00:32:39,553
How long before we know
if it's working?
It's tough to say.
510
00:32:39,621 --> 00:32:42,419
It's a good sign
that she hasn't gotten any worse.
511
00:32:45,327 --> 00:32:47,454
Does she even know I'm here?
512
00:32:47,529 --> 00:32:50,191
She knows you're
always there for her.
513
00:32:53,068 --> 00:32:55,229
Yeah.
514
00:32:55,303 --> 00:32:57,533
If she gets better,
515
00:32:57,605 --> 00:32:59,630
it means she wasn't always there for me.
516
00:33:03,278 --> 00:33:05,803
It means she made a mistake.
517
00:33:07,315 --> 00:33:09,306
I can't help it.
518
00:33:09,384 --> 00:33:13,912
Part of me-- a big part of me--
can't handle that.
519
00:33:15,724 --> 00:33:18,249
It doesn't want her to get better.
520
00:33:28,069 --> 00:33:30,060
Does that make me
a terrible person?
521
00:33:38,780 --> 00:33:40,771
Yes.
522
00:34:02,303 --> 00:34:04,999
So you're treating her
for African sleeping sickness...
523
00:34:05,073 --> 00:34:08,531
because you don't think it's possible
for someone to be faithful
in a relationship?
524
00:34:08,610 --> 00:34:10,578
And you do?
Yes.
525
00:34:10,645 --> 00:34:14,843
And you need to tell me that.
Look. I am not having an affair.
526
00:34:14,916 --> 00:34:18,374
I had lunch with someone
I work with-- at work. Once.
527
00:34:18,453 --> 00:34:22,048
I believe you.
What I don't believe
is it'll be just once.
528
00:34:22,123 --> 00:34:24,614
I love my wife.
You certainly love saying it.
529
00:34:24,692 --> 00:34:28,355
I'm sorry.
I know you love your wife.
530
00:34:28,430 --> 00:34:30,489
You loved all your wives.
Probably still do.
531
00:34:30,565 --> 00:34:33,932
In fact, you probably love
all the women you loved
who weren't your wife.
532
00:34:34,002 --> 00:34:37,460
You can be a real jerk sometimes,
you know that?
Yeah. And you're the good guy.
533
00:34:37,539 --> 00:34:41,134
At least I try.
As long as you're trying to be good,
you can do whatever you want.
534
00:34:41,209 --> 00:34:45,543
And as long as you're not trying,
you can say whatever you want.
So, between us, we can do anything.
535
00:34:45,613 --> 00:34:48,138
We can rule the world.
536
00:35:00,462 --> 00:35:02,623
Mixing up some margaritas?
537
00:35:02,697 --> 00:35:04,858
Mine's a double, senorita.
538
00:35:04,933 --> 00:35:07,197
That's Portuguese, you know.
Spanish.
539
00:35:08,269 --> 00:35:10,203
Uh-oh.
540
00:35:11,473 --> 00:35:13,373
What's goin' on?
541
00:35:13,441 --> 00:35:16,205
I'm recalibrating the centrifuge.
542
00:35:16,277 --> 00:35:18,268
Turn around.
543
00:35:27,589 --> 00:35:29,648
It's a very sad thing.
544
00:35:29,724 --> 00:35:31,692
An uncalibrated centrifuge.
545
00:35:31,759 --> 00:35:35,593
Makes me cry too.
I'm not crying.
546
00:35:36,764 --> 00:35:38,755
Okay.
547
00:35:52,113 --> 00:35:54,673
I told the husband he was a jerk.
548
00:35:56,551 --> 00:35:58,542
Why?
549
00:36:04,692 --> 00:36:06,956
When I was in college, I--
550
00:36:09,831 --> 00:36:14,393
I fell in love,
and I got married.
551
00:36:14,469 --> 00:36:16,630
And--
552
00:36:16,704 --> 00:36:18,797
At that age, the chances
of marriage lasting--
553
00:36:18,873 --> 00:36:21,273
It lasted six months.
554
00:36:23,411 --> 00:36:26,574
Thyroid cancer
metastasized to his brain.
555
00:36:26,648 --> 00:36:28,741
There was nothing they could do.
556
00:36:30,852 --> 00:36:32,786
I was 21, and...
557
00:36:34,222 --> 00:36:36,156
I watched my husband die.
558
00:36:39,827 --> 00:36:41,795
I'm sorry.
559
00:36:45,967 --> 00:36:47,958
But that's not the whole story.
560
00:36:50,338 --> 00:36:53,000
It's a symptom, not your illness.
561
00:36:53,074 --> 00:36:56,737
Thyroid cancer would have been
diagnosed at least a year before his death.
562
00:36:56,811 --> 00:36:59,302
You knew he was dying
when you married him.
563
00:36:59,380 --> 00:37:02,178
It must have been
when you first met him.
564
00:37:05,553 --> 00:37:08,522
And you married him anyway.
565
00:37:10,225 --> 00:37:14,127
You can't be that good a person
and well-adjusted.
566
00:37:15,330 --> 00:37:18,026
Why?
567
00:37:18,099 --> 00:37:21,091
'Cause you wind up
crying over centrifuges.
568
00:37:23,972 --> 00:37:26,634
Or hating people?
569
00:37:41,623 --> 00:37:43,557
Her fever spiked at 104.
570
00:37:43,625 --> 00:37:45,559
Echo shows global hyperkinesis.
571
00:37:45,627 --> 00:37:47,618
Blood pressure?
Barely 90 over 40.
572
00:37:47,695 --> 00:37:51,597
Did you give her dopamine?
Started 270 micrograms
per minute 10 minutes ago.
573
00:37:51,666 --> 00:37:53,964
Still no change.
574
00:37:59,474 --> 00:38:03,570
Killing the parasites
isn't gonna do much good
if we kill her heart at the same time.
575
00:38:03,645 --> 00:38:06,045
A heart can be replaced.
A brain can't.
576
00:38:06,114 --> 00:38:08,412
Right now we're killing both.
577
00:38:08,483 --> 00:38:13,386
If she's gonna die, we should at least
let her do it without that acid
flowing through her veins.
578
00:38:13,454 --> 00:38:15,945
What's happening?
579
00:38:17,191 --> 00:38:21,753
We would've expected
your wife's condition to show
some improvement by now.
580
00:38:21,829 --> 00:38:23,763
It hasn't.
581
00:38:23,831 --> 00:38:25,822
It's going the other way.
582
00:38:56,964 --> 00:38:58,955
Please don't die.
583
00:39:00,868 --> 00:39:02,859
Please don't die.
584
00:39:27,995 --> 00:39:29,826
She's awake.
585
00:40:10,872 --> 00:40:13,773
Hey. She's gonna be okay.
586
00:40:13,841 --> 00:40:16,639
Yeah. Sure.
587
00:40:44,572 --> 00:40:47,405
What are you gonna do?
588
00:40:47,475 --> 00:40:50,000
Were you always honest with her?
589
00:40:50,077 --> 00:40:53,843
Do you know how lucky you are?
Your wife is alive. She loves you.
590
00:40:53,915 --> 00:40:56,884
What she did--
591
00:40:56,951 --> 00:40:59,852
You can't love a person
and do that to them.
592
00:41:02,557 --> 00:41:05,082
She loves you.
593
00:41:41,662 --> 00:41:44,358
I need to know
who you had the affair with.
594
00:41:48,002 --> 00:41:50,835
He has to be notified
so he can get treatment as well.
595
00:41:55,176 --> 00:41:57,508
Why did you lie to us?
596
00:41:57,578 --> 00:42:00,069
You knew your life was at stake.
597
00:42:06,487 --> 00:42:08,887
He's not coming back, is he?
598
00:42:13,694 --> 00:42:15,924
We all make mistakes,
599
00:42:15,997 --> 00:42:17,965
and we all pay a price.
600
00:42:26,707 --> 00:42:29,039
I need that name.
601
00:42:42,823 --> 00:42:45,018
Hey, there.
How you doin'?
602
00:42:45,092 --> 00:42:47,026
Fine.
603
00:42:48,896 --> 00:42:50,864
Do you know where your dad is?
604
00:43:00,341 --> 00:43:02,332
Can I help you?
48341
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