1 00:00:04,046 --> 00:00:07,425 So now the plan is either find ourselves a new counselor, 2 00:00:07,550 --> 00:00:09,153 stick it out with the old one but go more often, 3 00:00:09,177 --> 00:00:12,805 or resign ourselves to the fact that she's never gonna be happy 4 00:00:12,930 --> 00:00:14,908 no matter what I do, so let's just take the money we're wasting 5 00:00:14,932 --> 00:00:17,226 and put it towards a membership at lakeview. 6 00:00:17,643 --> 00:00:19,955 I'm guessing the last option has yet to be formally presented. 7 00:00:19,979 --> 00:00:20,979 Yeah. 8 00:00:21,063 --> 00:00:23,900 Jeez. What's with you? You usually run half speed to stay with me. 9 00:00:24,025 --> 00:00:26,027 Didn't get a lot of sleep last night. 10 00:00:28,529 --> 00:00:31,782 - How are things with Elyse? - Great. 11 00:00:32,366 --> 00:00:34,118 - Great? - Yeah. 12 00:00:36,329 --> 00:00:39,332 One-syllable answers. You're either out of breath, or you're lying to me. 13 00:00:39,457 --> 00:00:43,002 Yeah. We have our moments, but they usually work out. 14 00:00:43,127 --> 00:00:45,213 - Man, you got some water? - Yeah. 15 00:00:46,297 --> 00:00:48,591 So how do you work things out? 16 00:00:49,008 --> 00:00:51,677 I don't know. We talk, someone apologizes. 17 00:00:51,969 --> 00:00:55,223 - I shouldn't have drank last night. - Hey, you mean you apologize. 18 00:00:56,724 --> 00:00:59,101 - Yeah, I guess. - How often do you guys have sex? 19 00:00:59,852 --> 00:01:01,896 - Enough. - You do it this morning? 20 00:01:03,689 --> 00:01:05,316 You did. You did it this morning. 21 00:01:05,441 --> 00:01:08,736 Maybe that's why you can't stand up, huh? Come on. 22 00:01:09,946 --> 00:01:11,072 Elyse. 23 00:01:15,618 --> 00:01:19,038 Great. Honey, I'm dehydrated. 24 00:01:19,538 --> 00:01:22,124 Do we have anything with electrolytes? 25 00:01:24,043 --> 00:01:26,170 Sleeping beauty, wake up. 26 00:01:28,089 --> 00:01:29,882 This is an emergency. 27 00:01:30,341 --> 00:01:31,550 The fridge is empty. 28 00:01:32,802 --> 00:01:34,804 Come on. It's almost 4:00. 29 00:01:37,223 --> 00:01:39,016 Elyse. Sweetie. 30 00:01:40,935 --> 00:01:44,855 Call Jacques. Tell him I'm not feeling well. 31 00:01:45,564 --> 00:01:49,527 It's Saturday. You haven't been to work in three days. Remember? 32 00:01:49,986 --> 00:01:51,570 Just let me sleep. 33 00:01:52,071 --> 00:01:55,032 Come on. You haven't been out of bed since Wednesday. 34 00:01:55,157 --> 00:01:58,452 - Leave me alone. - Come on. What's up? 35 00:01:58,577 --> 00:02:01,622 - No. Leave me alone. - Honey. 36 00:02:01,747 --> 00:02:02,999 I said leave me alone! 37 00:02:13,134 --> 00:02:15,803 I think there's something wrong with me. 38 00:02:48,753 --> 00:02:51,756 She's been averaging 18 hours of sleep a day since her admission. 39 00:02:51,881 --> 00:02:55,051 Clinical depression. Incredibly contagious. 40 00:02:55,176 --> 00:02:57,011 Every time I'm around one of them, I get blue. 41 00:02:57,136 --> 00:02:58,637 It's not clinical depression. 42 00:02:58,763 --> 00:03:01,932 Great. Got it all figured out. You don't need me. 43 00:03:04,060 --> 00:03:05,603 Three er doctors, two neurologists 44 00:03:05,728 --> 00:03:07,456 and a radiologist have all figured out what it's not. 45 00:03:07,480 --> 00:03:08,707 We need to figure out what it is. 46 00:03:08,731 --> 00:03:11,067 If any of those doctors were interested in my opinion, 47 00:03:11,192 --> 00:03:12,294 they would have asked for it. 48 00:03:12,318 --> 00:03:15,196 None of them are willing to subject themselves to you. 49 00:03:15,321 --> 00:03:16,864 No pain, no gain. 50 00:03:18,366 --> 00:03:20,326 The blood work shows no signs of inflammation, 51 00:03:20,451 --> 00:03:22,571 and no one can figure out what's actually the cause... 52 00:03:23,204 --> 00:03:24,204 What? 53 00:03:24,246 --> 00:03:27,333 Husband described her as being unusually irritable recently. 54 00:03:27,458 --> 00:03:28,667 And? 55 00:03:28,793 --> 00:03:32,004 I didn't realize it was possible for a woman to be unusually irritable. 56 00:03:36,342 --> 00:03:39,261 Nice try, but you're a misanthrope, not a misogynist. 57 00:03:39,387 --> 00:03:42,056 What's the first thing you ask a doctor who's referring a patient? 58 00:03:42,181 --> 00:03:44,683 Are you questioning my ability to take a history? 59 00:03:46,352 --> 00:03:47,353 What's the primary... 60 00:03:47,478 --> 00:03:50,231 - Not "what?" Why? - Diseases don't have motives. 61 00:03:50,356 --> 00:03:52,233 No, but doctors do. 62 00:03:52,483 --> 00:03:55,236 Why this patient? What interests you? 63 00:03:56,112 --> 00:03:58,280 - Give me the chart. - Why? 64 00:04:00,032 --> 00:04:02,326 I find your interest interesting. 65 00:04:04,912 --> 00:04:07,998 House: She's irritable and sleeping 18 hours a day. 66 00:04:08,124 --> 00:04:09,583 What's interesting about that? 67 00:04:09,708 --> 00:04:13,045 Hypersomnia's usually accompanied by irritability in depressed patients. 68 00:04:13,170 --> 00:04:15,756 True, but not relevant. She's not depressed. 69 00:04:15,881 --> 00:04:18,259 Hello. She's sleeping 18 hours a day. 70 00:04:18,384 --> 00:04:21,011 Fever. Clinical depression does not cause fever. 71 00:04:21,137 --> 00:04:22,239 She could be sick and depressed. 72 00:04:22,263 --> 00:04:23,431 She's sick. 73 00:04:23,556 --> 00:04:25,433 Damn it. Why didn't I think of that? 74 00:04:25,558 --> 00:04:26,598 Yeah, that's what I meant. 75 00:04:26,684 --> 00:04:28,352 Elevated sed rate indicates inflammation. 76 00:04:28,477 --> 00:04:30,797 Hypersomnia and personality changes point toward the brain. 77 00:04:30,896 --> 00:04:34,233 Not the spleen? Thank goodness we hired a neurologist. 78 00:04:34,358 --> 00:04:36,902 Brain symptoms... hmm. Could this be a brain problem? 79 00:04:37,027 --> 00:04:39,587 No other systemic signs of inflammation. Probably not vasculitis. 80 00:04:39,697 --> 00:04:41,907 What about parasites? Malaria, chagas. 81 00:04:42,032 --> 00:04:44,313 But the patient's never been outside of the United States, 82 00:04:44,368 --> 00:04:45,369 especially the tropics. 83 00:04:45,494 --> 00:04:47,955 You mean she claims she's never been outside the U.S. 84 00:04:48,080 --> 00:04:49,099 Very good. Cameron: Doesn't matter. 85 00:04:49,123 --> 00:04:51,292 Blood and csf smears show no sign of parasites. 86 00:04:51,417 --> 00:04:52,418 Has to be a tumor then. 87 00:04:52,543 --> 00:04:54,712 A tumor sitting directly on top of the brain stem 88 00:04:54,837 --> 00:04:58,007 that three er doctors, two neurologists and a radiologist missed? 89 00:04:58,132 --> 00:05:00,009 Partridge in a pear tree missed it too. 90 00:05:00,134 --> 00:05:01,969 Redo the blood work, and get a new mri 91 00:05:02,094 --> 00:05:05,264 with 2mm cuts through the mesodiencephalic. 92 00:05:05,389 --> 00:05:06,974 And check for evil stepmothers. 93 00:05:07,099 --> 00:05:09,894 This much sleep usually indicates poison apples. 94 00:05:10,644 --> 00:05:13,189 Anything else besides the shortness of breath? 95 00:05:13,314 --> 00:05:14,314 Not really. 96 00:05:14,398 --> 00:05:16,358 It's actually just kind of a tightness. 97 00:05:16,484 --> 00:05:18,402 - You smoke? - No, never. 98 00:05:18,527 --> 00:05:21,113 - Exercise? - Eight hours a day. 99 00:05:22,156 --> 00:05:25,075 - I teach preschool. - Sounds fun. 100 00:05:27,119 --> 00:05:29,163 Any history of heart disease in your family? 101 00:05:29,288 --> 00:05:31,665 - Not that I know of. - Take a deep breath. 102 00:05:34,585 --> 00:05:36,712 Been under a lot of stress lately? 103 00:05:36,837 --> 00:05:38,506 No more than usual. 104 00:05:38,631 --> 00:05:40,716 You're probably just a little anemic. 105 00:05:40,841 --> 00:05:43,135 I'm gonna do an EKG just to make sure. 106 00:05:43,260 --> 00:05:44,094 Do I need to take this off? 107 00:05:44,220 --> 00:05:47,139 No. You can just pull that down in front. 108 00:05:51,894 --> 00:05:53,270 Good lord. 109 00:05:54,855 --> 00:05:58,567 - Are those real? - Do they look real? 110 00:05:58,901 --> 00:06:00,611 They look pretty damn good. 111 00:06:00,861 --> 00:06:02,905 They were a present for my husband's 40th. 112 00:06:03,030 --> 00:06:05,991 I figured he'd enjoy them more than a sweater. 113 00:06:06,200 --> 00:06:07,952 That's so sweet. 114 00:06:08,369 --> 00:06:10,079 But I'm afraid the cause of your problem 115 00:06:10,204 --> 00:06:12,039 could be staring us right in the face. 116 00:06:12,164 --> 00:06:14,416 Actually, I guess I'm the one doing the staring. 117 00:06:15,125 --> 00:06:17,836 Of course, I can't be sure. I'd like to consult a colleague. 118 00:06:17,962 --> 00:06:21,131 He's actually somewhat of an expert in these matters. 119 00:06:23,259 --> 00:06:25,636 Can I get a page on Dr. Wilson? 120 00:06:28,180 --> 00:06:29,932 - A tumor? - We don't know. 121 00:06:30,057 --> 00:06:31,559 We're checking just to be safe. 122 00:06:31,684 --> 00:06:32,827 Y'all already checked for that. 123 00:06:32,851 --> 00:06:34,645 The previous mri had a broader view. 124 00:06:34,770 --> 00:06:38,566 Some tumors are almost impossible to see unless you know exactly where to look. 125 00:06:38,691 --> 00:06:40,091 That means it would be small, right? 126 00:06:40,150 --> 00:06:41,151 Yeah. 127 00:06:41,277 --> 00:06:43,654 Then you'd be able to operate, take it out? 128 00:06:43,779 --> 00:06:46,574 If it's a tumor, there are a variety of treatment options, 129 00:06:46,699 --> 00:06:49,034 but there are variables other than just size. 130 00:06:51,453 --> 00:06:55,457 - Don't worry. - Too late. 131 00:07:00,462 --> 00:07:02,673 Cameron: Try to remain as still as possible. 132 00:07:02,798 --> 00:07:05,438 The less distortion there is, the more detail we'll be able to see. 133 00:07:05,467 --> 00:07:06,594 Okay. 134 00:07:17,313 --> 00:07:19,940 Man on pa: X-ray tech, report to radiology room 3. 135 00:07:21,483 --> 00:07:24,236 Well. That's what breasts look like. 136 00:07:24,653 --> 00:07:27,197 Is a lie a lie if everybody knows it's a lie? 137 00:07:27,323 --> 00:07:29,241 Well, if a tree pretends to fall in a forest... 138 00:07:29,366 --> 00:07:30,826 House, come on. They're breasts. 139 00:07:30,951 --> 00:07:33,203 They're a birthday present, not a philosophical treatise. 140 00:07:33,329 --> 00:07:36,332 Lie number one. She did not do that for her husband. 141 00:07:36,457 --> 00:07:37,458 She did that for herself. 142 00:07:37,583 --> 00:07:39,269 She thinks if she looks different, she'll be different. 143 00:07:39,293 --> 00:07:41,853 No. She thinks if she looks different, she'll be more attractive, 144 00:07:41,920 --> 00:07:45,007 - which I have to say... - Not to her husband. 145 00:07:45,132 --> 00:07:48,177 Cosmetic surgery is so everyone else will look at us differently. 146 00:07:48,719 --> 00:07:50,679 The same reason you're wearing that tie. 147 00:07:50,804 --> 00:07:53,182 Well, exactly. That was gonna be my next point. 148 00:07:53,307 --> 00:07:55,601 Last three months, same five ties. 149 00:07:55,726 --> 00:07:57,645 Thursday should be that Paisley thing. 150 00:07:57,770 --> 00:08:00,064 - It's a gift from my wife. - No, it's not. 151 00:08:00,189 --> 00:08:02,441 Julie hates green. You bought that yourself. 152 00:08:02,566 --> 00:08:04,943 You want to look pretty at work. 153 00:08:05,944 --> 00:08:08,113 Wilson's got a girlfriend. 154 00:08:08,447 --> 00:08:10,574 Stop. Stop. I don't. 155 00:08:11,659 --> 00:08:14,745 It takes two department heads to treat shortness of breath? 156 00:08:15,287 --> 00:08:18,832 What, do the complications increase exponentially with cup size? 157 00:08:19,166 --> 00:08:24,088 I want an EKG and blood tests, including tox screen on Mrs... 158 00:08:24,213 --> 00:08:25,213 Exam room 1. 159 00:08:25,255 --> 00:08:28,217 You're ordering tests to cover your lechery. 160 00:08:28,342 --> 00:08:30,552 - Interesting. - Very tricky case. 161 00:08:32,763 --> 00:08:35,557 You love everybody. That's your pathology. 162 00:08:37,976 --> 00:08:41,647 There were no lesions and no mass effect that we could see. 163 00:08:42,606 --> 00:08:44,358 What does that mean? 164 00:08:44,900 --> 00:08:48,153 It means we're still not sure what's causing the neurological problems. 165 00:08:48,278 --> 00:08:50,906 I know some things are hard to cure, 166 00:08:51,365 --> 00:08:53,742 but what I just don't get is why it's taking so long 167 00:08:53,867 --> 00:08:55,267 to figure out what's wrong with her. 168 00:08:55,327 --> 00:08:56,954 I know you're scared. I would be too. 169 00:08:57,079 --> 00:08:59,957 - I don't feel good. - You feeling nauseous? 170 00:09:01,166 --> 00:09:03,210 Honey, are you all right? 171 00:09:06,046 --> 00:09:07,673 Cameron: She's seizing! 172 00:09:09,258 --> 00:09:10,509 Get her on her side. 173 00:09:10,634 --> 00:09:11,635 I need some ativan! 174 00:09:11,760 --> 00:09:12,760 Nurse: I'll get it. 175 00:09:13,971 --> 00:09:16,306 - What's happened? - She's having a seizure. 176 00:09:17,641 --> 00:09:19,226 She's aspirating. Suction. 177 00:09:26,650 --> 00:09:28,068 Come on, Elyse. 178 00:09:47,421 --> 00:09:49,089 Wilson: The mri reveals nothing. 179 00:09:49,214 --> 00:09:50,608 Foreman: That we were able to detect. 180 00:09:50,632 --> 00:09:51,800 It's not a tumor. 181 00:09:51,925 --> 00:09:54,052 A small glioma could hide from contrast. 182 00:09:54,178 --> 00:09:55,179 We could do a pet scan. 183 00:09:55,304 --> 00:09:59,141 Yes. That's how a responsible doctor would waste his time in this situation. 184 00:09:59,266 --> 00:10:02,269 Suddenly tests and radiologists are incapable of error? 185 00:10:02,394 --> 00:10:04,855 A glioma not presenting on a contrast mri 186 00:10:04,980 --> 00:10:07,232 would have to be smaller than a grain of sand, 187 00:10:07,357 --> 00:10:09,651 which does not a gravely ill person make. 188 00:10:09,777 --> 00:10:12,070 It could be just postictal disorientation. 189 00:10:12,196 --> 00:10:13,590 We would have seen improvement by now. 190 00:10:13,614 --> 00:10:15,699 Late-stage lyme disease can cause seizures. 191 00:10:15,824 --> 00:10:18,452 - Does the husband care about her? - He hasn't left her bedside. 192 00:10:18,577 --> 00:10:19,870 How annoying. 193 00:10:19,995 --> 00:10:21,997 It also means she doesn't have lyme disease. 194 00:10:22,122 --> 00:10:23,665 What, love conquers all? 195 00:10:23,791 --> 00:10:25,876 Lyme disease initially presents with a rash. 196 00:10:26,001 --> 00:10:27,103 Mr. Clingy would have noticed. 197 00:10:27,127 --> 00:10:30,214 - We've looked at everything else. - Did you look at her breasts? 198 00:10:30,547 --> 00:10:31,965 Men. 199 00:10:32,674 --> 00:10:34,802 It could be paraneoplastic. 200 00:10:35,219 --> 00:10:37,679 She have any family history of breast cancer? 201 00:10:37,805 --> 00:10:39,640 Her mother died of it. 202 00:10:40,432 --> 00:10:44,520 The brain, but not the brain. Clever, huh? 203 00:10:51,819 --> 00:10:54,363 How can breast cancer cause problems in her brain? 204 00:10:55,030 --> 00:10:56,615 There are molecular similarities 205 00:10:56,740 --> 00:10:58,575 between brain cells and tumor cells. 206 00:10:58,700 --> 00:11:01,245 Paraneoplastic syndrome causes the body's own antibodies 207 00:11:01,370 --> 00:11:03,121 to get thrown off track. 208 00:11:03,247 --> 00:11:05,999 They end up attacking the brain instead of the tumor. 209 00:11:06,333 --> 00:11:08,794 So, if you do find a tumor, what do you do? 210 00:11:09,169 --> 00:11:11,839 We treat the underlying malignancy. 211 00:11:11,964 --> 00:11:13,107 Once there's no tumor to attack, 212 00:11:13,131 --> 00:11:15,425 there's nothing for the antibodies to get confused about. 213 00:11:15,551 --> 00:11:18,262 - If the tumor's treatable. - Exactly. 214 00:11:23,642 --> 00:11:24,476 Elyse: Ow! 215 00:11:24,601 --> 00:11:26,687 Cameron: I'm sorry. I know it's uncomfortable. 216 00:11:26,812 --> 00:11:30,065 The tighter we go, the better the image will be. 217 00:11:33,861 --> 00:11:36,530 - At least it'll keep me awake. - Don't worry. It's almost over. 218 00:11:37,906 --> 00:11:40,450 I wish people would stop telling me not to worry. 219 00:11:41,702 --> 00:11:42,995 I'm sorry. 220 00:11:45,706 --> 00:11:47,624 My mom was the same age. 221 00:11:58,218 --> 00:12:00,178 We've been trying to get pregnant for over a year. 222 00:12:00,262 --> 00:12:02,306 Guess we're lucky we didn't. 223 00:12:02,431 --> 00:12:04,892 A lot has changed since your mom died. 224 00:12:05,350 --> 00:12:06,685 Don't worry... 225 00:12:08,854 --> 00:12:09,980 Don't give up. 226 00:12:20,949 --> 00:12:22,492 House: No tumor? 227 00:12:22,618 --> 00:12:25,871 The mri and the mammogram only showed a few benign calcifications. 228 00:12:25,996 --> 00:12:28,123 It's most likely a small-cell tumor. 229 00:12:28,248 --> 00:12:30,334 It's no surprise we're having trouble finding it. 230 00:12:30,542 --> 00:12:32,836 We should do a pet scan. Start with her lungs, 231 00:12:32,961 --> 00:12:34,171 then maybe her bones. 232 00:12:34,296 --> 00:12:35,976 Sometimes it presents with no tumor at all. 233 00:12:36,089 --> 00:12:38,926 How can a disease caused by a tumor present if there's no tumor? 234 00:12:39,134 --> 00:12:40,928 It happens. 12% of cases. 235 00:12:41,053 --> 00:12:43,096 And how do you treat it if there's no tumor? 236 00:12:43,221 --> 00:12:46,266 You don't. Those 12%, no treatment. 237 00:12:46,975 --> 00:12:49,144 They were too busy looking for the tumor 238 00:12:49,269 --> 00:12:51,146 right till they put the patient in the ground. 239 00:12:51,647 --> 00:12:52,773 What choice do we have? 240 00:12:52,898 --> 00:12:55,901 Treat the symptoms. Iv immunoglobulin. 241 00:12:56,026 --> 00:12:58,070 So we're just gonna ignore the tumor? 242 00:12:58,195 --> 00:13:00,072 Well, eventually it'll get bigger. 243 00:13:00,197 --> 00:13:01,990 Then it'll be really easy to find. 244 00:13:02,115 --> 00:13:04,159 One of you needs to check out where she works. 245 00:13:04,284 --> 00:13:06,411 - Why? - 'Cause the husband's not sick. 246 00:13:06,662 --> 00:13:07,663 Chase: Meaning? 247 00:13:07,788 --> 00:13:11,708 If it's not paraneoplastic, and it is a reaction to some sort of toxin, 248 00:13:11,833 --> 00:13:14,670 it's obviously not coming from their home. 249 00:13:15,379 --> 00:13:17,047 Foreman, you do it. 250 00:13:20,592 --> 00:13:22,928 Why are you riding me? 251 00:13:23,053 --> 00:13:25,847 It's what I do. Has it got worse lately? 252 00:13:25,973 --> 00:13:28,600 - Yeah. Seems to me. - Really? 253 00:13:29,101 --> 00:13:30,936 Well, that rules out the race thing. 254 00:13:31,061 --> 00:13:34,022 'Cause you were just as black last week. 255 00:13:35,190 --> 00:13:36,501 Foreman: How long has Elyse worked here? 256 00:13:36,525 --> 00:13:38,735 Oh, three years. She's my best rotisseur. 257 00:13:38,860 --> 00:13:39,860 And what's that? 258 00:13:39,945 --> 00:13:43,198 The rotisseur prepares the roasted meats and gravies. 259 00:13:43,615 --> 00:13:44,908 How do you clean your grill? 260 00:13:46,493 --> 00:13:49,162 - You say "elbow grease". - Do you use chemical cleaners? 261 00:13:49,287 --> 00:13:50,287 Non. Absolument. 262 00:13:50,330 --> 00:13:52,124 The chefs don't do the cleaning anyway. 263 00:13:52,249 --> 00:13:55,711 What about pesticides? You must spray for roaches and that sort of thing. 264 00:13:55,836 --> 00:13:58,714 No. My kitchen is clean. No roaches. 265 00:14:02,175 --> 00:14:04,428 I need to get back to work. 266 00:14:04,970 --> 00:14:07,180 So the fact that I'm here asking you these questions, 267 00:14:07,305 --> 00:14:09,141 it doesn't worry you? 268 00:14:09,266 --> 00:14:11,059 Look at me. I'm here 18 hours a day. 269 00:14:11,184 --> 00:14:12,936 That guy practically lives here. 270 00:14:13,061 --> 00:14:14,521 He does live here. 271 00:14:14,646 --> 00:14:16,440 I use the same detergents for 15 years, 272 00:14:16,565 --> 00:14:18,275 and everyone is healthy as a horse. 273 00:14:18,400 --> 00:14:21,111 Whatever Elyse has, she didn't get here. 274 00:14:21,695 --> 00:14:23,613 Tell herl hope she feels better. 275 00:14:23,739 --> 00:14:25,991 And I had to get a new rotisseur. 276 00:14:38,670 --> 00:14:39,755 Where's ed? 277 00:14:40,172 --> 00:14:42,591 He went down to the gift shop to buy a shirt. 278 00:14:42,716 --> 00:14:44,796 I told him I'd stay up here just in case you woke up. 279 00:14:46,261 --> 00:14:48,764 You must have better things to do. 280 00:14:49,222 --> 00:14:51,058 I send my laundry out. 281 00:14:51,975 --> 00:14:54,061 - You're not married? - No. 282 00:14:54,603 --> 00:14:56,772 Waiting for the perfect guy? 283 00:14:57,606 --> 00:15:00,525 Let me guess. You've already found him. 284 00:15:04,571 --> 00:15:07,115 He threw my towels out the window. 285 00:15:09,117 --> 00:15:10,786 That's how we met. 286 00:15:11,203 --> 00:15:16,249 Freshman year, ed came to a party that my roommate and I threw. 287 00:15:17,000 --> 00:15:20,212 He spent most of the night on the bathroom floor. 288 00:15:21,671 --> 00:15:25,175 He figured I wouldn't notice the vomit on the towels 289 00:15:25,300 --> 00:15:27,135 if I didn't have any towels. 290 00:15:30,013 --> 00:15:32,182 I'm assuming he came back the next day to apologize? 291 00:15:32,307 --> 00:15:34,893 No way. I had to track him down. 292 00:15:37,938 --> 00:15:41,650 Conflict resolution has never been one of Ed's strong points. 293 00:15:43,068 --> 00:15:47,239 - Nobody's perfect, right? - I guess. 294 00:15:48,115 --> 00:15:49,574 Oh, my neck hurts. 295 00:15:51,159 --> 00:15:54,246 You've been in this bed for a really long time. 296 00:15:56,790 --> 00:15:59,501 We're gonna do the same test we did last night, okay? 297 00:15:59,626 --> 00:16:03,046 - Do you know what day it is? - My arm itches. 298 00:16:03,171 --> 00:16:04,631 It's probably a mild skin irritation. 299 00:16:04,756 --> 00:16:07,092 I'll get you some hydrocortisone in a minute. 300 00:16:07,217 --> 00:16:10,053 - Do you know what day it is? - Tuesday. It really itches. 301 00:16:11,471 --> 00:16:14,224 How about I get you that cream right now? 302 00:16:22,607 --> 00:16:24,985 Oh, my god! Get them off! Get 'em off of me! 303 00:16:25,110 --> 00:16:26,295 Get 'em off me! Get 'em off me! 304 00:16:26,319 --> 00:16:28,905 - Elyse, calm down. - Get them off me! 305 00:16:29,030 --> 00:16:30,866 Elyse, calm down. Calm down. 306 00:16:30,991 --> 00:16:32,993 They're biting me! They're biting me! 307 00:16:33,118 --> 00:16:34,995 I'm gonna need some haldol, five milligrams. 308 00:16:35,120 --> 00:16:36,121 Honey, what's wrong? 309 00:16:36,246 --> 00:16:37,455 Get 'em off! 310 00:16:40,417 --> 00:16:41,543 Get 'em off. Get 'em off. 311 00:16:41,668 --> 00:16:45,755 There's nothing there, Elyse. There's nothing there. 312 00:16:50,218 --> 00:16:51,803 Foreman: We had to sedate her. 313 00:16:51,928 --> 00:16:55,223 You gave sedatives to a patient who's already sleeping 18 hours a day? 314 00:16:55,348 --> 00:16:57,908 It was better than letting her scratch all the skin off her arms. 315 00:16:57,976 --> 00:16:58,976 House: Where's Wilson? 316 00:16:59,060 --> 00:17:01,730 Creepy-crawlies are consistent with paraneoplastic syndrome. 317 00:17:01,855 --> 00:17:04,065 Onset immediately after iv ig isn't. 318 00:17:04,191 --> 00:17:06,026 There is a simple explanation. 319 00:17:06,151 --> 00:17:08,528 Maybe she really has bugs under her skin. 320 00:17:08,653 --> 00:17:09,653 Infection? 321 00:17:10,280 --> 00:17:13,617 That's whata worsening of symptoms after immunotherapy would suggest. 322 00:17:13,742 --> 00:17:16,244 Blood cultures and the timeline rule out most bacteria. 323 00:17:16,369 --> 00:17:19,080 Patient throws up on your shoes, do you clean up most of it? 324 00:17:19,206 --> 00:17:22,751 The symptoms rule out the rest. Serology rules out viruses. 325 00:17:22,876 --> 00:17:24,920 Csf smears rule out parasites. 326 00:17:25,045 --> 00:17:28,215 House: In the final stage of African trypanosomiasis, 327 00:17:28,340 --> 00:17:30,592 almost all the parasites are inside the brain. 328 00:17:30,717 --> 00:17:32,802 It's possible they wouldn't show on smears. 329 00:17:32,928 --> 00:17:36,139 But it's not possible for a patient who's never been to Africa 330 00:17:36,264 --> 00:17:37,724 to have African sleeping sickness. 331 00:17:37,849 --> 00:17:39,289 I'm just saying it fits the symptoms. 332 00:17:39,351 --> 00:17:40,828 She could've got it from a transfusion. 333 00:17:40,852 --> 00:17:43,133 Or I'm just saying she could've got it from a transfusion. 334 00:17:43,313 --> 00:17:45,232 Which she never had. 335 00:17:45,607 --> 00:17:47,484 Okay. Wilson: What about toxins? 336 00:17:47,609 --> 00:17:50,654 No, the kitchen she works in is cleaner than some hospitals. 337 00:17:50,779 --> 00:17:55,408 But they do serve rabbit. Rabbit fever fits her symptoms. 338 00:17:55,533 --> 00:17:58,787 Tularemia initially presents with a rash or ulcer near the infection site. 339 00:17:58,912 --> 00:18:00,622 Not if she inhaled it. 340 00:18:00,747 --> 00:18:04,125 Chopping the meat with the cleaver could easily aerosolize the bacteria. 341 00:18:04,251 --> 00:18:06,169 No. Then she'd have respiratory symptoms. 342 00:18:06,294 --> 00:18:08,213 Maybe she ignored it, figured she had a cold. 343 00:18:08,338 --> 00:18:09,338 We rejected lyme disease 344 00:18:09,381 --> 00:18:11,108 because the couple would have noticed a rash, 345 00:18:11,132 --> 00:18:14,010 but a wet, hacking cough is just gonna slip right by? 346 00:18:14,135 --> 00:18:17,013 It's either that or she missed her exit on the turnpike 347 00:18:17,138 --> 00:18:18,807 and wound up in Africa. 348 00:18:19,140 --> 00:18:20,850 Okay, two lousy ideas. 349 00:18:21,268 --> 00:18:23,478 Unfortunately, they're better than all the other ideas. 350 00:18:23,853 --> 00:18:26,731 Tularemia. Bizarre. 351 00:18:28,525 --> 00:18:31,903 Very nice. That's why I ride you. 352 00:18:41,288 --> 00:18:43,415 Did he just turn on the TV? 353 00:18:43,873 --> 00:18:45,458 He needs to think. 354 00:18:46,626 --> 00:18:49,212 So this should tell us whether or not she's got rabbit fever? 355 00:18:49,337 --> 00:18:50,672 For a diagnosis of tularemia 356 00:18:50,797 --> 00:18:53,633 you need a fourfold increase in serum antibody levels. 357 00:18:53,758 --> 00:18:55,987 To measure an increase you need a before. All we have is an after. 358 00:18:56,011 --> 00:18:58,346 A single titer over 160 would be a big clue. 359 00:18:58,471 --> 00:18:59,991 "That's why I ride you." What does that mean? 360 00:19:00,015 --> 00:19:01,909 Even when I have a good idea, it's because of him? 361 00:19:01,933 --> 00:19:04,436 Actually, I think he said your idea was a lousy idea. 362 00:19:04,561 --> 00:19:06,205 Cameron: It has to be one of these two conditions. 363 00:19:06,229 --> 00:19:08,949 I say we take our best guess and just start treatment. Or treat both. 364 00:19:09,065 --> 00:19:11,568 The treatment for tularemia can cause aplastic anemia. 365 00:19:11,693 --> 00:19:13,004 How come he doesn't ride you guys? 366 00:19:13,028 --> 00:19:15,613 - Got a crush on you. - He just doesn't know how to show it. 367 00:19:15,739 --> 00:19:17,073 Get over it. He rides everybody. 368 00:19:17,198 --> 00:19:19,951 And the treatment for sleeping sickness kills one in 10 patients. 369 00:19:20,076 --> 00:19:21,578 So we start with the safer treatment. 370 00:19:21,911 --> 00:19:26,249 By "safer", you mean the one that's slightly less likely to kill her. 371 00:19:39,179 --> 00:19:41,848 Foreman got the gang testing for tularemia? 372 00:19:41,973 --> 00:19:45,060 Yep. Probably inconclusive, but worth doing. 373 00:19:45,977 --> 00:19:48,605 So, what's her name? When do I get to meet her? 374 00:19:48,730 --> 00:19:49,898 There's nobody. Give it up. 375 00:19:50,148 --> 00:19:52,192 Your lips say no. Your shoes say yes. 376 00:19:52,317 --> 00:19:55,236 Well, they're French. You can't trust a word they say. 377 00:19:55,362 --> 00:19:57,447 Solid, yet stylish. 378 00:19:57,822 --> 00:20:00,158 A professional woman would be impressed. 379 00:20:00,283 --> 00:20:03,161 I'm thinking accountant. Actuary, maybe. 380 00:20:03,578 --> 00:20:07,207 It's somebody in the hospital. Patient? 381 00:20:07,332 --> 00:20:10,335 No. Chemo's not sexy. Daughter of a patient? 382 00:20:10,710 --> 00:20:12,921 She would certainly have the neediness you need. 383 00:20:13,046 --> 00:20:14,839 I'm not gonna date a patient's daughter. 384 00:20:14,964 --> 00:20:16,341 Very ethical. 385 00:20:16,466 --> 00:20:19,052 Of course, most married men would say they don't date at all. 386 00:20:19,177 --> 00:20:20,720 There was no date. 387 00:20:21,805 --> 00:20:24,224 I had lunch with one of the nurses. 388 00:20:24,349 --> 00:20:25,909 It's her first time in an oncology unit. 389 00:20:25,975 --> 00:20:27,936 She's having a tough time emotionally. 390 00:20:28,061 --> 00:20:30,021 - Perfect. - I wanted to be nice. 391 00:20:30,647 --> 00:20:32,482 That's all. I mean it. 392 00:20:32,857 --> 00:20:35,402 You always do. It's part of your charm. 393 00:20:35,985 --> 00:20:39,322 Hi, boys. Mrs. Campbell's test results. 394 00:20:39,447 --> 00:20:42,617 You remember her. The preschool teacher with the heart of silicone. 395 00:20:42,742 --> 00:20:45,703 - No. Doesn't ring a bell. - They came in yesterday. 396 00:20:45,829 --> 00:20:47,515 I figured you guys would have been all over them. 397 00:20:47,539 --> 00:20:50,166 - I know how concerned you were. - She's all upset 398 00:20:50,291 --> 00:20:52,210 'cause we paid more attention to the other girl. 399 00:20:52,419 --> 00:20:54,796 You check out her ass. I've got the chest. 400 00:20:55,630 --> 00:20:58,216 The tests were normal. Of course, that's just my opinion. 401 00:20:58,341 --> 00:21:00,111 You might wanna call a couple of guys from maintenance 402 00:21:00,135 --> 00:21:01,511 in for a consult. 403 00:21:01,636 --> 00:21:04,305 You check her EKG results before she left the other day? 404 00:21:04,431 --> 00:21:06,349 - You ordered it. - You're the responsible one. 405 00:21:06,474 --> 00:21:08,017 What's wrong? They look normal to me. 406 00:21:08,143 --> 00:21:10,895 - Where is she? - Waiting downstairs. Why? 407 00:21:11,229 --> 00:21:12,772 I was right. 408 00:21:19,988 --> 00:21:22,740 Do I have to get rid of the implants? 409 00:21:23,032 --> 00:21:24,868 Surprisingly, no. 410 00:21:25,326 --> 00:21:28,037 But your EKG shows a slightly decreased heart rate. 411 00:21:28,163 --> 00:21:29,164 Is that a problem? 412 00:21:29,289 --> 00:21:31,416 You told me you hadn't changed your diet or exercise. 413 00:21:31,541 --> 00:21:34,127 - Were you lying? - Lying? 414 00:21:34,252 --> 00:21:36,337 Does your husband have high blood pressure? 415 00:21:36,463 --> 00:21:38,131 - My husband? - Yeah, you see, 416 00:21:38,256 --> 00:21:40,049 if you're gonna repeat everything I say, 417 00:21:40,175 --> 00:21:43,011 this conversation's gonna take twice as long. 418 00:21:43,136 --> 00:21:44,576 Yes. He was diagnosed six months ago. 419 00:21:44,679 --> 00:21:46,097 He do a lot of cooking at home? 420 00:21:46,222 --> 00:21:48,057 Not really, other than oatmeal in the morning. 421 00:21:48,183 --> 00:21:52,187 Did you happen to notice a slightly odd taste to the oatmeal lately? 422 00:21:52,312 --> 00:21:53,188 Wait. Are you saying that... 423 00:21:53,313 --> 00:21:54,953 That it looks like your husband stirred in 424 00:21:54,981 --> 00:21:56,333 some of his blood pressure medication 425 00:21:56,357 --> 00:21:57,525 along with the brown sugar. 426 00:21:57,650 --> 00:21:59,402 You think my husband's trying to poison me? 427 00:21:59,527 --> 00:22:01,571 No. Nothing like that. 428 00:22:02,822 --> 00:22:05,533 He just doesn't want to have sex with you. 429 00:22:05,658 --> 00:22:07,952 Decreased sex drive is one of the most common side effects 430 00:22:08,077 --> 00:22:09,557 of the beta-blockers he's been taking. 431 00:22:09,662 --> 00:22:13,333 I'm guessing he figured if you're both frigid, no harm, no foul. 432 00:22:13,500 --> 00:22:15,001 Should've gotten him the sweater. 433 00:22:15,668 --> 00:22:17,837 - That's ridiculous. - Fine. 434 00:22:17,962 --> 00:22:19,732 But if you're still concerned about the shortness of breath, 435 00:22:19,756 --> 00:22:22,050 I'd start making your own breakfast. 436 00:22:22,175 --> 00:22:23,384 Wait. 437 00:22:25,053 --> 00:22:26,846 What should I do? 438 00:22:28,515 --> 00:22:32,727 If you care about your husband at all, I'd do the responsible thing. 439 00:22:32,852 --> 00:22:35,939 Buy yourself some condoms, go to a bar, find... 440 00:22:41,653 --> 00:22:42,946 Huh. 441 00:22:53,998 --> 00:22:55,875 Lab tests inconclusive? 442 00:22:56,292 --> 00:22:57,710 Not surprisingly. 443 00:22:57,835 --> 00:22:59,170 House: No. But too bad. 444 00:22:59,879 --> 00:23:03,258 - Luckily, I have the answer. - To what? 445 00:23:03,675 --> 00:23:06,636 Thanks for asking. To life itself. Sex. 446 00:23:06,761 --> 00:23:08,239 Anything that can be transmitted via the blood 447 00:23:08,263 --> 00:23:09,681 can be transmitted through sex. 448 00:23:09,806 --> 00:23:12,475 - Sleeping sickness from sex? - It's not without precedent. 449 00:23:12,600 --> 00:23:13,726 I'm pretty sure it is, 450 00:23:13,851 --> 00:23:15,371 unless you're talking about going to Africa 451 00:23:15,395 --> 00:23:17,021 and having sex with a tsetse fly. 452 00:23:17,146 --> 00:23:19,983 A Portuguese man was diagnosed three years ago 453 00:23:20,108 --> 00:23:21,508 with cns-affected sleeping sickness. 454 00:23:21,568 --> 00:23:23,152 His only connection with Africa 455 00:23:23,278 --> 00:23:26,114 was through a girlfriend who'd served with the military in Angola. 456 00:23:26,239 --> 00:23:27,323 Boy. Where'd you find that? 457 00:23:27,448 --> 00:23:31,077 The journal of the instituto de higiene e medicina tropical. 458 00:23:31,619 --> 00:23:33,413 - You don't read Portuguese? - You do? 459 00:23:33,538 --> 00:23:34,956 Pretty sure that's what it said. 460 00:23:35,081 --> 00:23:37,166 Either that or it was an ad for sunglasses. 461 00:23:37,458 --> 00:23:39,460 Her husband has never been to Africa either. 462 00:23:39,586 --> 00:23:42,839 Stymied again. Your logic is bulletproof. 463 00:23:42,964 --> 00:23:46,050 I think ignoring respiratory symptoms is more likely than cheating. 464 00:23:46,175 --> 00:23:47,343 Because? 465 00:23:47,468 --> 00:23:49,512 They're completely devoted to each other. 466 00:23:50,305 --> 00:23:53,349 - Because? - They love each other. 467 00:23:55,685 --> 00:23:58,104 They're overcompensating for guilt. 468 00:23:59,439 --> 00:24:00,690 Find out which it is. 469 00:24:00,815 --> 00:24:02,358 You want me to ask a man whose wife 470 00:24:02,483 --> 00:24:04,277 is about to die if he cheated on her? 471 00:24:04,402 --> 00:24:07,322 No, I want you to be polite and let her die. 472 00:24:07,697 --> 00:24:09,133 Actually, I don't want you to ask her anything. 473 00:24:09,157 --> 00:24:11,618 Foreman, take the husband. Chase, take the wife. 474 00:24:21,461 --> 00:24:24,130 You don't trust me to do my job? 475 00:24:24,505 --> 00:24:27,258 We all formulate questions based on the answers we want to hear. 476 00:24:27,383 --> 00:24:30,511 And how exactly do you reformulate, "have you screwed around?" 477 00:24:30,637 --> 00:24:31,947 Did you know she's been trying to get pregnant? 478 00:24:31,971 --> 00:24:33,514 - Yes. - After you got so freaked 479 00:24:33,640 --> 00:24:36,351 about the sick babies a while ago, I figured that was your thing. 480 00:24:36,476 --> 00:24:38,196 But you've never been prescribed folic acid, 481 00:24:38,269 --> 00:24:40,205 and you can't lose a baby if you've never been pregnant. 482 00:24:40,229 --> 00:24:43,191 - You pulled my medical records? - You coughed the other day. 483 00:24:43,316 --> 00:24:44,525 I was concerned. 484 00:24:44,651 --> 00:24:46,903 You were curious, like an eight-year-old boy 485 00:24:47,028 --> 00:24:51,324 with a puzzle that's just a little too grown-up for him to figure out. 486 00:24:51,449 --> 00:24:53,076 "Tomayto, tomahto." 487 00:24:54,911 --> 00:24:58,915 So it's either sleeping sickness or this rabbit thing? 488 00:24:59,207 --> 00:25:01,250 They're both fatal without treatment. 489 00:25:01,376 --> 00:25:04,587 And unfortunately, the treatment for both is extremely dangerous. 490 00:25:04,796 --> 00:25:07,674 - Are there tests you can do? - Not at this stage. 491 00:25:08,007 --> 00:25:10,885 But each condition has a unique history. 492 00:25:11,511 --> 00:25:15,264 We're hoping your answers to a few questions will help us. 493 00:25:15,390 --> 00:25:17,767 Sure. Whatever you need to know. 494 00:25:18,184 --> 00:25:21,479 Before the sleeping problems, did you have any trouble breathing? 495 00:25:21,604 --> 00:25:24,857 A cough that wouldn't go away, anything like that? 496 00:25:28,653 --> 00:25:29,737 Are you certain? 497 00:25:29,862 --> 00:25:30,862 Absolutely. 498 00:25:30,947 --> 00:25:32,925 I've never been away from her for more than a night. 499 00:25:32,949 --> 00:25:36,119 If she had breathing troubles I would've noticed. 500 00:25:37,620 --> 00:25:41,124 The other condition is significantly more likely 501 00:25:43,418 --> 00:25:45,461 if you've had an affair. 502 00:25:45,586 --> 00:25:50,007 - Have you ever had an affair? - Of course not. 503 00:25:50,550 --> 00:25:51,676 Are you sure? 504 00:25:51,801 --> 00:25:53,970 I think I'd remember cheating on my wife. 505 00:25:54,095 --> 00:25:55,455 You might be reluctant to admit it. 506 00:25:56,514 --> 00:25:58,307 I just want to be perfectly clear. 507 00:25:58,516 --> 00:26:02,353 If your wife has sleeping sickness, and we don't treat her, 508 00:26:03,396 --> 00:26:04,439 she'll die. 509 00:26:04,564 --> 00:26:06,524 Elyse: I would never do that to ed. 510 00:26:08,443 --> 00:26:10,027 I love him. 511 00:26:10,153 --> 00:26:11,654 Ed: Absolutely not. 512 00:26:12,613 --> 00:26:14,115 I love her. 513 00:26:27,837 --> 00:26:30,256 All right then. They say no cheating, 514 00:26:30,381 --> 00:26:32,216 we cross off sleeping sickness. 515 00:26:32,675 --> 00:26:34,051 Any new ideas? 516 00:26:36,220 --> 00:26:38,014 Okay. We go with foreman's tularemia. 517 00:26:38,139 --> 00:26:39,599 Start her on iv chloramphenicol, 518 00:26:39,724 --> 00:26:42,101 25 milligrams per kilogram, four times a day. 519 00:26:42,226 --> 00:26:43,770 Good night. 520 00:26:56,657 --> 00:26:58,367 Where's ed? 521 00:26:58,493 --> 00:26:59,702 Cameron: Right next to you. 522 00:27:00,703 --> 00:27:03,039 Well, you're two down, two to go. 523 00:27:04,874 --> 00:27:08,795 - Two days? - No. Doses. 524 00:27:08,920 --> 00:27:11,130 You have about 20 more days of this fun. 525 00:27:12,256 --> 00:27:13,341 What time is it? 526 00:27:13,800 --> 00:27:16,886 About 4:00 am. I pulled the short straw. 527 00:27:20,932 --> 00:27:22,683 Flow rate looks good. 528 00:27:27,522 --> 00:27:29,232 No rash or flushing. 529 00:27:30,525 --> 00:27:31,859 What time is it? 530 00:27:34,612 --> 00:27:35,947 4:00 am. 531 00:27:36,781 --> 00:27:39,367 Do you not remember just asking? 532 00:27:44,080 --> 00:27:45,289 Elyse? 533 00:27:48,042 --> 00:27:50,294 Elyse? Elyse? 534 00:27:50,920 --> 00:27:51,920 Elyse. 535 00:27:52,922 --> 00:27:54,841 - What are you doing? - I'm trying to wake her. 536 00:27:54,966 --> 00:27:56,985 - She fall asleep again? - In the middle of a sentence. 537 00:27:57,009 --> 00:27:58,636 Elyse. Elyse. 538 00:27:58,761 --> 00:27:59,887 Man: What's happening? 539 00:28:00,012 --> 00:28:01,681 Patient's not responding. 540 00:28:02,014 --> 00:28:04,100 Pulse is fine. Aiwvay's open. 541 00:28:04,225 --> 00:28:06,143 Check her blood pressure. 542 00:28:08,479 --> 00:28:10,064 Pupils are reactive. 543 00:28:10,189 --> 00:28:12,441 Elyse, wake up. You gotta wake up. 544 00:28:13,651 --> 00:28:15,045 What does that mean? What are you doing? 545 00:28:15,069 --> 00:28:19,156 She's unresponsive to pain. Come on, Elyse. 546 00:28:20,032 --> 00:28:22,827 - Is she dying? - I don't know. 547 00:28:33,421 --> 00:28:34,964 She's in a coma. 548 00:28:43,222 --> 00:28:46,183 There's only one way a tularemia patient goes into a coma 549 00:28:46,309 --> 00:28:48,019 while on iv chloramphenicol. 550 00:28:48,144 --> 00:28:49,729 The patient doesn't have tularemia. 551 00:28:49,854 --> 00:28:51,355 And then there was one. 552 00:28:51,480 --> 00:28:53,399 Patient comes in 'cause she's sleeping too much. 553 00:28:53,524 --> 00:28:56,485 It takes 10 doctors and a coma to diagnose sleeping sickness. 554 00:28:56,611 --> 00:28:57,778 And then there was none. 555 00:28:57,987 --> 00:29:01,032 We still have the problem of explaining how a white chick from Jersey 556 00:29:01,157 --> 00:29:04,201 who's never traveled south of DC has African sleeping sickness. 557 00:29:04,327 --> 00:29:06,704 The obvious explanation. 558 00:29:06,829 --> 00:29:08,122 I made it clear. 559 00:29:08,247 --> 00:29:09,808 If this guy's lying about sleeping around, 560 00:29:09,832 --> 00:29:12,168 he knows he's murdering his wife. 561 00:29:12,293 --> 00:29:14,170 Does seem unlikely. 562 00:29:14,754 --> 00:29:16,297 Go away. 563 00:29:34,315 --> 00:29:36,233 Ed: What are you doing? 564 00:29:37,068 --> 00:29:41,906 Checking for iymphadenopathy. And waiting for you. 565 00:29:42,031 --> 00:29:45,368 - Who are you? - I'm Dr. House. 566 00:29:45,534 --> 00:29:48,537 Your wife has human African trypanosomiasis. 567 00:29:50,373 --> 00:29:51,415 Sleeping sickness. 568 00:29:51,540 --> 00:29:56,462 You mean it's not tularemia, a virus, tumor or cancer? 569 00:30:00,466 --> 00:30:02,468 I've never had an affair. 570 00:30:03,761 --> 00:30:07,139 - I believe you. - And I trust Elyse. 571 00:30:09,308 --> 00:30:12,561 The treatment for this disease is a drug 572 00:30:12,979 --> 00:30:15,898 that's fatal on its own 10% of the time. 573 00:30:16,983 --> 00:30:18,293 Which is why I need your written consent 574 00:30:18,317 --> 00:30:19,944 before I can legally prescribe it. 575 00:30:20,069 --> 00:30:22,363 Why would she lie if she knew it could kill her? 576 00:30:22,488 --> 00:30:25,866 I don't ask why patients lie. I just assume they all do. 577 00:30:26,492 --> 00:30:28,411 - But why? - To protect you, 578 00:30:28,536 --> 00:30:32,164 because she didn't think it mattered, it just seemed easier, 579 00:30:33,416 --> 00:30:35,209 because that's what people do. 580 00:30:38,004 --> 00:30:39,964 If you're absolutely certain that your wife 581 00:30:40,089 --> 00:30:41,799 has never had sex with anyone but you 582 00:30:41,924 --> 00:30:44,218 since you were married, then I'm wrong. 583 00:30:46,262 --> 00:30:50,182 But if you think there's a possibility that just one time 584 00:30:51,892 --> 00:30:53,561 she wasn't perfect, 585 00:30:54,520 --> 00:30:56,897 one weekend you're out of town, 586 00:30:58,024 --> 00:30:59,859 one fight where she ran to a friend, 587 00:30:59,984 --> 00:31:02,111 one stupid Christmas party, 588 00:31:04,947 --> 00:31:07,867 then you need to allow me to start treatment. 589 00:31:09,201 --> 00:31:11,162 Because if we don't, 590 00:31:11,662 --> 00:31:13,539 she's gonna be dead by tomorrow morning. 591 00:31:23,007 --> 00:31:25,134 You trust your wife that much? 592 00:31:27,928 --> 00:31:29,305 I don't know. 593 00:31:34,060 --> 00:31:36,103 I'm gonna start the treatment. 594 00:31:51,077 --> 00:31:54,121 - Glass syringes? - And special iv tubing. 595 00:31:55,247 --> 00:31:58,209 - Why do we need this stuff? - Because melarsoprol melts plastic. 596 00:31:58,334 --> 00:32:02,046 This stuff's basically arsenic mixed with antifreeze. 597 00:32:02,171 --> 00:32:03,923 What doesn't kill us makes us stronger, huh? 598 00:32:04,048 --> 00:32:06,967 Nietzsche wouldn't have been so glib if he'd been prescribed melarsoprol. 599 00:32:09,762 --> 00:32:11,889 "Can cause vomiting, abdominal pain, 600 00:32:12,014 --> 00:32:14,892 blood toxicity, neural damage, cardiac arrhythmia." 601 00:32:15,017 --> 00:32:17,311 They forgot to say it's gonna hurt like all hell. 602 00:32:17,686 --> 00:32:19,438 She's lucky she's in a coma. 603 00:32:37,123 --> 00:32:38,791 How long before we know if it's working? 604 00:32:38,916 --> 00:32:40,334 It's tough to say. 605 00:32:40,918 --> 00:32:44,130 It's a good sign that she hasn't gotten any worse. 606 00:32:46,715 --> 00:32:48,259 Does she even know I'm here? 607 00:32:49,385 --> 00:32:51,929 She knows you're always there for her. 608 00:32:53,931 --> 00:32:55,057 Yeah. 609 00:32:56,058 --> 00:32:57,726 If she gets better, 610 00:32:58,310 --> 00:33:00,437 it means she wasn't always there for me. 611 00:33:04,024 --> 00:33:06,193 It means she made a mistake. 612 00:33:08,028 --> 00:33:09,780 I can't help it. 613 00:33:10,322 --> 00:33:14,326 Part of me, a big part of me, can't handle that. 614 00:33:17,830 --> 00:33:19,150 It doesn't want her to get better. 615 00:33:29,258 --> 00:33:31,927 Does that make me a terrible person? 616 00:33:39,727 --> 00:33:41,145 Yes. 617 00:34:03,000 --> 00:34:06,045 So you're treating her for African sleeping sickness 618 00:34:06,170 --> 00:34:07,397 because you don't think it's possible 619 00:34:07,421 --> 00:34:09,181 for someone to be faithful in a relationship? 620 00:34:09,298 --> 00:34:11,342 - And you do? - Yes. 621 00:34:11,467 --> 00:34:12,760 And you need to tell me that. 622 00:34:13,969 --> 00:34:15,596 Look. I am not having an affair. 623 00:34:15,721 --> 00:34:17,848 I had lunch with someone I work with. 624 00:34:17,973 --> 00:34:20,309 - At work. Once. - I believe you. 625 00:34:20,434 --> 00:34:23,062 What I don't believe is it'll be just once. 626 00:34:23,187 --> 00:34:25,272 - I love my wife. - You certainly love saying it. 627 00:34:27,274 --> 00:34:29,068 I'm sorry. I know you love your wife. 628 00:34:29,193 --> 00:34:32,279 You loved all your wives. Probably still do. 629 00:34:32,404 --> 00:34:33,590 In fact, you probably love all 630 00:34:33,614 --> 00:34:35,254 the women you loved who weren't your wife. 631 00:34:35,282 --> 00:34:36,927 You can be a real jerk sometimes, you know that? 632 00:34:36,951 --> 00:34:38,244 Yeah. And you're the good guy. 633 00:34:38,369 --> 00:34:39,369 At least I try. 634 00:34:39,411 --> 00:34:41,598 As long as you're trying to be good, you can do whatever you want. 635 00:34:41,622 --> 00:34:43,040 And as long as you're not trying, 636 00:34:43,165 --> 00:34:44,416 you can say whatever you want. 637 00:34:44,541 --> 00:34:46,168 So, between us, we can do anything. 638 00:34:46,293 --> 00:34:47,962 We can rule the world. 639 00:35:01,267 --> 00:35:05,646 Mixing up some margaritas? Mine's a double, senorita. 640 00:35:05,813 --> 00:35:07,982 - That's Portuguese, you know. - Spanish. 641 00:35:09,650 --> 00:35:10,859 Uh-oh. 642 00:35:13,028 --> 00:35:16,991 - What's goin' on? - I'm recalibrating the centrifuge. 643 00:35:17,825 --> 00:35:19,076 Turn around. 644 00:35:28,377 --> 00:35:32,840 It's a very sad thing, an uncalibrated centrifuge. 645 00:35:33,173 --> 00:35:36,385 - Makes me cry too. - I'm not crying. 646 00:35:37,553 --> 00:35:38,679 Okay. 647 00:35:52,860 --> 00:35:55,112 I told the husband he was a jerk. 648 00:35:57,072 --> 00:35:58,157 Why? 649 00:36:05,414 --> 00:36:07,249 When I was in college, 650 00:36:10,669 --> 00:36:14,048 I fell in love, and I got married. 651 00:36:17,801 --> 00:36:19,845 At that age, the chances of a marriage lasting... 652 00:36:19,970 --> 00:36:21,680 It lasted six months. 653 00:36:24,224 --> 00:36:27,227 Thyroid cancer metastasized to his brain. 654 00:36:27,353 --> 00:36:29,730 There was nothing they could do. 655 00:36:31,607 --> 00:36:33,108 I was 21, and... 656 00:36:35,110 --> 00:36:36,945 I watched my husband die. 657 00:36:41,408 --> 00:36:42,618 I'm sorry. 658 00:36:46,914 --> 00:36:48,749 But that's not the whole story. 659 00:36:50,918 --> 00:36:53,462 It's a symptom, not your illness. 660 00:36:54,004 --> 00:36:56,006 Thyroid cancer would have been diagnosed 661 00:36:56,131 --> 00:36:57,411 at least a year before his death. 662 00:36:57,466 --> 00:37:00,094 You knew he was dying when you married him. 663 00:37:00,886 --> 00:37:03,639 Possibly when you first met him. 664 00:37:06,266 --> 00:37:08,394 And you married him anyway. 665 00:37:11,021 --> 00:37:14,942 You can't be that good a person and well-adjusted. 666 00:37:16,026 --> 00:37:17,111 Why? 667 00:37:19,071 --> 00:37:21,865 'Cause you wind up crying over centrifuges. 668 00:37:24,952 --> 00:37:26,662 Or hating people? 669 00:37:42,386 --> 00:37:44,346 Chase: Her fever spiked at 104. 670 00:37:44,471 --> 00:37:45,973 Echo shows global hyperkinesis. 671 00:37:46,098 --> 00:37:48,142 - Blood pressure? - Barely 90 over 40. 672 00:37:48,267 --> 00:37:49,393 Did you give her dopamine? 673 00:37:49,518 --> 00:37:52,479 Started 270 micrograms per minute 10 minutes ago. 674 00:37:52,604 --> 00:37:54,064 Still no change. 675 00:38:00,946 --> 00:38:02,590 Killing the parasites isn't gonna do much good 676 00:38:02,614 --> 00:38:04,324 if we kill her heart at the same time. 677 00:38:04,450 --> 00:38:06,910 A heart can be replaced. A brain can't. 678 00:38:07,035 --> 00:38:08,996 Right now we're killing both. 679 00:38:09,705 --> 00:38:11,599 If she's gonna die, we should at least let her do it 680 00:38:11,623 --> 00:38:14,251 without that acid flowing through her veins. 681 00:38:14,376 --> 00:38:16,128 What's happening? 682 00:38:18,046 --> 00:38:20,174 We would've expected your wife's condition 683 00:38:20,299 --> 00:38:22,509 to show some improvement by now. 684 00:38:23,051 --> 00:38:24,219 It hasn't. 685 00:38:24,720 --> 00:38:26,722 It's going the other way. 686 00:38:57,794 --> 00:38:59,338 Please don't die. 687 00:39:01,673 --> 00:39:03,300 Please don't die. 688 00:39:29,451 --> 00:39:30,661 She's awake. 689 00:40:11,660 --> 00:40:13,662 Hey. She's gonna be okay. 690 00:40:14,788 --> 00:40:16,665 Yeah. Sure. 691 00:40:46,153 --> 00:40:48,071 What are you gonna do? 692 00:40:48,196 --> 00:40:50,824 Were you always honest with her? 693 00:40:51,158 --> 00:40:53,118 Do you know how lucky you are? Your wife is alive. 694 00:40:53,160 --> 00:40:54,620 She loves you. 695 00:40:55,287 --> 00:40:56,955 What she did... 696 00:40:58,040 --> 00:41:00,917 You can't love a person and do that to them. 697 00:41:03,211 --> 00:41:04,838 She loves you. 698 00:41:42,542 --> 00:41:45,420 I need to know who you had the affair with. 699 00:41:48,882 --> 00:41:52,177 He has to be notified so he can get treatment as well. 700 00:41:55,847 --> 00:41:57,683 Why did you lie to us? 701 00:41:58,308 --> 00:42:00,727 You knew your life was at stake. 702 00:42:07,192 --> 00:42:09,361 He's not coming back, is he? 703 00:42:14,533 --> 00:42:18,745 We all make mistakes, and we all pay a price. 704 00:42:28,380 --> 00:42:29,923 I need that name. 705 00:42:43,645 --> 00:42:46,148 Hey, there. How you doin'? 706 00:42:46,732 --> 00:42:47,816 Fine. 707 00:42:50,193 --> 00:42:52,487 Do you know where your dad is? 708 00:43:00,912 --> 00:43:02,664 Can I help you?