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00:01So now the plan is either find ourselves a new counselor, stick it out with the old one, but go
00:06more often, or resign ourselves to the fact that she's never going to be happy, no matter what I do,
00:11so let's just take the money we're wasting and put it towards a membership at Lakeville, you know?
00:15I'm guessing the last option's got to be formally presented.
00:18Yeah. Geez, what's with you? Usually you're going to have speed to stay with me.
00:22I didn't get a lot of sleep last night.
00:26How are things with Elise?
00:29Great.
00:30Great?
00:31Yeah.
00:34One syllable answers. You're either out of breath or you're lying to me.
00:37Yeah. We got our moments where they usually work out.
00:41Man, you got some water?
00:42Yeah.
00:44So how do you work things out?
00:47I don't know. Talk? Someone apologizes?
00:50Man, I shouldn't have drank last night.
00:52Hey, you mean you apologize?
00:54Yeah, I guess.
00:55How often do you guys have sex?
00:58I know.
00:59Did you do it this morning?
01:01You did. You did it this morning.
01:03Hey, but that's why you can't stand up, huh?
01:05Come on.
01:08Elise!
01:14Honey!
01:16I'm dehydrated. Do we have anything with electrolytes?
01:21Sleeping Beauty. Wake up.
01:25It's an emergency. Fridge is empty. Come on. It's almost four.
01:35Elyse.
01:36Sweetie.
01:39Call, Jacques. Tell him I'm not feeling well.
01:43It's Saturday.
01:45You haven't been to work in three days, remember?
01:47Just let me sleep.
01:50Come on.
01:51You haven't been out of bed since Wednesday.
01:53Leave me alone.
01:55Come on.
01:56What's up?
01:56No.
01:57Leave me alone.
01:59Honey.
01:59Stop.
02:00Leave me alone.
02:10I think there's nothing wrong with me.
02:14I think there's nothing wrong with me.
02:45She's been averaging 18 hours of sleep a day since her admission.
02:48Clinical depression.
02:50Incredibly contagious.
02:51Every time I'm around one of them, I get blue.
02:53It's not clinical depression.
02:55Great.
02:55Got it all figured out.
02:57You don't need me.
03:00Three ER doctors, two neurologists, and a radiologist have all figured out what it's
03:03not. We need to figure out what it is.
03:05If any of the above-mentioned doctors were interested, in my opinion, they would have asked
03:08for it.
03:08None of them are willing to subject themselves to you.
03:11No pain, no gain.
03:14The blood work shows no signs of inflammation, and no one can figure out what's actually the
03:18cause of...
03:19What?
03:20Husband described her as being unusually irritable recently.
03:23And?
03:24I didn't realize it was possible for a woman to be unusually irritable.
03:32Nice try, but you're a misanthrope, not a misogynist.
03:35What's the first thing you ask a doctor who's referring a patient?
03:38Are you questioning my ability to take a history?
03:42What's the primary...
03:44Not what, why?
03:45Diseases don't have motives.
03:47No, but doctors do.
03:48Why this patient?
03:49One interests you.
03:52Give me the chart.
03:53Why?
03:56I find your interest interesting.
04:01She's irritable and sleeping 18 hours a day.
04:04What's interesting about that?
04:06Hypersomnia is usually accompanied by irritability in depressed patients.
04:09True, but not relevant.
04:10She's not depressed.
04:12Hello?
04:12She's sleeping 18 hours a day.
04:14Fever.
04:15Clinical depression does not cause fever.
04:17She could be sick and depressed.
04:18She's sick.
04:20God damn it, why didn't I think of that?
04:21Yeah, that's what I meant.
04:22Elevated sed rate indicates inflammation.
04:25Hypersomnia and personality changes point toward the brain.
04:27Not the spleen.
04:28Thank goodness we hired a neurologist.
04:30Brain symptoms.
04:31Could this be a brain problem?
04:33No other systemic signs of inflammation.
04:35Why not vasculitis?
04:36What about parasites?
04:37Malaria?
04:38Chagas?
04:38But the patient's never been outside of the United States, especially the tropics.
04:42You mean she claims she's never been outside the U.S.?
04:44Very good.
04:44It doesn't matter.
04:45Blood and CSF smeres show no sign of parasites.
04:48It has to be a tumor, then.
04:48A tumor sitting directly on top of the brainstem that three ER doctors, two neurologists, and
04:53a radiologist missed?
04:54Partridge in a pear tree missed it, too.
04:56Redo the blood work and get a new MRI with two millimeter cuts through the mesodyencephalic.
05:01And check for evil stepmothers.
05:03This much sleep usually indicates poison apples.
05:06Anything else besides the shortness of breath?
05:09Not really.
05:10It's actually just kind of a tightness.
05:12You smoke?
05:13No, never.
05:15Exercise?
05:16Eight hours a day.
05:18I teach preschool.
05:20Sounds fun.
05:23Any history of heart disease in your family?
05:25Not that I know of.
05:27Take a deep breath.
05:30You've been under a lot of stress lately.
05:33No more than usual.
05:34You're probably just a little anemic.
05:37I'm going to do an EKG just to make sure.
05:39Do I need to take this off?
05:40Uh, no.
05:41You can just pull that down in front.
05:48Good Lord.
05:51Are those real?
05:53Do they look real?
05:55They look pretty damn good.
05:57They were a present for my husband's 40th.
05:59I figured he'd enjoy them more than a sweater.
06:02That's so sweet.
06:04But I'm afraid the cause of your problem would be staring us right in the face.
06:08Actually, I guess I'm the one doing the staring.
06:11Of course, I can't be sure.
06:12I'd like to consult a colleague.
06:14He's actually somewhat of an expert in these matters.
06:19Can I get a page on Dr. Wilson?
06:24A tumor?
06:25We don't know.
06:26We're checking just to be safe.
06:28You already checked for that.
06:29The previous MRI had a broader view.
06:31Some tumors are almost impossible to see unless you know exactly where to look.
06:35That means it would be small, right?
06:36Yeah.
06:37Then you'd be able to operate.
06:39Take it out.
06:39If it's a tumor, there are a variety of treatment options.
06:42But there are variables other than just size.
06:47Don't worry.
06:48Don't worry.
06:50Too late.
06:56Try to remain as still as possible.
06:58The less distortion there is, the more detail we'll be able to see.
07:18Well, that's what breasts look like.
07:20Is a lie a lie if everybody knows it's a lie?
07:23Well, if a tree pretends to fall on a forest house, come on.
07:26They're breasts.
07:26They're a birthday present.
07:27What a philosophical treatise.
07:28Lie number one.
07:30She did not do that for her husband.
07:32She did that for herself.
07:33She thinks if she looks different, she'll be different.
07:35No.
07:35She thinks if she looks different, she'll be more attractive.
07:37Which, I have to say...
07:39Not to her husband.
07:40Cosmetic surgery, so everyone else will look at us differently.
07:44Same reason you're wearing that tie.
07:46Well, exactly.
07:47That was going to be my next point.
07:49Last three months, same five ties.
07:51Thursday should be that paisley thing.
07:53It's a gift from my wife.
07:54No, it's not.
07:55Julie hates green.
07:56You bought that yourself.
07:57You want to look pretty.
07:58At work.
08:01Wilson's got a girlfriend.
08:03Stop.
08:04Stop.
08:05I don't.
08:06It takes two department heads to treat shortness of breath?
08:10What if the complications increase exponentially with cup size?
08:13I want an EKG and blood test, including tox screen on Mrs. Exam Room 1.
08:20You're ordering tests to cover your lechery.
08:23Interesting.
08:24Very tricky case.
08:27You love everybody.
08:29It's your pathology.
08:32There were no lesions and no mass effect that we could see.
08:37What does that mean?
08:39It means we're still not sure what's causing the neurological problems.
08:43I know.
08:44Some things are hard to cure.
08:46But what I just don't get is why it's taking so long.
08:48To figure out what's wrong with her.
08:50I know you're scared.
08:51I would be, too.
08:52I don't feel good.
08:53You feeling nauseous?
08:55Honey, you all right?
09:00She's seizing.
09:03Get on your side.
09:05I need the matter man.
09:06Okay.
09:08What's happened?
09:09She's having a seizure.
09:12She's aspirating.
09:13Such?
09:17Come on, Elise.
09:20Come on, Elise.
09:38The MRI reveals nothing.
09:40That we were able to detect.
09:42It's not a tumor.
09:43A small glioma could hide from contrast.
09:45We could do a PET scan.
09:46Yes.
09:47That's how a responsible doctor would waste his time in this situation.
09:50Suddenly, tests and radiologists are incapable of error?
09:53A glioma not presenting on a contrast MRI would have to be smaller than a grain of sand.
09:58Which does not a gravely ill person make.
10:01It could be just post-ictal disorientation.
10:03We would have seen improvement by now.
10:05Late-stage Lyme disease can cause seizures.
10:07Does the husband care about her?
10:08He hasn't left her bedside.
10:10Annoying.
10:11It also means she doesn't have Lyme disease.
10:13What?
10:13Love conquers all?
10:15Lyme disease initially presents with a rash.
10:17Mr. Clingy would have noticed.
10:18We've looked at everything else.
10:19Did you look at her breasts?
10:21C-man.
10:23It could be perineoplastic.
10:26Does she have any family history of breast cancer?
10:28Her mother died of it.
10:31The brain, but not the brain.
10:34Clever, huh?
10:42How can breast cancer cause problems in her brain?
10:45There are molecular similarities between brain cells and tumor cells.
10:49Perineoplastic syndrome causes the body's own antibodies to get thrown off track.
10:53They end up attacking the brain instead of the tumor.
10:57So, if you do find a tumor, what do you do?
10:59We treat the underlying malignancy.
11:02Once there's no tumor to attack, there's nothing for the antibodies to get confused about.
11:06If the tumor is treatable.
11:07Exactly.
11:14Ow.
11:15I'm sorry.
11:15I know it's uncomfortable.
11:17The tighter we go, the better the image will be.
11:24At least it'll keep me awake.
11:25Don't worry.
11:26It's almost over.
11:28I wish people would stop telling me not to worry.
11:32I'm sorry.
11:32I'm sorry.
11:36My mom was the same age.
11:48We've been trying to get pregnant for over a year.
11:50I guess we're lucky we didn't.
11:52A lot has changed since your mom died.
11:55Don't worry.
11:59Don't give up.
12:10No tumor?
12:12The MRI and the mammogram only showed a few benign calcifications.
12:16It's most likely a small cell tumor.
12:18It's no surprise we're having trouble finding it.
12:20We should do a PET scan.
12:21Start with her lungs, then maybe her bones.
12:24Sometimes it presents with no tumor at all.
12:26How can a disease caused by a tumor present if there's no tumor?
12:28It happens.
12:2912% of cases.
12:31And how do you treat it if there's no tumor?
12:33You don't.
12:34Those 12%?
12:35No treatment.
12:36They were too busy looking for the tumor.
12:38Right until they put the patient in the ground.
12:41What choice do we have?
12:42Treat the symptoms.
12:44IV immunoglobulin.
12:45So we're just going to ignore the tumor?
12:47Well, eventually it'll get bigger.
12:49And it'll be really easy to find.
12:51One of you needs to check out where she works.
12:53Why?
12:54Because the husband's not sick.
12:56Meaning?
12:57If it's not perineoplastic and it is a reaction to some sort of toxin, it's obviously not coming from their
13:02home.
13:05Foreman, you do it.
13:09Why are you riding me?
13:12It's what I do.
13:13Does it get worse lately?
13:15Yeah.
13:16Seems to me.
13:16Really?
13:18Well, that rules out the race thing.
13:20She was just as black last week.
13:24How long has Elise worked here?
13:26Three years.
13:27She's my best rotisseur.
13:28And what's that?
13:29The rotisseur prepares the roasted meats and gravies.
13:32How do you clean your grill?
13:34La force du poignet.
13:35You say elbow grease.
13:37Do you use chemical cleaners?
13:38Ah, non.
13:39Absolument.
13:39Chefs don't do the cleaning anyway.
13:41What about pesticides?
13:42You must pray for roaches and that sort of thing.
13:45No.
13:45My kitchen is clean.
13:46No roaches.
13:48Non.
13:49Allez au travail.
13:51I need to get back to work.
13:54So the fact that I'm here asking you these questions, it doesn't worry you?
13:58Look at me.
13:58I'm here 18 hours a day.
14:00That guy practically lives here.
14:02He does live here.
14:03I use the same detergents for 15 years and everyone is healthy as a horse.
14:07Whatever Elise has, she didn't get here.
14:10Let her hope she feels better.
14:12And I had to get a new rotisseur.
14:27Where's Ed?
14:29He went down to the gift shop to buy a shirt.
14:31I told him I'd stay up here just in case you woke up.
14:34You must have better things to do.
14:37I send my laundry out.
14:40You're not married?
14:41No.
14:43Waiting for the perfect guy?
14:46Let me guess.
14:47You've already found him.
14:52He threw my towels out the window.
14:57That's how we met.
14:59Freshman year, Ed came to a party that my roommate and I threw.
15:05He spent most of the night on the bathroom floor.
15:09He figured that I wouldn't notice the vomit on the towels if I didn't have any towels.
15:18I'm assuming he came back the next day to apologize.
15:20No way.
15:22I had to track him down.
15:26Conflict resolution has never been one of Ed's strong points.
15:31Nobody's perfect, right?
15:34I guess.
15:36Oh, my neck hurts.
15:39You've been in this bed for a really long time.
15:44I'm going to do the same test we did last night, okay?
15:47Do you know what day it is?
15:50My arm itches.
15:51It's probably a mild skin irritation.
15:53I'll get you some hydrocortisone in a minute.
15:55Do you know what day it is?
15:56Tuesday.
15:57It really itches.
15:59How about I get you that cream right now?
16:35We had this with Dana.
16:37You gave sedatives to a patient who's already sleeping 18 hours a day.
16:41It was better than letting her scratch all the skin off for hours.
16:43Where's it, Wilson?
16:44Creepy crawlies are consistent with paraneoplastic syndrome.
16:47Onset immediately after IVIG isn't.
16:49There is a simple explanation.
16:51Maybe she really has bugs under her skin.
16:54Infection?
16:55That's what a worsening of symptoms after immunotherapy would suggest.
16:59Blood cultures in the timeline rule out most bacteria.
17:01Patient throws up on your shoes to clean up most of it.
17:04The symptoms rule out the rest.
17:06Serology rules out viruses.
17:08CSF smears rule out parasites.
17:10In the final stage of African trypanosomiasis,
17:13almost all the parasites are inside the brain.
17:16It's a possible way we can show on smears.
17:18But it's not possible for a patient who's never been to Africa
17:21to have African sleeping sickness.
17:23I'm just saying it fits the symptoms.
17:24She could have got it from a transfusion.
17:26Or I'm just saying she could have got it from a transfusion.
17:28Which she never had.
17:30Okay.
17:31What about toxins?
17:32No.
17:33The kitchen she works in is cleaner than some hospitals.
17:35But they do serve rabbit.
17:38Rabbit fever fits her symptoms.
17:40Jula Raymier initially presents with a rash or ulcer near the infection site.
17:44Not if she inhaled it.
17:45Chopping the meat with the cleaver could easily aerosolize the bacteria.
17:49No, then she'd have respiratory symptoms.
17:51Maybe she ignored it.
17:52Figured she had a cold.
17:53They rejected Lyme disease because the couple would have noticed a rash.
17:56But a wet hacking cough is just going to slip right by.
17:58It's either that or she missed her exit on the turnpike and wound up in Africa.
18:02Okay, two lousy ideas.
18:06Unfortunately, they're better than all the other ideas.
18:09Tularemia.
18:10Bizarre.
18:13Very nice.
18:14That's why I ride you.
18:25Did he just turn on the TV?
18:28He needs to think.
18:31So this should tell us whether or not she's got rabbit fever?
18:33For a diagnosis of tularemia, you need a fourfold increase in serum antibody levels.
18:38To measure an increase, you need it before.
18:39All we have is an after.
18:40A single titer over 160 would be a big clue.
18:42That's why I ride you.
18:44What does that mean?
18:44Even when I have a good idea, it's because of him?
18:46Actually, I think he said your idea was a lousy idea.
18:49It has to be one of these two conditions.
18:50I say we take our best guess and just start treatment.
18:53Or treat both.
18:53The treatment for tularemia can cause aplastic anemia.
18:56How come he doesn't ride you guys?
18:57He's got a crush on you.
18:58He just doesn't know how to show it.
19:00Get over it.
19:00He rides everybody.
19:01And the treatment for sleeping sickness kills one in ten patients.
19:04So we start with a safer treatment.
19:06By safer, you mean the one that's slightly less likely to kill her.
19:23Foreman got the gang testing for tularemia?
19:26Yep, probably inconclusive, but worth doing.
19:30So, what's her name?
19:31When do I get to meet her?
19:33There's nobody.
19:33Give it up.
19:34Your lips say no.
19:35Your shoes say yes.
19:36Well, they're French.
19:38Can't trust a word they say.
19:39Solid, yet stylish.
19:41A professional woman would be impressed.
19:44I'm thinking account...
19:46Actuary, maybe.
19:47Somebody in the hospital.
19:49Patient?
19:51No, chemo's not sexy.
19:53Daughter of a patient?
19:54She would certainly have the neediness you need.
19:57I'm not going to date a patient's daughter.
19:59Very ethical.
20:00Of course, most married men would say they don't date at all.
20:03There was no date!
20:05I had lunch with one of the nurses.
20:08It's her first time in an oncology unit.
20:10She's having a tough time, emotionally.
20:12Perfect.
20:12I want it to be nice.
20:14That's all.
20:15I mean it.
20:16You always do.
20:17It's part of your charm.
20:19Hi, boys.
20:21Mrs. Campbell's test results.
20:23You remember her, the preschool teacher with the heart of silicone.
20:26Nope, doesn't ring a bell.
20:28They came in yesterday.
20:29I figured you guys would have been all over them.
20:31I know how concerned you are.
20:33She's all upset because we paid more attention to the other girl.
20:36You check out her ass.
20:37I've got the chest.
20:39The tests were normal.
20:41Of course, that's just my opinion.
20:42You might want to call a couple of guys from maintenance in for a consult.
20:45You check her EKG results before she left the other day?
20:48You ordered it.
20:49You're the responsible one.
20:50What's wrong?
20:50They look normal to me.
20:51Where is she?
20:52Waiting downstairs.
20:53Why?
20:54I was right.
21:03Do I have to get rid of the implants?
21:06Surprisingly, no.
21:08But your EKG shows a slightly decreased heart rate.
21:11Is that a problem?
21:12You told me you hadn't changed your diet or exercise.
21:15Were you lying?
21:16Lying?
21:17Does your husband have high blood pressure?
21:20My husband?
21:21Yeah, I see.
21:21If you're going to repeat everything I say, this conversation is going to take twice as long.
21:26Yes, he was diagnosed six months ago.
21:28Do you do a lot of cooking at home?
21:29Not really, other than oatmeal in the morning.
21:31Did you happen to notice a slightly odd taste of the oatmeal lately?
21:35Wait, are you saying that...
21:36That it looks like your husband stirred in some of his blood pressure medication along with brown sugar.
21:40You think my husband's trying to poison me?
21:42No.
21:43Nothing like that.
21:46He just doesn't want to have sex with you.
21:48Decreased sex drive is one of the most common side effects of the beta blockers he's been taking.
21:52I'm guessing he figured if you're both frigid, no harm, no foul, should have gotten him the sweater.
21:58That's ridiculous.
21:59Fine.
22:00If you're still concerned about the shortness of breath, I'd start making your own breakfast.
22:05Wait.
22:07What should I do?
22:11If you care about your husband at all, I'd do the responsible thing.
22:15Buy yourself some condoms, go to a bar, fine.
22:36Lab tests inconclusive.
22:38Not surprisingly.
22:40No.
22:41But too bad.
22:42Luckily, I have the answer.
22:45To what?
22:46Thanks for asking.
22:47The life itself, sex.
22:49Anything that can be transmitted via the blood can be transmitted through sex.
22:52Sleeping sickness from sex?
22:54It's not without precedent.
22:55I'm pretty sure it is, unless you're talking about going to Africa and having sex with the Siti flag.
23:00A Portuguese man was diagnosed three years ago with CNS-affected sleeping sickness.
23:04His only connection with Africa was through a girlfriend who served with the military in Angola.
23:08Boy, where'd you find that?
23:10The journal, the Instituto de Hygiene e Medicina Tropical.
23:14You don't read Portuguese?
23:15You do?
23:16Pretty sure that's what it said.
23:17Either that or it was an ad for sunglasses.
23:19Her husband has never been to Africa either.
23:22Oh, stymied again.
23:23Your logic is bulletproof.
23:25I think ignoring respiratory symptoms is more likely than cheating.
23:28Because?
23:29They're completely devoted to each other.
23:32Because?
23:34They love each other.
23:36Or they're overcompensating for guilt.
23:41Find out which it is.
23:43You want me to ask a man whose wife is about to die if he cheated on her?
23:46No, I want you to be polite and let her die.
23:50Actually, I don't want you to ask her anything for me.
23:51Take the husband.
23:52Chase, take the wife.
24:03You don't trust me to do my job?
24:06We all formulate questions based on the answers we want to hear.
24:09And how exactly do you reformulate have you screwed around?
24:12Did you know she's been trying to get pregnant?
24:14Yes.
24:14After you got so freaked about the sick babies a while ago, I figured that was your thing.
24:18But you've never been prescribed folic acid.
24:20You can't lose a baby if you've never been pregnant.
24:22You pulled my medical records?
24:24You coughed the other day.
24:25I was concerned.
24:26You were curious.
24:27Like an eight-year-old boy with a puzzle that's just a little too grown up for him to figure
24:31out.
24:33Tomato, tomato.
24:37So it's either a sleeping sickness or this rabbit thing.
24:41They're both fatal without treatment.
24:42And unfortunately, the treatment for both is extremely dangerous.
24:46Other tests you can do?
24:48Not at this stage.
24:49But each condition has a unique history.
24:53We're hoping your answers to a few questions will help us.
24:57Sure.
24:58Whatever you need to know.
25:00Before the sleeping problems, did you have any trouble breathing?
25:03A cough that wouldn't go away?
25:04Anything like that?
25:08No.
25:10Are you certain?
25:11Absolutely.
25:12I've never been away from her for more than a night.
25:14If she had breathing troubles, I would have noticed.
25:19The other condition is significantly more likely if you've had an affair.
25:27Have you ever had an affair?
25:30Of course not.
25:32You sure?
25:33I think I'd remember cheating on my wife.
25:35You might be reluctant to admit it.
25:37No.
25:37I just want to be perfectly clear.
25:40If your wife has sleeping sickness and we don't treat her, she'll die.
25:46I would never do that to Ed.
25:49I love him.
25:51I love him.
25:52Absolutely not.
25:53I love her.
26:08All right, then.
26:10They say no cheating.
26:11We cross off sleeping sickness.
26:13Any new ideas?
26:17Any new ideas?
26:17Okay.
26:17We go with Formus tularemius.
26:19Start on IV chloramphenicol.
26:2125 milligrams per kilogram for time today.
26:23Good night.
26:35Good night.
26:38Where's Ed?
26:39Right next to you.
26:41Well, you're two down, two to go.
26:45Two days?
26:47No, Dosis.
26:49You have about 20 more days of this fun.
26:52What time is it?
26:54About 4 a.m.
26:56I pulled the short straw.
27:01Flow rate looks good.
27:08Where is your flushing?
27:11What time is it?
27:154 a.m.
27:17Do you not remember just asking?
27:22I don't know.
27:24Elise?
27:28Elise?
27:30Elise?
27:31Elise?
27:33What are you doing?
27:34I'm trying to wake her.
27:35Did she fall asleep again?
27:36In the middle of a sentence.
27:37Elise?
27:38Elise?
27:39What's happening?
27:40The patient's not responding.
27:42The pulse is fine.
27:43The airway's open.
27:45Check her blood pressure.
27:46Okay.
27:49People's are reactive.
27:50Elise, wake up.
27:51You gotta wake up.
27:54What does that mean?
27:55What are you doing?
27:55She's unresponsive to pain.
27:58Come on, Elise.
28:00Is she dying?
28:01I don't know.
28:13She's in a coma.
28:21There's only one way a tularemia patient goes into a coma while on IV chloramphenicol.
28:26The patient doesn't have tularemia.
28:27And then there was one.
28:29The patient comes in because she's sleeping too much and takes ten doctors in a coma to
28:33diagnose sleeping sickness.
28:34And then there was none.
28:35We still have the problem of explaining how a white chick from Jersey who's never traveled
28:39south of D.C. has African sleeping sickness.
28:42The obvious explanation.
28:44I made it clear.
28:45If this guy's lying about sleeping around, he knows he's murdering his wife.
28:50It does seem unlikely.
28:52Go away.
29:11What are you doing?
29:14I'm checking for lymphadenopathy.
29:16I'm waiting for you.
29:19Who are you?
29:21I'm Dr. House.
29:22Your wife has human African trypanosomiasis.
29:27Sleeping sickness.
29:29You mean it's not tularemia?
29:30A virus?
29:32Tumor?
29:32Or cancer?
29:34No.
29:37I've never had an affair.
29:40I believe you.
29:43And I trust the least.
29:46The treatment for this disease is a drug that's fatal on its own ten percent at the time.
29:54Which is why I need your written consent before I can legally prescribe it.
29:57Why would she lie if she knew it could kill her?
29:59I don't ask why patients lie.
30:01I just assume they all do.
30:03But why?
30:32To protect you because she didn't think it mattered.
30:34One fight where she ran to a friend.
30:37One stupid Christmas party.
30:41Then you need to allow me to start treatment.
30:46Because if we don't, she's going to be dead by tomorrow morning.
30:59Do you trust your wife that much?
31:04I don't know.
31:10I'll start the treatment.
31:27Glass syringes?
31:29We're special IV tubing.
31:31Why do we need this stuff?
31:32Because melasoprol melts plastic.
31:34This stuff's basically arsenic mixed with antifrues.
31:38Well, it doesn't kill us.
31:39It makes us stronger, huh?
31:40Nietzsche wouldn't have been so glib if he'd been prescribed melasoprol.
31:46It can cause vomiting, abdominal pain, blood toxicity, neural damage, cardiac arrhythmia.
31:51I forgot to say, it's going to hurt like all hell.
31:54She's lucky she's in a coma.
32:13How long before we know if it's working?
32:15It's tough to say.
32:16It's a good sign that she hasn't gotten any worse.
32:22Does she even know I'm here?
32:25She knows you're always there for her.
32:30Yeah.
32:32If she gets better, it means she wasn't always there for me.
32:39It means she made a mistake.
32:44I can't help it.
32:46Pardon me.
32:47Big pardon me.
32:49You can't handle that.
32:53Doesn't want her to get better.
33:05Does that make me a terrible person?
33:07Yes.
33:38So, you're treating her for African sleeping sickness because you don't think it's possible for someone to be faithful in
33:44a relationship?
33:45And you do?
33:45Yes.
33:47And you need to tell me that.
33:49Look, I'm not having an affair.
33:51I had lunch with someone I work with at work once.
33:55I believe you.
33:56What I don't believe is it'll be just once.
33:58I love my wife.
33:59You certainly love saying it.
34:02I'm sorry.
34:03I know you love your wife.
34:04You loved all your wives.
34:06Probably still do.
34:08In fact, you probably love all the women you loved who weren't your wife.
34:10You can be a real jerk sometimes.
34:12You know that?
34:12Yeah, and you're the good guy.
34:14At least I try.
34:15As long as you're trying to be good, you can do whatever you want.
34:17And as long as you're not trying, you can say whatever you want.
34:20So between us, we can do anything.
34:22We can rule the world.
34:36Mixing up some margaritas.
34:39Mine's a double, senorita.
34:41That's Portuguese, you know.
34:42Spanish.
34:44Uh-oh.
34:48What's going on?
34:50I'm recalibrating the centrifuge.
34:53Turn around.
35:03It's a very sad thing.
35:06An uncalibrated centrifuge makes me cry, too.
35:09I'm not crying.
35:12Okay.
35:27I told the husband he was a jerk.
35:32Why?
35:40When I was in college, I fell in love, and I got married.
35:52And...
35:52That age, the chances of a marriage lasting...
35:55It lasted six months.
35:59Thyroid cancer metastasized to his brain.
36:02There was nothing they could do.
36:06I was 21, and...
36:10I watched my husband die.
36:16I'm sorry.
36:22But that's not the whole story.
36:26It's a symptom, not your illness.
36:29Thyroid cancer would have been diagnosed at least a year before his death.
36:33You knew he was dying.
36:33You married him.
36:36Possibly when you first met him.
36:41And you married him anyway.
36:45You can't be that good a person.
36:48And well-adjusted.
36:51Why?
36:54Because you wind up crying over centrifuges.
36:59Or hating people.
37:02No.
37:17The fever spiked at 104.
37:19Echo shows global hyperkinesis.
37:21What pressure?
37:22Barely 90 over 40.
37:23Did you give her dopamine?
37:24Started 270 micrograms per minute, 10 minutes to go.
37:27Still no change.
37:35Killing the parasites isn't going to do much good if we kill a heart at the same time.
37:39A heart can be replaced.
37:40Your brain can't.
37:41Right now we're killing both.
37:44If she's going to die, we should at least let her do it without that acid flying through her veins.
37:49What's happening?
37:53We would have expected your wife's condition to show some improvement by now.
37:57It hasn't.
37:59It's going the other way.
38:32Please don't die.
38:36Please don't die.
39:03He's awake.
39:11He's awake.
39:45Hey, she's gonna be okay.
39:48Yeah, sure.
40:20What are you gonna do?
40:22Were you always honest with her?
40:25Do you know how lucky you are?
40:26Your wife is alive.
40:27She loves you.
40:29What she did...
40:32You can't love a person and do that to them.
40:36She loves you.
41:06You can't love a person.
41:16I need to know who you had the affair with.
41:22He has to be notified so he can get treatment as well.
41:29Why did you lie to us?
41:32You knew your life was at stake.
41:41He's not coming back, is he?
41:48We all make mistakes.
41:51And we all pay a price.
42:02I need that name.
42:16Hey there.
42:19How you doing?
42:20Fine.
42:24Do you know where your dad is?
42:35Can I help you?
42:35I need you.
42:37I need you.
42:46I'm Scott.
42:49I don't know where you are.
42:50If you don't mind, they are going to get you,
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