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مسلسل House مترجم - Episode 7
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00:02so now the plan is either find ourselves a new counselor stick it out with the old one
00:07but go more often or resign ourselves to the fact she's never going to be happy
00:11no matter what i do so let's just take the money we're wasting and put it towards a
00:14membership in lakeville you know i'm guessing the last option is yet to be formally presented
00:19yeah jeez what's with you usually run half speed to stay with me
00:22i didn't get a lot of sleep last night
00:27how are things with the lease great great yeah
00:35one syllable answers you're either out of breath you're lying to me
00:38you know we got our moments they usually work out man you got some water yeah
00:45so how do you work things out i don't know talk someone apologizes
00:51man i shouldn't have drank last night hey you mean you apologize
00:55yeah i guess how often do you guys have sex
00:58enough
00:59did you do it this morning
01:02you did you did it this morning
01:04maybe that's why you can't stand up huh
01:05come on
01:09elise
01:15honey
01:17i'm dehydrated
01:18do we have anything with electrolytes
01:23sleeping beauty
01:23wake up
01:26it's an emergency
01:27fridge is empty
01:30come on
01:32it's almost four
01:35elise
01:36sweetie
01:39call jock
01:40tell him i'm not feeling well
01:44it's saturday
01:45haven't been to work in three days remember
01:48just let me sleep
01:50come on
01:51you haven't been out of bed since wednesday
01:53leave me alone
01:55come on
01:57sit up
01:57no leave me alone
01:59honey
02:00don't leave me alone
02:11i think there's something wrong with me
02:24no leave you still
02:42you're not a
02:47She's been averaging 18 hours of sleep a day since her admission.
02:50Clinical depression.
02:53Incredibly contagious.
02:54Every time I'm around one of them, I get blue.
02:56It's not clinical depression.
02:57Great.
02:58Got it all figured out.
02:59You don't need me.
03:03Three ER doctors, two neurologists, and a radiologist have all figured out what it's not.
03:06We need to figure out what it is.
03:07If any of the above-mentioned doctors were interested, in my opinion, they would have asked for it.
03:11None of them are willing to subject themselves to you.
03:13No pain, no gain.
03:17The blood work shows no signs of inflammation, and no one can figure out what's actually the cause of-
03:22What?
03:23Husband described her as being unusually irritable recently.
03:26And?
03:27I didn't realize it was possible for a woman to be unusually irritable.
03:35Nice try, but you're a misanthrope, not a misogynist.
03:38What's the first thing you ask a doctor who's referring a patient?
03:41Are you questioning my ability to take a history?
03:45What's the primary-
03:46Not what, why?
03:48Diseases don't have motives.
03:49No, but doctors do.
03:51Why'd this patient want to interest you?
03:54Give me the chart.
03:56Why?
03:58I find your interest interesting.
04:03She's irritable and sleeping 18 hours a day.
04:07What's interesting about that?
04:08Hypersomnia is usually accompanied by irritability in depressed patients.
04:12True, but not relevant.
04:13She's not depressed.
04:14Hello, she's sleeping 18 hours a day.
04:17Fever.
04:18Clinical depression does not cause fever.
04:20She could be sick and depressed.
04:21She's sick.
04:22Ah, damn it.
04:23Why didn't I think of that?
04:24Yeah, that's what I meant.
04:25Elevated sed rate indicates inflammation.
04:27Hypersomnia and personality changes point toward the brain.
04:30Not the spleen.
04:31Thank goodness we hired a neurologist.
04:33Brain symptoms.
04:34Hmm.
04:34Could this be a brain problem?
04:36No other systemic signs of inflammation.
04:37Why not vasculitis?
04:38What about parasites?
04:40Malaria?
04:40Chagas?
04:41But the patient's never been outside of the United States.
04:43Especially the tropics.
04:44You mean she claims she's never been outside the U.S.?
04:46Very good.
04:47Doesn't matter.
04:48Blood and C.S.F. smear show no sign of parasites.
04:50Has to be a tumor then.
04:51A tumor sitting directly on top of the brainstem that three ER doctors, two neurologists, and
04:56a radiologist missed?
04:57Partridge in a pear tree missed it too.
04:59Redo the blood work and get a new MRI with two millimeter cuts through the mesodyencephalic.
05:04And check for evil stepmothers.
05:06This much sleep usually indicates poison apples.
05:09Anything else besides the shortness of breath?
05:12Not really.
05:13It's actually just kind of a tightness.
05:15The smoke?
05:16No, never.
05:17Exercise?
05:18Eight hours a day.
05:20I teach preschool.
05:22Sounds fun.
05:25Any history of heart disease in your family?
05:28Not that I know of.
05:29Take a deep breath.
05:33Been under a lot of stress lately?
05:35No more than usual.
05:37You're probably just a little anemic.
05:39I'm going to do an EKG just to make sure.
05:42Do I need to take this off?
05:43No, you can just pull that down in front.
05:51Good lord.
05:53Are those real?
05:55Do they look real?
05:57They look pretty damn good.
05:59They were a present for my husband's 40th.
06:01I figured he'd enjoy them more than a sweater.
06:05That's so sweet.
06:07But I'm afraid the cause of your problem could be staring us right in the face.
06:11Actually, I guess I'm the one doing the staring.
06:14Of course, I can't be sure.
06:15I'd like to consult a colleague.
06:16He's actually somewhat of an expert in these matters.
06:22Can I get a page on Dr. Wilson?
06:27A tumor.
06:28We don't know.
06:29We're checking just to be safe.
06:30You already checked for that.
06:31The previous MRI had a broader view.
06:33Some tumors are almost impossible to see unless you know exactly where to look.
06:37That means it would be small, right?
06:39Yeah.
06:40Then you'd be able to operate.
06:41Take it out.
06:42If it's a tumor, there are a variety of treatment options, but there are variables other than just size.
06:50Don't worry.
06:52Too late.
06:59Try to remain as still as possible.
07:01The less distortion there is, the more detail we'll be able to see.
07:04Okay.
07:21Well, that's what breasts look like.
07:23Is a lie a lie if everybody knows it's a lie?
07:26Well, if a tree pretends to fall on a forest house, come on.
07:29They're breasts.
07:30They're a birthday present.
07:31A lot of philosophical treatise.
07:32Lie number one.
07:33She did not do that for her husband.
07:35She did that for herself.
07:36She thinks if she looks different, she'll be different.
07:38No, she thinks if she looks different, she'll be more attractive.
07:40Which, I have to say...
07:42Not to her husband.
07:44Cosmetic surgery, so everyone else will look at us differently.
07:47Same reason you're wearing that tie.
07:49Well, exactly.
07:50That was going to be my next point.
07:52Last three months, same five ties.
07:54Thursday should be that paisley thing.
07:56It's a gift from my wife.
07:57No, it's not.
07:59Julie hates green.
08:00You bought that yourself.
08:01You want to look pretty at work.
08:05Wilson's got a girlfriend.
08:07Stop, stop.
08:08I don't.
08:10It takes two department heads to treat shortness of breath.
08:14What, do the complications increase exponentially with cup size?
08:18I want an EKG and blood tests including tox screen on Mrs. Exam Room 1.
08:24You're ordering tests to cover your lechery.
08:26Interesting.
08:28Very tricky case.
08:31You love everybody.
08:32It's your pathology.
08:36There were no lesions and no mass effect that we could see.
08:41What does that mean?
08:43It means we're still not sure what's causing the neurological problems.
08:47I know.
08:48Some things are hard to cure.
08:50But what I just don't get is why it's taking so long.
08:52To figure out what's wrong with her.
08:54I know you're scared.
08:55I would be too.
08:56I don't feel good.
08:57You feeling nauseous?
09:00Honey, you all right?
09:04She's seizing.
09:08Get on her side.
09:09I need the matter van.
09:10I'll get her.
09:12What's happened?
09:13She's having a seizure.
09:16She's aspirating.
09:17Suck you.
09:19Come on.
09:25Come on, Elise.
09:46The MRI reveals nothing.
09:47That we were able to detect.
09:49It's not a tumor.
09:50A small glioma could hide from contrast.
09:53We could do a PET scan.
09:54Yes.
09:54That's how a responsible doctor would waste his time in this situation.
09:58Suddenly, tests and radiologists aren't capable of error.
10:01A glioma not presenting on a contrast MRI would have to be smaller than a grain of sand.
10:06Which does not a gravely ill person make.
10:08It could be just post-ictal disorientation.
10:11We would have seen improvement by now.
10:12Late stage Lyme disease can cause seizures.
10:14Does the husband care about her?
10:16He hasn't left her bedside.
10:18Annoying.
10:18It also means she doesn't have Lyme disease.
10:21What, love conquers all?
10:22Lyme disease initially presents with a rash.
10:25Mr. Clingy would have noticed.
10:26We've looked at everything else.
10:27Did you look at her breasts?
10:30Man.
10:31It could be paraneoplastic.
10:34Does she have any family history of breast cancer?
10:36Her mother died of it.
10:39The brain, but not the brain.
10:42Clever, huh?
10:50How can breast cancer cause problems in her brain?
10:53There are molecular similarities between brain cells and tumor cells.
10:57Paraneoplastic syndrome causes the body's own antibodies to get thrown off track.
11:01They end up attacking the brain instead of the tumor.
11:05So, if you do find a tumor, what do you do?
11:08We treat the underlying malignancy.
11:10Once there's no tumor to attack, there's nothing for the antibodies to get confused about.
11:14If the tumor's treatable.
11:16Exactly.
11:22Ow.
11:23I'm sorry.
11:24I know it's uncomfortable.
11:25The tighter we go, the better the image will be.
11:32At least it'll keep me awake.
11:34Don't worry.
11:34It's almost over.
11:36I wish people would stop telling me not to worry.
11:40I'm sorry.
11:44My mom was the same age.
11:57We've been trying to get pregnant for over a year.
11:59I guess we're lucky we didn't.
12:01A lot has changed since your mom died.
12:04Don't worry.
12:07Don't give up.
12:19No tumor?
12:21The MRI and the mammogram only showed a few benign calcifications.
12:25It's most likely a small cell tumor.
12:27It's no surprise we're having trouble finding it.
12:29We should do a PET scan.
12:30Start with her lungs, then maybe her bones.
12:33Sometimes it presents with no tumor at all.
12:35How can a disease caused by a tumor present if there's no tumor?
12:38It happens.
12:3912% of cases.
12:40And how do you treat it if there's no tumor?
12:42You don't.
12:43Those 12%?
12:44No treatment.
12:45They were too busy looking for the tumor.
12:48Right until they put the patient in the ground.
12:50What choice do we have?
12:51Treat the symptoms.
12:53IV immunoglobulin.
12:55So we're just going to ignore the tumor?
12:57Well, eventually it'll get bigger.
12:59And it'll be really easy to find.
13:00One of you needs to check out where she works.
13:03Why?
13:03Because the husband's not sick.
13:05Manny?
13:06If it's not perineoplastic and it is a reaction to some sort of toxin, it's obviously not coming from their
13:12home.
13:15Foreman, you do it.
13:19Why are you riding me?
13:21It's what I do.
13:23Has it got worse lately?
13:24Yeah.
13:25Seems to me.
13:26Really?
13:28Well, that rules out the race thing.
13:30She was just as black last week.
13:34How long has Elise worked here?
13:35Oh, three years.
13:36She's my best rotisseur.
13:38And what's that?
13:39The rotisseur prepares the roasted meats and gravies.
13:42How do you clean your grill?
13:44Ah, la force du poignet.
13:45You say elbow grease.
13:47Do you use chemical cleaners?
13:48Ah, non.
13:48Absolument.
13:49Chefs don't do the cleaning anyway.
13:51What about pesticides?
13:52You must spray for roaches and that sort of thing.
13:54No, my kitchen is clean.
13:56No roaches.
13:58No, I need to get back to work.
14:03So the fact that I'm here asking you these questions, it doesn't worry you?
14:07Look at me.
14:08I'm here 18 hours a day.
14:10That guy practically lives here.
14:11He does live here.
14:13I've used the same detergents for 15 years and everyone is healthy as a horse.
14:17Whatever Elise has, she didn't get here.
14:20Tell her I hope she feels better.
14:22And I had to get a new rotisseur.
14:37Where's Ed?
14:39He went down to the gift shop to buy his shirt.
14:41I told him I'd stay up here just in case he woke up.
14:45You must have better things to do.
14:48I send my laundry out.
14:50I'm not married.
14:52No.
14:52Well, waiting for the perfect guy.
14:56Let me guess.
14:58You've already found him.
15:03He threw my towels out the window.
15:07That's how we met.
15:10Freshman year, Ed came to a party that my roommate and I threw.
15:15He spent most of the night on the bathroom floor.
15:20He figured that I wouldn't notice the vomit on the towels if I didn't have any towels.
15:28I'm assuming he came back the next day to apologize.
15:31No way.
15:32I had to track him down.
15:36Conflict resolution has never been one of Ed's strong points.
15:42Nobody's perfect, right?
15:45I guess.
15:47Oh, my neck hurts.
15:50You've been in this bed for a really long time.
15:55I'm going to do the same test we did last night, okay?
15:58Do you know what day it is?
16:00My arm itches.
16:02It's probably a mild skin irritation.
16:03I'll get you some hydrocortisone in a minute.
16:05Do you know what day it is?
16:07Tuesday.
16:08It really itches.
16:10How about I get you that cream right now?
16:12Bye.
16:21Oh, my gosh.
16:22Get them off.
16:23Get them off.
16:23Get them off.
16:24Let me get them off.
16:25Elise, at least calm down.
16:26Get them off, please.
16:27Please, calm down.
16:28Calm down.
16:31Ah, my.
16:32I'm going to need the house.
16:33Get them off.
16:35Get them off.
16:36Get them off.
16:38Get them off.
16:49We had to sedate her.
16:50You gave sedatives to a patient who's already sleeping 18 hours a day.
16:54It was better than letting her scratch all her skin off her lungs.
16:56Where's Wilson?
16:57Creepy crawlies are consistent with paraneoplastic syndrome.
17:00On set immediately after IVIG isn't.
17:03There is a simple explanation.
17:05Maybe she really has bugs under her skin.
17:07Infection?
17:09That's what a worsening of symptoms after immunotherapy would suggest.
17:12Blood cultures in the timeline rule out most bacteria.
17:15Patient throws up on your shoes to clean up most of it.
17:18The symptoms rule out the rest.
17:20Serology rules out viruses.
17:22CSF smears rule out parasites.
17:23In the final stage of African trypanosomiasis,
17:27almost all the parasites are inside the brain.
17:29It's possible they wouldn't show on smears.
17:31But it's not possible for a patient who's never been to Africa
17:35to have African sleeping sickness.
17:36I'm just saying it fits the symptoms.
17:38She could have got it from a transfusion.
17:40Or I'm just saying she could have got it from a transfusion.
17:42Which she never had.
17:44Okay.
17:45What about toxins?
17:46No.
17:47The kitchen she works in is cleaner than some hospitals.
17:49But they do serve rabbit.
17:52Rabbit fever fits her symptoms.
17:54Julia Ramia initially presents with a rash or ulcer near the infection site.
17:57Not if she inhaled it.
17:59Chopping the meat with the cleaver could easily aerosolize the bacteria.
18:03No, then she'd have respiratory symptoms.
18:05Maybe she ignored it.
18:06Figured she had a cold.
18:07They rejected Lyme disease because the couple would have noticed a rash.
18:10But a wet hacking cough is just going to slip right by.
18:13It's either that or she missed her exit on the turnpike and wound up in Africa.
18:17Okay, two lousy ideas.
18:20Unfortunately, they're better than all the other ideas.
18:23Tulurimia.
18:24Bizarre.
18:27Very nice.
18:28That's why I ride you.
18:39Did he just turn on the TV?
18:42He needs to think.
18:45So this should tell us whether or not she's got rabbit fever.
18:48For a diagnosis of tulurimia, you need a four-fold increase in serum antibody levels.
18:52To measure an increase you need it before, all we have is an after.
18:54A single titer over 160 would be a big clue.
18:57That's why I ride you.
18:58What does that mean?
18:59Even when I have a good idea, it's because of him?
19:01Actually, I think he said your idea was a lousy idea.
19:03It has to be one of these two conditions.
19:05I say we take our best guess and just start treatment.
19:07Or treat both.
19:08The treatment for tulurimia can cause aplastic anemia.
19:10How come he doesn't ride you guys?
19:12He's got a crush on you.
19:12He just doesn't know how to show it.
19:14Get over it.
19:15He rides everybody.
19:16And the treatment for sleeping sickness kills one in ten patients.
19:19So we start with a safer treatment.
19:21By safer, you mean the one that's slightly less likely to kill her.
19:38Foreman got the gang testing for tulurimia?
19:40Yep.
19:41Probably inconclusive, but worth doing.
19:44So, what's her name?
19:46When do I get to meet her?
19:47There's nobody.
19:48Give it up.
19:49Your lips say no.
19:50Your shoes say yes.
19:51Well, they're French.
19:52Can't trust a word they say.
19:54Solid, yet stylish.
19:56A professional woman would be impressed.
19:58I'm thinking accountant.
20:01Actuary, maybe.
20:02Somebody in the hospital.
20:04Patient?
20:06No, chemo's not sexy.
20:08Daughter of a patient?
20:09She would certainly have the neediness you need.
20:11I'm not going to date a patient's daughter.
20:13Very ethical.
20:15Of course, most married men would say they don't date at all.
20:18There was no date!
20:20I had lunch with one of the nurses.
20:23It's her first time in an oncology unit.
20:24She's having a tough time, emotionally.
20:27Perfect.
20:27I want it to be nice.
20:29That's all.
20:30I mean it.
20:31You always do.
20:32It's part of your charm.
20:34Hi, boys.
20:36Mrs. Campbell's test results.
20:38You remember her.
20:39The preschool teacher with the heart of silicone.
20:41Nope.
20:42Doesn't ring a bell.
20:43They came in yesterday.
20:44I figured you guys would have been all over them.
20:46I know how concerned you are.
20:48She's all upset because we paid more attention to the other girl.
20:51You check out her ass.
20:52I've got the chest.
20:54The tests were normal.
20:56Of course, that's just my opinion.
20:57You might want to call a couple of guys from maintenance in for a consult.
21:00You check her EKG results before she left the other day?
21:03You ordered it.
21:04You're the responsible one.
21:05What's wrong?
21:06They look normal to me.
21:07Where is she?
21:07Waiting downstairs.
21:08Why?
21:10I was right.
21:18Do I have to get rid of the implants?
21:22Surprisingly, no.
21:24But your EKG shows a slightly decreased heart rate.
21:27Is that a problem?
21:28You told me you hadn't changed your diet or exercise.
21:30Were you lying?
21:31Lying?
21:33Does your husband have high blood pressure?
21:35My husband?
21:36Yeah, you see, if you're going to repeat everything I say, this conversation is going to take twice as long.
21:41Yes, he was diagnosed six months ago.
21:43Do you do a lot of cooking at home?
21:45Not really, other than oatmeal in the morning.
21:47Did you happen to notice a slightly odd taste of the oatmeal lately?
21:51Wait, are you saying that...
21:52That it looks like your husband stirred in some of his blood pressure medication along with brown sugar?
21:56You think my husband's trying to poison me?
21:58No.
21:59Nothing like that.
22:01He just doesn't want to have sex with you.
22:04Decreased sex drive is one of the most common side effects of the beta blockers he's been taking.
22:08I'm guessing he figured if you're both frigid, no harm, no foul, should have gotten in the sweater.
22:14That's ridiculous.
22:15Fine.
22:16But if you're still concerned about the shortness of breath, I'd start making your own breakfast.
22:21Wait.
22:23What should I do?
22:27If you care about your husband at all, I'd do the responsible thing.
22:31Buy yourself some condoms, go to a bar, fine.
22:40Huh.
22:52Lab test is inconclusive.
22:55Not surprisingly.
22:56No.
22:57But too bad.
22:58Luckily, I have the answer.
23:01To what?
23:02Thanks for asking.
23:04The life itself, sex.
23:05Anything that can be transmitted via the blood can be transmitted through sex.
23:08Sleeping sickness from sex?
23:10It's not without precedent.
23:11I'm pretty sure it is, unless you're talking about going to Africa and having sex with a ct fly.
23:16A Portuguese man was diagnosed three years ago with CNS-affected sleeping sickness.
23:20His only connection with Africa was through a girlfriend who served with the military in Angola.
23:25Boy, where'd you find that?
23:26The journal of the Instituto de Hygiene e Medicina Tropical.
23:30You don't read Portuguese?
23:31You do?
23:32Pretty sure that's what it said.
23:34Either that or it was an ad for sunglasses.
23:36Her husband has never been to Africa either.
23:38Oh, stymied again.
23:40Your logic is bulletproof.
23:41I think ignoring respiratory symptoms is more likely than cheating.
23:45Because?
23:46They're completely devoted to each other.
23:49Because?
23:51They love each other.
23:54Or they're overcompensating for guilt.
23:58Find out which it is.
23:59You want me to ask a man whose wife is about to die if he cheated on her?
24:03No, I want you to be polite and let her die.
24:06Actually, I don't want you to ask her anything for me.
24:08Take the husband.
24:09Chase, take the wife.
24:20You don't trust me to do my job?
24:23We all formulate questions based on the answers we want to hear.
24:26And how exactly do you reformulate have you screwed around?
24:29Did you know she's been trying to get pregnant?
24:31Yes.
24:31After you got so freaked about the sick babies a while ago, I figured that was your thing.
24:35But you've never been prescribed folic acid.
24:37You can't lose a baby if you've never been pregnant.
24:39You pulled my medical records?
24:40You coughed the other day.
24:42I was concerned.
24:43You were curious.
24:44Like an eight-year-old boy with a puzzle that's just a little too grown up for him to figure
24:48out.
24:50Tomato, tomato.
24:53So it's either a sleeping sickness or this rabbit thing.
24:58They're both fatal without treatment.
25:00And unfortunately, the treatment for both is extremely dangerous.
25:03Other tests you can do?
25:04Not at this stage.
25:06But each condition has a unique history.
25:10We're hoping your answers to a few questions will help us.
25:14Sure.
25:15Whatever you need to know.
25:17Before the sleeping problems, did you have any trouble breathing?
25:20A cough that wouldn't go away?
25:22Anything like that?
25:25No.
25:27You certain?
25:29Absolutely.
25:29I've never been away from her for more than a night.
25:31If she had breathing troubles, I would have noticed.
25:36The other condition is significantly more likely if you've had an affair.
25:44Have you ever had an affair?
25:47Of course not.
25:49You sure?
25:50I think I'd remember cheating on my wife.
25:53You might be reluctant to admit it.
25:54No.
25:55I just want to be perfectly clear.
25:57If your wife has sleeping sickness, and we don't treat her, she'll die.
26:03I would never do that to Ed.
26:07I love him.
26:09Absolutely not.
26:11I love her.
26:26All right, then.
26:28They say no cheating.
26:29We cross off sleeping sickness.
26:31Any new ideas?
26:34Okay.
26:35We go with formus tularemia.
26:37Start around IV chloramphenicol.
26:3825 milligrams per kilogram for time today.
26:41Good night.
26:55Where's Ed?
26:57Right next to you.
26:59Well, you're two down, two to go.
27:03Two days?
27:05No, Doss is...
27:07You have about 20 more days of this fun.
27:10What time was it?
27:12About 4 a.m.
27:14I pulled the short straw.
27:19Flow rate looks good.
27:26When we asked you're flushing?
27:29What time was it?
27:334 a.m.
27:36Do you not remember just asking?
27:40I don't know.
27:43Elise?
27:46Elise?
27:48Elise?
27:49Elise?
27:51What are you doing?
27:52I'm trying to wake her.
27:54Did she fall asleep again?
27:55In the middle of a sentence.
27:56Elise?
27:57Elise?
27:57What's happening?
27:58The patient's not responding.
28:00The pulse is fine.
28:02The airway's open.
28:03Check her blood pressure.
28:07Pupils are reactive.
28:09Elise, wake up.
28:10You gotta wake up.
28:12What does that mean?
28:13What are you doing?
28:14She's unresponsive to pain.
28:16Come on, Elise.
28:18Is she dying?
28:20I don't know.
28:32She's in a coma.
28:35She's in a coma.
28:42There's only one way a tularemia patient goes into a coma while on IV chloramphenicol.
28:47The patient doesn't have tularemia.
28:48And then there was one.
28:50The patient comes in because she's sleeping too much and takes ten doctors in a coma to diagnose sleeping sickness.
28:55And then there was none.
28:56We still have the problem of explaining how a white chick from Jersey who's never traveled south of D.C.
29:01has African sleeping sickness.
29:03The obvious explanation.
29:05I made it clear that if this guy's lying about sleeping around, he knows he's murdering his wife.
29:11It does seem unlikely.
29:13Go away.
29:32What are you doing?
29:35I'm checking for lymphadenopathy.
29:38I'm waiting for you.
29:40Who are you?
29:42I'm Dr. House.
29:44Your wife has human African trypanosomiasis.
29:49Sleeping sickness.
29:50You mean it's not tularemia?
29:52A virus?
29:53Tumor?
29:54Or cancer?
29:55No.
29:59I've never had an affair.
30:02I believe you.
30:04And I trust the lease.
30:08The treatment for this disease is a drug that's fatal on its own ten percent of the time.
30:15Which is why I need your written consent before I can legally prescribe it.
30:18Why would she lie if she knew it could kill her?
30:21I don't ask why patients lie.
30:23I just assume they all do.
30:25But why?
30:26To protect you because she didn't think it mattered.
30:28It just seemed easier because that's what people do.
30:36And if you're absolutely certain that your wife has never had sex with anyone but you since you were married,
30:41then I'm wrong.
30:44But if you think there's a possibility that just one time she wasn't perfect, one weekend you're out of town,
30:56one fight where she ran to a friend, one stupid Christmas party.
31:03And you need to allow me to start treatment because if we don't, she's going to be dead by tomorrow
31:12morning.
31:21Do you trust your wife that much?
31:26I don't know.
31:32I'm going to start the treatment.
31:49Glass syringes?
31:51The special IV tubing.
31:53Why do we need this stuff?
31:55Because melassapro melts plastic.
31:57This stuff's basically arsenic mixed with antifrues.
32:01What doesn't kill us makes us stronger, huh?
32:03Nietzsche wouldn't have been so glib if he'd been prescribed melassapro.
32:08It can cause vomiting, abdominal pain, blood toxicity, neural damage, cardiac arrhythmia.
32:14I forgot to say it's going to hurt like all hell.
32:16She's lucky she's in a coma.
32:35How long before we know if it's working?
32:37It's tough to say.
32:39It's a good sign that she hasn't gotten any worse.
32:45Does she even know I'm here?
32:48She knows you're always there for her.
32:52Yeah.
32:54She gets better.
32:57It means she wasn't always there for me.
33:02It means she made a mistake.
33:06I can't help it.
33:09Part of me.
33:10Big part of me.
33:12Can't handle that.
33:16Doesn't want her to get better.
33:28Does that make me a terrible person?
33:37Yes.
34:02So, you're treating her for African sleeping sickness because you don't think it's possible
34:06for someone to be faithful in a relationship?
34:08And you do?
34:09Yes.
34:10And you need to tell me that.
34:12Look, I'm not having an affair.
34:14I had lunch with someone I work with at work once.
34:18I believe you.
34:19What I don't believe is it'll be just once.
34:21I loved my wife.
34:23You certainly loved saying it.
34:26I'm sorry.
34:26I know you love your wife.
34:28You loved all your wives.
34:29Probably still do.
34:31In fact, you probably love all the women you loved who weren't your wife.
34:34You can be a real jerk sometimes.
34:35You know that?
34:36Yeah.
34:36And you're the good guy.
34:37At least I try.
34:38As long as you're trying to be good, you can do whatever you want.
34:40And as long as you're not trying, you can say whatever you want.
34:43So between us, we can do anything.
34:45We can rule the world.
35:00Mixing up some margaritas.
35:01Mine's a double, senorita.
35:04That's Portuguese, you know.
35:06Spanish.
35:08Uh-oh.
35:11What's going on?
35:13I'm recalibrating the centrifuge.
35:16Turn around.
35:27It's a very sad thing.
35:29An uncalibrated centrifuge makes me cry, too.
35:34I'm not crying.
35:51I told the husband he was a jerk.
35:56Why?
36:04When I was in college, I fell in love, and I got married.
36:15And...
36:16That age, the chances of a marriage lasting...
36:19It lasted six months.
36:23Thyroid cancer metastasized to his brain.
36:26There was nothing they could do.
36:30I was 21, and...
36:33I watched my husband die.
36:40I'm sorry.
36:45But that's not the whole story.
36:49It's a symptom, not your illness.
36:53Thyroid cancer would have been diagnosed...
36:55at least a year before his death.
36:56You knew he was dying when you married him.
36:59Possibly when you first met him.
37:05And you married him anyway.
37:09You can't be that good a person...
37:11and well-adjusted.
37:14Why?
37:17Because you wind up crying over centrifuges.
37:23Or hating people.
37:41The fever spiked at 104.
37:43Echo shows global hyperkinesis.
37:45What pressure?
37:46Barely 90 over 40.
37:47Did you give her dopamine?
37:48Started 270 micrograms per minute, 10 minutes ago.
37:51Still no change.
37:59Killing the parasites isn't going to do much good if we kill a heart at the same time.
38:03A heart can be replaced.
38:04The brain can't.
38:06Right now we're killing both.
38:08If she's going to die, we should at least let her do it without that acid flying through her veins.
38:13What's happening?
38:16We would have expected your wife's condition to show some improvement by now.
38:21And it hasn't.
38:23It's going the other way.
38:25It's going the other way.
38:55Please don't die.
38:59Please don't die.
39:02Please don't die.
39:25Well, he's away.
40:09Hey, she's gonna be okay.
40:13Yeah, sure.
40:45What are you gonna do?
40:47Were you always honest with her?
40:50Do you know how lucky you are?
40:51Your wife is alive.
40:52She loves you.
40:54But she did.
40:56You can't love a person and do that to them.
41:02She loves you.
41:41I need to know who you had the affair with.
41:47He has to be notified so we can get treatment as well.
41:54Why did you lie to us?
41:57Because you knew your life was at stake.
42:06He's not coming back, is he?
42:13We all make mistakes.
42:16And we all pay a price.
42:27I need that name.
42:28Why are you lying?
42:41Hey there.
42:43How you doing?
42:45Fine.
42:49Do you know where your dad is?
43:00Can I help you?
43:43Do you know where your dad is?
43:51That's some bad hat, Harry.
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