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