1 00:00:11,107 --> 00:00:14,209 So now the plan is either find ourselves a new counselor, 2 00:00:14,755 --> 00:00:16,437 stick it out with the old one but go more often, 3 00:00:16,437 --> 00:00:19,173 or resign ourselves to the fact that she's never gonna be happy 4 00:00:20,089 --> 00:00:22,155 no matter what I do, so let's just take the money we're wasting 5 00:00:22,155 --> 00:00:24,457 and put it towards a membership at Lakeview, you know? 6 00:00:24,863 --> 00:00:27,373 I'm guessing the last option obviously formally present her. 7 00:00:27,373 --> 00:00:29,291 Yeah... Jeez what's with you? 8 00:00:29,669 --> 00:00:31,218 It usually takes about half speed to stay with me. 9 00:00:31,276 --> 00:00:32,927 I didn't get a lot of sleep last night. 10 00:00:35,875 --> 00:00:36,976 How are things with Elise? 11 00:00:38,356 --> 00:00:39,256 Great. 12 00:00:39,728 --> 00:00:40,461 Great? 13 00:00:40,736 --> 00:00:41,518 Yeah. 14 00:00:43,567 --> 00:00:45,927 Simple answers. You're either out of breath or you're lying to me. 15 00:00:46,645 --> 00:00:49,801 Yeah... we have our moments, but they usually work out. 16 00:00:50,103 --> 00:00:51,215 Can I get some water? 17 00:00:51,335 --> 00:00:51,996 Yeah... 18 00:00:53,621 --> 00:00:54,857 So how do you work things out? 19 00:00:57,424 --> 00:00:59,219 Talk, someone apologizes. 20 00:00:59,375 --> 00:01:01,010 Man I shouldn't have drank last night. 21 00:01:01,248 --> 00:01:02,781 Hey, you mean you apologize. 22 00:01:03,967 --> 00:01:04,929 Yeah, I guess. 23 00:01:05,055 --> 00:01:06,440 How often do you guys have sex? 24 00:01:07,212 --> 00:01:08,021 Enough... 25 00:01:08,322 --> 00:01:09,313 You do it this morning? 26 00:01:10,796 --> 00:01:12,293 You did, you did it this morning, 27 00:01:12,381 --> 00:01:15,055 maybe that's why you can't stand up. Come on! 28 00:01:17,201 --> 00:01:18,051 Elise! 29 00:01:24,034 --> 00:01:26,395 Honey, I'm dehydrated. 30 00:01:26,605 --> 00:01:28,569 We have anything with electrolytes? 31 00:01:31,363 --> 00:01:36,628 Sleeping beauty, wake up, this is an emergency. 32 00:01:37,349 --> 00:01:38,523 The fridge is empty. 33 00:01:39,938 --> 00:01:42,160 Come on, it's almost four! 34 00:01:44,303 --> 00:01:46,876 Elise, sweetie... 35 00:01:47,963 --> 00:01:51,782 Call Jacques, tell him I'm not feeling well. 36 00:01:52,995 --> 00:01:53,835 It's Saturday. 37 00:01:54,524 --> 00:01:56,479 You haven't been to work in three days, remember? 38 00:01:57,338 --> 00:01:58,960 Just let me sleep. 39 00:01:59,428 --> 00:02:02,521 Come on. You haven't been out of bed since Wednesday. 40 00:02:02,629 --> 00:02:04,061 Leave me alone... 41 00:02:04,853 --> 00:02:06,012 Come on, lets go. 42 00:02:06,030 --> 00:02:08,025 No, leave me alone. 43 00:02:08,207 --> 00:02:08,648 Honey- 44 00:02:09,102 --> 00:02:10,590 I SAID LEVE ME ALONE! 45 00:02:20,171 --> 00:02:22,217 I think there's something wrong with me. 46 00:02:23,816 --> 00:02:28,478 1X07: FIDELITY 47 00:02:50,375 --> 00:02:53,649 Original Airdate on FOX: December 28, 2004 48 00:02:54,489 --> 00:02:57,411 She's been averaging 18 hours of sleep a day since her admission. 49 00:02:57,411 --> 00:03:00,904 Clinical depression. Incredibly contagious. 50 00:03:00,960 --> 00:03:02,833 Every time I'm around one of them I get blue. 51 00:03:02,901 --> 00:03:04,394 It's not clinical depression. 52 00:03:04,394 --> 00:03:07,138 Great, you got it all figured out. You don't need me. 53 00:03:09,753 --> 00:03:13,051 Three ER doctors, two neurologists and a radiologist have all figured out what its not, 54 00:03:13,127 --> 00:03:14,288 we need to figure out what it IS. 55 00:03:14,288 --> 00:03:17,862 Well, maybe if above mentioned doctors were interested in my opinion they would have asked for it. 56 00:03:17,862 --> 00:03:20,268 None of them are willing to subject themselves to you. 57 00:03:20,680 --> 00:03:22,319 No pain no gain. 58 00:03:24,066 --> 00:03:26,148 The blood work showed no signs of inflammation, 59 00:03:26,148 --> 00:03:27,958 and no one can figure out what's actually the cause of— 60 00:03:27,958 --> 00:03:28,537 Huh. 61 00:03:28,972 --> 00:03:29,620 What? 62 00:03:29,860 --> 00:03:32,870 Husband described her as being unusually irritable recently. 63 00:03:32,870 --> 00:03:33,648 And? 64 00:03:34,332 --> 00:03:37,384 I didn't know it was possible for a woman to be "unusually" irritable. 65 00:03:42,004 --> 00:03:44,308 Nice try, but you're a misanthrope, not a masochist. 66 00:03:45,220 --> 00:03:47,784 What's the first thing you ask a doctor who's referring a patient? 67 00:03:47,784 --> 00:03:49,624 Are you questioning my ability to take a history? 68 00:03:52,046 --> 00:03:53,084 "What's the primary"-- 69 00:03:53,126 --> 00:03:54,629 Not "what?". "Why?" 70 00:03:54,629 --> 00:03:56,037 Diseases don't have motives. 71 00:03:56,037 --> 00:03:57,437 No, but doctors do. 72 00:03:58,005 --> 00:04:00,159 Why this patient, what interests you? 73 00:04:01,819 --> 00:04:02,667 Give me the chart. 74 00:04:02,816 --> 00:04:03,478 Why? 75 00:04:05,738 --> 00:04:08,002 I find your interest interesting. 76 00:04:10,714 --> 00:04:13,708 She's irritable, sleeping 18 hours a day. 77 00:04:13,708 --> 00:04:15,280 What's interesting about that? 78 00:04:15,280 --> 00:04:18,712 Hypersomnia is usually accompanied by irritability in depressed patients. 79 00:04:18,712 --> 00:04:21,124 True, but not relevant. She's not depressed. 80 00:04:21,450 --> 00:04:23,799 Hello! She's sleeping 18 hours a day! 81 00:04:23,799 --> 00:04:24,381 Fever. 82 00:04:24,712 --> 00:04:26,598 Clinical depression does not cause fever. 83 00:04:26,598 --> 00:04:27,856 She could be sick and depressed? 84 00:04:27,964 --> 00:04:31,074 She's sick! Dammit, why didn't I think of that? 85 00:04:31,131 --> 00:04:32,166 Yeah, that's what I mean... 86 00:04:32,220 --> 00:04:34,015 Elevated SED rate indicates inflammation. 87 00:04:34,015 --> 00:04:36,679 Hypersomnia and personality changes point toward the brain. 88 00:04:36,745 --> 00:04:37,610 Not the spleen. 89 00:04:37,757 --> 00:04:39,620 Thank goodness we hired a neurologist! 90 00:04:39,770 --> 00:04:42,715 Brain symptoms... hmm, could this be a brain problem? 91 00:04:42,715 --> 00:04:45,401 No other systemic signs of inflammation, probably not vasculitis. 92 00:04:45,401 --> 00:04:47,760 What about parasites? Malaria, chagas? 93 00:04:47,760 --> 00:04:51,140 Patient's never been outside the United States, especially the tropics. 94 00:04:51,140 --> 00:04:53,325 You mean she claims she's never been outside the U.S. 95 00:04:53,584 --> 00:04:54,242 Very good. 96 00:04:54,242 --> 00:04:57,055 Doesn't matter, blood and c-sub smears show no sign of parasites. 97 00:04:57,055 --> 00:04:58,058 Has to be a tumor then. 98 00:04:58,058 --> 00:05:00,271 A tumor sitting directly on top of the brain stem. 99 00:05:00,271 --> 00:05:03,775 That three ER doctors, two neurologists, and a radiologist missed? 100 00:05:03,775 --> 00:05:05,695 Partridge in a pear tree missed it too. 101 00:05:05,695 --> 00:05:10,350 Redo the blood work and get a new MRI with 2 millimeter cuts through the mesodiencephalic. 102 00:05:11,013 --> 00:05:12,588 And check for evil stepmothers. 103 00:05:12,589 --> 00:05:14,828 This much sleep usually indicates poisoned apples. 104 00:05:16,221 --> 00:05:18,559 Anything else beside the shortness of breath? 105 00:05:18,957 --> 00:05:22,090 Not really, its actually just kind of a tightness. 106 00:05:22,090 --> 00:05:22,855 You smoke? 107 00:05:23,230 --> 00:05:24,031 No, never. 108 00:05:24,031 --> 00:05:25,027 Exercise? 109 00:05:25,775 --> 00:05:26,991 Eight hours a day. 110 00:05:27,912 --> 00:05:29,057 I teach preschool. 111 00:05:29,676 --> 00:05:30,447 Sounds fun. 112 00:05:32,654 --> 00:05:34,689 Any history of heart disease in your family? 113 00:05:34,689 --> 00:05:35,874 Not that I know of. 114 00:05:36,419 --> 00:05:37,423 Take a deep breath. 115 00:05:40,248 --> 00:05:41,791 Been under a lot of stress lately? 116 00:05:42,329 --> 00:05:43,480 None more than usual. 117 00:05:44,287 --> 00:05:45,871 You're probably just a little anemic, 118 00:05:46,397 --> 00:05:48,389 but I'm going to do an EKG just to make sure. 119 00:05:48,726 --> 00:05:49,811 Do I need to take this off? 120 00:05:50,154 --> 00:05:51,806 No, you can just pull that down in front. 121 00:05:57,555 --> 00:06:01,439 Good. Lord. Are those real? 122 00:06:02,652 --> 00:06:03,890 Do they look real? 123 00:06:04,737 --> 00:06:06,276 They look... pretty damn good. 124 00:06:06,436 --> 00:06:08,584 They were a present for my husband's 40th. 125 00:06:08,584 --> 00:06:10,610 I figured he'd enjoy them more than a sweater. 126 00:06:11,917 --> 00:06:12,840 That's so sweet. 127 00:06:14,024 --> 00:06:17,671 I'm afraid the cause of your problem could be staring us right in the face. 128 00:06:18,106 --> 00:06:20,183 Actually I guess I'm the one doing the staring. 129 00:06:20,780 --> 00:06:23,232 Of course I can't be sure, I'd like to consult a colleague. 130 00:06:23,387 --> 00:06:26,573 He's actually somewhat of an expert in these matters. 131 00:06:29,071 --> 00:06:30,812 Can I get a page on Dr. Wilson? 132 00:06:33,874 --> 00:06:34,678 A tumor? 133 00:06:34,933 --> 00:06:37,272 We don't know, we're checking just to be safe. 134 00:06:37,398 --> 00:06:38,312 They already checked for that. 135 00:06:38,312 --> 00:06:40,385 The previous MRI had a broader view. 136 00:06:40,385 --> 00:06:44,251 Some tumors are almost impossible to see unless we know exactly where to look. 137 00:06:44,251 --> 00:06:46,210 That means it would be small, right? 138 00:06:46,210 --> 00:06:46,790 Yes. 139 00:06:46,790 --> 00:06:49,281 So you'd be able to operate? Take it out? 140 00:06:49,281 --> 00:06:52,289 If it is a tumor, there are a variety of treatment options, 141 00:06:52,289 --> 00:06:54,876 but there are variables other than just size. 142 00:06:57,241 --> 00:06:57,975 Don't worry... 143 00:06:59,808 --> 00:07:00,765 Too late. 144 00:07:06,110 --> 00:07:07,871 Try to remain as still as possible. 145 00:07:08,390 --> 00:07:10,895 The less distortion there is, the more we'll be able to see. 146 00:07:11,289 --> 00:07:11,677 Ok. 147 00:07:27,125 --> 00:07:29,588 Well. That's what breasts look like. 148 00:07:30,276 --> 00:07:33,051 Is a lie a lie if everybody knows it's a lie? 149 00:07:33,051 --> 00:07:34,801 Well, if a tree pretends to fall in a forest... 150 00:07:34,801 --> 00:07:36,614 House, come on, they're breasts. 151 00:07:36,614 --> 00:07:38,761 They're a birthday present, not a philosophical treatise. 152 00:07:38,761 --> 00:07:39,808 Lie number one, 153 00:07:40,398 --> 00:07:43,164 she did not do that for her husband, she did that for herself. 154 00:07:43,164 --> 00:07:44,990 She thinks if she looks different, she'll be different. 155 00:07:44,990 --> 00:07:49,506 No, she thinks if she looks different, she'll be more attractive, which, I have to say... 156 00:07:49,506 --> 00:07:50,550 Not to her husband. 157 00:07:50,786 --> 00:07:53,473 Cosmetic surgery is so that everyone else will look at us differently. 158 00:07:54,618 --> 00:07:56,193 Same reason you're wearing that tie. 159 00:07:56,193 --> 00:07:59,060 Well exactly, that was going to be my next point. 160 00:07:59,060 --> 00:08:01,126 Last three months, same five ties. 161 00:08:01,126 --> 00:08:03,049 Thursday should be that paisley thing. 162 00:08:03,271 --> 00:08:04,315 It's a gift from my wife. 163 00:08:04,315 --> 00:08:08,041 No its not. Julie hates green. You bought that yourself. 164 00:08:08,041 --> 00:08:10,633 You want to look pretty. At work. 165 00:08:11,329 --> 00:08:13,675 Wilson's got a girlfriend... 166 00:08:14,061 --> 00:08:16,329 Stop! Stop. I don't. 167 00:08:17,224 --> 00:08:20,603 It takes TWO department heads to treat shortness of breath? 168 00:08:21,020 --> 00:08:24,450 What, do the complications increase exponentially with cup size? 169 00:08:24,984 --> 00:08:28,671 I want an EKG and blood tests including tox screen on Mrs... 170 00:08:29,605 --> 00:08:30,709 Exam Room 1. 171 00:08:30,772 --> 00:08:33,357 You're ordering tests to cover your lechery. 172 00:08:33,773 --> 00:08:34,606 Interesting. 173 00:08:34,606 --> 00:08:36,301 Very tricky case. 174 00:08:38,457 --> 00:08:40,992 You love everybody. That's your pathology. 175 00:08:43,580 --> 00:08:46,574 There were no lesions and no mass effect that we could see. 176 00:08:48,361 --> 00:08:49,510 What does that mean? 177 00:08:50,552 --> 00:08:53,743 It means we're still not sure what's causing your neurological problems. 178 00:08:53,743 --> 00:08:56,358 I know some thing are hard to cure, 179 00:08:57,276 --> 00:09:00,970 but what I just don't get is why it's taking so long to figure out what's wrong with her. 180 00:09:00,970 --> 00:09:02,782 I know you're scared, I would be too. 181 00:09:02,866 --> 00:09:03,968 I don't feel good... 182 00:09:04,726 --> 00:09:05,870 You feeling nauseous? 183 00:09:06,841 --> 00:09:08,739 Honey? You all right? 184 00:09:11,849 --> 00:09:12,481 She's seizing! 185 00:09:15,002 --> 00:09:17,352 Get her on her side. I need some Ativan! 186 00:09:17,352 --> 00:09:18,118 I'll get it! 187 00:09:19,708 --> 00:09:20,256 What's happening? 188 00:09:20,256 --> 00:09:21,243 She's having a seizure. 189 00:09:23,508 --> 00:09:25,107 She's aspirating, suction! 190 00:09:25,990 --> 00:09:26,444 Elise! 191 00:09:32,398 --> 00:09:33,126 Come on Elise! 192 00:09:50,679 --> 00:09:52,281 The MRI reveals nothing. 193 00:09:52,281 --> 00:09:54,010 That we were able to detect. 194 00:09:54,010 --> 00:09:55,080 It's not a tumor. 195 00:09:55,080 --> 00:09:58,453 A small glioma could hide from contrast. We could do a PET scan. 196 00:09:58,453 --> 00:10:02,399 Yes, that's how a responsible doctor would waste his time in the situation. 197 00:10:02,567 --> 00:10:05,576 Suddenly tests and radiologists aren't capable of error? 198 00:10:05,576 --> 00:10:10,121 A glioma not presenting on a contrast MRI would have to be smaller than a grain of sand, 199 00:10:10,554 --> 00:10:12,910 which does not a gravely ill person make. 200 00:10:12,910 --> 00:10:15,296 It could be just postictal disorientation. 201 00:10:15,296 --> 00:10:16,780 We would have seen improvement by now. 202 00:10:16,780 --> 00:10:18,935 Late stage Lyme Disease can cause seizures. 203 00:10:18,935 --> 00:10:20,257 Does the husband care about her? 204 00:10:20,257 --> 00:10:21,690 He hasn't left her bedside. 205 00:10:21,690 --> 00:10:25,107 No way... it also means she doesn't have Lyme Disease. 206 00:10:25,107 --> 00:10:26,957 What? Love conquers all? 207 00:10:26,957 --> 00:10:29,049 Lyme Disease initially presents with a rash. 208 00:10:29,049 --> 00:10:30,445 Mr. Clingy would have noticed. 209 00:10:30,445 --> 00:10:31,753 We've looked at everything else. 210 00:10:31,753 --> 00:10:32,798 Did you look at her breasts? 211 00:10:33,679 --> 00:10:34,932 Pff. Men. 212 00:10:35,903 --> 00:10:37,633 Could be paraneoplastic. 213 00:10:38,502 --> 00:10:40,593 She have any family history of breast cancer? 214 00:10:40,928 --> 00:10:42,248 Her mother died of it. 215 00:10:43,800 --> 00:10:47,260 The brain, but not the brain. Clever, huh? 216 00:10:55,088 --> 00:10:57,798 How can breast cancer cause problems in her brain? 217 00:10:58,191 --> 00:11:01,608 There are molecular similarities between brain cells and tumor cells. 218 00:11:01,889 --> 00:11:05,846 Paraneoplastic Syndrome causes the body's own antibodies to get thrown off track. 219 00:11:06,296 --> 00:11:09,149 They end up attacking the brain instead of the tumor. 220 00:11:09,527 --> 00:11:12,225 So if you do find the tumor, what do you do? 221 00:11:12,350 --> 00:11:14,544 We treat the underlying malignancy. 222 00:11:14,544 --> 00:11:18,736 Once there's no tumor to attack, there's nothing for the antibodies to get confused about. 223 00:11:18,736 --> 00:11:20,225 If the tumor's treatable. 224 00:11:20,560 --> 00:11:21,338 Exactly. 225 00:11:27,020 --> 00:11:27,593 OW! 226 00:11:27,755 --> 00:11:29,755 I'm sorry, I know it's uncomfortable. 227 00:11:30,009 --> 00:11:32,899 The tighter we go, the better the image will be. 228 00:11:37,013 --> 00:11:38,398 Least it'll keep me awake. 229 00:11:38,398 --> 00:11:39,846 Don't worry, it's almost over. 230 00:11:41,054 --> 00:11:43,507 I wish people would stop telling me not to worry. 231 00:11:45,027 --> 00:11:45,985 I'm sorry. 232 00:11:49,014 --> 00:11:50,861 My mom was the same age. 233 00:12:01,708 --> 00:12:03,470 We've been trying to get pregnant for over a year. 234 00:12:03,458 --> 00:12:04,971 I guess we're lucky we didn't. 235 00:12:05,672 --> 00:12:07,901 A lot has changed since your mom died. 236 00:12:08,662 --> 00:12:09,587 Don't worr... 237 00:12:12,163 --> 00:12:13,123 Don't give up. 238 00:12:24,345 --> 00:12:25,389 No tumor? 239 00:12:25,883 --> 00:12:29,117 The MRI and mammogram only showed a few benign calcifications. 240 00:12:29,201 --> 00:12:31,204 It's most likely a small cell tumor, 241 00:12:31,565 --> 00:12:33,502 its no surprise we're having trouble finding it. 242 00:12:33,838 --> 00:12:34,807 We should do a PET scan. 243 00:12:34,891 --> 00:12:37,499 Start with her lungs, and maybe her bones... 244 00:12:37,583 --> 00:12:39,357 Sometimes it presents with no tumor at all. 245 00:12:39,441 --> 00:12:42,287 How can a disease caused by a tumor present if there's no tumor? 246 00:12:42,344 --> 00:12:44,311 It happens. Twelve percent of cases. 247 00:12:44,395 --> 00:12:46,473 And how do you treat it if there's no tumor? 248 00:12:46,660 --> 00:12:49,686 You don't. Those twelve percent have no treatment. 249 00:12:50,222 --> 00:12:52,095 They were too busy looking for the tumor, 250 00:12:52,591 --> 00:12:54,433 right till they put the patient in the ground. 251 00:12:54,871 --> 00:12:55,926 What choice do we have? 252 00:12:56,094 --> 00:12:59,229 Treat the symptoms. IV Immunoglobulin. 253 00:12:59,432 --> 00:13:00,980 So we're just going to ignore the tumor? 254 00:13:01,431 --> 00:13:04,958 Eventually it'll get bigger. Then it'll be really easy to find. 255 00:13:05,239 --> 00:13:07,206 One of you needs to check out where she works. 256 00:13:07,619 --> 00:13:08,038 Why? 257 00:13:08,122 --> 00:13:09,578 Cause the husband's not sick. 258 00:13:10,199 --> 00:13:10,602 Meaning? 259 00:13:10,894 --> 00:13:16,742 If it's not paraneoplastic and it is a reaction to some kind of toxic, it's obviously not coming from their home. 260 00:13:18,628 --> 00:13:20,631 Foreman, you do it. 261 00:13:23,874 --> 00:13:25,249 Why are you riding me? 262 00:13:26,144 --> 00:13:28,880 It's what I do... has it gotten worse lately? 263 00:13:29,125 --> 00:13:30,702 Yeah. Seems to me. 264 00:13:30,863 --> 00:13:34,024 Really. Well that rules out the race thing. 265 00:13:34,386 --> 00:13:36,063 Cause you were just as black last week. 266 00:13:38,490 --> 00:13:39,729 How long has Elise worked here? 267 00:13:40,147 --> 00:13:42,099 Three years, she's my best rotisseur. 268 00:13:42,318 --> 00:13:43,137 What's that? 269 00:13:43,137 --> 00:13:45,883 The rotisseur prepares the roasted meats and gravies. 270 00:13:46,841 --> 00:13:48,178 How do you clean your grill? 271 00:13:50,034 --> 00:13:51,294 They say elbow grease. 272 00:13:51,360 --> 00:13:52,425 Do you use chemical cleaners? 273 00:13:52,425 --> 00:13:55,069 Ah, no. Absolutely no, our chefs don't do the cleaning, anyway. 274 00:13:55,718 --> 00:13:56,946 What about pesticides? 275 00:13:56,946 --> 00:13:58,865 You must spray for roaches and that sort of thing? 276 00:13:58,865 --> 00:14:01,937 Nope, my kitchen is clean. No roaches. 277 00:14:05,436 --> 00:14:06,949 I need to get back to work. 278 00:14:08,240 --> 00:14:11,605 And the fact that I'm here asking you these questions, it doesn't worry you? 279 00:14:12,192 --> 00:14:14,306 Look at me. I'm here 18 hours a day. 280 00:14:14,482 --> 00:14:17,571 That guy practically lives here, he does live here... 281 00:14:17,827 --> 00:14:21,277 I use the same detergents for 15 years and everyone is healthy as a horse. 282 00:14:21,625 --> 00:14:23,659 Whatever Elise has she didn't get here. 283 00:14:24,750 --> 00:14:28,559 Tell her I hope she feels better, and I had to get a new rotisseur. 284 00:14:41,878 --> 00:14:43,062 Where's Ed? 285 00:14:43,467 --> 00:14:45,458 He went down to the gift shop to buy a shirt. 286 00:14:45,806 --> 00:14:48,070 I told him I'd stay up here in case you woke up. 287 00:14:49,506 --> 00:14:51,737 You must have better things to do. 288 00:14:52,483 --> 00:14:53,747 I send my laundry out. 289 00:14:55,097 --> 00:14:56,084 You're not married? 290 00:14:56,336 --> 00:14:56,838 No. 291 00:14:57,814 --> 00:14:59,503 Waiting for the perfect guy? 292 00:15:00,911 --> 00:15:01,777 Let me guess. 293 00:15:02,417 --> 00:15:03,734 You've already found him. 294 00:15:07,719 --> 00:15:09,922 He threw my towels out the window. 295 00:15:10,846 --> 00:15:11,390 What? 296 00:15:12,398 --> 00:15:13,521 It's how we met. 297 00:15:14,516 --> 00:15:19,091 Freshman year, he came to a party my roommate and I threw. 298 00:15:20,398 --> 00:15:23,296 He spent most of the night on the bathroom floor. 299 00:15:24,825 --> 00:15:30,533 He figured I wouldn't notice vomit on the towels if I didn't have any towels. 300 00:15:33,143 --> 00:15:35,562 I'm assuming he came back the next day to apologize? 301 00:15:35,562 --> 00:15:38,408 No way. We had to track him down. 302 00:15:41,135 --> 00:15:44,686 Conflict resolution has never been one of Ed's strong points. 303 00:15:46,394 --> 00:15:48,327 Nobody's perfect, right? 304 00:15:49,347 --> 00:15:50,028 I guess. 305 00:15:51,303 --> 00:15:52,740 Oh my neck hurts. 306 00:15:54,734 --> 00:15:56,653 You've been in this bed for a really long time. 307 00:15:59,900 --> 00:16:01,934 We're gonna do the same test we did last night, ok? 308 00:16:02,673 --> 00:16:03,869 Do you know what day it is? 309 00:16:05,222 --> 00:16:06,305 My arm itches. 310 00:16:06,305 --> 00:16:07,849 It's probably just a mild skin irritation, 311 00:16:07,849 --> 00:16:09,572 I'll get you some hydrocortisone in a minute. 312 00:16:10,209 --> 00:16:11,249 Do you know what day it is? 313 00:16:11,249 --> 00:16:13,323 Tuesday. It really itches. 314 00:16:14,671 --> 00:16:16,204 How about get you that cream right now. 315 00:16:25,930 --> 00:16:29,324 Oh my God! Get them off! Someone! Get them off of me! 316 00:16:29,324 --> 00:16:30,640 Elise calm down. 317 00:16:31,655 --> 00:16:32,497 Elise calm down. 318 00:16:36,194 --> 00:16:38,122 I need some Haldol, 5 milligrams. 319 00:16:38,335 --> 00:16:39,568 Elise, what's wrong? 320 00:16:39,569 --> 00:16:44,711 Get them off! Get them off! Get them off! 321 00:16:44,971 --> 00:16:48,022 There's nothing there, Elise. There's nothing there! 322 00:16:51,819 --> 00:16:52,836 We had to sedate her. 323 00:16:53,396 --> 00:16:56,957 You gave sedatives to a patient who's already sleeping 18 hours a day? 324 00:16:56,957 --> 00:16:59,413 It was better than letting her scratch all the skin off her arms. 325 00:16:59,413 --> 00:17:00,340 Or supposed to be. 326 00:17:00,340 --> 00:17:03,317 Creepy-crawlies are consistent with paraneoplastic syndrome. 327 00:17:03,317 --> 00:17:05,577 Onset immediately after IVIG isn't. 328 00:17:05,577 --> 00:17:10,025 There is a simple explanation. Maybe she really has bugs under her skin. 329 00:17:10,025 --> 00:17:10,756 Infection? 330 00:17:11,743 --> 00:17:15,054 That's what the worsening of symptoms after immunotherapy would suggest. 331 00:17:15,173 --> 00:17:17,800 Blood cultures and the timeline rule out most bacteria. 332 00:17:17,800 --> 00:17:20,735 If a patient throws up on your shoes do you clean up "most" of it? 333 00:17:20,735 --> 00:17:22,340 The symptoms rule out the rest. 334 00:17:22,788 --> 00:17:26,494 Serology rules out viruses, CSS smears rule out parasites. 335 00:17:26,494 --> 00:17:32,118 In the final stage of African Trypanosomiasis almost all the parasites are inside the brain. 336 00:17:32,118 --> 00:17:34,311 It's possible they wouldn't show on smears. 337 00:17:34,517 --> 00:17:39,261 But it's not possible for a patient who's never been to Africa to have African Sleeping Sickness. 338 00:17:39,261 --> 00:17:40,961 I'm just saying it fits the symptoms. 339 00:17:40,961 --> 00:17:42,500 She could have got it from a transfusion. 340 00:17:42,500 --> 00:17:44,807 Or I'm just saying she could have got it from a transfusion. 341 00:17:44,807 --> 00:17:46,071 Which she never had. 342 00:17:46,963 --> 00:17:47,923 Okay... 343 00:17:47,923 --> 00:17:49,146 What about toxins? 344 00:17:49,146 --> 00:17:52,224 No, the kitchen she works in is cleaner than some hospitals. 345 00:17:52,224 --> 00:17:56,897 But they do serve rabbit. Rabbit Fever fits her symptoms. 346 00:17:56,897 --> 00:18:00,673 Tularemia initially presents with a rash or ulcer near the infection site. 347 00:18:00,673 --> 00:18:01,864 Not if she inhaled it. 348 00:18:01,864 --> 00:18:05,518 Chopping the meat with a cleaver could easily aerosolize the bacteria. 349 00:18:05,518 --> 00:18:07,404 No, then she'd have respiratory symptoms. 350 00:18:07,851 --> 00:18:09,475 Maybe she ignored it, figured she had a cold. 351 00:18:09,475 --> 00:18:12,512 We rejected Lyme Disease because the couple would have noticed a rash, 352 00:18:12,512 --> 00:18:15,316 but a wet hacking cough is just going to slip right by. 353 00:18:15,316 --> 00:18:19,817 Hey, it's either that or she missed her exit on the turnpike and wound up in Africa. 354 00:18:20,652 --> 00:18:22,582 Ok. Two lousy ideas. 355 00:18:22,582 --> 00:18:25,180 Unfortunately they're better than all the other ideas. 356 00:18:25,754 --> 00:18:28,551 Tularemia. Bizarre. 357 00:18:30,309 --> 00:18:31,035 Very nice. 358 00:18:31,761 --> 00:18:32,986 That's why I ride you. 359 00:18:42,943 --> 00:18:44,366 Did he just turn on the TV? 360 00:18:45,222 --> 00:18:46,643 He needs to think. 361 00:18:48,141 --> 00:18:50,682 So this should tell us whether or not she's got rabbit fever? 362 00:18:50,682 --> 00:18:54,952 For a diagnosis of Tularemia you need a four-fold increase in serum antibody levels. 363 00:18:54,952 --> 00:18:57,377 To measure an increase you need a before, all we have is an after. 364 00:18:57,377 --> 00:18:59,693 A single titer over 160 would be a big clue. 365 00:18:59,693 --> 00:19:01,381 "That's why I ride you." What does that mean? 366 00:19:01,650 --> 00:19:03,529 Even when I have a good idea it's because of him? 367 00:19:03,529 --> 00:19:05,950 Actually I think he said your idea was a lousy idea. 368 00:19:05,950 --> 00:19:07,794 It has to be one of these two conditions. 369 00:19:07,794 --> 00:19:10,628 I say we take our best guess and just start treatment. Or treat both. 370 00:19:10,628 --> 00:19:13,220 The treatment for Tularemia can cause aplastic anemia. 371 00:19:13,220 --> 00:19:14,523 How come he doesn't ride you guys? 372 00:19:14,523 --> 00:19:17,214 He's got a crush on you. He just doesn't know how to show it. 373 00:19:17,214 --> 00:19:18,540 Get over it, he rides everybody. 374 00:19:18,540 --> 00:19:21,407 And the treatment for sleeping sickness kills one in ten patients. 375 00:19:21,634 --> 00:19:23,248 So we start with the safer treatment. 376 00:19:23,659 --> 00:19:26,463 By "safer" you mean the one that's slightly less likely to kill her? 377 00:19:40,661 --> 00:19:43,392 Foreman got the gang testing for Tularemia? 378 00:19:43,392 --> 00:19:43,673 Yep. 379 00:19:43,936 --> 00:19:46,091 Probably inconclusive, but worth doing. 380 00:19:47,674 --> 00:19:50,140 So what's her name? When do I get to meet her? 381 00:19:50,140 --> 00:19:51,638 There's nobody. Give it up. 382 00:19:51,638 --> 00:19:53,817 Your lips say no, your shoes say yes. 383 00:19:53,817 --> 00:19:56,923 Well they're French. You can't trust a word they say. 384 00:19:56,923 --> 00:19:58,945 Solid, yet stylish. 385 00:19:59,286 --> 00:20:01,212 A professional woman would be impressed. 386 00:20:01,564 --> 00:20:04,912 I'm thinking accountant, actuary, maybe. 387 00:20:05,183 --> 00:20:06,799 It's somebody in the hospital. 388 00:20:07,146 --> 00:20:07,800 Patient? 389 00:20:08,708 --> 00:20:11,821 No, chemo's not sexy. Daughter of the patient? 390 00:20:12,325 --> 00:20:14,435 She would certainly have the neediness you need. 391 00:20:14,435 --> 00:20:16,491 I'm not gonna date a patient's daughter. 392 00:20:16,491 --> 00:20:17,835 Very ethical. 393 00:20:17,992 --> 00:20:20,646 Of course, most married men would say they don't date at all. 394 00:20:20,646 --> 00:20:22,044 There was no date! 395 00:20:23,425 --> 00:20:25,990 I had lunch with one of the nurses. 396 00:20:25,990 --> 00:20:28,732 It's her first time in an oncology unit and she's having a tough time, 397 00:20:28,733 --> 00:20:29,554 emotionally. 398 00:20:29,713 --> 00:20:30,355 Perfect. 399 00:20:30,511 --> 00:20:34,304 I wanted to be nice. That's all. I mean it. 400 00:20:34,304 --> 00:20:36,420 You always do. It's part of your charm. 401 00:20:37,462 --> 00:20:38,318 Hi boys. 402 00:20:38,735 --> 00:20:40,564 Mrs. Campbell's test results. 403 00:20:40,974 --> 00:20:44,091 Oh, you remember her, the preschool teacher with the heart of silicon. 404 00:20:44,176 --> 00:20:45,556 Nope, doesn't ring a bell. 405 00:20:46,220 --> 00:20:49,012 They came in yesterday, I figured you guys would have been all over them. 406 00:20:49,211 --> 00:20:50,397 I know how concerned you are. 407 00:20:50,773 --> 00:20:53,438 She's all upset because we paid more attention to the other girl. 408 00:20:53,955 --> 00:20:56,063 You check out her ass, I've got the chest. 409 00:20:57,225 --> 00:20:58,484 The tests were normal. 410 00:20:58,931 --> 00:21:02,595 'Cause that's just my opinion, you may want to call a couple of guys from maintenance in for a consult. 411 00:21:03,174 --> 00:21:05,834 You check her EKG results before she left the other day? 412 00:21:05,921 --> 00:21:06,774 You ordered it. 413 00:21:06,774 --> 00:21:07,942 You're the responsible one. 414 00:21:07,984 --> 00:21:09,648 What's wrong? They look normal to me. 415 00:21:09,648 --> 00:21:10,526 Where is she? 416 00:21:10,526 --> 00:21:11,986 Waiting downstairs, why? 417 00:21:12,989 --> 00:21:13,909 I was right. 418 00:21:21,846 --> 00:21:23,305 Do I have to get rid of the implants? 419 00:21:24,750 --> 00:21:25,984 Surprisingly, no. 420 00:21:26,866 --> 00:21:29,748 But your EKG shows a slightly decreased heart rate. 421 00:21:29,898 --> 00:21:30,707 Is that a problem? 422 00:21:30,707 --> 00:21:33,939 You told me you hadn't changed your diet or exercise, were you lying? 423 00:21:34,318 --> 00:21:34,887 Lying? 424 00:21:35,840 --> 00:21:37,999 Does your husband have high blood pressure? 425 00:21:37,999 --> 00:21:38,880 My husband? 426 00:21:39,163 --> 00:21:43,350 Yeah.. see, if you're gonna repeat everything I say this conversation is gonna take twice as long. 427 00:21:44,448 --> 00:21:46,423 Yes, he was diagnosed six moths ago... 428 00:21:46,297 --> 00:21:47,543 He do a lot of cooking at home? 429 00:21:47,627 --> 00:21:49,557 Not really, other than oatmeal in the morning. 430 00:21:49,746 --> 00:21:53,590 Did you happen to notice a slightly odd taste to the oatmeal lately? 431 00:21:53,614 --> 00:21:54,837 Wait, are you saying that... 432 00:21:54,948 --> 00:21:59,118 That it looks like your husband stirred in some of his blood pressure medication along with brown sugar. 433 00:21:59,234 --> 00:22:00,964 You think my husbands trying to poison me? 434 00:22:01,090 --> 00:22:03,169 No, nothing like that. 435 00:22:04,563 --> 00:22:06,074 He just doesn't want to have sex with you. 436 00:22:07,156 --> 00:22:10,925 Decreased sex drive is one of the most common side effects of the beta blockers he's been taking. 437 00:22:11,093 --> 00:22:14,962 I'm guessing he figured if you're both frigid, no harm no foul. 438 00:22:15,125 --> 00:22:16,439 You should have gotten him the sweater. 439 00:22:17,223 --> 00:22:18,135 That's ridiculous. 440 00:22:18,243 --> 00:22:18,943 Fine. 441 00:22:19,248 --> 00:22:22,682 But if you're still concerned about the shortness of breath, I'd start making your own breakfast. 442 00:22:24,052 --> 00:22:24,754 Wait! 443 00:22:26,631 --> 00:22:27,661 What should I do? 444 00:22:29,915 --> 00:22:31,694 If you care about your husband at all, 445 00:22:32,175 --> 00:22:33,755 I'd do the responsible thing: 446 00:22:34,263 --> 00:22:37,385 buy yourself some condoms, go to a bar, find... 447 00:22:55,494 --> 00:22:57,141 Lab tests inconclusive? 448 00:22:57,811 --> 00:22:58,910 Not surprisingly. 449 00:22:59,162 --> 00:23:03,236 No. Too bad. Luckily, I have the answer. 450 00:23:04,279 --> 00:23:05,043 To what? 451 00:23:05,391 --> 00:23:08,112 Thanks for asking. The life itself. Sex. 452 00:23:08,178 --> 00:23:11,264 Anything that can be transmitted via the blood can be transmitted through sex. 453 00:23:11,350 --> 00:23:12,916 Sleeping sickness from sex? 454 00:23:12,997 --> 00:23:14,006 It's not without precedent. 455 00:23:14,078 --> 00:23:15,233 I'm pretty sure it is. 456 00:23:15,309 --> 00:23:18,731 Unless you're talking about going to Africa and having sex with the tse tse fly. 457 00:23:18,801 --> 00:23:23,065 A Portuguese man was diagnosed three years ago with CNS affected sleeping sickness. 458 00:23:23,065 --> 00:23:27,779 His only connection with Africa was through a girlfriend who served under the military in Angola. 459 00:23:27,793 --> 00:23:28,848 Oi, where'd you find that? 460 00:23:29,019 --> 00:23:32,561 The journal de Instituto de Higina y Medicina Tropical. 461 00:23:33,053 --> 00:23:34,203 You don't read Portuguese? 462 00:23:34,287 --> 00:23:35,058 You do? 463 00:23:35,058 --> 00:23:36,354 I'm pretty sure that's what it said. 464 00:23:36,438 --> 00:23:38,583 Either that or it was an ad for sunglasses. 465 00:23:39,083 --> 00:23:41,075 Her husband has never been to Africa either. 466 00:23:41,201 --> 00:23:44,309 Ooh, stymied again. Your logic is bulletproof. 467 00:23:44,393 --> 00:23:47,673 I think ignoring respiratory symptoms is more likely than cheating. 468 00:23:47,805 --> 00:23:48,608 Because? 469 00:23:49,080 --> 00:23:50,875 They're completely devoted to each other. 470 00:23:52,021 --> 00:23:53,016 Because? 471 00:23:53,642 --> 00:23:54,842 They love each other. 472 00:23:55,368 --> 00:23:55,956 Or? 473 00:23:57,084 --> 00:23:59,152 They're overcompensating for guilt. 474 00:24:01,052 --> 00:24:02,071 Find out which it is. 475 00:24:02,250 --> 00:24:05,916 You want me to ask a man whose wife is about to die if he cheated on her? 476 00:24:05,982 --> 00:24:07,986 No, I want you to be polite and let her die. 477 00:24:09,205 --> 00:24:10,571 Actually, I don't want you to ask her anything. 478 00:24:10,571 --> 00:24:12,497 Foreman take the husband, Chase take the wife. 479 00:24:23,145 --> 00:24:24,758 You don't trust me to do my job? 480 00:24:25,988 --> 00:24:28,994 We all formulate questions based on the answers we want to hear. 481 00:24:28,994 --> 00:24:31,947 And how exactly do you re-formulate "Have you screwed around?" 482 00:24:32,199 --> 00:24:33,505 Did you know she's been trying to get pregnant? 483 00:24:33,505 --> 00:24:34,071 Yes. 484 00:24:34,071 --> 00:24:37,632 After you got so freaked about the sick babies a while ago I figured that was your thing. 485 00:24:38,030 --> 00:24:39,903 But you've never been prescribed folic acid, 486 00:24:39,903 --> 00:24:41,822 and you can't lose a baby if you've never been pregnant. 487 00:24:41,864 --> 00:24:43,475 You pulled my medical records? 488 00:24:43,475 --> 00:24:45,626 You coughed the other day, I was concerned. 489 00:24:46,158 --> 00:24:47,349 You were curious. 490 00:24:47,433 --> 00:24:51,466 Like an eight-year old boy with a puzzle that's just a little to grown-up for him to figure out. 491 00:24:53,065 --> 00:24:54,526 To-MAY-to, to-MAH-to... 492 00:24:56,542 --> 00:25:00,296 So... it's either sleeping sickness or this rabbit thing. 493 00:25:00,866 --> 00:25:02,556 They're both fatal without treatment. 494 00:25:02,703 --> 00:25:05,866 And unfortunately the treatment for both is extremely dangerous. 495 00:25:06,364 --> 00:25:07,551 Are there test you can do? 496 00:25:07,551 --> 00:25:08,923 Not at this stage. 497 00:25:09,700 --> 00:25:11,927 But each condition has a unique history. 498 00:25:13,168 --> 00:25:16,394 We're hoping your answers to a few questions will help us. 499 00:25:16,961 --> 00:25:19,465 Sure. Whatever you need to know. 500 00:25:19,854 --> 00:25:22,988 Before the sleeping problems, did you have any trouble breathing, 501 00:25:23,257 --> 00:25:25,712 a cough that wouldn't go away, anything like that? 502 00:25:28,661 --> 00:25:29,274 No. 503 00:25:30,083 --> 00:25:31,130 Are you certain? 504 00:25:31,208 --> 00:25:32,376 Absolutely. 505 00:25:32,377 --> 00:25:34,451 I've never been away from her for more than a night, 506 00:25:34,451 --> 00:25:36,217 if she had breathing troubles, I would have noticed. 507 00:25:39,282 --> 00:25:43,851 The other condition is significantly more likely if... 508 00:25:45,200 --> 00:25:46,962 if you've had an affair. 509 00:25:47,221 --> 00:25:49,073 Have you ever had an affair? 510 00:25:50,344 --> 00:25:51,349 Of course not. 511 00:25:52,225 --> 00:25:52,963 You sure? 512 00:25:53,299 --> 00:25:55,343 I think I'd remember cheating on my wife. 513 00:25:55,773 --> 00:25:57,320 You might be reluctant to admit it... 514 00:25:57,320 --> 00:25:57,888 No. 515 00:25:58,060 --> 00:25:59,785 I just want to be perfectly clear. 516 00:26:00,175 --> 00:26:06,088 If your wife has sleeping sickness and we don't treat her, she'll die. 517 00:26:06,088 --> 00:26:08,549 I would never do that to Ed. 518 00:26:10,104 --> 00:26:11,191 I love him. 519 00:26:11,831 --> 00:26:13,108 Absolutely not. 520 00:26:14,169 --> 00:26:15,019 I love her. 521 00:26:29,271 --> 00:26:30,377 Alright then. 522 00:26:30,651 --> 00:26:33,602 They say no cheating, we cross of sleeping sickness. 523 00:26:34,132 --> 00:26:35,279 Any new ideas? 524 00:26:37,479 --> 00:26:39,569 Ok, we go with Foreman's Tularemia. 525 00:26:39,569 --> 00:26:43,622 Start her on IV-Chloramphenicol 25 milligrams per kilogram four times a day. 526 00:26:44,041 --> 00:26:44,623 Good night. 527 00:26:58,410 --> 00:26:59,635 Where's Ed? 528 00:27:00,094 --> 00:27:03,971 Right next to you. Two down, two to go. 529 00:27:06,389 --> 00:27:07,552 Two days? 530 00:27:08,204 --> 00:27:09,510 No, doses. 531 00:27:10,268 --> 00:27:12,455 You have about twenty more days of this fun. 532 00:27:13,613 --> 00:27:14,803 What time is it? 533 00:27:15,632 --> 00:27:18,360 About four a.m. I pulled the short straw. 534 00:27:22,346 --> 00:27:23,815 Flow rate looks good. 535 00:27:29,043 --> 00:27:30,504 No rash or flushing... 536 00:27:32,362 --> 00:27:33,678 What time is it? 537 00:27:36,078 --> 00:27:37,108 4 a.m. 538 00:27:38,422 --> 00:27:40,041 Do you not remember just asking? 539 00:27:43,354 --> 00:27:44,562 I don't know... 540 00:27:45,623 --> 00:27:46,584 Elise...? 541 00:27:49,355 --> 00:27:53,309 Elise? Elise? Elise! 542 00:27:54,723 --> 00:27:55,486 What are you doing? 543 00:27:55,486 --> 00:27:56,329 Trying to wake her. 544 00:27:56,550 --> 00:27:57,524 She fall asleep again? 545 00:27:57,524 --> 00:27:58,571 In the middle of a sentence. 546 00:27:58,572 --> 00:27:59,180 Elise! 547 00:27:59,772 --> 00:28:00,237 Elise! 548 00:28:00,316 --> 00:28:01,053 What's happening? 549 00:28:01,473 --> 00:28:02,898 Patient's not responding. 550 00:28:03,592 --> 00:28:05,654 Pulse is fine, airways open. 551 00:28:05,767 --> 00:28:06,955 Check her blood pressure. 552 00:28:09,969 --> 00:28:11,231 Pupils are reactive. 553 00:28:11,801 --> 00:28:13,950 Elise wake up. You gotta wake up. 554 00:28:15,051 --> 00:28:16,595 What does that mean? What are you doing? 555 00:28:16,595 --> 00:28:17,980 She's not responsive to pain. 556 00:28:19,021 --> 00:28:20,242 Come on Elise! 557 00:28:21,719 --> 00:28:22,561 Is she dying? 558 00:28:23,269 --> 00:28:24,006 I don't know. 559 00:28:35,042 --> 00:28:36,358 She's in a coma. 560 00:28:43,264 --> 00:28:47,967 There's only one way a Tularemia patient goes into a coma while on IV-Chloramphenicol. 561 00:28:47,967 --> 00:28:49,618 The patient doesn't have Tularemia. 562 00:28:49,618 --> 00:28:51,272 And then there was one. 563 00:28:51,466 --> 00:28:53,524 Patient comes in because she's sleeping too much. 564 00:28:53,585 --> 00:28:56,574 It takes ten doctors and a coma to diagnose sleeping sickness. 565 00:28:56,574 --> 00:28:57,877 And then there was none. 566 00:29:04,162 --> 00:29:05,880 Well, the obvious explanation? 567 00:29:06,722 --> 00:29:07,692 I made it clear. 568 00:29:07,790 --> 00:29:11,405 If this guy's lying about sleeping around, he knows he's murdering his wife. 569 00:29:12,234 --> 00:29:13,660 Does seem unlikely... 570 00:29:14,858 --> 00:29:15,742 Go away. 571 00:29:34,307 --> 00:29:34,916 What are you doing? 572 00:29:37,116 --> 00:29:40,793 Checking for lymphadenopothy. And waiting for you. 573 00:29:41,830 --> 00:29:42,559 Who are you? 574 00:29:43,842 --> 00:29:45,197 I'm Dr. House. 575 00:29:45,576 --> 00:29:48,607 Your wife has human African Trypanosomiasis. 576 00:29:50,318 --> 00:29:51,290 Sleeping sickness. 577 00:29:51,290 --> 00:29:56,426 You mean its not Tularemia. A virus, tumor or- or cancer. 578 00:29:56,426 --> 00:29:57,151 Nope. 579 00:30:00,558 --> 00:30:01,703 I've never had an affair. 580 00:30:03,699 --> 00:30:04,656 I believe you. 581 00:30:05,547 --> 00:30:07,154 And I trust Elise. 582 00:30:09,258 --> 00:30:15,685 The treatment for this disease is a drug that's... fatal on its own ten percent of the time. 583 00:30:16,962 --> 00:30:20,151 Which is why I need your written consent before I can legally prescribe it. 584 00:30:20,151 --> 00:30:22,487 Why would she lie if she knew it could kill her? 585 00:30:22,487 --> 00:30:25,983 I don't ask why patients lie, I just assume they all do. 586 00:30:26,594 --> 00:30:27,173 But why? 587 00:30:27,173 --> 00:30:29,813 To protect you, because she didn't think it mattered. 588 00:30:29,813 --> 00:30:31,659 It just seemed easier because... 589 00:30:33,427 --> 00:30:35,146 that's what people do. 590 00:30:37,858 --> 00:30:41,806 Now, If you're absolutely certain that your wife has never had sex with anyone but you 591 00:30:41,890 --> 00:30:44,278 since you've been married, then I'm wrong. 592 00:30:46,402 --> 00:30:53,566 But if you think there's a possibility that just one time she wasn't perfect... 593 00:30:54,534 --> 00:30:56,481 one weekend you're out of town... 594 00:30:57,990 --> 00:31:02,328 one fight when she ran to a friend, one stupid Christmas party... 595 00:31:04,743 --> 00:31:07,392 then you need to allow me to start treatment. 596 00:31:09,311 --> 00:31:10,541 Because if we don't... 597 00:31:11,776 --> 00:31:13,538 she's gonna be dead by tomorrow morning. 598 00:31:23,137 --> 00:31:24,824 Do you trust your wife that much? 599 00:31:27,734 --> 00:31:28,690 I don't know... 600 00:31:33,868 --> 00:31:35,258 I'll start the treatment. 601 00:31:51,188 --> 00:31:52,294 Glass syringes? 602 00:31:52,756 --> 00:31:54,290 And special IV tubing. 603 00:31:55,105 --> 00:31:55,985 Why do we need this stuff? 604 00:31:55,985 --> 00:31:57,874 Because Melarsoprol melts plastic. 605 00:31:58,236 --> 00:32:00,960 This stuff's supposedly arsenic mixed with antifreeze. 606 00:32:01,978 --> 00:32:04,005 What doesn't kill us makes us stronger, huh? 607 00:32:04,059 --> 00:32:07,185 At least you wouldn't have been so glib if you'd been prescribed Melarsoprol. 608 00:32:09,714 --> 00:32:15,123 Can cause vomiting, abdominal pain, blood toxicity, neural damage, cardiac arrhythmia... 609 00:32:15,123 --> 00:32:17,163 Forgot to say it's gonna hurt like all hell. 610 00:32:17,740 --> 00:32:19,458 She's lucky she's in a coma. 611 00:32:37,096 --> 00:32:38,662 How long before we know its working? 612 00:32:38,662 --> 00:32:40,019 It's tough to say. 613 00:32:40,897 --> 00:32:43,429 It's a good sign that she hasn't gotten any worse. 614 00:32:46,689 --> 00:32:48,069 Does she even know I'm here? 615 00:32:49,413 --> 00:32:51,065 She knows you're always there for her. 616 00:32:53,882 --> 00:32:54,787 Yeah... 617 00:32:55,979 --> 00:33:00,701 If she gets better it means she wasn't always there for me. 618 00:33:04,064 --> 00:33:05,750 It means she made a mistake. 619 00:33:08,140 --> 00:33:09,318 I can't help it. 620 00:33:10,364 --> 00:33:14,725 Part of me, a big part of me... can't handle that. 621 00:33:17,716 --> 00:33:19,135 Doesn't want her to get better. 622 00:33:29,217 --> 00:33:31,012 Does that make me a terrible person? 623 00:33:39,946 --> 00:33:40,782 Yes. 624 00:34:03,058 --> 00:34:06,296 So we're treating her for African sleeping sickness 625 00:34:06,296 --> 00:34:09,181 because you don't think it's possible for someone to be faithful in a relationship? 626 00:34:09,265 --> 00:34:10,042 And you do? 627 00:34:10,269 --> 00:34:10,957 Yes. 628 00:34:11,425 --> 00:34:12,598 And you need to tell me that? 629 00:34:13,345 --> 00:34:15,533 Look, I'm not having an affair. 630 00:34:15,557 --> 00:34:19,097 I had lunch, with someone I work with, at work. Once. 631 00:34:19,097 --> 00:34:19,922 I believe you. 632 00:34:20,333 --> 00:34:22,426 What I don't believe is that it'll be just once. 633 00:34:22,966 --> 00:34:23,990 I love my wife. 634 00:34:24,066 --> 00:34:25,481 You certainly love saying it. 635 00:34:27,251 --> 00:34:28,843 I'm sorry. I know you love your wife. 636 00:34:29,106 --> 00:34:31,882 You loved all your wives. Probably still do. 637 00:34:32,249 --> 00:34:35,045 In fact, you probably still love all the women you ever loved who weren't your wives. 638 00:34:35,045 --> 00:34:36,744 You can be a real jerk sometimes, you know that? 639 00:34:36,744 --> 00:34:38,081 Yeah. And you're the good guy. 640 00:34:38,081 --> 00:34:39,188 At least I try. 641 00:34:39,188 --> 00:34:41,604 As long as you're trying to be good, you can do whatever you want. 642 00:34:41,604 --> 00:34:44,484 And as long as you're not trying, you can say whatever you want. 643 00:34:44,484 --> 00:34:47,245 So between us, we can do anything. We can rule the world! 644 00:35:01,285 --> 00:35:02,937 Mixing up some margaritas? 645 00:35:03,443 --> 00:35:05,072 Mines a double, Senorita. 646 00:35:05,918 --> 00:35:07,175 That's Portuguese, you know. 647 00:35:07,175 --> 00:35:08,009 Spanish. 648 00:35:09,705 --> 00:35:10,313 Uh-oh. 649 00:35:13,176 --> 00:35:13,999 What's going on? 650 00:35:14,853 --> 00:35:16,763 I'm re-calibrating the centrifuge. 651 00:35:17,867 --> 00:35:18,553 Turn around. 652 00:35:28,524 --> 00:35:30,103 It's a very sad thing, 653 00:35:30,750 --> 00:35:34,534 an un-calibrated centrifuge. It makes me cry too. 654 00:35:35,167 --> 00:35:36,274 I'm not crying. 655 00:35:37,615 --> 00:35:38,262 Ok. 656 00:35:52,911 --> 00:35:54,829 I told the husband he was a jerk. 657 00:35:57,157 --> 00:35:57,728 Why? 658 00:36:05,373 --> 00:36:07,404 When I was in college, I... 659 00:36:10,649 --> 00:36:16,226 I fell in love, and I got married. And... 660 00:36:17,911 --> 00:36:19,889 At that age the chances of a marriage lasting... 661 00:36:20,001 --> 00:36:21,693 It lasted six months. 662 00:36:24,269 --> 00:36:26,877 Thyroid cancer metastasized to his brain. 663 00:36:27,460 --> 00:36:28,727 There was nothing they could do. 664 00:36:31,669 --> 00:36:36,806 I was 21, and... I watched my husband die. 665 00:36:41,448 --> 00:36:42,731 I'm sorry... 666 00:36:46,928 --> 00:36:48,887 But that's not the whole story. 667 00:36:51,152 --> 00:36:52,900 It's a symptom, not your illness. 668 00:36:54,065 --> 00:36:57,595 Thyroid cancer would have been diagnosed at least a year before his death, 669 00:36:57,595 --> 00:36:59,392 you knew he was dying when you married him. 670 00:37:00,823 --> 00:37:02,393 Must have been when you first met him. 671 00:37:06,342 --> 00:37:07,936 And you married him anyway. 672 00:37:10,956 --> 00:37:14,867 You can't be that good a person and well adjusted. 673 00:37:16,110 --> 00:37:16,836 Why? 674 00:37:19,025 --> 00:37:21,710 Because you wind up crying over centrifuges. 675 00:37:24,931 --> 00:37:26,206 Or hating people. 676 00:37:42,539 --> 00:37:46,168 Fever spiked at 104. Echo shows global hyperkinesis. 677 00:37:46,210 --> 00:37:47,007 Blood pressure? 678 00:37:47,091 --> 00:37:48,414 Barely 90 over 40. 679 00:37:48,414 --> 00:37:49,462 You give her gilpamine? 680 00:37:49,462 --> 00:37:53,820 Started 270 micrograms per minute ten minutes ago, still no change. 681 00:38:00,973 --> 00:38:04,276 Killing her parasites isn't gonna do much good if we kill her heart at the same time. 682 00:38:04,276 --> 00:38:06,565 A heart can be replaced, a brain can't. 683 00:38:06,865 --> 00:38:08,286 Right now were killing both. 684 00:38:09,742 --> 00:38:13,325 If she's gonna die, we should at least let her do it without that acid flowing through her veins. 685 00:38:14,273 --> 00:38:15,190 What's happening? 686 00:38:17,982 --> 00:38:22,068 We would have expected your wife's condition to show some improvement by now, 687 00:38:22,882 --> 00:38:25,834 but it hasn't. It's going the other way. 688 00:38:57,660 --> 00:38:58,920 Please don't die... 689 00:39:01,589 --> 00:39:02,872 please don't die... 690 00:39:29,550 --> 00:39:30,352 She's awake! 691 00:40:11,658 --> 00:40:13,581 Hey. She's gonna be ok. 692 00:40:14,899 --> 00:40:16,933 Yeah, sure. 693 00:40:46,277 --> 00:40:47,383 What are you gonna do? 694 00:40:48,212 --> 00:40:49,629 Were you always honest with her? 695 00:40:51,357 --> 00:40:54,261 Do you know how lucky you are? Your wife is alive, she loves you! 696 00:40:55,360 --> 00:40:56,984 What she did... 697 00:40:58,019 --> 00:41:00,512 you can't love a person and do that to them. 698 00:41:03,319 --> 00:41:04,776 She LOVES you. 699 00:41:42,521 --> 00:41:44,769 I need to know who you had the affair with. 700 00:41:48,779 --> 00:41:51,237 He has to be notified so he can get treatment as well. 701 00:41:55,909 --> 00:41:57,091 Why did you lie to us? 702 00:41:58,450 --> 00:42:00,098 You knew your life was at stake. 703 00:42:07,221 --> 00:42:09,135 He's not coming back, is he? 704 00:42:14,563 --> 00:42:19,095 We all make mistakes, and we all pay a price. 705 00:42:28,387 --> 00:42:29,593 I need that name. 706 00:42:43,557 --> 00:42:44,534 Hi, there... 707 00:42:45,473 --> 00:42:46,371 How you doing? 708 00:42:46,686 --> 00:42:47,486 Fine. 709 00:42:50,292 --> 00:42:51,881 Do you know where your dad is? 710 00:43:01,113 --> 00:43:02,586 Can I help you?