1 00:00:04,465 --> 00:00:05,703 We're in the car, honey. 2 00:00:05,704 --> 00:00:11,475 We're going to the hospital for tests. 3 00:00:16,208 --> 00:00:17,459 We're in the hospital. 4 00:00:17,543 --> 00:00:21,296 We're going to the Doctor's office. 5 00:00:21,380 --> 00:00:22,914 Yeah. 6 00:00:27,003 --> 00:00:31,006 Can you tell me what this is called? 7 00:00:31,073 --> 00:00:33,508 Uh, you use it to get food from inside. 8 00:00:33,593 --> 00:00:36,845 Yes, but what's it called? 9 00:00:36,929 --> 00:00:38,513 Is it a spatula? 10 00:00:38,598 --> 00:00:40,565 - No. - Good. 11 00:00:40,633 --> 00:00:41,799 Is it a can opener? 12 00:00:41,851 --> 00:00:44,603 Uh, no, it's, um... 13 00:00:44,654 --> 00:00:47,972 It's, um... 14 00:00:48,024 --> 00:00:51,743 You're trying to make me look stupid. 15 00:00:51,810 --> 00:00:53,161 You can go to hell! 16 00:00:53,245 --> 00:00:55,030 Why don't you kill yourself? 17 00:00:55,114 --> 00:00:57,332 Andres. 18 00:00:57,416 --> 00:00:59,117 It's okay. 19 00:01:03,422 --> 00:01:05,874 There she is. 20 00:01:05,958 --> 00:01:07,926 Here I am. 21 00:01:07,993 --> 00:01:09,127 Here, come on. 22 00:01:13,883 --> 00:01:16,635 You just need to answer a few more questions. 23 00:01:16,686 --> 00:01:18,520 Then we're going home. We'll have lunch, okay? 24 00:01:18,604 --> 00:01:22,557 Okay. 25 00:01:22,642 --> 00:01:26,194 I'm sorry. 26 00:01:26,278 --> 00:01:28,846 I have Alzheimer's. 27 00:01:28,898 --> 00:01:31,066 I know. 28 00:01:31,150 --> 00:01:34,402 The mood swings come on quickly, but, um... 29 00:01:34,487 --> 00:01:36,237 It's under control. 30 00:01:36,322 --> 00:01:39,457 Don't worry. He's actually perfect for the drug trial. 31 00:01:39,525 --> 00:01:42,577 Oh. 32 00:01:42,662 --> 00:01:44,379 Thank God. 33 00:01:44,463 --> 00:01:46,214 We can start as soon as next week. 34 00:01:50,002 --> 00:01:50,969 Andres... 35 00:01:51,036 --> 00:01:53,805 Oh, my God! 36 00:01:53,872 --> 00:01:55,090 Andres... 37 00:02:03,969 --> 00:02:07,969 == sync, corrected by elderman == 38 00:02:31,460 --> 00:02:32,844 Early onset familial Alzheimer's. 39 00:02:32,911 --> 00:02:34,379 Brazilian descent. 40 00:02:39,435 --> 00:02:41,019 Any recent health issues? 41 00:02:41,086 --> 00:02:44,105 Just a sore throat a few weeks ago. 42 00:02:44,190 --> 00:02:45,390 How advanced is he? 43 00:02:45,441 --> 00:02:46,758 Could be hyperalimentation. 44 00:02:46,809 --> 00:02:48,926 Advanced enough, but no IV feedings. 45 00:02:48,978 --> 00:02:50,562 The wife shut down a floral company 46 00:02:50,613 --> 00:02:51,896 to stay home and feed him 47 00:02:51,947 --> 00:02:53,148 every meal he's had in the last four years. 48 00:02:53,232 --> 00:02:54,649 Do we owe this case to your guilt 49 00:02:54,734 --> 00:02:57,602 at having ignored your own forgetful mommy? 50 00:02:57,653 --> 00:02:59,654 My guilt over my mom is why I put up with my dad. 51 00:02:59,739 --> 00:03:01,489 You're taking this case because we're running 52 00:03:01,574 --> 00:03:03,291 a phase-two trial on an Alzheimer's drug. 53 00:03:03,375 --> 00:03:05,994 You couldn't round up enough doddering old Guinea pigs. 54 00:03:06,078 --> 00:03:07,796 You need us to fix this little piggy? 55 00:03:07,880 --> 00:03:09,013 I'd like to sit in. 56 00:03:09,081 --> 00:03:11,282 Especially since you're short a team member. 57 00:03:11,333 --> 00:03:13,785 You mean Taub? Got him in here. 58 00:03:13,836 --> 00:03:15,220 He asked for a personal day. His daughter's sick. 59 00:03:15,287 --> 00:03:17,472 Isn't that the point of having a spare? 60 00:03:17,556 --> 00:03:19,474 I denied his request. 61 00:03:19,558 --> 00:03:21,009 After I'd already approved it, 62 00:03:21,093 --> 00:03:23,344 which you knew because I sent you a memo. 63 00:03:23,429 --> 00:03:25,180 Dr. Adams... 64 00:03:25,264 --> 00:03:26,964 Taped under your chair 65 00:03:27,016 --> 00:03:29,017 is an index card. 66 00:03:29,101 --> 00:03:30,268 Would you read it, please? 67 00:03:38,861 --> 00:03:41,613 "Wednesday, 2:43 p.m., 68 00:03:41,664 --> 00:03:46,117 "a black Pawn will believe he's the black King 69 00:03:46,168 --> 00:03:47,702 "and attempt to capture the... 70 00:03:47,787 --> 00:03:52,207 white head of diagnostics." 71 00:03:52,291 --> 00:03:54,209 - It's 10:15 on Friday. - Damn it. 72 00:03:54,293 --> 00:03:57,345 Look, the point is I saw this coming. 73 00:03:57,429 --> 00:03:59,997 Dr. Foreman and I did not always see eye-to-eye. 74 00:04:00,049 --> 00:04:02,050 But he never had the power to overrule me. 75 00:04:02,134 --> 00:04:03,601 Now that he has the power, he won't be able 76 00:04:03,669 --> 00:04:05,670 to resist the temptation to use it. 77 00:04:05,721 --> 00:04:08,640 With great power comes great micromanaging. 78 00:04:08,691 --> 00:04:10,058 And great vests. 79 00:04:10,142 --> 00:04:12,677 I know you're the better diagnostician. 80 00:04:12,728 --> 00:04:15,313 I'm not gonna interfere. I'm only here to help. 81 00:04:15,364 --> 00:04:17,649 Could be transient nitrogen load from a G.I. bleed. 82 00:04:17,700 --> 00:04:19,183 Not if the vomiting's persistent. 83 00:04:19,235 --> 00:04:21,953 Which we won't know, because the E.R. put him on antiemetics. 84 00:04:22,020 --> 00:04:23,354 Take him off. 85 00:04:23,405 --> 00:04:26,875 Wait. He's puking his guts out. We'd risk aspiration. 86 00:04:28,694 --> 00:04:31,079 I'm just disagreeing, not overruling. 87 00:04:31,163 --> 00:04:33,081 So glad you're on board. 88 00:04:33,165 --> 00:04:35,416 Take him off antiemetics, 89 00:04:35,501 --> 00:04:38,670 do an upper endoscopy to check for bleeds. 90 00:04:42,842 --> 00:04:45,476 It could be a bladder infection. 91 00:04:45,544 --> 00:04:46,878 We'll run a pregnancy test. 92 00:04:46,929 --> 00:04:48,179 Oh, I'm not pregnant. 93 00:04:48,230 --> 00:04:50,598 Any type of birth control can fail. 94 00:04:50,683 --> 00:04:52,383 Not mine. 95 00:04:54,353 --> 00:04:57,188 Oh, I'm sorry. You said you were married. 96 00:04:57,239 --> 00:04:58,439 Yeah, happily. 97 00:04:58,524 --> 00:05:00,692 That's okay. 98 00:05:00,743 --> 00:05:04,362 Sex can wane in any marriage over time. 99 00:05:04,413 --> 00:05:06,231 No, no. We've never had sex. 100 00:05:06,298 --> 00:05:09,450 Oh, we kiss and cuddle, 101 00:05:09,535 --> 00:05:13,237 but neither one of us is interested in sex. 102 00:05:13,289 --> 00:05:16,424 You're... both celibate. 103 00:05:16,508 --> 00:05:18,343 No, neither of us. 104 00:05:18,410 --> 00:05:22,764 Celibacy is a choice. This is our orientation. 105 00:05:22,848 --> 00:05:26,885 We're asexual. 106 00:05:26,936 --> 00:05:30,772 Not quite sure what box to check here. 107 00:05:30,856 --> 00:05:32,223 You're making a mistake. 108 00:05:32,274 --> 00:05:33,858 If I had the power to veto him, 109 00:05:33,926 --> 00:05:36,194 given all the crap I've put up with over the years, 110 00:05:36,261 --> 00:05:37,946 don't know if I could use it objectively. 111 00:05:38,030 --> 00:05:40,899 I do, I can, I have. 112 00:05:40,950 --> 00:05:43,985 Might be easier if you'd stay out of the room. 113 00:05:44,069 --> 00:05:45,536 I thought it'd be different. 114 00:05:45,604 --> 00:05:47,205 This week. 115 00:05:47,272 --> 00:05:48,623 Supposed to talk to his P.O. 116 00:05:48,707 --> 00:05:51,292 about getting his ankle monitor off early. 117 00:05:51,377 --> 00:05:52,777 You're saying he should defer to you? 118 00:05:52,828 --> 00:05:55,580 No, I'm just saying what he's doing doesn't seem rational, 119 00:05:55,631 --> 00:05:57,298 which makes me think it's rational 120 00:05:57,383 --> 00:05:59,250 in a way I'm not privy to. 121 00:05:59,301 --> 00:06:01,085 He always has a plan. 122 00:06:01,136 --> 00:06:03,171 And he's always self-destructive. 123 00:06:03,255 --> 00:06:08,893 He may just be shooting himself in the ankle. 124 00:06:13,749 --> 00:06:15,233 I know it feels strange. 125 00:06:15,300 --> 00:06:17,185 Dr. Chase is just looking in your throat. 126 00:06:17,269 --> 00:06:18,686 We're in the hospital. 127 00:06:18,771 --> 00:06:20,638 You're fine. 128 00:06:20,689 --> 00:06:22,991 That's a pretty nice trophy, there, Andres. 129 00:06:23,058 --> 00:06:24,475 He coached youth soccer. 130 00:06:24,543 --> 00:06:26,027 Took a team that was 0-6 131 00:06:26,111 --> 00:06:29,981 all the way to the state finals at Long Branch. 132 00:06:34,586 --> 00:06:36,153 Hey, thanks for doing this in here. 133 00:06:36,205 --> 00:06:38,606 Switching rooms can be very disorienting. 134 00:06:38,674 --> 00:06:40,124 You take very good care of him. 135 00:06:40,175 --> 00:06:43,378 I love him. Sickness and health, right? 136 00:06:43,462 --> 00:06:45,430 Upper esophagus is clear. 137 00:06:45,497 --> 00:06:48,766 Moving on to the G.E. junction. 138 00:06:48,834 --> 00:06:49,851 Hi. 139 00:06:49,935 --> 00:06:52,020 - Hey. - I'm sorry. 140 00:06:52,104 --> 00:06:53,972 Family members only during procedures. 141 00:06:54,023 --> 00:06:55,974 Uh, I'll— I'll be outside. 142 00:06:56,025 --> 00:06:57,108 Oh, no. Please, um, 143 00:06:57,175 --> 00:06:59,360 it's okay. 144 00:06:59,445 --> 00:07:03,197 Joseph helps me with my husband sometimes. 145 00:07:03,282 --> 00:07:04,515 He's a good friend. 146 00:07:04,566 --> 00:07:07,485 Which means not family. 147 00:07:07,536 --> 00:07:08,953 Wait, we're gonna be here a while. 148 00:07:09,021 --> 00:07:11,990 Why don't you show Joseph where the visitor's lounge is? 149 00:07:12,041 --> 00:07:14,158 Okay. 150 00:07:19,031 --> 00:07:20,581 What? 151 00:07:20,666 --> 00:07:23,501 Surprised you didn't go into the diplomatic corps. 152 00:07:23,552 --> 00:07:25,620 Oh, you think they're... 153 00:07:27,673 --> 00:07:32,160 No, if they're having sex, it's probably with their genitals. 154 00:07:32,227 --> 00:07:34,178 Mallory-Weiss tear. 155 00:07:34,229 --> 00:07:36,514 Vomiting must have torn the lining. 156 00:07:39,852 --> 00:07:41,602 You know that close to 1% of the population 157 00:07:41,687 --> 00:07:45,106 identifies as asexual? 158 00:07:45,190 --> 00:07:48,359 We really gotta get you laid. 159 00:07:48,410 --> 00:07:51,228 If I have to plough that furrow myself, so be it. 160 00:07:51,280 --> 00:07:53,498 I have a patient who's asexual. 161 00:07:53,565 --> 00:07:56,034 Is she a giant pool of algae? 162 00:07:56,085 --> 00:07:57,919 It's a valid sexual orientation. 163 00:07:58,003 --> 00:07:59,504 According to this article, at least. 164 00:07:59,571 --> 00:08:01,456 Yeah, I think I read that too. 165 00:08:01,540 --> 00:08:03,074 Is that fugliness weekly? 166 00:08:03,125 --> 00:08:04,842 She's perfectly fine-looking. 167 00:08:04,910 --> 00:08:06,177 Happily married for ten years. 168 00:08:06,244 --> 00:08:08,129 To a guy who loves penis enough for the both of them. 169 00:08:08,213 --> 00:08:11,516 He's asexual too. 170 00:08:11,583 --> 00:08:12,850 Ran a complete physical on her. 171 00:08:12,918 --> 00:08:17,638 Nothing wrong except a common bladder infection. 172 00:08:17,723 --> 00:08:20,858 100 bucks says I can find a medical reason 173 00:08:20,926 --> 00:08:22,143 why she doesn't want to have sex. 174 00:08:22,227 --> 00:08:23,694 You're out of your mind 175 00:08:23,762 --> 00:08:25,596 if you think I'm letting you anywhere near my patient. 176 00:08:25,647 --> 00:08:27,065 Fine. I won't go near her. 177 00:08:27,116 --> 00:08:28,366 Just give me her file 178 00:08:28,433 --> 00:08:30,868 and any blood samples you have left over. 179 00:08:33,622 --> 00:08:35,573 No contact, whatsoever. 180 00:08:35,624 --> 00:08:37,375 You talk to her, the bet is void. 181 00:08:37,442 --> 00:08:38,442 No contact. 182 00:08:38,494 --> 00:08:41,278 Plays to my strengths anyway. 183 00:08:47,753 --> 00:08:50,254 Right now's not a good time, House. 184 00:08:50,305 --> 00:08:51,956 Not for the Dean of Medicine. 185 00:08:52,007 --> 00:08:53,925 But it's a perfect time if you're a member of my team. 186 00:08:53,976 --> 00:08:57,461 Which one are you? 187 00:08:57,513 --> 00:08:59,630 What did the endoscopy show? 188 00:08:59,681 --> 00:09:01,983 No signs of ulcers or blockages. 189 00:09:06,522 --> 00:09:09,157 But you found a tear just below the esophagus. 190 00:09:09,241 --> 00:09:10,942 Explains the bleeding. 191 00:09:10,993 --> 00:09:13,411 Doesn't explain why he vomited so hard he ripped his insides. 192 00:09:13,478 --> 00:09:15,079 His liver enzymes are slightly elevated. 193 00:09:15,147 --> 00:09:16,080 Gallstones could've— 194 00:09:16,148 --> 00:09:17,448 no complaints of pain. 195 00:09:17,499 --> 00:09:22,203 Steatohepatitis would make his AST and ATL levels rise. 196 00:09:22,287 --> 00:09:25,206 Are you calling his liver fat? 197 00:09:25,290 --> 00:09:27,758 Start the patient on statins, and do a biopsy to confirm. 198 00:09:27,826 --> 00:09:28,759 And knock him out. 199 00:09:28,827 --> 00:09:30,428 I've heard he's a wiggler. 200 00:09:30,495 --> 00:09:31,796 There's no need to put him under. 201 00:09:31,847 --> 00:09:34,382 We can confirm fatty liver with an ultrasound. 202 00:09:34,449 --> 00:09:37,385 Just making an observation. 203 00:09:37,469 --> 00:09:39,437 Well done. 204 00:09:39,504 --> 00:09:40,938 Now, as a member of my team, 205 00:09:41,006 --> 00:09:43,141 you can make the equally-useful observations 206 00:09:43,192 --> 00:09:45,059 that the sky is blue, I'm wearing pants, 207 00:09:45,144 --> 00:09:47,678 and I'm ignoring your first observation. 208 00:09:47,729 --> 00:09:49,013 Of course. 209 00:09:53,819 --> 00:09:55,403 Wait. 210 00:09:55,487 --> 00:09:58,039 And there it is. 211 00:09:58,123 --> 00:09:59,540 You're trying to screw with my confidence. 212 00:09:59,625 --> 00:10:00,858 Well, if I wanted to do that, 213 00:10:00,909 --> 00:10:02,577 I'd tell you how much the nurses hate you. 214 00:10:02,661 --> 00:10:05,213 You're trying to get me to define myself as a subordinate 215 00:10:05,297 --> 00:10:07,081 to keep me from ever intervening, 216 00:10:07,166 --> 00:10:08,866 even if it's fully in the scope of my duties. 217 00:10:08,917 --> 00:10:10,218 Like now. 218 00:10:10,302 --> 00:10:11,836 This isn't about diagnostics, 219 00:10:11,887 --> 00:10:13,221 it's about what's safe for the patient. 220 00:10:13,305 --> 00:10:14,922 Do the ultrasound. 221 00:10:14,990 --> 00:10:17,842 Ultrasound it is. 222 00:10:17,893 --> 00:10:19,877 And the nurses love you. 223 00:10:24,816 --> 00:10:26,400 You don't think I knew House was gonna tell you 224 00:10:26,485 --> 00:10:28,653 to ignore me and not do the ultrasound? 225 00:10:28,720 --> 00:10:30,888 This is an ultrasound machine. 226 00:10:30,939 --> 00:10:33,441 Which you're gonna use to do an ultrasound-guided biopsy. 227 00:10:33,525 --> 00:10:35,359 Probably got a kit stashed here... 228 00:10:45,170 --> 00:10:48,039 "Cuddy dark will waste his afternoon 229 00:10:48,090 --> 00:10:49,840 chasing conspiracy theories." 230 00:10:49,908 --> 00:10:51,408 You're letting him get inside your head. 231 00:10:51,460 --> 00:10:53,961 He could do a lot of damage in there. 232 00:10:54,046 --> 00:10:57,048 Dr. Chase. 233 00:10:57,099 --> 00:10:58,933 He started vomiting again. 234 00:11:01,303 --> 00:11:03,971 This is why we stopped the antiemetics. 235 00:11:04,056 --> 00:11:05,640 We needed to see if it was still a symptom. 236 00:11:05,724 --> 00:11:07,692 Okay. 237 00:11:07,759 --> 00:11:08,693 Here, you want this? 238 00:11:08,760 --> 00:11:10,811 Get your hands off me. 239 00:11:10,896 --> 00:11:12,613 You're taking my head. 240 00:11:12,698 --> 00:11:15,032 It's okay, Andres. 241 00:11:15,100 --> 00:11:16,867 You're in the hospital. 242 00:11:18,620 --> 00:11:19,487 Here. 243 00:11:22,941 --> 00:11:26,460 - 10 milligrams of Diazepam! - Already on it. 244 00:11:26,545 --> 00:11:28,212 I'm fine. I'm fine. 245 00:11:29,881 --> 00:11:31,966 I'm all right. 246 00:11:34,419 --> 00:11:36,287 Foreman. 247 00:11:36,338 --> 00:11:38,289 Blood in his urine. 248 00:11:42,219 --> 00:11:44,706 Resume the antiemetics, and increase the sedation. 249 00:11:45,129 --> 00:11:46,629 He really went after her. 250 00:11:46,714 --> 00:11:48,681 Maybe he found out about her "good friend." 251 00:11:48,749 --> 00:11:51,468 It was just paranoid rage, typical of Alzheimer's. 252 00:11:51,552 --> 00:11:53,053 We don't even know if they were sleeping together. 253 00:11:53,104 --> 00:11:55,088 A few hours ago you were sure. 254 00:11:55,139 --> 00:11:57,140 And that's significant why? 255 00:11:57,224 --> 00:12:00,193 Sorry. Only the bleeding's medically relevant. 256 00:12:00,260 --> 00:12:01,561 No, I wasn't being rhetorical. 257 00:12:01,612 --> 00:12:03,947 If they are sleeping together, 258 00:12:04,031 --> 00:12:06,599 why do we disapprove? 259 00:12:06,650 --> 00:12:08,151 You're pro-infidelity? 260 00:12:08,235 --> 00:12:09,786 She's not married. 261 00:12:11,205 --> 00:12:13,564 If marriage is feeding and cleaning someone, 262 00:12:13,841 --> 00:12:17,376 limiting conversations, to repeating a few simple commands, 263 00:12:17,428 --> 00:12:19,229 then I was married to my pet rat. 264 00:12:19,313 --> 00:12:21,815 And a lot of people owe me wedding gifts. 265 00:12:21,882 --> 00:12:23,566 And we're walking, we're walking. 266 00:12:23,651 --> 00:12:25,568 I don't care how sick your spouse gets, 267 00:12:25,653 --> 00:12:27,237 you don't jump ship. 268 00:12:27,321 --> 00:12:28,554 Alzheimer's is different. 269 00:12:28,606 --> 00:12:30,023 She can't share her problems with him, 270 00:12:30,074 --> 00:12:31,224 or plan for the future. 271 00:12:31,275 --> 00:12:32,826 The man she married no longer exists. 272 00:12:32,893 --> 00:12:34,611 Yes, he does. He's in there. 273 00:12:34,695 --> 00:12:36,496 This is why you get married. 274 00:12:36,563 --> 00:12:39,199 Said the divorced woman to the divorced man. 275 00:12:39,250 --> 00:12:40,950 I didn't jump ship. 276 00:12:41,035 --> 00:12:43,569 My husband sank it when he cheated on me. 277 00:12:43,621 --> 00:12:45,455 Commitment's not conditional. 278 00:12:45,539 --> 00:12:48,208 She is there for him in the only way that matters now. 279 00:12:48,259 --> 00:12:49,509 She gave up her life to take care of him. 280 00:12:49,576 --> 00:12:50,910 Which proves she's an idiot. 281 00:12:50,961 --> 00:12:52,962 If she had any sense, she'd have stuck him in a facility 282 00:12:53,047 --> 00:12:54,464 and jumped on that strange— 283 00:12:54,548 --> 00:12:56,132 Dr. Foreman. 284 00:12:56,217 --> 00:12:57,300 We were just looking for you. 285 00:12:57,384 --> 00:12:59,385 I was right about the antiemetics. 286 00:12:59,436 --> 00:13:00,804 If you kept him on them like I said, 287 00:13:00,888 --> 00:13:02,689 he wouldn't have gotten agitated and punched his wife. 288 00:13:02,756 --> 00:13:05,225 Yes, we're back to my supposed diabolical plan 289 00:13:05,276 --> 00:13:07,426 to shake your confidence. 290 00:13:07,478 --> 00:13:09,729 Let's see if this helps. 291 00:13:09,780 --> 00:13:11,898 If you're speaking as a team member, 292 00:13:11,949 --> 00:13:13,533 then I'd say you're a moron. 293 00:13:13,600 --> 00:13:15,101 Because taking him off the antiemetics 294 00:13:15,152 --> 00:13:17,237 gave us crucial diagnostic information. 295 00:13:17,288 --> 00:13:19,072 If you're speaking as Dean of Medicine, 296 00:13:19,123 --> 00:13:20,573 then I'd say you're a moron. 297 00:13:20,624 --> 00:13:23,276 'Cause your micromanaging kept us from doing a biopsy. 298 00:13:23,327 --> 00:13:25,078 If we had, the patient would have been anesthetized 299 00:13:25,129 --> 00:13:28,614 hours ago, thus unable to go all Chris Brown on her ass. 300 00:13:28,666 --> 00:13:30,333 Unless one of your index cards 301 00:13:30,417 --> 00:13:32,952 actually predicted the guy was gonna punch his wife, 302 00:13:33,003 --> 00:13:35,839 everything you're saying is post hoc rationalization. 303 00:13:35,923 --> 00:13:37,390 Dr. Park, 304 00:13:37,457 --> 00:13:40,626 would you please reach under that chair? 305 00:13:43,314 --> 00:13:46,232 "The patient will punch his wife." 306 00:13:46,300 --> 00:13:49,586 You clearly wrote that after the fact. 307 00:13:49,653 --> 00:13:50,653 Dr. Adams, 308 00:13:50,738 --> 00:13:54,140 would you please reach into my pants? 309 00:13:58,829 --> 00:14:01,497 "Dr. Blackenshmurtz 310 00:14:01,582 --> 00:14:04,651 will accuse me of writing about the punch after the fact." 311 00:14:04,718 --> 00:14:06,085 Now, look. 312 00:14:06,153 --> 00:14:08,621 Here's a photograph of me holding a newspaper. 313 00:14:08,672 --> 00:14:10,340 Dated last Tuesday. 314 00:14:10,424 --> 00:14:12,008 Now, how could I have gotten my hands on that? 315 00:14:12,092 --> 00:14:13,293 You done? 316 00:14:13,344 --> 00:14:15,879 Rhabdomyolysis fits the vomiting, 317 00:14:15,963 --> 00:14:17,163 pigmenturia, and renal failure. 318 00:14:17,214 --> 00:14:19,215 No muscle symptoms, and urine had no myoglobin. 319 00:14:19,300 --> 00:14:21,384 TTP fits, though. 320 00:14:21,468 --> 00:14:24,337 Start him on plasmapheresis. 321 00:14:24,388 --> 00:14:27,390 Unless... 322 00:14:27,458 --> 00:14:30,843 Unless I need to say, "mother, may I?" 323 00:14:30,895 --> 00:14:34,513 And mother is an abbreviation. 324 00:14:36,567 --> 00:14:39,569 Fresh plasma will replace the damaged red blood cells 325 00:14:39,653 --> 00:14:40,453 that are clogging his kidneys. 326 00:14:40,520 --> 00:14:41,371 That sounds hopeful. 327 00:14:42,873 --> 00:14:44,157 How is that feeling? 328 00:14:44,208 --> 00:14:48,378 I've never been hit in the eye before. 329 00:14:48,462 --> 00:14:51,197 I feel kinda badass. 330 00:14:53,167 --> 00:14:55,418 I think maybe you should go. 331 00:14:55,502 --> 00:14:57,670 I'm fine. Okay? 332 00:14:57,721 --> 00:14:59,305 See you tomorrow. 333 00:14:59,373 --> 00:15:00,223 Okay. 334 00:15:04,144 --> 00:15:06,646 We're not having an affair. 335 00:15:06,713 --> 00:15:07,897 It's none of my business. 336 00:15:07,982 --> 00:15:11,851 I mean, not— not really. 337 00:15:11,902 --> 00:15:13,019 'Cause nothing's happened. 338 00:15:13,070 --> 00:15:17,657 We've talked about it a lot, and... 339 00:15:17,724 --> 00:15:21,361 It's just really hard doing this by myself. 340 00:15:22,947 --> 00:15:25,164 When's the last time you had a full night's sleep? 341 00:15:25,232 --> 00:15:28,701 Um... 342 00:15:28,752 --> 00:15:31,537 I don't know. Three years. 343 00:15:31,588 --> 00:15:36,242 You're not going to get any rest here. 344 00:15:36,293 --> 00:15:38,244 People who are sick are not the only ones 345 00:15:38,295 --> 00:15:40,179 who need to be taken care of. 346 00:15:47,921 --> 00:15:50,723 Why doesn't Chase have to be here? 347 00:15:50,774 --> 00:15:52,325 You think he knows anything about women 348 00:15:52,393 --> 00:15:54,961 who don't want to have sex? 349 00:15:55,029 --> 00:15:56,963 Hormone levels are normal. 350 00:15:57,030 --> 00:15:59,299 This woman seems perfectly healthy. 351 00:15:59,366 --> 00:16:01,184 What does it matter if she says she's asexual? 352 00:16:01,251 --> 00:16:03,052 It's the fundamental drive of our species. 353 00:16:03,120 --> 00:16:04,304 Sex is healthy. 354 00:16:04,371 --> 00:16:05,938 Orgasms oxygenate the brain, 355 00:16:06,006 --> 00:16:07,724 lighting up over 30 different areas 356 00:16:07,808 --> 00:16:12,395 and making us forget how boring Susie Cooper is. 357 00:16:12,479 --> 00:16:14,497 That last one may not be universal. 358 00:16:14,565 --> 00:16:15,999 How about damage to her spinal cord 359 00:16:16,066 --> 00:16:18,234 blocking the signals from her genitals? 360 00:16:18,319 --> 00:16:19,719 Sex drive is in the brain. 361 00:16:19,770 --> 00:16:22,739 I suppose it could be psychological intimacy issues 362 00:16:22,823 --> 00:16:24,140 caused by childhood abuse. 363 00:16:24,208 --> 00:16:25,742 She's been sharing a toilet with the same guy 364 00:16:25,826 --> 00:16:26,892 for the last ten years. 365 00:16:26,944 --> 00:16:27,910 That's not the same. 366 00:16:27,995 --> 00:16:29,445 Sex releases oxytocin. 367 00:16:29,530 --> 00:16:31,397 It's the neurochemical basis for bonding. 368 00:16:31,448 --> 00:16:33,583 And that's why men always marry their right hands. 369 00:16:33,667 --> 00:16:34,751 It's different for girls. 370 00:16:34,835 --> 00:16:35,618 No it's not. 371 00:16:35,703 --> 00:16:37,303 I've tapped over 30 guys 372 00:16:37,371 --> 00:16:41,407 and never wanted to see most of them again. 373 00:16:41,475 --> 00:16:44,577 I live next to a Jewish frat. 374 00:16:44,628 --> 00:16:47,246 We are veering wildly off track. Please continue. 375 00:16:47,297 --> 00:16:50,299 This woman's life is probably better off without sex. 376 00:16:50,367 --> 00:16:52,518 Eliminates most of her insecurity, 377 00:16:52,586 --> 00:16:54,220 she's immune to most advertising 378 00:16:54,271 --> 00:16:56,889 and can have honest relationships with men. 379 00:16:56,940 --> 00:16:59,275 Not a lot of them. 380 00:16:59,360 --> 00:17:01,861 We've run every test and ruled out all the options. 381 00:17:01,928 --> 00:17:04,564 You're gonna have to accept she just doesn't want sex. 382 00:17:04,615 --> 00:17:05,865 Lots of people don't have sex. 383 00:17:05,932 --> 00:17:07,033 The only people who don't want it 384 00:17:07,100 --> 00:17:08,868 are either sick, dead, or lying. 385 00:17:08,935 --> 00:17:10,653 So maybe she's lying. 386 00:17:10,738 --> 00:17:11,621 You think she's had a boyfriend on the side? 387 00:17:11,705 --> 00:17:13,056 For ten years? 388 00:17:13,123 --> 00:17:17,910 Sticking around the whole time? Doesn't make sense. 389 00:17:17,961 --> 00:17:20,913 What does... 390 00:17:26,203 --> 00:17:27,620 30? 391 00:17:27,671 --> 00:17:29,622 Everybody lies. 392 00:17:32,926 --> 00:17:35,928 Higher or lower? 393 00:17:40,634 --> 00:17:42,902 Followed your advice and took the night off. 394 00:17:42,969 --> 00:17:44,153 Seems to have done you some good. 395 00:17:44,238 --> 00:17:45,438 Mm-Hmm. 396 00:17:51,245 --> 00:17:53,979 Where's my husband? 397 00:17:55,616 --> 00:17:56,816 He's not in the hospital. 398 00:17:56,867 --> 00:17:58,167 So he just walked out? 399 00:17:58,252 --> 00:17:59,452 All of the shift nurses 400 00:17:59,503 --> 00:18:00,392 had their hands full with a double code. 401 00:18:00,417 --> 00:18:02,034 Perfectly reasonable explanation. 402 00:18:02,292 --> 00:18:04,527 Same thing happened to me. Couldn't find my keys for days. 403 00:18:04,578 --> 00:18:06,195 The police have been notified. 404 00:18:06,246 --> 00:18:08,047 I have staff searching. 405 00:18:08,132 --> 00:18:10,216 You told me it was okay to leave. 406 00:18:10,300 --> 00:18:11,834 I'm sorry. 407 00:18:11,885 --> 00:18:13,820 He has Alzheimer's! 408 00:18:13,887 --> 00:18:16,556 It's freezing outside, and he's sick! 409 00:18:16,640 --> 00:18:19,475 I mean, you don't even know what it is yet, do you? 410 00:18:19,543 --> 00:18:21,561 The plasmapheresis hasn't had time to work, 411 00:18:21,645 --> 00:18:23,095 but TTP is our most likely— 412 00:18:23,180 --> 00:18:25,982 Okay, I'm just— I have to go look for him. 413 00:18:26,049 --> 00:18:27,984 Hey, don't be an ass. 414 00:18:28,051 --> 00:18:29,235 Can't you see she's upset? 415 00:18:29,319 --> 00:18:32,388 No, she's guilty. 416 00:18:32,439 --> 00:18:33,889 'Cause instead of being at her husband's side, 417 00:18:33,941 --> 00:18:36,826 she was under you. 418 00:18:36,893 --> 00:18:38,077 Okay, that's—y— 419 00:18:38,162 --> 00:18:39,195 Yeah, yeah, yeah... 420 00:18:39,246 --> 00:18:40,947 He already said I was an ass. 421 00:18:41,031 --> 00:18:42,698 Personally, I applaud your decision 422 00:18:42,749 --> 00:18:45,234 to step down off your cross and get on with your life, 423 00:18:45,285 --> 00:18:47,670 but your misplaced guilt is shutting down your brain. 424 00:18:47,737 --> 00:18:53,259 We need you to sit, focus, and answer our questions. 425 00:18:58,915 --> 00:19:00,716 So, at 6:00 a.m., 426 00:19:00,767 --> 00:19:02,018 the patient wakes up, 427 00:19:02,085 --> 00:19:05,588 and the first thing he sees... 428 00:19:05,639 --> 00:19:06,939 In moments of confusion, 429 00:19:07,024 --> 00:19:09,692 Alzheimer's patients regress to old routines. 430 00:19:09,759 --> 00:19:12,895 So what would your husband do on a Saturday morning? 431 00:19:12,946 --> 00:19:14,930 Nothing. Be at home. 432 00:19:14,982 --> 00:19:17,149 What about a year ago? Or five years? Ten? 433 00:19:17,234 --> 00:19:20,119 I don't know, um, he... 434 00:19:20,204 --> 00:19:22,121 He trained for a marathon once. 435 00:19:22,206 --> 00:19:26,826 Soccer practice. We took a cooking class. 436 00:19:26,910 --> 00:19:28,411 That soccer trophy you were telling me about. 437 00:19:28,462 --> 00:19:29,829 It's gone. 438 00:19:29,913 --> 00:19:31,113 Where was practice? 439 00:19:31,164 --> 00:19:34,750 It was close to here. On Chesterfield. 440 00:19:48,348 --> 00:19:51,800 Okay, he comes, he thinks he's waiting for practice. 441 00:19:51,852 --> 00:19:53,269 He'd want to get out of the wind. 442 00:19:53,320 --> 00:19:56,639 What's somewhere he could see the kids arrive? 443 00:19:56,690 --> 00:19:58,307 There. 444 00:20:00,777 --> 00:20:03,329 Over here. 445 00:20:11,622 --> 00:20:13,339 On three. One, two, three. 446 00:20:17,461 --> 00:20:18,794 Nothing. 447 00:20:18,845 --> 00:20:21,097 Not dead until he's warm and dead. 448 00:20:28,082 --> 00:20:29,649 Get him to the ICU. 449 00:20:29,700 --> 00:20:31,501 Start him on extracorporeal circulation. 450 00:20:31,585 --> 00:20:32,869 That'll raise his temperature too quickly, 451 00:20:32,953 --> 00:20:34,203 it'll cause acidosis. 452 00:20:34,288 --> 00:20:36,039 We can deal with his metabolism crashing, 453 00:20:36,123 --> 00:20:38,091 we can't reverse brain damage if we go too slowly. 454 00:20:38,158 --> 00:20:40,209 Either way, we don't get his temperature above 95, 455 00:20:40,294 --> 00:20:41,344 it's not going to matter. 456 00:20:41,428 --> 00:20:45,765 Multiple warm lavage is safer. 457 00:20:45,832 --> 00:20:48,184 Do what House says. 458 00:20:56,343 --> 00:21:00,430 He has no heartbeat, and he's not breathing. 459 00:21:00,497 --> 00:21:03,833 How can he not be dead? 460 00:21:03,901 --> 00:21:06,119 The body slows down when it cools, 461 00:21:06,186 --> 00:21:07,820 but it doesn't fully stop. 462 00:21:07,871 --> 00:21:09,656 We're warming his blood outside of his body, 463 00:21:09,707 --> 00:21:10,873 then putting it back. 464 00:21:10,958 --> 00:21:12,575 It'll raise his temperature enough 465 00:21:12,660 --> 00:21:14,494 that his heart should naturally start. 466 00:21:14,545 --> 00:21:16,579 Then we can shock it back into rhythm. 467 00:21:16,664 --> 00:21:19,699 And if it doesn't start? 468 00:21:21,535 --> 00:21:24,003 Then there's nothing we can do. 469 00:21:29,977 --> 00:21:33,813 You think it's possible he knew what he was doing? 470 00:21:33,880 --> 00:21:36,182 Like some part of him gets what he's putting his wife through, 471 00:21:36,233 --> 00:21:37,900 so he tried to— kill himself? 472 00:21:37,985 --> 00:21:39,885 It's what I'd do if I were him. 473 00:21:39,937 --> 00:21:42,855 At least I wish I would. 474 00:21:42,923 --> 00:21:46,025 I meant run away. 475 00:21:46,076 --> 00:21:47,694 You think you should kill yourself 476 00:21:47,745 --> 00:21:50,062 if you become a burden to the people who love you? 477 00:21:50,114 --> 00:21:52,732 If you really love them back, then... 478 00:21:52,783 --> 00:21:55,001 Yes. 479 00:21:55,068 --> 00:21:59,172 That's really dark. 480 00:21:59,239 --> 00:22:02,458 It's not naive. 481 00:22:02,543 --> 00:22:05,244 I just believe people are capable 482 00:22:05,295 --> 00:22:06,629 of more than you do, apparently. 483 00:22:08,766 --> 00:22:11,751 We've got brain activity. 484 00:22:11,802 --> 00:22:13,886 Temp's at 93. 485 00:22:13,954 --> 00:22:16,422 His heart should start soon. 486 00:22:18,525 --> 00:22:21,861 My dad left me alone 487 00:22:21,928 --> 00:22:24,614 to care for my alcoholic mom and raise my baby sister. 488 00:22:24,698 --> 00:22:26,232 I was just a teenager. 489 00:22:26,283 --> 00:22:28,901 I spent half my time changing diapers 490 00:22:28,952 --> 00:22:32,605 and the other half cleaning up my mom's vomit. 491 00:22:32,656 --> 00:22:34,106 But it must've been important 492 00:22:34,158 --> 00:22:36,409 that you stayed for both of them. 493 00:22:36,460 --> 00:22:39,495 Mom died after a few years. 494 00:22:39,580 --> 00:22:43,082 It was ugly and painful, and she went with me hating her. 495 00:22:43,133 --> 00:22:45,451 My sister ended up drinking half of her life away 496 00:22:45,502 --> 00:22:48,171 and hating me because I couldn't help. 497 00:22:48,255 --> 00:22:51,307 After mom, I had nothing left. 498 00:22:51,391 --> 00:22:54,977 So do I wish mom had used a gun instead of a bottle? 499 00:22:55,062 --> 00:22:56,062 Yes. 500 00:22:59,016 --> 00:23:01,100 I—I didn't know. 501 00:23:01,151 --> 00:23:03,636 That's why I told you. 502 00:23:04,805 --> 00:23:10,810 Ventricular fibrillation. 503 00:23:10,861 --> 00:23:14,080 300 milligrams amiodarone. 504 00:23:23,757 --> 00:23:24,674 Careful. 505 00:23:24,758 --> 00:23:26,092 Once we establish rhythm, 506 00:23:26,159 --> 00:23:29,545 any accidental movement could crash him back into V-fib. 507 00:23:29,630 --> 00:23:31,214 Clear. 508 00:23:40,190 --> 00:23:44,193 We still have a long way to go. 509 00:23:44,278 --> 00:23:46,145 Cold can be protective to the brain, 510 00:23:46,196 --> 00:23:49,282 but there is a possibility of damage. 511 00:23:49,349 --> 00:23:50,950 We also need to confirm and treat 512 00:23:51,017 --> 00:23:53,319 whatever's making him sick. 513 00:23:55,622 --> 00:23:58,040 I just gotta do a standard battery of tests. 514 00:23:58,125 --> 00:24:00,209 Blood, urine, eeg... 515 00:24:00,294 --> 00:24:02,879 Is that really necessary for a free flu shot? 516 00:24:05,215 --> 00:24:06,716 Excuse me. 517 00:24:06,800 --> 00:24:11,170 I have to deal with someone who's having a panic attack. 518 00:24:16,059 --> 00:24:17,894 I specifically said 519 00:24:17,978 --> 00:24:20,596 the bet was off if you contacted the patient. 520 00:24:20,681 --> 00:24:21,881 Exactly. 521 00:24:21,932 --> 00:24:23,766 Never said anything about the patient's husband. 522 00:24:23,851 --> 00:24:28,020 The deal was a medical reason why she doesn't have sex. 523 00:24:28,071 --> 00:24:29,739 I admit I was stuck, 524 00:24:29,823 --> 00:24:33,159 until I realized the medical issue was not hers but his. 525 00:24:33,226 --> 00:24:34,694 She's lying to compensate. 526 00:24:34,745 --> 00:24:36,729 It's a tale as old as time. 527 00:24:36,780 --> 00:24:38,781 Boy meets girl, girl falls for boy, 528 00:24:38,866 --> 00:24:43,586 boy says, "I'm asexual." Girl says, "yeah, me too." 529 00:24:43,670 --> 00:24:46,339 Your twisted logic can't hide the fact 530 00:24:46,406 --> 00:24:48,291 that tricking a patient into being tested 531 00:24:48,375 --> 00:24:49,759 is completely unethical. 532 00:24:49,843 --> 00:24:52,244 Come on. 533 00:24:52,296 --> 00:24:54,046 Don't you think she deserves to know why her husband 534 00:24:54,097 --> 00:24:56,248 won't bend her over the kitchen counter? 535 00:24:56,300 --> 00:24:58,584 You love all that caring crap. 536 00:24:58,635 --> 00:25:00,353 You're not doing this out of the kindness of your heart. 537 00:25:00,420 --> 00:25:02,638 You're not even doing this out of medical curiosity. 538 00:25:02,723 --> 00:25:05,024 I thought I made it clear I'm doing it for the cash. 539 00:25:05,091 --> 00:25:06,442 Two people are happy, 540 00:25:06,526 --> 00:25:08,260 and your natural impulse is to destroy it. 541 00:25:08,312 --> 00:25:09,228 How do you know she's happy? 542 00:25:09,279 --> 00:25:10,763 Did she tell you? 543 00:25:10,814 --> 00:25:14,233 No, chirping birds flew out of her butt carrying a banner. 544 00:25:14,284 --> 00:25:16,068 All right, I admit that my natural impulse 545 00:25:16,119 --> 00:25:17,954 is to doubt peoples' claims to happiness, 546 00:25:18,038 --> 00:25:20,539 but yours is to be a sucker for them. 547 00:25:20,607 --> 00:25:24,460 You tell me which one's worse. 548 00:25:31,668 --> 00:25:34,220 He just opened his eyes a little while ago. 549 00:25:34,287 --> 00:25:36,138 His heartbeat's doing well, 550 00:25:36,223 --> 00:25:39,058 and his body temperature is stabilized. 551 00:25:47,901 --> 00:25:52,605 There he is. 552 00:25:52,656 --> 00:25:54,373 Me sinto quente. 553 00:25:54,441 --> 00:25:56,075 Is that Portuguese? 554 00:25:56,142 --> 00:25:59,528 Yeah. 555 00:25:59,613 --> 00:26:01,831 Honey, I don't understand. 556 00:26:01,915 --> 00:26:05,251 Me sinto quente. 557 00:26:05,318 --> 00:26:08,320 What's he saying? 558 00:26:08,372 --> 00:26:10,957 I don't know. 559 00:26:11,008 --> 00:26:12,620 I tried to learn when we got married, 560 00:26:12,621 --> 00:26:13,821 but I just— 561 00:26:17,514 --> 00:26:19,849 it's okay. It's okay. 562 00:26:23,186 --> 00:26:24,303 His body temperature is rising. 563 00:26:24,354 --> 00:26:26,439 It's above normal. 564 00:26:26,506 --> 00:26:27,690 Wait, I thought— 565 00:26:27,774 --> 00:26:29,025 I thought you said it was stable. 566 00:26:29,109 --> 00:26:30,359 Why is it still rising? 567 00:26:30,444 --> 00:26:31,477 I don't know. 568 00:26:31,952 --> 00:26:35,030 Vomiting, liver, kidneys, and now fever. 569 00:26:37,050 --> 00:26:40,002 I don't want to tell you how to do your job, Dr. Foreman, 570 00:26:40,053 --> 00:26:42,671 since telling people how to do their job is your job, 571 00:26:42,722 --> 00:26:44,673 but when your 572 00:26:44,724 --> 00:26:46,809 less-than-competent administration of this hospital 573 00:26:46,876 --> 00:26:48,427 affects what's written on my whiteboard... 574 00:26:48,512 --> 00:26:49,512 Get to the point. 575 00:26:49,563 --> 00:26:51,347 The word "fever." 576 00:26:51,398 --> 00:26:52,765 Could come from the patient's illness, 577 00:26:52,849 --> 00:26:54,233 or it could come from the fact that you allowed him 578 00:26:54,317 --> 00:26:56,936 to saunter out of your hospital and take a nap in the snow. 579 00:26:57,020 --> 00:26:58,988 Couldn't have caught a virus while he was outside. 580 00:26:59,055 --> 00:27:01,056 Fever came on too fast. 581 00:27:01,107 --> 00:27:05,528 The hypothermia could've caused cell necrosis. 582 00:27:05,579 --> 00:27:07,746 TTP was the diagnosis when he walked out. 583 00:27:07,831 --> 00:27:10,366 Fever's a little high, but it still fits. 584 00:27:10,417 --> 00:27:12,918 We should continue plasmapheresis. 585 00:27:13,003 --> 00:27:14,570 We're missing symptoms. 586 00:27:14,621 --> 00:27:16,455 We should add language loss and aggression. 587 00:27:16,540 --> 00:27:17,923 Should we also add forgetfulness? 588 00:27:18,008 --> 00:27:19,675 - He's got Alzheimer's. - We've just been assuming. 589 00:27:19,742 --> 00:27:21,260 Because the patient's wife 590 00:27:21,344 --> 00:27:22,461 said he exhibited both for a year. 591 00:27:22,546 --> 00:27:24,129 He's never hit her before 592 00:27:24,214 --> 00:27:25,297 or lost all his English. 593 00:27:25,382 --> 00:27:26,915 We have to consider any change 594 00:27:26,967 --> 00:27:27,850 since he's been admitted as relevant. 595 00:27:27,917 --> 00:27:29,051 Have to? 596 00:27:29,102 --> 00:27:31,587 Do I need to pull out another card? 597 00:27:31,638 --> 00:27:34,773 Disseminated viral infection with encephalitis. 598 00:27:34,858 --> 00:27:40,596 Patient complained of a sore throat a few weeks ago. 599 00:27:40,647 --> 00:27:45,534 Start him on Interferon. 600 00:27:48,488 --> 00:27:50,155 Encephalitis makes his brain swell, 601 00:27:50,240 --> 00:27:51,407 which causes symptoms that are 602 00:27:51,458 --> 00:27:53,125 hard to distinguish from his Alzheimer's. 603 00:27:53,210 --> 00:27:56,328 With the Interferon his English should come back, 604 00:27:56,413 --> 00:27:58,130 and the aggression should subside. 605 00:27:58,215 --> 00:27:59,882 But you're not sure. 606 00:27:59,949 --> 00:28:02,301 Unfortunately, no. 607 00:28:02,385 --> 00:28:06,956 And you're not sure if he has brain damage from being frozen. 608 00:28:09,559 --> 00:28:14,296 So best-case scenario, 609 00:28:14,347 --> 00:28:19,318 I've just had a glimpse into his future? 610 00:28:22,572 --> 00:28:24,306 I can't take care of him anymore. 611 00:28:24,357 --> 00:28:26,325 Chances are his mental state will improve. 612 00:28:26,409 --> 00:28:28,944 You could get more time with him. 613 00:28:28,995 --> 00:28:32,948 We married six months after I met him. 614 00:28:32,999 --> 00:28:37,836 A year after that, he started forgetting things. 615 00:28:37,921 --> 00:28:40,339 I've known my husband longer with his Alzheimer's 616 00:28:40,423 --> 00:28:41,540 than without. 617 00:28:41,625 --> 00:28:43,292 I've watched more of him disappear 618 00:28:43,343 --> 00:28:46,095 than I ever got to know. 619 00:28:46,162 --> 00:28:49,932 I just can't do this anymore. 620 00:28:55,338 --> 00:28:56,555 You lose. 621 00:28:56,640 --> 00:29:00,693 Blood work shows high levels of prolactin. 622 00:29:00,777 --> 00:29:03,646 Add that to some peripheral red-green confusion, 623 00:29:03,697 --> 00:29:06,065 puts my money— excuse me, your money— 624 00:29:06,149 --> 00:29:07,516 soon to be my money 625 00:29:07,567 --> 00:29:09,818 on a tumor near his pituitary. 626 00:29:09,869 --> 00:29:12,388 Probably started growing in his early teens. 627 00:29:12,455 --> 00:29:13,855 Lowering his libido 628 00:29:13,907 --> 00:29:16,241 and causing erectile dysfunction. 629 00:29:16,326 --> 00:29:18,210 A year on dopamine agonists, 630 00:29:18,295 --> 00:29:20,846 and he'll be a sex-crazed creep just like the rest of us, 631 00:29:20,914 --> 00:29:24,550 completely fascinated by Susie Cooper. 632 00:29:24,634 --> 00:29:27,836 I'd prefer to be paid in a single $100 bill. 633 00:29:27,887 --> 00:29:30,038 Always wanted to use one to light a cigar. 634 00:29:30,090 --> 00:29:34,977 Hooray for us. We disproved his asexuality. 635 00:29:35,044 --> 00:29:36,812 We also probably ruined his life. 636 00:29:36,879 --> 00:29:37,763 He'll thank us. 637 00:29:37,847 --> 00:29:39,565 Then he'll doze off, 638 00:29:39,649 --> 00:29:42,234 and then in a couple hours, he'll thank us again. 639 00:29:42,319 --> 00:29:44,386 It could destroy his identity. 640 00:29:44,437 --> 00:29:47,439 It's like a gay person being told they're really straight. 641 00:29:47,524 --> 00:29:49,325 So don't tell him. 642 00:29:49,392 --> 00:29:50,526 Yeah, why bother telling a guy 643 00:29:50,577 --> 00:29:52,077 he has a tumor growing in his head? 644 00:29:52,162 --> 00:29:54,363 He'll notice it eventually, when it starts leaking out his ears. 645 00:29:54,414 --> 00:29:56,031 It's a slow-growing tumor. 646 00:29:56,082 --> 00:29:59,535 He'll probably die of boredom long before that. 647 00:29:59,586 --> 00:30:00,736 You always do this. 648 00:30:00,787 --> 00:30:02,504 You—you meddle 649 00:30:02,572 --> 00:30:05,874 and force me into impossible situations. 650 00:30:05,925 --> 00:30:07,626 You knew the second you told me about this case 651 00:30:07,711 --> 00:30:09,378 that I'd get involved. 652 00:30:09,429 --> 00:30:10,546 You wanted me to meddle. 653 00:30:10,597 --> 00:30:12,598 Because no matter how much you wanted 654 00:30:12,682 --> 00:30:14,466 to believe in this chaste romance, 655 00:30:14,551 --> 00:30:17,019 you didn't buy it either. 656 00:30:17,086 --> 00:30:18,904 Where's that petition House's P.O. sent over 657 00:30:18,972 --> 00:30:21,106 about getting his ankle monitor off? 658 00:30:21,191 --> 00:30:23,258 On your desk. 659 00:30:40,276 --> 00:30:42,077 You played me. 660 00:30:42,128 --> 00:30:44,713 This whole thing was about your ankle monitor. 661 00:30:44,781 --> 00:30:47,466 You weren't trying to undermine my confidence, 662 00:30:47,550 --> 00:30:48,801 you were trying to inflate it. 663 00:30:48,885 --> 00:30:50,952 You manufactured conflict with me 664 00:30:51,004 --> 00:30:52,504 so eventually you could let me win. 665 00:30:52,572 --> 00:30:55,174 You knew it was encephalitis, but you waited for me to say it 666 00:30:55,258 --> 00:30:57,176 because then with my ego boosted, 667 00:30:57,260 --> 00:30:58,677 you thought I'd be in the mood to take off your monitor 668 00:30:58,762 --> 00:31:02,848 because I'd think I could control you. 669 00:31:02,932 --> 00:31:08,437 You're right. Take off my monitor. 670 00:31:08,488 --> 00:31:10,689 See, the beauty of the plan 671 00:31:10,774 --> 00:31:13,108 is that if it works, you think you can control me. 672 00:31:13,159 --> 00:31:16,995 If it fails, then you will actually have proven 673 00:31:17,080 --> 00:31:19,114 that you can control me. 674 00:31:19,165 --> 00:31:21,784 It's pretty genius. 675 00:31:21,835 --> 00:31:24,753 These are your training wheels. 676 00:31:24,821 --> 00:31:26,321 If you think you're up to this job, 677 00:31:26,372 --> 00:31:28,757 it's time to lose them. 678 00:31:41,638 --> 00:31:44,506 Second half of my plan might need work. 679 00:31:52,699 --> 00:31:56,351 V-fib. Two rounds of 360 without establishing a rhythm. 680 00:31:58,621 --> 00:32:02,825 Wait, Dr. Foreman! 681 00:32:02,876 --> 00:32:04,209 Clear. 682 00:32:08,965 --> 00:32:10,999 He's back. 683 00:32:20,674 --> 00:32:22,714 I sure hope this Alzheimer's drug trial 684 00:32:22,715 --> 00:32:24,049 is worth a lot to this hospital, 685 00:32:24,100 --> 00:32:25,800 'cause we're wasting a crap-load of time and manpower 686 00:32:25,885 --> 00:32:28,419 just to let this guy watch his mind shrivel 687 00:32:28,471 --> 00:32:29,971 and keep his wife miserable. 688 00:32:30,056 --> 00:32:31,089 Heart attack while he was on Interferon 689 00:32:31,140 --> 00:32:32,507 rules out encephalitis, 690 00:32:32,575 --> 00:32:35,393 but I still think I'm right about the neural symptoms. 691 00:32:35,444 --> 00:32:36,778 It's probably aseptic meningitis. 692 00:32:36,846 --> 00:32:38,229 Would have seen meningial signs. 693 00:32:38,280 --> 00:32:40,281 Given his abnormal mental status, not necessarily. 694 00:32:40,366 --> 00:32:41,483 Dr. Foreman, 695 00:32:41,567 --> 00:32:44,736 would you please reach under your chair? 696 00:32:49,125 --> 00:32:51,493 There's just wet gum under here. Where's the card? 697 00:32:51,577 --> 00:32:55,113 What card? 698 00:32:55,164 --> 00:32:56,414 I'm happy to leave if you have 699 00:32:56,465 --> 00:32:58,833 a better theory than aseptic meningitis. 700 00:32:58,918 --> 00:33:00,085 Toxins. 701 00:33:00,136 --> 00:33:01,336 This guy went on walkabout. 702 00:33:01,420 --> 00:33:03,171 Chances are he's done it before. 703 00:33:03,255 --> 00:33:04,472 Wife keeps the doors on the house locked. 704 00:33:04,557 --> 00:33:05,957 Plenty of nasty stuff to get into 705 00:33:06,008 --> 00:33:07,058 during the middle of the night. 706 00:33:07,126 --> 00:33:08,292 We asked about toxins on the history. 707 00:33:08,344 --> 00:33:09,644 The wife said she was sure to clear the house 708 00:33:09,729 --> 00:33:10,729 for her husband's safety. 709 00:33:10,796 --> 00:33:12,130 I'm sure she succeeded. 710 00:33:12,181 --> 00:33:15,133 She's a PhD in toxicology, right? 711 00:33:15,184 --> 00:33:16,484 She's an ex-florist. 712 00:33:16,552 --> 00:33:17,786 Search the home for toxic plants, 713 00:33:17,853 --> 00:33:21,022 methyl bromide, any medications. 714 00:33:21,107 --> 00:33:23,307 Stop. 715 00:33:23,359 --> 00:33:25,410 You're not infallible. You were wrong about encephalitis. 716 00:33:25,477 --> 00:33:26,361 Just before you were. 717 00:33:26,445 --> 00:33:27,746 Run CSF tests. 718 00:33:27,813 --> 00:33:29,998 Find out what's causing the meningitis. 719 00:33:30,065 --> 00:33:34,085 You said you weren't gonna overrule me diagnostically. 720 00:33:34,153 --> 00:33:36,171 And you said I wouldn't be able to help it. 721 00:33:36,255 --> 00:33:38,923 Apparently, you were right about that one. 722 00:33:40,342 --> 00:33:41,793 Fine. 723 00:33:41,844 --> 00:33:43,845 I'll look for toxins myself. 724 00:33:43,929 --> 00:33:45,663 You can't go to their house without Foreman's permission. 725 00:33:45,714 --> 00:33:46,998 Don't need it. 726 00:33:47,049 --> 00:33:49,567 I'll talk to the toxicology PhD upstairs. 727 00:33:49,635 --> 00:33:51,736 What about gifts from South America? 728 00:33:51,804 --> 00:33:54,255 Anyone send any fruits or vegetables? 729 00:33:54,323 --> 00:33:56,691 I don't think so, no. 730 00:33:56,776 --> 00:33:59,978 Barraco azul... 731 00:34:00,029 --> 00:34:01,646 I'm gonna need your boyfriend 732 00:34:01,714 --> 00:34:03,631 to collect samples of plants 733 00:34:03,699 --> 00:34:06,117 in and around your house. Toxins are the most... 734 00:34:06,185 --> 00:34:08,236 Barraco azul... 735 00:34:08,320 --> 00:34:11,623 O que e isso? Barraco azul? 736 00:34:11,690 --> 00:34:14,409 Wait, you understand him? 737 00:34:14,493 --> 00:34:18,196 What's he saying? 738 00:34:18,247 --> 00:34:21,082 He's—he's repeating, "blue shack." 739 00:34:21,167 --> 00:34:23,001 You know what that is? 740 00:34:23,052 --> 00:34:25,386 Is it somewhere where pesticides may be kept? 741 00:34:25,454 --> 00:34:31,326 It's where we had our first date. 742 00:34:33,195 --> 00:34:34,712 Do you have a cleaning lady 743 00:34:34,763 --> 00:34:37,682 who might bring her own supplies? 744 00:34:37,733 --> 00:34:39,150 What's he saying? 745 00:34:39,218 --> 00:34:41,936 If it's not relevant to the case, I don't care. 746 00:34:41,937 --> 00:34:43,021 And neither should you. 747 00:34:43,043 --> 00:34:44,544 Please. 748 00:34:44,611 --> 00:34:48,548 This might be the last time I ever know what he's thinking. 749 00:34:56,924 --> 00:34:58,591 When I saw her waiting... 750 00:35:00,811 --> 00:35:04,263 Waiting for me at the table... 751 00:35:04,314 --> 00:35:07,800 The way her eyes looked when she smiled... 752 00:35:10,237 --> 00:35:13,906 I felt like crying. 753 00:35:17,077 --> 00:35:21,080 I knew that she was the woman I wanted to marry. 754 00:35:21,147 --> 00:35:24,533 Every time I see her, I say... 755 00:35:24,618 --> 00:35:27,670 La esta ela. 756 00:35:27,754 --> 00:35:29,789 There she is. There she is. 757 00:35:35,328 --> 00:35:37,930 He's still in there. 758 00:35:37,998 --> 00:35:39,966 Quem e ela? 759 00:35:42,719 --> 00:35:45,771 What did he say? 760 00:35:45,839 --> 00:35:48,608 He asked who you were. 761 00:35:51,678 --> 00:35:54,647 Don't get your hopes up. 762 00:35:54,698 --> 00:35:58,200 Have your boyfriend give me those samples. 763 00:36:06,743 --> 00:36:09,962 How'd you even know to look for a tumor? 764 00:36:10,030 --> 00:36:14,250 Well, Dr. House noticed hormone levels in your blood, 765 00:36:14,334 --> 00:36:16,886 and consulted me as an oncologist. 766 00:36:16,970 --> 00:36:19,338 Who cares how they found it, okay? They found it. 767 00:36:19,389 --> 00:36:21,140 Are there any side effects to the treatment? 768 00:36:21,207 --> 00:36:26,145 Some nausea, dizziness, and as the tumor shrinks, 769 00:36:26,212 --> 00:36:28,314 there will be behavioral changes. 770 00:36:28,381 --> 00:36:29,415 Like what? 771 00:36:29,483 --> 00:36:32,401 Well... 772 00:36:32,486 --> 00:36:35,988 The tumor interferes with certain natural systems. 773 00:36:36,056 --> 00:36:39,692 Um... 774 00:36:39,743 --> 00:36:43,996 It lowers libido and causes erectile dysfunction. 775 00:36:44,064 --> 00:36:45,748 Eh... 776 00:36:45,832 --> 00:36:48,000 Y-you mean the treatment will, 777 00:36:48,068 --> 00:36:48,951 um... 778 00:36:49,036 --> 00:36:52,571 M-make me want to have sex? 779 00:36:52,622 --> 00:36:54,907 Wh-what if I don't want the treatment? 780 00:36:54,958 --> 00:36:56,509 I would strongly advise... 781 00:36:56,576 --> 00:36:58,594 You have a brain tumor, okay? You have to have the treatment. 782 00:36:58,679 --> 00:37:00,763 Okay, look, I know who I am, okay? 783 00:37:00,847 --> 00:37:02,631 And I'm not one of them. 784 00:37:02,716 --> 00:37:06,218 Hey, look, we'll adjust. Okay? 785 00:37:06,269 --> 00:37:08,721 We can go through this together. 786 00:37:08,772 --> 00:37:10,690 You mean have sex? 787 00:37:10,757 --> 00:37:12,224 I can't make you do that. 788 00:37:12,275 --> 00:37:14,259 Maybe it won't be so bad. 789 00:37:14,311 --> 00:37:18,230 It'll be terrible. 790 00:37:18,281 --> 00:37:20,916 It's actually pretty fun. 791 00:37:23,603 --> 00:37:25,905 From what I remember. 792 00:37:25,956 --> 00:37:28,374 But you said that... I know. 793 00:37:28,441 --> 00:37:33,662 I know. I wanted to spend my life with you. 794 00:37:33,747 --> 00:37:37,800 And I knew that meant making certain sacrifices. 795 00:37:37,884 --> 00:37:40,636 But a girl has needs. 796 00:37:45,859 --> 00:37:48,060 You dropped in the U.S. News rankings. 797 00:37:48,128 --> 00:37:49,595 With respect, Mr. Laffont, 798 00:37:49,663 --> 00:37:51,680 that's only because we temporarily shut down 799 00:37:51,765 --> 00:37:52,898 our Diagnostics Department. 800 00:37:52,966 --> 00:37:54,350 It's up and running again. 801 00:37:54,434 --> 00:37:55,484 I'm actually concerned it might be 802 00:37:55,569 --> 00:37:56,819 because of the change in management. 803 00:37:56,903 --> 00:37:58,637 If you want my money, 804 00:37:58,688 --> 00:38:00,873 I'll need to see a five-year plan. 805 00:38:04,745 --> 00:38:08,114 Am I boring you? 806 00:38:08,165 --> 00:38:09,949 No, no, I just... 807 00:38:11,651 --> 00:38:13,652 Those flowers are from last week. 808 00:38:13,720 --> 00:38:15,588 They should be dead by now. 809 00:38:15,655 --> 00:38:16,756 Excuse me? 810 00:38:19,876 --> 00:38:21,510 Sorry. I have to go. 811 00:38:31,609 --> 00:38:33,210 It's Reye's syndrome. 812 00:38:33,277 --> 00:38:34,578 Patient had a sore throat 813 00:38:34,629 --> 00:38:36,046 a few weeks ago before he was admitted. 814 00:38:36,113 --> 00:38:38,281 Reye's in adults is a reach. 815 00:38:38,333 --> 00:38:39,666 Not if he took aspirin. 816 00:38:39,751 --> 00:38:41,802 Aspirin in adults is a reach. 817 00:38:41,886 --> 00:38:44,120 Especially in a house with locked medicine cabinets. 818 00:38:44,172 --> 00:38:45,472 Wasn't in the medicine cabinet. 819 00:38:45,557 --> 00:38:47,891 Wife used to run a floral company. 820 00:38:47,959 --> 00:38:49,476 Still does a few orders from home. 821 00:38:49,561 --> 00:38:51,512 She uses crushed aspirin in the water 822 00:38:51,596 --> 00:38:55,399 to make the flowers last longer. 823 00:38:55,466 --> 00:38:57,184 So the husband has a sore throat, 824 00:38:57,252 --> 00:38:58,936 takes an aspirin without her knowing, 825 00:38:58,987 --> 00:39:00,904 realizes he's got a sore throat, takes an aspirin, 826 00:39:00,972 --> 00:39:02,272 realizes he's got a sore throat... 827 00:39:02,323 --> 00:39:04,942 Stop me whenever you like. 828 00:39:04,993 --> 00:39:07,995 Have Chase start him on steroids. 829 00:39:08,079 --> 00:39:09,746 Already did. 830 00:39:09,814 --> 00:39:11,815 Then why're you telling me? 831 00:39:11,866 --> 00:39:15,752 'Cause I wanted you to hear it from me. 832 00:39:38,142 --> 00:39:41,862 Oh... 833 00:39:45,033 --> 00:39:47,017 There she is. 834 00:39:49,537 --> 00:39:51,622 Here I am. 835 00:39:54,025 --> 00:39:55,042 Your eye. 836 00:39:55,126 --> 00:39:58,328 What happened? 837 00:39:58,379 --> 00:40:02,115 It's nothing I can't handle. 838 00:40:15,263 --> 00:40:18,348 MRI confirmed macroprolactinoma. 839 00:40:18,399 --> 00:40:20,484 He's doing the treatment. 840 00:40:20,551 --> 00:40:21,818 And the wife? 841 00:40:29,193 --> 00:40:30,661 Come on. 842 00:40:30,728 --> 00:40:34,164 You saved a man's life. 843 00:40:34,231 --> 00:40:37,734 Course-corrected two peoples' wildly screwed-up world views. 844 00:40:37,785 --> 00:40:43,707 It's not bad for a day's work. 845 00:40:43,758 --> 00:40:46,376 I think they were happy. 846 00:40:46,427 --> 00:40:48,428 Even if it was based on lies. 847 00:40:48,513 --> 00:40:50,180 Most happiness is. 848 00:40:53,101 --> 00:40:55,018 Better to have schtupped and lost 849 00:40:55,086 --> 00:40:56,770 then never to have schtupped at all. 850 00:40:56,854 --> 00:40:59,523 We can't smoke in here. 851 00:41:03,427 --> 00:41:05,762 We also can't summon people into the clinic 852 00:41:05,813 --> 00:41:07,731 based on a lie motivated by a petty bet. 853 00:41:07,782 --> 00:41:09,866 And yet it happens. 854 00:41:09,934 --> 00:41:11,702 It's an imperfect world. 855 00:41:23,381 --> 00:41:24,297 Well? 856 00:41:24,382 --> 00:41:29,336 Disgustingly satisfying. 857 00:41:34,291 --> 00:41:35,425 He said it was okay. 858 00:41:35,476 --> 00:41:38,962 Is one of you Dr. House? 859 00:41:39,013 --> 00:41:40,430 You've seen Spartacus, right? 860 00:41:40,481 --> 00:41:41,848 I got an order here 861 00:41:41,933 --> 00:41:43,316 to deactivate and remove his ankle monitor. 862 00:41:57,448 --> 00:41:58,415 Robbie? 863 00:41:58,482 --> 00:42:00,117 Hi, sis. 864 00:42:01,786 --> 00:42:03,503 It's been years. 865 00:42:03,588 --> 00:42:05,589 I know. 866 00:42:05,656 --> 00:42:07,624 I thought of you on mom's birthday. 867 00:42:08,760 --> 00:42:11,294 Is everything okay? 868 00:42:11,345 --> 00:42:13,630 Yeah, yeah. Fine. I just... 869 00:42:15,049 --> 00:42:18,518 wanted to see how you were. 870 00:42:18,603 --> 00:42:19,553 I'm fine. 871 00:42:33,851 --> 00:42:36,203 Bikes go faster without training wheels. 872 00:42:40,408 --> 00:42:43,960 Now get out. I have work to do. 873 00:42:50,835 --> 00:42:55,338 Whoops. 874 00:42:58,733 --> 00:43:02,733 == sync, corrected by elderman ==