House (2004–2012): Season 8, Episode 9 - Better Half - full transcript

An Alzheimer's patient visits Princeton Plainsboro as part of a hospital sanctioned drug trial, but when he inexplicably suffers from violent vomiting and an increasingly explosive temper, the team begins to unravel a deeper marriage conflict between the patient and his dutiful wife. Meanwhile, House and Foreman butt heads, and Wilson treats a patient who claims to be in a chaste marriage.

We're in the car, honey.
We're going to
the hospital for tests.

We're in the hospital.
We're going to
the doctor's office.

Can you tell me
what this is called?

You use it
to get food
from inside.

Yes, but
what's it called?

Is it a spatula?

No.

Good.
Is it a can opener?

No. It's... It's...

You're trying to
make me look stupid.

You can go to hell!
Why don't you
kill yourself?



Andres.

It's okay.

(CHUCKLES)

There she is.

Here I am.

Here. Come on.

You just need to answer
a few more questions,

then we're going home.
We'll have lunch, okay?

Okay.

I'm sorry.

I have AIzheimer's.

I know.

The mood swings
come on quickly,
but it's under control.

Don't worry.
He's actually perfect
for the drug trial.



Oh. (SIGHS)
(CHUCKLES)

Thank God.

We can start as
soon as next week.

(COUGHING)

Andres! Oh, my God!

Andres?

FOREMAN: Early onset
familial AIzheimer's.
Brazilian descent.

Blood chemistries
showed high ammonia.

Vomiting stopped
after the ER put him
on antiemetics.

Any recent
health issues?

Just a sore throat
a few weeks ago.

How advanced is he?
Could be hyperalimentation.

Advanced enough,
but no IV feedings.

The wife shut down
her floral company
to stay home

and feed him
every meal he's had
in the last four years.

Do we owe this case
to your guilt

at having ignored
your own forgetful mommy?

My guilt over my mom
is why I put up
with my dad.

You're taking this case

because we're running
a Phase Two trial on
an AIzheimer's drug.

You couldn't round up enough
doddering, old guinea pigs,

so you need us to
fix this little piggy?

I'd like to sit in.
Especially since you're
short a team member.

You mean Taub?
Got him in here.

He asked for personal days.
His daughter's sick.

Isn't that the point
of having a spare?

I denied his request.

After I'd already
approved it,

which you knew because
I sent you a memo.

Dr. Adams,
taped under your chair
is an index card.

Would you read it,
please?

"Wednesday, 2:43 p.m.

"A black pawn will believe
he's the black king

"and attempt to capture
the white head
of diagnostics."

It's 10:15 on Friday.

Damn it. (SIGHS)
Look, the point is,
I saw this coming.

Dr. Foreman and I
did not always
see eye to eye,

but he never had
the power to overrule me.

Now that
he has the power,

he won't be able to resist
the temptation to use it.

With great power
comes great micromanaging.

And great vests.

I know you're
the better diagnostician.

I'm not gonna interfere.
I'm only here to help.

Could be
transient nitrogen load
from a Gl bleed.

Not if the vomiting's
persistent.

Which we won't know,
because the ER put him
on antiemetics.

Take him off.

Wait. He was
puking his guts out.

We'd risk aspiration.

I'm just disagreeing,
not overruling.

So glad you're on board.
Take him off antiemetics.

Do an upper endoscopy
to check for bleeds.

It could be
a bladder infection.

We'll run
a pregnancy test.

I'm not pregnant.

Any type of birth control
can fail.

Not mine.

Oh, I'm sorry. You said
you were married?

Yeah. Happily.

It's okay. Sex can wane
in any marriage over time.

No, no.
We've never had sex.

We kiss and cuddle,
but neither one of us
is interested in sex.

You're both celibate?

No, neither of us.

Celibacy is a choice.
This is our orientation.

We're asexual.

Not quite sure what box
to check here.

CHASE:
You're making a mistake.

If I had the power
to veto him,

given all the crap
I've put up with
over the years,

I don't know if
I could use it
objectively.

I do.

I can. I have.

It might be easier
if you'd stay out
of the room.

I thought
it'd be different.
This week.

I'm supposed to talk
to his PO about getting
his ankle monitor off early.

You're saying
he should defer
to you?

No. I'm just saying
what he's doing
doesn't seem rational,

which makes me think
it's rational in a way
I'm not privy to.

He always has a plan.

And he's always
self-destructive.

He may just be
shooting himself
in the ankle.

I know it feels strange.
Dr. Chase is just looking
in your throat.

We're in the hospital.
You're fine.

That's a pretty nice
trophy there, Andres.

NATALIE:
He coached youth soccer.

Took a team that
was zero-and-six

all the way
to the state finals
at Long Branch.

Hey, thanks for
doing this in here.

Switching rooms can
be very disorienting.

You take very
good care of him.

I love him.
Sickness and health, right?

Upper esophagus is clear,
moving on to the GE junction.

(DOOR SLIDES OPEN)

Hi.
Hey.

I'm sorry,
family members only
during procedures.

I'll wait outside.

Oh, no, please,
it's okay.

Joseph helps me
with my husband sometimes.

He's a good friend.

Which means not family.

Wait, we're gonna
be here a while.

Why don't you
show Joseph where
the visitor's lounge is?

Okay.

What?

I'm surprised
you didn't go into
the diplomatic corps.

Oh, you think they're...

No.
If they're having sex,

it's probably
with their genitals.

Mallory-Weiss tear.
Vomiting must have
torn the lining.

You know that close to
1 % of the population
identifies as asexual?

We really got to
get you laid.

If I have to plow
that furrow myself,
so be it.

I've a patient
who's asexual.

Is she a giant pool
of algae?

It's a valid
sexual orientation,

according to this article,
at least.

Yeah,
I think I read that, too.
Is that Fugliness Weekly?

She's perfectly
fine-looking.

Happily married
for 10 years.

To a guy who
loves penis enough
for both of them.

He's asexual, too.

Ran a complete
physical on her.

Nothing wrong
except a common
bladder infection.

Hundred bucks says
I can find a medical reason

why she doesn't want
to have sex.

You're out of your mind
if you think

I'm letting you anywhere
near my patient.

Fine, I won't go near her.

Just give me her file
and any blood samples
you have left over.

No contact whatsoever.
You talk to her,
the bet is void.

No contact. Plays to
my strengths, anyway.

(DOOR SLIDES OPEN)

Right now's not
a good time, House.

Not for the Dean
of Medicine,

but it's the perfect time
if you're a member
of my team.

Which one are you?

What did
the endoscopy show?

No signs of
ulcers or blockages.

(BEEPING)

But you found a tear
just below the esophagus.

Explains the bleeding.

Doesn't explain why
he vomited so hard
he ripped his insides.

His liver enzymes
are slightly elevated.
Gallstones could...

No complaints of pain.

Steatohepatitis
would make his AST
and ATL levels rise.

Are you calling
his liver fat?

Start the patient
on statins,

do a biopsy
to confirm.

And knock him out,
I've heard
he's a wiggler.

There's no need
to put him under.

We can confirm fatty liver
with an ultrasound.

Just making
an observation.

Well done. And now,
as a member of my team,

you can make the equally
useful observations
that the sky is blue,

I'm wearing pants,
and I'm ignoring
your first observation.

Of course.

Wait.

And there it is.

You're trying to screw
with my confidence.

Well, if I wanted
to do that,

I'd tell you how much
the nurses hate you.

You're trying to get me
to define myself
as a subordinate

to keep me from
ever intervening,

even if it's fully
in the scope
of my duties.

Like now. This isn't
about diagnostics,

it's about what's safe
for the patient.

Do the ultrasound.

Ultrasound it is.

And the nurses
love you.

You don't think I knew
House was gonna tell you
to ignore me

and not do
the ultrasound?

This is an
ultrasound machine.

Which you're gonna use to do
an ultrasound-guided biopsy.

You've probably got
a kit stashed here...

"Cuddy Dark will
waste his afternoon
chasing conspiracy theories."

You're letting him
get inside your head.

He can do a lot
of damage in there.

Dr. Chase,
he started vomiting again.

This is why we stopped
the antiemetics.

We needed to see if
it was still a symptom.

Okay.

Here. You want this?

Get your hands off me.
You're taking my head!

It's okay, Andres.
You're in the hospital.

(GRUNTING)

(GLASS SHATTERING)

10 milligrams
of diazepam.

Already on it.

Hey!
NATALIE:
I'm fine. I'm fine.

(PANTING)

Foreman.

FOREMAN:
Blood in his urine.

JESSICA:
We resumed the antiemetics
and increased his sedation.

He really
went after her.

Maybe he found out
about her "good friend."

It was just paranoid rage.
Typical of Alzheimer's.

We don't even know
if they were
sleeping together.

A few hours ago,
you were sure.

And that's
significant why?

Sorry, only the bleeding's
medically relevant.

No, I wasn't
being rhetorical.

If they are
sleeping together,
why do we disapprove?

You're pro infidelity?

She's not married.

If marriage is feeding
and cleaning someone

and limiting conversation
to repeating a few
simple commands,

then I was married
to my pet rat.

And a lot of people
owe me wedding gifts.

And we're walking,
we're walking.

I don't care how sick
your spouse gets,
you don't jump ship.

Alzheimer's is different.
She can't share
her problems with him,

or plan for the future.
The man she married
no longer exists.

Yes, he does.
He's in there.

This is why
you get married.

Said the divorced woman
to the divorced man.

I didn't jump ship.
My husband sank it
when he cheated on me.

Commitment's
not conditional.

She is there for him
in the only way
that matters now.

She gave up her life
to take care of him.

Proves she's an idiot.

If she had any sense,
she'd have stuck him
in a facility

and jumped
on that strange...

Dr. Foreman.
We were just
looking for you.

I was right about
the antiemetics.

If we kept him on them
like I said,

he wouldn't have
gotten agitated
and punched his wife.

Yes, we're back
to my supposed
diabolical plan

to shake
your confidence.

Let's see if this helps.

If you're speaking
as a team member,

then I'd say
you're a moron.

'Cause taking him
off the antiemetics

gave us crucial
diagnostic information.

If you're speaking
as Dean of Medicine,
then I'd say you're a moron.

'Cause your micromanaging
kept us from doing a biopsy.

And if we had,
the patient would've been
anesthetized hours ago

thus unable to go
all Chris Brown
on her ass.

Unless one of
your index cards
actually predicted

the guy was
gonna punch his wife,

everything you're saying is
post hoc rationalization.

Dr. Park,
would you please reach
under that chair?

"The patient will
punch his wife."

You clearly wrote that
after the fact.

Dr. Adams,
would you please
reach into my pants?

"Dr. Blackenshmurtz
will accuse me

"of writing
about the punch
after the fact."

And look,
there's a photograph of me

holding a newspaper
dated last Tuesday.

How could I have
gotten my hands
on that?

You done?
Rhabdomyolysis
fits the vomiting,

pigmenturia
and renal failure.

No muscle symptoms
and urine had
no myoglobin.

TTP fits, though.

Start him on plasmapheresis.
Unless...

Unless I need to say,
"Mother, may I?"

And "mother's"
an abbreviation.

CHASE: Fresh plasma will
replace the damaged
red blood cells

that are clogging
his kidneys.

That sounds hopeful.

How's that feeling?

I've never been hit
in the eye before.
(LAUGHS)

I feel kind of badass.

I think maybe
you should go.

Look, I'm fine, okay?

I'll see you tomorrow?

Okay.

We're not
having an affair.

It's none
of my business.

I mean, not really.

'Cause nothing's happened,
but we've talked
about it a lot and...

It's just really hard
doing this by myself.

When's the last time
you had a full night's
sleep?

Um...

I don't know.
Three years?

You're not gonna
get any rest here.

People who are sick
are not the only ones

who need to
be taken care of.

CHI: Why doesn't Chase
have to be here?

You think he knows
anything about women
who don't want to have sex?

Hormone levels are normal.
This woman seems
perfectly healthy.

What does it matter
if she says she's asexual?

It's the fundamental
drive of our species.
Sex is healthy.

Orgasms
oxygenate the brain,

lighting up over
30 different areas

and making us
forget how boring
Susie Cooper is.

That last one may
not be universal.

How about damage
to her spinal cord,

blocking the signals
from her genitals?

Sex drive is
in the brain.

I suppose it could
be psychological
intimacy issues

caused by
childhood abuse.

She's been sharing
a toilet with the same guy
for the last 10 years.

It's not the same.

Sex releases oxytocin,
it's the neurochemical
basis for bonding.

And that's why
men always marry
their right hands.

It's different for girls.

No, it's not.
I've tapped over 30 guys

and never wanted to
see most of them again.

I lived next
to a Jewish frat.

We are veering
wildly off track.
Please continue.

This woman's life
is probably better off
without sex.

Eliminates most of
her insecurities,

she's immune to
most advertising,

and can have honest
relationships with men.

(LAUGHS)
Not a lot of them.

We've run every test
and ruled out
all the options.

You're gonna have to accept
she just doesn't want sex.

Lots of people
don't have sex.

The only people
who don't want it

are either sick,
dead or lying.

So maybe she's lying.

You think she's had
a boyfriend on the side?

For 10 years?

Sticking around
the whole time?
It doesn't make sense.

What does...

Thirty?

Everybody lies.

Higher or lower?

Followed your advice
and took the night off.

It seems to have
done you some good.

Mmm-hmm.

Where's my husband?

He's not in the hospital.

So he just walked out?

All of the shift nurses
had their hands full
with a double code.

HOUSE: Perfectly
reasonable explanation.

Same thing happened to me.
Couldn't find my keys
for days.

The police
have been notified,
I have staff searching.

You told me
it was okay to leave.

I'm sorry.

He has AIzheimer's!
It's freezing outside!

And he's sick!

I mean,
you don't even know
what it is yet, do you?

The plasmapheresis
hasn't had time to work,

but TTP is
our most likely...

Okay, I have to
go look for him.

Hey. Don't be an ass.
Can't you see she's upset?

No, she's guilty.

Instead of being at
her husband's side,
she was under you.

Okay. That's...

Yeah, he already
said I was an ass.

Personally,
I applaud your decision
to step down off your cross

and get on with your life,
but your misplaced guilt

is shutting down
your brain.

We need you to sit, focus,
and answer our questions.

So it's 6:00 a.m.,
patient wakes up,

and the first thing
he sees...

In moments of confusion,
Alzheimer's patients
regress to old routines.

HOUSE: So what would
your husband do
on a Saturday morning?

Nothing. Be at home.

What about a year ago,
five years, or 10?

I don't know.

He trained for
a marathon once.

Soccer practice.
We took a cooking class.

The soccer trophy you were
telling me about, it's gone.

Where was practice?

It was close to here,
on Chesterfield.

Okay, he comes,
he thinks he's waiting
for practice.

He'd want to get out
of the wind,

but somewhere
he could see
the kids arrive.

There.

Over here!

On three.
One, two, three.

Nothing.

Not dead till
he's warm and dead.

Get him to the ICU.

Start him on
extracorporeal circulation.

That'll raise his
temperature too quickly,
it'll cause acidosis.

We can deal with
his metabolism crashing.

We can't
reverse brain damage
if we go too slowly.

Either way, if we don't
get his temperature
above 95,

it's not gonna matter.

Multiple warm lavage
is safer.

Do what House says.

NATALIE:
He has no heartbeat,
he's not breathing.

How can he not
be dead?

Body slows down
when it cools,
but it doesn't fully stop.

We're warming his blood
outside of his body
and then putting it back.

It'll raise his
temperature enough

that his heart
should naturally start.

Then we can shock it
back into rhythm.

And if it doesn't start?

Then there's
nothing we can do.

You think
it's possible he knew
what he was doing?

Like some part of him
gets what he's putting
his wife through,

so he tried to...
Kill himself?

It's what I'd do
if I were him.

At least I wish I would.

I meant run away.

You think
you should kill yourself
if you become a burden

to the people
who love you?

If you really loved
them back, then yes.

That's really dark.

It's not naive.

I just believe
people are capable of more
than you do, apparently.

(MONITOR BEEPS)

We've got
brain activity.

Temp's at 93.
His heart should
start soon.

My dad left me alone
to care for
my alcoholic mom

and raise
my baby sister.

I was just a teenager.

I spent half of my time
changing diapers

and the other half
cleaning up my mom's vomit.

But it must
have been important

that you stayed
for both of them.

Mom died
after a few years.

It was ugly and painful,
and she went
with me hating her.

My sister
ended up drinking
half of her life away

and hating me
because I couldn't help.

After Mom,
I had nothing left.

So do I wish
Mom had used a gun
instead of a bottle?

Yes.

I didn't know.

That's why I told you.

(MONITOR BEEPING)

Ventricular fibrillation.

Give him 300 milligrams
amiodarone.

(DEFIBRILLATOR CHARGING)

Be careful.
Once we establish rhythm,

any accidental movement
could crash him back
into V-fib.

Clear.

(BEEPING)

We still have
a long way to go.

Cold can be protective
to the brain,

but there is
a possibility
of damage.

We also need to confirm
and treat whatever's
making him sick.

I just gotta do
a standard battery of tests.

Blood, urine, EEG.

Is that really necessary
for a free flu shot?

(KNOCKING ON DOOR)

(SIGHS)

Excuse me,
I have to deal with someone
who's having a panic attack.

I specifically said
the bet was off

if you contacted
the patient.

Exactly.
You never said anything
about the patient's husband.

The deal was
a medical reason why
she doesn't have sex.

I admit I was stuck
until I realized

that the medical issue
was not hers, but his.

She's lying to compensate.
It's a tale as old as time.

Boy meets girl.
Girl falls for boy.

Boy says,
"I'm asexual."

Girls says,
"Yeah, me, too."

Your twisted logic
can't hide the fact

that tricking a patient
into being tested

is completely unethical.

Come on.
Don't you think she deserves
to know why her husband

won't bend her over
the kitchen counter?

You love all that
caring crap.

You're not doing this
out of the kindness
of your heart.

You're not even doing this
out of medical curiosity.

I thought I made it clear
I'm doing it for the cash.

Two people are happy,
and your natural impulse
is to destroy it.

How do you know
she's happy?
Did she tell you?

No, chirping birds
flew out of her butt
carrying a banner.

All right, I admit
that my natural impulse

is to doubt
people's claims
to happiness,

but yours is
to be a sucker for them.

You tell me
which one's worse.

(DOOR CLOSES)

(COUGHING)

He just opened his eyes
a little while ago.

His heartbeat's doing well
and his body temperature
stabilized.

There he is.

(SPEAKING PORTUGUESE)

Is that Portuguese?

Yeah.

Honey,
I don't understand.

(SPEAKING PORTUGUESE)

What's he saying?
(SIGHS)

I don't know.

I tried to learn
when we got married,
but I just...

(BREATHING HEAVILY)

It's okay, it's okay.

(MONITOR BEEPING)

His body temperature
is rising.
It's above normal.

Wait, I thought
you said it was stable.
Why is it still rising?

I don't know.

Vomiting, liver, kidneys
and now fever.

(HOUSE COUGHING)

I don't want to
tell you how to do
your job, Dr. Foreman,

since telling people
how to do their job
is your job.

But when your
less-than-competent

administration
of this hospital

affects what's written
on my whiteboard...

Get to the point.

The word "fever."
Could come from
the patient's illness,

or it could come
from the fact
that you allowed him

to saunter out
of your hospital
and take a nap in the snow.

He couldn't
have caught a virus
while he was outside,

fever came on too fast.

The hypothermia
could have caused
cell necrosis.

TTP was the diagnosis
when he walked out.

Fever's a little high,
but it still fits.

We should
continue plasmapheresis.

We're missing symptoms.

We should add
language loss
and aggression.

Should we also
add forgetfulness?
He's got AIzheimer's.

We've just
been assuming.

Because the patient's wife
said he exhibited both
for a year.

He's never hit her before
or lost all his English.

We have to
consider any change

since he's been
admitted as relevant.

"Have to? " Do I need
to pull out another card?

Disseminated
viral infection..
with encephalitis.

Patient complained
of a sore throat
a few weeks ago.

Start him on interferon.

CHASE: Encephalitis
makes his brain swell,

which causes symptoms
that are hard to distinguish
from his Alzheimer's.

With the interferon,
his English should
come back

and the aggression
should subside.

But you're not sure?

Unfortunately, no.

And you're not sure
if he has brain damage
from being frozen?

So best-case scenario,

I just had a glimpse
into his future?

I can't take care
of him anymore.

JESSICA: Chances are
his mental state
will improve.

You could get
more time with him.

We married six months
after I met him.

A year after that,
he started forgetting things.

I've known my husband longer
with his AIzheimer's
than without.

I've watched more
of him disappear
than I ever got to know.

I just can't
do this anymore.

You lose.

Blood work shows
high levels of prolactin.

Add that
to some peripheral
red-green confusion,

puts my money,
excuse me, your money,
soon to be my money,

on a tumor
near his pituitary.

Probably started growing
in his early teens.

Lowering his libido
and causing
erectile dysfunction.

A year
on dopamine agonists

and he'll be
a sex-crazed creep
just like the rest of us.

Completely fascinated
by Susie Cooper.

I would prefer
to be paid in
a single $100 bill.

Always wanted to use one
to light a cigar.

Hooray for us.
We disproved
his asexuality.

We also probably
ruined his life.

He'll thank us.
Then he'll doze off.

And then,
in a couple of hours,
he'll thank us again.

It could
destroy his identity.

It's like a gay person
being told they're
really straight.

So don't tell him.

Yeah, why bother
telling a guy he has a tumor
growing in his head?

He'll notice it eventually
when it starts leaking
out his ears.

It's a slow-growing tumor.

He'll probably die
of boredom
long before that.

You always do this.
You meddle and force me
into impossible situations.

You knew
the second you told me

about this case
that I'd get involved.

You wanted me to meddle.

'Cause no matter
how much you wanted

to believe
in this chaste romance,

you didn't buy it either.

Where's that petition
House's PO sent over

about him getting
his ankle monitor off?

On your desk.

(SIGHS)

You played me.

This whole thing was
about your ankle monitor.

You weren't trying to
undermine my confidence,

you were trying
to inflate it.

You manufactured
conflict with me

so, eventually,
you could let me win.

You knew
it was encephalitis,

but you waited
for me to say it,

because then,
with my ego boosted,

you thought
I'd be in the mood
to take off your monitor.

Because I'd think
I could control you.

You're right.
Take off my monitor.

See, the beauty
of the plan

is if it works,
then you think
you can control me.

If it fails,
then you will actually

have proven that
you can control me.

It's pretty genius.

These are
your training wheels.

If you think
you're up to this job,
it's time to lose them.

Second half of my plan
might need work.

(PAGERS BEEPING)

(MONITOR BEEPING RAPIDLY)

V-fib.
Two rounds at 360

without establishing
a rhythm.

(DEFIBRILLATOR CHARGING)

Wait! Dr. Foreman!

Clear.

(MONITOR BEEPS)

He's back.

I sure hope this
Alzheimer's drug trial

is worth a lot
to this hospital,

'cause we're
wasting a crapload
of time and man power

just to let this guy
watch his mind shrivel

and keep
his wife miserable.

Heart attack while
he was on interferon
rules out encephalitis,

but I still think
I'm right about
the neuro symptoms.

It's probably
aseptic meningitis.

We would have
seen meningeal signs.

Given his
abnormal mental status,
not necessarily.

Dr. Foreman!
Would you please
reach under your chair?

It's just wet gum
under here.

Where's the card?
What card?

I'm happy to leave
if you have a better theory
than aseptic meningitis.

Toxins.

If this guy went
on a walkabout,

chances are
he's done it before.

Wife keeps the doors
in the house locked.

There's plenty of
nasty stuff to get into

during the middle
of the night.

We asked about toxins
on the history.

The wife said she was sure
to clear the house
for her husband's safety.

And I'm sure
she succeeded.

She's a PhD
in toxicology, right?

She's an ex-florist.
Search the home
for toxic plants,

methyl bromide,
any medications.

Stop.
You're not infallible.

You were wrong
about encephalitis.

Just before you were.

Run CSF tests,
find out what's causing
the meningitis.

You said you weren't
gonna overrule me,
diagnostically.

And you said
I wouldn't be able
to help it.

Apparently, you were
right about that one.

Fine. I'll look
for toxins myself.

You can't go
to their house without
Foreman's permission.

Don't need it,
I'm gonna talk to
the toxicology PhD upstairs.

HOUSE: What about gifts
from South America?

Anyone send any
fruits or vegetables?

I don't think so... No.

(ANDRES MUTTERING
IN PORTUGUESE)

I'm gonna need
your boyfriend to
collect samples of plants

in and around your house.
Toxins are the most...

(SPEAKING PORTUGUESE)

Wait. You understand him?
What's he saying?

He's repeating
"blue shack."

You know what that is?

Is it somewhere
where pesticides
may be kept?

It's where
we had our first date.

(CONTINUES SPEAKING
PORTUGUESE)

Do you have a cleaning lady
who might bring
her own supplies?

What's he saying?

If it's not relevant to
the case, I don't care,
and neither should you.

Please.

This might be
the last time I ever know
what he's thinking.

(TRANSLATING)
"When I saw her waiting...

"Waiting for me
at the table...

"The way her eyes looked
when she smiled...

"I felt like crying.

"I knew
she was the woman
I wanted to marry.

"And every time
I see her, I say...

"There she is."
"There she is."

He's still in there.

(SPEAKING PORTUGUESE)

What did he say?

He asked who you were.

Don't get your hopes up.

Have your boyfriend
get me those samples.

How did you even know
to look for a tumor?

Dr. House noticed
hormone levels
in your blood

and consulted with me
as an oncologist...

Who cares how
they found it.. okay?
They found it.

Are there any side effects
to the treatment?

Some nausea, dizziness,
and as the tumor shrinks,

there will be
behavioral changes.

Like what?

Well...

The tumor interferes with
certain natural systems.

It lowers libido
and causes
erectile dysfunction.

You mean the treatment
will make me want
to have sex?

What if I don't
want the treatment?

I would
strongly advise...

Look, you have
a brain tumor, okay?

You have to
have the treatment.

Okay, look,
I know who I am, okay?

And I'm not one of them.

Hey, look,
we'll adjust.

Okay? We can go
through this together.

You mean have sex?
I can't make you do that.

Maybe it won't
be so bad.

It'll be terrible.

It's actually
pretty fun.

From what I remember.

But you said that...
I know.

I know. I wanted to
spend my life with you

and I knew that meant
making certain sacrifices.

But a girl has needs.

You dropped
in the U.S. News rankings.

With respect,
Mr. Laffont, that's only
because we temporarily

shut down our
diagnostics department.

It's up
and running again.

I'm actually concerned
it might be because of
the change in management.

If you want my money,
I'll need to see
a five year plan.

Am I boring you?

No, I just,
those flowers are
from last week.

They should
be dead by now.

Excuse me?

Sorry, I have to go.

It's Reye's Syndrome.

Patient had a sore throat
a few weeks ago
before he was admitted.

Reye's in adults
is a reach.

Not if he took aspirin.

Aspirin in adults
is a reach.

Especially in a house
with locked medicine cabinets.

It wasn't in
the medicine cabinet.

The wife used to
run a floral company,

still does a few orders
from home.

She uses crushed aspirin
in the water

to make the flowers
last longer.

So the husband
has a sore throat,

takes an aspirin
without her knowing,

realizes he's
got a sore throat,
takes an aspirin,

realizes he's got
a sore throat...

You can stop me
whenever you like.

Have Chase start him
on steroids.

I already did.

Then why are
you telling me?

Because I wanted you
to hear it from me.

(SIGHS)

There she is.

(SIGHS)

Here I am.

Your eye.
What happened?

It's nothing
I can't handle.

MRI confirmed
macroprolactinoma.

He's doing the treatment.

And the wife?

Come on.
We saved a man's life,

course-corrected
two people's wildly
screwed up worldviews.

Not bad
for a day's work.

I think they were happy,
even if it was based
on lies.

Most happiness is.

Better to have shtupped
and lost

than never to
have shtupped at all.

We can't smoke in here.

We also can't summon
people into the clinic
based on a lie

motivated by a petty bet,
and yet it happens.

It's an imperfect world.

Well?

Disgustingly satisfying.

(KNOCKING ON DOOR)

(DOOR OPENS)

He said it was okay.

Is one of you Dr. House?

You've seen Spartacus,
right?

I got an order here to
deactivate and remove
his ankle monitor.

(SLOW POP SONG PLAYING)

(CELL PHONE BEEPS)

(RINGING TONE)

(OVER PHONE) Robbie?

Hey, sis.

It's been years.

I know.

I thought of you
on Mom's birthday.

Is everything okay?

Yeah, yeah.
Fine. I just...

...wanted to
see how you were.

I'm fine.

Bikes go faster
without training wheels.

Now get out,
I have work to do.

Whoops.