1. - Who is it?
- It's Tom.
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2. Tom, your husband?
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3. What's he doing here?
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4. - What's going on?
- Sorry, I'm not supposed to be here,
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5. but Evelyn's school contract
is due tomorrow.
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6. I knew I was forgetting something.
Let me find a pen.
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7. Not quite sure what Emily post
recommends in this situation,
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8. but I'm Tom.
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9. Damien. Hey.
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10. Sorry to intrude. I wasn't quite sure
when she'd be coming home.
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11. - No problem.
- Thank you so much for catching this.
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12. I'll get out of your way, it was good
to meet you, I'll see you later, hon.
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13. Seems like a nice guy.
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14. - Jules, you okay?
- No, my stomach.
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15. Here. Lie down.
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16. Try to...
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17. Get Tom.
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18. You know what would be perfect?
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19. French toast tower.
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20. You still go to Mickey's?
What's your cholesterol?
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21. It's my one vice.
I'm keeping it.
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22. As much as I would love
to clog my arteries,
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23. I have a 10:00 CT
and I still have to race home,
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24. get changed.
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25. Maybe you could keep
some clothes here.
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26. Maybe I could.
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27. He's just trying
to get into your skirts.
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28. And I don't mean metaphorically.
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29. He's got the legs for it.
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30. So I will see you tonight?
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31. Have a nice day.
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32. "Have a nice day."
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33. - How civilized.
- I said I'd stay out of it.
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34. - What?
- Nothing.
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35. Clearly something.
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36. On a list of your attributes,
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37. there's nothing
that even rhymes with "coy".
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38. Okay, I may have seen something
in the fridge.
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39. Like the end of your relationship.
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40. She put the milk in the door
and not on the shelf.
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41. - It's not a big deal.
- You hate that she did that,
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42. but you didn't say anything.
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43. - You're trying to get us to fight.
- No, I'm trying to help.
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44. If you got an issue, let her know.
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45. I should have known
that you weren't done sabotaging this.
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46. Fine.
Stew in your irritation.
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47. And sure, last time it bubbled over
into resentment and rage,
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48. leading ultimately
to a painful divorce
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49. that neither of you ever
really recovered from,
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50. but I'm sure this time
it'll be great.
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51. Interesting case. 35-year-old woman
with fever and abdominal pain.
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52. E.R. ruled out
all the usual suspects.
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53. Stop before you interest me
to death.
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54. And she's in an open marriage.
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55. - Not interesting. It's just weird.
- Know what's weirder?
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56. That other humans are monogamous
in the first place.
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57. No other species on the planet
mates for life
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58. and if you're gonna bring up swans,
they cheat like everybody else.
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59. They just have better PR
than rabbits.
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60. Animals also eat their young
and kill their rivals.
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61. That make it weird
that most of us don't?
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62. Says the guy whose opposable thumbs
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63. have been all over how many women
who aren't his wife?
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64. A functional open marriage
is like a Unicorn.
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65. A mythical creature that doesn't exist.
Someone always ends up unhappy.
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66. She's unhappy because she's suffering
from an intestinal blockage.
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67. Boring. Then we have to find a reason
to rule it out.
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68. What about herpes colitis?
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69. She picks up it from one partner.
It takes root in her colon.
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70. - STD panel was clean.
- Chances are, this couple was unhappy.
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71. This is their attempt
to save something that never...
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72. - Go on.
- Herpes might not register
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73. if she was exposed
in the last six weeks.
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74. But it would show up
on a barium enema.
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75. Wait.
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76. - You're gonna do it?
- Gotta see if our patient's a Unicorn
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77. or just a slutty horse.
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78. Think how much fun
Taub could be having.
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79. Barium coats the inner lining
of your colon.
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80. Lets us get a good look
at it on the X-ray.
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81. Somebody else can pick up Evelyn.
I feel like I'm abandoning you.
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82. I'm on painkillers.
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83. I'd rather this not be what you think
of every time you look at my butt.
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84. Roll onto your side.
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85. It's fill'er up time.
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86. So is Evelyn his new squeeze?
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87. - She's our daughter.
- Must be interesting
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88. growing up in a production
of Oh! Calcutta!
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89. She's six.
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90. She knows as much about our sex life
as any other kid her age.
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91. You can explain that she's the reason
the two of you stayed married.
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92. You've been in the room five minutes.
You got us all figured out.
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93. Of course, you left out the part
where we love each other
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94. - and we want to grow old together.
- You don't want to be young together.
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95. When you think about it,
tons of couples do what we do.
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96. It's just that with most of them,
one spouse doesn't know about it.
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97. We decided things work better
when people tell each other the truth.
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98. Tank's full.
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99. I'll page the radiology elves.
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100. I'm not saying I hate it.
Just doesn't go with your eyes.
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101. - You hate it.
- Little bit.
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102. Any more heartless critiques
of my general appearance?
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103. Nope. All done.
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104. So is she as bendy as she looks?
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105. - Maya and I are just friends.
- No, you and I are friends
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106. and you don't have coffee with me
three times a week.
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107. She's an interesting person.
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108. She grew up in Ohio.
She has three brothers.
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109. Fascinating.
Last week, that Cambodian lab tech
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110. was telling us
how he survived the Killing Fields
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111. and you left to go get a donut.
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112. - So we flirt. It's fun.
- It's dangerous.
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113. - That woman would totally do you.
- You think?
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114. - Nothing is gonna happen.
- If you want to be on a diet,
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115. you might want to stop
hanging out by the dessert cart.
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116. X- ray was clean.
She doesn't have herpes colitis
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117. or abdominal pain.
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118. It stopped hurting during the X-ray,
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119. which means it was
an intestinal blockage that passed.
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120. - We should discharge her.
- Absolutely.
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121. There's no need to find
any underlying cause
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122. 'cause these things
never happen twice.
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123. Take her digestive system
for a test drive.
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124. Give her a radio-opaque milkshake.
X- ray every 15 minutes to see
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125. if it makes any unscheduled
stops on the way through.
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126. - We'll be here all night.
- No, Taub will be here all night.
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127. Talk to the Unicorn
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128. and then tell me you don't believe.
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129. I did an abdominal CT on a kid today
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130. and found a six-inch bezoar
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131. made entirely of gum.
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132. I mean, who gives a three-year-old
an endless supply of g...
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133. You okay?
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134. I mean, there was hair in it
and maybe a piece of paper.
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135. How long you been married?
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136. One of the few drawbacks
of having an open marriage.
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137. Nobody ever asks me
about current events or the weather.
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138. Yankees look good this season.
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139. Seven years.
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140. How long have you...
You know?
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141. After three years, we realized
that traditional marriage
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142. was making us both miserable.
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143. Most people
get divorced at that point.
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144. We didn't want to get divorced.
We still loved each other.
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145. We just realized
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146. that expecting one person to fulfill
your needs forever is unrealistic.
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147. There are happy monogamous
couples out there.
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148. Sure.
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149. One or two have the perfect marriage.
Everybody else has figured out
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150. how to settle for less.
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151. I don't want to settle
and end up resenting my husband.
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152. I'd rather get the 10%
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153. he doesn't give me somewhere else
so that I can...
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154. really appreciate him
for the 90% he does.
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155. I think something's wrong.
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156. - With your stomach?
- My heart is racing.
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157. Try and take deep breaths.
I'm gonna try to slow your heart down.
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158. - Is this because of the blockage?
- No. It's not working.
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159. Need a crash cart in here!
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160. I need a list
of all your sexual partners
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161. from the last six months.
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162. - Why?
- Your wife had an arrhythmia.
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163. The progression of symptoms
from bowel to heart
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164. makes a parasitic infection
most likely.
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165. Since Julia hasn't been out
of the country...
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166. The only place that I've been recently
is a business trip to Nebraska.
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167. But either of you could have picked up
a bug from one of your partners.
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168. It's kind of...
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169. complicated.
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170. How many partners
are we talking about?
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171. Ballpark.
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172. - None.
- None?
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173. We have a great sex life.
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174. I don't need anyone else.
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175. So why not just tell her that
and close this whole thing up?
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176. - You married?
- I was.
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177. Did you ever agree to go see
a chick flick with your wife
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178. or pretend to enjoy classical music?
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179. Stravinsky never groped my wife
in a Midtown hotel room.
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180. She needs this.
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181. I don't.
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182. But I don't want her
to feel bad about that.
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183. He's lying.
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184. Guy's got a license to drill.
Why would he lie about not using it?
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185. That's not the lie.
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186. The lie is that he gives a crap
about how his wife feels.
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187. If they're both screwing around,
that's one thing.
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188. But if she has a piece on the side
and he doesn't,
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189. the only way he'd be okay with that is
if he's betraying her in some other way
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190. that, in his mind, makes them even.
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191. My Unicorn isn't a Unicorn.
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192. It's a donkey with a plunger
stuck to its face.
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193. Even the guy who's not cheating
is doing it for underhanded reasons.
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194. He's not being cynical.
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195. He's assuming the husband
is doing something to even the score,
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196. which means he thinks
there is a score, which means,
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197. cheating swans aside,
House believes in monogamy.
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198. He's being romantic.
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199. What I believe is that men are
genetically engineered to be jealous.
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200. Doesn't matter if there's a score.
I guarantee you he does.
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201. Any of the wife's partners pan out?
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202. She's been with two people
other than Tom in the last six months.
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203. Neither of them have been
outside the tri-state area.
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204. - We're back to the husband.
- You said you believed...
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205. He's doing something
behind her back.
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206. What better cover
than a business trip to Nebraska?
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207. Like that's really a place.
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208. Let's find his travel records
and get back to work.
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209. You seem pretty mellow
about this couple's deal.
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210. Thought you'd be first
in line to shake a finger.
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211. They're still married. I'm not.
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212. Not that I could ever do it.
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213. I was jealous of House
and Cameron never touched him.
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214. Not counting the emotional fondling.
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215. When my mom was dying,
my dad had an affair.
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216. - He told you this?
- I'd seen them get out of his car.
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217. Two years after mom died,
they got married.
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218. - That must have sucked.
- At the time, yeah.
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219. But looking back...
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220. It makes sense.
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221. My mom never knew about it and he needed
someone to make him feel less alone.
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222. He took care of my mom
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223. day in and day out
for 21/2 years before she died.
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224. He was devoted to her.
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225. Loving someone else
didn't change that.
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226. So loving two people at once is fine
as long as one of them is dying?
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227. Whoever's taking care of me
when I get sick, I hope they've got
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228. someone else to take care of them.
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229. Tom was telling the truth.
He really did go to Nebraska.
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230. Plane ticket and restaurant seats.
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231. Forget Nebraska.
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232. Maybe they just bought
their parasites at the mall.
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233. We should really throw away
that loofah.
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234. Sometimes they're not sterilized.
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235. We think our patient
got amoebiasis from hers.
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236. Is she gonna be okay?
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237. We're treating now.
She should be fine.
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238. It's actually kind of bizarre.
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239. She and her husband
have an open marriage.
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240. - They sleep with other people?
- She does. Her husband's fine with it.
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241. It's crazy, right?
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242. And you're bringing this up because?
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243. I thought it was interesting.
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244. More interesting
than your other cases, I guess.
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245. I mean, you talk about your colleagues,
you rant about House.
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246. You don't usually mention
your patients.
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247. Is open marriage something you want?
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248. I mean...
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249. I know you'd never...
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250. All this time
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251. and energy you spent convincing me
you weren't cheating...
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252. - And there's somebody else.
- I'm not...
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253. There's a woman at work.
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254. People say she's attracted to me,
but nothing's happened.
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255. Nothing's going to happen.
I'm not having an affair.
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256. - But you want to.
- No, honey.
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257. I'm trying to be honest.
I don't want to make the same mistakes.
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258. Be honest then.
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259. Are you attracted to her?
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260. She's attractive.
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261. There's an attraction.
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262. Aren't there men
who make you feel that way?
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263. Of course there are,
but it never occurs to me
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264. to act on it because I'm married,
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265. to you.
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266. And that's enough for me.
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267. - Aren't I enough for you?
- Of course you are.
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268. Our patient's lost all movement
in her legs.
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269. There are other doctors, Chris.
We're talking.
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270. I'm sorry.
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271. The woman's paralyzed.
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272. I'll get a cab.
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273. Tests show no spinal cord injury,
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274. no cerebral lesions, no hemorrhage.
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275. Finally got a stool sample.
The loofah's innocent.
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276. No sign of amoebas
or any other parasites.
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277. So paralysis, arrhythmia,
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278. and intermittent abdominal pain.
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279. And he nicked himself shaving.
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280. Sorry. That was Taub.
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281. But it was easier to solve.
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282. He used the crappy razor in his locker,
which means he slept here.
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283. Thanks to you.
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284. I brought up open marriage
with Rachel.
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285. It was a disaster.
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286. On the medical front,
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287. we've knocked out sex
and foreign travel.
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288. Could be an electrolyte imbalance.
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289. The only time you're not interested
in my marriage is after you blow up?
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290. You moron took marital advice
from Tila Tequila.
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291. You pushed me into this.
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292. Figured it would blow up your marriage
or make it more honest.
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293. - Either way, you win.
- What about sex?
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294. I'm talking about the patient.
Is that cool?
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295. - We've ruled out sex.
- We ruled out sex with other people.
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296. He and Julia have been doing it
three or four times a week
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297. and she's got boys on the side.
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298. Increased libido can be a symptom
of adrenocortical carcinoma,
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299. which also explains
her other symptoms
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300. A woman who likes sex must be sick?
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301. Because everybody here
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302. wishes that all women
were horny all the time
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303. doesn't make it so.
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304. Get an MRI of her adrenal glands.
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305. Okay if I take the sports page?
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306. Sure.
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307. Would you mind using a coaster?
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308. Sure.
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309. - Sorry.
- It's okay.
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310. Also, it'd be great
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311. if you'd replace the toilet paper
when you finish a roll.
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312. And with the dishwasher,
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313. you can't put a big, flat bowl
on the bottom.
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314. It traps the water
so nothing on the top gets clean.
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315. And don't throw banana peels
in the bedroom trash.
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316. I haven't done any of those things.
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317. - You're probably not even aware of...
- I hate bananas.
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318. My God, it was House.
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319. I'm sorry.
He's been trying to get us to fight.
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320. Why would he think that stuff
would make us fight?
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321. Because of the milk.
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322. You put it in the door.
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323. The body of the refrigerator
is the coldest part.
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324. The temperature in the door fluctuates,
which decreases shelf life.
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325. When did you get all OCD?
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326. I just want clean dishes
and unspoiled milk
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327. so we can all stay healthy.
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328. It's about health.
What about the coaster?
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329. Does that replenish my B12
or something?
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330. - Can we just drop it?
- Sure.
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331. You have this list of annoyances
the entire time we were married?
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332. Get better, mommy.
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333. I love you, rabbit.
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334. You have a guest.
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335. This isn't a good time.
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336. Dr. Hadley, did you say
there was a video game in the playroom?
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337. Maybe you can teach me
how to play one of them.
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338. See you in radiology.
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339. Get out of my wife's room.
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340. Your relationship
stays out of our space.
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341. - I was worried about her.
- Tom's right. You should go.
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342. So it's fine if we have sex,
but if I drop by
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343. - to see if you're okay...
- This is our family.
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344. I spent two years of residency
wearing shirts a size too small.
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345. How hard is it to ask me
not to put them in the dryer?
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346. And I only did it
because you were never home.
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347. - I didn't ask you to.
- Of course!
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348. You got annoyed
when you didn't have clean underwear.
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349. - I never said I was annoyed.
- That's the point.
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350. - You didn't say anything.
- I'm getting a lecture on communication
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351. from someone who had her lawyer
inform me our marriage was over.
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352. Asking for an open marriage.
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353. You got stones.
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354. Conversation sort of got away from me.
It was a train wreck.
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355. It's good you brought it up.
I read a study
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356. that found men who have multiple copies
of a certain vasopressin receptor
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357. are twice as likely
to be unfaithful.
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358. Maybe you're one of those guys.
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359. So my cheating
is biologically predetermined?
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360. Fantastic.
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361. Multiply times five.
We need a better look.
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362. I thought you'd be relieved.
This gets you off the hook.
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363. It's just genetics.
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364. I'm 5'6" and have a receding hairline.
I hate genetics.
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365. Medulla's clean.
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366. You don't wear lifts or hair plugs.
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367. Being short and bald
doesn't hurt anybody.
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368. The only thing hurtful
about your other genetic predisposition
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369. is that you keep denying it.
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370. It's not good for you or Rachel.
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371. There's nothing there.
It's not adrenal cancer.
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372. And maybe you're right about me.
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373. But I'm not gonna stop trying.
Rachel's worth it.
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374. Look up there.
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375. The lung. What is that?
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376. You served me with divorce papers
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377. in the middle of a conference
in New Orleans.
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378. - I threw a bottle into a mirror.
- You exhibited an emotion?
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379. - I wish I'd known you were capable.
- I loved you.
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380. I thought I was gonna be following you
to Baltimore.
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381. I called about apartments.
I set up interviews.
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382. How could you think
we still had a marriage?
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383. We hadn't had a conversation
in months.
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384. I was working two jobs
to support us.
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385. It's because when you were home,
it was like talking to a block of ice.
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386. - You were so pissed off at me.
- I was killing myself so you could take
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387. - a non-paying internship.
- That you said I should take.
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388. To be supportive!
Do I have to be the bad guy?
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389. Expressing yourself
doesn't make you so.
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390. Okay, then.
You were being a selfish bitch.
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391. VQ scan confirmed the spot
on Julia's lung was a clot.
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392. Think there's a chance
the husband's a plushie?
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393. If he has a secret, I highly doubt
it's more relevant than the clot.
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394. Clotting disorder
would explain everything.
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395. Question is, which one?
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396. Do you read
any of your departmental memos?
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397. Only the ones labeled, "NSFW".
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398. Accounting notified you two days ago
about your patient's insurance.
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399. Sorry, that's "NNSFW".
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400. Here.
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401. He doesn't have any.
Try not to bankrupt them.
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402. I'm long past the number of procedures
that'll bankrupt them.
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403. Julia's got insurance.
I saw the policy number.
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404. It lapsed due to non-payment.
Copy !req
405. I already made three calls about this.
You should have been aware of that.
Copy !req
406. There's just a mistake.
Of course we have health insurance.
Copy !req
407. We're actually
Copy !req
408. a little behind on the premiums.
Copy !req
409. But I pulled money
out of my retirement account
Copy !req
410. to cover it, we'll be fine in...
Copy !req
411. Why the retirement account?
Copy !req
412. We'll just give you
a few minutes to...
Copy !req
413. By "we", she means "she".
Copy !req
414. I lost all of our savings.
Copy !req
415. Sounds like a secret to me.
Copy !req
416. I started her on heparin
to prevent further clots,
Copy !req
417. but we still don't know
what's going on.
Copy !req
418. Of course the husband's secret
was money.
Copy !req
419. If it's not sex, it's always money.
Copy !req
420. Unless it's sex for money.
Copy !req
421. How did he lose it?
Copy !req
422. It's not relevant,
you're not gonna care.
Copy !req
423. Wilson's been teaching me. Try me.
Copy !req
424. He builds wind turbines and leases them
out to local power companies
Copy !req
425. You're right, I don't care.
Clotting disorder:
Copy !req
426. DIC, Factor Five Leiden,
antiphospholipid syndrome.
Copy !req
427. Vitamin K deficiency also fits.
Copy !req
428. Causes thrombophilia
and is consistent with abdominal pain.
Copy !req
429. Congratulations, House.
Copy !req
430. - Sam ended it.
- What happened?
Copy !req
431. Go test our patient's blood.
Copy !req
432. It can wait.
Copy !req
433. For everything we discussed.
Copy !req
434. I'm sorry.
Copy !req
435. At least you're taking responsibility
for once in your life.
Copy !req
436. Sorry that she left.
It's not my fault.
Copy !req
437. I didn't even want to get involved.
Copy !req
438. You dragged it out of me.
Copy !req
439. What about the dishwasher,
and the banana?
Copy !req
440. She left because of the banana.
Copy !req
441. I just wanted you
to stand up for yourself.
Copy !req
442. Tell her what you want.
Copy !req
443. If doing that causes her
to walk out for the second time,
Copy !req
444. your relationship wasn't gonna last
anyway.
Copy !req
445. Or you could have stayed out of it.
I could have kept my mouth shut,
Copy !req
446. been annoyed sometimes,
but I'd be happy with her.
Copy !req
447. Now all I have is cold milk.
Copy !req
448. As long as you're free,
you wanna grab some dinner?
Copy !req
449. Did Tom go home?
Copy !req
450. For starters. I told him to leave.
I don't want him here.
Copy !req
451. Money is a complicated subject.
Copy !req
452. It's not the money.
Copy !req
453. I mean, the money's bad, but...
Copy !req
454. When we first opened our marriage,
Copy !req
455. I got involved with a guy
who lied about being single.
Copy !req
456. Then one day, his wife calls me.
Copy !req
457. She's crying and screaming
and totally out of control.
Copy !req
458. And I felt,
Copy !req
459. superior.
Copy !req
460. I thought
I don't have to worry about
Copy !req
461. feeling this way
because we are honest with each other.
Copy !req
462. Well, here I am.
Copy !req
463. Sorry I didn't make it home last night.
I needed to run some tests.
Copy !req
464. You know what the worst part was?
Copy !req
465. When you had your affair.
Copy !req
466. Wasn't the sex.
Copy !req
467. It was the lies.
Copy !req
468. Realizing
that the narrative of my life was
Copy !req
469. totally wrong.
Copy !req
470. You weren't stuck in surgery.
Copy !req
471. You weren't out of town.
Copy !req
472. I don't want
to go through that again.
Copy !req
473. - I told you nothing's...
- Thursday nights.
Copy !req
474. You have to be home by midnight.
Copy !req
475. You don't bring her here.
Copy !req
476. You don't talk to her about me
Copy !req
477. and I don't want to meet her
ever in any context.
Copy !req
478. Are you giving me permission
to sleep with other women?
Copy !req
479. It's what you want, no?
Copy !req
480. I want you.
Copy !req
481. You want more than me.
Copy !req
482. You want that thrill.
Copy !req
483. But I love you.
Copy !req
484. And I really believe
that you love me...
Copy !req
485. And we have a good life together.
Copy !req
486. And at this point, either I
walk away
Copy !req
487. or I try to accept
who you really are.
Copy !req
488. Tomorrow's Thursday.
Copy !req
489. Yes, it is.
Copy !req
490. All our tests came back negative.
It's not a clotting disorder.
Copy !req
491. Which means
we need to come up with a better idea.
Copy !req
492. So what causes problems
in the stomach, heart, nerves?
Copy !req
493. You know what it is?
Copy !req
494. Taub's wife gave the green light
for an open marriage.
Copy !req
495. He's wearing cologne,
but not the stink of shame.
Copy !req
496. You got a date.
Copy !req
497. I am going out with Maya tonight
Copy !req
498. with Rachel's blessing.
Copy !req
499. Mazel Tov?
Copy !req
500. Maybe the problem isn't her blood.
Maybe it's the vessels.
Copy !req
501. No sign of schistocytes
or hemolysis.
Copy !req
502. You're actually going to sleep
with a woman then go home to your wife?
Copy !req
503. Thank God someone's keeping us focused
on what's really important.
Copy !req
504. Taub was gonna do all of that anyway.
Pulmonary arterial hypertension.
Copy !req
505. Imaging showed normal diameter
in her pulmonary artery.
Copy !req
506. Here's a thought...
Copy !req
507. Taub's wife is now
totally on the market.
Copy !req
508. Mind hitting me with her digits?
Copy !req
509. She would love that, but duty calls.
Copy !req
510. - What's the matter?
- My stomach.
Copy !req
511. - Same pain as before?
- Yeah, but worse.
Copy !req
512. Get the portable ultrasound in here.
We need to get a look at her belly.
Copy !req
513. Help me!
Copy !req
514. Pain, pain went away,
Copy !req
515. came back another day.
Copy !req
516. Question is, what brought it back?
Copy !req
517. Physical exam was unrevealing.
Ultrasound was clean.
Copy !req
518. Are you gonna shower
at your girlfriend's or at home?
Copy !req
519. Patient.
Abdominal pain.
Copy !req
520. Yeah, he's right.
Let's get this wrapped up before 6:00.
Copy !req
521. Taub turns back
into a faithful Pumpkin at midnight.
Copy !req
522. Patient was out with her boy toy
before she came in.
Copy !req
523. Maybe the pain was triggered
by sexual excitement.
Copy !req
524. Because lying alone in a hospital bed
contemplating bankruptcy... hot.
Copy !req
525. My point was that arousal is a function
of the parasympathetic nervous system.
Copy !req
526. If that's where the problem is, the pain
could be triggered by crying, which...
Copy !req
527. PNS. Also controls digestion,
Copy !req
528. which she's been doing without screaming
her head off since she's been here.
Copy !req
529. What if matters isn't when the pain
started, but when it stopped?
Copy !req
530. It was during an X-ray.
You think that cured her?
Copy !req
531. No, but House prepped her
for the X-ray with a barium enema.
Copy !req
532. That wouldn't
treat anything except...
Copy !req
533. Go.
Copy !req
534. You're in pain because your intestine
folded in on itself.
Copy !req
535. - It's an intussusception.
- It's cutting off blood flow.
Copy !req
536. We need to fix it before your bowel
gets necrotic and dies.
Copy !req
537. - After that, will I get better?
- When this happens in adults,
Copy !req
538. it's usually a sign of cancer.
Copy !req
539. We'll fix the overlap, and then
search your intestine for tumors.
Copy !req
540. Foam?
Copy !req
541. I have a bad feeling about this.
Copy !req
542. A friend can't spontaneously buy
an overpriced Italian espresso machine
Copy !req
543. for another friend?
Copy !req
544. What did you do?
Copy !req
545. Nothing.
That's the beauty.
Copy !req
546. I genuinely tried to help Wilson.
Copy !req
547. I told him to stand up for himself,
which you know is legitimate advice.
Copy !req
548. - And his relationship blew up.
- Is he okay?
Copy !req
549. He'll be fine. Point is,
I realized something.
Copy !req
550. I do nice things,
nice things happen to me.
Copy !req
551. Karma works.
Copy !req
552. So you're paying it forward?
Copy !req
553. If this should somehow lead
to Lucas dying
Copy !req
554. or oral sex,
Copy !req
555. so be it.
Copy !req
556. Namaste.
Copy !req
557. Think I should wear a tie tonight?
Copy !req
558. This isn't weird at all.
Copy !req
559. I mean,
Copy !req
560. where's Rachel eating tonight?
Copy !req
561. Home.
Copy !req
562. What if she's going out too?
Copy !req
563. She is allowed to, right?
Copy !req
564. Of course.
It's only fair.
Copy !req
565. - But I don't think she will.
- Your wife only eats dinner at home?
Copy !req
566. If she did
Copy !req
567. go out, that would be tough,
Copy !req
568. but I think I can handle it.
Copy !req
569. Don't do it unless you're sure.
Copy !req
570. I know
I'd rather be jealous than a liar.
Copy !req
571. Got something here.
Copy !req
572. Kelly clamp and scalpel.
Copy !req
573. Biopsy showed
non-specific inflammation,
Copy !req
574. which suggests IBD,
Copy !req
575. only it doesn't explain
the cardiac problems.
Copy !req
576. Or her declining kidney function.
Copy !req
577. We ran panels during surgery.
Copy !req
578. Actually...
Copy !req
579. IBD does make sense,
Copy !req
580. 'cause it could trigger
ankylosing spondylitis,
Copy !req
581. which would explain
the heart and the kidneys.
Copy !req
582. Start her on sulfasalazine
and TNF-inhibitors.
Copy !req
583. I'm not gonna see you
before you head off for Gomorrah.
Copy !req
584. Just remember,
if you get disoriented...
Copy !req
585. Breathe through your nose
and look for the horizon.
Copy !req
586. I can't.
Copy !req
587. I really thought I could do this.
Copy !req
588. Logically, it makes perfect sense.
Copy !req
589. But...
Copy !req
590. all afternoon,
Copy !req
591. all I kept thinking about was
Copy !req
592. the two of you, together.
Copy !req
593. - And you touching her.
- Nothing's happened.
Copy !req
594. It's okay.
Copy !req
595. I'm sorry.
Copy !req
596. 'Cause I really wanted it...
Copy !req
597. I've been an idiot, I don't need
anything else, I just need you.
Copy !req
598. You mean that?
Copy !req
599. I do.
Copy !req
600. I love you, Rachel.
Copy !req
601. - I love you too.
- Let's go home.
Copy !req
602. Is that okay?
Copy !req
603. There are other doctors.
Copy !req
604. The treatment's not working.
Copy !req
605. Her left kidney failed last night.
The other one's right behind it.
Copy !req
606. It's not ankylosing spondylitis.
Copy !req
607. Kidney biopsy
showed she had IGA nephropathy,
Copy !req
608. which could be caused by or associated
with any of these conditions.
Copy !req
609. We've gone
from too few ideas to too many,
Copy !req
610. and our patient's
running out of time.
Copy !req
611. Why the lack of afterglow?
Copy !req
612. Physio girl not as freaky
as you'd hoped?
Copy !req
613. I went home with my wife.
Copy !req
614. After all that, you chickened out.
Copy !req
615. I can't hurt Rachel like that.
Copy !req
616. Sickle cell anemia
would have shown on blood tests.
Copy !req
617. No flattened intestinal villi
rules out celiac.
Copy !req
618. Seriously?
Copy !req
619. Our patient's dying,
and we can't move past my sex life?
Copy !req
620. Seriously, you'd think it'd kill her
Copy !req
621. if we spend 15 seconds mocking you?
Copy !req
622. Time's up.
Copy !req
623. Normal liver enzymes rules out hep B
and cirrhosis.
Copy !req
624. Alport and anti-GBM antibody
are both untreatable,
Copy !req
625. so if she has them
we can't help her.
Copy !req
626. And it can't be
henoch-schonlein purpura.
Copy !req
627. No inciting
respiratory infection and no rash.
Copy !req
628. I don't care what it's not.
I want to know what it could be.
Copy !req
629. Well, everything left on the list.
Copy !req
630. The list was not created equal.
Copy !req
631. - Neither was man, by the way.
- Hemochromatosis is a possibility.
Copy !req
632. Excess iron builds up,
causes problems throughout the body.
Copy !req
633. Weil's syndrome also affects
multiple organ systems,
Copy !req
634. and it wouldn't have been treated
by the antibiotic the E.R. gave her.
Copy !req
635. Sarcoidosis makes sense too.
Copy !req
636. Good.
Copy !req
637. Treat for those three.
Copy !req
638. I think you should call Tom.
Copy !req
639. Am I gonna die?
Copy !req
640. I don't know.
Copy !req
641. If he walked in here right now,
Copy !req
642. I'd look in his face
and all I would think is "liar".
Copy !req
643. Don't you think
that's kind of unfair?
Copy !req
644. You say honesty's all-important,
Copy !req
645. but you conveniently ignore the truth
that some truths hurt people.
Copy !req
646. Tom lied to protect you.
Copy !req
647. He was covering his ass.
Copy !req
648. I'm not talking about the money.
Copy !req
649. Tom hasn't slept with anyone else
in over a year.
Copy !req
650. He told you that?
Copy !req
651. So my entire marriage is a sham?
Copy !req
652. Your husband, who only wants you,
Copy !req
653. lied so that you could be happy.
Copy !req
654. That seems pretty real to me.
Copy !req
655. Listen, I'm sorry.
Copy !req
656. Me too.
I shouldn't have said...
Copy !req
657. No, you were right.
Copy !req
658. I was selfish back then.
Copy !req
659. I'm trying to change.
Copy !req
660. And I don't know
if it's House or what, but...
Copy !req
661. you're different too.
Copy !req
662. I'm trying.
Copy !req
663. I always thought
that I was keeping the peace,
Copy !req
664. but I was just resenting you
and giving you a reason to leave.
Copy !req
665. I wish we had this fight
ten years ago.
Copy !req
666. Is it okay
if we don't give House the credit?
Copy !req
667. I recommend it.
Copy !req
668. "O" for three.
Copy !req
669. Her kidney function is still declining.
We're gonna need to start dialysis.
Copy !req
670. Glad the husband's back.
Copy !req
671. After missing so many little deaths,
he should be here for the big one.
Copy !req
672. Top six, anyone?
Copy !req
673. Polyarteritis nodosa?
Copy !req
674. We'd have seen some improvement
on prednisone.
Copy !req
675. Guy's wife's dying,
and he stops to buy flowers.
Copy !req
676. They're from his garden.
Mercury poisoning fits.
Copy !req
677. Those are lilacs.
Copy !req
678. My mom used to grow lilacs.
Copy !req
679. My dad made her get rid of them,
'cause there were too many bees.
Copy !req
680. We ruled out HSP
Copy !req
681. 'cause there was no inciting
respiratory infection.
Copy !req
682. But in rare cases,
it can also be triggered by a bee sting.
Copy !req
683. We also ruled it out
because there's no rash.
Copy !req
684. Maybe we just didn't see it.
Copy !req
685. Have you been stung
by a bee recently?
Copy !req
686. About a month ago.
Copy !req
687. What's going on?
Copy !req
688. I think your wife
has Henoch-Schonlein purpura.
Copy !req
689. Systemic vasculitis can cause
Copy !req
690. lesions and inflammations
throughout the body.
Copy !req
691. It's pretty awful,
Copy !req
692. which explains
why it was named after a German.
Copy !req
693. Actually two Germans.
Copy !req
694. Lesions can pop up in the heart,
Copy !req
695. sometimes in the kidneys,
but always on the skin.
Copy !req
696. - Means you'd have a rash somewhere.
- I don't.
Copy !req
697. Not that you know of.
Copy !req
698. Okay, I'm gonna have
to check your holes.
Copy !req
699. I'll start with the mouth.
If there's nothing there,
Copy !req
700. then things might have to get kinky.
Copy !req
701. Say aah.
Copy !req
702. I was kinda hoping for kinky.
Copy !req
703. Is that good or bad?
Copy !req
704. We'll treat her with high-dose IVIG
and cyclophosphamide.
Copy !req
705. You should be fine.
Copy !req
706. I'm gonna be okay.
Copy !req
707. I love you.
Copy !req
708. That is adorable.
Copy !req
709. Other than you still wanting
to have sex with other dudes,
Copy !req
710. and him bankrupting your family,
Copy !req
711. I think you kids
are pretty much home free.
Copy !req
712. And...
Copy !req
713. You two made up?
Copy !req
714. You can thank me later.
Copy !req
715. I'm all-in.
Copy !req
716. All right.
Copy !req
717. Fold.
Copy !req
718. You need a hand?
Copy !req
719. Thanks.
Copy !req
720. Sorry about canceling
the other night.
Copy !req
721. Me too.
Copy !req
722. You wanna go somewhere?
Copy !req