House 6x18

1. Who is it?

2. It's Tom.

3. Tom, your husband?

4. What's he doing here?

5. Uh, what's going on?

6. I'm sorry, I know I'm not supposed to be here,

7. but Evelyn's school contract's due tomorrow.

8. I knew I was forgetting something.

9. Let me, uh, find a pen.

10. Hey. Hey.

11. Not quite sure what Emily post recommends in this situation,

12. but I'm Tom.

13. Damien. Hey.

14. Sorry to intrude.

15. I just—I wasn't quite sure when she'd be coming home.

16. No problem.

17. Thank you so much for catching this.

18. Yeah.

19. Well, I'll get out of your way, it was good to meet you,

20. and I'll see you later, hon.

21. Bye.

22. So...

23. Seems like a nice guy.

24. Ooh.

25. Jules, you okay?

26. No, my stomach.

27. Here. Lie down.

28. Ow!

29. Try to—

30. get Tom.

31. Ow! Tom!

32. You know what would be perfect?

33. Hmm? French toast tower.

34. You still go to Mickey's?

35. What's your cholesterol?

36. It's my one vice. I'm keeping it.

37. As much as I would love to clog my arteries,

38. I have a 10:00 ct and I still have to race home,

39. get changed.

40. Maybe you could keep some clothes here.

41. Maybe I could.

42. He's just trying to get into your skirts.

43. And I don't mean metaphorically.

44. Well, he's got the legs for it.

45. So I will see you tonight?

46. Yeah.

47. Bye, House.

48. Have a nice day.

49. "Have a nice day."

50. How civilized.

51. I said I'd stay t of it.

52. What?

53. Nothing.

54. Clearly something.

55. Nope.

56. House, on a list of your attributes,

57. there's nothing that even rhymes with "coy."

58. Okay, I may have seen something in the fridge.

59. Like the end of your relationship.

60. She put the milk in the door and not on the shelf.

61. It's not a big deal.

62. You hate that she did that,

63. but you didn't say anything.

64. You're trying to get us to fight.

65. No, I'm trying to help.

66. If you got an issue, let her know.

67. I should have known that you weren't done

68. sabotaging this.

69. Fine. Stew in your irritation.

70. And sure, last time it bubbled over

71. into resentment and rage,

72. leading ultimately to a painful divorce

73. that neither of you ever really recovered from,

74. but I'm sure this time it'll be great.

75. Interesting case.

76. 35-year-old woman with fever and abdominal pain.

77. E.R. ruled out all the usual suspects.

78. Stop before you interest me to death.

79. And she's in an open marriage.

80. That's not interesting. It's just weird.

81. Know what's weirder?

82. That other humans are monogamous in the first place.

83. No other species on the planet mates for life

84. and if you're gonna bring up swans,

85. they cheat like everybody else.

86. They just have better pr than rabbits.

87. Animals also eat their young and kill their rivals.

88. That make it weird that most of us don't?

89. Says the guy whose opposable thumbs have been

90. all over how many women who aren't his wife?

91. A functional open marriage is like a Unicorn.

92. It's a mythical creature that doesn't exist.

93. Someone always ends up unhappy.

94. Our patient's unhappy becau se she's suffering

95. from an intestinal blockage.

96. Boring.

97. Then we have to find a reason to rule it out.

98. What about herpes colitis?

99. She picks up the infection from one of her partners.

100. It takes root in her colon.

101. Std panel was clean.

102. Chances are, this couple was unhappy in the first place.

103. This is their attempt to save something

104. that never—

105. go on.

106. Herpes might not register

107. if she was exposed in the last six weeks.

108. But it would show up on a barium enema.

109. Wait.

110. You're gonna do it?

111. Gotta see if our patient's a Unicorn

112. or just a slutty horse.

113. Think how much fun Taub could be having.

114. Barium coats the inner lining of your colon.

115. Lets us get a good look at it on the X-ray.

116. I can get somebody else to pick up Evelyn.

117. I feel like i'm abandoning you.

118. I'm on painkillers.

119. I'd rather this not be what you think of

120. every time you look at my butt.

121. Okay, roll onto your side.

122. It's fill 'er up time.

123. So is Evelyn his new squeeze?

124. She's our daughter.

125. Must be interesting

126. growing up in a production of Oh! Calcutta!

127. She's six.

128. She knows as much about our sex life

129. as any other kid her age.

130. You can explain that she's the reason

131. the two of you stayed married.

132. You've been in the room five minutes.

133. You got us all figured out.

134. Of course, you left out the part

135. where we love each other

136. and we want to grow old together.

137. But you just don't want to be young together.

138. Look, when you think about it,

139. tons of couples do what we do.

140. It's just that with most of them,

141. one spouse doesn't know about it.

142. We decided things work better

143. when people tell each other the truth.

144. Tank's full.

145. I'll page the radiology elves.

146. I'm not saying I hate it.

147. Just doesn't go with your eyes.

148. You hate it.

149. Little bit.

150. Any more heartless critiques

151. of my general appearance?

152. Nope. All done.

153. So is she as bendy as she looks?

154. Maya and I are just friends.

155. No, you and I are friends

156. and you don't have coffee with me three times a week.

157. She's an interesting person.

158. She grew up in Ohio. She has three brothers.

159. Fascinating.

160. Last week, that Cambodian lab tech

161. was telling us how he survived the Killing Fields

162. and you left to go get a donut.

163. So we flirt. It's fun.

164. It's dangerous.

165. That woman would totally do you.

166. You think?

167. Nothing is gonna happen.

168. All I'm saying is if you want to be on a diet,

169. you might want to stop hanging out by the dessert cart.

170. X-ray was clean.

171. She doesn't have herpes colitis

172. or abdominal pain.

173. It stopped hurting during the X-ray,

174. which means it was just an intestinal blockage that passed.

175. We should discharge her. Absolutely.

176. There's no need to find any underlying cause

177. 'cause these things never happen twice.

178. Take her digestive system for a test drive.

179. Give her a radio-opaque milkshake.

180. X-ray every 15 minutes to see

181. if it makes any unscheduled stops on the way through.

182. We'll be here all night.

183. No, Taub will be here all night.

184. Talk to the Unicorn

185. and then tell me you don't believe.

186. I did an abdominal ct on a kid today

187. and found a six-inch bezoar

188. made entirely of gum.

189. I mean, who gives a three-year-old

190. an endless supply of g—

191. you okay?

192. Yeah.

193. I mean, there was hair in it

194. and maybe a piece of paper.

195. So... how long you been married?

196. One of the few drawbacks of having an open marriage.

197. Nobody ever asks me about current events or the weather.

198. Yankees look good this season.

199. Seven years.

200. And, uh, how long have you- you know?

201. After three years, we realized that traditional marriage

202. was making us both miserable.

203. Most people get divorced at that point.

204. Yeah, we didn't want to get divorced.

205. We still loved each other.

206. We just realized that expecting one person

207. to fulfill all of your needs forever is unrealistic.

208. There are happy monogamous couples out there.

209. Sure.

210. One or two have the perfect marriage.

211. Everybody else has figured out how to settle for less.

212. I don't want to settle and end up resenting my husband.

213. I'd rather g the 10% he doesn't give me

214. somewhere else so that i c an really appreciate him

215. for the 90% he does.

216. I think something's wrong.

217. With your stomach?

218. My heart is racing.

219. Try and take deep breaths.

220. I'm going to try to slow your heart down.

221. Is this because of the blockage?

222. No. It's not working.

223. Need a crash cart in here!

224. I need a list of all your sexual partners

225. from the last six months.

226. Why?

227. Your wife had an arrhythmia.

228. The progression of symptoms from bowel to heart

229. makes a parasitic infection most likely.

230. Since Julia hasn't been out of the country—

231. the only place that I've been recently

232. is a business trip to Nebraska.

233. But either of you could have picked up

234. a bug from one of your partners.

235. It's kind of... complicated.

236. How many partners are we talking about?

237. Ballpark.

238. None.

239. None?

240. We have a great sex life.

241. I don't need anyone else.

242. So why not just tell her that

243. and close this whole thing up?

244. You married?

245. I—I was.

246. Did you ever agree to go see a chick flick with your wife

247. or pretend to enjoy classical music?

248. Stravinsky never groped my wife

249. in a Midtown hotel room.

250. She needs this.

251. I don't.

252. But I don't want her to feel bad about that.

253. He's lying.

254. Guy's got a license to drill.

255. Why would he lie about not using it?

256. That's not the lie.

257. The lie is that he gives a crap about how his wife feels.

258. If they're both screwing around, that's one thing.

259. But if she has a piece on the side and he doesn't,

260. the only way he'd be okay with that

261. is if he's betraying her in some other way

262. that, in his mind, makes them even.

263. My Unicorn isn't a Unicorn.

264. It's a donkey with a plunger stuck to its face.

265. Right.

266. Even the guy who's not cheating

267. is doing it for underhanded reasons.

268. No, no, no. He's not being cynical.

269. He's assuming the husband is doing something

270. to even the score, which means he thinks

271. there is a score, which means,

272. cheating swans aside, House believes in monogamy.

273. He's being romantic.

274. What I believe is that men

275. are genetically engineered to be jealous.

276. Doesn't matter if i thi nk there's a score.

277. I guarantee you he does.

278. Any of the wife's partners pan out?

279. She's been with two people other than Tom

280. in the last six months.

281. Neither of them have been outside the tri-state area.

282. So we're back to the husband. You just said you believed—

283. he's doing something behind her back.

284. What better cover than a business trip to Nebraska?

285. Like that's really a place.

286. Let's find his travel records

287. and get back to work.

288. You seem pretty mellow

289. about this couple's deal.

290. Thought you'd be first in line to shake a finger.

291. They're still married. I'm not.

292. Not that I could ever do it.

293. I was jealous of House and Cameron never touched him.

294. Not counting the emotional fondling.

295. When my mom was dying, my dad had an affair.

296. He told you this?

297. I'd seen them get out of his car.

298. Two years after mom died, they got married.

299. That must have sucked.

300. At the time, yeah.

301. But looking back... It makes sense.

302. My mom never knew about it

303. and he needed someone to make him feel less alone.

304. He took care of my mom

305. day in and day out for 2 1/2 years before she died.

306. He was devoted to her.

307. Loving someone else didn't change that.

308. So loving two people at once is fine

309. as long as one of them is dying?

310. Whoever's taking care of me

311. when I get sick, I hope they've got

312. someone else to take care of them.

313. Tom was telling the truth.

314. He really did go to Nebraska.

315. Plane ticket and restaurant seats.

316. Forget Nebraska.

317. Maybe they just bought their parasites at the mall.

318. You know, we should really throw away that loofah.

319. They're imported.

320. Sometimes they're not sterilized.

321. We think our patient got amoebiasis from hers.

322. Is she gonna be okay?

323. We're treating now. She should be fine.

324. It's actually kind of bizarre.

325. She and her husband have an open marriage.

326. They sleep with other people? Well, she does.

327. Her husband's totally fine with it.

328. I mean, it's crazy, right?

329. And you're bringing this up because?

330. I thought it was interesting.

331. More interesting than your other cases, I guess.

332. I mean, you talk about your colleagues,

333. you rant about House.

334. You don't usually mention your patients.

335. Is open marriage something you want?

336. No.

337. I mean...

338. I know you'd never...

339. All this time and energy

340. you spent convincing me you weren't cheating...

341. And there's somebody else.

342. I'm not— some more water sir?

343. Okay.

344. There's a woman at work.

345. People say she's attracted to me,

346. but nothing's happened.

347. Nothing's going to happen. I'm not having an affair.

348. But you want to.

349. No, honey.

350. I'm trying to be honest.

351. I don't want to make the same mistakes.

352. Be honest then.

353. Are you attracted to her?

354. Look... she's attractive.

355. There's an attraction.

356. Aren't there men who make you feel that way?

357. Of course there are, but it never occurs to me

358. to act on it because- because I'm married...

359. To you.

360. And that's enough for me.

361. Aren't I enough for you?

362. Of course you are.

363. Our patient's lost all movement in her legs.

364. There are other doctors, Chris.

365. We're talking.

366. I'm sorry.

367. The woman's paralyzed.

368. I'll get a cab.

369. Tests show no spinal cord injury,

370. no cerebral lesions, no hemorrhage.

371. Finally got a stool sample.

372. The loofah's innocent.

373. No sign of amoebas

374. or any other parasites.

375. So paralysis, arrhythmia,

376. and intermittent abdominal pain.

377. And he nicked himself shaving.

378. Sorry. That was Taub.

379. But it was easier to solve.

380. Means he used the crappy razor in his locker,

381. which means he slept here.

382. Thanks to you.

383. I brought up open marriage with Rachel.

384. It was a disaster.

385. On the medical front,

386. we've knocked out sex and foreign travel.

387. Could be an electrolyte imbalance.

388. So the only time you're not interested in my marriage

389. is after you bw it up?

390. You're the moron who took marital advice

391. from Tila Tequila.

392. You pushed me into this.

393. Figured it would either blow up your marriage

394. or make it more honest.

395. Either way, you win.

396. What about sex?

397. I'm talking about the patient.

398. Is that cool with everybody?

399. We've ruled out sex.

400. We ruled out sex with other people.

401. Tom said he and Julia have been doing it

402. three or four times a week and she 's got boys on the side.

403. Increased libido can be a symptom

404. of adrenocortical carcinoma,

405. which also explains her other symptoms.

406. A woman who likes sex must be sick?

407. Just because everybody in this room

408. wishes that all women were horny all the time

409. doesn't make it so.

410. Get an mri of her adrenal glands.

411. Hi.

412. Okay if I take the sports page?

413. Sure.

414. Would you mind using a coaster?

415. Oh.

416. Sure.

417. Sorry.

418. It's okay.

419. Also, it'd be great if you'd replace

420. the toilet paper when you finish a roll.

421. And when you load the dishwasher,

422. you can't put a big, flat bowl on the bottom.

423. It traps the water so nothing on the top gets clean.

424. And please don't throw banana peels in the bedroom trash.

425. I haven't done any of those things.

426. You're probably not even aware of—

427. I hate bananas.

428. Oh, my God. It was House.

429. I'm sorry.

430. He's been trying to get us to fight.

431. Why would he think that stuff would make us fight?

432. Because of the milk.

433. You put it in the door.

434. The body of the refrigerator is the coldest part.

435. The temperature in the door fluctuates,

436. which decreases shelf life.

437. Wow.

438. When did you get all ocd?

439. I just want clean dishes and unspoiled milk

440. so we can all stay healthy.

441. Oh, it's about health. What about the coaster?

442. Does that replenish my B-12 or something?

443. Can we just drop it?

444. Sure.

445. You have this list of annoyances

446. the entire time we were married?

447. Get better, mommy.

448. I love you, rabbit.

449. Julia, you have a guest.

450. Hi.

451. This isn't a good time.

452. Dr. Hadley, did you say

453. there was a video game in the playroom?

454. Maybe you can teach me how to play one of them.

455. See you in radiology.

456. Get out of my wife's room.

457. Your relationship with her sta ys out of our space.

458. I was worried about her.

459. Tom's right. You should go.

460. So it's fine if we have sex,

461. but if I drop by to see if you're okay—

462. this is our family.

463. Sorry.

464. I spent two years of residency

465. wearing shirts that were a size too small.

466. How hard is it to ask me not to put them in the dryer?

467. And I only did your laundry because you were never home.

468. I didn't ask you to. Of course you didn't.

469. You just got annoyed whenever you didn't have clean underwear.

470. I never said I was annoyed.

471. That's the point.

472. You didn't say anything.

473. So I'm getting a lecture on communication

474. from someone who had her lawyer inform me

475. our marriage was over.

476. Asking for an open marriage.

477. You got stones.

478. Conversation sort of got away from me.

479. It was a train wreck.

480. I think it's good you brought it up.

481. I read a study that found men who have multiple copies

482. of a certain vasopressin receptor

483. are twice as likely to be unfaithful.

484. Maybe you're just one of those guys.

485. So my cheating is biologically predetermined?

486. Fantastic.

487. Multiply times five.

488. We need a better look at the medulla.

489. I thought you'd be relieved.

490. This gets you off the hook.

491. It's just genetics.

492. I'm 5'6" and have a receding hairline.

493. I hate genetics.

494. Medulla's clean.

495. I don't see you wearing lifts or hair plugs.

496. That's because being short and bald

497. doesn't hurt anybody.

498. The only thing hurtful about your other

499. genetic predisposition is that you keep denying it.

500. It's not good for you or Rachel.

501. There's nothing there. It's not adrenal cancer.

502. And maybe you're right about me.

503. But I'm not gonna stop trying.

504. Rachel's worth it.

505. Look up there.

506. The lung.

507. What is that?

508. You served me with divorce papers

509. in the middle of a medical conference in New Orleans.

510. I threw a bottle into an antique mirror.

511. Oh, you exhibited an emotion?

512. I wish I'd known you were capable.

513. I loved you.

514. I thought I was gonna be following you

515. to Baltimore, remember?

516. I called about apartments. I set up interviews.

517. How could you think that we still had a real marriage?

518. We hadn't had a conversation in months.

519. Maybe because I was working two jobs to support us.

520. No! No!

521. It's because when you were home,

522. it was like talking to a block of ice.

523. You were obviously so pissed off at me.

524. I was killing myself so that you could take

525. that non-paying internship.

526. That you said that I should take.

527. I was trying to be supportive!

528. Why do I have to be the bad guy?

529. Expressing yourself does not make you the bad guy.

530. Okay, then. You were being a selfish bitch.

531. VQ scan confirmed the spot on Julia's lung was a clot.

532. Think there's a chance the husband's a plushie?

533. If he has a secret,

534. I highly doubt it's more relevant than the clot.

535. Clotting disorder would explain everything.

536. Question is, which one?

537. Do you read any of your departmental memos?

538. Only the ones labeled, "n-s-f-w."

539. Accounting notified you two days ago

540. about your patient's insurance.

541. Sorry, that's "n-n-s-f-w."

542. Here. He doesn't have any.

543. Try not to bankrupt them.

544. Oh, I'm long past the number of procedures

545. that'll bankrupt them.

546. Julia's got insurance.

547. I saw the policy number on the form.

548. But the policy lapsed due to non-payment.

549. I already made three calls about this.

550. You should have been aware of that.

551. No, there's just a mistake.

552. Of course we have health insurance.

553. We're actually a little behind on the premiums.

554. But I pulled money

555. out of my retirementccount to cover it.

556. They said that we'll be fine in—

557. Why the retirement account?

558. We'll just give you a few minutes to—

559. and by "we," she means "she."

560. I lost all of our savings.

561. Sounds like a secret to me.

562. I started her on heparin to prevent

563. further clots, but we still don't know what's going on.

564. Of course the husband's secret was money.

565. If it's not sex, it's always money.

566. Unless it's sex for money.

567. How did he lose it anyway?

568. It's not medically relevant. You're not gonna care.

569. Wilson's been teaching me how to care. Try me.

570. He builds wind turbines

571. and leases them out to local power companies.

572. You're right. I don't care.

573. Clotting disorder: Dic.

574. Factor five leiden, antiphospholipid syndrome.

575. Vitamin k deficiency also fits.

576. Causes thrombophilia and is consistent with abdominal pain.

577. Congratulations, House. Sam ended it.

578. What happened?

579. Go test our patient's blood.

580. But it can wait five minutes.

581. For everything we discussed.

582. I'm sorry.

583. Well, at least you're actually taking responsibility

584. for once in your life.

585. Sorry that she left. It's not my fault.

586. I didn't even want

587. to get involved.

588. You dragged it out of me.

589. What about the dishwasher and the banana

590. and the toi—

591. she left because of the banana.

592. I just wanted you to stand up for yourself.

593. Tell her what you want.

594. If doing that causes her to walk out

595. for the second time, well, your relationship

596. wasn't gonna last anyway.

597. Or you could have stayed out of it.

598. I could have kept my mouth shut,

599. been annoyed sometimes, but I'd be happy,

600. because I'd still be with her.

601. Now all I have is cold milk.

602. As long as you're free,

603. you want to grab some dinner?

604. Did Tom go home for the night?

605. For starters.

606. I told him to leave. I don't want him here.

607. Money is a complicated subject.

608. Yeah, it's not the money.

609. I mean, the- the money's bad, but...

610. When we first opened our marriage,

611. I got involved with a guy who lied about being single.

612. Then one day, his wife calls me.

613. She's crying and screaming and totally out of control.

614. And I felt...

615. superior.

616. I thought I don't ever have to worry about feeling this way

617. because Tom and I are honest with each other.

618. Well, here I am.

619. Hi.

620. Sorry I didn't make it home last night.

621. I needed to run some tests.

622. You know what the worst part was?

623. When y had your affair...

624. Wasn't the sex.

625. It was the lies.

626. Realizing that the narrative of my life

627. was totally wrong.

628. You weren't stuck in surgery.

629. You weren't out of town.

630. I don't want to go through that again.

631. I told you nothing's—

632. Thursday nights.

633. You have to be home by midnight.

634. You don't bring her here.

635. You don't talk to h er about me

636. and I don't want to meet her ever in any context.

637. Are you giving me permission to sleep with other women?

638. It's what you want, isn't it?

639. I want you.

640. You want more than me.

641. You want that thrill.

642. But I love you.

643. And I really believe that you love me...

644. And we have a good life together.

645. And at this point,

646. either I walk away or I try to accept

647. who you really are.

648. Tomorrow's Thursday.

649. Yes, it is.

650. All our tests came back negative.

651. It's not a clotting disorder.

652. Which means we need to come up with a better idea.

653. So what causes problems in the stomach, heart, nerves?

654. Oh, my God.

655. You know what it is?

656. Taub's wife gave the green light for an open marriage.

657. He's wearing cologne,

658. but not the stink of shame.

659. You got a date.

660. I am going out with Maya tonight

661. with Rachel's blessing.

662. Mazel Tov?

663. Maybe the problem isn't her blood.

664. Maybe it's the vessels carrying the blood.

665. No sign of schistocytes or hemolysis.

666. So you're actually going to sleep with another woman

667. then go home to your wife?

668. Thank God someone's

669. keeping us focused on what's really important.

670. Taub was gonna do all of that anyway.

671. Pulmonary arterial hypertension.

672. Imaging showed normal diameter in her pulmonary artery.

673. Here's a thought—

674. Taub's wife is now totally on the market.

675. Mind hitting me with her digits?

676. She would love that, but duty calls.

677. What's the matter?

678. My stomach.

679. Same pain as before?

680. Yeah, but worse.

681. Get the portable ultrasound in here.

682. We need to get a look at her belly.

683. Help me!

684. Pain, pain went away,

685. came back another day.

686. Question is, what brought it back?

687. Physical exam was unrevealing. Ultrasound was clean.

688. So afterwards, are you gonna shower

689. at your girlfriend's or at home?

690. Patient. Abdominal pain.

691. Yeah, he's right.

692. Let's get this wrapped up before 6:00.

693. Taub turns back into a faithful Pumpkin at midnight.

694. Patient was out with her boy toy before she came in.

695. Maybe the pain was triggered by sexual excitement.

696. Because lying alone in a hospital bed

697. contemplating bankruptcy— hot.

698. My point was that arousal is a function

699. of the parasympathetic nervous system.

700. If that's where the problem is,

701. the pain could be triggered by crying, which seems—

702. pns. Also controls digestion,

703. which she's been doing without screaming her head off

704. since she's been here.

705. What if what matters isn't when the pain started,

706. but when it stopped? It was during an X-ray.

707. You think that cured her?

708. No, but House prepped her for the X-ray with a barium enema.

709. Well, that wouldn't treat anything except—

710. go.

711. You're in pain because part of your intestine

712. folded in on itself.

713. It's called an intussusception.

714. It's cutting off blood flow.

715. We need to fix it before your bowel gets necrotic and dies.

716. Once you do that, will I get better?

717. When this happens in adults,

718. it's usually a sign of abdominal cancer.

719. We'll fix the overlap,

720. and then search your intestine for tumors.

721. Foam?

722. I have a bad feeling about this.

723. A friend can't spontaneously buy

724. an overpriced itali an espresso machine

725. for another friend?

726. What did you do?

727. Nothing. That's the beauty.

728. I genuinely tried to help Wilson.

729. I told him to stand up for himself,

730. which you know is legitimate advice.

731. And his relationship blew up.

732. Is he okay?

733. Ah, he'll be fine.

734. Point is, I realized something.

735. I do nice things, nice things happen to me.

736. Karma works.

737. So you're paying it forward?

738. If this should somehow lead to Lucas dying

739. or oral sex,

740. so be it.

741. Namaste.

742. Think I should wear a tie tonight?

743. This isn't weird at all.

744. I mean, where's Rachel eating tonight?

745. Home.

746. What if she's going out too?

747. She is allowed to, right?

748. Of course. It's only fair.

749. But I don't think she will.

750. Your wife only eats dinner at home?

751. If she did go out,

752. that would be tough,

753. but I think i can handle it.

754. Don't do it unless you're sure.

755. I know I'd rather be jealous than a liar.

756. Got something here.

757. Kelly clamp and scalpel.

758. Biopsy showed non-specific inflammation,

759. which suggests ibd,

760. only it doesn't explain the cardiac problems.

761. Or her declining kidney function.

762. We ran panels during surgery.

763. Actually, ibd does make sense,

764. 'cause it could trigger ankylosing spondylitis,

765. which would explain the heart and the kidneys.

766. Start her on sulfasalazine and tnf-inhibitors.

767. Oh, and Taub,

768. I'm not gonna see you before you head off for gomorrah.

769. Just remember, if you get disoriented...

770. Breathe through your nose and look for the horizon.

771. I can't.

772. I really thought I could do this.

773. Logically, it makes perfect sense.

774. But...

775. all afternoon,

776. all I kept thinking about was the two of you,

777. together,

778. and you touching her.

779. Nothing's happened.

780. It's okay.

781. I'm sorry.

782. 'Cause I really wanted it—

783. no.

784. I've been an idiot,

785. and I don't need anything else.

786. I just need you.

787. You mean that?

788. I do.

789. I love you, Rachel.

790. I love you too.

791. Let's go home.

792. Is that okay?

793. There are other doctors.

794. The treatment's not working.

795. Her left kidney failed last night.

796. The other one's right behind it.

797. It's not ankylosing spondylitis.

798. Kidney biopsy showed she had iga nephropathy,

799. which could be caused by

800. or associated with any of these conditions.

801. We've gone from too few ideas to too many,

802. and our patient's running out of time.

803. Why the lack of afterglow?

804. Physio girl not as freaky as you'd hoped?

805. I went home with my wife.

806. After all that,

807. you chickened out.

808. I can't hurt Rachel like that.

809. Sickle cell anemia would have shown on blood tests.

810. No flattened intestinal villi rules out celiac.

811. Seriously?

812. Our patient's dying,

813. and we can't move past my sex life?

814. Seriously, you'd think it'd kill her

815. if we spend 15 seconds mocking you?

816. Time's up.

817. Normal liver enzymes

818. rules out hep b and cirrhosis.

819. Alport and anti-gbm antibody

820. are both untreatable,

821. so if she has them we can't help her.

822. And it can't be henoch-schonlein purpura.

823. No inciting respiratory infection

824. and no rash.

825. I don't care what it's not.

826. I want to know what it could be.

827. Well, everything left on the list.

828. The list was not created equal.

829. Neither was man, by the way.

830. Hemochromatosis is a possibility.

831. Excess iron builds up,

832. causes problems throughout the body.

833. Weil's syndrome also affects multiple organ systems,

834. and it wouldn't have been treated

835. by the antibiotic the E. R. gave her.

836. Sarcoidosis makes sense too.

837. Good.

838. Treat for those three.

839. I think you should call Tom.

840. Am I gonna die?

841. I don't know.

842. If he walked in here right now,

843. I'd look in his face and all I would think is "liar."

844. Don't you think that's kind of unfair?

845. You say honesty's all-important,

846. but you conveniently igno re the truth

847. that some truths hurt people.

848. Tom lied to protect you.

849. He was covering his ass.

850. I'm not talking about the money.

851. Tom hasn't slept with anyone else

852. in over a year.

853. He told you that?

854. So my entire marriage is a sham?

855. No.

856. Your husband, who only wants you,

857. lied so that you could be happy.

858. That seems pretty real to me.

859. Yeah?

860. Hey.

861. Hey.

862. Listen, I'm sorry.

863. Me too. I shouldn't have said—

864. no, you were right.

865. I was selfish back then.

866. I'm trying to change.

867. And I don't know if it's House or what,

868. but... you're different too.

869. I'm trying.

870. I always thought that I was keeping the peace,

871. but I was just resenting you

872. and giving you a reason to leave.

873. I wish we had this fight ten years ago.

874. Is it okay if we don't give House the credit?

875. Oh, I recommend it.

876. "O" for three.

877. Her kidney function is still declining.

878. We're gonna need to start dialysis.

879. Glad the husband's back.

880. After missing so many little deaths,

881. he should be here for the big one.

882. Top six, anyone?

883. Polyarteritis nodosa?

884. We'd have seen some improvement on prednisone.

885. Guy's wife's dying,

886. and he stops to buy flowers.

887. They're from his garden.

888. Mercury poisoning fits.

889. Those are lilacs.

890. My mom used to grow lilacs.

891. My dad made her get rid of them,

892. 'cause there were too many bees.

893. We ruled out hsp

894. 'cause there was no inciting respiratory infection.

895. But in rare cases, it can also be triggered by a bee sting.

896. We also ruled it out because there's no rash.

897. Maybe we just didn't see it.

898. Have you been stung by a bee recently?

899. Uh, about a month ago.

900. What's going on?

901. I think your wife has henoch-schonlein purpura.

902. Systemic vasculitis can cause

903. lesions and inflammations throughout the body.

904. It's pretty awful,

905. which explains why it was named after a German.

906. Actually two germans.

907. Lesions can pop up in the heart,

908. sometimes in the kidneys, but always on the skin.

909. Means you'd have a rash somewhere.

910. I don't.

911. Not that you know of.

912. Okay, I'm gonna have to check your holes.

913. I'll start with the mouth. If there's nothing there,

914. then things might have to get kinky.

915. Say aah.

916. Aah.

917. I was kinda hoping for kinky.

918. Is that good or bad?

919. We'll treat her

920. with high-dose ivig and cyclophosphamide.

921. You should be fine.

922. I'm gonna be okay.

923. I love you.

924. That is adorable.

925. Other than you still wanting to have sex with other dudes,

926. and him bankrupting your family,

927. I think you kids are pretty much home free.

928. Mm-hmm?

929. And...

930. You two made up?

931. No.

932. You can thank me later.

933. I'm all-in.

934. All right.

935. Fold.

936. you need a hand?

937. thanks.

938. sorry about canceling the other night.

939. Me too.

940. you wanna go somewhere?