Programa de TV: House M.D. - 6x18
Who is it?
It's Tom.
Tom, your husband?
What's he doing here?
Uh, what's going on?
I'm sorry, I know I'm not supposed to be here, but Evelyn's school contract's due tomorrow.
I knew I was forgetting something.
Let me, uh, find a pen.
Hey.
Hey.
Not quite sure what Emily post recommends in this situation, but I'm Tom.
Damien.
Hey.
Sorry to intrude.
I just--I wasn't quite sure when she'd be coming home.
No problem.
Thank you so much for catching this.
Yeah.
Well, I'll get out of your way, it was good to meet you, and I'll see you later, hon.
Bye.
So...
Seems like a nice guy.
Ooh.
Jules, you okay?
No, my stomach.
Here.
Lie down.
Ow!
Try to-- get Tom.
Ow!
Tom!
-- Sync by elderman -- -- for addic7ed.Com -- ♪ ♪ You know what would be perfect?
Hmm?
French toast tower.
You still go to Mickey's?
What's your cholesterol?
It's my one vice.
I'm keeping it.
As much as I would love to clog my arteries, I have a 10:00 ct and I still have to race home, get changed.
Maybe you could keep some clothes here.
Maybe I could.
He's just trying to get into your skirts.
And I don't mean metaphorically.
Well, he's got the legs for it.
So I will see you tonight?
Yeah.
Bye, House.
Have a nice day. "
Have a nice day."
How civilized.
I said I'd stay t of it.
What?
Nothing.
Clearly something.
Nope.
House, on a list of your attributes, there's nothing that even rhymes with "coy."
Okay, I may have seen something in the fridge.
Like the end of your relationship.
She put the milk in the door and not on the shelf.
It's not a big deal.
You hate that she did that, but you didn't say anything.
You're trying to get us to fight.
No, I'm trying to help.
If you got an issue, let her know.
I should have known that you weren't done sabotaging this.
Fine.
Stew in your irritation.
And sure, last time it bubbled over into resentment and rage, leading ultimately to a painful divorce that neither of you ever really recovered from, but I'm sure this time it'll be great.
Interesting case.
35-year-old woman with fever and abdominal pain.
E.R.
ruled out all the usual suspects.
Stop before you interest me to death.
And she's in an open marriage.
That's not interesting.
It's just weird.
Know what's weirder?
That other humans are monogamous in the first place.
No other species on the planet mates for life and if you're gonna bring up swans, they cheat like everybody else.
They just have better pr than rabbits.
Animals also eat their young and kill their rivals.
That make it weird that most of us don't?
Says the guy whose opposable thumbs have been all over how many women who aren't his wife?
A functional open marriage is like a Unicorn.
It's a mythical creature that doesn't exist.
Someone always ends up unhappy.
Our patient's unhappy becau se she's suffering from an intestinal blockage.
Boring.
Then we have to find a reason to rule it out.
What about herpes colitis?
She picks up the infection from one of her partners.
It takes root in her colon.
Std panel was clean.
Chances are, this couple was unhappy in the first place.
This is their attempt to save something that never-- go on.
Herpes might not register if she was exposed in the last six weeks.
But it would show up on a barium enema.
Wait.
You're gonna do it?
Gotta see if our patient's a Unicorn or just a slutty horse.
Think how much fun Taub could be having.
Barium coats the inner lining of your colon.
Lets us get a good look at it on the X-ray.
I can get somebody else to pick up Evelyn.
I feel like i'm abandoning you.
I'm on painkillers.
I'd rather this not be what you think of every time you look at my butt.
Okay, roll onto your side.
It's fill 'er up time.
So is Evelyn his new squeeze?
She's our daughter.
Must be interesting growing up in a production of Oh!
Calcutta!
She's six.
She knows as much about our sex life as any other kid her age.
You can explain that she's the reason the two of you stayed married.
You've been in the room five minutes.
You got us all figured out.
Of course, you left out the part where we love each other and we want to grow old together.
But you just don't want to be young together.
Look, when you think about it, tons of couples do what we do.
It's just that with most of them, one spouse doesn't know about it.
We decided things work better when people tell each other the truth.
Tank's full.
I'll page the radiology elves.
I'm not saying I hate it.
Just doesn't go with your eyes.
You hate it.
Little bit.
Any more heartless critiques of my general appearance?
Nope.
All done.
So is she as bendy as she looks?
Maya and I are just friends.
No, you and I are friends and you don't have coffee with me three times a week.
She's an interesting person.
She grew up in Ohio.
She has three brothers.
Fascinating.
Last week, that Cambodian lab tech was telling us how he survived the Killing Fields and you left to go get a donut.
So we flirt.
It's fun.
It's dangerous.
That woman would totally do you.
You think?
Nothing is gonna happen.
All I'm saying is if you want to be on a diet, you might want to stop hanging out by the dessert cart.
X-ray was clean.
She doesn't have herpes colitis or abdominal pain.
It stopped hurting during the X-ray, which means it was just an intestinal blockage that passed.
We should discharge her.
Absolutely.
There's no need to find any underlying cause 'cause these things never happen twice.
Take her digestive system for a test drive.
Give her a radio-opaque milkshake.
X-ray every 15 minutes to see if it makes any unscheduled stops on the way through.
We'll be here all night.
No, Taub will be here all night.
Talk to the Unicorn and then tell me you don't believe.
I did an abdominal ct on a kid today and found a six-inch bezoar made entirely of gum.
I mean, who gives a three-year-old an endless supply of g-- you okay?
Yeah.
I mean, there was hair in it and maybe a piece of paper.
So...
how long you been married?
One of the few drawbacks of having an open marriage.
Nobody ever asks me about current events or the weather.
Yankees look good this season.
Seven years.
And, uh, how long have you- you know?
After three years, we realized that traditional marriage was making us both miserable.
Most people get divorced at that point.
Yeah, we didn't want to get divorced.
We still loved each other.
We just realized that expecting one person to fulfill all of your needs forever is unrealistic.
There are happy monogamous couples out there.
Sure.
One or two have the perfect marriage.
Everybody else has figured out how to settle for less.
I don't want to settle and end up resenting my husband.
I'd rather g the 10% he doesn't give me somewhere else so that i c an really appreciate him for the 90% he does.
I think something's wrong.
With your stomach?
My heart is racing.
Try and take deep breaths.
I'm going to try to slow your heart down.
Is this because of the blockage?
No.
It's not working.
Need a crash cart in here!
I need a list of all your sexual partners from the last six months.
Why?
Your wife had an arrhythmia.
The progression of symptoms from bowel to heart makes a parasitic infection most likely.
Since Julia hasn't been out of the country-- the only place that I've been recently is a business trip to Nebraska.
But either of you could have picked up a bug from one of your partners.
It's kind of...
complicated.
How many partners are we talking about?
Ballpark.
None.
None?
We have a great sex life.
I don't need anyone else.
So why not just tell her that and close this whole thing up?
You married?
I--I was.
Did you ever agree to go see a chick flick with your wife or pretend to enjoy classical music?
Stravinsky never groped my wife in a Midtown hotel room.
She needs this.
I don't.
But I don't want her to feel bad about that.
He's lying.
Guy's got a license to drill.
Why would he lie about not using it?
That's not the lie.
The lie is that he gives a crap about how his wife feels.
If they're both screwing around, that's one thing.
But if she has a piece on the side and he doesn't, the only way he'd be okay with that is if he's betraying her in some other way that, in his mind, makes them even.
My Unicorn isn't a Unicorn.
It's a donkey with a plunger stuck to its face.
Right.
Even the guy who's not cheating is doing it for underhanded reasons.
No, no, no.
He's not being cynical.
He's assuming the husband is doing something to even the score, which means he thinks there is a score, which means, cheating swans aside, House believes in monogamy.
He's being romantic.
What I believe is that men are genetically engineered to be jealous.
Doesn't matter if i thi nk there's a score.
I guarantee you he does.
Any of the wife's partners pan out?
She's been with two people other than Tom in the last six months.
Neither of them have been outside the tri-state area.
So we're back to the husband.
You just said you believed-- he's doing something behind her back.
What better cover than a business trip to Nebraska?
Like that's really a place.
Let's find his travel records and get back to work.
You seem pretty mellow about this couple's deal.
Thought you'd be first in line to shake a finger.
They're still married.
I'm not.
Not that I could ever do it.
I was jealous of House and Cameron never touched him.
Not counting the emotional fondling.
When my mom was dying, my dad had an affair.
He told you this?
I'd seen them get out of his car.
Two years after mom died, they got married.
That must have sucked.
At the time, yeah.
But looking back...
It makes sense.
My mom never knew about it and he needed someone to make him feel less alone.
He took care of my mom day in and day out for 2 1/2 years before she died.
He was devoted to her.
Loving someone else didn't change that.
So loving two people at once is fine as long as one of them is dying?
Whoever's taking care of me when I get sick, I hope they've got someone else to take care of them.
Tom was telling the truth.
He really did go to Nebraska.
Plane ticket and restaurant seats.
Forget Nebraska.
Maybe they just bought their parasites at the mall.
You know, we should really throw away that loofah.
They're imported.
Sometimes they're not sterilized.
We think our patient got amoebiasis from hers.
Is she gonna be okay?
We're treating now.
She should be fine.
It's actually kind of bizarre.
She and her husband have an open marriage.
They sleep with other people?
Well, she does.
Her husband's totally fine with it.
I mean, it's crazy, right?
And you're bringing this up because?
I thought it was interesting.
More interesting than your other cases, I guess.
I mean, you talk about your colleagues, you rant about House.
You don't usually mention your patients.
Is open marriage something you want?
No.
I mean...
I know you'd never...
All this time and energy you spent convincing me you weren't cheating...
And there's somebody else.
I'm not-- some more water sir?
Okay.
There's a woman at work.
People say she's attracted to me, but nothing's happened.
Nothing's going to happen.
I'm not having an affair.
But you want to.
No, honey.
I'm trying to be honest.
I don't want to make the same mistakes.
Be honest then.
Are you attracted to her?
Look...
she's attractive.
There's an attraction.
Aren't there men who make you feel that way?
Of course there are, but it never occurs to me to act on it because- because I'm married...
To you.
And that's enough for me.
Aren't I enough for you?
Of course you are.
Our patient's lost all movement in her legs.
There are other doctors, Chris.
We're talking.
I'm sorry.
The woman's paralyzed.
I'll get a cab.
Tests show no spinal cord injury, no cerebral lesions, no hemorrhage.
Finally got a stool sample.
The loofah's innocent.
No sign of amoebas or any other parasites.
So paralysis, arrhythmia, and intermittent abdominal pain.
And he nicked himself shaving.
Sorry.
That was Taub.
But it was easier to solve.
Means he used the crappy razor in his locker, which means he slept here.
Thanks to you.
I brought up open marriage with Rachel.
It was a disaster.
On the medical front, we've knocked out sex and foreign travel.
Could be an electrolyte imbalance.
So the only time you're not interested in my marriage is after you bw it up?
You're the moron who took marital advice from Tila Tequila.
You pushed me into this.
Figured it would either blow up your marriage or make it more honest.
Either way, you win.
What about sex?
I'm talking about the patient.
Is that cool with everybody?
We've ruled out sex.
We ruled out sex with other people.
Tom said he and Julia have been doing it three or four times a week and she 's got boys on the side.
Increased libido can be a symptom of adrenocortical carcinoma, which also explains her other symptoms.
A woman who likes sex must be sick?
Just because everybody in this room wishes that all women were horny all the time doesn't make it so.
Get an mri of her adrenal glands.
Hi.
Okay if I take the sports page?
Sure.
Would you mind using a coaster?
Oh.
Sure.
Sorry.
It's okay.
Also, it'd be great if you'd replace the toilet paper when you finish a roll.
And when you load the dishwasher, you can't put a big, flat bowl on the bottom.
It traps the water so nothing on the top gets clean.
And please don't throw banana peels in the bedroom trash.
I haven't done any of those things.
You're probably not even aware of-- I hate bananas.
Oh, my God.
It was House.
I'm sorry.
He's been trying to get us to fight.
Why would he think that stuff would make us fight?
Because of the milk.
You put it in the door.
The body of the refrigerator is the coldest part.
The temperature in the door fluctuates, which decreases shelf life.
Wow.
When did you get all ocd?
I just want clean dishes and unspoiled milk so we can all stay healthy.
Oh, it's about health.
What about the coaster?
Does that replenish my B-12 or something?
Can we just drop it?
Sure.
You have this list of annoyances the entire time we were married?
Get better, mommy.
I love you, rabbit.
Julia, you have a guest.
Hi.
This isn't a good time.
Dr.
Hadley, did you say there was a video game in the playroom?
Maybe you can teach me how to play one of them.
See you in radiology.
Get out of my wife's room.
Your relationship with her sta ys out of our space.
I was worried about her.
Tom's right.
You should go.
So it's fine if we have sex, but if I drop by to see if you're okay-- this is our family.
Sorry.
I spent two years of residency wearing shirts that were a size too small.
How hard is it to ask me not to put them in the dryer?
And I only did your laundry because you were never home.
I didn't ask you to.
Of course you didn't.
You just got annoyed whenever you didn't have clean underwear.
I never said I was annoyed.
That's the point.
You didn't say anything.
So I'm getting a lecture on communication from someone who had her lawyer inform me our marriage was over.
Asking for an open marriage.
You got stones.
Conversation sort of got away from me.
It was a train wreck.
I think it's good you brought it up.
I read a study that found men who have multiple copies of a certain vasopressin receptor are twice as likely to be unfaithful.
Maybe you're just one of those guys.
So my cheating is biologically predetermined?
Fantastic.
Multiply times five.
We need a better look at the medulla.
I thought you'd be relieved.
This gets you off the hook.
It's just genetics.
I'm 5'6" and have a receding hairline.
I hate genetics.
Medulla's clean.
I don't see you wearing lifts or hair plugs.
That's because being short and bald doesn't hurt anybody.
The only thing hurtful about your other genetic predisposition is that you keep denying it.
It's not good for you or Rachel.
There's nothing there.
It's not adrenal cancer.
And maybe you're right about me.
But I'm not gonna stop trying.
Rachel's worth it.
Look up there.
The lung.
What is that?
You served me with divorce papers in the middle of a medical conference in New Orleans.
I threw a bottle into an antique mirror.
Oh, you exhibited an emotion?
I wish I'd known you were capable.
I loved you.
I thought I was gonna be following you to Baltimore, remember?
I called about apartments.
I set up interviews.
How could you think that we still had a real marriage?
We hadn't had a conversation in months.
Maybe because I was working two jobs to support us.
No!
No!
It's because when you were home, it was like talking to a block of ice.
You were obviously so pissed off at me.
I was killing myself so that you could take that non-paying internship.
That you said that I should take.
I was trying to be supportive!
Why do I have to be the bad guy?
Expressing yourself does not make you the bad guy.
Okay, then.
You were being a selfish bitch.
VQ scan confirmed the spot on Julia's lung was a clot.
Think there's a chance the husband's a plushie?
If he has a secret, I highly doubt it's more relevant than the clot.
Clotting disorder would explain everything.
Question is, which one?
Do you read any of your departmental memos?
Only the ones labeled, "n-s-f-w."
Accounting notified you two days ago about your patient's insurance.
Sorry, that's "n-n-s-f-w."
Here.
He doesn't have any.
Try not to bankrupt them.
Oh, I'm long past the number of procedures that'll bankrupt them.
Julia's got insurance.
I saw the policy number on the form.
But the policy lapsed due to non-payment.
I already made three calls about this.
You should have been aware of that.
No, there's just a mistake.
Of course we have health insurance.
We're actually a little behind on the premiums.
But I pulled money out of my retirementccount to cover it.
They said that we'll be fine in-- Why the retirement account?
We'll just give you a few minutes to-- and by "we," she means "she."
I lost all of our savings.
Sounds like a secret to me.
I started her on heparin to prevent further clots, but we still don't know what's going on.
Of course the husband's secret was money.
If it's not sex, it's always money.
Unless it's sex for money.
How did he lose it anyway?
It's not medically relevant.
You're not gonna care.
Wilson's been teaching me how to care.
Try me.
He builds wind turbines and leases them out to local power companies.
You're right.
I don't care.
Clotting disorder: Dic.
Factor five leiden, antiphospholipid syndrome.
Vitamin k deficiency also fits.
Causes thrombophilia and is consistent with abdominal pain.
Congratulations, House.
Sam ended it.
What happened?
Go test our patient's blood.
But it can wait five minutes.
For everything we discussed.
I'm sorry.
Well, at least you're actually taking responsibility for once in your life.
Sorry that she left.
It's not my fault.
I didn't even want to get involved.
You dragged it out of me.
What about the dishwasher and the banana and the toi-- she left because of the banana.
I just wanted you to stand up for yourself.
Tell her what you want.
If doing that causes her to walk out for the second time, well, your relationship wasn't gonna last anyway.
Or you could have stayed out of it.
I could have kept my mouth shut, been annoyed sometimes, but I'd be happy, because I'd still be with her.
Now all I have is cold milk.
As long as you're free, you want to grab some dinner?
Did Tom go home for the night?
For starters.
I told him to leave.
I don't want him here.
Money is a complicated subject.
Yeah, it's not the money.
I mean, the- the money's bad, but...
When we first opened our marriage, I got involved with a guy who lied about being single.
Then one day, his wife calls me.
She's crying and screaming and totally out of control.
And I felt...
superior.
I thought I don't ever have to worry about feeling this way because Tom and I are honest with each other.
Well, here I am.
Hi.
Sorry I didn't make it home last night.
I needed to run some tests.
You know what the worst part was?
When y had your affair...
Wasn't the sex.
It was the lies.
Realizing that the narrative of my life was totally wrong.
You weren't stuck in surgery.
You weren't out of town.
I don't want to go through that again.
I told you nothing's-- Thursday nights.
You have to be home by midnight.
You don't bring her here.
You don't talk to h er about me and I don't want to meet her ever in any context.
Are you giving me permission to sleep with other women?
It's what you want, isn't it?
I want you.
You want more than me.
You want that thrill.
But I love you.
And I really believe that you love me...
And we have a good life together.
And at this point, either I walk away or I try to accept who you really are.
Tomorrow's Thursday.
Yes, it is.
All our tests came back negative.
It's not a clotting disorder.
Which means we need to come up with a better idea.
So what causes problems in the stomach, heart, nerves?
Oh, my God.
You know what it is?
Taub's wife gave the green light for an open marriage.
He's wearing cologne, but not the stink of shame.
You got a date.
I am going out with Maya tonight with Rachel's blessing.
Mazel Tov?
Maybe the problem isn't her blood.
Maybe it's the vessels carrying the blood.
No sign of schistocytes or hemolysis.
So you're actually going to sleep with another woman then go home to your wife?
Thank God someone's keeping us focused on what's really important.
Taub was gonna do all of that anyway.
Pulmonary arterial hypertension.
Imaging showed normal diameter in her pulmonary artery.
Here's a thought-- Taub's wife is now totally on the market.
Mind hitting me with her digits?
She would love that, but duty calls.
What's the matter?
My stomach.
Same pain as before?
Yeah, but worse.
Get the portable ultrasound in here.
We need to get a look at her belly.
Help me!
Pain, pain went away, came back another day.
Question is, what brought it back?
Physical exam was unrevealing.
Ultrasound was clean.
So afterwards, are you gonna shower at your girlfriend's or at home?
Patient.
Abdominal pain.
Yeah, he's right.
Let's get this wrapped up before 6:00.
Taub turns back into a faithful Pumpkin at midnight.
Patient was out with her boy toy before she came in.
Maybe the pain was triggered by sexual excitement.
Because lying alone in a hospital bed contemplating bankruptcy-- hot.
My point was that arousal is a function of the parasympathetic nervous system.
If that's where the problem is, the pain could be triggered by crying, which seems-- pns.
Also controls digestion, which she's been doing without screaming her head off since she's been here.
What if what matters isn't when the pain started, but when it stopped?
It was during an X-ray.
You think that cured her?
No, but House prepped her for the X-ray with a barium enema.
Well, that wouldn't treat anything except-- go.
You're in pain because part of your intestine folded in on itself.
It's called an intussusception.
It's cutting off blood flow.
We need to fix it before your bowel gets necrotic and dies.
Once you do that, will I get better?
When this happens in adults, it's usually a sign of abdominal cancer.
We'll fix the overlap, and then search your intestine for tumors.
Foam?
I have a bad feeling about this.
A friend can't spontaneously buy an overpriced itali an espresso machine for another friend?
What did you do?
Nothing.
That's the beauty.
I genuinely tried to help Wilson.
I told him to stand up for himself, which you know is legitimate advice.
And his relationship blew up.
Is he okay?
Ah, he'll be fine.
Point is, I realized something.
I do nice things, nice things happen to me.
Karma works.
So you're paying it forward?
If this should somehow lead to Lucas dying or oral sex, so be it.
Namaste.
Think I should wear a tie tonight?
This isn't weird at all.
I mean, where's Rachel eating tonight?
Home.
What if she's going out too?
She is allowed to, right?
Of course.
It's only fair.
But I don't think she will.
Your wife only eats dinner at home?
If she did go out, that would be tough, but I think i can handle it.
Don't do it unless you're sure.
I know I'd rather be jealous than a liar.
Got something here.
Kelly clamp and scalpel.
Biopsy showed non-specific inflammation, which suggests ibd, only it doesn't explain the cardiac problems.
Or her declining kidney function.
We ran panels during surgery.
Actually, ibd does make sense, 'cause it could trigger ankylosing spondylitis, which would explain the heart and the kidneys.
Start her on sulfasalazine and tnf-inhibitors.
Oh, and Taub, I'm not gonna see you before you head off for gomorrah.
Just remember, if you get disoriented...
Breathe through your nose and look for the horizon.
I can't.
I really thought I could do this.
Logically, it makes perfect sense.
But...
all afternoon, all I kept thinking about was the two of you, together, and you touching her.
Nothing's happened.
It's okay.
I'm sorry.
'Cause I really wanted it-- no.
I've been an idiot, and I don't need anything else.
I just need you.
You mean that?
I do.
I love you, Rachel.
I love you too.
Let's go home.
Is that okay?
There are other doctors.
The treatment's not working.
Her left kidney failed last night.
The other one's right behind it.
It's not ankylosing spondylitis.
Kidney biopsy showed she had iga nephropathy, which could be caused by or associated with any of these conditions.
We've gone from too few ideas to too many, and our patient's running out of time.
Why the lack of afterglow?
Physio girl not as freaky as you'd hoped?
I went home with my wife.
After all that, you chickened out.
I can't hurt Rachel like that.
Sickle cell anemia would have shown on blood tests.
No flattened intestinal villi rules out celiac.
Seriously?
Our patient's dying, and we can't move past my sex life?
Seriously, you'd think it'd kill her if we spend 15 seconds mocking you?
Time's up.
Normal liver enzymes rules out hep b and cirrhosis.
Alport and anti-gbm antibody are both untreatable, so if she has them we can't help her.
And it can't be henoch-schonlein purpura.
No inciting respiratory infection and no rash.
I don't care what it's not.
I want to know what it could be.
Well, everything left on the list.
The list was not created equal.
Neither was man, by the way.
Hemochromatosis is a possibility.
Excess iron builds up, causes problems throughout the body.
Weil's syndrome also affects multiple organ systems, and it wouldn't have been treated by the antibiotic the E.
R.
gave her.
Sarcoidosis makes sense too.
Good.
Treat for those three.
I think you should call Tom.
Am I gonna die?
I don't know.
If he walked in here right now, I'd look in his face and all I would think is "liar."
Don't you think that's kind of unfair?
You say honesty's all-important, but you conveniently igno re the truth that some truths hurt people.
Tom lied to protect you.
He was covering his ass.
I'm not talking about the money.
Tom hasn't slept with anyone else in over a year.
He told you that?
So my entire marriage is a sham?
No.
Your husband, who only wants you, lied so that you could be happy.
That seems pretty real to me.
Yeah?
Hey.
Hey.
Listen, I'm sorry.
Me too.
I shouldn't have said-- no, you were right.
I was selfish back then.
I'm trying to change.
And I don't know if it's House or what, but...
you're different too.
I'm trying.
I always thought that I was keeping the peace, but I was just resenting you and giving you a reason to leave.
I wish we had this fight ten years ago.
Is it okay if we don't give House the credit?
Oh, I recommend it. "
O" for three.
Her kidney function is still declining.
We're gonna need to start dialysis.
Glad the husband's back.
After missing so many little deaths, he should be here for the big one.
Top six, anyone?
Polyarteritis nodosa?
We'd have seen some improvement on prednisone.
Guy's wife's dying, and he stops to buy flowers.
They're from his garden.
Mercury poisoning fits.
Those are lilacs.
My mom used to grow lilacs.
My dad made her get rid of them, 'cause there were too many bees.
We ruled out hsp 'cause there was no inciting respiratory infection.
But in rare cases, it can also be triggered by a bee sting.
We also ruled it out because there's no rash.
Maybe we just didn't see it.
Have you been stung by a bee recently?
Uh, about a month ago.
What's going on?
I think your wife has henoch-schonlein purpura.
Systemic vasculitis can cause lesions and inflammations throughout the body.
It's pretty awful, which explains why it was named after a German.
Actually two germans.
Lesions can pop up in the heart, sometimes in the kidneys, but always on the skin.
Means you'd have a rash somewhere.
I don't.
Not that you know of.
Okay, I'm gonna have to check your
It's Tom.
Tom, your husband?
What's he doing here?
Uh, what's going on?
I'm sorry, I know I'm not supposed to be here, but Evelyn's school contract's due tomorrow.
I knew I was forgetting something.
Let me, uh, find a pen.
Hey.
Hey.
Not quite sure what Emily post recommends in this situation, but I'm Tom.
Damien.
Hey.
Sorry to intrude.
I just--I wasn't quite sure when she'd be coming home.
No problem.
Thank you so much for catching this.
Yeah.
Well, I'll get out of your way, it was good to meet you, and I'll see you later, hon.
Bye.
So...
Seems like a nice guy.
Ooh.
Jules, you okay?
No, my stomach.
Here.
Lie down.
Ow!
Try to-- get Tom.
Ow!
Tom!
-- Sync by elderman -- -- for addic7ed.Com -- ♪ ♪ You know what would be perfect?
Hmm?
French toast tower.
You still go to Mickey's?
What's your cholesterol?
It's my one vice.
I'm keeping it.
As much as I would love to clog my arteries, I have a 10:00 ct and I still have to race home, get changed.
Maybe you could keep some clothes here.
Maybe I could.
He's just trying to get into your skirts.
And I don't mean metaphorically.
Well, he's got the legs for it.
So I will see you tonight?
Yeah.
Bye, House.
Have a nice day. "
Have a nice day."
How civilized.
I said I'd stay t of it.
What?
Nothing.
Clearly something.
Nope.
House, on a list of your attributes, there's nothing that even rhymes with "coy."
Okay, I may have seen something in the fridge.
Like the end of your relationship.
She put the milk in the door and not on the shelf.
It's not a big deal.
You hate that she did that, but you didn't say anything.
You're trying to get us to fight.
No, I'm trying to help.
If you got an issue, let her know.
I should have known that you weren't done sabotaging this.
Fine.
Stew in your irritation.
And sure, last time it bubbled over into resentment and rage, leading ultimately to a painful divorce that neither of you ever really recovered from, but I'm sure this time it'll be great.
Interesting case.
35-year-old woman with fever and abdominal pain.
E.R.
ruled out all the usual suspects.
Stop before you interest me to death.
And she's in an open marriage.
That's not interesting.
It's just weird.
Know what's weirder?
That other humans are monogamous in the first place.
No other species on the planet mates for life and if you're gonna bring up swans, they cheat like everybody else.
They just have better pr than rabbits.
Animals also eat their young and kill their rivals.
That make it weird that most of us don't?
Says the guy whose opposable thumbs have been all over how many women who aren't his wife?
A functional open marriage is like a Unicorn.
It's a mythical creature that doesn't exist.
Someone always ends up unhappy.
Our patient's unhappy becau se she's suffering from an intestinal blockage.
Boring.
Then we have to find a reason to rule it out.
What about herpes colitis?
She picks up the infection from one of her partners.
It takes root in her colon.
Std panel was clean.
Chances are, this couple was unhappy in the first place.
This is their attempt to save something that never-- go on.
Herpes might not register if she was exposed in the last six weeks.
But it would show up on a barium enema.
Wait.
You're gonna do it?
Gotta see if our patient's a Unicorn or just a slutty horse.
Think how much fun Taub could be having.
Barium coats the inner lining of your colon.
Lets us get a good look at it on the X-ray.
I can get somebody else to pick up Evelyn.
I feel like i'm abandoning you.
I'm on painkillers.
I'd rather this not be what you think of every time you look at my butt.
Okay, roll onto your side.
It's fill 'er up time.
So is Evelyn his new squeeze?
She's our daughter.
Must be interesting growing up in a production of Oh!
Calcutta!
She's six.
She knows as much about our sex life as any other kid her age.
You can explain that she's the reason the two of you stayed married.
You've been in the room five minutes.
You got us all figured out.
Of course, you left out the part where we love each other and we want to grow old together.
But you just don't want to be young together.
Look, when you think about it, tons of couples do what we do.
It's just that with most of them, one spouse doesn't know about it.
We decided things work better when people tell each other the truth.
Tank's full.
I'll page the radiology elves.
I'm not saying I hate it.
Just doesn't go with your eyes.
You hate it.
Little bit.
Any more heartless critiques of my general appearance?
Nope.
All done.
So is she as bendy as she looks?
Maya and I are just friends.
No, you and I are friends and you don't have coffee with me three times a week.
She's an interesting person.
She grew up in Ohio.
She has three brothers.
Fascinating.
Last week, that Cambodian lab tech was telling us how he survived the Killing Fields and you left to go get a donut.
So we flirt.
It's fun.
It's dangerous.
That woman would totally do you.
You think?
Nothing is gonna happen.
All I'm saying is if you want to be on a diet, you might want to stop hanging out by the dessert cart.
X-ray was clean.
She doesn't have herpes colitis or abdominal pain.
It stopped hurting during the X-ray, which means it was just an intestinal blockage that passed.
We should discharge her.
Absolutely.
There's no need to find any underlying cause 'cause these things never happen twice.
Take her digestive system for a test drive.
Give her a radio-opaque milkshake.
X-ray every 15 minutes to see if it makes any unscheduled stops on the way through.
We'll be here all night.
No, Taub will be here all night.
Talk to the Unicorn and then tell me you don't believe.
I did an abdominal ct on a kid today and found a six-inch bezoar made entirely of gum.
I mean, who gives a three-year-old an endless supply of g-- you okay?
Yeah.
I mean, there was hair in it and maybe a piece of paper.
So...
how long you been married?
One of the few drawbacks of having an open marriage.
Nobody ever asks me about current events or the weather.
Yankees look good this season.
Seven years.
And, uh, how long have you- you know?
After three years, we realized that traditional marriage was making us both miserable.
Most people get divorced at that point.
Yeah, we didn't want to get divorced.
We still loved each other.
We just realized that expecting one person to fulfill all of your needs forever is unrealistic.
There are happy monogamous couples out there.
Sure.
One or two have the perfect marriage.
Everybody else has figured out how to settle for less.
I don't want to settle and end up resenting my husband.
I'd rather g the 10% he doesn't give me somewhere else so that i c an really appreciate him for the 90% he does.
I think something's wrong.
With your stomach?
My heart is racing.
Try and take deep breaths.
I'm going to try to slow your heart down.
Is this because of the blockage?
No.
It's not working.
Need a crash cart in here!
I need a list of all your sexual partners from the last six months.
Why?
Your wife had an arrhythmia.
The progression of symptoms from bowel to heart makes a parasitic infection most likely.
Since Julia hasn't been out of the country-- the only place that I've been recently is a business trip to Nebraska.
But either of you could have picked up a bug from one of your partners.
It's kind of...
complicated.
How many partners are we talking about?
Ballpark.
None.
None?
We have a great sex life.
I don't need anyone else.
So why not just tell her that and close this whole thing up?
You married?
I--I was.
Did you ever agree to go see a chick flick with your wife or pretend to enjoy classical music?
Stravinsky never groped my wife in a Midtown hotel room.
She needs this.
I don't.
But I don't want her to feel bad about that.
He's lying.
Guy's got a license to drill.
Why would he lie about not using it?
That's not the lie.
The lie is that he gives a crap about how his wife feels.
If they're both screwing around, that's one thing.
But if she has a piece on the side and he doesn't, the only way he'd be okay with that is if he's betraying her in some other way that, in his mind, makes them even.
My Unicorn isn't a Unicorn.
It's a donkey with a plunger stuck to its face.
Right.
Even the guy who's not cheating is doing it for underhanded reasons.
No, no, no.
He's not being cynical.
He's assuming the husband is doing something to even the score, which means he thinks there is a score, which means, cheating swans aside, House believes in monogamy.
He's being romantic.
What I believe is that men are genetically engineered to be jealous.
Doesn't matter if i thi nk there's a score.
I guarantee you he does.
Any of the wife's partners pan out?
She's been with two people other than Tom in the last six months.
Neither of them have been outside the tri-state area.
So we're back to the husband.
You just said you believed-- he's doing something behind her back.
What better cover than a business trip to Nebraska?
Like that's really a place.
Let's find his travel records and get back to work.
You seem pretty mellow about this couple's deal.
Thought you'd be first in line to shake a finger.
They're still married.
I'm not.
Not that I could ever do it.
I was jealous of House and Cameron never touched him.
Not counting the emotional fondling.
When my mom was dying, my dad had an affair.
He told you this?
I'd seen them get out of his car.
Two years after mom died, they got married.
That must have sucked.
At the time, yeah.
But looking back...
It makes sense.
My mom never knew about it and he needed someone to make him feel less alone.
He took care of my mom day in and day out for 2 1/2 years before she died.
He was devoted to her.
Loving someone else didn't change that.
So loving two people at once is fine as long as one of them is dying?
Whoever's taking care of me when I get sick, I hope they've got someone else to take care of them.
Tom was telling the truth.
He really did go to Nebraska.
Plane ticket and restaurant seats.
Forget Nebraska.
Maybe they just bought their parasites at the mall.
You know, we should really throw away that loofah.
They're imported.
Sometimes they're not sterilized.
We think our patient got amoebiasis from hers.
Is she gonna be okay?
We're treating now.
She should be fine.
It's actually kind of bizarre.
She and her husband have an open marriage.
They sleep with other people?
Well, she does.
Her husband's totally fine with it.
I mean, it's crazy, right?
And you're bringing this up because?
I thought it was interesting.
More interesting than your other cases, I guess.
I mean, you talk about your colleagues, you rant about House.
You don't usually mention your patients.
Is open marriage something you want?
No.
I mean...
I know you'd never...
All this time and energy you spent convincing me you weren't cheating...
And there's somebody else.
I'm not-- some more water sir?
Okay.
There's a woman at work.
People say she's attracted to me, but nothing's happened.
Nothing's going to happen.
I'm not having an affair.
But you want to.
No, honey.
I'm trying to be honest.
I don't want to make the same mistakes.
Be honest then.
Are you attracted to her?
Look...
she's attractive.
There's an attraction.
Aren't there men who make you feel that way?
Of course there are, but it never occurs to me to act on it because- because I'm married...
To you.
And that's enough for me.
Aren't I enough for you?
Of course you are.
Our patient's lost all movement in her legs.
There are other doctors, Chris.
We're talking.
I'm sorry.
The woman's paralyzed.
I'll get a cab.
Tests show no spinal cord injury, no cerebral lesions, no hemorrhage.
Finally got a stool sample.
The loofah's innocent.
No sign of amoebas or any other parasites.
So paralysis, arrhythmia, and intermittent abdominal pain.
And he nicked himself shaving.
Sorry.
That was Taub.
But it was easier to solve.
Means he used the crappy razor in his locker, which means he slept here.
Thanks to you.
I brought up open marriage with Rachel.
It was a disaster.
On the medical front, we've knocked out sex and foreign travel.
Could be an electrolyte imbalance.
So the only time you're not interested in my marriage is after you bw it up?
You're the moron who took marital advice from Tila Tequila.
You pushed me into this.
Figured it would either blow up your marriage or make it more honest.
Either way, you win.
What about sex?
I'm talking about the patient.
Is that cool with everybody?
We've ruled out sex.
We ruled out sex with other people.
Tom said he and Julia have been doing it three or four times a week and she 's got boys on the side.
Increased libido can be a symptom of adrenocortical carcinoma, which also explains her other symptoms.
A woman who likes sex must be sick?
Just because everybody in this room wishes that all women were horny all the time doesn't make it so.
Get an mri of her adrenal glands.
Hi.
Okay if I take the sports page?
Sure.
Would you mind using a coaster?
Oh.
Sure.
Sorry.
It's okay.
Also, it'd be great if you'd replace the toilet paper when you finish a roll.
And when you load the dishwasher, you can't put a big, flat bowl on the bottom.
It traps the water so nothing on the top gets clean.
And please don't throw banana peels in the bedroom trash.
I haven't done any of those things.
You're probably not even aware of-- I hate bananas.
Oh, my God.
It was House.
I'm sorry.
He's been trying to get us to fight.
Why would he think that stuff would make us fight?
Because of the milk.
You put it in the door.
The body of the refrigerator is the coldest part.
The temperature in the door fluctuates, which decreases shelf life.
Wow.
When did you get all ocd?
I just want clean dishes and unspoiled milk so we can all stay healthy.
Oh, it's about health.
What about the coaster?
Does that replenish my B-12 or something?
Can we just drop it?
Sure.
You have this list of annoyances the entire time we were married?
Get better, mommy.
I love you, rabbit.
Julia, you have a guest.
Hi.
This isn't a good time.
Dr.
Hadley, did you say there was a video game in the playroom?
Maybe you can teach me how to play one of them.
See you in radiology.
Get out of my wife's room.
Your relationship with her sta ys out of our space.
I was worried about her.
Tom's right.
You should go.
So it's fine if we have sex, but if I drop by to see if you're okay-- this is our family.
Sorry.
I spent two years of residency wearing shirts that were a size too small.
How hard is it to ask me not to put them in the dryer?
And I only did your laundry because you were never home.
I didn't ask you to.
Of course you didn't.
You just got annoyed whenever you didn't have clean underwear.
I never said I was annoyed.
That's the point.
You didn't say anything.
So I'm getting a lecture on communication from someone who had her lawyer inform me our marriage was over.
Asking for an open marriage.
You got stones.
Conversation sort of got away from me.
It was a train wreck.
I think it's good you brought it up.
I read a study that found men who have multiple copies of a certain vasopressin receptor are twice as likely to be unfaithful.
Maybe you're just one of those guys.
So my cheating is biologically predetermined?
Fantastic.
Multiply times five.
We need a better look at the medulla.
I thought you'd be relieved.
This gets you off the hook.
It's just genetics.
I'm 5'6" and have a receding hairline.
I hate genetics.
Medulla's clean.
I don't see you wearing lifts or hair plugs.
That's because being short and bald doesn't hurt anybody.
The only thing hurtful about your other genetic predisposition is that you keep denying it.
It's not good for you or Rachel.
There's nothing there.
It's not adrenal cancer.
And maybe you're right about me.
But I'm not gonna stop trying.
Rachel's worth it.
Look up there.
The lung.
What is that?
You served me with divorce papers in the middle of a medical conference in New Orleans.
I threw a bottle into an antique mirror.
Oh, you exhibited an emotion?
I wish I'd known you were capable.
I loved you.
I thought I was gonna be following you to Baltimore, remember?
I called about apartments.
I set up interviews.
How could you think that we still had a real marriage?
We hadn't had a conversation in months.
Maybe because I was working two jobs to support us.
No!
No!
It's because when you were home, it was like talking to a block of ice.
You were obviously so pissed off at me.
I was killing myself so that you could take that non-paying internship.
That you said that I should take.
I was trying to be supportive!
Why do I have to be the bad guy?
Expressing yourself does not make you the bad guy.
Okay, then.
You were being a selfish bitch.
VQ scan confirmed the spot on Julia's lung was a clot.
Think there's a chance the husband's a plushie?
If he has a secret, I highly doubt it's more relevant than the clot.
Clotting disorder would explain everything.
Question is, which one?
Do you read any of your departmental memos?
Only the ones labeled, "n-s-f-w."
Accounting notified you two days ago about your patient's insurance.
Sorry, that's "n-n-s-f-w."
Here.
He doesn't have any.
Try not to bankrupt them.
Oh, I'm long past the number of procedures that'll bankrupt them.
Julia's got insurance.
I saw the policy number on the form.
But the policy lapsed due to non-payment.
I already made three calls about this.
You should have been aware of that.
No, there's just a mistake.
Of course we have health insurance.
We're actually a little behind on the premiums.
But I pulled money out of my retirementccount to cover it.
They said that we'll be fine in-- Why the retirement account?
We'll just give you a few minutes to-- and by "we," she means "she."
I lost all of our savings.
Sounds like a secret to me.
I started her on heparin to prevent further clots, but we still don't know what's going on.
Of course the husband's secret was money.
If it's not sex, it's always money.
Unless it's sex for money.
How did he lose it anyway?
It's not medically relevant.
You're not gonna care.
Wilson's been teaching me how to care.
Try me.
He builds wind turbines and leases them out to local power companies.
You're right.
I don't care.
Clotting disorder: Dic.
Factor five leiden, antiphospholipid syndrome.
Vitamin k deficiency also fits.
Causes thrombophilia and is consistent with abdominal pain.
Congratulations, House.
Sam ended it.
What happened?
Go test our patient's blood.
But it can wait five minutes.
For everything we discussed.
I'm sorry.
Well, at least you're actually taking responsibility for once in your life.
Sorry that she left.
It's not my fault.
I didn't even want to get involved.
You dragged it out of me.
What about the dishwasher and the banana and the toi-- she left because of the banana.
I just wanted you to stand up for yourself.
Tell her what you want.
If doing that causes her to walk out for the second time, well, your relationship wasn't gonna last anyway.
Or you could have stayed out of it.
I could have kept my mouth shut, been annoyed sometimes, but I'd be happy, because I'd still be with her.
Now all I have is cold milk.
As long as you're free, you want to grab some dinner?
Did Tom go home for the night?
For starters.
I told him to leave.
I don't want him here.
Money is a complicated subject.
Yeah, it's not the money.
I mean, the- the money's bad, but...
When we first opened our marriage, I got involved with a guy who lied about being single.
Then one day, his wife calls me.
She's crying and screaming and totally out of control.
And I felt...
superior.
I thought I don't ever have to worry about feeling this way because Tom and I are honest with each other.
Well, here I am.
Hi.
Sorry I didn't make it home last night.
I needed to run some tests.
You know what the worst part was?
When y had your affair...
Wasn't the sex.
It was the lies.
Realizing that the narrative of my life was totally wrong.
You weren't stuck in surgery.
You weren't out of town.
I don't want to go through that again.
I told you nothing's-- Thursday nights.
You have to be home by midnight.
You don't bring her here.
You don't talk to h er about me and I don't want to meet her ever in any context.
Are you giving me permission to sleep with other women?
It's what you want, isn't it?
I want you.
You want more than me.
You want that thrill.
But I love you.
And I really believe that you love me...
And we have a good life together.
And at this point, either I walk away or I try to accept who you really are.
Tomorrow's Thursday.
Yes, it is.
All our tests came back negative.
It's not a clotting disorder.
Which means we need to come up with a better idea.
So what causes problems in the stomach, heart, nerves?
Oh, my God.
You know what it is?
Taub's wife gave the green light for an open marriage.
He's wearing cologne, but not the stink of shame.
You got a date.
I am going out with Maya tonight with Rachel's blessing.
Mazel Tov?
Maybe the problem isn't her blood.
Maybe it's the vessels carrying the blood.
No sign of schistocytes or hemolysis.
So you're actually going to sleep with another woman then go home to your wife?
Thank God someone's keeping us focused on what's really important.
Taub was gonna do all of that anyway.
Pulmonary arterial hypertension.
Imaging showed normal diameter in her pulmonary artery.
Here's a thought-- Taub's wife is now totally on the market.
Mind hitting me with her digits?
She would love that, but duty calls.
What's the matter?
My stomach.
Same pain as before?
Yeah, but worse.
Get the portable ultrasound in here.
We need to get a look at her belly.
Help me!
Pain, pain went away, came back another day.
Question is, what brought it back?
Physical exam was unrevealing.
Ultrasound was clean.
So afterwards, are you gonna shower at your girlfriend's or at home?
Patient.
Abdominal pain.
Yeah, he's right.
Let's get this wrapped up before 6:00.
Taub turns back into a faithful Pumpkin at midnight.
Patient was out with her boy toy before she came in.
Maybe the pain was triggered by sexual excitement.
Because lying alone in a hospital bed contemplating bankruptcy-- hot.
My point was that arousal is a function of the parasympathetic nervous system.
If that's where the problem is, the pain could be triggered by crying, which seems-- pns.
Also controls digestion, which she's been doing without screaming her head off since she's been here.
What if what matters isn't when the pain started, but when it stopped?
It was during an X-ray.
You think that cured her?
No, but House prepped her for the X-ray with a barium enema.
Well, that wouldn't treat anything except-- go.
You're in pain because part of your intestine folded in on itself.
It's called an intussusception.
It's cutting off blood flow.
We need to fix it before your bowel gets necrotic and dies.
Once you do that, will I get better?
When this happens in adults, it's usually a sign of abdominal cancer.
We'll fix the overlap, and then search your intestine for tumors.
Foam?
I have a bad feeling about this.
A friend can't spontaneously buy an overpriced itali an espresso machine for another friend?
What did you do?
Nothing.
That's the beauty.
I genuinely tried to help Wilson.
I told him to stand up for himself, which you know is legitimate advice.
And his relationship blew up.
Is he okay?
Ah, he'll be fine.
Point is, I realized something.
I do nice things, nice things happen to me.
Karma works.
So you're paying it forward?
If this should somehow lead to Lucas dying or oral sex, so be it.
Namaste.
Think I should wear a tie tonight?
This isn't weird at all.
I mean, where's Rachel eating tonight?
Home.
What if she's going out too?
She is allowed to, right?
Of course.
It's only fair.
But I don't think she will.
Your wife only eats dinner at home?
If she did go out, that would be tough, but I think i can handle it.
Don't do it unless you're sure.
I know I'd rather be jealous than a liar.
Got something here.
Kelly clamp and scalpel.
Biopsy showed non-specific inflammation, which suggests ibd, only it doesn't explain the cardiac problems.
Or her declining kidney function.
We ran panels during surgery.
Actually, ibd does make sense, 'cause it could trigger ankylosing spondylitis, which would explain the heart and the kidneys.
Start her on sulfasalazine and tnf-inhibitors.
Oh, and Taub, I'm not gonna see you before you head off for gomorrah.
Just remember, if you get disoriented...
Breathe through your nose and look for the horizon.
I can't.
I really thought I could do this.
Logically, it makes perfect sense.
But...
all afternoon, all I kept thinking about was the two of you, together, and you touching her.
Nothing's happened.
It's okay.
I'm sorry.
'Cause I really wanted it-- no.
I've been an idiot, and I don't need anything else.
I just need you.
You mean that?
I do.
I love you, Rachel.
I love you too.
Let's go home.
Is that okay?
There are other doctors.
The treatment's not working.
Her left kidney failed last night.
The other one's right behind it.
It's not ankylosing spondylitis.
Kidney biopsy showed she had iga nephropathy, which could be caused by or associated with any of these conditions.
We've gone from too few ideas to too many, and our patient's running out of time.
Why the lack of afterglow?
Physio girl not as freaky as you'd hoped?
I went home with my wife.
After all that, you chickened out.
I can't hurt Rachel like that.
Sickle cell anemia would have shown on blood tests.
No flattened intestinal villi rules out celiac.
Seriously?
Our patient's dying, and we can't move past my sex life?
Seriously, you'd think it'd kill her if we spend 15 seconds mocking you?
Time's up.
Normal liver enzymes rules out hep b and cirrhosis.
Alport and anti-gbm antibody are both untreatable, so if she has them we can't help her.
And it can't be henoch-schonlein purpura.
No inciting respiratory infection and no rash.
I don't care what it's not.
I want to know what it could be.
Well, everything left on the list.
The list was not created equal.
Neither was man, by the way.
Hemochromatosis is a possibility.
Excess iron builds up, causes problems throughout the body.
Weil's syndrome also affects multiple organ systems, and it wouldn't have been treated by the antibiotic the E.
R.
gave her.
Sarcoidosis makes sense too.
Good.
Treat for those three.
I think you should call Tom.
Am I gonna die?
I don't know.
If he walked in here right now, I'd look in his face and all I would think is "liar."
Don't you think that's kind of unfair?
You say honesty's all-important, but you conveniently igno re the truth that some truths hurt people.
Tom lied to protect you.
He was covering his ass.
I'm not talking about the money.
Tom hasn't slept with anyone else in over a year.
He told you that?
So my entire marriage is a sham?
No.
Your husband, who only wants you, lied so that you could be happy.
That seems pretty real to me.
Yeah?
Hey.
Hey.
Listen, I'm sorry.
Me too.
I shouldn't have said-- no, you were right.
I was selfish back then.
I'm trying to change.
And I don't know if it's House or what, but...
you're different too.
I'm trying.
I always thought that I was keeping the peace, but I was just resenting you and giving you a reason to leave.
I wish we had this fight ten years ago.
Is it okay if we don't give House the credit?
Oh, I recommend it. "
O" for three.
Her kidney function is still declining.
We're gonna need to start dialysis.
Glad the husband's back.
After missing so many little deaths, he should be here for the big one.
Top six, anyone?
Polyarteritis nodosa?
We'd have seen some improvement on prednisone.
Guy's wife's dying, and he stops to buy flowers.
They're from his garden.
Mercury poisoning fits.
Those are lilacs.
My mom used to grow lilacs.
My dad made her get rid of them, 'cause there were too many bees.
We ruled out hsp 'cause there was no inciting respiratory infection.
But in rare cases, it can also be triggered by a bee sting.
We also ruled it out because there's no rash.
Maybe we just didn't see it.
Have you been stung by a bee recently?
Uh, about a month ago.
What's going on?
I think your wife has henoch-schonlein purpura.
Systemic vasculitis can cause lesions and inflammations throughout the body.
It's pretty awful, which explains why it was named after a German.
Actually two germans.
Lesions can pop up in the heart, sometimes in the kidneys, but always on the skin.
Means you'd have a rash somewhere.
I don't.
Not that you know of.
Okay, I'm gonna have to check your