Two men are jogging and one of them is telling his friend that the marriage
counselor he and his wife are using is not working. The second man is winded
and his friend asks him how are things with his wife Elyse? The second man
comes home and calls out for his wife Elyse, there is no answer. He goes up
to their bedroom and finds her still in bed asleep. She tells her husband to
call her job and tell them she is not feeling well. Her husband reminds her
she has not been to work in three days. He tries to get her to get up but
she keeps telling him to leave her alone. Suddenly she turns over and slaps
him hard yelling to him to leave her ALONE! She then sits up and tells her
husband she thinks something is wrong with her.
Cameron gives House a file and tells him the patient (Elyse) has been
sleeping 18 hours a day. House tells her it is Clinical Depression, very
contagious. Cameron tells him it is not depression and House tells Cameron
great she figured it out and she does not need him. Cameron tells House all
the doctors who have examined her and no one knows what it is. Cameron goes
over with House all the tests that have been done already. House asks
Cameron why she is so interested in this patient. House asks Cameron for the
chart and she asks why? He tells her that her interest in the case he finds
House is now in his office with his team reviewing the case. Foreman does
not find the symptoms all that suspicious. House tells Foreman depression
does not cause fever. Foreman then suggests brain issues, and Chase brings
up parasites. Cameron tells Chase the patient has not been outside the US
and Chase reminds Cameron that is what the patient claims. House orders the
team to start tests and then leaves.
House is now at the clinic with a patient. He is examining a preschool
teacher who is complaining of tightness in the chest. He tells her he is
going to do an EKG and to just open the front of her gown, which she does.
House turns around and is amazed at the size of her chest. He asks the
patient if they are real and she tells House they were a present for her
husband’s 40th birthday. House tells the patient the causes of her problems
are right in front of her and he goes to page a colleague to come for a
“consult”. House pages Dr. Wilson to the clinic.
Foreman and Cameron are with Elyse and her husband explaining what they are
checking on and what they have found out so far. Cameron begins doing tests
House and Wilson walk out of the clinic patient’s room, Wilson is amazed at
the women’s breast but tells House big deal they are just breasts. House
tells Wilson the woman got the breast surgery not for her husband but for
herself so other people will look at her differently. House says that is why
Wilson is wearing that tie he has on. He is not wearing his regular Thursday
paisley tie. Wilson tells House the tie is a gift from his wife and House
says it is not. That Wilson bought that tie himself and that he wants to
look pretty at work. House starts to “sing” Wilson has a girlfriend and
Wilson asks him to stop. Cuddy then walks up and asks them both if it takes
two department heads to treat shortness of breathe? Do the complications
increase exponentially with cup size?
Foreman is back with Elyse and her husband telling them there were no masses
or legions that they could see. He tells them both they still do not know
what is causing the neurological problems. Elyse tells them she does not
feel good and suddenly she starts seizing. Foreman is now with Elyse doing
some neurological tests.
House is back with his team and Wilson reviewing Elyse’s tests and noting it
is not a tumor. The team begins discussing new options that might be making
Elyse sick. Wilson asks them if they have looked at her breast and House
scoffs. Cameron confirms that Elyse’s mother died of breast cancer.
Foreman and Cameron are with the husband explaining how breast cancer can
impact the brain as well. Cameron goes to give Elyse a mammogram. Elyse
tells Cameron she and her husband have been trying to get pregnant for over
a year and she guesses now it is lucky she was not pregnant.
The team is back reviewing the mammogram and they find no tumor. Wilson says
it must be a small tumor that they are having trouble finding and to do more
tests. House tells them to treat her symptoms and let the tumor grow till
they can find it. They also need to check out where she lives and works.
Foreman and House are leaving the hospital and Foreman asks House why he is
“riding him”. House tells him that is what he does. Foreman then goes to
Elyse’s job and checks it out. Elyse’s boss tells Foreman that he and the
rest of his staff are all fine so whatever she has she did not get at work.
Cameron is with Elyse and tells Ed (her husband) went to the gift shop to
buy a shirt. Elyse tells Cameron how she and her husband met and how they
are in love. Elyse tells Cameron that her neck hurts. She then complains her
arm itches and starts really scratching it. Cameron goes to get some cream
for her right away. Elyse starts hallucinating that bugs are coming out of
her arm and starts screaming.
Foreman tells House they had to sedate and restrain Elyse. House asks if
that is wise for a patient sleeping 18 hours a day. Foreman says it was
either that or letting her scratch her skin off.
House is back with his team and Wilson reviewing the new information and
House says maybe she does have bugs under her skin. House believes she could
have parasites in her brain from a disease caught in Africa (African
sleeping sickness) and Foreman says she has never been to Africa. Foreman
says it could be a disease caught by contagious rabbits and House tells
Foreman that’s why he “rides him”. House leaves the room and goes into his
office to watch TV. Wilson tells the team he needs to think.
The team is in the lab testing for rabbit fever (Tularemia). Foreman is
still upset by House’s attitude toward him, while Cameron and Chase discuss
the best way to treat Elyse.
House turns off the TV as Wilson enters and ask him if the team is testing
for tularemia. House asks Wilson what his new girlfriend’s name is and when
does he get to meet her? Wilson continues to deny a new girlfriend. Wilson
admits to House he had lunch with one of the nurses. Cuddy then enters the
office; she has the “breast lady’s” test results. Cuddy says her tests
results are normal and House asks if she (Cuddy) looked at her EKG. House
goes downstairs to see the patient. She asks House if she will have to get
rd of her implants and he says no. He says her EKG show a decreased heart
rate. He asks her if her husband has high blood pressure and she says he was
diagnosed with it six months earlier. House asks her if he does the cooking
and she tells him he only makes oatmeal in the morning. House asks her does
it seem to taste funny to her? He tells her that her husband has been
stirring in his blood pressure meds with the oatmeal. He tells her that her
husband is not trying to poison her he just does not want to have sex with
her. Decreased sex drive is a common reaction to the meds and her husband
must have figured if they both did not want sex that was fine. House tells
her to go to a bar and than his mind wanders to realize something about his
House heads to the lab and walks in asking if the test were inconclusive?
House tells them anything transmitted by blood can be transmitted by sex.
Elyse could have slept with someone who had the disease and caught it
through sex. Cameron says the husband has never been to Africa and that
cheating is not the answer as they are both devoted to each other. House
tells Chase and Foreman to find out from the spouses if thy ever cheated on
the other. Cameron goes chasing after House, and asks him if he does not
trust her to do her job?
Foreman is with the husband explaining that either disease is fatal without
treatment and that the treatment itself is extremely dangerous. Chase is
with Elyse asking her questions about her condition. Both Foreman and Chase
ask the couple if they have had an affair? Both spouses deny they ever had
Foreman informs House and he knocks off sleeping sickness and tells them to
begin treatment for the other illness.
Cameron is in Elyse’s room doing the treatment with her husband in the chair
sleeping next to her. Elyse asks Cameron what time is it? A minute later she
asks her again. And moment later Elyse is in a coma.
House is with the team the next morning telling them there is only one way a
tularemia patient goes into a coma while on the medication is that the
person does not have tularemia. House goes into Elyse’s room and begins to
examine her. The husband walks in and asks what is he doing? House tells the
husband who he is and that his wife has sleeping sickness not rabbit fever.
The husband insists he never had an affair. House tells him he believes him.
He also tells the husband that the treatment for sleeping sickness is so
dangerous that he will need his written consent before he can even prescribe
it. The husband asks House why his wife would lie if she knew how dangerous
it was and House just tells him that he assumes everyone lies. The husband
tells House he does not know if he completely trusts his wife and House
tells him he will begin the treatment.
Chase and Foreman begin setting up the dangerous new treatment. Cameron is
now with Elyse and the husband and he is asking her how soon will they know
if the treatment is working? The husband tells Cameron that if the treatment
works and she gets better, that just confirms that she did cheat on him.
Cameron tells him that means she just made a mistake. He tells Cameron that
part of him can’t handle that. He asks Cameron does that make him a terrible
person? She answers, “yes”.
Wilson and House are talking and Wilson asks House is he treating her for
sleeping sickness because he does not think it is possible for someone to be
faithful in a relationship? Wilson tells House he does think it is. Wilson
insists to House he is not having an affair just having lunch with a nurse.
House sees Cameron in the lab working on some equipment. He asks Cameron
what is going on? He asks Cameron to turn around. He tells her fixing the
centrifuge is a very sad thing. It makes him cry too. She tells House she is
not crying and he says, okay. She tells House that she told the husband he
was a jerk. House asks her why? She tells House that when she was in college
she fell in love and got married. She tells him it lasted 6 moths that her
husband had thyroid cancer that metastasized to his brain. There was nothing
they could do. She was 21, and watched her husband die. House tells her he
is sorry but that is not the whole story. She knew her husband was dying
when she married him. House’s pager goes off.
Chase tells House and Cameron Elyse’s fever spiked to 104 and blood pressure
is very low. Chase says killing the parasites is no good if they kill her
heart as well. The husband walks in and asks what is happening? House tells
him they would have expected some improvement in his wife’s condition but
that has not happened. The team walks away and let the husband go be with
his wife. The husband tells his wife not to die. Suddenly Elyse starts to
move her hand and the monitor starts to beat. The husband is so relieved and
the team rush in to check on Elyse. House leaves the room.
The husband is in Elyse’s room talking to her. Foreman walks up to Cameron
and tells her Elyse is going to be okay. The husband steps away from Elyse’s
bed and picks up his suitcase to leave. Elyse is left there crying. The
husband walks right past Cameron without saying anything. Cameron goes after
him asking was he always honest with her?
House goes into Elyse’s room and sees her crying. He tells her he needs to
know who she had an affair with. He has to be notified so he can get
treatment also. House asks her why did she lie to them? She tells House her
husband is not coming back. He tells her we all make mistakes and we all pay
Final Scene: A shot of Elyse’s neighborhood and Cameron
looking for an address. She sees a boy playing and asks where his Daddy is?
A man walks out and it turns out to be the friend of the husband who Elyse
was cheating with.
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