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It's estimated
the observable universe
is 93 billion light-years across.
- It's probably more accure
- I'm gonna be so far away.
I don't care.
I don't want to break up.
I'll come on the weekends.
Stanford's on the other side
of the country.
My dad has, like, ten million
frequent flyer miles.
He won't care.
- Are we all right over here?
- Yes, Mr.
Damon.
I just had something
caught in my throat.
You're not supposed
to have any food or drinks in here.
It's just water.
I have a cough.
I didn't want to disturb anyone.
We can only observe
The rest of it is unaccounted for.
I never knew
you were such a good liar.
More ***, and you might find out
some things you didn't know about me.
Really?
- Nicholas.
- Yes, sir?
What conclusions can we draw
from the incredible number of stars?
That the movie's either gonna be
really good or really bad.
I was thinking more
about the implications
for extraterrestrial life.
I guess if there's
an infinite number of stars,
odds are there's at least one galaxy
with life other than our own.
Or?
Or not?
Or our solar system
is somehow unique.
The question then becomes,
"in what way?"
The question then becomes, "could you
teach us anything more useless?"
What are you looking at?
My God.
Something's wrong.
She's not breathing.
Call 911.
R[H]�sus AB+ Team
.
:: La Fabrique ::.
Arrow - Benj - ShalimarFox
Would you mind at least putting a napkin
under your jelly toast?
Get a table,
and I won't eat it on the couch.
Yes, you will.
But I won't have a good excuse.
Why don't you go get a table?
Not my condo.
You have my permission.
Pick out whatever you want.
It would be a reflection of me,
not you.
That wouldn't be right.
It would be a reflection of the fact
that the guy who's been mooching off
of me for as long as I can remember
isn't a complete ingrate.
You've never furnished a home.
I have furnished a bunch of homes.
No, you've married a bunch of women
who furnished a bunch of homes.
You want to eat off something? Fine.
Move your piano in here, eat off that.
- You're afraid.
- Of a dining table?
You know,
they don't actually come to life
when you put a ***
off your bedpost on them.
You are what you sit in.
Your friends, your job,
your furnishings It all defines you.
You don't really believe that.
You just don't want to do the shopping.
Buy some furniture,
or admit that you're empty inside.
X-rays confirm the fluid
that almost suffocated her to death
was from pulmonary edema.
Means the problem
is either in her heart or lungs.
Tox screen's clean for everything
except the alcohol,
and her B.
A.
C.
was barely .
05.
That means she only had
one or two drinks, tops.
And there's no sign of trauma.
How'd you know?
Because if there was, Cuddy wouldn't
have needed me to take the case.
- How do you
- Foreman's the only one with the balls
to take a case without checking with me,
and he's still working on breakfast,
which means that the
No, 17-year-old honor student
Cuddy has a soft spot
for smart girls,
and they don't start drinking
until second semester, senior year.
So either you think that smart women
look out for each other,
which means you're an idiot,
or you think Cuddy's not smart,
which means
- I guess it's the same both ways.
- Then how did you
Picture fell out of the file.
She looks smart.
- Where's Taub?
- You don't already know?
He's at home in a fight with his wife.
I'm curious what he wanted me to know.
His car has a flat tire.
He's waiting for a tow truck.
What about rising blood pressure
from binge drinking?
It could set off a hypertensive crisis,
cause heart failure.
- Two drinks is hardly a binge.
- Certainly not if you're an Aussie.
But when an American schoolgirl
has two drinks before 10:00 am,
it's a pretty sure bet
that the plan is to have a lot more.
Probably wasn't the first time.
We'll get a C-13-pyruvate MRI
to check for cardiac lactic-acid levels.
Someone call Taub.
Tell him to cut the ball
and chain on his own time.
We're arguing about couples yoga?
We're arguing because we don't ever do
anything together anymore.
We don't ever do anything together?
I love you, but I swear,
if you start talking to me
like I'm on the witness stand again,
I break your neck.
- We do stuff together all the time.
- Really? Like what?
Besides sleeping, watching TV,
going out to dinner,
what do we do together,
just the two of us?
We
You don't like going out to dinner?
All right, I'll do the yoga.
- Forget it.
- Now you don't want me to do it?
Go to work.
I'm not leaving
until we work this out.
I'm fine.
Please,
just go.
Where's Abby Nash?
I'm Nick, her boyfriend.
This is my dad.
- You can wait in
- Where is she?
Is she okay?
- She's having some tests run.
- Is she okay?
We think her drinking
may have damaged her heart.
Her heart?
- She doesn't drink, not that much.
- Just when she's at school?
Nick, what's he talking about?
It was a field trip.
One of the kids had a fake I.
D.
- But, Dad, you know Abby.
Tell him.
- I know her when you're with me
If you're right,
the tests will come back negative.
Can you give her a message?
I brought her homework
and I love her.
Sorry I'm late.
Nick loves you.
House doesn't believe
you got a flat tire.
- What does he think I was doing?
- Fighting with the wife.
Why would I lie about that?
She wants me to do yoga.
We need thinner cuts.
When you and Cameron
had disagreements
I'm probably not the best guy
- to go to for marital advice.
- Sorry.
- Punch in to the mitral valve.
- All right, I get the message.
No, I'm serious.
What is that?
Could be a fungus.
E.
R.
drew blood cultures
all negative, no parasites, no fungus.
It could be fastidious
enteric bacteria.
You think she's been eating
your wife's cooking?
I'm on your side, man.
I am not fighting with my wife.
I had a flat tire.
It's in my trunk.
- You can go look at it if you want.
- Don't need to.
Face tells me you're bluffing.
- Not yours Chase's.
- If she was infected
through the intestinal tract,
she'd have symptoms.
There are other ways to get bacteria
into the bloodstream.
She's not an intravenous drug user,
she has no tattoos,
and no scars
that would indicate she's not a cutter.
Transesophageal echo could give us
a better idea of what we're looking at.
If that valve is about to dehisce,
echo could trigger a heart attack.
So come up with a better idea
or have a crash cart ready.
Why are you lying to House?
- Chase told me.
What's the big deal?
- We can talk about this another time
Or never.
I really don't think
she's gonna tell anyone.
If I admit we're fighting,
he's gonna want to know what about.
So tell him,
or tell him it's none of his business.
- This is easier.
- Really? Because it seems much harder.
What do I know?
I'm not a guy.
If only I could be as open
about my emotional life as you are.
- It's not about the yoga.
- Really? I thought it was,
since we spent an hour talking about it,
but what do I know? I'm not a girl.
My guess is she thinks
you don't want to spend time with her
because you're spending it
with someone else.
If she thinks I'm cheating,
she would ask.
Because you'd tell the truth?
- I'm not seeing anyone else.
- Doesn't matter.
You have a history.
- And that's not her fault.
- So what am I supposed to do?
- I can't prove a negative.
- That is a problem.
There's the heart.
Valves look fine
No vegetations, no myxomatous changes.
Can you give her
a little more sedative?
- She's dissecting.
- She's rupturing.
Get the scope out.
This doesn't make sense.
B.
P.
is normal,
her heart rate was controlled.
We'll figure it out later.
We've only
got about 30 seconds to get her open.
No leakage from cannulation site.
Nice.
- Let's see if she'll start up.
- Cardiac paddle.
Charging.
And go.
- Come on.
- Again.
Go.
Pushing five CCs adrenaline.
Zap her again.
It's not working.
Clear.
Clear.
Normal sinus rhythm.
Thank God.
TEE
and intra-operative visualization
showed no vegetation on the valves.
No structural abnormalities.
The dissection
means alcohol didn't cause
the hypertensive crisis.
By "we", you mean "you".
You didn't have any better ideas.
It's not my fault.
I was busy trying to judge Taub.
Since we already ruled out trauma,
the dissection is probably genetic.
- She's not marfanoid.
- What about an allergy?
A severe enough one could set off
a systemic immune reaction,
cause fluids in the lungs
and inflammation
weakening the aorta.
If it was an allergy,
she'd be getting better, not worse.
Unless it was inside her.
Meaning?
You want my ***?
We think a severe allergic reaction
could be causing systemic breakdown.
To my son's ***?
His ***
is more likely the problem.
Which I realize is not
what you were reacting to.
When's the last time
you had unprotected sex?
Never, I use a ***.
You always use a ***?
For everything?
- For most everything.
- When?
The night before she collapsed.
I'm placing a drop of Nick's
*** protein onto the skin.
Then I'll abrade it with a needle,
check for a rash in an hour or so.
Mom, come on
We've been dating for three years.
I'm not mad, sweetheart.
I'm just confused.
A systemic reaction can be triggered
by the protein in ***.
In most cases,
the reaction is fairly minor.
But in rare cases,
repeat exposure can trigger
a hypersensitivity response.
Repeat exposure?
I know, I know, three years.
Is it supposed to hurt?
- The reaction should take longer
- No, it's not that.
- What's wrong?
- My stomach.
Blood in the urine.
No allergic reaction.
But, her kidneys are failing.
Could be some kind of neuropathy.
Syphilitic lightning pains?
It's not syphilis.
VDRL and enzyme immunoassays
were negative.
Blood clot?
While she's on anticoagulants
from the surgery?
Interstitial nephritis?
Wouldn't cause the edema
or dissection.
But cancer could.
Would you care to be more specific?
If I could, I would have.
We could do a full-body scan.
We hate full-body scans.
And by "we" you mean "you".
We also hate when a patient dies
before we figure out
what's wrong with them.
Do the scan.
How can you convince someone
you're not cheating?
Don't cheat.
- After a while, they'll catch on.
- What if I don't want to wait?
Take them with you for 24 hours.
So your wife's a little insecure.
Is that so bad?
You know she still cares.
I know she cares.
What I want is for her to be happy.
What?
You don't think
I want my wife to be happy?
Sure
As long as it makes you happy.
What do you think?
I think you work quickly.
Piece of cake.
Give them money,
they give you furniture.
Not bad, huh?
It's not bad at all.
It's taking a really long time.
Just hang in there and try not to talk
unless you have to.
It can affect the images.
What was that?
Are you still there?
There's something wrong
with the machine.
It's not the machine,
it's an earthquake.
We'll get you out.
Get me out now.
Oh, my God!
I can't hold on!
- It's a black hole.
- She's hallucinating.
I certainly hope so.
It's not funny.
- I got enough problems already.
- Trust me, this is gonna help.
An aneurysm
explains the hallucinations.
It's the one thing we haven't excluded
from the differential.
Your texting
doesn't prove you're faithful.
Just proves you know she thinks
you're unfaithful.
Can't force trust.
What did she hallucinate?
The content of the hallucination
isn't relevant.
- Not usually.
- Not ever.
We know nothing, brain knows all.
You get an ulcer, you don't know it,
but the brain
increases mucin secretions.
It knows what the problem is,
where the problem is.
It's a big logical jump
from a body's immune response
to the brain giving
subconscious diagnostic clues.
What about dreaming about waterfalls,
if you need to go to the bathroom?
That's the same as the brain shouting,
"You have cancer".
Her subconscious is trying
to tell her something.
We need to eavesdrop.
She was screaming
she was being sucked into a black hole,
so we should look for a tumor
in her ***?
We need the whole story.
The cognitive pattern
recognition program
might tell us
what's going on in her head.
Or we could act on something
based on science, not sci-fi.
Get an MRA with contrast
to see if she has an aneurysm,
unless you think Cuddy's gonna go
for the mind reading.
Fine, do the MRA.
When it comes back negative,
we can move on to the
Crazy but possible ideas.
What did you do with the furniture?
I returned it.
You told me to buy it.
But you didn't buy it.
You rented it.
You made one phone call
"Economy furniture supply".
"We get it done
so you don't have to.
"
So what? We had a table, chairs
But no clue what any of it meant.
Fine, I'll hire a decorator.
Perfect.
- Another woman to tell you who you are.
- I'll hire a male decorator.
Step inside one furniture store
and find one thing you like.
I like not doing this.
One.
Where's my mom?
She went down to get some breakfast.
How are you feeling?
Well, besides the fact
that I can barely breathe
and I ache all over,
not good.
Anything I can do?
Just don't go.
I'm not going anywhere.
Been a while since we've gone
more than a day without doing that.
Not going anywhere.
What'd you say?
I've been thinking.
Been a long time since we went
more than a day without doing that.
We have a secret.
You don't need to answer right now.
Abby, I want to marry you.
Tell him.
It's okay.
Something's wrong.
- What are you feeling?
- I don't know.
Your secret is killing you.
I see
Maybe it's all the medication.
I'm just
Can you hear me?
You deserve to die.
Four milligrams of lorazepam.
She seized for over a minute.
Inner-ictal EEG
showed no synchronous discharges.
And the MRA?
No aneurysms or arterial
or venous malformations in the brain.
As predicted.
What did we say we'd move on to?
Out-of-body experiences
can be induced
by sensory overload
in the temporoparietal junction.
Which was clean on MRI,
MRA, and whole-body scan.
Which just leaves us
with the question
of what happened
during the out-of-body experience.
If I say her BP shot up over 200
and she bit her tongue,
would that be a satisfactory answer?
Sure.
If you then went on
to answer the following
Did she float above her body?
Did she see Jesus?
Did she bathe in the Ganges?
No, no, and no.
Can we get back to the medical science?
She claims she emerged from her body
as a younger version of herself
and started talking.
She couldn't remember
what was discussed.
I'm sure it wasn't a differential.
Cognitive pattern recognition
is 50 years
from being a diagnostic tool.
Even if we can get the equipment,
it takes hours for the initial mapping.
She could stroke out.
Coincidentally, she could also
have a stroke if we do nothing.
I'm not telling a mother
who's scared out of her mind
our best shot is a magic trick.
It's not magical, it's experimental.
Just like washing your hands
after pooping once was.
Technically, it's not our best shot,
it's our only shot.
Perfect.
Foreman, get her consent.
The rest of you go down
to the cog sci lab.
Equipment should already be there.
I'll catch up.
Thanks for the invite.
Not sure I'm up
for the hospital food.
Good,
'cause I wasn't planning on lunch.
While you watch video clips,
a computer maps how your brain
processes the images.
How long will it take?
Six hours.
But that's really just the prep.
Once the computer maps
how she processes the information,
we'll put her under sedation,
use the same equipment to monitor
her unconscious thoughts.
Hopefully, it'll spit out a basic video
of what's going on in her head.
What will that tell you?
Hopefully, it'll give us a clue
as to where your brain
thinks the problem is.
- A lot of "hopefullys".
- Could it hurt her?
We're at a diagnostic dead end.
We gotta try something.
This is much better than lunch.
I agree.
What made you think of this?
I missed you.
No, I mean this
car, in the parking lot.
I don't like feeling maybe this
isn't the first time you've done this.
It's the first.
I love you.
You know that, right?
I want you to be able to trust me.
And I want to, but
Inspiration point
doesn't open till after dark.
Got a real cool magic show
about to start.
Also, I'm gonna need
to check your spare.
Abby, can you think
of something specific?
Like what?
Doesn't matter.
Just make it a single image.
- What are you thinking?
- About Nick playing baseball.
Holy crap.
That's amazing.
Now all we have to do
is read her subconscious
and hope that it's completely rational
and went to med school.
Does anything get you excited?
Can I help you with something?
I was wondering if you could tell me
a little bit about this dining table.
It's made of wood,
and you eat off it.
- So you're paid by commission?
- It's furniture.
Find something you like.
Let me know.
I'll ring it up.
Thank you so much.
Okay, that's that's not the one.
That is a remarkable collection,
if I can show it to you.
I'm Gabriella.
I'm really just looking
for a nice dining-room table.
I see.
You're daring.
Yes, I do that sometimes, but
Right now why am I daring?
You're not constrained by rules.
What attracts you
in the patio section?
Wait, this is a patio tab
For outside?
Well, it's taken us
just over an hour
to prove that she has
a very boring subconscious.
Anyone ever tell you
you can be a real buzzkill?
Stars?
Maybe that's a stripe?
It's the sky.
She's thinking about the moon
and the stars and the sky.
She's going to Stanford
to study physics.
It's not a big revelation
that she'd think about the sky.
Or
star could be a white blood cell.
Leukemia?
Who's that?
Her dad?
He died when she was eight.
What did daddy die of?
Private-plane crash, no connection.
Stars, moon, sky,
white blood cells, heart valves,
black holes, or ***
or a million other circular
passageways into the body
and her dad.
What do you think it means?
She likes school,
and she has daddy issues
Neither of which helps us.
So now what do we do?
Start over?
We obviously missed something.
- What about the liver?
- What about her left toe?
Sorry, I thought we were randomly
picking out body parts
that had nothing to do
with her symptoms.
Liver's responsible for proteins,
immunological effects,
production of red blood cells.
Might be able to explain the lungs,
the hallucinations.
Not the aortic dissection.
Kidneys are also failing.
We add in polycystic disease,
could explain the dissection.
So that's one imperfect theory,
plus a rare complication
of a second theory, which gives us
a complete explanation.
Don't polish the notion.
Pineal gland is calcified.
It'supposed to be calcified.
Happens after puberty.
What if it's obscuring a tumor?
It's the only place
we couldn't look inside.
Get a better look at her pineal gland
with three Tesla fast spin echo MRI.
You're pacing my office
'cause you're buying furniture?
I'm pacing your office
`cause I'm physically
incapable of buying furniture.
For Amber's old place?
- It needs some new
- I know you bought the place I wanted.
You're a jerk.
Let's move on.
Hire a decorator.
I'm supposed to find me.
Backpack through Europe.
It's hard to believe,
but you know what says even more
about who you are than your furniture?
The fact that you are letting House
tell you how to buy furniture.
Call Beatrice.
MRI revealed no remarkable features
on her pineal gland.
But there were slightly elevated levels
of lactate dehydrogenase isoenzymes.
Which we would expect to see
if there was an allergic reaction.
There's definitely no allergy.
Parasite?
There's this middle eastern
How exactly
do you want to be shot down?
On the basis of the fact
that she's never been within
or on the basis of the fact
that all our scans
and urine samples came back clean?
And yet she's still failing,
system after system.
So either we find the answer
at autopsy
or
What?
I got nothin'.
I was gonna head out.
If there's any change,
I assume you'll page me?
Are you having an affair?
Does it bother you that your wife
doesn't have the guts
to actually ask that question, and I do?
On both ends, yes.
Difference is,
I'm not afraid of the answer.
And I might believe you.
- I'm not having an affair.
- But you want to.
No, I don't.
I'm through living like that.
Why?
You finally got to the point
where half your age plus seven
just isn't young enough?
Talk to you later, House.
Or is it because you now really
are old enough to be their
The dad.
Does he travel for work?
What do you mean, "does he"?
He died almost ten years ago.
Not hers, her boyfriend's.
He's the one in her visions.
I'm your son's girlfriend's doctor.
It's a mouthful, but probably not
as tricky as your title.
- Is Abby gonna be all right?
- Do you travel a lot?
I have a food-import business.
Why?
Where'd you go?
All over, France, Italy,
the Mediterranean.
Why?
I think you exposed her
to a parasite.
- I thought the scans didn't show any.
- Because she doesn't have any.
- But you just said.
- It's cool.
My theory is that her body
was able to kill off the parasite,
but what it couldn't do
was get rid of the shell,
which doesn't show up on the scans.
That little piece
of microscopic garbage
set off an allergic reaction
called cerebellar schistosomiasis
delayed hypersensitivity allergy,
or cusdehaaa.
Risky, unpleasant treatment,
but completely curable.
That's fantastic.
You'd think so, wouldn't you?
Only thing is,
did you ever have sex
with your son's girlfriend?
- Where the hell do you get off ask
- Shut up.
See, I can't treat this
unless I can confirm it,
the only way she could've been exposed
to this parasite is sexually,
which means she's gonna die soon unless
you admit that you slept with her.
Dad?
- What's going on?
- Gee, this is bad,
because you now have to choose
between her living
and the truth becoming public.
And frankly,
given what the truth is,
it's a tough call.
You'd broken up.
She was crying.
Your girlfriend
is not allergic to your ***.
She's allergic
to the Egyptian parasite
swimming around in your dad's ***.
- You slept with Abby?
- I was drunk.
We both
No need to explain.
Technically, she was legal.
Wait, wait, wait.
All things considered,
it's actually great news.
So what do you think?
You wussed out,
and you used a decorator.
Why can't that be me?
- The wuss who loves decorators?
- 'Cause it's not.
Okay.
It's not.
But don't return it.
I can't keep doing this.
You have to.
You can't keep
letting other people define you.
Not another elephant.
Decorator didn't pick this.
You're gonna have to buy
your own cape.
I like what this says
about you, Wilson.
I don't remember him at the wedding.
Do you?
I don't remember most of the people
who were at our wedding.
Which is why
I thought I'd ask the love of my life
to marry me.
We're already married.
I want to be better at it.
It's beautiful.
What'd you tell him?
That it doesn't mean
she doesn't love him.
And he bought it?
It's true.
Your wife say yes?
- How did you know
- Monkey see, monkey do.
At least he has
the young and stupid excuse.
She said yes.
Good for you.