Foreman is testing Andres's pulse when House goes in with the paddles. Adams pulls him off at the last second. House does a mocking apology where he says "....clear." after everything is done. This scene seemed pretty pointless.

House tells Foreman that all this is probably not worth the drug trial. Are they still waiting on Andres for that? Foreman suggests aseptic meningitis. House asks Foreman to reach under his chair. There is no prophetic index card, just wet gum. Ah, good times. House suggests toxins. Foreman says the wife cleaned the house. House sends the team to the, um, house. Foreman overrules this and tells everyone to work on a test for meningitis. House goes upstairs to talk to the wife, who he derisively calls "The toxicology PhD."

He interrogates her. There are no gifts from South America. He's interrupted by Andres mumbling in Portuguese. House speaks it, of course, and translates it as "blue shack" He wants to talk to Mrs. Andres about a possible cleaning woman and she begs him to translate what Adres is saying. House complies: "When I saw her waiting, waiting for me at the table, the way her eyes looked when she smiled, I felt like crying. I knew that she was the woman I wanted to marry. Every time I see her, I saw..." The last three words are "Le esta ela," which Mrs. Andres translates along with House as "There she is." She seems fond of him. She says, "He's still in there." Then Andres he asks who she is. House has a heart of stone: "Don't get your hopes up. Have your boyfriend get me those samples."

Wilson tells Mr. No-Sex that House just happened to notice a tumor on the blood tests. And he admits that there might be some behavioral changes. Increased libido, specifically. The guy interprets that as the treatment making him want to have sex, which freaks him out. The wife tells him maybe it won't be so bad. "It's actually pretty fun... from what I remember." Wilson looks away (but is still like a foot from them). The guy is uncomfortable.

Foreman meets with a big donor who wants to see a five-year plan for the hospital. He keeps glancing at flowers on the table. They're from last week, so they should be dead by now. Foreman gets the Epiphany Shot! Good for him!