The patient requires a heart transplant , but is otherwise healthy. He otherwise seems healthy. Despite the committee's refusal, House has to admit that he was merely acting as the patient's advocate and he actually agrees with the committee's decision. The patient makes this claim because he feels an attraction to his step-mom. House continues to accuse Wilson of having an affair because he is staying late at the hospital. The patient claims it is to deal with his sexual attraction to cows. However, she's not getting well enough fast enough for the patient, who will die before the gonorrhea is gone. They have separated and Wilson asks to stay with House for a few days.
However, he realizes he has to tell him soon so he can be treated for gonorrhea before he gives it to someone else. House lies to the patient's husband about what was wrong with her. The patient returns claiming he has been kicked by a cow. He then goes looking for a new heart that won't be suitable for transplant to anyone else. House argues he is a prime candidate, but the hospital's transplant committee refuses on the grounds that he is too old. The team has to do a differential on a dead patient. When the woman dies, House tells the grieving husband he needs her heart. House figures that the patient is there on a fraternity prank and writes him a prescription for something similar but harmless. House refuses to believe it's hepatitis C because that would mean the other patient would die. The man is taken to Princeton-Plainsboro where he is examined by Foreman. The husband admits that he had cheated on his late wife and probably gave her the gonorrhea. House starts to suspect infidelity and gonorrhea. House knows that if they didn't catch the infection in time, the patient will soon go into cardiac arrest. They decide to proceed with the transplant and treat the disease in the patient. Wilson shows up at House's apartment. To dissuade the patient, House tells him he would need painful and humiliating tests to confirm his condition. He orders a massive dose of anti- parasite medication on the theory it can't hurt. House orders a more thorough tox screen. The team starts a new differential once they find out the patient's heart is damaged. He still can't convince House he is really in love with a cow, partly because the injury seems to have a splinter in it. Wilson tells House that his wife has cheated on him and moves into B Baker St. House continues to accuse Wilson of having an affair because he is staying late at the hospital. The patient awakes and finds his daughter and ex-wife by his side. However, the patient had a fever and stomach ache. However, the patient's daughter meets the husband, and he agrees to let House try, but first, in order to release his anger, he knees House in the groin. Foreman points out the dead woman's history shows she had hepatitis C.
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