Nicole is a the church for her wedding, but in the middle of the wedding vows, Ted suddenly can't talk at all, then collapses. She accompanies him to the hospital. At the hospital, Ted can't make any sounds until House stabs him with a needle and he screams. His voice returns, but Nicole believes Ted when he says he wasn't faking. He seems to be recovering, but as he laughs, he starts coughing uncontrollably and collapses again. When Ted has a heart attack, he makes up a story about a previous head trauma to explain the way the doctors are treating him.