Worsley, who came on as a second-half replacement at Twickenham, joked that Lewsey "may have had altitude sickness or something" - a reference to his training for Everest.
The program provides student-athletes with the opportunity to protect against future loss of earnings as a professional athlete, due to a disabling injury or sickness that may occur during the collegiate career.
These trekking groups are often on a tight itinerary and may ignore the early symptoms of altitude sickness - headaches, loss of appetite - or may simply hide them because of peer pressure.
In short, the two men may be inextricably bound together: in good times and in bad and, as Mr Berlusconi may have reflected this week, in sickness and in health.