1 00:00:02,608 --> 00:00:05,277 WOMAN ON PA: Radiologist, contact 5317. 2 00:00:05,402 --> 00:00:08,488 Radiologist, contact 5317. 3 00:00:09,072 --> 00:00:10,907 - ETHAN: Amber. - KAREN: No. 4 00:00:11,033 --> 00:00:13,910 - Why not? - Amber's a stripper name. 5 00:00:14,036 --> 00:00:17,372 Find me one stripper named Amber Hartig. 6 00:00:17,497 --> 00:00:18,874 Or not. Okay. 7 00:00:18,999 --> 00:00:21,501 (BABY COOING) Non-stripper names. 8 00:00:21,627 --> 00:00:24,796 Desiree? Bambi? Kandy Kane? 9 00:00:24,921 --> 00:00:28,550 Max. Maxine. 10 00:00:28,675 --> 00:00:31,011 Max Hartig. It's a cute name, isn't it? 11 00:00:31,136 --> 00:00:34,431 ETHAN: If you're a professional boxer, maybe. 12 00:00:34,556 --> 00:00:36,892 Can you believe we made this little creature? 13 00:00:37,017 --> 00:00:38,352 I know. It's incredible. 14 00:00:38,477 --> 00:00:42,147 It's the most amazing thing we've ever done. 15 00:00:42,272 --> 00:00:44,608 I almost ran the marathon last year. 16 00:00:44,733 --> 00:00:47,235 If we're lucky, you won't inherit your daddy's sense of humor. 17 00:00:47,361 --> 00:00:50,656 Hello. Say hi to bear. 18 00:00:51,031 --> 00:00:52,115 (BABY SPITS) 19 00:00:53,867 --> 00:00:56,953 She hasn't even eaten anything. Why is she spitting up? 20 00:00:57,079 --> 00:00:59,956 - Well, honey, we can't bug them again. -Just" 21 00:01:00,082 --> 00:01:01,375 Okay, okay' 22 00:01:04,461 --> 00:01:06,463 I'm sorry. It's our first kid. 23 00:01:06,588 --> 00:01:07,964 We're both a little panicky, I guess. 24 00:01:08,090 --> 00:01:11,968 Well, you got to ask the pediatrician next time. I just deliver them. 25 00:01:12,094 --> 00:01:13,220 Is she spitting up? 26 00:01:13,345 --> 00:01:16,098 - Yeah. Second time in an hour. - Oh. 27 00:01:16,223 --> 00:01:18,308 If you lived underwater for nine months, 28 00:01:18,433 --> 00:01:20,519 you'd have a lot to spit up, too. 29 00:01:24,690 --> 00:01:26,149 Is something wrong? 30 00:01:26,274 --> 00:01:27,901 A little lethargic. 31 00:01:28,026 --> 00:01:29,736 - ETHAN: Well, we didn't think... - She's hot. 32 00:01:30,487 --> 00:01:32,155 (BABY GASPING) 33 00:01:32,280 --> 00:01:34,074 Is she... 34 00:01:34,199 --> 00:01:35,701 The baby's seizing! Get the crash cart! 35 00:01:35,826 --> 00:01:37,369 (STAMMERING) What's wrong? 36 00:01:37,494 --> 00:01:38,578 Need some help in here! 37 00:01:38,704 --> 00:01:41,039 (ALARM BEEPING) Oh, God. Is she all right? 38 00:01:41,164 --> 00:01:42,958 - WOMAN: IV access? - DOCTOR: No, Ativan. 39 00:01:43,083 --> 00:01:44,626 What's going on? 40 00:02:21,663 --> 00:02:22,748 (DOCTOR ON TV SIGHS) 41 00:02:22,873 --> 00:02:24,750 The MRl's back. 42 00:02:24,875 --> 00:02:26,084 And? 43 00:02:26,209 --> 00:02:28,086 It's what we expected. 44 00:02:28,211 --> 00:02:30,088 The accident caused serious damage. 45 00:02:31,840 --> 00:02:33,633 It's amnesia. 46 00:02:37,763 --> 00:02:39,222 DOCTOR ON TV: I'm sorry. 47 00:02:40,265 --> 00:02:42,350 WOMAN ON TV: I just can't believe it. 48 00:02:43,185 --> 00:02:45,145 (PEOPLE CHATTERING ON TV) 49 00:02:45,645 --> 00:02:47,689 (CHUCKLING) 50 00:02:48,690 --> 00:02:50,817 Enjoying our lounge, House? 51 00:02:50,942 --> 00:02:53,987 Just came in to get milk for my coffee, which you're out of. 52 00:02:54,112 --> 00:02:55,155 Flat or sparkling? 53 00:02:55,280 --> 00:02:57,115 - Sparkling. - Flat. 54 00:02:58,283 --> 00:03:00,786 So, the Hartigs? 55 00:03:00,911 --> 00:03:02,412 Their baby gets a fever. 56 00:03:02,537 --> 00:03:04,289 Wait, don't tell me, the kid had a seizure. 57 00:03:04,414 --> 00:03:06,374 Yep. The parents, of course, start freaking, 58 00:03:06,500 --> 00:03:08,043 and I have to deal with that for an hour. 59 00:03:08,168 --> 00:03:09,461 Like it was your fault. 60 00:03:09,586 --> 00:03:10,796 She was perfect when I delivered her. 61 00:03:10,921 --> 00:03:13,298 If you wanna blame someone, blame the pediatrician. 62 00:03:13,423 --> 00:03:15,008 So, how is the kid now? 63 00:03:15,133 --> 00:03:18,762 Bowel obstruction. She's under observation. She'll be fine. 64 00:03:18,887 --> 00:03:21,723 The pediatrician will take all the credit. 65 00:03:29,064 --> 00:03:34,778 HOUSE: Exhibit A, baby girl Hartig, term baby, 42 hours old. 66 00:03:34,903 --> 00:03:37,239 Went into seizures six hours ago, brought into the intensive care, 67 00:03:37,364 --> 00:03:40,200 diagnosed with obstruction of the small bowel. 68 00:03:40,325 --> 00:03:42,994 I'm still amazed you're actually in the same room with a patient. 69 00:03:43,119 --> 00:03:45,372 People don't bug me until they get teeth. 70 00:03:45,497 --> 00:03:50,085 Exhibit B, baby boy Hausen, another term baby, 48 hours old. 71 00:03:50,210 --> 00:03:52,879 Brought into the NICU three hours before the Hartig baby. 72 00:03:53,004 --> 00:03:56,591 Fever of unknown origin, 101 degrees, trending upwards. 73 00:03:56,716 --> 00:03:59,386 Wow, that is amazing. You hung out in the OBIGYN lounge all morning 74 00:03:59,511 --> 00:04:01,054 and heard about two sick babies. 75 00:04:01,179 --> 00:04:03,515 - It's eerie. - Don't touch that. 76 00:04:03,640 --> 00:04:04,683 All right. 77 00:04:04,808 --> 00:04:07,018 We have an infection spreading in the hospital. 78 00:04:07,143 --> 00:04:08,270 (SCOFFS) 79 00:04:08,395 --> 00:04:10,814 These kids have totally unrelated illnesses. 80 00:04:10,939 --> 00:04:13,483 They fell sick within four hours of each other. 81 00:04:13,608 --> 00:04:15,068 They had the same delivery rooms, 82 00:04:15,193 --> 00:04:17,821 maternity rooms are neighboring, so transmission's possible. 83 00:04:17,946 --> 00:04:19,072 They have the same symptoms. 84 00:04:19,197 --> 00:04:20,532 The Hartig girl has a bowel obstruction. 85 00:04:20,657 --> 00:04:21,825 No matter how close their beds are, 86 00:04:21,950 --> 00:04:23,285 I'm pretty sure kids can't share a blockage. 87 00:04:23,410 --> 00:04:26,204 What does bowel obstruction on a chart indicate? 88 00:04:26,329 --> 00:04:30,041 Well, normally, I'd say it indicates a patient's bowel is obstructed, 89 00:04:30,166 --> 00:04:31,877 but I'm pretty sure you have some deeper truth to impart... 90 00:04:32,002 --> 00:04:34,713 it means that some random doctor of indeterminate skill 91 00:04:34,838 --> 00:04:36,715 thinks that the patient's bowel is obstructed. 92 00:04:36,840 --> 00:04:39,092 Okay, you're upset because they threw you out of their lounge. 93 00:04:39,217 --> 00:04:41,177 Look at the X-ray. It's a normal gas pattern. 94 00:04:41,303 --> 00:04:42,971 If you want, I can get you a key to the oncology lounge. 95 00:04:43,096 --> 00:04:44,556 - Air in the colon. - We're getting TiVo. 96 00:04:44,681 --> 00:04:47,100 If it's air, no bowel obstruction. 97 00:04:47,225 --> 00:04:49,728 Even if it is air, it could have been there before the obstruction. 98 00:04:49,853 --> 00:04:54,024 No. Something's infected both these infants. 99 00:04:54,149 --> 00:04:55,859 (BABY CRYING) 100 00:04:55,984 --> 00:04:58,862 And you're the only one who put this together because... 101 00:04:58,987 --> 00:05:01,197 Because I'm the only one who looked at both kids. 102 00:05:01,323 --> 00:05:04,409 I want them isolated. I want the maternity ward shut down. 103 00:05:04,534 --> 00:05:06,786 Because you're better at reading an X-ray than a radiologist. 104 00:05:06,912 --> 00:05:09,039 Radiologists always over-read babies' X-rays, 105 00:05:09,164 --> 00:05:11,082 especially if they're asked to rule out a pathology. 106 00:05:11,207 --> 00:05:12,417 He read into it what he wanted. 107 00:05:12,542 --> 00:05:14,085 Which is exactly what you're doing. 108 00:05:14,210 --> 00:05:15,754 You're finding a cluster because 109 00:05:15,879 --> 00:05:18,089 you think it's interesting to find a cluster. 110 00:05:18,214 --> 00:05:21,009 Two plain old sick babies would bore you. 111 00:05:21,134 --> 00:05:23,511 See, this is why I don't waste money on shrinks, 112 00:05:23,637 --> 00:05:25,805 'cause you give me all these really great insights for free. 113 00:05:25,931 --> 00:05:31,061 Shrink. If you would consider going to a shrink, I would pay for it myself. 114 00:05:31,186 --> 00:05:33,521 The hospital would hold a bake sale, for God's sake. 115 00:05:33,647 --> 00:05:35,398 We have an epidemic. 116 00:05:36,816 --> 00:05:41,947 Two sick babies is very sad, but it doesn't prove an epidemic. 117 00:05:48,036 --> 00:05:49,329 How many do? 118 00:05:52,248 --> 00:05:55,251 Get up. We're going hunting. 119 00:05:55,377 --> 00:05:57,420 For what? 120 00:05:57,545 --> 00:05:58,880 Wabbits. 121 00:06:07,597 --> 00:06:10,141 (CRYING) 122 00:06:10,684 --> 00:06:14,646 Hi. Bye. He's screaming. He's fine. 123 00:06:20,568 --> 00:06:21,778 Good-looking baby. 124 00:06:22,028 --> 00:06:24,030 (WOMAN PANTING) 125 00:06:26,408 --> 00:06:28,702 Sorry. Wrong room. 126 00:06:28,827 --> 00:06:30,120 We'll see you later. 127 00:06:30,245 --> 00:06:31,830 12 rooms, right? That's it? 128 00:06:31,955 --> 00:06:32,914 Yep. 129 00:06:33,039 --> 00:06:36,584 We've definitely checked the whole floor. 130 00:06:36,710 --> 00:06:39,337 Good news. No epidemic. 131 00:06:39,462 --> 00:06:41,172 Tragic, huh? 132 00:06:44,259 --> 00:06:46,636 Overflow rooms, third floor. 133 00:06:46,761 --> 00:06:49,305 This imaginary infection has spread to the next floor? 134 00:06:50,807 --> 00:06:52,767 We were just gonna call. 135 00:06:52,892 --> 00:06:54,602 Did he get hot all of a sudden? 136 00:06:56,021 --> 00:06:57,188 Yeah. 137 00:07:00,567 --> 00:07:01,693 (BABIES CRYING) 138 00:07:01,818 --> 00:07:04,446 MAN 1: Yeah, I'll take care of that for you. 139 00:07:07,991 --> 00:07:08,992 MAN 2: Almost there, honey. 140 00:07:09,117 --> 00:07:11,036 Don't worry. We're almost there. 141 00:07:12,037 --> 00:07:15,040 CUDDY: Excuse me! Hi. Intake sent you up here? 142 00:07:15,165 --> 00:07:16,291 Yeah, my wife's contractions are less... 143 00:07:16,416 --> 00:07:17,459 Okay, Intake messed up. 144 00:07:17,584 --> 00:07:19,002 I am very, very sorry. 145 00:07:19,127 --> 00:07:22,088 Nurse Alpert will arrange for an ambulance 146 00:07:22,213 --> 00:07:23,882 to take you to Princeton General. 147 00:07:24,007 --> 00:07:25,091 (PANTING) 148 00:07:25,216 --> 00:07:27,260 The maternity ward is temporarily closed. 149 00:07:27,385 --> 00:07:28,845 We have to leave? 150 00:07:28,970 --> 00:07:30,096 Yes. I am very sorry. 151 00:07:30,221 --> 00:07:31,556 Why are you doing this? 152 00:07:31,681 --> 00:07:32,682 (WOMAN SCREAMS IN PAIN) 153 00:07:32,807 --> 00:07:35,143 You will be there very, very soon. 154 00:07:36,728 --> 00:07:38,146 Happy now? 155 00:07:38,271 --> 00:07:41,191 No, but I am interested. 156 00:07:49,199 --> 00:07:53,078 Three sick babies and a fourth showing early symptoms. 157 00:07:53,203 --> 00:07:54,954 - How bad? - Spiking fevers. 158 00:07:55,080 --> 00:07:57,540 BP's plummeting. They're barely able to keep systolic up. 159 00:07:57,665 --> 00:07:58,917 At this rate, they could be dead in a day. 160 00:07:59,042 --> 00:08:00,085 Where did this come from? 161 00:08:00,210 --> 00:08:02,087 Two delivery rooms, four different maternity rooms. 162 00:08:02,212 --> 00:08:03,880 No common personnel and no common equipment. 163 00:08:04,005 --> 00:08:05,590 Well, there's got to be something in common. 164 00:08:05,715 --> 00:08:09,677 Yeah. That would be the difference between an epidemic and a coincidence. 165 00:08:09,803 --> 00:08:10,929 I'm putting a team together. 166 00:08:11,054 --> 00:08:12,806 We're gonna start swabbing. 167 00:08:12,931 --> 00:08:15,016 What's she gonna swab? Every respirator, 168 00:08:15,141 --> 00:08:16,935 sink, vent, drain in the entire hospital? 169 00:08:17,060 --> 00:08:18,853 - That'll take months. - Needle in a haystack. 170 00:08:18,978 --> 00:08:19,979 It's worse than that. 171 00:08:20,105 --> 00:08:21,815 We don't even know it's a needle we're looking for. 172 00:08:21,940 --> 00:08:23,066 Then why'd you let her go do it? 173 00:08:23,191 --> 00:08:26,736 Because the hospital is her baby, and her baby's sick. 174 00:08:26,861 --> 00:08:28,988 If she doesn't solve this soon, her head's gonna explode, 175 00:08:29,114 --> 00:08:30,198 and I don't want to get any on me. 176 00:08:30,323 --> 00:08:31,908 So let's figure out what's in the haystack. 177 00:08:32,033 --> 00:08:34,410 - Differential diagnosis, people. - Parasite. 178 00:08:34,536 --> 00:08:35,954 It's spreading too quickly. 179 00:08:36,079 --> 00:08:37,288 - Next? - Virus? 180 00:08:37,413 --> 00:08:40,959 The kids are too sick, and the blood tests showed no lymphocytosis. 181 00:08:41,084 --> 00:08:43,711 And they're not responding to acyclovir or ribavirin. 182 00:08:43,837 --> 00:08:46,256 If it's some other virus, we'll never find it in time anyway. 183 00:08:46,381 --> 00:08:49,884 Which leads us to bacterial infection. 184 00:08:50,009 --> 00:08:52,428 It's not responding to broad-spectrum antibiotics, 185 00:08:52,554 --> 00:08:53,763 so we've got something resistant. 186 00:08:53,888 --> 00:08:54,973 The usual suspects. 187 00:08:55,098 --> 00:08:57,642 MRSA. It's always MRSA in hospitals. 188 00:08:57,767 --> 00:09:00,270 Maybe contaminated food or water source. 189 00:09:00,395 --> 00:09:02,021 Pseudomonas. 190 00:09:02,147 --> 00:09:03,273 VRE. 191 00:09:03,398 --> 00:09:05,024 H. flu. 192 00:09:05,150 --> 00:09:06,943 Okay. Those are the big ones. 193 00:09:07,068 --> 00:09:08,945 Cultures will take 48 hours. 194 00:09:09,070 --> 00:09:10,905 Might as well be postmortem. 195 00:09:11,030 --> 00:09:13,491 We'll start them on vancomycin for the MRSA 196 00:09:13,616 --> 00:09:15,785 and aztreonam to cover the rest. 197 00:09:15,910 --> 00:09:18,288 Let's get MRls, check for abscesses 198 00:09:18,413 --> 00:09:20,999 or some occult infection. I'll be in the clinic. 199 00:09:21,124 --> 00:09:24,127 Grab me if you find something important or unimportant. 200 00:09:48,693 --> 00:09:50,737 (MACHINE BEEPING) 201 00:10:09,255 --> 00:10:11,549 (MACHINERY BANGING) 202 00:10:19,807 --> 00:10:22,018 (BANGING FASTER) 203 00:10:26,064 --> 00:10:28,107 CAMERON: We did an MRI on all the babies, 204 00:10:28,233 --> 00:10:31,027 and, unfortunately, we didn't find anything, 205 00:10:31,152 --> 00:10:35,073 so we're starting them on the strongest antibiotics that we've got, 206 00:10:35,198 --> 00:10:38,243 and we're hoping that that will take care of it. 207 00:10:38,368 --> 00:10:40,328 But he's so tiny. 208 00:10:40,453 --> 00:10:42,080 How sick is he? 209 00:10:42,664 --> 00:10:46,125 His fever's up to 103.5, and his blood pressure is 80 over 40. 210 00:10:46,251 --> 00:10:48,127 How bad is that? 211 00:10:52,423 --> 00:10:54,259 It's low. 212 00:10:54,384 --> 00:10:56,135 The heart needs to circulate the blood. 213 00:10:56,261 --> 00:10:58,763 If it's weak, the oxygen isn't getting to the liver, 214 00:10:58,888 --> 00:11:00,932 the kidneys, the brain. 215 00:11:02,267 --> 00:11:04,060 I have to ask you something. 216 00:11:04,185 --> 00:11:07,063 - Judy". - No, no, Kim. Let me. 217 00:11:08,231 --> 00:11:11,359 I had a cold last month, and I told the doctors about it. 218 00:11:11,484 --> 00:11:13,486 Honey, this has nothing to do with you. 219 00:11:13,611 --> 00:11:15,571 Kim's right. 220 00:11:15,697 --> 00:11:17,323 Your son was born healthy. 221 00:11:17,448 --> 00:11:19,492 He caught the infection after his birth. 222 00:11:21,494 --> 00:11:23,371 There's no reason to think that he caught it from you. 223 00:11:23,496 --> 00:11:26,082 But you don't know. I mean, 224 00:11:26,207 --> 00:11:28,209 you don't know how he got sick. 225 00:11:33,131 --> 00:11:36,092 Pretty standard question, "How sick is my child?" 226 00:11:36,217 --> 00:11:37,719 - You couldn't answer. - I answered. 227 00:11:37,844 --> 00:11:40,513 You rattled off numbers, BP, O2 sats. 228 00:11:40,638 --> 00:11:41,723 It's not what they need to know. 229 00:11:41,848 --> 00:11:44,892 What they need to know is the future. You got a Magic 8 Ball? 230 00:11:45,018 --> 00:11:47,812 No, just eight years of medical training. 231 00:11:50,315 --> 00:11:54,360 Look, I realize it's tough to break bad news to families. 232 00:11:54,485 --> 00:11:56,571 Not as tough as hearing it. 233 00:11:56,696 --> 00:12:01,117 And I guess being the poor guy dying is the toughest of all? 234 00:12:01,242 --> 00:12:06,164 No, it's easier to die than to watch someone die. 235 00:12:11,544 --> 00:12:13,004 CUDDY: Well, we're checking the vents. 236 00:12:13,129 --> 00:12:14,964 It could be airborne. 237 00:12:15,089 --> 00:12:18,092 Somebody get the sinks, too, and underneath them. 238 00:12:18,217 --> 00:12:19,719 I'll get it. 239 00:12:19,844 --> 00:12:23,097 How many med students have you got swabbing the decks? 240 00:12:23,222 --> 00:12:24,515 What else are they gonna do? 241 00:12:24,640 --> 00:12:26,225 It's not like they're delivering babies. 242 00:12:26,351 --> 00:12:27,810 You find anything yet? 243 00:12:27,935 --> 00:12:29,103 Yeah. 244 00:12:29,228 --> 00:12:32,648 About half the antibacterial gel dispensers are empty or broken. 245 00:12:32,774 --> 00:12:36,444 That's bad, and yet diagnostically, completely insignificant. 246 00:12:36,569 --> 00:12:39,781 Well, if the staff can't wash their hands, 247 00:12:39,906 --> 00:12:41,699 it's no wonder an infection has spread. 248 00:12:41,824 --> 00:12:43,993 Hey, tie clip! 249 00:12:44,118 --> 00:12:46,287 - Sorry? - We have an epidemic in this hospital, 250 00:12:46,412 --> 00:12:48,790 and your tie is becoming a petri dish. 251 00:12:49,374 --> 00:12:52,418 Put on a tie clip or take the damn thing off. 252 00:12:54,879 --> 00:12:56,756 WOMAN: My joints have been feeling all loose, 253 00:12:56,881 --> 00:12:59,384 and lately I've been feeling sick a lot. 254 00:12:59,509 --> 00:13:00,802 Maybe I'm over-training. 255 00:13:00,927 --> 00:13:03,554 I'm doing the marathon, like, 10 miles a day, 256 00:13:03,679 --> 00:13:05,515 but I can't seem to lose any weight. 257 00:13:05,640 --> 00:13:07,225 Lift up your arms. 258 00:13:10,436 --> 00:13:13,147 You have a parasite. 259 00:13:13,272 --> 00:13:14,607 Like a tapeworm or something? 260 00:13:14,732 --> 00:13:17,110 Lie back and lift up your sweater. 261 00:13:18,027 --> 00:13:20,279 You can put your arms down. 262 00:13:20,405 --> 00:13:21,823 Can you do anything about it? 263 00:13:21,948 --> 00:13:23,366 Only for about a month or so. 264 00:13:23,491 --> 00:13:26,786 After that it becomes illegal to remove, except in a couple of states. 265 00:13:26,911 --> 00:13:28,079 Illegal? 266 00:13:28,204 --> 00:13:29,580 But don't worry. 267 00:13:29,705 --> 00:13:32,166 Many women learn to embrace this parasite. 268 00:13:32,291 --> 00:13:34,877 They name it, dress it up in tiny clothes, 269 00:13:35,002 --> 00:13:36,838 arrange play dates with other parasites. 270 00:13:36,963 --> 00:13:38,798 Play dates? 271 00:13:38,923 --> 00:13:40,299 It has your eyes. 272 00:13:42,677 --> 00:13:44,929 But that's impossible. 273 00:13:45,054 --> 00:13:47,974 Well, I assume you weren't getting your period. 274 00:13:48,099 --> 00:13:50,184 Maybe that should have given you an inkling. 275 00:13:50,309 --> 00:13:51,936 But I'm on this birth-control implant. 276 00:13:52,061 --> 00:13:53,980 Yeah, I know. I saw the scar on your arm. 277 00:13:54,105 --> 00:13:56,482 And my doctor said I might not get any periods at all 278 00:13:56,607 --> 00:13:58,109 - if it was working. - Mmm-hmm. 279 00:13:58,234 --> 00:13:59,110 Interestingly enough, 280 00:13:59,235 --> 00:14:01,362 you also don't get any periods if it isn't working, 281 00:14:01,487 --> 00:14:04,407 which is why you were supposed to get regular pregnancy tests. 282 00:14:04,532 --> 00:14:06,951 I'm gonna send a nurse in here to schedule your prenatal care. 283 00:14:07,076 --> 00:14:11,164 You're due in about five months, so start planning the shower. 284 00:14:12,707 --> 00:14:13,875 Doctor? 285 00:14:14,000 --> 00:14:19,213 Please, me and my husband wanted to have a kid soon, 286 00:14:19,338 --> 00:14:21,883 but, oh, God, 287 00:14:22,008 --> 00:14:26,137 like four months ago, we had this really big fight. 288 00:14:26,262 --> 00:14:29,724 He moved out. I did something stupid. 289 00:14:30,725 --> 00:14:32,977 - One-night stand? - Ex-boyfriend. 290 00:14:34,353 --> 00:14:37,565 Well, I'll schedule you a paternity test, too. 291 00:14:37,690 --> 00:14:40,151 I can't let my husband know. 292 00:14:40,860 --> 00:14:43,946 Does the old boyfriend look like your husband? 293 00:14:44,071 --> 00:14:45,573 Yeah. 294 00:14:45,698 --> 00:14:47,992 Then just have the kid. He'll never know. 295 00:14:48,117 --> 00:14:50,495 The most successful marriages are based on lies. 296 00:14:50,620 --> 00:14:52,121 You're off to a great start. 297 00:14:55,208 --> 00:14:57,502 Well, you look cheery. What's going on? 298 00:14:57,627 --> 00:14:59,420 The Hartig and Chen-Lupine babies, 299 00:14:59,545 --> 00:15:00,880 their kidneys are shutting down. 300 00:15:01,005 --> 00:15:03,424 And the urine tests show no casts. 301 00:15:04,550 --> 00:15:07,261 Which means the antibiotics are causing the kidney failure. 302 00:15:07,386 --> 00:15:09,805 You're the nephrologist. Which one did it? 303 00:15:09,931 --> 00:15:12,141 We'll take them off that one. 304 00:15:13,684 --> 00:15:15,811 Don't tell me both vancomycin and aztreonam. 305 00:15:15,937 --> 00:15:17,271 They both can cause this. 306 00:15:17,396 --> 00:15:19,482 There's no way to know which one it is. No test. 307 00:15:19,607 --> 00:15:21,400 We can't take them off the antibiotics though. 308 00:15:21,526 --> 00:15:22,693 They'll die of the infection. 309 00:15:22,818 --> 00:15:24,111 But if we leave them on both the antibiotics, 310 00:15:24,237 --> 00:15:25,238 they'll die of kidney failure. 311 00:15:25,363 --> 00:15:27,615 So, we take our best guess then. 312 00:15:27,740 --> 00:15:29,367 Which drug's causing the kidney failure? 313 00:15:29,492 --> 00:15:32,828 It's like I said, it's always MRSA in hospitals. 314 00:15:32,954 --> 00:15:34,163 Take them off aztreonam. 315 00:15:34,288 --> 00:15:36,082 I still think it's the pseudomonas. 316 00:15:36,207 --> 00:15:38,251 I vote to take them off the vancomycin. 317 00:15:44,799 --> 00:15:47,093 There's no point in guessing. 318 00:15:50,137 --> 00:15:53,891 Take one kid off vancomycin, the other off aztreonam. 319 00:15:54,016 --> 00:15:56,352 They have the same disease. You want to give them different treatments? 320 00:15:56,477 --> 00:15:57,478 What the hell are you doing? 321 00:15:57,603 --> 00:16:00,690 Therapeutic trial, to find the cause of the infection. 322 00:16:00,815 --> 00:16:02,191 That's wrong. 323 00:16:02,316 --> 00:16:04,735 We have four sick kids at least. 324 00:16:04,860 --> 00:16:07,113 Who knows how many more haven't started showing symptoms yet. 325 00:16:07,238 --> 00:16:08,698 We have a duty to these two. 326 00:16:08,823 --> 00:16:10,283 If these two have different reactions, 327 00:16:10,408 --> 00:16:12,285 we'll know how to save the rest. 328 00:16:12,410 --> 00:16:14,370 So you're condemning one of these kids to die 329 00:16:14,495 --> 00:16:16,581 based on random chance? 330 00:16:23,671 --> 00:16:25,047 I guess I am. 331 00:16:31,512 --> 00:16:33,472 (BABIES CRYING) 332 00:16:33,598 --> 00:16:35,057 (WOMAN CHATTERING ON PA) 333 00:16:35,182 --> 00:16:37,852 CUDDY: So you're going to flip a coin. 334 00:16:37,977 --> 00:16:40,313 That's how you decide which baby lives. 335 00:16:40,438 --> 00:16:42,481 Can I borrow a quarter? 336 00:16:42,607 --> 00:16:45,693 Do you want to get sued, lose your license, House? 337 00:16:45,818 --> 00:16:47,028 Well, generally, I'd applaud that, 338 00:16:47,153 --> 00:16:48,904 but my job is to protect this hospital, 339 00:16:49,030 --> 00:16:52,533 so I strongly advise you to come up with a medical rationale 340 00:16:52,658 --> 00:16:54,869 why baby A should get medicine X and vice versa. 341 00:16:54,994 --> 00:16:56,078 Whoa, whoa, whoa, whoa. 342 00:16:56,203 --> 00:16:57,705 Hold on there, slick. 343 00:16:57,830 --> 00:16:59,040 We didn't all go to law school. 344 00:16:59,165 --> 00:17:00,124 Your advice is that I should use 345 00:17:00,249 --> 00:17:02,376 medical reasons to make medical decisions? 346 00:17:02,501 --> 00:17:03,878 Hmm. That's not gonna be as easy. 347 00:17:04,003 --> 00:17:06,422 Any medical justification. It doesn't need to be a good one. 348 00:17:06,547 --> 00:17:09,550 Well, Hartig sounds Jewish, so does aztreonam, 349 00:17:09,675 --> 00:17:11,260 so we'll take the Hartig kid off vancomycin. 350 00:17:11,385 --> 00:17:12,970 How's that? 351 00:17:13,095 --> 00:17:14,555 You can't experiment on babies. 352 00:17:14,680 --> 00:17:16,015 Doctors experiment all the time. 353 00:17:16,140 --> 00:17:17,933 On adults, with their consent. 354 00:17:18,059 --> 00:17:20,061 Fine. I'll get the parents' consent. 355 00:17:20,186 --> 00:17:21,604 Their informed consent. 356 00:17:21,729 --> 00:17:23,648 They have to know the other kid is getting a different treatment. 357 00:17:23,773 --> 00:17:24,815 Sorry. Can't do that. 358 00:17:24,940 --> 00:17:26,108 It would be unethical for one patient 359 00:17:26,233 --> 00:17:28,069 to know about another patient's treatment. 360 00:17:28,194 --> 00:17:30,488 - They have a right to know. - If they know, they won't consent. 361 00:17:30,613 --> 00:17:32,865 That defeats the whole purpose. 362 00:17:32,990 --> 00:17:34,742 That's their right. 363 00:17:34,867 --> 00:17:37,453 Two more babies have just become symptomatic. 364 00:17:37,578 --> 00:17:38,954 I defer to your legal wisdom. 365 00:17:39,080 --> 00:17:43,501 Which takes precedence, six dying babies or a missing consent form? 366 00:17:44,585 --> 00:17:46,128 You can't do it. 367 00:17:52,468 --> 00:17:54,470 Do what you think is best. 368 00:18:22,039 --> 00:18:23,624 Your daughter's kidneys are shutting down. 369 00:18:24,500 --> 00:18:26,085 Your son's kidneys are failing. 370 00:18:26,210 --> 00:18:28,003 So we're going to take her off the aztreonam. 371 00:18:28,129 --> 00:18:29,964 We're taking him off vancomycin. 372 00:18:30,715 --> 00:18:33,050 But what... What made her sick in the first place? 373 00:18:33,175 --> 00:18:34,885 What do you think is causing it? 374 00:18:35,010 --> 00:18:37,555 It seems to be a germ called pseudomonas. 375 00:18:37,680 --> 00:18:41,058 We think it's MRSA Methicillin-resistant Staph aureus. 376 00:18:41,183 --> 00:18:44,270 It's a very resistant form of a very common bacteria. 377 00:18:44,520 --> 00:18:46,731 We're hoping the aztreonam will clear it up. 378 00:18:47,148 --> 00:18:49,024 Vancomycin is the best treatment for MRSA, 379 00:18:49,150 --> 00:18:50,985 so we're gonna keep giving it to her. 380 00:18:51,110 --> 00:18:52,903 Is it gonna cure her? 381 00:18:56,824 --> 00:18:58,868 Your child is very sick. 382 00:18:58,993 --> 00:19:00,369 You need to know that. 383 00:19:00,995 --> 00:19:02,580 This is a Hail Mary pass. 384 00:19:02,705 --> 00:19:04,415 It might cure her. It might not. 385 00:19:10,087 --> 00:19:12,089 So, that'll cure him? 386 00:19:14,592 --> 00:19:17,261 We'll know in 24 hours if it's working. 387 00:19:19,597 --> 00:19:20,890 (BOTH CHUCKLE) 388 00:19:33,360 --> 00:19:35,946 - What did you tell them? - I told them the truth. 389 00:19:36,614 --> 00:19:38,115 They seemed relieved. 390 00:19:38,240 --> 00:19:39,867 Did you tell them how sick their son is? 391 00:19:39,992 --> 00:19:41,035 I explained what was going on. 392 00:19:41,160 --> 00:19:43,162 Allison, their baby's dying. 393 00:19:43,287 --> 00:19:44,914 If the parents weren't in tears by the time you left, 394 00:19:45,039 --> 00:19:46,081 you didn't tell them the truth. 395 00:19:46,207 --> 00:19:47,875 That's not how I see it. 396 00:19:48,000 --> 00:19:49,376 Do you want them blindsided? 397 00:19:49,502 --> 00:19:50,711 Want them coming up and saying, "My God, 398 00:19:50,836 --> 00:19:52,338 "my baby died. Why didn't you warn me?" 399 00:19:52,463 --> 00:19:54,048 So now it's about worrying about them yelling at us? 400 00:19:54,173 --> 00:19:57,551 No, it's about getting them prepared for the likely death of their child. 401 00:19:57,676 --> 00:19:58,928 If their son dies tomorrow, 402 00:19:59,053 --> 00:20:01,222 you think they'll give a damn what I said to them today? 403 00:20:01,347 --> 00:20:02,973 It's not gonna matter. They're not gonna care. 404 00:20:03,098 --> 00:20:05,976 Nothing's gonna be the same ever again. 405 00:20:06,101 --> 00:20:09,230 Just give those poor women a few hours of hope. 406 00:20:15,361 --> 00:20:17,154 - Dr. House! - Oh, no. 407 00:20:17,279 --> 00:20:19,824 Dr. House, this is my husband, Charlie. 408 00:20:19,949 --> 00:20:21,867 Who told you where my office was? 409 00:20:21,992 --> 00:20:23,661 Jill, come on. He obviously doesn't want us bothering him. 410 00:20:23,786 --> 00:20:26,997 (EXCLAIMS) I was trying to hide it. 411 00:20:27,122 --> 00:20:31,710 Look, Doctor, this is about the mono that you said you thought I had. 412 00:20:31,836 --> 00:20:33,796 - The mono? - Yes. 413 00:20:33,921 --> 00:20:36,131 You know, shouldn't Charlie be tested? 414 00:20:36,257 --> 00:20:40,344 You know, the test, the blood test. 415 00:20:41,095 --> 00:20:44,306 Right. Yeah, I'm sorry. 416 00:20:44,431 --> 00:20:46,183 I sometimes forget patients. 417 00:20:46,308 --> 00:20:47,852 I thought you were this idiot 418 00:20:47,977 --> 00:20:50,145 who doesn't know how to use birth control. 419 00:20:50,271 --> 00:20:51,897 I can't have mono. 420 00:20:52,022 --> 00:20:54,316 (ELEVATOR BELL DINGS) I don't even feel sick or anything. 421 00:20:56,277 --> 00:20:58,487 That's very often the first sign. 422 00:20:58,612 --> 00:21:01,740 Call my office in the morning, and I'll schedule you for blood tests. 423 00:21:01,866 --> 00:21:03,325 Thank you. 424 00:21:03,450 --> 00:21:04,869 I'm not even tired. 425 00:21:05,077 --> 00:21:06,161 Oh! 426 00:21:16,714 --> 00:21:17,840 Find anything yet? 427 00:21:17,965 --> 00:21:22,595 Just some baby formula being stored under a sink with a dripping faucet. 428 00:21:22,720 --> 00:21:24,138 Tap water contamination. 429 00:21:24,263 --> 00:21:25,264 You thinking pseudomonas infection? 430 00:21:25,389 --> 00:21:28,142 I was. I wasted a couple of hours chasing it down, 431 00:21:28,267 --> 00:21:32,062 but, of course, the formula hasn't been anywhere near the babies. 432 00:21:32,187 --> 00:21:33,105 Whatever idiot stored them there... 433 00:21:33,230 --> 00:21:34,690 All right, we'll figure it out. 434 00:21:34,815 --> 00:21:37,484 - Just calm down. - I am calm. 435 00:21:37,610 --> 00:21:39,945 Let me know when you're gonna need it. 436 00:21:40,070 --> 00:21:42,114 - Oh, come... - I warned you. 437 00:21:43,115 --> 00:21:44,742 I did that calmly. 438 00:21:50,205 --> 00:21:51,999 Hey. 439 00:21:52,124 --> 00:21:53,042 Hi. 440 00:21:53,959 --> 00:21:56,128 She any better? 441 00:21:56,253 --> 00:21:59,048 Her fever has been stable the last hour. 442 00:22:00,883 --> 00:22:03,636 We're not gonna make it, are we? 443 00:22:03,761 --> 00:22:05,054 Sorry? 444 00:22:05,888 --> 00:22:07,222 Me and Ethan. 445 00:22:09,183 --> 00:22:12,478 Our next-door neighbor, 446 00:22:12,603 --> 00:22:14,146 her little boy died in a car crash, 447 00:22:14,271 --> 00:22:18,400 and she and her husband split up, like, four months after the funeral. 448 00:22:18,525 --> 00:22:22,529 It's just what always happens, right? 449 00:22:27,242 --> 00:22:28,535 What happens to patients 450 00:22:28,661 --> 00:22:29,995 after they leave the hospital, I don't know, 451 00:22:30,120 --> 00:22:33,082 but try not to get ahead of yourself. 452 00:22:35,167 --> 00:22:37,127 (ALARM BEEPING) 453 00:22:38,462 --> 00:22:40,965 NURSE: Dr. Chase, ectopy on the monitor. 454 00:22:41,090 --> 00:22:42,424 CHASE: How long? I don't know. It just started. 455 00:22:42,549 --> 00:22:44,426 Pulse? Fluid, wide open. 456 00:22:44,551 --> 00:22:46,220 Do we have an arterial line? Not yet. 457 00:22:46,345 --> 00:22:48,138 Let's get a BP. 458 00:22:50,808 --> 00:22:52,810 - You can't come in here. - ls my baby dying? 459 00:22:52,935 --> 00:22:54,061 - CHASE: Mrs. Hartig... - Is she dying? 460 00:22:54,186 --> 00:22:56,814 - Ma'am, you'll have to leave. - It's not your baby. 461 00:23:00,609 --> 00:23:02,069 Ventilate. 462 00:23:03,278 --> 00:23:05,197 BP 60 over 20. 463 00:23:05,322 --> 00:23:06,532 CAMERON: Heart rate's 180. 464 00:23:06,657 --> 00:23:09,326 (ALARM BEEPING) CHASE: Start the Levophed. 465 00:23:09,451 --> 00:23:11,620 (ALARM BEEPING RAPIDLY) Still dropping, 50 over 10. 466 00:23:15,207 --> 00:23:17,167 I can't hold BP, even with three pressors. 467 00:23:17,292 --> 00:23:19,044 (PANTING) 468 00:23:19,169 --> 00:23:20,713 I'm losing pulse. 469 00:23:20,838 --> 00:23:22,172 (BEEPING CONTINUES) 470 00:23:22,297 --> 00:23:24,008 V-fib. 471 00:23:24,133 --> 00:23:25,509 Shut the blinds. 472 00:23:36,186 --> 00:23:37,980 - Charging. - MAN: Set. 473 00:23:38,105 --> 00:23:39,356 Clear. 474 00:23:41,942 --> 00:23:43,193 Still V-fib. 475 00:23:43,318 --> 00:23:45,821 Charging. Clear. 476 00:23:47,906 --> 00:23:50,409 Charging. Clear. 477 00:23:54,538 --> 00:23:56,040 FOREMAN: Still V-fib. 478 00:23:56,165 --> 00:23:57,541 (MACHINE HUMMING) 479 00:23:57,666 --> 00:24:00,169 Charging. Clear. 480 00:24:01,587 --> 00:24:03,881 (MACHINE BEEPING CONTINUOUSLY) 481 00:24:04,006 --> 00:24:05,591 - Charging. - Chase. 482 00:24:09,053 --> 00:24:11,972 Time of death, 6:57 p.m. 483 00:24:13,057 --> 00:24:14,308 (HEART MONITOR SHUTS OFF) 484 00:24:34,620 --> 00:24:37,498 HOUSE: The aztreonam doesn't work. 485 00:24:37,623 --> 00:24:40,626 Double-cover all the other babies with vancomycin. 486 00:24:40,751 --> 00:24:42,503 I'll do it. 487 00:24:42,628 --> 00:24:45,214 HOUSE: Cameron, tell the parents. 488 00:24:45,964 --> 00:24:50,427 Tell them their child probably saved five lives. 489 00:24:50,552 --> 00:24:52,179 - But Chase should... - Chase is busy. 490 00:24:52,304 --> 00:24:54,098 You're the attending. 491 00:24:57,101 --> 00:24:59,269 Make sure she does her job. 492 00:25:32,261 --> 00:25:33,720 (INAUDIBLE) 493 00:26:00,956 --> 00:26:03,959 I asked you to make sure she does her job, not do it for her. 494 00:26:04,084 --> 00:26:05,127 She froze up. 495 00:26:05,252 --> 00:26:07,045 She felt sorry for the parents, so she shut up. 496 00:26:07,171 --> 00:26:09,131 You felt sorry for her, so you opened your mouth. 497 00:26:09,256 --> 00:26:10,465 She has a problem. 498 00:26:10,591 --> 00:26:11,633 She needs to deal with it. 499 00:26:11,758 --> 00:26:13,135 If you hadn't bailed her out, she would have done it. 500 00:26:13,260 --> 00:26:15,804 Great. Then she wouldn't have slept for two weeks. 501 00:26:15,929 --> 00:26:18,891 Maybe she should be thinking about a different specialty. 502 00:26:19,016 --> 00:26:21,268 Lab work, research? 503 00:26:22,060 --> 00:26:24,146 - Yeah, what is it? - The Hartig baby, 504 00:26:24,271 --> 00:26:26,064 she's getting sicker, too. 505 00:26:26,190 --> 00:26:28,901 The vancomycin isn't working either. 506 00:26:33,280 --> 00:26:34,740 Vancomycin doesn't kill it. 507 00:26:34,865 --> 00:26:36,450 Aztreonam doesn't kill it. 508 00:26:38,202 --> 00:26:40,287 What the hell is this? 509 00:26:40,412 --> 00:26:42,748 It's a superbug. 510 00:26:42,873 --> 00:26:44,958 It could be VRSA. 511 00:26:45,083 --> 00:26:47,294 There's only been two reported cases ever in the United States. 512 00:26:47,419 --> 00:26:50,005 One of the kids, the Hausen baby, had a skin rash. 513 00:26:50,130 --> 00:26:53,342 It could be scalded-skin syndrome, which would be a sign of VRSA. 514 00:26:53,467 --> 00:26:54,426 Then these kids are dead. 515 00:26:54,551 --> 00:26:56,220 This is our fault. 516 00:26:56,720 --> 00:26:59,389 Doctors over-prescribing antibiotics. 517 00:26:59,765 --> 00:27:02,267 "Got a cold? Take some penicillin. 518 00:27:02,392 --> 00:27:04,102 "Sniffles? No problem. 519 00:27:04,228 --> 00:27:05,604 "Have some azithromycin. 520 00:27:05,729 --> 00:27:08,148 "Is that not working anymore? Well, got your Levaquin." 521 00:27:08,273 --> 00:27:10,776 Antibacterial soaps in every bathroom. 522 00:27:10,901 --> 00:27:14,029 They'll be adding vancomycin to the water supply soon. 523 00:27:14,154 --> 00:27:15,822 We bred these superbugs. 524 00:27:15,948 --> 00:27:18,116 They're our babies, and they're all grown up, 525 00:27:18,242 --> 00:27:20,994 and they've got body piercings and a lot of anger. 526 00:27:21,119 --> 00:27:22,537 (SIGHING) 527 00:27:24,331 --> 00:27:26,166 On the other hand, 528 00:27:26,291 --> 00:27:28,627 maybe antibiotics had nothing to do with it. 529 00:27:31,213 --> 00:27:33,590 Did you notice how low his BP was at the end, 530 00:27:33,715 --> 00:27:36,051 even with three pressors? 531 00:27:36,176 --> 00:27:37,511 Heart damage? 532 00:27:40,430 --> 00:27:41,431 Go home. 533 00:27:41,556 --> 00:27:43,225 There's nothing more you can do tonight. 534 00:28:03,245 --> 00:28:05,497 Baby boy Chen-Lupine. 535 00:28:07,624 --> 00:28:12,421 Time of death 6:57 p.m., Thursday, December 2nd, 2004. 536 00:28:44,578 --> 00:28:48,498 This is a cross section of the Chen-Lupine boy's myocardium. 537 00:28:48,623 --> 00:28:51,168 Fibrosis, lymphocytic infiltrates. 538 00:28:52,502 --> 00:28:54,963 There was no sign of lymphocytosis in the blood tests. 539 00:28:55,088 --> 00:28:58,383 Yes, well, we all had plenty of good reasons to think bacterial. 540 00:28:58,508 --> 00:29:00,093 Nobody is scolding you. 541 00:29:00,218 --> 00:29:03,013 Unfortunately, all those clever reasons were wrong. 542 00:29:03,138 --> 00:29:05,307 It is a virus infecting their hearts. 543 00:29:05,432 --> 00:29:06,600 Man, we're screwed. 544 00:29:06,725 --> 00:29:09,895 We can't chase down a virus. There's a thousand possibilities. 545 00:29:10,020 --> 00:29:11,897 We could run gels, antibody tests. 546 00:29:12,022 --> 00:29:13,023 FOREMAN: A thousand of them? 547 00:29:13,148 --> 00:29:14,024 The kids don't have enough blood. 548 00:29:14,149 --> 00:29:15,567 Chase, you're the intensivist. 549 00:29:15,692 --> 00:29:18,153 How many could we do before we risk exsanguinating the kids? 550 00:29:18,278 --> 00:29:20,572 You're talking vials, not stick tests? 551 00:29:20,697 --> 00:29:22,366 I wouldn't take more than five or six. 552 00:29:22,491 --> 00:29:28,497 Okay, so we have to narrow the thousand viruses down to six. 553 00:29:28,622 --> 00:29:32,167 Now, the autopsy's shown us what the virus does, 554 00:29:32,292 --> 00:29:34,086 so let's go. What do we know? 555 00:29:34,211 --> 00:29:36,546 That ribavirin and acyclovir don't knock it out. 556 00:29:36,671 --> 00:29:38,215 Cross out the herpes viruses. 557 00:29:38,340 --> 00:29:41,301 Also adenovirus. 558 00:29:41,426 --> 00:29:42,969 What else? What else? Keep talking! 559 00:29:43,095 --> 00:29:45,138 Well, it only seems to hit children. 560 00:29:45,263 --> 00:29:46,306 The mothers aren't sick, so... 561 00:29:46,431 --> 00:29:49,101 No toxoplasmosis, no rubella. 562 00:29:49,226 --> 00:29:50,477 Cross out the entire TORCH Syndrome. 563 00:29:50,602 --> 00:29:52,729 - You didn't find any lung damage? - No. 564 00:29:52,854 --> 00:29:54,815 None of the Paramyxoviridae. 565 00:29:54,940 --> 00:29:57,150 Cardiac scarring, people. 566 00:29:57,275 --> 00:29:58,402 CNN . 567 00:30:02,155 --> 00:30:04,074 Enteroviruses, too, I think. 568 00:30:05,534 --> 00:30:07,077 HOUSE: ...11. 569 00:30:07,202 --> 00:30:08,578 Influenza A. 570 00:30:09,287 --> 00:30:10,288 Flu A. 571 00:30:12,958 --> 00:30:15,544 Yes, and? 572 00:30:28,682 --> 00:30:31,726 I'm putting RSV down as a yes. 573 00:30:31,852 --> 00:30:34,104 That makes eight. 574 00:30:34,229 --> 00:30:36,064 Eight vials of blood is pushing it. 575 00:30:36,189 --> 00:30:38,150 Pushing it? Well, we love that. 576 00:30:38,275 --> 00:30:40,318 Get the antibody kits, start testing the sick kids. 577 00:30:40,444 --> 00:30:42,571 All right, I'll look into whether there are any antivirals 578 00:30:42,696 --> 00:30:43,864 for these eight. 579 00:30:43,989 --> 00:30:45,115 Wait a second, did... 580 00:30:45,240 --> 00:30:47,033 The kids on the floor who didn't get sick, 581 00:30:47,159 --> 00:30:48,785 are any of them still in the hospital? 582 00:30:48,910 --> 00:30:50,328 They got moved to the fifth floor, 583 00:30:50,454 --> 00:30:52,080 but they're probably all checked out by now. 584 00:30:52,205 --> 00:30:53,665 No, the Limpert boy had a bit of jaundice. 585 00:30:53,790 --> 00:30:54,833 He's checking out today. 586 00:30:54,958 --> 00:30:56,626 - I want to test his blood, too. - CUDDY: Why? 587 00:30:56,751 --> 00:30:58,795 Because we need all the information we can get. 588 00:30:58,920 --> 00:31:00,380 The healthy kid can be our control group. 589 00:31:00,505 --> 00:31:02,340 I'll just tell his parents 590 00:31:02,466 --> 00:31:05,218 he can't check out because he has the smallpox. 591 00:31:08,013 --> 00:31:11,266 WOMAN ON PA: Stephen Morgan, contact hospital administration. 592 00:31:14,978 --> 00:31:16,897 Dr. Paul to the recovery room. 593 00:31:17,022 --> 00:31:19,274 Dr. Paul to the recovery room. 594 00:31:19,649 --> 00:31:22,235 (BABY CRYING) All done. All done. 595 00:31:26,198 --> 00:31:27,199 What did we get? 596 00:31:27,324 --> 00:31:30,285 Well, the sick babies all tested positive for Echovirus 11. 597 00:31:30,410 --> 00:31:31,995 Great. And CNN 598 00:31:32,120 --> 00:31:33,872 and Parvovirus B19. 599 00:31:33,997 --> 00:31:35,081 Three viruses? 600 00:31:35,207 --> 00:31:37,167 But what's weirder, the healthy kid we tested, 601 00:31:37,292 --> 00:31:41,087 he's positive for Echovirus 11 and CMV antibodies, as well. 602 00:31:45,800 --> 00:31:48,261 And they're infants. 603 00:31:49,262 --> 00:31:52,599 They have their mothers' blood, their mothers' antibodies. 604 00:31:52,724 --> 00:31:54,017 So we've just learned nothing? 605 00:31:54,142 --> 00:31:55,644 Uh-uh. We have half the picture. 606 00:31:55,769 --> 00:31:59,064 The healthy kids survived because their mothers' antibodies saved them. 607 00:31:59,189 --> 00:32:02,317 If the mom had CMV in the past, she'd have the antibodies for CMV. 608 00:32:02,442 --> 00:32:04,945 The kid would be immune from it. 609 00:32:05,070 --> 00:32:09,074 So, we test the sick kids' moms for Echovirus, CMV and Parvovirus. 610 00:32:09,199 --> 00:32:11,076 And whichever they don't have the antibodies for, 611 00:32:11,201 --> 00:32:13,703 that's what's killing their kids. 612 00:32:13,828 --> 00:32:15,705 I'll test the mothers. 613 00:32:18,166 --> 00:32:21,044 MAN ON PA: Inhalation therapist, 2P 214. 614 00:32:21,169 --> 00:32:24,506 Inhalation therapist, pediatric room 214. 615 00:32:34,641 --> 00:32:37,018 WOMAN ON PA: Dr. Kent's office on the line. 616 00:32:37,143 --> 00:32:39,646 Dr. Kent's office on the line. 617 00:32:42,482 --> 00:32:43,900 (BEEPING) 618 00:32:59,249 --> 00:33:02,085 FOREMAN: Echovirus 11. It's an Enterovirus. 619 00:33:02,210 --> 00:33:04,129 It lodges in the intestinal tract. 620 00:33:04,254 --> 00:33:07,632 Enteroviruses cause diarrhea and flu-like symptoms in adults, 621 00:33:07,757 --> 00:33:12,554 maybe a rash, but for newborns, it can be deadly. 622 00:33:12,679 --> 00:33:15,223 It's damaging her heart. 623 00:33:15,348 --> 00:33:17,100 Well, is there anything you can do? 624 00:33:17,225 --> 00:33:20,937 Viruses are more difficult to treat than bacterial infections. 625 00:33:21,062 --> 00:33:22,856 We still haven't found a cure for the common cold. 626 00:33:22,981 --> 00:33:25,150 So, you mean there's no vaccine or... 627 00:33:25,275 --> 00:33:27,694 There's a company in Pennsylvania developing an antiviral. 628 00:33:27,819 --> 00:33:29,654 It got positive results in a lab setting, 629 00:33:29,779 --> 00:33:32,115 and we managed to get our hands on it. 630 00:33:40,165 --> 00:33:41,916 (BABY COOING) 631 00:33:45,545 --> 00:33:48,590 Imagine not being able to touch your own baby. 632 00:33:51,885 --> 00:33:53,303 Can I get your guys' help with something? 633 00:33:53,428 --> 00:33:54,929 Sure. 634 00:33:55,055 --> 00:33:56,097 Your daughter, her... 635 00:33:56,222 --> 00:33:57,766 Maxine. 636 00:33:57,891 --> 00:34:01,144 That's her name. Maxine. 637 00:34:02,771 --> 00:34:04,981 We need someone to hold Maxine up off the bed 638 00:34:05,106 --> 00:34:06,608 while the nurse changes her sheet. 639 00:34:06,733 --> 00:34:08,485 Sure. Okay. 640 00:34:08,818 --> 00:34:09,986 (BABY CRYING) 641 00:34:10,111 --> 00:34:11,404 (KAREN SHUSHING) 642 00:34:11,529 --> 00:34:15,867 KAREN: Look at you. Hi. Hold still. 643 00:34:21,414 --> 00:34:22,707 That's it. 644 00:34:22,832 --> 00:34:23,917 (CRYING CONTINUES) 645 00:34:26,878 --> 00:34:29,255 Hi. Easy. 646 00:34:30,006 --> 00:34:31,132 (KAREN SHUSHING) 647 00:34:31,257 --> 00:34:32,634 There you go. 648 00:35:04,708 --> 00:35:05,959 (ELEVATOR BELL DINGS) 649 00:35:08,086 --> 00:35:10,797 Hey, Foreman. Got a minute? 650 00:35:18,680 --> 00:35:22,976 So, pulmonary resistance has stabilized for the two kids, but BP's still... 651 00:35:23,101 --> 00:35:26,396 No news then. How's Cameron? 652 00:35:26,521 --> 00:35:28,189 Dr. Cameron? 653 00:35:28,314 --> 00:35:30,984 Sure. Let's start with her and then move on 654 00:35:31,109 --> 00:35:32,652 to all the other Camerons we know. 655 00:35:32,777 --> 00:35:34,821 I'm sorry. I'm just not used to you asking 656 00:35:34,946 --> 00:35:35,989 about someone's well-being. 657 00:35:36,114 --> 00:35:38,241 I can understand how the question would surprise you. 658 00:35:38,366 --> 00:35:39,993 I don't quite get how it would confuse you. 659 00:35:40,118 --> 00:35:41,161 (ELEVATOR BELL DINGS) 660 00:35:41,286 --> 00:35:42,245 Why do you wanna know? 661 00:35:42,370 --> 00:35:44,038 Why do you wanna know why I want to know? 662 00:35:44,164 --> 00:35:45,707 Just curious. 663 00:35:45,832 --> 00:35:47,000 Me, too. 664 00:35:47,125 --> 00:35:48,793 You don't get curious. 665 00:35:48,918 --> 00:35:50,545 I'm the most curious man in the world. 666 00:35:50,670 --> 00:35:51,755 Not about trivialities. 667 00:35:51,880 --> 00:35:53,715 Well, then this must not be trivial. 668 00:35:56,092 --> 00:35:59,012 How is Cameron handling everything? 669 00:35:59,137 --> 00:36:00,930 Just fine. 670 00:36:03,349 --> 00:36:05,685 Great. Glad we talked. 671 00:36:11,357 --> 00:36:15,320 Your husband is definitely the source of your mono. 672 00:36:15,445 --> 00:36:16,821 Oh! 673 00:36:16,946 --> 00:36:19,824 Wow! Oh, thank God. 674 00:36:20,158 --> 00:36:24,037 Wow, I'm gonna be a mom. Whoa! 675 00:36:24,162 --> 00:36:25,163 (CHUCKLING) 676 00:36:25,288 --> 00:36:26,831 Thank you so much. 677 00:36:26,956 --> 00:36:29,042 I got to get you a gift or something. 678 00:36:29,167 --> 00:36:32,086 Sometimes the best gift is the gift of never seeing you again. 679 00:36:32,212 --> 00:36:34,464 Okay. All right. 680 00:36:34,589 --> 00:36:38,218 But, Dr. House, you've been so awesome. 681 00:36:38,343 --> 00:36:42,847 I mean, I really totally trust you. 682 00:36:42,972 --> 00:36:44,933 - Do you think you... - No. 683 00:36:45,058 --> 00:36:47,101 - ...could do the prenatal... - No. 684 00:36:47,227 --> 00:36:48,603 ...or deliver the baby? 685 00:36:48,728 --> 00:36:50,563 - That would be no. - Okay. 686 00:36:50,688 --> 00:36:52,273 (SIGHS) 687 00:36:57,111 --> 00:36:58,238 Well... 688 00:37:36,109 --> 00:37:38,278 Chase, take a look at this. 689 00:37:56,254 --> 00:37:57,755 Oh, God. 690 00:37:58,256 --> 00:37:59,340 It's good news. 691 00:37:59,465 --> 00:38:00,842 No. It's great. 692 00:38:02,051 --> 00:38:03,553 (BOTH SIGHING) 693 00:38:05,680 --> 00:38:07,140 Thank you. 694 00:38:08,266 --> 00:38:09,601 (CHUCKLING) 695 00:38:18,484 --> 00:38:20,987 Hi. She's doing great. 696 00:38:21,112 --> 00:38:23,072 Hi, there. 697 00:38:37,253 --> 00:38:38,338 They all gone? 698 00:38:38,463 --> 00:38:40,214 Hartigs are checking out right now. 699 00:38:41,799 --> 00:38:42,967 You look tired. 700 00:38:43,092 --> 00:38:44,218 Thanks. 701 00:38:45,553 --> 00:38:50,058 It's no wonder. You've had a hard time the last couple of days. 702 00:38:50,183 --> 00:38:52,185 And you haven't? 703 00:38:52,310 --> 00:38:53,811 Not like you. 704 00:38:55,104 --> 00:38:56,856 (SIGHING) 705 00:38:56,981 --> 00:38:59,400 Anyone who's that awkward 706 00:38:59,525 --> 00:39:03,905 either has no experience with death or too much, 707 00:39:04,030 --> 00:39:06,741 and I'm pretty sure it's not the former. 708 00:39:08,242 --> 00:39:09,744 Chase told me about that idea you had, 709 00:39:09,869 --> 00:39:13,414 the parents holding the baby. Where'd you get that? 710 00:39:16,417 --> 00:39:18,211 Did you lose someone? 711 00:39:20,672 --> 00:39:22,423 Did you lose a baby? 712 00:39:25,093 --> 00:39:27,303 You can be a real bastard. 713 00:39:35,019 --> 00:39:36,187 (ELEVATOR BELL DINGS) 714 00:40:30,033 --> 00:40:31,743 Unfinished business? 715 00:40:33,327 --> 00:40:35,079 - I'm in the haystack. - Ah! 716 00:40:35,204 --> 00:40:37,081 Because now you know you're looking for a needle. 717 00:40:37,206 --> 00:40:38,750 Right. 718 00:40:38,875 --> 00:40:43,087 If I tell you to let it go, it won't make any difference, will it? 719 00:40:43,212 --> 00:40:45,757 Enteroviruses are spread by humans. 720 00:40:45,882 --> 00:40:47,842 Fecal or oral usually. 721 00:40:47,967 --> 00:40:50,428 It could be respiratory secretions though. 722 00:40:50,553 --> 00:40:52,513 So Cuddy got stool samples from the whole staff. 723 00:40:52,638 --> 00:40:54,265 - Just wait till they come back. - That won't do it. 724 00:40:54,390 --> 00:40:55,433 Why not? 725 00:40:55,558 --> 00:40:57,351 The shedder, whoever he is, 726 00:40:57,477 --> 00:40:59,979 he's so virulent, he must have been symptomatic. 727 00:41:00,104 --> 00:41:02,315 - Cuddy would have noticed him. - Hmm. 728 00:41:02,440 --> 00:41:05,818 And the babies didn't share any common personnel. 729 00:41:05,943 --> 00:41:07,445 That's what's weird. 730 00:41:07,570 --> 00:41:10,031 Yeah, yeah. That's what's weird. 731 00:41:10,156 --> 00:41:12,075 WOMAN ON PA: Transition team to OR 2. 732 00:41:12,200 --> 00:41:14,077 Transition team to OR 2. 733 00:41:16,662 --> 00:41:18,581 (WOMAN COUGHING) 734 00:42:03,084 --> 00:42:05,211 (WOMAN CHATTERING ON PA) 735 00:42:07,213 --> 00:42:08,631 Can I help you? 736 00:42:13,052 --> 00:42:15,054 You saved my life. 737 00:42:15,179 --> 00:42:17,140 I just ran some tests. 738 00:42:17,265 --> 00:42:19,767 Your will and determination are what saved your life. 739 00:42:19,892 --> 00:42:21,727 I know who I am now. 740 00:42:21,853 --> 00:42:23,354 Yes, you do. 741 00:42:23,479 --> 00:42:25,106 And I know who I am, as well. 742 00:42:25,231 --> 00:42:26,941 Naomi, I love you. 743 00:42:27,066 --> 00:42:30,153 Hey, seriously, man. You're not supposed to be here. 744 00:42:30,278 --> 00:42:32,905 I'm performing a delivery. 745 00:42:33,030 --> 00:42:34,073 You are? 746 00:42:34,198 --> 00:42:36,284 A patient whose prenatal care I've been handling. 747 00:42:36,409 --> 00:42:38,953 I just took her on a couple of minutes ago. 748 00:42:39,078 --> 00:42:42,039 Of course, I'll need one of you two guys to supervise. 749 00:42:42,165 --> 00:42:44,542 - When's she due? - Late March. 750 00:42:45,960 --> 00:42:48,963 That's five months from now. 751 00:42:49,088 --> 00:42:51,674 Thank God, these chairs are comfortable.