1
00:00:03,775 --> 00:00:06,528
Hey. Thanks.

2
00:00:06,903 --> 00:00:08,488
No, no, no... Here.

3
00:00:10,032 --> 00:00:11,450
You got this whole thing
wrong, Em.

4
00:00:11,783 --> 00:00:13,619
It's the rock star that's
supposed to be late,

5
00:00:13,744 --> 00:00:14,995
not the rock-star photographer.

6
00:00:15,329 --> 00:00:18,290
Sorry. Morning sickness.
Touch the belly.

7
00:00:18,582 --> 00:00:20,709
It's the first time
I've been asked to do that.

8
00:00:20,834 --> 00:00:22,169
Come on. It's good luck.

9
00:00:22,294 --> 00:00:23,879
Okay-

10
00:00:24,755 --> 00:00:26,673
Hit the Kinos behind the drop.

11
00:00:31,970 --> 00:00:33,764
So what do you think?

12
00:00:34,848 --> 00:00:36,558
I think people
aren't gonna get it.

13
00:00:36,683 --> 00:00:38,935
Come on.
"All-American Rejects."

14
00:00:39,061 --> 00:00:43,649
Juxtaposing a classic image of Americana
with modern pop culture youth.

15
00:00:44,149 --> 00:00:46,026
Oh, yeah.

16
00:00:46,151 --> 00:00:48,362
Everyone loves
a good juxtaposition.

17
00:00:48,487 --> 00:00:50,072
My fans were born in the '90s.

18
00:00:50,197 --> 00:00:53,867
You know what? You do this picture,
you'll gain 40 years of fans.

19
00:00:54,242 --> 00:00:55,494
- Yeah?
- Yeah.

20
00:00:55,619 --> 00:00:57,996
- I love the Rockwell thing.
- I thought so.

21
00:00:58,580 --> 00:01:00,957
Okay. Kill the house lights.
Let's go!

22
00:01:07,756 --> 00:01:09,966
Hang on. Hey, who's in charge
of the backdrop?

23
00:01:10,092 --> 00:01:11,802
- Naomi?
- Yeah?

24
00:01:12,260 --> 00:01:13,887
What's wrong with it?

25
00:01:14,012 --> 00:01:16,473
Well, the words are
completely jumbled.

26
00:01:17,432 --> 00:01:19,768
What, you can read that?

27
00:01:20,227 --> 00:01:21,853
Of course.

28
00:01:22,062 --> 00:01:24,481
- You okay?
- No. Oh, God.

29
00:01:24,606 --> 00:01:26,566
I could be having a...

30
00:01:27,109 --> 00:01:29,111
What's the mnemonic?

31
00:01:30,028 --> 00:01:32,948
"F" is for face.
ls my smile crooked?

32
00:01:34,116 --> 00:01:35,367
What are you doing?

33
00:01:35,492 --> 00:01:37,994
"A" is for arms.

34
00:01:38,120 --> 00:01:38,954
Arms.

35
00:01:39,079 --> 00:01:40,455
You should really sit down.

36
00:01:40,580 --> 00:01:41,915
Can someone
get her some water?

37
00:01:42,040 --> 00:01:43,625
"S" is speech.

38
00:01:43,750 --> 00:01:45,502
I'm slurring? I'm slurring?

39
00:01:49,297 --> 00:01:51,299
"F-A-S-T."

40
00:01:51,967 --> 00:01:53,552
"T" is for time.

41
00:01:53,677 --> 00:01:58,265
Hurry. Somebody, call 911.
Tell them I'm having a stroke.

42
00:02:40,432 --> 00:02:42,142
Hi. I'm Dr. House.

43
00:02:42,267 --> 00:02:44,144
My boss says you're important.

44
00:02:44,686 --> 00:02:46,062
Personally I don't get
what's so hard about

45
00:02:46,188 --> 00:02:48,106
making Scarlett Johansson
look pretty.

46
00:02:48,231 --> 00:02:49,816
Arms out in front of you.

47
00:02:49,941 --> 00:02:51,985
Palms up like
you're holding a pizza.

48
00:02:52,694 --> 00:02:53,904
Close your eyes.

49
00:02:55,113 --> 00:02:58,450
It's so easy you should
consider a career change.

50
00:02:58,575 --> 00:02:59,951
Probably make
a lot more money.

51
00:03:00,702 --> 00:03:02,913
Dr. Mackman tell you
the clot was clear?

52
00:03:03,038 --> 00:03:03,997
Yes.

53
00:03:04,122 --> 00:03:06,249
And he said that you
and the fetus are fine?

54
00:03:06,374 --> 00:03:07,501
Yeah.

55
00:03:07,793 --> 00:03:10,212
He didn't mention
your pronator drift?

56
00:03:10,837 --> 00:03:14,299
- What's that mean?
- Means Mackman is an idiot.

57
00:03:14,841 --> 00:03:16,301
- May I?
- Yeah.

58
00:03:16,885 --> 00:03:18,178
So,

59
00:03:19,137 --> 00:03:21,515
you take thousands
of photos of someone,

60
00:03:21,640 --> 00:03:23,975
but only one has to look good.

61
00:03:24,100 --> 00:03:25,185
Kind of the opposite
of my business.

62
00:03:25,310 --> 00:03:26,770
It's not about looking good.

63
00:03:26,895 --> 00:03:27,979
People are always
hiding things.

64
00:03:28,104 --> 00:03:31,399
I just keep shooting until I can see
what's really inside them.

65
00:03:32,317 --> 00:03:34,778
- My eyes okay?
- Eyes are gorgeous.

66
00:03:34,903 --> 00:03:36,780
The vessels don't look so hot.

67
00:03:36,988 --> 00:03:39,741
Microaneurysms predict
further strokes.

68
00:03:39,866 --> 00:03:40,700
This is gonna happen again?

69
00:03:40,909 --> 00:03:43,537
Unless I can figure out
the underlying cause.

70
00:03:43,662 --> 00:03:45,330
Puff up your cheeks.

71
00:03:47,165 --> 00:03:50,502
You should be able to keep the air in.
Means there's weakness around the mouth.

72
00:03:50,627 --> 00:03:52,379
So where'd you learn
to self-diagnose a stroke?

73
00:03:52,504 --> 00:03:56,883
Oh, my baby's biological
father is a neurologist.

74
00:03:57,175 --> 00:04:00,637
He once told me the FAST mnemonic
could save my life one day. So...

75
00:04:00,929 --> 00:04:02,597
Interesting pet name.

76
00:04:02,931 --> 00:04:05,517
Most people go with
"husband" or "pookie."

77
00:04:05,934 --> 00:04:07,644
He's gay.

78
00:04:07,769 --> 00:04:09,479
Just a sperm donor.
So when you...

79
00:04:09,604 --> 00:04:11,231
You turned him
for a night?

80
00:04:11,356 --> 00:04:13,024
Just straight for one date?

81
00:04:13,775 --> 00:04:14,943
Okay-

82
00:04:15,318 --> 00:04:18,947
He took a magazine and a cup
into my bathroom.

83
00:04:19,072 --> 00:04:20,866
A man after my own heart.

84
00:04:20,991 --> 00:04:22,826
Different magazine obviously.

85
00:04:23,034 --> 00:04:25,996
I'm rescinding Mackman's
discharge order.

86
00:04:26,121 --> 00:04:27,998
My lackeys will be in
to do some tests,

87
00:04:28,123 --> 00:04:31,001
take some more blood
and empty your catheter bag.

88
00:04:36,506 --> 00:04:39,759
Not a moment you'll
want to cherish.

89
00:04:41,928 --> 00:04:44,890
This is definitely different.

90
00:04:45,015 --> 00:04:47,183
It looks almost like...

91
00:04:47,392 --> 00:04:49,060
He's caring.

92
00:04:55,025 --> 00:04:58,486
Find anything else in the patient's
folder? Like a diagnosis?

93
00:04:58,612 --> 00:05:02,073
Urinalysis revealed excessive protein
and red blood cells.

94
00:05:02,198 --> 00:05:04,826
Chem panel showed
a creatinine level over 2.5.

95
00:05:04,951 --> 00:05:08,371
So first she strokes,
now her kidneys are shutting down. Why?

96
00:05:08,496 --> 00:05:10,248
Ultrasound showed
no tumors or stones.

97
00:05:10,373 --> 00:05:13,001
No signs of fetal distress.
No urinary tract obstructions.

98
00:05:13,126 --> 00:05:14,961
BP is fine. No pre-eclampsia.

99
00:05:15,086 --> 00:05:17,255
Any of you guys
ever been to the Galépagos?

100
00:05:17,380 --> 00:05:18,715
Was our patient there?

101
00:05:18,840 --> 00:05:20,842
Dengue fever, avian pox,
even West Nile.

102
00:05:20,967 --> 00:05:22,052
No.

103
00:05:22,177 --> 00:05:23,720
I'm looking for
a vacation spot.

104
00:05:23,845 --> 00:05:25,055
That mean we get vacation?

105
00:05:25,180 --> 00:05:27,641
How would that differ
from your current status?

106
00:05:27,766 --> 00:05:29,100
You're gonna do what? Relax?

107
00:05:29,225 --> 00:05:30,226
Visiting family.

108
00:05:30,352 --> 00:05:31,770
My uncle's a giant turtle.

109
00:05:31,895 --> 00:05:33,647
What if the kidney failure
came first?

110
00:05:33,772 --> 00:05:36,149
Kidneys could've caused the stroke,
not the other way around.

111
00:05:36,274 --> 00:05:38,276
Kidneys don't often
get stuck in the brain.

112
00:05:38,401 --> 00:05:39,778
I'm saying it threw a clot.

113
00:05:39,903 --> 00:05:42,656
Early symptoms of kidney failure are
nausea, vomiting, ankle swelling.

114
00:05:42,781 --> 00:05:44,491
She would've mistaken it
for morning sickness.

115
00:05:44,616 --> 00:05:46,743
Heart's way more likely
to throw a clot than a kidney.

116
00:05:46,868 --> 00:05:49,996
Echo was normal. The history indicates
no sign of cardiac problems.

117
00:05:50,121 --> 00:05:52,290
No, but if one were to read
the history closely,

118
00:05:52,415 --> 00:05:54,709
one would notice that she had six cases
of strep.

119
00:05:54,834 --> 00:05:57,629
In her throat. That's the one about
10 inches above her heart.

120
00:05:57,754 --> 00:06:00,507
Let me rephrase,
six cases of untreated strep.

121
00:06:00,632 --> 00:06:01,925
She was
prescribed antibiotics.

122
00:06:02,050 --> 00:06:03,093
No one takes them all.

123
00:06:03,385 --> 00:06:06,554
They stop when they start feeling
better. All strep is untreated strep.

124
00:06:06,680 --> 00:06:07,973
What happens when
strep goes untreated?

125
00:06:08,306 --> 00:06:09,432
Leads to rheumatic fever.

126
00:06:09,683 --> 00:06:10,725
Which leads to... Cameron?

127
00:06:10,934 --> 00:06:12,102
Mitral valve stenosis.

128
00:06:12,227 --> 00:06:15,188
Which is a thickening
in the valve of the... Kidney?

129
00:06:15,313 --> 00:06:16,398
No.

130
00:06:16,523 --> 00:06:17,983
The kidney doesn't have
a mitral valve.

131
00:06:18,108 --> 00:06:20,193
We'll go look at her heart.

132
00:06:21,861 --> 00:06:23,196
Be easy to find.

133
00:06:23,530 --> 00:06:27,200
It's the big red pumping thing
about 10 inches below her throat.

134
00:06:27,784 --> 00:06:29,244
That was weird.

135
00:06:29,869 --> 00:06:32,914
- He was the way he always is.
- Which is weird.

136
00:06:34,207 --> 00:06:36,167
- Very still, Emma.
- Sorry.

137
00:06:36,292 --> 00:06:37,335
No problem.

138
00:06:37,669 --> 00:06:40,672
He caught us with your hand up my shirt.
He's gotta have a reaction to that.

139
00:06:40,797 --> 00:06:42,090
You think that's what
the vacation is?

140
00:06:42,215 --> 00:06:43,216
Yes.

141
00:06:43,341 --> 00:06:46,886
The pain of losing you
is obviously forcing him away.

142
00:06:47,012 --> 00:06:48,221
Coronal slice appears normal.

143
00:06:48,346 --> 00:06:50,515
There's no way House
just lets this slide.

144
00:06:50,640 --> 00:06:51,891
He's gotta be
planning something.

145
00:06:52,017 --> 00:06:54,102
Maybe he just
doesn't give a crap.

146
00:06:54,227 --> 00:06:55,520
Sagittal slice is clean.

147
00:06:55,645 --> 00:06:57,105
You think he just
stumbled into that closet?

148
00:06:57,230 --> 00:06:59,482
He knew we were there
and he wanted us to know that he knew.

149
00:06:59,607 --> 00:07:01,234
Or you wanted him to know.

150
00:07:01,359 --> 00:07:04,487
Now he does and you're annoyed
because he doesn't care.

151
00:07:04,779 --> 00:07:05,655
Right there.

152
00:07:05,989 --> 00:07:08,533
Trans-axial slice.
Calcified mitral valve.

153
00:07:08,658 --> 00:07:10,827
Barely. That's not big enough
to throw a clot.

154
00:07:10,952 --> 00:07:13,288
Obviously it is,
because it did.

155
00:07:13,413 --> 00:07:14,831
House was right.

156
00:07:15,623 --> 00:07:17,959
A valve in your heart
is narrowed.

157
00:07:18,084 --> 00:07:20,754
It caused the clot
which lead to your stroke,

158
00:07:20,879 --> 00:07:24,549
and the reduced circulation
caused the problem with your kidneys.

159
00:07:24,966 --> 00:07:26,176
And this will fix it?

160
00:07:26,301 --> 00:07:29,679
The balloon will force the valve back
open and you'll be fine.

161
00:07:29,804 --> 00:07:31,264
EMMA: Can we do this
without a sedative?

162
00:07:31,389 --> 00:07:34,309
It's very mild. There really is no risk
to the fetus.

163
00:07:34,434 --> 00:07:36,644
We'll monitor your baby's
heart rate separately.

164
00:07:37,062 --> 00:07:40,482
We won't allow it to
decrease anywhere near dangerous levels.

165
00:07:43,735 --> 00:07:44,652
Thank you.

166
00:07:44,778 --> 00:07:45,862
You're both gonna be fine.

167
00:07:48,782 --> 00:07:50,158
Go ahead, Dr. Cameron.

168
00:07:52,035 --> 00:07:55,205
Listen to that heartbeat.
it sounds so...

169
00:07:56,664 --> 00:07:58,792
Start threading the catheter.

170
00:08:05,799 --> 00:08:10,762
No, I don't want a layover in Frankfurt,
Taipei, Singapore or London, Ontario.

171
00:08:10,887 --> 00:08:12,931
That's why I asked
for a direct flight to Phnom Penh.

172
00:08:13,431 --> 00:08:16,601
How hard is it to not land?
Does it matter what I answer?

173
00:08:16,976 --> 00:08:19,229
Well, then fine.
I'd be delighted to hold.

174
00:08:19,354 --> 00:08:21,397
- What's new?
- Can Cuddy stop interfering?

175
00:08:21,523 --> 00:08:22,774
It's her job. What's new?

176
00:08:22,899 --> 00:08:24,150
Good news is
Emma's heart is fixed.

177
00:08:24,275 --> 00:08:27,654
Bad news is it's not her underlying
problem. Her kidneys are still failing.

178
00:08:27,779 --> 00:08:29,697
You're vacationing
in Cambodia?

179
00:08:29,823 --> 00:08:30,949
You gonna unwind in the Killing
Fields?

180
00:08:31,074 --> 00:08:31,908
Nope.

181
00:08:32,033 --> 00:08:33,701
Gonna catch me
a fish this big.

182
00:08:33,827 --> 00:08:36,204
Mekong giant catfish.
Weighs over 600 pounds.

183
00:08:36,329 --> 00:08:37,705
Aren't those catfish
critically endangered?

184
00:08:37,831 --> 00:08:39,666
That's why it's my last chance
to catch one.

185
00:08:39,791 --> 00:08:41,126
<i>All of our operators
are currently...</i>

186
00:08:41,334 --> 00:08:42,794
If the mitral valve had been properly
fixed

187
00:08:42,919 --> 00:08:44,087
the kidney should be getting better,

188
00:08:44,212 --> 00:08:46,673
which leads us to the conclusion that
you screwed up the procedure.

189
00:08:46,798 --> 00:08:48,216
Or you screwed up
the diagnosis.

190
00:08:48,341 --> 00:08:49,926
The mitral valve thickening
was so insignificant

191
00:08:50,051 --> 00:08:52,178
it probably wasn't the cause
of the kidneys or the stroke.

192
00:08:52,303 --> 00:08:53,555
Probably never would've
been a problem.

193
00:08:53,680 --> 00:08:55,932
She needs dialysis
and we need a new theory.

194
00:08:56,307 --> 00:08:58,059
CHASE: There are only
a few possibilities.

195
00:08:58,184 --> 00:09:00,353
Patient's pregnant,
could be pre-eclampsia.

196
00:09:00,478 --> 00:09:01,855
We eliminated it
before because...

197
00:09:01,980 --> 00:09:04,190
Re-check for proteinuria
and low platelets. What else?

198
00:09:04,315 --> 00:09:05,400
Hypoperfusion.

199
00:09:05,525 --> 00:09:08,736
The fetus is basically a parasite
stealing nutrients, minerals, blood.

200
00:09:08,862 --> 00:09:09,946
Put her on telemetry.

201
00:09:10,071 --> 00:09:11,406
Or the pregnancy
is irrelevant.

202
00:09:11,531 --> 00:09:14,159
Could be infection,
sepsis, HUSITTP.

203
00:09:14,284 --> 00:09:16,244
CHASE: A cholesterol embolism
is just as likely.

204
00:09:16,369 --> 00:09:19,831
Tiny particles of cholesterol rain down,
clog up small vessels of the kidneys.

205
00:09:19,956 --> 00:09:21,916
Get a smear and ultrasound
her vessels for plaque.

206
00:09:22,041 --> 00:09:23,835
That's it.
Has to be one of those five.

207
00:09:23,960 --> 00:09:27,964
You know what would be even better? If
we'd narrow it all the way down to one.

208
00:09:28,923 --> 00:09:30,925
<i>Thank you for holding.</i>

209
00:09:31,050 --> 00:09:33,511
<i>We are experiencing
extremely high call volume.</i>

210
00:09:33,636 --> 00:09:35,763
<i>Thank you for your patience.</i>

211
00:09:41,144 --> 00:09:42,729
She's 0 for five.

212
00:09:44,939 --> 00:09:48,234
Either the differential
was wrong or she's faking it.

213
00:09:48,359 --> 00:09:50,570
Kidney failure has to be
precipitated by...

214
00:09:50,695 --> 00:09:51,988
One of the five
we've already ruled out.

215
00:09:52,113 --> 00:09:54,741
The body only has so many ways
of screwing with the kidneys.

216
00:09:54,866 --> 00:09:56,326
- The labs must be wrong.
- We did the labs.

217
00:09:56,451 --> 00:09:57,952
No one else had access.

218
00:09:58,077 --> 00:09:59,704
That's not quite true.

219
00:10:06,377 --> 00:10:10,590
You put all your patients through this
many tests or just the important ones?

220
00:10:11,883 --> 00:10:15,094
We wanted to explore
all possibilities.

221
00:10:17,764 --> 00:10:18,765
And?

222
00:10:19,390 --> 00:10:21,809
We've eliminated
all the possibilities.

223
00:10:21,935 --> 00:10:23,811
You telling me I'm dying
and you have no idea why?

224
00:10:24,020 --> 00:10:26,022
Your body is
functioning properly.

225
00:10:26,147 --> 00:10:27,607
So why are my kidneys failing?

226
00:10:29,776 --> 00:10:31,486
The other body isn't.

227
00:10:32,779 --> 00:10:35,406
There's something wrong
with the fetus.

228
00:10:44,749 --> 00:10:48,503
Welcome to the world
of maternal mirror syndrome.

229
00:10:49,921 --> 00:10:51,547
Mom's body is like

230
00:10:52,507 --> 00:10:54,842
an intricate
German metro system.

231
00:10:54,968 --> 00:10:56,469
All the trains run on time.

232
00:10:56,844 --> 00:11:00,974
When she gets pregnant, it's like a new
station opening in Dusseldorf.

233
00:11:01,099 --> 00:11:03,935
Bunch or rookies running things.
Bound to be mistakes.

234
00:11:04,060 --> 00:11:06,104
Kids play on the tracks,
get electrocuted.

235
00:11:06,229 --> 00:11:08,731
Before you know it, the trains are
backed up all the way to Berlin

236
00:11:08,856 --> 00:11:10,942
and you've got a bunch of angry Germans
with nowhere to go.

237
00:11:11,067 --> 00:11:12,860
And we all know
that ain't good for the Jews.

238
00:11:12,986 --> 00:11:14,028
Who are the Jews
in this metaphor?

239
00:11:14,153 --> 00:11:16,072
A few things can happen
to a fetus in distress.

240
00:11:16,197 --> 00:11:18,491
It can become a miscarriage,
stillbirth,

241
00:11:18,616 --> 00:11:21,911
a very sick baby
or on rare occasion a time bomb

242
00:11:22,161 --> 00:11:23,997
that kills mom
while it's dying.

243
00:11:24,122 --> 00:11:27,166
Good news is,
we fix the fetus, mom gets better.

244
00:11:27,292 --> 00:11:29,377
It's the diagnostic equivalent
of a two-for-one sale.

245
00:11:29,502 --> 00:11:32,588
I have read the outcome of mirror
syndrome is almost always unfavorable.

246
00:11:32,922 --> 00:11:35,717
"Unfavorable."
Is that doctor speak for "dead baby"?

247
00:11:36,092 --> 00:11:38,511
You think she'll be less upset
if you phrase it nicely?

248
00:11:38,636 --> 00:11:40,722
We can tell her the truth,
that she'll be fine

249
00:11:40,972 --> 00:11:44,392
as soon as we diagnose
a person who weighs about one pound.

250
00:11:44,767 --> 00:11:48,021
Can't touch it,
can't ask where it hurts, can't see it.

251
00:11:48,271 --> 00:11:52,150
If only there existed giant machines
that could look through human skin.

252
00:11:52,275 --> 00:11:54,652
Mirror syndrome
has a limited number of known causes.

253
00:11:55,069 --> 00:11:57,864
Tachyarrhythmia, fetal anemia,
placental chorioangioma.

254
00:11:57,989 --> 00:11:59,949
All of which are fixable.

255
00:12:00,074 --> 00:12:01,993
Which would be
un-unfavorable, right?

256
00:12:02,118 --> 00:12:03,870
Could also be trisomy 13.

257
00:12:03,995 --> 00:12:06,706
Ebstein's anomaly,
an aneurysm of Galen's vein.

258
00:12:06,831 --> 00:12:10,335
And Dr. Storm Cloud
rained all over the differential

259
00:12:10,460 --> 00:12:12,211
and killed
the beautiful little baby.

260
00:12:12,337 --> 00:12:15,548
Heart's easiest to see,
easiest to fix. So let's start there.

261
00:12:15,673 --> 00:12:18,051
When you did Mom's MRI,
did you get a look at the fetus's heart?

262
00:12:18,176 --> 00:12:21,637
It was in the range but blurry. The
fetus was moving all over the place.

263
00:12:21,763 --> 00:12:23,473
- So we need another scan.
- Yeah.

264
00:12:23,598 --> 00:12:26,142
We'll just ask the fetus
to lie very, very still.

265
00:12:26,267 --> 00:12:29,187
No need. I'm going to
paralyze it.

266
00:12:31,230 --> 00:12:34,108
You wanna paralyze
Emma Sloan's baby?

267
00:12:34,650 --> 00:12:36,194
Let me guess. Cameron?

268
00:12:36,319 --> 00:12:38,363
Cameron and Chase
both had their concerns.

269
00:12:38,488 --> 00:12:40,031
No, Cameron had concerns.

270
00:12:40,156 --> 00:12:41,199
Chase just agreed with her

271
00:12:41,324 --> 00:12:44,285
because he didn't want to lose
his all-access pass to her love rug.

272
00:12:44,410 --> 00:12:45,703
They're sleeping together?

273
00:12:45,828 --> 00:12:49,123
If by "sleeping together" you mean
having sex in the janitor's closet.

274
00:12:49,248 --> 00:12:50,124
Here?

275
00:12:50,375 --> 00:12:52,919
No, the janitor's closet
at the local high school.

276
00:12:53,044 --> 00:12:54,754
Go, Tiger Cats!

277
00:12:55,171 --> 00:12:57,799
Do you have one of those camera phones?
'Cause I got a MySpace account.

278
00:12:57,924 --> 00:13:00,009
I will deal with them
after I deal with you.

279
00:13:00,134 --> 00:13:01,636
Oh, come on.
Let's gossip some more.

280
00:13:01,761 --> 00:13:03,388
I'm sure she's into bondage.

281
00:13:03,513 --> 00:13:05,932
Paralyzing a one-pound baby
risks damaging...

282
00:13:06,057 --> 00:13:09,310
Not paralyzing the thing risks not
getting a clean MRI of its heart,

283
00:13:09,435 --> 00:13:13,356
which we need to save its life, which we
need to do to save Emma's life.

284
00:13:14,273 --> 00:13:15,441
You're gonna need to
get her consent.

285
00:13:15,650 --> 00:13:17,235
Well, that shouldn't be
too hard.

286
00:13:17,360 --> 00:13:19,362
"Sign here or you
and your baby both die."

287
00:13:21,114 --> 00:13:22,740
I'm going with you.

288
00:13:24,283 --> 00:13:26,119
Oh, good.

289
00:13:26,744 --> 00:13:29,747
You said sedation was risky.
This sounds insane.

290
00:13:29,872 --> 00:13:32,792
The injection goes into
the umbilical cord.

291
00:13:32,917 --> 00:13:34,085
The baby won't feel a thing.

292
00:13:34,836 --> 00:13:35,962
Fetus.

293
00:13:36,838 --> 00:13:40,758
I'm lowering expectations.
it works here and on dates.

294
00:13:40,883 --> 00:13:42,385
The benefits outweigh
the risks

295
00:13:42,510 --> 00:13:45,221
and the paralytic will
wear off in an hour, okay?

296
00:13:46,013 --> 00:13:49,517
Must be easier to hear
you might die than your baby might die.

297
00:13:49,934 --> 00:13:52,937
But if there's anyone
I would trust to save my baby,

298
00:13:53,896 --> 00:13:55,648
it would be Dr. House.

299
00:13:59,819 --> 00:14:01,320
Fetus.

300
00:14:03,197 --> 00:14:04,323
Hold this.

301
00:14:32,560 --> 00:14:34,604
Dr. Cameron.
The MRI results back?

302
00:14:34,729 --> 00:14:36,105
The fetus's heart
is structurally sound.

303
00:14:36,230 --> 00:14:38,399
The problem's with the bladder.
It's four times normal size.

304
00:14:38,524 --> 00:14:39,484
Let me see.

305
00:14:39,609 --> 00:14:41,527
The bladder's so engorged
it's taking up the whole torso,

306
00:14:41,652 --> 00:14:42,945
squeezing
all the other organs.

307
00:14:43,070 --> 00:14:44,280
There's no room
for the lungs to develop.

308
00:14:44,655 --> 00:14:46,449
The baby has a lower
urinary tract obstruction.

309
00:14:46,574 --> 00:14:47,950
We can fix that
by inserting a shunt.

310
00:14:48,242 --> 00:14:49,410
I'll give Emma the news.

311
00:14:49,535 --> 00:14:51,287
Are you taking over the case?

312
00:14:51,412 --> 00:14:53,414
House won't care.
He has his diagnosis.

313
00:14:55,500 --> 00:14:57,126
Doctor Cameron.

314
00:14:58,669 --> 00:15:01,964
Dating Chase can only end
in one of two ways.

315
00:15:02,089 --> 00:15:03,090
House told you?

316
00:15:03,216 --> 00:15:05,593
You get married
and live happily ever after,

317
00:15:05,718 --> 00:15:08,429
or somebody gets hurt
and you two can't work together,

318
00:15:08,554 --> 00:15:09,931
and I have to fire somebody.

319
00:15:10,056 --> 00:15:12,016
I would hate to see my personal life
become such a burden to you.

320
00:15:12,141 --> 00:15:13,184
I'm telling you this
for your own good.

321
00:15:13,309 --> 00:15:15,228
I assume you're gonna have this same
conversation with Chase

322
00:15:15,353 --> 00:15:16,187
for his own good.

323
00:15:16,312 --> 00:15:18,814
Chase isn't the one
that's gonna get hurt here.

324
00:15:34,747 --> 00:15:37,750
There's only room for one
but I could scooch over.

325
00:15:37,875 --> 00:15:39,377
My social life
is my social life.

326
00:15:39,794 --> 00:15:41,128
Couldn't agree more.

327
00:15:41,254 --> 00:15:43,631
What goes on in the privacy of a
janitor's closet

328
00:15:43,756 --> 00:15:44,632
is nobody's business except...

329
00:15:44,757 --> 00:15:46,467
She told me to end it.
Is that what you want?

330
00:15:46,801 --> 00:15:48,344
I was actually hoping
she'd fire one of you.

331
00:15:48,636 --> 00:15:51,222
- What are you doing?
- Trying to avoid altitude sickness.

332
00:15:51,347 --> 00:15:52,932
Couldn't score a direct flight
to Cambodia,

333
00:15:53,057 --> 00:15:56,602
so I've decided to scale Argentina's
infamous Mount Aconcagua.

334
00:15:56,727 --> 00:15:58,563
Perfect, except for the fact
that you can't walk.

335
00:15:58,688 --> 00:16:01,899
There's a tribe of Mocovi Indians
who actually carry the elders up...

336
00:16:02,024 --> 00:16:02,900
You're insane.

337
00:16:03,359 --> 00:16:04,860
I'm an insane genius.

338
00:16:04,986 --> 00:16:07,363
I set the chamber to low pressure
instead of high.

339
00:16:07,488 --> 00:16:09,907
Thinner air builds up
the extra red blood cells,

340
00:16:10,032 --> 00:16:11,117
creates new capillaries.

341
00:16:11,242 --> 00:16:14,287
Few more days in here, I can save myself
six weeks at base camp.

342
00:16:14,704 --> 00:16:16,038
Where's my MRI?

343
00:16:18,833 --> 00:16:21,002
There's a blockage
in the urinary tract.

344
00:16:21,127 --> 00:16:23,087
Simple terms,
your baby can't pee.

345
00:16:23,212 --> 00:16:25,923
His bladder is swollen
and it's crushing his lungs.

346
00:16:26,048 --> 00:16:27,174
Can you fix it?

347
00:16:27,300 --> 00:16:29,802
We can insert a small tube
in the baby's bladder

348
00:16:29,927 --> 00:16:31,762
that makes the urine
come out straight through his belly

349
00:16:31,887 --> 00:16:33,764
for the duration
of the pregnancy.

350
00:16:33,889 --> 00:16:36,851
The bladder decompresses and the lungs
will be able to develop normally.

351
00:16:37,226 --> 00:16:40,104
When the baby gets better,
you should get better.

352
00:16:40,229 --> 00:16:42,106
First we just have to
do a test

353
00:16:42,231 --> 00:16:44,984
to determine whether the baby's kidneys
are functioning properly.

354
00:16:45,109 --> 00:16:46,902
And what if they're not?

355
00:16:47,028 --> 00:16:50,740
If they're already too damaged, then
there's really nothing we can do.

356
00:16:50,865 --> 00:16:54,035
If this doesn't work out,
you can always try again.

357
00:16:57,496 --> 00:17:00,124
I miscarried twice
when I was married.

358
00:17:00,916 --> 00:17:04,378
After the divorce, I tried in vitro like
four times before this.

359
00:17:05,212 --> 00:17:08,758
I'm 42. Maybe it's
just not meant to be.

360
00:17:16,807 --> 00:17:18,142
What are you doing?

361
00:17:18,768 --> 00:17:20,811
You're trying to be me,
so I thought I'd try to be you.

362
00:17:20,936 --> 00:17:22,271
You don't have
the cleavage for it.

363
00:17:22,396 --> 00:17:23,981
But I have a much tighter ass.

364
00:17:24,106 --> 00:17:27,443
Think every day should be
naked Thursday or is that an oxymoron?

365
00:17:29,570 --> 00:17:31,030
Let me see the results
from the bladder tap.

366
00:17:31,155 --> 00:17:32,823
They aren't back yet.

367
00:17:32,948 --> 00:17:34,367
They're gonna be inconclusive.

368
00:17:34,492 --> 00:17:36,035
You think my diagnosis
is wrong?

369
00:17:36,160 --> 00:17:38,788
Fetus doesn't pee,
amniotic fluid should be low.

370
00:17:38,913 --> 00:17:39,830
Mom's level is fine.

371
00:17:39,955 --> 00:17:41,082
Doesn't mean I'm wrong.

372
00:17:41,207 --> 00:17:42,958
Could just mean we caught
the obstruction early.

373
00:17:43,084 --> 00:17:44,752
Either way your test
will be inconclusive.

374
00:17:44,877 --> 00:17:45,961
The urine you've collected

375
00:17:46,087 --> 00:17:47,922
has been sitting in that fetus's bladder
for weeks.

376
00:17:48,047 --> 00:17:51,425
As my pappy always said,
"Stale pee is useless pee."

377
00:17:51,801 --> 00:17:53,219
Fine. I'll do another tap.

378
00:17:53,344 --> 00:17:54,428
Just as useless.

379
00:17:55,096 --> 00:17:57,848
Old urine drops down from the kidney
right after the first tap

380
00:17:57,973 --> 00:17:59,016
'cause it's so backed up.

381
00:17:59,141 --> 00:18:01,769
Bladder tap number three
will give you the freshest pee.

382
00:18:01,894 --> 00:18:04,563
That's when you'll find out if this
fetus has even a fighting chance.

383
00:18:04,689 --> 00:18:05,731
Thank you.

384
00:18:06,691 --> 00:18:07,858
I'll run two more taps.

385
00:18:07,983 --> 00:18:10,861
Since when does the Dean of Medicine
run bladder taps?

386
00:18:10,986 --> 00:18:12,071
She's an important patient.

387
00:18:12,530 --> 00:18:15,700
Because she takes pictures
or because she's you?

388
00:18:17,660 --> 00:18:19,829
Woman in her 40s, single,

389
00:18:20,913 --> 00:18:24,291
using a turkey baster
as a last gasp at motherhood.

390
00:18:25,209 --> 00:18:29,171
Maybe you want to make sure she succeeds
so you'll still have hope.

391
00:18:30,089 --> 00:18:32,925
You can't be a good doctor
if you're not objective.

392
00:18:33,426 --> 00:18:35,219
- It's your file.
- I don't want it.

393
00:18:35,469 --> 00:18:37,555
Then why did you just
say all that stuff?

394
00:18:37,680 --> 00:18:38,889
To humiliate you.

395
00:18:39,014 --> 00:18:41,350
- You're taking the case back.
- I don't want it.

396
00:18:41,475 --> 00:18:43,269
Your diagnosis is right.
I want to go on vacation.

397
00:18:43,561 --> 00:18:46,063
You can go on vacation
after you've cured her.

398
00:18:51,444 --> 00:18:52,486
CHASE: Good news.

399
00:18:52,820 --> 00:18:55,906
The fetus's urine had appropriate levels
of protein and electrolytes,

400
00:18:56,031 --> 00:18:57,908
so its kidneys aren't damaged.

401
00:18:59,577 --> 00:19:00,786
Oh, wow.

402
00:19:01,412 --> 00:19:02,872
We're gonna put the shunt in.

403
00:19:02,997 --> 00:19:04,749
Your baby's lungs
should have more room to grow

404
00:19:04,874 --> 00:19:07,334
and your symptoms
should go away.

405
00:19:08,169 --> 00:19:10,296
But he'll still need surgery,
after he's born?

406
00:19:10,421 --> 00:19:12,798
That's when we'll remove the blockage
in the ureter.

407
00:19:12,923 --> 00:19:14,508
You'll be the only mother on the planet

408
00:19:14,633 --> 00:19:16,594
who appreciates the value of a wet
diaper.

409
00:19:16,719 --> 00:19:18,262
Hey, could you hand me that?

410
00:19:18,387 --> 00:19:19,638
I'm keeping
a visual memory book

411
00:19:19,764 --> 00:19:23,142
of this entire surreal process and this
is the best part of the story so far.

412
00:19:23,434 --> 00:19:25,144
- Yeah. Sure.
- Thanks.

413
00:19:26,812 --> 00:19:28,481
When'd you take this?

414
00:19:28,856 --> 00:19:30,274
She did the
second bladder tap.

415
00:19:31,525 --> 00:19:32,359
You should keep it.

416
00:19:32,693 --> 00:19:35,321
Oh, I see her all day at work.
I don't need it.

417
00:19:36,614 --> 00:19:38,699
Maybe you want to see her
after work.

418
00:19:39,825 --> 00:19:41,327
I'm right, right?

419
00:19:43,078 --> 00:19:45,080
I saw the way you look at her.

420
00:19:54,256 --> 00:19:55,257
Thanks.

421
00:20:05,893 --> 00:20:08,062
The shunt is
in the right position.

422
00:20:08,187 --> 00:20:09,980
Bladder is starting
to decompress.

423
00:20:10,439 --> 00:20:11,607
No infection.

424
00:20:13,943 --> 00:20:16,320
Did House say anything else?
About us?

425
00:20:16,445 --> 00:20:19,990
I thought you didn't care about his
reaction. Trying to make him jealous?

426
00:20:20,407 --> 00:20:21,700
I like my job.

427
00:20:21,826 --> 00:20:23,786
He can't fire you
just because we're together.

428
00:20:23,911 --> 00:20:26,789
We're not "together,"
and House can do whatever he wants.

429
00:20:30,709 --> 00:20:32,837
- How's my baby?
- Doing just fine, Emma.

430
00:20:32,962 --> 00:20:34,839
- So are you.
- My stomach's killing me.

431
00:20:35,965 --> 00:20:37,842
That's not her stomach.

432
00:20:38,259 --> 00:20:41,470
Can you open your eyes, Emma?
I just need to take a look.

433
00:20:45,057 --> 00:20:46,559
What is it?

434
00:20:48,644 --> 00:20:50,771
Emma's jaundiced.
Her liver's shutting down.

435
00:20:53,065 --> 00:20:55,860
Figures. Just booked my trip
to Johnston Strait.

436
00:20:55,985 --> 00:20:58,988
I thought you were climbing
Mount Whatever in Argentina.

437
00:20:59,113 --> 00:21:01,949
Apparently I'd have to live
with the Mocovi Indians for 20 years

438
00:21:02,074 --> 00:21:03,868
before they'd consider me
an elder.

439
00:21:03,993 --> 00:21:07,288
Decided to go kayaking
with orca instead. No legs required.

440
00:21:07,413 --> 00:21:10,666
Can't leave yet. Liver failure puts her
case back into the unsolved pile.

441
00:21:10,791 --> 00:21:14,003
Increased AST, ALT and her bilirubin's
off the charts.

442
00:21:15,337 --> 00:21:16,964
Even fetuses lie.

443
00:21:19,508 --> 00:21:23,762
We diagnosed a lower urinary tract
obstruction because we saw one.

444
00:21:24,889 --> 00:21:27,099
What if that's not
the whole story?

445
00:21:27,975 --> 00:21:31,020
What if the little bugger
is hiding something?

446
00:21:31,520 --> 00:21:34,023
The real reason
for the mirror syndrome.

447
00:21:34,982 --> 00:21:36,442
Have we looked under its bed?

448
00:21:36,567 --> 00:21:37,735
We checked its diary?

449
00:21:37,860 --> 00:21:39,403
If it's not GU,
could be the heart.

450
00:21:39,528 --> 00:21:40,613
Hypoplastic
left heart syndrome.

451
00:21:40,821 --> 00:21:42,364
- There were no structural problems.
- The lungs.

452
00:21:42,489 --> 00:21:44,241
We won't be able to
get a good look until they develop.

453
00:21:44,366 --> 00:21:46,327
- It'll be weeks...
- She's not gonna last weeks.

454
00:21:46,452 --> 00:21:47,745
What do you want to do?

455
00:21:47,870 --> 00:21:50,915
Maternal mirror syndrome
has one sure fire cure.

456
00:21:51,707 --> 00:21:52,833
Deliver the fetus.

457
00:21:52,958 --> 00:21:55,127
That's not viable at 21 weeks.
You'll kill the baby.

458
00:21:55,252 --> 00:21:57,504
- Fetus.
- Semantics make you feel better?

459
00:21:57,630 --> 00:21:58,631
Pretend it's not a person?

460
00:21:58,756 --> 00:22:00,799
Can it play catch? Can it eat?

461
00:22:00,925 --> 00:22:02,927
Can it take pretty pictures?

462
00:22:04,178 --> 00:22:06,013
Who wants to tell her?

463
00:22:13,520 --> 00:22:15,940
The swollen bladder
was not the only problem.

464
00:22:18,025 --> 00:22:20,861
We can't leave it inside you.
We have to terminate.

465
00:22:21,570 --> 00:22:22,821
Well, can't you deliver him?

466
00:22:22,947 --> 00:22:26,116
Put him on a respiratory machine
till you figure out what's wrong?

467
00:22:26,241 --> 00:22:28,494
We can. And it won't matter.

468
00:22:30,037 --> 00:22:33,499
The fetus is still at least
two weeks away from being viable.

469
00:22:33,791 --> 00:22:37,461
Well, I'll suffer through this
for two more weeks then.

470
00:22:40,005 --> 00:22:43,175
You're on dialysis for your kidneys.
Your kidneys can wait.

471
00:22:44,176 --> 00:22:46,679
They don't make dialysis
for your liver.

472
00:22:48,430 --> 00:22:50,891
You're not gonna make it
two more days.

473
00:22:57,856 --> 00:23:00,067
I'm not gonna let you
kill my baby.

474
00:23:00,734 --> 00:23:02,361
It's killing you.

475
00:23:03,821 --> 00:23:05,948
I'm not having an abortion.

476
00:23:06,615 --> 00:23:09,493
It's not a baby. It's a tumor.

477
00:23:14,748 --> 00:23:16,625
I understand
dying for a cause.

478
00:23:16,750 --> 00:23:19,003
Sacrificing your life
so your child might live.

479
00:23:19,128 --> 00:23:20,796
But that's not the choice here.

480
00:23:24,049 --> 00:23:26,969
Either it dies
or you both die.

481
00:23:27,553 --> 00:23:29,763
Or you fix him
and we both live.

482
00:23:29,888 --> 00:23:31,140
I can't fix it.

483
00:23:35,936 --> 00:23:37,938
I'm scheduling a D&C.

484
00:23:38,063 --> 00:23:39,023
I won't consent.

485
00:23:41,984 --> 00:23:44,987
So I guess you have two days
to figure it out.

486
00:23:55,122 --> 00:23:56,832
Her kidneys are
almost irreparable.

487
00:23:56,957 --> 00:23:59,960
She's developed severe DIC.
You have to force her to terminate.

488
00:24:00,085 --> 00:24:03,005
Did you give corticosteroids
to speed up the baby's lung development?

489
00:24:03,130 --> 00:24:06,717
No. I dropped an anvil on its chest
to prevent lung development.

490
00:24:07,259 --> 00:24:10,012
I'm trying to extinguish
the human race one fetus at a time.

491
00:24:10,137 --> 00:24:13,140
Give the lungs more time
to expand so you can see inside them.

492
00:24:13,265 --> 00:24:14,224
See if they're the problem.

493
00:24:14,349 --> 00:24:16,185
My real patient is dying.

494
00:24:16,310 --> 00:24:19,938
Very quickly. Like I wouldn't
advise her to buy any green bananas.

495
00:24:20,064 --> 00:24:21,982
The fetus is nothing more
than a parasite at this point.

496
00:24:22,107 --> 00:24:23,650
Removing it
is an instant cure.

497
00:24:23,776 --> 00:24:25,110
You're not gonna get Emma
to see it that way.

498
00:24:25,319 --> 00:24:26,445
She's probably already
named the baby,

499
00:24:26,570 --> 00:24:28,614
read him books,
had conversations with him.

500
00:24:28,739 --> 00:24:31,283
- See, you get it. She'll listen to you.
- No.

501
00:24:31,742 --> 00:24:33,660
If you let this woman
refuse to terminate,

502
00:24:33,786 --> 00:24:35,496
you're helping her commit suicide.

503
00:24:35,996 --> 00:24:38,290
As her doctor
my recommendation is against suicide.

504
00:24:38,415 --> 00:24:39,917
If the baby had a doctor,

505
00:24:40,042 --> 00:24:42,461
I think she would recommend exhausting
all possibilities

506
00:24:42,586 --> 00:24:44,922
- before taking its life.
- Then she'd be an idiot.

507
00:24:45,047 --> 00:24:46,882
Too bad she's your boss!

508
00:24:48,759 --> 00:24:50,552
What if our original
assumption is wrong?

509
00:24:50,677 --> 00:24:51,970
It isn't.

510
00:24:52,096 --> 00:24:53,722
If we assume
she doesn't have mirror syndrome,

511
00:24:53,847 --> 00:24:55,974
then terminating her pregnancy
isn't gonna help her liver at all.

512
00:24:56,266 --> 00:24:58,352
We eliminated
all other possibilities.

513
00:24:58,477 --> 00:25:00,479
The fetus is hydropic
and in distress.

514
00:25:00,979 --> 00:25:03,816
Emma's kidneys and liver
are failing. The diagnosis is solid.

515
00:25:04,066 --> 00:25:06,902
Wow! The ass-kisser
won't agree with you.

516
00:25:07,027 --> 00:25:08,487
You must be even wronger
than I thought.

517
00:25:09,363 --> 00:25:10,197
Fine.

518
00:25:11,031 --> 00:25:12,866
Let's assume she had
mirror syndrome

519
00:25:12,991 --> 00:25:15,953
but we fixed it when we fixed
the baby's bladder.

520
00:25:16,078 --> 00:25:19,832
That means that her failing liver
would be completely unrelated.

521
00:25:20,082 --> 00:25:23,418
If it is, we can fix it and
we don't have to terminate.

522
00:25:23,544 --> 00:25:26,505
So her theory is
that our patient's liver problems

523
00:25:26,630 --> 00:25:28,423
were just a giant coincidence.

524
00:25:28,924 --> 00:25:30,050
It's not a surprising
coincidence.

525
00:25:30,175 --> 00:25:32,344
Pregnant women
can develop liver problems.

526
00:25:32,469 --> 00:25:36,223
If this is the case,
we can actually do something here.

527
00:25:36,890 --> 00:25:39,101
Don't you guys
think that's worth exploring?

528
00:25:39,226 --> 00:25:42,104
Acute fatty liver of pregnancy
would have the same symptoms.

529
00:25:42,229 --> 00:25:44,731
- Thank you.
- Brownnoser.

530
00:25:45,774 --> 00:25:48,902
- Viral hepatitis, HELLP syndrome.
- Oh, look.

531
00:25:49,444 --> 00:25:52,948
Sticking up for your girlfriend.
Who says chivalry's dead?

532
00:25:54,158 --> 00:25:55,951
He's not joking?

533
00:25:57,119 --> 00:25:59,037
Be patient. She's going
through all of us.

534
00:25:59,163 --> 00:26:01,874
She'll get
that jungle fever eventually.

535
00:26:01,999 --> 00:26:05,127
- I'm not going through anyone.
- You love him?

536
00:26:05,252 --> 00:26:08,005
This can probably wait until after you
biopsy Emma's liver, right?

537
00:26:08,130 --> 00:26:10,007
We can't.
Her platelets are too low.

538
00:26:10,132 --> 00:26:13,886
Once we pierce her liver, it'll be next
to impossible to stop the bleeding.

539
00:26:14,011 --> 00:26:15,262
Come in from above.

540
00:26:16,722 --> 00:26:18,390
Instead of going straight in
through her abdomen,

541
00:26:18,515 --> 00:26:19,975
go in through the veins
in her neck.

542
00:26:20,100 --> 00:26:22,936
Transjugular hepatic biopsy.

543
00:26:23,061 --> 00:26:26,857
If the liver starts to bleed, it'll
bleed right back into her own veins.

544
00:26:37,075 --> 00:26:39,453
Why don't you start
your vacation now?

545
00:26:46,335 --> 00:26:48,962
Threading the guide wire
through the right internal jugular vein.

546
00:26:49,087 --> 00:26:51,798
So, the sleep lab...

547
00:26:52,424 --> 00:26:54,426
You and Cameron not sleeping.

548
00:26:55,093 --> 00:26:57,179
How serious is it?

549
00:26:57,304 --> 00:26:58,138
It's nothing.

550
00:26:58,722 --> 00:27:00,474
She's only doing it
to make House jealous.

551
00:27:00,807 --> 00:27:02,935
- Then why are you doing it?
- You kidding?

552
00:27:03,060 --> 00:27:05,979
You're approaching the inferior
vena cava. Slow down.

553
00:27:07,648 --> 00:27:09,024
You better not hurt her.

554
00:27:09,900 --> 00:27:12,361
- She already has a big brother.
- She does?

555
00:27:12,486 --> 00:27:14,404
You obviously care
very deeply about her.

556
00:27:14,529 --> 00:27:17,115
I'm not protecting her.
I'm protecting myself.

557
00:27:17,574 --> 00:27:19,785
A heartbroken,
lovesick Cameron

558
00:27:19,910 --> 00:27:22,871
would be even more unbearable
than she is now.

559
00:27:23,330 --> 00:27:24,831
You're through
the hepatic vein.

560
00:27:24,957 --> 00:27:26,541
(MACHINE BEEPING)
I'm firing the needle.

561
00:27:27,626 --> 00:27:30,254
Heart rate and BP spiking.
Get that out of her.

562
00:27:30,462 --> 00:27:32,965
Fetus's heart rate
just dropped to 50.

563
00:27:34,633 --> 00:27:36,885
- We've got contractions.
- Pro-term labor.

564
00:27:37,010 --> 00:27:39,054
Start a terbutaline drip!

565
00:27:47,896 --> 00:27:50,816
We were able to control
the pre-term labor with tocolytics.

566
00:27:50,941 --> 00:27:52,818
The contractions
have subsided for now.

567
00:27:52,943 --> 00:27:55,862
And the liver biopsy was negative.
This is definitely mirror syndrome.

568
00:27:55,988 --> 00:27:56,947
Her baby's doing this to her.

569
00:27:57,072 --> 00:27:57,906
We're out of options.

570
00:27:58,198 --> 00:28:00,617
Did the biopsy cause the pre-term labor
or did it happen on its own?

571
00:28:00,909 --> 00:28:01,743
It doesn't make a difference.

572
00:28:01,868 --> 00:28:03,370
Pre-tenn labor
can be a new symptom.

573
00:28:03,495 --> 00:28:06,039
New information gives us
new theories. Isn't that how it works?

574
00:28:06,164 --> 00:28:07,165
Not in this case.

575
00:28:07,291 --> 00:28:10,711
Her body's trying to do what you refuse
to, get the baby out and save itself.

576
00:28:11,044 --> 00:28:13,338
Patient's transaminases
are 10 times normal.

577
00:28:13,463 --> 00:28:15,257
Her liver is on the verge
of shutting down completely.

578
00:28:15,382 --> 00:28:16,508
A torch test could...

579
00:28:16,633 --> 00:28:18,385
We don't have time
for more tests.

580
00:28:18,510 --> 00:28:20,679
We have to terminate
or she'll die.

581
00:28:22,055 --> 00:28:23,849
Then let's work faster.

582
00:28:24,057 --> 00:28:26,935
Medicine doesn't work faster
just because you hope real hard.

583
00:28:27,060 --> 00:28:28,603
But it could help to see
what the baby's been hiding.

584
00:28:29,229 --> 00:28:32,190
The only organ we haven't been able
to look inside is its lungs.

585
00:28:32,316 --> 00:28:33,400
The problem must be in there.

586
00:28:33,525 --> 00:28:36,194
We haven't been able to see inside
because they're underdeveloped.

587
00:28:36,445 --> 00:28:38,238
We've already got her on
corticosteroids,

588
00:28:38,363 --> 00:28:39,364
but it'll
take weeks for them...

589
00:28:39,573 --> 00:28:42,534
Then let's drown them
in corticosteroids, multiple courses.

590
00:28:42,659 --> 00:28:43,535
Speed up their development.

591
00:28:43,660 --> 00:28:46,538
Giving the baby more than one course
will suppress adrenal gland function.

592
00:28:46,663 --> 00:28:49,708
Have long-term adverse effects
on fetal organ development.

593
00:28:49,833 --> 00:28:51,710
- Worse than death?
- Emma's already on tocolytics.

594
00:28:51,835 --> 00:28:53,920
The combination could put her
into pulmonary edema.

595
00:28:54,046 --> 00:28:55,172
You'll just kill her faster.

596
00:28:55,297 --> 00:28:57,799
It's the only chance we have
to see inside those lungs.

597
00:28:57,924 --> 00:29:01,678
We're just gonna have to make the baby
better faster than we make Emma worse.

598
00:29:02,471 --> 00:29:04,681
Come on! This is the kind
of thing House does every day.

599
00:29:04,890 --> 00:29:07,517
House thought we should
terminate six hours ago.

600
00:29:10,896 --> 00:29:12,147
I'll do it myself.

601
00:29:18,445 --> 00:29:19,363
Anybody gonna stop her?

602
00:29:19,696 --> 00:29:21,114
Stopping the madness
is her job.

603
00:29:21,239 --> 00:29:23,784
Somebody's got to be
(Buddy's Cuddy.

604
00:29:32,793 --> 00:29:33,627
Nurse!

605
00:29:39,716 --> 00:29:42,511
- Pulmonary edema?
- Who tattled? it doesn't matter.

606
00:29:42,761 --> 00:29:45,639
There's a reason we don't give
multiple courses of corticosteroids.

607
00:29:45,764 --> 00:29:47,099
Gee, thanks.

608
00:29:47,224 --> 00:29:48,517
It's time to terminate.

609
00:29:48,975 --> 00:29:49,810
That's not what she wants.

610
00:29:50,018 --> 00:29:51,019
Look at her.

611
00:29:51,395 --> 00:29:55,774
She didn't want to be an incubator for a
dead baby, but that's what you've done.

612
00:29:55,899 --> 00:29:58,568
Either get me a laryngoscope
or get out!

613
00:30:42,571 --> 00:30:44,072
You were right.

614
00:30:44,197 --> 00:30:45,866
You were all right.

615
00:30:45,991 --> 00:30:48,326
Now the mom's lungs
are shutting down.

616
00:30:49,202 --> 00:30:52,372
She's dying faster than the baby's lungs
are developing.

617
00:30:52,664 --> 00:30:54,499
I had to stop
the corticosteroids.

618
00:30:54,708 --> 00:30:56,334
Have you spoken to the family?

619
00:30:56,460 --> 00:30:58,879
The only family she's got
is that baby.

620
00:30:59,004 --> 00:31:00,380
Well, he's biased.

621
00:31:01,590 --> 00:31:03,592
What do you think
House would do?

622
00:31:03,717 --> 00:31:05,135
House wants to terminate.

623
00:31:05,886 --> 00:31:07,262
I mean if he didn't.

624
00:31:07,387 --> 00:31:09,848
If he shared my position,
what do you think he would do?

625
00:31:10,223 --> 00:31:11,892
He wouldn't share your pain.

626
00:31:12,601 --> 00:31:14,478
He'd be objective.

627
00:31:15,103 --> 00:31:16,229
Right.

628
00:31:17,814 --> 00:31:20,567
- He would prioritize his problems.
- He'd terminate.

629
00:31:20,817 --> 00:31:23,487
He wouldn't be afraid of screwing with
her lungs if there was a bigger issue.

630
00:31:23,778 --> 00:31:24,779
There is no bigger issue.

631
00:31:24,905 --> 00:31:26,823
- She needs her lungs.
- Not right now.

632
00:31:26,948 --> 00:31:28,783
She's already on a respirator.

633
00:31:28,909 --> 00:31:30,118
The machine is
breathing for her.

634
00:31:30,243 --> 00:31:31,953
I can do whatever
I want to her lungs.

635
00:31:32,078 --> 00:31:34,998
If you're playing catch in the living
room and you break your mother's vase,

636
00:31:35,123 --> 00:31:37,417
you may as well keep playing catch.
The vase is already broken.

637
00:31:37,542 --> 00:31:41,254
Yeah, except that room
can't breathe without that vase.

638
00:31:41,463 --> 00:31:44,132
I'm putting her back on
corticosteroids.

639
00:31:46,510 --> 00:31:48,053
(KNOCK ON DOOR)

640
00:31:50,138 --> 00:31:52,432
- It worked.
- What worked?

641
00:31:52,557 --> 00:31:54,226
I got the baby's lungs
to expand.

642
00:31:54,351 --> 00:31:56,102
- We should be able to figure...
- Cab's on its way.

643
00:31:56,228 --> 00:31:58,188
I have to finish packing.

644
00:31:59,814 --> 00:32:02,150
I have a whole new
appreciation for what you do.

645
00:32:02,275 --> 00:32:04,569
How hard it is to believe
when everyone around you

646
00:32:04,694 --> 00:32:05,529
is telling you
that you're wrong.

647
00:32:05,779 --> 00:32:07,614
Helps to know they're idiots.

648
00:32:07,906 --> 00:32:10,158
Do you think I'm an idiot?

649
00:32:10,283 --> 00:32:12,118
You're not objective.

650
00:32:13,912 --> 00:32:15,789
But you're not an idiot.

651
00:32:18,625 --> 00:32:20,961
These lungs are still two weeks away
from being viable.

652
00:32:21,086 --> 00:32:22,546
But big enough
for a diagnosis.

653
00:32:22,879 --> 00:32:24,339
These tissue buds are new.

654
00:32:24,464 --> 00:32:27,008
Could indicate
bronchopulmonary sequestration

655
00:32:27,133 --> 00:32:28,927
or diaphragmatic eventration.

656
00:32:29,052 --> 00:32:31,888
I was thinking bronchogenic
cyst or bronchial atresia.

657
00:32:32,013 --> 00:32:33,723
Could be lung lesions, CCAM.

658
00:32:34,057 --> 00:32:35,141
What about...

659
00:32:42,899 --> 00:32:44,025
Move.

660
00:32:46,820 --> 00:32:48,321
Thought you
started your vacation.

661
00:32:48,446 --> 00:32:51,449
Somebody had to save
our boss's rotundus ass.

662
00:32:51,575 --> 00:32:53,868
Latest MRI of the Sloan fetus.

663
00:32:53,994 --> 00:32:55,453
Small buds in the lungs
could indicate...

664
00:32:55,579 --> 00:32:57,581
Thanks. Got the multiple choice
all worked out.

665
00:32:57,789 --> 00:33:01,042
Question is, how do we pick between
A, B, C, D, and none of the above?

666
00:33:01,167 --> 00:33:03,378
Portable MRI is in her room.
We could get a current image.

667
00:33:03,503 --> 00:33:06,506
The fetal lungs are so tiny the MRI
won't give us the details we need.

668
00:33:06,631 --> 00:33:10,760
What would we do if this patient
were not just a tadpole?

669
00:33:10,885 --> 00:33:12,012
Say it was an actual person.

670
00:33:12,304 --> 00:33:13,680
He is a person.

671
00:33:13,805 --> 00:33:15,056
Thanks for playing along.

672
00:33:15,473 --> 00:33:17,142
Pretend it's
a one-pound adult.

673
00:33:17,267 --> 00:33:19,894
Forget the mom,
forget the womb, the placenta.

674
00:33:20,312 --> 00:33:22,731
How would we get a better look
at what's in the lungs?

675
00:33:22,856 --> 00:33:23,857
Transesophageal echo.

676
00:33:23,982 --> 00:33:25,317
Can't access his esophagus.

677
00:33:25,442 --> 00:33:26,985
High resolution CT
could give us a clearer...

678
00:33:27,110 --> 00:33:29,779
Too much radiation
for a one-pound person.

679
00:33:30,030 --> 00:33:33,158
You can't just shoot
everything down, Chase.

680
00:33:33,366 --> 00:33:35,577
You're not me. Collaborate.

681
00:33:36,494 --> 00:33:38,830
A ventilation perfusion scan
would be next.

682
00:33:39,247 --> 00:33:42,542
How do we get a fetus to breathe
in a radioactive isotope, idiot?

683
00:33:43,293 --> 00:33:45,337
If it were really a person
and we had no other options

684
00:33:45,462 --> 00:33:47,005
we'd do an
exploratory surgery.

685
00:33:47,130 --> 00:33:49,382
Cut into its chest
and have a look around.

686
00:33:49,507 --> 00:33:50,842
Let's do that.

687
00:33:51,885 --> 00:33:54,721
You're the one who insists
we treat it like a person.

688
00:33:54,846 --> 00:33:56,681
I'll put it back
when I'm done.

689
00:33:59,809 --> 00:34:01,144
Me again.

690
00:34:01,269 --> 00:34:03,938
It's your friendly
neighborhood belly squirter.

691
00:34:04,064 --> 00:34:06,066
We're gonna do
open fetal surgery.

692
00:34:06,191 --> 00:34:09,110
Open the uterus,
cut out the fetus so we can look around.

693
00:34:09,653 --> 00:34:13,448
I know you can't talk so I need you
to look petrified if you consent.

694
00:34:13,740 --> 00:34:15,533
The umbilical cord
won't be cut.

695
00:34:15,950 --> 00:34:19,329
During surgery, your body will basically
serve as the baby's heartllung machine.

696
00:34:19,829 --> 00:34:22,082
We find what's wrong
and we fix it.

697
00:34:22,540 --> 00:34:23,375
If we can.

698
00:34:23,500 --> 00:34:26,670
Don't lower expectations
if you want them to do something.

699
00:34:27,045 --> 00:34:29,172
She should know
what she's facing.

700
00:34:32,258 --> 00:34:34,386
This is incredibly dangerous.

701
00:34:34,511 --> 00:34:36,429
It risks both your lives.

702
00:34:36,971 --> 00:34:38,431
The only reason
why we're suggesting it,

703
00:34:38,556 --> 00:34:41,184
is because there's
nothing else we can do.

704
00:35:04,541 --> 00:35:06,751
You all here
for the fetal surgery?

705
00:35:07,001 --> 00:35:09,003
'Cause we're
way over capacity.

706
00:35:09,129 --> 00:35:10,755
Mind each other's
personal space.

707
00:35:11,214 --> 00:35:13,299
There are sharp implements
in the room.

708
00:35:13,425 --> 00:35:14,801
Like this one.

709
00:35:22,183 --> 00:35:24,602
Uterus is fully exposed.

710
00:35:33,486 --> 00:35:34,738
And we're in.

711
00:35:34,946 --> 00:35:37,073
Start draining
the amniotic fluid.

712
00:35:39,826 --> 00:35:42,245
Have you never sucked beer
out of the bottom of a keg?

713
00:35:42,579 --> 00:35:44,497
Where'd you go to college?
Give me that.

714
00:36:11,441 --> 00:36:13,401
Affix the pulse ox
to the palm.

715
00:36:18,865 --> 00:36:19,866
House?

716
00:36:22,243 --> 00:36:23,244
Sorry.

717
00:36:23,870 --> 00:36:26,122
Just realized
I forgot to TiVo Alien.

718
00:36:33,379 --> 00:36:36,299
Fetal heart rate good.
Stats are stable.

719
00:36:37,050 --> 00:36:39,385
Position him for the incision.

720
00:36:44,849 --> 00:36:47,185
I see three well-defined
lesions.

721
00:36:47,310 --> 00:36:50,230
It's definitely CCAM.
I should be able to resect them.

722
00:36:50,772 --> 00:36:52,816
(MONITOR BEEPING)

723
00:36:53,233 --> 00:36:55,652
It's the mom. She's in V-fib.

724
00:36:57,153 --> 00:36:58,696
Charging-

725
00:37:00,406 --> 00:37:02,534
- Clear!
- I'm clear.

726
00:37:04,661 --> 00:37:06,663
Looks like asystole.
Paddling isn't going to do anything.

727
00:37:06,913 --> 00:37:08,915
It's fine V-fib.
I'm going again. Clear!

728
00:37:11,876 --> 00:37:13,920
We're gonna lose them both.
Clamp!

729
00:37:15,255 --> 00:37:17,382
The surgery's not doing this to her.
The fetus is.

730
00:37:17,507 --> 00:37:18,925
Step away, House.
I'm going again.

731
00:37:19,050 --> 00:37:22,595
The only way to save her is to cut away
the anchor holding her down.

732
00:37:22,720 --> 00:37:25,223
You keep going,
you're gonna get electrocuted.

733
00:37:25,932 --> 00:37:27,934
Clear!

734
00:37:28,768 --> 00:37:31,437
Going again. Clear!

735
00:37:32,272 --> 00:37:33,773
(MONITOR BEEPING)

736
00:37:33,898 --> 00:37:36,568
Heart rate's returning
to normal.

737
00:37:39,320 --> 00:37:41,489
Continue with the lobectomy.

738
00:37:50,832 --> 00:37:54,085
So my kidneys, liver and lungs
are all fine just like that?

739
00:37:55,336 --> 00:37:57,714
- Just like that.
- That's amazing.

740
00:37:59,007 --> 00:38:02,510
What's amazing is how blonde
your baby's hair is.

741
00:38:05,138 --> 00:38:06,514
My baby?

742
00:38:06,639 --> 00:38:08,600
The thing in your belly
that tried to kill you.

743
00:38:08,975 --> 00:38:11,060
You've never called him
a baby before.

744
00:38:17,817 --> 00:38:18,818
Any pain?

745
00:38:19,110 --> 00:38:20,612
Nothing I can't deal with.

746
00:38:20,737 --> 00:38:23,156
You can only get out of bed
to pee, pooh or shower.

747
00:38:23,281 --> 00:38:26,659
And absolutely no sex.
So stop flirting with me.

748
00:38:28,286 --> 00:38:29,412
Sorry.

749
00:38:32,081 --> 00:38:35,376
So this really worked?
He'll be normal?

750
00:38:36,794 --> 00:38:40,089
Well, if you call
being born twice normal.

751
00:38:45,428 --> 00:38:46,804
Hey, thank you.

752
00:38:50,058 --> 00:38:53,561
Don't thank me.
I would've killed the kid.

753
00:39:02,403 --> 00:39:04,948
- Wanna grab a bite?
- In a minute.

754
00:39:05,073 --> 00:39:07,158
Emma asked me to
bring up her camera.

755
00:39:07,533 --> 00:39:09,077
I'll walk with you.

756
00:39:11,412 --> 00:39:13,665
When'd she take
this picture of you?

757
00:39:14,874 --> 00:39:16,793
You look so...

758
00:39:17,168 --> 00:39:18,252
I'm smiling.

759
00:39:19,587 --> 00:39:21,089
I have a nice smile.

760
00:39:21,214 --> 00:39:23,549
No, I've never
seen you like this.

761
00:39:23,883 --> 00:39:26,010
She got you to glow.

762
00:39:27,011 --> 00:39:28,846
What were you doing?

763
00:39:29,639 --> 00:39:31,599
What did she say to you?

764
00:39:32,892 --> 00:39:34,477
I always glow.

765
00:39:46,739 --> 00:39:47,865
House.

766
00:39:48,741 --> 00:39:50,410
Need you to take
a look at something.

767
00:39:50,535 --> 00:39:52,954
- I'm off the clock.
- Just open it.

768
00:39:59,002 --> 00:40:01,254
A first-class ticket
to Vancouver Island.

769
00:40:01,379 --> 00:40:04,465
Shoot! The wrong envelope.

770
00:40:08,344 --> 00:40:10,763
- I think it's great.
- Yeah.

771
00:40:11,514 --> 00:40:14,058
- Who doesn't like Canadians?
- It's big.

772
00:40:14,183 --> 00:40:17,395
You're trying to have a life.
You're trying to enjoy yourself.

773
00:40:17,520 --> 00:40:19,147
You didn't need to apologize.

774
00:40:19,439 --> 00:40:20,815
I'm not. I told you why I...

775
00:40:20,940 --> 00:40:22,108
Screwed up.

776
00:40:22,233 --> 00:40:23,693
I saved a life.
I saved two lives.

777
00:40:24,193 --> 00:40:25,319
You

778
00:40:25,987 --> 00:40:30,158
let your maternal instinct get the best
of you and nearly kill two people.

779
00:40:30,283 --> 00:40:32,827
Case like this, you terminate,
mom lives 10 times out of 10.

780
00:40:32,952 --> 00:40:33,995
You do what you did

781
00:40:34,120 --> 00:40:36,748
mom and baby both die
9.9 times out of 10.

782
00:40:37,206 --> 00:40:39,876
Sometimes point one
is bigger than 9.9.

783
00:40:40,001 --> 00:40:41,919
No, it's smaller.

784
00:40:42,378 --> 00:40:45,298
Exactly 9.8 smaller.
Always is. Always will be.

785
00:40:46,007 --> 00:40:48,843
Well, not for Emma.
And not for her son.

786
00:40:50,386 --> 00:40:53,347
Now go away and be happy.