1 00:00:02,503 --> 00:00:05,173 Woman on pa: Radiologist, contact 5317. 2 00:00:05,298 --> 00:00:08,384 Radiologist, contact 5317. 3 00:00:08,968 --> 00:00:10,803 - Ethan: Amber. - Karen: No. 4 00:00:10,928 --> 00:00:13,806 - Why not? - Amber's a stripper name. 5 00:00:13,931 --> 00:00:17,268 Find me one stripper named Amber hartig. 6 00:00:17,393 --> 00:00:18,769 Or not. Okay. 7 00:00:18,895 --> 00:00:21,397 Non-stripper names. 8 00:00:21,522 --> 00:00:24,692 Desiree? Bambi? Kandy Kane? 9 00:00:24,817 --> 00:00:28,446 Max. Maxine. 10 00:00:28,571 --> 00:00:30,907 Max hartig. It's a cute name, isn't it? 11 00:00:31,032 --> 00:00:34,327 Ethan: If you're a professional boxer, maybe. 12 00:00:34,452 --> 00:00:36,787 Can you believe we made this little creature? 13 00:00:36,913 --> 00:00:38,247 I know. It's incredible. 14 00:00:38,372 --> 00:00:42,043 It's the most amazing thing we've ever done. 15 00:00:42,168 --> 00:00:44,503 I almost ran the marathon last year. 16 00:00:44,629 --> 00:00:47,131 If we're lucky, you won't inherit your daddy's sense of humor. 17 00:00:47,256 --> 00:00:50,551 Hello. Say hi to bear. 18 00:00:53,763 --> 00:00:56,849 She hasn't even eaten anything. Why is she spitting up? 19 00:00:56,974 --> 00:00:59,852 - Well, honey, we can't bug them again. - Just" 20 00:00:59,977 --> 00:01:01,270 okay, okay. 21 00:01:04,357 --> 00:01:06,359 I'm sorry. It's our first kid. 22 00:01:06,484 --> 00:01:07,961 We're both a little panicky, I guess. 23 00:01:07,985 --> 00:01:11,864 Well, you got to ask the pediatrician next time. I just deliver them. 24 00:01:11,989 --> 00:01:13,115 Is she spitting up? 25 00:01:13,241 --> 00:01:15,993 - Yeah. Second time in an hour. - Oh. 26 00:01:16,118 --> 00:01:18,204 If you lived undewvater for nine months, 27 00:01:18,329 --> 00:01:20,414 you'd have a lot to spit up, too. 28 00:01:24,585 --> 00:01:26,045 Is something wrong? 29 00:01:26,170 --> 00:01:27,797 A little lethargic. 30 00:01:27,922 --> 00:01:29,722 - Ethan: Well, we didn't think... - She's hot. 31 00:01:32,176 --> 00:01:33,970 Is she... 32 00:01:34,095 --> 00:01:35,655 The baby's seizing! Get the crash cart! 33 00:01:35,721 --> 00:01:37,265 What's wrong? 34 00:01:37,390 --> 00:01:38,474 Need some help in here! 35 00:01:38,599 --> 00:01:40,935 Oh, god. Is she all right? 36 00:01:41,060 --> 00:01:42,853 - Woman: Iv access? - Doctor: No, ativan. 37 00:01:42,979 --> 00:01:44,522 What's going on? 38 00:02:22,768 --> 00:02:24,645 The mri's back. 39 00:02:24,770 --> 00:02:25,980 And? 40 00:02:26,105 --> 00:02:27,982 It's what we expected. 41 00:02:28,107 --> 00:02:29,984 The accident caused serious damage. 42 00:02:31,736 --> 00:02:33,529 It's amnesia. 43 00:02:37,658 --> 00:02:39,118 Doctor on TV: I'm sorry. 44 00:02:40,161 --> 00:02:42,246 Woman on TV: I just can't believe it. 45 00:02:48,586 --> 00:02:50,713 Enjoying our lounge, house? 46 00:02:50,838 --> 00:02:53,883 Just came in to get milk for my coffee, which you're out of. 47 00:02:54,008 --> 00:02:55,051 Flat or sparkling? 48 00:02:55,176 --> 00:02:57,011 - Sparkling. - Flat. 49 00:02:58,179 --> 00:03:00,681 So, the hartigs? 50 00:03:00,806 --> 00:03:02,308 Their baby gets a fever. 51 00:03:02,433 --> 00:03:04,185 Wait, don't tell me, the kid had a seizure. 52 00:03:04,310 --> 00:03:06,270 Yep. The parents, of course, start freaking, 53 00:03:06,395 --> 00:03:07,995 and I have to deal with that for an hour. 54 00:03:08,064 --> 00:03:09,357 Like it was your fault. 55 00:03:09,482 --> 00:03:10,792 She was perfect when I delivered her. 56 00:03:10,816 --> 00:03:13,194 If you wanna blame someone, blame the pediatrician. 57 00:03:13,319 --> 00:03:14,904 So, how is the kid now? 58 00:03:15,029 --> 00:03:18,657 Bowel obstruction. She's under observation. She'll be fine. 59 00:03:18,783 --> 00:03:21,619 The pediatrician will take all the credit. 60 00:03:28,959 --> 00:03:34,673 House: Exhibit a, baby girl hartig, term baby, 42 hours old. 61 00:03:34,799 --> 00:03:37,235 Went into seizures six hours ago, brought into the intensive care, 62 00:03:37,259 --> 00:03:40,096 diagnosed with obstruction of the small bowel. 63 00:03:40,221 --> 00:03:42,890 I'm still amazed you're actually in the same room with a patient. 64 00:03:43,015 --> 00:03:45,267 People don't bug me until they get teeth. 65 00:03:45,393 --> 00:03:49,980 Exhibit b, baby boy hausen, another term baby, 48 hours old. 66 00:03:50,106 --> 00:03:52,775 Brought into the nicu three hours before the hartig baby. 67 00:03:52,900 --> 00:03:56,487 Fever of unknown origin, 101 degrees, trending upwards. 68 00:03:56,612 --> 00:03:59,281 Wow, that is amazing. You hung out in the obigyn lounge all morning 69 00:03:59,407 --> 00:04:00,950 and heard about two sick babies. 70 00:04:01,075 --> 00:04:03,411 - It's eerie. - Don't touch that. 71 00:04:03,536 --> 00:04:04,578 All right. 72 00:04:04,703 --> 00:04:06,914 We have an infection spreading in the hospital. 73 00:04:08,290 --> 00:04:10,709 These kids have totally unrelated illnesses. 74 00:04:10,835 --> 00:04:13,379 They fell sick within four hours of each other. 75 00:04:13,504 --> 00:04:14,964 They had the same delivery rooms, 76 00:04:15,089 --> 00:04:17,716 maternity rooms are neighboring, so transmission's possible. 77 00:04:17,842 --> 00:04:18,968 They have the same symptoms. 78 00:04:19,093 --> 00:04:20,529 The hartig girl has a bowel obstruction. 79 00:04:20,553 --> 00:04:21,822 No matter how close their beds are, 80 00:04:21,846 --> 00:04:23,281 I'm pretty sure kids can't share a blockage. 81 00:04:23,305 --> 00:04:26,100 What does bowel obstruction on a chart indicate? 82 00:04:26,225 --> 00:04:29,937 Well, normally, I'd say it indicates a patient's bowel is obstructed, 83 00:04:30,062 --> 00:04:31,873 but I'm pretty sure you have some deeper truth to impart... 84 00:04:31,897 --> 00:04:34,608 It means that some random doctor of indeterminate skill 85 00:04:34,733 --> 00:04:36,610 thinks that the patient's bowel is obstructed. 86 00:04:36,735 --> 00:04:39,089 Okay, you're upset because they threw you out of their lounge. 87 00:04:39,113 --> 00:04:41,073 Look at the X-ray. It's a normal gas pattern. 88 00:04:41,198 --> 00:04:42,968 If you want, I can get you a key to the oncology lounge. 89 00:04:42,992 --> 00:04:44,553 - Air in the colon. - We're getting TiVo. 90 00:04:44,577 --> 00:04:46,996 If it's air, no bowel obstruction. 91 00:04:47,121 --> 00:04:49,724 Even if it is air, it could have been there before the obstruction. 92 00:04:49,748 --> 00:04:53,919 No. Something's infected both these infants. 93 00:04:55,880 --> 00:04:58,757 And you're the only one who put this together because... 94 00:04:58,883 --> 00:05:01,093 Because I'm the only one who looked at both kids. 95 00:05:01,218 --> 00:05:04,305 I want them isolated. I want the maternity ward shut down. 96 00:05:04,430 --> 00:05:06,783 Because you're better at reading an X-ray than a radiologist. 97 00:05:06,807 --> 00:05:08,934 Radiologists always over-read babies' x-rays, 98 00:05:09,059 --> 00:05:11,079 especially if they're asked to rule out a pathology. 99 00:05:11,103 --> 00:05:12,343 He read into it what he wanted. 100 00:05:12,438 --> 00:05:13,981 Which is exactly what you're doing. 101 00:05:14,106 --> 00:05:15,649 You're finding a cluster because 102 00:05:15,774 --> 00:05:17,985 you think it's interesting to find a cluster. 103 00:05:18,110 --> 00:05:20,905 Two plain old sick babies would bore you. 104 00:05:21,030 --> 00:05:23,407 See, this is why I don't waste money on shrinks, 105 00:05:23,532 --> 00:05:25,802 'cause you give me all these really great insights for free. 106 00:05:25,826 --> 00:05:30,956 Shrink. If you would consider going to a shrink, I would pay for it myself. 107 00:05:31,081 --> 00:05:33,417 The hospital would hold a bake sale, for god's sake. 108 00:05:33,542 --> 00:05:35,294 We have an epidemic. 109 00:05:36,712 --> 00:05:41,842 Two sick babies is very sad, but it doesn't prove an epidemic. 110 00:05:47,932 --> 00:05:49,225 How many do? 111 00:05:52,144 --> 00:05:55,147 Get up. We're going hunting. 112 00:05:55,272 --> 00:05:57,316 For what? 113 00:05:57,441 --> 00:05:58,776 Wabbits. 114 00:06:10,579 --> 00:06:14,542 Hi. Bye. He's screaming. He's fine. 115 00:06:20,464 --> 00:06:21,674 Good-looking baby. 116 00:06:26,303 --> 00:06:28,597 Sorry. Wrong room. 117 00:06:28,722 --> 00:06:30,015 We'll see you later. 118 00:06:30,140 --> 00:06:31,725 12 rooms, right? That's it? 119 00:06:31,850 --> 00:06:32,850 Yep. 120 00:06:32,935 --> 00:06:36,480 We've definitely checked the whole floor. 121 00:06:36,605 --> 00:06:39,233 Good news. No epidemic. 122 00:06:39,358 --> 00:06:41,068 Tragic, huh? 123 00:06:44,154 --> 00:06:46,532 Overflow rooms, third floor. 124 00:06:46,657 --> 00:06:49,201 This imaginary infection has spread to the next floor? 125 00:06:50,703 --> 00:06:52,663 We were just gonna call. 126 00:06:52,788 --> 00:06:54,498 Did he get hot all of a sudden? 127 00:06:55,916 --> 00:06:57,084 Yeah. 128 00:07:01,714 --> 00:07:04,341 Man 1: Yeah, I'll take care of that for you. 129 00:07:07,886 --> 00:07:08,966 Man 2: Almost there, honey. 130 00:07:09,013 --> 00:07:10,931 Don't worry. We're almost there. 131 00:07:11,932 --> 00:07:14,935 Cuddy: Excuse me! Hi. Intake sent you up here? 132 00:07:15,060 --> 00:07:16,288 Yeah, my wife's contractions are less... 133 00:07:16,312 --> 00:07:17,354 Okay, intake messed up. 134 00:07:17,479 --> 00:07:18,897 I am very, very sorry. 135 00:07:19,023 --> 00:07:21,984 Nurse Alpert will arrange for an ambulance 136 00:07:22,109 --> 00:07:23,777 to take you to Princeton general. 137 00:07:25,112 --> 00:07:27,156 The maternity ward is temporarily closed. 138 00:07:27,281 --> 00:07:28,741 We have to leave? 139 00:07:28,866 --> 00:07:29,992 Yes. I am very sorry. 140 00:07:30,117 --> 00:07:31,452 Why are you doing this? 141 00:07:32,703 --> 00:07:35,039 You will be there very, very soon. 142 00:07:36,624 --> 00:07:38,042 Happy now? 143 00:07:38,167 --> 00:07:41,086 No, but I am interested. 144 00:07:49,094 --> 00:07:52,973 Three sick babies and a fourth showing early symptoms. 145 00:07:53,098 --> 00:07:54,850 - How bad? - Spiking fevers. 146 00:07:54,975 --> 00:07:57,436 BP's plummeting. They're barely able to keep systolic up. 147 00:07:57,561 --> 00:07:58,913 At this rate, they could be dead in a day. 148 00:07:58,937 --> 00:07:59,980 Where did this come from? 149 00:08:00,105 --> 00:08:02,083 Two delivery rooms, four different maternity rooms. 150 00:08:02,107 --> 00:08:03,827 No common personnel and no common equipment. 151 00:08:03,901 --> 00:08:05,587 Well, there's got to be something in common. 152 00:08:05,611 --> 00:08:09,573 Yeah. That would be the difference between an epidemic and a coincidence. 153 00:08:09,698 --> 00:08:10,824 I'm putting a team together. 154 00:08:10,949 --> 00:08:12,701 We're gonna start swabbing. 155 00:08:12,826 --> 00:08:14,912 What's she gonna swab? Every respirator, 156 00:08:15,037 --> 00:08:16,830 sink, vent, drain in the entire hospital? 157 00:08:16,955 --> 00:08:18,755 - That'll take months. - Needle in a haystack. 158 00:08:18,874 --> 00:08:19,875 It's worse than that. 159 00:08:20,000 --> 00:08:21,811 We don't even know it's a needle we're looking for. 160 00:08:21,835 --> 00:08:23,063 Then why'd you let her go do it? 161 00:08:23,087 --> 00:08:26,632 Because the hospital is her baby, and her baby's sick. 162 00:08:26,757 --> 00:08:28,985 If she doesn't solve this soon, her head's gonna explode, 163 00:08:29,009 --> 00:08:30,195 and I don't want to get any on me. 164 00:08:30,219 --> 00:08:31,899 So let's figure out what's in the haystack. 165 00:08:31,929 --> 00:08:34,306 - Differential diagnosis, people. - Parasite. 166 00:08:34,431 --> 00:08:35,849 It's spreading too quickly. 167 00:08:35,974 --> 00:08:37,184 - Next? - Virus? 168 00:08:37,309 --> 00:08:40,854 The kids are too sick, and the blood tests showed no iymphocytosis. 169 00:08:40,979 --> 00:08:43,607 And they're not responding to acyclovir or ribavirin. 170 00:08:43,732 --> 00:08:46,151 If it's some other virus, we'll never find it in time anyway. 171 00:08:46,276 --> 00:08:49,780 Which leads us to bacterial infection. 172 00:08:49,905 --> 00:08:52,324 It's not responding to broad-spectrum antibiotics, 173 00:08:52,449 --> 00:08:53,760 so we've got something resistant. 174 00:08:53,784 --> 00:08:54,868 The usual suspects. 175 00:08:54,993 --> 00:08:57,538 Mrsa. It's always mrsa in hospitals. 176 00:08:57,663 --> 00:09:00,165 Maybe contaminated food or water source. 177 00:09:00,290 --> 00:09:01,917 Pseudomonas. 178 00:09:02,042 --> 00:09:03,168 Vre. 179 00:09:03,293 --> 00:09:04,920 H. Flu. 180 00:09:05,045 --> 00:09:06,839 Okay. Those are the big ones. 181 00:09:06,964 --> 00:09:08,841 Cultures will take 48 hours. 182 00:09:08,966 --> 00:09:10,801 Might as well be postmortem. 183 00:09:10,926 --> 00:09:13,387 We'll start them on vancomycin for the mrsa 184 00:09:13,512 --> 00:09:15,681 and aztreonam to cover the rest. 185 00:09:15,806 --> 00:09:18,183 Let's get mris, check for abscesses 186 00:09:18,308 --> 00:09:20,894 or some occult infection. I'll be in the clinic. 187 00:09:21,019 --> 00:09:24,022 Grab me if you find something important or unimportant. 188 00:10:25,959 --> 00:10:28,003 Cameron: We did an mri on all the babies, 189 00:10:28,128 --> 00:10:30,923 and, unfortunately, we didn't find anything, 190 00:10:31,048 --> 00:10:34,968 so we're starting them on the strongest antibiotics that we've got, 191 00:10:35,093 --> 00:10:38,138 and we're hoping that that will take care of it. 192 00:10:38,263 --> 00:10:40,224 But he's so tiny. 193 00:10:40,349 --> 00:10:41,975 How sick is he? 194 00:10:42,559 --> 00:10:46,021 His fever's up to 103.5, and his blood pressure is 80 over 40. 195 00:10:46,146 --> 00:10:48,023 How bad is that? 196 00:10:52,319 --> 00:10:54,154 It's low. 197 00:10:54,279 --> 00:10:56,031 The heart needs to circulate the blood. 198 00:10:56,156 --> 00:10:58,659 If it's weak, the oxygen isn't getting to the liver, 199 00:10:58,784 --> 00:11:00,828 the kidneys, the brain. 200 00:11:02,162 --> 00:11:03,956 I have to ask you something. 201 00:11:04,081 --> 00:11:06,959 - Judy". - No, no, Kim. Let me. 202 00:11:08,126 --> 00:11:11,255 I had a cold last month, and I told the doctors about it. 203 00:11:11,380 --> 00:11:13,382 Honey, this has nothing to do with you. 204 00:11:13,507 --> 00:11:15,467 Kim's right. 205 00:11:15,592 --> 00:11:17,219 Your son was born healthy. 206 00:11:17,344 --> 00:11:19,388 He caught the infection after his birth. 207 00:11:21,390 --> 00:11:23,368 There's no reason to think that he caught it from you. 208 00:11:23,392 --> 00:11:25,978 But you don't know. I mean, 209 00:11:26,103 --> 00:11:28,105 you don't know how he got sick. 210 00:11:33,026 --> 00:11:35,988 Pretty standard question, "how sick is my child?" 211 00:11:36,113 --> 00:11:37,614 - You couldn't answer. - I answered. 212 00:11:37,739 --> 00:11:40,409 You rattled off numbers, BP, 02 sats. 213 00:11:40,534 --> 00:11:41,719 It's not what they need to know. 214 00:11:41,743 --> 00:11:44,788 What they need to know is the future. You got a magic 8 ball? 215 00:11:44,913 --> 00:11:47,708 No, just eight years of medical training. 216 00:11:50,210 --> 00:11:54,256 Look, I realize it's tough to break bad news to families. 217 00:11:54,381 --> 00:11:56,466 Not as tough as hearing it. 218 00:11:56,592 --> 00:12:01,013 And I guess being the poor guy dying is the toughest of all? 219 00:12:01,138 --> 00:12:06,059 No, it's easier to die than to watch someone die. 220 00:12:11,440 --> 00:12:12,960 Cuddy: Well, we're checking the vents. 221 00:12:13,025 --> 00:12:14,860 It could be airborne. 222 00:12:14,985 --> 00:12:17,988 Somebody get the sinks, too, and underneath them. 223 00:12:18,113 --> 00:12:19,615 I'll get it. 224 00:12:19,740 --> 00:12:22,993 How many med students have you got swabbing the decks? 225 00:12:23,118 --> 00:12:24,411 What else are they gonna do? 226 00:12:24,536 --> 00:12:26,121 It's not like they're delivering babies. 227 00:12:26,246 --> 00:12:27,706 You find anything yet? 228 00:12:27,831 --> 00:12:28,999 Yeah. 229 00:12:29,124 --> 00:12:32,544 About half the antibacterial gel dispensers are empty or broken. 230 00:12:32,669 --> 00:12:36,340 That's bad, and yet diagnostically, completely insignificant. 231 00:12:36,465 --> 00:12:39,676 Well, if the staff can't wash their hands, 232 00:12:39,801 --> 00:12:41,595 it's no wonder an infection has spread. 233 00:12:41,720 --> 00:12:43,889 Hey, tie clip! 234 00:12:44,014 --> 00:12:46,183 - Sorry? - We have an epidemic in this hospital, 235 00:12:46,308 --> 00:12:48,685 and your tie is becoming a petri dish. 236 00:12:49,269 --> 00:12:52,314 Put on a tie clip or take the damn thing off. 237 00:12:54,775 --> 00:12:56,652 Woman: My joints have been feeling all loose, 238 00:12:56,777 --> 00:12:59,279 and lately I've been feeling sick a lot. 239 00:12:59,404 --> 00:13:00,697 Maybe I'm over-training. 240 00:13:00,822 --> 00:13:03,450 I'm doing the marathon, like, 10 miles a day, 241 00:13:03,575 --> 00:13:05,410 but I can't seem to lose any weight. 242 00:13:05,535 --> 00:13:07,120 Lift up your arms. 243 00:13:10,332 --> 00:13:13,043 You have a parasite. 244 00:13:13,168 --> 00:13:14,503 Like a tapeworm or something? 245 00:13:14,628 --> 00:13:17,005 Lie back and lift up your sweater. 246 00:13:17,923 --> 00:13:20,175 You can put your arms down. 247 00:13:20,300 --> 00:13:21,718 Can you do anything about it? 248 00:13:21,843 --> 00:13:23,261 Only for about a month or so. 249 00:13:23,387 --> 00:13:26,682 After that it becomes illegal to remove, except in a couple of states. 250 00:13:26,807 --> 00:13:27,975 Illegal? 251 00:13:28,100 --> 00:13:29,476 But don't worry. 252 00:13:29,601 --> 00:13:32,062 Many women learn to embrace this parasite. 253 00:13:32,187 --> 00:13:34,773 They name it, dress it up in tiny clothes, 254 00:13:34,898 --> 00:13:36,733 arrange play dates with other parasites. 255 00:13:36,858 --> 00:13:38,694 Play dates? 256 00:13:38,819 --> 00:13:40,195 It has your eyes. 257 00:13:42,572 --> 00:13:44,825 But that's impossible. 258 00:13:44,950 --> 00:13:47,869 Well, I assume you weren't getting your period. 259 00:13:47,995 --> 00:13:50,080 Maybe that should have given you an inkling. 260 00:13:50,205 --> 00:13:51,832 But I'm on this birth-control implant. 261 00:13:51,957 --> 00:13:53,875 Yeah, I know. I saw the scar on your arm. 262 00:13:54,001 --> 00:13:56,378 And my doctor said I might not get any periods at all 263 00:13:56,503 --> 00:13:58,005 - if it was working. - Mmmhmm. 264 00:13:58,130 --> 00:13:59,006 Interestingly enough, 265 00:13:59,131 --> 00:14:01,258 you also don't get any periods if it isn't working, 266 00:14:01,383 --> 00:14:04,302 which is why you were supposed to get regular pregnancy tests. 267 00:14:04,428 --> 00:14:06,868 I'm gonna send a nurse in here to schedule your prenatal care. 268 00:14:06,972 --> 00:14:11,059 You're due in about five months, so start planning the shower. 269 00:14:12,602 --> 00:14:13,770 Doctor? 270 00:14:13,895 --> 00:14:19,109 Please, me and my husband wanted to have a kid soon, 271 00:14:19,234 --> 00:14:21,778 but, oh, god, 272 00:14:21,903 --> 00:14:26,033 like four months ago, we had this really big fight. 273 00:14:26,158 --> 00:14:29,619 He moved out. I did something stupid. 274 00:14:30,620 --> 00:14:32,873 - One-night stand? - Ex-boyfriend. 275 00:14:34,249 --> 00:14:37,461 Well, I'll schedule you a paternity test, too. 276 00:14:37,586 --> 00:14:40,047 I can't let my husband know. 277 00:14:40,756 --> 00:14:43,842 Does the old boyfriend look like your husband? 278 00:14:43,967 --> 00:14:45,469 Yeah. 279 00:14:45,594 --> 00:14:47,888 Then just have the kid. He'll never know. 280 00:14:48,013 --> 00:14:50,390 The most successful marriages are based on lies. 281 00:14:50,515 --> 00:14:52,017 You're off to a great start. 282 00:14:55,103 --> 00:14:57,397 Well, you look cheery. What's going on? 283 00:14:57,522 --> 00:14:59,316 The hartig and chen-lupino babies, 284 00:14:59,441 --> 00:15:00,776 their kidneys are shutting down. 285 00:15:00,901 --> 00:15:03,320 And the urine tests show no casts. 286 00:15:04,446 --> 00:15:07,157 Which means the antibiotics are causing the kidney failure. 287 00:15:07,282 --> 00:15:09,701 You're the nephrologist. Which one did it? 288 00:15:09,826 --> 00:15:12,037 We'll take them off that one. 289 00:15:13,580 --> 00:15:15,707 Don't tell me both vancomycin and aztreonam. 290 00:15:15,832 --> 00:15:17,167 They both can cause this. 291 00:15:17,292 --> 00:15:19,377 There's no way to know which one it is. No test. 292 00:15:19,503 --> 00:15:21,303 We can't take them off the antibiotics though. 293 00:15:21,421 --> 00:15:22,589 They'll die of the infection. 294 00:15:22,714 --> 00:15:24,108 But if we leave them on both the antibiotics, 295 00:15:24,132 --> 00:15:25,234 they'll die of kidney failure. 296 00:15:25,258 --> 00:15:27,511 So, we take our best guess then. 297 00:15:27,636 --> 00:15:29,262 Which drug's causing the kidney failure? 298 00:15:29,387 --> 00:15:32,724 It's like I said, it's always mrsa in hospitals. 299 00:15:32,849 --> 00:15:34,059 Take them off aztreonam. 300 00:15:34,184 --> 00:15:35,977 I still think it's the pseudomonas. 301 00:15:36,103 --> 00:15:38,146 I vote to take them off the vancomycin. 302 00:15:44,694 --> 00:15:46,988 There's no point in guessing. 303 00:15:50,033 --> 00:15:53,787 Take one kid off vancomycin, the other off aztreonam. 304 00:15:53,912 --> 00:15:56,349 They have the same disease. You want to give them different treatments? 305 00:15:56,373 --> 00:15:57,475 What the hell are you doing? 306 00:15:57,499 --> 00:16:00,585 Therapeutic trial, to find the cause of the infection. 307 00:16:00,710 --> 00:16:02,087 That's wrong. 308 00:16:02,212 --> 00:16:04,631 We have four sick kids at least. 309 00:16:04,756 --> 00:16:07,110 Who knows how many more haven't started showing symptoms yet. 310 00:16:07,134 --> 00:16:08,593 We have a duty to these two. 311 00:16:08,718 --> 00:16:10,238 If these two have different reactions, 312 00:16:10,303 --> 00:16:12,180 we'll know how to save the rest. 313 00:16:12,305 --> 00:16:14,266 So you're condemning one of these kids to die 314 00:16:14,391 --> 00:16:16,476 based on random chance? 315 00:16:23,567 --> 00:16:24,943 I guess I am. 316 00:16:35,078 --> 00:16:37,747 Cuddy: So you're going to flip a coin. 317 00:16:37,873 --> 00:16:40,208 That's how you decide which baby lives. 318 00:16:40,333 --> 00:16:42,377 Can I borrow a quarter? 319 00:16:42,502 --> 00:16:45,589 Do you want to get sued, lose your license, house? 320 00:16:45,714 --> 00:16:47,024 Well, generally, I'd applaud that, 321 00:16:47,048 --> 00:16:48,800 but my job is to protect this hospital, 322 00:16:48,925 --> 00:16:52,429 so I strongly advise you to come up with a medical rationale 323 00:16:52,554 --> 00:16:54,764 why baby a should get medicine x and vice versa. 324 00:16:54,890 --> 00:16:55,974 Whoa, whoa, whoa, whoa. 325 00:16:56,099 --> 00:16:57,601 Hold on there, slick. 326 00:16:57,726 --> 00:16:58,966 We didn't all go to law school. 327 00:16:59,060 --> 00:17:00,121 Your advice is that I should use 328 00:17:00,145 --> 00:17:02,272 medical reasons to make medical decisions? 329 00:17:02,397 --> 00:17:03,773 Hmm. That's not gonna be as easy. 330 00:17:03,899 --> 00:17:06,318 Any medical justification. It doesn't need to be a good one. 331 00:17:06,443 --> 00:17:09,446 Well, hartig sounds Jewish, so does aztreonam, 332 00:17:09,571 --> 00:17:11,257 so we'll take the hartig kid off vancomycin. 333 00:17:11,281 --> 00:17:12,866 How's that? 334 00:17:12,991 --> 00:17:14,451 You can't experiment on babies. 335 00:17:14,576 --> 00:17:15,911 Doctors experiment all the time. 336 00:17:16,036 --> 00:17:17,829 On adults, with their consent. 337 00:17:17,954 --> 00:17:19,956 Fine. I'll get the parents' consent. 338 00:17:20,081 --> 00:17:21,499 Their informed consent. 339 00:17:21,625 --> 00:17:23,644 They have to know the other kid is getting a different treatment. 340 00:17:23,668 --> 00:17:24,711 Sorry. Can't do that. 341 00:17:24,836 --> 00:17:26,105 It would be unethical for one patient 342 00:17:26,129 --> 00:17:27,964 to know about another patient's treatment. 343 00:17:28,089 --> 00:17:30,484 - They have a right to know. - If they know, they won't consent. 344 00:17:30,508 --> 00:17:32,761 That defeats the whole purpose. 345 00:17:32,886 --> 00:17:34,638 That's their right. 346 00:17:34,763 --> 00:17:37,349 Two more babies have just become symptomatic. 347 00:17:37,474 --> 00:17:38,850 I defer to your legal wisdom. 348 00:17:38,975 --> 00:17:43,396 Which takes precedence, six dying babies or a missing consent form? 349 00:17:44,481 --> 00:17:46,024 You can't do it. 350 00:17:52,364 --> 00:17:54,366 Do what you think is best. 351 00:18:21,935 --> 00:18:23,575 Your daughter's kidneys are shutting down. 352 00:18:24,396 --> 00:18:25,981 Your son's kidneys are failing. 353 00:18:26,106 --> 00:18:27,899 So we're going to take her off the aztreonam. 354 00:18:28,024 --> 00:18:29,859 We're taking him off vancomycin. 355 00:18:30,610 --> 00:18:32,946 But what... What made her sick in the first place? 356 00:18:33,071 --> 00:18:34,781 What do you think is causing it? 357 00:18:34,906 --> 00:18:37,450 It seems to be a germ called pseudomonas. 358 00:18:37,575 --> 00:18:40,954 We think it's mrsa methicillin-resistant staph aureus. 359 00:18:41,079 --> 00:18:44,165 It's a very resistant form of a very common bacteria. 360 00:18:44,416 --> 00:18:46,626 We're hoping the aztreonam will clear it up. 361 00:18:47,043 --> 00:18:48,920 Vancomycin is the best treatment for mrsa, 362 00:18:49,045 --> 00:18:50,880 so we're gonna keep giving it to her. 363 00:18:51,006 --> 00:18:52,799 Is it gonna cure her? 364 00:18:56,720 --> 00:18:58,763 Your child is very sick. 365 00:18:58,888 --> 00:19:00,265 You need to know that. 366 00:19:00,890 --> 00:19:02,475 This is a hail Mary pass. 367 00:19:02,600 --> 00:19:04,311 It might cure her. It might not. 368 00:19:09,983 --> 00:19:11,985 So, that'll cure him? 369 00:19:14,487 --> 00:19:17,157 We'll know in 24 hours if it's working. 370 00:19:33,256 --> 00:19:35,842 - What did you tell them? - I told them the truth. 371 00:19:36,509 --> 00:19:38,011 They seemed relieved. 372 00:19:38,136 --> 00:19:39,763 Did you tell them how sick their son is? 373 00:19:39,888 --> 00:19:41,032 I explained what was going on. 374 00:19:41,056 --> 00:19:43,058 Allison, their baby's dying. 375 00:19:43,183 --> 00:19:44,910 If the parents weren't in tears by the time you left, 376 00:19:44,934 --> 00:19:46,078 you didn't tell them the truth. 377 00:19:46,102 --> 00:19:47,771 That's not how I see it. 378 00:19:47,896 --> 00:19:49,272 Do you want them blindsided? 379 00:19:49,397 --> 00:19:50,708 Want them coming up and saying, "my god, 380 00:19:50,732 --> 00:19:52,252 "my baby died. Why didn't you warn me?" 381 00:19:52,359 --> 00:19:54,045 So now it's about worrying about them yelling at us? 382 00:19:54,069 --> 00:19:57,447 No, it's about getting them prepared for the likely death of their child. 383 00:19:57,572 --> 00:19:58,823 If their son dies tomorrow, 384 00:19:58,948 --> 00:20:01,148 you think they'll give a damn what I said to them today? 385 00:20:01,242 --> 00:20:02,970 It's not gonna matter. They're not gonna care. 386 00:20:02,994 --> 00:20:05,872 Nothing's gonna be the same ever again. 387 00:20:05,997 --> 00:20:09,125 Just give those poor women a few hours of hope. 388 00:20:15,256 --> 00:20:17,050 - Dr. House! - Oh, no. 389 00:20:17,175 --> 00:20:19,719 Dr. House, this is my husband, Charlie. 390 00:20:19,844 --> 00:20:21,763 Who told you where my office was? 391 00:20:21,888 --> 00:20:23,657 Jill, come on. He obviously doesn't want us bothering him. 392 00:20:23,681 --> 00:20:26,893 I was trying to hide it. 393 00:20:27,018 --> 00:20:31,606 Look, doctor, this is about the mono that you said you thought I had. 394 00:20:31,731 --> 00:20:33,691 - The mono? - Yes. 395 00:20:33,817 --> 00:20:36,027 You know, shouldn't Charlie be tested? 396 00:20:36,152 --> 00:20:40,240 You know, the test, the blood test. 397 00:20:40,990 --> 00:20:44,202 Right. Yeah, I'm sorry. 398 00:20:44,327 --> 00:20:46,079 I sometimes forget patients. 399 00:20:46,204 --> 00:20:47,747 I thought you were this idiot 400 00:20:47,872 --> 00:20:50,041 who doesn't know how to use birth control. 401 00:20:50,166 --> 00:20:51,793 I can't have mono. 402 00:20:51,918 --> 00:20:54,212 I don't even feel sick or anything. 403 00:20:56,172 --> 00:20:58,383 That's very often the first sign. 404 00:20:58,508 --> 00:21:01,636 Call my office in the morning, and I'll schedule you for blood tests. 405 00:21:01,761 --> 00:21:03,221 Thank you. 406 00:21:03,346 --> 00:21:04,764 I'm not even tired. 407 00:21:04,973 --> 00:21:06,057 Oh! 408 00:21:16,609 --> 00:21:17,735 Find anything yet? 409 00:21:17,861 --> 00:21:22,490 Just some baby formula being stored under a sink with a dripping faucet. 410 00:21:22,615 --> 00:21:24,033 Tap water contamination. 411 00:21:24,159 --> 00:21:25,261 You thinking pseudomonas infection? 412 00:21:25,285 --> 00:21:28,037 I was. I wasted a couple of hours chasing it down, 413 00:21:28,163 --> 00:21:31,958 but, of course, the formula hasn't been anywhere near the babies. 414 00:21:32,083 --> 00:21:33,102 Whatever idiot stored them there... 415 00:21:33,126 --> 00:21:34,586 All right, we'll figure it out. 416 00:21:34,711 --> 00:21:37,380 - Just calm down. - I am calm. 417 00:21:37,505 --> 00:21:39,841 Let me know when you're gonna need it. 418 00:21:39,966 --> 00:21:42,010 - Oh, come... - I warned you. 419 00:21:43,011 --> 00:21:44,637 I did that calmly. 420 00:21:50,101 --> 00:21:51,895 Hey. 421 00:21:53,855 --> 00:21:56,024 She any better? 422 00:21:56,149 --> 00:21:58,943 Her fever has been stable the last hour. 423 00:22:00,778 --> 00:22:03,531 We're not gonna make it, are we? 424 00:22:03,656 --> 00:22:04,949 Sorry? 425 00:22:05,783 --> 00:22:07,118 Me and Ethan. 426 00:22:09,078 --> 00:22:12,373 Our next-door neighbor, 427 00:22:12,499 --> 00:22:14,042 her little boy died in a car crash, 428 00:22:14,167 --> 00:22:18,296 and she and her husband split up, like, four months after the funeral. 429 00:22:18,421 --> 00:22:22,425 It's just what always happens, right? 430 00:22:27,138 --> 00:22:28,431 What happens to patients 431 00:22:28,556 --> 00:22:29,992 after they leave the hospital, I don't know, 432 00:22:30,016 --> 00:22:32,977 but try not to get ahead of yourself. 433 00:22:38,358 --> 00:22:40,860 Nurse: Dr. Chase, ectopy on the monitor. 434 00:22:40,985 --> 00:22:42,421 Chase: How long? I don't know. It just started. 435 00:22:42,445 --> 00:22:44,322 Pulse? Fluid, wide open. 436 00:22:44,447 --> 00:22:46,115 Do we have an arterial line? Not yet. 437 00:22:46,241 --> 00:22:48,034 Let's get a BP. 438 00:22:50,703 --> 00:22:52,705 - You can't come in here. - Is my baby dying? 439 00:22:52,830 --> 00:22:54,058 - Chase: Mrs. Hartig... - Is she dying? 440 00:22:54,082 --> 00:22:56,709 - Ma'am, you'll have to leave. - It's not your baby. 441 00:23:00,505 --> 00:23:01,965 Ventilate. 442 00:23:03,174 --> 00:23:05,093 BP 60 over 20. 443 00:23:05,218 --> 00:23:06,427 Cameron: Heart rate's 180. 444 00:23:06,553 --> 00:23:09,222 Chase: Start the levophed. 445 00:23:09,347 --> 00:23:11,516 Still dropping, 50 over 10. 446 00:23:15,103 --> 00:23:17,063 I can't hold BP, even with three pressors. 447 00:23:19,065 --> 00:23:20,608 I'm losing pulse. 448 00:23:22,193 --> 00:23:23,903 V-fib. 449 00:23:24,028 --> 00:23:25,405 Shut the blinds. 450 00:23:36,082 --> 00:23:37,875 - Charging. - Man: Set. 451 00:23:38,001 --> 00:23:39,252 Clear. 452 00:23:41,838 --> 00:23:43,089 Still v-fib. 453 00:23:43,214 --> 00:23:45,717 Charging. Clear. 454 00:23:47,802 --> 00:23:50,305 Charging. Clear. 455 00:23:54,434 --> 00:23:55,935 Foreman: Still v-fib. 456 00:23:57,562 --> 00:24:00,064 Charging. Clear. 457 00:24:03,901 --> 00:24:05,486 - Charging. - Chase. 458 00:24:08,948 --> 00:24:11,868 Time of death, 6:57 pm. 459 00:24:34,515 --> 00:24:37,393 House: The aztreonam doesn't work. 460 00:24:37,518 --> 00:24:40,521 Double-cover all the other babies with vancomycin. 461 00:24:40,647 --> 00:24:42,398 I'll do it. 462 00:24:42,523 --> 00:24:45,109 House: Cameron, tell the parents. 463 00:24:45,860 --> 00:24:50,323 Tell them their child probably saved five lives. 464 00:24:50,448 --> 00:24:52,075 - But chase should... - Chase is busy. 465 00:24:52,200 --> 00:24:53,993 You're the attending. 466 00:24:56,996 --> 00:24:59,165 Make sure she does herjob. 467 00:26:00,852 --> 00:26:03,855 I asked you to make sure she does herjob, not do it for her. 468 00:26:03,980 --> 00:26:05,022 She froze up. 469 00:26:05,148 --> 00:26:06,988 She felt sorry for the parents, so she shut up. 470 00:26:07,066 --> 00:26:09,026 You felt sorry for her, so you opened your mouth. 471 00:26:09,152 --> 00:26:10,361 She has a problem. 472 00:26:10,486 --> 00:26:11,529 She needs to deal with it. 473 00:26:11,654 --> 00:26:13,132 If you hadn't bailed her out, she would have done it. 474 00:26:13,156 --> 00:26:15,700 Great. Then she wouldn't have slept for two weeks. 475 00:26:15,825 --> 00:26:18,786 Maybe she should be thinking about a different specialty. 476 00:26:18,911 --> 00:26:21,164 Lab work, research? 477 00:26:21,956 --> 00:26:24,041 - Yeah, what is it? - The hartig baby, 478 00:26:24,167 --> 00:26:25,960 she's getting sicker, too. 479 00:26:26,085 --> 00:26:28,796 The vancomycin isn't working either. 480 00:26:33,176 --> 00:26:34,635 Vancomycin doesn't kill it. 481 00:26:34,761 --> 00:26:36,345 Aztreonam doesn't kill it. 482 00:26:38,097 --> 00:26:40,183 What the hell is this? 483 00:26:40,308 --> 00:26:42,643 It's a superbug. 484 00:26:42,769 --> 00:26:44,854 It could be vrsa. 485 00:26:44,979 --> 00:26:47,291 There's only been two reported cases ever in the United States. 486 00:26:47,315 --> 00:26:49,901 One of the kids, the hausen baby, had a skin rash. 487 00:26:50,026 --> 00:26:53,237 It could be scalded-skin syndrome, which would be a sign of vrsa. 488 00:26:53,362 --> 00:26:54,362 Then these kids are dead. 489 00:26:54,447 --> 00:26:56,115 This is our fault. 490 00:26:56,616 --> 00:26:59,285 Doctors over-prescribing antibiotics. 491 00:26:59,660 --> 00:27:02,163 "Got a cold? Take some penicillin. 492 00:27:02,288 --> 00:27:03,998 "Sniffles? No problem. 493 00:27:04,123 --> 00:27:05,500 "Have some azithromycin. 494 00:27:05,625 --> 00:27:08,044 "Is that not working anymore? Well, got your Levaquin." 495 00:27:08,169 --> 00:27:10,671 Antibacterial soaps in every bathroom. 496 00:27:10,797 --> 00:27:13,925 They'll be adding vancomycin to the water supply soon. 497 00:27:14,050 --> 00:27:15,718 We bred these superbugs. 498 00:27:15,843 --> 00:27:18,012 They're our babies, and they're all grown up, 499 00:27:18,137 --> 00:27:20,890 and they've got body piercings and a lot of anger. 500 00:27:24,227 --> 00:27:26,062 On the other hand, 501 00:27:26,187 --> 00:27:28,523 maybe antibiotics had nothing to do with it. 502 00:27:31,108 --> 00:27:33,486 Did you notice how low his BP was at the end, 503 00:27:33,611 --> 00:27:35,947 even with three pressors? 504 00:27:36,072 --> 00:27:37,406 Heart damage? 505 00:27:40,326 --> 00:27:41,327 Go home. 506 00:27:41,452 --> 00:27:43,120 There's nothing more you can do tonight. 507 00:28:03,140 --> 00:28:05,393 Baby boy chen-lupino. 508 00:28:07,520 --> 00:28:12,316 Time of death 6:57 P.M., Thursday, December 2nd, 2004. 509 00:28:44,473 --> 00:28:48,394 This is a cross section of the chen-lupino boy's myocardium. 510 00:28:48,519 --> 00:28:51,063 Fibrosis, iymphocytic infiltrates. 511 00:28:52,398 --> 00:28:54,859 There was no sign of iymphocytosis in the blood tests. 512 00:28:54,984 --> 00:28:58,279 Yes, well, we all had plenty of good reasons to think bacterial. 513 00:28:58,404 --> 00:28:59,989 Nobody is scolding you. 514 00:29:00,114 --> 00:29:02,909 Unfortunately, all those clever reasons were wrong. 515 00:29:03,034 --> 00:29:05,202 It is a virus infecting their hearts. 516 00:29:05,328 --> 00:29:06,495 Man, we're screwed. 517 00:29:06,621 --> 00:29:09,790 We can't chase down a virus. There's a thousand possibilities. 518 00:29:09,916 --> 00:29:11,792 We could run gels, antibody tests. 519 00:29:11,918 --> 00:29:13,020 Foreman: A thousand of them? 520 00:29:13,044 --> 00:29:13,920 The kids don't have enough blood. 521 00:29:14,045 --> 00:29:15,463 Chase, you're the intensivist. 522 00:29:15,588 --> 00:29:18,049 How many could we do before we risk exsanguinating the kids? 523 00:29:18,174 --> 00:29:20,468 You're talking vials, not stick tests? 524 00:29:20,593 --> 00:29:22,261 I wouldn't take more than five or six. 525 00:29:22,386 --> 00:29:28,392 Okay, so we have to narrow the thousand viruses down to six. 526 00:29:28,517 --> 00:29:32,063 Now, the autopsy's shown us what the virus does, 527 00:29:32,188 --> 00:29:33,981 so let's go. What do we know? 528 00:29:34,106 --> 00:29:36,442 That ribavirin and acyclovir don't knock it out. 529 00:29:36,567 --> 00:29:38,110 Cross out the herpes viruses. 530 00:29:38,235 --> 00:29:41,197 Also adenovirus. 531 00:29:41,322 --> 00:29:42,865 What else? What else? Keep talking! 532 00:29:42,990 --> 00:29:45,034 Well, it only seems to hit children. 533 00:29:45,159 --> 00:29:46,303 The mothers aren't sick, so... 534 00:29:46,327 --> 00:29:48,996 No toxoplasmosis, no rubella. 535 00:29:49,121 --> 00:29:50,474 Cross out the entire torch syndrome. 536 00:29:50,498 --> 00:29:52,625 - You didn't find any lung damage? - No. 537 00:29:52,750 --> 00:29:54,710 None of the paramyxoviridae. 538 00:29:54,835 --> 00:29:57,046 Cardiac scarring, people. 539 00:29:57,171 --> 00:29:58,297 Cmv. 540 00:30:02,051 --> 00:30:03,970 Enteroviruses, too, I think. 541 00:30:05,429 --> 00:30:06,973 House: 11. 542 00:30:07,098 --> 00:30:08,474 Influenza a. 543 00:30:09,183 --> 00:30:10,184 Flu a. 544 00:30:12,853 --> 00:30:15,439 Yes, and? 545 00:30:28,577 --> 00:30:31,622 I'm putting rsv down as a yes. 546 00:30:31,747 --> 00:30:34,000 That makes eight. 547 00:30:34,125 --> 00:30:35,960 Eight vials of blood is pushing it. 548 00:30:36,085 --> 00:30:38,045 Pushing it? Well, we love that. 549 00:30:38,170 --> 00:30:40,214 Get the antibody kits, start testing the sick kids. 550 00:30:40,339 --> 00:30:42,567 All right, I'll look into whether there are any antivirals 551 00:30:42,591 --> 00:30:43,759 for these eight. 552 00:30:43,884 --> 00:30:45,011 Wait a second, did... 553 00:30:45,136 --> 00:30:46,929 The kids on the floor who didn't get sick, 554 00:30:47,054 --> 00:30:48,681 are any of them still in the hospital? 555 00:30:48,806 --> 00:30:50,224 They got moved to the fifth floor, 556 00:30:50,349 --> 00:30:52,069 but they're probably all checked out by now. 557 00:30:52,101 --> 00:30:53,662 No, the limpert boy had a bit of jaundice. 558 00:30:53,686 --> 00:30:54,729 He's checking out today. 559 00:30:54,854 --> 00:30:56,623 - I want to test his blood, too. - Cuddy: Why? 560 00:30:56,647 --> 00:30:58,691 Because we need all the information we can get. 561 00:30:58,816 --> 00:31:00,377 The healthy kid can be our control group. 562 00:31:00,401 --> 00:31:02,236 I'll just tell his parents 563 00:31:02,361 --> 00:31:05,114 he can't check out because he has the smallpox. 564 00:31:07,908 --> 00:31:11,162 Woman on pa: Stephen Morgan, contact hospital administration. 565 00:31:14,874 --> 00:31:16,792 Dr. Paul to the recovery room. 566 00:31:16,917 --> 00:31:19,170 Dr. Paul to the recovery room. 567 00:31:19,545 --> 00:31:22,131 All done. All done. 568 00:31:26,093 --> 00:31:27,094 What did we get? 569 00:31:27,219 --> 00:31:30,181 Well, the sick babies all tested positive for echovirus 11. 570 00:31:30,306 --> 00:31:31,891 Great. And cmv 571 00:31:32,016 --> 00:31:33,768 and parvovirus b19. 572 00:31:33,893 --> 00:31:34,977 Three viruses? 573 00:31:35,102 --> 00:31:37,063 But what's weirder, the healthy kid we tested, 574 00:31:37,188 --> 00:31:40,983 he's positive for echovirus 11 and cmv antibodies, as well. 575 00:31:45,696 --> 00:31:48,157 And they're infants. 576 00:31:49,158 --> 00:31:52,495 They have their mothers' blood, their mothers' antibodies. 577 00:31:52,620 --> 00:31:53,913 So we've just learned nothing? 578 00:31:54,038 --> 00:31:55,539 Uh-uh. We have half the picture. 579 00:31:55,664 --> 00:31:58,959 The healthy kids survived because their mothers' antibodies saved them. 580 00:31:59,085 --> 00:32:02,213 If the mom had cmv in the past, she'd have the antibodies for cmv. 581 00:32:02,338 --> 00:32:04,840 The kid would be immune from it. 582 00:32:04,965 --> 00:32:08,969 So, we test the sick kids' moms for echovirus, cmv and parvovirus. 583 00:32:09,095 --> 00:32:11,015 And whichever they don't have the antibodies for, 584 00:32:11,097 --> 00:32:13,599 that's what's killing their kids. 585 00:32:13,724 --> 00:32:15,601 I'll test the mothers. 586 00:32:18,062 --> 00:32:20,940 Man on pa: Inhalation therapist, 2p 214. 587 00:32:21,065 --> 00:32:24,401 Inhalation therapist, pediatric room 214. 588 00:32:34,537 --> 00:32:36,914 Woman on pa: Dr. Kent's office on the line. 589 00:32:37,039 --> 00:32:39,542 Dr. Kent's office on the line. 590 00:32:59,145 --> 00:33:01,981 Foreman: Echovirus 11. It's an enterovirus. 591 00:33:02,106 --> 00:33:04,024 It lodges in the intestinal tract. 592 00:33:04,150 --> 00:33:07,528 Enteroviruses cause diarrhea and flu-like symptoms in adults, 593 00:33:07,653 --> 00:33:12,449 maybe a rash, but for newborns, it can be deadly. 594 00:33:12,575 --> 00:33:15,119 It's damaging her heart. 595 00:33:15,244 --> 00:33:16,996 Well, is there anything you can do? 596 00:33:17,121 --> 00:33:20,833 Viruses are more difficult to treat than bacterial infections. 597 00:33:20,958 --> 00:33:22,853 We still haven't found a cure for the common cold. 598 00:33:22,877 --> 00:33:25,045 So, you mean there's no vaccine or... 599 00:33:25,171 --> 00:33:27,590 There's a company in Pennsylvania developing an antiviral. 600 00:33:27,715 --> 00:33:29,550 It got positive results in a lab setting, 601 00:33:29,675 --> 00:33:32,011 and we managed to get our hands on it. 602 00:33:45,441 --> 00:33:48,485 Imagine not being able to touch your own baby. 603 00:33:51,780 --> 00:33:53,300 Can I get your guys' help with something? 604 00:33:53,324 --> 00:33:54,825 Sure. 605 00:33:54,950 --> 00:33:55,993 Your daughter, her... 606 00:33:56,118 --> 00:33:57,661 Maxine. 607 00:33:57,786 --> 00:34:01,040 That's her name. Maxine. 608 00:34:02,666 --> 00:34:04,877 We need someone to hold Maxine up off the bed 609 00:34:05,002 --> 00:34:06,503 while the nurse changes her sheet. 610 00:34:06,629 --> 00:34:08,380 Sure. Okay. 611 00:34:11,425 --> 00:34:15,763 Karen: Look at you. Hi. Hold still. 612 00:34:21,310 --> 00:34:22,603 That's it. 613 00:34:26,774 --> 00:34:29,151 Hi. Easy. 614 00:34:31,153 --> 00:34:32,529 There you go. 615 00:35:07,982 --> 00:35:10,693 Hey, foreman. Got a minute? 616 00:35:18,575 --> 00:35:22,871 So, pulmonary resistance has stabilized for the two kids, but BP's still... 617 00:35:22,997 --> 00:35:26,292 No news then. How's Cameron? 618 00:35:26,417 --> 00:35:28,085 Dr. Cameron? 619 00:35:28,210 --> 00:35:30,879 Sure. Let's start with her and then move on 620 00:35:31,005 --> 00:35:32,548 to all the other camerons we know. 621 00:35:32,673 --> 00:35:34,717 I'm sorry. I'm just not used to you asking 622 00:35:34,842 --> 00:35:35,922 about someone's well-being. 623 00:35:36,010 --> 00:35:38,137 I can understand how the question would surprise you. 624 00:35:38,262 --> 00:35:39,942 I don't quite get how it would confuse you. 625 00:35:41,181 --> 00:35:42,181 Why do you wanna know? 626 00:35:42,266 --> 00:35:43,934 Why do you wanna know why I want to know? 627 00:35:44,059 --> 00:35:45,602 Just curious. 628 00:35:45,728 --> 00:35:46,895 Me, too. 629 00:35:47,021 --> 00:35:48,689 You don't get curious. 630 00:35:48,814 --> 00:35:50,441 I'm the most curious man in the world. 631 00:35:50,566 --> 00:35:51,650 Not about trivialities. 632 00:35:51,775 --> 00:35:53,610 Well, then this must not be trivial. 633 00:35:55,988 --> 00:35:58,907 How is Cameron handling everything? 634 00:35:59,033 --> 00:36:00,826 Just fine. 635 00:36:03,245 --> 00:36:05,581 Great. Glad we talked. 636 00:36:11,253 --> 00:36:15,215 Your husband is definitely the source of your mono. 637 00:36:15,341 --> 00:36:16,717 Oh! 638 00:36:16,842 --> 00:36:19,720 Wow! Oh, thank god. 639 00:36:20,054 --> 00:36:23,932 Wow, I'm gonna be a mom. Whoa! 640 00:36:25,184 --> 00:36:26,727 Thank you so much. 641 00:36:26,852 --> 00:36:28,937 I got to get you a gift or something. 642 00:36:29,063 --> 00:36:31,982 Sometimes the best gift is the gift of never seeing you again. 643 00:36:32,107 --> 00:36:34,360 Okay. All right. 644 00:36:34,485 --> 00:36:38,113 But, Dr. House, you've been so awesome. 645 00:36:38,238 --> 00:36:42,743 I mean, I really totally trust you. 646 00:36:42,868 --> 00:36:44,828 - Do you think you... - No. 647 00:36:44,953 --> 00:36:46,997 - Could do the prenatal... - No. 648 00:36:47,122 --> 00:36:48,499 Or deliver the baby? 649 00:36:48,624 --> 00:36:50,459 - That would be no. - Okay. 650 00:36:57,007 --> 00:36:58,133 Well... 651 00:37:36,004 --> 00:37:38,173 Chase, take a look at this. 652 00:37:56,150 --> 00:37:57,651 Oh, god. 653 00:37:58,152 --> 00:37:59,236 It's good news. 654 00:37:59,361 --> 00:38:00,737 No. It's great. 655 00:38:05,576 --> 00:38:07,035 Thank you. 656 00:38:18,380 --> 00:38:20,883 Hi. She's doing great. 657 00:38:21,008 --> 00:38:22,968 Hi, there. 658 00:38:37,149 --> 00:38:38,233 They all gone? 659 00:38:38,358 --> 00:38:40,110 Hartigs are checking out right now. 660 00:38:41,695 --> 00:38:42,863 You look tired. 661 00:38:42,988 --> 00:38:44,114 Thanks. 662 00:38:45,449 --> 00:38:49,953 It's no wonder. You've had a hard time the last couple of days. 663 00:38:50,078 --> 00:38:52,080 And you haven't? 664 00:38:52,206 --> 00:38:53,707 Not like you. 665 00:38:56,877 --> 00:38:59,296 Anyone who's that awkward 666 00:38:59,421 --> 00:39:03,800 either has no experience with death or too much, 667 00:39:03,926 --> 00:39:06,637 and I'm pretty sure it's not the former. 668 00:39:08,138 --> 00:39:09,658 Chase told me about that idea you had, 669 00:39:09,765 --> 00:39:13,310 the parents holding the baby. Where'd you get that? 670 00:39:16,313 --> 00:39:18,106 Did you lose someone? 671 00:39:20,567 --> 00:39:22,319 Did you lose a baby? 672 00:39:24,988 --> 00:39:27,199 You can be a real bastard. 673 00:40:29,928 --> 00:40:31,638 Unfinished business? 674 00:40:33,223 --> 00:40:34,975 - I'm in the haystack. - Ah! 675 00:40:35,100 --> 00:40:37,020 Because now you know you're looking for a needle. 676 00:40:37,102 --> 00:40:38,645 Right. 677 00:40:38,770 --> 00:40:42,983 If I tell you to let it go, it won't make any difference, will it? 678 00:40:43,108 --> 00:40:45,652 Enteroviruses are spread by humans. 679 00:40:45,777 --> 00:40:47,738 Fecal or oral usually. 680 00:40:47,863 --> 00:40:50,324 It could be respiratory secretions though. 681 00:40:50,449 --> 00:40:52,409 So cuddy got stool samples from the whole staff. 682 00:40:52,534 --> 00:40:54,262 - Just wait till they come back. - That won't do it. 683 00:40:54,286 --> 00:40:55,329 Why not? 684 00:40:55,454 --> 00:40:57,247 The shedder, whoever he is, 685 00:40:57,372 --> 00:40:59,875 he's so virulent, he must have been symptomatic. 686 00:41:00,000 --> 00:41:02,210 - Cuddy would have noticed him. - Hmm. 687 00:41:02,336 --> 00:41:05,714 And the babies didn't share any common personnel. 688 00:41:05,839 --> 00:41:07,341 That's what's weird. 689 00:41:07,466 --> 00:41:09,926 Yeah, yeah. That's what's weird. 690 00:41:10,052 --> 00:41:11,970 Woman on pa: Transition team to or 2. 691 00:41:12,095 --> 00:41:13,972 Transition team to or 2. 692 00:42:07,109 --> 00:42:08,527 Can I help you? 693 00:42:12,948 --> 00:42:14,950 You saved my life. 694 00:42:15,075 --> 00:42:17,035 I just ran some tests. 695 00:42:17,160 --> 00:42:19,663 Your will and determination are what saved your life. 696 00:42:19,788 --> 00:42:21,623 I know who I am now. 697 00:42:21,748 --> 00:42:23,250 Yes, you do. 698 00:42:23,375 --> 00:42:25,001 And I know who I am, as well. 699 00:42:25,127 --> 00:42:26,837 Naomi, I love you. 700 00:42:26,962 --> 00:42:30,048 Hey, seriously, man. You're not supposed to be here. 701 00:42:30,173 --> 00:42:32,801 I'm performing a delivery. 702 00:42:32,926 --> 00:42:33,969 You are? 703 00:42:34,094 --> 00:42:36,179 A patient whose prenatal care I've been handling. 704 00:42:36,304 --> 00:42:38,849 I just took her on a couple of minutes ago. 705 00:42:38,974 --> 00:42:41,935 Of course, I'll need one of you two guys to supervise. 706 00:42:42,060 --> 00:42:44,438 - When's she due? - Late march. 707 00:42:45,856 --> 00:42:48,859 That's five months from now. 708 00:42:48,984 --> 00:42:51,570 Thank god, these chairs are comfortable.