1
00:00:07,250 --> 00:00:08,050
Hey.

2
00:00:09,450 --> 00:00:10,350
Thanks.

3
00:00:13,650 --> 00:00:15,150
?

4
00:00:15,150 --> 00:00:16,950
It's the rock star supposed to be late,

5
00:00:16,950 --> 00:00:18,750
not the rock star's photographer.

6
00:00:18,750 --> 00:00:20,750
Sorry, morning sickness.

7
00:00:20,750 --> 00:00:24,150
?

8
00:00:24,150 --> 00:00:25,450
Come on. It's good luck.

9
00:00:28,350 --> 00:00:29,950
?

10
00:00:35,350 --> 00:00:36,850
So what do you think?

11
00:00:37,350 --> 00:00:39,950
Uh, I think people aren't gonna get it.

12
00:00:39,950 --> 00:00:40,850
Oh, come on.

13
00:00:41,150 --> 00:00:42,450
All-American Rejects.

14
00:00:42,550 --> 00:00:47,350
Juxtaposing a classic image of Americana
with modern pop culture, you.

15
00:00:47,750 --> 00:00:49,450
Oh, yeah,

16
00:00:49,450 --> 00:00:51,450
everyone loves a good juxtaposition.

17
00:00:51,850 --> 00:00:53,650
My fans were born in the '90s.

18
00:00:53,650 --> 00:00:55,050
You know what? You do this picture,

19
00:00:55,050 --> 00:00:57,050
you'll gain 40 years of fans.

20
00:00:57,750 --> 00:00:59,050
- Yeah?
- Yeah.

21
00:00:59,050 --> 00:01:00,250
Love the Rockwell thing.

22
00:01:00,250 --> 00:01:01,250
I thought so.

23
00:01:02,150 --> 00:01:03,950
Okay, kill the house lights,
let's go.

24
00:01:10,750 --> 00:01:11,750
Hang on. Hang on.

25
00:01:11,750 --> 00:01:14,350
Hey, who's in charge of the backdrop?
Naomi?

26
00:01:14,350 --> 00:01:15,250
Yeah?

27
00:01:15,750 --> 00:01:16,850
What's wrong with it?

28
00:01:17,550 --> 00:01:19,650
Well, the words are completely jumbled.

29
00:01:20,850 --> 00:01:21,750
What?

30
00:01:22,650 --> 00:01:23,750
You can read that?

31
00:01:23,850 --> 00:01:24,450
Of course.

32
00:01:25,450 --> 00:01:26,450
You okay?

33
00:01:26,450 --> 00:01:27,950
No.
Oh, God.

34
00:01:27,950 --> 00:01:30,850
I—I could be having a—a—

35
00:01:30,850 --> 00:01:32,750
What's—what's the mnemonic?
Uh...

36
00:01:33,450 --> 00:01:35,150
F... F is for face.

37
00:01:35,250 --> 00:01:36,950
Is my smile crooked?

38
00:01:37,550 --> 00:01:38,750
What are you doing?

39
00:01:38,750 --> 00:01:41,550
A... A is for arms.

40
00:01:41,550 --> 00:01:43,750
- Arms...
- You should really sit down.

41
00:01:44,050 --> 00:01:45,050
Can somebody get her some water?

42
00:01:45,050 --> 00:01:47,250
S is... S is speech.

43
00:01:47,550 --> 00:01:49,050
I'm slurring...
I'm slurring?

44
00:01:49,350 --> 00:01:51,050
Huh? Oh...

45
00:01:52,150 --> 00:01:54,250
Oh, F-A-S-T.

46
00:01:55,150 --> 00:01:56,550
T is time.

47
00:01:56,750 --> 00:01:58,250
Hurry, somebody, uh...

48
00:01:59,150 --> 00:02:01,550
Call 911, tell them I'm having a stroke!

49
00:02:06,050 --> 00:02:14,850
www.1000fr.com presents

50
00:02:20,950 --> 00:02:29,450
FRM@ID Sync: mablelee

51
00:02:34,750 --> 00:02:36,450
[H]OUSE 317

52
00:02:42,750 --> 00:02:44,750
Hi, I'm Dr. House.

53
00:02:44,850 --> 00:02:46,350
My boss says
you're important.

54
00:02:46,550 --> 00:02:47,150
Oh.

55
00:02:47,150 --> 00:02:50,850
Personally, I don't get what's so hard
about making Scarlett Johansson look pretty.

56
00:02:50,850 --> 00:02:52,150
Arms out in front of you.

57
00:02:52,250 --> 00:02:53,050
Your palms up,

58
00:02:53,050 --> 00:02:54,350
like you're holding a pizza.

59
00:02:55,050 --> 00:02:56,350
Close your eyes.

60
00:02:57,750 --> 00:03:00,950
It's so easy,
you should consider a career change.

61
00:03:00,950 --> 00:03:02,550
Probably make a lot more money.

62
00:03:03,150 --> 00:03:05,350
Dr. Mackman tell you the clot was clear?

63
00:03:05,350 --> 00:03:06,550
Yes.

64
00:03:06,650 --> 00:03:08,950
And he said that you and the fetus are fine.

65
00:03:08,950 --> 00:03:09,750
Yeah.

66
00:03:10,250 --> 00:03:12,550
He didn't mention your pronator drift.

67
00:03:13,350 --> 00:03:14,250
What's that mean?

68
00:03:14,250 --> 00:03:16,450
It means Mackman is an idiot.

69
00:03:17,150 --> 00:03:18,050
May I?

70
00:03:18,050 --> 00:03:18,850
Yeah.

71
00:03:19,350 --> 00:03:20,350
So.

72
00:03:21,650 --> 00:03:23,950
You take thousands photos of someone,

73
00:03:23,950 --> 00:03:26,050
but only one has to look good.

74
00:03:26,350 --> 00:03:27,650
Kinda the opposite of my business.

75
00:03:27,650 --> 00:03:29,050
It's not about looking good.

76
00:03:29,050 --> 00:03:30,350
People are always hiding things.

77
00:03:30,350 --> 00:03:33,550
I just keep shooting until I can see
what's really inside them.

78
00:03:34,750 --> 00:03:35,450
My eyes okay?

79
00:03:35,450 --> 00:03:36,850
Eyes are gorgeous.

80
00:03:37,450 --> 00:03:38,950
Vessels don't look so hot.

81
00:03:39,350 --> 00:03:42,050
Microaneurysms predict further strokes.

82
00:03:42,150 --> 00:03:43,250
This is gonna happen again?

83
00:03:43,250 --> 00:03:45,550
Unless I can figure out the underlying cause.

84
00:03:46,050 --> 00:03:47,350
Puff up your cheeks.

85
00:03:49,750 --> 00:03:51,050
You should be able to keep the air in.

86
00:03:51,050 --> 00:03:52,850
It means there's weakness
around the mouth.

87
00:03:52,850 --> 00:03:54,850
So where'd you learn
to self-diagnose a stroke?

88
00:03:54,850 --> 00:03:58,550
Oh, my, uh,
baby's biological father is a

89
00:03:58,550 --> 00:03:59,450
neurologist.

90
00:03:59,450 --> 00:04:02,050
He once told me the FAST mnemonic could...

91
00:04:02,050 --> 00:04:03,450
save my life one day, so...

92
00:04:03,450 --> 00:04:04,650
Interesting pet name.

93
00:04:05,050 --> 00:04:07,550
Most people go with "husband" or...

94
00:04:07,550 --> 00:04:08,350
"pookie."

95
00:04:08,350 --> 00:04:09,750
He's gay.

96
00:04:10,150 --> 00:04:12,150
Just a sperm donor.
So when you—

97
00:04:12,150 --> 00:04:13,450
turned him for a night?

98
00:04:13,650 --> 00:04:15,050
Just straight for one date?

99
00:04:16,150 --> 00:04:17,450
Okay.

100
00:04:17,650 --> 00:04:19,250
He took a magazine

101
00:04:19,450 --> 00:04:20,350
and a cup

102
00:04:20,350 --> 00:04:21,350
into my bathroom.

103
00:04:21,350 --> 00:04:23,050
Man after my own heart.

104
00:04:23,450 --> 00:04:25,250
Different magazine,
obviously.

105
00:04:25,450 --> 00:04:28,050
I'm rescinding Mackman's discharge order.

106
00:04:28,250 --> 00:04:31,550
My lackeys will be in to do some tests,
take some more blood,

107
00:04:31,550 --> 00:04:33,250
and empty your catheter bag.

108
00:04:39,050 --> 00:04:41,950
Not a moment
you'll want to cherish.

109
00:04:44,250 --> 00:04:47,350
This is definitely different.

110
00:04:47,650 --> 00:04:49,550
It looks almost like...

111
00:04:49,950 --> 00:04:51,550
He's caring.

112
00:04:57,450 --> 00:04:59,750
Find anything else in the patient's folder?

113
00:04:59,750 --> 00:05:00,850
Like a diagnosis?

114
00:05:00,850 --> 00:05:04,250
Urinalysis revealed
excessive protein and red blood cells.

115
00:05:04,250 --> 00:05:07,450
Chem panel showed
a creatinine level over 2.5, so.

116
00:05:07,450 --> 00:05:10,750
First she strokes,
now her kidneys are shutting down—why?

117
00:05:10,750 --> 00:05:12,450
Ultrasound showed no tumors or stones,

118
00:05:12,450 --> 00:05:15,350
no signs of fetal distress,
no urinary tract obstructions.

119
00:05:15,350 --> 00:05:17,150
BP is fine, no preeclampsia.

120
00:05:17,150 --> 00:05:19,550
Any of you guys ever been
to the Galapagos?

121
00:05:19,550 --> 00:05:20,650
Was our patient there?

122
00:05:21,050 --> 00:05:23,750
Dengue fever,
avian pox, even West Nile.

123
00:05:23,750 --> 00:05:26,050
No, I'm looking for a vacation spot.

124
00:05:26,050 --> 00:05:27,350
That mean we get vacation?

125
00:05:27,350 --> 00:05:29,850
How would that differ
from your current status?

126
00:05:29,850 --> 00:05:31,450
You're gonna do what, relax?

127
00:05:31,450 --> 00:05:32,450
Visiting family.

128
00:05:32,650 --> 00:05:34,050
My uncle's a giant turtle.

129
00:05:34,050 --> 00:05:36,150
What if the kidney failure
came first?

130
00:05:36,150 --> 00:05:38,750
Kidneys could've caused he stroke,
not the other way around.

131
00:05:38,750 --> 00:05:40,750
Kidneys don't often get stuck in the brain.

132
00:05:40,750 --> 00:05:42,350
I'm saying it threw a clot.

133
00:05:42,350 --> 00:05:45,350
Early symptoms of kidney failure
are nausea, vomiting, ankle swelling.

134
00:05:45,350 --> 00:05:47,050
She could've mistaken it
for morning sickness.

135
00:05:47,050 --> 00:05:49,350
Heart's way more likely to throw a clot
than the kidney.

136
00:05:49,350 --> 00:05:50,450
Echo was normal.

137
00:05:50,450 --> 00:05:52,550
History indicates no sign
of cardiac problems.

138
00:05:52,550 --> 00:05:54,750
No, but if one were to read
the history closely,

139
00:05:54,750 --> 00:05:57,350
one would notice
that she had six cases of strep.

140
00:05:57,350 --> 00:05:58,150
In her throat.

141
00:05:58,150 --> 00:06:00,250
That's the one about ten inches
above the heart.

142
00:06:00,250 --> 00:06:01,050
Let me rephrase.

143
00:06:01,050 --> 00:06:02,950
Six cases of untreated strep.

144
00:06:02,950 --> 00:06:04,650
She was prescribed antibiotics.

145
00:06:04,650 --> 00:06:05,750
No one takes them all.

146
00:06:05,750 --> 00:06:07,150
They stop when they start feeling better.

147
00:06:07,150 --> 00:06:09,050
All strep is untreated strep.

148
00:06:09,050 --> 00:06:10,650
What happens when strep goes untreated?

149
00:06:10,650 --> 00:06:12,050
It leads to rheumatic fever.

150
00:06:12,050 --> 00:06:13,450
Which leads to... Cameron?

151
00:06:13,450 --> 00:06:14,750
Mitral valve stenosis.

152
00:06:14,750 --> 00:06:16,950
Which is a thickening
in the valve of the...

153
00:06:17,050 --> 00:06:17,950
kidney?

154
00:06:17,950 --> 00:06:20,250
No. Kidney doesn't have
a mitral valve.

155
00:06:20,250 --> 00:06:21,950
We'll go look at the heart.

156
00:06:24,550 --> 00:06:25,850
It'll be easy to find.

157
00:06:26,050 --> 00:06:29,450
It's the big red pumping thing
about ten inches below her throat.

158
00:06:30,450 --> 00:06:31,650
That was weird.

159
00:06:32,250 --> 00:06:33,550
He was the way he always is.

160
00:06:33,550 --> 00:06:35,250
Which is weird.

161
00:06:36,850 --> 00:06:37,850
Very still, Emma.

162
00:06:38,050 --> 00:06:38,750
Sorry.

163
00:06:38,750 --> 00:06:39,750
No problem.

164
00:06:40,250 --> 00:06:41,550
He caught us with your hand
up my shirt.

165
00:06:41,550 --> 00:06:42,950
He's gotta have a reaction to that.

166
00:06:42,950 --> 00:06:44,950
You think that's what the vacation is?

167
00:06:44,950 --> 00:06:45,750
Yes.

168
00:06:45,750 --> 00:06:49,250
The pain of losing you
is obviously forcing him away.

169
00:06:49,250 --> 00:06:50,750
Coronal slice appears normal.

170
00:06:50,750 --> 00:06:52,850
There's no way
House just lets this slide.

171
00:06:52,950 --> 00:06:54,450
He's gotta be planning something.

172
00:06:54,450 --> 00:06:56,550
Maybe he just doesn't give a crap.

173
00:06:56,750 --> 00:06:58,150
Sagittal slice is clean.

174
00:06:58,150 --> 00:06:59,750
You think he just stumbled into that closet?

175
00:06:59,750 --> 00:07:00,450
He knew we were there,

176
00:07:00,450 --> 00:07:02,150
and he wanted us to know
that he knew.

177
00:07:02,150 --> 00:07:03,850
Or you wanted him to know,

178
00:07:03,850 --> 00:07:06,750
now he does, and you're annoyed
because he doesn't care.

179
00:07:07,650 --> 00:07:08,550
Right there.

180
00:07:08,650 --> 00:07:11,150
Transaxial slice,
calcified mitral valve.

181
00:07:11,150 --> 00:07:11,750
Barely.

182
00:07:11,750 --> 00:07:13,450
That's not big enough
to throw a clot.

183
00:07:13,450 --> 00:07:15,150
Obviously it is,
because it did.

184
00:07:16,050 --> 00:07:17,150
House was right.

185
00:07:18,450 --> 00:07:20,350
A valve in your heart
is narrowed.

186
00:07:20,550 --> 00:07:23,050
It caused the clot
which led to your stroke,

187
00:07:23,350 --> 00:07:26,650
and the reduced circulation
caused the problems with your kidneys.

188
00:07:27,650 --> 00:07:28,750
And this'll fix it?

189
00:07:28,750 --> 00:07:30,750
The balloon will force the valve back open.

190
00:07:30,750 --> 00:07:31,750
And you'll be fine.

191
00:07:32,250 --> 00:07:33,950
Can I do this
without a sedative?

192
00:07:34,050 --> 00:07:36,750
It's very mild,
there really is no risk to the fetus.

193
00:07:36,750 --> 00:07:39,350
We'll monitor your baby's
heart rate separately.

194
00:07:39,550 --> 00:07:42,550
We won't allow it to decrease anywhere
near dangerous levels.

195
00:07:46,050 --> 00:07:47,050
Thank you.

196
00:07:47,250 --> 00:07:48,650
You're both gonna be fine.

197
00:07:51,350 --> 00:07:52,650
Go ahead, Dr. Cameron.

198
00:07:54,850 --> 00:07:58,250
Listen to that heartbeat.
It sounds so...

199
00:07:59,450 --> 00:08:00,950
Start threading the catheter.

200
00:08:08,550 --> 00:08:13,150
No, I don't want a layover in Frankfurt,
Taipei, Singapore, or London, Ontario.

201
00:08:13,150 --> 00:08:15,650
That's why I asked for a direct flight
to Phnom Penh.

202
00:08:15,850 --> 00:08:17,550
How hard is it to not land?

203
00:08:17,750 --> 00:08:19,050
Does it matter what I answer?

204
00:08:19,550 --> 00:08:21,450
Then fine, I'd be delighted to hold.

205
00:08:21,750 --> 00:08:23,750
- What's new?
- Can you tell Cuddy to stop interfering?

206
00:08:23,750 --> 00:08:25,150
It's her job.
What's new?

207
00:08:25,150 --> 00:08:26,850
Good news is Emma's heart
is fixed.

208
00:08:26,850 --> 00:08:28,850
Bad news is it's not
her underlying problem.

209
00:08:28,850 --> 00:08:30,050
Her kidney's are still failing.

210
00:08:30,050 --> 00:08:32,050
You're vacationing in Cambodia?

211
00:08:32,050 --> 00:08:33,550
You gonna unwind
in the killing fields?

212
00:08:33,550 --> 00:08:35,850
Nope, gonna catch me
a fish this big.

213
00:08:36,250 --> 00:08:38,650
Mekong giant catfish,
weighs over 600 pounds.

214
00:08:38,650 --> 00:08:40,250
Aren't those catfish
critically endangered?

215
00:08:40,250 --> 00:08:42,050
That's why it's my last chance
to catch one.

216
00:08:42,150 --> 00:08:43,650
All of our operators are currently...

217
00:08:43,650 --> 00:08:45,350
If the mitral valve had been properly fixed,

218
00:08:45,350 --> 00:08:46,350
the kidney should be getting better.

219
00:08:46,350 --> 00:08:48,950
Which leads us to the conclusion
that you screwed up the procedure.

220
00:08:48,950 --> 00:08:50,650
Or you screwed up the diagnosis.

221
00:08:50,650 --> 00:08:52,350
The mitral valve thickening
was so insignificant,

222
00:08:52,350 --> 00:08:54,650
it probably wasn't the cause
of the kidneys or the stroke.

223
00:08:54,650 --> 00:08:55,950
Probably never would've been a problem.

224
00:08:55,950 --> 00:08:58,650
She needs dialysis,
and we need a new theory.

225
00:08:58,650 --> 00:09:00,650
There are only
a few possibilities.

226
00:09:00,650 --> 00:09:02,850
Patient's pregnant,
could be preeclampsia.

227
00:09:02,850 --> 00:09:04,350
We eliminated it before—

228
00:09:04,350 --> 00:09:06,850
Check for proteinuria and low platelets—
what else?

229
00:09:06,850 --> 00:09:07,650
Hypoperfusion,

230
00:09:07,650 --> 00:09:11,350
the fetus is basically a parasite
stealing nutrients, minerals, blood.

231
00:09:11,350 --> 00:09:12,150
Put her on telemetry.

232
00:09:12,150 --> 00:09:13,750
Or the pregnancy's irrelevant.

233
00:09:13,750 --> 00:09:16,550
Could be infection, sepsis,
HUS/TTP.

234
00:09:16,550 --> 00:09:18,650
A cholesterol embolism
is just as likely.

235
00:09:18,650 --> 00:09:22,150
Tiny particles of cholesterol rain down
and clog up the small vessels in the kidneys.

236
00:09:22,150 --> 00:09:24,450
Get a smear and ultrasound
her vessels for plaque.

237
00:09:24,450 --> 00:09:26,250
That's it, has to be one of those five.

238
00:09:26,250 --> 00:09:27,250
You know what would be even better?

239
00:09:27,250 --> 00:09:29,050
If we could narrow it
all the way down to one.

240
00:09:31,450 --> 00:09:32,650
Thank you for holding.

241
00:09:33,450 --> 00:09:35,950
We are experiencing
extremely high call volume.

242
00:09:35,950 --> 00:09:37,550
Thank you for your patience.

243
00:09:43,650 --> 00:09:45,450
She's 0 for 5.

244
00:09:47,150 --> 00:09:48,950
Either the differential was wrong,

245
00:09:48,950 --> 00:09:50,650
or she's faking it.

246
00:09:50,650 --> 00:09:52,950
Kidney failure has to be precipitated—

247
00:09:52,950 --> 00:09:54,550
By one of the five
we've already ruled out.

248
00:09:54,550 --> 00:09:56,950
The body only has so many ways
of screwing with the kidneys.

249
00:09:56,950 --> 00:09:57,950
The labs must be wrong.

250
00:09:57,950 --> 00:09:58,750
We did the labs.

251
00:09:58,750 --> 00:10:00,050
No one else had access.

252
00:10:00,550 --> 00:10:02,150
That's not quite true.

253
00:10:08,750 --> 00:10:10,550
You put all your patients
through this many tests,

254
00:10:10,550 --> 00:10:11,850
or just the important ones?

255
00:10:14,250 --> 00:10:17,350
We wanted to explore
all the possibilities.

256
00:10:20,250 --> 00:10:21,050
And?

257
00:10:21,950 --> 00:10:24,150
We've eliminated
all the possibilities.

258
00:10:24,150 --> 00:10:26,550
You telling me I'm dying
and you have no idea why?

259
00:10:26,550 --> 00:10:28,350
Your body is functioning properly.

260
00:10:28,650 --> 00:10:30,450
So why are my kidneys failing?

261
00:10:32,150 --> 00:10:33,750
The other body isn't.

262
00:10:35,350 --> 00:10:37,050
There's something wrong
with the fetus.

263
00:10:44,650 --> 00:10:48,550
Welcome to the world
of maternal mirror syndrome.

264
00:10:49,750 --> 00:10:52,250
Mom's body is like

265
00:10:52,550 --> 00:10:54,650
an intricate German metro system.

266
00:10:54,650 --> 00:10:56,550
All the trains
run on time.

267
00:10:56,750 --> 00:11:00,850
When she gets pregnant, it's like
a new station opening in Dusseldorf.

268
00:11:00,850 --> 00:11:03,650
Bunch of rookies running things,
bound to be mistakes.

269
00:11:03,750 --> 00:11:05,750
Kids play on the tracks,
get electrocuted.

270
00:11:05,950 --> 00:11:08,450
Before you know it, trains are backed up
all the way to Berlin,

271
00:11:08,450 --> 00:11:10,750
and you got a bunch of
angry Germans with nowhere to go.

272
00:11:10,750 --> 00:11:12,750
And we all know
that ain't good for the Jews.

273
00:11:12,750 --> 00:11:14,150
Who are the Jews
in this metaphor?

274
00:11:14,150 --> 00:11:15,950
A Few things could happen
to the fetus in distress.

275
00:11:15,950 --> 00:11:19,350
It can become a miscarriage,
stillbirth, very sick baby,

276
00:11:19,350 --> 00:11:23,850
or, on rare occasion, a time bomb
that kills Mom while it's dying.

277
00:11:23,850 --> 00:11:25,850
Good news is,
we fix the fetus,

278
00:11:25,850 --> 00:11:26,850
Mom gets better.

279
00:11:27,050 --> 00:11:29,250
It's the diagnostic equivalent
of a two-for-one sale.

280
00:11:29,250 --> 00:11:32,650
I've read the outcome of mirror syndrome
is almost always unfavorable.

281
00:11:32,650 --> 00:11:33,750
Unfavorable...

282
00:11:33,750 --> 00:11:35,650
is that doctor speak for dead baby?

283
00:11:36,250 --> 00:11:38,450
You think she'll be less upset
if you phrase it nicely?

284
00:11:38,450 --> 00:11:40,550
We can tell her the truth,
that she'll be fine

285
00:11:40,550 --> 00:11:44,550
as soon as we diagnose a person
who weighs about one pound.

286
00:11:44,550 --> 00:11:46,850
Can't touch it,
can't ask where it hurts,

287
00:11:46,850 --> 00:11:48,250
can't see it.

288
00:11:48,250 --> 00:11:52,250
If only there existed giant machines
that could look through human skin.

289
00:11:52,250 --> 00:11:54,950
Mirror syndrome has a limited number
of known causes.

290
00:11:54,950 --> 00:11:57,950
Tachyarrhythmia, fetal anemia,
placental chorioangioma—

291
00:11:57,950 --> 00:11:59,250
All of which are fixable.

292
00:11:59,950 --> 00:12:01,550
Which would be un-unfavorable, right?

293
00:12:01,550 --> 00:12:03,550
Could also be trisomy 13,

294
00:12:03,550 --> 00:12:04,950
Ebstein's anomaly,

295
00:12:04,950 --> 00:12:06,450
an aneurysm of Galen's vein—

296
00:12:06,450 --> 00:12:09,950
Then Dr. Storm Cloud rained
all over the differential

297
00:12:09,950 --> 00:12:11,850
and killed the beautiful little baby.

298
00:12:12,150 --> 00:12:14,250
Heart's easiest to see,
easiest to fix,

299
00:12:14,250 --> 00:12:15,350
so let's start there.

300
00:12:15,350 --> 00:12:16,650
When you did Mom's MRI,

301
00:12:16,650 --> 00:12:17,850
did you get a look at the fetus' heart?

302
00:12:17,850 --> 00:12:19,650
It was in the range,
but blurry.

303
00:12:19,650 --> 00:12:21,450
The fetus was moving all over the place.

304
00:12:21,450 --> 00:12:22,650
So we need another scan.

305
00:12:22,650 --> 00:12:25,850
Yeah, we'll just ask the fetus
to lie very, very still.

306
00:12:25,950 --> 00:12:26,850
No need.

307
00:12:27,150 --> 00:12:28,750
I'm going to paralyze it.

308
00:12:31,150 --> 00:12:33,950
You want to paralyze
Emma Sloan's baby?

309
00:12:34,350 --> 00:12:36,150
Let me guess.
Cameron?

310
00:12:36,150 --> 00:12:38,350
Cameron and Chase
both had their concerns.

311
00:12:38,350 --> 00:12:39,850
No, Cameron had concerns.

312
00:12:39,850 --> 00:12:41,050
Chase just agreed with her

313
00:12:41,050 --> 00:12:44,150
because he didn't want to lose
his all-access pass to her love rug.

314
00:12:44,150 --> 00:12:45,250
They're sleeping together?

315
00:12:45,550 --> 00:12:48,850
If by sleeping together you mean
having sex in the janitor's closet.

316
00:12:49,050 --> 00:12:49,750
Here?

317
00:12:50,250 --> 00:12:52,650
No, the janitor's closet
at the local high school.

318
00:12:52,750 --> 00:12:54,050
Go, Tigercats!

319
00:12:54,850 --> 00:12:56,050
Do you have one
of those camera phones?

320
00:12:56,050 --> 00:12:57,450
'Cause I got a MySpace account.

321
00:12:57,450 --> 00:12:59,750
I will deal with them
after I deal with you.

322
00:12:59,750 --> 00:13:01,350
Oh, come on,
let's gossip some more.

323
00:13:01,350 --> 00:13:03,050
I'm sure she's into bondage.

324
00:13:03,350 --> 00:13:05,550
Paralyzing a one-pound baby
risks damaging—

325
00:13:05,550 --> 00:13:08,950
Not paralyzing the thing risks
not getting a clean MRI of its heart.

326
00:13:08,950 --> 00:13:10,150
Which we need to save its life,

327
00:13:10,150 --> 00:13:12,150
which we need to do to save Emma's life.

328
00:13:14,250 --> 00:13:15,650
You're gonna need
to get her consent.

329
00:13:15,650 --> 00:13:16,850
That shouldn't be too hard.

330
00:13:17,250 --> 00:13:19,650
Sign here
or you and your baby both die.

331
00:13:21,050 --> 00:13:22,250
I'm going with you.

332
00:13:24,150 --> 00:13:25,050
Oh, good.

333
00:13:26,650 --> 00:13:29,150
You said sedation was risky.
This sounds insane.

334
00:13:32,550 --> 00:13:34,350
The baby won't feel a thing.

335
00:13:34,750 --> 00:13:35,850
Fetus.

336
00:13:36,750 --> 00:13:38,450
I'm lowering expectations.

337
00:13:38,750 --> 00:13:40,450
It works here and on dates.

338
00:13:40,850 --> 00:13:42,350
The benefits outweigh the risks,

339
00:13:42,550 --> 00:13:45,050
and the paralytic will wear off in an hour,
okay?

340
00:13:46,050 --> 00:13:49,550
Must be easier to hear you might die
than your baby might die.

341
00:13:49,650 --> 00:13:53,450
But if there's anyone I would
trust to save my baby,

342
00:13:53,950 --> 00:13:55,650
it would be Dr. House.

343
00:14:00,050 --> 00:14:01,350
Fetus.

344
00:14:03,350 --> 00:14:04,350
Hold this.

345
00:14:32,450 --> 00:14:33,150
Dr. Cameron.

346
00:14:33,150 --> 00:14:34,450
The MRI results back?

347
00:14:34,450 --> 00:14:36,050
The fetus' heart
is structurally sound.

348
00:14:36,050 --> 00:14:37,050
The problem's with the bladder.

349
00:14:37,050 --> 00:14:38,050
It's four times normal size.

350
00:14:38,050 --> 00:14:38,950
Let me see.

351
00:14:39,650 --> 00:14:41,550
Bladder's so engorged,
it's taking up the whole torso,

352
00:14:41,550 --> 00:14:42,950
squeezing
all the other organs.

353
00:14:43,050 --> 00:14:44,450
There's no room
for the lungs to develop.

354
00:14:44,450 --> 00:14:46,350
The baby has a lower
urinary tract obstruction.

355
00:14:46,350 --> 00:14:48,050
We can fix that?

356
00:14:48,050 --> 00:14:49,050
I'll give Emma the news.

357
00:14:49,050 --> 00:14:51,250
Are you...
taking over the case?

358
00:14:51,250 --> 00:14:52,250
House won't care.

359
00:14:52,250 --> 00:14:53,950
He has his diagnosis.

360
00:14:55,450 --> 00:14:56,450
Dr. Cameron.

361
00:14:58,650 --> 00:15:00,050
Dating Chase...

362
00:15:00,150 --> 00:15:02,050
can only end in one of two ways.

363
00:15:02,050 --> 00:15:03,050
House told you?

364
00:15:03,050 --> 00:15:05,450
You get married
and live happily ever after,

365
00:15:05,450 --> 00:15:06,650
or somebody gets hurt

366
00:15:06,650 --> 00:15:08,150
and you two can't work together,

367
00:15:08,150 --> 00:15:09,550
and I have to fire somebody.

368
00:15:09,550 --> 00:15:11,950
I would hate to see my personal life
become such a burden to you.

369
00:15:11,950 --> 00:15:13,250
I'm telling you this for your own good.

370
00:15:13,250 --> 00:15:16,150
Well, I assume you're gonna have this same
conversation with Chase for his own good.

371
00:15:16,150 --> 00:15:18,050
Chase isn't the one
that's gonna get hurt here.

372
00:15:34,750 --> 00:15:36,250
There's only room
for one.

373
00:15:36,350 --> 00:15:37,750
Though I could scooch over.

374
00:15:37,750 --> 00:15:39,850
My social life is my social life.

375
00:15:39,850 --> 00:15:40,950
Couldn't agree more.

376
00:15:41,250 --> 00:15:44,750
What goes on in the privacy of a janitor's
closet is nobody's business except—

377
00:15:44,750 --> 00:15:46,550
She told me to end it.
Is that what you want?

378
00:15:46,550 --> 00:15:48,450
I was actually hoping
she'd fire one of you.

379
00:15:48,450 --> 00:15:49,550
What are you doing?

380
00:15:49,550 --> 00:15:51,350
Trying to avoid altitude sickness.

381
00:15:51,350 --> 00:15:52,950
Couldn't score a direct flight
to Cambodia,

382
00:15:52,950 --> 00:15:56,550
so I've decided to scale Argentina's infamous
Mount Aconcagua.

383
00:15:56,550 --> 00:15:58,450
Perfect, except for the fact
that you can't walk.

384
00:15:58,550 --> 00:16:00,450
There's a tribe of Mocovi Indians

385
00:16:00,450 --> 00:16:01,850
who actually carry the elders—

386
00:16:01,950 --> 00:16:02,950
You're insane.

387
00:16:03,050 --> 00:16:04,850
I'm an insane genius.

388
00:16:04,950 --> 00:16:06,450
Set the chamber
to low pressure

389
00:16:06,450 --> 00:16:07,150
instead of high.

390
00:16:07,150 --> 00:16:09,650
Thinner air builds up
extra red blood cells,

391
00:16:09,650 --> 00:16:11,150
creates new capillaries.

392
00:16:11,150 --> 00:16:14,350
Few more days in here,
I can save myself six weeks in base camp.

393
00:16:14,350 --> 00:16:15,550
Where's my MRI?

394
00:16:18,550 --> 00:16:20,550
There's a blockage
in the urinary tract.

395
00:16:20,950 --> 00:16:23,050
Simple terms,
your baby can't pee.

396
00:16:23,050 --> 00:16:25,550
His bladder is swollen
and it's crushing his lungs.

397
00:16:25,550 --> 00:16:26,750
Well, can you fix it?

398
00:16:27,250 --> 00:16:29,750
We can insert a small tube
in the baby's bladder

399
00:16:29,750 --> 00:16:33,650
that makes the urine come out straight through
his belly for the duration of the pregnancy.

400
00:16:33,650 --> 00:16:37,050
The bladder decompresses, and the lungs
will be able to develop normally.

401
00:16:37,050 --> 00:16:39,250
When the baby gets better,
you should get better.

402
00:16:39,250 --> 00:16:39,950
Wow.

403
00:16:39,950 --> 00:16:42,050
First we just have to do a test

404
00:16:42,050 --> 00:16:44,950
to determine whether the baby's kidneys
are functioning properly.

405
00:16:44,950 --> 00:16:46,350
A-and what if they're not?

406
00:16:46,650 --> 00:16:48,050
If they're already too damaged,

407
00:16:48,050 --> 00:16:49,850
then there's really
nothing we can do.

408
00:16:50,550 --> 00:16:52,350
If this doesn't work out,

409
00:16:52,350 --> 00:16:53,750
you can always try again.

410
00:16:55,450 --> 00:16:56,450
Wow.

411
00:16:57,450 --> 00:17:00,050
I miscarried twice
when I was married.

412
00:17:00,750 --> 00:17:04,450
After the divorce, I tried in vitro,
like, four times before this.

413
00:17:05,250 --> 00:17:06,350
I'm 42.

414
00:17:06,350 --> 00:17:09,250
Maybe it's, uh,
just not meant to be.

415
00:17:16,550 --> 00:17:17,650
What are you doing?

416
00:17:18,850 --> 00:17:20,850
Well, you're trying to be me,
so I thought I'd try to be you.

417
00:17:20,850 --> 00:17:22,450
You don't have the cleavage for it.

418
00:17:22,450 --> 00:17:23,950
But I have a much tighter ass.

419
00:17:24,150 --> 00:17:26,050
You think every day
should be naked Thursday,

420
00:17:26,150 --> 00:17:28,250
or is that an oxymoron?

421
00:17:29,550 --> 00:17:31,450
Let me see the results
of the bladder tap.

422
00:17:31,450 --> 00:17:32,450
They aren't back yet.

423
00:17:32,950 --> 00:17:34,450
They're gonna be
inconclusive.

424
00:17:34,450 --> 00:17:36,150
You think my diagnosis is wrong?

425
00:17:36,150 --> 00:17:38,750
Fetus doesn't pee,
amniotic fluid should be low.

426
00:17:38,750 --> 00:17:39,950
Mom's level is fine.

427
00:17:39,950 --> 00:17:41,150
Doesn't mean I'm wrong.

428
00:17:41,250 --> 00:17:43,050
Could just mean we caught
the obstruction early.

429
00:17:43,050 --> 00:17:44,950
Either way, your tests
will be inconclusive.

430
00:17:44,950 --> 00:17:48,050
The urine you collected has been sitting
in that fetus' bladder for weeks.

431
00:17:48,050 --> 00:17:49,550
And as my pappy always said,

432
00:17:49,550 --> 00:17:51,650
"Stale pee is useless pee."

433
00:17:51,650 --> 00:17:53,250
Fine, then I'll do another tap.

434
00:17:53,250 --> 00:17:54,550
Just as useless.

435
00:17:55,150 --> 00:17:57,850
Old urine drops down from the kidney
right after the first tap

436
00:17:57,850 --> 00:17:59,350
'cause it's all backed up.

437
00:17:59,350 --> 00:18:01,650
Bladder tap number three
will give you the freshest pee,

438
00:18:01,650 --> 00:18:04,650
and it's when you'll find out
if this fetus has even a fighting chance.

439
00:18:04,650 --> 00:18:05,650
Thank you.

440
00:18:06,450 --> 00:18:07,850
I'll run two more taps.

441
00:18:07,850 --> 00:18:11,050
Since when does the Dean of Medicine
run bladder taps?

442
00:18:11,050 --> 00:18:12,250
She's an important patient.

443
00:18:12,250 --> 00:18:13,950
Because she takes pictures?

444
00:18:14,550 --> 00:18:15,750
Or because she's you?

445
00:18:17,550 --> 00:18:19,150
A woman in her 40s.

446
00:18:19,150 --> 00:18:19,950
Single.

447
00:18:21,050 --> 00:18:24,450
Using a turkey baster
as a last gasp at motherhood.

448
00:18:25,350 --> 00:18:27,750
And you wanna make sure
she succeeds,

449
00:18:27,750 --> 00:18:29,450
so you'll still have hope.

450
00:18:30,150 --> 00:18:32,650
Can't be a good doctor
if you're not objective.

451
00:18:33,450 --> 00:18:34,350
It's your file.

452
00:18:34,350 --> 00:18:35,450
I don't want it.

453
00:18:35,450 --> 00:18:37,450
Then why did you just say all that stuff?

454
00:18:37,550 --> 00:18:38,950
To humiliate you.

455
00:18:39,150 --> 00:18:40,550
You're taking the case back.

456
00:18:40,550 --> 00:18:41,350
I don't want it.

457
00:18:41,350 --> 00:18:43,350
Your diagnosis is right.
I wanna go on vacation.

458
00:18:43,350 --> 00:18:46,150
You can go on vacation
after you've cured her.

459
00:18:51,550 --> 00:18:52,450
Good news.

460
00:18:52,750 --> 00:18:55,850
The fetus' urine had appropriate levels
of protein and electrolytes,

461
00:18:55,850 --> 00:18:57,750
so his kidneys aren't damaged.

462
00:18:59,450 --> 00:19:01,150
Oh, wow.

463
00:19:01,250 --> 00:19:02,550
We're gonna put the shunt in,

464
00:19:02,750 --> 00:19:04,850
your baby's lungs
should have more room to grow,

465
00:19:04,850 --> 00:19:06,450
and your symptoms
should go away.

466
00:19:08,150 --> 00:19:10,250
But he'll still need surgery
after he's born?

467
00:19:10,250 --> 00:19:12,350
That's when we'll remove
the blockage in the ureter.

468
00:19:12,350 --> 00:19:13,150
Uh-huh.

469
00:19:13,150 --> 00:19:16,350
You'll be the only mother on the planet
who appreciates the value of a wet diaper.

470
00:19:16,350 --> 00:19:17,850
Hey, could you hand me that?

471
00:19:18,250 --> 00:19:21,550
I'm keeping a visual memory book
of this entire surreal process,

472
00:19:21,550 --> 00:19:23,350
and this is the best part
of the story so far.

473
00:19:23,350 --> 00:19:24,350
Yeah, sure.

474
00:19:24,650 --> 00:19:25,450
Thanks.

475
00:19:26,850 --> 00:19:27,850
When did you take this?

476
00:19:27,950 --> 00:19:30,650
Oh, she did the second bladder tap.

477
00:19:31,450 --> 00:19:32,650
You should keep it.

478
00:19:32,650 --> 00:19:35,250
Oh, I see her all day at work,
I don't need it.

479
00:19:36,650 --> 00:19:38,450
Maybe you wanna see her after work.

480
00:19:39,850 --> 00:19:41,150
I'm right, right?

481
00:19:43,150 --> 00:19:44,750
I saw the way
you look at her.

482
00:19:54,450 --> 00:19:55,050
Thanks.

483
00:20:06,250 --> 00:20:07,750
Shunt is in the right position.

484
00:20:08,050 --> 00:20:10,250
The bladder's starting to decompress.

485
00:20:10,250 --> 00:20:11,450
No infection.

486
00:20:13,950 --> 00:20:15,450
Did House say anything else?

487
00:20:15,650 --> 00:20:16,350
About us?

488
00:20:16,350 --> 00:20:18,150
I thought you didn't care
about his reaction.

489
00:20:18,350 --> 00:20:19,650
Trying to make him jealous?

490
00:20:20,350 --> 00:20:21,550
I like my job.

491
00:20:21,550 --> 00:20:23,750
He can't fire you
just because we're together.

492
00:20:23,750 --> 00:20:24,550
We're not together,

493
00:20:24,550 --> 00:20:26,250
and House can do whatever he wants.

494
00:20:30,150 --> 00:20:31,450
How's my baby?

495
00:20:31,450 --> 00:20:33,550
Doing just fine, Emma.
So are you.

496
00:20:33,750 --> 00:20:35,350
My stomach is killing me.

497
00:20:36,150 --> 00:20:37,550
That's not her stomach.

498
00:20:38,250 --> 00:20:39,550
Can you open your eyes, Emma?

499
00:20:39,550 --> 00:20:40,550
I just need to take a look.

500
00:20:44,850 --> 00:20:45,850
What is it?

501
00:20:48,550 --> 00:20:49,750
Emma's jaundiced.

502
00:20:49,850 --> 00:20:50,950
Her liver's shutting down.

503
00:20:53,050 --> 00:20:54,050
Figures.

504
00:20:54,150 --> 00:20:55,950
I just booked my trip to Johnston Strait.

505
00:20:55,950 --> 00:20:58,950
I thought you were climbing mount
whatever in Argentina.

506
00:20:59,150 --> 00:21:03,650
Apparently I'd have to live with the Mocovi Indians
for 20 years before they'd consider me an elder.

507
00:21:03,850 --> 00:21:06,150
Decided to go kayaking
with orca instead.

508
00:21:06,250 --> 00:21:07,950
- No legs required.
- Can't leave yet.

509
00:21:07,950 --> 00:21:10,450
Liver failure puts her case back
in the unsolved pile.

510
00:21:10,450 --> 00:21:14,150
Increased AST, ALT,
and her bilirubin's off the charts.

511
00:21:15,250 --> 00:21:17,250
Even fetuses lie.

512
00:21:19,450 --> 00:21:23,950
We diagnosed a lower urinary tract obstruction
because we saw one.

513
00:21:24,950 --> 00:21:26,850
What if that's not the whole story?

514
00:21:28,250 --> 00:21:30,650
What if the little bugger
is hiding something?

515
00:21:31,350 --> 00:21:33,550
Real reason for the mirror syndrome.

516
00:21:34,950 --> 00:21:36,250
Have we looked under its bed?

517
00:21:36,250 --> 00:21:37,450
Have we checked its diary?

518
00:21:37,450 --> 00:21:39,350
If it's not GU,
it could be the heart.

519
00:21:39,550 --> 00:21:40,650
Hypoplastic left heart syndrome.

520
00:21:40,650 --> 00:21:41,650
There were no structural problems.

521
00:21:41,650 --> 00:21:42,650
The lungs.

522
00:21:42,650 --> 00:21:44,150
We won't be able to get a good look
until they develop.

523
00:21:44,150 --> 00:21:44,750
It'll be weeks.

524
00:21:44,750 --> 00:21:46,150
He's not gonna last weeks.

525
00:21:46,650 --> 00:21:47,550
What do you wanna do?

526
00:21:47,650 --> 00:21:50,950
Maternal mirror syndrome has one surefire cure.

527
00:21:51,650 --> 00:21:52,750
Deliver the fetus.

528
00:21:52,750 --> 00:21:54,350
That's not viable at 21 weeks.

529
00:21:54,350 --> 00:21:55,350
You'll kill the baby.

530
00:21:55,350 --> 00:21:56,150
Fetus.

531
00:21:56,150 --> 00:21:57,350
Semantics make you feel better?

532
00:21:57,350 --> 00:21:58,550
Pretend it's not a person?

533
00:21:58,550 --> 00:21:59,650
Can it play catch?

534
00:21:59,650 --> 00:22:00,650
Can it eat?

535
00:22:00,850 --> 00:22:02,250
Can it take pretty pictures?

536
00:22:04,150 --> 00:22:05,350
Who wants to tell her?

537
00:22:13,550 --> 00:22:15,950
The swollen bladder
was not the only problem.

538
00:22:18,050 --> 00:22:19,150
We can't leave it inside you.

539
00:22:19,150 --> 00:22:20,250
We have to terminate.

540
00:22:21,350 --> 00:22:22,950
Well, can't you deliver him?

541
00:22:22,950 --> 00:22:26,050
Put him on a respiratory machine
till—till you figure out what's wrong.

542
00:22:26,050 --> 00:22:26,850
We can.

543
00:22:27,550 --> 00:22:28,650
It won't matter.

544
00:22:29,850 --> 00:22:33,650
The fetus is still at least
two weeks away from being viable.

545
00:22:33,650 --> 00:22:37,850
Oh, well, I'll suffer through this
for two more weeks, then.

546
00:22:39,850 --> 00:22:42,050
You're on dialysis for your kidneys.

547
00:22:42,050 --> 00:22:43,450
Your kidneys can wait.

548
00:22:44,150 --> 00:22:46,450
They don't make dialysis
for your liver.

549
00:22:48,550 --> 00:22:50,450
You're not gonna make it
two more days.

550
00:22:57,950 --> 00:22:59,750
I'm not gonna let you kill my baby.

551
00:23:00,550 --> 00:23:02,350
It's killing you.

552
00:23:03,950 --> 00:23:05,750
I'm not having an abortion.

553
00:23:06,550 --> 00:23:07,750
It's not a baby.

554
00:23:07,750 --> 00:23:08,550
It's...

555
00:23:08,550 --> 00:23:09,750
a tumor.

556
00:23:14,750 --> 00:23:16,750
I understand dying for a cause,

557
00:23:16,750 --> 00:23:18,950
sacrificing your life
so your child might live.

558
00:23:19,050 --> 00:23:20,650
But that's not the choice here.

559
00:23:24,050 --> 00:23:24,950
Either it dies,

560
00:23:24,950 --> 00:23:26,850
or you both die.

561
00:23:27,350 --> 00:23:28,550
Or you fix him,

562
00:23:28,550 --> 00:23:29,750
and we both live.

563
00:23:29,750 --> 00:23:31,350
I can't fix it.

564
00:23:35,850 --> 00:23:37,550
I'm scheduling a D and C.

565
00:23:37,750 --> 00:23:39,250
I won't consent.

566
00:23:42,050 --> 00:23:43,950
So I guess you have two days
to figure it out.

567
00:23:52,650 --> 00:23:54,250
Her kidneys are almost irreparable.

568
00:23:54,250 --> 00:23:56,050
She's developed severe DIC.

569
00:23:56,050 --> 00:23:57,650
You have to force her
to terminate.

570
00:23:57,650 --> 00:24:00,350
Did you give corticosteroids
to speed the baby's lung development?

571
00:24:00,350 --> 00:24:02,650
No, I dropped an anvil on its chest

572
00:24:02,650 --> 00:24:04,350
to prevent lung development.

573
00:24:04,850 --> 00:24:07,550
I'm trying to extinguish the human race
one fetus at a time.

574
00:24:07,550 --> 00:24:08,950
Give the lungs more time to expand

575
00:24:08,950 --> 00:24:11,550
so you can see inside them,
see if they're the problem.

576
00:24:11,550 --> 00:24:13,550
My real patient is dying.

577
00:24:13,550 --> 00:24:14,650
Very quickly.

578
00:24:14,650 --> 00:24:17,250
Like, I wouldn't advise her
to buy any green bananas.

579
00:24:17,650 --> 00:24:19,650
The fetus is nothing more
than a parasite at this point.

580
00:24:19,650 --> 00:24:21,150
Removing it
is an instant cure.

581
00:24:21,150 --> 00:24:22,650
You're not gonna get Emma
to see it that way.

582
00:24:22,650 --> 00:24:24,150
She's probably
already named the baby.

583
00:24:24,150 --> 00:24:26,350
Read him books,
had conversations with him.

584
00:24:26,350 --> 00:24:27,250
You get it.

585
00:24:27,250 --> 00:24:28,250
She'll listen to you.

586
00:24:28,250 --> 00:24:29,050
No.

587
00:24:29,350 --> 00:24:31,250
You let this woman
refuse to terminate,

588
00:24:31,250 --> 00:24:33,350
you're helping her
commit suicide.

589
00:24:33,450 --> 00:24:35,950
As her doctor, my recommendation
is against suicide.

590
00:24:35,950 --> 00:24:37,450
If the baby had a doctor,

591
00:24:37,450 --> 00:24:41,450
I think she would recommend exhausting
all possibilities before taking its life.

592
00:24:41,450 --> 00:24:42,350
Then she'd be an idiot.

593
00:24:42,350 --> 00:24:43,950
Too bad she's your boss.

594
00:24:46,150 --> 00:24:48,150
What if our original assumption
is wrong?

595
00:24:48,150 --> 00:24:49,250
It isn't.

596
00:24:49,450 --> 00:24:51,050
If we assume
she doesn't have mirror syndrome,

597
00:24:51,050 --> 00:24:53,750
then terminating her pregnancy
isn't gonna help her liver at all.

598
00:24:53,750 --> 00:24:55,750
We eliminated all other possibilities.

599
00:24:55,950 --> 00:24:58,250
The fetus is hydropic and in distress.

600
00:24:58,250 --> 00:24:59,950
Emma's kidneys
and liver are failing.

601
00:24:59,950 --> 00:25:01,450
The diagnosis is solid.

602
00:25:01,450 --> 00:25:02,250
Wow.

603
00:25:02,750 --> 00:25:04,450
The ass-kisser won't agree with you.

604
00:25:04,450 --> 00:25:06,650
You must be even wronger
than I thought.

605
00:25:06,850 --> 00:25:07,650
Fine.

606
00:25:08,550 --> 00:25:10,450
Let's assume
she had mirror syndrome,

607
00:25:10,450 --> 00:25:13,350
but we fixed it when
we fixed the baby's bladder.

608
00:25:13,550 --> 00:25:17,350
That means that her failing liver
would be completely unrelated.

609
00:25:17,450 --> 00:25:19,450
If it is,
we can fix it.

610
00:25:19,650 --> 00:25:21,050
And we don't have to terminate.

611
00:25:21,050 --> 00:25:24,250
So her theory is that
our patient's liver problems

612
00:25:24,250 --> 00:25:26,250
were just a giant coincidence.

613
00:25:26,250 --> 00:25:27,650
It's not a surprising coincidence.

614
00:25:27,650 --> 00:25:29,950
Pregnant women
can develop liver problems.

615
00:25:29,950 --> 00:25:31,550
If this is the case,

616
00:25:31,750 --> 00:25:33,950
we can actually do something here.

617
00:25:34,350 --> 00:25:36,350
Don't you guys think
that's worth exploring?

618
00:25:36,550 --> 00:25:39,650
Acute fatty liver of pregnancy
would have the same symptoms.

619
00:25:39,850 --> 00:25:40,750
Thank you.

620
00:25:41,250 --> 00:25:42,450
Brown-noser.

621
00:25:43,150 --> 00:25:44,450
Viral hepatitis,

622
00:25:44,850 --> 00:25:45,550
HELLP syndrome.

623
00:25:45,550 --> 00:25:46,850
Oh, look,

624
00:25:46,950 --> 00:25:48,850
sticking up for your girlfriend.

625
00:25:49,050 --> 00:25:50,650
Who says chivalry's dead?

626
00:25:51,750 --> 00:25:52,850
He's not joking?

627
00:25:54,650 --> 00:25:55,650
Be patient.

628
00:25:55,650 --> 00:25:56,650
She's going through all of us,

629
00:25:56,650 --> 00:25:58,950
she'll get that jungle fever eventually.

630
00:25:59,250 --> 00:26:01,250
I'm not going through anyone.

631
00:26:01,750 --> 00:26:02,450
You love him?

632
00:26:02,450 --> 00:26:05,450
This can probably wait
until after you biopsy Emma's liver, right?

633
00:26:05,450 --> 00:26:07,550
We can't, her platelets
are too low.

634
00:26:07,550 --> 00:26:08,650
Once we pierce her liver,

635
00:26:08,650 --> 00:26:11,050
it'll be next to impossible
to stop the bleeding.

636
00:26:11,250 --> 00:26:12,550
Come in from above.

637
00:26:14,150 --> 00:26:15,950
Instead of going straight in
through her abdomen,

638
00:26:15,950 --> 00:26:17,550
go in through the veins in her neck.

639
00:26:17,550 --> 00:26:20,150
Transjugular hepatic
biopsy.

640
00:26:20,150 --> 00:26:21,350
If the liver
starts to bleed,

641
00:26:21,350 --> 00:26:23,650
it'll bleed right back
into her own veins.

642
00:26:34,450 --> 00:26:36,450
Why don't you start
your vacation now?

643
00:26:43,850 --> 00:26:46,550
Threading the guide wire
through the right internal jugular vein.

644
00:26:46,550 --> 00:26:47,350
So...

645
00:26:48,350 --> 00:26:49,550
The sleep lab?

646
00:26:50,050 --> 00:26:51,750
You and Cameron not sleeping.

647
00:26:52,650 --> 00:26:54,450
How serious is it?

648
00:26:54,450 --> 00:26:55,550
It's nothing.

649
00:26:56,150 --> 00:26:58,350
She's only doing it
to make House jealous.

650
00:26:58,450 --> 00:26:59,550
Then why are you doing it?

651
00:26:59,650 --> 00:27:00,550
Are you kidding?

652
00:27:00,650 --> 00:27:02,350
Approaching the inferior vena cava.

653
00:27:02,350 --> 00:27:03,350
Slow down.

654
00:27:05,150 --> 00:27:06,450
You better not hurt her.

655
00:27:07,350 --> 00:27:09,150
She already has a big brother.

656
00:27:09,250 --> 00:27:09,950
She does?

657
00:27:09,950 --> 00:27:12,150
You obviously care
very deeply about her.

658
00:27:12,150 --> 00:27:14,450
I'm not protecting her,
I'm protecting myself.

659
00:27:15,050 --> 00:27:17,550
A heartbroken, lovesick Cameron...

660
00:27:17,550 --> 00:27:19,850
would be even more unbearable
than she is now.

661
00:27:20,950 --> 00:27:22,250
You're through the hepatic vein.

662
00:27:22,650 --> 00:27:23,650
Firing the needle.

663
00:27:25,050 --> 00:27:26,650
Heart rate and BP spiking.

664
00:27:26,650 --> 00:27:27,650
Get that out of her.

665
00:27:27,850 --> 00:27:29,850
Fetus' heart rate just dropped to 50.

666
00:27:32,250 --> 00:27:33,050
?

667
00:27:33,050 --> 00:27:34,250
Pre-term labor.

668
00:27:34,650 --> 00:27:35,850
Start a terbutaline drip.

669
00:27:45,550 --> 00:27:48,250
We were able to control
the pre-term labor with tocolytics.

670
00:27:48,250 --> 00:27:50,350
The contractions
have subsided for now.

671
00:27:50,350 --> 00:27:51,850
And the liver biopsy was negative.

672
00:27:51,850 --> 00:27:53,350
This is definitely mirror syndrome.

673
00:27:53,350 --> 00:27:54,450
Her baby's doing this to her.

674
00:27:54,450 --> 00:27:55,450
We're out of options.

675
00:27:55,450 --> 00:27:58,350
Did the biopsy cause the pre-term labor
or did it happen on its own?

676
00:27:58,350 --> 00:27:59,150
It doesn't make a difference.

677
00:27:59,150 --> 00:28:00,950
Pre-term labor can be a new symptom.

678
00:28:00,950 --> 00:28:02,950
New information gives us new theories.

679
00:28:02,950 --> 00:28:03,750
Isn't that how it works?

680
00:28:03,750 --> 00:28:04,950
Not in this case.

681
00:28:05,050 --> 00:28:07,050
Her body's trying to do
what you refuse to.

682
00:28:07,150 --> 00:28:08,550
Get the baby out and save itself.

683
00:28:08,550 --> 00:28:10,850
Patient's transaminases are
ten times normal.

684
00:28:10,850 --> 00:28:12,850
Her liver's on the verge
of shutting down completely.

685
00:28:12,850 --> 00:28:13,650
A torch test could—

686
00:28:13,650 --> 00:28:15,850
We don't have time for more tests.

687
00:28:15,950 --> 00:28:17,850
We have to terminate
or she'll die.

688
00:28:19,850 --> 00:28:21,150
Then let's work faster.

689
00:28:21,650 --> 00:28:24,650
Medicine doesn't work faster
just because you hope real hard.

690
00:28:24,650 --> 00:28:26,650
But it could help to see
what the baby's been hiding.

691
00:28:26,650 --> 00:28:28,650
The only organ we haven't
been able to look inside

692
00:28:28,650 --> 00:28:29,550
is its lungs.

693
00:28:29,550 --> 00:28:30,950
The problem
must be in there.

694
00:28:30,950 --> 00:28:32,250
We haven't been able to see inside

695
00:28:32,250 --> 00:28:34,150
because they're underdeveloped.

696
00:28:34,150 --> 00:28:35,750
We've already got her
on corticosteroids,

697
00:28:35,750 --> 00:28:36,650
but it'll take weeks for them—

698
00:28:36,650 --> 00:28:38,850
Then let's drown them
in corticosteroids.

699
00:28:38,850 --> 00:28:40,850
Multiple courses,
speed up their development.

700
00:28:40,850 --> 00:28:42,350
Giving the baby more than one course

701
00:28:42,350 --> 00:28:44,050
will suppress adrenal gland function.

702
00:28:44,050 --> 00:28:47,350
Have long-term adverse effects
on fetal organ development.

703
00:28:47,350 --> 00:28:48,150
Worse than death?

704
00:28:48,150 --> 00:28:49,350
Emma's already on tocolytics.

705
00:28:49,350 --> 00:28:51,450
The combination could put her
into pulmonary edema.

706
00:28:51,450 --> 00:28:52,750
You'll just kill her faster.

707
00:28:52,750 --> 00:28:55,350
It's the only chance we have
to see inside those lungs.

708
00:28:55,350 --> 00:28:59,050
We're just gonna have to make the baby better
faster than we make Emma worse.

709
00:28:59,950 --> 00:29:02,250
Come on, this is the kind
of thing House does every day!

710
00:29:02,250 --> 00:29:04,950
House thought we should terminate
six hours ago.

711
00:29:08,350 --> 00:29:09,450
I'll do it myself.

712
00:29:15,950 --> 00:29:17,050
Anybody gonna stop her?

713
00:29:17,050 --> 00:29:18,950
Stopping the madness
is her job.

714
00:29:18,950 --> 00:29:21,250
Somebody's gotta be
Cuddy's Cuddy.

715
00:29:30,550 --> 00:29:31,550
Nurse!

716
00:29:37,250 --> 00:29:38,050
Pulmonary edema?

717
00:29:38,050 --> 00:29:39,950
Who tattled?
Doesn't matter.

718
00:29:40,350 --> 00:29:43,350
There's a reason we don't give
multiple courses of corticosteroids.

719
00:29:43,350 --> 00:29:44,350
Gee, thanks.

720
00:29:44,850 --> 00:29:46,050
It's time to terminate.

721
00:29:46,350 --> 00:29:47,550
That's not what she wants.

722
00:29:47,550 --> 00:29:48,450
Look at her.

723
00:29:48,750 --> 00:29:50,850
She didn't want to be
an incubator for a dead baby,

724
00:29:50,850 --> 00:29:52,250
but that's what you've done.

725
00:29:53,250 --> 00:29:55,550
Either get me a laryngoscope
or get out.

726
00:30:38,050 --> 00:30:39,050
You were right.

727
00:30:39,950 --> 00:30:41,350
You were all right.

728
00:30:41,650 --> 00:30:43,950
Now the mom's lungs
are shutting down.

729
00:30:44,850 --> 00:30:47,450
She's dying faster than
the baby's lungs are developing.

730
00:30:48,450 --> 00:30:50,150
I had to stop the corticosteroids.

731
00:30:50,150 --> 00:30:51,450
Have you spoken to the family?

732
00:30:51,950 --> 00:30:54,250
The only family she's got
is that baby.

733
00:30:54,450 --> 00:30:56,150
Well, he's biased.

734
00:30:57,250 --> 00:30:58,850
What do you think House would do?

735
00:30:59,150 --> 00:31:00,450
House wants to terminate.

736
00:31:01,350 --> 00:31:02,750
I mean if he didn't.

737
00:31:02,750 --> 00:31:04,450
If he shared my position,

738
00:31:04,450 --> 00:31:05,650
what do you think he would do?

739
00:31:05,650 --> 00:31:07,650
He wouldn't share your pain.

740
00:31:07,950 --> 00:31:09,250
He'd be objective.

741
00:31:10,550 --> 00:31:11,250
Right.

742
00:31:13,250 --> 00:31:15,350
He would prioritize his problems.

743
00:31:15,350 --> 00:31:16,250
He'd terminate.

744
00:31:16,250 --> 00:31:19,250
He wouldn't be afraid of screwing
with her lungs if there was a bigger issue.

745
00:31:19,250 --> 00:31:20,250
There is no bigger issue.

746
00:31:20,250 --> 00:31:21,250
She needs her lungs.

747
00:31:21,250 --> 00:31:22,450
Not right now.

748
00:31:22,650 --> 00:31:24,250
She's already on a respirator.

749
00:31:24,350 --> 00:31:25,850
The machine is breathing for her.

750
00:31:25,850 --> 00:31:27,550
I can do whatever I want
to her lungs.

751
00:31:27,750 --> 00:31:29,250
If you're playing catch
in the living room

752
00:31:29,250 --> 00:31:30,350
and you break your mother's vase,

753
00:31:30,350 --> 00:31:31,750
you may as well keep playing catch.

754
00:31:31,750 --> 00:31:33,050
The vase is already broken.

755
00:31:33,050 --> 00:31:36,950
Yeah, except that room can't breathe
without that vase.

756
00:31:36,950 --> 00:31:39,050
I'm putting her back
on corticosteroids.

757
00:31:45,550 --> 00:31:46,750
It worked.

758
00:31:47,150 --> 00:31:47,850
What worked?

759
00:31:47,850 --> 00:31:49,750
I got the baby's lungs
to expand.

760
00:31:49,850 --> 00:31:51,650
- We should be able—
- Cab's on its way.

761
00:31:51,650 --> 00:31:52,950
I have to finish packing.

762
00:31:55,250 --> 00:31:57,350
I have a whole new appreciation
for what you do.

763
00:31:57,350 --> 00:32:01,050
How hard it is to believe when everyone
around you is telling you that you're wrong.

764
00:32:01,050 --> 00:32:02,450
Helps to know they're idiots.

765
00:32:03,350 --> 00:32:04,750
Do you think I'm an idiot?

766
00:32:05,650 --> 00:32:06,850
You're not objective.

767
00:32:09,450 --> 00:32:10,650
But you're not an idiot.

768
00:32:14,250 --> 00:32:16,750
These lungs are still two weeks away
from being viable.

769
00:32:16,750 --> 00:32:18,450
But big enough for a diagnosis.

770
00:32:18,450 --> 00:32:19,850
These tissue buds are new.

771
00:32:20,050 --> 00:32:22,550
Could indicate bronchopulmonary sequestration

772
00:32:22,550 --> 00:32:24,450
or diaphragmatic eventration.

773
00:32:24,450 --> 00:32:26,050
I was thinking bronchogenetic cyst

774
00:32:26,050 --> 00:32:27,350
or bronchial atresia.

775
00:32:27,350 --> 00:32:29,350
Could be lung lesions,
CCAM.

776
00:32:29,350 --> 00:32:30,350
What about—

777
00:32:38,350 --> 00:32:39,050
Move.

778
00:32:42,250 --> 00:32:43,750
I thought you started your vacation.

779
00:32:43,750 --> 00:32:46,850
Somebody had to save our boss' rotundus ass.

780
00:32:46,950 --> 00:32:49,250
Latest MRI of the Sloan fetus.

781
00:32:49,250 --> 00:32:50,950
Small buds in the lungs
could indicate—

782
00:32:50,950 --> 00:32:53,250
Thanks, got that multiple choice
all worked out.

783
00:32:53,250 --> 00:32:55,650
Question is, how do we pick
between A, B, C, D

784
00:32:55,650 --> 00:32:56,550
and none of the above?

785
00:32:56,550 --> 00:32:58,050
Portable MRI's in her room.

786
00:32:58,050 --> 00:32:59,050
We could get a current image—

787
00:32:59,050 --> 00:32:59,950
Fetal lungs are so tiny,

788
00:32:59,950 --> 00:33:02,050
an MRI won't give us the details we need.

789
00:33:02,250 --> 00:33:06,350
What would we do
if this patient were not just a tadpole?

790
00:33:06,350 --> 00:33:07,850
Say it was an actual person.

791
00:33:07,950 --> 00:33:09,350
He... is a person.

792
00:33:09,350 --> 00:33:10,450
Thanks for playing along.

793
00:33:11,050 --> 00:33:12,650
Pretend it's
a one-pound adult.

794
00:33:12,750 --> 00:33:15,150
Forget the mom,
forget the womb, the placenta.

795
00:33:15,850 --> 00:33:18,250
How would we get a better look
at what's in the lungs?

796
00:33:18,250 --> 00:33:19,450
Transesophageal echo.

797
00:33:19,450 --> 00:33:21,050
Can't access its esophagus.

798
00:33:21,050 --> 00:33:22,550
High-resolution CT
could give us a clearer—

799
00:33:22,550 --> 00:33:24,950
Too much radiation
for a one-pound person.

800
00:33:25,750 --> 00:33:28,450
You can't just
shoot everything down, Chase.

801
00:33:28,750 --> 00:33:29,650
You're not me.

802
00:33:29,950 --> 00:33:31,050
Collaborate.

803
00:33:31,850 --> 00:33:34,550
A ventilation perfusion scan
would be next.

804
00:33:34,650 --> 00:33:37,650
How do we get a fetus to breathe
in a radioactive isotope?

805
00:33:37,750 --> 00:33:38,550
Idiot.

806
00:33:38,750 --> 00:33:40,750
If it were really a person
and we had no other options,

807
00:33:40,750 --> 00:33:42,450
we'd do an exploratory surgery.

808
00:33:42,450 --> 00:33:44,150
Cut into its chest
and have a look around.

809
00:33:44,950 --> 00:33:45,950
Let's do that.

810
00:33:47,250 --> 00:33:49,450
You're the one who insists
we treat it like a person.

811
00:33:50,050 --> 00:33:51,250
I'll put it back
when I'm done.

812
00:33:55,350 --> 00:33:56,350
Me again.

813
00:33:56,450 --> 00:33:58,750
Your friendly
neighborhood belly-squirter.

814
00:33:59,550 --> 00:34:01,350
We're gonna do open fetal surgery.

815
00:34:01,550 --> 00:34:03,450
We open the uterus,
cut out the fetus

816
00:34:03,450 --> 00:34:04,550
so we can look around.

817
00:34:05,250 --> 00:34:06,150
I know you can't talk,

818
00:34:06,150 --> 00:34:09,150
so I need you to look petrified
if you consent.

819
00:34:09,150 --> 00:34:11,250
The umbilical cord
won't be cut.

820
00:34:11,350 --> 00:34:15,350
During surgery, your body will basically serve
as the baby's heart-lung machine.

821
00:34:15,350 --> 00:34:16,750
We find what's wrong

822
00:34:16,750 --> 00:34:17,850
and we fix it.

823
00:34:18,150 --> 00:34:18,850
If we can.

824
00:34:18,850 --> 00:34:22,350
Don't lower expectations
if you want them to do something.

825
00:34:22,550 --> 00:34:24,250
She should know
what she's facing.

826
00:34:27,850 --> 00:34:29,550
This is incredibly dangerous.

827
00:34:30,150 --> 00:34:31,850
It risks both your lives.

828
00:34:32,450 --> 00:34:33,750
The only reason why
we're suggesting it

829
00:34:33,750 --> 00:34:36,050
is because there's
nothing else we can do.

830
00:34:59,950 --> 00:35:01,950
You all here for the fetal surgery?

831
00:35:02,150 --> 00:35:04,050
We are way over capacity.

832
00:35:04,450 --> 00:35:06,350
Mind each other's
personal space.

833
00:35:06,350 --> 00:35:08,750
There are sharp implements
in the room.

834
00:35:08,850 --> 00:35:09,850
Like this one.

835
00:35:17,950 --> 00:35:20,050
Uterus is fully exposed.

836
00:35:29,150 --> 00:35:29,950
And we're in.

837
00:35:30,450 --> 00:35:32,150
Start draining the amniotic fluid.

838
00:35:35,550 --> 00:35:37,850
Have you never sucked beer
out the bottom of a keg?

839
00:35:38,050 --> 00:35:39,150
Where'd you go to college?

840
00:35:39,150 --> 00:35:39,950
Gimme that.

841
00:36:06,850 --> 00:36:08,850
Affix the pulse ox
to the palm.

842
00:36:14,050 --> 00:36:15,150
House.

843
00:36:17,450 --> 00:36:18,150
Sorry.

844
00:36:18,950 --> 00:36:21,550
I just realized I forgot
to TiVo Alien.

845
00:36:28,750 --> 00:36:30,450
Fetal heart rate good,

846
00:36:30,450 --> 00:36:31,850
stats are stable.

847
00:36:32,450 --> 00:36:33,850
Position him
for the incision.

848
00:36:40,450 --> 00:36:42,650
All right, I see three
well-defined lesions.

849
00:36:42,750 --> 00:36:44,150
It's definitely CCAM.

850
00:36:44,150 --> 00:36:45,650
I should be able
to resect them.

851
00:36:48,450 --> 00:36:50,150
It's the mom.
She's in V-fib.

852
00:36:52,350 --> 00:36:53,250
Charging.

853
00:36:55,550 --> 00:36:56,450
Clear!

854
00:36:56,850 --> 00:36:57,650
I'm clear.

855
00:36:59,950 --> 00:37:01,850
Looks like asystole, paddling's
not gonna do anything.

856
00:37:01,850 --> 00:37:03,650
It's fine V-fib!
I'm going again.

857
00:37:03,650 --> 00:37:04,550
Clear!

858
00:37:07,350 --> 00:37:08,250
We're gonna lose them both.

859
00:37:08,250 --> 00:37:08,950
Clamp.

860
00:37:10,650 --> 00:37:12,750
The surgery's not doing this
to her, the fetus is.

861
00:37:12,750 --> 00:37:14,350
Step away, House,
I'm going again.

862
00:37:14,350 --> 00:37:16,150
The only way to save her

863
00:37:16,150 --> 00:37:18,050
is to cut away the anchor holding her down.

864
00:37:18,050 --> 00:37:20,850
You keep going,
you're gonna get electrocuted.

865
00:37:21,350 --> 00:37:22,150
Clear!

866
00:37:23,950 --> 00:37:25,250
Going again.

867
00:37:25,250 --> 00:37:26,150
Clear!

868
00:37:29,450 --> 00:37:30,750
Heart rate's returning to normal.

869
00:37:34,550 --> 00:37:36,050
Continue with the lobectomy.

870
00:37:46,050 --> 00:37:48,850
So my kidneys, liver,
and lungs are all fine?

871
00:37:48,850 --> 00:37:49,750
Just like that?

872
00:37:50,450 --> 00:37:51,450
Just like that.

873
00:37:52,050 --> 00:37:53,050
That's amazing.

874
00:37:54,250 --> 00:37:58,350
What's amazing is how blond
your baby's hair is.

875
00:38:00,350 --> 00:38:01,050
My baby?

876
00:38:01,050 --> 00:38:03,950
You know, the thing in your belly
that tried to kill you.

877
00:38:03,950 --> 00:38:06,350
You've never called him
a baby before.

878
00:38:12,950 --> 00:38:14,050
Any pain?

879
00:38:14,350 --> 00:38:15,550
Nothing I can't deal with.

880
00:38:15,950 --> 00:38:18,550
You can only get out of bed
to pee, poo, or shower.

881
00:38:18,550 --> 00:38:20,250
And absolutely no sex,

882
00:38:20,650 --> 00:38:22,050
so stop flirting with me.

883
00:38:23,650 --> 00:38:24,650
Sorry.

884
00:38:27,250 --> 00:38:28,550
So this really worked?

885
00:38:28,550 --> 00:38:30,050
He'll be...

886
00:38:30,050 --> 00:38:30,950
normal?

887
00:38:31,950 --> 00:38:32,550
Um...

888
00:38:32,950 --> 00:38:35,250
If you call
being born twice normal.

889
00:38:40,450 --> 00:38:41,550
Hey, thank you.

890
00:38:44,950 --> 00:38:46,350
Don't thank me.

891
00:38:47,350 --> 00:38:48,750
I woulda killed the kid.

892
00:38:57,650 --> 00:38:58,750
Wanna grab a bite?

893
00:38:59,350 --> 00:39:00,350
In a minute.

894
00:39:00,550 --> 00:39:02,150
Emma asked me
to bring up her camera.

895
00:39:02,850 --> 00:39:03,850
I'll walk with you.

896
00:39:06,550 --> 00:39:08,150
When'd she take this picture of you?

897
00:39:10,050 --> 00:39:11,650
You look so...

898
00:39:12,350 --> 00:39:13,350
I'm smiling.

899
00:39:14,550 --> 00:39:15,950
I have a nice smile.

900
00:39:16,250 --> 00:39:18,850
No, I've never seen you
like this.

901
00:39:19,150 --> 00:39:20,350
She got you to...

902
00:39:20,650 --> 00:39:21,650
glow.

903
00:39:22,450 --> 00:39:23,750
What were you doing?

904
00:39:24,850 --> 00:39:26,150
What'd she say to you?

905
00:39:28,350 --> 00:39:29,550
I always glow.

906
00:39:41,950 --> 00:39:43,250
House.

907
00:39:44,050 --> 00:39:45,650
Need you to take a look
at something.

908
00:39:46,050 --> 00:39:46,850
I'm off the clock.

909
00:39:46,850 --> 00:39:47,850
Just open it.

910
00:39:54,350 --> 00:39:56,450
First class ticket
to Vancouver Island.

911
00:39:56,450 --> 00:39:59,150
Shoot!
It's the wrong envelope.

912
00:40:03,550 --> 00:40:04,950
I think it's great.

913
00:40:05,050 --> 00:40:05,950
Yeah?

914
00:40:06,950 --> 00:40:08,150
Who doesn't like Canadians?

915
00:40:08,150 --> 00:40:09,050
It's big.

916
00:40:09,050 --> 00:40:10,950
You're—you're
trying to have a life.

917
00:40:10,950 --> 00:40:12,650
You're trying to enjoy yourself.

918
00:40:12,950 --> 00:40:14,650
You didn't need to apologize.

919
00:40:14,650 --> 00:40:16,050
I'm not, I told you
why I'm—

920
00:40:16,050 --> 00:40:17,150
You screwed up.

921
00:40:17,150 --> 00:40:19,350
I saved a life.
I saved two lives.

922
00:40:19,350 --> 00:40:25,050
You let your maternal instinct get the best
of you and nearly killed two people.

923
00:40:25,250 --> 00:40:27,750
Case like this, you terminate,
mom lives 10 times out of 10.

924
00:40:27,750 --> 00:40:28,950
You do what you did,

925
00:40:28,950 --> 00:40:32,150
mom and baby both die
9.9 times out of 10.

926
00:40:32,150 --> 00:40:35,050
Sometimes 0.1 is bigger
than 9.9.

927
00:40:35,050 --> 00:40:37,150
No, it's smaller.

928
00:40:37,650 --> 00:40:38,950
Exactly 9.8 smaller.

929
00:40:38,950 --> 00:40:40,850
Always is,
always will be.

930
00:40:41,350 --> 00:40:42,350
Well, not for Emma.

931
00:40:43,250 --> 00:40:44,650
And not for her son.

932
00:40:45,650 --> 00:40:46,950
Now go away.

933
00:40:47,250 --> 00:40:48,550
And be happy.

934
00:42:35,750 --> 00:42:45,750
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