1

00:00:00,468 --> 00:00:03,202

[Woman On P.A.]
Radiologist, contact 5317.
2
00:00:03,274 --> 00:00:06,715
Radiologist, contact 5317.
3
00:00:06,784 --> 00:00:09,051
[Man] Amber.
[Woman]
No.
4
00:00:09,124 --> 00:00:11,995
Why not?
Amber's a stripper name.
5
00:00:12,066 --> 00:00:15,370
Find me one stripper
named Amber Hartig.
6
00:00:15,441 --> 00:00:17,378
Or not. Okay.
7
00:00:17,447 --> 00:00:20,079
Non-stripper names.
Um, Desiree?
[Coos]
8
00:00:20,155 --> 00:00:22,092
Bambi? Kandy Kane?
9
00:00:22,160 --> 00:00:24,530
Max.
10
00:00:24,599 --> 00:00:26,536
Maxine.
11
00:00:26,605 --> 00:00:29,100
Max Hartig.
It's a cute name, isn't it?
12
00:00:29,179 --> 00:00:32,449
If you're a professional boxer,
maybe.
13
00:00:32,521 --> 00:00:34,822
Can you believe we made

this little creature?

14
00:00:34,894 --> 00:00:39,304
I know. It's incredible.
It's the most amazing thing
we've ever done.
15
00:00:40,309 --> 00:00:42,679
I almost ran the marathon
last year.
16
00:00:42,749 --> 00:00:45,848
If we're lucky, you won't inherit
your daddy's sense of humor.
17
00:00:45,924 --> 00:00:48,692
Hello. Say "hi" to Bear.
18
00:00:48,765 --> 00:00:50,702
[Spits]
19
00:00:51,840 --> 00:00:54,939
She hasn't even eaten anything.
Why is she spitting up?
20
00:00:55,016 --> 00:00:57,956
Well, honey,
we can't bug them again.
Could you21
00:00:58,024 --> 00:01:00,428
Okay, okay.
22
00:01:02,703 --> 00:01:06,075
I'm sorry. It's our first kid.
We're both a little panicky,
I guess.
23
00:01:06,146 --> 00:01:09,849
Well, you gotta ask
the pediatrician next time.
I just deliver 'em.
24
00:01:09,924 --> 00:01:13,092
- Is she spitting up?
- Yeah. Second time in an hour.
25
00:01:13,165 --> 00:01:16,162

Oh. If you lived underwater

for nine months,
26
00:01:16,241 --> 00:01:18,736
you'd have a lot to spit up too.
27
00:01:22,524 --> 00:01:25,053
Is something wrong?
A little lethargic.
28
00:01:25,131 --> 00:01:28,937
- [Mr. Hartig] Well, we didn't think- She's hot.
29
00:01:29,009 --> 00:01:30,980
- [Gasping]
- Is she, uh30
00:01:31,047 --> 00:01:34,078
The baby's seizing!
Get the crash cart!
31
00:01:34,156 --> 00:01:36,822
- What's-What's wrong?
- Need some help in here.!
32
00:01:36,896 --> 00:01:39,425
Oh, God. Is she all right?
[Alarm Beeping]
33
00:01:39,504 --> 00:01:41,498
- [Woman] I. V. Access?
- No. Ativan.
34
00:01:41,576 --> 00:01:44,071
What's going on?
35
00:02:19,178 --> 00:02:21,980
[Sighs]
The M.R.I.'s back.
36
00:02:22,053 --> 00:02:24,617
And?
It's what we expected.
37
00:02:24,694 --> 00:02:27,531
The accident caused
serious damage.

38
00:02:29,206 --> 00:02:31,200
It's amnesia.
39
00:02:35,156 --> 00:02:37,720
[Man On TV]
I'm sorry.
40
00:02:37,797 --> 00:02:39,859
[Woman On TV]
I just can't believe it.
41
00:02:41,473 --> 00:02:44,777
[Chattering]
42
00:02:46,019 --> 00:02:48,149
Enjoying our lounge, House?
43
00:02:48,225 --> 00:02:51,393
Just came in
to get milk for my coffee,
which you're out of.
44
00:02:51,467 --> 00:02:53,563
- Flat or sparkling?
- Sparkling.
- Splat.
45
00:02:55,077 --> 00:02:57,241
So, the Hartigs?
46
00:02:57,316 --> 00:03:01,589
Their baby gets a fever.
What, don't tell methe kid had a seizure.
47
00:03:01,661 --> 00:03:05,467
Yep. The parents, of course, start freaking,
and I have to deal with that for an hour.
48
00:03:05,539 --> 00:03:08,341
Like it was your fault.
She was perfect
when I delivered her.
49
00:03:08,413 --> 00:03:11,615
If you wanna blame someone,
blame the pediatrician.

So, how is the kid now?

50
00:03:11,688 --> 00:03:15,961
Bowel obstruction.
She's under observation.
She'll be fine.
51
00:03:16,034 --> 00:03:19,031
The pediatrician
will take all the credit.
52
00:03:25,894 --> 00:03:29,427
[House]
Exhibit A: Baby Girl Hartig.
53
00:03:29,504 --> 00:03:31,498
Term baby, 42 hours old.
54
00:03:31,577 --> 00:03:34,676
Went into seizures six hours ago,
brought into the intensive care...
55
00:03:34,751 --> 00:03:37,657
diagnosed with obstruction
of the small bowel.
56
00:03:37,726 --> 00:03:40,290
I'm still amazed you're actually
in the same room with a patient.
57
00:03:40,367 --> 00:03:42,361
People don't bug me
until they get teeth.
58
00:03:42,440 --> 00:03:44,707
Exhibit B:
Baby Boy Hausen.
59
00:03:44,779 --> 00:03:47,012
Another term baby, 48 hours old.
60
00:03:47,086 --> 00:03:50,185
Brought into the NICU
three hours before the Hartig baby.
61
00:03:50,260 --> 00:03:53,359
Fever of unknown origin,
101 degrees, trending upwards.

62
00:03:53,436 --> 00:03:55,373
Wow, that is amazing.
63
00:03:55,441 --> 00:03:58,381
You hung out in the OB/GYN lounge
all morning and heard about two sick babies.
64
00:03:58,449 --> 00:04:01,685
- It's- It's eerie.
- Don't touch that.
65
00:04:01,759 --> 00:04:04,756
All right.
We have an infection
spreading in the hospital.
66
00:04:04,833 --> 00:04:08,331
[Scoffs]
These kids have totally
unrelated illnesses.
67
00:04:08,410 --> 00:04:10,939
They fell sick within four hours
of each other.
68
00:04:11,017 --> 00:04:15,050
They had the same delivery rooms,
maternity rooms are neighboring,
so transmission's possible.
69
00:04:15,128 --> 00:04:17,965
- They have the same symptoms.
- The Hartig girl has a bowel obstruction.
70
00:04:18,036 --> 00:04:21,135
No matter how close their beds are,
I'm pretty sure kids can't share a blockage.
71
00:04:21,212 --> 00:04:23,707
What does bowel obstruction
on a chart indicate?
72
00:04:23,785 --> 00:04:26,519
Normally I'd say it indicates
a patient's bowel is obstructed,
73
00:04:26,593 --> 00:04:29,088

but I'm pretty sure you have

some deeper truth to impart.
74
00:04:29,166 --> 00:04:33,769
It means that some random doctor
of indeterminate skill thinks that
the patient's bowel is obstructed.
75
00:04:33,846 --> 00:04:36,945
- Okay, you're upset because
they threw you out of their lounge.
- Look at the X-ray.
76
00:04:37,021 --> 00:04:40,861
It's a normal gas pattern.
If you want, I can get you a key
to the oncology lounge.
77
00:04:40,932 --> 00:04:42,926
Air in the colon.
We're getting TiVo.
78
00:04:43,004 --> 00:04:45,340
If it's air,
no bowel obstruction.
79
00:04:45,410 --> 00:04:48,407
Even if it is air,
it could have been there
before the obstruction.
80
00:04:48,486 --> 00:04:51,483
No. Something's infected
both these infants.
81
00:04:51,561 --> 00:04:53,862
[Baby Crying]
82
00:04:53,934 --> 00:04:56,429
And you're the only one
who put this together because83
00:04:56,508 --> 00:04:58,844
Because I'm the only one
who looked at both kids.
84
00:04:58,915 --> 00:05:01,581
I want them isolated.
I want the maternity ward shut down.

85
00:05:01,656 --> 00:05:04,322
Because you're better
at reading an X-ray
than a radiologist.
86
00:05:04,396 --> 00:05:08,635
Radiologists always overread
babies' X-rays, especially if they're
asked to rule out a pathology.
87
00:05:08,708 --> 00:05:12,114
- He read into it what he wanted.
- Which is exactly what you're doing.
88
00:05:12,184 --> 00:05:15,420
You're finding a cluster because you
think it's interesting to find a cluster.
89
00:05:15,493 --> 00:05:18,797
Two plain old sick babies
would bore you.
90
00:05:18,869 --> 00:05:21,637
See, this is why I don't
waste money on shrinks,
91
00:05:21,710 --> 00:05:24,205
'cause you give me all these
really great insights for free.
92
00:05:24,284 --> 00:05:27,919
Shrink. If you would
consider going to a shrink,
I would pay for it myself.
93
00:05:27,994 --> 00:05:31,162
The hospital would hold
a bake sale, for God's sake.
94
00:05:31,236 --> 00:05:33,640
We have an epidemic!
95
00:05:33,709 --> 00:05:39,122
Two sick babies is very sad,
but it doesn't prove an epidemic.
96
00:05:45,441 --> 00:05:47,378

How many do?

97
00:05:49,820 --> 00:05:52,851
Get up.
We're going hunting.
98
00:05:52,928 --> 00:05:54,990
For what?
99
00:05:55,068 --> 00:05:57,232
Wabbits.
100
00:06:05,161 --> 00:06:08,431
[Crying]
101
00:06:08,504 --> 00:06:10,976
Hi. Bye.
102
00:06:11,045 --> 00:06:13,540
He's screaming. He's fine.
103
00:06:17,028 --> 00:06:18,965
Good-looking baby.
104
00:06:23,746 --> 00:06:27,084
Oh, sorry. Wrong room.
We'll see you later.
105
00:06:27,155 --> 00:06:29,353
Twelve rooms, right?
That's it?
106
00:06:29,428 --> 00:06:32,926
Yep. We've definitely
checked the whole floor.
107
00:06:34,275 --> 00:06:36,941
Good news.
No epidemic.
108
00:06:37,016 --> 00:06:39,010
Tragic, huh?
109
00:06:41,962 --> 00:06:44,298
Overflow rooms,
third floor.

110
00:06:44,368 --> 00:06:46,966
This imaginary infection
has spread to the next floor?
111
00:06:48,346 --> 00:06:51,650
We were just gonna call.
Did he get hot all of a sudden?
112
00:06:53,460 --> 00:06:55,454
Yeah.
113
00:06:57,973 --> 00:07:01,710
[Babies Crying]
[Man]
Yeah, I'll take care of that for you.
114
00:07:05,493 --> 00:07:09,458
[Man]
Almost there, honey.
Don't worry. We're almost there.
115
00:07:09,538 --> 00:07:12,067
Excuse me! Hi.
Hi.
116
00:07:12,144 --> 00:07:14,639
Intake sent you up here?
Yeah, my wife's contractions
are less than117
00:07:14,718 --> 00:07:16,951
Okay, Intake messed up.
I am very, very sorry.
118
00:07:17,025 --> 00:07:19,497
Nurse Alpert will arrange
for an ambulance...
119
00:07:19,565 --> 00:07:23,006
to take you to Princeton General.
[Panting]
120
00:07:23,074 --> 00:07:26,515
The maternity ward
is temporarily closed.
We have to leave?
121
00:07:26,584 --> 00:07:29,524

Yes. I am very sorry.

Why are you doing this?
122
00:07:29,592 --> 00:07:32,589
[Painful Grunting]
You will be there
very, very soon.
123
00:07:34,372 --> 00:07:37,209
Happy now?
No.
124
00:07:37,280 --> 00:07:40,663
But I am interested.
125
00:07:46,567 --> 00:07:50,803
Three sick babies, and a fourth
showing early symptoms.
126
00:07:50,876 --> 00:07:52,811
- How bad?
- Spiking fevers.
127
00:07:52,880 --> 00:07:55,350
B.P.'s plummeting.
They're barely able to keep systolic up.
128
00:07:55,418 --> 00:07:57,854
- At this rate, they could be dead in a day.
- Where did this come from?
129
00:07:57,924 --> 00:08:01,795
Two delivery rooms, four different
maternity rooms. No common personnel
and no common equipment.
130
00:08:01,865 --> 00:08:04,631
- There's got to be something in common.
- Yeah.
131
00:08:04,704 --> 00:08:07,869
That would be the difference
between an epidemic and a coincidence.
132
00:08:07,944 --> 00:08:11,040
I'm putting a team together.
We're gonna start swabbing.
133

00:08:11,117 --> 00:08:15,056

What's she gonna swab?
Every respirator, sink, vent, drain
in the entire hospital?
134
00:08:15,125 --> 00:08:16,820
- That'll take months.
- Needle in a haystack.
135
00:08:16,895 --> 00:08:19,730
It's worse than that,
We don't even know
it's a needle we're looking for.
136
00:08:19,801 --> 00:08:24,708
- Then why'd you let her go do it?
- Because the hospital is her baby,
and her baby's sick.
137
00:08:24,778 --> 00:08:28,045
If she doesn't solve this soon,
her head's gonna explode, and I
don't want to get any on me.
138
00:08:28,117 --> 00:08:30,052
So let's figure out
what's in the haystack.
139
00:08:30,122 --> 00:08:32,250
- Differential diagnosis, people.
- Parasite.
140
00:08:32,326 --> 00:08:34,853
- It's spreading too quickly.
- Next?
141
00:08:34,932 --> 00:08:39,269
- Virus?
- The kids are too sick, and the blood tests
showed no lymphocytosis.
142
00:08:39,342 --> 00:08:41,835
And they're not responding
to acyclovir or ribavirin.
143
00:08:41,913 --> 00:08:44,212
If it's some other virus,
we'll never find it in time anyway.
144

00:08:44,284 --> 00:08:48,223

Which leads us
to bacterial infection.
145
00:08:48,292 --> 00:08:52,460
It's not responding
to broad-spectrum antibiotics,
so we've got something resistant.
146
00:08:52,533 --> 00:08:55,561
- The usual suspects?
- MRSA. It's always MRSA in hospitals.
147
00:08:55,641 --> 00:08:58,134
Maybe contaminated food
or water source.
148
00:08:58,212 --> 00:09:00,078
Pseudomonas.
149
00:09:00,150 --> 00:09:02,244
V.R.E.?
"H" flu.
150
00:09:02,320 --> 00:09:05,155
Okay. Those are the big ones.
151
00:09:05,226 --> 00:09:09,029
Cultures will take 48 hours.
Might as well be postmortem.
152
00:09:09,101 --> 00:09:13,269
We'll start them on vancomycin
for the MRSA and aztreonam
to cover the rest.
153
00:09:13,344 --> 00:09:18,445
Let's get M.R.I. 's,
check for abscesses
or some occult infection.
154
00:09:18,520 --> 00:09:22,654
I'll be in the clinic.
Grab me if you find something
important... or unimportant.
155
00:09:53,157 --> 00:09:55,559
[Beeping]

156
00:10:08,087 --> 00:10:11,217
[Machinery Banging]
157
00:10:17,373 --> 00:10:21,438
[Banging Faster]
158
00:10:24,153 --> 00:10:29,151
[Cameron]
We did an M.R.I. On all the babies, and,
unfortunately, we didn't find anything,
159
00:10:29,230 --> 00:10:33,192
so we're starting them
on the strongest antibiotics
that we've got,
160
00:10:33,272 --> 00:10:36,607
and we're hoping that
that will take care of it.
161
00:10:36,679 --> 00:10:38,944
But he's so tiny.
162
00:10:39,017 --> 00:10:40,952
How sick is he?
163
00:10:41,020 --> 00:10:44,116
His fever's up to 103.5,
and his blood pressure is 80 over 40.
164
00:10:44,194 --> 00:10:46,630
How, um- How bad is that?
165
00:10:48,603 --> 00:10:50,595
Uh166
00:10:50,673 --> 00:10:54,510
It-It's low. The heart needs
to circulate the blood.
167
00:10:54,582 --> 00:10:58,716
If it's weak, the oxygen isn't getting
to the liver, the kidneys, the brain.
168
00:10:58,790 --> 00:11:02,228
Um, I have to ask you something.

169
00:11:02,297 --> 00:11:03,992
JudyNo, no, Kim. Let me.
170
00:11:05,236 --> 00:11:09,404
Um, I had a cold last month,
and I told the doctors about it.
171
00:11:09,479 --> 00:11:11,573
Honey, this has nothing
to do with you.
172
00:11:11,650 --> 00:11:14,018
Kim's right.
173
00:11:14,088 --> 00:11:16,684
Your son was born healthy.
174
00:11:16,760 --> 00:11:19,025
He caught the infection
after his birth.
175
00:11:19,098 --> 00:11:21,694
There's no reason to think
that he caught it from you.
176
00:11:21,771 --> 00:11:26,108
But you don't know. I mean,
you don't know how he got sick.
177
00:11:31,189 --> 00:11:35,026
Pretty standard question"How sick is my child?"
You couldn't answer.
178
00:11:35,097 --> 00:11:38,831
I answered.
You rattled off numbersB.P., O2 sats.
179
00:11:38,906 --> 00:11:43,243
It's not what they need to know.
What they need to know is the future.
You got a Magic 8 ball?
180
00:11:43,314 --> 00:11:45,978
No, just eight years
of medical training.

181
00:11:48,191 --> 00:11:52,859
Look, I realize it's tough
to break bad news to families.
182
00:11:52,934 --> 00:11:55,028
Not as tough as hearing it.
183
00:11:55,105 --> 00:11:59,341
And I guess being the poor guy dying
is the toughest of all?
184
00:11:59,413 --> 00:12:01,906
No.
185
00:12:01,984 --> 00:12:05,479
It's easier to die
than to watch someone die.
186
00:12:09,868 --> 00:12:13,466
[Cuddy]
Well, we're checking the vents.
It could be airborne.
187
00:12:13,541 --> 00:12:16,603
Somebody get the sinks, too,
and underneath them.
188
00:12:16,682 --> 00:12:18,617
I'll get it.
189
00:12:18,686 --> 00:12:21,680
How many med students
have you got swabbing the decks?
190
00:12:21,759 --> 00:12:24,662
What else are they gonna do?
It's not like they're delivering babies.
191
00:12:24,732 --> 00:12:27,294
You find anything yet?
Uh, yeah.
192
00:12:27,370 --> 00:12:31,104
About half
the antibacterial gel dispensers
are empty or broken.

193
00:12:31,178 --> 00:12:34,844
That's bad, yet diagnostically
completely insignificant.
194
00:12:34,918
Well, if the
their hands,
an infection

--> 00:12:39,859
staff can't wash
it's no wonder
has spread.

195
00:12:39,929 --> 00:12:43,059
Hey! Tie clip!
Sorry?
196
00:12:43,136 --> 00:12:47,735
We have an epidemic
in this hospital, and your tie
is becoming a petri dish.
197
00:12:47,811 --> 00:12:51,271
Put on a tie clip
or take the damn thing off.
198
00:12:53,223 --> 00:12:57,560
[Woman]
Myjoints have been feeling all loose,
and lately I've been feeling sick a lot.
199
00:12:57,631 --> 00:12:59,566
Maybe I'm over-training.
200
00:12:59,635 --> 00:13:03,301
I'm doing the marathon,
like, 10 miles a day, but I can't
seem to lose any weight.
201
00:13:03,376 --> 00:13:06,074
Lift up your arms.
202
00:13:08,854 --> 00:13:11,586
You have a parasite.
203
00:13:11,660 --> 00:13:15,760
Like a tapeworm
or something?
Lie back and lift up your sweater.
204
00:13:15,835 --> 00:13:18,829
You can put your arms down.

205
00:13:18,909 --> 00:13:21,937
Can you do anything about it?
Only for about a month or so.
206
00:13:22,014 --> 00:13:25,144
After that it becomes illegal to remove,
except in a couple states.
207
00:13:25,221 --> 00:13:27,817
Illegal?
But don't worry.
208
00:13:27,892 --> 00:13:30,795
Many women learn
to embrace this parasite.
209
00:13:30,865 --> 00:13:35,033
They name it, dress it up in tiny clothes,
arrange playdates with other parasites.
210
00:13:35,107 --> 00:13:38,476
- Playdates?
- It has your eyes.
211
00:13:40,953 --> 00:13:42,888
But that's impossible.
212
00:13:42,957 --> 00:13:46,292
Well, I assume you weren't
getting your period.
213
00:13:46,363 --> 00:13:48,332
Maybe that should have
given you an inkling.
214
00:13:48,401 --> 00:13:51,099
But I'm on this
birth control implant.
Yeah, I know.
215
00:13:51,173 --> 00:13:55,978
I saw the scar on your arm.
And my doctor said I might not get
any periods at all if it was working.
216
00:13:56,050 --> 00:13:59,351
Mm-hmm. Interestingly enough,

you also don't get any periods

if it isn't working,
217
00:13:59,423 --> 00:14:02,258
which is why you were supposed
to get regular pregnancy tests.
218
00:14:02,329 --> 00:14:05,425
Oh!
I'm gonna send a nurse in here
to schedule your prenatal care.
219
00:14:05,502 --> 00:14:08,803
You're due in about five months,
so start planning the shower.
220
00:14:10,145 --> 00:14:12,080
Um, Doctor?
221
00:14:12,149 --> 00:14:17,683
Please, me and my husband
wanted to have a kid soon,
222
00:14:17,761 --> 00:14:20,197
but, oh, God,
223
00:14:20,266 --> 00:14:24,569
like four months ago,
we had this really big fight.
224
00:14:24,641 --> 00:14:28,944
He moved out.
I did something stupid.
225
00:14:29,016 --> 00:14:32,785
One-night stand?
Ex-boyfriend.
226
00:14:32,858 --> 00:14:36,125
Well, I'll schedule you
a paternity test too.
227
00:14:36,197 --> 00:14:38,496
I can't let my husband know.
228
00:14:38,570 --> 00:14:41,006
Does the old boyfriend look
like your husband?

229
00:14:41,075 --> 00:14:43,807
Yeah.
230
00:14:43,880 --> 00:14:46,179
Then just have the kid.
He'll never know.
231
00:14:46,251 --> 00:14:49,222
The most successful marriages
are based on lies.
232
00:14:49,291 --> 00:14:52,023
You're off to a great start.
233
00:14:53,532 --> 00:14:56,332
Well, you look cheery.
What's going on?
234
00:14:56,405 --> 00:14:59,205
The Hartig and Chen-Lupino babies,
their kidneys are shutting down.
235
00:14:59,277 --> 00:15:01,839
And the urine tests show no casts.
236
00:15:03,252 --> 00:15:05,722
Which means the antibiotics
are causing the kidney failure.
237
00:15:05,792 --> 00:15:09,322
You're the nephrologist.
Which one did it?
We'll take 'em off that one.
238
00:15:12,571 --> 00:15:15,667
- Don't tell me
both vancomycin and aztreonam.
- They both can cause this.
239
00:15:15,745 --> 00:15:17,737
There's no way to know
which one it is. No test.
240
00:15:17,815 --> 00:15:21,150
We can't take 'em off
the antibiotics though.
They'll die of the infection.

241
00:15:21,222 --> 00:15:23,715
If we leave them
on both the antibiotics,
they'll die of kidney failure.
242
00:15:23,795 --> 00:15:28,031
So, we take our best guess then.
Which drug's causing the kidney failure?
243
00:15:28,103 --> 00:15:32,737
It's like I said,
it's always MRSA in hospitals.
Take them off aztreonam.
244
00:15:32,813 --> 00:15:36,216
I still think it's the pseudomonas.
I vote to take them
off the vancomycin.
245
00:15:43,301 --> 00:15:45,293
There's no point in guessing.
246
00:15:48,277 --> 00:15:51,271
Take one kid off vancomycin,
the other off aztreonam.
247
00:15:52,720 --> 00:15:55,816
- They have the same disease.
You want to give them different treatments?
- What the hell are you doing?
248
00:15:55,893 --> 00:16:00,129
- Therapeutic trial,
to find the cause of the infection.
- That's wrong.
249
00:16:00,202 --> 00:16:03,332
We have four sick kids at least.
250
00:16:03,407 --> 00:16:07,005
- Who knows how many more
haven't started showing symptoms yet?
- We have a duty to these two.
251
00:16:07,083 --> 00:16:10,521
If these two have different reactions,
we'll know how to save the rest.

252
00:16:10,589 --> 00:16:15,029
So you're condemning
one of these kids to die
based on random chance?
253
00:16:22,046 --> 00:16:24,038
I guess I am.
254
00:16:28,560 --> 00:16:32,363
[Babies Crying]
255
00:16:32,434 --> 00:16:35,837
[Cuddy]
So you're going to flip a coin?
256
00:16:35,908 --> 00:16:37,968
That's how you decide
which baby lives?
257
00:16:38,045 --> 00:16:40,675
Can I borrow a quarter?
258
00:16:40,750 --> 00:16:43,186
Do you want to get sued,
lose your license, House?
259
00:16:43,255 --> 00:16:46,317
Well, generally I'd applaud that,
but my job is to protect this hospital,
260
00:16:46,395 --> 00:16:49,525
so I strongly advise you to come up
with a medical rationale...
261
00:16:49,602 --> 00:16:51,798
why baby '"A"should get medicine "X"
and vice versa.
262
00:16:51,873 --> 00:16:56,313
Whoa, whoa, whoa, whoa.
Hold on there, slick.
We didn't all go to law school.
263
00:16:56,382 --> 00:17:00,879
Your advice is that I should use
medical reasons to make medical decisions?
Hmm, that's not gonna be as easy.

264
00:17:00,958 --> 00:17:03,485
Any medical justification.
It doesn't need to be a good one.
265
00:17:03,564 --> 00:17:08,232
Well, "Hartig" sounds Jewish,
so does aztreonam, so we'll take
the Hartig kid off vancomycin.
266
00:17:08,307 --> 00:17:10,435
How's that?
267
00:17:10,511 --> 00:17:13,379
- You can't experiment on babies.
- Doctors experiment all the time.
268
00:17:13,450 --> 00:17:17,184
- On adults, with their consent.
- Fine. I'll get the parents' consent.
269
00:17:17,258 --> 00:17:21,095
Their informed consent.
They have to know the other kid
is getting a different treatment.
270
00:17:21,166 --> 00:17:25,037
Sorry. Can't do that. It would be
unethical for one patient to know
about another patient's treatment.
271
00:17:25,107 --> 00:17:29,241
- They have a right to know.
- If they know, they won't consent.
That defeats the whole purpose.
272
00:17:29,316 --> 00:17:31,547
That's their right.
273
00:17:31,620 --> 00:17:34,614
Two more babies
have just become symptomatic.
274
00:17:34,693 --> 00:17:36,685
I defer to your legal wisdom.
275
00:17:36,764 --> 00:17:41,467
Which takes precedencesix dying babies

or a missing consent form?

276
00:17:41,541 --> 00:17:44,137
You can't do it.
277
00:17:49,825 --> 00:17:52,090
Do what you think is best.
278
00:18:18,582 --> 00:18:20,984
Your daughter's kidneys
are shutting down.
279
00:18:21,055 --> 00:18:23,389
Your son's kidneys are failing.
280
00:18:23,459 --> 00:18:25,485
So we're going to
take her off the aztreonam.
281
00:18:25,564 --> 00:18:27,396
We're taking him
off vancomycin.
282
00:18:27,467 --> 00:18:30,563
Uh, but whatwhat made her sick
in the first place?
283
00:18:30,640 --> 00:18:34,511
- What do you think is causing it?
- It seems to be a germ called pseudomonas.
284
00:18:34,581 --> 00:18:38,452
We think it's MRSAMethicillin-resistant staph aureus.
285
00:18:38,523 --> 00:18:41,551
It's a very resistant form
of a very common bacteria.
286
00:18:41,628 --> 00:18:44,098
We're hoping the aztreonam
will clear it up.
287
00:18:44,168 --> 00:18:48,107
Vancomycin is the best treatment for MRSA,
so we're gonna keep giving it to her.

288
00:18:48,176 --> 00:18:50,942
Is it gonna cure her?
289
00:18:54,088 --> 00:18:58,324
Your child is very sick.
You need to know that.
290
00:18:58,396 --> 00:19:02,062
This is a Hail Mary pass.
It might cure her. It might not.
291
00:19:07,348 --> 00:19:09,944
So-So, that'll cure him?
292
00:19:11,857 --> 00:19:14,794
We'll know in 24 hours
if it's working.
293
00:19:30,930 --> 00:19:33,992
What did you tell them?
I told them the truth.
294
00:19:34,069 --> 00:19:37,336
They seemed relieved.
Did you tell them how sick their son is?
295
00:19:37,409 --> 00:19:40,812
I explained what was going on.
Allison, their baby's dying.
296
00:19:40,883 --> 00:19:43,877
If the parents weren't in tears
by the time you left,
you didn't tell them the truth.
297
00:19:43,956 --> 00:19:46,620
That's not how I see it.
Do you want them blindsided?
298
00:19:46,695 --> 00:19:50,030
Want them coming up and saying,
"My God, my baby died.
Why didn't you warn me?"
299
00:19:50,101 --> 00:19:52,765
So now it's about worrying
about them yelling at us?
No.

300
00:19:52,840 --> 00:19:55,606
It's about getting them prepared
for the likely death of their child.
301
00:19:55,680 --> 00:19:59,140
If their son dies tomorrow,
you think they'll give a damn
what I said to them today?
302
00:19:59,220 --> 00:20:03,523
It's not gonna matter.
They're not gonna care. Nothing's
gonna be the same ever again.
303
00:20:03,595 --> 00:20:06,896
Just give those poor women
a few hours of hope.
304
00:20:12,714 --> 00:20:14,649
Dr. House!
Oh, no.
305
00:20:14,718 --> 00:20:17,518
Dr. House,
this is my husband, Charlie.
306
00:20:17,590 --> 00:20:19,559
Who told you
where my office was?
307
00:20:19,628 --> 00:20:22,121
Jill, come on.
He obviously doesn't
want us bothering him.
308
00:20:22,199 --> 00:20:24,533
Ooh, I was trying to hide it.
309
00:20:24,605 --> 00:20:29,444
Look, Doctor,
this is about the mono
that you said you thought I had.
310
00:20:29,515 --> 00:20:31,450
The mono?
Yes.
311

00:20:31,519 --> 00:20:33,613

You know,
shouldn't Charlie be tested?
312
00:20:33,690 --> 00:20:37,993
You know, the test.
The blood test.
313
00:20:38,066 --> 00:20:40,696
Right.
314
00:20:40,771 --> 00:20:44,140
Yeah, I'm sorry.
L- I sometimes forget patients.
315
00:20:44,211 --> 00:20:47,307
I thought you were this idiot
who doesn't know how to use
birth control.
316
00:20:47,384 --> 00:20:51,824
I can't have mono.
I don't even feel sick
or anything.
317
00:20:53,764 --> 00:20:56,257
That's very often the first sign.
318
00:20:56,336 --> 00:20:59,204
Call my office in the morning,
and I'll schedule you for blood tests.
319
00:20:59,275 --> 00:21:01,210
Thank you.
320
00:21:01,279 --> 00:21:03,647
I'm not even tired.
Oh.
321
00:21:13,470 --> 00:21:15,405
Find anything yet?
322
00:21:15,475 --> 00:21:20,178
Oh, just some baby formula
being stored under a sink
with a dripping faucet.
323
00:21:20,251 --> 00:21:23,017

Tap water contamination.

You thinking pseudomonas infection?
324
00:21:23,090 --> 00:21:25,754
I was.
I wasted a couple of hours
chasing it down.
325
00:21:25,829 --> 00:21:29,267
But, of course, the formula hasn't
been anywhere near the babies.
326
00:21:29,336 --> 00:21:31,328
Huh.
Whatever idiot stored them there327
00:21:31,406 --> 00:21:34,274
All right, we'll figure it out.
Just-Just calm down.
328
00:21:34,345 --> 00:21:37,544
I am calm.
Let me know
when you're gonna need it.
329
00:21:37,619 --> 00:21:40,784
Oh, comeI warned you.
330
00:21:40,860 --> 00:21:42,920
I did that calmly.
331
00:21:48,141 --> 00:21:50,703
Hey.
Hi.
332
00:21:51,714 --> 00:21:53,842
She any better?
333
00:21:53,919 --> 00:21:56,754
Uh, her fever has been stable
the last hour.
334
00:21:58,528 --> 00:22:01,192
We're not gonna make it,
are we?
335
00:22:01,267 --> 00:22:03,361

Sorry?
336
00:22:03,439 --> 00:22:05,431
Me and Ethan.
337
00:22:06,913 --> 00:22:10,009
Our next-door neighbor,
338
00:22:10,085 --> 00:22:12,077
her little boy died
in a car crash,
339
00:22:12,156 --> 00:22:16,061
and she and her husband split up,
like, four months after the funeral.
340
00:22:16,131 --> 00:22:20,628
It's just, uh,
what always happens, right?
341
00:22:24,381 --> 00:22:27,876
Uh, what happens to patients
after they leave the hospital,
I don't know,
342
00:22:27,955 --> 00:22:31,188
but try not to get ahead
of yourself.
343
00:22:33,132 --> 00:22:35,466
[Alarm Beeping]
344
00:22:35,536 --> 00:22:38,063
[Nurse]
Dr. Chase, activity on the monitor.
345
00:22:38,143 --> 00:22:40,044
How long?
I don't know.
It just started.
346
00:22:40,112 --> 00:22:42,240
Pulse? Fluid, wide open.
347
00:22:42,318 --> 00:22:44,219
Do we have an arterial line?
Not yet.

348
00:22:44,287 --> 00:22:46,951
Let's get a B.P.
349
00:22:47,963 --> 00:22:50,399
You can't come in here.
Is my baby dying?
350
00:22:50,467 --> 00:22:52,766
- Mrs. Hartig- Is she dying?
- Ma'am, you'll have to leave.
351
00:22:52,838 --> 00:22:54,830
It's not your baby.
352
00:22:57,816 --> 00:23:00,616
Ventilate.
353
00:23:00,688 --> 00:23:03,215
B.P. 60 over 20.
354
00:23:03,293 --> 00:23:06,093
Heart rate's 180.
Start the levophed.
355
00:23:06,165 --> 00:23:08,567
[Fast Beeping]
Still dropping.
356
00:23:08,638 --> 00:23:10,573
50 over 10.
357
00:23:12,312 --> 00:23:14,577
I can't hold B.P.,
even with three pressors.
358
00:23:17,054 --> 00:23:19,957
I'm losing pulse.
[Monitors Beeping]
359
00:23:20,027 --> 00:23:21,996
V-fib.
360
00:23:22,065 --> 00:23:24,661
Shut the blinds.
361

00:23:33,689 --> 00:23:36,023

Charging.
Set.
362
00:23:36,093 --> 00:23:38,825
Clear.
363
00:23:38,899 --> 00:23:40,993
Still V-fib.
364
00:23:41,071 --> 00:23:43,701
Charging. Clear.
365
00:23:45,445 --> 00:23:48,177
Charging. Clear.
366
00:23:52,460 --> 00:23:54,691
[Foreman]
Still V-fib.
367
00:23:54,764 --> 00:23:57,701
Charging. Clear.
368
00:24:01,244 --> 00:24:03,213
- Charging.
- Chase.
369
00:24:04,484 --> 00:24:06,886
[Sustained Tone]
370
00:24:06,956 --> 00:24:09,688
Time of death- 6:57 p.m.
371
00:24:11,766 --> 00:24:13,758
[Heart Monitor Shuts Off]
372
00:24:32,375 --> 00:24:34,971
[House]
The aztreonam doesn't work.
373
00:24:35,046 --> 00:24:38,245
Double-cover all the other babies
with vancomycin.
374
00:24:38,319 --> 00:24:40,254
I'll do it.

375
00:24:40,323 --> 00:24:43,658
[House]
Cameron, tell the parents.
376
00:24:43,730 --> 00:24:46,166
Tell them their child
probably saved five lives.
377
00:24:48,206 --> 00:24:50,107
- But Chase should- Chase is busy.
378
00:24:50,176 --> 00:24:52,338
You're the attending.
379
00:24:54,051 --> 00:24:56,350
Make sure she does her job.
380
00:25:29,790 --> 00:25:31,725
[No Audible Dialogue]
381
00:25:58,916 --> 00:26:01,944
I asked you to make sure
she does her job, not do it for her.
382
00:26:02,023 --> 00:26:05,153
She froze up.
She felt sorry for the parents,
so she shut up.
383
00:26:05,229 --> 00:26:08,530
You felt sorry for her,
so you opened your mouth.
She has a problem.
384
00:26:08,602 --> 00:26:11,596
She needs to deal with it.
If you hadn't bailed her out,
she would have done it.
385
00:26:11,675 --> 00:26:14,009
Great. Then she wouldn't
have slept for two weeks.
386
00:26:14,080 --> 00:26:16,778
Maybe she should be thinking
about a different specialty.

387
00:26:16,852 --> 00:26:18,787
Lab work? Research?
388
00:26:18,857 --> 00:26:23,855
- Yeah, what is it?
- The Hartig babyshe's getting sicker too.
389
00:26:23,933 --> 00:26:25,993
The vancomycin
isn't working either.
390
00:26:31,181 --> 00:26:34,448
Vancomycin doesn't kill it.
Aztreonam doesn't kill it.
391
00:26:36,025 --> 00:26:38,290
What the hell is this?
392
00:26:38,363 --> 00:26:42,234
It's a superbug.
It could be V.R.S.A.
393
00:26:42,305 --> 00:26:44,832
There's only been two reported cases
ever in the United States.
394
00:26:44,910 --> 00:26:48,075
One of the kids,
the Hausen baby, had a skin rash.
395
00:26:48,149 --> 00:26:52,385
It could be scalded-skin syndrome,
which would be a sign of V.R.S.A.
Then these kids are dead.
396
00:26:52,458 --> 00:26:54,518
This is our fault.
397
00:26:54,596 --> 00:26:57,567
Doctors overprescribing antibiotics.
398
00:26:57,635 --> 00:27:00,197
Got a cold?
Take some penicillin.
399
00:27:00,274 --> 00:27:03,541

Sniffles? No problem.
Have some azithromycin.
400
00:27:03,614 --> 00:27:06,585
Is that not working anymore?
Well, got your levaquin.
401
00:27:06,653 --> 00:27:08,781
Antibacterial soaps
in every bathroom.
402
00:27:08,858 --> 00:27:12,261
They'll be adding vancomycin
to the water supply soon.
403
00:27:12,331 --> 00:27:14,266
We bred these superbugs.
404
00:27:14,336 --> 00:27:16,498
They're our babies,
and they're all grown up,
405
00:27:16,574 --> 00:27:20,946
and they've got body piercings
and a lot of anger.
406
00:27:22,485 --> 00:27:26,481
On the other hand, maybe antibiotics
had nothing to do with it.
407
00:27:28,698 --> 00:27:32,660
Did you notice how low
his B.P. Was at the end,
even with three pressors?
408
00:27:32,740 --> 00:27:34,834
Heart damage?
409
00:27:38,418 --> 00:27:41,913
Go home. There's nothing more
you can do tonight.
410
00:28:01,164 --> 00:28:03,156
Baby Boy Chen-Lupino.
411
00:28:05,506 --> 00:28:10,345
Time of death- 6:57 p.m.,
Thursday, December 2, 2004.

412
00:28:41,546 --> 00:28:45,485
This is a cross section
of the Chen-Lupino boy's myocardium.
413
00:28:45,554 --> 00:28:48,889
Fibrosis, lymphocytic infiltrates.
414
00:28:48,961 --> 00:28:51,796
There was no sign of lymphocytosis
in the blood tests.
415
00:28:51,867 --> 00:28:55,134
Yes, well, we all had plenty
of good reasons to think bacterial.
416
00:28:55,207 --> 00:28:57,142
Nobody is scolding you.
417
00:28:57,211 --> 00:28:59,977
Unfortunately,
all those clever reasons were wrong.
418
00:29:00,050 --> 00:29:02,144
It is a virus
infecting their hearts.
419
00:29:02,221 --> 00:29:04,623
Then we're screwed.
We can't chase down
a virus.
420
00:29:04,693 --> 00:29:08,598
There's a thousand possibilities.
We could run gels, antibody tests.
421
00:29:08,668 --> 00:29:11,264
[Foreman]
A thousand of them?
The kids don't have enough blood.
422
00:29:11,340 --> 00:29:15,336
Chase, you're the intensivist.
How many could we do before
we risk exsanguinating the kids?
423
00:29:15,415 --> 00:29:19,354
You're talking vials, not stick tests?

I wouldn't take more than five or six.

424
00:29:19,423 --> 00:29:25,128
Okay, so we have to narrow
the thousand viruses down to six.
425
00:29:25,201 --> 00:29:28,970
Now, the autopsy's shown us
what the virus does.
426
00:29:29,042 --> 00:29:31,034
So, let's go.
What do we know?
427
00:29:31,113 --> 00:29:33,378
That ribavirin and acyclovir
don't knock it out.
428
00:29:33,452 --> 00:29:37,983
- Cross out the herpes viruses.
- Also adenovirus.
429
00:29:38,060 --> 00:29:39,892
What else? What else?
Keep talking!
430
00:29:39,964 --> 00:29:42,263
Well, i-it only seems
to hit children.
431
00:29:42,335 --> 00:29:45,830
- The mothers aren't sick, so- [Foreman] No toxoplasmosis, no rubella.
432
00:29:45,910 --> 00:29:48,038
Cross out the entire
TORCH syndrome.
433
00:29:48,114 --> 00:29:49,741
- You didn't find any lung damage?
- No.
434
00:29:49,818 --> 00:29:53,587
- None of the paramyxoviridae.
- Cardiac scarring, people.
435
00:29:53,659 --> 00:29:55,251
C.M.V.

436
00:29:58,669 --> 00:30:00,604
Enteroviruses too, I think.
437
00:30:02,677 --> 00:30:05,113
[House]
Eleven.
Influenza A.
438
00:30:06,685 --> 00:30:08,677
Flu A.
439
00:30:09,959 --> 00:30:11,951
Yes?
440
00:30:12,030 --> 00:30:13,965
And?
441
00:30:25,557 --> 00:30:27,925
I'm putting R.S.V. Down as a yes.
442
00:30:28,931 --> 00:30:30,957
That makes eight.
443
00:30:31,034 --> 00:30:34,996
- Eight vials of blood is pushing it.
- Pushing it? Well, we love that.
444
00:30:35,075 --> 00:30:37,340
Get the antibody kits,
start testing the sick kids.
445
00:30:37,415 --> 00:30:40,784
All right, I'll look into whether
there are any antivirals for these eight.
446
00:30:40,854 --> 00:30:45,989
Wait a second.
The kids on the floor who didn't get sickare any of them still in the hospital?
447
00:30:46,066 --> 00:30:49,060
They got moved to the fifth floor,
but they're probably all
checked out by now.
448
00:30:49,139 --> 00:30:51,701

No, the Limpert boy

had a bit of jaundice.
He's checking out today.
449
00:30:51,777 --> 00:30:53,541
I want to test his blood too.
Why?
450
00:30:53,614 --> 00:30:55,879
Because we need
all the information we can get.
451
00:30:55,953 --> 00:30:57,682
The healthy kid
can be our control group.
452
00:30:57,755 --> 00:31:01,717
I'll just tell his parents he can't check out
because he has the smallpox.
453
00:31:04,570 --> 00:31:08,566
[Woman On P.A.]
Stephen Morgan,
contact Hospital Administration.
454
00:31:11,450 --> 00:31:13,419
[Woman On P.A.]
Dr. Paul to the Recovery Room.
455
00:31:14,423 --> 00:31:16,688
[Crying]
456
00:31:16,761 --> 00:31:19,425
All done. All done.
457
00:31:22,473 --> 00:31:24,408
What did we get?
458
00:31:24,477 --> 00:31:27,937
Well, the sick babies
all tested positive for echovirus 11.
459
00:31:28,017 --> 00:31:30,885
Great.
And C.M.V., and parvovirus B-19.
460
00:31:30,956 --> 00:31:34,588
- Three viruses?

- But what's weirder,

the healthy kid we tested,
461
00:31:34,665 --> 00:31:37,830
he's positive for echovirus 11
and C.M. V. Antibodies as well.
462
00:31:43,214 --> 00:31:46,151
They're infants.
463
00:31:46,221 --> 00:31:49,887
They have their mother's blood,
their mother's antibodies.
464
00:31:49,961 --> 00:31:51,953
So we've just learned nothing?
Uh-uh.
465
00:31:52,032 --> 00:31:55,994
We have half the picture.
The healthy kids survived because
their mothers' antibodies saved them.
466
00:31:56,075 --> 00:32:00,914
If the mom had C.M.V. In the past,
she'd have the antibodies for C.M.V.
The kid would be immune from it.
467
00:32:02,219 --> 00:32:06,455
So, we test the sick kids' moms
for echovirus, C.M.V. And parvovirus.
468
00:32:06,528 --> 00:32:10,865
And whichever
they don't have the antibodies for,
that's what's killing their kids.
469
00:32:10,937 --> 00:32:12,929
I'll test the mothers.
470
00:32:32,280 --> 00:32:36,914
[Woman On P.A.]
Dr. Kent's office, one.
Dr. Kent's office, one.
471
00:32:39,829 --> 00:32:42,094
[Beeping]
472

00:32:56,529 --> 00:32:58,760

[Foreman]
Echovirus 11.
473
00:32:58,835 --> 00:33:01,237
It's an enterovirus.
It lodges in the intestinal tract.
474
00:33:01,307 --> 00:33:06,248
Enteroviruses cause diarrhea
and flu-like symptoms in adults,
maybe a rash,
475
00:33:06,316 --> 00:33:08,912
but for newborns,
it can be deadly.
476
00:33:08,989 --> 00:33:11,983
It's damaging her heart.
477
00:33:12,061 --> 00:33:14,121
Well, is there anything
you can do?
478
00:33:14,199 --> 00:33:17,659
Viruses are more difficult to treat
than bacterial infections.
479
00:33:17,739 --> 00:33:20,004
We still haven't found a cure
for the common cold.
480
00:33:20,078 --> 00:33:22,013
So, you mean there's no vaccine or481
00:33:22,082 --> 00:33:24,950
There's a company in Pennsylvania
developing an antiviral.
482
00:33:25,021 --> 00:33:27,013
It got positive results
in a lab setting.
483
00:33:27,092 --> 00:33:29,824
We managed
to get our hands on it.
484
00:33:41,789 --> 00:33:45,353

Imagine not being able

to touch your own baby.
485
00:33:49,136 --> 00:33:52,198
Can I get your guys' help
with something?
Sure.
486
00:33:52,276 --> 00:33:55,076
Your daughter, herMaxine.
487
00:33:55,149 --> 00:33:58,552
That's her name- Maxine.
488
00:34:00,125 --> 00:34:03,757
We need someone
to hold Maxine up off the bed
while the nurse changes her sheet.
489
00:34:03,833 --> 00:34:05,768
Sure. Okay.
490
00:34:05,837 --> 00:34:08,831
[Crying]
Shh, shh, shh.
491
00:34:08,911 --> 00:34:11,541
Look at you. Hi.
492
00:34:11,615 --> 00:34:13,607
Hold still.
493
00:34:18,028 --> 00:34:21,056
[Crying Continues]
That's it.
494
00:34:24,208 --> 00:34:28,545
Hi. Easy. Shh.
495
00:34:28,617 --> 00:34:30,779
There you go.
496
00:35:02,452 --> 00:35:05,048
[Elevator Bell Dings]
497
00:35:05,124 --> 00:35:07,218

Hey, Foreman.
498
00:35:07,296 --> 00:35:09,561
Got a minute?
499
00:35:14,977 --> 00:35:19,975
So, pulmonary resistance
has stabilized for the two kids,
but, uh, B.P.'s still500
00:35:20,055 --> 00:35:23,755
No news then.
How's Cameron?
501
00:35:23,828 --> 00:35:26,594
Dr. Cameron?
Sure.
502
00:35:26,667 --> 00:35:30,105
Let's start with her
and then move on to all
the other Camerons we know.
503
00:35:30,175 --> 00:35:33,340
I'm sorry.
I'm just not used to you asking
about someone's well-being.
504
00:35:33,414 --> 00:35:35,907
I can understand
how the question
would surprise you.
505
00:35:35,986 --> 00:35:38,456
I don't quite get how it
would confuse you.
[Elevator Bell Dings]
506
00:35:38,526 --> 00:35:41,656
Why do you wanna know?
Why do you wanna know
why I want to know?
507
00:35:41,731 --> 00:35:44,258
Just curious.
Me too.
508
00:35:44,337 --> 00:35:46,272
You don't get curious.

509
00:35:46,340 --> 00:35:49,277
I'm the most curious man
in the world.
Not about trivialities.
510
00:35:49,347 --> 00:35:52,477
Well, then
this must not be trivial.
511
00:35:53,556 --> 00:35:56,391
How is Cameron
handling everything?
512
00:35:56,461 --> 00:35:58,487
Just fine.
513
00:36:00,770 --> 00:36:03,366
Great. Glad we talked.
514
00:36:08,852 --> 00:36:12,757
Your husband is definitely
the source of your mono.
515
00:36:12,828 --> 00:36:15,390
Oh. Wow!
516
00:36:15,467 --> 00:36:17,732
Oh, thank God.
517
00:36:17,805 --> 00:36:20,640
Wow. I'm gonna be a mom.
518
00:36:20,711 --> 00:36:22,646
Whoa!
[Chuckling]
519
00:36:22,715 --> 00:36:26,586
Thank you so much.
I gotta get you a gift
or something.
520
00:36:26,656 --> 00:36:29,718
Sometimes the best gift
is the gift of never seeing you again.
521
00:36:29,796 --> 00:36:31,958

Okay. All right.

522
00:36:32,033 --> 00:36:35,733
But, Dr. House,
you've been so awesome.
523
00:36:35,808 --> 00:36:40,180
I mean,
I really totally trust you.
524
00:36:40,250 --> 00:36:42,481
Do you think youNo.
525
00:36:42,555 --> 00:36:44,524
Could do the prenatalNo.
526
00:36:44,592 --> 00:36:47,154
Or deliver the baby?
That would be "no."
527
00:36:47,232 --> 00:36:49,930
Okay.
528
00:36:52,709 --> 00:36:54,678
[Sighs]
529
00:36:54,746 --> 00:36:56,681
Wow.
530
00:37:33,592 --> 00:37:35,926
Chase, take a look at this.
531
00:37:53,633 --> 00:37:56,729
Oh, God. It's good news.
532
00:37:56,806 --> 00:37:58,672
No. It's great.
533
00:37:58,743 --> 00:38:01,441
[Sighs]
534
00:38:02,951 --> 00:38:05,444
[Chuckles]
Thank you.

535
00:38:06,759 --> 00:38:09,229
[Chuckling]
536
00:38:16,078 --> 00:38:18,776
Hi. She's doing great.
537
00:38:18,850 --> 00:38:20,785
Hi, little girl.
538
00:38:24,929 --> 00:38:26,864
Hello.
539
00:38:34,649 --> 00:38:37,984
They all gone?
Hartigs are checking out
right now.
540
00:38:39,392 --> 00:38:41,726
You look tired.
Thanks.
541
00:38:43,200 --> 00:38:47,834
It's no wonder.
You've had a hard time
the last couple of days.
542
00:38:47,910 --> 00:38:49,936
And you haven't?
543
00:38:50,014 --> 00:38:52,006
Not like you.
544
00:38:54,556 --> 00:38:57,220
Anyone who's that awkward...
545
00:38:57,295 --> 00:39:01,463
either has no experience
with death or too much,
546
00:39:01,536 --> 00:39:04,029
and I'm pretty sure
it's not the former.
547
00:39:05,812 --> 00:39:09,181
Chase told me about that idea you had,
the parents holding the baby.

548
00:39:09,253 --> 00:39:11,245
Where'd you get that?
549
00:39:14,129 --> 00:39:16,291
Did you lose someone?
550
00:39:17,971 --> 00:39:19,963
Did you lose a baby?
551
00:39:22,680 --> 00:39:24,672
You can be a real bastard.
552
00:39:31,631 --> 00:39:33,623
[Elevator Bell Dings]
553
00:40:27,678 --> 00:40:30,046
Unfinished business?
554
00:40:30,117 --> 00:40:32,052
I'm in the haystack.
555
00:40:32,121 --> 00:40:34,956
Ah, because now you know
you're looking for a needle.
556
00:40:35,026 --> 00:40:36,961
Right.
557
00:40:37,031 --> 00:40:40,970
If I tell you to let it go,
it won't make any difference, will it?
558
00:40:41,039 --> 00:40:43,635
Enteroviruses
are spread by humans.
559
00:40:43,711 --> 00:40:45,646
Fecal or oral usually.
560
00:40:45,715 --> 00:40:48,311
It could be respiratory
secretions though.
561
00:40:48,387 --> 00:40:51,381
So Cuddy got stool samples
from the whole staff.

Just wait till they come back.

562
00:40:51,460 --> 00:40:53,395
That won't do it.
Why not?
563
00:40:53,464 --> 00:40:57,734
The shedder, whoever he is,
he's so virulent, he must have
been symptomatic.
564
00:40:57,807 --> 00:40:59,935
Cuddy would have
noticed him.
Hmm.
565
00:41:00,010 --> 00:41:03,642
And the babies didn't share
any common personnel.
566
00:41:03,718 --> 00:41:07,623
- That's what's weird.
- Yeah, yeah. That's what's weird.
567
00:41:07,693 --> 00:41:09,662
[Woman On P.A.]
Transition Team to O.R. 2.
568
00:41:09,730 --> 00:41:12,223
Transition Team to O.R. 2.
569
00:41:13,672 --> 00:41:16,609
[Wheezy Coughing]
570
00:42:04,675 --> 00:42:06,610
Can I help you?
571
00:42:11,021 --> 00:42:14,824
You saved my life.
I just ran some tests.
572
00:42:14,896 --> 00:42:18,061
Your will and determination
are what saved your life.
573
00:42:18,136 --> 00:42:20,071
I know who I am now.
Yes, you do.

574
00:42:20,139 --> 00:42:22,837
And I know who I am as well.
575
00:42:22,912 --> 00:42:24,904
Naomi, I love you.
576
00:42:24,984 --> 00:42:28,114
Hey, seriously, man.
You're not supposed to be here.
577
00:42:28,190 --> 00:42:32,095
I'm performing a delivery.
You are?
578
00:42:32,164 --> 00:42:34,657
A patient whose prenatal care
I've been handling.
579
00:42:34,736 --> 00:42:36,898
I just took her on
a couple of minutes ago.
580
00:42:36,973 --> 00:42:39,944
Of course, I'll need one
of you two guys to supervise.
581
00:42:40,014 --> 00:42:42,245
When's she due?
Late March.
582
00:42:43,921 --> 00:42:46,858
That's five months
from now.
583
00:42:46,927 --> 00:42:50,092
Thank God these chairs
are comfortable.
584
00:43:26,843 --> 00:43:28,106
That's some bad hat, Harry.
9999
00:00:0,500 --> 00:00:2,00
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