00:00But I am sorry to say that your pregnancy test came back negative.
00:05Well, I've always wanted to be a medical mystery.
00:08No, no, no. We still have plenty of stones to turn.
00:10We'll get this chest x-ray out of the way and go from there.
00:12Mike, we good?
00:13All set.
00:16Everybody clear?
00:23Marisol, it appears you have a foreign object lodged in your heart.
00:27Oh my God!
00:32What is it?
00:33I don't know, but it shouldn't be there.
00:38Your CT confirmed a foreign object.
00:40A rod about four centimeters long lodged in your left pulmonary artery.
00:45How did it get there?
00:47That's the million dollar question. Have you ever had any surgeries?
00:50No, not since I was a baby.
00:52When I was a baby, they took out, what's it called? A bronco...
00:57A bronchogenic cyst? Yeah, that's a big surgery.
01:02I guess I don't remember.
01:04What about any accidents, traumas, procedures?
01:07No, nothing.
01:10What?
01:13Marisol?
01:15Three months ago, I had a birth control implant put in my arm.
01:19What? Birth control? What are you talking about?
01:22I'm so sorry, honey.
01:24I can't believe this.
01:26I know, I'm sorry.
01:28You said you wanted kids.
01:29I do. I did.
01:32I mean, are you not freaked out about the world?
01:35War, climate change, pandemics. Are we really going to bring a baby into all that?
01:39Honey...
01:40You know what I'm saying, right?
01:42To tell you the truth, I don't think there's ever been a good time to have kids.
01:44If that implant was placed improperly, it could have traveled through a large vein into your pulmonary artery.
01:49Oh my God.
01:50You should be fine once the rod is removed.
01:53It's a minimally invasive procedure done in interventional radiology.
01:57A catheter is snaked up through your thigh.
02:00The rod is grabbed, and then the artery is repaired.
02:03There's no major incisions, and you might even be able to get out of here by tonight.
02:10Sound good?
02:11Yeah.
02:14Put you on the schedule then.
02:21I know that look. Spit it out.
02:23This kind of surgery is your bread and butter, but instead you punt it to IR.
02:26She had a thoracotomy when she was a baby, so I'm guessing she has a mass of scar tissue in her chest.
02:30We open her up again, the complication rates skyrocket.
02:34IR is less invasive, sure, but snaking a wire through her pulmonary artery with limited visibility is no cakewalk.
02:40Yeah.
02:41Have you ever seen a birth control rod in the heart before?
02:45Huh?
02:46Yeah, so that's what I thought.
02:47No one has.
02:48There is no roadmap for this procedure.
02:51So, we pick the safest possible path.
02:56IR.
02:57All right?
02:58And if you're so worried about it, why don't you scrub in and babysit?
03:02Maybe I will.
03:10Okay.
03:11Okay.
03:12Okay.
03:13Okay.
03:14Okay.
03:15Okay.
03:16Okay.
03:17Okay.
03:18Okay.
03:19Okay.
03:20Okay.
03:21Okay.
03:22Okay.
03:23Okay.
03:24Okay.
03:25Okay.
03:26Okay.
03:27Okay.
03:28Okay.
03:29Okay.
03:30Okay.
03:31Okay.
03:32Okay.
03:33Okay.
03:34Okay.
03:35Okay.
03:36Okay.
03:37Okay.
03:38Okay.
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