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Watch House Fetal Position Season 3 Episode 17 online in HD on Dailymotion.
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00:01Hey.
00:07You got this whole thing wrong, Em.
00:09It's the rockstar it's supposed to be late,
00:11not the rockstar photographer.
00:13Sorry, morning sickness.
00:15Catch the belly.
00:16It's the first time I've been asked to be there.
00:18Come on, it's good luck.
00:22Get the keynotes behind the drop!
00:30So, what do you think?
00:31Uh, I think people aren't gonna get it.
00:34Come on.
00:35All-American rejects,
00:37juxtaposing a classic image of Americana
00:39with modern pop culture, you.
00:42Oh, yeah.
00:43Everyone loves a good juxtaposition.
00:46My fans were born in the 90s.
00:48You know what?
00:48You do this picture, you gain 40 years of fans.
00:52Yeah?
00:53Yeah.
00:53Love the Rockwell thing.
00:54I thought so.
00:56Okay, kill the house lights, let's go!
01:01I thought so.
01:05Hang on.
01:06Hey, who's in charge of the backdrop?
01:08Naomi!
01:09Yeah?
01:10What's wrong with it?
01:11Well, the words are completely jumbled.
01:15What?
01:16You couldn't read that?
01:18Of course.
01:19You okay?
01:20No.
01:21Oh, God.
01:22I-I could be having a...
01:24Uh, what's-what's the mnemonic?
01:26Uh, F-F is for face.
01:29It's-it's my smile crooked.
01:32What are you doing?
01:33A.
01:33Uh, A is for arms.
01:36Arms.
01:36You should really sit down.
01:38Can somebody give us some water?
01:39S.
01:40S is speech.
01:42I'm slurring.
01:42I'm slurring.
01:43Huh?
01:44Oh.
01:45Oh.
01:46Oh.
01:47F-A-S-T.
01:48He-he.
01:49Two years' time.
01:51Hurry!
01:51Somebody, uh...
01:53Call 911.
01:54Tell them I'm a fabulous truck.
02:22Oh, my God.
02:37Hi, I'm Dr. House.
02:39My boss says you're important.
02:41Personally, I don't get what's so hard about making Scarlett Johansson look pretty.
02:45Arms out in front of you.
02:47Palms up like you're holding a pizza.
02:49Close your eyes.
02:52It's so easy.
02:53You should consider a career change.
02:55Probably make a lot more money.
02:57Dr. Mackman tell you the clot was clear?
03:00Yes.
03:01He said that you and the fetus are fine.
03:03Yeah?
03:04He didn't mention your pronator drift.
03:08What's that mean?
03:09It means Mackman is an idiot.
03:11Yeah?
03:12Yeah.
03:15So, you take thousands of photos of someone, but only one has to look good.
03:21Kind of the opposite of my business.
03:22It's not about looking good.
03:23People are always hiding things.
03:25I just keep shooting until I can see what's really inside them.
03:29My eyes okay?
03:30Eyes are gorgeous.
03:32Vessels don't look so hot.
03:34Microaneurysms predict further strokes.
03:36This is going to happen again?
03:38Unless I can figure out the underlying cause.
03:40Puff up your cheeks.
03:44You should be able to keep the air in.
03:45It means there's weakness around the mouth.
03:47So, where'd you learn to self-diagnose a stroke?
03:49Oh, my, uh, baby's biological father is a neurologist.
03:54He once told me the fast mnemonic could save my life one day, so...
03:58Interesting pet name.
03:59Most people go with his husband or Pookie.
04:03He's gay.
04:04Just a sperm donor.
04:06So, when you...
04:07You turned him for a night?
04:08Just straight for one date?
04:10Okay.
04:12He took a magazine and a cup into my bathroom.
04:16Man after my own heart.
04:18Different magazine.
04:19Obviously.
04:20I'm rescinding Mackman's discharge order.
04:23My lackeys would be in to do some tests, take some more blood,
04:26and empty your catheter bag.
04:33Not a moment you'll want to cherish.
04:38This is definitely different.
04:42It looks almost like...
04:44He's caring.
04:51Anything else in the patient's folder?
04:54Like a diagnosis?
04:56Urinalysis revealed excessive protein in red blood cells.
04:59Chem panel showed a creatinine level over 2.5.
05:02So, first she strokes, now her kidneys are shutting down.
05:05Why?
05:05Ultrasounds showed no tumors or stones,
05:07no signs of fetal distress, no urinary tract obstructions.
05:10BP is fine.
05:11No preeclampsia.
05:12Any of you guys ever been to the Galapagos?
05:14Was our patient there?
05:15Dengue fever, baby and pox, even West Nile?
05:18No.
05:19I'm looking for a vacation spot.
05:20That mean we get vacation?
05:22How would that differ from your current status?
05:24You're gonna do what?
05:25Relax?
05:26Visiting family.
05:27My uncle's a giant turtle.
05:28What if the kidney failure came first?
05:31Kidneys could have caused the stroke, not the other way around.
05:33Kidneys don't often get stuck in the brain.
05:35I'm saying it through a clot.
05:37Early symptoms of kidney failure are nausea, vomiting, ankle swelling.
05:40She could have mistaken it for morning sickness.
05:41Heart's way more likely to throw a clot in the kidney.
05:44Echo was normal.
05:45History indicates no sign of cardiac problems.
05:47No, but if I were to read the history closely,
05:49one would notice that she had six cases of strep in her throat.
05:53That's the one about ten inches above the heart.
05:55Let me rephrase.
05:56Six cases of untreated strep.
05:57She was prescribed antibiotics.
05:59No one takes them all.
06:00They stop when they start feeling better.
06:02All strep is untreated strep.
06:03What happens when strep goes untreated?
06:05Leads to rheumatic fever.
06:07Which leads to, Cameron?
06:08Mitral valve stenosis.
06:09Which is a thickening in the valve of the kidney?
06:12No.
06:13Kidney doesn't have a mitral valve.
06:15Well, go look at the heart.
06:19Easy to find.
06:20Big red pumping thing about ten inches below her throat.
06:25That was weird.
06:27He was the way he always is.
06:28Which is weird.
06:31Very still, Emma.
06:32Sorry.
06:33No problem.
06:34He caught us with your hand up my shirt.
06:36He's got to have a reaction to that.
06:37You think that's what the vacation is?
06:39Yes.
06:40The pain of losing you is obviously forcing him away.
06:44A coronal slice appears normal.
06:45There's no way House just lets this slide.
06:47He's got to be planning something.
06:49Maybe he just doesn't give a crap.
06:51Sagittal slice is clean.
06:53I think he just stumbled into that closet.
06:54He knew we were there and he wanted us to know that he knew.
06:57Or you wanted him to know.
06:58Now he does and you're annoyed because he doesn't care.
07:02Right there.
07:03Transactual slice.
07:04Calcified mitral valve.
07:06Barely.
07:06That's not big enough to throw a clot.
07:08Obviously it is because it did.
07:10House was right.
07:12The valve in your heart is narrowed.
07:15It caused the clot which led to your stroke.
07:18And the reduced circulation caused the problems with your kidneys.
07:22And this will fix it?
07:23The balloon will force the valve back open and you'll be fine.
07:27Can I do this without a sedative?
07:28It's very mild.
07:30There really is no risk to the fetus.
07:31We'll monitor your baby's heart rate separately.
07:34We won't allow it to decrease anywhere near dangerous levels.
07:41You're both going to be fine.
07:45Go ahead, Dr. Cameron.
07:49Listen, that heartbeat is...
07:51Sounds so...
07:54Start threading the catheter.
08:03I don't want to lay over in Frankfurt, Taipei, Singapore, or London, Ontario.
08:08That's why I asked for a direct flight to Phnom Penh.
08:10How hard is it to not land?
08:12Does it matter what I answer?
08:14Well, I'm fine.
08:15I'd be delighted to hold.
08:16What's new?
08:17Can you tell Connie to stop interfering?
08:18It's her job.
08:19What's new?
08:20Good news is Emma's heart is fixed.
08:21Bad news is it's not her underlying problem.
08:23Her kidneys are still failing.
08:25You're vacationing in Cambodia?
08:27You're going to unwind in the killing fields?
08:28Nope.
08:29I'm going to catch me a fish this big.
08:31Mekong giant catfish weighs over 600 pounds.
08:33Are those catfish critically in danger?
08:35That's why it's my last chance to catch one.
08:38If the mitral valve had been properly fixed,
08:40the kidneys should be getting better,
08:41which leads us to the conclusion that you screwed up the procedure.
08:44Or you screwed up the diagnosis.
08:45The mitral valve thickening was so insignificant
08:47it probably wasn't the cause of the kidneys or the stroke.
08:49Probably never would have been a problem.
08:50She needs dialysis, and we need a new therapy.
08:53There are only a few possibilities.
08:55A patient's pregnant.
08:56Could be pre-eclampsia.
08:57We eliminated it before because...
08:59Check for proteinuria and low platelets.
09:01What else?
09:02Hypoperfusion.
09:02The fetus is basically a parasite,
09:04stealing nutrients, minerals, blood.
09:06Put her on telemetry.
09:07Well, the pregnancies are relevant.
09:08Could be infection, sepsis, HUSTPP.
09:11A cholesterol embolism is just as likely.
09:13Tiny particles of cholesterol rain down
09:15and clog up the small vessels in the kidneys.
09:17Smear an ultrasound or vessels for plaque.
09:19That's it.
09:19Has to be one of those five.
09:21You know what would be even better?
09:22If we could narrow it all the way down to one.
09:26Thank you for holding.
09:28We are experiencing extremely high call volume.
09:31Thank you for your patience.
09:38She's 0 for 5.
09:42Either the differential was wrong
09:43or she's faking it.
09:45Kidney failure has to be precipitated.
09:47One of the five we've already ruled out.
09:49The body only has so many ways
09:50of screwing with the kidneys.
09:52The labs must be wrong.
09:52We did the labs.
09:53No one else had access.
09:54That's not quite true.
10:03You put all your patients through this many tests
10:05or just the important ones?
10:08You wanted to explore all the possibilities.
10:14And?
10:16You've eliminated all the possibilities.
10:18Are you telling me I'm dying
10:20and you have no idea why?
10:21Your body is functioning properly.
10:23So why are my kidneys failing?
10:26The other body isn't.
10:30There's something wrong with the fetus.
10:39Welcome to the world
10:41of maternal mirror syndrome.
10:45Mom's body is like
10:47an intricate German metro system.
10:50All the trains run on time.
10:52When she gets pregnant,
10:53it's like a news station opening in Dusseldorf.
10:56Bunch of rookies running things.
10:58Bound to be mistakes.
10:59Kids play on the tracks,
11:00get electrocuted.
11:01Before you know it,
11:02trains are backed up all the way to Berlin
11:04and you've got a bunch of angry Germans
11:05with nowhere to go.
11:06And we all know that ain't good for the Jews.
11:08Who are the Jews in this metaphor?
11:09Few things can happen to a fetus in distress.
11:11It can become a miscarriage,
11:13stillbirth,
11:14very sick baby,
11:15or on rare occasion,
11:16a time bomb.
11:17Kills mom while it's dying.
11:19Good news is,
11:20when you fix the fetus,
11:21mom gets better.
11:22It's the diagnostic equivalent
11:23of a two-for-one sale.
11:24I have read the outcome of mirror syndrome
11:26is almost always unfavorable.
11:28Unfavorable.
11:29Does that doctor speak for dead babies?
11:31I think you should be less upset
11:33if you phrase it nicely.
11:34We can tell the truth.
11:35That should be fine
11:36as soon as we diagnose
11:37a person who weighs about one pound.
11:40Can't touch it,
11:41can't ask where it hurts,
11:42can't see it.
11:43If only there existed giant machines
11:45that could look through human skin.
11:48Mirror syndrome has a limited number
11:49of known causes.
11:50Dacuearrhythmia, fetal anemia,
11:52placental choreoangioma.
11:53All of which are fixable.
11:55Which would be un-unfavorable, right?
11:57Could also be trisomy 13,
11:59Epstein's anomaly,
12:00an aneurysm of Galen's vein.
12:02And Dr. Stormcloud rained all over the differential
12:05and killed the beautiful little baby.
12:07Heart's easiest to see,
12:09easiest to fix.
12:10So let's start there.
12:11When you did mom's MRI,
12:12did you look at the fetus's heart?
12:13It was in the range,
12:14but blurry.
12:15The fetus was moving all over the place.
12:17So we need another scan.
12:18Yeah, we'll just ask the fetus
12:19to lie very, very still.
12:21No need.
12:22I'm going to paralyze it.
12:26You want to paralyze Emma Sloan's baby?
12:29Let me guess.
12:30Cameron.
12:31Cameron and Chase.
12:32Both had their concerns.
12:33No, Cameron had concerns.
12:35Chase just agreed with her
12:36because he didn't want to lose
12:37his all-access pass to her love for rug.
12:39They're sleeping together?
12:40If by sleeping together,
12:42you mean having sex
12:42in the janitor's closet.
12:44Here?
12:45No, the janitor's closet
12:46at the local high school.
12:48Go, tiger cats!
12:50Did you have one of those camera phones?
12:51Because I got a MySpace account.
12:53I will deal with them
12:54after I deal with you.
12:55Come on, let's gossip some more.
12:57I'm sure she's into bondage.
12:59Paralyzing a one-pound baby
13:00risks damaging...
13:01Not paralyzing a thing
13:02risks not getting
13:03a clean MRI of its heart,
13:04which we need to save its life,
13:05which we need to do
13:06to save Emma's life.
13:09You're going to need
13:10to get her consent.
13:11That shouldn't be too hard.
13:12Sign here,
13:13or you and your baby both die.
13:16I'm going with you.
13:19Oh, good.
13:22You said sedation was risky.
13:23This sounds insane.
13:25The injection
13:26goes into the umbilical cord.
13:28The baby won't feel a thing.
13:30Fetus.
13:32I'm lowering expectations.
13:34It works here and on dates.
13:36The benefits outweigh the risks,
13:37and the paralytic
13:38will wear off in an hour.
13:40Okay?
13:41It must be easier to hear
13:42you might die
13:43than your baby might die.
13:45But if there's anyone
13:46I would trust
13:47to save my baby,
13:49it would be Dr. House.
13:54Penis.
13:56Penis.
13:58Hold this.
14:12Hold this.
14:28Dr. Cameron,
14:28the MRI results back.
14:30The fetus's heart
14:30is structurally sound.
14:31The problem's with the bladder.
14:32It's four times normal size.
14:34I see.
14:34The bladder's so engorged
14:36it's taking up the whole torso,
14:37squeezing all the other organs.
14:38There's no room
14:39for the lungs to develop.
14:40The baby has a lower urinary
14:41tract obstruction.
14:41We can fix that
14:42by inserting a shunt.
14:43I'll get them with the news.
14:44Are you taking over the case?
14:46House won't care.
14:48He has his diagnosis.
14:51Dr. Cameron,
14:54dating Chase
14:55can only end
14:56in one of two ways.
14:57House told you?
14:58You get married
14:59and live happily ever after,
15:01or somebody gets hurt
15:02and you two can't work together,
15:03and I have to fire somebody.
15:05I would hate to see
15:06my personal life
15:06become such a burden to you.
15:07I'm telling you this
15:08for your own good?
15:08Well, I see we're gonna have
15:09this same conversation
15:10with Chase for his own good.
15:11Chase isn't the one
15:12that's gonna get hurt here.
15:30There's only room for one.
15:31Oh, I could scooch over.
15:33My social life
15:34is my social life.
15:35Couldn't agree more.
15:36What goes on
15:37in the privacy
15:38of a janitor's closet
15:39is nobody's business
15:40except...
15:40She told me to end it.
15:41Is that what you want?
15:42I was actually hoping
15:43she'd fire one of you.
15:44What are you doing?
15:45Trying to avoid
15:45altitude sickness.
15:46Couldn't score
15:47a direct flight to Cambodia,
15:48so I've decided
15:49to scale Argentina's
15:50infamous Mount Akongagwa.
15:52Perfect,
15:52except for the fact
15:53that you can't walk.
15:54There's a tribe
15:54of Makovi Indians
15:55who actually carry the elders.
15:57You're insane.
15:58I'm an insane genius.
16:00Set the chamber
16:01to low pressure
16:02instead of high.
16:02Thinner air,
16:03builds up extra red blood cells,
16:05creates new capillaries.
16:06A few more days in here,
16:07I can save myself
16:08six weeks in base camp.
16:09Where's my MRI?
16:14There's a blockage
16:15in the urinary tract.
16:16Simple terms,
16:17your baby can't pee.
16:18His bladder is swollen
16:19and it's crushing his lungs.
16:21Can you fix it?
16:22We can insert a small tube
16:24in the baby's bladder
16:25that makes the urine
16:26come out straight
16:27through his belly
16:27for the duration
16:28of the pregnancy.
16:29The bladder decompresses
16:30and the lungs
16:31will be able
16:31to develop normally.
16:32When the baby gets better,
16:33you should get better.
16:35First, we just have
16:36to do a test
16:37to determine
16:38whether the baby's kidneys
16:39are functioning properly.
16:40And what if they're not?
16:42If they're already too damaged,
16:43then there's really
16:44nothing we can do.
16:45If this doesn't work out,
16:47you can always try again.
16:53I miscarried twice
16:54when I was married.
16:56After the divorce,
16:57I tried in vitro
16:58like four times before this.
17:00I'm 42.
17:01Maybe it's just not meant to be.
17:12What are you doing?
17:14You're trying to be me,
17:15so I thought I'd try to be you.
17:16You don't have the cleavage for it.
17:17But I have a much tighter ass.
17:19I think every day
17:20should be Naked Thursday
17:21or is that an oxymoron?
17:24Let me see the results
17:25of the bladder tap.
17:26You aren't back yet.
17:28They're going to be inconclusive.
17:29You think my diagnosis is wrong?
17:31Fetus doesn't pee.
17:32Amniotic fluid should be low.
17:34Mom's level is fine.
17:35Doesn't mean I'm wrong.
17:36Could just mean
17:37we caught the obstruction early.
17:38Either way,
17:39your test will be inconclusive.
17:40The urine you collected
17:41has been sitting
17:42in that fetus's bladder
17:43for weeks.
17:43And as my pappy always said,
17:45stale pee is useless pee.
17:47Fine, I'll do another tap.
17:48Just as useless.
17:50Old urine drops down
17:52from the kidney
17:52right after the first tap
17:53because it's all backed up.
17:54Bladder tap number three
17:55will give you the freshest pee.
17:57That's when you'll find out
17:58if this fetus
17:58has even a fighting chance.
18:01I'll run two more taps.
18:03Since when does
18:04the dean of medicine
18:04run bladder taps?
18:06She's an important patient.
18:08Because she takes pictures
18:09or because she's you?
18:12A woman in her 40s,
18:14single,
18:16using a turkey baster
18:17as a last gasp of motherhood.
18:20Maybe you want to make sure
18:21she succeeds
18:22so you'll still have hope.
18:25You can't be a good doctor
18:26if you're not objective.
18:28It's your file.
18:30I don't want it.
18:31Then why did you just
18:31say all that stuff?
18:33To humiliate you.
18:34You're taking the case back.
18:36I don't want it.
18:37Your diagnosis is right.
18:38I want to go on vacation.
18:39You can go on vacation
18:40after you've cured her.
18:46Good news.
18:48The fetus's urine
18:49had appropriate levels
18:50of protein and electrolytes
18:51so his kidneys aren't damaged.
18:55Oh, wow.
18:56We're going to put the shunt in.
18:58Your baby's lungs
18:59should have more room to grow
19:00and your symptoms
19:01should go away.
19:03But he'll still need surgery
19:05after he's born?
19:06That's when we'll remove
19:06the blockage in the ureta.
19:08You'll be the only mother
19:09on the planet
19:10who appreciates the value
19:11of a wet diaper.
19:12Could you hand me that?
19:13I'm keeping a visual memory book
19:15of this entire surreal process
19:17and this is the best part
19:17of the story so far.
19:19Yeah, sure.
19:20Thanks.
19:22When did you take this?
19:23Oh, she did the second bladder tap.
19:27You should keep it.
19:28Oh, I see her all day at work.
19:29I don't need it.
19:32Maybe you want to see her
19:33after work.
19:35I'm right, right?
19:38I saw the way you look at her.
19:49Thanks.
20:01Shunt is in the right position.
20:03Your bladder is starting to compress.
20:05No infection.
20:09Did House say anything else about us?
20:11Thought you didn't care about his reaction?
20:13Trying to make him jealous?
20:15I like my job.
20:17I can't fire at you just because we're together.
20:19We're not together, and House can do whatever he wants.
20:25Yeah, I was my baby.
20:27You're doing just fine, Emma. So are you.
20:29Your stomach is killing me.
20:31It's not my stomach.
20:33Can you open your eyes, Emma?
20:34I'm just gonna take a look.
20:40What is it?
20:44Emma's jaundiced. Her liver's shutting down.
20:48Figures.
20:49I just booked my trip to Johnson Strait.
20:51I thought you were climbing Mount whatever in Argentina.
20:54Apparently, I'd have to live with the McCovey Indians
20:56for 20 years before they'd consider me an elder.
20:59Decided to go kayaking with Orca instead.
21:01No legs required.
21:02Can't leave yet.
21:03Liver failure puts her case back in the unsolved pile.
21:06Increased AST, ALT, and her bilirubins off the charts.
21:10Even fetuses lie.
21:14We diagnosed a lower urinary tract obstruction because we saw one.
21:20What if that's not the whole story?
21:23What if the little bugger is hiding something?
21:26Real reason for the mirror syndrome.
21:30We looked under its bed.
21:31We checked its diary.
21:33It's not GU.
21:34Could be the heart.
21:35Hypoplastic left heart syndrome.
21:36There were no structural problems.
21:37The lungs.
21:38We won't be able to get a good look till they develop.
21:39It'll be weeks.
21:40It's not gonna last weeks.
21:42What do you want to do?
21:42Maternal mirror syndrome has one sure fire cure.
21:47Deliver the fetus.
21:48That's not viable at 21 weeks.
21:50You'll kill the baby.
21:51Fetus.
21:51Semantics make you feel better.
21:53Pretend it's not a person.
21:54Can it play catch?
21:55Can it eat?
21:56Can it take pretty pictures?
21:59Who wants to tell her?
22:08The swollen bladder was not the only problem.
22:13You can't leave it inside you.
22:14We have to terminate.
22:16Well, can't you deliver him?
22:18Put him on a respiratory machine till you figure out what's wrong.
22:21We can.
22:22It won't matter.
22:25The fetus is still at least two weeks away from being viable.
22:28I will.
22:30I'll suffer through this for two more weeks then.
22:35You're on dialysis for your kidneys.
22:37Your kidneys can wait.
22:39They don't make dialysis for your liver.
22:43You're not gonna make it two more days.
22:53I'm not gonna let you kill my baby.
22:56It's killing you.
22:59I'm not having an abortion.
23:01It's not a baby.
23:03It's a tumor.
23:10I understand dying for a cause.
23:12Sacrificing your life so your child might live.
23:14But that's not the choice here.
23:19Either it dies or you both die.
23:22Or you fix him and we both live.
23:25I can't fix it.
23:31I'm scheduling a DNC.
23:33I won't consent.
23:37So I guess you have two days to figure it out.
23:50I've got two days to figure it out.
23:55I'll be the first day.
23:55I'll be the first day.
23:57I'll be the next day.
24:00I'll be the next day.
24:06them to see if they're the problem. My real patient is dying very quickly. Like I wouldn't advise her
24:11to buy any green bananas. The fetus is nothing more than a parasite at this point. Removing it
24:16is an instant cure. You're not going to get Emma to see it that way. She's probably already named
24:19the baby. Read in books. Had conversations with him. You get it. She'll listen to you. No. You let
24:26this woman refuse to terminate. You're helping her commit suicide. As her doctor, my recommendation
24:30is against suicide. If the baby had a doctor, I think she would recommend exhausting all
24:35possibilities before taking its life. Then she'd be an idiot. Too bad she's your boss.
24:42What if our original assumption is wrong? It isn't. If we assume she doesn't have
24:46mirror syndrome, then terminating her pregnancy isn't going to help her liver at all. We eliminated
24:50all other possibilities. The fetus is hydropic and in distress. Emma's kidneys and liver are failing.
24:56The diagnosis is solid. Wow. The ass kisser won't agree with you. You must be even wronger than I
25:02thought. Fine. Let's assume she had mirror syndrome, but we fixed it when we fixed the baby's bladder.
25:09That means that her failing liver would be completely unrelated. If it is, we can fix it and we don't
25:16have to terminate. So her theory is that our patient's liver problems were just a giant coincidence.
25:22It's not a surprising coincidence. Pregnant women can develop liver problems. If this is the case,
25:27we can actually do something here. Don't you guys think that's worth exploring?
25:32Acute fatty liver of pregnancy would have the same symptoms. Thank you.
25:37Brown noser. Viral hepatitis? Help syndrome?
25:41Oh, look. Sticking up for your girlfriend. Who says chivalry's dead?
25:47He's not joking?
25:50Be patient. She's going through all of us. She'll get that jungle fever eventually.
25:55I'm not going through anyone.
25:57You love him?
25:58This can probably wait until after you biopsy Emma's liver, right?
26:01We can't. Her platelets are too low. Once we pierce her liver, it'll be next to impossible to stop the
26:06bleeding.
26:07Come in from above. Instead of going straight in through her abdomen,
26:12go in through the veins in her neck. Transjugular hepatic biopsy.
26:16If the liver starts to bleed, it'll bleed right back into her own veins.
26:30Why don't you start your vacation now?
26:39Threading the guide wire through the right internal jugular vein.
26:42So, the sleep lab? You and Cameron not sleeping? How serious is it?
26:50It's nothing. She's only doing it to make house jealous.
26:54Why are you doing it?
26:55You're kidding?
26:56You're approaching the inferior vena cava. Slow down.
27:00You better not hurt her.
27:03She already has a big brother.
27:05She does?
27:06You obviously care very deeply about her.
27:08I'm not protecting her. I'm protecting myself.
27:11A heartbroken, lovesick Cameron would be even more unbearable than she is now.
27:16You're through the hepatic vein.
27:18Firing the natal.
27:21Heart rate and BP spike.
27:22Get that out of here.
27:24Lisa's heart rate just dropped to 50.
27:28We've got contractions.
27:29Pre-term labor.
27:30Start a tributaline drip.
27:41We were able to control the pre-term labor with topolytics.
27:44The contractions have subsided for now.
27:46And the liver biopsy was negative.
27:48This is definitely mirror syndrome.
27:49Her baby's doing this to her.
27:50We're out of options.
27:51Did the biopsy cause the pre-term labor or did it happen on its own?
27:54It doesn't make a difference.
27:55Pre-term labor can be a new symptom.
27:57New information gives us new theories.
27:59Isn't that how it works?
28:00Not in this case.
28:01Her body's trying to do what you refuse to.
28:03Get the baby out and save itself.
28:04Patient's transmanases are ten times normal.
28:06Her liver's on the verge of shutting down completely.
28:09A torch test could be...
28:10We don't have time for more tests.
28:12We have to terminate or she'll die.
28:15Then let's work faster.
28:18Medicine doesn't work faster just because you hope real hard.
28:21It could help to see what the baby's been hiding.
28:22The only organ we haven't been able to look inside is its lungs.
28:26The problem must be in there.
28:27We haven't been able to see inside because they're underdeveloped.
28:30We've already got our own corticosteroids, but it'll take weeks for them to...
28:33Then let's drown them in corticosteroids.
28:35Multiple courses.
28:36Speed up their development.
28:37Giving the baby more than one course will suppress adrenal gland function.
28:40Have long-term adverse effects on fetal organ development.
28:43Worse than death.
28:44Emma's already on tocolytics.
28:45The combination can put her into pulmonary edema.
28:47You'll just kill her faster.
28:49It's the only chance we have to see inside those lungs.
28:51We're just going to have to make the baby better, faster than we make Emma worse.
28:56Come on, this is the kind of thing House does every day.
28:58House thought we should terminate six hours ago.
29:04I'll do it myself.
29:12Anybody going to stop her?
29:13Stopping the madness is her job.
29:15Somebody's got to be Cuddy's Cuddy.
29:26Nurse?
29:33Pulmonary edema?
29:34Blue tattled.
29:35Doesn't matter.
29:36There's a reason we don't give multiple courses of corticosteroids.
29:39Two things.
29:40It's time to terminate.
29:42That's not what she wants.
29:43Look at her.
29:44She didn't want to be an incubator for a dead baby, but that's what you've done.
29:49Either get me a laryngoscope or get out.
30:00Oh my God.
30:02Oh my God.
30:02Oh my God.
30:04Oh my God.
30:04Oh my God.
30:06Oh my God.
30:06Oh my God.
30:07Oh my God.
30:07Oh my God.
30:08Oh my God.
30:09Oh my God.
30:34You were right.
30:36You were all right.
30:37Now the mom's lungs are shutting down.
30:41She's dying faster than the baby's lungs are developing.
30:44I have to stop the corticosteroids.
30:46Have you spoken to the family?
30:48The only family she's got is that baby.
30:50Well, he's biased.
30:53What do you think House would do?
30:55House wants to terminate.
30:57I mean, if he didn't, if he shared my position, what do you think he would do?
31:02He wouldn't share your pain.
31:04He'd be objective.
31:09He would prioritize his problems.
31:11He'd terminate.
31:12He wouldn't be afraid of screwing with her lungs if there was a bigger issue.
31:15There is no bigger issue.
31:16She needs her lungs.
31:17Not right now.
31:19She's already on a respirator.
31:20The machine is breathing for her.
31:22I can do whatever I want to her lungs.
31:24If you're playing catch in the living room and you break your mother's vase, you may as well keep playing
31:28catch.
31:28The vase is already broken.
31:30Yeah, except that room can't breathe without that vase.
31:33I'm putting her back on corticosteroids.
31:41It worked.
31:43What worked?
31:44I got the baby's lungs to expand.
31:46We should be able to figure out...
31:47Cab's on its way.
31:48I have to finish packing.
31:51I have a whole new appreciation for what you do.
31:54How hard it is to believe when everyone around you is telling you that you're wrong.
31:57Helps to know they're idiots.
31:59Do you think I'm an idiot?
32:02You're not objective.
32:05But you're not an idiot.
32:10These lungs are still two weeks away from being viable.
32:13But big enough for a diagnosis.
32:14These tissue buds are new.
32:16Could indicate bronchopulmonary sequestration or diaphragmatic eventration.
32:21I was thinking bronchogenetic cysts or bronchial atresia.
32:24The lung lesions, C-CAM.
32:25What about...
32:34Move.
32:38I thought you started your vacation.
32:40Somebody had to save our boss's rotundous ass.
32:43Latest MRI of the Sloan fetus.
32:45Smart buds in the lungs could indicate...
32:47Thanks.
32:48Got the multiple choice.
32:49All worked out.
32:49The question is, how do we pick between A, B, C, D, and none of the above?
32:53Portable MRIs in a room.
32:54We could get a current image.
32:55Fiddle lungs are so tiny, an MRI won't give us the details we need.
32:58What would we do if this patient were not just a tadpole?
33:03Say it was an actual person.
33:04He is a person.
33:05Thanks for playing along.
33:07Pretend it's a one-pound adult.
33:09Forget the mom, forget the womb, the placenta.
33:12How would we get a better look at what's in the lungs?
33:15Transesophageal echo.
33:16Can't access this esophagus.
33:17High-resolution CT could give us a clearer...
33:19Too much radiation for a one-pound person.
33:21You can't just shoot everything down, Chase.
33:25You're not me.
33:26Collaborate.
33:28A ventilation perfusion scan would be next.
33:31How do we get a fetus to breathe in a radioactive isotope?
33:34Idiot.
33:34If it were really a person and we had no other options,
33:37we'd do an exploratory surgery.
33:39Cut into its chest and have a look around.
33:41Let's do that.
33:43You're the one who insists we treat it like a person.
33:46I'll put it back when I'm done.
33:51Me again?
33:52Your friendly neighborhood belly squirter.
33:55We're gonna do open fetal surgery.
33:58Open the uterus, cut out the fetus so we can look around.
34:00I know you can't talk, so I need you to look petrified if you consent.
34:05The umbilical cord won't be cut.
34:07During surgery, your body will basically serve as the baby's heart-lung machine.
34:11We find what's wrong and we fix it.
34:14If we can.
34:15Don't lower expectations if you want them to do something.
34:18She should know what she's facing.
34:24This is incredibly dangerous.
34:26It risks both your lives.
34:28The only reason why we're suggesting it is because there's nothing else we can do.
34:56You all here for the fetal surgery?
34:58Because we are way over capacity.
35:00Mind each other's personal space.
35:03There are sharp implements in the room.
35:05Like this one.
35:13The uterus is fully exposed.
35:25And we're in.
35:26Start draining the amniotic fluid.
35:31You never suck beer out the bottom of a keg.
35:34Why'd you go to college and give me that?
36:03I fixed the pulse locks to the palm.
36:10House.
36:13Sorry.
36:15I just realized I forgot the Tebow alien.
36:25Fetal heart rate.
36:26Good.
36:27The sats are stable.
36:29Position for the incision.
36:36I see three well-defined lesions.
36:39It's definitely C-cam.
36:41I should be able to resect them.
36:45It's the mom.
36:45She's in B-fib.
36:49Charging.
36:52Clear?
36:53I'm clear.
36:56Looks like asystole paddling's not going to do anything.
36:58It's fine, B-fib.
36:59I'm going again.
37:00Clear.
37:04We're going to lose them both.
37:05Clamina.
37:07Surgery's not doing this to where the fetus is.
37:09Step away, house.
37:10I'm going again.
37:11The only way to save her is to cut away the anchor holding her down.
37:14You keep going, you're going to get electrocuted.
37:18Clear.
37:20Going again.
37:22Clear.
37:26Heart rate's returning to normal.
37:30Continue with the lobectomy.
37:51Continue with the lobectomy.
37:57My baby?
37:58My baby?
37:58The thing in your belly.
37:59They tried to kill you.
38:00You've never called him a baby before.
38:09Any pain?
38:11Nothing I can't deal with.
38:12You can only get out of bed to pee, poo, or shower.
38:15And absolutely no sex.
38:17So stop flirting with me.
38:20Sorry.
38:23So this really worked.
38:25He'll be normal.
38:28I'll recall being born twice normal.
38:36Hey, thank you.
38:41Don't thank me.
38:43I would have killed the kid.
38:54You want to grab a bite?
38:56In a minute, I'm going to ask you to bring up your camera.
38:59I'll walk her there.
39:03Why don't you take this picture of you?
39:08Look, so...
39:09I'm smiling.
39:11Why haven't I smiling?
39:12You know, I've never seen you like this.
39:15She got you to glow.
39:19What were you doing?
39:21What'd she say to you?
39:24I always glow.
39:38House.
39:40I need you to take a look at something.
39:42Go off the clock.
39:43Just open it.
39:50First class ticket to Vancouver Island.
39:53Shoot.
39:54The wrong envelope.
40:00I think it's great.
40:02Yeah.
40:03Who doesn't like Canadians?
40:05It's big.
40:06You're trying to have a life.
40:08You're trying to enjoy yourself.
40:09You didn't need to apologize.
40:10I'm not.
40:12I told you why I am.
40:13Screwed up.
40:14I saved a life.
40:15I saved two lives.
40:16You let your maternal instinct get the best of you and nearly kill two people.
40:21In case like this, you terminate.
40:23Mom lives ten times out of ten.
40:24You do what you did.
40:25Mom and baby both die nine point nine times out of ten.
40:29Sometimes point one is bigger than nine point nine.
40:31No, it's smaller.
40:34Exactly nine point eight smaller.
40:36Always is.
40:36Always will be.
40:38Well, not for Emma.
40:39And not for her son.
40:42Now go away.
40:43And be happy.
40:45Let's go.
40:48Let's go.
41:18Are you all right?
41:21All of a sudden you went away
41:25Are you all right?
41:29I hope you come back around someday
41:33Are you all right?
41:38I haven't seen you in a real long time
41:41Are you all right?
41:44Could you give me some kind of sign?
41:50Are you all right?
41:56Are you sleeping through the night?
42:00Do you have someone to hold you tight?
42:04Do you have someone to hang out with?
42:08Do you have someone to hug and kiss you?
42:12Hug and kiss you
42:14Hug and kiss you
42:16Are you all right?
42:18I have someone to do with you
42:23Just love you
42:32I am not angry
42:34I am not angry
42:35I am not angry
42:35I am not angry
42:35I am not angry
42:36I am not angry
42:38I am not angry
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