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00:00.
00:06Amber.
00:07No.
00:09Why not?
00:09Amber's a stripper name.
00:12Find me one stripper named Amber Hardig.
00:15Or none, okay.
00:17Non-stripper names.
00:19Desiree? Bambi? Candy Cane?
00:22Max.
00:24Maxine.
00:26Max Hardig. It's a cute name, isn't it?
00:28If you're a professional boxer, maybe.
00:32Can you believe we made this little creature?
00:34No, it's incredible.
00:36It's the most amazing thing we've ever done.
00:40I almost ran the marathon last year.
00:42If we're lucky, you won't inherit your daddy's sense of humor.
00:45Hello. Say hi to Bear.
00:51She hasn't even eaten anything while she's spitting up.
00:55Well, honey, we can't bug them again.
00:58Okay.
00:58Okay.
01:02I'm sorry. It's our first kid. We're both a little panicky, I guess.
01:06Well, you gotta ask the pediatrician next time. I just deliver them.
01:09Is she spitting up?
01:11Yeah, second time in an hour.
01:14You lived underwater for nine months. You'd have a lot to spit up, too.
01:22Something wrong?
01:23A little lethargic.
01:26Well, we didn't think she's hot.
01:30Is she, uh...
01:32Hey, you seized it! It's a crash car!
01:33What's... what's wrong?
01:35Some help in here!
01:36Oh, Bud. Is she all right?
01:38No access?
01:40No editing.
01:41What's going on?
02:06What's going on?
02:07Yeah!
02:18The MRI is back.
02:20And?
02:21This is what we expected. The accident caused serious damage.
02:28It's amnesia.
02:33I'm sorry.
02:36I just can't believe it.
02:39Please remember to miss your car with the time.
02:41I think stars are the same.
02:44Enjoying our lounge house?
02:46You just gave me to get milk for my coffee. Which you're out of.
02:50Flat or sparkling?
02:51Sparkling.
02:55So, the heartaches?
02:56Their baby gets a fever.
02:58Wait, don't tell me.
02:59Kid had a seizure.
03:00Yep.
03:01The parents, of course, start freaking and have to deal with that for an hour.
03:04Like it was your fault.
03:05She was perfect when I delivered her.
03:07You want to blame someone, blame the pediatrician.
03:09So, how's the kid now?
03:11Biow obstruction.
03:12She's under observation.
03:13She'll be fine.
03:14The pediatrician will take all the credit.
03:25Exhibit A, baby girl heartache.
03:28Turn baby, 42 hours old.
03:30Went into seizure six hours ago.
03:32Brought into the intensive care.
03:33Diagnosed with obstruction of the small bowel.
03:36I'm still amazed you're actually in the same room with the patient.
03:39People don't bug me until they get teeth.
03:41Exhibit B, baby boy howsome.
03:43Another term baby, 48 hours old.
03:46Brought into the NICU three hours before the heartache baby.
03:49Fever of unknown origin, 101 degrees, trending upwards.
03:52Wow, that is amazing.
03:53You hung out in the OB-GYN lounge all morning and heard about two sick babies.
03:57It's eerie.
03:58Don't touch that.
03:59All right.
04:00We have an infection spreading in the hospital.
04:04These kids have totally unrelated illnesses.
04:06They fell sick within four hours of each other.
04:09They had the same delivery rooms, maternity rooms and neighboring, so transmission's possible.
04:13They have the same symptoms.
04:15The heartache girl has a bowel obstruction.
04:16No matter how close their beds are, I'm pretty sure kids can't share blockage.
04:19What does bowel obstruction on a chart indicate?
04:22Well, normally I'd say it indicates a patient's bowel is obstructed,
04:26but I'm pretty sure you have some deeper truth to impart.
04:28It means that some random doctor of indeterminate skill thinks that the patient's bowel is obstructed.
04:33Okay, you're upset because they threw you out of their lounge.
04:35Look at the x-ray.
04:36It's a normal gas pattern.
04:37What do you want?
04:37I can get you a key to the oncology lounge.
04:39Air in the colon.
04:40We're getting TiVo.
04:40If it's air, no bowel obstruction.
04:43Even if it is air, it could have been there before the obstruction.
04:46No.
04:48Something's infected both these infants.
04:51And you're the only one who put this together because...
04:55Because I'm the only one who looked at both kids.
04:57I want them isolated.
04:58I want the maternity ward shut down.
05:00Because you're better at reading an x-ray than a radiologist.
05:03Radiologists always over-read babies' x-rays.
05:05Especially if they're asked to rule out a pathology.
05:07He read into it what he wanted.
05:08Which is exactly what you're doing.
05:10You're finding a cluster because you think it's interesting to find a cluster.
05:14Two plain old sick babies would bore you.
05:17See, this is why I don't waste money on shrinks.
05:19Because you give me all these really great insights for free.
05:22Shrink.
05:22If you would consider going to a shrink, I would pay for it myself.
05:26The hospital would hold a bake sale for God's sake.
05:29We have an epidemic.
05:32Two sick babies.
05:34It's very sad.
05:35But it doesn't prove an epidemic.
05:43How many do?
05:47Get up.
05:49We're going hunting.
05:51For what?
05:53Weapons.
06:06Hi.
06:07Bye.
06:09The screaming one's fine.
06:16Good looking baby.
06:21Oh, sorry.
06:23Wrong room.
06:24We'll see you later.
06:26Twelve rooms, right?
06:27That's it?
06:27Yep.
06:29We've definitely checked the whole floor.
06:32Good news.
06:33No epidemic.
06:35Tragic, huh?
06:40Overfloor rooms.
06:41Third floor.
06:42This imaginary infection is spread to the next floor.
06:46We were just going to call.
06:48Did it get hot all of a sudden?
06:51Yeah.
07:03Almost there.
07:04Don't worry.
07:05We're almost there.
07:07Excuse me.
07:08Hi.
07:09Intank sent you up here?
07:11Yeah, my wife's contractions are less than...
07:12Okay, intake messed up.
07:13I am very, very sorry.
07:15Nurse Alpert will arrange for an ambulance to take you to Princeton General.
07:21Maternity ward is temporarily closed.
07:23We have to leave?
07:24Yes, I am very sorry.
07:26Why are you doing this?
07:28Oh!
07:28We'll be there very, very soon.
07:32Happy now?
07:34Nope.
07:35But I am interested.
07:43Three sick babies and a fourth showing early symptoms.
07:47How bad?
07:48Spiking favors.
07:49BP's plummeting.
07:50They're barely able to keep systolic up.
07:51At this rate, they could be dead in a day.
07:53Where did this come from?
07:54Two delivery rooms, four different maternity rooms, no common personnel and no common equipment.
07:58Well, there's gotta be something in common.
07:59Yeah.
08:00That would be the difference between an epidemic and a coincidence.
08:03I'm putting a team together.
08:05We're gonna start swabbing.
08:07What's she gonna swab?
08:08Heavy respirator, sink, vent, drain, the entire hospital?
08:11That'll take months.
08:12Needle in a haystack.
08:13It's worse than that.
08:14We don't even know it's a needle we're looking for.
08:16Then why'd you let her go do it?
08:17Because the hospital is her baby.
08:19And her baby's sick.
08:20If she doesn't solve this soon, her head's gonna explode and I don't wanna get any on me.
08:24So let's figure out what's in the haystack.
08:26Differential diagnosis, people.
08:27Parasite.
08:28Spreading too quickly.
08:30Next.
08:30Virus.
08:31Kids are too sick and the blood tests show no lymphocytosis.
08:35And they're not responding to a cyclovir or ripovirin.
08:37If it's some other virus, you'll never find it in time anyway.
08:40Which leads us to bacterial infection.
08:44It's not responding to broad-spectrum antibiotics, so we got something resistant.
08:48Usual suspects.
08:49MRSA.
08:49It's always MRSA in hospitals.
08:51Maybe contaminated food or water source.
08:54Pseudomonas.
08:56VRA.
08:57H-flu.
08:58Okay.
08:59Those are the big ones.
09:01Cultures will take 48 hours.
09:03Might as well be post-mortem.
09:04We'll start them on vancomycin for the MRSA and Astrianab to cover the rest.
09:10Let's get MRIs, check for abscesses or some occult infection.
09:14I'll be in the clinic.
09:15Grab me if you find something important or unimportant.
09:35Imagine the
09:36on the ground.
09:37I'm a mansion for some ED and I.
09:44I'm a ghostman.
09:46I'm a ghostman.ism
09:46obstruction of inequality. Okay.
09:49I'm
10:20We've got an MRI on all the babies, and unfortunately, we didn't find anything.
10:25So we're starting him on the strongest antibiotics that we've got, and we're hoping that that'll take care of it.
10:32But he's so tiny.
10:34How sick is he?
10:36His fever's up to 103.5, and his blood pressure's 80 over 40.
10:40Oh, how bad is that?
10:46It's low.
10:48The heart needs to circulate the blood.
10:50If it's weak, the oxygen isn't getting to the liver, the kidneys, the brain.
10:55Um, I have to ask you something.
10:58Judy.
10:58No, no, Kim.
10:59Let me.
11:01Um, I had a cold last month, and I told the doctors about it, and...
11:05Honey, this has nothing to do with you.
11:07Kim's right.
11:09Your son was born healthy.
11:11He caught the infection after his birth.
11:15There's no reason to think that he caught it from you.
11:17But you don't know.
11:18I mean, you don't know how he got sick.
11:27Pretty standard question.
11:28How sick is my child?
11:30You couldn't answer it.
11:31I answered it.
11:31You rattled off numbers.
11:33BP, O2 sets.
11:34It's not what they need to know.
11:36What they need to know is the future.
11:37You got a magic eight ball?
11:38No, just eight years of medical training.
11:45Look, I realize it's tough to break bad news to families.
11:48The best stuff is hearing it.
11:50And I guess being the poor guy dying is the toughest of all.
11:55No.
11:57It's easier to die than to watch someone die.
12:05Well, we're checking the vents.
12:07It could be airborne.
12:09Somebody get the sinks, too, and underneath them.
12:12I'll get it.
12:13How many med students have you got swabbing the decks?
12:17Well, what else are they going to do?
12:18It's not like they're delivering babies.
12:20Find anything yet?
12:22Uh, yeah.
12:23About half the antibacterial gel dispensers are empty or broken.
12:26That's bad.
12:27And yet, diagnostically, completely insignificant.
12:30Well, if the staff can't wash their hands,
12:33it's no wonder an infection is spread.
12:35Hey, tie clip.
12:38Sorry?
12:38We have an epidemic in this hospital,
12:40and your tie is becoming a petri dish.
12:43Put on a tie clip or take the damn thing off.
12:48My joints have been feeling all loose,
12:51and lately I've been feeling sick a lot.
12:53Maybe I'm overtraining.
12:55I'm doing the marathon, like, ten miles a day,
12:57but I can't seem to lose any weight.
12:59Lift up your arms.
13:04You have a parasite.
13:07Like a tapeworm or something?
13:09Lie back and lift up your sweater.
13:12You can put your arms down.
13:14Can you do anything about it?
13:16Only for about a month or so.
13:17After that, it becomes illegal to remove,
13:19except in a couple of states.
13:21Illegal?
13:22Don't worry.
13:23Many women learn to embrace this parasite.
13:26They name it, dress it up in tiny clothes,
13:29arrange playdates with other parasites.
13:31Playdates?
13:32It has your eyes.
13:37But that's impossible.
13:39Well, I assume you weren't getting your period.
13:41Maybe that should have given you an inkling.
13:44But I'm on this birth control implant.
13:46Yeah, I know.
13:46I saw the scar on your arm.
13:48And my doctor said I might not get any periods at all
13:50if it was working.
13:52Mm-hmm.
13:52Interestingly enough,
13:53you also don't get any periods if it isn't working,
13:55which is why you were supposed to get regular pregnancy tests.
13:58I'm going to send a nurse in here
13:59to schedule your prenatal care.
14:01You're doing about five-month-old.
14:02Start planning the shower.
14:05Um, doctor, please.
14:09Me and my husband wanted to have a kid soon.
14:13But, oh, God.
14:15Like, four months ago,
14:17we had this really big fight.
14:19He moved out.
14:21I did something stupid.
14:24One night stand?
14:25Ex-boyfriend.
14:28Well, I'll schedule you a paternity test, too.
14:31I can't let my husband know.
14:34Does the old boyfriend look like your husband?
14:38Yeah.
14:39Then just have the kid.
14:40You'll never know.
14:41The most successful marriages are based on lies.
14:44You're off to a great start.
14:48Well, you look cheery.
14:50What's going on?
14:51The heartache and Chen Lupino babies.
14:53Their kidneys are shutting down.
14:54And the urine tests show no casts.
14:58Which means the antibiotics are causing the kidney failure.
15:01You're the nephrologist.
15:02Which one did it?
15:03We'll take them off that one.
15:07Don't tell me both vancomycin and aspirin.
15:09They both can cause this.
15:11There's no way to know which one it is.
15:12No test.
15:13Well, we can't take them off the antibiotics, though.
15:15They'll die of the infection.
15:16But if we leave them on both the antibiotics,
15:18they'll die of kidney failure.
15:19So we take our best guess, then?
15:21Which drug's causing the kidney failure?
15:23It's like I said.
15:24It's always MRSA in hospitals.
15:26Take them off aspirin now.
15:27I still think it's the Pseudomonas.
15:29I vote to take them off the vancomycin.
15:38There's no point in guessing.
15:43Take one kid off vancomycin, the other off Astrianab.
15:47They have the same disease.
15:49You want to give them different treatments?
15:50What the hell are you doing?
15:51Therapeutic trial to find the cause of the infection.
15:54That's wrong.
15:55We have four sick kids, at least.
15:58Who knows how many more haven't started showing symptoms yet.
16:01We have a duty to these two.
16:02If these two have different reactions,
16:04we'll know how to save the rest.
16:06So you're condemning one of these kids to die
16:08based on random chance?
16:17I guess I am.
16:26So you're going to flip a coin?
16:29That's how you decide which baby lives?
16:32Can I borrow a quarter?
16:34Do you want to get sued?
16:36Lose your license house?
16:37Well, generally, I'd applaud that.
16:39But my job is to protect this hospital.
16:41So I strongly advise you to come up with a medical rationale
16:44why baby A should get to Medicine X and vice versa.
16:46Whoa, whoa, whoa, whoa.
16:48Hold on there, Slick.
16:49We didn't all go to law school.
16:51Your advice is that I should use medical reasons
16:52to make medical decisions?
16:54Hmm, that's not going to be as easy.
16:55Any medical justification doesn't need to be a good one.
16:58Well, Hardig sounds Jewish.
17:00So does Astrian M.
17:01So I'll take the Hardig kid off vancomycin.
17:03How's that?
17:04You can't experiment on babies.
17:06Doctors experiment all the time.
17:08On adults, with their consent.
17:10Fine, I'll get the parents' consent.
17:11They're informed consent.
17:13They have to know the other kid is getting a different treatment.
17:15Sorry, I can't do that.
17:16It'd be unethical for one patient to know
17:18about another patient's treatment.
17:19They have a right to know.
17:21If they know, they won't consent.
17:22That defeats the whole purpose.
17:24That's their right.
17:26Two more babies have just become symptomatic.
17:29I defer to your legal wisdom, which takes precedence.
17:32Six dying babies are a missing consent form.
17:36You can't do it.
17:43Do what you think is best.
18:11Do what you think is best.
18:13Your daughter's kidneys are shutting down.
18:16Your son's kidneys are failing.
18:18So we're going to take her off the Astrian M.
18:19We're taking them off vancomycin.
18:22Ah, but what made her sick in the first place?
18:25What do you think is causing it?
18:26It seems to be a germ called Pseudomonas.
18:29We think it's MRSA, methicillin-resistant Staph aureus.
18:33It's a very resistant form of a very common bacteria.
18:36We're hoping the Astrian M will clear it up.
18:39Vancomycin is the best treatment for MRSA,
18:41so we're going to keep giving it to her.
18:42Right.
18:43Is it going to cure her?
18:48The child is very sick.
18:50You need to know that.
18:52This is a Hail Mary pass.
18:54It might cure her.
18:55It might not.
19:01So, so that'll cure it?
19:06We'll know in 24 hours if it's working.
19:25What did you tell them?
19:26I told them the truth.
19:28They seemed relieved.
19:30Did you tell them how sick their son is?
19:31I explained what was going on.
19:33Allison, their baby's dying.
19:35The parents weren't in tears by the time you left.
19:37You didn't tell them the truth.
19:38That's not how I see it.
19:39Do you want them blindsided?
19:41Want them coming up and saying,
19:42my God, my baby died.
19:43Why didn't you warn me?
19:44So now it's about worrying about them yelling at us?
19:46No.
19:46It's about getting them prepared
19:47for the likely death of their child.
19:49If their son dies tomorrow,
19:51I think they'll give a damn
19:51what I said to them today.
19:53It's not going to matter.
19:54They're not going to care.
19:55Nothing's going to be the same ever again.
19:57Just give those poor women a few hours of hope.
20:07Dr. House!
20:08Oh, no.
20:09Dr. House, this is my husband, Charlie.
20:11Who told you where my office was?
20:13Chill, come on.
20:14He obviously doesn't want us bothering him.
20:16Oh, I'm trying to hide it.
20:19Look, doctor, this is about the mono
20:21that you said you thought I had.
20:23The mono?
20:25Yeah, you know, shouldn't Charlie be tested?
20:28You know, the test.
20:30The blood test.
20:33Right.
20:35Yeah, I'm sorry.
20:36I sometimes forget patients.
20:38I thought you were this idiot
20:39who doesn't know how to use birth control.
20:41I can't have mono.
20:44I don't even feel sick or anything.
20:47That's very often the first sign.
20:50Call my office in the morning.
20:52We'll schedule the blood tests.
20:55I'm not even tired.
20:57Oh, my.
21:08Find anything yet?
21:09Oh, just some baby formula
21:11being stored under a sink with a dripping faucet.
21:14Tap water contamination.
21:16You thinking pseudomonas infection?
21:17I was.
21:18I wasted a couple of hours chasing it down,
21:20but, of course, the formula
21:21hasn't been anywhere near the baby.
21:23Huh.
21:24Whatever idiot stored them there.
21:25All right, we'll figure it out.
21:26Just calm down.
21:28I am calm.
21:29Let me know when you're meeting me.
21:31Oh.
21:32I warned you.
21:34Did that call me?
21:40Hey.
21:42Hey.
21:43Hi.
21:45Is she any better?
21:48Uh, fever has been stable the last hour.
21:52We're not gonna make it, are we?
21:55Sorry?
21:57Me and Ethan.
22:00Our next-door neighbour.
22:04Our little boy died in a car crash,
22:06and she and her husband split up,
22:07like, four months after the funeral.
22:10It's just, uh...
22:12what always happens, right?
22:18Um, what happens to patients
22:20after they leave the hospital?
22:21I don't know, but...
22:22try not to get ahead of yourself.
22:30Dr. Chase,
22:31ectopy on the monitor.
22:32How long?
22:33I don't know.
22:33It just started.
22:34Boss?
22:35Fluid wide open.
22:36Do we have an arterial line?
22:37Not yet.
22:38Let's get a BP.
22:42You can't come in here.
22:43Is my baby dying?
22:44Mrs. Harty...
22:45Is she dying?
22:46It's not your baby.
22:52Fenway.
22:55BP, 60 over 20.
22:57Carbots, 180.
22:58This drug will never cut.
22:59Keep going.
23:01Still dropping.
23:0250 over 10.
23:07I can't hold BP in with three pressers.
23:10We'll lose our course.
23:13V-Fib.
23:15Shut the blinds.
23:28Charging.
23:28Sir.
23:30Clear.
23:33Still V-Fib.
23:35Charging.
23:37Clear.
23:39Clear.
23:40Charging.
23:41Clear.
23:46Still V-Fib.
23:49Charging.
23:51Clear.
23:55Charging.
23:56Chase.
24:00Time of death.
24:026.57 p.m.
24:26The Astrian Am doesn't work.
24:29Double cover all the other babies with vancomycin.
24:32I'll do it.
24:34Cameron, you tell the parents.
24:37Tell them their child probably saved five lives.
24:42But Chase is...
24:43Chase is busy.
24:44You're the attending.
24:48Make sure she does her job.
24:51Yes.
24:51Yes.
24:54Yes.
24:55Yes.
24:55Yes.
24:56Yes.
24:58Yes.
24:58Yes.
25:00Yes.
25:01Yes.
25:03Yes.
25:16Yes.
25:20Yes.
25:21Yes.
25:22Yes.
25:22Yes.
25:22Yes.
25:23Yes.
25:28THE END
25:56THE END
26:00OPEN YOUR MOUTH
26:01SHE HAS A PROBLEM
26:02SHE NEEDS TO DEAL WITH IT
26:03IF YOU HADN'T BAILED HER OUT
26:04SHE WOULD HAVE DONE IT
26:05GREAT THEN SHE WOULDN'T HAVE
26:06SLEEPT FOR TWO WEEKS
26:07MAYBE SHE SHOULD BE THINKING
26:08ABOUT A DIFFERENT SPECIALTY
26:10LAB WORK?
26:12RESEARCH?
26:13YEAH, WHAT IS IT?
26:14THE HEARTING BABY
26:15SHE'S GETTING SICKER TOO
26:17THE VANCOMYCEN
26:18ISN'T WORKING EITHER
26:25VANCOMYCEN DOESN'T KILL IT
26:26ASTRONAM DOESN'T KILL IT
26:29WHAT THE HELL IS THIS?
26:32IT'S A SUPERBUCK
26:34IT COULD BE VRSA
26:36THERE'S ONLY BEEN TWO
26:37REPORTED CASES EVER
26:38IN THE UNITED STATES
26:39ONE OF THE KIDS
26:40THE HOUSTON BABY
26:41HAD A SKIN RASH
26:41IT COULD BE SCALLED SKIN
26:43SYNDROME
26:43WHICH WOULD BE A SIGN OF VRSA
26:45THESE KIDS ARE DEAD
26:46THIS IS OUR FAULT
26:48DOCTORS ARE OVERPRESCRIBING
26:50ANTIBIOTICS
26:50GOT A COLD?
26:52TAKE SOME PENICILLIN
26:53SNIFFLES?
26:55NO PROBLEM
26:55HAVE SOME AZITHROMYCIN
26:57IS THAT NOT WORKING ANYMORE?
26:58WELL, GOT YOUR LEVAQUIN
26:59ANTIBACTERIAL SOAPS IN EVERY BATHROOM
27:02WE'LL BE ADDING VANCOMYCEN
27:04TO THE WATER SUPPLY SOON
27:05WE BREAD THESE SUPERBUCKS
27:07THEY'RE OUR BABIES
27:08AND THEY'RE ALL GROWN UP
27:10AND THEY GOT BODY PIERCINGS
27:11AND A LOT OF ANGER
27:16ON THE OTHER HAND
27:18MAYBE ANTIBIOTICS
27:19HAVE NOTHING TO DO WITH IT
27:22DID YOU NOTICE HOW LOW HIS BP WAS
27:24AT THE END?
27:25EVEN WITH THREE PRESSERS?
27:28HEART DAMAGE?
27:32GO HOME
27:32THERE'S NOTHING MORE YOU CAN DO TONIGHT
27:54BABY BOY, CHANNEL LAPINO
27:59TIME OF DEATH, 6.57 PM
28:01THURSDAY, DECEMBER 2ND, 2004
28:33THIS IS A CROSS-SECTION OF THE CHANNEL LAPINO BOYS
28:37MYOCARDIUM
28:38FIBROSIS
28:39LYNPHOCITIC INFILTRATES
28:42BUT THERE WAS NO SIGN OF LYNPHOCITOSIS
28:44IN THE BLOOD TEST
28:44YES
28:45WELL, WE ALL HAVE PLENTY OF GOOD REASONS
28:47TO THINK BACTERIAL
28:48AND NOBODY IS SCOLDING YOU
28:50UNFORTUNATELY
28:50ALL THOSE CLEVER REASONS WERE WRONG
28:52IT IS A VIRUS INFECTING THEIR HEARTS
28:55MAN, WE'RE SCREWED
28:56WE CAN'T CHASE DOWN A VIRUS
28:57THERE'S A THOUSAND POSSIBILITIES
28:59WE COULD RUN GELS
29:00ANTIBODY TESTS
29:01A THOUSAND OF THEM?
29:02THE KIDS DON'T HAVE ENOUGH BLOOD
29:03CHASE, YOU'RE THE INTENSIVEST
29:05HOW MANY COULD WE DO
29:06BEFORE WE RISK EXSANGUINATING THE KIDS
29:08YOU'RE TALKING VIALS NOT STICK TESTS?
29:10I WOULDN'T TAKE MORE THAN FIVE OR SIX
29:12OKAY, SO WE HAVE TO NARROW THE THOUSAND VIRUSES
29:15DOWN TO SIX
29:18NOW THE AUTOPSY'S SHOWN US WHAT THE VIRUS DOES
29:22SO, LET'S GO, WHAT DO WE KNOW?
29:24RIBOVIRON, THEN A CYCLAVIR, DON'T KNOCK IT OUT
29:26CROSS OUT THE HERPES VIRUSES
29:29ALSO ADNOVIRUS
29:31WHAT ELSE, WHAT ELSE?
29:32KEEP TALKING
29:32WELL, IT ONLY SEEMS TO HIT CHILDREN
29:35THE MOTHERS AREN'T SICK, SO...
29:36NO TOXOPLASMUSIS, NO RUBEBLO
29:38CROSS OUT THE ENTIRE TORCH SYSTEM
29:40YOU DIDN'T FIND ANY LUNG DAMAGE?
29:42NOPE
29:42NONE OF THE PARAMYXIVIRITY
29:44CARDIAC SCARRING, PEOPLE
29:48CMV
29:52ANTEROVIRUSES TOO, I THINK
29:55THINK THE DAMAGE
29:57INFLUENZA, A
29:58INFUENZA, A
29:58INFUENZA, A
29:59A
30:01YES
30:04AND
30:17I'm putting RSV down as a yes.
30:21That makes eight.
30:23Eight valves of blood is pushing it.
30:26Pushing it?
30:26But we love that.
30:27Get the antibody kit, start testing the sick kits.
30:30All right, I'll look into whether there are any antivirals for these eight.
30:33Wait a second, the kids on the floor who didn't get sick,
30:37are any of them still in the hospital?
30:38They got moved to the fifth floor, but they're probably all checked out by now.
30:41No, the Limpert boy had a bit of John disease checking out today.
30:44I want to test his blood, too.
30:45Why?
30:46Because we need all the information we can get.
30:48A healthy kid can be our control group.
30:50Just tell his parents he can't check out because he has the smallpox.
31:10What do we get?
31:17Well, the sick babies all tested positive for echovirus 11.
31:20Great.
31:20And CMV and parvovirus B19.
31:23Three viruses.
31:24But what's weirder, the healthy kid we tested, he's positive for echovirus 11 and CMV antibodies as well.
31:36They're infants.
31:38They have their mother's blood, their mother's antibodies.
31:42So we just learned nothing?
31:44Uh-uh.
31:44We have half the picture.
31:45The healthy kids survive because their mother's antibodies saved them.
31:48If the mom had CMV in the past, she'd have the antibodies for CMV, the kid would be immune from
31:53it.
31:54So we test the sick kids' moms for echovirus, CMV, and parvovirus.
31:59And whichever they don't have the antibodies for, that's what's killing their kids.
32:03I'll test the mothers.
32:18I'll test the mothers.
32:48Echo virus 11.
32:50It's an enterovirus.
32:52It lodges in the intestinal tract.
32:54Enteroviruses cause diarrhea and flu-like symptoms in adults.
32:57Maybe a rash.
32:58But for newborns, it can be deadly.
33:02It's damaging our heart.
33:05What, is there anything you can do?
33:07Viruses are more difficult to treat than bacterial infections.
33:10We still haven't found a cure for the common cold.
33:12So, I mean, there's no vaccine or...
33:15There's a company in Pennsylvania developing an antiviral.
33:17It got positive results in a lab setting, and we managed to get our hands on it.
33:35Imagine not being able to touch your own baby.
33:41Can I get you guys help with something?
33:42Sure.
33:44Your daughter, her...
33:46Maxine.
33:47That's her name.
33:49Maxine.
33:52We need someone to hold Maxine up off the bed while the nurse changes her sheet.
33:56Sure.
33:57Okay.
34:04I'm going to hold Maxine.
34:06I'm going to hold Maxine.
34:09I'm going to hold Maxine.
34:20I'm going to hold Maxine.
34:21I'm going to hold Maxine.
34:25I'm going to hold Maxine.
34:26I'm going to hold Maxine.
34:27I'm going to hold Maxine.
34:27I'm going to hold Maxine.
34:32I don't know.
34:58Hey, Foreman, you got a minute?
35:08So, pulmonary resistance has stabilized for the two kids, but BP's still...
35:12No news, then. How's Cameron?
35:16Dr. Cameron?
35:17Sure.
35:18Let's start with her and then move on to all the other Camerons we know.
35:22I'm sorry, I'm just not used to you asking about someone's well-being.
35:25I can understand how the question would surprise you.
35:28I didn't quite get it. It would confuse you.
35:30Why do you want to know?
35:32Why do you want to know why I want to know?
35:34Just curious?
35:35Me too.
35:36You don't get curious.
35:38I'm the most curious man in the world.
35:40What about trivialities?
35:41Well, then this must not be trivial.
35:45How is Cameron handling everything?
35:47Just fine.
35:52Great.
35:54Glad we talked.
36:00Your husband is definitely the source of your mono.
36:05Oh.
36:06Wow.
36:07Oh, thank God.
36:09Wow.
36:11I'm gonna be a mom.
36:13Whoa.
36:14Thank you so much.
36:16I gotta get you a gift or something.
36:19Sometimes the best gift is the gift of never seeing you again.
36:22Okay, all right.
36:24But, Dr. House, you've been so awesome.
36:28I mean, I really totally trust you.
36:32Do you think you...
36:34...could do the prenatal?
36:36No.
36:37Or deliver the baby?
36:38That would be no.
36:39Okay.
36:46Wow.
36:48Wow.
36:51Wow.
36:55Wow.
37:26Chase, take a look at this.
37:45Oh, God.
37:47That's good news.
37:49No, it's great.
38:09She's doing great.
38:26They all gone?
38:28Heartaches are checking out right now.
38:31You look tired.
38:32Thanks.
38:35It's no wonder.
38:36You had a hard time the last couple of days.
38:40And you haven't?
38:41Not like you.
38:46Anyone who's that awkward
38:49either has no experience with death or too much.
38:53And I'm pretty sure it's not the former.
38:57Chase told me about that idea you had,
38:59the parents holding the baby.
39:01Where'd you get that?
39:06Did you lose someone?
39:10Lose a baby?
39:14You can be a real bastard.
39:15It looks like a man waiting for his son.
39:24Yeah, he swears down.
39:38We can't be a real person.
39:38You're like a girl.
39:39Oh, my God.
40:19Unfinished business?
40:22I'm in the haystack.
40:24Ah, because now you know you're looking for a needle.
40:27Right.
40:28If I tell you to let it go, it won't make any difference, will it?
40:33Enteroviruses are spread by humans.
40:35Fecal oral, usually.
40:37Could be respiratory secretions, though.
40:40So, Cuddy got stool samples from the whole staff.
40:42Just wait till they come back.
40:43I want to do it.
40:44Why not?
40:44The shedder, whoever he is, he's so virulent.
40:48Must have been symptomatic.
40:50Cuddy would have noticed him.
40:51And the babies didn't share any common personnel.
40:55That's what's weird.
40:57Yeah, yeah.
40:58That's what's weird.
40:59Transition team to OR2.
41:01Transition team to OR2.
41:30So, let's go.
41:56Can I help you?
42:02You saved my life.
42:04I just ran some tests.
42:06Your will and determination
42:08of what saved your life.
42:09I know who I am now.
42:11Yes, you do.
42:13And I know who I am as well.
42:15Naomi, I love you.
42:16Hey, seriously, man,
42:18you're not supposed to be here.
42:20I'm performing a delivery.
42:22You are?
42:23A patient whose prenatal care
42:25I've been had, like, just taken around a couple minutes ago.
42:28Of course, I'll need one of you two guys
42:30to supervise.
42:31When did she do?
42:33Late March.
42:35That's five months from now.
42:38Thank God these chairs are comfortable.
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