1. (man)
Amber.
Copy !req
2. (woman)
No.
Copy !req
3. Why not?
Copy !req
4. Amber's a stripper name.
Copy !req
5. Find me one stripper
named Amber Hartig.
Copy !req
6. Or not, okay.
Copy !req
7. No stripper names.
Copy !req
8. Um... Desiree?
Copy !req
9. Bambi, Candy Cane?
Copy !req
10. Max. Maxine.
Copy !req
11. Max Hartig,
it's a cute name, isn't it?
Copy !req
12. Mm, if you're
a professional boxer, maybe.
Copy !req
13. Can you believe
we made this little creature?
Copy !req
14. I know, it's incredible.
Copy !req
15. It's the most amazing thing
we've ever done.
Copy !req
16. I almost ran the marathon
last year.
Copy !req
17. If we're lucky,
you won't inherit
Copy !req
18. your daddy's sense of humor.
Copy !req
19. Hello.
Say hi to bear.
Copy !req
20. She hasn't even eaten anything.
Copy !req
21. Why is she spitting up?
Copy !req
22. Well, Honey,
we can't bug him again.
Copy !req
23. Okay, okay.
Copy !req
24. I'm sorry, it's, uh—
it's our first kid.
Copy !req
25. We're both a little panicky,
I guess.
Copy !req
26. Well, you gotta ask
the pediatrician next time.
Copy !req
27. I just deliver 'em.
Copy !req
28. She's spitting up?
Copy !req
29. Yeah, uh, second time
in an hour.
Copy !req
30. You lived underwater
for nine months,
Copy !req
31. you'd have a lot
to spit up too.
Copy !req
32. Something wrong?
Copy !req
33. A little lethargic.
Copy !req
34. Well, we didn't think—
Copy !req
35. She's hot.
Copy !req
36. Is she, uh—
Copy !req
37. She's seizing.
Copy !req
38. Wh-what's wrong with her?
Copy !req
39. Need some help in here!
Copy !req
40. Oh, God,
is she all right?
Copy !req
41. (nurse)
Access?
No.
Copy !req
42. What's going on?
Copy !req
43. (doctor)
The MRI's back.
Copy !req
44. And?
Copy !req
45. It's what we expected.
Copy !req
46. The accident caused
serious damage.
Copy !req
47. It's amnesia.
Copy !req
48. It's amnesia.
Copy !req
49. (woman)
No.
Copy !req
50. (doctor)
Yes.
Copy !req
51. I'm sorry.
Copy !req
52. (woman)
I just can't believe it...
Copy !req
53. Enjoying our lounge, House?
Copy !req
54. Just came in to get milk
for my coffee.
Copy !req
55. Which you're out of.
Copy !req
56. Flat or sparkling?
Copy !req
57. Flat.
Sparkling.
Copy !req
58. So...
Copy !req
59. the Hartigs?
Copy !req
60. Their baby gets a fever.
Copy !req
61. Wait, don't tell me.
Kid had a seizure.
Copy !req
62. Yep.
Copy !req
63. The parents, of course,
start freaking,
Copy !req
64. and I have to deal with that
for an hour.
Copy !req
65. Like it was your fault.
Copy !req
66. She was perfect
when I delivered her.
Copy !req
67. You want to blame someone,
blame the pediatrician.
Copy !req
68. So, how's the kid now?
Copy !req
69. Bowel obstruction,
Copy !req
70. she's under observation.
Copy !req
71. She'll be fine.
Copy !req
72. Pediatrician
will take all the credit.
Copy !req
73. (House)
Exhibit A, baby girl Hartig.
Copy !req
74. Term baby, 42 hours old.
Copy !req
75. Went into seizure six hours ago,
Copy !req
76. brought into the intensive care,
Copy !req
77. diagnosed with obstruction
of the small bowel.
Copy !req
78. I'm still amazed you're actually
Copy !req
79. in the same room
with a patient.
Copy !req
80. People don't bug me
until they get teeth.
Copy !req
81. Exhibit B, baby boy Howsam.
Copy !req
82. Another term baby,
48 hours old.
Copy !req
83. Brought into the NICU
Copy !req
84. three hours before
the Hartig baby.
Copy !req
85. Fever of unknown origin,
101 degrees, trending upwards.
Copy !req
86. Wow, that is amazing.
Copy !req
87. You hung out
in the OB/GYN lounge all morning
Copy !req
88. and heard about two sick babies.
Copy !req
89. It's... eerie.
Copy !req
90. Don't touch that.
Copy !req
91. All right.
Copy !req
92. We have an infection spreading
in the hospital.
Copy !req
93. These kids have totally
unrelated illnesses.
Copy !req
94. They fell sick within four hours
of each other.
Copy !req
95. They had the same
delivery rooms.
Copy !req
96. Maternity rooms are neighboring,
so transmission's possible.
Copy !req
97. They have the same symptoms.
Copy !req
98. The Hartig girl
has a bowel obstruction.
Copy !req
99. No matter how close
their beds are,
Copy !req
100. I'm pretty sure
kids can't share blockage.
Copy !req
101. What does bowel obstruction
on a chart indicate?
Copy !req
102. Well, normally, I'd say
Copy !req
103. it indicates
a patient's bowel is obstructed.
Copy !req
104. But I'm pretty sure you have
some deeper truth to impart.
Copy !req
105. It means that some random doctor
Copy !req
106. of indeterminate skill thinks
Copy !req
107. that the patient's bowel
is obstructed.
Copy !req
108. Okay, you're upset because they
threw you out of their lounge.
Copy !req
109. Look at the X-Ray.
Copy !req
110. It's a normal gas pattern—
Copy !req
111. I can get you a key
to the oncology lounge.
Air in the colon.
Copy !req
112. We're getting TiVo.
If it's air,
no bowel obstruction.
Copy !req
113. Even if it is air,
Copy !req
114. it could've been there
before the obstruction.
Copy !req
115. No, something's infected
both these infants.
Copy !req
116. And you're the only one
who put this together
Copy !req
117. because...
Because I'm the only one
who looked at both kids.
Copy !req
118. I want them isolated,
Copy !req
119. I want the maternity ward
shut down.
Copy !req
120. Because you're better at reading
an X-Ray than a radiologist.
Copy !req
121. Radiologists always over-read
babies' X-rays.
Copy !req
122. Especially if they're asked
to rule out a pathology.
Copy !req
123. He read into it what he wanted.
Copy !req
124. Which is exactly
what you're doing.
Copy !req
125. You're finding a cluster because
you think it's interesting
Copy !req
126. to find a cluster.
Copy !req
127. Two... plain old sick babies
would bore you.
Copy !req
128. See, this is why
I don't waste money on shrinks.
Copy !req
129. 'Cause you give me
Copy !req
130. all these really great insights
for free.
Copy !req
131. Shrink.
Copy !req
132. If you would consider
going to a shrink,
Copy !req
133. I would pay for it myself.
Copy !req
134. The hospital
would hold a bake sale,
Copy !req
135. for God's sake.
Copy !req
136. We have an epidemic.
Copy !req
137. Two sick babies is very sad.
Copy !req
138. But it doesn't prove
an epidemic.
Copy !req
139. How many do?
Copy !req
140. Get up.
Copy !req
141. We're going hunting.
Copy !req
142. For what?
Copy !req
143. Wabbits.
Copy !req
144. Hi.
Copy !req
145. Bye.
Copy !req
146. He's screaming. He's fine.
Copy !req
147. Good-lookin' baby.
Copy !req
148. Oh, sorry. Wrong room.
Copy !req
149. We'll see you later.
Copy !req
150. 12 rooms, right?
That's it?
Copy !req
151. Yep.
Copy !req
152. We've definitely checked
the whole floor.
Copy !req
153. Good news, no epidemic.
Copy !req
154. Tragic, huh?
Copy !req
155. Overflow rooms, third floor.
Copy !req
156. This imaginary infection
has spread to the next floor?
Copy !req
157. We were just gonna call.
Copy !req
158. Did he get hot all of a sudden?
Copy !req
159. Yeah.
Copy !req
160. Excuse me? Hi.
Copy !req
161. Intake sent you up here?
Copy !req
162. Yeah, my wife's
contractions are—
Copy !req
163. Okay, intake messed up.
Copy !req
164. I am very, very sorry.
Copy !req
165. Nurse Alpert will arrange
for an ambulance
Copy !req
166. to take you
to Princeton General.
Copy !req
167. The maternity ward
is temporarily closed.
Copy !req
168. We have to leave?
Copy !req
169. Yes, I am very sorry.
Copy !req
170. Why are you doing this?
Copy !req
171. You will be there
very, very soon.
Copy !req
172. Happy now?
Copy !req
173. No.
But I am interested.
Copy !req
174. Three sick babies.
Copy !req
175. And a fourth
showing early symptoms.
Copy !req
176. How bad?
Copy !req
177. Spiking fevers.
Copy !req
178. BPs plummeting.
Copy !req
179. They're barely able
to keep systolic up.
Copy !req
180. At this rate,
they could be dead in a day.
Copy !req
181. Where did this come from?
Copy !req
182. (Cameron)
Two delivery rooms,
Copy !req
183. four different maternity rooms,
Copy !req
184. no common personnel,
and no common equipment.
Copy !req
185. Well, there's gotta be something
in common.
Copy !req
186. Yeah.
Copy !req
187. That would be the difference
between an epidemic
Copy !req
188. and a coincidence.
Copy !req
189. I'm putting a team together.
Copy !req
190. We're gonna start swabbing.
Copy !req
191. What's she gonna swab?
Copy !req
192. Every respirator, sink, vent,
drain in the entire hospital?
Copy !req
193. That'll take months.
Needle in a haystack.
Copy !req
194. It's worse than that.
Copy !req
195. We don't even know
it's a needle we're looking for.
Copy !req
196. Then why'd you tell her
to do it?
Copy !req
197. Because the hospital
is her baby.
Copy !req
198. And her baby's sick.
Copy !req
199. If she doesn't solve this soon,
her head's gonna explode,
Copy !req
200. and I don't want
to get any one me.
Copy !req
201. So let's figure out
what's in the haystack.
Copy !req
202. Differential diagnosis, people.
Copy !req
203. Parasite.
Spreading too quickly.
Copy !req
204. Next?
Copy !req
205. Virus?
The kids are too sick.
Copy !req
206. And the blood tests show
no lymphocytosis.
Copy !req
207. And they're not responding
to acyclovir or ribavirin.
Copy !req
208. If it's some other virus,
Copy !req
209. we'll never find it
in time anyway.
Copy !req
210. Which leads us to...
bacterial infection.
Copy !req
211. It's not responding
Copy !req
212. to broad spectrum antibiotics,
Copy !req
213. so we got something resistant.
Copy !req
214. The usual suspects.
Copy !req
215. MRSA.
Copy !req
216. It's always MRSA in hospitals.
Copy !req
217. Maybe...
Copy !req
218. contaminated food
or water source?
Copy !req
219. Pseudomonas.
Copy !req
220. VRE.
Copy !req
221. H. Flu.
Copy !req
222. Okay, those are the big ones.
Copy !req
223. Cultures will take 48 hours.
Copy !req
224. Might as well be postmortem.
Copy !req
225. We'll start them on vancomycin
Copy !req
226. for the MRSA and aztreonam
to cover the rest.
Copy !req
227. Let's get MRIs,
check for abscesses
Copy !req
228. or some occult infection.
Copy !req
229. I'll be in the clinic.
Copy !req
230. Grab me if you find
something important.
Copy !req
231. Or unimportant.
Copy !req
232. (Cameron)
We did an MRI
on all the babies.
Copy !req
233. And unfortunately,
we didn't find anything.
Copy !req
234. So we're starting them
on the strongest antibiotics
Copy !req
235. that we've got.
Copy !req
236. And we're hoping that
that'll take care of it.
Copy !req
237. But he's so tiny.
Copy !req
238. How sick is he?
Copy !req
239. His fever's up to 103.5
Copy !req
240. and his blood pressure's
80 over 40.
Copy !req
241. How—um, how bad is that?
Copy !req
242. Uh...
Copy !req
243. It's—it's low.
Copy !req
244. The heart needs
to circulate the blood.
Copy !req
245. If it's weak, the oxygen
Copy !req
246. isn't getting to the liver,
the kidneys,
Copy !req
247. the brain.
Copy !req
248. Um—I have to
ask you something.
Copy !req
249. Judy—
No, no, Kim. Let me.
Copy !req
250. Um—I had called last month.
Copy !req
251. And I told the doctors
about it.
Copy !req
252. And—
Honey, this has nothing
to do with you.
Copy !req
253. Kim's right.
Your son was born healthy.
Copy !req
254. He caught the infection
Copy !req
255. after his birth.
Copy !req
256. There's no reason to think
that he caught it from you.
Copy !req
257. But you don't know.
Copy !req
258. I mean, you don't know
how he got sick.
Copy !req
259. Um...
Copy !req
260. Pretty standard question.
"How sick is my child?"
Copy !req
261. You couldn't answer it.
Copy !req
262. I answered.
Copy !req
263. You rattled off numbers.
BP, O2 sets.
Copy !req
264. It's not what
they need to know.
Copy !req
265. What we need
to know is the future.
Copy !req
266. You got a Magic 8 Ball?
Copy !req
267. No, just eight years
of medical training.
Copy !req
268. Look...
Copy !req
269. I realize it's tough
to break bad news to families.
Copy !req
270. Not as tough as hearing it.
Copy !req
271. And I guess being the poor guy
dying is the toughest of all?
Copy !req
272. No.
Copy !req
273. It's easier to die
than to watch someone die.
Copy !req
274. (Cuddy)
Well, we're checking the vents.
Copy !req
275. It could be airborne.
Copy !req
276. Somebody get the sinks, too,
and underneath them.
Copy !req
277. I'll get it.
Copy !req
278. Good.
Copy !req
279. How many med students
have you got
Copy !req
280. swabbing the decks?
Copy !req
281. Well, what else
are they gonna do?
Copy !req
282. It's not like
they're delivering babies.
Copy !req
283. You find anything yet?
Copy !req
284. Uh, yeah.
Copy !req
285. About half the anti-bacterial
gel dispensers
Copy !req
286. are empty or broken.
Copy !req
287. That's bad.
Copy !req
288. And yet, diagnostically,
completely insignificant.
Copy !req
289. Well, if the staff
Copy !req
290. can't wash their hands,
Copy !req
291. it's no wonder
an infection has spread.
Copy !req
292. Hey, tie clip.
Copy !req
293. Sorry?
Copy !req
294. We have an epidemic
in this hospital,
Copy !req
295. and your tie
is becoming a petri dish.
Copy !req
296. Put on a tie clip
or take the damn thing off.
Copy !req
297. (woman)
My joints have been feeling
all loose, and lately
Copy !req
298. I've been feeling sick a lot.
Copy !req
299. Maybe I'm over-training,
I'm doing the marathon,
Copy !req
300. like 10 miles a day.
Copy !req
301. But I can't seem
to lose any weight.
Copy !req
302. Lift up your arms.
Copy !req
303. You have a parasite.
Copy !req
304. Like a tapeworm
or something?
Copy !req
305. Lie back
and lift up your sweater.
Copy !req
306. You can put your arms down.
Copy !req
307. Can you do anything about it?
Copy !req
308. Only for another month.
Copy !req
309. After that,
it becomes illegal to remove.
Copy !req
310. Except in a couple of states.
Copy !req
311. Illegal?
Copy !req
312. Now, don't worry.
Copy !req
313. Many women learn
to embrace this parasite.
Copy !req
314. They name it,
dress it up in tiny clothes.
Copy !req
315. Arrange playdates
with other parasites.
Copy !req
316. Playdates?
Copy !req
317. It has your eyes.
Copy !req
318. But... that's impossible.
Copy !req
319. Well, I assume you weren't
getting your period.
Copy !req
320. Maybe that should've
given you an inkling.
Copy !req
321. But I'm on this
birth control implant.
Copy !req
322. Yeah, I know.
I saw the scar on your arm.
Copy !req
323. And my doctor said
I might not
Copy !req
324. get any periods at all
if it was working.
Copy !req
325. Mm-hmm, interestingly enough,
Copy !req
326. you also don't get any periods
if it isn't working.
Copy !req
327. Which is why
you were supposed to get
Copy !req
328. regular pregnancy tests.
Copy !req
329. I'm gonna send a nurse in here
Copy !req
330. to schedule
your pre-natal care.
Copy !req
331. You're due in about five months,
Copy !req
332. so start planning the shower.
Copy !req
333. Um, Doctor?
Copy !req
334. Please.
Copy !req
335. Me and my husband wanted
to have a kid soon.
Copy !req
336. But, uh—oh, God.
Copy !req
337. Like, four months ago,
Copy !req
338. we had this really big fight.
Copy !req
339. He moved out.
Copy !req
340. I did something stupid.
Copy !req
341. One night stand?
Copy !req
342. Ex-boyfriend.
Copy !req
343. Well, I'll schedule you
Copy !req
344. a paternity test too.
Copy !req
345. I can't let my husband know.
Copy !req
346. Does the old boyfriend
look like your husband?
Copy !req
347. Yeah.
Copy !req
348. Then just have the kid.
He'll never know.
Copy !req
349. The most successful marriages
are based on lies.
Copy !req
350. You're off to a great start.
Copy !req
351. Well, you look cheery.
Copy !req
352. What's goin' on?
Copy !req
353. The Hartig
and Chen-Lupino babies.
Copy !req
354. Their kidneys are shutting down.
Copy !req
355. And the urine tests
show no casts.
Copy !req
356. Which means our antibiotics
are causing the kidney failure.
Copy !req
357. You're the nephrologist.
Copy !req
358. Which one did it?
We'll take 'em off that one.
Copy !req
359. Don't tell me both
vancomycin and aztrenam.
Copy !req
360. They both can cause this.
Copy !req
361. There's no way to know
which one it is, no test.
Copy !req
362. We can't take them off
the antibiotics.
Copy !req
363. They'll—they'll die
of the infection.
Copy !req
364. But if we leave them
on both the antibiotics,
Copy !req
365. they'll die of kidney failure.
Copy !req
366. (Chase)
So, we take
our best guess then.
Copy !req
367. Which drug's causing
the kidney failure.
Copy !req
368. It's like I said, it's always
MRSA in hospitals.
Copy !req
369. Take 'em off aztreonam.
Copy !req
370. I still think
it's the pseudomonas.
Copy !req
371. I vote to take 'em off
the vancomycin.
Copy !req
372. There's no point in guessing.
Copy !req
373. Take one kid off vancomycin,
and the other off aztreonam.
Copy !req
374. They have the same disease.
Copy !req
375. You wanna give them
different treatment?
Copy !req
376. What the hell are you doing?
Copy !req
377. A therapeutic trial.
Copy !req
378. To find the cause
of the infection.
Copy !req
379. That's wrong.
Copy !req
380. We have four sick kids
at least.
Copy !req
381. Who knows how many more haven't
started showing symptoms yet.
Copy !req
382. But we have a duty to these two!
Copy !req
383. If these two
have different reactions,
Copy !req
384. we'll know how to save the rest.
Copy !req
385. So you're condemning
one of these kids to die
Copy !req
386. based on random chance.
Copy !req
387. I guess I am.
Copy !req
388. (Cuddy)
So you're going to flip a coin?
Copy !req
389. That's how you decide
Copy !req
390. which baby lives?
Copy !req
391. Can I borrow a quarter?
Copy !req
392. Do you want to get sued?
Copy !req
393. Lose your license, House?
Copy !req
394. Well, generally,
I'd applaud that.
Copy !req
395. But my job is
to protect this hospital.
Copy !req
396. So I strongly advise you
Copy !req
397. to come up
with a medical rationale
Copy !req
398. why Baby A should get medicine X
Copy !req
399. and vice versa.
Copy !req
400. Whoa, whoa, whoa, whoa.
Hold on there, Slick.
Copy !req
401. We didn't all go to law school.
Copy !req
402. Your advice is that
Copy !req
403. I should use medical reasons
Copy !req
404. to make medical decisions?
Copy !req
405. Mm, that's not gonna be as easy.
Copy !req
406. Any medical justification.
Doesn't need to be a good one.
Copy !req
407. Well, Hartig sounds Jewish,
Copy !req
408. so does aztrenam.
Copy !req
409. So we'll take the Hartig kid
off vancomycin.
Copy !req
410. How's that?
Copy !req
411. You can't experiment
on babies.
Copy !req
412. Doctors experiment all the time.
Copy !req
413. On adults.
Copy !req
414. With their consent.
Copy !req
415. Fine, I'll get
the parents' consent.
Copy !req
416. Their informed consent.
Copy !req
417. They have to know the other kid
Copy !req
418. is getting
a different treatment.
Copy !req
419. Sorry, can't do that.
Copy !req
420. It'd be unethical
for one patient
Copy !req
421. to know about
another patient's treatment.
Copy !req
422. They have a right to know.
Copy !req
423. If they know,
they won't consent.
Copy !req
424. That defeats the whole purpose.
Copy !req
425. That's their right.
Copy !req
426. Two more babies
have just become symptomatic.
Copy !req
427. I defer to your legal wisdom,
Copy !req
428. which takes precedent,
six dying babies
Copy !req
429. or a missing consent form?
Copy !req
430. You can't do it.
Copy !req
431. Do what you think is best.
Copy !req
432. Your daughter's kidneys
are shutting down.
Copy !req
433. Your son's kidneys are failing.
Copy !req
434. So we're going to take her
off the aztreonam.
Copy !req
435. We're taking him off vancomycin.
Copy !req
436. Uh, but what—what made her sick
in the first place?
Copy !req
437. What do you think is causing it?
Copy !req
438. It seems to be a germ
called pseudomonas.
Copy !req
439. We think it's MRSA.
Copy !req
440. Methycillin-resistant
staph aureas.
Copy !req
441. It's a very resistant form
of a very common bacteria.
Copy !req
442. We're hoping the aztreonam
will clear it up.
Copy !req
443. Vancomycin is the best treatment
for MRSA,
Copy !req
444. so we're gonna keep giving it
to her.
Copy !req
445. Is it gonna cure her?
Copy !req
446. Your child is very sick.
Copy !req
447. You need to know that.
Copy !req
448. This is a Hail Mary pass.
Copy !req
449. It might cure her, it might not.
Copy !req
450. S-so that'll cure him?
Copy !req
451. We'll know in 24 hours
if it's working.
Copy !req
452. What did you tell them?
Copy !req
453. I told them the truth.
Copy !req
454. They seemed relieved.
Copy !req
455. Did you tell them
how sick their son is?
Copy !req
456. I explained
what was going on.
Copy !req
457. Alison, their baby's dying.
Copy !req
458. If the parents weren't in tears
by the time you left,
Copy !req
459. you didn't tell them the truth.
Copy !req
460. That's not how I see it.
Copy !req
461. Do you want them blind-sided?
Copy !req
462. Want them coming up and saying,
Copy !req
463. "My God, my baby died.
Why didn't you warn me?"
Copy !req
464. So now it's about worrying
about them yelling at us?
Copy !req
465. No, it's about
getting them prepared
Copy !req
466. for the likely death
of their child.
Copy !req
467. If their son dies tomorrow,
Copy !req
468. you think they'll give a damn
what I said to them today?
Copy !req
469. It's not gonna matter,
they're not gonna care.
Copy !req
470. Nothing's gonna be the same
ever again.
Copy !req
471. Just give those poor women
a few hours of hope.
Copy !req
472. Dr. House!
Copy !req
473. Oh, no.
Copy !req
474. Dr. House, this is
my husband Charlie.
Copy !req
475. Who told you
where my office was?
Copy !req
476. Jill, come on, he obviously
doesn't want us bothering him.
Copy !req
477. Whoa, I was trying
to hide it.
Copy !req
478. Look, Doctor,
this is about the mono
Copy !req
479. that you said
you thought I had.
Copy !req
480. The mono?
Copy !req
481. Yeah, you know,
shouldn't Charlie be tested?
Copy !req
482. You know.
Copy !req
483. The test. The blood test.
Copy !req
484. Right.
Copy !req
485. Yeah, I'm sorry.
Copy !req
486. I-I sometimes forget patients.
Copy !req
487. I-I thought you were this idiot
Copy !req
488. who doesn't know how
to use birth control.
Copy !req
489. I can't have mono.
Copy !req
490. I—I don't even feel sick
or anything.
Copy !req
491. That's very often
the first sign.
Copy !req
492. Call my office in the morning.
Copy !req
493. We'll schedule him
for blood tests.
Copy !req
494. Thank you.
Copy !req
495. I'm not even tired.
Copy !req
496. Oh.
Copy !req
497. Find anything yet?
Copy !req
498. No, just some baby formula
Copy !req
499. being stored under a sink
with a dripping faucet.
Copy !req
500. Tap water contamination.
Copy !req
501. You're thinking
pseudomonas infection?
Copy !req
502. I was, I wasted a couple
of hours chasing it down.
Copy !req
503. But of course, the formula
Copy !req
504. hasn't been anywhere near
the babies.
Huh.
Copy !req
505. Whatever idiot
stored them there—
Copy !req
506. All right,
we'll figure it out.
Copy !req
507. Just—just calm down.
Copy !req
508. I am calm.
Copy !req
509. Oh—oh, come—
I warned you.
Copy !req
510. Did that calmly.
Copy !req
511. Hey.
Copy !req
512. Hi.
Copy !req
513. Is she any better?
Copy !req
514. Uh, fever's been stable
for the last hour.
Copy !req
515. We're not gonna make it,
are we?
Copy !req
516. Sorry?
Copy !req
517. Me and Ethan.
Copy !req
518. Our next-door-neighbor...
Copy !req
519. her little boy died
in a car crash,
Copy !req
520. and she and her husband
split up, like,
Copy !req
521. four months after the funeral.
Copy !req
522. It's just, uh,
what always happens, right?
Copy !req
523. Um, what happens to patients
after they leave the hospital,
Copy !req
524. I don't know.
Copy !req
525. But try not
to get ahead of yourself.
Copy !req
526. (nurse)
Dr. Chase,
the monitor.
Copy !req
527. How long?
I don't know.
It just started.
Copy !req
528. Pulse?
Fluid wide open.
Copy !req
529. Do we have an arterial line?
Not yet.
Copy !req
530. Let's get a VP.
Copy !req
531. You can't come in here.
Copy !req
532. Is my baby dying?
Copy !req
533. Mrs. Hartig—
Is she dying?
Copy !req
534. Ma'am, you have to—
Copy !req
535. It's not your baby.
Copy !req
536. Ventilate.
Copy !req
537. BP's 60 over 20.
Copy !req
538. Heart rate's 180.
Copy !req
539. You start the levophed?
We've got it.
Copy !req
540. Still dropping.
Copy !req
541. 50 over 10.
Copy !req
542. I can't hold BP,
even with three pressors.
Copy !req
543. We're losing pulse.
Copy !req
544. V-Fib.
Copy !req
545. Shut the blinds.
Copy !req
546. Charging.
Copy !req
547. Still V-Fib.
Copy !req
548. Charging.
Copy !req
549. Clear.
Copy !req
550. Charging.
Copy !req
551. Clear.
Copy !req
552. Still V-Fib.
Copy !req
553. Charging.
Copy !req
554. Clear.
Copy !req
555. Charging.
Copy !req
556. Chase.
Copy !req
557. Time of death, 6:57pm.
Copy !req
558. The aztreonam doesn't work.
Copy !req
559. Double-cover all the other
babies with vancomycin.
Copy !req
560. I'll do it.
Copy !req
561. (House)
Cameron, you tell the parents.
Copy !req
562. Tell them their child
probably saved five lives.
Copy !req
563. But Chase should—
Copy !req
564. Chase is busy.
Copy !req
565. You're the attending.
Copy !req
566. Make sure she does her job.
Copy !req
567. Sorry.
Copy !req
568. I asked you to make sure
she does her job,
Copy !req
569. not do it for her.
Copy !req
570. She froze up.
Copy !req
571. She felt sorry for the parents,
so she shut up.
Copy !req
572. You felt sorry for her,
so you opened your mouth.
Copy !req
573. She has a problem.
Copy !req
574. Yeah. She needs to deal with it.
Copy !req
575. If you hadn't bailed her out,
she would've done it.
Copy !req
576. Great, then she wouldn't
have slept for two weeks.
Copy !req
577. Maybe she should be thinking
about a different specialty.
Copy !req
578. Lab work? Research?
Copy !req
579. Yeah, what is it?
Copy !req
580. The Hartig baby.
She's getting sicker too.
Copy !req
581. The vancomycin
isn't working either.
Copy !req
582. Vancomycin doesn't kill it,
aztreonam doesn't kill it.
Copy !req
583. What the hell is this?
Copy !req
584. It's a superbug.
Copy !req
585. (Chase)
It could be VRSA.
Copy !req
586. There's only been
two reported cases ever
Copy !req
587. in the United States.
Copy !req
588. One of the kids,
the Howsam baby,
Copy !req
589. had a skin rash.
Copy !req
590. I-it could be
scaled-skin syndrome,
Copy !req
591. which would be a sign
of VRSA.
Copy !req
592. Then these kids are dead.
Copy !req
593. This is our fault.
Copy !req
594. Doctors over-prescribing
antibiotics.
Copy !req
595. Got a cold?
Take some penicillin.
Copy !req
596. Sniffles?
No problem.
Copy !req
597. Have some azithromycin.
Copy !req
598. Is that not working anymore?
Well, got your levaquin.
Copy !req
599. Anti-bacterial soaps
in every bathroom.
Copy !req
600. We'll be adding vancomycin
to the water supply soon.
Copy !req
601. We bred these superbugs.
They're our babies.
Copy !req
602. And they're all grown-up,
Copy !req
603. and they've got body piercings
and a lot of anger.
Copy !req
604. On the other hand,
Copy !req
605. maybe antibiotics
had nothing to do with it.
Copy !req
606. Did you notice
how low his BP was
Copy !req
607. at the end,
even with three pressors?
Copy !req
608. Heart damage?
Copy !req
609. Go home.
Copy !req
610. There's nothing more
you can do tonight.
Copy !req
611. Baby boy Chen-Lupino.
Copy !req
612. Time of death, 6:57pm.
Copy !req
613. Thursday, December 2nd, 2004.
Copy !req
614. (House)
This is a cross-section
Copy !req
615. of the Chen-Lupino boy's
myocardium.
Copy !req
616. Fibrosis,
lymphocytic infiltrates.
Copy !req
617. (Cameron)
There was no sign
of lymphocytosis
Copy !req
618. in the blood tests.
Copy !req
619. Yes, well, we all
had plenty of good reasons
Copy !req
620. to think bacterial.
Copy !req
621. Nobody is scolding you.
Copy !req
622. Unfortunately, all those
clever reasons were wrong.
Copy !req
623. It is a virus
infecting their hearts.
Copy !req
624. We're screwed.
You can't chase down a virus.
Copy !req
625. There's a thousand
possibilities.
Copy !req
626. We could run gels.
Antibody tests.
Copy !req
627. (Foreman)
A thousand of 'em?
Copy !req
628. The kids
don't have enough blood.
Copy !req
629. Chase, you're the intensivist,
how many could we do
Copy !req
630. before we risk
exsanguinating the kids?
Copy !req
631. You're talking...
Copy !req
632. vials, not stick tests?
Copy !req
633. I wouldn't take
Copy !req
634. more than five or six.
Copy !req
635. Okay, so we have to narrow
Copy !req
636. the thousand viruses
Copy !req
637. down to six.
Copy !req
638. Now, the autopsy's shown us
what the virus does.
Copy !req
639. So, let's go.
What do we know?
Copy !req
640. Ribaviran and acyclovir
don't knock it out.
Copy !req
641. Cross out the herpes viruses.
Copy !req
642. Also adenovirus.
Copy !req
643. What else, what else?
Keep talking.
Copy !req
644. Well, i-i-it only seems
to hit children,
Copy !req
645. the mothers aren't sick so—
Copy !req
646. No toxoplasmosis,
Copy !req
647. no rubella.
Copy !req
648. Cross out
the entire TORCH syndrome.
Copy !req
649. You didn't find any lung damage?
Copy !req
650. Nope.
Copy !req
651. None of the paramyxoviridae.
Copy !req
652. Cardiac scarring, people.
Copy !req
653. CMV.
Copy !req
654. Enteroviruses, too, I think.
Copy !req
655. Echo...
Copy !req
656. Influenza A.
Copy !req
657. Influ A.
Copy !req
658. Yes?
Copy !req
659. And?
Copy !req
660. I'm putting RSV down as a "yes."
Copy !req
661. That makes eight.
Copy !req
662. Eight vials of blood
is pushing it.
Copy !req
663. Pushing it?
But we love that.
Copy !req
664. Get the antibody kits,
Copy !req
665. start testing the sick kids.
Copy !req
666. All right, I'll look into
Copy !req
667. whether there are
any antivirals for these right.
Copy !req
668. Wait a second, the—the—
Copy !req
669. the kids on the floor
who didn't get sick,
Copy !req
670. are any of them
still in the hospital?
Copy !req
671. They got moved
to the fifth floor.
Copy !req
672. But they're probably
all checked out by now.
Copy !req
673. No, the Limpert boy
had a bit of jaundice.
Copy !req
674. He's checking out today.
Copy !req
675. I want to test his blood too.
Why?
Copy !req
676. Because we need
all the information we can get.
Copy !req
677. The healthy kid
can be our control group.
Copy !req
678. (Cuddy)
I'll just tell his parents
Copy !req
679. he can't check out
because he has the smallpox.
Copy !req
680. All done.
Copy !req
681. All done.
Copy !req
682. What do we got?
Copy !req
683. Well, the sick babies
all tested positive
Copy !req
684. for Echovirus 11.
Great.
Copy !req
685. And CMV, and Parvovirus B-19.
Copy !req
686. Three viruses?
Copy !req
687. But what's weirder,
Copy !req
688. the healthy kid we tested,
Copy !req
689. he's positive for Echovirus 11
Copy !req
690. and CMV antibodies as well.
Copy !req
691. And they're infants.
Copy !req
692. They have
their mothers' blood,
Copy !req
693. their mothers' antibodies.
Copy !req
694. So we just learned nothing?
Uh-uh.
Copy !req
695. We have half the picture.
Copy !req
696. The healthy kids survived
Copy !req
697. because their mothers'
antibodies saved them.
Copy !req
698. If the mom had CMV in the past,
Copy !req
699. she'd have the antibodies
for CMV.
Copy !req
700. The kid would be immune from it.
Copy !req
701. So we test the sick kids' moms
for Echovirus,
Copy !req
702. CMV, and Parvovirus.
Copy !req
703. And whichever they don't
have the antibodies for,
Copy !req
704. that's what's killing
their kids.
Copy !req
705. I'll test the mothers.
Copy !req
706. (Foreman)
Echovirus 11,
Copy !req
707. it's an enterovirus, it lodges
in the intestinal tract.
Copy !req
708. Enteroviruses cause
Copy !req
709. diarrhea and flu-like symptoms
in adults.
Copy !req
710. Maybe a rash.
Copy !req
711. But for newborns,
it can be deadly.
Copy !req
712. It's damaging her heart.
Copy !req
713. Well, is there anything
you can do?
Copy !req
714. (Foreman)
Viruses are more difficult
Copy !req
715. to treat
than bacterial infections.
Copy !req
716. We still haven't found a cure
for the common cold.
Copy !req
717. So, I mean,
there's no vaccine or—
Copy !req
718. There's a company
in Pennsylvania
Copy !req
719. developing an antiviral,
Copy !req
720. and it got positive results
in the lab setting—
Copy !req
721. And we managed
to get our hands on it.
Copy !req
722. Imagine not being able
to touch your own baby.
Copy !req
723. Can I get you guys' help
with something?
Copy !req
724. Sure.
Copy !req
725. Your daughter, her—
Copy !req
726. Maxine.
That's her name.
Copy !req
727. Maxine.
Copy !req
728. We need someone to hold Maxine
up off the bed
Copy !req
729. while the nurse changes
her sheet.
Sure.
Copy !req
730. Ssh, ssh, ssh.
Copy !req
731. Look at you.
Hi.
Copy !req
732. Hold still.
Copy !req
733. Hi.
Copy !req
734. Hi sweetie.
Copy !req
735. Hey, Foreman.
Copy !req
736. Got a minute?
Copy !req
737. So, pulmonary resistance
has stabilized
Copy !req
738. for the two kids, but, uh,
BPs still—
Copy !req
739. No news then.
How's Cameron?
Copy !req
740. Dr. Cameron?
Copy !req
741. Sure.
Copy !req
742. Let's start with her,
and then move on
Copy !req
743. to all the other
Camerons we know.
Copy !req
744. I'm sorry, I'm just
not used to you asking
Copy !req
745. about someone's well-being.
Copy !req
746. Well, I can understand how
the question would surprise you.
Copy !req
747. I didn't quite get
how it would confuse you.
Copy !req
748. Why do you want to know?
Copy !req
749. Why do you wanna know
why I wanna know?
Copy !req
750. Just... curious.
Me too.
Copy !req
751. You don't get curious.
Copy !req
752. I'm the most curious man
in the world.
Copy !req
753. Not about trivialities.
Copy !req
754. Well then, this must not
be trivial.
Copy !req
755. How is Cameron
handling everything?
Copy !req
756. Just fine.
Copy !req
757. Great.
Copy !req
758. Glad we talked.
Copy !req
759. Your husband is definitely
the source of your mono.
Copy !req
760. Oh. Wow.
Copy !req
761. Oh, thank God.
Copy !req
762. Wow.
I'm gonna be a mom.
Copy !req
763. Whoa.
Copy !req
764. Thank you so much.
Copy !req
765. I gotta get you
a gift or something.
Copy !req
766. Sometimes the best gift
Copy !req
767. is the gift
of never seeing you again.
Copy !req
768. Okay, all right.
Copy !req
769. But Dr. House,
you've been so awesome.
Copy !req
770. I mean, I really
totally trust you.
Copy !req
771. Do you think you—
No.
Copy !req
772. could do the prenatal—
Copy !req
773. No.
Or deliver the baby?
Copy !req
774. That would be no.
Copy !req
775. Okay.
Copy !req
776. Wow.
Copy !req
777. Chase, take a look at this.
Copy !req
778. Oh, God.
It's good news.
Copy !req
779. No, it's great.
Copy !req
780. Oh.
Copy !req
781. Thank you.
Copy !req
782. She's doing great.
Copy !req
783. They all gone?
Copy !req
784. Hartigs are checking out
right now.
Copy !req
785. You look tired.
Copy !req
786. Thanks.
Copy !req
787. Well, it's no wonder.
Copy !req
788. You had a hard time
the last couple of days.
Copy !req
789. You haven't?
Copy !req
790. Not like you.
Copy !req
791. Anyone who's that awkward
Copy !req
792. either has no experience
with death
Copy !req
793. or too much.
Copy !req
794. And I'm pretty sure
it's not the former.
Copy !req
795. Chase told me
about that idea you had,
Copy !req
796. the parents holding the baby.
Copy !req
797. Where'd you get that?
Copy !req
798. Did you lose someone?
Copy !req
799. You lose a baby?
Copy !req
800. You can be a real bastard.
Copy !req
801. Unfinished business?
Copy !req
802. I'm in the haystack.
Copy !req
803. Ah, because now you know
you're looking for a needle.
Copy !req
804. Right.
Copy !req
805. If I tell you to let it go,
Copy !req
806. it won't make any difference,
will it?
Copy !req
807. Enteroviruses
are spread by humans.
Copy !req
808. Fecal-oral route, usually.
Copy !req
809. Could be respiratory
secretions, though.
Copy !req
810. So Cuddy got stool samples
from the whole staff.
Copy !req
811. Just wait 'til they come back.
Copy !req
812. That wouldn't do it.
Why not?
Copy !req
813. The shedder, whoever he is,
he's so virulent.
Copy !req
814. He must've been symptomatic.
Copy !req
815. Cuddy would've noticed him.
Hmm...
Copy !req
816. And the babies didn't share
any common personnel.
Copy !req
817. That's what's weird.
Copy !req
818. Yeah, yeah.
That's what's weird.
Copy !req
819. Can I help you?
Copy !req
820. You saved my life.
Copy !req
821. I just ran some tests.
Copy !req
822. Your will and determination
and what saved your life.
Copy !req
823. I know who I am now.
Copy !req
824. Yes, you do.
Copy !req
825. And I know who I am as well.
Copy !req
826. I love you...
Copy !req
827. Hey, seriously, man,
you're not supposed to be here.
Copy !req
828. I'm performing a delivery.
Copy !req
829. You are?
Copy !req
830. A patient whose prenatal care
I've been handling.
Copy !req
831. Just took her on
a couple minutes ago.
Copy !req
832. Of course, I'll need one
of you two guys to supervise.
Copy !req
833. When's she due?
Copy !req
834. Late March.
Copy !req
835. That's five months from now.
Copy !req
836. Thank God these chairs
are comfortable.
Copy !req