All language subtitles for House.S03E17.720p.AMZN.WEBRip.x264-GalaxyTV

Hey.

No, no, no, no.
Here.

You got
this whole thing wrong, Em.

It's the rock star
that's supposed to be late,

not the rock star photographer.

Sorry, morning sickness.

Touch the belly.

It's the first time
I've been asked to do that.

[laughing]
Come on, it's good luck.

Mm...

Ooh.

Hit the Kinos
behind the drop.

[The Replacements'
Bastards Of Young plays]

*

So what do you think?

Uh, I think people
aren't gonna get it.

Oh, come on.

All-American Rejects.

Juxtaposing a classic image
of Americana

with modern pop culture,
you.

Oh, yeah, everyone loves
a good juxtaposition.

[laughter]

My fans were born
in the '90s.
You know what?

You do this picture,
you'll gain

40 years of fans.

Yeah?

Yeah.
Love the Rockwell thing.

I thought so.

Okay, kill the house lights,
let's go.

[camera clicking]

Hang on. Hang on.

Hey, who's in charge
of the backdrop? Naomi?

Yeah?

What's wrong with it?

Well, the words
are completely jumbled.

What?

You can read that?

Of course.

You okay?

No. Oh, God.

I--I could be having a--a--

What's--what's
the mnemonic?

Uh...

F...F is for face.

Is my smile crooked?

What are you doing?

A...A is for arms.
Arms...

[echoing]
You should
really sit down.

[gasps]
Can somebody get her some water?

S is...S is speech.

I'm slurring...
I'm slurring?

Huh? Oh...

Oh, F-A-S-T.

T is time.

Hurry, somebody, uh...

Call 911, tell them
I'm having a stroke!

[Massive Attack's Teardrop]

*

Hi, I'm Dr. House.

My boss says
you're important.

Oh.

Personally, I don't get
what's so hard

about making Scarlett Johansson
look pretty.

Arms out in front
of you.

Your palms up,

like you're holding a pizza.

Close your eyes.

It's so easy, you should
consider a career change.

Probably make
a lot more money.

Dr. Mackman tell you
the clot was clear?

Yes.

And he said that you
and the fetus are fine.

Yeah.

He didn't mention
your pronator drift.

What's that mean?

It means Mackman
is an idiot.

[sighs]
May I?

Yeah.

So.

You take thousands
of photos of someone,

but only one
has to look good.

Kinda the opposite
of my business.

It's not
about looking good.

People are
always hiding things.

I just keep shooting
until I can see

what's really inside them.

My eyes okay?

Eyes are gorgeous.

Vessels don't look
so hot.

Microaneurysms predict
further strokes.

This is gonna happen again?

Unless I can figure out
the underlying cause.

Puff up your cheeks.

You should be able to keep
the air in.

It means there's weakness
around the mouth.

So where'd you learn
to self-diagnose a stroke?

Oh, my, uh,
baby's biological father

is a neurologist.

He once told me
the FAST mnemonic

could save my life
one day, so...

Interesting pet name.

Most people go
with "husband" or "pookie."

He's gay.

Just a sperm donor.
So when you--

You turned him
for a night?

Just straight for one date?

Okay.

He took a magazine

and a cup

into my bathroom.

Man after my own heart.

Different magazine,
obviously.

I'm rescinding Mackman's
discharge order.

My lackeys will be in
to do some tests,

take some more blood,

and empty your catheter bag.

[camera clicking]

Not a moment you'll want
to cherish.

This is definitely different.

(Chase)
It looks almost like...

He's caring.

Find anything else
in the patient's folder?

Like a diagnosis?

Urinalysis revealed
excessive protein

and red blood cells.

Chem panel showed
a creatinine level over 2.5, so.

First she strokes,

now her kidneys
are shutting down--why?

Ultrasound showed no tumors
or stones,

no signs of fetal distress,
no urinary tract obstructions.

BP is fine, no preeclampsia.

Any of you guys ever been
to the Galapagos?

Was our patient there?

Dengue fever,
avian pox, even West Nile.

No, I'm looking
for a vacation spot.

That mean we get vacation?

How would that differ
from your current status?

(Cameron)
You're gonna do what,

relax?

Visiting family.

My uncle's a giant turtle.

What if the kidney failure
came first?

Kidneys could've caused
the stroke,

not the other way around.

Kidneys don't often
get stuck in the brain.

I'm saying it threw a clot.

Early symptoms
of kidney failure

are nausea, vomiting,
ankle swelling.

She could've mistaken it
for morning sickness.

Heart's way more likely
to throw a clot

than the kidney.

Echo was normal.

History indicates no sign
of cardiac problems.

No, but if one were to read
the history closely,

one would notice
that she had six cases of strep.

(Foreman)
In her throat.

That's the one about ten inches
above the heart.

Let me rephrase.

Six cases of untreated strep.

She was prescribed
antibiotics.

No one takes them all.

They stop when they
start feeling better.

All strep is untreated strep.

What happens when strep
goes untreated?

It leads to rheumatic fever.

Which leads to...Cameron?

Mitral valve stenosis.

Which is a thickening
in the valve of the...

kidney?

No. Kidney doesn't have
a mitral valve.

We'll go look
at the heart.

It'll be easy to find.

It's the big red pumping thing

about ten inches
below her throat.

That was weird.

He was the way
he always is.

Which is weird.

[click]

[Cameron over speaker]
Very still, Emma.

Sorry.

No problem.

He caught us with your hand
up my shirt.

He's gotta have
a reaction to that.

You think that's what
the vacation is?

Yes.

The pain of losing you
is obviously forcing him away.

(Chase)
Coronal slice appears normal.

There's no way House
just lets this slide.

He's gotta be
planning something.

Maybe he just doesn't give
a crap.

Sagittal slice is clean.

You think he just stumbled
into that closet?

He knew we were there,
and he wanted us

to know that he knew.

Or you wanted him
to know,

now he does,
and you're annoyed

because he doesn't care.

Right there.

Transaxial slice,
calcified mitral valve.

Barely.

That's not big enough
to throw a clot.

Obviously it is,
because it did.

House was right.

A valve in your heart
is narrowed.

It caused the clot
which led to your stroke,

and the reduced circulation
caused the problems

with your kidneys.

And this'll fix it?

The balloon will force
the valve back open.

And you'll be fine.

(Emma)
Can I do this
without a sedative?

It's very mild, there really
is no risk to the fetus.

(Cuddy)
We'll monitor your baby's
heart rate separately.

We won't allow it
to decrease

anywhere near dangerous levels.

[fast heartbeat]

Thank you.

You're both
gonna be fine.

[laughs]

Go ahead, Dr. Cameron.

[Emma sighs]

Listen to that heartbeat.

It sounds so...

Start threading
the catheter.

No, I don't want a layover
in Frankfurt,

Taipei, Singapore,
or London, Ontario.

That's why I asked
for a direct flight

to Phnom Penh.

How hard is it
to not land?

Does it matter
what I answer?

Then fine, I'd be delighted
to hold.

What's new?

Can you tell Cuddy
to stop interfering?

It's her job.
What's new?

Good news is Emma's heart
is fixed.

Bad news is it's not
her underlying problem.

Her kidney's
are still failing.

(Foreman)
You're vacationing in Cambodia?

You gonna unwind
in the killing fields?

Nope, gonna catch me
a fish this big.

Mekong giant catfish,
weighs over 600 pounds.

Aren't those catfish
critically endangered?

That's why it's my last chance
to catch one.

[woman over speaker]
All of our operators are...

If the mitral valve
had been properly fixed,

the kidney should be
getting better.

Which leads us
to the conclusion

that you screwed up
the procedure.

Or you screwed up
the diagnosis.

The mitral valve thickening
was so insignificant,

it probably wasn't the cause
of the kidneys or the stroke.

Probably never
would've been a problem.

She needs dialysis,
and we need a new theory.

(Chase)
There are only
a few possibilities.

Patient's pregnant,
could be preeclampsia.

We eliminated it before--

Check for proteinuria
and low platelets--what else?

Hypoperfusion, the fetus
is basically a parasite

stealing nutrients,
minerals, blood.

Put her on telemetry.

(Foreman)
Or the pregnancy's irrelevant.

Could be infection, sepsis,
HUS/TTP.

(Chase)
A cholesterol embolism
is just as likely.

Tiny particles of cholesterol
rain down

and clog up the small vessels
in the kidneys.

Get a smear and ultrasound
her vessels for plaque.

That's it, has to be
one of those five.

You know what would be
even better?

If we could narrow it
all the way down to one.

[woman over speaker]
Thank you for holding.

We are experiencing
extremely high call volume.

Thank you for your patience.

She's 0 for 5.

Either the differential
was wrong,

or she's faking it.

Kidney failure
has to be precipitated--

By one of the five
we've already ruled out.

The body only has
so many ways

of screwing
with the kidneys.

The labs must be wrong.

We did the labs.

No one else had access.

That's not quite true.

You put all your patients
through this many tests,

or just the important ones?

[sighs]

We wanted to explore
all the possibilities.

And?

We've eliminated
all the possibilities.

You telling me I'm dying
and you have no idea why?

Your body
is functioning properly.

So why are
my kidneys failing?

The other body isn't.

There's something wrong
with the fetus.

Welcome to the world
of maternal mirror syndrome.

Mom's body is like an intricate
German metro system.

All the trains
run on time.

When she gets pregnant,
it's like a new station

opening in Dusseldorf.

Bunch of rookies running things,
bound to be mistakes.

Kids play on the tracks,
get electrocuted.

Before you know it,
trains are backed up

all the way to Berlin,
and you got a bunch

of angry Germans
with nowhere to go.

And we all know
that ain't good for the Jews.

Who are the Jews
in this metaphor?

A few things can happen
to a fetus in distress.

It can become a miscarriage,
stillbirth, very sick baby,

or, on rare occasion,
a time bomb

that kills Mom
while it's dying.

Good news is,
we fix the fetus,

Mom gets better.

It's the diagnostic equivalent
of a two-for-one sale.

I've read the outcome
of mirror syndrome

is almost always
unfavorable.

Unfavorable...is that
doctor speak for dead baby?

You think she'll be less upset
if you phrase it nicely?

(Chase)
We can tell her the truth,

that she'll be fine

as soon as
we diagnose a person

who weighs about one pound.

Can't touch it,
can't ask where it hurts,

can't see it.

If only there existed
giant machines

that could look
through human skin.

Mirror syndrome
has a limited number

of known causes.

Tachyarrhythmia, fetal anemia,
placental chorioangioma--

All of which are fixable.

Which would be un-unfavorable,
right?

Could also be trisomy 13,

Ebstein's anomaly,

an aneurysm of Galen's vein--

Then Dr. Storm Cloud
rained all over the differential

and killed
the beautiful little baby.

Heart's easiest to see,
easiest to fix,

so let's start there.

When you did Mom's MRI,
did you get a look

at the fetus' heart?

It was in the range,
but blurry.

The fetus was moving
all over the place.

So we need another scan.

Yeah, we'll just ask the fetus
to lie very, very still.

No need.

I'm going to paralyze it.

You want to paralyze
Emma Sloan's baby?

Let me guess.
Cameron?

Cameron and Chase
both had their concerns.

No, Cameron had concerns.

Chase just agreed with her
because he didn't want to lose

his all-access pass
to her love rug.

They're sleeping together?

If by sleeping together
you mean having sex

in the janitor's closet.

Here?

No, the janitor's closet
at the local high school.

Go, Tigercats!

Do you have one
of those camera phones?

'Cause I got
a MySpace account.

I will deal with them
after I deal with you.

Oh, come on,
let's gossip some more.

I'm sure she's
into bondage.

Paralyzing a one-pound baby
risks damaging--

Not paralyzing the thing
risks not getting

a clean MRI of its heart.

Which we need to save its life,
which we need to do

to save Emma's life.

You're gonna need
to get her consent.

That shouldn't be too hard.

Sign here or you
and your baby both die.

I'm going with you.

Oh, good.

You said sedation was risky.

This sounds insane.

The injection goes
into the umbilical cord.

The baby won't feel
a thing.

Fetus.

[baby's heartbeat]

I'm lowering expectations.

It works here and on dates.

The benefits outweigh
the risks,

and the paralytic will
wear off in an hour, okay?

[sighs]

Must be easier to hear
you might die

than your baby
might die.

But if there's anyone
I would trust

to save my baby,
it would be Dr. House.

[whispering]
Fetus.

Hold this.

Dr. Cameron.

The MRI results back?

The fetus' heart
is structurally sound.

The problem's
with the bladder.

It's four times
normal size.

Let me see.

Bladder's so engorged,
it's taking up the whole torso,

squeezing
all the other organs.

There's no room
for the lungs to develop.

The baby has a lower
urinary tract obstruction.

We can fix that
by inserting a shunt.

I'll give Emma the news.

Are you...
taking over the case?

House won't care.

He has his diagnosis.

Dr. Cameron.

Dating Chase...

can only end
in one of two ways.

House told you?

You get married
and live happily ever after,

or somebody gets hurt
and you two can't work together,

and I have to fire somebody.

I would hate to see
my personal life

become such a burden
to you.

I'm telling you this
for your own good.

Well, I assume you're gonna have
this same conversation

with Chase
for his own good.

Chase isn't the one
that's gonna get hurt here.

There's only room
for one.

Though I could scooch over.

My social life
is my social life.

Couldn't agree more.

What goes on
in the privacy

of a janitor's closet
is nobody's business except--

She told me to end it.
Is that what you want?

I was actually hoping
she'd fire one of you.

What are you doing?

Trying to avoid
altitude sickness.

Couldn't score a direct flight
to Cambodia,

so I've decided to scale

Argentina's infamous
Mount Aconcagua.

Perfect, except for the fact
that you can't walk.

There's a tribe
of Mocovi Indians

who actually carry
the elders--

You're insane.

I'm an insane genius.

Set the chamber
to low pressure

instead of high.

Thinner air builds up
extra red blood cells,

creates new capillaries.

Few more days in here,
I can save myself

six weeks in base camp.

Where's my MRI?

[phone slamming down]

There's a blockage
in the urinary tract.

Simple terms,
your baby can't pee.

His bladder is swollen
and it's crushing his lungs.

Well, can you fix it?

We can insert a small tube
in the baby's bladder

that makes the urine come out
straight through his belly

for the duration
of the pregnancy.

The bladder decompresses,
and the lungs will be able

to develop normally.

When the baby gets better,
you should get better.

[sighing]
Wow.

First we just have to do
a test

to determine whether
the baby's kidneys

are functioning properly.

A-and what if they're not?

If they're already
too damaged,

then there's really
nothing we can do.

If this doesn't work out,
you can always try again.

Wow.

I miscarried twice
when I was married.

After the divorce,
I tried in vitro,

like, four times
before this.

I'm 42.

Maybe it's, uh,
just not meant to be.

What are you doing?

Well, you're trying to be me,
so I thought I'd try to be you.

You don't have
the cleavage for it.

But I have
a much tighter ass.

You think every day
should be naked Thursday,

or is that an oxymoron?

Let me see the results
of the bladder tap.

They aren't back yet.

They're gonna be
inconclusive.

You think my diagnosis
is wrong?

Fetus doesn't pee,
amniotic fluid should be low.

Mom's level is fine.

Doesn't mean I'm wrong.

Could just mean we caught
the obstruction early.

Either way, your tests
will be inconclusive.

The urine you collected
has been sitting

in that fetus' bladder
for weeks.

And as my pappy always said,
"Stale pee is useless pee."

Fine, then I'll do
another tap.

Just as useless.

Old urine drops down
from the kidney

right after the first tap

'cause it's all backed up.

Bladder tap number three
will give you

the freshest pee,
and it's when you'll find out

if this fetus has
even a fighting chance.

Thank you.

I'll run two more taps.

Since when does
the Dean of Medicine

run bladder taps?

She's an important patient.

Because she takes pictures?

Or because she's you?

A woman in her 40s.

Single.

Using a turkey baster
as a last gasp at motherhood.

And you wanna make sure
she succeeds,

so you'll still have hope.

Can't be a good doctor
if you're not objective.

It's your file.

I don't want it.

Then why did you just say
all that stuff?

To humiliate you.

You're taking
the case back.

I don't want it.
Your diagnosis is right.

I wanna go on vacation.

You can go on vacation
after you've cured her.

(Chase)
Good news.

The fetus' urine
had appropriate levels

of protein and electrolytes,
so his kidneys aren't damaged.

[breathless laughter]

Oh, wow.

We're gonna put the shunt in,
your baby's lungs

should have more room
to grow,

and your symptoms
should go away.

But he'll still need surgery
after he's born?

That's when we'll remove
the blockage in the ureter.

Uh-huh.

You'll be the only mother
on the planet

who appreciates the value
of a wet diaper.

Hey, could you
hand me that?

I'm keeping
a visual memory book

of this entire
surreal process,

and this is the best part
of the story so far.

Yeah, sure.

Thanks.

When did you take this?

Oh, she did
the second bladder tap.

You should keep it.

Oh, I see her all day at work,
I don't need it.

Maybe you wanna see her
after work.

I'm right, right?

I saw the way
you look at her.

[camera clicking]

Thanks.

[laughs]

Shunt is in
the right position.

The bladder's
starting to decompress.

No infection.

[baby's heartbeat]

Did House say
anything else?

About us?

I thought you didn't care
about his reaction.

Trying to make him jealous?

I like my job.

He can't fire you
just because we're together.

We're not together, and House
can do whatever he wants.

[heavy breathing]

How's my baby?

Doing just fine, Emma.
So are you.

My stomach is killing me.

That's not her stomach.

Can you open
your eyes, Emma?

I just need to take
a look.

What is it?

Emma's jaundiced.

Her liver's shutting down.

[sighs]

Figures.

I just booked my trip
to Johnston Strait.

I thought you were climbing
mount whatever in Argentina.

Apparently I'd have to live
with the Mocovi Indians

for 20 years before they'd
consider me an elder.

Decided to go kayaking
with orca instead.

No legs required.

Can't leave yet.

Liver failure puts her case
back in the unsolved pile.

Increased AST, ALT,

and her bilirubin's
off the charts.

Even fetuses lie.

We diagnosed a lower
urinary tract obstruction

because we saw one.

What if that's
not the whole story?

What if the little bugger
is hiding something?

Real reason
for the mirror syndrome.

Have we looked under its bed?

Have we checked
its diary?

If it's not GU,
it could be the heart.

Hypoplastic left heart syndrome.

There were
no structural problems.

Lungs.

We won't be able to get
a good look until they develop.

It'll be weeks.
He's not gonna last weeks.

What do you wanna do?

Maternal mirror syndrome

has one surefire cure.

Deliver the fetus.

That's not viable at 21 weeks.

You'll kill the baby.

Fetus.

Semantics make you
feel better?

Pretend it's not a person?

Can it play catch?
Can it eat?

Can it take pretty pictures?

Who wants to tell her?

(House)
The swollen bladder
was not the only problem.

We can't leave it inside you.

We have to terminate.

Well, can't you deliver him?

Put him
on a respiratory machine

till--till you figure out
what's wrong.

We can.

It won't matter.

The fetus is still
at least two weeks away

from being viable.

Oh, well,
I'll suffer through this

for two more weeks, then.

[labored breath]

You're on dialysis
for your kidneys.

Your kidneys can wait.

They don't make dialysis
for your liver.

You're not gonna make it
two more days.

I'm not gonna let you
kill my baby.

It's killing you.

I'm not having an abortion.

It's not a baby.

It's...a tumor.

I understand dying
for a cause,

sacrificing your life
so your child might live.

But that's
not the choice here.

Either it dies,
or you both die.

Or you fix him,
and we both live.

I can't fix it.

I'm scheduling a D and C.

I won't consent.

So I guess you have
two days to figure it out.

Her kidneys are
almost irreparable.

She's developed severe DIC.

You have to force her
to terminate.

Did you give corticosteroids

to speed
the baby's lung development?

No, I dropped an anvil
on its chest

to prevent lung development.

I'm trying to extinguish
the human race

one fetus at a time.

Give the lungs more time
to expand

so you can see inside them,
see if they're the problem.

My real patient is dying.

Very quickly.

Like, I wouldn't advise her
to buy any green bananas.

The fetus is nothing more
than a parasite at this point.

Removing it
is an instant cure.

You're not gonna get Emma
to see it that way.

She's probably
already named the baby.

Read him books,
had conversations with him.

You get it.

She'll listen to you.

No.

You let this woman
refuse to terminate,

you're helping her
commit suicide.

As her doctor, my recommendation
is against suicide.

If the baby had a doctor,
I think she would recommend

exhausting all possibilities
before taking its life.

Then she'd be an idiot.

Too bad she's your boss.

What if our original assumption
is wrong?

It isn't.

If we assume she doesn't have
mirror syndrome,

then terminating her pregnancy

isn't gonna help her liver
at all.

We eliminated
all other possibilities.

The fetus is hydropic
and in distress.

Emma's kidneys
and liver are failing.

The diagnosis is solid.

(House)
Wow.

The ass-kisser
won't agree with you.

You must be even wronger
than I thought.

Fine.

Let's assume
she had mirror syndrome,

but we fixed it when
we fixed the baby's bladder.

That means
that her failing liver

would be
completely unrelated.

If it is,
we can fix it.

And we don't have
to terminate.

So her theory is that
our patient's liver problems

were just
a giant coincidence.

It's not
a surprising coincidence.

Pregnant women
can develop liver problems.

If this is the case,

we can
actually do something here.

Don't you guys think
that's worth exploring?

Acute fatty liver
of pregnancy

would have
the same symptoms.

Thank you.

Brown-noser.

Viral hepatitis,

HELLP syndrome.

Oh, look, sticking up
for your girlfriend.

Who says chivalry's dead?

He's not joking?

Be patient.

She's going
through all of us,

she'll get
that jungle fever eventually.

I'm not going through anyone.

You love him?

This can probably wait
until after

you biopsy
Emma's liver, right?

(Foreman)
We can't, her platelets
are too low.

Once we pierce her liver,

it'll be next to impossible
to stop the bleeding.

Come in from above.

Instead of going straight in
through her abdomen,

go in through the veins
in her neck.

Transjugular hepatic
biopsy.

If the liver
starts to bleed,

it'll bleed right back
into her own veins.

Why don't you start
your vacation now?

Threading the guide wire

through the right internal
jugular vein.

So...

The sleep lab?

You and Cameron
not sleeping.

How serious is it?

[sighing]
It's nothing.

She's only doing it
to make House jealous.

Then why are you doing it?

Are you kidding?

Approaching
the inferior vena cava.

Slow down.

[Foreman sighs]

You better not hurt her.

She already has
a big brother.

She does?

You obviously care
very deeply about her.

I'm not protecting her,
I'm protecting myself.

A heartbroken,
lovesick Cameron...

would be even more unbearable
than she is now.

You're
through the hepatic vein.

Firing the needle.

[alarm beeping]

Heart rate and BP spiking.

Get that out of her.

Fetus' heart rate
just dropped to 50.

We've got contractions.

Pre-term labor.

Start a terbutaline drip.

[door opens]

We were able to control
the pre-term labor

with tocolytics.

The contractions
have subsided for now.

And the liver biopsy
was negative.

This is definitely
mirror syndrome.

Her baby's doing this
to her.

We're out of options.

Did the biopsy cause
the pre-term labor

or did it happen
on its own?

It doesn't make
a difference.

Pre-term labor can be
a new symptom.

New information gives us
new theories.

Isn't that how it works?

Not in this case.

Her body's trying to do
what you refuse to.

Get the baby out
and save itself.

Patient's transaminases
are ten times normal.

Her liver's on the verge
of shutting down completely.

A torch test could--

We don't have time
for more tests.

We have to terminate
or she'll die.

Then let's work faster.

Medicine doesn't work faster
just because you hope real hard.

But it could help to see
what the baby's been hiding.

The only organ we haven't
been able to look inside

is its lungs.

The problem
must be in there.

We haven't been able
to see inside

because they're
underdeveloped.

We've already got her
on corticosteroids,

but it'll take weeks
for them--

Then let's drown them
in corticosteroids.

Multiple courses,
speed up their development.

Giving the baby
more than one course

will suppress
adrenal gland function.

Have long-term adverse effects
on fetal organ development.

Worse than death?

(Cameron)
Emma's already on tocolytics.

The combination
could put her

into pulmonary edema.

You'll just kill her faster.

It's the only chance
we have

to see inside those lungs.

We're just gonna have to make
the baby better

faster than we make Emma worse.

Come on, this is the kind
of thing House does every day!

House thought we should
terminate six hours ago.

I'll do it myself.

Anybody gonna stop her?

Stopping the madness
is her job.

Somebody's gotta be
Cuddy's Cuddy.

[labored breathing]

[alarm beeping]

Nurse!

Pulmonary edema?

Who tattled?
Doesn't matter.

There's a reason we don't give
multiple courses

of corticosteroids.

Gee, thanks.

It's time to terminate.

That's not what she wants.

Look at her.

She didn't want to be
an incubator for a dead baby,

but that's what you've done.

Either get me
a laryngoscope or get out.

You were right.

You were all right.

Now the mom's lungs
are shutting down.

She's dying faster
than the baby's lungs

are developing.

I had to stop
the corticosteroids.

Have you spoken
to the family?

The only family she's got
is that baby.

Well, he's biased.

What do you think
House would do?

House wants to terminate.

I mean if he didn't.

If he shared my position,
what do you think he would do?

He wouldn't share
your pain.

He'd be objective.

Right.

He would prioritize
his problems.

He'd terminate.

He wouldn't be afraid
of screwing

with her lungs
if there was a bigger issue.

There is no bigger issue.

She needs her lungs.

Not right now.

She's already
on a respirator.

The machine
is breathing for her.

I can do whatever I want
to her lungs.

If you're playing catch
in the living room

and you break
your mother's vase,

you may as well
keep playing catch.

The vase is already broken.

Yeah, except that room
can't breathe

without that vase.

I'm putting her back
on corticosteroids.

[sighs]

[knocking]

It worked.

What worked?

I got the baby's lungs
to expand.

We should be able--
Cab's on its way.

I have to finish packing.

I have a whole new appreciation
for what you do.

How hard it is to believe
when everyone around you

is telling you
that you're wrong.

Helps to know they're idiots.

Do you think I'm an idiot?

You're not objective.

But you're not an idiot.

These lungs are still
two weeks away

from being viable.

But big enough
for a diagnosis.

These tissue buds
are new.

Could indicate
bronchopulmonary sequestration

or diaphragmatic eventration.

I was thinking
bronchogenetic cyst

or bronchial atresia.

Could be lung lesions,
CCAM.

What about--

Move.

I thought you started
your vacation.

Somebody had to save
our boss' rotundus ass.

Latest MRI
of the Sloan fetus.

Small buds in the lungs
could indicate--

Thanks, got that multiple choice
all worked out.

Question is, how do we pick
between A, B, C, D

and none of the above?

Portable MRI's in her room.

We could get
a current image--

Fetal lungs are so tiny,
an MRI won't give us

the details we need.

What would we do
if this patient

were not just a tadpole?

Say it was
an actual person.

He...is a person.

Thanks for playing along.

Pretend it's
a one-pound adult.

Forget the mom,
forget the womb, the placenta.

How would we get
a better look

at what's in the lungs?

Transesophageal echo.

Can't access its esophagus.

High-resolution CT
could give us a clearer--

Too much radiation
for a one-pound person.

You can't just
shoot everything down, Chase.

You're not me.

Collaborate.

A ventilation perfusion scan
would be next.

How do we get a fetus to breathe
in a radioactive isotope?

Idiot.

If it were really a person

and we had no other options,
we'd do an exploratory surgery.

Cut into its chest
and have a look around.

Let's do that.

You're the one who insists
we treat it like a person.

I'll put it back
when I'm done.

Me again.

Your friendly
neighborhood belly-squirter.

We're gonna do
open fetal surgery.

We open the uterus,
cut out the fetus

so we can look around.

I know you can't talk,
so I need you

to look petrified
if you consent.

The umbilical cord
won't be cut.

During surgery, your body
will basically serve

as the baby's
heart-lung machine.

We find what's wrong

and we fix it.

If we can.

Don't lower expectations

if you want them
to do something.

She should know
what she's facing.

[baby's heartbeat]

This is incredibly dangerous.

It risks both your lives.

The only reason why
we're suggesting it

is because there's
nothing else we can do.

You all here
for the fetal surgery?

We are way
over capacity.

Mind each other's
personal space.

There are sharp implements
in the room.

Like this one.

(House)
Uterus is fully exposed.

And we're in.

Start draining
the amniotic fluid.

Have you never sucked beer
out the bottom of a keg?

Where'd you go to college?

Gimme that.

Affix the pulse ox
to the palm.

House.

Sorry.

I just realized I forgot
to TiVo Alien.

(Cuddy)
Fetal heart rate good,
stats are stable.

Position him
for the incision.

(fetal surgeon)
All right, I see three
well-defined lesions.

It's definitely CCAM.

I should be able
to resect them.

[monitor beeping]

It's the mom.
She's in V-fib.

Charging.

Clear!

I'm clear.

Looks like asystole, paddling's
not gonna do anything.

It's fine V-fib!
I'm going again.

Clear!

We're gonna lose them both.

Clamp.

The surgery's not doing this
to her, the fetus is.

Step away, House,
I'm going again.

The only way to save her
is to cut away the anchor

holding her down.

You keep going,
you're gonna get electrocuted.

(Cuddy)
Clear!

Going again.

Clear!

[monitor beeping normally]

Heart rate's
returning to normal.

Continue with the lobectomy.

So my kidneys, liver,
and lungs are all fine?

Just like that?

Just like that.

That's amazing.

What's amazing is how blond
your baby's hair is.

[laughs softly]

My baby?

You know,
the thing in your belly

that tried to kill you.

You've never called him
a baby before.

Any pain?

Nothing I can't deal with.

You can only get out of bed
to pee, poo, or shower.

And absolutely no sex,

so stop flirting with me.

Sorry.

So this really worked?

He'll be...normal?

Um...

If you call
being born twice normal.

Hey, thank you.

Don't thank me.

[soft laugh]

I woulda killed the kid.

Wanna grab a bite?

In a minute.

Emma asked me
to bring up her camera.

I'll walk you.

When'd she take
this picture of you?

You look so...

I'm smiling.

I have a nice smile.

No, I've never seen you
like this.

She got you to...

glow.

What were you doing?

What'd she say to you?

I always glow.

House.

Need you to take a look
at something.

I'm off the clock.

Just open it.

First class ticket
to Vancouver Island.

Shoot!
It's the wrong envelope.

[laughs]

I think it's great.

Yeah?

Who doesn't like Canadians?

It's big.

You're--you're
trying to have a life.

You're trying to enjoy
yourself.

You didn't need
to apologize.

I'm not, I told you
why I'm--

You screwed up.

I saved a life.
I saved two lives.

You let
your maternal instinct

get the best of you
and nearly killed two people.

Case like this,
you terminate,

mom lives
10 times out of 10.

You do what you did,
mom and baby both die

9.9 times out of 10.

Sometimes .1 is bigger
than 9.9.

No, it's smaller.

Exactly 9.8 smaller.

Always is,
always will be.

Well, not for Emma.

And not for her son.

Now go away.

And be happy.

[Lucinda Williams'
Are You Alright?]

*

* Are you alright?

* All of a sudden
you went away *

* Are you alright?

* I hope you come back around
some day *

* Are you alright?

* I haven't seen you
in a real long time *

* Are you alright?

* Could you give me
some kind of sign? *

* Are you alright?

* Are you sleeping
through the night? *

* Do you have someone
to hold you tight? *

* Do you have someone
to hang out with? *

* Do you have someone
to hug and kiss you? *

* Hug and kiss you

* Hug and kiss you

* Are you alright?

*

[baby fussing]

* Hey *

Captioning by Elizabeth
at CaptionMax
www.captionmax.com