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wesley: yard work in heels, huh? heather: (nervously deflecting) what? these are citizen cargos, they're totally cas'. wesley: (suspicious) wait a minute. what's today? all: leaf-blowing day! hot neighbor: heeeey. all: heeeeey. hot neighbor: nice cargos ladies. eva: wait, what did he say? heather: who cares? amy: oops. i think you missed one. wesley: well, i hope you're a leg man. anncr: this week, citizen cargos 22 dollars, kids 15, at your neighborhood old navy.

rreparable. 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. your rates don't have to go up just because of an accident. here's the truth: not if you get allstate accident forgiveness. it starts the day you sign up. dollar for dollar, nobody protects you like allstate.

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 with 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