No Child Should Go Through This Part 2 | MD TV

[00:00:01]Okay, boys and girls. Uh, guess what kind of animal Wacky Benny's making now?

[00:00:06]It's going to be a big hint.

[00:00:16]>> Is it a dead animal?

[00:00:20]>> I say we put him out of his misery and bring out Emma's cake.

[00:00:24]>> He's so new to this. How's he going to learn if we stop his act? You're a sucky clown.

[00:00:29]>> You're a super duper audience.

[00:00:36]>> Hey, that is not okay. Hey, keep your hands off my son. Tell me your hands off me.

[00:00:50]I can't move my arm leg.

[00:00:53]This will calm your immune system.

[00:00:55]should be out of here within the week.

[00:00:58]>> Mom will be happy to hear that. Got an internship that starts in 3 weeks.

[00:01:03]>> I take it it's not at a place with a big top. It's in my stepdad's law office.

[00:01:10]I know I'm not any good at being a clown yet, but when I do get a laugh, see those kids eyes light up. That's how my dad made me feel when I was a kid.

[00:01:23]You need to hang on to that.

[00:01:27]>> My mom says he was a loving father, but always broke and always on the road.

[00:01:35]This is stupid way to make a living.

[00:01:38]>> You're 16. Plenty of time to make money.

[00:01:42]Wanting to build a connection with your dad, pass on some of the joy that he gave you. That's not stupid at all.

[00:01:53]I got it.

[00:02:00]Is uh is this because of the medication?

[00:02:03]Is it normal?

[00:02:10]>> It's not normal and it's not sugars.

[00:02:16]>> Dr. Park is searching the registry.

[00:02:17]Transfusing his platelets will keep him healthy while we wait. You sure there's no one on the father's side of the family? If one of them's a match, that'd speed things up a lot.

[00:02:25]>> His parents died young. He was an only child. Has no living relatives that I know of.

[00:02:30]>> Something will turn up soon.

[00:02:31]>> How soon is soon when they miss a lot of school?

[00:02:33]>> I'm actually thinking of just getting my GED.

[00:02:37]>> How do you expect to get into a good college?

[00:02:39]>> I'm going to take classes on magic juggling. Try to make a go of this.

[00:02:43]>> Ben, you keep your grades up. You can do anything in the world.

[00:02:46]>> Like what? Work in some boring office? I mean, do do you think my father would have done that for 10 minutes?

[00:02:51]>> You don't remember your father. You don't know.

[00:02:53]>> I want to build a connection with him.

[00:02:56]Pass on some of the the joy that he gave me.

[00:03:02]My uh my my back hurts. Uh he's dropping.

[00:03:10]>> You have to go see him yourself. He wouldn't even come to the door a second time.

[00:03:15]>> Okay, I'll drive over there.

[00:03:28]It's a plural eusion.

[00:03:29]>> Had a bleeding problem earlier. Must be bleeding into his lungs.

[00:03:49]Except there's no blood. What does that mean?

[00:03:51]>> Means you don't have to make that drive.

[00:03:52]The problem isn't his marrow. It's his liver.

[00:03:58]>> I can't believe I have cancer.

[00:04:00]>> We caught it early. You should be okay.

[00:04:04]>> I could die. I never went anywhere, did anything. If my father had lived, everything would have been different.

[00:04:12]Your mom and stepdad love you. They've given you a great home. That counts for a lot.

[00:04:21]>> He's crashing. Everything's shutting down.

[00:04:30]>> Renal failure, lung failure, heart failure. All before we start a chemo.

[00:04:34]>> Burkits lymphoma is fast moving but not this fast.

[00:04:40]No rush. ICU stands for take your time in Latin.

[00:04:45]>> Multiple aneurysms.

[00:04:47]>> That would mean that every symptom after his TIA was a coincidence.

[00:04:50]>> Cholesterol embley.

[00:04:51]>> Bingo. Fits perfectly. Check the file.

[00:04:54]Confirmed that we did major abdominal surgery on him, then completely forgot about it.

[00:05:00]>> House.

[00:05:05]>> Hello.

[00:05:08]What the hell are you doing here?

[00:05:09]>> I was told this might be my last chance to see my son.

[00:05:12]>> You had no right. This is none of your business.

[00:05:14]>> I didn't.

[00:05:15]>> I called him.

[00:05:17]>> This man's Ben's hero. Let him spend 5 minutes together.

[00:05:22]>> No. Get out of here.

[00:05:30]>> Wait.

[00:05:37]You sexually molested your son. Your walk tabalis have latestage syphilis which you gave to our patient presumably 12 years ago which also explains why mom is big on family reunions.

[00:05:54]>> I shouldn't be here.

[00:06:04]We tested him for syphilis. He was negative.

[00:06:07]>> After 12 years, the active infection would have died down everywhere except the arteries in his brain where it could hide out from our tests. When that six-year-old heckler punched him in his juggling pins, kicked up the dormant bacteria in his pelvis. The imunosuppressants we gave him sent into overdrive. The antibiotics we gave him actually started destroying the syphilis like pouring water on a fire led to a trail of toxic smoke and ash made his immune system overcompensate. Severe Garish Herxheimer reaction.

[00:06:38]>> Is this true?

[00:06:39]>> Yes, Jerish Herxheimer is real. It sounds silly, but Oh, you mean the the the right I found stains on his clothes.

[00:06:56]He didn't understand and he didn't seem traumatized.

[00:07:01]I kept trying to talk to him, but before long he'd forgotten and he seemed he seemed happy and he seemed normal.

[00:07:10]>> So, you made daddy go away and you made sure Junior had no reason to go looking.

[00:07:15]>> Was just trying to protect him like I should have done from the start.

[00:07:23]Sorry.

[00:07:27]I need penicellin and any TNF antibodies. You'll be fine. Apart from the whole daddy rape thing.

[00:07:44]What was What was wrong with me?

[00:07:48]It's called syphilis.

[00:07:53]You can you can get that without me.

[00:07:55]Sex.

[00:08:08]>> I didn't tell him.

[00:08:13]Your heart said he needed to know. Your brain knew he's better off without it.

[00:08:19]Following your heart is easy. Following your brain is tough, especially after years of following that much smaller third organ.

[00:08:28]That's why all parents screw up all children.

[00:08:35]>> Dr. H said incoming times three. 1 2 and three are all open. Desmond >> 15year-old male extremely combative.

[00:08:41]Trashed our amble on the ride over.

[00:08:43]>> I'll kill you. I'll kill you.

[00:08:45]>> No way to get vitals. Managed to stick them with five of but no effect. Looks like PCP maybe got two more in the ammo behind ours.

[00:08:52]>> T of hell though. I am the other two like this. I >> think they all took the same thing.

[00:08:56]>> All right, >> they're here.

[00:09:00]Wheeler's there with them. Clark with me.

[00:09:01]>> Okay, watch this. Got him.

[00:09:05]>> Easing night. She jinxed it.

[00:09:07]>> Says >> 15year-old boy. He sees on the right over but responded well to five of her side. I am. We intubated in route.

[00:09:13]>> All right. ABC's check the tube placement. Get a quick exam. Add a van drip. Then send him for head CT. Got it.

[00:09:18]>> Hey, push the line. You're going back.

[00:09:20]>> Courtney, >> give her five adverse set in the ambo, but didn't stop the ceasing. Have her on oxygen, but couldn't give her much else.

[00:09:27]>> All right, Maggie. CBC, CMP, and blood gas on all three. Send blood and urine for a talk screen. Copy that. On my count. 1 2 3.

[00:09:36]Let's get an IV in and an NPA.

[00:09:38]>> Yes, doctor.

[00:09:39]>> All right. I need an AT on it. Need an NG tube.

[00:09:43]>> All right.

[00:09:45]90 over 60. heart rate.

[00:09:49]>> Okay, let's move.

[00:09:50]>> Okay, here we go.

[00:09:51]>> She's protecting her airway.

[00:09:57]>> Thank you.

[00:09:59]>> Yay, we're in.

[00:10:01]>> Sat of 97%.

[00:10:02]>> All right, let's take advantage of her postal state and get her head scan. Hey, bring Adavan with you.

[00:10:08]>> Mhm.

[00:10:12]>> Watch back.

[00:10:14]>> Look alive, Dr. the hallstead.

[00:10:17]>> It's a broad presentation. Are we sure they all the same thing until we get talk screens? Who knows?

[00:10:25]>> Hi, I'm Dr. Wheeler. Do you know where you are?

[00:10:30]>> Do you understand?

[00:10:33]Can you tell me how you got >> help?

[00:10:40]Grab him.

[00:10:42]>> Get away.

[00:10:42]>> I got you. 5% 10. Hell no. Got it.

[00:10:46]>> I'll kill you.

[00:10:50]>> Get the restraints back on this kid.

[00:10:52]>> What's wrong with him?

[00:10:54]>> Deliryan can sometimes be a sign of kidney failure. Happens with these drugs.

[00:10:58]>> The kid's parents are on the way in.

[00:11:00]>> There's nothing good to tell them.

[00:11:06]>> Hey, sorry to call you back in.

[00:11:07]>> No, I'm fine. Tate's not though.

[00:11:10]>> Oh, >> girl, my work is a problem for him. I really thought we were past it, but he won't let it go.

[00:11:16]>> Well, every couple's got stuff they got to deal with. You're needing two.

[00:11:20]>> No way I'm going to stop working.

[00:11:25]>> Mom, Dad, I'm sorry.

[00:11:29]>> Rudy, >> B1 is 130. Creatin is six.

[00:11:33]>> Look at his output.

[00:11:36]>> Renal failure.

[00:11:38]>> I'm afraid Rudy is going to need emergency dialysis.

[00:11:43]had a temporary dialysis catheter in his left subquavia.

[00:11:46]>> Okay.

[00:11:48]>> Um I'm sorry, folks. We're going to need you to wait outside.

[00:11:54]>> Thank you, April.

[00:11:55]>> Yes.

[00:12:02]>> Are you in?

[00:12:03]>> No.

[00:12:06]>> Must have hit the lung. Numothorax.

[00:12:07]Let's get a chest X-ray.

[00:12:09]>> Oh no.

[00:12:11]M.

[00:12:15]Let's see if this lung is down.

[00:12:24]>> Yep, it is.

[00:12:25]>> Okay, now I'll do the line.

[00:12:28]>> I don't know what happened.

[00:12:29]>> Coup chest, too.

[00:12:31]>> Really? I thought I had it.

[00:12:33]>> Hey, it happens. The lung will be fine.

[00:12:35]You'll get it.

[00:12:41]How's my son? Well, >> Dr. Holston will give you an update.

[00:12:51]>> Well, the boy stopped seizing, but he's got cerebral edema.

[00:12:55]>> Rick, that's his name.

[00:12:58]>> Hopefully, Manitol will bring it down.

[00:13:01]When Rick wakes, if he wakes, we'll do cognitive tests. But I'll tell you, he's going to have deficits. deficits.

[00:13:09]>> Yeah, like walking, talking, bladder, and bowel control.

[00:13:12]>> And the girl, Janet, >> EEG shows she continues to have subclinical seizures. We had to put her in a barbituary coma. Possible she doesn't wake up.

[00:13:19]>> Never wakes up. Renal failure, deficits, coma, wheeler, just kid, >> what's the matter with you?

[00:13:32]Wheeler, are you drunk? Their lives are over. Hey, are you drunk?

[00:13:38]>> ED Heat. Heat.

[00:14:35]Show the ride.

[00:14:38]Emily, Emily, where are you?

[00:14:52]Emily, Emily, Emily, where are you? Honey, help me.

[00:15:10]Six-year-old with a nose bleed and breathing problems. She was born with a rare mutation of 18. Emily has a unique variant on both of her ATM genes. Her disorder mimics AT, but not all of the symptoms.

[00:15:22]>> This is Dr. Elizabeth Lawson. She's a developmental geneticist attached to JHU and an expert on the girl's condition.

[00:15:29]>> Elizabeth Lawson. Emily Lawson.

[00:15:33]>> I'm here as a doctor, not a mother.

[00:15:41]Nose bleeds and breathing problems are common symptoms of atexia indentasia.

[00:15:46]>> You could just be seeing the natural progression.

[00:15:47]>> It's not at patients have a life expectancy of 20 years. Emily is only six. It's something else.

[00:15:53]I examined her lungs 2 days ago. They're functioning normally.

[00:15:56]>> Says she fell off a carousel. Head trauma.

[00:15:58]>> The diagnosis was easy. I wouldn't need you people.

[00:16:04]>> I'm here because according to Eric, you're the best. We are.

[00:16:08]>> Have you considered Wagner's granular mattosis?

[00:16:14]>> It's a good fit.

[00:16:17]>> But she can't have x-rays. At makes her hyper sensitive to ionizing radiation.

[00:16:20]I'll get her prepped for an MRI.

[00:16:26]>> She knows more about our daughter's genetic condition than any of you.

[00:16:30]She'll be an asset.

[00:16:32]>> Or she won't. Eric, >> this isn't a request. Use her.

[00:16:39]>> How you feeling in there, Emily?

[00:16:40]>> Good, I guess.

[00:16:42]>> Something wrong?

[00:16:45]>> I was only pretending, obviously.

[00:16:49]You think that's dishonest?

[00:16:52]>> Uh, that's a >> My daughters do that, too. But they know that sometimes when it seems like mommy and daddy are fighting, it's really only because they're worried about you.

[00:17:04]And >> and does your wife ever want a divorce?

[00:17:10]>> No. Everything's fine at home. Hold still now. No more talking.

[00:17:18]>> What do you think of her mother? She called her daughter the patient.

[00:17:23]>> If my kids were born with an expiration date, >> I don't Help.

[00:17:34]Help.

[00:17:36]>> Where does it hurt?

[00:17:37]>> I want my daddy. Where's my daddy?

[00:17:40]Help.

[00:17:47]>> Kidney number one looks good, which means we'll probably take the biopsy from two.

[00:17:54]Hey, you're doing great. Brave as always.

[00:17:58]Pretty cool, eh? Want to try?

[00:18:08]>> What's wrong?

[00:18:11]>> My chest hurts.

[00:18:16]>> Definitely not her kidneys.

[00:18:23]>> Kidneys are fine. I don't think we're looking at side effects from the Lex 2.

[00:18:27]She's prone to respiratory infection, pneumonia. No persistent cough, chills, or excess sweating.

[00:18:31]>> What about a pulmonary embolism?

[00:18:32]>> If it's coughing up blood, but a clot from what?

[00:18:35]>> Bruising from when she fell off the carousel. Contusion damages a deep vein, causes a clot. Piece breaks off, travels to her lungs.

[00:18:42]>> We need to get her on Hepin now. Another embolism could cause a heart attack or a stroke.

[00:18:49]>> What's wrong? Is it Emily?

[00:18:52]>> Sort of.

[00:18:54]>> You can't do this. I'm taking her to Mercy.

[00:18:57]>> Everything you people have done has just made her worse.

[00:18:59]>> You don't have the right. We have joint custody.

[00:19:01]>> Where was my right when you're treating our daughter like a labyrat?

[00:19:03]>> She'd be dead if I hadn't.

[00:19:05]>> Stop it.

[00:19:07]>> Your daughter deserves better than this.

[00:19:12]>> It's okay, sweetie.

[00:19:15]>> Mommy and I are just going to talk.

[00:19:17]Okay. Want >> to get some candy?

[00:19:37]I think it's lime.

[00:19:39]>> I would have seen signs of that. Not if the X2 was keeping it in check.

[00:19:44]>> Well, we live in the city. We don't have pets. She's never even been in the woods.

[00:19:48]>> Yes, I have.

[00:19:51]with daddy.

[00:19:56]>> I should have told you, but I know how you feel about it. I grew up hunting with my dad. I wanted to share it with my daughter at least once.

[00:20:03]>> We only took pictures. You don't need to be mad.

[00:20:06]>> Maybe we should step outside.

[00:20:08]>> No, we can't protect her from everything.

[00:20:16]>> I assume you'll need a lumbar puncture to confirm.

[00:20:24]Do you think my parents will get back together?

[00:20:31]>> I don't know.

[00:20:33]I'm sure they love each other, but >> they only fight about me.

[00:20:37]>> That's because they care so much.

[00:20:40]>> So maybe when I die, we'll get back together.

[00:20:51]Emily, what's wrong?

[00:20:54]>> I can't move my arm.

[00:21:04]>> Keep your arms up for me.

[00:21:06]>> What's happening to her?

[00:21:07]>> She's having a stroke.

[00:21:12]A primary heart tumor. The swinging motion of the mixoma intermittently blocked the flow of blood through the right atrium. Inflow blockage stagnated the hpatic vein which clotted and caused liver failure. Outflow blockage caused the ray nose phenomenon and stroke.

[00:21:25]Pieces of the tumor broke off and lodged in the lungs causing Emily's breathing problems and the coughing blood. We'll remove the tumor surgically and hopefully the biopsy reveals it's benign.

[00:21:42]The tumor was benign >> and we were able to remove all of it.

[00:21:46]>> Does this mean I'm not sick anymore?

[00:21:51]>> No, honey.

[00:21:54]The tumor didn't cause your genetic condition.

[00:21:59]You're still sick.

[00:22:01]>> We never let that stop us before, right?

[00:22:06]>> So, what do you want to do when we get out of here? You've been to the aquarium. It's pretty cool.

[00:22:10]>> Can we go, Daddy?

[00:22:13]>> You bet.

[00:22:14]>> Me, too.

[00:22:16]>> Can she come with us?

[00:22:20]>> You know, mommy never has to ask.

[00:22:23]>> Have you talked to House? It's 6:00 a.m.

[00:22:25]He won't be in for a few hours.

[00:22:27]>> I keep a roll of quarters in the car. I just turned in my log and guess what I saw? There's an opening in the diagnostics department.

[00:22:34]>> House once an intern. He's never had one before.

[00:22:38]>> You got to figure he doesn't want an intern. He wants you.

[00:22:46]>> Our patient is Kendall Pearson.

[00:22:49]16-year-old aspiring pirate.

[00:22:51]>> She's a Canadian kid who's trying to be the youngest person we saw around the world.

[00:22:53]>> She collapsed yesterday during a practice run. Luckily for us, cameras were there. Corporate sponsors want us to check that she's seaworthy before the clock strikes. You're too old to set a record. gives us three days. You've still only got one, right?

[00:23:09]>> Uh, last day as a student. Could be simple dehydration. She told the Coast Guard she had felt dizzy.

[00:23:17]>> Paul and BP were normal at the time of the rescue. It's not dehydration.

[00:23:22]What about your internship?

[00:23:24]>> You signed up this morning?

[00:23:26]>> Actually, I'm still deciding.

[00:23:29]Uh, maybe she had a seizure and that's what caused her collapse. This Coast Guard reports there's no sign of head trauma.

[00:23:35]>> Uh, what about her back? Look, right before the collapse, she had the small of her back on the railing. Damaged adrenal glands caused adrenal insufficiencies which caused the collapse.

[00:23:46]>> Nice blood draws every 15 minutes for 4 hours. Let's track our cortisol.

[00:23:51]>> Masters, there's no hurry.

[00:23:54]>> There's no wrong choices. At least that's what they tell people who make crappy choices.

[00:23:58]>> What's with the sudden interest in a future? You know, a blacksmith who spends this much time hammering out a new blade from raw jello. It's curious about who ends up wielding it.

[00:24:08]>> No reason to be curious unless you're interested in wielding it yourself. You want her to intern here.

[00:24:14]>> And you're considering this?

[00:24:16]>> Before I make my decision, I still have one more LP I need to get. Um, so I'd like to go to the ER.

[00:24:28]>> 13. Why should you take masters to do the blood draws? You can remind her about all the perks of working for me.

[00:24:40]>> You want the job or not?

[00:24:41]>> Um, I after careful consideration, I have decided to accept your offer for an internship.

[00:24:50]>> Great. My department has a slightly different procedure log.

[00:24:56]>> Uh, you forged the last one. Um, I only did nine LPs. Do you know how to do an LP?

[00:25:01]>> Of course.

[00:25:01]>> Do you know how to do nine LPs and say it was 10?

[00:25:06]>> It's time to grow up. Turn that in.

[00:25:08]Job's yours.

[00:25:13]>> Stop staring blankly and go. No doubt something horrible has just happened to our patient.

[00:25:26]Do you happen to stop and give 13 an LP?

[00:25:31]13 stiff gate, small pupils, and the raging headache she's hiding gave you away.

[00:25:37]>> Yes. And I still broke a rule.

[00:25:40]>> My rule? Told you to defy the man, not this man.

[00:25:44]>> Why is it so wrong that I don't like to cheat?

[00:25:48]>> Can we go?

[00:25:49]>> No. Not liking it is fine. Not doing what you don't like makes you an 8-year-old. Waste your potential.

[00:25:55]>> You want me to be like you? It's not going to happen.

[00:25:57]>> It's the last thing I want. Cuz then neither one of us would be exceptional.

[00:26:03]>> You think I'm exceptional?

[00:26:04]>> Not anymore.

[00:26:07]>> I can do my job without compromising.

[00:26:10]>> No, you can't. I'm not going to let you.

[00:26:13]Internship's gone.

[00:26:16]It's time for masters to say goodbye.

[00:26:19]Enjoy being a surgeon. You'll be fine.

[00:26:25]>> Can someone take the retractors for me?

[00:26:27]>> Not really.

[00:26:28]>> I have to use the bathroom.

[00:26:29]>> I know you're a rookie, but you got to be kidding.

[00:26:31]>> I'm not.

[00:26:32]>> You can wait.

[00:26:35]>> I'm going to have an accident.

[00:26:37]>> Next one in line. Grab it.

[00:26:47]>> What's wrong? Hypotension, low cardiac output, float the swan.

[00:26:50]>> Don't you have your own surgery?

[00:26:53]>> I I took a break. I I told them I had to pee.

[00:26:57]>> Lie.

[00:26:59]>> Small one, but it's a gateway lie.

[00:27:01]>> I care about the patient.

[00:27:03]>> Another lie. You care about being exceptional.

[00:27:05]>> I told her dad I was going to take care of her.

[00:27:07]>> A third lie.

[00:27:10]Welcome to the slippery slope.

[00:27:11]>> RA is eight. Equalization of pressures.

[00:27:14]>> And she has restrictive pericarditis.

[00:27:16]Add that to a calcified pineal gland.

[00:27:18]>> When is a calcified pineal gland not a calcified pineal gland? I realize technically it's never, but >> when it's a granuloma, it's Wgner. We should start her on steroids.

[00:27:27]>> But she had a high CK. Wgner wouldn't explain that >> dehydration does.

[00:27:31]>> Yes, but the calcified pineal could be saridosis.

[00:27:36]>> You had me and I had to pee. But 13's right. Start her on three-fold imunosuppressants.

[00:27:42]Masters, if you want to fight me on this, fill out a consult form so you can stick around.

[00:27:47]>> Welcome back.

[00:27:48]>> I'm not back.

[00:27:50]I'll just be staying for this case.

[00:27:57]>> Pretty cardic arrest. Third degree hard block.

[00:28:00]>> Likely paranoia plastic syndrome.

[00:28:01]Medicated to the O pacemaker of plasma feresis.

[00:28:09]>> What's going on? The cancer is causing her heart to slow down. We have to get her to the O and treat her. This is what I was worried about. If this had happened at sea, she would be dead.

[00:28:18]>> Oh my god.

[00:28:20]>> We need you to sign the consent form.

[00:28:23]Authorize us to amputate her arm.

[00:28:44]Subclavian access established. Temporary pacer ready.

[00:28:47]>> Don't need it. Push calcium chloride.

[00:28:49]It'll fix the heart block.

[00:28:52]Bradic cardio was me.

[00:28:55]>> You did this.

[00:28:57]>> Parent signed the consent form.

[00:29:01]Amputator arm.

[00:29:17]You had a cardiac episode that required us to bring you into the O. That crisis resolved. But what did you do? What did you do?

[00:29:25]>> During surgery, we found cancer in a lymph node in your neck.

[00:29:28]>> So, you cut off my arm?

[00:29:30]>> Cancer was already spreading. It had to be done.

[00:29:32]>> I told you I didn't want this. If we had waited until after the sale was over, you would have died.

[00:29:39]>> That record, that was everything.

[00:29:42]>> It wasn't everything. You have a life, a future.

[00:29:46]>> You weren't supposed to do this. How could you?

[00:29:48]>> Because we love you.

[00:29:51]>> I hate you. I hate both of you.

[00:29:55]>> Okay.

[00:30:05]My