1 00:00:05,273 --> 00:00:06,474 You're smiling. 2 00:00:08,076 --> 00:00:09,443 - Why? - Well... 3 00:00:10,578 --> 00:00:12,946 That is your menstrual cycle. 4 00:00:13,081 --> 00:00:15,416 It's been a year since we lost the baby, 5 00:00:15,549 --> 00:00:18,186 and I finished my anti-coagulants. 6 00:00:18,319 --> 00:00:19,287 Which means... 7 00:00:19,420 --> 00:00:21,555 We can try to conceive again. 8 00:00:21,689 --> 00:00:24,192 Mm-hmm. I have an appointment with Dr. Winkler today. 9 00:00:24,325 --> 00:00:26,760 - If she gives us the go-ahead-- - A year was the minimum. 10 00:00:27,495 --> 00:00:29,029 Good vibes, Shaun. 11 00:00:29,163 --> 00:00:31,599 Send good vibes into the universe, 12 00:00:31,732 --> 00:00:32,966 good things come back. 13 00:00:33,767 --> 00:00:35,169 Vibe with me, babe. 14 00:00:35,303 --> 00:00:38,906 I would very much like to have a baby with Lea! 15 00:00:39,039 --> 00:00:40,541 - [laughs] - Okay. 16 00:00:40,674 --> 00:00:42,410 Well, get ready to make one. 17 00:00:42,543 --> 00:00:44,978 Okay. We are going to make a baby. 18 00:00:45,113 --> 00:00:47,481 Yeah. Mm. 19 00:00:49,483 --> 00:00:52,019 - Mm. - Oh. 20 00:00:52,153 --> 00:00:54,955 I have 23 minutes until I need to leave for work. 21 00:00:59,960 --> 00:01:02,530 Should we save your swimmy guys until I ovulate? 22 00:01:02,663 --> 00:01:04,632 Oh, recent research demonstrated 23 00:01:04,765 --> 00:01:06,834 frequent ejaculation improves sperm motility. 24 00:01:06,967 --> 00:01:08,936 Oh! [laughs] In that case... 25 00:01:09,069 --> 00:01:10,571 [both laugh] 26 00:01:10,704 --> 00:01:11,839 [Shaun] Oh, yeah. 27 00:01:11,972 --> 00:01:13,941 [happy music playing] 28 00:01:16,177 --> 00:01:16,910 [elevator bell dings] 29 00:01:18,446 --> 00:01:20,614 We can talk about it. Okay? Thanks so much. 30 00:01:26,120 --> 00:01:27,355 Isabel. 31 00:01:30,724 --> 00:01:31,525 What are you doing here? 32 00:01:32,793 --> 00:01:36,364 Gena Cooper. Pregnant with sextuplets. 33 00:01:36,497 --> 00:01:38,432 That's what all my calls and texts were about. 34 00:01:38,566 --> 00:01:41,569 So you would already know if you'd answered. 35 00:01:41,702 --> 00:01:43,804 [gentle music playing] 36 00:01:54,915 --> 00:01:58,419 You show up, ask me for a consult, like you're any other doctor? 37 00:01:58,552 --> 00:02:02,623 Whatever the appropriate approach is for ex-wives, tell me, and I'll take it. 38 00:02:04,425 --> 00:02:06,227 Couple couldn't conceive, so I prescribed clomiphene. 39 00:02:08,262 --> 00:02:10,731 Six babies just after one round. 40 00:02:10,864 --> 00:02:12,933 - They won the lottery. - Or lost. 41 00:02:13,066 --> 00:02:14,568 Two require immediate surgical intervention. 42 00:02:14,702 --> 00:02:17,037 At least. Know any surgeons? 43 00:02:22,042 --> 00:02:24,945 Marcus, this family needs your help. 44 00:02:25,078 --> 00:02:26,447 If needed, I will step off the case 45 00:02:26,580 --> 00:02:28,349 and I will find them another OB. 46 00:02:33,787 --> 00:02:34,588 Stay. 47 00:02:37,991 --> 00:02:40,093 It wouldn't be fair to the patient. 48 00:02:40,228 --> 00:02:41,462 [file thuds] 49 00:02:44,265 --> 00:02:46,967 Each of your babies gets their own dedicated team of doctors. 50 00:02:47,100 --> 00:02:49,703 Now, since all of the babies will be under two pounds at birth, 51 00:02:49,837 --> 00:02:52,139 they will all need a lot of care, attention, 52 00:02:52,273 --> 00:02:55,476 and time in our NICU, maturing those lungs. 53 00:02:55,609 --> 00:02:58,078 Once they're feeling strong enough to make some demands, 54 00:02:59,913 --> 00:03:01,048 you'll hear that beautiful cry. 55 00:03:01,949 --> 00:03:04,017 A baby crying is a good thing. 56 00:03:04,151 --> 00:03:05,686 It lets us know the baby's healthy. 57 00:03:05,819 --> 00:03:07,655 And that's when we name them, 58 00:03:07,788 --> 00:03:09,323 once they've cried and we know they're okay. 59 00:03:09,457 --> 00:03:12,626 I wish they could stay inside Mom longer and get bigger. 60 00:03:13,794 --> 00:03:16,497 Baby F's airway mass is already causing 61 00:03:16,630 --> 00:03:18,799 severe narrowing of the trachea, 62 00:03:18,932 --> 00:03:20,368 and her lungs aren't developing properly. 63 00:03:20,501 --> 00:03:22,703 A few more days, and her heart could fail. 64 00:03:22,836 --> 00:03:25,038 - So we deliver today. - Yes. 65 00:03:25,172 --> 00:03:27,040 - [Dr. Andrews] Everyone ready? - [monitor beeping] 66 00:03:27,174 --> 00:03:29,009 [suspenseful music playing] 67 00:03:32,880 --> 00:03:36,584 Baby A through Baby E will all be born in under three minutes. 68 00:03:36,717 --> 00:03:39,219 - [Isabel] Baby A. - [baby cooing] 69 00:03:39,353 --> 00:03:40,954 [Dr. Andrews] At birth, they'll each be given an Apgar score 70 00:03:41,088 --> 00:03:43,457 to let us know how they are doing. 71 00:03:43,591 --> 00:03:45,993 Seven or above is reassuring. 72 00:03:46,126 --> 00:03:47,328 [Asher] It's a girl. 73 00:03:49,597 --> 00:03:50,864 [Isabel] Baby B. 74 00:03:50,998 --> 00:03:52,366 [Dr. Andrews] All right. Hello. 75 00:03:54,968 --> 00:03:56,870 [Asher] Baby A, Apgar 7. 76 00:04:00,508 --> 00:04:01,842 [Dr. Reznick] It's a boy. 77 00:04:02,810 --> 00:04:04,778 [Isabel] Surprise. Mono-di. 78 00:04:04,912 --> 00:04:07,515 B and C share the same placenta. 79 00:04:07,648 --> 00:04:08,682 Very rare. Identical twins. 80 00:04:10,684 --> 00:04:12,085 [Dr. Park] Another boy, obviously. 81 00:04:12,219 --> 00:04:13,587 [Dr. Reznick] Baby B, Apgar 5. 82 00:04:16,724 --> 00:04:17,891 [Dr. Park] Baby C, Apgar 4. 83 00:04:20,328 --> 00:04:21,161 [Isabel] Baby D. 84 00:04:29,803 --> 00:04:32,373 [Shaun] It's... a boy. 85 00:04:37,077 --> 00:04:38,412 [Isabel] Baby E. 86 00:04:38,546 --> 00:04:39,713 [Perez] Baby D, Apgar 6. 87 00:04:48,556 --> 00:04:49,289 [Dr. Andrews] Spina bifida. 88 00:04:52,760 --> 00:04:53,794 [Dr. Glassman] Baby E's a girl. 89 00:04:58,265 --> 00:05:00,768 [Jordan] Baby E, Apgar 6. 90 00:05:00,901 --> 00:05:02,302 [Dr. Andrews] Baby E will go to the OR 91 00:05:02,436 --> 00:05:04,705 for her spina bifida surgery after delivery. 92 00:05:04,838 --> 00:05:07,575 [Isabel] Exposing Baby F to EXIT procedure. 93 00:05:07,708 --> 00:05:10,578 [Dr. Andrews] Once Baby A through Baby E are in the NICU, 94 00:05:10,711 --> 00:05:14,247 Dr. Barnes will deliver Baby F's arm and head 95 00:05:14,382 --> 00:05:17,284 through the C-section incision, leaving the placenta attached. 96 00:05:17,418 --> 00:05:20,153 And, Mom, that allows you to keep providing oxygen to your daughter. 97 00:05:20,287 --> 00:05:23,657 Nurse Denning, take Papa to check on his other babies. 98 00:05:23,791 --> 00:05:26,360 We're all good here, Jack. Dr. Lim? 99 00:05:26,494 --> 00:05:30,130 Then, Dr. Lim will perform the EXIT procedure. 100 00:05:30,263 --> 00:05:31,999 First time it's ever been done in a multiple birth. 101 00:05:36,437 --> 00:05:37,771 She's got this. 102 00:05:40,474 --> 00:05:42,142 [Dr. Lim] Moving through the oropharynx cavity. 103 00:05:42,275 --> 00:05:44,478 [Isabel] Baby F's umbilical cord looks very thin and friable. 104 00:05:44,612 --> 00:05:45,879 Placenta's still attached? 105 00:05:46,013 --> 00:05:47,915 Yep. Mama's giving her all the oxygen she needs. 106 00:05:48,048 --> 00:05:50,050 At the larynx. Approaching the trachea. 107 00:05:51,452 --> 00:05:53,120 I've identified the cyst. 108 00:05:53,253 --> 00:05:54,488 [Isabel] The pulse is extremely faint. 109 00:05:54,622 --> 00:05:56,857 The cyst is causing total obliteration of the airway. 110 00:05:56,990 --> 00:05:58,358 Microblator. 111 00:05:58,492 --> 00:05:59,893 I've completely lost the pulse in the cord. 112 00:06:00,027 --> 00:06:01,395 We have less than a minute to deliver. 113 00:06:01,529 --> 00:06:02,996 Having trouble visualizing the base. 114 00:06:03,130 --> 00:06:04,398 [Dr. Andrews] Maybe you're not there yet? 115 00:06:04,532 --> 00:06:05,833 - [Dr. Lim] Probing deeper. - Keep going. Little more. 116 00:06:07,501 --> 00:06:09,069 I see it. You're two millimeters away. 117 00:06:10,438 --> 00:06:11,805 [Dr. Lim] Got it. 118 00:06:14,508 --> 00:06:15,809 Cyst is decompressed. Airway's open. 119 00:06:17,044 --> 00:06:18,111 Placing ET tube. 120 00:06:20,280 --> 00:06:23,584 [Isabel] Finally... Baby F. 121 00:06:23,717 --> 00:06:25,619 - It's a girl. - Okay. 122 00:06:25,753 --> 00:06:27,821 [gentle music playing] 123 00:06:35,128 --> 00:06:35,863 Good work. 124 00:06:38,532 --> 00:06:39,266 [Powell] Baby F, Apgar 5. 125 00:06:42,970 --> 00:06:45,005 Thank you for taking this on. 126 00:06:46,106 --> 00:06:47,340 The hard part's just beginning. 127 00:06:53,346 --> 00:06:54,582 Okay. 128 00:06:54,715 --> 00:06:57,017 [gentle version of opening theme music playing] 129 00:07:09,530 --> 00:07:11,364 [monitors beeping] 130 00:07:11,499 --> 00:07:13,233 [gentle music playing] 131 00:07:31,084 --> 00:07:32,886 [baby coos] 132 00:07:33,020 --> 00:07:34,755 Baby A's one and five-minute Apgar? 133 00:07:34,888 --> 00:07:36,223 Seven and nine. 134 00:07:36,356 --> 00:07:38,826 Mom should be coming to. Take her to meet her parents. 135 00:07:38,959 --> 00:07:39,893 [baby crying] 136 00:07:44,397 --> 00:07:45,799 Keep B and C together. 137 00:07:46,934 --> 00:07:48,068 We have two different NICU rooms. 138 00:07:48,201 --> 00:07:49,837 Neither boy is crying, 139 00:07:49,970 --> 00:07:52,272 and co-bedding identical-twin preemies can be beneficial for both. 140 00:07:52,405 --> 00:07:53,607 That's anecdotal. 141 00:07:53,741 --> 00:07:54,975 Risks include poor thermoregulation, increased-- 142 00:07:55,108 --> 00:07:56,476 Just do it. 143 00:08:02,382 --> 00:08:03,651 [Shaun] Baby D is not crying, 144 00:08:03,784 --> 00:08:06,119 plus he has nevus simplex and meconium-stained fluid. 145 00:08:06,253 --> 00:08:07,921 Get the heel stick and go tell the lab it's stat. 146 00:08:13,393 --> 00:08:15,495 Spinal lesion covered with sterile wet telfa. 147 00:08:15,629 --> 00:08:16,630 Heading to OR 2. 148 00:08:16,764 --> 00:08:17,765 Keep me posted. 149 00:08:20,067 --> 00:08:23,336 And how's the star of our show? Baby F. 150 00:08:23,470 --> 00:08:25,338 Not singing yet, but airway is clear. 151 00:08:25,472 --> 00:08:27,975 Take her to NICU. Hopefully she cries soon. 152 00:08:42,289 --> 00:08:44,457 Hey. Hi. 153 00:08:45,425 --> 00:08:46,660 My hero. 154 00:08:46,794 --> 00:08:48,261 Where are my babies? 155 00:08:48,395 --> 00:08:49,663 [Dr. Andrews] They're in the NICU now. 156 00:08:49,797 --> 00:08:51,164 Except for Baby A here. 157 00:08:58,405 --> 00:08:59,973 [Jerome] She got a head start on her siblings. 158 00:09:02,375 --> 00:09:03,777 [baby crying] 159 00:09:09,282 --> 00:09:10,818 Listen to those healthy lungs. 160 00:09:10,951 --> 00:09:13,486 Mm. First to cry. She's an overachiever. 161 00:09:13,621 --> 00:09:14,988 [laughs] 162 00:09:19,092 --> 00:09:21,328 What do you think about Abigail? 163 00:09:21,461 --> 00:09:22,696 Forever Baby A. 164 00:09:22,830 --> 00:09:24,164 [chuckles] 165 00:09:24,297 --> 00:09:26,199 I love it. And her. 166 00:09:32,205 --> 00:09:33,206 How 'bout it, B? 167 00:09:33,340 --> 00:09:34,407 Can we get those lungs strong enough 168 00:09:34,541 --> 00:09:36,376 to move you to a CPAP? 169 00:09:36,509 --> 00:09:38,679 You hear those studies on co-bedding identical preemies? 170 00:09:38,812 --> 00:09:40,914 No. C's cyanotic. 171 00:09:41,048 --> 00:09:42,716 He's tachypneic and retracting. 172 00:09:42,850 --> 00:09:44,517 Check his liver. 173 00:09:44,652 --> 00:09:47,254 The research is totally shaded by confirmation bias. 174 00:09:47,387 --> 00:09:49,022 Palpable three centimeters below the costal margin. 175 00:09:50,357 --> 00:09:51,591 If you'd been more assertive, 176 00:09:51,725 --> 00:09:52,826 we wouldn't be stuck together. 177 00:09:53,526 --> 00:09:55,095 Systolic murmur. 178 00:09:55,228 --> 00:09:57,430 Why weren't you more assertive? 179 00:09:57,564 --> 00:09:59,366 If I were a surgical attending, I would have been. 180 00:09:59,499 --> 00:10:01,234 I had to fight just to be on this case. 181 00:10:01,368 --> 00:10:02,870 You're gonna need an echo, chest X-ray-- 182 00:10:03,003 --> 00:10:05,538 X-ray, BNP and C to confirm congestive heart failure. I know. 183 00:10:05,673 --> 00:10:07,174 Let's make a deal. 184 00:10:07,307 --> 00:10:08,942 We only talk to each other when medically necessary. 185 00:10:09,677 --> 00:10:10,644 Fine. 186 00:10:15,649 --> 00:10:18,551 [Shaun] Inset the needle in the posterior iliac crest. 187 00:10:18,686 --> 00:10:21,388 Later, I have to accompany Lea to an OB-GYN appointment. 188 00:10:21,521 --> 00:10:25,058 Dr. Andrews will supervise you for a few hours. 189 00:10:25,192 --> 00:10:27,895 - Everything okay? - We don't know yet. 190 00:10:28,028 --> 00:10:30,097 Last year, she miscarried at 22 weeks. 191 00:10:31,498 --> 00:10:32,365 Good precision. 192 00:10:33,934 --> 00:10:35,468 When Baby D was first born, 193 00:10:35,602 --> 00:10:38,471 you kinda took a moment. That why? 194 00:10:40,107 --> 00:10:41,074 Yes. 195 00:10:43,744 --> 00:10:45,879 I think I've penetrated the bone. 196 00:10:46,013 --> 00:10:47,414 - Syringe? - No, you haven't. 197 00:10:47,547 --> 00:10:50,483 You will hear and feel a pop when you do. 198 00:10:50,617 --> 00:10:51,651 Go a bit deeper. 199 00:10:54,788 --> 00:10:57,257 Dr. Perez, you need to be firmer. 200 00:10:57,390 --> 00:10:58,591 More aggressive. 201 00:11:00,627 --> 00:11:01,561 Go ahead. 202 00:11:04,664 --> 00:11:05,866 [pop] 203 00:11:05,999 --> 00:11:07,100 [Perez exhales sharply] 204 00:11:08,035 --> 00:11:09,002 Syringe? 205 00:11:14,808 --> 00:11:16,343 - Now? - Yes. 206 00:11:16,476 --> 00:11:20,113 As a surgeon, you must be decisive and aggressive. 207 00:11:22,449 --> 00:11:24,017 [Perez] Aspirating the bone marrow. 208 00:11:25,552 --> 00:11:26,754 Very good. 209 00:11:26,887 --> 00:11:29,322 Get it to the lab for microscopic analysis. 210 00:11:33,560 --> 00:11:35,128 Good luck. 211 00:11:35,262 --> 00:11:38,732 With the appointment. You'll make a great dad. 212 00:11:38,866 --> 00:11:41,134 You are not qualified to make that prediction. 213 00:11:42,335 --> 00:11:43,203 [chuckles softly] 214 00:11:48,608 --> 00:11:51,078 [monitor beeping] 215 00:11:51,211 --> 00:11:53,680 [Jordan] Incision immediately lateral to the neural placode 216 00:11:53,814 --> 00:11:55,482 into the epithelium. 217 00:11:55,615 --> 00:11:57,684 Incision tight to the placode. 218 00:11:57,818 --> 00:12:00,687 That method avoids leaving the epithelials in the closure. 219 00:12:00,821 --> 00:12:01,922 Is the play-by-play really necessary? 220 00:12:03,456 --> 00:12:05,325 It helps me to learn by saying it out loud. 221 00:12:05,458 --> 00:12:07,160 It helps me to do the surgery if you don't. 222 00:12:19,439 --> 00:12:22,342 You can talk. Just not like Vin Scully. 223 00:12:22,475 --> 00:12:23,777 - Who's Vin Scully? - All right, scrub out. 224 00:12:24,812 --> 00:12:26,980 I'm kidding. Mostly. 225 00:12:30,250 --> 00:12:33,520 The parents, Gena and Jack? Heroes. 226 00:12:33,653 --> 00:12:36,689 We might throw that word around just a little too easily. 227 00:12:36,824 --> 00:12:38,391 Think of the risk they took, 228 00:12:38,525 --> 00:12:40,193 bringing six new lives into the world. 229 00:12:41,161 --> 00:12:42,762 Refusing to selectively reduce 230 00:12:42,896 --> 00:12:44,231 is what got us here in the first place. 231 00:12:45,232 --> 00:12:46,699 Delivering 11 weeks pre-term 232 00:12:46,834 --> 00:12:48,268 is a little bit less than ideal. 233 00:12:49,536 --> 00:12:50,737 Like Dr. Andrews says, 234 00:12:50,871 --> 00:12:52,973 we're going to beat the odds and save them all. 235 00:12:53,106 --> 00:12:55,742 Well, if we pull that off, then we are the heroes. 236 00:12:55,876 --> 00:12:58,011 [monitor beeps] 237 00:12:58,912 --> 00:13:00,580 Oxygenation dropped below 90. 238 00:13:02,749 --> 00:13:04,217 We can't turn her over to assess or treat her lungs. 239 00:13:04,351 --> 00:13:05,685 We can't even do imaging. 240 00:13:08,755 --> 00:13:11,324 We're gonna have to tell the parents. Prepare them. 241 00:13:11,458 --> 00:13:13,726 [somber music playing] 242 00:13:16,229 --> 00:13:17,230 I'll do it. 243 00:13:18,531 --> 00:13:19,266 Are you sure? 244 00:13:22,102 --> 00:13:23,403 You can't sugarcoat it. 245 00:13:27,941 --> 00:13:31,044 [monitor beeping] 246 00:13:31,178 --> 00:13:33,613 Administer 2 mils surfactant, prophylactically? 247 00:13:33,746 --> 00:13:36,749 [Dr. Lim] No indication of RDS. She's on minimal settings. 248 00:13:36,884 --> 00:13:38,952 I'd actually like to decrease support and remove CPAP. 249 00:13:40,120 --> 00:13:41,788 Yeah? 250 00:13:41,922 --> 00:13:43,656 No reason she can't breathe on her own now that her airway is clear. 251 00:13:43,790 --> 00:13:46,293 [suspenseful music playing] 252 00:13:50,263 --> 00:13:52,966 Come on, Baby F. Deep breaths. 253 00:13:53,100 --> 00:13:54,567 [breathing rapidly] 254 00:13:58,805 --> 00:14:00,607 Your basketball rival Clay texted me. 255 00:14:00,740 --> 00:14:03,476 - Asked me out. - Get out. 256 00:14:03,610 --> 00:14:05,612 I assure you, this guy knows it's a real date. 257 00:14:05,745 --> 00:14:06,880 If I go. 258 00:14:07,814 --> 00:14:08,815 You're going. 259 00:14:08,949 --> 00:14:10,283 [monitor beeps] 260 00:14:12,920 --> 00:14:13,853 That's our girl. 261 00:14:13,987 --> 00:14:15,989 [gentle music playing] 262 00:14:19,526 --> 00:14:22,162 [Jordan] Baby E's lungs are filled with fluid, 263 00:14:22,295 --> 00:14:24,131 and she's in early heart failure. 264 00:14:26,433 --> 00:14:28,135 She may need to be reintubated, 265 00:14:29,702 --> 00:14:32,639 which would mean placing her on her back. 266 00:14:32,772 --> 00:14:35,308 That would make it harder for her surgical wound to heal. 267 00:14:36,376 --> 00:14:37,310 That doesn't sound good. 268 00:14:38,311 --> 00:14:39,312 She's very sick. 269 00:14:41,448 --> 00:14:43,583 It's possible she may not survive. 270 00:14:46,920 --> 00:14:47,887 [Jack] Mm. 271 00:14:50,657 --> 00:14:51,925 We'll pray for a miracle. 272 00:14:54,327 --> 00:14:55,895 It wouldn't be our first. 273 00:15:05,172 --> 00:15:08,675 I can arrange a visit from the hospital chaplain if you like. 274 00:15:08,808 --> 00:15:10,243 - You can baptize the baby. - No. 275 00:15:11,844 --> 00:15:14,247 You're asking me to let her go. I'm not ready to do that. 276 00:15:16,984 --> 00:15:18,351 You can't, either. 277 00:15:19,019 --> 00:15:20,020 Please. 278 00:15:21,188 --> 00:15:23,556 [somber music playing] 279 00:15:27,194 --> 00:15:28,361 Of course. 280 00:15:42,842 --> 00:15:44,711 O2 sats improving. 281 00:15:44,844 --> 00:15:46,946 Way to go, Baby B. You'll be shouting in no time. 282 00:15:47,080 --> 00:15:48,748 [monitor beeping] 283 00:15:53,586 --> 00:15:55,255 Tell me you're not on Tinder. 284 00:15:55,388 --> 00:15:58,458 You're in violation of the medicine-only agreement that you proposed. 285 00:15:58,591 --> 00:16:00,893 And I'm not on Tinder. 286 00:16:01,028 --> 00:16:04,031 My baby's on the mend. Yours is the one with the heart problem. 287 00:16:04,164 --> 00:16:05,398 Don't be afraid to ask for help. 288 00:16:07,234 --> 00:16:09,636 Then what's with all the handsome dudes' faces you're scrolling through? 289 00:16:11,304 --> 00:16:13,206 Your screen is reflected in the window. 290 00:16:14,941 --> 00:16:16,776 Not that it's any of your business, Columbo, 291 00:16:16,909 --> 00:16:19,012 but they're not dates. They're donors. 292 00:16:19,146 --> 00:16:20,913 Organ donors? Finally getting a heart? 293 00:16:21,048 --> 00:16:22,715 Mm. Sperm. 294 00:16:24,551 --> 00:16:25,618 Oh. 295 00:16:25,752 --> 00:16:26,853 Yeah. "Oh." 296 00:16:32,325 --> 00:16:34,627 Snowman sign on the chest X-ray. 297 00:16:34,761 --> 00:16:37,164 It could be TAPVR, transposition of the great vessels, 298 00:16:37,297 --> 00:16:39,632 Ebstein anomaly, or pulmonary atresia. 299 00:16:39,766 --> 00:16:41,834 I don't see differential cyanosis. 300 00:16:41,968 --> 00:16:44,204 That rules out transposition of the great vessels. 301 00:16:44,337 --> 00:16:45,538 No boot-shaped heart, either. 302 00:16:45,672 --> 00:16:46,506 Or gallop. 303 00:16:47,307 --> 00:16:48,508 So it is TAPVR. 304 00:16:49,942 --> 00:16:50,843 Which we can fix. 305 00:16:52,979 --> 00:16:55,448 I'll get the parents' consent and book an OR right away. 306 00:16:58,085 --> 00:16:59,052 Thanks for the help. 307 00:17:04,591 --> 00:17:06,593 - Lucky I was a match. - Yes. 308 00:17:06,726 --> 00:17:11,731 As Baby D's father, there was only a 38.5% chance you'd be a bone-marrow match. 309 00:17:11,864 --> 00:17:13,566 Why are you here? 310 00:17:13,700 --> 00:17:15,535 Being on your feet promotes blood flow, 311 00:17:15,668 --> 00:17:18,338 and she wanted to be with her husband. 312 00:17:18,471 --> 00:17:20,006 I'm just glad I can do something. 313 00:17:20,140 --> 00:17:22,842 Gena's handled all the heavy lifting for our family. 314 00:17:22,975 --> 00:17:24,877 You have no idea how hard this kind of stuff can be. 315 00:17:25,011 --> 00:17:26,246 I do. 316 00:17:26,379 --> 00:17:28,715 My wife and I have also struggled to have a child. 317 00:17:29,716 --> 00:17:31,851 Modern medicine's a miracle. 318 00:17:31,984 --> 00:17:32,985 I hope you'll be blessed like us. 319 00:17:33,120 --> 00:17:34,487 I hope so, too. 320 00:17:35,688 --> 00:17:36,723 But not as blessed. 321 00:17:41,361 --> 00:17:44,564 I will insert the large bore needle into your hip now. 322 00:17:44,697 --> 00:17:46,266 Ugh. I hate needles. 323 00:17:47,834 --> 00:17:48,568 How'd you two meet? 324 00:17:49,502 --> 00:17:50,803 He was my prom date. 325 00:17:51,804 --> 00:17:53,005 Been together ever since? 326 00:17:53,140 --> 00:17:54,574 Uh, no. 327 00:17:54,707 --> 00:17:57,844 Gena ran off to New York for a decade to join the City Ballet. 328 00:17:57,977 --> 00:18:01,881 Until I broke my ankle, ended my career, came home. 329 00:18:02,014 --> 00:18:04,384 We reconnected at our ten-year high school reunion. 330 00:18:05,552 --> 00:18:07,254 It was like no time had passed. 331 00:18:07,387 --> 00:18:08,855 [Jack] I never forgot her. 332 00:18:08,988 --> 00:18:10,857 [Gena] I never forgot you, either. 333 00:18:10,990 --> 00:18:12,159 [Shaun] Done! 334 00:18:14,594 --> 00:18:16,229 You get me yammering on about Gena, 335 00:18:16,363 --> 00:18:18,198 and I barely even notice a needle going into my bone. 336 00:18:18,331 --> 00:18:20,066 You did great. 337 00:18:20,200 --> 00:18:22,702 We'll get this to the lab and then transfuse it into Baby D right away. 338 00:18:26,339 --> 00:18:27,540 Nice work in there. 339 00:18:27,674 --> 00:18:29,142 Baby C should be crying in no time. 340 00:18:31,911 --> 00:18:33,913 Are you sure you want to raise a baby on your own? 341 00:18:37,584 --> 00:18:39,686 Because I'm too careerist to be a good mom? 342 00:18:39,819 --> 00:18:41,087 Like I was too ambitious to be a good girlfriend? 343 00:18:41,221 --> 00:18:42,222 No. 344 00:18:43,956 --> 00:18:46,626 You'll love your kid more than any job or partner. 345 00:18:47,394 --> 00:18:48,928 I sure do. 346 00:18:49,061 --> 00:18:51,531 But if you don't have the guy when you have the kid, 347 00:18:51,664 --> 00:18:52,965 he might be tough to find. 348 00:18:54,701 --> 00:18:57,370 I shouldn't have a kid 'cause I may never find a man? 349 00:18:58,905 --> 00:19:00,106 Okay, caveman. 350 00:19:00,240 --> 00:19:02,409 Well, I never said I wouldn't date a single mom, 351 00:19:02,542 --> 00:19:04,344 but I am remarkably sensitive. 352 00:19:04,477 --> 00:19:06,012 I want a kid, and I'm done waiting. 353 00:19:07,780 --> 00:19:08,615 See you back in the NICU. 354 00:19:09,916 --> 00:19:10,817 [door opens] 355 00:19:16,256 --> 00:19:18,024 [monitor beeping] 356 00:19:19,091 --> 00:19:20,693 [Powell] She's improving. 357 00:19:20,827 --> 00:19:21,594 And hungry. 358 00:19:23,062 --> 00:19:24,597 All ready for some colostrum. 359 00:19:26,899 --> 00:19:28,301 Did you text Clay back yet? 360 00:19:28,435 --> 00:19:31,971 After this, we can start introducing a pacifier. 361 00:19:32,104 --> 00:19:34,607 I didn't have sex for 17 months after I lost my leg. 362 00:19:34,741 --> 00:19:36,943 And then, when I did, I thought, 363 00:19:37,076 --> 00:19:40,847 "Oh, yeah. I remember this. It's awesome." 364 00:19:40,980 --> 00:19:43,182 It's a first date. I'm not even thinking about sex. 365 00:19:43,316 --> 00:19:44,317 Liar. 366 00:19:45,718 --> 00:19:47,354 These make these chairs that glide. 367 00:19:47,487 --> 00:19:49,322 And wedges. 368 00:19:49,456 --> 00:19:51,190 This is not a death sentence to your sex life. 369 00:19:51,324 --> 00:19:55,194 Okay, I will text him back, mostly to stop this conversation. 370 00:19:55,328 --> 00:19:57,930 - Hmm. - But it's just dinner. 371 00:19:58,064 --> 00:19:58,831 - For now. - [monitor beeps] 372 00:20:00,267 --> 00:20:01,801 [tense music plays] 373 00:20:01,934 --> 00:20:03,570 Damn. She's not tolerating the colostrum. 374 00:20:03,703 --> 00:20:05,137 I haven't started it yet. 375 00:20:10,777 --> 00:20:12,645 So you guys ready to start trying again? 376 00:20:12,779 --> 00:20:15,815 Oh, yes. We put up a calendar this morning. 377 00:20:16,483 --> 00:20:17,750 And practiced. 378 00:20:17,884 --> 00:20:19,486 I think she gets it, Shaun. 379 00:20:22,555 --> 00:20:24,757 Visualizing the uterine wall. 380 00:20:24,891 --> 00:20:26,158 [warbling] 381 00:20:29,462 --> 00:20:30,663 That's scar tissue. 382 00:20:32,299 --> 00:20:34,033 That sounds bad. 383 00:20:34,166 --> 00:20:36,369 It's from the fetoscopic surgery 384 00:20:36,503 --> 00:20:38,571 and D and C after your miscarriage. 385 00:20:38,705 --> 00:20:41,674 You should do a hysteroscopy to remove the adhesions. 386 00:20:42,542 --> 00:20:43,476 Thank you, Dr. Murphy. 387 00:20:45,345 --> 00:20:48,247 He's right. Uh, we can attempt that, but-- 388 00:20:48,381 --> 00:20:49,716 You have Asherman's Syndrome. 389 00:20:53,553 --> 00:20:55,388 Most likely, yes. 390 00:20:56,723 --> 00:20:58,658 Well, can-- Can we still start trying? 391 00:20:59,359 --> 00:21:00,693 I wouldn't advise it. 392 00:21:02,995 --> 00:21:06,433 How much longer do we have to wait? 393 00:21:06,566 --> 00:21:08,535 I recommend continuing birth control. 394 00:21:08,668 --> 00:21:11,203 Getting pregnant right now wouldn't be safe for you 395 00:21:11,338 --> 00:21:12,271 or the baby. 396 00:21:12,405 --> 00:21:14,173 [somber music playing] 397 00:21:17,510 --> 00:21:19,612 When will it be safe? 398 00:21:20,547 --> 00:21:21,714 Maybe another year? 399 00:21:22,214 --> 00:21:23,215 Maybe two. 400 00:21:25,785 --> 00:21:26,719 Maybe never. 401 00:21:46,439 --> 00:21:47,940 [monitor beeping] 402 00:21:51,744 --> 00:21:53,480 Severe edema, 403 00:21:53,613 --> 00:21:56,783 fluid in the lungs, but no obstructions, just as we expected. 404 00:21:56,916 --> 00:21:59,819 So we've eliminated brain, spine, abdomen, anything congenital. 405 00:22:02,021 --> 00:22:02,789 I shouldn't have let you talk to them. 406 00:22:04,290 --> 00:22:05,458 Miracles? Really? 407 00:22:06,593 --> 00:22:07,494 I was direct and honest. 408 00:22:07,627 --> 00:22:08,928 How's that being honest? 409 00:22:09,061 --> 00:22:10,530 They think there's a chance here. 410 00:22:10,663 --> 00:22:12,599 As long as she's breathing, her heart is beating, 411 00:22:12,732 --> 00:22:14,901 her brain is functioning, there's still hope. 412 00:22:15,034 --> 00:22:16,969 This infant is under two pounds, 413 00:22:17,103 --> 00:22:20,306 eleven weeks premature, with a major birth defect. 414 00:22:20,440 --> 00:22:23,510 She's more than likely too small, too weak, and too sick to survive. 415 00:22:23,643 --> 00:22:25,378 [somber music playing] 416 00:22:28,681 --> 00:22:31,083 Stop being a cheerleader. Start being a doctor. 417 00:22:36,423 --> 00:22:38,224 O2 sats and heart rate are improving. 418 00:22:40,292 --> 00:22:42,361 Come on, dude. Cry for me. 419 00:22:43,463 --> 00:22:44,664 You got this. 420 00:22:44,797 --> 00:22:46,666 Who's a star? 421 00:22:46,799 --> 00:22:50,202 Baby B is. He's coming off the vent. 422 00:22:50,336 --> 00:22:52,805 Yes, you are. And then you're gonna wail. 423 00:22:52,939 --> 00:22:55,708 Those guys you were looking at earlier, 424 00:22:55,842 --> 00:22:57,577 how much do you really know about them? 425 00:22:57,710 --> 00:22:59,479 You'd be surprised. 426 00:22:59,612 --> 00:23:02,982 Well, besides their physical attributes and what diseases they carry. 427 00:23:03,115 --> 00:23:06,519 Genetics can also determine your sense of humor, your values-- 428 00:23:06,653 --> 00:23:07,954 You want me to have the sperm bank 429 00:23:08,087 --> 00:23:09,556 ask them all to write a knock-knock joke 430 00:23:09,689 --> 00:23:11,190 and an answer to the trolley problem? 431 00:23:11,323 --> 00:23:12,692 Or ask me. 432 00:23:14,894 --> 00:23:17,196 I'm not suggesting I'd be the kid's dad. 433 00:23:17,329 --> 00:23:19,198 I just want to help. 434 00:23:19,331 --> 00:23:20,066 No strings attached. 435 00:23:24,103 --> 00:23:26,573 Uh, Baby B's on CPAP. O2 sats rising. 436 00:23:26,706 --> 00:23:27,840 Hope to hear a cry soon. 437 00:23:27,974 --> 00:23:30,443 Excellent. Still no cry from C, either? 438 00:23:32,479 --> 00:23:33,746 Okay. Scope the baby. 439 00:23:33,880 --> 00:23:36,015 TAPVR repair may have caused vocal cord palsy. 440 00:23:46,192 --> 00:23:47,760 [Dr. Lim] No missed or new obstructive issues. 441 00:23:47,894 --> 00:23:49,428 Upper airway's clean. 442 00:23:49,562 --> 00:23:50,997 Why are her O2 sats plummeting? 443 00:23:51,130 --> 00:23:52,599 Could be some sort of fistula, 444 00:23:52,732 --> 00:23:54,066 bronchopulmonary dysplasia. 445 00:23:54,200 --> 00:23:54,934 RDS. 446 00:23:56,068 --> 00:23:57,369 Or it could be neurological. 447 00:24:00,006 --> 00:24:01,741 She's too fragile to start testing blind. 448 00:24:04,076 --> 00:24:06,779 I'll stay with her. Put her back on CPAP. 449 00:24:06,913 --> 00:24:08,180 I'll put together a full differential. 450 00:24:08,314 --> 00:24:09,281 Eat something while you're at it. 451 00:24:15,221 --> 00:24:16,823 Marrow transplant seems to be working, 452 00:24:16,956 --> 00:24:18,791 but I couldn't pass the NG tube into the stomach. 453 00:24:19,592 --> 00:24:20,793 How'd the appointment go? 454 00:24:22,929 --> 00:24:23,896 Not well. 455 00:24:25,331 --> 00:24:26,098 Are you okay? 456 00:24:28,601 --> 00:24:29,802 No. 457 00:24:32,805 --> 00:24:35,642 How long has he been drooling? 458 00:24:35,775 --> 00:24:38,210 I don't know. I... thought that was normal. 459 00:24:38,344 --> 00:24:41,247 - It's not. - Any luck with the NG tube? 460 00:24:41,380 --> 00:24:45,151 No. That is a symptom. This baby cannot swallow. 461 00:24:45,284 --> 00:24:47,587 He has a congenial tracheoesophageal fistula. 462 00:24:47,720 --> 00:24:48,921 We need to operate. 463 00:24:52,625 --> 00:24:53,926 Camera is in position. 464 00:24:55,628 --> 00:24:58,130 [Perez] Fistula's between the distal esophagus and the trachea. 465 00:24:58,264 --> 00:24:59,331 You were right. 466 00:24:59,465 --> 00:25:02,301 I know. Now reconnect the esophagus. 467 00:25:02,434 --> 00:25:04,203 [Perez] Forceps. 468 00:25:04,336 --> 00:25:05,938 [Shaun] Repositioning thoracoscope. 469 00:25:06,072 --> 00:25:07,940 [Perez] Got it. 470 00:25:08,074 --> 00:25:10,142 Mobilizing the esophagus to the level of the trachea. 471 00:25:10,276 --> 00:25:12,078 Have you already isolated the fistula? 472 00:25:12,211 --> 00:25:13,145 [Perez] Yes. 473 00:25:13,279 --> 00:25:15,848 [Shaun] I didn't tell you to do that. 474 00:25:15,982 --> 00:25:18,217 - Uh... - You should have first mobilized 475 00:25:18,350 --> 00:25:20,653 the proximal pouch of the esophagus. 476 00:25:20,787 --> 00:25:22,088 I'm s-- I'm so-- I'm sorry. 477 00:25:22,221 --> 00:25:23,790 You may have interrupted the blood supply. 478 00:25:23,923 --> 00:25:27,093 The risk of anastomosis leaks and tissue breakdown are greater now. 479 00:25:27,226 --> 00:25:28,961 Give me the instrument. 480 00:25:29,095 --> 00:25:29,962 Step back. 481 00:25:31,530 --> 00:25:32,632 Move. 482 00:25:34,533 --> 00:25:36,468 Take the camera. 483 00:25:36,603 --> 00:25:38,337 [tense music playing] 484 00:25:40,439 --> 00:25:41,540 Suturing. 485 00:25:43,943 --> 00:25:44,977 [Perez] Is he gonna be okay? 486 00:25:46,813 --> 00:25:47,880 [Shaun] I don't know. 487 00:26:00,492 --> 00:26:03,062 When I said "yes" to dinner, I didn't mean tonight. 488 00:26:03,195 --> 00:26:05,231 Patience is not my greatest virtue. 489 00:26:06,699 --> 00:26:08,835 I'm in the middle of this preemie case. 490 00:26:08,968 --> 00:26:10,002 So you fasting until it's done? 491 00:26:12,672 --> 00:26:15,007 [gentle music playing] 492 00:26:22,982 --> 00:26:24,150 [Jerome] Brought your favorite. 493 00:26:24,283 --> 00:26:25,384 Roast chicken. 494 00:26:25,517 --> 00:26:28,487 Oh. It's like the first time you asked me out. 495 00:26:28,621 --> 00:26:30,022 [Jerome] Mm-hmm. 496 00:26:31,924 --> 00:26:32,859 She's breathing on her own. 497 00:26:33,693 --> 00:26:35,461 [Jerome] Nice. 498 00:26:35,594 --> 00:26:39,165 I don't envy anyone who has to try to sleep in a house with six infants. 499 00:26:39,298 --> 00:26:41,834 - Mm-hmm. - No matter how cute they are. 500 00:26:41,968 --> 00:26:43,035 I feel that way about one. 501 00:26:45,237 --> 00:26:46,038 Oh. 502 00:26:47,539 --> 00:26:49,041 Are you opposed to kids? 503 00:26:50,342 --> 00:26:51,744 I mean, not politically. 504 00:26:52,511 --> 00:26:53,479 But? 505 00:26:59,085 --> 00:27:01,253 I'm not sure I want any of my own. 506 00:27:04,390 --> 00:27:05,224 Is that bad? 507 00:27:07,526 --> 00:27:08,895 Being one of four, I... 508 00:27:12,231 --> 00:27:14,233 I always saw myself with a big family. 509 00:27:16,002 --> 00:27:17,069 Being one of eight, 510 00:27:18,137 --> 00:27:19,672 pretty much why I don't want one. 511 00:27:27,847 --> 00:27:31,217 Ice Cube, Guy Fieri, Tom Hanks. 512 00:27:31,350 --> 00:27:34,186 - Everybody loves Hanks. - Not Tom Hanks. 513 00:27:34,320 --> 00:27:36,022 Raider Nation is deep and eclectic. 514 00:27:36,155 --> 00:27:37,957 I promise I don't paint my face. 515 00:27:38,090 --> 00:27:39,091 Unless it's the playoffs. 516 00:27:39,225 --> 00:27:41,160 Oh. So only one day per decade. 517 00:27:41,293 --> 00:27:44,263 [chuckles] Okay. Opposite sides of the Bay. 518 00:27:44,396 --> 00:27:46,132 That's why they have a bridge. 519 00:27:46,265 --> 00:27:48,667 I can't believe you were actually there for "The Catch." 520 00:27:48,801 --> 00:27:50,870 Were you sitting on that side of the field where Clark caught it? 521 00:27:55,641 --> 00:27:56,976 Yep. You're distracted. 522 00:27:58,945 --> 00:28:00,112 Want to walk me through your case so far? 523 00:28:03,482 --> 00:28:06,218 EXIT procedure for CHAOS. Cyst was decompressed. 524 00:28:06,352 --> 00:28:08,721 We weaned her off CPAP, O2 sats improved, 525 00:28:08,855 --> 00:28:10,056 then started crashing. 526 00:28:10,189 --> 00:28:12,058 Not sure why. 527 00:28:12,191 --> 00:28:13,692 Pass me the ghost pepper sauce, would ya? 528 00:28:13,826 --> 00:28:16,528 Ooh. Feel like that stuff's gonna burn a hole in my chest. 529 00:28:16,662 --> 00:28:18,130 What if your preemie's breathing troubles 530 00:28:18,264 --> 00:28:19,698 aren't from above? What if it's from below? 531 00:28:23,002 --> 00:28:24,136 Diaphragmatic hernia. 532 00:28:25,371 --> 00:28:27,473 Could allow the baby's lower organs to protrude 533 00:28:27,606 --> 00:28:29,141 into her chest, crowd her lungs. 534 00:28:30,242 --> 00:28:31,978 If it started as a small defect, 535 00:28:32,111 --> 00:28:34,546 we could easily miss it on ultrasound with all the crowding in that womb. 536 00:28:34,680 --> 00:28:35,714 Mm-hmm. 537 00:28:36,983 --> 00:28:40,486 Smart, handsome, and you brought me food. 538 00:28:40,619 --> 00:28:42,488 I might actually let you take me out on a real date. 539 00:28:42,621 --> 00:28:44,290 This is a real date. 540 00:28:44,423 --> 00:28:46,225 I mean, it will be once we kiss. 541 00:28:52,064 --> 00:28:54,033 Then we should probably do that now. 542 00:28:55,301 --> 00:28:56,836 My thought exactly. 543 00:28:59,705 --> 00:29:00,907 [clears throat] 544 00:29:01,040 --> 00:29:02,041 [Dr. Lim chuckles] 545 00:29:03,009 --> 00:29:04,743 [romantic music playing] 546 00:29:13,719 --> 00:29:15,354 Thank you for your offer. 547 00:29:16,322 --> 00:29:17,189 But? 548 00:29:20,126 --> 00:29:22,228 It would hurt too much to see you every time I looked at my kid. 549 00:29:35,875 --> 00:29:36,708 [Lea sighs] 550 00:29:37,844 --> 00:29:40,279 The live birth rate in pregnancies 551 00:29:40,412 --> 00:29:43,816 after Asherman's treatment is 67%. 552 00:29:43,950 --> 00:29:45,051 She should have mentioned that. 553 00:29:47,920 --> 00:29:48,888 Yeah. I guess so. 554 00:29:50,857 --> 00:29:54,226 And hysteroscopy 555 00:29:54,360 --> 00:29:56,228 improves the odds of conception. 556 00:29:58,130 --> 00:30:01,233 Our prognosis for conception may still be very good. 557 00:30:05,171 --> 00:30:08,240 I'm "sending good vibes into the universe, so good things come back." 558 00:30:09,976 --> 00:30:11,143 Thank you, Shaun. 559 00:30:13,745 --> 00:30:14,746 Maybe later. 560 00:30:16,748 --> 00:30:18,650 Right now I'm just very sad. 561 00:30:19,585 --> 00:30:21,420 [somber music playing] 562 00:30:26,158 --> 00:30:27,326 I know. 563 00:30:33,532 --> 00:30:34,633 [sighs heavily] 564 00:30:39,238 --> 00:30:40,706 [monitors beeping rapidly] 565 00:30:44,576 --> 00:30:45,611 O2 sats are falling. 566 00:30:45,744 --> 00:30:47,279 I need suction and a ventilator. 567 00:30:47,413 --> 00:30:49,781 Page Andrews. She's bradycardic. 568 00:30:49,916 --> 00:30:51,283 She's not getting enough oxygen. 569 00:30:55,554 --> 00:31:00,226 ♪ 'Cause boys don't cry ♪ 570 00:31:00,359 --> 00:31:03,229 ♪ I tried to laugh about it ♪ 571 00:31:03,362 --> 00:31:06,365 ♪ Cover it all up with lies ♪ 572 00:31:06,498 --> 00:31:09,268 ♪ I tried to laugh about it ♪ 573 00:31:09,401 --> 00:31:11,803 ♪ Hiding the tears in my eyes ♪ 574 00:31:11,938 --> 00:31:14,673 ♪ 'Cause boys don't cry ♪ 575 00:31:14,806 --> 00:31:16,675 [monitors beeping] 576 00:31:16,808 --> 00:31:19,946 O2 sats are rising. Heart rate's normal. 577 00:31:22,014 --> 00:31:23,015 She's fine. 578 00:31:23,815 --> 00:31:24,683 Just forgot to breathe. 579 00:31:26,018 --> 00:31:27,686 It happens when they're this little. 580 00:31:29,821 --> 00:31:31,557 [humming "Boys Don't Cry"] 581 00:31:42,534 --> 00:31:45,504 - I'm gonna go home. - You're giving up? 582 00:31:45,637 --> 00:31:47,206 I'm accepting the situation. 583 00:31:47,974 --> 00:31:48,907 There's still hope. 584 00:31:49,041 --> 00:31:50,342 Stop with the hope already, will ya? 585 00:31:50,476 --> 00:31:51,343 It's not gonna save this child. 586 00:31:52,144 --> 00:31:53,145 Hypnagogia. 587 00:31:55,314 --> 00:31:58,684 Thomas Edison believed the thoughts generated as we drift off to sleep 588 00:31:58,817 --> 00:32:00,686 were the most likely to generate a breakthrough. 589 00:32:00,819 --> 00:32:03,589 All right, Thomas Edison, the Wizard of Menlo Park, 590 00:32:03,722 --> 00:32:06,725 the same guy who believed that if he sat on a goose egg, 591 00:32:06,858 --> 00:32:10,062 he could actually make the goose egg hatch. 592 00:32:10,196 --> 00:32:12,331 There was an experiment published in Science. 593 00:32:12,464 --> 00:32:14,433 Subjects tried to solve a difficult math problem 594 00:32:14,566 --> 00:32:16,868 late at night while holding something heavy. 595 00:32:17,003 --> 00:32:18,570 When they drifted off to sleep, they dropped it, 596 00:32:18,704 --> 00:32:20,639 and when they woke up, they solved the problem. 597 00:32:20,772 --> 00:32:22,474 Okay, when I go to bed tonight, 598 00:32:22,608 --> 00:32:25,377 I'll cuddle with a barbell while holding onto a light bulb. How's that? 599 00:32:26,912 --> 00:32:27,913 Any breakthroughs on Baby E? 600 00:32:28,047 --> 00:32:29,748 We've exhausted all our options. 601 00:32:29,881 --> 00:32:32,318 We're moving on to "watch and wait." 602 00:32:32,451 --> 00:32:33,986 We were just talking about hypnagogia. 603 00:32:34,120 --> 00:32:36,588 The Edison sleep theory from Science magazine? 604 00:32:36,722 --> 00:32:38,690 Thought we might stay all night 605 00:32:38,824 --> 00:32:40,592 and take turns waking each other. 606 00:32:40,726 --> 00:32:44,963 - Well, that's-- - Absurd? Silly? Ridiculous? 607 00:32:45,097 --> 00:32:48,134 I was gonna say that's better than "watch and wait." 608 00:32:48,267 --> 00:32:50,469 [gentle music playing] 609 00:33:03,882 --> 00:33:07,119 You were right. Baby F has a diaphragmatic hernia. 610 00:33:07,253 --> 00:33:09,121 It didn't show up in the initial X-ray. 611 00:33:09,255 --> 00:33:10,222 Anybody would have missed it. 612 00:33:10,356 --> 00:33:11,923 It was Clay's idea. 613 00:33:13,559 --> 00:33:14,893 I'm glad that I texted him to bring you dinner. 614 00:33:16,295 --> 00:33:17,296 You did not. 615 00:33:17,429 --> 00:33:18,497 I did. 616 00:33:19,898 --> 00:33:20,866 Well played. 617 00:33:23,669 --> 00:33:26,805 After we get consent, you can scrub in, 618 00:33:26,938 --> 00:33:28,740 help me make that little girl all better. 619 00:33:43,789 --> 00:33:45,524 [quirky music playing] 620 00:33:53,765 --> 00:33:55,701 - Hypnagogia! - Ahh! What? 621 00:33:59,605 --> 00:34:01,473 - The groin. 622 00:34:01,607 --> 00:34:03,842 - What? - The groin? 623 00:34:03,975 --> 00:34:07,779 If we can't access the baby's chest, we can check the groin. 624 00:34:07,913 --> 00:34:10,382 If she has bounding femoral pulses-- 625 00:34:10,516 --> 00:34:13,119 It would indicate a patent ductus arteriosus. 626 00:34:13,252 --> 00:34:15,121 Which would explain the fluid in her lungs and the-- 627 00:34:15,254 --> 00:34:17,956 the heart failure, which could be fixed with a Piccolo Occluder. 628 00:34:19,358 --> 00:34:21,260 Go get consent. And an aspirin. 629 00:34:22,561 --> 00:34:23,529 Uh, wait. 630 00:34:25,564 --> 00:34:26,565 What is it? 631 00:34:26,698 --> 00:34:28,200 If we can't put the baby on her back, 632 00:34:28,334 --> 00:34:29,535 how are we gonna insert the device? 633 00:34:35,341 --> 00:34:36,342 I'll get comfortable. 634 00:34:37,709 --> 00:34:39,145 You scream in my face this time. 635 00:34:41,980 --> 00:34:43,515 He's swallowing now. 636 00:34:43,649 --> 00:34:44,983 But still not crying. 637 00:34:46,818 --> 00:34:48,320 Ready to show your brother how it's done? 638 00:34:50,021 --> 00:34:51,723 [baby crying] 639 00:34:55,861 --> 00:34:58,930 [gentle music playing] 640 00:34:59,064 --> 00:35:00,532 [Baby C crying] 641 00:35:09,007 --> 00:35:11,009 Very polite of you to wait for your brother. 642 00:35:12,711 --> 00:35:15,547 Maybe there was something to that shady co-bedding research. 643 00:35:15,681 --> 00:35:18,250 Maybe you being a wuss was a blessing in disguise. 644 00:35:18,384 --> 00:35:19,751 [crying continues] 645 00:35:24,556 --> 00:35:27,125 It would have hurt me, too, 646 00:35:27,259 --> 00:35:29,561 having a kid with you and not being part of your lives. 647 00:35:38,069 --> 00:35:41,740 Gaining access through the umbilical vessels, that was inspiring. 648 00:35:41,873 --> 00:35:43,875 - I credit Thomas Edison. - As you should. 649 00:35:48,180 --> 00:35:53,084 Seriously, thank you for humoring my crazy idea, Dr. Glassman. 650 00:35:53,219 --> 00:35:56,121 Thank you for helping me to not give up on hope. 651 00:35:56,255 --> 00:35:58,156 [gentle music playing] 652 00:36:05,264 --> 00:36:05,997 Come on, buddy. 653 00:36:07,132 --> 00:36:08,600 Let me hear that cry. 654 00:36:13,639 --> 00:36:15,974 Heart rate 110 BPM. Respiratory 65. 655 00:36:18,810 --> 00:36:19,645 Look. I'm so sorry. 656 00:36:20,746 --> 00:36:23,315 I thought I was... being decisive. 657 00:36:24,416 --> 00:36:25,384 You were. 658 00:36:26,752 --> 00:36:27,986 It was the wrong decision. 659 00:36:33,191 --> 00:36:34,993 [baby crying] 660 00:36:37,529 --> 00:36:39,531 [gentle music playing] 661 00:36:55,180 --> 00:36:56,815 He will be okay. 662 00:36:58,850 --> 00:37:01,820 You should feel bad, but not too bad. 663 00:37:03,322 --> 00:37:04,055 [Perez chuckles softly] 664 00:37:09,160 --> 00:37:11,497 [Dr. Andrews] Sextuplet births are incredibly rare, 665 00:37:12,631 --> 00:37:15,200 one in almost four billion, 666 00:37:15,334 --> 00:37:19,971 and the odds of 100% survival are even rarer. 667 00:37:20,105 --> 00:37:22,808 But I'm happy to report all six babies are healthy 668 00:37:22,941 --> 00:37:25,210 and all six babies will be going home. 669 00:37:25,344 --> 00:37:26,545 [applause] 670 00:37:26,678 --> 00:37:29,180 ♪ Change your mind ♪ 671 00:37:29,315 --> 00:37:33,218 ♪ But I know that this time I have said too much... ♪ 672 00:37:33,352 --> 00:37:35,754 It wasn't easy, but because of all of you... 673 00:37:35,887 --> 00:37:36,688 they made it. 674 00:37:37,756 --> 00:37:38,957 Some of our friends... 675 00:37:39,090 --> 00:37:41,593 Mm-mm. That's a thicket of chest hair. 676 00:37:41,727 --> 00:37:43,662 - Mm. - Chances are, his back... 677 00:37:43,795 --> 00:37:45,230 Mm. 678 00:37:45,364 --> 00:37:48,734 [Dr. Andrews] Because of your hard work, we're able to now... 679 00:37:48,867 --> 00:37:52,904 Breakfast on me if you help me make a list of acceptable prospects. 680 00:37:53,038 --> 00:37:55,073 [Dr. Andrews] I just wanted to personally thank you. 681 00:37:55,206 --> 00:37:56,542 And the parents, Gena and Jack, 682 00:37:56,675 --> 00:37:58,544 they want to thank you, as well. 683 00:37:58,677 --> 00:38:01,413 This is a time to celebrate. 684 00:38:01,547 --> 00:38:04,783 B's competitive. He likes to do everything before his brother. 685 00:38:04,916 --> 00:38:07,118 And C's an empath, waited until he knew 686 00:38:07,252 --> 00:38:08,620 his brother would be okay before doing his thing. 687 00:38:13,224 --> 00:38:14,292 Hi. 688 00:38:14,426 --> 00:38:15,927 [babies cooing] 689 00:38:16,995 --> 00:38:18,597 [chuckling] Hi. 690 00:38:19,565 --> 00:38:20,566 Byron and Christopher? 691 00:38:21,400 --> 00:38:22,401 Yeah. 692 00:38:25,003 --> 00:38:26,104 [Gena] EJ. 693 00:38:27,238 --> 00:38:28,239 Her name is EJ. 694 00:38:29,608 --> 00:38:31,142 It stands for Erin Jordan. 695 00:38:32,444 --> 00:38:34,513 Thank you both. 696 00:38:34,646 --> 00:38:36,782 ♪ If I thought that it would Change your mind ♪ 697 00:38:36,915 --> 00:38:41,186 ♪ But I know that this time I have said too much... ♪ 698 00:38:42,253 --> 00:38:43,755 Meet Baby F. 699 00:38:43,889 --> 00:38:45,123 ♪ 'Cause boys don't cry... ♪ 700 00:38:45,256 --> 00:38:46,257 Hi. 701 00:38:51,229 --> 00:38:52,263 Francesca? 702 00:38:55,401 --> 00:38:57,736 [Dr. Andrews] But Gena and Jack are first-time parents 703 00:38:57,869 --> 00:38:59,671 who will be bringing home six babies, 704 00:38:59,805 --> 00:39:01,707 so they're gonna need lots of help. 705 00:39:01,840 --> 00:39:04,476 Now, for those of you who are willing to continue, 706 00:39:04,610 --> 00:39:06,812 once the babies are at home, 707 00:39:06,945 --> 00:39:09,948 there's a volunteer sign-up sheet at the check-in desk. 708 00:39:10,081 --> 00:39:12,317 I'm sure Gena and Jack would be grateful 709 00:39:12,451 --> 00:39:13,852 for any help you're willing to give. 710 00:39:13,985 --> 00:39:16,287 ♪ So I tried To laugh about it ♪ 711 00:39:16,422 --> 00:39:18,490 ♪ Cover it all up With lies... ♪ 712 00:39:18,624 --> 00:39:19,791 So you had a goth mom? 713 00:39:21,493 --> 00:39:23,094 She sang you "Boys Don't Cry" as a lullaby, right? 714 00:39:23,228 --> 00:39:24,530 Oh, yeah. 715 00:39:24,663 --> 00:39:27,098 She'd pick me up at school blasting Joy Division, too. 716 00:39:27,232 --> 00:39:28,800 Humiliated me at the time. 717 00:39:28,934 --> 00:39:31,069 But... she was a good mom. 718 00:39:32,938 --> 00:39:34,706 My dad used to sing "Ein Keloheinu" 719 00:39:34,840 --> 00:39:36,241 louder than everyone in shul. 720 00:39:36,374 --> 00:39:37,809 I... hated it. 721 00:39:39,110 --> 00:39:40,078 Which was probably the point. 722 00:39:44,550 --> 00:39:47,686 Could be fun to embarrass our kids some day. 723 00:39:47,819 --> 00:39:49,521 Far, far in the future. 724 00:39:49,655 --> 00:39:51,623 ♪ I have said too much ♪ 725 00:39:51,757 --> 00:39:53,992 ♪ Been too unkind... ♪ 726 00:39:54,125 --> 00:39:55,393 Thank you. Okay. 727 00:39:57,328 --> 00:39:58,564 [sighs] 728 00:39:58,697 --> 00:40:00,398 I'm glad I brought this case to you. 729 00:40:01,500 --> 00:40:02,601 Me too. 730 00:40:04,570 --> 00:40:06,838 Marcus. I'm sorry. 731 00:40:07,939 --> 00:40:10,408 For giving up on us. For cheating. 732 00:40:12,478 --> 00:40:14,045 It's the worst mistake I ever made. 733 00:40:17,048 --> 00:40:18,149 It wasn't all you. 734 00:40:19,485 --> 00:40:20,852 I don't know that I gave up, 735 00:40:20,986 --> 00:40:23,354 but I certainly didn't pay enough attention. 736 00:40:26,357 --> 00:40:27,759 Gena and Jack grew apart... 737 00:40:29,294 --> 00:40:30,696 but they found each other again. 738 00:40:31,697 --> 00:40:32,731 It's a nice story. 739 00:40:34,332 --> 00:40:35,300 Yeah. 740 00:40:36,568 --> 00:40:37,869 Nice. 741 00:40:38,003 --> 00:40:41,206 ♪ If I thought That you would stay ♪ 742 00:40:41,339 --> 00:40:44,209 ♪ But I know that it's no use ♪ 743 00:40:44,342 --> 00:40:47,746 ♪ That you've already Gone away... ♪ 744 00:40:49,247 --> 00:40:50,248 Derek. 745 00:40:51,216 --> 00:40:52,884 [babies fussing] 746 00:40:55,854 --> 00:40:57,756 Say "grilled cheese" six times! 747 00:40:57,889 --> 00:41:00,291 - [chuckles] - Grilled cheese. 748 00:41:02,160 --> 00:41:04,663 ♪ Now I would do Most anything ♪ 749 00:41:04,796 --> 00:41:08,466 ♪ To get you back by my side ♪ 750 00:41:08,600 --> 00:41:11,803 ♪ But I just keep on laughing ♪ 751 00:41:11,937 --> 00:41:14,239 ♪ Hiding the tears in my eyes ♪ 752 00:41:15,306 --> 00:41:19,745 ♪ 'Cause boys don't cry ♪ 753 00:41:22,548 --> 00:41:26,952 ♪ Boys don't cry ♪ 754 00:41:49,975 --> 00:41:54,179 ♪ Boys don't cry... ♪ 755 00:41:55,547 --> 00:41:56,682 [Lea sobbing] 756 00:41:56,815 --> 00:42:00,786 ♪ Boys don't cry ♪ 757 00:42:03,789 --> 00:42:08,694 ♪ Boys don't cry... ♪ 758 00:42:08,827 --> 00:42:10,729 [sobbing continues] 759 00:42:10,862 --> 00:42:14,399 ♪ Boys don't cry ♪ 760 00:42:21,840 --> 00:42:23,609 [closing theme music playing]