1 00:00:04,796 --> 00:00:05,964 You're smiling. 2 00:00:06,798 --> 00:00:08,425 Why? 3 00:00:08,425 --> 00:00:09,843 Well... 4 00:00:09,843 --> 00:00:10,969 That is... 5 00:00:10,969 --> 00:00:12,471 your menstrual cycle. 6 00:00:12,471 --> 00:00:15,015 It's been a year since we lost the baby, 7 00:00:15,015 --> 00:00:17,809 and I finished my anti-coagulants. 8 00:00:17,809 --> 00:00:18,894 Which means... 9 00:00:18,894 --> 00:00:21,104 We can try to conceive again. 10 00:00:21,104 --> 00:00:23,565 Mm-hmm. I have an appointment with Dr. Winkler today. 11 00:00:23,565 --> 00:00:25,067 If she gives us the go-ahead -- 12 00:00:25,067 --> 00:00:26,735 A year was the minimum. 13 00:00:26,735 --> 00:00:28,612 Good vibes, Shaun. 14 00:00:28,612 --> 00:00:32,950 Send good vibes into the universe, good things come back. 15 00:00:32,950 --> 00:00:34,660 Vibe with me, babe. 16 00:00:34,660 --> 00:00:38,580 I would very much like to have a baby with Lea! 17 00:00:38,580 --> 00:00:40,082 [ Laughs ] Okay. 18 00:00:40,082 --> 00:00:41,959 Well, get ready to make one. 19 00:00:41,959 --> 00:00:44,419 Okay. We are going to make a baby! 20 00:00:44,419 --> 00:00:45,879 Yeah. 21 00:00:45,879 --> 00:00:47,256 Mmm. 22 00:00:48,507 --> 00:00:50,050 Mmm. 23 00:00:50,050 --> 00:00:51,510 Oh. 24 00:00:51,510 --> 00:00:54,221 I have 23 minutes until I need to leave for work. 25 00:00:59,434 --> 00:01:02,104 Should we save your swimmy guys until I ovulate? 26 00:01:02,104 --> 00:01:04,022 Oh, recent research demonstrated 27 00:01:04,022 --> 00:01:06,441 frequent ejaculation improves sperm motility. 28 00:01:06,441 --> 00:01:08,569 Oh! [ Laughs ] In that case... 29 00:01:08,569 --> 00:01:10,237 [ Both laugh ] 30 00:01:10,237 --> 00:01:11,989 Oh, yeah. 31 00:01:11,989 --> 00:01:15,826 ♪♪ 32 00:01:15,826 --> 00:01:17,828 [ Elevator bell dings ] 33 00:01:17,828 --> 00:01:20,205 We can talk about it. Okay? Thanks so much. 34 00:01:25,877 --> 00:01:27,087 Isabel. 35 00:01:30,257 --> 00:01:32,259 What are you doing here? 36 00:01:32,259 --> 00:01:35,846 Gena Cooper. Pregnant with sextuplets. 37 00:01:35,846 --> 00:01:38,015 That's what all my calls and texts were about. 38 00:01:38,015 --> 00:01:41,143 So you would already know if you'd answered. 39 00:01:41,143 --> 00:01:50,444 ♪♪ 40 00:01:54,031 --> 00:01:56,199 You show up, ask me for a consult, 41 00:01:56,199 --> 00:01:57,909 like you're any other doctor? 42 00:01:57,909 --> 00:02:00,037 Whatever the appropriate approach is for ex-wives, 43 00:02:00,037 --> 00:02:02,331 tell me, and I'll take it. 44 00:02:04,082 --> 00:02:07,753 Couple couldn't conceive, so I prescribed clomiphene. 45 00:02:07,753 --> 00:02:10,339 Six babies just after one round. 46 00:02:10,339 --> 00:02:12,215 They won the lottery. Or lost. 47 00:02:12,215 --> 00:02:14,217 Two require immediate surgical intervention. 48 00:02:14,217 --> 00:02:16,553 At least. Know any surgeons? 49 00:02:21,433 --> 00:02:24,478 Marcus, this family needs your help. 50 00:02:24,478 --> 00:02:26,188 If needed, I will step off the case 51 00:02:26,188 --> 00:02:28,023 and I will find them another O. B. 52 00:02:28,023 --> 00:02:33,487 ♪♪ 53 00:02:33,487 --> 00:02:35,155 Stay. 54 00:02:37,407 --> 00:02:39,785 It wouldn't be fair to the patient. 55 00:02:39,785 --> 00:02:41,119 [ File thuds ] 56 00:02:43,955 --> 00:02:46,291 Each of your babies gets their own dedicated team of doctors. 57 00:02:46,291 --> 00:02:47,668 Now, since all of the babies will be 58 00:02:47,668 --> 00:02:49,336 under 2 pounds at birth, 59 00:02:49,336 --> 00:02:51,588 they will all need a lot of care, attention, 60 00:02:51,588 --> 00:02:54,841 and time in our NICU, maturing those lungs. 61 00:02:54,841 --> 00:02:59,304 Once they're feeling strong enough to make some demands, 62 00:02:59,304 --> 00:03:00,764 you'll hear that beautiful cry. 63 00:03:00,764 --> 00:03:03,308 A baby crying is a good thing. 64 00:03:03,308 --> 00:03:05,143 It lets us know the baby's healthy. 65 00:03:05,143 --> 00:03:07,104 And that's when we name them, 66 00:03:07,104 --> 00:03:09,439 once they've cried and we know they're okay. 67 00:03:09,439 --> 00:03:13,318 I wish they could stay inside Mom longer and get bigger. 68 00:03:13,318 --> 00:03:16,154 Baby F's airway mass is already causing 69 00:03:16,154 --> 00:03:18,281 severe narrowing of the trachea, 70 00:03:18,281 --> 00:03:19,908 and her lungs aren't developing properly. 71 00:03:19,908 --> 00:03:21,868 A few more days, and her heart could fail. 72 00:03:21,868 --> 00:03:24,287 So we deliver today. Yes. 73 00:03:24,287 --> 00:03:25,914 Andrews: Everyone ready? 74 00:03:25,914 --> 00:03:27,249 [ Monitor beeping ] 75 00:03:27,249 --> 00:03:32,045 ♪♪ 76 00:03:32,045 --> 00:03:33,755 Baby A through Baby E 77 00:03:33,755 --> 00:03:36,049 will all be born in under three minutes. 78 00:03:36,049 --> 00:03:38,593 Woman: Baby A. [ Baby cooing ] 79 00:03:38,593 --> 00:03:40,846 At birth, they'll each be given an Apgar score 80 00:03:40,846 --> 00:03:42,681 to let us know how they are doing. 81 00:03:42,681 --> 00:03:45,434 7 or above is reassuring. 82 00:03:45,434 --> 00:03:46,935 Asher: It's a girl. 83 00:03:49,062 --> 00:03:50,397 Isabel: Baby B. 84 00:03:50,397 --> 00:03:52,107 Alright. Hello. 85 00:03:52,107 --> 00:03:54,317 ♪♪ 86 00:03:54,317 --> 00:03:56,486 Baby A -- Apgar 7. 87 00:03:56,486 --> 00:03:59,948 ♪♪ 88 00:03:59,948 --> 00:04:02,325 Morgan: It's a boy. 89 00:04:02,325 --> 00:04:04,327 Isabel: Surprise. Mono-di. 90 00:04:04,327 --> 00:04:06,997 B and C share the same placenta. 91 00:04:06,997 --> 00:04:09,749 Very rare. Identical twins. 92 00:04:09,749 --> 00:04:11,585 Park: Another boy, obviously. 93 00:04:11,585 --> 00:04:13,295 Morgan: Baby B -- Apgar 5. 94 00:04:16,089 --> 00:04:17,591 Park: Baby C -- Apgar 4. 95 00:04:19,551 --> 00:04:20,719 Isabel: Baby D. 96 00:04:20,719 --> 00:04:29,227 ♪♪ 97 00:04:29,227 --> 00:04:31,855 Shaun: It's...a boy. 98 00:04:31,855 --> 00:04:36,401 ♪♪ 99 00:04:36,401 --> 00:04:38,153 Isabel: Baby E. 100 00:04:38,153 --> 00:04:39,488 Perez: Baby D -- Apgar 6. 101 00:04:39,488 --> 00:04:48,121 ♪♪ 102 00:04:48,121 --> 00:04:49,539 Spina bifida. 103 00:04:49,539 --> 00:04:52,209 ♪♪ 104 00:04:52,209 --> 00:04:53,585 Glassman: Baby E's a girl. 105 00:04:53,585 --> 00:04:57,506 ♪♪ 106 00:04:57,506 --> 00:05:00,133 Jordan: Baby E -- Apgar 6. 107 00:05:00,133 --> 00:05:01,718 Andrews: Baby E will go to the O. R. 108 00:05:01,718 --> 00:05:04,179 for her spina bifida surgery after delivery. 109 00:05:04,179 --> 00:05:07,015 Isabel: Exposing Baby F to EXIT procedure. 110 00:05:07,015 --> 00:05:10,352 Andrews: Once Baby A through Baby E are in the NICU, 111 00:05:10,352 --> 00:05:13,730 Dr. Barnes will deliver Baby F's arm and head 112 00:05:13,730 --> 00:05:15,148 through the C-section incision, 113 00:05:15,148 --> 00:05:16,733 leaving the placenta attached. 114 00:05:16,733 --> 00:05:18,568 And, Mom, that allows you to keep providing oxygen 115 00:05:18,568 --> 00:05:19,945 to your daughter. 116 00:05:19,945 --> 00:05:23,114 Nurse Denning, take Papa to check on his other babies. 117 00:05:23,114 --> 00:05:25,951 We're all good here, Jack. Dr. Lim? 118 00:05:25,951 --> 00:05:29,412 Then, Dr. Lim will perform the EXIT procedure. 119 00:05:29,412 --> 00:05:31,665 First time it's ever been done in a multiple birth. 120 00:05:31,665 --> 00:05:35,794 ♪♪ 121 00:05:35,794 --> 00:05:37,128 She's got this. 122 00:05:39,923 --> 00:05:41,716 Lim: Moving through the oropharynx cavity. 123 00:05:41,716 --> 00:05:44,135 Isabel: Baby F's umbilical cord looks very thin and friable. 124 00:05:44,135 --> 00:05:45,387 Placenta's still attached? 125 00:05:45,387 --> 00:05:47,639 Yep. Mama's giving her all the oxygen she needs. 126 00:05:47,639 --> 00:05:50,100 At the larynx. Approaching the trachea. 127 00:05:50,100 --> 00:05:52,435 I've identified the cyst. 128 00:05:52,435 --> 00:05:54,104 Isabel: The pulse is extremely faint. 129 00:05:54,104 --> 00:05:56,064 The cyst is causing total obliteration of the airway. 130 00:05:56,064 --> 00:05:58,316 Microblator. 131 00:05:58,316 --> 00:05:59,609 I've completely lost the pulse in the cord. 132 00:05:59,609 --> 00:06:01,027 We have less than a minute to deliver. 133 00:06:01,027 --> 00:06:02,362 Having trouble visualizing the base. 134 00:06:02,362 --> 00:06:03,488 Maybe you're not there yet? 135 00:06:03,488 --> 00:06:05,073 Probing deeper. Keep going. 136 00:06:05,073 --> 00:06:08,535 A little more. I see it. You're two millimeters away. 137 00:06:10,787 --> 00:06:11,955 Got it. 138 00:06:13,623 --> 00:06:16,251 Cyst is decompressed. Airway's open. 139 00:06:16,251 --> 00:06:18,003 Placing E. T. tube. 140 00:06:19,796 --> 00:06:23,300 Isabel: Finally...Baby F. 141 00:06:23,300 --> 00:06:25,218 It's a girl. Okay. 142 00:06:25,218 --> 00:06:34,769 ♪♪ 143 00:06:34,769 --> 00:06:36,187 Good work. 144 00:06:38,064 --> 00:06:39,608 Powell: Baby F -- Apgar 5. 145 00:06:39,608 --> 00:06:42,402 ♪♪ 146 00:06:42,402 --> 00:06:45,530 Thank you for taking this on. 147 00:06:45,530 --> 00:06:47,532 The hard part's just beginning. 148 00:06:47,532 --> 00:06:52,746 ♪♪ 149 00:06:52,746 --> 00:06:53,997 Okay. 150 00:06:53,997 --> 00:06:57,000 -- Captions by VITAC -- 151 00:06:57,000 --> 00:07:03,256 ♪♪ 152 00:07:08,803 --> 00:07:10,555 [ Monitors beeping ] 153 00:07:10,555 --> 00:07:16,853 ♪♪ 154 00:07:16,853 --> 00:07:23,193 ♪♪ 155 00:07:23,193 --> 00:07:29,491 ♪♪ 156 00:07:29,491 --> 00:07:31,534 [ Baby coos ] 157 00:07:31,534 --> 00:07:33,203 Baby A's one and five-minute Apgar? 158 00:07:33,203 --> 00:07:34,663 Seven and nine. 159 00:07:34,663 --> 00:07:37,374 Mom should be coming to. Take her to meet her parents. 160 00:07:37,374 --> 00:07:39,042 [ Baby crying ] 161 00:07:42,921 --> 00:07:45,131 Keep B and C together. 162 00:07:45,131 --> 00:07:46,800 We have two different NICU rooms. 163 00:07:46,800 --> 00:07:48,551 Neither boy is crying, and co-bedding 164 00:07:48,551 --> 00:07:50,845 identical-twin preemies can be beneficial for both. 165 00:07:50,845 --> 00:07:53,390 That's anecdotal. Risks include poor thermoregulation, 166 00:07:53,390 --> 00:07:54,641 increased -- Just do it. 167 00:07:54,641 --> 00:08:00,689 ♪♪ 168 00:08:00,689 --> 00:08:02,357 Shaun: Baby D is not crying, 169 00:08:02,357 --> 00:08:04,567 plus he has nevus simplex and meconium-stained fluid. 170 00:08:04,567 --> 00:08:06,736 Get the heel stick and go tell the lab it's stat. 171 00:08:06,736 --> 00:08:11,783 ♪♪ 172 00:08:11,783 --> 00:08:13,827 Spinal lesion covered with sterile wet telfa. 173 00:08:13,827 --> 00:08:15,161 Heading to O. R. 2. 174 00:08:15,161 --> 00:08:16,413 Keep me posted. 175 00:08:18,498 --> 00:08:21,751 And how's the star of our show? Baby F. 176 00:08:21,751 --> 00:08:24,170 Not singing yet, but airway is clear. 177 00:08:24,170 --> 00:08:26,756 Take her to NICU. Hopefully she cries soon. 178 00:08:26,756 --> 00:08:33,471 ♪♪ 179 00:08:33,471 --> 00:08:40,395 ♪♪ 180 00:08:40,395 --> 00:08:43,064 Hey. Hi. 181 00:08:43,940 --> 00:08:45,442 My hero. 182 00:08:45,442 --> 00:08:46,609 Where are my babies? 183 00:08:46,609 --> 00:08:48,028 Andrews: They're in the NICU now. 184 00:08:48,028 --> 00:08:49,571 Except for Baby A here. 185 00:08:49,571 --> 00:08:56,703 ♪♪ 186 00:08:56,703 --> 00:08:58,496 Jerome: She got a head start on her siblings. 187 00:09:00,790 --> 00:09:02,459 [ Baby crying ] 188 00:09:07,714 --> 00:09:09,382 Listen to those healthy lungs. 189 00:09:09,382 --> 00:09:12,218 Mm. First to cry. She's an overachiever. 190 00:09:12,218 --> 00:09:13,511 [ Laughs ] 191 00:09:17,348 --> 00:09:19,851 What do you think about Abigail? 192 00:09:19,851 --> 00:09:21,603 Forever Baby A. 193 00:09:21,603 --> 00:09:22,729 [ Chuckles ] 194 00:09:22,729 --> 00:09:24,731 I love it. And her. 195 00:09:24,731 --> 00:09:30,653 ♪♪ 196 00:09:30,653 --> 00:09:32,697 How 'bout it, B? Can we get those lungs strong enough 197 00:09:32,697 --> 00:09:35,116 to move you to a CPAP? 198 00:09:35,116 --> 00:09:37,452 You hear those studies on co-bedding identical preemies? 199 00:09:37,452 --> 00:09:41,456 No. C's cyanotic. He's tachypneic and retracting. 200 00:09:41,456 --> 00:09:43,249 Check his liver. 201 00:09:43,249 --> 00:09:45,627 The research is totally shaded by confirmation bias. 202 00:09:45,627 --> 00:09:49,005 Palpable three centimeters below the costal margin. 203 00:09:49,005 --> 00:09:51,800 If you'd been more assertive, we wouldn't be stuck together. 204 00:09:51,800 --> 00:09:53,760 Systolic murmur. 205 00:09:53,760 --> 00:09:55,845 Why weren't you more assertive? 206 00:09:55,845 --> 00:09:58,056 If I were a surgical attending, I would have been. 207 00:09:58,056 --> 00:09:59,641 I had to fight just to be on this case. 208 00:09:59,641 --> 00:10:01,559 You're gonna need an echo, chest X-ray -- 209 00:10:01,559 --> 00:10:03,520 X-ray, BNP, and CBC to confirm congestive heart failure. 210 00:10:03,520 --> 00:10:04,229 I know. 211 00:10:04,229 --> 00:10:05,688 Let's make a deal. 212 00:10:05,688 --> 00:10:07,440 We only talk to each other when medically necessary. 213 00:10:07,440 --> 00:10:09,442 Fine. 214 00:10:09,442 --> 00:10:13,780 ♪♪ 215 00:10:13,780 --> 00:10:17,283 Inset the needle in the posterior iliac crest. 216 00:10:17,283 --> 00:10:20,328 Later, I have to accompany Lea to an OB-GYN appointment. 217 00:10:20,328 --> 00:10:23,123 Dr. Andrews will supervise you for a few hours. 218 00:10:23,123 --> 00:10:24,499 Everything okay? 219 00:10:24,499 --> 00:10:26,042 We don't know yet. 220 00:10:26,042 --> 00:10:29,796 Last year, she miscarried at 22 weeks. 221 00:10:29,796 --> 00:10:32,298 Good precision. 222 00:10:32,298 --> 00:10:36,511 When Baby D was first born, you kinda took a moment. 223 00:10:36,511 --> 00:10:38,346 That why? 224 00:10:38,346 --> 00:10:39,556 Yes. 225 00:10:42,016 --> 00:10:44,018 I think I've penetrated the bone. 226 00:10:44,018 --> 00:10:45,854 Syringe? No, you haven't. 227 00:10:45,854 --> 00:10:48,731 You will hear and feel a pop when you do. 228 00:10:48,731 --> 00:10:50,191 Go a bit deeper. 229 00:10:53,069 --> 00:10:55,738 Dr. Perez, you need to be firmer. 230 00:10:55,738 --> 00:10:57,031 More aggressive. 231 00:10:58,908 --> 00:11:00,243 Go ahead. 232 00:11:03,621 --> 00:11:04,664 [ Pop ] 233 00:11:04,664 --> 00:11:05,582 [ Exhales sharply ] 234 00:11:06,666 --> 00:11:08,001 Syringe? 235 00:11:13,256 --> 00:11:14,841 Now? Yes. 236 00:11:14,841 --> 00:11:18,595 As a surgeon, you must be decisive and aggressive. 237 00:11:20,847 --> 00:11:24,142 Aspirating the bone marrow. 238 00:11:24,142 --> 00:11:25,643 Very good. 239 00:11:25,643 --> 00:11:28,021 Get it to the lab for microscopic analysis. 240 00:11:32,066 --> 00:11:33,193 Good luck. 241 00:11:33,193 --> 00:11:34,360 With the appointment. 242 00:11:34,360 --> 00:11:36,571 You'll make a great dad. 243 00:11:36,571 --> 00:11:40,658 You are not qualified to make that prediction. 244 00:11:40,658 --> 00:11:41,868 [ Chuckles softly ] 245 00:11:41,868 --> 00:11:46,873 ♪♪ 246 00:11:46,873 --> 00:11:49,542 [ Monitor beeping ] 247 00:11:49,542 --> 00:11:52,295 Jordan: Incision immediately lateral to the neural placode 248 00:11:52,295 --> 00:11:53,880 into the epithelium. 249 00:11:53,880 --> 00:11:55,924 Incision tight to the placode. 250 00:11:55,924 --> 00:11:59,344 That method avoids leaving the epithelials in the closure. 251 00:11:59,344 --> 00:12:01,512 Is the play-by-play really necessary? 252 00:12:01,512 --> 00:12:03,765 It helps me to learn by saying it out loud. 253 00:12:03,765 --> 00:12:05,975 It helps me to do the surgery if you don't. 254 00:12:17,904 --> 00:12:20,740 You can talk. Just not like Vin Scully. 255 00:12:20,740 --> 00:12:22,242 Who's Vin Scully? Alright, scrub out. 256 00:12:23,451 --> 00:12:25,745 I'm kidding. Mostly. 257 00:12:28,790 --> 00:12:32,210 The parents, Gena and Jack? Heroes. 258 00:12:32,210 --> 00:12:35,129 We might throw that word around just a little too easily. 259 00:12:35,129 --> 00:12:37,048 Think of the risk they took, 260 00:12:37,048 --> 00:12:39,425 bringing six new lives into the world. 261 00:12:39,425 --> 00:12:41,261 Refusing to selectively reduce 262 00:12:41,261 --> 00:12:43,263 is what got us here in the first place. 263 00:12:43,263 --> 00:12:45,056 Delivering 11 weeks pre-term 264 00:12:45,056 --> 00:12:47,850 is a little bit less than ideal. 265 00:12:47,850 --> 00:12:49,310 Like Dr. Andrews says, 266 00:12:49,310 --> 00:12:51,437 we're going to beat the odds and save them all. 267 00:12:51,437 --> 00:12:54,774 Well, if we pull that off, then we are the heroes. 268 00:12:54,774 --> 00:12:57,318 [ Monitor beeps ] 269 00:12:57,318 --> 00:12:59,112 Oxygenation dropped below 90. 270 00:13:00,989 --> 00:13:02,865 We can't turn her over to assess or treat her lungs. 271 00:13:02,865 --> 00:13:04,492 We can't even do imaging. 272 00:13:07,370 --> 00:13:09,205 We're gonna have to tell the parents. 273 00:13:09,205 --> 00:13:10,415 Prepare them. 274 00:13:10,415 --> 00:13:15,128 ♪♪ 275 00:13:15,128 --> 00:13:17,255 I'll do it. 276 00:13:17,255 --> 00:13:18,339 Are you sure? 277 00:13:20,550 --> 00:13:22,093 You can't sugarcoat it. 278 00:13:22,093 --> 00:13:26,639 ♪♪ 279 00:13:26,639 --> 00:13:29,642 [ Monitor beeping ] 280 00:13:29,642 --> 00:13:32,145 Administer 2 mils surfactant, prophylactically? 281 00:13:32,145 --> 00:13:35,356 No indication of R. D. S. She's on minimal settings. 282 00:13:35,356 --> 00:13:37,442 I'd actually like to decrease support and remove CPAP. 283 00:13:38,901 --> 00:13:40,778 Yeah? No reason she can't breathe on her own 284 00:13:40,778 --> 00:13:42,655 now that her airway is clear. 285 00:13:42,655 --> 00:13:48,661 ♪♪ 286 00:13:48,661 --> 00:13:50,496 Come on, Baby F. 287 00:13:50,496 --> 00:13:51,914 Deep breaths. 288 00:13:51,914 --> 00:13:53,583 [ Breathing rapidly ] 289 00:13:57,295 --> 00:14:00,506 Your basketball rival Clay texted me, asked me out. 290 00:14:00,506 --> 00:14:02,300 Get out. 291 00:14:02,300 --> 00:14:04,469 I assure you, this guy knows it's a real date. 292 00:14:04,469 --> 00:14:05,928 If I go. 293 00:14:05,928 --> 00:14:07,597 You're going. 294 00:14:07,597 --> 00:14:08,973 [ Monitor beeps ] 295 00:14:11,309 --> 00:14:12,477 That's our girl. 296 00:14:12,477 --> 00:14:18,107 ♪♪ 297 00:14:18,107 --> 00:14:20,818 Jordan: Baby E's lungs are filled with fluid, 298 00:14:20,818 --> 00:14:22,612 and she's in early heart failure. 299 00:14:24,989 --> 00:14:28,159 She may need to be reintubated, 300 00:14:28,159 --> 00:14:30,912 which would mean placing her on her back. 301 00:14:30,912 --> 00:14:34,749 That would make it harder for her surgical wound to heal. 302 00:14:34,749 --> 00:14:36,793 That doesn't sound good. 303 00:14:36,793 --> 00:14:38,086 She's very sick. 304 00:14:40,004 --> 00:14:42,131 It's possible she may not survive. 305 00:14:45,510 --> 00:14:46,719 Mnh. 306 00:14:48,846 --> 00:14:50,640 We'll pray for a miracle. 307 00:14:53,017 --> 00:14:54,560 It wouldn't be our first. 308 00:14:54,560 --> 00:15:03,903 ♪♪ 309 00:15:03,903 --> 00:15:07,073 I can arrange a visit from the hospital chaplain if you like. 310 00:15:07,073 --> 00:15:08,616 You can baptize the baby. 311 00:15:08,616 --> 00:15:10,243 No. 312 00:15:10,243 --> 00:15:12,620 You're asking me to let her go. I'm not ready to do that. 313 00:15:15,498 --> 00:15:17,750 You can't, either. 314 00:15:17,750 --> 00:15:19,127 Please. 315 00:15:19,127 --> 00:15:25,633 ♪♪ 316 00:15:25,633 --> 00:15:27,218 Of course. 317 00:15:27,218 --> 00:15:34,684 ♪♪ 318 00:15:39,564 --> 00:15:41,941 O2 sats improving. 319 00:15:41,941 --> 00:15:43,276 Way to go, Baby B. 320 00:15:43,276 --> 00:15:44,777 You'll be shouting in no time. 321 00:15:44,777 --> 00:15:46,696 [ Monitor beeping ] 322 00:15:51,075 --> 00:15:52,535 Tell me you're not on Tinder. 323 00:15:52,535 --> 00:15:54,704 You're in violation of the medicine-only agreement 324 00:15:54,704 --> 00:15:55,913 that you proposed. 325 00:15:55,913 --> 00:15:57,874 And I'm not on Tinder. 326 00:15:57,874 --> 00:15:59,375 My baby's on the mend. 327 00:15:59,375 --> 00:16:01,460 Yours is the one with the heart problem. 328 00:16:01,460 --> 00:16:03,421 Don't be afraid to ask for help. 329 00:16:03,421 --> 00:16:06,048 Then what's with all the handsome dudes' faces 330 00:16:06,048 --> 00:16:08,134 you're scrolling through? 331 00:16:08,134 --> 00:16:10,678 Your screen is reflected in the window. 332 00:16:12,346 --> 00:16:14,473 Not that it's any of your business, Columbo, 333 00:16:14,473 --> 00:16:16,851 but they're not dates. They're donors. 334 00:16:16,851 --> 00:16:18,352 Organ donors? Finally getting a heart? 335 00:16:18,352 --> 00:16:20,313 Mm. Sperm. 336 00:16:21,939 --> 00:16:23,191 Oh. 337 00:16:23,191 --> 00:16:24,525 Yeah. "Oh." 338 00:16:29,363 --> 00:16:32,116 Snowman sign on the chest X-ray. 339 00:16:32,116 --> 00:16:33,326 It could be T. A. P. V. R., 340 00:16:33,326 --> 00:16:34,952 transposition of the great vessels, 341 00:16:34,952 --> 00:16:37,205 Ebstein anomaly, or pulmonary atresia. 342 00:16:37,205 --> 00:16:39,248 I don't see differential cyanosis. 343 00:16:39,248 --> 00:16:41,542 That rules out transposition of the great vessels. 344 00:16:41,542 --> 00:16:42,919 No boot-shaped heart, either. 345 00:16:42,919 --> 00:16:44,712 Or gallop. 346 00:16:44,712 --> 00:16:46,964 So it is T. A. P. V. R. 347 00:16:46,964 --> 00:16:48,674 Which we can fix. 348 00:16:50,509 --> 00:16:53,387 I'll get the parents' consent and book an O. R. right away. 349 00:16:53,387 --> 00:16:55,723 ♪♪ 350 00:16:55,723 --> 00:16:57,225 Thanks for the help. 351 00:16:57,225 --> 00:17:02,104 ♪♪ 352 00:17:02,104 --> 00:17:04,232 Lucky I was a match. Yes. 353 00:17:04,232 --> 00:17:07,735 As Baby D's father, there was only a 38.5% chance 354 00:17:07,735 --> 00:17:09,528 you'd be a bone-marrow match. 355 00:17:09,528 --> 00:17:11,113 Why are you here? 356 00:17:11,113 --> 00:17:13,241 Being on your feet promotes blood flow, 357 00:17:13,241 --> 00:17:15,743 and she wanted to be with her husband. 358 00:17:15,743 --> 00:17:17,620 I'm just glad I can do something. 359 00:17:17,620 --> 00:17:20,581 Gena's handled all the heavy lifting for our family. 360 00:17:20,581 --> 00:17:22,458 You have no idea how hard this kind of stuff can be. 361 00:17:22,458 --> 00:17:23,918 I do. 362 00:17:23,918 --> 00:17:27,046 My wife and I have also struggled to have a child. 363 00:17:27,046 --> 00:17:29,006 Modern medicine's a miracle. 364 00:17:29,006 --> 00:17:30,758 I hope you'll be blessed like us. 365 00:17:30,758 --> 00:17:33,135 I hope so, too. 366 00:17:33,135 --> 00:17:34,637 But not as blessed. 367 00:17:38,641 --> 00:17:41,894 I will insert the large bore needle into your hip now. 368 00:17:41,894 --> 00:17:44,063 Ugh. I hate needles. 369 00:17:45,481 --> 00:17:46,857 How'd you two meet? 370 00:17:46,857 --> 00:17:49,277 He was my prom date. 371 00:17:49,277 --> 00:17:50,653 Been together ever since? 372 00:17:50,653 --> 00:17:52,280 Uh, no. 373 00:17:52,280 --> 00:17:55,116 Gena ran off to New York for a decade to join the City Ballet. 374 00:17:55,116 --> 00:17:59,370 Until I broke my ankle, ended my career, came home. 375 00:17:59,370 --> 00:18:03,082 We reconnected at our 10-year high-school reunion. 376 00:18:03,082 --> 00:18:04,792 It was like no time had passed. 377 00:18:04,792 --> 00:18:06,544 I never forgot her. 378 00:18:06,544 --> 00:18:08,754 I never forgot you, either. 379 00:18:08,754 --> 00:18:09,964 Shaun: Done! 380 00:18:11,882 --> 00:18:13,593 You get me yammering on about Gena, 381 00:18:13,593 --> 00:18:16,053 and I barely even notice a needle going into my bone. 382 00:18:16,053 --> 00:18:18,097 You did great. We'll get this to the lab 383 00:18:18,097 --> 00:18:20,308 and then transfuse it into Baby D right away. 384 00:18:23,769 --> 00:18:25,104 Nice work in there. 385 00:18:25,104 --> 00:18:27,023 Baby C should be crying in no time. 386 00:18:29,317 --> 00:18:31,485 Are you sure you want to raise a baby on your own? 387 00:18:34,947 --> 00:18:37,074 Because I'm too careerist to be a good mom? 388 00:18:37,074 --> 00:18:38,701 Like I was too ambitious to be a good girlfriend? 389 00:18:38,701 --> 00:18:41,579 No. 390 00:18:41,579 --> 00:18:44,665 You'll love your kid more than any job or partner. 391 00:18:44,665 --> 00:18:46,500 I sure do. 392 00:18:46,500 --> 00:18:49,128 But if you don't have the guy when you have the kid, 393 00:18:49,128 --> 00:18:51,922 he might be tough to find. 394 00:18:51,922 --> 00:18:56,218 I shouldn't have a kid 'cause I may never find a man? 395 00:18:56,218 --> 00:18:57,678 Okay, caveman. 396 00:18:57,678 --> 00:19:00,014 Well, I never said I wouldn't date a single mom, 397 00:19:00,014 --> 00:19:02,224 but I am remarkably sensitive. 398 00:19:02,224 --> 00:19:03,601 I want a kid, and I'm done waiting. 399 00:19:05,269 --> 00:19:06,812 See you back in the NICU. 400 00:19:06,812 --> 00:19:08,689 [ Door opens ] 401 00:19:08,689 --> 00:19:13,903 ♪♪ 402 00:19:13,903 --> 00:19:16,364 [ Monitor beeping ] 403 00:19:16,364 --> 00:19:20,451 She's improving. And hungry. 404 00:19:20,451 --> 00:19:22,536 All ready for some colostrum. 405 00:19:24,455 --> 00:19:26,165 Did you text Clay back yet? 406 00:19:26,165 --> 00:19:29,502 After this, we can start introducing a pacifier. 407 00:19:29,502 --> 00:19:32,588 I didn't have sex for 17 months after I lost my leg. 408 00:19:32,588 --> 00:19:34,465 And then, when I did, I thought, 409 00:19:34,465 --> 00:19:38,010 "Oh, yeah. I remember this. It's awesome." 410 00:19:38,010 --> 00:19:40,805 It's a first date. I'm not even thinking about sex. 411 00:19:40,805 --> 00:19:43,140 Liar. 412 00:19:43,140 --> 00:19:46,519 These make these chairs that glide. And wedges. 413 00:19:46,519 --> 00:19:48,479 This is not a death sentence to your sex life. 414 00:19:48,479 --> 00:19:50,272 Okay, I will text him back, 415 00:19:50,272 --> 00:19:52,817 mostly to stop this conversation. 416 00:19:52,817 --> 00:19:55,111 Hm. But it's just dinner. 417 00:19:55,111 --> 00:19:56,570 For now. 418 00:19:56,570 --> 00:19:57,738 [ Monitor beeps ] 419 00:19:57,738 --> 00:19:59,240 [ Tense music plays ] 420 00:19:59,240 --> 00:20:01,158 Damn. She's not tolerating the colostrum. 421 00:20:01,158 --> 00:20:02,702 I haven't started it yet. 422 00:20:02,702 --> 00:20:07,998 ♪♪ 423 00:20:07,998 --> 00:20:10,376 So you guys ready to start trying again? 424 00:20:10,376 --> 00:20:13,587 Oh, yes. We put up a calendar this morning. 425 00:20:13,587 --> 00:20:15,172 And practiced. 426 00:20:15,172 --> 00:20:17,133 I think she gets it, Shaun. 427 00:20:19,885 --> 00:20:21,929 Visualizing the uterine wall. 428 00:20:21,929 --> 00:20:23,347 [ Warbling ] 429 00:20:26,934 --> 00:20:28,227 That's scar tissue. 430 00:20:29,770 --> 00:20:31,439 That sounds bad. 431 00:20:31,439 --> 00:20:34,442 It's from the fetoscopic surgery and D&C 432 00:20:34,442 --> 00:20:35,860 after your miscarriage. 433 00:20:35,860 --> 00:20:39,363 You should do a hysteroscopy to remove the adhesions. 434 00:20:39,363 --> 00:20:41,031 Thank you, Dr. Murphy. 435 00:20:42,616 --> 00:20:45,828 He's right. Uh, we can attempt that, but -- 436 00:20:45,828 --> 00:20:47,455 You have Asherman's Syndrome. 437 00:20:50,958 --> 00:20:53,544 Most likely, yes. 438 00:20:53,544 --> 00:20:56,881 Well, can -- can we still start trying? 439 00:20:56,881 --> 00:20:58,132 I wouldn't advise it. 440 00:21:00,509 --> 00:21:03,888 How much longer do we have to wait? 441 00:21:03,888 --> 00:21:06,056 I recommend continuing birth control. 442 00:21:06,056 --> 00:21:08,517 Getting pregnant right now wouldn't be safe for you... 443 00:21:08,517 --> 00:21:10,102 or the baby. 444 00:21:10,102 --> 00:21:14,940 ♪♪ 445 00:21:14,940 --> 00:21:18,194 When will it be safe? 446 00:21:18,194 --> 00:21:20,362 Maybe another year? Maybe two. 447 00:21:22,990 --> 00:21:24,408 Maybe never. 448 00:21:24,408 --> 00:21:33,292 ♪♪ 449 00:21:33,292 --> 00:21:39,256 ♪♪ 450 00:21:43,511 --> 00:21:45,095 [ Monitor beeping ] 451 00:21:48,307 --> 00:21:50,768 Severe edema, fluid in the lungs, 452 00:21:50,768 --> 00:21:53,062 but no obstructions, just as we expected. 453 00:21:53,062 --> 00:21:55,815 So we've eliminated brain, spine, abdomen, 454 00:21:55,815 --> 00:21:57,107 anything congenital. 455 00:21:58,317 --> 00:22:00,402 I shouldn't have let you talk to them. 456 00:22:00,402 --> 00:22:02,947 Miracles? Really? 457 00:22:02,947 --> 00:22:03,948 I was direct and honest. 458 00:22:03,948 --> 00:22:05,533 How's that being honest? 459 00:22:05,533 --> 00:22:07,201 They think there's a chance here. 460 00:22:07,201 --> 00:22:08,994 As long as she's breathing, her heart is beating, 461 00:22:08,994 --> 00:22:11,121 her brain is functioning, there's still hope. 462 00:22:11,121 --> 00:22:13,624 This infant is under two pounds, 463 00:22:13,624 --> 00:22:16,418 11 weeks premature, with a major birth defect. 464 00:22:16,418 --> 00:22:18,462 She's more than likely too small, too weak, 465 00:22:18,462 --> 00:22:20,381 and too sick to survive. 466 00:22:20,381 --> 00:22:25,177 ♪♪ 467 00:22:25,177 --> 00:22:28,013 Stop being a cheerleader. Start being a doctor. 468 00:22:28,013 --> 00:22:32,852 ♪♪ 469 00:22:32,852 --> 00:22:36,605 O2 sats and heart rate are improving. 470 00:22:36,605 --> 00:22:39,859 Come on, dude. Cry for me. 471 00:22:39,859 --> 00:22:41,610 You got this. 472 00:22:41,610 --> 00:22:43,279 Who's a star? 473 00:22:43,279 --> 00:22:46,448 Baby B is. He's coming off the vent. 474 00:22:46,448 --> 00:22:49,410 Yes, you are. And then you're gonna wail. 475 00:22:49,410 --> 00:22:52,454 Those guys you were looking at earlier -- 476 00:22:52,454 --> 00:22:54,248 how much do you really know about them? 477 00:22:54,248 --> 00:22:55,416 You'd be surprised. 478 00:22:55,416 --> 00:22:57,293 Well, besides their physical attributes 479 00:22:57,293 --> 00:22:59,378 and what diseases they carry. 480 00:22:59,378 --> 00:23:01,547 Genetics can also determine your sense of humor, 481 00:23:01,547 --> 00:23:03,173 your values -- 482 00:23:03,173 --> 00:23:04,550 You want me to have the sperm bank 483 00:23:04,550 --> 00:23:06,093 ask them all to write a knock-knock joke 484 00:23:06,093 --> 00:23:07,720 and an answer to the trolley problem? 485 00:23:07,720 --> 00:23:09,430 Or ask me. 486 00:23:11,181 --> 00:23:13,684 I'm not suggesting I'd be the kid's dad. 487 00:23:13,684 --> 00:23:15,686 I just want to help. 488 00:23:15,686 --> 00:23:16,979 No strings attached. 489 00:23:20,524 --> 00:23:22,985 Uh, Baby B's on CPAP. O2 sats rising. 490 00:23:22,985 --> 00:23:24,486 Hope to hear a cry son. 491 00:23:24,486 --> 00:23:27,031 Excellent. Still no cry from C, either? 492 00:23:28,532 --> 00:23:30,075 Okay. Scope the baby. 493 00:23:30,075 --> 00:23:32,703 T.A.P.V.R. repair may have caused vocal cord palsy. 494 00:23:32,703 --> 00:23:42,338 ♪♪ 495 00:23:42,338 --> 00:23:44,173 Lim: No missed or new obstructive issues. 496 00:23:44,173 --> 00:23:45,799 Upper airway's clean. 497 00:23:45,799 --> 00:23:47,593 Why are her O2 sats plummeting? 498 00:23:47,593 --> 00:23:49,219 Could be some sort of fistula, 499 00:23:49,219 --> 00:23:50,679 bronchopulmonary dysplasia. 500 00:23:50,679 --> 00:23:53,974 R.D.S. Or it could be neurological. 501 00:23:56,185 --> 00:23:58,812 She's too fragile to start testing blind. 502 00:24:00,397 --> 00:24:03,275 I'll stay with her. Put her back on CPAP. 503 00:24:03,275 --> 00:24:04,818 I'll put together a full differential. 504 00:24:04,818 --> 00:24:06,278 Eat something while you're at it. 505 00:24:11,659 --> 00:24:13,369 Marrow transplant seems to be working, 506 00:24:13,369 --> 00:24:16,080 but I couldn't pass the NG tube into the stomach. 507 00:24:16,080 --> 00:24:17,456 How'd the appointment go? 508 00:24:19,541 --> 00:24:21,585 Not well. 509 00:24:21,585 --> 00:24:22,711 Are you okay? 510 00:24:25,047 --> 00:24:26,340 No. 511 00:24:29,218 --> 00:24:32,221 How long has he been drooling? 512 00:24:32,221 --> 00:24:34,807 I don't know. I...thought that was normal. 513 00:24:34,807 --> 00:24:37,559 -It's not. -Any luck with the NG tube? 514 00:24:37,559 --> 00:24:41,647 No. That is a symptom. This baby cannot swallow. 515 00:24:41,647 --> 00:24:43,941 He has a congenial tracheoesophageal fistula. 516 00:24:43,941 --> 00:24:45,484 We need to operate. 517 00:24:48,862 --> 00:24:51,407 Camera is in position. 518 00:24:51,407 --> 00:24:53,283 Perez: Fistula's between the distal esophagus 519 00:24:53,283 --> 00:24:54,743 and the trachea. 520 00:24:54,743 --> 00:24:55,744 You were right. 521 00:24:55,744 --> 00:24:58,914 I know. Now reconnect the esophagus. 522 00:24:58,914 --> 00:25:00,708 Forceps. 523 00:25:00,708 --> 00:25:02,501 Repositioning thoracoscope. 524 00:25:02,501 --> 00:25:04,503 Got it. 525 00:25:04,503 --> 00:25:06,714 Mobilizing the esophagus to the level of the trachea. 526 00:25:06,714 --> 00:25:08,507 Have you already isolated the fistula? 527 00:25:08,507 --> 00:25:09,842 Yes. 528 00:25:09,842 --> 00:25:12,511 I didn't tell you to do that. 529 00:25:12,511 --> 00:25:14,555 Uh... You should have first mobilized 530 00:25:14,555 --> 00:25:17,182 the proximal pouch of the esophagus. 531 00:25:17,182 --> 00:25:18,308 I'm s-- I'm so-- I'm sorry. 532 00:25:18,308 --> 00:25:20,227 You have have interrupted the blood supply. 533 00:25:20,227 --> 00:25:21,770 The risk of anastomosis leaks 534 00:25:21,770 --> 00:25:23,939 and tissue breakdown are greater now. 535 00:25:23,939 --> 00:25:25,691 [ Sternly ] Give me the instrument. 536 00:25:25,691 --> 00:25:26,859 Step back. 537 00:25:28,110 --> 00:25:29,111 Move. 538 00:25:30,946 --> 00:25:32,781 Take the camera. 539 00:25:32,781 --> 00:25:36,702 ♪♪ 540 00:25:36,702 --> 00:25:38,203 Suturing. 541 00:25:40,080 --> 00:25:41,498 Is he gonna be okay? 542 00:25:43,167 --> 00:25:44,877 I don't know. 543 00:25:55,846 --> 00:25:58,599 When I said "yes" to dinner, I didn't mean tonight. 544 00:25:58,599 --> 00:26:02,269 Patience is not my greatest virtue. 545 00:26:02,269 --> 00:26:04,063 I'm in the middle of this preemie case. 546 00:26:04,063 --> 00:26:05,939 So you fasting until it's done? 547 00:26:07,149 --> 00:26:12,613 ♪♪ 548 00:26:12,613 --> 00:26:18,410 ♪♪ 549 00:26:18,410 --> 00:26:20,913 Jerome: Brought your favorite. Roast chicken. 550 00:26:20,913 --> 00:26:24,041 Oh. It's like the first time you asked me out. 551 00:26:24,041 --> 00:26:25,459 Mm-hmm. 552 00:26:27,252 --> 00:26:29,088 She's breathing on her own. 553 00:26:29,088 --> 00:26:30,589 Nice. 554 00:26:30,589 --> 00:26:33,258 I don't envy anyone who has to try to sleep 555 00:26:33,258 --> 00:26:34,593 in a house with six infants. 556 00:26:34,593 --> 00:26:36,095 Mm-hmm. 557 00:26:36,095 --> 00:26:37,179 No matter how cute they are. 558 00:26:37,179 --> 00:26:39,139 I feel that way about one. 559 00:26:40,516 --> 00:26:43,018 Oh. 560 00:26:43,018 --> 00:26:45,229 Are...you opposed to kids? 561 00:26:45,229 --> 00:26:48,023 I mean, not politically. 562 00:26:48,023 --> 00:26:49,441 But...? 563 00:26:54,279 --> 00:26:57,157 I'm not sure I want any of my own. 564 00:26:59,660 --> 00:27:01,203 Is that bad? 565 00:27:02,913 --> 00:27:07,459 Being one of four, I... 566 00:27:07,459 --> 00:27:09,837 I always saw myself with a big family. 567 00:27:11,463 --> 00:27:13,674 Being one of eight -- 568 00:27:13,674 --> 00:27:15,217 pretty much why I don't want one. 569 00:27:19,721 --> 00:27:23,183 ♪♪ 570 00:27:23,183 --> 00:27:26,687 Ice Cube, Guy Fieri, Tom Hanks. 571 00:27:26,687 --> 00:27:28,355 Everybody loves Hanks. 572 00:27:28,355 --> 00:27:29,606 Not Tom Hanks. 573 00:27:29,606 --> 00:27:31,692 Raider Nation is deep and eclectic. 574 00:27:31,692 --> 00:27:34,820 I promise I don't paint my face. Unless it's the playoffs. 575 00:27:34,820 --> 00:27:36,947 Oh. So only one day per decade. 576 00:27:36,947 --> 00:27:39,700 [ Chuckles ] Okay. Opposite sides of the Bay. 577 00:27:39,700 --> 00:27:41,660 That's why they have a bridge. 578 00:27:41,660 --> 00:27:44,162 I can't believe you were actually there for "The Catch." 579 00:27:44,162 --> 00:27:45,873 Were you sitting on that side of the field 580 00:27:45,873 --> 00:27:47,249 where Clark caught it? 581 00:27:51,003 --> 00:27:52,212 Yep. You're distracted. 582 00:27:54,214 --> 00:27:56,008 Want to walk me through your case so far? 583 00:27:58,677 --> 00:28:01,555 EXIT procedure for CHAOS. Cyst was decompressed. 584 00:28:01,555 --> 00:28:04,182 We weaned her off CPAP, O2 sats improved, 585 00:28:04,182 --> 00:28:05,642 then started crashing. 586 00:28:05,642 --> 00:28:07,519 Not sure why. 587 00:28:07,519 --> 00:28:09,104 Pass me the ghost pepper sauce, would ya? 588 00:28:09,104 --> 00:28:12,274 Ooh. Feel like that stuff's gonna burn a hole in my chest. 589 00:28:12,274 --> 00:28:14,109 What if your preemie's breathing troubles aren't from above? 590 00:28:14,109 --> 00:28:15,694 What if it's from below? 591 00:28:18,488 --> 00:28:20,741 Diaphragmatic hernia. 592 00:28:20,741 --> 00:28:23,243 Could allow the baby's lower organs to protrude 593 00:28:23,243 --> 00:28:25,579 into her chest, crowd her lungs. 594 00:28:25,579 --> 00:28:27,915 If it started as a small defect, we could easily miss it 595 00:28:27,915 --> 00:28:30,083 on ultrasound with all the crowding in that womb. 596 00:28:30,083 --> 00:28:32,210 Mm-hmm. 597 00:28:32,210 --> 00:28:35,547 Smart, handsome, and you brought me food. 598 00:28:35,547 --> 00:28:37,925 I might actually let you take me out on a real date. 599 00:28:37,925 --> 00:28:39,760 This is a real date. 600 00:28:39,760 --> 00:28:41,678 I mean, it will be once we kiss. 601 00:28:47,309 --> 00:28:50,062 Then we should probably do that now. 602 00:28:50,062 --> 00:28:52,606 My thought exactly. 603 00:28:52,606 --> 00:28:55,067 ♪♪ 604 00:28:55,067 --> 00:28:56,485 [ Clears throat ] 605 00:28:56,485 --> 00:29:02,824 ♪♪ 606 00:29:02,824 --> 00:29:09,039 ♪♪ 607 00:29:09,039 --> 00:29:12,125 Thank you for your offer. 608 00:29:12,125 --> 00:29:13,043 But? 609 00:29:15,212 --> 00:29:16,880 It would hurt too much to see you every time 610 00:29:16,880 --> 00:29:18,006 I looked at my kid. 611 00:29:18,006 --> 00:29:24,680 ♪♪ 612 00:29:24,680 --> 00:29:31,103 ♪♪ 613 00:29:31,103 --> 00:29:33,105 [ Sighs ] 614 00:29:33,105 --> 00:29:35,774 The live birth rate in pregnancies 615 00:29:35,774 --> 00:29:39,319 after Asherman's treatment is 67%. 616 00:29:39,319 --> 00:29:40,862 She should have mentioned that. 617 00:29:43,156 --> 00:29:46,076 Yeah. I guess so. 618 00:29:46,076 --> 00:29:49,705 And hysteroscopy... 619 00:29:49,705 --> 00:29:53,583 improves the odds of conception. 620 00:29:53,583 --> 00:29:56,837 Our prognosis for conception may still be very good. 621 00:29:56,837 --> 00:30:00,298 ♪♪ 622 00:30:00,298 --> 00:30:02,050 I'm "sending good vibes into the universe, 623 00:30:02,050 --> 00:30:05,178 so good things come back." 624 00:30:05,178 --> 00:30:06,763 Thank you, Shaun. 625 00:30:08,724 --> 00:30:10,183 Maybe later. 626 00:30:11,977 --> 00:30:14,354 Right now I'm just very sad. 627 00:30:14,354 --> 00:30:21,528 ♪♪ 628 00:30:21,528 --> 00:30:22,946 I know. 629 00:30:22,946 --> 00:30:28,577 ♪♪ 630 00:30:28,577 --> 00:30:30,162 [ Sighs heavily ] 631 00:30:30,162 --> 00:30:34,374 ♪♪ 632 00:30:34,374 --> 00:30:36,209 [ Monitors beeping rapidly ] 633 00:30:36,209 --> 00:30:39,796 ♪♪ 634 00:30:39,796 --> 00:30:42,215 O2 sats are falling. I need suction and a ventilator. 635 00:30:42,215 --> 00:30:45,343 Page Andrews. She's bradycardic. 636 00:30:45,343 --> 00:30:46,845 She's not getting enough oxygen. 637 00:30:46,845 --> 00:30:50,766 ♪♪ 638 00:30:50,766 --> 00:30:55,645 ♪ 'Cause boys don't cry ♪ 639 00:30:55,645 --> 00:30:59,107 ♪ I tried to laugh about it ♪ 640 00:30:59,107 --> 00:31:02,235 ♪ Cover it all up with lies ♪ 641 00:31:02,235 --> 00:31:04,946 ♪ I tried to laugh about it ♪ 642 00:31:04,946 --> 00:31:07,157 ♪ Hiding the tears in my eyes ♪ 643 00:31:07,157 --> 00:31:11,036 ♪ 'Cause boys don't cry ♪ 644 00:31:11,036 --> 00:31:12,454 [ Monitors beeping ] 645 00:31:12,454 --> 00:31:15,540 O2 sats are rising. Heart rate's normal. 646 00:31:17,375 --> 00:31:18,960 She's fine. 647 00:31:18,960 --> 00:31:21,254 Just forgot to breathe. 648 00:31:21,254 --> 00:31:23,381 It happens when they're this little. 649 00:31:23,381 --> 00:31:25,133 ♪♪ 650 00:31:25,133 --> 00:31:27,969 [ Humming "Boys Don't Cry" ] 651 00:31:27,969 --> 00:31:37,896 ♪♪ 652 00:31:37,896 --> 00:31:39,397 I'm gonna go home. 653 00:31:39,397 --> 00:31:41,108 You're giving up? 654 00:31:41,108 --> 00:31:42,818 I'm accepting the situation. 655 00:31:42,818 --> 00:31:44,402 There's still hope. 656 00:31:44,402 --> 00:31:45,987 Stop with the hope already, will ya? 657 00:31:45,987 --> 00:31:47,656 It's not gonna save this child. 658 00:31:47,656 --> 00:31:50,283 Hypnagogia. 659 00:31:50,283 --> 00:31:52,619 Thomas Edison believed the thoughts generated 660 00:31:52,619 --> 00:31:54,204 as we drift off to sleep 661 00:31:54,204 --> 00:31:56,039 were the most likely to generate a breakthrough. 662 00:31:56,039 --> 00:31:58,708 Alright, Thomas Edison, the Wizard of Menlo Park, 663 00:31:58,708 --> 00:32:02,337 the same guy who believed that if he sat on a goose egg, 664 00:32:02,337 --> 00:32:05,674 he could actually make the goose egg hatch. 665 00:32:05,674 --> 00:32:07,843 There was an experiment published in Science. 666 00:32:07,843 --> 00:32:10,053 Subjects tried to solve a difficult math problem 667 00:32:10,053 --> 00:32:12,597 late at night while holding something heavy. 668 00:32:12,597 --> 00:32:13,932 When they drifted off to sleep, they dropped it, 669 00:32:13,932 --> 00:32:16,017 and when they woke up, they solved the problem. 670 00:32:16,017 --> 00:32:17,602 Okay, when I go to bed tonight, 671 00:32:17,602 --> 00:32:20,397 I'll cuddle with a barbell while holding onto a light bulb. 672 00:32:20,397 --> 00:32:22,065 How's that? 673 00:32:22,065 --> 00:32:23,567 Any breakthroughs on Baby E? 674 00:32:23,567 --> 00:32:25,277 We've exhausted all our options. 675 00:32:25,277 --> 00:32:27,571 We're moving on to "watch and wait." 676 00:32:27,571 --> 00:32:29,614 We were just talking about hypnagogia. 677 00:32:29,614 --> 00:32:32,075 The Edison sleep theory from Science magazine? 678 00:32:32,075 --> 00:32:33,869 Thought we might stay all night 679 00:32:33,869 --> 00:32:35,704 and take turns waking each other. 680 00:32:35,704 --> 00:32:37,164 Well, that's -- 681 00:32:37,164 --> 00:32:40,584 Absurd? Silly? Ridiculous? 682 00:32:40,584 --> 00:32:43,628 I was gonna say that's better than "watch and wait." 683 00:32:43,628 --> 00:32:51,094 ♪♪ 684 00:32:58,351 --> 00:33:01,438 You were right. Baby F has a diaphragmatic hernia. 685 00:33:01,438 --> 00:33:03,481 It didn't show up in the initial X-ray. 686 00:33:03,481 --> 00:33:04,774 Anybody would have missed it. 687 00:33:04,774 --> 00:33:06,610 It was Clay's idea. 688 00:33:07,819 --> 00:33:10,655 I'm glad that I texted him to bring you dinner. 689 00:33:10,655 --> 00:33:12,240 You did not. 690 00:33:12,240 --> 00:33:14,659 I did. 691 00:33:14,659 --> 00:33:15,744 Well played. 692 00:33:17,913 --> 00:33:21,291 After we get consent, you can scrub in, 693 00:33:21,291 --> 00:33:23,501 help me make that little girl all better. 694 00:33:23,501 --> 00:33:31,843 ♪♪ 695 00:33:38,099 --> 00:33:48,026 ♪♪ 696 00:33:48,026 --> 00:33:49,402 Hypnagogia! Ahh! 697 00:33:49,402 --> 00:33:50,987 What? 698 00:33:53,990 --> 00:33:56,034 The groin. What? 699 00:33:56,034 --> 00:33:58,245 What? The groin? 700 00:33:58,245 --> 00:34:02,374 If we can't access the baby's chest, we can check the groin. 701 00:34:02,374 --> 00:34:04,876 If she has bounding femoral pulses -- 702 00:34:04,876 --> 00:34:07,504 It would indicate a patent ductus arteriosus. 703 00:34:07,504 --> 00:34:09,339 Which would explain the fluid in her lungs and the -- 704 00:34:09,339 --> 00:34:10,757 the heart failure, which could be fixed 705 00:34:10,757 --> 00:34:13,885 with a Piccolo Occluder. 706 00:34:13,885 --> 00:34:15,929 Go get consent. And an aspirin. 707 00:34:17,055 --> 00:34:19,182 Uh, wait. 708 00:34:19,182 --> 00:34:20,600 What is it? 709 00:34:20,600 --> 00:34:22,352 If we can't put the baby on her back, 710 00:34:22,352 --> 00:34:24,062 how are we gonna insert the device? 711 00:34:29,651 --> 00:34:32,153 I'll get comfortable. 712 00:34:32,153 --> 00:34:34,030 You scream in my face this time. 713 00:34:36,408 --> 00:34:37,909 He's swallowing now. 714 00:34:37,909 --> 00:34:39,411 But still not crying. 715 00:34:41,246 --> 00:34:42,956 Ready to show your brother how it's done? 716 00:34:44,416 --> 00:34:46,459 [ Baby crying ] 717 00:34:50,171 --> 00:34:53,466 ♪♪ 718 00:34:53,466 --> 00:34:55,218 [ Baby C crying ] 719 00:35:03,518 --> 00:35:07,022 Very polite of you to wait for your brother. 720 00:35:07,022 --> 00:35:10,317 Maybe there was something to that shady co-bedding research. 721 00:35:10,317 --> 00:35:13,111 Maybe you being a wuss was a blessing in disguise. 722 00:35:13,111 --> 00:35:14,988 [ Crying continues ] 723 00:35:18,992 --> 00:35:22,329 It would have hurt me, too -- having a kid with you 724 00:35:22,329 --> 00:35:24,289 and not being part of your lives. 725 00:35:24,289 --> 00:35:31,755 ♪♪ 726 00:35:31,755 --> 00:35:33,923 Gaining access through the umbilical vessels -- 727 00:35:33,923 --> 00:35:36,217 that was inspiring. 728 00:35:36,217 --> 00:35:38,470 I credit Thomas Edison. As you should. 729 00:35:42,015 --> 00:35:44,392 Seriously, thank you for humoring 730 00:35:44,392 --> 00:35:47,062 my crazy idea, Dr. Glassman. 731 00:35:47,062 --> 00:35:50,732 Thank you for helping me to not give up on hope. 732 00:35:50,732 --> 00:35:59,407 ♪♪ 733 00:35:59,407 --> 00:36:03,203 Come on, buddy. Let me hear that cry. 734 00:36:08,041 --> 00:36:10,460 Heart rate 110 BPM. Respiratory 65. 735 00:36:13,129 --> 00:36:15,048 Look. I'm so sorry. 736 00:36:15,048 --> 00:36:18,802 I thought I was... being decisive. 737 00:36:18,802 --> 00:36:21,096 You were. 738 00:36:21,096 --> 00:36:22,597 It was the wrong decision. 739 00:36:27,644 --> 00:36:29,396 [ Baby crying ] 740 00:36:32,315 --> 00:36:40,740 ♪♪ 741 00:36:40,740 --> 00:36:49,457 ♪♪ 742 00:36:49,457 --> 00:36:51,292 He will be okay. 743 00:36:53,128 --> 00:36:56,673 You should feel bad, but not too bad. 744 00:36:56,673 --> 00:37:03,263 ♪♪ 745 00:37:03,263 --> 00:37:06,808 Andrews: Sextuplet births are incredibly rare, 746 00:37:06,808 --> 00:37:09,519 one in almost 4 billion, 747 00:37:09,519 --> 00:37:14,524 and the odds of 100% survival are even rarer. 748 00:37:14,524 --> 00:37:17,402 But I'm happy to report all six babies are healthy 749 00:37:17,402 --> 00:37:19,654 and all six babies will be going home. 750 00:37:19,654 --> 00:37:20,947 [ Applause ] 751 00:37:20,947 --> 00:37:23,408 ♪ Change your mind ♪ 752 00:37:23,408 --> 00:37:27,495 ♪ But I know that this time I have said too much ♪ 753 00:37:27,495 --> 00:37:30,415 It wasn't easy, but because of all of you... 754 00:37:30,415 --> 00:37:32,292 they made it. 755 00:37:32,292 --> 00:37:33,585 Some of our friends... 756 00:37:33,585 --> 00:37:35,962 Mnh-mnh. That's a thicket of chest hair. 757 00:37:35,962 --> 00:37:37,672 Mm. Chances are, his back... 758 00:37:37,672 --> 00:37:39,466 Mnh. 759 00:37:39,466 --> 00:37:42,927 Because of your hard work, we're able to now... 760 00:37:42,927 --> 00:37:44,220 Breakfast on me if you help me 761 00:37:44,220 --> 00:37:46,431 make a list of acceptable prospects. 762 00:37:46,431 --> 00:37:49,100 I just wanted to personally thank you. 763 00:37:49,100 --> 00:37:52,562 And the parents, Gena and Jack, they want to thank you, as well. 764 00:37:52,562 --> 00:37:55,815 This is a time to celebrate. 765 00:37:55,815 --> 00:37:59,110 B's competitive. He likes to do everything before his brother. 766 00:37:59,110 --> 00:38:01,613 And C's an empath, waited until he knew 767 00:38:01,613 --> 00:38:03,615 his brother would be okay before doing his thing. 768 00:38:03,615 --> 00:38:07,577 ♪♪ 769 00:38:07,577 --> 00:38:08,870 Hi. 770 00:38:08,870 --> 00:38:11,372 [ Babies cooing ] 771 00:38:11,372 --> 00:38:14,042 [ Chuckling ] Hi. 772 00:38:14,042 --> 00:38:16,127 Byron and Christopher? 773 00:38:16,127 --> 00:38:17,462 Yeah. 774 00:38:19,297 --> 00:38:22,592 E.J. Her name is E. J. 775 00:38:24,052 --> 00:38:26,638 It stands for Erin Jordan. 776 00:38:26,638 --> 00:38:28,389 Thank you both. 777 00:38:28,389 --> 00:38:31,267 ♪ If I thought that it would change your mind ♪ 778 00:38:31,267 --> 00:38:36,397 ♪ But I know that this time I have said too much ♪ 779 00:38:36,397 --> 00:38:37,941 Meet Baby F. 780 00:38:37,941 --> 00:38:39,651 ♪ 'Cause boys don't cry ♪ 781 00:38:39,651 --> 00:38:41,277 Hi. 782 00:38:41,277 --> 00:38:45,198 ♪♪ 783 00:38:45,198 --> 00:38:47,033 Francesca? 784 00:38:47,033 --> 00:38:49,577 ♪ Boys don't cry ♪ 785 00:38:49,577 --> 00:38:52,372 Andrews: But Gena and Jack are first-time parents 786 00:38:52,372 --> 00:38:54,332 who will be bringing home six babies, 787 00:38:54,332 --> 00:38:56,042 so they're gonna need lots of help. 788 00:38:56,042 --> 00:38:58,795 Now, for those of you who are willing to continue, 789 00:38:58,795 --> 00:39:01,256 once the babies are at home, 790 00:39:01,256 --> 00:39:04,175 there's a volunteer sign-up sheet at the check-in desk. 791 00:39:04,175 --> 00:39:06,344 I'm sure Gena and Jack would be grateful 792 00:39:06,344 --> 00:39:08,429 for any help you're willing to give. 793 00:39:08,429 --> 00:39:10,473 ♪ So I tried to laugh about it ♪ 794 00:39:10,473 --> 00:39:12,642 ♪ Cover it all up with lies ♪ 795 00:39:12,642 --> 00:39:15,562 So you had a goth mom? 796 00:39:15,562 --> 00:39:17,564 She sang you "Boys Don't Cry" as a lullaby, right? 797 00:39:17,564 --> 00:39:19,023 Oh, yeah. 798 00:39:19,023 --> 00:39:21,526 She'd pick me up at school blasting Joy Division, too. 799 00:39:21,526 --> 00:39:23,319 Humiliated me at the time. 800 00:39:23,319 --> 00:39:27,198 But...she was a good mom. 801 00:39:27,198 --> 00:39:29,117 My dad used to sing "Ein Keloheinu" 802 00:39:29,117 --> 00:39:30,702 louder than everyone in shul. 803 00:39:30,702 --> 00:39:33,454 I...hated it. 804 00:39:33,454 --> 00:39:35,039 Which was probably the point. 805 00:39:38,751 --> 00:39:41,921 Could be fun to embarrass our kids some day. 806 00:39:41,921 --> 00:39:44,048 Far, far in the future. 807 00:39:44,048 --> 00:39:46,050 ♪ I have said too much ♪ 808 00:39:46,050 --> 00:39:48,636 ♪ Been too unkind ♪ 809 00:39:48,636 --> 00:39:50,054 Thank you. Okay. 810 00:39:51,389 --> 00:39:52,974 [ Sighs ] 811 00:39:52,974 --> 00:39:55,727 I'm glad I brought this case to you. 812 00:39:55,727 --> 00:39:57,186 Me too. 813 00:39:58,813 --> 00:40:02,108 Marcus. I'm sorry. 814 00:40:02,108 --> 00:40:05,069 For giving up on us. For cheating. 815 00:40:06,821 --> 00:40:08,740 It's the worst mistake I ever made. 816 00:40:11,451 --> 00:40:13,620 It wasn't all you. 817 00:40:13,620 --> 00:40:15,371 I don't know that I gave up, 818 00:40:15,371 --> 00:40:18,082 but I certainly didn't pay enough attention. 819 00:40:20,376 --> 00:40:23,421 Gena and Jack grew apart... 820 00:40:23,421 --> 00:40:25,840 but they found each other again. 821 00:40:25,840 --> 00:40:28,301 It's a nice story. 822 00:40:28,301 --> 00:40:31,095 Yeah. 823 00:40:31,095 --> 00:40:32,722 Nice. 824 00:40:32,722 --> 00:40:35,683 ♪ If I thought that you would stay ♪ 825 00:40:35,683 --> 00:40:38,353 ♪ But I know that it's no use ♪ 826 00:40:38,353 --> 00:40:43,024 ♪ That you've already gone away ♪ 827 00:40:43,024 --> 00:40:45,276 Derek. 828 00:40:45,276 --> 00:40:49,781 [ Babies fussing ] 829 00:40:49,781 --> 00:40:52,575 Say "grilled cheese" six times! 830 00:40:52,575 --> 00:40:55,912 [ Chuckles ] Grilled cheese. 831 00:40:55,912 --> 00:40:58,957 ♪ Now I would do most anything ♪ 832 00:40:58,957 --> 00:41:02,835 ♪ To get you back by my side ♪ 833 00:41:02,835 --> 00:41:06,214 ♪ But I just keep on laughing ♪ 834 00:41:06,214 --> 00:41:09,467 ♪ Hiding the tears in my eyes ♪ 835 00:41:09,467 --> 00:41:14,555 ♪ 'Cause boys don't cry ♪ 836 00:41:16,599 --> 00:41:21,604 ♪ Boys don't cry ♪ 837 00:41:21,604 --> 00:41:29,320 ♪♪ 838 00:41:29,320 --> 00:41:36,786 ♪♪ 839 00:41:36,786 --> 00:41:44,460 ♪♪ 840 00:41:44,460 --> 00:41:49,257 ♪ Boys don't cry ♪ 841 00:41:49,257 --> 00:41:51,050 [ Lea sobbing ] 842 00:41:51,050 --> 00:41:55,221 ♪ Boys don't cry ♪ 843 00:41:57,849 --> 00:42:02,895 ♪ Boys don't cry ♪ 844 00:42:02,895 --> 00:42:04,981 [ Sobbing continues ] 845 00:42:04,981 --> 00:42:09,068 ♪ Boys don't cry ♪ 846 00:42:16,534 --> 00:42:26,127 ♪♪ 847 00:42:26,127 --> 00:42:35,511 ♪♪ 848 00:42:35,511 --> 00:42:45,063 ♪♪