Fetal Position (House)
Encyclopedia
"Fetal Position" is the seventeenth episode of the third season of House
and the sixty-third episode overall.
) arrives at a photo shoot for singer Tyson Ritter, but she quickly realizes there is something wrong when she cannot read the writing on a chalk board on the set. She quickly checks if her smile is crooked, which it is, whether she can hold her arms straight, which she can't, and whether her speech is slurred, which it is, and she immediately realizes, and tells the stunned people watching, that she is having a stroke
before collapsing.
House comes in to visit Emma, who is checked in at the hospital. She reveals that she learned the way to self-diagnose a stroke from her baby's gay father which interests House. He runs some tests and determines her kidneys have shut down, and resolves to find the underlying cause of the stroke. Emma is interested in taking photos of House, and the staff is interested in House's photo. House has the staff run tests to determine if she has a blood clot in her heart, while he discusses his vacation plans. Cameron wonders why House didn't say anything about seeing her and Chase together. They confirm House's diagnoses and prepare to put in a balloon to clear the clot.
Cameron finds House relaxing in a hyperbaric chamber in an attempt to build up his tolerance for high altitude (by reducing the pressure in the chamber instead of the usual increase, effectively making it into a hypobaric chamber), for his upcoming vacation. Cameron confronts him about telling Cuddy about her and Chase. He ducks the matter while Cuddy tells Emma about the treatment they have planned to relieve the pressure on the fetus's urinary bladder. Cuddy then finds House in her office where he questions her diagnosis of urinary bladder blockage, warning the first two tests will be inconclusive. He suggests that Cuddy is sympathizing with Emma as they are both older women having a baby through artificial insemination. Cuddy decides to hand the case back to House.
The third test proves positive and Chase gives the results to Emma, who is thankful things will turn out okay. Emma notices that Chase is in love with Cameron when he looks at a picture that Emma took of Cameron that makes him smile, and Emma takes a picture of Chase. The doctors prepare to treat the baby but discover that Emma is jaundiced and her liver is shutting down. House believes the fetus "lied" and the urinary tract obstruction is just a sign of something else. With time running out, House suggests there is only one sure cure: to abort the baby at 21 weeks. House breaks the news to Emma and she wants to wait two weeks until the baby is viable
, but House warns she won't last two days. She refuses to have an abortion and demands House fix it so they can both live.
House goes to Cuddy who refuses to go to Emma. It's back to a differential diagnosis with Cuddy running the board. Cuddy suggests that they go through the veins in the neck to get to the liver. House mentions Cameron and Chase are dating, much to Foreman's surprise. Cuddy suggests that an unenthusiastic House go on vacation. Chase and Foreman go ahead with the procedure, but the fetus' heart rate drops and Emma goes into pre-term labor. They manage to stop the contractions, but warn they'll have to remove the fetus. Cuddy insists on finding the problem and suggests they have to check the undeveloped lungs. Cuddy suggests they use steroids to increase the lung growth, yet the staff refuses. Cuddy goes off to do it and Emma has another seizure. Wilson goes in to suggest it's time to terminate and Cuddy tells him to either help or get out.
Later, a concerned Cuddy goes to Wilson and admits that everyone was right all along and Emma's lungs are shutting down. She asks him what House would do if he was in her position, and Cuddy concludes that Emma doesn't need her lungs because she's on a respirator anyway, so she's put the fetus back on steroids. Cuddy goes to House's apartment while he is packing up for his vacation and agrees to look at the tests now that the baby's lungs have expanded. They go back to the hospital and try to figure out a way to examine the lungs more thoroughly. They finally decide to do exploratory surgery and explain things to Emma. She agrees and they take her into surgery where House and Cuddy assist the operation.
During the operation, the baby's hand emerges weakly and grasps House's index finger. House, in response, pauses for a moment, reacting by touching the tiny hand with his thumb. House stares at the phenomenon in awe, but Cuddy reminds him to proceed, and he snaps back to reality. They find lesions in the baby's lungs but Emma goes into ventricular fibrillation. House prepares to cut the umbilical cord but Cuddy insists on applying the paddles until Emma is revived, once threatening to electrocute House. Cuddy succeeds, allowing Emma and her son to live.
House informs Emma that the baby is now fine and Emma notes that he now calls the child a "baby" instead of a "fetus" before thanking him. House tells her to thank Cuddy rather than him because he would have "killed the kid." Chase meets with Cameron who notices a photo that Emma took of him, one that shows him "glowing," from earlier when he was looking at a picture of Cameron, although Chase refrains from telling her what he was doing when the photograph was taken. Cuddy gives House a ticket for a vacation to Vancouver Island and he tells her she made the wrong call and got lucky. Cuddy is fine with her decision and tells him to go get happy. House goes home and rips up the ticket, then takes the phone off the hook and settles down for a night of television and Vicodin. He is deep in thought as he stares at the finger where the baby touched him. In a flash-forward, Emma is seen hanging up photos of Cuddy and House's staff though no pictures of House himself are shown.
was the real child who featured in a famous 1999 photograph by Michael Clancy as he seemed to grasp his surgeon's hand from a hole in his mother's uterus during open fetal surgery for spina bifida. As patients undergoing surgery, both the mother and the fetus were under anaesthetic. It is debated whether the fetus was consciously grasping the surgeon's finger or, rather, the surgeon was lifting the arm of the fetus. Clancy, the photographer, contends that the fetus thrust its arm through the surgical opening unassisted. Clancy also claims Dr. Bruner, the Vanderbilt doctor responsible for the surgery, initially corroborated his description of events, however in a subsequent interview gave a conflicting account denying the child moved on its own. This incident was also referenced in the medical sitcom Scrubs
, in the episode My Road to Nowhere
, which aired two months before Fetal Position.
In the first minutes, where Emma is on the set and photographing Tyson, she uses a Hasselblad
503 CW medium-format camera with a mounted 80 mm f/2.8 lens.
The camera that Emma uses while at Princeton-Plainsboro is a Canon EOS-1Ds Mark II
digital SLR with an attached Canon EF 24-70mm f/2.8L lens, though the sound effect when Emma takes pictures is consistent with the motorized film advance of a film SLR. Later, Cameron is seen packing her gear into a Porta Brace CS-DV2 case normally used for consumer Mini-DV
video cameras.
House (TV series)
House is an American television medical drama that debuted on the Fox network on November 16, 2004. The show's central character is Dr. Gregory House , an unconventional and misanthropic medical genius who heads a team of diagnosticians at the fictional Princeton-Plainsboro Teaching Hospital in...
and the sixty-third episode overall.
Plot
Pregnant photographer Emma Sloan (Anne RamsayAnne Ramsay
Anne Elizabeth Ramsay is an American actress best known for her role as Lisa Stemple on Mad About You, for which she shared a Screen Actors Guild Award nomination for Best Ensemble in a Comedy series.- Early life :...
) arrives at a photo shoot for singer Tyson Ritter, but she quickly realizes there is something wrong when she cannot read the writing on a chalk board on the set. She quickly checks if her smile is crooked, which it is, whether she can hold her arms straight, which she can't, and whether her speech is slurred, which it is, and she immediately realizes, and tells the stunned people watching, that she is having a stroke
Stroke
A stroke, previously known medically as a cerebrovascular accident , is the rapidly developing loss of brain function due to disturbance in the blood supply to the brain. This can be due to ischemia caused by blockage , or a hemorrhage...
before collapsing.
House comes in to visit Emma, who is checked in at the hospital. She reveals that she learned the way to self-diagnose a stroke from her baby's gay father which interests House. He runs some tests and determines her kidneys have shut down, and resolves to find the underlying cause of the stroke. Emma is interested in taking photos of House, and the staff is interested in House's photo. House has the staff run tests to determine if she has a blood clot in her heart, while he discusses his vacation plans. Cameron wonders why House didn't say anything about seeing her and Chase together. They confirm House's diagnoses and prepare to put in a balloon to clear the clot.
Cameron finds House relaxing in a hyperbaric chamber in an attempt to build up his tolerance for high altitude (by reducing the pressure in the chamber instead of the usual increase, effectively making it into a hypobaric chamber), for his upcoming vacation. Cameron confronts him about telling Cuddy about her and Chase. He ducks the matter while Cuddy tells Emma about the treatment they have planned to relieve the pressure on the fetus's urinary bladder. Cuddy then finds House in her office where he questions her diagnosis of urinary bladder blockage, warning the first two tests will be inconclusive. He suggests that Cuddy is sympathizing with Emma as they are both older women having a baby through artificial insemination. Cuddy decides to hand the case back to House.
The third test proves positive and Chase gives the results to Emma, who is thankful things will turn out okay. Emma notices that Chase is in love with Cameron when he looks at a picture that Emma took of Cameron that makes him smile, and Emma takes a picture of Chase. The doctors prepare to treat the baby but discover that Emma is jaundiced and her liver is shutting down. House believes the fetus "lied" and the urinary tract obstruction is just a sign of something else. With time running out, House suggests there is only one sure cure: to abort the baby at 21 weeks. House breaks the news to Emma and she wants to wait two weeks until the baby is viable
Limit of viability
-Scientific thresholds:There is no sharp limit of development, age, or weight at which a fetus automatically becomes viable. According to data years 2003-2005, 20 to 35 percent of babies born at 23 weeks of gestation survive, while 50 to 70 percent of babies born at 24 to 25 weeks, and more than 90...
, but House warns she won't last two days. She refuses to have an abortion and demands House fix it so they can both live.
House goes to Cuddy who refuses to go to Emma. It's back to a differential diagnosis with Cuddy running the board. Cuddy suggests that they go through the veins in the neck to get to the liver. House mentions Cameron and Chase are dating, much to Foreman's surprise. Cuddy suggests that an unenthusiastic House go on vacation. Chase and Foreman go ahead with the procedure, but the fetus' heart rate drops and Emma goes into pre-term labor. They manage to stop the contractions, but warn they'll have to remove the fetus. Cuddy insists on finding the problem and suggests they have to check the undeveloped lungs. Cuddy suggests they use steroids to increase the lung growth, yet the staff refuses. Cuddy goes off to do it and Emma has another seizure. Wilson goes in to suggest it's time to terminate and Cuddy tells him to either help or get out.
Later, a concerned Cuddy goes to Wilson and admits that everyone was right all along and Emma's lungs are shutting down. She asks him what House would do if he was in her position, and Cuddy concludes that Emma doesn't need her lungs because she's on a respirator anyway, so she's put the fetus back on steroids. Cuddy goes to House's apartment while he is packing up for his vacation and agrees to look at the tests now that the baby's lungs have expanded. They go back to the hospital and try to figure out a way to examine the lungs more thoroughly. They finally decide to do exploratory surgery and explain things to Emma. She agrees and they take her into surgery where House and Cuddy assist the operation.
During the operation, the baby's hand emerges weakly and grasps House's index finger. House, in response, pauses for a moment, reacting by touching the tiny hand with his thumb. House stares at the phenomenon in awe, but Cuddy reminds him to proceed, and he snaps back to reality. They find lesions in the baby's lungs but Emma goes into ventricular fibrillation. House prepares to cut the umbilical cord but Cuddy insists on applying the paddles until Emma is revived, once threatening to electrocute House. Cuddy succeeds, allowing Emma and her son to live.
House informs Emma that the baby is now fine and Emma notes that he now calls the child a "baby" instead of a "fetus" before thanking him. House tells her to thank Cuddy rather than him because he would have "killed the kid." Chase meets with Cameron who notices a photo that Emma took of him, one that shows him "glowing," from earlier when he was looking at a picture of Cameron, although Chase refrains from telling her what he was doing when the photograph was taken. Cuddy gives House a ticket for a vacation to Vancouver Island and he tells her she made the wrong call and got lucky. Cuddy is fine with her decision and tells him to go get happy. House goes home and rips up the ticket, then takes the phone off the hook and settles down for a night of television and Vicodin. He is deep in thought as he stares at the finger where the baby touched him. In a flash-forward, Emma is seen hanging up photos of Cuddy and House's staff though no pictures of House himself are shown.
Behind the scenes
Samuel ArmasSamuel Armas
Samuel Alexander Armas is the child shown in a famous photograph by Michael Clancy of his surgeon holding his hand from out of a hole in his mother's uterus during open fetal surgery for spina bifida.-Story behind the photo:...
was the real child who featured in a famous 1999 photograph by Michael Clancy as he seemed to grasp his surgeon's hand from a hole in his mother's uterus during open fetal surgery for spina bifida. As patients undergoing surgery, both the mother and the fetus were under anaesthetic. It is debated whether the fetus was consciously grasping the surgeon's finger or, rather, the surgeon was lifting the arm of the fetus. Clancy, the photographer, contends that the fetus thrust its arm through the surgical opening unassisted. Clancy also claims Dr. Bruner, the Vanderbilt doctor responsible for the surgery, initially corroborated his description of events, however in a subsequent interview gave a conflicting account denying the child moved on its own. This incident was also referenced in the medical sitcom Scrubs
Scrubs (TV series)
Scrubs is an American medical comedy-drama television series created in 2001 by Bill Lawrence and produced by ABC Studios. The show follows the lives of several employees of the fictional Sacred Heart, a teaching hospital. It features fast-paced screenplay, slapstick, and surreal vignettes...
, in the episode My Road to Nowhere
My Road to Nowhere
"My Road to Nowhere" is the 8th episode of season six and 125th episode overall of the American sitcom Scrubs. It aired on February 8, 2007 NBC.-Synopsis:...
, which aired two months before Fetal Position.
In the first minutes, where Emma is on the set and photographing Tyson, she uses a Hasselblad
Hasselblad
Victor Hasselblad AB is a Swedish manufacturer of medium-format cameras and photographic equipment based in Gothenburg, Sweden.The company is best known for the medium-format cameras it has produced since World War II....
503 CW medium-format camera with a mounted 80 mm f/2.8 lens.
The camera that Emma uses while at Princeton-Plainsboro is a Canon EOS-1Ds Mark II
Canon EOS-1Ds Mark II
The EOS-1Ds Mark II is a digital SLR camera body by Canon Inc. of Japan. It was the top model in the Canon EOS line of digital cameras until April 2007, with a full-frame 16.7 megapixel CMOS sensor. The EOS-1Ds Mark II had the highest pixel count available in a 35mm format digital SLR at the time...
digital SLR with an attached Canon EF 24-70mm f/2.8L lens, though the sound effect when Emma takes pictures is consistent with the motorized film advance of a film SLR. Later, Cameron is seen packing her gear into a Porta Brace CS-DV2 case normally used for consumer Mini-DV
DV
DV is a format for the digital recording and playing back of digital video. The DV codec was launched in 1995 with joint efforts of leading producers of video camcorders....
video cameras.