In the Adersons House, Dad was at work, Mom Joyce was at home with her 3-year old Jenna Playing outside.

Joyce:"Jenna! Time to come in sweetie".

Janna:"Coming!

Jenna was having lunch. all the sudden Mom saw a puddle on the floor.

Joyce:"Jenna? Do you feel alright.

Jenna:"Yea. Why?"

Joyce:"You just went to the bathroom on the floor. Didn't you feel that?"

Jenna:"No. I didn't know I went.

After lunch, Jenna was in the bathtub. After she got out of the tub Joyce came into the bathroom and saw Jenna in the floor. She just peed out blood. Joyce called 911.

Back at our house, We were just coming home from our trip until my pager went off. I pick up the phone and call the Hospital, put on my scrubs and rushed to work. The medic's was wheeling a 3-year old in.

Hiro:"What do we have"?

Medic:"A 3-year old collapse on the bathroom floor. She peed blood and her temperature went up to 103 and she said she doesn't have a fever. she cannot feel any pain.

I was thinking that it could be cipa. A genetic disease the a person cannot feel pain.

Hiro:"Wheel her in trauma 2."

Jenna:"Why did she pee blood?"

Hiro:"It could be a kidney stone and she cannot feel it. Lisa!. Go grab a catheter kit out of the supply closet and tub,clothes and towel to clean her off.

I cut her clothes off and put her into a gown. The nurse came back with the supplies. She cleaned her off and put a catheter in her with a urine bag. I examed her, Took her vitals, felt around her belly, kidney's. I felt a lump in her kidney's. I told Lisa to wheel in an ultrasound machine. I did an ultrasound on her kidney's and saw a stone on the screen. I admitted her in for more tests and genetic testing to rule out cipa. I wheeled her down to MRI to take a good picture at the stone in her kidney's.

Lisa:"Now What?"

Hiro:"Well we need to keep an eye on it. If it get any bigger, I may have to do surgery to remove the stones".

After the MRI, I wheeled her into a room. I start some I.V meds., Draw some blood for genetic testing. She was put in isolation because she had a fever. Cipa patient's do not get hot or sweat when they get ill. They don't even know that they had a fever. The result came back from the lab. It was cipa. Her Mom told me that she was the carrier. She had cipa and passed it on at birth. The disease doesn't show it unit she was three. That night Jenna was in pain around 11pm. The medical team and I came into her room. Nothing was coming in her urine bag. I did an ultrasound. The store's get bigger. We rushed her into surgery.I use the scope to get the stones out and urine started to come out into the bag. 1 hour later, she was being rushed into recovery. I was rubbing my head thinking about something.

Hiro:"How could she felt that when she had cipa? odd".

After she woke up, I wheeled her back into her room, took her vitals and let her sleep. I went out in the hallway. I told the Mother to follow me in the consult room. We sat down at the table. I was looking at her paper work.

Hero:" Your daughter has Cipa and I understand that you were the carrier correct"?

Joyce:" Yes. when she was born, The Doctor did some blood work when she was an infant. Surprising to me that during the contraction's I was having, I could felt the baby inside me. What does that mean"?

Hiro"It's probably that the you had it and you passed it to your daughter while she was inside you. With your permission, I like to take some of your blood."

Joyce:" Is is important?"

Hiro:"Yes it is".

Joyce:"Okey."

I gave her Mom the consent form and told her to go the the outpatient blood draw lab on the first floor.

Hiro:"Okey will talk later".

The next Day, Labs came back from the Mom blood work came turned out disturbing. It called Mom in my office.

Hiro:"Please sit down. Your blood work came back. You have Leukemia".

Joyce:" What!? How did that happen"?

Hiro:"Well somehow when your daughter was still inside you? While she was developing inside, She develop Leukemia and passed it on to you for an exchange for Cipa".

Joyce:"So we exchange diseases and I had I the whole time"?

Hiro:"Will honestly, You develop Leukemia ever since I discover that your daughter has cipa. I know an oncologist that can help you. He work's at the SF Medical center. I'll give him a call".

My intercom went off.

Nurse:"Dr. Hamada, Your needed in the west wing 4th floor flour in room 431."

I got up on my chair.

Hiro:"I'll give him a call and get back to you.

I went to one of my patient's room who was 13 years old that need a bandage change. I went in her room. she was watching Dumb and Dumber too. She ask me if the Hospital was teen magazine's to read. I paged child life and a volunteer bring up 10 teen magazine's. After I got out of her room, Joyce ran to me.

Joyce:"Dr. Hamada quick it's my daughter".

I ran into her room. She was gasping for air. I put on my stethoscope and listen to her lungs.

She's not getting air. I need to incubate.

I ask Mom to leave the room so I came work on her. I grabbed a laryngoscope and started to incubate her. I attach the ball and start to pump air into her lungs. I use the nurse call button to call a nurse in.

Hiro:"We need get get her to the I.C.U Stat.

We peeled her on the gurney to I.C.U and hook her up on a ventilator to breathe for her. I checked her vitals. Her temperature was climbing and I got out some ice packs. I empty her catheter bag and went out the room. The nurses took over. I talk to the Mom in the hallway.

Joyce:"How can she not sweat when she got a high fever?"

Hiro:"Well Cipa patient's cannot feel hot or cold. They cannot tell of they has a fever so temperature need to be monitored and you need to extra careful around germs".

Joyce:"Does Cipa effects her immune system"?

Hiro:"In a matter of fact Cipa tries to destroy the immune system if not careful. It could be dangerous of fatal. Your daughter has a long life medical condition that needs extra care. Step in my office. I'm going to give you a DVD documentary on "Life without pain" It will tell you about what your daughter is going through. Oh yea.I call the oncologist and he can take you tomorrow morning to get treatment.

Joyce:"Thank you."

Hiro:"You may purchase the DVD for $24.99 in my office.

The Mom followed me in my office. She wrote a check for the DVD.

When I got home, Honey was folding laundry .

Honey:"Oh Hiro, Baymax came back from SF university. He's upstair being charged.

Hiro"Thanks my love".

We had to send Baymax in to get some upgrades done. The bill came with him. I wrote a check and put it in the mailbox. Honey called me to called for dinner. Honey cooked steaks, Bake potato and a salad and Apple pie for dessert We were talking at the dinner table."

Hiro:"So what upgrade they did on Baymax"?

Honey:"Well he have longer life battery installed even he give patient's oxygen and he can now give's patient's physical therapy".

Hiro:"Well I guess he can work in the rehab unit."

Maggie:"Mommy, can I please have some ice cream?"

Honey:"You don't want Apple pie'?

Maggie:"I do but I want ice cream on top".

Honey:" Oh sure you can have ice cream on top. Oh I also ask them to Re-program Baymax so he does't get so strike".

Hiro:"That's cost extra".

Honey:Yes and the cost of labor. Oh did you pay the bill?"

Hiro:"It's in the mailbox".

Honey:"With a credit card"?

Hiro: "They wanted check's only. Relax I took care of it".

Honey carried Maggie's dessert with vanilla Ice-cream on top.

Honey:"Here you go sweetie:"

After dinner, Maggie helped them clear off the table. The twins were playing with Tadashi a game of hide and Seek. It was 8:00pm and it was time for the kids to go to bed for School tomorrow.

End od Ch.1