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1
00:00:17,975 --> 00:00:21,015
- * God rest you,
merry gentlemen *
2
00:00:21,062 --> 00:00:24,771
* Let nothing you dismay *
3
00:00:24,815 --> 00:00:27,736
* For Jesus Christ,
our savior *
4
00:00:27,777 --> 00:00:31,567
* Was born upon
this day *
5
00:00:31,614 --> 00:00:35,493
* To save us all
from Satan's power *
6
00:00:35,534 --> 00:00:37,905
* When we were gone astray *
7
00:00:37,954 --> 00:00:43,213
* Oh, tidings
of comfort and joy *
8
00:00:43,250 --> 00:00:44,960
* Comfort and joy *
9
00:00:45,003 --> 00:00:51,262
* It is tidings
of comfort and joy *
10
00:00:51,301 --> 00:00:55,100
[distant sirens wailing]
11
00:01:02,145 --> 00:01:05,355
[beeping softly]
12
00:01:15,575 --> 00:01:17,864
- Happy holidays,
Mrs. Johnson.
13
00:01:17,911 --> 00:01:20,831
Or are you more of
a "Merry Christmas" gal?
14
00:01:20,871 --> 00:01:22,042
I need to make sure
15
00:01:22,081 --> 00:01:24,331
you're getting
the right blend of tequila.
16
00:01:26,251 --> 00:01:28,001
My name is Dr. Randall Kirby.
17
00:01:28,045 --> 00:01:29,956
I'm here because your doctor
18
00:01:30,006 --> 00:01:33,335
with the warm and fuzzy bedside
manner couldn't make it.
19
00:01:35,135 --> 00:01:36,885
[sighs]
20
00:01:36,930 --> 00:01:40,349
Your husband, Tom, tells me
that you're a fighter, so...
21
00:01:40,391 --> 00:01:42,852
if it's okay with you,
I'm just gonna let her rip.
22
00:01:48,024 --> 00:01:51,403
You came in for a cervical
surgery with Dr. Duntsch
23
00:01:51,444 --> 00:01:53,864
a few days ago
to remove a disc.
24
00:01:53,905 --> 00:01:56,234
Do you remember that?
25
00:01:56,281 --> 00:01:57,871
Do you remember going home,
26
00:01:57,908 --> 00:01:59,908
telling your husband
that you couldn't swallow,
27
00:01:59,953 --> 00:02:01,712
and then you got a fever?
28
00:02:03,498 --> 00:02:06,207
Well, you called Dr. Duntsch,
29
00:02:06,251 --> 00:02:09,211
who told you
that everything was normal
30
00:02:09,253 --> 00:02:12,343
and that your fever
was from the flu.
31
00:02:12,382 --> 00:02:15,181
Then he stopped
taking your calls.
32
00:02:18,096 --> 00:02:20,346
Your fever wasn't
from the flu.
33
00:02:20,389 --> 00:02:24,639
It was from an infection
moving towards your heart.
34
00:02:24,686 --> 00:02:26,975
Now, we've had that
PICC line pumping antibiotics
35
00:02:27,021 --> 00:02:30,401
into your superior vena cava
since you got here.
36
00:02:30,442 --> 00:02:32,651
You've turned a corner,
but now we need to deal
37
00:02:32,694 --> 00:02:35,864
with the other issues
from Dr. Duntsch's surgery.
38
00:02:35,905 --> 00:02:38,985
That crazy straw
coming out of your nose
39
00:02:39,033 --> 00:02:40,584
is draining stomach acid
40
00:02:40,617 --> 00:02:44,328
from a hole Duntsch cut
in your esophagus.
41
00:02:44,372 --> 00:02:47,502
That's why
you couldn't swallow.
42
00:02:47,542 --> 00:02:51,461
As for the surgery Duntsch
was supposed to perform,
43
00:02:51,503 --> 00:02:53,514
he failed to remove the disc.
44
00:02:53,548 --> 00:02:56,837
He left it lodged
in your spine.
45
00:02:56,884 --> 00:03:01,055
The hardware he was supposed
to attach
46
00:03:01,097 --> 00:03:04,426
scattered in there like a bag
of leftover screws
47
00:03:04,475 --> 00:03:06,635
from an IKEA bookshelf.
48
00:03:08,396 --> 00:03:10,475
- [exhales deeply]
49
00:03:14,651 --> 00:03:18,282
He sliced through a nerve
to your vocal cord.
50
00:03:22,117 --> 00:03:24,038
We can't fix that.
51
00:03:24,079 --> 00:03:27,038
[dramatic music]
52
00:03:27,081 --> 00:03:29,752
* *
53
00:03:29,793 --> 00:03:32,052
This never
should have happened.
54
00:03:32,086 --> 00:03:39,257
* *
55
00:03:42,347 --> 00:03:47,266
I apologize to you
and to your family.
56
00:03:50,938 --> 00:03:54,478
I promise I will make sure this
never happens to anyone else.
57
00:03:56,652 --> 00:04:00,663
Um, om wanted me to discuss
a family matter with you.
58
00:04:02,324 --> 00:04:03,905
Your children are in town
for the holidays,
59
00:04:03,951 --> 00:04:05,792
and you don't want
them to visit.
60
00:04:05,829 --> 00:04:09,209
He's hoping that you would
change your mind about that.
61
00:04:09,248 --> 00:04:16,338
* *
62
00:04:22,012 --> 00:04:24,471
I'll fend them off
if you provide the stick.
63
00:04:28,143 --> 00:04:30,103
I'm so sorry.
64
00:04:30,144 --> 00:04:37,314
* *
65
00:04:46,161 --> 00:04:47,951
Hey, thanks for coming.
66
00:04:47,995 --> 00:04:51,745
It's, uh, nice to show a united
front with these jackasses.
67
00:04:51,790 --> 00:04:55,130
[door opens]
- Ah...
68
00:04:55,170 --> 00:04:57,959
Dr. Kirby.
- Dr. Lockett.
69
00:04:58,005 --> 00:05:00,545
He's the CEO here.
This is Dr. Robert Henderson.
70
00:05:00,591 --> 00:05:03,262
He's my crime-fighting
partner in crime.
71
00:05:03,302 --> 00:05:05,353
- Yeah, uh...
72
00:05:05,387 --> 00:05:08,348
would you follow me, please?
73
00:05:11,310 --> 00:05:13,310
[clears throat]
74
00:05:13,355 --> 00:05:16,814
[distant siren wailing]
75
00:05:16,858 --> 00:05:19,687
Duntsch never operates
here again.
76
00:05:19,735 --> 00:05:21,396
- Well, I guess we can call it
a night, then.
77
00:05:21,446 --> 00:05:23,276
No harm, no foul.
78
00:05:23,322 --> 00:05:25,832
- How did you come
to hire him?
79
00:05:25,867 --> 00:05:28,617
- We needed a neurosurgeon
on staff
80
00:05:28,661 --> 00:05:31,331
and performed
all due diligence.
81
00:05:31,372 --> 00:05:32,832
- You just missed
that teeny-tiny detail
82
00:05:32,874 --> 00:05:34,673
about the two dead bodies
at Dallas Medical
83
00:05:34,709 --> 00:05:36,088
and Baylor-Plano,
but who's counting?
84
00:05:36,127 --> 00:05:37,997
- We inquired with
the Texas Medical Board.
85
00:05:38,045 --> 00:05:40,005
We checked the National
Practitioners Data Bank...
86
00:05:40,048 --> 00:05:41,048
- Continue.
87
00:05:41,091 --> 00:05:43,430
- To see if he was ever
suspended.
88
00:05:43,468 --> 00:05:45,257
He wasn't, no complaints.
[door closes]
89
00:05:45,302 --> 00:05:48,893
- So neither Baylor-Plano nor
Dallas Medical reported him?
90
00:05:48,932 --> 00:05:50,271
- No.
91
00:05:50,307 --> 00:05:52,187
Look, had we known,
we never would have hired him,
92
00:05:52,226 --> 00:05:53,726
plain and simple.
93
00:05:53,769 --> 00:05:56,610
[chuckles] He even came with
a clean letter from Baylor.
94
00:05:56,648 --> 00:06:00,567
* *
95
00:06:00,610 --> 00:06:02,740
- "All investigations
with respect to any areas
96
00:06:02,778 --> 00:06:05,028
"of concern regarding
Christopher D. Duntsch, M.D.
97
00:06:05,072 --> 00:06:06,992
"have been closed.
98
00:06:07,033 --> 00:06:09,043
"As of this date,
there have been no summary
99
00:06:09,076 --> 00:06:10,826
"or administrative restrictions
or suspensions
100
00:06:10,870 --> 00:06:12,870
"of Dr. Duntsch's
medical staff membership
101
00:06:12,913 --> 00:06:14,374
"or clinical privileges
102
00:06:14,415 --> 00:06:15,956
"during the time
he has practiced
103
00:06:16,000 --> 00:06:19,750
at Baylor Medical Center
at Plano."
104
00:06:19,795 --> 00:06:23,675
- Dr. Henderson, tell me...
105
00:06:23,716 --> 00:06:26,216
you're in my position.
106
00:06:26,261 --> 00:06:28,471
What would you have done?
107
00:06:32,600 --> 00:06:34,439
- They warned 'em--
108
00:06:34,476 --> 00:06:37,226
this nurse, Preston's her name,
she and some other somebody.
109
00:06:37,271 --> 00:06:38,572
- Who?
- I don't know.
110
00:06:38,605 --> 00:06:39,935
A scrub tech.
It doesn't matter.
111
00:06:39,983 --> 00:06:41,742
They warned the administration
about Duntsch.
112
00:06:41,776 --> 00:06:42,896
They looked him up
on the Internet.
113
00:06:42,944 --> 00:06:44,283
They found a ton of crap
about him.
114
00:06:44,319 --> 00:06:45,409
I'm not talking good crap.
115
00:06:45,447 --> 00:06:46,737
I'm talking he's
a crappy surgeon.
116
00:06:46,781 --> 00:06:48,201
- I get it.
- Here's the kicker.
117
00:06:48,240 --> 00:06:49,370
When they went to show them
118
00:06:49,408 --> 00:06:51,158
what was on the Internet,
it was all gone.
119
00:06:51,201 --> 00:06:53,622
Everything negative about him,
completely wiped way.
120
00:06:53,663 --> 00:06:55,173
- Well, how does
somebody do that?
121
00:06:55,206 --> 00:06:57,415
- I don't know--hacking's not
really my area of expertise.
122
00:06:57,459 --> 00:07:00,418
The point is they warned them,
and they blew it off.
123
00:07:00,461 --> 00:07:01,762
Due diligence.
124
00:07:01,795 --> 00:07:03,545
We're up against
a citadel of bullshit here.
125
00:07:03,589 --> 00:07:05,129
Most ass-covering--
126
00:07:05,175 --> 00:07:07,925
In fact, I should use this
to wipe my ass.
127
00:07:07,968 --> 00:07:08,928
Definitely...
128
00:07:08,970 --> 00:07:10,310
both: Written by lawyers.
- Yeah.
129
00:07:10,346 --> 00:07:12,596
- Are we completing
each other's sentences now?
130
00:07:12,639 --> 00:07:15,600
- Ah...
131
00:07:15,643 --> 00:07:19,773
I'm going to see Amy Piel
over at Baylor.
132
00:07:19,814 --> 00:07:23,324
You give me a ride?
- Jag's right this way.
133
00:07:23,360 --> 00:07:30,490
* *
134
00:07:41,168 --> 00:07:44,088
[engine turning over]
135
00:07:44,129 --> 00:07:51,050
* *
136
00:07:57,435 --> 00:07:59,644
- So?
137
00:07:59,687 --> 00:08:02,108
- They're gonna grant me
privileges to operate.
138
00:08:02,148 --> 00:08:05,898
- They're gonna grant,
or they have granted?
139
00:08:05,944 --> 00:08:07,994
- [sighs] They are going
to grant me privileges
140
00:08:08,028 --> 00:08:10,738
when they see
my roster of patients.
141
00:08:13,033 --> 00:08:16,504
Don't--It's--
[scoffs]
142
00:08:16,538 --> 00:08:18,497
It's not a big deal,
Wendy.
143
00:08:18,540 --> 00:08:20,290
I have a ton of patients.
144
00:08:20,332 --> 00:08:22,793
All I got to do
is make a couple calls.
145
00:08:22,836 --> 00:08:24,456
- Well, that place looks like
a Port-a-Potty.
146
00:08:24,504 --> 00:08:25,673
Not like Baylor.
147
00:08:25,713 --> 00:08:27,843
- Fuck Baylor.
- Yeah, fuck Baylor.
148
00:08:27,882 --> 00:08:29,432
Fuck Dallas Medical.
149
00:08:29,466 --> 00:08:31,047
Fuck whatever
that last one was,
150
00:08:31,093 --> 00:08:34,854
that Legacy Frisco place you
were at for, like, two weeks.
151
00:08:34,889 --> 00:08:36,389
It's been quite
the fucking year.
152
00:08:36,432 --> 00:08:38,942
- Can you just drive me
to my clinic, please?
153
00:08:42,938 --> 00:08:44,938
- Where does it end, Chris?
- Oh, my God.
154
00:08:44,982 --> 00:08:47,993
Wendy, I'm handling it, okay?
155
00:08:48,028 --> 00:08:49,738
You left me, remember that?
156
00:08:49,778 --> 00:08:51,528
- I don't feel sorry
for you.
157
00:08:51,572 --> 00:08:53,202
Why don't you go
fuck your nurse again?
158
00:08:53,240 --> 00:08:55,331
Maybe she'll make you
feel better.
159
00:08:55,368 --> 00:08:56,697
- [sighs]
160
00:08:56,745 --> 00:08:58,575
- I'm driving
your sorry ass around,
161
00:08:58,620 --> 00:09:02,791
not because I trust you
or because I'm here for you...
162
00:09:02,833 --> 00:09:05,134
but because I can't let you
mess things up for him.
163
00:09:08,423 --> 00:09:15,352
* *
164
00:09:35,616 --> 00:09:37,076
- Can I come by this weekend?
165
00:09:37,118 --> 00:09:39,658
- Why don't you make a call
to your roster of patients?
166
00:09:39,703 --> 00:09:41,543
Then we'll talk.
167
00:09:41,581 --> 00:09:48,671
* *
168
00:10:01,433 --> 00:10:03,693
- It's from my dad.
169
00:10:03,727 --> 00:10:10,857
* *
170
00:10:18,784 --> 00:10:21,865
[keys jingling]
171
00:10:23,498 --> 00:10:25,707
[lock clicks]
172
00:10:25,750 --> 00:10:30,879
* *
173
00:10:36,845 --> 00:10:38,804
- Mrs. Demmings.
174
00:10:38,846 --> 00:10:41,346
How's that Scheuermann's
kyphosis coming along?
175
00:10:41,390 --> 00:10:44,061
Is the tingling in your legs
pretty consistent?
176
00:10:44,101 --> 00:10:46,812
- I can't stand long enough
to hold my grandbabies now.
177
00:10:46,855 --> 00:10:48,894
- And it started in your teens?
178
00:10:48,940 --> 00:10:51,190
- Had no pain
until two years ago.
179
00:10:53,445 --> 00:10:57,235
- The problem is these
two vertebrae right here--
180
00:10:57,282 --> 00:10:58,581
T7 and T8.
181
00:10:58,615 --> 00:11:00,946
- The ones sticking out.
- Exactly right.
182
00:11:00,994 --> 00:11:02,953
It's actually the discs
in between them.
183
00:11:02,995 --> 00:11:05,456
Spinal discs are like
natural shock absorbers,
184
00:11:05,498 --> 00:11:06,878
and when they're healthy,
185
00:11:06,916 --> 00:11:08,875
they kind of have
the consistency of rubber.
186
00:11:08,918 --> 00:11:10,998
But when they get diseased,
they harden,
187
00:11:11,046 --> 00:11:12,796
and these two are pushing
188
00:11:12,839 --> 00:11:15,469
those vertebrae
right into your spinal cord.
189
00:11:15,508 --> 00:11:18,638
- Every doctor I see said
there's nothing they can do.
190
00:11:18,677 --> 00:11:20,717
- Well, you haven't
seen me yet.
191
00:11:22,349 --> 00:11:24,808
- What are you saying?
192
00:11:24,850 --> 00:11:28,191
- Well, your preexisting
kyphosis is an issue,
193
00:11:28,229 --> 00:11:30,068
but there are new ways--
- Surgery.
194
00:11:30,105 --> 00:11:32,775
- It's minimally invasive.
195
00:11:32,817 --> 00:11:34,937
A thoracoscopic anterior
spinal fusion.
196
00:11:34,985 --> 00:11:38,105
We make a small incision,
about the size of a dime.
197
00:11:38,155 --> 00:11:39,985
We go in there
and pull out the bad discs,
198
00:11:40,033 --> 00:11:42,243
and then we fuse the vertebrae
together with a plate.
199
00:11:42,284 --> 00:11:44,495
And that's it.
200
00:11:44,537 --> 00:11:45,746
- One surgery?
201
00:11:45,788 --> 00:11:47,828
- In and out
in about two hours.
202
00:11:47,874 --> 00:11:49,793
You wake up--no pain,
no tingling,
203
00:11:49,834 --> 00:11:51,213
and you're about
a good inch taller.
204
00:11:51,251 --> 00:11:53,422
It--it straightens out
the curvature of the spine.
205
00:11:53,462 --> 00:11:55,423
So the bad news is, you're
gonna have to bend down
206
00:11:55,465 --> 00:11:57,085
a little bit lower
to pick up those grandbabies.
207
00:11:57,133 --> 00:11:58,893
- Can I have a word with you?
208
00:11:58,927 --> 00:12:01,886
[hopeful music]
209
00:12:01,929 --> 00:12:03,389
* *
210
00:12:03,431 --> 00:12:05,061
I get that you're
the golden boy around here,
211
00:12:05,100 --> 00:12:06,690
but you're a resident.
212
00:12:06,725 --> 00:12:08,686
These are not
your patients, yet.
213
00:12:08,727 --> 00:12:10,898
- I'm just presenting her
her options.
214
00:12:10,938 --> 00:12:12,318
- You gave her a fantasy.
215
00:12:12,356 --> 00:12:14,397
With her kyphosis,
she's not a candidate.
216
00:12:14,442 --> 00:12:17,201
Raising her hopes
is unethical and cruel.
217
00:12:17,236 --> 00:12:21,697
- I spent all night
researching this.
218
00:12:21,740 --> 00:12:23,701
- You diagnosed her off
of Google?
219
00:12:23,743 --> 00:12:25,043
- Just look at it.
220
00:12:25,077 --> 00:12:27,457
It's a case from NYU--
worse than hers.
221
00:12:29,499 --> 00:12:30,788
I can show you how to do it.
222
00:12:30,833 --> 00:12:32,173
Just look.
223
00:12:32,210 --> 00:12:36,049
Look, all anterior
decompressing arthrodesis.
224
00:12:36,088 --> 00:12:38,048
See the end plate?
- Mm-hmm.
225
00:12:38,091 --> 00:12:41,551
- See the retractor?
You see the angle?
226
00:12:41,594 --> 00:12:44,563
[dramatic music]
227
00:12:44,596 --> 00:12:49,517
* *
228
00:12:49,561 --> 00:12:52,441
- When the presenting symptoms
are pain,
229
00:12:52,480 --> 00:12:56,440
decreased mobility, headaches,
and speech dysphasia,
230
00:12:56,484 --> 00:12:58,903
what would your differential
diagnosis include?
231
00:12:58,945 --> 00:13:01,524
- Cervical stenosis?
232
00:13:01,572 --> 00:13:03,202
- Are you asking or stating?
233
00:13:03,240 --> 00:13:04,951
Either way, it's incorrect.
234
00:13:04,993 --> 00:13:08,082
Eventually...
you'll want to decide
235
00:13:08,120 --> 00:13:10,081
if you're
Semmes-Murphey fellows
236
00:13:10,123 --> 00:13:12,133
or Semmes-Murphey dropouts.
237
00:13:12,167 --> 00:13:14,626
- Dr. Skadden? Excuse me.
- Christopher, yes.
238
00:13:14,668 --> 00:13:16,629
- Uh, um, I was--
239
00:13:16,671 --> 00:13:19,171
- Wondering if I'd read
your proposal on obtaining
240
00:13:19,215 --> 00:13:21,544
and culturing disc stem cells?
241
00:13:21,592 --> 00:13:23,092
- Yes.
242
00:13:23,135 --> 00:13:25,056
- Eliminates the need
for extraction.
243
00:13:25,096 --> 00:13:27,596
Tons of potential.
244
00:13:27,639 --> 00:13:29,309
I'd love to read more,
245
00:13:29,350 --> 00:13:31,191
once you've fleshed out
the research you cited.
246
00:13:31,226 --> 00:13:34,807
- Of course. Yes, sir.
Thank you, Dr. Skadden.
247
00:13:34,855 --> 00:13:36,816
Chiari malformation.
248
00:13:38,067 --> 00:13:39,567
Speech dysphasia.
249
00:13:39,610 --> 00:13:42,240
It's likely related to pressure
on the cerebellum.
250
00:13:42,279 --> 00:13:44,370
That would be my diagnosis.
251
00:13:46,826 --> 00:13:47,946
I'd really like
to be considered
252
00:13:47,994 --> 00:13:49,254
for your
fellowship program, sir.
253
00:13:49,287 --> 00:13:52,326
- [chuckles]
254
00:13:52,374 --> 00:13:55,634
If and when the time is
right, Christopher.
255
00:13:55,668 --> 00:14:02,629
* *
256
00:14:02,676 --> 00:14:05,426
[rock music playing]
257
00:14:05,470 --> 00:14:09,019
[door closes]
258
00:14:09,057 --> 00:14:12,437
- Kayla, Kayla,
hey, I got great news.
259
00:14:12,476 --> 00:14:16,187
Skadden read my proposal.
260
00:14:16,230 --> 00:14:18,230
Where are you going?
- Don't worry about it.
261
00:14:20,693 --> 00:14:21,994
- Wait, are you leaving?
262
00:14:22,028 --> 00:14:24,067
- Don't play fucking dumb
with me, Christopher.
263
00:14:24,114 --> 00:14:26,953
Oxy, Adderall--it's like
a C-V-fucking-S in there,
264
00:14:26,990 --> 00:14:27,990
and your name's all over it.
265
00:14:28,033 --> 00:14:29,663
- The scrips?
- Scrips.
266
00:14:29,702 --> 00:14:31,003
- They're for friends.
267
00:14:31,037 --> 00:14:32,407
They're all friends in there.
It's no big deal.
268
00:14:32,455 --> 00:14:34,164
- Okay, well
enjoy your friends.
269
00:14:34,206 --> 00:14:35,576
and whatever's left
of your career,
270
00:14:35,625 --> 00:14:38,034
you stupid son of a bitch.
271
00:14:38,086 --> 00:14:41,505
[dog whimpers]
272
00:14:41,548 --> 00:14:45,837
* *
273
00:14:45,884 --> 00:14:47,595
- Oh, this man's a hero.
274
00:14:47,636 --> 00:14:49,807
Partied us under the table
last night,
275
00:14:49,847 --> 00:14:51,217
then did his rounds,
276
00:14:51,265 --> 00:14:54,596
saving lives
like Mother-fucking-Theresa.
277
00:14:56,312 --> 00:14:58,692
- What the fuck happened
with Kayla?
278
00:14:58,731 --> 00:14:59,981
- Kayla's cool.
279
00:15:00,024 --> 00:15:01,394
Give her the night,
she'll calm down.
280
00:15:01,442 --> 00:15:04,072
And if she does dump your
dumb face, I'll talk to her,
281
00:15:04,111 --> 00:15:06,741
take care of everything,
like always.
282
00:15:06,780 --> 00:15:08,530
You'd lose your big, ugly head
283
00:15:08,575 --> 00:15:11,365
if I didn't tighten the screws
every morning, wouldn't you?
284
00:15:11,410 --> 00:15:12,451
[sniffs]
285
00:15:12,495 --> 00:15:14,784
- I'm the one
with the big, ugly head?
286
00:15:14,831 --> 00:15:16,120
- Yeah.
287
00:15:17,417 --> 00:15:19,206
Oh!
288
00:15:19,251 --> 00:15:21,052
Duntsch on the offensive.
289
00:15:21,086 --> 00:15:24,167
Trying to reverse Summers
with a Granby roll.
290
00:15:24,215 --> 00:15:26,044
But Summers dominates.
291
00:15:26,091 --> 00:15:29,351
Oh, he dominates.
He dominates so hard.
292
00:15:29,386 --> 00:15:32,966
- Uncle! Uncle, uncle!
[groans]
293
00:15:33,015 --> 00:15:34,975
Shit.
294
00:15:35,018 --> 00:15:38,607
* *
295
00:15:38,645 --> 00:15:41,475
Hey, Skadden said
he'd take a look at that.
296
00:15:41,524 --> 00:15:43,744
You just got to come on down,
and we'll do some imaging.
297
00:15:43,777 --> 00:15:44,986
Get you fixed up.
298
00:15:45,028 --> 00:15:49,368
* *
299
00:15:49,407 --> 00:15:51,197
[sniffs]
300
00:15:52,869 --> 00:15:55,408
Whew.
301
00:15:55,455 --> 00:15:56,825
I got to work.
302
00:15:56,873 --> 00:16:00,842
* *
303
00:16:00,876 --> 00:16:04,336
- [sighs]
304
00:16:04,380 --> 00:16:05,510
[sniffs]
305
00:16:10,135 --> 00:16:12,346
Have you seen my LSD blotter?
306
00:16:19,312 --> 00:16:21,152
How many hits did you take?
307
00:16:24,317 --> 00:16:25,687
Oh, I must be
tripping hard, bro.
308
00:16:25,735 --> 00:16:27,605
The letters
are all squiggly and shit.
309
00:16:27,653 --> 00:16:30,203
- No, it's Cyrillic.
- It's psychedelic.
310
00:16:30,240 --> 00:16:32,409
Oh, stem cells.
311
00:16:32,450 --> 00:16:34,620
Is this for your PhD,
Dr. Doctor?
312
00:16:34,661 --> 00:16:36,961
"Glioblastoma's
the most prevalent
313
00:16:36,995 --> 00:16:38,915
malignant brain tumor."
314
00:16:38,956 --> 00:16:41,456
That's harsh.
315
00:16:41,500 --> 00:16:43,750
- The glioblastoma stem
is so dominant
316
00:16:43,794 --> 00:16:46,585
that it takes normal cells,
317
00:16:46,630 --> 00:16:49,260
and it changes them
into cancer cells.
318
00:16:49,299 --> 00:16:51,299
- It dominates.
It dominates hard.
319
00:16:51,344 --> 00:16:53,104
- And everybody's trying
to figure out
320
00:16:53,138 --> 00:16:54,717
how to stop glioblastoma.
321
00:16:54,764 --> 00:16:56,683
But what if...
322
00:16:56,725 --> 00:17:00,595
you could just program it
to make healthy cells?
323
00:17:00,644 --> 00:17:03,394
- Then it--it wouldn't be
cancer anymore.
324
00:17:03,440 --> 00:17:05,230
- Right.
325
00:17:05,275 --> 00:17:07,394
Exactly right.
326
00:17:07,443 --> 00:17:09,703
It can be whatever you want.
327
00:17:09,738 --> 00:17:13,117
A cell that takes over
another cell
328
00:17:13,157 --> 00:17:15,198
to make something good.
329
00:17:15,242 --> 00:17:18,623
- A molecular biological
Granby roll.
330
00:17:18,663 --> 00:17:21,373
- Yes. Yes. Yes.
331
00:17:21,415 --> 00:17:24,625
Stem cells you inject
directly into a diseased disc,
332
00:17:24,669 --> 00:17:27,509
making a brand-new
healthy baby spine.
333
00:17:27,547 --> 00:17:29,967
- Preach.
- 50% of all spinal surgeries
334
00:17:30,008 --> 00:17:31,548
are to repair diseased discs.
335
00:17:31,593 --> 00:17:34,262
We're talking about a startup.
- You're Dock Ellis.
336
00:17:34,304 --> 00:17:37,523
You're pitching a no-hitter.
You're crushing it.
337
00:17:37,557 --> 00:17:38,846
[softly]
I can be your guinea pig.
338
00:17:38,892 --> 00:17:40,061
- What?
339
00:17:40,101 --> 00:17:41,351
- Inject that shit
into my neck,
340
00:17:41,394 --> 00:17:44,314
so I can grow a new baby neck
with no pain.
341
00:17:44,355 --> 00:17:46,645
Pain's a pain, bro.
342
00:17:46,691 --> 00:17:53,490
* *
343
00:17:53,530 --> 00:17:55,990
That could be your slogan.
344
00:17:56,034 --> 00:18:03,124
* *
345
00:18:17,262 --> 00:18:20,482
- [groans]
346
00:18:20,517 --> 00:18:22,186
[sighs]
347
00:18:29,692 --> 00:18:31,613
[claps hands]
348
00:18:35,656 --> 00:18:37,156
[computer beeps]
349
00:18:37,200 --> 00:18:39,329
[exhales deeply]
350
00:18:42,247 --> 00:18:44,366
[computer beeps]
351
00:18:53,258 --> 00:18:56,387
[exhales sharply]
[keys clacking]
352
00:18:56,427 --> 00:18:57,718
[computer beeps]
[slams desk]
353
00:18:57,761 --> 00:18:59,932
Fuck.
354
00:18:59,972 --> 00:19:02,932
[tense music]
355
00:19:02,976 --> 00:19:07,226
* *
356
00:19:07,271 --> 00:19:08,942
[clears throat]
357
00:19:08,981 --> 00:19:10,981
* *
358
00:19:11,026 --> 00:19:12,895
[computer beeps]
359
00:19:12,943 --> 00:19:19,874
* *
360
00:19:39,679 --> 00:19:42,348
[exhales deeply]
361
00:19:42,390 --> 00:19:44,559
[exhales sharply]
362
00:19:44,601 --> 00:19:46,270
[key clacks, computer beeps]
363
00:19:46,310 --> 00:19:53,441
* *
364
00:20:46,287 --> 00:20:49,666
[sighs]
365
00:20:49,708 --> 00:20:55,708
* *
366
00:21:00,300 --> 00:21:02,391
[air hisses]
367
00:21:03,887 --> 00:21:05,268
Fuck!
368
00:21:05,306 --> 00:21:12,395
* *
369
00:21:46,306 --> 00:21:48,135
[sniffs]
370
00:21:48,182 --> 00:21:51,063
[melancholy music]
371
00:21:51,102 --> 00:21:58,281
* *
372
00:22:19,422 --> 00:22:21,221
Shit.
373
00:22:21,257 --> 00:22:28,386
* *
374
00:22:36,897 --> 00:22:38,778
[computer beeps]
375
00:22:38,817 --> 00:22:45,447
* *
376
00:22:47,909 --> 00:22:49,828
[knock at door]
377
00:22:52,329 --> 00:22:53,369
- Bob.
- Hello.
378
00:22:53,414 --> 00:22:55,454
- What a surprise.
- Hey, Amy.
379
00:22:55,500 --> 00:22:58,250
- Afternoon, Randy.
380
00:22:58,294 --> 00:23:00,713
So how can I help you?
381
00:23:02,007 --> 00:23:05,507
- Christopher Duntsch.
- Oh, boy.
382
00:23:05,551 --> 00:23:08,471
- [chuckles]
Well, that about sums it up.
383
00:23:08,512 --> 00:23:09,722
- He operated on a patient
384
00:23:09,763 --> 00:23:12,144
at Legacy Frisco
a few days ago.
385
00:23:12,182 --> 00:23:13,813
- He left a hole
in her esophagus,
386
00:23:13,852 --> 00:23:15,692
sliced through her vocal cord.
387
00:23:17,689 --> 00:23:20,689
- We parted ways with
Dr. Duntsch almost a year ago.
388
00:23:20,733 --> 00:23:23,493
- Well, what can you tell us
about this reference
389
00:23:23,528 --> 00:23:25,067
that you wrote for Dr. Duntsch?
390
00:23:25,113 --> 00:23:26,573
- I didn't write anything.
391
00:23:26,614 --> 00:23:28,413
- Well, whatever law firm
you paid to write--
392
00:23:28,450 --> 00:23:29,740
- And it isn't
a reference letter.
393
00:23:29,784 --> 00:23:31,453
It's a letter stating there
were no restrictions
394
00:23:31,493 --> 00:23:33,003
or suspensions
of his privileges.
395
00:23:33,038 --> 00:23:35,117
- But it implies that there's
nothing in this record
396
00:23:35,164 --> 00:23:37,625
to preclude him from working
at other hospitals.
397
00:23:37,666 --> 00:23:39,166
He--he maimed people here.
398
00:23:39,210 --> 00:23:40,920
He killed Shelley Brennan
399
00:23:40,961 --> 00:23:43,132
by drilling
through her vertebral artery.
400
00:23:43,173 --> 00:23:45,682
- He also did that to another
patient at Dallas Medical.
401
00:23:45,717 --> 00:23:47,507
- Shouldn't that have
precluded him
402
00:23:47,551 --> 00:23:49,392
from employment
at other hospitals?
403
00:23:52,222 --> 00:23:54,813
- I have to be careful
about what I say right now.
404
00:23:54,851 --> 00:23:56,691
- [scoffs]
- Whoa.
405
00:23:56,728 --> 00:23:58,857
I feel like I'm in the fucking
Twilight Zone here,
406
00:23:58,896 --> 00:24:02,396
like I'm staring
at the face of a coverup.
407
00:24:02,442 --> 00:24:03,942
- That's offensive.
408
00:24:03,984 --> 00:24:05,734
- Oh, well,
I'll make sure to pass on
409
00:24:05,778 --> 00:24:07,699
how offended you are
to his other victims.
410
00:24:07,739 --> 00:24:10,199
- Facts were disputed
in some of his surgeries here.
411
00:24:10,240 --> 00:24:11,661
- Surgeries?
412
00:24:11,701 --> 00:24:13,871
Yeah, I saw one of his
"surgeries" here firsthand.
413
00:24:13,912 --> 00:24:15,461
- And yet somehow, Dr. Kirby,
414
00:24:15,497 --> 00:24:17,826
I didn't receive
your complaint.
415
00:24:17,874 --> 00:24:20,094
Our letter for Dr. Duntsch
416
00:24:20,125 --> 00:24:22,665
is our fair and honest
appraisal of his standing
417
00:24:22,711 --> 00:24:24,261
at this institution.
418
00:24:24,297 --> 00:24:25,876
- Was Duntsch ever suspended?
419
00:24:25,923 --> 00:24:28,094
Your letter indicates that
he was under investigation,
420
00:24:28,134 --> 00:24:29,304
and since it's your policy
421
00:24:29,344 --> 00:24:31,814
to suspend any doctor
under investigation,
422
00:24:31,846 --> 00:24:34,016
I assume that you followed
through with your policy.
423
00:24:34,057 --> 00:24:36,557
- Yes, you're correct.
We did.
424
00:24:36,601 --> 00:24:38,060
As I recall, it was 21 days.
425
00:24:38,103 --> 00:24:41,022
- [chuckles]
Well, that's convenient.
426
00:24:41,064 --> 00:24:42,403
- Excuse me?
427
00:24:42,440 --> 00:24:43,779
- National Practitioner
Data Bank.
428
00:24:43,817 --> 00:24:46,237
- That thing established
by Congress...
429
00:24:46,277 --> 00:24:47,447
- I know.
- To warn the public
430
00:24:47,487 --> 00:24:49,317
and other hospitals
about bad doctors.
431
00:24:49,364 --> 00:24:50,953
- I know.
- You only have to report
432
00:24:50,990 --> 00:24:53,740
the ones that are suspended
for 30 days or more.
433
00:24:53,785 --> 00:24:55,404
- How come
you didn't report Duntsch
434
00:24:55,452 --> 00:24:57,002
to the Texas Medical Board?
435
00:24:57,038 --> 00:25:00,417
[dramatic music]
436
00:25:00,458 --> 00:25:01,788
- I think we're done here.
437
00:25:01,835 --> 00:25:04,625
- Can I ask you
a personal question?
438
00:25:04,671 --> 00:25:07,050
Would you let Duntsch
operate on you?
439
00:25:07,089 --> 00:25:10,299
* *
440
00:25:10,343 --> 00:25:12,932
- Lies of omission
do not make this institution
441
00:25:12,971 --> 00:25:16,141
any less complicit, Ms. Piel.
442
00:25:16,182 --> 00:25:18,311
- Nobody here
is gonna help us.
443
00:25:18,351 --> 00:25:20,230
- I'm not sure what kind
of help we're looking for.
444
00:25:20,269 --> 00:25:21,980
- Come on, we can be sitting
in Skadden's office
445
00:25:22,021 --> 00:25:23,152
in a few hours.
446
00:25:23,189 --> 00:25:24,818
- We spoke to him already.
- I know.
447
00:25:24,857 --> 00:25:26,278
- He says he
doesn't know anything.
448
00:25:26,317 --> 00:25:27,606
- I know!
449
00:25:27,652 --> 00:25:29,451
Come on, waste some time
with me.
450
00:25:29,487 --> 00:25:32,406
Maybe we'll find out U.T.
turned out a fraud.
451
00:25:32,449 --> 00:25:36,749
* *
452
00:25:36,786 --> 00:25:39,826
[indistinct conversation
in Russian]
453
00:25:49,840 --> 00:25:54,260
[door closes,
conversation continues]
454
00:25:54,304 --> 00:25:55,683
- Hi, everybody.
455
00:25:55,721 --> 00:25:57,432
So sorry I'm late.
456
00:25:57,473 --> 00:25:59,064
Katya, Dr. Duntsch.
457
00:25:59,099 --> 00:26:01,309
Ilya, Dr. Duntsch.
458
00:26:01,353 --> 00:26:03,153
Welcome to DiscGenics.
459
00:26:03,188 --> 00:26:05,647
Thank you all so much
for coming.
460
00:26:05,690 --> 00:26:08,109
That's for you.
That's for you.
461
00:26:08,151 --> 00:26:09,280
For you, sir.
462
00:26:09,318 --> 00:26:12,068
And do you mind
passing those around?
463
00:26:12,113 --> 00:26:15,583
I just need some vitamin C.
Be right back.
464
00:26:16,867 --> 00:26:18,907
[indistinct conversation
in Russian]
465
00:26:18,952 --> 00:26:20,752
- [sighs]
466
00:26:20,788 --> 00:26:22,919
[machine beeps]
467
00:26:24,834 --> 00:26:27,923
[conversation continues]
468
00:26:34,677 --> 00:26:36,347
Okay.
[chuckles]
469
00:26:36,387 --> 00:26:38,718
Sorry about that.
470
00:26:38,765 --> 00:26:43,765
Now, let me tell you
why you're all here.
471
00:26:43,811 --> 00:26:46,652
I'm hoping that you will
continue to be interested
472
00:26:46,690 --> 00:26:48,529
in what it is that I'm trying
to accomplish,
473
00:26:48,566 --> 00:26:50,486
maybe financially interested.
474
00:26:50,527 --> 00:26:51,737
- We already know.
475
00:26:51,778 --> 00:26:54,198
- Our work
with osteosarcoma stem cells--
476
00:26:54,239 --> 00:26:55,528
it's a simple deduction.
477
00:26:55,573 --> 00:26:58,282
You wish to research
spinal cancer.
478
00:26:58,326 --> 00:26:59,695
- Nyet.
[chuckles]
479
00:26:59,743 --> 00:27:01,913
Nothing so basic.
480
00:27:01,954 --> 00:27:04,204
I brought you here because
of your cancer research.
481
00:27:04,249 --> 00:27:05,919
I practically memorized
your paper
482
00:27:05,959 --> 00:27:08,209
on phenotypical heterogeneity
of neural cells.
483
00:27:08,252 --> 00:27:10,883
But, look, we can all cure
cancer another day.
484
00:27:10,922 --> 00:27:13,382
Right now your research
can be exploited
485
00:27:13,424 --> 00:27:17,384
to create stem cells
to grow new spinal discs.
486
00:27:17,429 --> 00:27:19,679
Eliminate the need for surgery.
487
00:27:19,722 --> 00:27:22,232
That's what we're doing here
at DiscGenics.
488
00:27:22,267 --> 00:27:25,146
[both speaking Russian]
489
00:27:30,650 --> 00:27:34,109
- I question if you understand
the most basic science.
490
00:27:37,073 --> 00:27:38,373
- Um...
491
00:27:38,407 --> 00:27:41,157
may I see that for one second?
Thank you.
492
00:27:41,201 --> 00:27:46,001
Um, if you'll all turn
to page...
493
00:27:46,040 --> 00:27:47,961
13.
494
00:27:48,000 --> 00:27:51,381
This is your work
in spherical clone generation.
495
00:27:51,421 --> 00:27:54,921
You were able to demonstrate
stem cell markers OCT 3/4,
496
00:27:54,965 --> 00:27:58,135
NANOG, and STAT3,
unless I misunderstood.
497
00:27:58,177 --> 00:28:00,928
- That is correct.
- Right, but unlike with STAT3,
498
00:28:00,971 --> 00:28:04,061
where there was robust
expression in both spheres
499
00:28:04,099 --> 00:28:07,099
and adherent cultures,
NANOG and OCT 3/4
500
00:28:07,144 --> 00:28:09,105
had more variable patterns
of expression.
501
00:28:09,146 --> 00:28:13,027
Ergo, the key determinant in
self-renewal and pluripotency
502
00:28:13,067 --> 00:28:17,407
for stem cells in embryonic
settings are variable.
503
00:28:17,446 --> 00:28:20,116
Am I right?
504
00:28:20,157 --> 00:28:23,288
I'm right. So all I'm asking
is that we take your work
505
00:28:23,327 --> 00:28:25,208
into stem cell
self-renewal markers,
506
00:28:25,246 --> 00:28:28,746
and we use it to create
a new cell therapy.
507
00:28:28,791 --> 00:28:30,791
We build stem cells
508
00:28:30,835 --> 00:28:34,045
to repair
diseased spinal discs.
509
00:28:36,508 --> 00:28:38,468
Will you help me out?
510
00:28:38,509 --> 00:28:45,269
* *
511
00:28:45,307 --> 00:28:47,137
Well, what do you think?
512
00:28:47,184 --> 00:28:49,765
- Definitely intrigued.
- [sighs]
513
00:28:49,813 --> 00:28:53,482
- Outside the obvious,
how can I help?
514
00:28:53,525 --> 00:28:55,775
- Honestly...
515
00:28:55,818 --> 00:28:56,949
[sighs]
516
00:28:56,986 --> 00:28:59,276
My surgical reps are
killing me.
517
00:28:59,322 --> 00:29:02,082
You know, there's only
so many hours in the day.
518
00:29:03,535 --> 00:29:05,115
- You are an M.D./PhD.
519
00:29:05,161 --> 00:29:07,911
You have to be able
to balance both.
520
00:29:07,955 --> 00:29:09,615
You look tired.
521
00:29:09,665 --> 00:29:12,086
- [sighs] Yeah.
522
00:29:12,126 --> 00:29:14,916
I'm burning the candle
at both ends and the middle.
523
00:29:14,962 --> 00:29:18,843
* *
524
00:29:18,883 --> 00:29:20,972
- A little friendly word...
525
00:29:21,010 --> 00:29:23,471
if I had a future ahead of me
as bright as yours,
526
00:29:23,512 --> 00:29:27,522
I would never want to be a
minute late showing up for it.
527
00:29:27,558 --> 00:29:29,729
Okay?
- Yes, sir.
528
00:29:31,730 --> 00:29:33,519
- I'm gonna go
press some flesh.
529
00:29:33,565 --> 00:29:35,525
- [clears throat]
530
00:29:35,567 --> 00:29:42,447
* *
531
00:29:53,751 --> 00:29:55,842
[monitor beeping softly]
532
00:29:55,878 --> 00:29:57,259
- Today I will be performing
533
00:29:57,297 --> 00:30:00,586
an anterior cervical
discectomy and fusion.
534
00:30:00,633 --> 00:30:04,053
The vertebral bodies are
exposed, and so is the disc.
535
00:30:04,095 --> 00:30:06,964
Chris, I'm thinking DiscGenics
is gonna need some more money.
536
00:30:07,015 --> 00:30:08,845
- What do you mean?
537
00:30:08,892 --> 00:30:10,942
- You should meet
with some investment bankers.
538
00:30:10,977 --> 00:30:13,096
I am drilling directly
into the disc
539
00:30:13,145 --> 00:30:17,685
until I encounter the posterior
longitudinal ligament.
540
00:30:17,733 --> 00:30:19,993
Beyond that is the spinal cord.
541
00:30:20,028 --> 00:30:22,448
- Before I get the patent?
- The PLL is pierced.
542
00:30:22,489 --> 00:30:25,739
Inside the diseased disc
resembles crabmeat.
543
00:30:25,784 --> 00:30:29,544
I use a nerve hook
to remove the disc
544
00:30:29,578 --> 00:30:31,868
and decompress the spinal cord.
545
00:30:31,914 --> 00:30:34,164
It's classic
chicken-and-the-egg.
546
00:30:34,209 --> 00:30:36,538
Private equity
is a lusty courtship.
547
00:30:36,586 --> 00:30:38,246
The spinal cord is the white,
548
00:30:38,296 --> 00:30:41,715
glossy structure with a juicy
blood vessel on top,
549
00:30:41,758 --> 00:30:43,718
and that is the dura.
550
00:30:43,759 --> 00:30:45,549
Now, we tease out--
551
00:30:45,595 --> 00:30:48,555
[tense music]
552
00:30:48,597 --> 00:30:52,097
* *
553
00:30:52,143 --> 00:30:55,563
We now tease out the disc.
554
00:30:55,605 --> 00:30:59,815
* *
555
00:30:59,858 --> 00:31:02,398
Dr. Duntsch has successfully
removed the disc.
556
00:31:02,444 --> 00:31:03,984
Well done.
557
00:31:04,029 --> 00:31:06,569
Don't worry.
You'll get your patent, Chris.
558
00:31:06,615 --> 00:31:09,536
And you and your company
will make us obsolete.
559
00:31:09,576 --> 00:31:10,616
- [chuckles]
560
00:31:10,662 --> 00:31:12,412
- We now drill holes
561
00:31:12,454 --> 00:31:16,535
for the twin screws
in the vertebra.
562
00:31:16,584 --> 00:31:18,384
You ready?
563
00:31:18,420 --> 00:31:21,210
* *
564
00:31:21,256 --> 00:31:23,125
[drill whirring]
565
00:31:25,719 --> 00:31:27,759
The only useful thing
you learned at Harvard
566
00:31:27,804 --> 00:31:29,564
was how to name-drop
the word Harvard
567
00:31:29,596 --> 00:31:30,967
into any given conversation.
568
00:31:31,016 --> 00:31:33,726
Oh, here are
our two esteemed visitors
569
00:31:33,768 --> 00:31:35,097
I was telling you about--
570
00:31:35,144 --> 00:31:37,265
Dr. Robert Henderson
and Dr. Randall Kirby.
571
00:31:37,313 --> 00:31:39,442
It's a pleasure to make
your acquaintance
572
00:31:39,481 --> 00:31:40,442
in the flesh, gentlemen.
573
00:31:40,482 --> 00:31:42,692
Dr. Kirby went
to Rice University
574
00:31:42,736 --> 00:31:44,566
and Baylor College
of Medicine.
575
00:31:44,612 --> 00:31:47,491
And Dr. Henderson...
576
00:31:47,531 --> 00:31:49,951
I'm so sorry.
I-I'm completely forgetting.
577
00:31:49,992 --> 00:31:52,002
Uh, where did you get
your M.D.?
578
00:31:52,037 --> 00:31:54,957
- University of Nebraska.
- Yes.
579
00:31:54,998 --> 00:31:58,417
Right, right.
Um, go, Corn Huskers.
580
00:31:58,460 --> 00:32:01,630
[chuckles]
581
00:32:01,671 --> 00:32:04,421
- Duntsch's friend, if you can
believe he actually had one.
582
00:32:04,465 --> 00:32:06,625
- Turned him
into a quadriplegic.
583
00:32:06,675 --> 00:32:08,135
As of today, he's closing in
584
00:32:08,178 --> 00:32:10,468
on two dozen
botched surgeries--
585
00:32:10,512 --> 00:32:12,772
holes that drilled
through muscle,
586
00:32:12,807 --> 00:32:14,557
nerves severed, arteries.
587
00:32:14,601 --> 00:32:18,191
I mean, the guy can't define
basic regional anatomy.
588
00:32:18,229 --> 00:32:20,068
- He approaches spinal surgery
589
00:32:20,105 --> 00:32:23,685
like a child
playing with Tinkertoys.
590
00:32:23,734 --> 00:32:26,855
- This is not
the Christopher Duntsch I knew.
591
00:32:28,865 --> 00:32:31,484
These things here, I...
592
00:32:31,534 --> 00:32:33,663
I never saw.
593
00:32:33,702 --> 00:32:35,042
I just can't explain it.
594
00:32:35,079 --> 00:32:36,539
- Well, perhaps
you could help us unpack
595
00:32:36,580 --> 00:32:38,461
the reference you provided
for Duntsch?
596
00:32:38,500 --> 00:32:40,460
- Of course.
597
00:32:40,501 --> 00:32:42,422
- He met all
of his training hours?
598
00:32:42,461 --> 00:32:45,051
- Yes, though I-I can't speak
to his--his residency.
599
00:32:45,089 --> 00:32:46,630
You'd have to check
with them for that.
600
00:32:46,674 --> 00:32:48,505
- I'm sure you wouldn't have
included him in your fellowship
601
00:32:48,550 --> 00:32:50,300
if you didn't think he was
properly trained, correct?
602
00:32:50,345 --> 00:32:51,384
- Correct.
603
00:32:51,429 --> 00:32:53,429
- You oversaw his
surgical reps here?
604
00:32:53,472 --> 00:32:54,472
- Yes.
605
00:32:54,516 --> 00:32:56,726
And if you were one
of my fellows
606
00:32:56,768 --> 00:32:58,897
and I was watching
607
00:32:58,936 --> 00:33:01,307
and you did
what you've shown me here,
608
00:33:01,355 --> 00:33:03,435
that would be the end
of your fellowship.
609
00:33:03,482 --> 00:33:05,073
- Any drugs?
610
00:33:05,109 --> 00:33:06,319
- I never saw anything
611
00:33:06,361 --> 00:33:07,861
that would lead me
to that conclusion.
612
00:33:07,903 --> 00:33:09,203
- Psychiatric issues?
613
00:33:09,239 --> 00:33:10,818
- He may have sought
counseling.
614
00:33:10,865 --> 00:33:13,234
A lot of students do.
615
00:33:13,284 --> 00:33:16,253
I'm afraid that's really all
I can help you with.
616
00:33:16,287 --> 00:33:19,247
- With all due respect, I have
to disagree with you there.
617
00:33:19,289 --> 00:33:21,750
- His references are
the bedrock to his bullshit.
618
00:33:21,792 --> 00:33:23,292
He can get credentialed
anywhere.
619
00:33:23,336 --> 00:33:24,665
- You're in a unique position
620
00:33:24,712 --> 00:33:27,093
to tell them
what you know about Dallas.
621
00:33:27,132 --> 00:33:29,882
- I did,
on the form for Forest Park.
622
00:33:29,925 --> 00:33:31,925
I mentioned poor outcomes
at Baylor.
623
00:33:31,970 --> 00:33:34,059
- But not Dallas Medical?
- No, no.
624
00:33:34,096 --> 00:33:36,386
They wanted the form back
immediately.
625
00:33:36,432 --> 00:33:39,732
So I checked the boxes
as requested,
626
00:33:39,769 --> 00:33:42,058
stated that he was...
627
00:33:42,105 --> 00:33:45,065
satisfactory, which he was.
628
00:33:45,107 --> 00:33:47,147
- If it had been me,
629
00:33:47,192 --> 00:33:49,202
I would have done everything
in my power to say,
630
00:33:49,237 --> 00:33:50,656
"No, I cannot recommend him."
631
00:33:50,697 --> 00:33:52,906
- I can read you the form
for privileges,
632
00:33:52,949 --> 00:33:54,868
but it only relates
to his time here.
633
00:33:54,909 --> 00:33:58,118
You're only allowed to attest
to what you directly observe,
634
00:33:58,163 --> 00:34:00,712
that period of time
the observation is made,
635
00:34:00,749 --> 00:34:02,419
and your role as observer--
636
00:34:02,459 --> 00:34:04,669
what happened
during his training.
637
00:34:07,297 --> 00:34:10,757
- What about the images
we've provided you with?
638
00:34:10,800 --> 00:34:13,469
- Yeah.
[sighs]
639
00:34:13,510 --> 00:34:15,260
Yeah, I'm sorry.
640
00:34:15,304 --> 00:34:18,764
I-I'm afraid I'd have to throw
the ball back to Dallas.
641
00:34:18,807 --> 00:34:22,398
What happened,
he did in Texas.
642
00:34:22,436 --> 00:34:24,106
Makes you think
the hospitals there
643
00:34:24,146 --> 00:34:25,726
will take any surgeon
with a pulse.
644
00:34:25,773 --> 00:34:27,443
[chuckles]
645
00:34:30,903 --> 00:34:33,114
I see why you're so upset--
646
00:34:33,155 --> 00:34:35,985
these hospitals
not reporting him,
647
00:34:36,034 --> 00:34:39,123
Not vetting him properly.
648
00:34:39,161 --> 00:34:42,922
But this is a Texas problem...
649
00:34:42,956 --> 00:34:45,626
not a Tennessee problem.
650
00:34:45,668 --> 00:34:48,958
[Dr. Kirby sighs]
651
00:34:49,005 --> 00:34:51,925
[phone receiver clatters]
652
00:34:51,965 --> 00:34:53,925
- [exhales sharply]
653
00:34:53,967 --> 00:34:57,597
[tense music]
654
00:34:57,639 --> 00:34:59,969
[clears throat]
655
00:35:00,016 --> 00:35:02,476
Hi, it's Christopher Duntsch.
656
00:35:02,518 --> 00:35:04,518
Dr. Christopher Duntsch
calling.
657
00:35:04,561 --> 00:35:07,112
Uh, just following up
on that exam you had
658
00:35:07,148 --> 00:35:08,648
a couple of months ago.
659
00:35:08,692 --> 00:35:10,942
I just wanted to see if you're
still interested in surgery
660
00:35:10,985 --> 00:35:12,525
to correct all that pain.
661
00:35:12,570 --> 00:35:14,610
I'm still working
out of Baylor-Plano,
662
00:35:14,655 --> 00:35:17,445
but I did actually start
working at another hospital.
663
00:35:19,536 --> 00:35:21,746
I'm just following up.
How's that neck pain?
664
00:35:21,788 --> 00:35:22,827
A tingling foot?
665
00:35:22,871 --> 00:35:24,961
The exam is free.
666
00:35:25,000 --> 00:35:27,880
* *
667
00:35:27,918 --> 00:35:30,009
You are interested.
668
00:35:30,045 --> 00:35:32,255
Oh, you moved.
669
00:35:32,297 --> 00:35:34,257
Out of state.
670
00:35:35,552 --> 00:35:38,811
You know, January is
Spinal Health Awareness Month.
671
00:35:38,847 --> 00:35:40,556
Hello?
672
00:35:41,807 --> 00:35:43,847
Mrs. Bloom?
673
00:35:43,893 --> 00:35:45,652
He passed.
674
00:35:45,686 --> 00:35:49,226
* *
675
00:35:49,273 --> 00:35:51,284
I will say hi to Jerry for you.
676
00:35:51,317 --> 00:35:53,027
Kim is great.
677
00:35:53,068 --> 00:35:54,489
[chuckles]
Yeah.
678
00:35:54,528 --> 00:35:57,239
No, she's great.
679
00:35:57,282 --> 00:36:00,452
Well, Jerry...
680
00:36:00,492 --> 00:36:02,793
moved on.
681
00:36:04,789 --> 00:36:06,119
That's a hairline fracture.
682
00:36:06,166 --> 00:36:08,126
You--you could be paralyzed
if you don't correct it.
683
00:36:08,168 --> 00:36:12,297
* *
684
00:36:12,338 --> 00:36:14,548
Kim is great.
685
00:36:14,590 --> 00:36:15,721
[coughs]
686
00:36:15,759 --> 00:36:18,849
* *
687
00:36:18,887 --> 00:36:20,556
Yes.
688
00:36:20,597 --> 00:36:22,016
Yes, yes.
689
00:36:22,056 --> 00:36:25,806
I promise I'll never call back.
690
00:36:25,851 --> 00:36:32,282
* *
691
00:37:15,402 --> 00:37:17,362
- Dr. Duntsch?
692
00:37:19,114 --> 00:37:20,373
- [clears throat]
693
00:37:20,407 --> 00:37:22,027
- [chuckles]
694
00:37:22,074 --> 00:37:23,614
The Dr. Duntsch?
695
00:37:23,659 --> 00:37:25,369
- Can I help you?
We're kind of closing up.
696
00:37:25,411 --> 00:37:27,461
- Uh, I'm Stan Novak.
697
00:37:27,496 --> 00:37:29,286
I, uh, found 'em in your door.
698
00:37:29,331 --> 00:37:31,751
- Oh, it's that
damn office manager--
699
00:37:31,793 --> 00:37:33,672
so scatterbrained.
700
00:37:37,507 --> 00:37:40,507
When did you hurt your neck?
701
00:37:40,552 --> 00:37:42,472
- Motorcycle crash
six years ago.
702
00:37:42,512 --> 00:37:45,641
I've had five back surgeries.
703
00:37:45,681 --> 00:37:48,311
How'd you know it was my neck?
- [chuckles]
704
00:37:48,351 --> 00:37:51,731
It's kind of what I do
for a living.
705
00:37:51,771 --> 00:37:53,981
Let me guess...
706
00:37:54,023 --> 00:37:55,324
when the spasms happen,
707
00:37:55,358 --> 00:37:56,898
it feels like
an electric shock?
708
00:37:56,943 --> 00:37:58,492
- Oh, any little thing
sets 'em off.
709
00:37:58,527 --> 00:38:00,818
Sometimes hits me
when I'm driving.
710
00:38:00,864 --> 00:38:02,324
I almost go off the road.
711
00:38:02,364 --> 00:38:04,775
- Yeah, that's
Lhermitte's sign.
712
00:38:04,826 --> 00:38:07,326
We're looking
at a cervical fusion.
713
00:38:07,369 --> 00:38:09,539
You got severe compression
of the spinal cord,
714
00:38:09,581 --> 00:38:12,331
but if we decompress that,
you'll have a full recovery.
715
00:38:12,375 --> 00:38:14,534
- [chuckles]
716
00:38:14,585 --> 00:38:17,335
I've seen so many doctors,
but I wanted you.
717
00:38:17,380 --> 00:38:20,050
[chuckles]
Saw your award video.
718
00:38:20,090 --> 00:38:23,221
- [clears throat]
- Best Docs.
719
00:38:23,260 --> 00:38:26,260
[hopeful music plays,
monitor beeping on phone]
720
00:38:26,306 --> 00:38:28,675
* *
721
00:38:28,724 --> 00:38:31,094
- Two reasons why patients
normally present
722
00:38:31,143 --> 00:38:33,614
to their doctors for pain
related to the spine--
723
00:38:33,646 --> 00:38:36,686
the first is related to
the peripheral nervous system.
724
00:38:36,733 --> 00:38:38,193
That's called radiculopathy.
725
00:38:38,233 --> 00:38:40,903
Now, that's normally
associated with compression
726
00:38:40,945 --> 00:38:42,525
or degenerative changes
727
00:38:42,572 --> 00:38:44,952
to the spinal structure
irritating the nerve, or--
728
00:38:44,990 --> 00:38:48,041
- Award for best doctor
in Texas, huh?
729
00:38:48,077 --> 00:38:50,038
- [chuckles]
730
00:38:50,079 --> 00:38:51,710
[clears throat]
731
00:38:51,748 --> 00:38:53,378
You caught me in the middle
of an expansion.
732
00:38:53,416 --> 00:38:56,166
I'm a little short-staffed
right now.
733
00:38:56,210 --> 00:38:58,840
- You can still do it, right?
734
00:38:58,880 --> 00:39:00,840
- I'm all booked up
at Baylor,
735
00:39:00,882 --> 00:39:02,972
but I did just start
at University General.
736
00:39:03,009 --> 00:39:05,849
I can squeeze you in there.
737
00:39:05,887 --> 00:39:07,847
- [chuckles]
738
00:39:07,889 --> 00:39:10,849
[tense music]
739
00:39:10,891 --> 00:39:12,481
* *
740
00:39:20,402 --> 00:39:21,652
- We get the process, Duntsch.
741
00:39:21,695 --> 00:39:23,855
- And we do
like disruptive tech.
742
00:39:23,905 --> 00:39:25,525
- Then you're gonna
love DiscGenics.
743
00:39:25,572 --> 00:39:26,992
- Oh, it's just that
I was forced to take
744
00:39:27,032 --> 00:39:28,793
the "D to a C" program,
in high-school biology, so--
745
00:39:28,827 --> 00:39:30,407
- I put the fucking
A in AP chem,
746
00:39:30,452 --> 00:39:31,873
and I still don't get
what it does.
747
00:39:31,913 --> 00:39:33,293
- Okay, brass tacks--
748
00:39:33,331 --> 00:39:34,710
I'm inventing
749
00:39:34,748 --> 00:39:37,039
an injectable fountain
of youth for the spine.
750
00:39:37,085 --> 00:39:40,045
- Work for his wanker?
- That's phase two.
751
00:39:40,088 --> 00:39:41,588
- Hey, there's hope.
752
00:39:41,630 --> 00:39:44,380
- Look, simply put, stem cells
take over diseased cells
753
00:39:44,425 --> 00:39:46,215
in spinal discs
and repair them.
754
00:39:46,260 --> 00:39:48,971
- How far along is it?
755
00:39:49,014 --> 00:39:51,773
- We're looking for partners
right now to raise capital
756
00:39:51,807 --> 00:39:54,807
based on lead assets
that we've already generated.
757
00:39:54,853 --> 00:39:56,563
I mean, look, I am developing
a key process
758
00:39:56,603 --> 00:39:58,364
in the manipulation
of stem cells,
759
00:39:58,398 --> 00:39:59,898
but, equally important,
760
00:39:59,940 --> 00:40:02,610
our competitors are going
to need to use this step
761
00:40:02,652 --> 00:40:04,402
if they want to play
in our space.
762
00:40:04,445 --> 00:40:07,025
We'll own it,
and they'll have to pay.
763
00:40:07,072 --> 00:40:09,623
- And how'd you come up
with the concept?
764
00:40:09,659 --> 00:40:12,619
- LSD.
[laughter]
765
00:40:12,661 --> 00:40:14,291
- I knew it.
- I knew it.
766
00:40:14,329 --> 00:40:17,170
- * Bass down low,
bass, bass, bass down low *
767
00:40:17,208 --> 00:40:19,498
* B-bass, bass down low *
768
00:40:19,543 --> 00:40:21,594
* I-I-I like
my beats fast... *
769
00:40:21,628 --> 00:40:25,088
- Whoa, whoa, whoa, hey,
Make way for the king.
770
00:40:25,132 --> 00:40:27,432
Yo, what the fuck's a MISI?
771
00:40:27,469 --> 00:40:29,849
- Minimally Invasive
Spine Institute--
772
00:40:29,887 --> 00:40:31,137
M-I-S-I, MISI.
773
00:40:31,181 --> 00:40:34,021
- Minimally invasive spines
are your jam, man.
774
00:40:34,059 --> 00:40:37,268
Too many choices.
What are you gonna do?
775
00:40:37,311 --> 00:40:38,862
- What are we gonna do?
776
00:40:40,648 --> 00:40:42,148
I don't think you should
sell anymore, you know?
777
00:40:42,192 --> 00:40:43,192
- Come on, man.
778
00:40:43,233 --> 00:40:45,244
It's no big deal.
- No, no.
779
00:40:45,277 --> 00:40:47,068
Come with me.
780
00:40:47,112 --> 00:40:48,873
* *
781
00:40:48,907 --> 00:40:50,277
- Where?
782
00:40:50,324 --> 00:40:53,655
- I got job offers in Dallas,
California, wherever.
783
00:40:53,702 --> 00:40:56,043
- What am I gonna do?
- You already live with me.
784
00:40:56,081 --> 00:40:57,420
You drive me.
785
00:40:57,456 --> 00:40:59,126
We're best friends, right?
786
00:40:59,166 --> 00:41:01,286
- Goddamn right we are.
787
00:41:01,335 --> 00:41:03,876
Wherever you go,
I'll work for you.
788
00:41:03,922 --> 00:41:08,472
Hey, how about director
of marketing?
789
00:41:08,510 --> 00:41:10,849
Preach the empire of Duntsch.
790
00:41:10,887 --> 00:41:14,306
- * I like my beats fast
and my bass down low *
791
00:41:14,349 --> 00:41:15,809
* Drop it to the floor *
792
00:41:15,849 --> 00:41:18,980
* Bass down low,
bass, bass, bass down low *
793
00:41:19,019 --> 00:41:23,610
* I-I-I like my beats fast
and my bass down low *
794
00:41:23,650 --> 00:41:25,989
* It's like one, two,
three, okay *
795
00:41:26,027 --> 00:41:28,067
- Wait a second.
796
00:41:28,112 --> 00:41:29,822
- * Every day feel like
my birthday *
797
00:41:29,864 --> 00:41:32,373
* And we sip champagne
when we thirsty *
798
00:41:32,409 --> 00:41:34,659
- Evening.
799
00:41:34,702 --> 00:41:36,583
Just wanted
to introduce myself.
800
00:41:36,621 --> 00:41:38,371
- Get out of here.
- My name's Chris.
801
00:41:38,414 --> 00:41:40,204
What's yours?
- I paid for this, Chris.
802
00:41:40,250 --> 00:41:41,670
Back the fuck off.
803
00:41:41,710 --> 00:41:43,380
- Touch my friend again,
I'll break your spine,
804
00:41:43,420 --> 00:41:45,800
and you'll have to pay him
to fix it.
805
00:41:45,838 --> 00:41:48,509
- So, what's your name?
- Crystale.
806
00:41:48,550 --> 00:41:50,510
It's a little early
for Halloween.
807
00:41:50,552 --> 00:41:52,012
- [chuckles]
808
00:41:52,052 --> 00:41:54,682
I like your costume better.
- You gonna pay for it?
809
00:41:54,722 --> 00:41:57,182
- No, 'cause you are priceless.
810
00:41:57,224 --> 00:42:01,554
- Oh, if only I hadn't heard
that line seven times tonight.
811
00:42:01,603 --> 00:42:03,943
- I bet you break a heart
every time you say that.
812
00:42:03,981 --> 00:42:05,652
* *
813
00:42:05,692 --> 00:42:08,702
- If you're really a doctor,
what kind are you.
814
00:42:08,737 --> 00:42:11,407
aside from being
a cheap-ass one?
815
00:42:11,447 --> 00:42:14,617
- [scoffs] Well, Crystale,
unless you're board certified
816
00:42:14,659 --> 00:42:16,409
in neurosurgery
and molecular biology,
817
00:42:16,452 --> 00:42:19,253
I don't think I could
explain it to you.
818
00:42:19,289 --> 00:42:21,958
- I'm board certified
in knowing you're an asshole.
819
00:42:22,000 --> 00:42:23,079
- Hey!
820
00:42:23,126 --> 00:42:24,246
- My name's not "hey."
821
00:42:24,293 --> 00:42:26,844
- Well, it's not
Crystale either.
822
00:42:26,880 --> 00:42:28,969
Look, I've had a crazy day.
823
00:42:29,007 --> 00:42:32,217
A bunch of dreams
just came true all at once.
824
00:42:32,260 --> 00:42:34,050
Has that ever happened to you?
825
00:42:34,094 --> 00:42:36,844
- Dancing here is my trifecta
of dreams come true.
826
00:42:36,889 --> 00:42:40,559
* *
827
00:42:40,601 --> 00:42:41,981
- Okay, so I'm an asshole,
828
00:42:42,019 --> 00:42:44,190
and I'm sorry
for what I said earlier.
829
00:42:44,230 --> 00:42:45,730
- Pardon the interruption.
830
00:42:45,773 --> 00:42:48,534
Listen, bro, I don't need
to be marketing director.
831
00:42:48,568 --> 00:42:50,697
Only title I want in your life
is friend,
832
00:42:50,737 --> 00:42:52,657
and you can never fire me.
833
00:42:52,697 --> 00:42:54,447
I go where you go,
834
00:42:54,490 --> 00:42:56,411
but you do need
a slogan for DiscGenics.
835
00:42:56,451 --> 00:42:58,791
- A slogan?
I'll give it a whirl.
836
00:42:58,827 --> 00:43:01,748
- You don't know what it is.
- Do you know what it is?
837
00:43:01,789 --> 00:43:03,880
- I don't need to.
I'm good.
838
00:43:03,916 --> 00:43:06,376
* *
839
00:43:06,418 --> 00:43:08,918
- Holy shit.
Done fucking deal.
840
00:43:08,963 --> 00:43:11,262
Fuck, yeah.
Chris, you got to hear it.
841
00:43:11,298 --> 00:43:13,219
She's rock and roll.
842
00:43:13,259 --> 00:43:16,469
- * La, la, la,
la-la, la-la *
843
00:43:16,512 --> 00:43:18,222
- Yes.
844
00:43:18,264 --> 00:43:21,023
- * La, la, la,
la-la, la-la *
845
00:43:21,059 --> 00:43:23,268
* If you want to get with me *
846
00:43:23,311 --> 00:43:24,981
* There's some things
you got to know *
847
00:43:25,021 --> 00:43:27,110
- * Drop it to the floor *
- * Bass down low *
848
00:43:27,148 --> 00:43:29,527
* Bass, bass, bass,
bass down low *
849
00:43:29,567 --> 00:43:33,606
* I-I-I like my beats fast
and my bass down low *
850
00:43:33,655 --> 00:43:35,815
* B-b-bass down low *
851
00:43:35,864 --> 00:43:38,275
* Bass, bass, bass,
bass down low *
852
00:43:38,326 --> 00:43:42,206
* I like my beats fast
and my bass down low *
853
00:43:48,670 --> 00:43:51,630
[bird hooting in the distance]
854
00:43:51,672 --> 00:43:55,092
[classical music
playing faintly]
855
00:43:55,135 --> 00:43:58,675
* *
856
00:43:58,722 --> 00:44:02,641
[distant dog barking]
857
00:44:02,684 --> 00:44:06,523
[doorbell rings]
858
00:44:13,318 --> 00:44:20,239
* *
859
00:44:22,746 --> 00:44:25,615
[distant dog barking]
860
00:44:25,664 --> 00:44:32,795
* *
861
00:44:41,556 --> 00:44:44,476
[volume increases]
862
00:44:44,516 --> 00:44:50,686
* *
863
00:44:50,731 --> 00:44:51,692
- [muffled] Bob!
864
00:44:51,733 --> 00:44:53,282
Hey! Come on!
865
00:44:53,318 --> 00:44:55,487
- No, no, no--oh.
866
00:44:55,527 --> 00:44:57,358
I came at a bad time,
I'm sorry.
867
00:44:57,405 --> 00:44:59,815
- No, no, no! Come on.
It's opera night, come on in.
868
00:44:59,865 --> 00:45:01,025
Come on.
- Hey, look at this.
869
00:45:01,076 --> 00:45:03,115
* *
870
00:45:03,161 --> 00:45:05,710
He got another job.
871
00:45:05,746 --> 00:45:07,916
- [scoffs]
University General Hospital.
872
00:45:07,956 --> 00:45:09,246
You know what?
I went to med school
873
00:45:09,291 --> 00:45:10,842
with the owner
of this place--Dr. Sasani.
874
00:45:10,876 --> 00:45:12,047
We should go there.
875
00:45:12,086 --> 00:45:13,836
- And do what exactly?
- I don't know.
876
00:45:13,880 --> 00:45:14,880
We'll figure it out.
877
00:45:14,922 --> 00:45:17,342
We'll, uh, denounce him
publicly.
878
00:45:17,384 --> 00:45:20,014
No more half measures, right?
879
00:45:20,052 --> 00:45:22,262
- Okay.
- Come on.
880
00:45:22,304 --> 00:45:24,804
Jacqueline, look who's here!
881
00:45:24,849 --> 00:45:28,099
This is Dr. Bob Henderson.
882
00:45:28,143 --> 00:45:35,114
* *
62292
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