All language subtitles for Chicago.Med.S04E20.iNTERNAL.720p.WEB.H264-AMRAP

Will!

Owen! Hi!

- Hi.
- Wow, you're getting so big.

Might be time for you to start
playing football.

No, Mom wants me
to protect my brain.

Smart lady, your mom.
Where is she?

Um, Natalie's in the café.

She's just getting us
some coffee really quick,

so I'ml'm watching Owen.

I'm Phillip Davis.

Yeah, Will Halstead.
We haven't officially met.

Natalie and I, we work together.

Sheshe's told me about you.

Good things, I hope.

Of course.

- How's your daughter?
- She's doing her best.

We're here for
a surgery counsel,

and I suggested Dr. Rhodes.

Yeah, he's one of the best.
You're in good hands.

Phillip is gonna teach me
how to ride a horse.

He is?

Yeah, II own a ranch
in, in Texas.

Ain't that right, partner?

- Yee-haw.
- Yee-haw!

Hey, Will. Did you guys meet?

- Yeah, just now.
- Thank you.

All right, come on, Owen,

let's get you to daycare, buddy.

Come on.

See you later, little man.

No, I want to play with you.

Some other time, bud.

There you go.

Yeah.

Let's go.

Will, it was great meeting you.

Yeah, you too.

I'll see you at work.

See you. Are you ready to go?

All right, bud.

This is Gaia.
She won't let us treat her.

No visible injuries,
but she's been screaming

in pain the whole ride over
and wouldn't tell us why.

Gaia, I'm Dr. Choi.

Yeah. She's combative too.

- Is she under arrest?
- We'll see.

We raided a flophouse

after neighbors complained
of a smell.

- Drug den?
- Looks like it.

All right, let's transfer her
on my count.

One, two, three.

- Any idea what she's on?
- Not a clue, but it's lethal.

We've got ten dead bodies,
only two survivors.

Gaia and another woman, Meadow.

- She's in the ambo behind us.
- I'll go get her.

Gaia, I can see you're in pain,

but I can't help you
if you don't help me.

Dr. Choi?

What kind of drug does that?

Gaia, what did you take?

This is Burgess.

Meadow, keep looking at me,
all right?

Keep breathing.

It burns!

Ooh, I'm on fire!

All right, let's transfer her
on my count.

Ready? One, two, three.

All right, let's get a urine
and blood toxin,

a CBC, CMP, a chest X-ray,
and an EKG.

No! I don't want your help!

Get her.

Meadow?

Meadow?

She's not putting
any weight on her legs.

Leave me alone.

Meadow, you do that again,

I'm gonna need to put you
in restraints.

Don't touch me!

- Meadow.
- No! I said don't touch me!

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Gaia, this would go
so much easier for you

ifif you just talked to me.

Just tell me what drug you took,

and we can forget about all
my other questions for now.

Would you let us take
a little urine sample

so we can figure it out
for ourselves?

Okay. No IV, no monitor,
no blood, no urine.

Look, you're clearly
very uncomfortable.

At least let me give you
something for the pain.

Gaia has
pronounced hyperesthesia.

Excruciating pain
from the lightest touch.

Even a slight breeze
against her skin.

So does Meadow.

But she also has
lower extremity paresis.

And still no idea what drug
we're dealing with?

Whatever it is, it's going
after the nervous system,

and it'll be days before
the county sends us

the autopsies
on the other victims.

You get anywhere?

They won't say anything.

And no guarantee of
doctor-patient confidentiality

would put them at ease?

They turned down morphine.

I'm guessing they could
care less about HIPAA.

So what do we do now?

They're cognizant, responsive.

They have the right
to refuse care.

Hopefully these young women
will change their minds

and accept treatment.

Seriously? Wait and see
is the best we can do?

Our hands are tied.

Well, keep me posted.

Now, I know that I have given
you a ton of information,

so if you get home,
you feel overwhelmed,

and you realize you have
some questions,

just give me a call.

Okay. I'm nervous.

Sophie's gonna do just fine.

Damn, I am saying...
Get on thatget me some...

Hey, hey. What's going on?

- I-I-I can't breathe.
- Okay.

What are you doing
all the way up here?

Why didn't you go to the ED?

Your lungs sound junky.

How are your legs?

Swollen.

- All right.
- Yeah.

We're gonna admit you
to the CICU.

Let's get stat labs,
chest X-ray, EKG, and echo.

Come on. Here we go.

Yeah, I-I-I feel like
I did before my surgery.

I thought Dr. Bekker
fixed my ASD.

Yeah, so did I.

I met Natalie's boyfriend,
Phillip, this morning.

He told Owen he owns
a cattle ranch.

Okay.

You ever seen his hands?
They're smooth.

Like, manicured. No calluses.

So people with pretty hands
can't own livestock?

Come on. No way a guy with
hands like that owns a ranch.

Or... he just wears gloves
when he works,

like we do, all day long.

I don't buy it.

I think he's lying and using
Owen to get close to Natalie.

I think... you overthink things.

Hey.

It was nice to see Owen.

Been awhile.

Yeah, he was excited to see you.

Phillip seems like a nice guy.

He is. Thanks.

I mean, he must be nice

if you're bringing him
around Owen.

Excuse me?

You've been dating,
what, six weeks now?

It took you
a heck of a lot longer

to let me get close to Owen

and we've been working together
for years by then.

You know, I don't need to defend

my parenting choices to you.

Honestly, though, how well
do you really know him?

Okay, Dr. Halstead,
you have a patient in six.

Hi. I'm Dr. Halstead.

Vasiley Qipaqli?

Butchered it, didn't I?

You got close.
Just call him Vee. It's easier.

I'm his cousin, Brandon Wycoff.

Nice to meet you.

So, Vee, what happened?

He's visiting me from Moldova.

He knows, like, ten words
of English.

Yeah, that'sokay.
We can get a translator.

Well, good luck.

Most people there
speak Russian or Romanian.

He's from the South.
He speaks Gagauz.

It's just better
if I do the talking.

Long story short,
he fell in the shower.

All right.

Look at the back of your head.

Minor head laceration.
Doesn't even need a stitch.

Yeah, hey...

Anything hurt?

Pain?

I-I okay.

Okay, good.

Yeah.

I want to get an X-ray.

But I think the arm
is just bruised.

There's nothing internal?

I'm not seeing anything
concerning.

Thank God.

If he's a no-go, I'm screwed.

Sorry?

That came out wrong.

Um...

Fistula for dialysis

and stage renal disease?

Yeah.

My only hope is a new kidney.

Luckily, he's donating me
one of his.

I love you, cuz.

Meadow, these are the same
lesions we found on Gaia.

You're getting worse.
Please just let us help you.

No.

Dr. Choi, come quick!

Gaia.

She's not breathing.
No pulse. Ventilator.

I'll take a quick look.

Asystole. She's gone.

Time of death, 1110.

I only left her
for a few minutes.

I didn't hear her, I swear.

It's not your fault.

She wouldn't let us
put on the monitors.

She killed herself?

Suicide? Why?

All I can come up with is,

the pain must've been
too much to bare.

I'm gonna have to imagine.

Meadow's going through
the same thing.

I'm sorry, Ethan.

Yeah.

- Dr. Manning?
- Yeah.

We ordered a postmortem
tox screen for Gaia.

Hopefully it'll show us
what drug we're dealing with.

Yeah, but I'm not so sure

we're dealing with
a drug anymore.

Look at all this hair.

Is that from when Ethan
pulled off the bag?

Yeah, but there's
too much of it.

I-I can't think
of a recreational drug

that would account
for this amount of hair loss.

Heavy metal toxin or poison?

That run-down house
where they found them?

Any number of contaminants
could be in there.

All right, I'll have the labs
expand Gaia's blood tests,

search for heavy metals and
toxins as well as other drugs.

But, you know,
it still doesn't add up.

If neither Gaia or Meadow
were taking an illegal drug,

why were they so adamant
about refusing treatment?

Patient's middle name?

Is that really necessary?

I never put mine on anything.

Okay. Date of birth.

I don't know, I-I...

I'm 30.

He's a year younger than me,
maybe two.

- Is everything okay?
- Yes.

The intake form has
a few black boxes.

More than a few.

Look, the paperwork
is irrelevant.

I'm covering the costs.

Billing is still
going to want information.

Cash is king.

I'm sure they'll make
an exception.

Are we done?

Thanks, Leah.

Kind of shooting
the messenger, don't you think?

I'll buy her something
from the gift shop.

Vee's X-ray?

No fracture.

Great.

We can go.

You all right?

I'm exhausted.

Kidney failure will do that
to you.

I bet.

Transplant is next week
at East Mercy.

I'm supposed to be resting,
keeping my stress level low.

I brought you to Chicago
to cure me,

not make it worse.

I'm sorry.

Let's go.

Hold on.

Let me take a look at you first.

I really am okay.
I have my own nephrologist.

He'll make a house call.

End-stage renal disease,

I suspect they'll just
send you to an ED for labs.

Yeah, you're probably right.
That's been the drill.

All right, but I want
my doctor in the loop.

I'll have my assistant
reach out to the hospital

and set everything up.

Works for me.

I'll send someone in
to get you registered.

We're gonna stay.

Hey.

I heard about your patient.

You all right?

Yeah.

Emily and Bernie are here.
Bernie's not feeling well.

You are up,
but I'll get another doctor

if you need a few more minutes.

I got it.

Okay. Treatment three.

Be nice.

It's okay, Bernie,
we'll find something else.

I know, baby.
You're so good to me.

I love you.

- Hey, guys.
- Hey.

What's going on?

Emily just found
a really good apartment,

but it was a little pricy.

Bernie, honey, I think he's
talking about your stomach.

Right, yeah,
I'm, I'm a little bloated.

Yeah, he's got a fever too.

Belly's really distended.
How long has it been this way?

Couple of days.

All right, well,
we'll get some labs

and a CT abdomen,
then go from there.

So you guys are getting
an apartment.

- Trying to.
- That's good.

So everything's settled
with your wife?

- Ethan.
- Okay, then.

I'll go put in the order
for your tests.

Hey there, Vincent.

I'm looking right at it.

Even my father still has
a left-to-right shunt

through a patent
atrial septal defect.

And I'm telling you
it wasn't there

after I placed
the intracardiac patch.

Negative bubble test.
His post-op echo was good.

I fixed the problem.

- Clearly, you didn't.
- You're incredible.

You've made it clear you think
I'm a horrible person.

Now I'm a lousy surgeon as well?

No, you're an excellent surgeon,

which is why this is so glaring.

I take it that's your
passive-aggressive way

of saying I was careless?

Or worse?

However it happened,

my father still needs
a repeat repair of his ASD

and I am going to advise him
to have Dr. Latham perform it.

At first, I thought
your attacks on me

were just you blowing off
steam after we broke up.

But now I really think
you're losing your mind.

Gaia's body tested positive

for a highly toxic substance
called thallium.

There may have been traces
of it in the house

where you all were staying.

The good news is,
there is an antidote.

Prussian blue.

It stops the thallium from
being absorbed into your body.

Meadow,
do you understand what...

What Dr. Manning
is saying to you?

Yes.

Are you willing
to take the medicine?

If you don't take
the Prussian blue soon,

you will die from this.

Will you leave me alone
if I take the pills?

Promise.

Okay.

I-I'll take 'em.

Okay.

Here you go.

We finally got through to her.

Yeah, but why?

I mean why now all of a sudden?

I'll take the win.

Would you do me a favor?
Keep a very close eye on her?

- Sure.
- Thank you.

Hey, let me ask you.

What's going on
with Emily and Bernie

and this hunt for an apartment?

They're looking.

Yeah, I heard her place
fell through, too expensive.

I just hope Bernie
isn't dragging his feet.

Well, Emily hasn't complained.

Maybe, but she's still
sleeping at your place

with the baby.

- I don't mind.
- And Bernie's what?

Sleeping across town
on his wife's couch?

Doesn't seem to faze him a bit.

Ethan, if you're thinking
of getting involved, don't.

It's not gonna help.

You're Bernie's doctor.
Focus on that, okay?

Dr. Halstead,
this is Dr. Richard Haley.

Mr. Wycoff's nephrologist.

Nice to meet you.
So you'll handle the red tape?

Absolutely.

A VIP room is being prepared
for Mr. Wycoff

as well as our conference room

for you to consult
with our transplant team.

I'm sorry. What's happening?

Well, I didn't like
Brandon's labs.

His phos is up and he's anemic.

I'm moving up
his kidney transplant to today.

I want him to get two units
of O-neg, stat.

Whoa, whoa. Not so fast.
Mr. Wycoff's my patient.

I'll handle those orders.

Dr. Halstead.

I appreciate you
getting the ball rolling,

but Dr. Haley
is gonna take over.

Miss Garrett,
I am not comfortable with this.

Brandon doesn't seem to know
anything about his cousin.

He's avoiding a paper trail
by paying cash,

and now some doctor
we met two minutes ago

is rushing him off to surgery?

What about repeat labs?
Pre-op scans? HLA confirmation?

It will all happen.

Only now,
it's going to take place here

instead of East Mercy.

An easy and profitable win

just fell into our laps,
Dr. Halstead.

Be grateful.

We're moving Mr. Wycoff
to the Ambassador Suite.

It time?

Not yet. Soon.

Vee? Vee.

Do you understand
what's happening?

Um, Brandon, need.

I have give.

You have to or want to?

Dr. Manning, Dr. Charles.

Monique, get me suction.

I don't understand.

The Prussian blue should
be making her better.

It's only making her worse.

It's 'cause she didn't
take the pills.

Where are they?

- Dr. Charles.
- Meadow, where...

Monique.

Meadow, without these pills,
you will die.

We're supposed to die.

The oceans are warming.

Ice caps are melting.

We're killing the planet
and no one cares.

Except for us.

The Angels of the Earth.

"We, the Angels of the Earth,

"will not be so blind to ignore
that human greed, negligence,

"and abuse
are destroying the planet.

We will serve the Earth
by removing ourselves from it."

My God.

They're a cult that believes
that Earth is destined

for destruction and the only
solution is to kill themselves.

At least they're not making
it all up out of thin air.

Each one of their claims
is linked

to a legitimate
scientific study.

Yeah, I know,
but their whole manifesto

is still one big suicide note.

Well, at least you can
put her on a psych hold

and we can force treatment.

No, no, no, we can't.

Look, a psych hold just means
we can keep her here

so she doesn't harm
herself more.

It still doesn't mean we can
make her take Prussian blue

or undo the things
she's done to herself

unless she wants us to.

So what can we do?

Well, it's a long shot,
but I could petition a court

to deem her mentally incompetent

because of the brainwashing
she's received

at the hands of this cult.

If not, Meadow controls
her own fate.

I just got word your patient's

gonna be admitted
and moved upstairs

to meet with transplant.

Mags.

I need you to stall
the transfer.

I'm waiting on calls
from translators.

Gwen Garrett called me
personally on this one.

I can buy you
maybe half an hour.

That's not gonna do it. Damn it!

Okay, let's get a head CT.

- Will!
- Due diligence.

I'm just making sure
there's not a delayed

subdural hematoma that might
endanger Vee in surgery.

This case smells that funky?

It smells illegal.

Okay, I'll order you the CT.

You got an hour now.

But if I were you,
I'd find a plan B.

Yeah, I need Miss Goodwin.

Dr. Latham,
how'd it go with my father?

- No problems.
- Good.

So, what was it?

Was the intracardiac patch
not sewn in properly

or did the sutures come loose?

Neither, the patch itself
was faulty.

The patch?

So there was no error
on Dr. Bekker's part.

Absolutely not.

Her sutures were placed
perfectly, as always.

So, Bernie,
I've got your CT results.

You have a complete
small bowel obstruction.

Likely caused by adhesions
related

to your pancreatic pseudocyst
surgery.

Wow...

I've got an OR
prepped for you now.

What about recovery time?

A few days in the hospital,

then another week or two
of bed rest.

Honey, we'll have to put
a hold on our job

and apartment search.

Of course,
your health comes first.

And I'll call Ashley
and let her know

I'm gonna be there a bit longer.

It's all gonna work out.

How, Bernie?

How is everything
gonna work out?

Without a job?
Without a place to live?

Can't you see how hard
this is on Emily?

Not to mention her baby?

For reasons I may
never understand,

Emily loves you
with all of her heart.

So start showing her
you feel the same way.

Get it together.

Mr. Kim? I'm Dr. Wilde.

We're here to take you
to pre-op holding.

Let's go.

The black market?

You think Mr. Wycoff is buying
your patient's kidney?

Wouldn't be the first.

World Health Organization
estimates that 7,000 kidneys

are illegally harvested
annually.

I have other reports
from human rights groups,

economic equality firms.

All right.

"Buyers of trafficked organs
are high-income individuals

"from developed countries.

"The typical seller is male,
around 29,

and from some of the world's
poorest areas."

I mean, this is Brandon and Vee.

Yes, they fit the profile,
and I'm well aware

of the magnitude
of illegal organ transplants.

But this is Brandon's file
from East Mercy.

Transplant list status
as well as Vee's donor papers.

Our lawyers have been
all over these documents.

Nothing appears out of place.

And what about
the nephrologist, Dr. Haley?

Privileges at hospitals
across the city,

including ours.

So Brandon's covered his bases.

That doesn't mean
money hasn't changed hands.

Miss Goodwin, I'm telling you,

there's something going on here.

This is the mission statement
of the Angels of the Earth.

I've read it three times now.

Are you beginning
to understand, then?

I'm trying to.

As a scientist, I agree.

But I'm having a hard time
believing that the planet

is doomed
to become uninhabitable.

Or how poisoning yourself
with thallium will change that.

Would you have heard of the
Angels of the Earth otherwise

if I wasn't here?

So you're a martyr?

In 1963,
a monk set himself on fire

in protest
of the Vietnamese government's

discriminatory laws
against Buddhism.

The government was overthrown.

Is that your hope?

That the government
is overthrown?

No.

Mymy hope is that people
wake up and take action

instead of continuing
to cook our planet

by burning fossil fuels.

So then you believe
the planet can be saved.

You're twisting my words.

I'm not.

Your logic is flawed.

You want people to change,

but you also think that change
will be meaningless.

So what is the point
of martyring yourself

if it's unclear
what you stand for?

I-I'm not taking your pills.

Meadow, your hair
is falling out.

You're running out of time.

Good.

I am not gonna let you die.

Monique, John?

Put her in the soft restraints,
then prepare for an NG tube.

I'm giving her
the Prussian blue.

No!

Maybe I should call Dr. Charles.

I'm a licensed physician,

and I am deeming the patient
nondecisional.

Put her in the restraints.

Now.

No! No, you can't do that!

I'm sorry.

You can't!

No, please!

You can't do this! No!

Stop.

I have to ask you.

Is Brandon paying
for your kidney?

Money. All right?

Is Brandon paying you money
for your kidney?

No, no money.

It's okay.

Just tell me the truth
so I can help.

Help? Yes.

Me.

Brandon.

Brandon sick.

I help family.

Dr. Halstead?
Is there a problem?

No, just checking on Vee.

Making sure he's okay.

Me too.

You gotta be kidding me.

Look at us.

My mom took me to Moldova
when I was eight.

She wanted me to experience
the homeland.

And village after village,
I was so bored.

But then on the last day,
I met Vee.

And we couldn't speak
to each other,

but we both knew
how to play soccer.

Football.

Football, football. Ifootball.

Thank you for what
you're doing for me.

You're saving my life.

I wish he knew
what I was saying.

I think he does.

I'll leave you guys alone.

I have gifted millions
to this hospital.

I expect first-class care.

Connor, get in here.
You should hear this.

A budget bloated with waste,

and what is
Miss Garrett's solution,

is to save money
on intracardiac patches.

Again, Mr. Rhodes,
I sincerely apologize.

I will personally look into

how these patches
ended up in the OR

and I will make sure
that it never happens again.

Full report next board meeting.

Of course.

And Gwen... if memory serves,

your contract extension is also
an agenda item at that meeting.

I believe it is.

Perfect. See you there.

Hey, just got an update.
Bernie's surgery went well.

He'll be out soon.
That seat's taken.

And that seat's taken too.

Okay, I get it.
You're mad at me.

Why'd you yell at Bernie
like that?

I was sticking up for you.

You were kicking him
when he's down.

Everything I said,
Bernie needed to hear,

and you were never gonna say it.

Yes, I want an apartment.
I want him to get a job.

But tough love
won't get us there.

And coddling does?

Miss Choi?

Mr. Kim's being moved
to the ICU for recovery.

Whenever you're ready,
you can go down and see him.

Thanks, Lizzie.

You don't get it.
Bernie's delicate.

He's warm, affectionate,

and he needs encouragement
and support.

And if you can't
get behind that,

then get out of our lives.

Dr. Charles? I need you.

What the hell were you thinking?

You could lose
your license for this.

- For doing what's right?
- For breaking the law!

I don't want her
to die either, Natalie,

but the woman has rights!

What are you going to do?

Well, now that
you've boxed me in,

there's only one thing
that I can do.

If you take out that tube,

the only thing you will be doing

is pushing Meadow
one step closer to death.

Get out of my way.

Okay, this is gonna
be uncomfortable.

Sorry about that.

I apologize for Dr. Manning.

Itit's hard for her
to understand

why you're doing this.

I thought you'd want
to know that, um,

because of your friend's deaths,

everybody is talking about
Angels of the Earth right now.

I mean, the Internet's
going crazy.

We knew it would.

So thallium?

Clever.

A chemical compound
not found in nature.

A poison that deteriorates
the body in much the same way

that climate change
affects the Earth.

It's poetic.

You're smart.

You know,
you've gotten pretty much

everything you wanted.

And all that's left now
is to wait?

I think you've suffered
enough, Meadow.

And I'd like to help ease
that transition

and give you a couple of
sleeping pills if you let me.

Suffering is the point.

Look, Gaia put a bag
over her head.

There is no one on the Internet

calling her out
for taking a shortcut.

Trust me.

It's just a thought.

Okay.

I'll take the sleeping pills.

Good.

Give Meadow 5 of eszopiclone.

It's okay.

Meadow has agreed
to take eszopiclone.

Once she's out, she will
no longer have the ability

to advocate for herself.

And a strong legal case
could be made

that we then have the right
to act under implied consent

as surrogate decision-makers
on her behalf.

So you can replace the NG tube
and administer Prussian blue.

- Ava, hold up.
- Leave me alone, Connor.

Look, I am sorry for
jumping to conclusions earlier.

I should have considered
the possibility

that the patch failed before
placing all the blame on you.

And?

And what?

Seriously, Connor?

Accusing me of botching
your father's surgery

is the only conclusion
you're sorry for?

What about your claim
that I slept with him?

That I manipulated
the oversight committee?

That I let you cut my hand
in surgery?

And God knows what else.

No apology
for any of that madness.

I'll be honest.

When we broke up,
I was devastated.

And I'm still getting over it.

But at no point
have I cast you as a monster.

So why do you insist
on making me one?

Why do you want
to hurt me so badly?

You're such a good baby.
Yes, you are.

Hey, Bernie.

Um, Bernie, look...

I was out of line earlier.

I appreciate you
saying that, Ethan.

Now on, if you need anything...

I want you to know you can come
to me, no questions asked.

Em, do you mind if I,
have a moment alone with Ethan?

Okay. We'll be right outside.

Let's go outside.
Let's go outside.

You were right, Ethan.

I better step it up,
and I'm going to.

I promise.

I'm glad to hear that.

There is, one thing
you can help me out with.

Name it.

Lately, I've been having trouble

sustaining an erection.

What?

It's called
erectile dysfunction,

and there's medication that...
That can possibly help.

I'm reluctant to write you
a prescription.

You should really talk
to a urologist.

Thank you.
Thanks for everything, Ethan.

Dr. Charles...

I know you're upset with me.

But I just wanted to thank you
for what you did today.

We prevented a suicide.

Have we, though?

I mean, two doses of
Prussian blue won't be enough

to neutralize the thallium.

She's gonna need dozens more.

When Meadow wakes up
tomorrow morning,

the battle to get her
to take them,

it starts all over,
and I'm just worried

that... we haven't really
prevented a suicide

as much as we've postponed one.

Natalie, um...

this is the second time
in as many months

that you've, um,
well, you've misstepped,

and I'm just wondering, is...
Is everything okay?

Yeah.

Okay.

Well, um,
I will see you tomorrow.

Hey, Phillip.

Hey.

Waiting on Natalie?

Yeah, she's picking Owen up
from daycare.

Look, man, if I seemed
weird earlier, I'm sorry.

What do you mean?

I was just thrown when you
mentioned your ranch to Owen.

I'm so sorry,
when I mentioned my...

Your ranch.

Yeah. That.

Well, look,
the kid loves horses.

I was just playing.

So you don't own a ranch.

No. No.

But I figured that...

Owen got a pretty big kick
out of it, right?

Yeah, I guess.

I'll see you around.

Yeah, take care.

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