Original subtitles

Previously on Doc...

Dr. Larsen has no recollection of the last 8 years.

- Babe, what's wrong? - We're not together anymore.

- What? - We got divorced.

I am retaking the Boards?

None of this would even be happening

if it weren't for your brilliant track record.

These are splinter hemorrhages.

You didn't notice her fingernails?

Somebody's gotta tell me what I did to her.

Her second week as a med student

you told her she shouldn't be a doctor.

Did you know that Jake and I were together?

The pathologist didn't catch the problem,

but if Dr. Larsen ever remembers...

Then make sure she fails.

Lucas, please put your phone away, clear the table.

In a minute.

I've asked you three times.

Did you hear me?

Bring the dishes to the sink, please.

You're trying to upset me on purpose.

You hate me. - No, Lucas. I love you.

In this family, everyone contributes, okay?

So just hand me the plates.

Please.

Okay.

You happy now?

I'm clearing the table

just like you asked!

What are you gonna do, hit someone?

Hey, everyone, stop this!

Now! Stop!

Lucas.

Hey, we've talked about this.

We can't have these tantrums.

I know.

I know. Yeah.

I'm sorry.

I'm sorry. - Okay.

Hey.

58-year-old male presents with severe back pain,

pack-a-day smoker,

distended belly, tachy, BP 190 over 121.

Aortic abdominal aneurysm.

CTA to confirm.

Treatment?

Surgical graft before it ruptures.

Come on, you gotta start with the medication first.

Surgeons are always too aggressive.

First, do no harm, remember?

Do you know it doesn't even say that in our oath?

- Yes, it does. - No, it doesn't.

Of course it does.

"I swear to fulfill,

to the best of my ability

and judgment,"

although nobody seems to trust

my judgment lately,

"this covenant,

I will respect the hard-won scientific gains

of the physicians in whose steps I walk. And I--"

What, did you memorize the whole thing?

Yes.

You know, you don't need to know that for the Boards.

No, but I like to show off.

"... and gladly share such knowledge as may be mine

with those who are to follow me."

- Hey. - Hi.

How are you? - Good.

Yeah, you? - Yeah, good. Yeah.

Um, I spoke with Katie this morning.

Yeah. Big dissertation

on the monuments.

You know, apparently,

the Jefferson's a hypocrisy

and the Washington's a phallus, so...

She's okay with Lincoln.

For now.

- She's in D.C.? - Yeah.

Debate tournament with her school.

She's a junior, so it's, it's a big deal.

Very cool.

Well, this is my stop. Um...

I was thinking I'll pick Katie up

at the airport, early dinner and then drop her

back at your place? - Yeah, yeah, sure.

Great.

You don't want to get caught,

you better get rid of that smile.

For you--

Prince, Dirty Mind-- - Okay.

Controversy, 1999, Purple Rain.

All right, all right. I know when I'm beat.

You are officially the Purple One's #1 fan.

I object.

Who do you think told him about the guy? He had no clue.

We have tickets for the Paisley Park tour.

Should we cancel?

We didn't cancel the World Cup in '06

when I was nearly in labour with you.

He was almost born in the stands.

I'm afraid this time the tour is gonna have to wait.

Do you drink, Mr. Llewelyn?

The occasional pint.

And the occasional scotch in the pub

I'm not supposed to know about.

Jeez. Right, who snitched?

Why are you asking about alcohol?

Is there a problem with his liver?

The tests on his pancreatic function came back abnormal

plus the concerning respiratory issues.

Dr. Coleman?

Abdomen CT with contrast

and start an insulin drip,

check sugars hourly, and get an MRCP.

Exactly. I'll tell you what, once you heal,

you can hit up the Electric Fetus for some vinyl.

I hear Prince practically lived there.

Excellent idea.

Sorry I'm late.

I'm not the hall monitor.

Besides, I'm surprised Richard put us together

after what happened the last time.

Could be he expects you to report all my mistakes.

Paranoid.

Look, it's no secret how you feel about me,

and Richard's never wanted me here.

Well, I don't play politics,

and I'm not looking to cause you any problems.

I can't believe it.

Sonya Maitra. It's been forever.

And you're my doctor today?

I guess this is a little awkward.

We used to date.

But that was what, like, five years ago?

Right.

Okay, so, looks like persistent nausea,

poor appetite, and fatigue?

Yeah, I just got back from India two weeks ago.

Probably something I caught there.

When did the symptoms start?

Bloodwork and imaging.

Do you agree, Dr. Maitra?

CBC, Chem 20, antigen, antibody and endoscopy?

Yes. Absolutely.

Whoa! Whoa, whoa!

- Sorry I-- - You, okay?

Yeah, where is Dr. Miller?

You know, I haven't seen him.

I don't think anyone has.

Why, do you need something?

I'm good. Forget it.

- You sure? - Yeah.

Dr. Richard Miller.

Dr. Miller, if you can please call me back.

I need to discuss something with you.

It's time sensitive.

Micah wants to fight me now and Seth hides.

Mom flinches when I come in the room.

That's not true, Buddy.

We're all just concerned for you.

How do you think it's going with therapy?

Okay, I guess.

But they say the medication should be helping and...

That can take some time to smooth out.

She wants to send me away?

She wants you to get the help you need.

And so, do I.

We just...

we disagree on how to do that.

Buddy, hey.

I'm a doctor.

Right? - Yeah.

We got this.

Okay, so everyone else is pretty intimidated by her

but I respect how she is, and it's still a man's world.

- Come on! - You know what it means

to be Chief of a department in a major private hospital?

Plus, she lost her son a couple of years ago.

There we go. See? You're a softie.

Pfft. Hardly.

I see that smile.

It looks really good on you.

Okay, you know what I'm really pissed about?

- What? - Well, I'm gonna have to admit

to my mother that she was right to set us up.

Well, if you want, we can just blame my mother.

EHR patient orders are incomplete.

You want an upper GI endoscopy?

Typing "endo" won't cut it.

- That it? - Your labs came back.

Your patient is negative for HIV, Hepatitis, SARS and EBV

but Amy is suggesting a liver ultrasound and UBT to rule out

ulcer and guaiac for GI bleed.

She can't order them. You have to.

She's still a really good doctor, you know.

Everyone knows, Julie.

What's going on? You're scaring me.

I...

sorry, I just thought it'd be better

if we spoke privately first.

So, you know what's wrong with him?

Your husband has Cystic Fibrosis.

What? How bad is that?

His body is creating a faulty protein

that affects tissues, cells, glands and...

depending on the severity of his disease,

it could affect his lungs, pancreas, liver, kidney

and digestive functions.

So, what do we do? Is there a cure?

No. No cure,

but there are a wide variety of treatments.

I don't believe it.

It does normally present itself in early childhood.

Now, most countries do test for it at birth,

but England didn't make it a national standard until 2007.

So, my son wouldn't have been tested.

No. And it is genetic.

But we have very good reason to believe that

Oliver is not Cary's son.

Why would you say that?

Infertility is almost always an issue with CF patients.

And if you'd gone to the fertility clinic,

the doctors would've diagnosed Cary.

Our marriage had problems.

We split for awhile.

Then, after we reconciled, I found out I was pregnant.

For the longest time, I didn't know which man.

We're not judging you, Alexis.

Feels like he is.

Not my place at all, Ma'am.

The thing is, we're gonna have to tell your husband

everything that we just told you.

No! Please. Just not that part. Not now.

Well, what do you think's gonna happen once

Cary and Oliver start Googling this?

I get it, but I just-- I need a little time.

I can't lie to your husband.

I can tell them to stay off their phones,

let the doctors work.

It's already a lot to handle.

Does he really need this, too?

Please.

Hey, take a look at this.

Skin rash, fever, arthralgia, abdominal pain,

nausea, and jaundice.

I think he does have Hepatitis B.

The surface antigen was negative.

But all his symptoms line up.

And take a look at this rash.

I know this is a strange time to bring this up,

but, um...

I'd really love to catch up with you

when I'm feeling better, Sonya.

You know, for old times' sake.

It could also be autoimmune.

I'll run DNA and viral load tests.

You can continue your physical exam,

but I think we know what we have to do now.

Sonya?

Did he do something to you?

Did he hurt you?

It was a bad breakup. He was a jerk.

That's all. I'm fine.

My advice has not changed.

Your son has bipolar and schizotypal disorders.

He needs inpatient behavioural therapy.

You and Victoria simply aren't equipped to deal with this.

She called you, didn't she?

Is her account of things different than yours?

He has tantrums.

Little boys have tantrums.

Your son is a grown man in a grown man's body.

So, what, the only solution

is to send him off to Cuckoo's Nest?

Okay, forget Lucas for a second.

What is this doing to your family?

To your boys?

What is it like for them

living in a house like this?

Will you consult with him again?

Maybe you'll see something different?

Bring him in.

Hello.

Hey, listen, we've gotta move fast.

Ravi's viral load's off the chart.

He has Fulminant Hepatitis

and his liver's failing.

Labs, imaging, paths confirmed.

So, he's in the window, testing negative

when he's extremely contagious.

He needs Beta Interferon and Tenofovir.

I know that, Amy.

Well, can you call the nurses station with a verbal order?

He's cratering.

Where are you? I'm in the bathroom.

I'll be right out.

Cary, you're having an allergic reaction

to insulin with fluctuating glucose,

and your body is having a hard time making enzymes

to convert food into fuel.

Your lungs are filling with fluid.

That's why it's getting harder for you to breathe.

I'm afraid you're gonna need a new pancreas, Cary.

You mean a transplant?

How does that work?

Or does he have to get on some list?

We're not even citizens here.

That won't be a factor.

Oliver, I said, don't with the phones.

The doctors are right here.

We've already listed him with UNOS.

So, hopefully, we won't have to wait long.

Maybe we don't have to wait at all.

Can I donate part of my pancreas?

It says here you can do a partial transplant

if there's enough of a genetic match.

That's a rarely used option

and not a good idea.

And your dad needs a whole new pancreas,

but we can treat him while he waits.

His parents are gone. I'm his only blood relative.

So, if there's anything else you need from me,

I'll do whatever it takes.

I'm sorry, man, I don't like this.

Yeah, I don't like it, either,

but our job is to treat the patient's disease.

His infertility, that's irrelevant right now.

It won't be when he finds out.

What's the most important thing to this man?

His family.

Right. And now that he needs a transplant,

is it better or worse for his stress levels

if his family implodes? - So, we keep lying to him,

and his son and hope they don't figure it out.

Just focus on the medicine, TJ.

She'll tell him when she thinks he can handle it.

Hi Richard.

Hi.

Um...

Gina's helping me with...

it's Lucas.

He's been developing some behavioural issues

over the past couple of years.

I'm so sorry to hear that.

Would you like to come back in to discuss?

Um, no, I'll call you later.

Thank you.

Come on, Lucas. I'll take you home.

Everything in my bones

tells me that there is something wrong

here, but she denies it so...

I mean, what am I supposed to do?

I'm guessing you haven't talked to Richard about it?

And say what?

I think this guy assaulted Sonya,

but she says she's fine.

Everyone's gonna think I'm impulsive and crazy,

or that I'm trying to screw with Sonya,

and I'm already on thin ice as it is.

Okay, tell me what's going on behaviorally between them.

Paging Dr. Maitra to Nurses' Station two.

Paging Dr. Maitra.

Paging Dr. Maitra

to Nurses' Station two.

Paging Dr. Maitra, Nurses' Station two.

I've got your Interferon and Zofran for Ravi Dhar.

What's with you today? Nobody can find you anywhere.

You know, um, I'm really glad to see that you

still care for me, Sonya.

You felt so distant at first.

I guess it is a little awkward that we dated.

We didn't date, Ravi.

I don't understand why you would say that.

In his mind, he didn't do anything wrong.

So, he just grabs her hand?

It's a way to dominate her.

Again.

My God.

She shouldn't be treating him.

Amy, she shouldn't be anywhere near him.

I mean, come on, Sonya. What did I ever do to you?

You know.

Do I?

You raped me.

Is that really the story you're telling yourself?

'Cause you and I both know what happened that night.

You wanted it, and you got it.

And you woke up the next morning

feeling like a little slut with your mother's voice

inside your head...

So, you make up this story that I forced you.

Look, come on, Sonya.

We both know that you were gagging for it.

The real question is

why didn't you want to go for a round two?

Sonya, what's going on?

Sonya! Snap out of it! What did you give him?

Air into the port.

You injected air into his central line?

My God.

What are you-- - You're gonna help me fix this

or I'm gonna call a code.

Is that what you want? - No.

Found it! Circulating right ventricle,

heading towards pulmonary arteries.

Bag him.

He's still hypotensive.

He's gonna code.

Here, cranking the oxygen

should help shrink the bubbles.

Monitors show cardiac and respiratory distress.

Um, can you get me an airway cart and vent,

100 Fentanyl, 25 Propofol, and 75 Sux?

There.

There, there's another one.

He's stabilized.

You need to get out of this room right now!

You want to explain?

He kept baiting me and then,

it was like I was... wasn't even in my body.

I asked you! I gave you a chance to explain

what was really going on! - I know.

I tried to contact Richard, but, I don't even--

whatever happens, I won't involve you.

Are you kidding me? I'm already involved!

I'm sorry.

I'm so sorry. - You're a doctor.

You took an oath.

How's he doing? Stable for now.

You'd better hope he wakes up and doesn't have any

neurological deficits.

Sonya, you were looking for me earlier?

I was thinking I might need to leave early,

family thing but it worked itself out.

Okay, good.

Read the charts, saw you had a hypoxic episode

with a patient, Ravi Dhar.

Run it down, please.

Yeah, loss of ability to protect airway

from hepatic encephalitis.

Waiting for chest CT.

He has liver failure, initial labs for Hep B.

came back negative,

but then the viral load was overburdened.

Serological gap.

Good catch.

Okay, we'll continue with the Interferon

and oral Tenofovir.

Right. Of course.

All right. I'm gonna catch up on some charting.

So, you're not gonna report me?

I haven't decided anything yet.

Then what now?

Call shift's over.

Check out and go home.

See how he's doing in the morning.

Okay. Sonya,

stay away from him.

I know you're nervous,

but you're fortunate we found

such a good match so fast.

And our surgeons are the best, okay?

You're just lucky this didn't happen in Manchester.

Now that's a low blow, mate.

Land of the free, home of the brave.

Hey, have you seen my family?

How are they doing? - They're good.

Hangin' in there.

You tell 'em I love 'em, yeah?

They know, but I will.

Yeah, and the thing that's so crazy about debating is

that you can argue, like,

just as strongly about either side,

and you'll get just as fired up

for either position that you're taking.

So, what else did you do? Did you go out?

Nothing crazy.

I was careful, I stayed with the group.

What do you mean "careful?" Did something happen?

Just a couple of frat guys wouldn't leave us alone.

But we handled it.

We should talk about what you'd do

when you don't feel safe.

I know the score, Mom.

Don't accept a drink from anybody.

Only walk at night in a group

and slide your keys in between your fingers

to make a weapon.

What about if you were in a situation

with someone that you knew?

Like at a party or...

You mean, like, date rape?

Yeah.

We already talked about this last year.

Well, do--

do you feel prepared?

I do, Mom. You were actually really good about it.

I hate that I have to teach you this.

Isn't that your job?

I just wish that wasn't the world that we lived in.

Nothing anybody can do about it.

Thank you for not forcing the issue with us.

I swear, if he makes it out of the surgery,

I'll come clean about everything.

In my experience,

people can forgive if they're told the truth.

The real truth. With no excuses.

Someone hurt you?

You could say that, yeah.

Your move, mate?

You pull all-nighters with all your patients?

Just the Prince fans.

Then don't start singing "I Would Die 4 U."

Oliver!

Gallows humour, Mum.

You know Dad would be jokin' 10 times worse

if it were you under the knife.

Well, I have some good news.

He came through surgery and he's in stable condition.

Can't thank you enough, mate.

Hey.

How are you holding up?

I would say this is the second worst

night of my life.

I checked in with the hospital.

The neuro exam came back normal,

and the meds are working.

He is gonna be fine.

Well, that's good.

For you.

Did you get any help, Sonya?

Did you ever talk to anybody?

No.

I should have. Obviously.

I told my mother.

She said to sweep it under the rug.

Ravi is the son of my father's business partner.

She was just trying to protect our family.

My God, I--

I am going to turn myself in.

Wait--

Yeah, this could end your career.

It could even be criminal if you don't report me,

and I can't let you take that on.

I never should have let you back in that room, Sonya.

I knew!

So, some of this is on me!

Why would you risk yourself like this?

Because you're not the one who needs to pay.

He is.

How is he, today?

Mildly sedated, but stabilized,

and neuro checks are normal.

Where's Dr. Maitra?

Attending a patient in 615.

She needs your help, actually.

You know you can't treat the patient.

Yes, Julie, I am aware.

She'll be here in a minute.

Even if we find someone,

we can't just have her come to the hospital

and ask if she was sexually assaulted.

We don't have to.

Reporting Hepatitis B exposure

is a public health issue.

Which is also how we're gonna get him.

Hep B. has specific DNA genotypic patterns,

so if he gave it to someone, we can prove it.

It's Hepatitis B and it's possible you got it

from another one of our patients.

How could you possibly know that?

The disease is transmitted through fluids,

and we found your name on his phone.

We could tell you'd had... sexual contact.

A patient?

We're not permitted to say who.

What a piece of...

Was it non-consensual?

He took you to dinner, nice place but not too nice.

Pulled back your chair, opened doors.

A perfect gentleman.

How do you know that?

Five years ago, he took a piece of me I'll never get back.

Start by saying his name.

His name?

His name is Ravi Dhar.

And what did he do to you?

'Cause he raped me.

He, um, yeah.

He raped me.

I am so sorry, Emily.

If I had come forward when it had happened to me,

you wouldn't be sitting here now.

You don't know that.

I know if we don't stop Ravi Dhar today,

he's just gonna do it to someone else.

And I don't want you to have to live with that

the way I do now.

Is that why you brought me here?

So, you can get me to press charges?

So, I can get shamed and blamed? Only this time in public?

I know you want to hide, pretend it never happened.

But, trust me, no matter how hard you try,

it won't go away.

I can't.

I can't do it.

Yes, you can.

Because I will be there with you.

And if we come out,

others will follow.

I'm sure of it.

Please, Emily. Trust me.

What are her bleeding risk factors?

Um. I forgot to ask.

If she just had major surgery,

blood thinners could kill her.

Sorry. I'll do better--

Sonya, do you want to be here?

When somebody is this blatantly negligent,

it usually means they're trying to fail.

Why don't you take the rest of the day off?

And consider that not everybody's meant

to be a doctor.

You ready?

Yes.

The HBV/DNA genotype run by our lab proves our patient,

Ravi Dhar, infected this woman, Emily Wagner.

And we have photos of her bruising.

We're bringing this to you because the police

need to be called,

and obviously this is a very sensitive situation

since we'll be turning in one of our own patients.

How did you even find this woman?

I knew him.

He did the same thing to me five years ago.

For chain-of-custody purposes,

I'm handing over my own rape kit

so you can deliver it to law enforcement.

I followed SAE protocol

and used the pathology freezers for storage.

You saved it all this time?

I thought some day I might come forward...

if I had the support.

And so, you and Ms. Wagner

are both ready to press charges?

No more hiding.

Well, I can't believe you managed to--

I mean, you treated this man,

you diagnosed him, you saved his life.

She's very brave.

So, I heard you withheld the information

from me to give her time to come clean.

Yeah, we figured you'd rather hear it from her than from us.

Sort of a double whammy though, isn't it?

Incurable disease plus this.

I'm sorry, Cary.

I'm pretty sure you're pissed

at just about everyone right now.

I was having trouble in bed,

and I just stopped touching her.

She took it as I didn't want her anymore,

and I let her believe it.

Then she met someone at work.

I saw them together, I just knew.

And you didn't say anything?

And say what?

That she'd found a guy who could give her what I couldn't?

I got some help, and Alexis came back.

When we found out she was pregnant,

I couldn't be sure, but I never asked.

I never really wanted to know.

And now here it comes slammin' me in the face

and after all these years suspecting,

I've got no clue how to deal with it.

I had problems with infidelity in my marriage, and...

it's, it's brutal.

It is.

But Alexis, she's here now,

and willing to take the hits.

And she chose you.

Every day for the past 19 years.

That's what you gotta remember.

You just need to figure out how to tell Oliver.

Well, he's my son in every way that matters.

Always has been, always will be.

We'll sort that out.

Look at all this Prince stuff I got!

Yeah, come on.

Let's have a look!

I got the last one.

The coat is ace, right?

Take a look at this.

Son of two cops, four years in the military.

Guess I'm not so good with the gray.

We gave 'em a chance. It's the best we can do.

Ravi Dhar, you have the right to remain silent.

Anything you say can and will be used against you

in a court of law.

You have the right to an attorney.

If you cannot afford an attorney,

one will be appointed for you.

I don't know how to thank you.

You need to talk to someone.

Promise me you will get counseling.

I've reached out to Gina,

and she referred some support groups.

And I'm gonna take some time off.

So, next time I see you,

you'll have passed the Boards and be a doctor again.

Officially.

I'm gonna kind of miss being able to haze you.

Did you know what she was dealing with all along?

No. I just found out this morning.

He's packing himself up and he's okay.

It's the right thing.

It's the only way.

It's not just that.

Sonya Maitra was trying to reach me all day.

She needed my help,

and I wasn't there for her.

I didn't even return her text.

You were dealing with--

And she was going through hell.

Alone.

Because I was so distracted by...

And it wasn't the first time, Vicky.

A few months ago, I made a mistake,

and I killed a patient.

And I'd be finished

if it wasn't for Amy getting in that car accident.

She figured out what happened.

And now...

She doesn't remember.

They made me Chief,

and I don't even deserve to be a doctor.

Hey.

You're--

- I'm so sorry. - No.

Vicky, I'm so sorry.

I'm so sorry for what I've put us all through. - It's okay.

I swear to fulfill to the best of my ability and judgment

this covenant, I will respect the hard-won scientific gains

of those physicians in whose steps I walk.

I will respect the privacy of my patients,

for their problems are not disclosed to me

that the world may know.

Most especially, must I tread with care

in matters of life and death.

You may begin!

This awesome responsibility must be faced

with great humbleness and awareness of my own frailty.

Above all, I must not play at God.