1 00:00:10,610 --> 00:00:13,526 It's been a long road, but I think we're there. 2 00:00:13,550 --> 00:00:15,496 You have a viable embryo. 3 00:00:15,520 --> 00:00:18,390 - Are you sure? - I'm about as sure as I can be. 4 00:00:18,520 --> 00:00:21,936 We've ruled out any major chromosome abnormalities, 5 00:00:21,960 --> 00:00:24,936 and the single-gene conditions we can screen. 6 00:00:24,960 --> 00:00:27,506 As long as the implantation is successful, 7 00:00:27,530 --> 00:00:29,506 you can have a viable pregnancy. 8 00:00:32,300 --> 00:00:34,076 Wow. 9 00:00:34,100 --> 00:00:38,686 That is... Thank you. 10 00:00:38,710 --> 00:00:40,616 Thank you. 11 00:00:40,640 --> 00:00:42,486 I need to call my husband and tell him the good news. 12 00:00:42,510 --> 00:00:44,756 - Of course. - Thank you. 13 00:00:44,780 --> 00:00:46,750 You're very welcome. 14 00:00:59,330 --> 00:01:00,866 Identical twins. 15 00:01:00,890 --> 00:01:02,806 Do you just do everything together? 16 00:01:02,830 --> 00:01:05,570 - I applied here first. - We have different specialties. 17 00:01:06,370 --> 00:01:08,240 Something tells me Dr. Watson's gonna have 18 00:01:08,370 --> 00:01:09,976 a field day with you two. 19 00:01:10,000 --> 00:01:12,246 Well, I'm not sure what that means, 20 00:01:12,270 --> 00:01:14,116 but I'm hoping to utilize Dr. Watson's work 21 00:01:14,140 --> 00:01:15,786 on immune pathways to fight infections. 22 00:01:15,810 --> 00:01:17,426 I was thinking of something similar. 23 00:01:17,450 --> 00:01:19,056 Are you an immunologist? Me, too. And rheumatology. 24 00:01:19,080 --> 00:01:20,780 I'm double boarded. 25 00:01:20,910 --> 00:01:22,926 I'm infectious disease, actually.-. 26 00:01:22,950 --> 00:01:24,426 Interesting. 27 00:01:24,450 --> 00:01:26,750 Maybe we can work on a project together. 28 00:01:28,090 --> 00:01:31,166 Everybody says that Watson is good and fair... 29 00:01:31,190 --> 00:01:32,460 Clearly into competition. 30 00:01:33,190 --> 00:01:35,936 Should we make a bet about who gets cut first? 31 00:01:35,960 --> 00:01:38,446 Why would he hire all of us just to turn around and cut one? 32 00:01:38,470 --> 00:01:40,970 Let me guess, family medicine? 33 00:01:41,100 --> 00:01:42,340 Not far off. 34 00:01:43,070 --> 00:01:44,076 Functional medicine. 35 00:01:44,100 --> 00:01:47,046 Okay. 36 00:01:47,070 --> 00:01:48,610 Let me help you understand. 37 00:01:48,740 --> 00:01:53,980 Watson either has one too few desks or 38 00:01:54,110 --> 00:01:55,556 one too many fellows, 39 00:01:55,580 --> 00:01:58,526 and he's had ample time to get another desk. 40 00:01:58,550 --> 00:02:01,950 Or maybe it's a hot desk situation. 41 00:02:02,090 --> 00:02:04,536 So, you're a "glass-half-full" type. Got it. 42 00:02:05,990 --> 00:02:08,490 Ready for our first official day, guv? 43 00:02:08,600 --> 00:02:09,976 I am. 44 00:02:10,000 --> 00:02:11,800 Just got to do a little decorating first. 45 00:02:11,930 --> 00:02:13,706 Holmes's violin. 46 00:02:13,730 --> 00:02:16,476 Feels like he could just walk in, 47 00:02:16,500 --> 00:02:20,000 play us a tune, solve a mystery or two. 48 00:02:20,140 --> 00:02:22,256 Yeah, I wish he could. 49 00:02:22,280 --> 00:02:25,286 We'll just have to honor his memory with our work. 50 00:02:25,310 --> 00:02:26,286 Fellows here yet? 51 00:02:26,310 --> 00:02:28,796 Down in the bullpen. 52 00:02:28,820 --> 00:02:32,490 One concern. You asked me to order four desks. 53 00:02:32,620 --> 00:02:34,190 There are five fellows. 54 00:02:39,460 --> 00:02:41,700 Seems like this desk has already been claimed. 55 00:02:41,830 --> 00:02:42,930 It's mine. 56 00:02:43,700 --> 00:02:46,206 Been here for a week, working on our first case. 57 00:02:46,230 --> 00:02:48,330 Thought I'd make myself at home. 58 00:02:48,440 --> 00:02:51,340 I'm sure you four can make the three other desks work. 59 00:02:51,470 --> 00:02:53,170 You're the one who cuts, aren't you? 60 00:02:53,310 --> 00:02:55,486 Paola barajas. Surgical specialist. 61 00:02:55,510 --> 00:02:57,056 Ingrid derian, neurologist. 62 00:02:57,080 --> 00:03:00,250 My bet is miss glass-half-full is the first to go. 63 00:03:01,220 --> 00:03:03,656 Nobody's going anywhere. 64 00:03:03,680 --> 00:03:04,996 And don't underestimate me. 65 00:03:05,020 --> 00:03:06,690 Fellows. 66 00:03:06,820 --> 00:03:08,496 Good morning. 67 00:03:08,520 --> 00:03:12,560 Happy first day. Welcome. Et cetera, et cetera. 68 00:03:12,690 --> 00:03:15,460 Why don't we meet in the conference room? 69 00:03:18,530 --> 00:03:21,430 Kyren garner. 16. 70 00:03:21,540 --> 00:03:23,946 He has been my patient since before his birth. 71 00:03:23,970 --> 00:03:27,410 I worked with his parents during my genetics fellowship 72 00:03:27,540 --> 00:03:28,686 to help them conceive. 73 00:03:28,710 --> 00:03:29,840 So what's his deal? 74 00:03:30,640 --> 00:03:33,026 I just assume there must be a rare genetic condition at play 75 00:03:33,050 --> 00:03:35,096 if we're here discussing him 16 years later. 76 00:03:35,120 --> 00:03:37,196 - That's correct, Dr. Derian. - You're half-right. 77 00:03:37,220 --> 00:03:40,526 Kyren has vacterl association. 78 00:03:40,550 --> 00:03:43,050 Vacterl patients have multiple anomalies. 79 00:03:43,190 --> 00:03:44,366 The name is an acronym. 80 00:03:44,390 --> 00:03:45,636 It's a disorder that really means 81 00:03:45,660 --> 00:03:47,036 "a bunch of disorders." 82 00:03:47,060 --> 00:03:48,706 Each letter stands for a different body part 83 00:03:48,730 --> 00:03:50,476 - that can be affected. - But it's not genetic. 84 00:03:50,500 --> 00:03:52,506 There's no clear cause, and since you can't test for it, 85 00:03:52,530 --> 00:03:54,076 it's hard to diagnose prenatally. 86 00:03:54,100 --> 00:03:55,246 Correct. 87 00:03:55,270 --> 00:03:57,946 We knew kyren had a vsd from a sonogram. 88 00:03:57,970 --> 00:03:59,386 So, you knew he had a heart condition, 89 00:03:59,410 --> 00:04:00,886 but you need three of these anomalies 90 00:04:00,910 --> 00:04:02,356 to be diagnosed with vacterl. 91 00:04:02,380 --> 00:04:04,726 It was at his birth that we learned 92 00:04:04,750 --> 00:04:06,486 kyren had two more: 93 00:04:06,510 --> 00:04:09,056 A tracheoesophageal fistula and 94 00:04:09,080 --> 00:04:11,096 a malformation of his lower gi tract. 95 00:04:11,120 --> 00:04:13,226 That gives him vacterl. 96 00:04:13,250 --> 00:04:14,996 Poor kid. 97 00:04:15,020 --> 00:04:16,420 That means he had several surgeries 98 00:04:16,560 --> 00:04:17,630 soon after he was born. 99 00:04:17,760 --> 00:04:19,436 Yes, he did. 100 00:04:19,460 --> 00:04:22,460 Kyren learned to walk in the peds ward, 101 00:04:22,600 --> 00:04:24,576 after a g tube revision. 102 00:04:24,600 --> 00:04:26,906 And then, he celebrated his seventh birthday 103 00:04:26,930 --> 00:04:28,260 here at uhop once we 104 00:04:28,370 --> 00:04:30,516 readmitted him for one of his chronic utis. 105 00:04:30,540 --> 00:04:32,046 He and his family must've spent more nights 106 00:04:32,070 --> 00:04:33,416 in the hospital than at home. 107 00:04:33,440 --> 00:04:36,610 Well, it's just mostly he and his mother now. 108 00:04:36,740 --> 00:04:39,286 His medical needs were a lot for his father. 109 00:04:39,310 --> 00:04:43,156 Kyren has had over 12 surgeries 110 00:04:43,180 --> 00:04:45,496 just to simply rebuild his body. 111 00:04:45,520 --> 00:04:47,596 And even so, at 16, 112 00:04:47,620 --> 00:04:49,636 he was accepted to penn state for robotics. 113 00:04:49,660 --> 00:04:51,536 Though he had to defer. 114 00:04:51,560 --> 00:04:53,766 But tomorrow, I'll perform his final surgery 115 00:04:53,790 --> 00:04:56,736 to fuse his spine and correct his severe scoliosis. 116 00:04:56,760 --> 00:05:01,376 We'll get kyren to college sooner rather than later, 117 00:05:01,400 --> 00:05:04,916 but I'd like you all to acquaint yourselves with this case. 118 00:05:04,940 --> 00:05:07,086 Dr. Barajas and I are gonna meet with kyren and his mother. 119 00:05:07,110 --> 00:05:10,456 But they were my first patients when I was a fellow. 120 00:05:10,480 --> 00:05:12,080 Now, they're yours. 121 00:05:13,910 --> 00:05:15,310 Sorry, Dr. Watson, 122 00:05:15,420 --> 00:05:17,666 I couldn't help but notice there are only four desks. 123 00:05:19,120 --> 00:05:21,060 I'll have to look into that. 124 00:05:27,660 --> 00:05:29,700 Thank you. 125 00:05:30,500 --> 00:05:32,776 Wow, this is definitely an improvement 126 00:05:32,800 --> 00:05:34,476 over that tiny office I met you in. 127 00:05:34,500 --> 00:05:35,946 Isn't it? 128 00:05:35,970 --> 00:05:38,016 Yeah, you're really coming up in the world. 129 00:05:38,040 --> 00:05:39,646 They built this entire clinic for you? 130 00:05:39,670 --> 00:05:42,070 Well, for the advancement of genetics 131 00:05:42,180 --> 00:05:46,180 and the education of a select group of fellows. 132 00:05:46,310 --> 00:05:48,056 - Dr. Paola barajas. - Hi. 133 00:05:48,080 --> 00:05:49,996 - I'll be doing kyren's spinal fusion. - Nice to meet you. 134 00:05:50,020 --> 00:05:53,996 Yeah. You know, I'm gonna have my own robotics clinic one day, 135 00:05:54,020 --> 00:05:55,636 just like this. 136 00:05:55,660 --> 00:05:57,166 Better than this, maybe. 137 00:05:57,190 --> 00:05:59,336 Well, if anyone has the brains and perseverance 138 00:05:59,360 --> 00:06:01,606 to accomplish their dreams, it's you, kyren. 139 00:06:01,630 --> 00:06:03,176 Yeah. Now I just need the body. 140 00:06:03,200 --> 00:06:05,370 - Kyren. - What? 141 00:06:05,500 --> 00:06:07,846 Dr. Watson understands my need for bodily improvement. 142 00:06:07,870 --> 00:06:10,216 Our plan will do just that. 143 00:06:10,240 --> 00:06:12,386 We'll use metal rods to hold your spine straight 144 00:06:12,410 --> 00:06:14,380 and bone grafts to fuse the vertebrae. 145 00:06:14,510 --> 00:06:17,456 Once it's fused, your spine will never curve again. 146 00:06:17,480 --> 00:06:19,250 It's a very successful technique. 147 00:06:19,380 --> 00:06:20,786 We do it all the time. 148 00:06:20,810 --> 00:06:23,780 Really? And, when do I get to penn state? 149 00:06:25,020 --> 00:06:26,590 After about a year of p.T. 150 00:06:26,720 --> 00:06:28,636 Now, the recovery is intense, 151 00:06:28,660 --> 00:06:30,036 but once you're through, I mean, 152 00:06:30,060 --> 00:06:31,466 you'll be done with all of the major issues 153 00:06:31,490 --> 00:06:32,560 associated with vacterl. 154 00:06:32,690 --> 00:06:34,260 Right. 155 00:06:35,060 --> 00:06:36,906 I don't know. Will I, though? 156 00:06:36,930 --> 00:06:39,906 Kind of feels like I'll never be done with this, Dr. Watson. 157 00:06:39,930 --> 00:06:42,846 I know it feels that way, kyren, but you're almost there. 158 00:06:42,870 --> 00:06:45,586 And I promise you, you will be done. 159 00:06:45,610 --> 00:06:47,610 - Now, remember, I don't... - Yeah, yeah, yeah. 160 00:06:47,740 --> 00:06:51,410 You don't make promises you can't keep. I know. 161 00:06:54,750 --> 00:06:56,156 All done. 162 00:06:56,180 --> 00:06:58,780 It's been a long road, but it's official. 163 00:06:58,890 --> 00:07:00,096 You're cleared for college. 164 00:07:00,120 --> 00:07:02,960 My gosh. 165 00:07:03,090 --> 00:07:04,290 - Yes? - Yes. Yes. 166 00:07:04,420 --> 00:07:06,620 Finally. Wow. 167 00:07:06,730 --> 00:07:09,236 Mom, orientation's next week. 168 00:07:09,260 --> 00:07:10,776 We got to choose our teams 169 00:07:10,800 --> 00:07:12,276 and get into our rover designs for the challenge. 170 00:07:12,300 --> 00:07:13,846 Now, make sure that you stick to the diet 171 00:07:13,870 --> 00:07:15,816 - that Dr. Croft designed for you. - Yeah, yeah. 172 00:07:15,840 --> 00:07:17,016 And don't be a stranger, okay? 173 00:07:17,040 --> 00:07:18,316 Yeah. 174 00:07:18,340 --> 00:07:20,746 Man, it is so crazy to think 175 00:07:20,770 --> 00:07:21,916 I'm not gonna be seeing you 176 00:07:21,940 --> 00:07:23,416 in a couple weeks for a check-up. 177 00:07:23,440 --> 00:07:25,286 Well, you're at the finish line now, kyren. 178 00:07:25,310 --> 00:07:27,956 The most serious challenges of the vacterl are behind you. 179 00:07:30,250 --> 00:07:31,726 Thank you for everything you've done, 180 00:07:31,750 --> 00:07:33,226 - Dr. Watson. Thank you. - Of course. 181 00:07:33,250 --> 00:07:35,566 Come on, mom, don't get mushy. 182 00:07:35,590 --> 00:07:37,766 - You're gonna give him the ick. - Sorry. 183 00:07:39,730 --> 00:07:42,230 Bless you. 184 00:07:43,260 --> 00:07:45,660 Thank... 185 00:07:47,600 --> 00:07:49,516 Kyren? 186 00:07:49,540 --> 00:07:51,546 - My back. - Kyren. 187 00:07:51,570 --> 00:07:53,183 Kyren, what's happening? What's happening? 188 00:07:53,207 --> 00:07:54,286 My back. My back, it hurts. 189 00:07:54,310 --> 00:07:55,350 Shinwell! 190 00:07:56,810 --> 00:07:58,226 What's wrong with his back? 191 00:07:58,250 --> 00:07:59,626 - What's happening? - What's happening? 192 00:07:59,650 --> 00:08:01,226 It looks like one of your rods broke 193 00:08:01,250 --> 00:08:02,626 and is tenting your skin. 194 00:08:02,650 --> 00:08:04,026 We need to get a gurney for kyren. 195 00:08:04,050 --> 00:08:05,296 Ask Dr. Morstan to meet us in the or. 196 00:08:05,320 --> 00:08:06,396 - On it. - Wait. Wait, wait, 197 00:08:06,420 --> 00:08:07,836 wait, wait, wait, ortho... 198 00:08:07,860 --> 00:08:09,436 Kyren, we have to get you to the or before this rod 199 00:08:09,460 --> 00:08:10,836 - breaks through your skin. - No, no, no. 200 00:08:10,860 --> 00:08:12,580 I can't go through another procedure. Okay? 201 00:08:12,630 --> 00:08:15,706 Dang, you promised this was the last surgery. 202 00:08:15,730 --> 00:08:17,336 You promised. 203 00:08:17,360 --> 00:08:20,860 You... Dr. Watson, you never break your promises. 204 00:08:20,970 --> 00:08:24,510 You lied to me. 205 00:08:47,830 --> 00:08:49,670 Mary, what are you seeing? 206 00:08:49,800 --> 00:08:51,646 No corrosion here, either. 207 00:08:51,670 --> 00:08:56,076 Well, there's no visible signs of infection, 208 00:08:56,100 --> 00:08:58,000 but we've taken cultures. 209 00:08:59,510 --> 00:09:01,186 Wait. 210 00:09:01,210 --> 00:09:03,210 Kyren's spinal fusion was two years ago, 211 00:09:03,340 --> 00:09:04,940 when your clinic opened, right? 212 00:09:05,880 --> 00:09:08,096 Yeah, that's right. Why? 213 00:09:08,120 --> 00:09:11,060 Well, I mean, it didn't show up on imaging, 214 00:09:11,180 --> 00:09:16,060 but now that I'm in here, I can see why his rod broke. 215 00:09:16,890 --> 00:09:18,760 His bones didn't fuse. 216 00:09:20,490 --> 00:09:25,060 Two years ago, we did a surgery to fuse kyren's spine, but... 217 00:09:26,630 --> 00:09:28,360 his bones didn't fuse, 218 00:09:28,470 --> 00:09:31,270 which caused the rod to fracture from too much tension. 219 00:09:32,640 --> 00:09:36,580 Our job today is to figure out why his surgery failed. 220 00:09:38,110 --> 00:09:39,726 Infection is the obvious answer. 221 00:09:39,750 --> 00:09:41,186 Cultures from the or are pending, 222 00:09:41,210 --> 00:09:43,556 but we do know that kyren didn't have any fever 223 00:09:43,580 --> 00:09:45,580 or other symptoms before his rod broke. 224 00:09:45,690 --> 00:09:47,196 Could be hardware. 225 00:09:47,220 --> 00:09:49,466 Maybe the screws or rods were faulty in some way? 226 00:09:49,490 --> 00:09:50,966 I can check for recalls. 227 00:09:50,990 --> 00:09:53,866 Or kyren could have a metal hypersensitivity. 228 00:09:53,890 --> 00:09:55,376 He could be rejecting the hardware. 229 00:09:55,400 --> 00:09:57,646 Ingrid, Adam, look into all the hardware. 230 00:09:57,670 --> 00:10:00,076 He still has one rod and all the screws in his back. 231 00:10:00,100 --> 00:10:01,770 If there is a problem... 232 00:10:04,300 --> 00:10:05,846 If there's a problem, we need to know. 233 00:10:05,870 --> 00:10:08,270 Sasha and Stephens, look through all of his 234 00:10:08,410 --> 00:10:10,056 medical records. See if there's 235 00:10:10,080 --> 00:10:12,380 anything in his history that we could've missed. 236 00:10:13,180 --> 00:10:16,380 We're on it, but... Watson, are you okay? 237 00:10:23,820 --> 00:10:26,090 I will be once we get answers. 238 00:10:27,090 --> 00:10:29,830 I want updates in the morning. 239 00:10:33,100 --> 00:10:35,446 Didn't Paola do his spinal fusion? 240 00:10:35,470 --> 00:10:37,746 Wow. Paola. 241 00:10:37,770 --> 00:10:39,386 I forgot we once were five. 242 00:10:39,410 --> 00:10:40,916 Should we reach out to her? 243 00:10:40,940 --> 00:10:42,816 Ask her about the case? Maybe she has some insights. 244 00:10:42,840 --> 00:10:43,840 Why would we do that? 245 00:10:43,940 --> 00:10:46,456 Her surgery failed. 246 00:10:46,480 --> 00:10:49,026 If you need a refresher, Watson fired her. 247 00:10:49,050 --> 00:10:50,456 We don't know if she was actually fired. 248 00:10:50,480 --> 00:10:51,626 Watson never told us. 249 00:10:51,650 --> 00:10:52,966 Would he tell us? 250 00:10:52,990 --> 00:10:55,796 I mean, he told us about Ingrid, but... 251 00:10:55,820 --> 00:10:58,366 He never tried to replace Paola, so... 252 00:10:58,390 --> 00:11:02,406 Well, we've established that's not Watson's strong suit. 253 00:11:02,430 --> 00:11:04,536 It's kind of wild, 254 00:11:04,560 --> 00:11:06,900 all that's happened since she was with us. 255 00:11:09,240 --> 00:11:11,816 - When did you know? - Kyren, we didn't know. 256 00:11:11,840 --> 00:11:14,216 You had him do genetic testing. 257 00:11:14,240 --> 00:11:16,286 I... Dr. Watson. Thank god. 258 00:11:16,310 --> 00:11:20,326 Kyren... kyren wants to know when-when we knew. 259 00:11:20,350 --> 00:11:23,350 Did you know how sick I was gonna be... 260 00:11:24,850 --> 00:11:26,126 before I was born? 261 00:11:26,150 --> 00:11:27,380 Did you tell my mom? 262 00:11:27,490 --> 00:11:29,136 And she decided to have me anyway? 263 00:11:29,160 --> 00:11:30,496 No. We couldn't know, kyren. 264 00:11:30,520 --> 00:11:32,136 She said you knew about my heart condition. 265 00:11:32,160 --> 00:11:34,506 - But, honey, it's not important. - Yes, it is. 266 00:11:34,530 --> 00:11:35,636 It's my life. 267 00:11:35,660 --> 00:11:40,000 You knew about how much pain I was gonna go through, 268 00:11:40,130 --> 00:11:42,876 and you decided to have me anyway. 269 00:11:42,900 --> 00:11:44,646 Kyren, please don't talk like that. 270 00:11:44,670 --> 00:11:45,986 I wouldn't trade you for anything. 271 00:11:46,010 --> 00:11:48,286 - You know that. - You need to tell me 272 00:11:48,310 --> 00:11:50,656 exactly what you knew. 273 00:11:50,680 --> 00:11:53,350 I deserve to know. 274 00:11:58,720 --> 00:12:02,036 Kyren, when your mother was five months pregnant, 275 00:12:02,060 --> 00:12:03,636 she did an ultrasound. 276 00:12:03,660 --> 00:12:05,006 Dr. Watson, I need your help. 277 00:12:05,030 --> 00:12:08,606 My ob says there's a hole in my baby's heart. 278 00:12:08,630 --> 00:12:10,936 Yes, it's called a vsd. 279 00:12:10,960 --> 00:12:12,476 It's the hole in the wall that divides 280 00:12:12,500 --> 00:12:13,900 the lower chambers of his heart. 281 00:12:15,970 --> 00:12:17,786 I don't understand. Why didn't you say... 282 00:12:17,810 --> 00:12:20,886 wh-why didn't you tell me that he would have a-a vsd before... 283 00:12:20,910 --> 00:12:22,616 But there's no way we could've known that 284 00:12:22,640 --> 00:12:23,720 from the genetic screening. 285 00:12:23,780 --> 00:12:25,956 And sometimes, vsds, they just, 286 00:12:25,980 --> 00:12:28,326 - they just go away on their own. - Okay, well, what if it doesn't? 287 00:12:28,350 --> 00:12:31,050 There are a lot of good treatment options if it doesn't. 288 00:12:33,420 --> 00:12:36,490 Okay, well, that's encouraging. 289 00:12:37,520 --> 00:12:41,636 My husband and I, we just made partner at our law firms. 290 00:12:41,660 --> 00:12:46,376 We want a child, but he's afraid of having a sick child. 291 00:12:46,400 --> 00:12:49,940 Do you see anything else on the sonogram? 292 00:12:52,270 --> 00:12:54,970 No. I don't see anything else concerning. 293 00:12:58,850 --> 00:13:02,280 What if I... If I terminated? 294 00:13:03,550 --> 00:13:06,550 Would I still be able to have another baby? 295 00:13:08,220 --> 00:13:12,720 With an egg donor or maybe adoption. 296 00:13:13,530 --> 00:13:16,076 I'm sorry, but your body's no longer producing eggs, so 297 00:13:16,100 --> 00:13:17,870 we can't make more embryos. 298 00:13:22,600 --> 00:13:25,946 I had eight miscarriages before I even met you, and 299 00:13:25,970 --> 00:13:28,386 I was afraid the universe was telling me 300 00:13:28,410 --> 00:13:31,580 I wasn't meant to be a mother, and then I-I got pregnant. 301 00:13:32,310 --> 00:13:34,456 With my son, and-and now... 302 00:13:34,480 --> 00:13:37,196 Marlise, I can see that you already love your son. 303 00:13:37,220 --> 00:13:38,996 - I can see it. - Yeah. 304 00:13:39,020 --> 00:13:41,320 Whatever challenges life throws at you, 305 00:13:41,450 --> 00:13:45,866 you will face them, and I'm gonna help you. I promise. 306 00:13:45,890 --> 00:13:47,060 Okay? 307 00:13:50,460 --> 00:13:51,560 Okay. 308 00:13:52,400 --> 00:13:55,560 So you didn't tell her it could be vacterl? 309 00:13:55,670 --> 00:13:58,186 No, we didn't know for sure. Not until you were born. 310 00:13:58,210 --> 00:13:59,486 And then, once we did, 311 00:13:59,510 --> 00:14:01,046 I put together the best possible care. 312 00:14:01,070 --> 00:14:03,956 But you wouldn't have had to do all that 313 00:14:03,980 --> 00:14:06,680 if I wasn't here in the first place. 314 00:14:06,810 --> 00:14:12,520 She could've saved me from a lifetime of pain. 315 00:14:12,650 --> 00:14:16,150 My dad wouldn't've left. 316 00:14:16,260 --> 00:14:18,666 Kyren, I'm sorry. 317 00:14:18,690 --> 00:14:20,160 No, I'm sorry. 318 00:14:21,530 --> 00:14:23,376 I'm sorry you didn't get a choice. 319 00:14:23,400 --> 00:14:25,840 'Cause if you knew everything that would happen... 320 00:14:27,100 --> 00:14:29,340 all this pain... 321 00:14:32,440 --> 00:14:37,110 maybe... You would've made a different decision. 322 00:14:39,510 --> 00:14:40,980 I know I would've. 323 00:14:58,300 --> 00:15:00,870 I've never seen him so disheartened. 324 00:15:02,370 --> 00:15:04,916 Even... even on his worst days, 325 00:15:04,940 --> 00:15:07,416 he hasn't talked about wishing he hadn't been born. 326 00:15:07,440 --> 00:15:09,716 He's processing. It's... 327 00:15:09,740 --> 00:15:11,516 It's the first time he's learned something new, 328 00:15:11,540 --> 00:15:14,180 and he's just taking it in. 329 00:15:15,720 --> 00:15:17,496 We've always known what the next treatment was. 330 00:15:17,520 --> 00:15:19,066 This is the first time we didn't have a plan. 331 00:15:19,090 --> 00:15:21,796 I-I'm scared it's more than that. 332 00:15:21,820 --> 00:15:23,236 He didn't think we knew anything. 333 00:15:23,260 --> 00:15:25,036 The fact that we did... 334 00:15:25,060 --> 00:15:29,400 And now, this is his life, he... He's mad. 335 00:15:29,530 --> 00:15:32,630 And he... And he's hurt. 336 00:15:32,700 --> 00:15:35,300 I mean, I don't blame him. 337 00:15:39,270 --> 00:15:41,140 Honestly, I blame you. 338 00:15:52,050 --> 00:15:53,380 Thank you. 339 00:15:54,820 --> 00:15:56,296 Where are we with kyren? 340 00:15:56,320 --> 00:15:57,950 Adam's not here yet. 341 00:15:58,060 --> 00:15:59,336 Then we're gonna proceed without him. 342 00:15:59,360 --> 00:16:02,936 Kyren is okay physically, but emotionally, 343 00:16:02,960 --> 00:16:04,436 he's struggling. 344 00:16:04,460 --> 00:16:06,676 We need to present him with a plan as soon as possible. 345 00:16:06,700 --> 00:16:09,140 The cultures Dr. Morstan took came back negative, 346 00:16:09,270 --> 00:16:11,346 as did his metal allergy test. 347 00:16:11,370 --> 00:16:13,546 He doesn't have an infection or metal hypersensitivity. 348 00:16:13,570 --> 00:16:15,116 I looked over the or notes. 349 00:16:15,140 --> 00:16:16,786 There were no obvious concerns reported during surgery. 350 00:16:16,810 --> 00:16:18,226 I checked with the hardware manufacturers. 351 00:16:18,250 --> 00:16:19,926 No reported issues with the screws or rods. 352 00:16:19,950 --> 00:16:21,490 Okay, okay. 353 00:16:21,610 --> 00:16:24,680 So who has any suggestions about what we should do next? 354 00:16:28,990 --> 00:16:30,866 Nothing? Nobody? 355 00:16:30,890 --> 00:16:32,566 Okay, this is unacceptable. Okay? You guys aren't 356 00:16:32,590 --> 00:16:33,820 new fellows anymore. 357 00:16:33,960 --> 00:16:36,936 You need to be searching for possibilities always, 358 00:16:36,960 --> 00:16:38,830 not waiting for me to ask. 359 00:16:38,970 --> 00:16:40,306 Now, one of you two, you guys 360 00:16:40,330 --> 00:16:42,146 - call Paola barajas in... - Excuse me? 361 00:16:42,170 --> 00:16:44,340 - Are you Dr. John Watson? - Yes. 362 00:16:44,470 --> 00:16:46,000 Yes, I am. 363 00:16:47,810 --> 00:16:49,980 You've been served. 364 00:16:50,110 --> 00:16:51,510 For what? 365 00:16:51,640 --> 00:16:53,980 The wrongful life of kyren garner. 366 00:16:54,910 --> 00:16:56,456 The wrongful life? 367 00:16:56,480 --> 00:16:58,650 What the hell does that even mean? 368 00:17:00,820 --> 00:17:02,860 Kyren said he shouldn't be here. 369 00:17:04,260 --> 00:17:07,400 He's suing me because he thinks he never should've been born. 370 00:17:14,470 --> 00:17:17,276 "Wrongful life." Sounds... wrong. 371 00:17:17,300 --> 00:17:19,086 It is wrong. 372 00:17:19,110 --> 00:17:21,410 I can be iffy on existence as a whole, 373 00:17:21,540 --> 00:17:23,816 but even I don't think that life is wrongful. 374 00:17:23,840 --> 00:17:25,256 There are a few people 375 00:17:25,280 --> 00:17:27,450 whose lives I think might be wrongful. 376 00:17:28,550 --> 00:17:30,750 But that's not what this case is about. 377 00:17:31,950 --> 00:17:33,826 It's Lauren. 378 00:17:33,850 --> 00:17:35,620 She says these cases are rare. 379 00:17:35,760 --> 00:17:37,396 Many states don't allow them. 380 00:17:37,420 --> 00:17:38,950 The child has to prove their parents 381 00:17:39,060 --> 00:17:40,666 would've terminated the pregnancy 382 00:17:40,690 --> 00:17:42,376 if the doctor had given them all of the information. 383 00:17:42,400 --> 00:17:44,406 So, what the suit is basically saying is that, 384 00:17:44,430 --> 00:17:46,310 if marlise knew that vacterl was a possibility, 385 00:17:46,430 --> 00:17:47,950 she would've terminated the pregnancy. 386 00:17:48,070 --> 00:17:50,676 And by extension, that kyren wishes that were the case. 387 00:17:50,700 --> 00:17:52,600 Kyren is angry and in pain. 388 00:17:52,710 --> 00:17:54,246 Seems like he's just lashing out. 389 00:17:54,270 --> 00:17:56,570 Or he truly wishes he didn't exist. 390 00:17:56,680 --> 00:17:58,456 But kyren does exist. 391 00:17:58,480 --> 00:17:59,926 I don't understand how a court can debate 392 00:17:59,950 --> 00:18:01,426 whether that should've happened or not. 393 00:18:01,450 --> 00:18:02,950 Or pay out money for... what? 394 00:18:03,080 --> 00:18:04,626 The curse of being alive? 395 00:18:04,650 --> 00:18:06,596 Lauren says if kyren wins, 396 00:18:06,620 --> 00:18:08,436 "the damages amount is based on an aggregate 397 00:18:08,460 --> 00:18:10,936 of their medical expenses over his lifetime." 398 00:18:10,960 --> 00:18:12,236 My god. 399 00:18:12,260 --> 00:18:14,006 Kyren's had so much medical care, 400 00:18:14,030 --> 00:18:16,436 that must be tens of millions of dollars. 401 00:18:16,460 --> 00:18:17,936 His story is heartbreaking. 402 00:18:17,960 --> 00:18:20,160 I don't know if any jury would side against him. 403 00:18:20,270 --> 00:18:22,316 What will this mean for Watson? 404 00:18:22,340 --> 00:18:24,340 For the clinic? 405 00:18:25,810 --> 00:18:27,316 - How is he? - Well, you know, 406 00:18:27,340 --> 00:18:31,116 just as you'd expect if one of your closest patients 407 00:18:31,140 --> 00:18:32,480 decides to sue ya. 408 00:18:32,610 --> 00:18:35,856 Dr. Morstan's up there trying to talk him down. 409 00:18:35,880 --> 00:18:37,596 How can we help? 410 00:18:39,750 --> 00:18:40,866 Focus on your work. 411 00:18:40,890 --> 00:18:42,266 Watson's worried that 412 00:18:42,290 --> 00:18:43,936 we might've disappointed a patient. 413 00:18:43,960 --> 00:18:47,730 Last thing he wants is for us to disappoint any more. 414 00:18:49,460 --> 00:18:52,146 How can kyren believe he shouldn't exist? 415 00:18:52,170 --> 00:18:54,346 We shouldn't even be entertaining this lawsuit 416 00:18:54,370 --> 00:18:55,576 because he does exist. 417 00:18:55,600 --> 00:18:58,216 "Entertain"? That's not up to us. 418 00:18:58,240 --> 00:19:00,786 A lawsuit like this is serious. 419 00:19:00,810 --> 00:19:02,380 We definitely need to end this 420 00:19:02,510 --> 00:19:05,186 before it turns into clickbait and damages your reputation. 421 00:19:05,210 --> 00:19:07,686 I'm not worried about clickbait or my reputation. 422 00:19:07,710 --> 00:19:08,956 But the board is. 423 00:19:08,980 --> 00:19:10,696 They're not exactly happy about this, 424 00:19:10,720 --> 00:19:13,520 especially given everything with mycroft Holmes. 425 00:19:13,650 --> 00:19:15,466 This must be putting a lot of pressure on you, 426 00:19:15,490 --> 00:19:16,996 and I'm sorry for that. 427 00:19:17,020 --> 00:19:19,620 Okay? But we shouldn't be talking about a lawsuit. 428 00:19:19,730 --> 00:19:22,006 With a failed fusion, it's just a matter of time 429 00:19:22,030 --> 00:19:23,576 - before the second rod breaks. - John... 430 00:19:23,600 --> 00:19:26,776 What we need to do is figure out what went wrong 431 00:19:26,800 --> 00:19:28,740 - and fix it. - Actually, we don't. 432 00:19:28,870 --> 00:19:32,740 After he served you, kyren transferred hospitals. 433 00:19:32,870 --> 00:19:35,440 - What? - He's not your patient anymore. 434 00:19:43,250 --> 00:19:46,666 They took him ten minutes ago, guv. 435 00:19:46,690 --> 00:19:48,496 I did think about blocking the door, but... 436 00:19:48,520 --> 00:19:51,890 Mary told you that kyren was transferring before she told me? 437 00:19:52,730 --> 00:19:54,706 Not one to rat on the boss, guv. 438 00:19:54,730 --> 00:19:56,270 So you work for Mary now? 439 00:19:56,400 --> 00:19:57,876 Ooh. 440 00:19:57,900 --> 00:20:01,940 Technically speaking, we all work for Dr. Morstan, guv. 441 00:20:02,070 --> 00:20:04,170 Yeah, that's very true. 442 00:20:05,240 --> 00:20:06,586 I guess blocking the door 443 00:20:06,610 --> 00:20:08,046 certainly wouldn't have helped the lawsuit. 444 00:20:08,070 --> 00:20:09,386 No. 445 00:20:09,410 --> 00:20:12,780 So how was he? How was kyren? 446 00:20:13,980 --> 00:20:16,226 He was okay. 447 00:20:16,250 --> 00:20:18,750 Hurting, but okay. 448 00:20:18,890 --> 00:20:21,326 We're talking about settling the lawsuit. 449 00:20:21,350 --> 00:20:24,490 That might be a way to convince him to come back to uhop. 450 00:20:26,090 --> 00:20:28,360 And how do you feel about that, guv? 451 00:20:29,100 --> 00:20:32,270 All I want is what's best for kyren. 452 00:20:32,400 --> 00:20:36,016 And if... If he needs this, then... 453 00:20:36,040 --> 00:20:38,586 Look, guv, if there's one thing I know about you, 454 00:20:38,610 --> 00:20:41,180 it's that you're always gonna put your patient first. 455 00:20:42,010 --> 00:20:43,650 That's all you're doing. 456 00:20:44,910 --> 00:20:46,380 Appreciate you. 457 00:20:48,650 --> 00:20:51,296 Seems like Paola's doing some cutting-edge work. 458 00:20:51,320 --> 00:20:53,796 Using 3D printing to customize components 459 00:20:53,820 --> 00:20:55,126 for joint replacements. 460 00:20:55,150 --> 00:20:56,636 I think it's worth having a conversation 461 00:20:56,660 --> 00:20:58,666 to see if any of it can help kyren, but 462 00:20:58,690 --> 00:21:00,606 - she hasn't returned my call. - You were calling her 463 00:21:00,630 --> 00:21:02,906 when we thought she was the reason the bone didn't fuse. 464 00:21:02,930 --> 00:21:04,130 Let me reach out to her. 465 00:21:04,260 --> 00:21:06,376 Really? From what I recall, the two of you 466 00:21:06,400 --> 00:21:07,876 weren't exactly friendly. 467 00:21:07,900 --> 00:21:10,246 Which is why I'm sure she won't be able to refuse 468 00:21:10,270 --> 00:21:13,710 surgeon-splaining all her fancy tech and gadgets to me. 469 00:21:14,940 --> 00:21:16,416 Why would you volunteer for that? 470 00:21:16,440 --> 00:21:18,540 For kyren. 471 00:21:19,710 --> 00:21:22,226 Okay, look, I know you're in therapy now 472 00:21:22,250 --> 00:21:25,326 and have changed some of your ways, but... 473 00:21:25,350 --> 00:21:27,280 There's something you're not telling me. 474 00:21:29,960 --> 00:21:33,900 I just know I probably owe her an apology, okay? 475 00:21:35,190 --> 00:21:36,676 What'd you do? 476 00:21:38,800 --> 00:21:40,806 Saved by the ding. 477 00:21:40,830 --> 00:21:42,516 - Convenient. - Made contact. 478 00:21:42,540 --> 00:21:46,010 She can meet in the morning. I'll let you know how it goes. 479 00:21:54,880 --> 00:21:57,296 The, board wanted me to remind you, 480 00:21:57,320 --> 00:21:58,796 no surprises in there. 481 00:21:58,820 --> 00:22:00,326 - Understood. - I'll stick to the script. 482 00:22:00,350 --> 00:22:02,666 This is serious, Dr. Watson. 483 00:22:02,690 --> 00:22:03,836 If we don't play our cards right... 484 00:22:03,860 --> 00:22:06,030 We've got it, Charles. Thanks. 485 00:22:06,960 --> 00:22:09,400 This'll all be over soon. 486 00:22:11,530 --> 00:22:14,946 We appreciate you all moving to a settlement so quickly. 487 00:22:14,970 --> 00:22:17,516 Well, Dr. Watson and uhop care about kyren, 488 00:22:17,540 --> 00:22:20,146 and want the outcome that best sets him up for success. 489 00:22:20,170 --> 00:22:21,486 Kyren. 490 00:22:21,510 --> 00:22:22,710 Are you all right? 491 00:22:22,840 --> 00:22:26,080 - You look flushed. - John... No, it's okay. 492 00:22:26,210 --> 00:22:29,456 Old habits, right? H-He's fine, Dr. Watson. 493 00:22:29,480 --> 00:22:34,026 Kyren just had a minor uti, but he's taking antibiotics. 494 00:22:34,050 --> 00:22:35,450 We caught it early. 495 00:22:35,560 --> 00:22:37,930 Apologies. Before we move further, 496 00:22:38,060 --> 00:22:39,706 we have one addition to the settlement. 497 00:22:39,730 --> 00:22:41,666 And what is it, Ms. Tannerman? 498 00:22:41,690 --> 00:22:44,506 My client would like an apology from Dr. Watson. 499 00:22:44,530 --> 00:22:47,246 The excruciating pain my client has felt his entire life 500 00:22:47,270 --> 00:22:49,876 could have been avoided if Dr. Watson had given 501 00:22:49,900 --> 00:22:51,516 marlise all of the information 502 00:22:51,540 --> 00:22:53,746 when she brought him the sonogram 18 years ago. 503 00:22:53,770 --> 00:22:55,146 Okay, I'm sorry. So... 504 00:22:55,170 --> 00:22:57,050 You want me to apologize for kyren's existence? 505 00:22:58,180 --> 00:23:03,656 I... Kyren, is that what you really want? 506 00:23:03,680 --> 00:23:04,880 Yes. 507 00:23:11,920 --> 00:23:13,220 That's what I want. 508 00:23:13,330 --> 00:23:15,136 How long have you been on antibiotics? 509 00:23:15,160 --> 00:23:17,406 See, I told you he would never apologize. 510 00:23:17,430 --> 00:23:19,246 No, it's not about that, kyren. You are sick. 511 00:23:19,270 --> 00:23:20,876 - John. - Is this some kind of stunt? 512 00:23:20,900 --> 00:23:22,476 I've been working hard to try to figure out 513 00:23:22,500 --> 00:23:24,476 why your bones didn't fuse. Now-now, just right now, 514 00:23:24,500 --> 00:23:26,316 I got the clue that I needed to understand what's going on. 515 00:23:26,340 --> 00:23:27,986 Dr. Watson, I advise against you getting involved. 516 00:23:28,010 --> 00:23:29,616 Wait, what is it? What's wrong with kyren? 517 00:23:29,640 --> 00:23:31,320 - I believe he has an infection... - Stop! 518 00:23:32,680 --> 00:23:34,926 Just... stop. 519 00:23:34,950 --> 00:23:41,080 Anything that's wrong with me is your fault. 520 00:23:42,620 --> 00:23:44,220 You made me. 521 00:23:46,160 --> 00:23:49,676 And you let me live just to 522 00:23:49,700 --> 00:23:52,506 be in hospitals like some freak. 523 00:23:52,530 --> 00:23:55,576 Kyren, please, let me treat you. 524 00:23:55,600 --> 00:23:56,676 - Okay? - Treat me? 525 00:23:56,700 --> 00:23:58,616 Why? 526 00:23:58,640 --> 00:24:00,346 I'm not even supposed to be alive. 527 00:24:00,370 --> 00:24:01,670 - God. - Whoa, whoa. 528 00:24:01,810 --> 00:24:03,856 Kyren. Kyren. Call-call an ambulance, Georgia. 529 00:24:03,880 --> 00:24:06,756 Please, help him. Dr. Watson, please help my son. 530 00:24:06,780 --> 00:24:08,656 Mary, let us take him to uhop. He should be with us. 531 00:24:08,680 --> 00:24:10,596 This lawsuit isn't settled. You shouldn't get involved. 532 00:24:10,620 --> 00:24:12,026 Please, Dr. Morstan. 533 00:24:12,050 --> 00:24:13,220 The board won't be happy. 534 00:24:13,350 --> 00:24:14,750 Then let them take that up with me. 535 00:24:14,850 --> 00:24:17,690 Marlise gives permission, so uhop will treat kyren. 536 00:24:17,820 --> 00:24:19,560 Put this under. 537 00:24:19,690 --> 00:24:21,560 - Stay with us. Stay with us. - It's okay. 538 00:24:21,690 --> 00:24:23,850 Just stay with us. You're gonna be okay. Stay with us. 539 00:24:31,240 --> 00:24:34,246 There. You were right. 540 00:24:34,270 --> 00:24:36,786 I don't know how you knew the infection was deep 541 00:24:36,810 --> 00:24:39,326 in his spine. The initial wound cultures were negative. 542 00:24:39,350 --> 00:24:41,956 Well, kyren had a fever, and the new doctors assumed 543 00:24:41,980 --> 00:24:43,556 that it was a uti, and that tracks, 544 00:24:43,580 --> 00:24:45,520 but the antibiotics weren't working, 545 00:24:45,650 --> 00:24:46,796 so it had to be something else. 546 00:24:46,820 --> 00:24:49,096 An occult spinal infection. 547 00:24:49,120 --> 00:24:51,636 Explains everything. Why his bones didn't fuse. 548 00:24:51,660 --> 00:24:54,166 And there it is. 549 00:24:54,190 --> 00:24:56,490 So now, we have a plan. We remove the infection... 550 00:24:56,600 --> 00:24:58,500 We do, but... 551 00:24:58,630 --> 00:25:01,500 - it's tough, John. - Kyren can do tough. 552 00:25:01,630 --> 00:25:03,246 To treat the infection, I'll need to remove 553 00:25:03,270 --> 00:25:05,146 the remaining rod and all of his hardware. 554 00:25:05,170 --> 00:25:06,686 He'll be hospitalized for iv 555 00:25:06,710 --> 00:25:08,486 until we can perform the revision surgery. 556 00:25:08,510 --> 00:25:10,016 Is kyren prepared for that? 557 00:25:10,040 --> 00:25:11,656 No, he's too sick to make that decision. 558 00:25:11,680 --> 00:25:14,626 Then we'll need marlise to sign a consent on his behalf. 559 00:25:14,650 --> 00:25:17,220 We don't need this to complicate the lawsuit. 560 00:25:18,020 --> 00:25:21,666 Mary, thank you for letting kyren come back to uhop. 561 00:25:21,690 --> 00:25:23,336 I'm sure the board wasn't too happy. 562 00:25:23,360 --> 00:25:24,760 They weren't. 563 00:25:25,630 --> 00:25:27,060 And you're welcome. 564 00:25:34,500 --> 00:25:36,046 Nice write-up in the beechview journal. 565 00:25:36,070 --> 00:25:38,016 Well, you know how it is. 566 00:25:38,040 --> 00:25:41,146 Those publicity things are silly, but 567 00:25:41,170 --> 00:25:43,910 they're fun to send home to the parents. 568 00:25:45,910 --> 00:25:47,580 So what are you working on right now? 569 00:25:47,710 --> 00:25:50,026 Do you remember kyren garner? 570 00:25:50,050 --> 00:25:52,026 The first patient we had at the Holmes clinic? 571 00:25:52,050 --> 00:25:54,396 Of course. How's he doing with his new spine? 572 00:25:54,420 --> 00:25:56,396 Actually, his spine didn't fuse. 573 00:25:56,420 --> 00:25:58,236 I know Sasha tried to reach out to you. 574 00:25:58,260 --> 00:26:00,330 I've been busy. 575 00:26:01,190 --> 00:26:02,930 Why are we here? 576 00:26:03,060 --> 00:26:06,960 I've been looking into the best redo surgeries for kyren. 577 00:26:07,070 --> 00:26:08,610 I thought his anatomy might benefit 578 00:26:08,740 --> 00:26:10,270 from the precision cages. 579 00:26:11,200 --> 00:26:12,700 Can I see his chart and labs? 580 00:26:21,650 --> 00:26:23,396 I think he's an ideal candidate. 581 00:26:23,420 --> 00:26:27,120 Have him transfer to beechview, and my team will take the case. 582 00:26:28,350 --> 00:26:31,150 I know it's important for Watson that he stay at uhop. 583 00:26:31,260 --> 00:26:33,766 Dr. Morstan taking the lead in the surgery. 584 00:26:33,790 --> 00:26:36,290 Would you consider a collaboration? 585 00:26:38,000 --> 00:26:39,176 You're different now. 586 00:26:39,200 --> 00:26:41,546 I can't imagine the Ingrid I knew 587 00:26:41,570 --> 00:26:43,576 asking me if I would consider collaborating. 588 00:26:43,600 --> 00:26:46,300 You're right. I wouldn't have. 589 00:26:46,440 --> 00:26:49,186 Paola... 590 00:26:49,210 --> 00:26:52,080 I'm the one who reached out to beechview about you. 591 00:26:54,080 --> 00:26:55,280 What do you mean? 592 00:26:56,680 --> 00:26:58,826 It was the desk. 593 00:26:58,850 --> 00:27:01,426 I was pissed about you claiming the desk I wanted, 594 00:27:01,450 --> 00:27:04,790 so I sent beechview your résumé. 595 00:27:06,130 --> 00:27:07,800 I wanted you gone. 596 00:27:08,900 --> 00:27:10,030 Sorry. 597 00:27:11,230 --> 00:27:13,646 Let me get this straight. 598 00:27:13,670 --> 00:27:17,076 You were pissed, so you told a rival hospital 599 00:27:17,100 --> 00:27:19,470 I'd be a great fit for their new, state-of-the-art lab? 600 00:27:19,610 --> 00:27:21,486 I just wanted you gone. 601 00:27:21,510 --> 00:27:23,956 I didn't want patients not to have you as a surgeon, 602 00:27:23,980 --> 00:27:26,220 just somewhere else. 603 00:27:27,150 --> 00:27:28,850 Somewhere not at that desk. 604 00:27:30,420 --> 00:27:33,220 I can't tell if that makes me like you more or less. 605 00:27:35,690 --> 00:27:39,060 Have Dr. Morstan reach out to me if she wants to move forward. 606 00:27:52,440 --> 00:27:53,570 Morning. 607 00:27:54,470 --> 00:27:56,186 How's kyren? 608 00:27:56,210 --> 00:27:57,656 Okay. 609 00:27:57,680 --> 00:27:59,086 Ct scan went well. 610 00:27:59,110 --> 00:28:01,126 Watson was able to figure out what's wrong. 611 00:28:01,150 --> 00:28:02,996 That's good. 612 00:28:03,020 --> 00:28:05,026 I'm just glad that he's back here at uhop.- 613 00:28:05,050 --> 00:28:06,426 I'm not sure Watson could handle knowing 614 00:28:06,450 --> 00:28:07,990 he was in trouble somewhere else. 615 00:28:10,390 --> 00:28:13,560 Hey. What's going on? 616 00:28:15,360 --> 00:28:16,676 That kid's gonna wake up to learn 617 00:28:16,700 --> 00:28:18,100 that he's stuck at uhop for months. 618 00:28:19,200 --> 00:28:20,706 He was already struggling. 619 00:28:20,730 --> 00:28:22,346 I don't know how this won't devastate him. 620 00:28:22,370 --> 00:28:24,470 But then he'll get better. 621 00:28:25,570 --> 00:28:27,686 Watson is dedicated to coming up with the best plan for him. 622 00:28:27,710 --> 00:28:29,450 I know, but... 623 00:28:30,510 --> 00:28:33,386 A plan doesn't really make up for what kyren's losing. 624 00:28:33,410 --> 00:28:35,056 It doesn't really acknowledge it. 625 00:28:35,080 --> 00:28:39,380 I don't know. It just feels like he needs something... more. 626 00:28:41,350 --> 00:28:42,550 Like what? 627 00:28:45,760 --> 00:28:47,236 Sorry... 628 00:28:47,260 --> 00:28:51,100 Dr. Morstan has something she wants to show yinz guys. 629 00:28:53,070 --> 00:28:55,306 During the washout, Dr. Morstan took measurements 630 00:28:55,330 --> 00:28:57,130 and combined them with kyren's scans 631 00:28:57,240 --> 00:28:59,440 to create this virtual replica of his spine. 632 00:28:59,570 --> 00:29:02,610 You can see here, a hemivertebra at t8 633 00:29:02,740 --> 00:29:04,556 and cleft through t9. 634 00:29:04,580 --> 00:29:06,656 A malformation like that could also contribute 635 00:29:06,680 --> 00:29:07,950 to why the fusion didn't take. 636 00:29:08,080 --> 00:29:09,856 - That, plus an occult infection. - Exactly. 637 00:29:09,880 --> 00:29:12,420 It's a perfect storm. So, how do we make sure his bones 638 00:29:12,550 --> 00:29:13,920 fuse this time? 639 00:29:17,220 --> 00:29:19,140 This might potentially be a good time to mention 640 00:29:19,230 --> 00:29:20,806 that I met with Paola barajas. 641 00:29:20,830 --> 00:29:22,760 She finally got back to someone? 642 00:29:22,900 --> 00:29:25,376 She did. Looks like some of the innovations 643 00:29:25,400 --> 00:29:27,276 she's been working on at the beechview medical institute 644 00:29:27,300 --> 00:29:28,346 can help kyren. 645 00:29:28,370 --> 00:29:30,346 It was a shame to lose Paola, 646 00:29:30,370 --> 00:29:32,440 but I knew she would be a better fit at beechview. 647 00:29:32,570 --> 00:29:35,086 So you didn't fire her? 648 00:29:35,110 --> 00:29:36,756 On the contrary, I asked her to stay. 649 00:29:36,780 --> 00:29:38,686 Whoa. Interesting. 650 00:29:38,710 --> 00:29:42,650 Well, looks like Paola's doing quite well where she is. 651 00:29:43,380 --> 00:29:45,226 She suggests we use a custom cage 652 00:29:45,250 --> 00:29:46,610 printed to kyren's specifications. 653 00:29:46,690 --> 00:29:48,096 That would make sense. 654 00:29:48,120 --> 00:29:50,490 Something tailor-made would prevent infection 655 00:29:50,620 --> 00:29:52,820 and increase his chances of a successful fusion. 656 00:29:52,930 --> 00:29:55,136 She also said she may be willing to collaborate. 657 00:29:55,160 --> 00:29:57,376 That would be great. I'll reach out to her and see 658 00:29:57,400 --> 00:29:59,546 if we can put together a specific surgical plan. 659 00:29:59,570 --> 00:30:02,376 We could share the broad strokes with kyren and marlise. 660 00:30:02,400 --> 00:30:04,816 Yeah. I mean, let's do it. 661 00:30:04,840 --> 00:30:07,010 I'm sure they could use some good news. 662 00:30:08,240 --> 00:30:09,316 Good news? 663 00:30:09,340 --> 00:30:13,526 How is removing every rod and every screw good news? 664 00:30:13,550 --> 00:30:15,286 I know it sounds daunting, kyren, 665 00:30:15,310 --> 00:30:17,756 but this is the best way to treat the infection 666 00:30:17,780 --> 00:30:19,796 that prevented your bones from fusing. 667 00:30:19,820 --> 00:30:21,396 So... 668 00:30:21,420 --> 00:30:26,466 I have the pleasure of lying down on my back for... 669 00:30:26,490 --> 00:30:27,820 Who knows how long? 670 00:30:28,630 --> 00:30:31,806 We'll give you iv antibiotics for a month. 671 00:30:31,830 --> 00:30:33,346 Once we're certain it's gone, 672 00:30:33,370 --> 00:30:35,510 we can prepare for your revision surgery. 673 00:30:35,630 --> 00:30:36,870 A month? 674 00:30:37,800 --> 00:30:42,210 So, I'm just as bad off as when my back was deformed. 675 00:30:42,340 --> 00:30:43,986 Worse off, actually. 676 00:30:44,010 --> 00:30:47,880 Because back then, I was gonna go to school. 677 00:30:49,320 --> 00:30:51,026 I was gonna start my life. 678 00:30:51,050 --> 00:30:52,426 Well, I guess, 679 00:30:52,450 --> 00:30:54,826 I'm realizing that's never gonna happen now. 680 00:30:54,850 --> 00:30:56,666 I'm sure you can defer, kyren. 681 00:30:56,690 --> 00:30:58,230 Again? 682 00:30:58,360 --> 00:31:00,036 What's the point in deferring 683 00:31:00,060 --> 00:31:02,106 if a new problem's just gonna pop up every time I get close? 684 00:31:02,130 --> 00:31:03,506 Because there's no reason to believe 685 00:31:03,530 --> 00:31:05,006 that something like this is gonna happen again. 686 00:31:05,030 --> 00:31:06,306 You haven't heard? 687 00:31:06,330 --> 00:31:09,630 I have a one in a million association. 688 00:31:09,740 --> 00:31:13,386 Had to be rebuilt starting an hour after birth. 689 00:31:13,410 --> 00:31:16,186 And then my back broke because of some 690 00:31:16,210 --> 00:31:21,026 occult infection that hid from even 691 00:31:21,050 --> 00:31:23,920 "the world's greatest diagnostician" 692 00:31:24,050 --> 00:31:26,226 for years. 693 00:31:26,250 --> 00:31:27,380 You're a fighter, kyren. 694 00:31:27,520 --> 00:31:31,420 What don't you understand, doctor? 695 00:31:33,460 --> 00:31:36,006 Fighting is useless. 696 00:31:36,030 --> 00:31:40,076 Something is always gonna come up. 697 00:31:40,100 --> 00:31:43,440 Kyren, we are on the verge of having a plan 698 00:31:43,570 --> 00:31:45,376 to rebuild your spine 699 00:31:45,400 --> 00:31:48,246 so something like that will never happen again. 700 00:31:48,270 --> 00:31:49,700 You can't quit on us now. 701 00:31:49,810 --> 00:31:51,580 I'm not quitting on you. 702 00:31:53,510 --> 00:31:54,880 I'm firing you. 703 00:31:56,280 --> 00:31:57,826 Kyren, that is no way to talk to the man 704 00:31:57,850 --> 00:31:59,066 who is trying to save your life. 705 00:31:59,090 --> 00:32:02,066 I didn't ask him to. You did. 706 00:32:02,090 --> 00:32:03,420 I sued him 707 00:32:03,560 --> 00:32:06,800 because I realized something you could never accept. 708 00:32:10,060 --> 00:32:14,330 My life is not worth saving. 709 00:32:17,740 --> 00:32:19,780 Just leave. 710 00:32:19,910 --> 00:32:21,950 Okay? 711 00:32:23,040 --> 00:32:25,680 Get out of here, all of you. 712 00:32:26,710 --> 00:32:28,950 I said everybody. 713 00:32:50,940 --> 00:32:52,310 Yes? 714 00:32:53,340 --> 00:32:54,886 Do you have a moment? 715 00:32:54,910 --> 00:32:57,586 I just need to finish reviewing these titanium cages. 716 00:32:57,610 --> 00:32:59,856 For kyren? 717 00:32:59,880 --> 00:33:02,026 I was under the impression that he's no longer our patient. 718 00:33:02,050 --> 00:33:03,396 Which is exactly why 719 00:33:03,420 --> 00:33:05,396 I have to present him with a flawless plan. 720 00:33:05,420 --> 00:33:07,290 I see. 721 00:33:10,390 --> 00:33:12,566 Actually, I don't see. 722 00:33:12,590 --> 00:33:14,460 With all due respect, Watson, 723 00:33:14,590 --> 00:33:16,260 I think your judgement is compromised. 724 00:33:18,460 --> 00:33:19,660 I'm listening. 725 00:33:20,770 --> 00:33:22,810 Well, that's the thing. 726 00:33:22,930 --> 00:33:24,646 I don't think you are listening. 727 00:33:24,670 --> 00:33:26,970 To kyren, which is unlike you. 728 00:33:27,110 --> 00:33:29,716 And it makes me wonder if 729 00:33:29,740 --> 00:33:31,456 the personal nature of this case and 730 00:33:31,480 --> 00:33:33,800 your connection to the patient is clouding your judgement. 731 00:33:35,150 --> 00:33:38,496 And how is my judgement being clouded? 732 00:33:38,520 --> 00:33:41,160 You keep focusing on alternative treatment plans, 733 00:33:41,290 --> 00:33:42,866 pitching solutions. 734 00:33:42,890 --> 00:33:45,010 Kyren doesn't believe his life is worth fighting for. 735 00:33:45,120 --> 00:33:48,420 Okay? Now, it's my job to convince him otherwise. 736 00:33:48,530 --> 00:33:49,800 No, it's not. 737 00:33:50,800 --> 00:33:53,306 I'm sorry, but I can speak with confidence 738 00:33:53,330 --> 00:33:55,546 that reassurances and promises don't always help. 739 00:33:55,570 --> 00:33:57,276 In fact, those words, 740 00:33:57,300 --> 00:34:00,140 as well-intentioned as they may be, 741 00:34:00,270 --> 00:34:02,446 often represent their own kind of pressure. 742 00:34:02,470 --> 00:34:04,386 And added up, it can be another burden 743 00:34:04,410 --> 00:34:06,380 on someone who's already struggling. 744 00:34:13,750 --> 00:34:15,820 I hear your diagnosis, Dr. Croft. 745 00:34:18,990 --> 00:34:20,660 What's your recommendation? 746 00:34:25,360 --> 00:34:26,560 Empathy. 747 00:34:27,600 --> 00:34:29,900 Compassion. Truly listening. 748 00:34:31,000 --> 00:34:33,770 Making sure the patient knows he's not alone. 749 00:34:35,570 --> 00:34:37,740 That's my recommendation. 750 00:34:44,720 --> 00:34:46,756 - Wait, I have to ask. - Where's Clyde? 751 00:34:46,780 --> 00:34:49,550 I expected to see him zipping around back there. 752 00:34:49,690 --> 00:34:52,536 It's a long story. You were saying, Dr. Morstan? 753 00:34:52,560 --> 00:34:55,136 The lower model, it's too loose. 754 00:34:55,160 --> 00:34:56,976 There's a millimeter gap at the posterior wall. 755 00:34:57,000 --> 00:34:58,306 Yeah, I see that. 756 00:34:58,330 --> 00:35:00,776 It's collapsing from the deformity. 757 00:35:00,800 --> 00:35:02,006 Is there any way we could model it 758 00:35:02,030 --> 00:35:04,046 from the healthy vertebrae above it? 759 00:35:04,070 --> 00:35:07,816 That's a great idea. We could match the curvature. 760 00:35:07,840 --> 00:35:09,416 But what if it's still not quite right? 761 00:35:09,440 --> 00:35:11,956 It's titanium. There's no adjustments in the or. 762 00:35:11,980 --> 00:35:15,326 Well, actually, with 3D printing, 763 00:35:15,350 --> 00:35:17,820 I could model a flexible lattice. 764 00:35:18,850 --> 00:35:21,726 Build it with just enough give for alignment. 765 00:35:21,750 --> 00:35:23,090 That is ideal. 766 00:35:23,220 --> 00:35:25,296 Amazing what you all can do with this new tech. 767 00:35:25,320 --> 00:35:27,866 Well, not to be a jerk, Dr. Morstan, but... 768 00:35:27,890 --> 00:35:29,260 You're an orthopedic surgeon 769 00:35:29,400 --> 00:35:31,106 and the director of the hospital. 770 00:35:31,130 --> 00:35:33,806 I'm a little surprised uhop doesn't have a more robust 771 00:35:33,830 --> 00:35:35,330 ortho program. 772 00:35:36,570 --> 00:35:38,576 You know, you might be on to something. 773 00:35:38,600 --> 00:35:41,146 I'm late for a meeting. 774 00:35:41,170 --> 00:35:45,470 You two wrap up here, and, Sasha, you can fill me in. 775 00:35:46,550 --> 00:35:49,556 - Are you enjoying your fellowship? - Honestly? 776 00:35:49,580 --> 00:35:51,456 More than I hoped I would. 777 00:35:51,480 --> 00:35:53,826 It's been life-changing. 778 00:35:53,850 --> 00:35:55,266 Life-changing? 779 00:35:55,290 --> 00:35:57,466 I'd expect you to use a word like that 780 00:35:57,490 --> 00:35:59,066 to describe your wedding to...? 781 00:35:59,090 --> 00:36:01,166 You mean Zach. 782 00:36:01,190 --> 00:36:03,606 I actually ended it with him a while ago. 783 00:36:03,630 --> 00:36:06,906 And, I'm dating Stephens now. 784 00:36:06,930 --> 00:36:09,346 Stephens? 785 00:36:11,040 --> 00:36:13,246 Now, that's the bet I should've made with Ingrid. 786 00:36:13,270 --> 00:36:17,140 Speaking of Ingrid, she apologizes now? 787 00:36:17,280 --> 00:36:19,926 Apparently, she does, and sometimes, 788 00:36:19,950 --> 00:36:21,790 she even means it. 789 00:36:26,290 --> 00:36:28,490 I told you to go away. 790 00:36:29,620 --> 00:36:30,696 You're still fired. 791 00:36:30,720 --> 00:36:32,696 I'm not here as your doctor. 792 00:36:32,720 --> 00:36:35,820 I'm here as someone who's known you for 18 years. 793 00:36:35,930 --> 00:36:40,406 As a... I don't know. A friend? 794 00:36:40,430 --> 00:36:43,076 I'd never call you a friend. 795 00:36:43,100 --> 00:36:45,216 That's fair. 796 00:36:45,240 --> 00:36:47,846 I haven't always acted like one. 797 00:36:47,870 --> 00:36:51,216 A friend would've listened to you, kyren. 798 00:36:51,240 --> 00:36:53,056 All these years, you've been trying to tell me 799 00:36:53,080 --> 00:36:56,996 how much pain you were in, how hard life was for you. 800 00:36:57,020 --> 00:36:58,220 Yeah. 801 00:36:59,080 --> 00:37:04,560 And you wanted me to fight, be positive. 802 00:37:07,790 --> 00:37:12,340 Kyren, I... I thought that I was helping you 803 00:37:12,460 --> 00:37:16,976 when I came at you with all those plans and promises. 804 00:37:17,000 --> 00:37:22,316 I realize now that that was... That was wrong. 805 00:37:22,340 --> 00:37:24,170 And I'm truly sorry for that. 806 00:37:25,840 --> 00:37:28,510 Life is hard for everybody. 807 00:37:29,420 --> 00:37:31,026 But your life? 808 00:37:31,050 --> 00:37:32,896 It's a whole nother level. 809 00:37:32,920 --> 00:37:34,890 I see that. 810 00:37:35,020 --> 00:37:36,560 I see you. 811 00:37:39,330 --> 00:37:41,466 I wanted to make it different, kyren. 812 00:37:41,490 --> 00:37:43,160 I wanted to make it better. 813 00:37:45,060 --> 00:37:47,060 Sometimes, medicine fails. 814 00:37:48,170 --> 00:37:50,370 I'm sorry for that. 815 00:37:51,670 --> 00:37:54,070 But I'm not sorry that you exist. 816 00:37:54,910 --> 00:37:56,756 No matter what you do. 817 00:37:56,780 --> 00:37:58,586 No matter what you think of me. 818 00:37:58,610 --> 00:38:01,410 I'm sorry for what I did. 819 00:38:02,950 --> 00:38:04,820 But I'm glad you're here. 820 00:38:20,600 --> 00:38:22,906 The settlement is in. 821 00:38:22,930 --> 00:38:26,900 The lawyers negotiated and all of this explains where we got. 822 00:38:27,010 --> 00:38:30,450 Kyren said you satisfied the apology requirement. 823 00:38:34,950 --> 00:38:36,456 Everybody's good with this number? 824 00:38:36,480 --> 00:38:38,926 It's toward the further reaches of what they think 825 00:38:38,950 --> 00:38:42,120 a jury might've awarded, but spares us court expenses 826 00:38:42,250 --> 00:38:44,550 and potential negative press. 827 00:38:45,620 --> 00:38:49,090 Well, at least kyren and marlise have a financial safety net, 828 00:38:49,230 --> 00:38:51,800 no matter what happens next, so... 829 00:38:51,930 --> 00:38:53,260 But you're good with this, too? 830 00:38:53,370 --> 00:38:55,346 It's not ruining uhop or anything, is it? 831 00:38:55,370 --> 00:38:57,110 I'm good with it. 832 00:38:59,070 --> 00:39:01,510 All right. Where do I sign? 833 00:39:24,460 --> 00:39:26,136 What are you doing in scrubs? 834 00:39:26,160 --> 00:39:29,446 Kyren asked me to be in the or with him. 835 00:39:29,470 --> 00:39:32,416 I'm glad the two of you made up. 836 00:39:32,440 --> 00:39:34,640 It's better for the both of you. 837 00:39:35,610 --> 00:39:38,680 It was your surgical plan that sealed the deal. 838 00:39:38,810 --> 00:39:42,026 Thank you for taking so much interest in him and this case. 839 00:39:42,050 --> 00:39:45,156 I got to say, 840 00:39:45,180 --> 00:39:49,126 I find what we're about to do with the 3D cages fascinating. 841 00:39:49,150 --> 00:39:50,650 It's a shame we had to go to 842 00:39:50,760 --> 00:39:52,360 beechview medical institute to get them. 843 00:39:52,490 --> 00:39:54,966 We should be working with that kind of tech here at uhop. 844 00:39:54,990 --> 00:39:56,136 I agree, but why aren't we? 845 00:39:56,160 --> 00:39:57,776 I asked myself the same question 846 00:39:57,800 --> 00:39:59,306 and got started on an answer. 847 00:39:59,330 --> 00:40:03,176 An ortho 3D printing program is starting right here, 848 00:40:03,200 --> 00:40:05,246 under this roof. 849 00:40:05,270 --> 00:40:06,516 What? 850 00:40:06,540 --> 00:40:08,246 Well, during residency, you chose ortho 851 00:40:08,270 --> 00:40:09,516 because it exists in the space 852 00:40:09,540 --> 00:40:11,416 between tradition and innovation. 853 00:40:11,440 --> 00:40:13,340 The traditional piece keeps patients safe. 854 00:40:13,480 --> 00:40:16,596 But the innovation comes with such potential. 855 00:40:16,620 --> 00:40:17,826 Yeah, I remember. 856 00:40:17,850 --> 00:40:20,396 Yeah, you invested so much time in me 857 00:40:20,420 --> 00:40:22,326 and in the Holmes clinic. 858 00:40:22,350 --> 00:40:23,866 Maybe it's time we return the favor. 859 00:40:23,890 --> 00:40:27,006 How about a collaboration 860 00:40:27,030 --> 00:40:29,570 on the cutting edge of orthopedics? 861 00:40:29,700 --> 00:40:32,876 An intriguing idea. 862 00:40:32,900 --> 00:40:35,846 But I know you just want access to my new tech lab. 863 00:40:35,870 --> 00:40:37,546 Maybe. 864 00:40:42,470 --> 00:40:44,910 See you out there. 865 00:40:45,040 --> 00:40:47,286 I'll see you out there. 866 00:40:57,760 --> 00:41:00,906 All right. How you doing? You nervous? 867 00:41:00,930 --> 00:41:03,570 Always a little nervous before surgery. 868 00:41:03,700 --> 00:41:05,600 I get it. 869 00:41:05,730 --> 00:41:06,976 Thanks for being here. 870 00:41:07,000 --> 00:41:08,646 I told you I'd be here for you. 871 00:41:08,670 --> 00:41:10,916 Really hope it goes better than last time. 872 00:41:10,940 --> 00:41:16,046 Yeah, me, too. I will be there with you, and so will 873 00:41:16,070 --> 00:41:18,386 all those people rooting for you there. 874 00:41:27,390 --> 00:41:30,260 It's better than being alone, that's for sure. 875 00:41:30,390 --> 00:41:33,560 All right. So you're ready? 876 00:41:37,560 --> 00:41:40,760 All right. Count backwards from 100. 877 00:42:14,500 --> 00:42:16,640 Captioning sponsored by. 878 00:42:23,110 --> 00:42:26,580 Captioned by media access group at wgbh access.Wgbh.Org