1 00:00:01,479 --> 00:00:03,306 Previously on Doc... 2 00:00:05,744 --> 00:00:07,267 Dr. Larsen has no recollection 3 00:00:07,268 --> 00:00:08,833 of the last eight years. 4 00:00:08,834 --> 00:00:12,185 - Babe, what's wrong? - We got divorced four years ago. 5 00:00:12,186 --> 00:00:13,751 Are you married? 6 00:00:13,752 --> 00:00:16,145 We were together, Amy and me. 7 00:00:16,146 --> 00:00:18,495 The woman created a toxic work environment 8 00:00:18,496 --> 00:00:21,194 You're the reason I became a doctor. I hope you come back. 9 00:00:21,195 --> 00:00:25,241 The Board has decided against you coming back to work here. 10 00:00:25,242 --> 00:00:28,592 I wanted to be a doctor my entire life. 11 00:00:28,593 --> 00:00:30,682 Will you help me do that, Michael? 12 00:01:14,422 --> 00:01:16,379 Where's Robert Buxton?! 13 00:01:16,380 --> 00:01:20,035 He's supposed to be in 628! - He was moved. He's in 617 now. 14 00:01:20,036 --> 00:01:23,126 It should change on the telemetry! 15 00:01:29,654 --> 00:01:31,874 Dr. Coleman! 16 00:01:34,050 --> 00:01:37,618 You didn't notice the pressure drop on inspiration? 17 00:01:37,619 --> 00:01:40,055 Or the jugular venous distension? 18 00:01:40,056 --> 00:01:42,406 Because you were just about to place a line in it. 19 00:01:48,847 --> 00:01:53,024 He has Beck's triad, caused by cardiac tamponade. 20 00:01:53,025 --> 00:01:55,158 Emergent decompression. 21 00:01:56,333 --> 00:01:58,204 You can use the central line needle. 22 00:01:58,205 --> 00:02:00,380 It won't reach. I need a spinal needle. 23 00:02:00,381 --> 00:02:04,124 Three inches, 18 gauge, and a 60 cc syringe! 24 00:02:14,351 --> 00:02:16,222 You might want to make sure your patients are okay 25 00:02:16,223 --> 00:02:18,398 before you go home. 26 00:02:35,503 --> 00:02:37,504 As you all know, 27 00:02:37,505 --> 00:02:40,463 today will be Dr. Larsen's first day back with us. 28 00:02:40,464 --> 00:02:43,074 But it will obviously be 29 00:02:43,075 --> 00:02:46,295 a very different situation than when she was Chief. 30 00:02:46,296 --> 00:02:50,865 Not only is she missing the last eight years of her own life, 31 00:02:50,866 --> 00:02:52,910 she will also be missing all of those years 32 00:02:52,911 --> 00:02:56,044 of medical advancements and best practices. 33 00:02:56,045 --> 00:02:58,481 Now, I'm told she's been getting up to speed, 34 00:02:58,482 --> 00:03:00,135 but let me remind you all 35 00:03:00,136 --> 00:03:04,357 as brilliant as Dr. Larsen was, 36 00:03:04,358 --> 00:03:07,142 no one knows if she's going to be able to get that back. 37 00:03:07,143 --> 00:03:11,102 So, you have to trust your own instincts 38 00:03:11,103 --> 00:03:14,323 and resist the temptation to defer to hers. 39 00:03:14,324 --> 00:03:17,370 Which is exactly why this is so dangerous. 40 00:03:17,371 --> 00:03:19,676 I think we can all manage ourselves, Peter. 41 00:03:19,677 --> 00:03:21,548 Can we, though? Can we? 42 00:03:21,549 --> 00:03:24,507 Okay, I know... I know some of you are uncomfortable, 43 00:03:24,508 --> 00:03:27,118 but the hospital is obligated 44 00:03:27,119 --> 00:03:28,729 to make a reasonable accommodation 45 00:03:28,730 --> 00:03:30,948 to any employee with a disability. 46 00:03:30,949 --> 00:03:33,952 So here are the new protocols: 47 00:03:35,345 --> 00:03:36,824 until she is recertified, 48 00:03:36,825 --> 00:03:39,914 she will be assigned to trail a doctor in our department 49 00:03:39,915 --> 00:03:41,350 on a rotating basis. 50 00:03:41,351 --> 00:03:45,659 She can consult on patients, take histories, 51 00:03:45,660 --> 00:03:47,748 and discuss diagnoses with us, 52 00:03:47,749 --> 00:03:50,533 but she cannot prescribe medications, 53 00:03:50,534 --> 00:03:52,492 do procedures on her own, 54 00:03:52,493 --> 00:03:55,364 or discuss course of action with patients' families. 55 00:03:55,365 --> 00:03:57,627 So, how's this gonna work? 56 00:03:57,628 --> 00:04:00,456 We walk into a patient's room, and explain... what...? 57 00:04:00,457 --> 00:04:02,371 She's brain-damaged but 58 00:04:02,372 --> 00:04:04,895 we're letting her audit their cases anyway? 59 00:04:04,896 --> 00:04:06,593 Brain-damaged? 60 00:04:06,594 --> 00:04:09,465 Department heads have discussed this with everyone. 61 00:04:09,466 --> 00:04:12,381 Dr. Larsen was a patient here so she's protected by HIPAA. 62 00:04:12,382 --> 00:04:15,428 Share information about her, lose your job. 63 00:04:15,429 --> 00:04:17,081 We clear? 64 00:04:17,082 --> 00:04:20,303 Well, at least we're not being put in a compromising position. 65 00:04:33,011 --> 00:04:34,447 We promised you a path 66 00:04:34,448 --> 00:04:37,493 and this is what the Board and our legal department 67 00:04:37,494 --> 00:04:39,016 feel comfortable with. 68 00:04:39,017 --> 00:04:41,584 So I-I'm basically a med student now? 69 00:04:41,585 --> 00:04:44,935 It would be malpractice - on everyone's part - 70 00:04:44,936 --> 00:04:46,807 if we were to allow you full privileges 71 00:04:46,808 --> 00:04:48,548 without assessing you for a few months. 72 00:04:48,549 --> 00:04:51,551 To make sure there are no other effects from your brain injury. 73 00:04:51,552 --> 00:04:53,422 And to give you time to pass the Boards. 74 00:04:53,423 --> 00:04:56,425 I am retaking the Boards? 75 00:04:56,426 --> 00:05:00,037 None of this would even be happening, and happening this fast, 76 00:05:00,038 --> 00:05:02,475 if it weren't for your brilliant track record. 77 00:05:02,476 --> 00:05:05,347 Right. I... 78 00:05:05,348 --> 00:05:07,741 I guess I'm just having a hard time 79 00:05:07,742 --> 00:05:09,569 wrapping my head around the details. 80 00:05:09,570 --> 00:05:12,615 We're really sorry about that. The Board called a meeting last night 81 00:05:12,616 --> 00:05:15,879 and some of this wasn't even finalized until this morning. 82 00:05:15,880 --> 00:05:18,273 Tell me they're not just setting up 83 00:05:18,274 --> 00:05:21,581 as many roadblocks as possible, hoping that I fail. 84 00:05:21,582 --> 00:05:24,236 It's not you against the world, Amy. 85 00:05:25,455 --> 00:05:28,022 Let's not go down that path again. 86 00:05:28,023 --> 00:05:30,199 I understand. 87 00:05:31,200 --> 00:05:32,853 And I'm grateful. 88 00:05:32,854 --> 00:05:35,464 And I will do everything I can 89 00:05:35,465 --> 00:05:37,858 not to make you look bad for fighting for me. 90 00:05:37,859 --> 00:05:40,470 You don't need to worry about us. 91 00:05:42,951 --> 00:05:45,779 I will take my leave then. 92 00:05:45,780 --> 00:05:47,868 Wish me bon voyage. 93 00:05:47,869 --> 00:05:50,566 You got this. 94 00:05:50,567 --> 00:05:52,655 The theory is 95 00:05:52,656 --> 00:05:56,311 the more time she spends in the environment where she lost her memories, 96 00:05:56,312 --> 00:05:58,879 the better chance she has of recovering them. 97 00:05:58,880 --> 00:06:00,533 And if she remembers, then what? 98 00:06:00,534 --> 00:06:02,752 I thought the autopsy cleared you. 99 00:06:02,753 --> 00:06:05,320 The pathologist didn't catch the problem because she didn't have the whole context. 100 00:06:05,321 --> 00:06:08,323 But if Dr. Larsen ever remembers-- 101 00:06:08,324 --> 00:06:10,238 She must already have access to her emails? 102 00:06:10,239 --> 00:06:12,327 I can only assume. 103 00:06:12,328 --> 00:06:15,025 It's been almost four weeks since her accident. 104 00:06:15,026 --> 00:06:16,723 So if there was an alarming exchange 105 00:06:16,724 --> 00:06:20,291 between her and the pathologist you would've heard something. 106 00:06:20,292 --> 00:06:23,686 This is like the sword of Damocles hanging over me. 107 00:06:23,687 --> 00:06:26,298 Then make sure she fails. 108 00:06:39,268 --> 00:06:40,529 First day back. 109 00:06:40,530 --> 00:06:42,488 Yeah. 110 00:06:42,489 --> 00:06:43,880 Kinda strange. 111 00:06:43,881 --> 00:06:46,100 I understand Michael and Gina 112 00:06:46,101 --> 00:06:47,710 have gone over the protocols with you. 113 00:06:47,711 --> 00:06:51,540 They have and um, yeah, I'm ready to dive in. 114 00:06:51,541 --> 00:06:53,760 Great. 115 00:06:53,761 --> 00:06:57,720 So, these are for you for now. 116 00:06:57,721 --> 00:07:00,636 A nurse's assistant will have some more for you 117 00:07:00,637 --> 00:07:02,029 at the end of the day. 118 00:07:02,030 --> 00:07:04,684 Right. 119 00:07:04,685 --> 00:07:07,948 And where would you like me to go, Coach? 120 00:07:09,559 --> 00:07:11,691 You'll be trailing Sonya today. 121 00:07:11,692 --> 00:07:14,084 Perfect. 122 00:07:14,085 --> 00:07:18,872 Look, I know that this is a strange situation for everyone. 123 00:07:18,873 --> 00:07:21,527 And easier to support someone 124 00:07:21,528 --> 00:07:23,659 when you actually believe it's the right thing to do, 125 00:07:23,660 --> 00:07:28,099 so... thank you. 126 00:07:30,406 --> 00:07:32,320 When you finish up today, 127 00:07:32,321 --> 00:07:35,411 you've got some personal effects here. 128 00:07:37,979 --> 00:07:39,675 Oh! 129 00:07:39,676 --> 00:07:45,159 Uh, well, these will come in handy with the scrubs. 130 00:07:45,160 --> 00:07:47,378 Uh, yeah, I'll come back at the end of the day 131 00:07:47,379 --> 00:07:49,556 and get those out of your hair. 132 00:08:04,614 --> 00:08:06,397 Hi. 133 00:08:06,398 --> 00:08:10,227 I'm... uh, well, you know who I am. 134 00:08:10,228 --> 00:08:12,578 And you're Liz, right? 135 00:08:12,579 --> 00:08:14,581 - Yes. - Great. 136 00:08:16,191 --> 00:08:18,932 Um, I'm looking for Dr. Maitra. 137 00:08:18,933 --> 00:08:20,324 Why is that? 138 00:08:20,325 --> 00:08:22,501 Hey, um, yeah, 139 00:08:22,502 --> 00:08:25,808 Richard said she'd be overseeing me today. 140 00:08:25,809 --> 00:08:28,507 I think that must have been a misunderstanding. 141 00:08:28,508 --> 00:08:32,772 Happy to pinball, just don't tilt the machine. 142 00:08:32,773 --> 00:08:36,427 Yeah, ah... Dr. Coleman... he's got more time for you today. 143 00:08:36,428 --> 00:08:39,561 He's admitting Evan Reilly. Room 626. 144 00:08:39,562 --> 00:08:42,260 Okay. Off I go then. 145 00:08:46,656 --> 00:08:49,615 Hi, I'm Amy. 146 00:08:49,616 --> 00:08:52,792 Amy Larsen. I'm... I'll be working 147 00:08:52,793 --> 00:08:54,054 with Dr. Coleman. 148 00:08:54,055 --> 00:08:57,187 Nice to meet you. 149 00:08:57,188 --> 00:08:59,233 Evan's been suffering from abdominal pain. 150 00:08:59,234 --> 00:09:01,278 He's been dizzy, light-headed, anemic 151 00:09:01,279 --> 00:09:03,237 and vomiting blood-tinged material. 152 00:09:03,238 --> 00:09:04,891 Checked himself into the E.R. last night 153 00:09:04,892 --> 00:09:06,457 He drove himself here. 154 00:09:06,458 --> 00:09:08,242 Which I'm not happy about. 155 00:09:08,243 --> 00:09:10,853 I was already downtown. It was five minutes. 156 00:09:10,854 --> 00:09:14,857 - You were coming from work? - Yeah, I work in Sales. 157 00:09:14,858 --> 00:09:16,511 Over on Phillips. 158 00:09:16,512 --> 00:09:18,513 Would've taken longer to call an ambulance. 159 00:09:18,514 --> 00:09:20,646 And I told you, this is my acid reflux acting up. 160 00:09:20,647 --> 00:09:22,822 I forgot to take my meds the last few days. 161 00:09:25,782 --> 00:09:28,218 And when did your abdominal pain start? 162 00:09:28,219 --> 00:09:31,134 Yesterday afternoon. 163 00:09:31,135 --> 00:09:34,703 How long have you had those red marks? 164 00:09:34,704 --> 00:09:37,880 I don't know, I didn't even see them. 165 00:09:37,881 --> 00:09:41,755 I've been using a new soap the last week or so. 166 00:09:43,147 --> 00:09:44,887 Lean forward, please. 167 00:09:49,763 --> 00:09:52,025 Breathe deeply. 168 00:09:53,897 --> 00:09:55,898 You know, I got a really important meeting this afternoon, 169 00:09:55,899 --> 00:09:57,508 so whatever tests you're gonna be doing, 170 00:09:57,509 --> 00:09:59,119 if I could just call in later for the results-- 171 00:09:59,120 --> 00:10:01,034 I think you're not understanding: 172 00:10:01,035 --> 00:10:03,558 you've been admitted because we can't discharge you with your symptoms. 173 00:10:03,559 --> 00:10:07,344 Well, uh, I'm not gonna let you miss the play. 174 00:10:07,345 --> 00:10:09,825 Oh. Uh, I'm a third-grade teacher; 175 00:10:09,826 --> 00:10:12,306 we're doing "Annie." I'm not going anywhere. 176 00:10:12,307 --> 00:10:14,700 I-I already called the school. 177 00:10:14,701 --> 00:10:15,919 Hello? 178 00:10:17,355 --> 00:10:22,709 Right, so when can I expect those clotting panels? 179 00:10:27,191 --> 00:10:29,803 Be right back. 180 00:10:31,805 --> 00:10:33,893 We need to get the wife out of here. 181 00:10:33,894 --> 00:10:35,285 Why? 182 00:10:35,286 --> 00:10:37,505 Because to diagnose him, we need the truth 183 00:10:37,506 --> 00:10:39,856 and every word out of his mouth is a lie. 184 00:10:43,947 --> 00:10:46,122 The most common cause of cardiac syncope? 185 00:10:46,123 --> 00:10:47,602 - Arrhythmia? - Right, and-- 186 00:10:47,603 --> 00:10:49,517 This must be Valerie Henderson? 187 00:10:49,518 --> 00:10:51,562 Ah, yes. Uh, 62-year-old female, 188 00:10:51,563 --> 00:10:53,956 um, two weeks of increasing fatigue and shortness of breath. 189 00:10:53,957 --> 00:10:57,657 Syncopal episode last night, she fainted, broke her leg. 190 00:11:00,050 --> 00:11:04,402 Morphine for pain, which is why she's so out of it. 191 00:11:10,626 --> 00:11:12,932 Dr. Coleman, since you almost killed a patient 192 00:11:12,933 --> 00:11:14,716 with similar cardiac issues yesterday, 193 00:11:14,717 --> 00:11:17,546 maybe you want to step in here? 194 00:11:26,860 --> 00:11:28,643 And? 195 00:11:28,644 --> 00:11:31,602 Tachycardia. And a decreased S1 heart sound. 196 00:11:31,603 --> 00:11:34,431 But no pericardial knock? 197 00:11:34,432 --> 00:11:37,521 Um, I believe there may be... 198 00:11:37,522 --> 00:11:40,002 It's a knock. It's loud. 199 00:11:40,003 --> 00:11:41,961 Yes, I hear that now. 200 00:11:41,962 --> 00:11:46,575 Which, in the presence of pulsus paradoxus makes you think...? 201 00:11:48,664 --> 00:11:50,447 - A valve issue? - Wrong. 202 00:11:50,448 --> 00:11:52,799 And did I ask you, Dr. Wilson? 203 00:11:53,625 --> 00:11:55,670 Come on, Dr. Coleman. 204 00:11:55,671 --> 00:12:00,458 A pericardial knock, friction rubbing, JVD? 205 00:12:08,684 --> 00:12:10,991 Effusive constrictive pericarditis. 206 00:12:12,906 --> 00:12:15,559 And since increased pericardial thickness 207 00:12:15,560 --> 00:12:18,041 can be missed on an echo, 208 00:12:19,477 --> 00:12:20,521 how will we confirm? 209 00:12:20,522 --> 00:12:21,914 You're gonna have to float a swan. 210 00:12:21,915 --> 00:12:25,526 No. You're gonna have to float a swan. 211 00:12:25,527 --> 00:12:28,704 And you better not let him screw it up. 212 00:12:35,232 --> 00:12:36,450 So are you okay with that plan? 213 00:12:36,451 --> 00:12:37,843 I don't want to overstep. 214 00:12:37,844 --> 00:12:40,019 Yes, absolutely. 215 00:12:40,020 --> 00:12:41,498 What? 216 00:12:41,499 --> 00:12:44,632 Never saw you deferring to anyone before. 217 00:12:44,633 --> 00:12:47,722 Well, fresh start. New rules. 218 00:12:47,723 --> 00:12:50,899 That sounds like a tag line from a really bad sitcom. 219 00:12:50,900 --> 00:12:52,858 Shall we do this? 220 00:12:52,859 --> 00:12:54,861 You go first. 221 00:12:56,079 --> 00:12:58,515 It's gonna take at least 222 00:12:58,516 --> 00:13:00,909 four to six hours to get the test results back 223 00:13:00,910 --> 00:13:04,652 so if, um... you wanna go and do your play... 224 00:13:04,653 --> 00:13:06,915 Yes, please. Just go. 225 00:13:06,916 --> 00:13:08,874 He's stable and in good hands. 226 00:13:08,875 --> 00:13:11,660 We'll call you as soon as we get results. 227 00:13:13,749 --> 00:13:16,883 - As soon as you know anything. - Of course. 228 00:13:18,145 --> 00:13:19,536 Okay. 229 00:13:19,537 --> 00:13:22,540 I love you. - I love you too. 230 00:13:31,158 --> 00:13:33,550 We need you to tell us what's really going on. 231 00:13:33,551 --> 00:13:35,552 What do you mean? 232 00:13:35,553 --> 00:13:39,601 You must know vomiting up blood doesn't happen because of acid reflux. 233 00:13:40,558 --> 00:13:42,908 No, I actually didn't. 234 00:13:42,909 --> 00:13:45,084 Well. 235 00:13:45,085 --> 00:13:47,303 How many drinks do you have a week? 236 00:13:47,304 --> 00:13:49,001 Ah, none. 237 00:13:49,002 --> 00:13:51,003 Because those red marks indicate liver disease 238 00:13:51,004 --> 00:13:53,353 usually caused by alcoholic hepatitis or cirrhosis. 239 00:13:53,354 --> 00:13:56,747 Well, I'm a recovering alcoholic. 240 00:13:56,748 --> 00:14:00,099 I haven't had a drink in six years, seven months, 241 00:14:00,100 --> 00:14:02,971 and two days. So, that's not your answer. 242 00:14:02,972 --> 00:14:05,756 Are these the clothes you were wearing yesterday? 243 00:14:05,757 --> 00:14:08,063 At your office downtown? 244 00:14:08,064 --> 00:14:10,022 I don't see what that has to do with anything. 245 00:14:10,023 --> 00:14:12,198 You couldn't have been wearing these at your sales job. 246 00:14:12,199 --> 00:14:14,200 Actually, I was! 247 00:14:14,201 --> 00:14:17,117 And I don't get really get what's with the third degree here. 248 00:14:18,988 --> 00:14:22,773 Look, you don't want your wife to know, 249 00:14:22,774 --> 00:14:25,385 and we're not here to judge. 250 00:14:25,386 --> 00:14:27,604 But it is much harder to treat you 251 00:14:27,605 --> 00:14:29,476 when you keep things from us. 252 00:14:29,477 --> 00:14:31,043 And whatever you tell us 253 00:14:31,044 --> 00:14:33,306 is covered by doctor-patient confidentiality 254 00:14:33,307 --> 00:14:35,525 I'm not lying. 255 00:14:35,526 --> 00:14:37,571 I told you my symptoms, 256 00:14:37,572 --> 00:14:39,138 now you got these fancy machines, 257 00:14:39,139 --> 00:14:41,531 so why don't you just figure out what's wrong with me 258 00:14:41,532 --> 00:14:43,970 so I can get out of here. 259 00:14:46,842 --> 00:14:49,148 Will you stop with that? 260 00:14:49,149 --> 00:14:51,150 You can't button this one. 261 00:14:51,151 --> 00:14:53,021 It doesn't need to be buttoned. 262 00:14:53,022 --> 00:14:54,414 Now would you keep your hands to yourself 263 00:14:54,415 --> 00:14:57,852 and take your own pills! Like a candy store over there. 264 00:14:57,853 --> 00:15:00,638 It's a wonder she's not the one in this bed. 265 00:15:03,380 --> 00:15:05,425 So, 59 years, is it? 266 00:15:05,426 --> 00:15:07,949 - Uh-huh. - Married 59. 267 00:15:07,950 --> 00:15:10,430 Together 61 and a half. 268 00:15:10,431 --> 00:15:12,171 Wow. Love the "and a half." 269 00:15:12,172 --> 00:15:15,261 Mm-hmm. She still think we're teenagers. 270 00:15:15,262 --> 00:15:18,177 Just tell me when I can take him out of this God-forsaken place. 271 00:15:18,178 --> 00:15:22,485 You know she's gonna have to get rid of all her boyfriends... 272 00:15:22,486 --> 00:15:25,140 ... when I come home. 273 00:15:25,141 --> 00:15:30,232 So, your bloodwork shows your kidneys, they are improving 274 00:15:30,233 --> 00:15:33,061 but your red blood cell count's starting to drop so we just... 275 00:15:33,062 --> 00:15:35,934 Oh, no. No, no, I'm not staying. 276 00:15:35,935 --> 00:15:38,588 My stomach can't take one more meal in this place! 277 00:15:38,589 --> 00:15:40,851 Are you having stomach pains now? 278 00:15:40,852 --> 00:15:42,679 Of course. Of course. 279 00:15:42,680 --> 00:15:44,681 You see that sad excuse for a piece of chicken? 280 00:15:44,682 --> 00:15:47,249 He's always been sensitive to hospital food. 281 00:15:47,250 --> 00:15:49,208 I'm sure it's nothing. 282 00:15:49,209 --> 00:15:51,036 We just need to run a few more tests. 283 00:15:51,037 --> 00:15:54,039 It'll only be one more night. - It'll be okay. 284 00:15:54,040 --> 00:15:55,955 I promise. 285 00:15:59,697 --> 00:16:02,003 LFT's are through the roof. 286 00:16:02,004 --> 00:16:03,963 But no alcohol on his tox screen. 287 00:16:06,139 --> 00:16:07,835 Mm. 288 00:16:07,836 --> 00:16:09,968 The liver failure's from chronic drinking. 289 00:16:09,969 --> 00:16:12,100 He probably cut himself off a couple days ago 290 00:16:12,101 --> 00:16:13,667 when he started feeling bad. 291 00:16:13,668 --> 00:16:15,669 Just gonna be another minute here. 292 00:16:15,670 --> 00:16:18,672 Apparently, Darrin is one of the few people 293 00:16:18,673 --> 00:16:21,240 that liked the Old Me. 294 00:16:21,241 --> 00:16:24,112 Well, at least that's what he's claiming now. 295 00:16:24,113 --> 00:16:25,374 Ah, come on. 296 00:16:25,375 --> 00:16:29,291 No, it's a very small but exclusive club. 297 00:16:29,292 --> 00:16:31,511 Right, Darrin? - No comment, Dr. Larsen. 298 00:16:31,512 --> 00:16:33,556 Oh, you can't call me that anymore. 299 00:16:33,557 --> 00:16:36,255 Not yet. - I'm not gonna call you Amy. 300 00:16:36,256 --> 00:16:37,952 Me neither. 301 00:16:37,953 --> 00:16:41,129 Well, somebody's gonna have to figure out something to... 302 00:16:44,960 --> 00:16:46,134 What's going on there? 303 00:16:46,135 --> 00:16:48,136 I can't remember my old email password. 304 00:16:48,137 --> 00:16:50,660 And this thing gives me five chances a day 305 00:16:50,661 --> 00:16:52,097 and then it locks me out. 306 00:16:52,098 --> 00:16:54,273 And I'm starting to go a little batty. 307 00:16:54,274 --> 00:16:56,536 Okay, here we go. 308 00:16:56,537 --> 00:16:58,104 Okay. 309 00:16:59,366 --> 00:17:01,497 What do we see? 310 00:17:01,498 --> 00:17:05,153 Moderate hepatomegaly, definitely an acute hepatitis. 311 00:17:05,154 --> 00:17:08,287 Impressive. 312 00:17:08,288 --> 00:17:10,680 Enlarged liver could mean an infection. 313 00:17:10,681 --> 00:17:13,118 Yeah, but AST's are elevated. 314 00:17:13,119 --> 00:17:15,207 I just don't see much cirrhosis. 315 00:17:15,208 --> 00:17:16,947 Yeah, but you see the heterogeneous echogenicity? 316 00:17:16,948 --> 00:17:18,732 - Mm-hmm. - And the enlarged veins. 317 00:17:18,733 --> 00:17:21,604 Lower right lobe. 318 00:17:21,605 --> 00:17:23,215 Ultrasounds are quick and dirty. 319 00:17:23,216 --> 00:17:24,781 We need an MRI to get more detail. 320 00:17:24,782 --> 00:17:27,001 Why not just do a biopsy? 321 00:17:27,002 --> 00:17:28,829 It's pretty invasive. 322 00:17:28,830 --> 00:17:32,006 And risky given his platelets and clotting numbers. 323 00:17:32,007 --> 00:17:34,182 I'll explain it to him. 324 00:17:34,183 --> 00:17:36,141 I'd wait. 325 00:17:36,142 --> 00:17:39,753 Let me tell you why. 326 00:17:39,754 --> 00:17:43,148 Usually, you got one of the orderlies walking me down the hall. 327 00:17:43,149 --> 00:17:45,585 Am I supposed to be worried? 328 00:17:45,586 --> 00:17:47,630 It's just 'cause we love you, Dante. 329 00:17:47,631 --> 00:17:50,198 You better watch yourself, young lady. 330 00:17:50,199 --> 00:17:51,373 Watch herself? 331 00:17:51,374 --> 00:17:53,288 She got Dr. Heller for that. 332 00:17:53,289 --> 00:17:55,334 Oh, my God, come on! 333 00:17:55,335 --> 00:17:59,468 Those two are as thick as thieves, aren't they, Rubes? 334 00:17:59,469 --> 00:18:04,734 Yeah, but I sensed a little chill in the air this morning. 335 00:18:04,735 --> 00:18:07,215 Little hanky-panky gone sideways? 336 00:18:07,216 --> 00:18:10,392 I think you missed some of your pills today, Ruby. 337 00:18:12,395 --> 00:18:14,093 Uh-huh. 338 00:18:16,399 --> 00:18:19,053 Dante's getting a CT abdomen and FIT test. 339 00:18:19,054 --> 00:18:21,534 I don't think it's a G.I. bleed. 340 00:18:21,535 --> 00:18:24,146 - Extra-luminal? - Yeah, that's my hunch. 341 00:18:25,626 --> 00:18:27,844 How's it going with Amy? 342 00:18:27,845 --> 00:18:30,151 Ah, I have no idea. What do you mean? 343 00:18:30,152 --> 00:18:31,761 She was supposed to be trailing you. 344 00:18:31,762 --> 00:18:33,416 Um, that's news to me. 345 00:18:35,201 --> 00:18:37,332 Maybe we should have the room. 346 00:18:37,333 --> 00:18:41,076 Well, at least it's not already becoming a thing. 347 00:18:47,300 --> 00:18:51,477 Chief Resident is customarily in charge of Intern assignments. 348 00:18:51,478 --> 00:18:54,654 Which is your excuse for reversing my personnel decision. 349 00:18:54,655 --> 00:18:56,786 I just wasn't sure why you'd pair 'em 350 00:18:56,787 --> 00:18:59,224 when you knew there'd be conflict. 351 00:18:59,225 --> 00:19:03,271 So you decided that handing her to the lowest person on the food chain was the better call. 352 00:19:03,272 --> 00:19:05,317 Everybody understands the protocols. 353 00:19:05,318 --> 00:19:07,884 And Dr. Maitra is the one most inclined to follow them. 354 00:19:07,885 --> 00:19:09,669 Which is why I wanted it that way. 355 00:19:09,670 --> 00:19:12,280 I really hope that's true. 356 00:19:12,281 --> 00:19:14,891 Otherwise, people might start to think 357 00:19:14,892 --> 00:19:18,461 that you're going out of your way to make things more difficult for her. 358 00:19:29,603 --> 00:19:31,909 Too fast. 359 00:19:32,997 --> 00:19:35,477 You're not watching the EKG tracing. 360 00:19:35,478 --> 00:19:38,264 Just... just stay calm, TJ. 361 00:19:46,185 --> 00:19:49,187 - Don't force it. - I'm not. 362 00:19:49,188 --> 00:19:51,145 But if you hit the inner wall again-- 363 00:19:51,146 --> 00:19:52,929 I'll cause an ectopy, I know. 364 00:19:52,930 --> 00:19:55,715 - Do you want to take over? - No. He's got it. 365 00:19:55,716 --> 00:19:57,630 Just go slowly, TJ. 366 00:19:57,631 --> 00:20:00,286 You want to be gentle but firm. 367 00:20:02,418 --> 00:20:05,333 Okay, catheter's in place. Well done, Dr. Coleman. 368 00:20:05,334 --> 00:20:06,726 Absolutely. 369 00:20:06,727 --> 00:20:09,947 Always better not to put the patient into arrhythmia. 370 00:20:14,778 --> 00:20:18,216 I added a fourth year so I could oversee other residents. 371 00:20:18,217 --> 00:20:21,349 It's kind of an honor. And I like teaching, so... 372 00:20:21,350 --> 00:20:24,352 I told you he was one of the smartest. 373 00:20:26,007 --> 00:20:28,356 Well, I don't know about that but I had some great teachers, 374 00:20:28,357 --> 00:20:31,490 so, you know, it feels good to give back. 375 00:20:31,491 --> 00:20:33,753 I was waiting for Dr. Maitra. 376 00:20:33,754 --> 00:20:35,363 We have some news. 377 00:20:35,364 --> 00:20:37,235 We know why you've been losing blood. 378 00:20:37,236 --> 00:20:41,369 You have what's called a contained leaking abdominal aortic aneurysm. 379 00:20:41,370 --> 00:20:44,459 "Contained" means you can fix it, right? 380 00:20:44,460 --> 00:20:48,376 You're not a candidate for the stent, but there's a surgery. 381 00:20:48,377 --> 00:20:52,598 Problem is, the risk that you don't survive it, 382 00:20:52,599 --> 00:20:56,950 given your age and co-morbid conditions, is high. 383 00:20:56,951 --> 00:21:00,606 I know what you're thinking. 384 00:21:00,607 --> 00:21:05,393 I've had four surgeries in the past five years. 385 00:21:05,394 --> 00:21:08,788 I'm not letting you give up. You hear me? 386 00:21:08,789 --> 00:21:11,138 You can't leave me yet. 387 00:21:11,139 --> 00:21:13,359 We don't have a choice. 388 00:21:14,447 --> 00:21:17,797 Can I have a day... 389 00:21:17,798 --> 00:21:20,582 to call our kids and grandkids? 390 00:21:20,583 --> 00:21:22,454 And get some things in order? 391 00:21:22,455 --> 00:21:24,152 Of course. 392 00:21:28,112 --> 00:21:31,290 Thank you for doing this for me. 393 00:21:42,301 --> 00:21:44,389 And how's it going with Dr. Larsen? 394 00:21:44,390 --> 00:21:46,347 Good. Fine. 395 00:21:46,348 --> 00:21:48,436 The patient's been a bit non-compliant, 396 00:21:48,437 --> 00:21:51,265 so we're waiting on the MRI before we confront him with all the evidence. 397 00:21:51,266 --> 00:21:53,615 Explain that to me. 398 00:21:53,616 --> 00:21:56,401 The liver failure's caused by chronic alcohol abuse. 399 00:21:56,402 --> 00:21:58,228 We can treat it symptomatically 400 00:21:58,229 --> 00:21:59,752 and get him well enough to go home, 401 00:21:59,753 --> 00:22:01,493 but if he doesn't get himself into a treatment facility, 402 00:22:01,494 --> 00:22:03,799 he'll end up back here in a month in even worse condition. 403 00:22:03,800 --> 00:22:07,063 But you don't even know that this is alcohol-related. 404 00:22:07,064 --> 00:22:09,239 Especially without evidence of cirrhosis. 405 00:22:09,240 --> 00:22:11,024 Paging Dr. Coleman to Nurse Station Three. 406 00:22:11,025 --> 00:22:12,808 Paging Dr. Coleman to Nurse Station Three. 407 00:22:12,809 --> 00:22:14,333 Stat! 408 00:22:18,249 --> 00:22:20,207 Dr. Coleman, it's Evan Reilly. 409 00:22:20,208 --> 00:22:21,861 I tried to stop him from leaving 410 00:22:21,862 --> 00:22:23,471 - He left?! When?! - Two minutes ago. 411 00:22:23,472 --> 00:22:25,344 I paged you right away. - Give me his number. 412 00:22:29,478 --> 00:22:31,392 Mr. Reilly, it's Dr. Coleman. 413 00:22:31,393 --> 00:22:33,133 You have acute liver failure. 414 00:22:33,134 --> 00:22:35,309 It is very dangerous for you to not be in a hospital. 415 00:22:35,310 --> 00:22:37,485 Come back or call us immediately! 416 00:22:41,708 --> 00:22:44,536 When you have a patient who may be non-compliant, 417 00:22:44,537 --> 00:22:47,887 you scare them the minute you have tangible information. 418 00:22:47,888 --> 00:22:49,497 You don't hoard it, 419 00:22:49,498 --> 00:22:51,543 looking to break them like you're on some cop show. 420 00:22:51,544 --> 00:22:56,069 Now, I warned you about being overly influenced by her, 421 00:22:56,070 --> 00:22:57,853 and this is precisely why. 422 00:22:57,854 --> 00:23:00,073 Why don't you fill me in? 423 00:23:01,510 --> 00:23:04,120 We have a patient with acute liver failure 424 00:23:04,121 --> 00:23:05,818 who was not told their condition 425 00:23:05,819 --> 00:23:08,516 and then left the hospital unaware of the danger they're in. 426 00:23:08,517 --> 00:23:13,303 Amy advised Dr. Coleman to forgo a biopsy... 427 00:23:13,304 --> 00:23:15,436 That was a judgment call. 428 00:23:15,437 --> 00:23:16,872 ...in favor of an MRI 429 00:23:16,873 --> 00:23:19,484 because it suited her preconceived idea 430 00:23:19,485 --> 00:23:22,051 that his condition was alcohol-related. 431 00:23:22,052 --> 00:23:24,271 The MRI, as it turns out, 432 00:23:24,272 --> 00:23:28,101 indicates some fibrosis but no end-stage cirrhosis. 433 00:23:28,102 --> 00:23:29,972 And what's worse, 434 00:23:29,973 --> 00:23:33,367 she and Dr. Coleman pushed the patient's wife to leave the hospital 435 00:23:33,368 --> 00:23:36,675 so that they could cross-examine him without her present. 436 00:23:36,676 --> 00:23:39,417 And, of course, if she'd been here, 437 00:23:39,418 --> 00:23:41,288 she never would have let her husband leave. 438 00:23:41,289 --> 00:23:45,205 So she was wrong in her diagnosis, 439 00:23:45,206 --> 00:23:47,599 reckless in her approach with the patient, 440 00:23:47,600 --> 00:23:51,430 and violated the protocols we laid out this morning. 441 00:23:52,387 --> 00:23:54,563 Is that accurate? 442 00:23:55,608 --> 00:23:57,739 It's obviously not 443 00:23:57,740 --> 00:24:01,744 how I was thinking about any of it when we made our decisions... 444 00:24:02,571 --> 00:24:04,703 but, uh, yes. 445 00:24:04,704 --> 00:24:07,706 Yes. 446 00:24:07,707 --> 00:24:12,102 And next time maybe don't second-guess my decisions. 447 00:24:23,766 --> 00:24:25,419 Watch behind you! 448 00:24:25,420 --> 00:24:27,334 - Coming through! - Excuse me! 449 00:24:27,335 --> 00:24:29,597 They found him behind the dumpster in the parking lot. 450 00:24:29,598 --> 00:24:31,686 He must have gone to take a leak, then fainted. 451 00:24:31,687 --> 00:24:33,601 I'm sorry, TJ, I knew he was being resistant, but-- 452 00:24:33,602 --> 00:24:36,125 It is what it is. I should have been stronger. 453 00:24:38,215 --> 00:24:41,783 Check his blood for LFT and ammonia, stat. 454 00:24:41,784 --> 00:24:43,742 Turn up his oxygen and prep him for transfer. 455 00:24:43,743 --> 00:24:46,528 I need all hands on deck. 456 00:24:47,834 --> 00:24:49,574 Let me guess. 457 00:24:49,575 --> 00:24:51,750 You want to discuss TJ? 458 00:24:51,751 --> 00:24:55,405 Uh, no, I want to discuss our training methodology. 459 00:24:55,406 --> 00:24:56,755 Oh? 460 00:24:56,756 --> 00:24:58,583 We're not gonna get 'em where they need to be 461 00:24:58,584 --> 00:25:00,236 with a drill-sergeant mentality. 462 00:25:00,237 --> 00:25:02,630 You turned out just fine. 463 00:25:02,631 --> 00:25:04,546 Not everyone responds to that type of pressure. 464 00:25:06,505 --> 00:25:08,941 Well, they're gonna have to learn how. 465 00:25:08,942 --> 00:25:13,032 And, believe me, TJ, he can take it. 466 00:25:13,033 --> 00:25:14,773 I'm not worried about TJ. 467 00:25:14,774 --> 00:25:17,863 But Bradley Wilson did quit today. 468 00:25:17,864 --> 00:25:20,213 - He quit? - Mm-hmm. 469 00:25:20,214 --> 00:25:23,259 From being exposed to my tyranny? 470 00:25:23,260 --> 00:25:25,044 The term he used was "triggered." 471 00:25:26,612 --> 00:25:28,830 We are not gonna get snowflakes 472 00:25:28,831 --> 00:25:31,485 to turn into shards of hail, so just hire another intern. 473 00:25:31,486 --> 00:25:33,269 Yeah, no, that's fine and I will. 474 00:25:33,270 --> 00:25:36,446 But... you did make me Chief Resident for a reason. 475 00:25:36,447 --> 00:25:40,494 The interns are my responsibility, so... 476 00:25:40,495 --> 00:25:43,845 I need to ask you to give me a little bit of space. 477 00:25:43,846 --> 00:25:47,675 Are you telling me to back off my own department? 478 00:25:47,676 --> 00:25:49,459 I am. 479 00:25:49,460 --> 00:25:50,286 Yes. 480 00:25:50,287 --> 00:25:53,290 Now I'm feeling triggered. 481 00:26:08,871 --> 00:26:10,698 How is he? 482 00:26:10,699 --> 00:26:14,484 He's hypoxic and in multi-organ failure. 483 00:26:14,485 --> 00:26:17,444 And you still don't know why. 484 00:26:17,445 --> 00:26:21,840 We're awaiting biopsy results, running every panel. 485 00:26:21,841 --> 00:26:24,407 We don't figure this out, he's got what? 486 00:26:24,408 --> 00:26:27,716 24 to 48 hours to live? 487 00:26:33,722 --> 00:26:38,378 I know everyone thinks that I was acting like the Old Me. 488 00:26:38,379 --> 00:26:41,773 Hubris and... and marking my territory. 489 00:26:41,774 --> 00:26:44,471 But I wouldn't be that brazen, Michael. 490 00:26:44,472 --> 00:26:46,605 Not on Day One. 491 00:26:51,392 --> 00:26:55,351 We didn't have much of a choice but to go all-in on the steroids. 492 00:26:55,352 --> 00:26:57,832 But if we're wrong, it's going to make him worse. 493 00:26:57,833 --> 00:27:00,619 Let's just hope the biopsy gives us something. 494 00:27:07,103 --> 00:27:10,715 It's late; everyone's fried. 495 00:27:10,716 --> 00:27:12,935 I think it's better if you head home. 496 00:27:13,980 --> 00:27:15,545 For good? 497 00:27:15,546 --> 00:27:18,636 Nobody said that. 498 00:27:18,637 --> 00:27:20,900 But you haven't made it any easier for yourself. 499 00:28:06,815 --> 00:28:09,817 I have Amy Larsen on line two for you. 500 00:28:14,214 --> 00:28:15,649 Yes? 501 00:28:15,650 --> 00:28:17,607 Richard, I'm looking at the biopsy. 502 00:28:17,608 --> 00:28:19,000 Do you see the increased mitotic activity, 503 00:28:19,001 --> 00:28:21,611 plus the regenerative changes from injury? 504 00:28:21,612 --> 00:28:23,962 Staring at all of that right now. 505 00:28:23,963 --> 00:28:26,051 I think it could be an environmental exposure. 506 00:28:26,052 --> 00:28:29,837 We tested for every known toxin, medication, virus. 507 00:28:29,838 --> 00:28:32,666 Blood cultures are negative. - Did you do bronch cultures? 508 00:28:32,667 --> 00:28:34,102 Of course we did. Also negative. 509 00:28:34,103 --> 00:28:37,062 And white blood count's stabilizing, no severe fevers 510 00:28:37,063 --> 00:28:39,368 so we're not even sure it's an infection at this point. 511 00:28:39,369 --> 00:28:41,283 I could be wrong, of course. 512 00:28:41,284 --> 00:28:43,285 But if he regains consciousness, 513 00:28:43,286 --> 00:28:46,245 somebody needs to talk to him and find out where he was last night. 514 00:28:46,246 --> 00:28:48,856 Besides doing shots at Hooters? 515 00:28:48,857 --> 00:28:51,859 He came in wearing jeans and work boots. 516 00:28:51,860 --> 00:28:55,821 If it was an environmental exposure, that could be the answer. 517 00:28:57,039 --> 00:28:59,694 So, please will you just try? 518 00:29:50,789 --> 00:29:54,487 112 minutes in the HOV lane at 5 AM 519 00:29:54,488 --> 00:29:56,706 is not my idea of a good time, my dear. 520 00:29:56,707 --> 00:29:59,057 I know, I know. I owe you one. 521 00:29:59,058 --> 00:30:00,449 One? 522 00:30:00,450 --> 00:30:02,234 Uh, 81. 523 00:30:02,235 --> 00:30:03,931 That sound more accurate? 524 00:30:03,932 --> 00:30:04,845 Absolutely. 525 00:30:04,846 --> 00:30:06,934 What can I do for you ladies? 526 00:30:06,935 --> 00:30:09,067 Evan started working here 'bout six weeks ago. 527 00:30:09,068 --> 00:30:10,938 Said he was willing to do anything. 528 00:30:10,939 --> 00:30:13,636 Even offered to take less than we were offering on that jobs website. 529 00:30:13,637 --> 00:30:15,987 He came in extra early, um, 530 00:30:15,988 --> 00:30:18,424 worked nights, weekends sometimes. 531 00:30:18,425 --> 00:30:20,513 Doing what exactly? 532 00:30:20,514 --> 00:30:22,558 Painting, any kind of maintenance, 533 00:30:22,559 --> 00:30:25,474 cleaned the restrooms - Anything around chemicals? 534 00:30:25,475 --> 00:30:27,912 Not unless you include turpentine for the paint 535 00:30:27,913 --> 00:30:29,696 and cleaning products for the bathrooms. 536 00:30:29,697 --> 00:30:32,177 Could I see where the waste gets disposed of? 537 00:30:32,178 --> 00:30:35,789 That's a sewer system. There's nothing above ground. 538 00:30:35,790 --> 00:30:38,748 Look, Frank, I'm not trying to get you in trouble. 539 00:30:38,749 --> 00:30:42,100 I just want to help Evan and he is really sick right now. 540 00:30:42,101 --> 00:30:44,146 I've told you everything. 541 00:30:51,545 --> 00:30:54,547 What are those traps for? Mice or rats? 542 00:30:54,548 --> 00:30:56,941 I wish mice. 543 00:30:56,942 --> 00:31:00,031 Did you have Evan handling dead rats? 544 00:31:00,032 --> 00:31:03,338 He charged me double but it was still less than the exterminator. 545 00:31:03,339 --> 00:31:06,560 What's that got to do with anything? 546 00:31:12,827 --> 00:31:14,959 We just put him on a ventilator. 547 00:31:14,960 --> 00:31:17,396 Listen, you need to stop the steroids now! 548 00:31:17,397 --> 00:31:19,006 It's leptospirosis. 549 00:31:19,007 --> 00:31:21,139 He needs acetylcysteine and penicillin, 550 00:31:21,140 --> 00:31:23,097 1.5 million units every six hours. 551 00:31:23,098 --> 00:31:24,839 I'm on it. 552 00:31:30,236 --> 00:31:32,802 You know, conjugal visits are strictly prohibited. 553 00:31:32,803 --> 00:31:35,631 Dr. Maitra made an exception for us. 554 00:31:35,632 --> 00:31:38,026 Didn't she, darling? 555 00:31:39,158 --> 00:31:41,028 Sweetheart? 556 00:31:41,029 --> 00:31:42,203 Ruby? 557 00:31:42,204 --> 00:31:44,423 Ruby! 558 00:31:44,424 --> 00:31:47,426 - Code Blue! - What's happening to her? 559 00:31:47,427 --> 00:31:49,036 - I'm here. - Code Blue! 560 00:31:49,037 --> 00:31:51,517 She's in cardiac arrest. We need to get him out of the bed. 561 00:31:51,518 --> 00:31:54,912 Got it. Sir, we're gonna get you out of the bed so we can help your wife, all right? 562 00:31:54,913 --> 00:31:56,217 - Starting compressions. - Did she die? 563 00:31:56,218 --> 00:31:58,045 Move over, please. We're gonna help your wife. 564 00:31:58,046 --> 00:31:59,873 Leads! - Ruby? 565 00:31:59,874 --> 00:32:02,006 Sweetheart. Come on, Ruby. 566 00:32:02,007 --> 00:32:03,877 Come on, darling. 567 00:32:03,878 --> 00:32:05,618 Have someone ready to sub in for compressions. 568 00:32:05,619 --> 00:32:07,185 Don't you go nowhere. 569 00:32:07,186 --> 00:32:09,404 Still pulseless. 570 00:32:09,405 --> 00:32:11,058 Asystole. Take over compressions. 571 00:32:11,059 --> 00:32:12,886 Get an airway, start bagging. 572 00:32:12,887 --> 00:32:14,670 Two minutes of compressions then we'll check rhythm. 573 00:32:14,671 --> 00:32:16,237 Hey. Give a milligram of epi. 574 00:32:16,238 --> 00:32:18,196 - Got it. - Ruby! 575 00:32:19,633 --> 00:32:22,983 Don't you, Ruby. Don't you go. 576 00:32:28,294 --> 00:32:33,037 I mean, we only came to Minneapolis for this new job of his. 577 00:32:33,038 --> 00:32:35,257 We bought a house we couldn't quite afford. 578 00:32:36,737 --> 00:32:39,478 And then he gets laid off 579 00:32:39,479 --> 00:32:43,047 and he's more worried about the mortgage 580 00:32:43,048 --> 00:32:46,354 than being honest with his wife. 581 00:32:46,355 --> 00:32:50,925 'Cause he's so afraid that I'm gonna judge him and blame him. 582 00:32:53,972 --> 00:32:56,538 And then he's vomiting up blood 583 00:32:56,539 --> 00:32:59,541 and running out of the hospital to go to some damn job interview. 584 00:32:59,542 --> 00:33:03,111 'Cause he... he thinks if he has a job, 585 00:33:04,460 --> 00:33:06,244 then he can come home to me. 586 00:33:06,245 --> 00:33:08,202 Come on, Hayley, don't do this to yourself. 587 00:33:08,203 --> 00:33:10,075 No, it's true. 588 00:33:12,816 --> 00:33:16,123 'Cause when we couldn't have a kid... 589 00:33:16,124 --> 00:33:21,650 I resented him that we waited so long to try. 590 00:33:21,651 --> 00:33:24,653 Instead of... 591 00:33:24,654 --> 00:33:26,351 And now here we are, 592 00:33:26,352 --> 00:33:30,094 and I just want another chance, you know? I just... 593 00:33:31,966 --> 00:33:35,142 What's happening?! What's going on?! 594 00:33:35,143 --> 00:33:37,666 What's happening? What's wrong? 595 00:33:37,667 --> 00:33:39,103 What's happening?! 596 00:33:39,104 --> 00:33:40,713 - It's okay. - Tell me what's happening! 597 00:33:40,714 --> 00:33:42,149 Hey! Hey, it's a good thing. 598 00:33:42,150 --> 00:33:43,803 It means he's trying to breathe on his own. 599 00:33:43,804 --> 00:33:45,674 - Is he okay? - He just turned a corner. 600 00:33:45,675 --> 00:33:47,981 The medicine is working. - Oh, my God. 601 00:33:50,071 --> 00:33:52,986 There we go. Breathe easy, Mr. Reilly. 602 00:33:52,987 --> 00:33:54,727 You're gonna be okay. - Thank you, thank you! 603 00:33:54,728 --> 00:33:57,078 Oh, my God! Thank you! 604 00:34:00,299 --> 00:34:02,996 You're pretty smooth with that intubation tube. 605 00:34:02,997 --> 00:34:06,218 You should see me float a swan. 606 00:34:19,361 --> 00:34:21,362 Oh, I didn't think you were on call tonight. 607 00:34:21,363 --> 00:34:24,148 I swapped with Dr. Park. 608 00:34:24,149 --> 00:34:26,193 Isn't it the first night of Passover? 609 00:34:26,194 --> 00:34:29,805 Yeah. Shared-custody gods smiled on my ex-wife this year 610 00:34:29,806 --> 00:34:33,201 and being home, it just makes it worse, so... 611 00:34:35,247 --> 00:34:38,162 I didn't realize you'd split up. 612 00:34:38,163 --> 00:34:40,207 I don't mention it too much. 613 00:34:40,208 --> 00:34:42,601 Kind of makes me feel like a failure so... 614 00:34:42,602 --> 00:34:46,735 My daughter can't even stand to be in the same room with me right now, so... 615 00:34:46,736 --> 00:34:49,173 Oh, so that's why you're here? 616 00:34:49,174 --> 00:34:50,783 Uh, yeah. 617 00:34:50,784 --> 00:34:52,654 And I wanted to make sure 618 00:34:52,655 --> 00:34:55,048 Valerie Henderson came through surgery okay. 619 00:34:55,049 --> 00:34:57,442 Yeah, I heard she's already out of... okay, come on. 620 00:34:57,443 --> 00:34:59,226 Don't tell me that's your dinner. 621 00:34:59,227 --> 00:35:01,010 - What? - A chocolate bar? 622 00:35:01,011 --> 00:35:02,838 Where's that fall on the food pyramid? 623 00:35:02,839 --> 00:35:05,233 Okay, why? What have you got? 624 00:35:07,757 --> 00:35:10,411 Matzah and charoset. 625 00:35:10,412 --> 00:35:14,067 - Charoset? - Mm-hmm. 626 00:35:14,068 --> 00:35:17,418 Honey, apples, walnuts, little bit of kosher wine. 627 00:35:17,419 --> 00:35:19,856 Here, try it. 628 00:35:27,473 --> 00:35:28,995 It's not bad. 629 00:35:28,996 --> 00:35:30,257 Mm-hmm. - Yeah? 630 00:35:30,258 --> 00:35:32,216 Here try it with a little bit of this. 631 00:35:32,217 --> 00:35:34,393 Horseradish. Mm? 632 00:35:35,133 --> 00:35:37,003 When life is sweet, 633 00:35:37,004 --> 00:35:39,440 you remember that there's bitterness for others. 634 00:35:39,441 --> 00:35:40,963 When life is bitter, 635 00:35:40,964 --> 00:35:44,272 you're reminded that there's still sweetness underneath. 636 00:35:46,709 --> 00:35:49,234 Gotta love a food metaphor. 637 00:35:56,763 --> 00:35:59,286 You do know it totally defeats the purpose of having a password 638 00:35:59,287 --> 00:36:01,419 if you post it where anyone can see it? 639 00:36:02,856 --> 00:36:05,032 It's hard to remember the capital letters. 640 00:36:06,903 --> 00:36:09,297 MOOcow2009? 641 00:36:15,303 --> 00:36:18,523 It was my son's favorite stuffed animal. 642 00:36:18,524 --> 00:36:21,308 Plus his birth year. 643 00:36:21,309 --> 00:36:25,312 Okay, then I... kinda makes me a huge ass right now. 644 00:36:25,313 --> 00:36:27,228 No. 645 00:36:28,577 --> 00:36:32,146 No, you're actually very kind. 646 00:36:49,424 --> 00:36:52,340 We have surgery scheduled with the vascular team for you. 647 00:36:54,429 --> 00:36:56,909 I'm not doin' it, Dr. Heller. 648 00:36:56,910 --> 00:36:59,085 There's just no point now. 649 00:36:59,086 --> 00:37:01,653 Not with Ruby gone. 650 00:37:01,654 --> 00:37:03,481 You sure? 651 00:37:03,482 --> 00:37:05,700 You have a little bit of time to think about it. 652 00:37:05,701 --> 00:37:07,746 Mm. 653 00:37:07,747 --> 00:37:10,009 I've lived a full life. 654 00:37:10,010 --> 00:37:13,100 And that's all anybody can ask for. 655 00:37:15,058 --> 00:37:18,540 Yeah, I'm ready to meet her on the other side. 656 00:37:37,167 --> 00:37:39,431 I heard about Ruby. 657 00:37:42,390 --> 00:37:44,305 Yeah. 658 00:37:47,265 --> 00:37:49,570 And now Dante doesn't want the surgery. 659 00:37:49,571 --> 00:37:51,964 Oh. Well... 660 00:37:51,965 --> 00:37:54,575 they had a great run. 661 00:37:54,576 --> 00:37:57,013 Not everyone gets that. 662 00:37:57,623 --> 00:37:59,841 The Reagans. 663 00:37:59,842 --> 00:38:03,410 Newman and Woodward. 664 00:38:03,411 --> 00:38:06,718 I thought it was Woodward and Bernstein. 665 00:38:06,719 --> 00:38:09,329 Paul Newman? Joanne Woodward? 666 00:38:09,330 --> 00:38:12,376 Oh, the guy with the tomato sauce. 667 00:38:14,248 --> 00:38:17,382 Yeah, the guy with the tomato sauce. 668 00:38:21,516 --> 00:38:23,952 I'm sorry, Jake. 669 00:38:23,953 --> 00:38:28,349 And I'm sorry I haven't been a better friend. 670 00:38:43,016 --> 00:38:45,104 I gotta say, 671 00:38:45,105 --> 00:38:49,282 that was pretty extraordinary for you to drive all the way out to that warehouse. 672 00:38:49,283 --> 00:38:51,458 I don't think I've ever heard of a doctor doing that. 673 00:38:51,459 --> 00:38:54,679 I just figured I'd try to make myself useful. 674 00:38:54,680 --> 00:38:58,596 And thank you for even considering what I had to say. 675 00:38:58,597 --> 00:39:02,208 Well, you have overwhelming support from Michael, 676 00:39:02,209 --> 00:39:06,255 and your neuropsychiatrist is a very loyal friend, 677 00:39:06,256 --> 00:39:09,564 so everyone understands we have to make accommodations. 678 00:39:11,697 --> 00:39:13,480 Listen, Richard, 679 00:39:13,481 --> 00:39:17,571 it's hard for me to answer for whatever it is I did to you 680 00:39:17,572 --> 00:39:19,486 when I can't remember it, 681 00:39:19,487 --> 00:39:23,272 but let me just say that we used to be friends, 682 00:39:23,273 --> 00:39:27,625 so I am very, very sorry. 683 00:39:27,626 --> 00:39:32,934 And I have absolutely no desire to become Chief again. 684 00:39:32,935 --> 00:39:35,373 I appreciate the sentiment. 685 00:40:46,618 --> 00:40:48,793 Hey. 686 00:40:48,794 --> 00:40:50,577 Why are you still here? 687 00:40:50,578 --> 00:40:52,753 Trying to get into my old emails. 688 00:40:52,754 --> 00:40:55,582 I thought, you know, eight years of information 689 00:40:55,583 --> 00:40:57,366 might trigger some memories. 690 00:40:57,367 --> 00:40:59,368 Or give me some insight at least. 691 00:40:59,369 --> 00:41:01,980 Yeah, seems like a safe bet. 692 00:41:01,981 --> 00:41:04,723 You know the password? - Nope. 693 00:41:07,639 --> 00:41:09,988 Try MOOcow2009. 694 00:41:09,989 --> 00:41:11,946 "Moo" is capitalized. 695 00:41:11,947 --> 00:41:13,600 Shut up. 696 00:41:13,601 --> 00:41:15,297 You know, you weren't very careful 697 00:41:15,298 --> 00:41:16,691 about keeping it a secret. 698 00:41:20,478 --> 00:41:23,741 It was my son's favorite stuffed animal. 699 00:41:23,742 --> 00:41:26,527 Plus his birth year. 700 00:41:28,181 --> 00:41:31,227 That I didn't know. 701 00:41:32,794 --> 00:41:36,144 Uh, yeah, I'm locked out for the rest of the day, 702 00:41:36,145 --> 00:41:38,799 but I will definitely give it a try tomorrow. 703 00:41:38,800 --> 00:41:40,758 Thank you. 704 00:41:40,759 --> 00:41:42,500 Yeah. 705 00:41:43,631 --> 00:41:45,633 Have a good night. 706 00:41:59,342 --> 00:42:01,474 So, just like riding a bike? 707 00:42:01,475 --> 00:42:03,694 Oh, yeah. Piece of cake. 708 00:42:03,695 --> 00:42:06,784 Except for your Nancy Drew moment out at the warehouse. 709 00:42:06,785 --> 00:42:08,829 Well, I did crack the case. 710 00:42:08,830 --> 00:42:11,745 Hm, I'm gonna chalk it up to rookie enthusiasm. 711 00:42:11,746 --> 00:42:14,443 As opposed to a deeply concerning episode of impulsivity 712 00:42:14,444 --> 00:42:17,708 by a TBI patient who previously stormed into a board room 713 00:42:17,709 --> 00:42:19,884 with a bandage on her head, demanding to go back to work? 714 00:42:19,885 --> 00:42:23,061 Did you actually manage to say all that in a complete sentence? 715 00:42:23,062 --> 00:42:26,499 Guess the brain's working just fine. 716 00:42:26,500 --> 00:42:28,414 Oh, and now I get into my email. 717 00:42:28,415 --> 00:42:30,024 You figured out your password? 718 00:42:30,025 --> 00:42:32,810 Jake knew it. Somehow. 719 00:43:23,862 --> 00:43:26,821 difuze