Original subtitles

You've been different since you came back

from Chicago. You've changed since

this whole thing with Rachel.

Previously on Doc.

How much prednisone does it take to get you through a shift?

- Dr. Ben Grant. I saw you speak in New York.

George Baker died.

It's twice as contagious as Ebola.

All individuals are asked to shelter in place.

Was that a memory seizure?

There's always phenobarb.

It has so many side effects.

We need to decompress. We're losing him.

Oh, no.

- Needle stick protocol. - What's going on,

what's happened?

Mom? You okay?

So...

you said you wanted to know if uh...

You're sick?

I tested positive.

But I feel okay,

and I don't have any pre-existing conditions, so.

You think I didn't look this up?

I know how dangerous it is.

I love you, Katydid.

And I'm sorry for anything that I...

No, don't, Mom.

We've already done this, you're forgiven.

Please...

I can't bear the idea that you don't know that.

Please, tell me you know that.

I know.

I do know that.

We're good, Mom.

You're good.

I'm not micromanaging, Sophie,

I'm trying to keep our mother alive...

Little sister?

Is it that obvious?

I got one myself.

Is she taking years off your life?

Well, it's too soon to tell.

She's been sick for a while.

I wish I lived closer so I could do more.

Ella Moran just tested positive.

She was infected prior to her surgery,

so Dr. Grant, Peter, TJ,

and Marcy may have been exposed as well.

We're waiting on all their results.

Now, as of now, the rest of the staff

are still negative,

but we should continue to test every 12 hours.

What's the latest on the antiviral cocktails?

Three had minimal to no impact,

one seems to be very effective at killing the virus.

But it nearly killed Richard, right?

- Yeah, it fried his liver. Can't rely on that one.

If he makes it to the other side,

we could use his blood

to produce a convalescent plasma serum.

But that's a big "if."

We can't just sit around and wait.

What if we use the cocktail that worked on Richard,

but attempt to mitigate the liver damage?

- Well, with what? - NAC would be my pick.

This could also just cause more harm.

I don't see how that's possible.

- So, what do you want to do? Just treat them like lab rats?

- Lab rats don't get consent. - And what else are we supposed to do?

Continue supportive care.

Let the immune system do its job.

You saw the autopsy images, there is no supportive care.

Ugh, I can't keep anything down.

I just gave you an IV anti-emetic.

It'll kick in soon.

Thank you for, for helping him.

- Ah, he was scared. And your leader,

his cowardice didn't help.

Hey, Ella. These should help with the chills.

You performed my surgery, did I give it to you?

No. I got my test back 20 minutes ago,

and I'm still negative, okay? - Okay.

Shouldn't you be in bed?

As long as I can keep working, I will.

How are you feeling?

A lot worse than yesterday.

At least you know it's not cause of the antivirals.

- I heard you told Katie. - Yeah, it was brutal.

Do you want me to explain what happened?

No.

But thank you. - Hold on a minute.

I need everyone's attention.

It seems only one antiviral cocktail

combats the virus effectively.

But it comes with potentially lethal side effects.

So it's not effective.

We're working on a way to counteract the dangers,

so we can still use it to try and save you.

For those unable to weigh in,

we've spoken with their families.

For the rest of you,

the decision of whether to try this is your own.

Well, without it, what are our chances?

Obviously, everyone is starting

with different individual risk factors.

But broadly,

Marburg in Angola had a 90% fatality rate.

Here, with such advanced medicine,

it can be as low as one in five.

Still, this is a very strong variant,

so the fatality rate will likely be higher.

Well, it sounds like you don't know a thing.

How do you not have any answers?

He has the decency to tell you the truth!

That's what you want, right?

I'll try it.

No way!

Like I said, it's up to you.

But we recommend this course of treatment.

I'm game.

Me too.

We'll get you started on it right away.

Must be so scary out there.

Like nothing I've ever seen.

Those suits you wear, they keeping you safe?

- Yeah, I'm negative. And I'm gonna stay that way.

- Sure! You're having too much fun

flirting with that pretty doctor.

What are you talking about?

I know you, big bro!

There was something more at that conference

than what you told her.

And I think your imagination

is starting to run wild on you in there!

It looks like you just got saved by the bell.

Roomie's getting a call. Stay safe, or I'll kill you!

I will.

- Hey, you. - How you doing?

Little stir crazy, but I'm fine.

Any better out there?

Three more positive cases, one of them's Amy.

Oh no. Jake!

Yeah, she took some meds that distracted her,

didn't tell me until afterwards.

I'm so sorry, that sounds horrible.

Um, anyway, how's Mia doing?

Well, when your aunt thinks cheese puffs are protein,

all's right with the world.

Maybe we need to fly in your mom.

Oh no! Don't even joke about that!

Maybe I have innate cross-reactivity

in my T-Cells with the Marburg virus.

And you think you were exposed

to something similar?

Years ago, my ex-wife and I

were in Uganda for a heritage tour.

Given your level of contact with these two patients,

and the fact that you're still asymptomatic,

it is possible you already have immunoglobulins.

And if I do, could my CD8 T-cells be clearing viremia?

We haven't given it enough time.

I don't like it, okay?

Her AST is 1,100, we gotta pull her off this.

Woah, what's going on, what are you doing?

She's not reacting well to the antiviral.

- I knew it was a bad idea! - Okay, can you stop mine, too?

Everyone is different, Lance.

You and Mr. Zweig are both showing some improvement.

- That is only temporary. Herman is jaundiced.

Chase has peripheral edema. - Herman's viral load

is dropping, and Chase's swelling could just be the Marburg.

I-I want to stop the meds, too.

Amy, we pulled Liz off because her liver enzymes are too high,

but yours are still in a safe range.

The data points are trending upward for everyone.

There's a tipping point, we're all gonna get there,

and we're gonna wind up like Richard!

Hey! Wait, what are you talking about over there,

what's happening?

Barry, have you been to medical school

since our last conversation?

Right, this is doctors only!

Well, at the moment, you're a patient.

You need to find another way.

I won't risk everyone else's chances because you're scared.

You wanna pull yourself off, do it discreetly.

But the course of treatment stands.

Just tell me you're still okay.

- I'm fine. Are the antivirals working?

Uh, it's a mixed bag at the moment.

Then maybe you need my antibodies.

Gina, there are plenty of us who still don't have it...

Who worked on the code, and treated Mr. Santiago?

I spoke to two immunologists in DC,

and a renowned virologist in Colorado.

They believe it's possible.

- Dr. Walker was wrong. She doesn't have antibodies.

Well then, why didn't she get it yet?

- She's not gonna get it. Ever.

If she's not immune, how can you know that?

No, I don't want!

Hey, what's happening with him?

Sto-stop! It's too much.

He's delirious.

- Stop! You don't care about me!

He's talking about how we made him drink.

I wouldn't even be here if we hadn't done that to him.

You don't care about me!

Everyone's saying that you're the one

who figured this out, hm?

The virus.

I could never have forgiven myself if I went home,

and spread this thing to my grandkids.

So, thank you.

You're welcome.

Gina. No! You have it, too?

- No, I'm resistant. - What? How?

It turns out this strain

hijacks the cholesterol pathway to get into your cells.

I have a genetic mutation that blocks that access point,

so the virus can't get in.

So you don't have antibodies,

but Richard does.

Which means now that they know where to look,

pathologists can access that antibody within hours

instead of months.

If it works, then we have a cure.

At least for this strain.

The problem is gonna be getting his blood,

he's too sick.

I just...

have to figure out how to make him better.

Okay, there's a lot of doctors working on this,

let's get you into bed.

Close your eyes, it's okay.

I can't get her temperature down,

it won't be long now.

Was it the cocktail?

AST's 850,

she has the virus, an ulcer.

Take everyone off the antiviral.

Hello?

Hi, Sophie. It's Dr. Grant.

Is she okay?

Well, we tried everything we could,

but unfortunately, Ella...

Wait, wait. Wait.

Please.

She's a pain in the ass, you know?

Bossy, patronizing.

But she's my big sister,

and there's no one I love more!

And no one who will ever love e the way she does, so just...

give me another minute before you say it out loud.

Sure. Sure.

I think...

maybe she pissed me off so much cause she was right.

My mom needs better,

and I can't do this!

That's not what she said to me.

What, what exactly did she say?

My sister, she's got this.

Tell her.

I'm sorry, I've gotta go.

That was kind.

Sorry?

I'm sure Ella wasn't lucid at the end.

You threw everything at it.

First, do no harm.

I'm sure Hippocrates understood

there was some room for nuance.

Not sure Amy does.

When things go wrong, she has a tendency to assign blame.

Richard's our only chance now,

but he is not getting better fast enough.

His O2 is at 94%,

and LFT's are down to just over a hundred.

He is getting better.

L-carnitine with cholestyramine

could accelerate his recovery.

- I did that already. - Then, add flumazenil.

That could trigger a seizure.

Oh, now you're getting cautious?

Do it.

- No, no. There's nothing you can do.

Tell Mom not to worry.

I'm gonna take my 30 now.

How are your folks?

A lot of unresolved stuff

they'll have to deal with if I go down.

You're not going down.

You talk to your parents yet?

They've been through a lot with me already.

They have faith.

We're gonna get through this.

I'll check Valproate trough levels.

Okay, let's repeat the EG tomorrow.

How's TJ?

- He's worried. Feels guilty about Amy.

Well, it's definitely not on him.

What does that mean?

Hey. I just spoke to my sister,

Rachel has a fever.

Yeah. Okay.

We can't even talk inside our own house?

I was exposed to someone yesterday,

there's no vaccine for Mia yet, there's nothing I can do!

Well, Mia's going to Eliana's this weekend

and I am going to Cabo with my girlfriends!

Okay great, you have fun.

That's it?

What do you want me to say?

How about, "No Rache,

let's you and me go instead!"

You know I can't do that!

Right, because the whole world will die

if you leave work for three days!

I took an oath to my patients.

Before that, you made a vow to me!

Come on, Rachel!

Give me a break! - We don't even belong here!

We're supposed to be in Maryland!

There's plenty of Covid in Maryland.

We are losing us, Jake.

And you don't even see it.

Nora?

Amy. How are you feeling?

Not great.

Is there something you need?

I tried calling Michael, he didn't pick up.

Katie called, she's scared,

so I'm gonna go to the house and be with her.

Okay.

You should go be with her, then.

Good. I didn't want to overstep.

Right, well it never stopped you before.

Excuse me?

I'm sorry, I...

Look, I know that you were there for her

when I couldn't be.

You helped her through a really dark time,

so I need to thank you for that.

Um...

I'm gonna walk into your house,

and I'm gonna look after your daughter

the best I can right now.

But when you get out of there,

if you and Michael are meant to be together,

I really hope that happens.

For both of you.

Give her a hug for me, okay?

I will.

Wow. You must really think we're gonna die.

I just wouldn't want to leave anything unsaid.

I know you think I'm one of these conspiracy kooks.

But I wasn't always like this.

What happened?

Covid.

I mean, I listened to the experts,

I-I followed all the rules,

and my son, he was 10.

The masks and isolation.

He's a shell of himself now.

And I couldn't help him.

Still can't.

And that's a tough age to begin with.

You remember being 10?

Sure!

On my tenth birthday, we won the war.

It was a good day!

But the world promises us nothing.

I lost both my parents and my sisters in the camps.

And later, I lost both my wives to cancer, and even...

even my son.

But all we could do is try to be grateful for what we have,

when we have it.

And treat everyone with dignity,

and generosity when they make mistakes.

Dr. Heller.

We have Rachel's test results.

Just tell me.

You have the flu.

It's probably from our daughter, the Petri dish!

Wait, but Mia doesn't even have it!

Yeah, I just got off the phone with Allie,

I guess she's starting to get some symptoms,

she just didn't wanna worry us.

Well, that might have been good to know!

Yeah.

You dodged another bullet.

I'm lucky.

More than I ever realized.

How am I doing?

You scared us there for awhile.

But, lungs are better, abdomen's soft.

I expect a full recovery.

And how's Amy?

Julie told me she got infected...

saving me.

Can I do anything for you?

You can stop feeling responsible.

I was off my game, you did everything right.

I need you to tell me that you hear me.

I hear you.

What you prescribed for Richard is working.

Just, hold on. Okay?

So, Richard's viral load finally hit zero.

The only problem is

we need a very high concentration of antibodies,

and he's too weak to give us more than a couple of units.

Which is enough for how much serum?

Three doses, if we're lucky.

Then, who do we give it to?

If we knew it was a surefire cure,

it would go to the sickest.

Yeah, but we're not and we can't let it go to waste.

Okay, so what do you want, we just forget about Herman,

give it to the frat boys because they're younger?

I didn't say that, Jake.

No, but we know where this is going.

So, you wanna deny the frat boys cause you don't like them?

Does that mean Mr. Conspiracy's out, too?

What do we do about the fact

that our own people are in there?

We can't rule them out just because

we're afraid of being accused of bias.

What, nobody wants to say it?

Amy needs to get one!

I don't care about philosophical debates!

She needs to get one!

Where are you?

You think I don't wanna give it to her?

- I don't know, Gina. But we took an oath.

So, I don't know how to deal with this.

We can't play God.

How would we live with ourselves

when some of them don't survive?

We need to take ourselves out of this.

I need a hat.

Oh, don't look at me like that.

I'm gonna be fine.

How are Liz's SATS?

86.

That's bad. AST?

Stuck at 600.

Who's gonna get my serum?

I don't know.

- These have the serum. - Okay.

Everyone, there's something new we want to try.

And since Dr. Miller is recovering,

it involves using his blood.

Unfortunately, we only have enough for three patients.

Each of you will get an IV bag.

Three have Dr. Miller's serum,

the rest are placebos.

Now, it was chosen randomly.

None of you will know who's getting the actual treatment.

And once again,

we need your consent.

Uh huh.

Amy!

- Dr. Coleman, I need your help. - What happened?

Hypotensive, LOC.

POCUS shows thoracic aortic dissection from the Marburg.

It threw a shower of clots, so she also has ischemic kidneys.

So, you, you gotta anti-coagulate.

- Can't. Not with the dissection.

Need to fix the kidneys

and the aorta at the same time.

- A lap and a thoracotomy? That's two surgeries at once!

Which is why I need another surgeon.

Scrub up, suit up, let's go!

While I work on her heart, you clear the renal artery clots.

- Mid-line incision. - Exactly.

Now after you clear the clots,

you'll assess the kidney tissue viability,

and you'll probably need to do a wedge resection.

I've only done one, appendectomy, and even then...

I can talk you through it.

Scalpel.

I'm gonna take care of our girl.

You guys need an assist?

I'm told you're pretty good.

You were misinformed.

I'm spectacular.

I know you're scared, honey,

but she's in good hands.

But she still has the virus, which is like Ebola!

I know, but...

Dad?

I'm sorry, I um...

Dad!

I'm okay.

It's okay.

TJ, dab above my forceps.

The section is fully exposed.

What do you see?

It's distal to the left subclavian.

That's fortunate.

Excellent candidate for replacement with a Dacron graft.

Vascular cross clamp.

Cross clamping now. - No!

I need to stop the blood flow so I can remove the dissection.

You cut off the blood flow, even for a minute,

you deprive the kidneys of oxygen.

That'll destroy them. - What about ECMO?

We only have one, and it's connected to another patient.

We need to do our very own Red River diversion.

- What are you talking about? - Come on, TJ!

Fargo and Moorhead divert the river

to stop all the flooding.

You want me to reroute the blood flow

from above the dissection to below?

I get the blood, you get a dry field. Win-win.

I like it.

You done it before?

Never. Give a 4-O prolene on a needle driver.

How are we looking?

My field is nice and...

dry.

And I've got happy kidneys.

Oh, I spoke too soon, maybe not.

What's wrong?

I've got multiple segments with necrotic tissue.

If we reconstruct the renal arteries,

we could do focused nephron sparing resections,

it'll save her kidneys.

I need 100 milligrams of hydrocortisone.

Yes ma'am.

Not for her.

For me.

I won't get through this without that.

Do it, Peter. Now!

Arterial reconstruct is good,

just have two more segments of nonviable kidneys to deal with.

CO2's climbing.

- Up the resp rate. Blow off some of that acid.

That's her heart now!

Potassium must be spiking, too.

Kidneys have been down too long.

I am repairing as fast as I can.

Push beta blockers, Peter, we need time.

On it.

TJ, I need you to suture that small segment for me.

Give me a 4-0.

- SVT runs now. Getting nervous here.

Not helpful.

Done. How's that?

Perfect.

Aortic flow is restored.

It's impressive.

You're not the only one who's spectacular!

Can you close for me, please?

Yeah.

Oh, everything hurts!

Yeah, yeah, that's to be expected.

Do I even wanna know?

Well, uh...

Let's just say, you know,

you and I are closer than we used to be.

You, you operated on me?

Not just me.

Secondary to the Marburg,

you had an aortic aneurysm,

and ischemic kidneys,

so Dr. Grant took the former and I did the latter,

and TJ assisted brilliantly.

And?

All fixed up.

Your Marburg's getting better, too.

Oh. I got the serum.

No, you did not.

It must have been...

a hard decision.

No one decided.

Had to make it random or it would have been unethical.

So my body is fighting it.

I would expect nothing less.

What about the others?

Lance didn't make it, but the other boy did.

And Liz? And Herman?

Got the serum, plus Barry.

Richard's on the mend, too.

I guess we gotta be glad

that he came back to the hospital, huh?

Somebody works in mysterious ways.

And now here you are,

with another bite at the apple.

Okay, rest.

Joan! You alright?

It's hot in this helmet,

and I've been wearing it a while.

Joan...

What did you do?

I've given...

all I had now.

But you, you, Amy,

you've got plenty more to give.

So, give.

I will.

I promise I will.

Yeah, I know.

I heard the same thing, yeah.

I know, I know. Same.

I got better so fast,

I think maybe I got the real thing.

Could be.

You sure you wanna go, Mr. Zweig?

Are you kidding me?

You, stay strong. And be your own man!

I will.

Hey, Herman. I'm sorry you had to miss your birthday.

- Ah, I missed the party. Technically, I had my birthday.

Thanks to that serum, you know, I might have a few more.

Luck of the draw.

Yeah. Well...

I'm old, it was wasted on me.

Oh come on, you really gonna start questioning the plan now?

Du host a punkt, Dr. Heller.

I can't say I know that one.

- It's Yiddish. Means "touché," more or less.

Du host a punkt.

Now you keep wearing that necklace, loud and proud!

Yes sir, I will!

- Goodbye. - Ready?

Yeah.

- You summoned? - How's Amy?

She's better.

Yeah, yeah, she's gonna be okay now.

Good.

Rache? What is it?

When I had the fever,

and we thought it was the virus...

you know how they say when a plane's going down,

your life flashes before your eyes?

All this time, I thought you were being so selfish,

but it was me.

I did not understand what you were going through,

and I screwed up in the worst way.

I regret it every day,

and I am so sorry.

I've waited a long time to hear that.

But I realized that you tried telling me

how alone you were all those months

when I was here in the hospital.

You were fighting for us then, I just, I didn't hear you.

So that's on me.

I did get his blood, right?

Guess that makes you even!

Sorry I gave you the virus.

It's not like it was intentional.

It wasn't, was it?

Sorry I thought you killed George Baker.

Well, that was the reason that you found the virus

as quickly as you did,

so, a lot more people could have died

if you didn't hate me so much.

I don't hate you.

Well, whatever you do feel,

I don't think you'll have to put up with me much longer.

What do you mean?

I think it's best if I just move on.

Don't leave on my account.

Everyone deserves a second chance, Richard.

I just got a third.

Yeah.

Thank you, Ben, for everything.

- Thank you, my friend. You were a rock.

I must put on a good show!

I'm told we fared better than Eastside.

And the early contact tracing you did

really prevented the spread.

Well, CDC says it's pretty well contained in the city now.

That's good.

Renee's blood work looks good, so I'm gonna take her home.

Any chance you'd want to move here,

so you could be closer to her?

Did she pay you to ask that?

No, it's just, we have an opening in surgery.

Be well.

I put you in a tough spot before, about Amy.

She's your sister.

Come on.

You didn't tell me you were struggling with your memories.

I came to you,

and I saw something was wrong,

but instead of bringing me in, you just pushed me away.

A day and a half looking at me

and telling me everything was fine,

and you were popping pills to deal with it.

I know.

This kind of makes me wonder what we really are.

It's, it's what I do when I'm scared.

- Why are you scared? It's me, what are you scared of?

At your dad's funeral,

Allie told me that

you and Rachel would never shake each other,

that it was only a matter of time

before you were back together.

- Well, Allie's got a big mouth. - She's not wrong, is she?

I don't think this is really about me and Rachel.

What happened in Chicago, Amy?

Nothing I would have to hide.

That's what you've been doing, you've been hiding.

Really?

What have you and Rachel been talking about,

all these days in here?

I saw you, Jake. I saw you in the hallway.

I saw how you looked at her through her window.

So, just be honest.

She's Mia's mother.

And he is Katie's father.

But it's more than that.

For both of us, even if we don't want to admit it.

You convinced us that we could deal with that,

but...

what if we can't?

Yes. Of course.

Oh, thank you, Max, I appreciate that.

Okay, bye-bye.

That sounded almost chummy.

Yeah, he likes me better from a distance.

Sorry I turned on you.

When you didn't agree with me about the antivirals.

Well, it feels like five years ago.

But it wasn't, it was five days ago.

And I can't believe I'm still doing that.

Doing what?

There's just this feeling inside me

whenever someone I count on disappoints me.

This rage, this betrayal.

And the way I react, it's-it's out of whack,

and it's wrong.

And I, I can't control it.

If I felt that way

because you gave the wrong meds to some strangers,

I can't imagine how I was when Danny died.

I've been trying to figure out since Chicago,

and I think that the reason that I didn't say yes

the first time you proposed was because...

deep down I knew that when

you eventually disappointed me, I wouldn't be able to handle it.

And I hate that I'm built that way.

You withdraw,

but you always come back.

But I didn't, Michael.

I had a 12 year old daughter and I did the same thing to her.

We lost a son,

but that can't be an excuse anymore.

We can work on this. Together.

I love you.

And I'm sure that I always will,

but if we got back together now, I would make the same mistake.

But that's what you're doing right now.

Withdrawing to protect yourself.

That's the mistake.

I'm not, I'm not withdrawing.

I'm not shutting down, I'm not hiding, Michael.

I need to be of service,

and that, that is something we can do together,

in your department.

I can't live in the past anymore.

I need to move forward.

Okay!

I know we never text or put anything in writing,

but I am breaking the rule,

just this one time, because it's your birthday!

But since we can't be

in that great suite,

in the Four Seasons

to celebrate properly,

I am making you this ridiculous video.

I uh, I don't know what...

this is that we are,

but I, I do know that you make me smile,

and I haven't smiled in a very long time.

So, happy birthday, Benjamin.

This video will not self-destruct after viewing,

so make sure you destroy it,

so it doesn't get into the wrong hands.

I know I'm bad,

but I'm trying to be good.

Sort of.