1 00:00:10,067 --> 00:00:13,636 Okay, so basically you want Bobbi to stay up for you? 2 00:00:13,671 --> 00:00:15,572 She could at least try. 3 00:00:15,606 --> 00:00:16,973 Just for a few good night kisses. 4 00:00:17,007 --> 00:00:19,076 - Right. - And then go to sleep super easy 5 00:00:19,111 --> 00:00:21,511 with no bouncing, white noise, or tiptoeing required. 6 00:00:21,545 --> 00:00:23,413 Very realistic plan. 7 00:00:23,447 --> 00:00:25,815 I have been using the five Ss by the way. 8 00:00:25,849 --> 00:00:27,850 - Thank you for that. - Yeah. 9 00:00:27,885 --> 00:00:29,774 Really knocks Luna out. Lifesaver. 10 00:00:29,808 --> 00:00:32,422 The real lifesaver is you can take Luna to work. 11 00:00:32,456 --> 00:00:34,724 Sadly, Bobbi's not into the whole music scene. 12 00:00:34,758 --> 00:00:36,693 Not what she told me. 13 00:00:36,727 --> 00:00:38,027 Is everything okay? 14 00:00:40,030 --> 00:00:43,399 Yeah, I got impossible-to-get tickets 15 00:00:43,434 --> 00:00:45,335 for me and a friend to see Carol Churchill's play. 16 00:00:45,369 --> 00:00:47,103 - Oh, I'm dying to see that. - And my friend just bailed. 17 00:00:47,137 --> 00:00:48,365 Oh. 18 00:00:50,635 --> 00:00:53,503 - You should come. - Um, yeah... no, uh... 19 00:00:53,538 --> 00:00:54,938 If you want, I mean. No pressure. 20 00:00:54,972 --> 00:00:56,540 No, I mean if you want. I don't wanna... 21 00:00:56,574 --> 00:00:57,518 If you don't, that's cool. 22 00:00:57,552 --> 00:00:59,376 I'm into it. Yes. 23 00:01:00,511 --> 00:01:02,479 - Okay. - Okay, so... 24 00:01:02,513 --> 00:01:03,881 - Great. - Great. 25 00:01:04,995 --> 00:01:06,216 Yeah. 26 00:01:08,840 --> 00:01:12,698 Synced and corrected by -robtor- www.addic7ed.com 27 00:01:15,593 --> 00:01:16,793 I'm sorry. 28 00:01:18,329 --> 00:01:20,463 Sorry! Sorry, I'm late. 29 00:01:20,498 --> 00:01:22,899 I hate being the last one here... uh, Sergeant Todd. 30 00:01:22,934 --> 00:01:25,669 - Sir. - Uh, are we very early or very late? 31 00:01:25,703 --> 00:01:27,470 There's no meeting, Dr. Goodwin. 32 00:01:27,810 --> 00:01:28,910 No meeting? 33 00:01:29,707 --> 00:01:31,675 Why do I suddenly get the feeling I'm being ambushed? 34 00:01:31,709 --> 00:01:33,410 No, no. If this were an ambush 35 00:01:33,444 --> 00:01:35,412 I would've placed myself against that wall, 36 00:01:35,446 --> 00:01:36,980 allowing the open door to obscure me 37 00:01:37,014 --> 00:01:38,882 as you entered the room. 38 00:01:38,916 --> 00:01:41,384 I'm here to deliver a message from the board 39 00:01:41,419 --> 00:01:42,652 that they were too afraid to deliver. 40 00:01:42,687 --> 00:01:43,833 Which is? 41 00:01:43,867 --> 00:01:45,689 You have to cut $2 million from the budget 42 00:01:45,723 --> 00:01:46,723 by the end of tomorrow. 43 00:01:47,959 --> 00:01:51,661 And may I send a specifically worded message back with you? 44 00:01:51,696 --> 00:01:53,663 As soon as we've picked what goes. 45 00:01:55,099 --> 00:01:57,867 Now, it appears in your tenure at New Amsterdam, 46 00:01:57,902 --> 00:02:00,704 you have created more than 200 very successful programs. 47 00:02:00,738 --> 00:02:01,905 Thank you, Todd. 48 00:02:01,939 --> 00:02:03,673 That have absolutely no funding. 49 00:02:03,708 --> 00:02:05,075 Most never did. 50 00:02:05,109 --> 00:02:08,712 This one here, CF56Z, 51 00:02:08,746 --> 00:02:10,880 costs exactly 2 million. 52 00:02:10,915 --> 00:02:13,950 We could get this done right now. 53 00:02:13,985 --> 00:02:18,955 Great, CF56Z, that would be... hmm. 54 00:02:18,990 --> 00:02:22,592 "Postnatal Care for Undocumented Mothers." 55 00:02:22,627 --> 00:02:25,754 - That's unfortunate. - It is, Todd. 56 00:02:26,266 --> 00:02:27,364 I'm not here to argue 57 00:02:27,398 --> 00:02:29,366 which of these programs deserves to stay. 58 00:02:29,400 --> 00:02:31,868 I'm here to make sure that 2 million dollars' worth of them goes. 59 00:02:31,902 --> 00:02:34,571 And if I refuse? 60 00:02:34,605 --> 00:02:36,940 Then New Amsterdam will not make payroll. 61 00:02:36,974 --> 00:02:39,042 And tomorrow every one of your employees 62 00:02:39,076 --> 00:02:41,711 will be sent home without a dime. 63 00:02:50,588 --> 00:02:51,888 Notice anything different about me? 64 00:02:51,922 --> 00:02:53,123 And don't say my hair 65 00:02:53,157 --> 00:02:55,392 because I chopped it off last year, and I will punch you. 66 00:02:55,426 --> 00:02:56,793 - Good morning. - What? 67 00:02:56,827 --> 00:02:58,061 Good morning. That's what people say 68 00:02:58,095 --> 00:02:59,396 when they first interact for in day. 69 00:02:59,430 --> 00:03:00,563 Yeah, well, it was implied. Hey now... 70 00:03:00,598 --> 00:03:02,766 All I'm saying is that every time I'm in the hallway 71 00:03:02,800 --> 00:03:04,901 people are jumping out at me mid-conversation. 72 00:03:04,935 --> 00:03:06,069 It's rude. 73 00:03:06,103 --> 00:03:07,837 There is always time for manners. 74 00:03:07,872 --> 00:03:09,572 Outside of nuclear submarines, 75 00:03:09,607 --> 00:03:10,907 this is literally the place 76 00:03:10,941 --> 00:03:12,509 with the least amount of time for manners. 77 00:03:12,543 --> 00:03:14,010 Now, you know what? I'm just gonna tell you. 78 00:03:14,045 --> 00:03:16,680 It's my leg. I'm finally better. 79 00:03:16,714 --> 00:03:18,415 No more braces, no more crutches... 80 00:03:32,129 --> 00:03:33,596 Lauren. 81 00:03:34,137 --> 00:03:36,972 Oh, we really need to work on your manners. 82 00:03:36,997 --> 00:03:38,364 Hey, we need help! 83 00:03:38,469 --> 00:03:40,208 - Yes, sir? - Yes, please, please. 84 00:03:40,242 --> 00:03:41,671 - Somebody help my wife! - You don't have to shout. 85 00:03:41,706 --> 00:03:43,173 Just please tell me what happened. 86 00:03:43,207 --> 00:03:45,041 - She fell, hit her head... - No, no. 87 00:03:45,076 --> 00:03:46,609 - She was unconscious. - I bumped my head. 88 00:03:46,644 --> 00:03:48,478 - It's not a big deal. - Yes, it is a big deal! 89 00:03:48,512 --> 00:03:50,113 - I just slipped for a second. - This is serious. 90 00:03:50,147 --> 00:03:51,648 Please, don't make a drama out of it. 91 00:03:51,682 --> 00:03:52,849 - Hi, I'm Dr. Bloom. - Hi. 92 00:03:52,883 --> 00:03:54,818 We're gonna figure out just how big a deal this is, okay? 93 00:03:54,852 --> 00:03:55,985 I promise you, it looks worse than it is. 94 00:03:56,020 --> 00:03:58,955 - Let's go to bay 27. - I slipped on our way to Shul, 95 00:03:58,989 --> 00:04:01,057 - in front everyone we know. - Okay, Dr. Walsh! 96 00:04:01,092 --> 00:04:02,792 Please, can you come stitch up a lac... 97 00:04:02,827 --> 00:04:04,194 And let's get, um... 98 00:04:04,228 --> 00:04:07,163 - Steph Goldman. - Mrs. Goldman a CT scan. 99 00:04:07,198 --> 00:04:08,698 But it's the Sabbath. 100 00:04:08,733 --> 00:04:10,133 - No electricity. - It's not a big deal. 101 00:04:10,167 --> 00:04:12,135 If mom hit her head, it could be dangerous. 102 00:04:12,169 --> 00:04:13,903 HaShem makes exceptions to save a life. 103 00:04:13,938 --> 00:04:15,638 Uh, if you could just go with Casey, 104 00:04:15,673 --> 00:04:16,973 and I'm gonna bring your mom right back, okay? 105 00:04:17,007 --> 00:04:18,241 Mom. Mom, wait. 106 00:04:19,844 --> 00:04:21,211 Can I stay with her? 107 00:04:21,245 --> 00:04:23,213 Ah... 108 00:04:23,247 --> 00:04:25,648 How did I get so lucky? 109 00:04:25,683 --> 00:04:27,650 Is it okay if she stays? 110 00:04:27,685 --> 00:04:28,985 Uh, sure. Yeah. 111 00:04:29,019 --> 00:04:31,588 Thank you. Come here, sweetheart. 112 00:04:31,622 --> 00:04:34,157 I am fine. It looks worse than it is. 113 00:04:34,191 --> 00:04:35,992 Your mother's a klutz. 114 00:04:36,026 --> 00:04:37,827 It's just a little blood. 115 00:04:37,862 --> 00:04:38,862 Right? 116 00:04:44,068 --> 00:04:46,870 Oh, you must be my new mentee, Dawn. 117 00:04:46,904 --> 00:04:48,004 Uh... 118 00:04:48,038 --> 00:04:49,072 Today must be very exciting for you. 119 00:04:49,106 --> 00:04:52,075 I still remember my first day working in a hospital. 120 00:04:52,109 --> 00:04:54,611 Oh. Thank you, but I'm... I'm actually... 121 00:04:54,645 --> 00:04:56,579 Now, before you join me on my rounds, 122 00:04:56,614 --> 00:04:58,748 I've compiled these books you must read to give you 123 00:04:58,783 --> 00:05:02,118 a proper framework on Neurology at New Amsterdam. 124 00:05:02,153 --> 00:05:04,687 Dr. Kapoor. I'm not Dawn. 125 00:05:04,722 --> 00:05:06,923 I'm Dr. Gibbs, the lead programmer. 126 00:05:07,457 --> 00:05:08,725 Programmer? 127 00:05:08,759 --> 00:05:10,894 Yes. 128 00:05:10,928 --> 00:05:13,863 This is D.A.W.N. 129 00:05:13,898 --> 00:05:16,666 The Diagnostic Assessment Wellness Network. 130 00:05:18,636 --> 00:05:20,203 I don't understand. 131 00:05:20,237 --> 00:05:24,307 - You want me to mentor an iPad? - Dawn is a prototype 132 00:05:24,341 --> 00:05:26,709 for what we hope will become the most advanced 133 00:05:26,744 --> 00:05:29,712 Artificial Intelligence program in medical diagnosing. 134 00:05:29,747 --> 00:05:31,314 But, wh... I'm... no, no, no, no... 135 00:05:31,348 --> 00:05:32,568 You'll take D.A.W.N. with you on rounds, 136 00:05:32,603 --> 00:05:33,650 so it can improve its algorithms, 137 00:05:33,684 --> 00:05:35,785 and these textbooks, I'll just upload them. 138 00:05:35,820 --> 00:05:37,086 Upload? 139 00:05:37,121 --> 00:05:38,888 It took me years to read those books. 140 00:05:38,923 --> 00:05:40,890 Well, D.A.W.N.'s connected to the hospital's medical network. 141 00:05:40,925 --> 00:05:43,259 So you'll have instant access to patient files, 142 00:05:43,294 --> 00:05:46,262 radiology scans, MRIs, lab data. 143 00:05:46,297 --> 00:05:50,934 With your help, D.A.W.N. will become the future of medicine. 144 00:05:50,968 --> 00:05:54,070 Nice to meet you, Dr. Kay-poor. 145 00:05:54,104 --> 00:05:55,839 Mm. 146 00:05:55,873 --> 00:05:57,073 It's Kapoor! 147 00:05:58,676 --> 00:05:59,776 I refuse. 148 00:05:59,810 --> 00:06:01,244 Okay, Todd, here's the deal. 149 00:06:01,278 --> 00:06:03,179 Since we are not gonna cut anything major from this budget, 150 00:06:03,214 --> 00:06:06,115 we're gonna make a lot of small cuts to each department. 151 00:06:06,150 --> 00:06:08,985 My commanding officer would call that the Fabian Strategy. 152 00:06:09,019 --> 00:06:10,320 That's the one. 153 00:06:10,354 --> 00:06:11,754 You have no idea what that is, do you? 154 00:06:11,789 --> 00:06:13,323 - No, I do not. - Max, you got a sec? 155 00:06:13,357 --> 00:06:14,457 - Yeah. - It's about my future. 156 00:06:14,491 --> 00:06:16,593 Great, I wanna talk to you about your future as well. 157 00:06:16,627 --> 00:06:17,660 - You do? - Yeah. 158 00:06:17,695 --> 00:06:19,028 You have, uh, seven 159 00:06:19,063 --> 00:06:20,630 dual-chamber pacemaker surgeries 160 00:06:20,664 --> 00:06:22,098 - on the books for tomorrow? - That's right. 161 00:06:22,132 --> 00:06:24,701 Yeah, so those pacemakers are made in Mexico, 162 00:06:24,735 --> 00:06:26,302 but the American inventors charge three times as much, 163 00:06:26,337 --> 00:06:28,171 so we're gonna cancel the order, 164 00:06:28,205 --> 00:06:31,107 place it directly with the manufacturer in Mexico city. 165 00:06:31,141 --> 00:06:33,176 It's gonna save us 50,000, 166 00:06:33,210 --> 00:06:34,811 but it's gonna, uh, have to push your surgeries. 167 00:06:34,845 --> 00:06:36,946 Why not save money on shipping 168 00:06:36,981 --> 00:06:38,982 and just have me do the surgeries in Mexico? 169 00:06:40,384 --> 00:06:42,685 No, that... that was sarcasm. 170 00:06:42,720 --> 00:06:44,120 That was genius. 171 00:06:44,154 --> 00:06:45,822 Mexico's opening tons of new clinics 172 00:06:45,856 --> 00:06:47,690 in response to our skyrocketing medical costs. 173 00:06:47,725 --> 00:06:49,792 We could pay for you and your patients to fly to Mexico, 174 00:06:49,827 --> 00:06:51,961 it's gonna save them in co-pays, and us, like, 50... 175 00:06:51,996 --> 00:06:54,130 $100,000. 176 00:06:54,164 --> 00:06:56,621 So my patients are supposed to just go to Mexico tomorrow? 177 00:06:56,656 --> 00:06:58,101 Yeah. Only if they're content with 178 00:06:58,135 --> 00:07:00,203 getting the same surgery, with the same surgeon 179 00:07:00,237 --> 00:07:02,138 for less money and a better view. 180 00:07:03,908 --> 00:07:05,208 100,000 down. You happy? 181 00:07:05,242 --> 00:07:06,409 Sure. 182 00:07:06,443 --> 00:07:09,245 Why wouldn't I be happy about outsourcing American jobs? 183 00:07:09,280 --> 00:07:10,980 That also... both: Sarcasm. 184 00:07:11,015 --> 00:07:12,214 Yeah. 185 00:07:12,248 --> 00:07:13,816 I don't know what Ralph and Piggy thought 186 00:07:13,851 --> 00:07:16,152 when they found it, I think both the conch shell 187 00:07:16,186 --> 00:07:19,088 and the boar's head symbolize power, just different types. 188 00:07:19,123 --> 00:07:20,267 Knock knock. 189 00:07:20,301 --> 00:07:23,159 I hate to interrupt the creative process, 190 00:07:23,193 --> 00:07:25,128 but I have the results of your biopsy. 191 00:07:26,864 --> 00:07:28,698 The mass in your stomach 192 00:07:28,732 --> 00:07:31,367 turned out to be a Primitive Neuroectodermal Tumor. 193 00:07:32,202 --> 00:07:34,733 - Tumor? - The good news is, it's benign. 194 00:07:34,768 --> 00:07:36,105 Surgeons should be able to remove it, 195 00:07:36,140 --> 00:07:37,840 and Cephas will make a full recovery. 196 00:07:38,191 --> 00:07:40,043 What caused it? 197 00:07:41,979 --> 00:07:44,948 Tumors are very sensitive to hormone levels 198 00:07:44,982 --> 00:07:47,350 inside the body, and in Cephas' case, 199 00:07:47,384 --> 00:07:49,085 he had an excessive amount of cortisol, 200 00:07:49,119 --> 00:07:51,955 which is one of the body's main stress hormones. 201 00:07:52,990 --> 00:07:56,192 How does a 13-year-old get a tumor from stress? 202 00:07:56,226 --> 00:07:58,753 That's what I'd like to find out. 203 00:08:00,264 --> 00:08:02,098 Dr. Sharpe didn't say anything 204 00:08:02,132 --> 00:08:03,466 about the tumor being in my brain. 205 00:08:03,500 --> 00:08:05,234 No, no, no, no. Um... 206 00:08:05,269 --> 00:08:06,369 that's a little misleading. 207 00:08:06,403 --> 00:08:09,105 Psych is not just about what's going on in your head. 208 00:08:09,139 --> 00:08:10,373 Because what is going on up there 209 00:08:10,407 --> 00:08:12,141 can affect your entire body, right? 210 00:08:12,176 --> 00:08:15,712 In your case, excessive cortisol levels caused a tumor, 211 00:08:15,746 --> 00:08:19,382 but cortisol is triggered by PTSD, stress, anxiety... 212 00:08:19,416 --> 00:08:22,051 But, I don't have any of those things. 213 00:08:22,086 --> 00:08:23,319 PTSD? 214 00:08:23,354 --> 00:08:25,922 My life was pretty boring until I came here. 215 00:08:25,956 --> 00:08:27,390 Okay. 216 00:08:27,424 --> 00:08:29,058 Do you have any stressors in your life? 217 00:08:29,093 --> 00:08:30,893 I'm good. 218 00:08:30,928 --> 00:08:33,830 Home's good. School's good. 219 00:08:33,864 --> 00:08:36,833 My biggest stressor is the school librarian. 220 00:08:36,867 --> 00:08:39,135 The librarian? All right. 221 00:08:39,169 --> 00:08:40,970 What's happening there? Tell me about that. 222 00:08:41,005 --> 00:08:43,473 She refuses to let me check out some books 223 00:08:43,507 --> 00:08:46,242 because they're reserved for gifted students... 224 00:08:46,276 --> 00:08:48,311 even though I've been reading them for years. 225 00:08:48,345 --> 00:08:49,812 That's it. 226 00:08:49,847 --> 00:08:52,115 - But that upset you. - Yeah. 227 00:08:52,149 --> 00:08:54,484 But they're just books. Who cares? 228 00:08:54,518 --> 00:08:56,728 Well, yeah, but they're not just books, are they? 229 00:08:57,354 --> 00:08:58,855 And I think that you care. 230 00:08:58,889 --> 00:09:00,398 I think you care very much. 231 00:09:01,825 --> 00:09:03,192 Tell me why. 232 00:09:10,167 --> 00:09:12,077 Because I'm smart too. 233 00:09:13,470 --> 00:09:15,038 Yeah. 234 00:09:15,472 --> 00:09:18,007 Does anyone else in your life make you feel that way? 235 00:09:18,042 --> 00:09:20,476 Less than? Diminished? 236 00:09:21,086 --> 00:09:22,945 I'm 13, 237 00:09:22,980 --> 00:09:26,149 so, like... everybody. 238 00:09:28,352 --> 00:09:30,053 You know what? 239 00:09:30,087 --> 00:09:32,288 Let's, uh, let's try something different here. 240 00:09:34,766 --> 00:09:36,559 Yes. 241 00:09:36,593 --> 00:09:39,829 All right, Cephas, I'm going to read a few remarks, 242 00:09:39,863 --> 00:09:41,864 and you simply have to reply one through ten. 243 00:09:41,899 --> 00:09:44,967 One meaning almost never, ten meaning almost always. 244 00:09:45,002 --> 00:09:46,502 Okay? 245 00:09:46,537 --> 00:09:48,822 Piece of cake. Here we go. 246 00:09:49,339 --> 00:09:51,974 What you think doesn't count very much. 247 00:09:52,009 --> 00:09:53,409 Ten. 248 00:09:53,444 --> 00:09:55,411 Ten? Really? 249 00:09:55,446 --> 00:09:57,914 Yeah, ten. 250 00:09:58,348 --> 00:09:59,916 Ten it is. 251 00:09:59,950 --> 00:10:02,485 You feel excluded, isolated. 252 00:10:02,519 --> 00:10:03,553 Ten. 253 00:10:03,587 --> 00:10:06,155 The rich get richer while the poor get poorer. 254 00:10:06,190 --> 00:10:07,520 Absolutely ten. 255 00:10:07,555 --> 00:10:09,040 When I walk into a store, 256 00:10:09,075 --> 00:10:10,827 I am followed or closely watched. 257 00:10:10,861 --> 00:10:12,929 Ten. These questions are easy. 258 00:10:17,201 --> 00:10:19,368 You feel threatened, harassed, 259 00:10:19,403 --> 00:10:21,404 even if you can't articulate why. 260 00:10:26,536 --> 00:10:27,602 Ten. 261 00:10:30,247 --> 00:10:33,182 Make yourself comfortable, there's a couch over there. 262 00:10:33,217 --> 00:10:35,051 Hey. Is he okay? 263 00:10:35,085 --> 00:10:37,453 Yeah, yeah, he's, um... he's okay. 264 00:10:37,488 --> 00:10:40,089 I had Cephas answer some questions from a Harvard test 265 00:10:40,124 --> 00:10:41,390 known as "Unrest." 266 00:10:41,425 --> 00:10:43,559 It is designed to, um, 267 00:10:43,594 --> 00:10:45,628 measure someone's level of social resistance. 268 00:10:45,662 --> 00:10:46,696 Social resistance? 269 00:10:46,730 --> 00:10:50,566 When people like us oppose the values and policies 270 00:10:50,601 --> 00:10:52,535 - of the dominant culture. - That's right. 271 00:10:52,569 --> 00:10:54,871 And what does that have to do with... 272 00:10:54,905 --> 00:10:57,440 Your son, he feels threatened on a daily basis. 273 00:10:57,474 --> 00:11:00,443 Like everything he's earned can just be taken away. 274 00:11:00,477 --> 00:11:02,228 He's disenfranchised. 275 00:11:02,679 --> 00:11:05,381 But because his life is seemingly free from all this, 276 00:11:05,415 --> 00:11:09,318 because he can't name it, he's internalizing it. 277 00:11:09,861 --> 00:11:11,420 Name what? 278 00:11:12,864 --> 00:11:14,557 Racism. 279 00:11:14,591 --> 00:11:17,226 I think your son's tumor was caused by racism. 280 00:11:32,747 --> 00:11:34,148 Good to see you, Mrs. Holland. 281 00:11:34,182 --> 00:11:35,282 Dr. Reynolds, this place... 282 00:11:35,317 --> 00:11:38,185 no offence, but it's so much nicer than New Amsterdam. 283 00:11:38,219 --> 00:11:41,021 I'm glad you approve. I'll see you in there. 284 00:11:42,190 --> 00:11:44,158 Wow, this is quite the operation. 285 00:11:44,192 --> 00:11:45,960 We're pretty proud of it. 286 00:11:45,994 --> 00:11:48,062 For people who can't afford American healthcare 287 00:11:48,096 --> 00:11:49,396 or a nice safe alternative. 288 00:11:49,431 --> 00:11:51,332 And you only do pacemakers here? 289 00:11:51,366 --> 00:11:53,867 Focusing one procedure makes us hyper efficient. 290 00:11:53,902 --> 00:11:55,235 How efficient? 291 00:11:55,270 --> 00:11:57,738 Well, we can usually knock out about 11 a day. 292 00:11:57,772 --> 00:12:01,075 Ah... that's pretty efficient. 293 00:12:01,109 --> 00:12:04,078 It may not be as fancy as your cardio wing, but... 294 00:12:04,112 --> 00:12:06,847 It definitely is. It's nice! 295 00:12:06,881 --> 00:12:08,349 How long have you been Chair? 296 00:12:08,383 --> 00:12:12,386 Uh, for about a year, but I'm leaving. 297 00:12:12,420 --> 00:12:14,755 Oh, I hear you. 298 00:12:14,789 --> 00:12:17,191 Public hospitals are what sent me packing for Mexico. 299 00:12:17,225 --> 00:12:19,760 Oh, I actually love New Amsterdam. 300 00:12:19,794 --> 00:12:21,495 Then why? 301 00:12:22,183 --> 00:12:24,331 I love my fiancée more. 302 00:12:28,937 --> 00:12:30,170 Max! 303 00:12:30,205 --> 00:12:32,406 Max, I need to talk to you. 304 00:12:32,440 --> 00:12:34,408 Yeah, what's up? 305 00:12:34,442 --> 00:12:36,243 She keeps coming back. 306 00:12:36,277 --> 00:12:38,379 Should I be made aware of any suspicious activity? 307 00:12:38,413 --> 00:12:39,986 Just stand down, Todd. 308 00:12:40,020 --> 00:12:42,182 She wants to teach a computer to replace me. 309 00:12:42,217 --> 00:12:44,952 After all the personal sacrifices I've made, 310 00:12:44,986 --> 00:12:47,021 just to have an iPad steal my knowledge... 311 00:12:47,055 --> 00:12:48,589 it is not "artificial" intelligence, 312 00:12:48,623 --> 00:12:50,524 it is my intelligence. 313 00:12:50,558 --> 00:12:52,192 - Max we're due in dermatology. - I know. 314 00:12:52,227 --> 00:12:54,128 Vijay, since I have no idea what you're talking about, 315 00:12:54,162 --> 00:12:55,963 I'm gonna trust you to make the right decision. 316 00:12:55,997 --> 00:12:57,131 Thank you. I won't do it. 317 00:12:57,165 --> 00:12:59,466 No matter how much her company is paying the hospital. 318 00:12:59,501 --> 00:13:00,868 Come again? 319 00:13:00,902 --> 00:13:02,102 How much are they paying the hospital? 320 00:13:02,137 --> 00:13:04,304 - They are... - $160,000. 321 00:13:04,339 --> 00:13:07,474 Really? That's, uh... Vijay, 322 00:13:07,509 --> 00:13:09,910 my friend, I think that you and the iPad 323 00:13:09,944 --> 00:13:12,379 might've gotten off on the wrong foot. 324 00:13:13,615 --> 00:13:17,484 My body's been sore, and my girl saw this crazy rash. 325 00:13:17,519 --> 00:13:21,055 I have a couple of theories. The first one I think... 326 00:13:21,089 --> 00:13:23,257 Diagnosis confirmed. Lyme disease. 327 00:13:23,291 --> 00:13:25,426 An email is being sent to your account 328 00:13:25,460 --> 00:13:27,628 with detailed treatment information. 329 00:13:32,867 --> 00:13:34,001 Yes, something to do with your... 330 00:13:38,506 --> 00:13:41,241 I'm sorry, but let me see... I... I... 331 00:13:49,350 --> 00:13:50,984 What happens next? 332 00:13:51,019 --> 00:13:53,087 We wait for the results from your CT scan. 333 00:13:53,121 --> 00:13:55,522 Unfortunately, it can take a couple hours to arrive 334 00:13:55,557 --> 00:13:56,957 from, uh, Radiology because... 335 00:13:58,193 --> 00:13:59,860 CT scan results have arrived. 336 00:13:59,894 --> 00:14:02,329 - Diagnosis ACA aneurysm. - What? 337 00:14:02,363 --> 00:14:03,931 - What? Where? - What? 338 00:14:03,965 --> 00:14:05,499 - What, what? - Aneurysm is located 339 00:14:05,533 --> 00:14:08,102 on the anterior clinoid segment... 340 00:14:08,136 --> 00:14:10,971 Nobody likes a show-off, so just shut up, okay? 341 00:14:21,649 --> 00:14:24,451 I-I have to go. I need that back please. 342 00:14:24,486 --> 00:14:27,554 Okay. You keep it. 343 00:14:27,589 --> 00:14:29,389 Every day, 9:30-9:45... 344 00:14:29,424 --> 00:14:31,458 Sandra Fall from billing! Hi. 345 00:14:31,493 --> 00:14:32,751 How goes it? 346 00:14:32,786 --> 00:14:34,962 It doesn't go good because you can't code for racism. 347 00:14:34,997 --> 00:14:38,365 And yet, I did, so... 348 00:14:38,399 --> 00:14:40,467 No, you hand-wrote a non-option in the margin 349 00:14:40,502 --> 00:14:43,070 like a Bern Bro during the 2016 General Election. 350 00:14:43,104 --> 00:14:45,072 Yes, I did, because there isn't a code 351 00:14:45,106 --> 00:14:46,240 for my actual diagnosis. 352 00:14:46,274 --> 00:14:47,341 Okay, then change your diagnosis 353 00:14:47,375 --> 00:14:48,675 to an approved ICD-10 code 354 00:14:48,710 --> 00:14:50,310 because that's how we bill insurance companies. 355 00:14:50,345 --> 00:14:51,678 No. No, I'm sorry, 356 00:14:51,713 --> 00:14:53,180 I'm not gonna change my diagnosis, 357 00:14:53,214 --> 00:14:54,915 Sandra Fall from billing... not this time. 358 00:14:54,949 --> 00:14:56,683 Many, many times I've played it fast and loose 359 00:14:56,718 --> 00:14:57,948 with insurance codes to help patients. 360 00:14:57,983 --> 00:14:59,353 - Please, don't tell me that! - Many times. 361 00:14:59,387 --> 00:15:01,321 But this time it will actually hurt patients. 362 00:15:01,356 --> 00:15:03,557 Like, specifically the 13-year-old boy 363 00:15:03,591 --> 00:15:06,260 who is lying in our OR with a tumor. 364 00:15:06,294 --> 00:15:07,995 He's proof that racism 365 00:15:08,029 --> 00:15:09,263 can cause life-threatening medical issues, 366 00:15:09,297 --> 00:15:10,639 and no one is doing anything about it 367 00:15:10,673 --> 00:15:12,266 because no one is tracking the data to prove it. 368 00:15:12,300 --> 00:15:14,568 And do you know why no one is tracking the data to prove it? 369 00:15:14,602 --> 00:15:17,331 Because the ICD-10 doesn't have a diagnostic code for it? 370 00:15:17,366 --> 00:15:19,106 - Exactly. - Dr. Frome, 371 00:15:19,140 --> 00:15:21,408 go ahead, change the world, 372 00:15:21,442 --> 00:15:24,144 but not until you change the ICD codes. 373 00:15:24,746 --> 00:15:27,281 That's... 374 00:15:27,315 --> 00:15:28,828 Clamp. 375 00:15:29,584 --> 00:15:31,251 Cephas' tumor's nestled up against 376 00:15:31,286 --> 00:15:33,086 the inferior mesenteric. 377 00:15:33,121 --> 00:15:34,454 I can definitely get in there. 378 00:15:34,489 --> 00:15:36,423 Forceps. 379 00:15:37,292 --> 00:15:39,459 NR BP 55. 380 00:15:39,494 --> 00:15:41,428 Dr. Ayton, look at this. 381 00:15:41,462 --> 00:15:43,230 Right next to the duodenum. 382 00:15:43,264 --> 00:15:45,599 Another tumor. 383 00:15:45,633 --> 00:15:47,768 Patient is hemodynamically stable. 384 00:15:47,802 --> 00:15:51,305 And looks like another two right at the celiac junction. 385 00:15:51,339 --> 00:15:53,040 Four total? 386 00:15:53,074 --> 00:15:54,741 Surgery's gonna take a bit longer. 387 00:15:54,776 --> 00:15:57,044 I'll go tell his mother. 388 00:15:59,581 --> 00:16:02,649 Helen, from what I can tell, 389 00:16:02,684 --> 00:16:05,152 these tumors are just going to keep recurring. 390 00:16:05,186 --> 00:16:07,621 And next time they might not be benign. 391 00:16:08,690 --> 00:16:11,058 Stand by with pylorus clamp. 392 00:16:12,126 --> 00:16:13,760 Okay, give it to me straight, Todd. 393 00:16:13,795 --> 00:16:15,729 - 100,000 from cardiothoracic... - Yep. 394 00:16:15,763 --> 00:16:17,598 - 160k from neurology... - Yep. 395 00:16:17,632 --> 00:16:19,132 45,000 from dermatology. 396 00:16:19,167 --> 00:16:20,307 Come on, admit it. 397 00:16:20,341 --> 00:16:21,635 This skimming thing is kind of working, right? 398 00:16:21,669 --> 00:16:23,003 So long as everyone does their part 399 00:16:23,037 --> 00:16:24,404 and sacrifices for the greater good. 400 00:16:24,439 --> 00:16:26,240 - Exactly. - Like Communism. 401 00:16:26,274 --> 00:16:27,574 - Max! - Yeah? 402 00:16:27,609 --> 00:16:29,176 Notice anything different about me? 403 00:16:29,210 --> 00:16:30,811 Actually, I have been noticing 404 00:16:30,845 --> 00:16:33,180 a lot of your patients are being admitted 405 00:16:33,214 --> 00:16:36,316 before they need to be. Uh, ACS, pre-crisis diabetics... 406 00:16:36,351 --> 00:16:39,253 The thing is, if they don't actually end up in crisis, 407 00:16:39,287 --> 00:16:40,621 then we can't bill for it. 408 00:16:41,317 --> 00:16:43,590 It's my leg. Um, finally better. 409 00:16:43,625 --> 00:16:46,293 - No biggie. - That's great. 410 00:16:46,327 --> 00:16:48,362 So, it would save this hospital a lot of money 411 00:16:48,396 --> 00:16:50,697 if you could keep these patients in the ED 412 00:16:50,732 --> 00:16:54,601 for observation until a crisis diagnosis can be confirmed. 413 00:16:54,636 --> 00:16:56,603 If you don't mind hiring 20 more nurses, 414 00:16:56,638 --> 00:16:58,305 a dozen more orderlies, 415 00:16:58,339 --> 00:16:59,706 and increasing the number of residents, 416 00:16:59,741 --> 00:17:01,675 and adding, like, 30 beds, then sure. 417 00:17:01,709 --> 00:17:03,644 Excuse me! Excuse me! 418 00:17:03,678 --> 00:17:05,212 This area is off limits! 419 00:17:05,246 --> 00:17:07,114 You can't just keep coming back here like this! 420 00:17:07,148 --> 00:17:09,383 Who the hell do you think you are? 421 00:17:09,417 --> 00:17:10,617 Uh... 422 00:17:10,652 --> 00:17:11,685 So ultimately, 423 00:17:11,719 --> 00:17:14,454 I don't think it's going to save you any money. 424 00:17:16,157 --> 00:17:17,724 She seems fun. 425 00:17:17,759 --> 00:17:20,227 Yeah, I'll figure out whatever, uh, that was, 426 00:17:20,261 --> 00:17:22,729 but right now I need a new strategy. 427 00:17:22,764 --> 00:17:26,133 We could always revisit cutting CF56Z. 428 00:17:26,167 --> 00:17:28,568 You mean "Postnatal Care for Undocumented Mothers." 429 00:17:28,603 --> 00:17:32,306 I mean to save this hospital. From your own good intentions. 430 00:17:33,608 --> 00:17:35,375 I need some help here! 431 00:17:35,410 --> 00:17:37,744 Grab me an orderly and a non-rebreather mask! 432 00:17:37,779 --> 00:17:39,346 Hey, what happened? 433 00:17:39,380 --> 00:17:40,747 She just started walking and collapsed. 434 00:17:40,782 --> 00:17:42,582 Okay, well, let's get her back on her feet. 435 00:17:42,617 --> 00:17:44,318 I-I can't feel my legs. 436 00:17:44,352 --> 00:17:45,352 Where? What part? 437 00:17:45,386 --> 00:17:46,687 All over. Everywhere. 438 00:17:46,721 --> 00:17:48,689 - What do her CTs say? - Nothing. 439 00:17:48,723 --> 00:17:49,856 They were all clear. 440 00:17:49,891 --> 00:17:51,425 - Do we need a collar? - Please, I... 441 00:17:51,459 --> 00:17:53,593 - I can't... I can't feel my legs. - Mom? 442 00:17:53,628 --> 00:17:55,529 - Are you okay? - I can't feel my legs. 443 00:17:55,563 --> 00:17:56,863 What's going on? 444 00:17:56,898 --> 00:17:58,598 - Please! - She didn't hit her head. 445 00:17:58,633 --> 00:18:00,167 She just fell down. 446 00:18:12,157 --> 00:18:13,958 - Sir. - Sir. 447 00:18:13,992 --> 00:18:16,260 - Hi there. - Ma'am. 448 00:18:16,294 --> 00:18:19,163 Um, thank you for agreeing to meet us here. 449 00:18:19,197 --> 00:18:21,232 We thought neutral territory would be best 450 00:18:21,266 --> 00:18:22,566 for what Dr. Goodwin has to say. 451 00:18:22,601 --> 00:18:23,990 - Yeah. - Max, I think 452 00:18:24,025 --> 00:18:25,603 I can save New Amsterdam and the city of New York 453 00:18:25,637 --> 00:18:26,902 hundreds of millions of dollars. 454 00:18:26,937 --> 00:18:29,106 Oh, then you should definitely go first. 455 00:18:29,141 --> 00:18:31,008 There's a 13-year-old boy in surgery right now 456 00:18:31,042 --> 00:18:33,310 having multiple tumors removed caused by racism. 457 00:18:33,345 --> 00:18:36,313 I know... I know how that sounds, trust me, I do, 458 00:18:36,348 --> 00:18:38,516 but yesterday, I treated two patients with PTSD 459 00:18:38,550 --> 00:18:40,017 from the exact same thing. 460 00:18:40,051 --> 00:18:41,920 Our ED, at least three times a week, 461 00:18:41,955 --> 00:18:43,201 treats victims of hate crimes. 462 00:18:43,235 --> 00:18:45,856 The city is spending hundreds of millions of dollars 463 00:18:45,891 --> 00:18:47,925 managing medical repercussions of racism, 464 00:18:47,959 --> 00:18:48,926 and it doesn't even know it 465 00:18:48,960 --> 00:18:51,529 because the ICD-10 does not have a code for it. 466 00:18:52,339 --> 00:18:53,318 This is not gonna save us money. 467 00:18:53,352 --> 00:18:54,452 How can I help? 468 00:18:54,486 --> 00:18:56,020 A campaign to make the ICD-10 469 00:18:56,055 --> 00:18:57,488 add racism to their diagnostic index. 470 00:18:57,523 --> 00:18:59,190 All I need is a little bit of money 471 00:18:59,224 --> 00:19:01,092 for a small team of researchers and lobbyists... 472 00:19:01,126 --> 00:19:02,393 No. 473 00:19:04,730 --> 00:19:06,164 What? Say that again? 474 00:19:06,688 --> 00:19:07,788 No. 475 00:19:07,813 --> 00:19:10,635 That's... I've never heard you say that word before. 476 00:19:10,669 --> 00:19:12,337 In order to balance the budget, 477 00:19:12,371 --> 00:19:14,539 Max has no choice but to cut personnel. 478 00:19:15,221 --> 00:19:16,641 How awful. 479 00:19:16,675 --> 00:19:19,344 Did you guys have anyone in mind? 480 00:19:28,654 --> 00:19:30,688 Back away slowly. 481 00:19:32,725 --> 00:19:34,592 Go, go, slower. 482 00:19:35,494 --> 00:19:37,428 Okay, break. Break... break for it. 483 00:19:41,834 --> 00:19:44,068 Four tumors, all being removed... 484 00:19:44,103 --> 00:19:46,537 it's just going to take a little bit more time. 485 00:19:46,572 --> 00:19:49,340 Why is this happening to my son? 486 00:19:51,243 --> 00:19:52,466 Uh... 487 00:19:53,676 --> 00:19:58,750 Cephas let me read his essay on "Lord of the Flies, 488 00:19:58,784 --> 00:20:02,587 and it's clear just how open he is. 489 00:20:02,621 --> 00:20:04,311 To the world. 490 00:20:05,090 --> 00:20:08,493 And while that openness lets in a lot of beauty, 491 00:20:08,527 --> 00:20:11,362 it also lets in darker things. 492 00:20:14,600 --> 00:20:18,117 God, I really thought that I shielded him from... 493 00:20:19,243 --> 00:20:21,172 everything that I have to deal with. 494 00:20:23,442 --> 00:20:27,078 I jumped through hoops to get him into a progressive school 495 00:20:27,112 --> 00:20:29,247 with a uniform policy. 496 00:20:29,281 --> 00:20:32,183 I got him into group sports with diverse coaches. 497 00:20:32,217 --> 00:20:33,818 His friends are amazing. I... 498 00:20:36,889 --> 00:20:40,224 I thought I was doing a good job, I really... 499 00:20:40,259 --> 00:20:43,194 You... you are doing more than a good job. 500 00:20:43,228 --> 00:20:46,264 That boy is extraordinary 501 00:20:46,298 --> 00:20:47,832 because of you. 502 00:20:51,804 --> 00:20:56,274 Even here, in this progressive hospital, 503 00:20:56,308 --> 00:20:58,776 I deal with microaggressions every day. 504 00:20:59,325 --> 00:21:00,912 From people who mean well. 505 00:21:00,946 --> 00:21:03,181 From people who should know better. 506 00:21:04,616 --> 00:21:06,684 That's the world that we live in. 507 00:21:07,786 --> 00:21:10,722 So, then what can I do 508 00:21:10,756 --> 00:21:13,791 to keep my son from ending up here next year? 509 00:21:15,461 --> 00:21:17,528 Next month? 510 00:21:21,834 --> 00:21:24,135 Have you been out of country recently? 511 00:21:24,169 --> 00:21:25,436 No. 512 00:21:25,471 --> 00:21:28,573 Been bitten by an animal or a rodent? 513 00:21:28,607 --> 00:21:30,808 Uh, just the occasional mosquito bite. 514 00:21:30,843 --> 00:21:32,810 Started any new diets? 515 00:21:32,845 --> 00:21:34,812 We keep kosher. Nothing trendy. 516 00:21:34,847 --> 00:21:37,882 Swam in any natural bodies of water? 517 00:21:38,851 --> 00:21:40,418 No. 518 00:21:42,688 --> 00:21:46,491 Do you have any idea what's happening to me? 519 00:21:46,997 --> 00:21:48,493 Will you excuse us for a second? 520 00:21:48,527 --> 00:21:50,261 Okay. 521 00:21:54,296 --> 00:21:55,833 Any theories? 522 00:21:56,298 --> 00:21:57,969 Guillain-Barre syndrome and Zika 523 00:21:58,003 --> 00:21:59,971 are both known to cause leg paralysis, 524 00:22:00,005 --> 00:22:01,706 but her tests came back normal. 525 00:22:01,740 --> 00:22:03,674 And her CT came back negative 526 00:22:03,709 --> 00:22:05,343 except for some swelling around the spine. 527 00:22:05,377 --> 00:22:08,212 The only viable option right now is to treat her symptoms, 528 00:22:08,247 --> 00:22:11,282 push steroids to reduce her spinal swelling, 529 00:22:11,316 --> 00:22:14,316 unless D.A.W.N. has a different diagnosis to humiliate me. 530 00:22:14,887 --> 00:22:15,987 D.A.W.N.-ji? 531 00:22:21,560 --> 00:22:22,760 This is bad. 532 00:22:27,032 --> 00:22:29,534 This is my favorite achievement since coming here. 533 00:22:29,568 --> 00:22:31,702 Free daycare for all employees. 534 00:22:31,737 --> 00:22:33,871 I don't see how getting rid of a few daycare employees 535 00:22:33,906 --> 00:22:35,740 is gonna put a dent in the budget. 536 00:22:35,774 --> 00:22:38,376 Well, we contract out the daycare service. 537 00:22:38,410 --> 00:22:39,977 It's a luxury, I mean, it's not essential, 538 00:22:40,012 --> 00:22:43,381 and if we close it, we might break even. 539 00:22:43,415 --> 00:22:45,383 You're closing the daycare? 540 00:22:45,417 --> 00:22:47,318 Now, Mariana, I wouldn't even consider this 541 00:22:47,352 --> 00:22:50,488 unless I absolutely had to. I mean, I need the daycare too. 542 00:22:50,522 --> 00:22:52,523 So do a lot of the nurses and residents. 543 00:22:52,558 --> 00:22:54,725 - I hear you, but... - I don't think you do. 544 00:22:54,760 --> 00:22:58,229 Do you know how expensive regular daycare is? 545 00:22:58,263 --> 00:22:59,864 Not to mention, they're only open ten hours, 546 00:22:59,898 --> 00:23:01,866 and most of us work 12-hour shifts. 547 00:23:01,900 --> 00:23:04,035 Are you gonna cut our hours and pay us more too? 548 00:23:04,069 --> 00:23:06,737 I need to cut costs just to make payroll. 549 00:23:08,037 --> 00:23:09,407 Well, you can keep my paycheck 550 00:23:09,441 --> 00:23:10,942 because if we have to pay for daycare, 551 00:23:10,976 --> 00:23:12,677 a lot of us will need new jobs. 552 00:23:20,085 --> 00:23:23,254 We're not gonna cut daycare, are we? 553 00:23:27,793 --> 00:23:29,427 At the aortic arch. 554 00:23:29,461 --> 00:23:31,062 Anterior wall of the left atrium 555 00:23:31,096 --> 00:23:32,897 looks prime for placement of the first lead. 556 00:23:32,931 --> 00:23:34,565 All right, advancing now. 557 00:23:36,635 --> 00:23:38,436 Just as good as at New Amsterdam? 558 00:23:38,470 --> 00:23:40,638 I'm not gonna lie to you, 559 00:23:40,672 --> 00:23:42,773 I'm pretty proud of what we accomplished. 560 00:23:42,808 --> 00:23:45,443 I mean, that's what makes leaving so hard, you know? 561 00:23:47,646 --> 00:23:49,947 Whoa. Is that from a lung? 562 00:23:49,982 --> 00:23:52,617 - Did I hit something? - No, it's from her stomach. 563 00:23:52,651 --> 00:23:54,619 Massive hematemesis. 564 00:23:54,653 --> 00:23:56,954 Maybe it's a bleeding ulcer or a Mallory Weiss Tear. 565 00:23:56,989 --> 00:23:59,390 It looks like variceal bleeding. 566 00:23:59,424 --> 00:24:01,592 Her cirrhotic liver decompensated. 567 00:24:01,627 --> 00:24:02,760 The blood is backing up behind it. 568 00:24:02,794 --> 00:24:03,961 We need to make a new pathway 569 00:24:03,996 --> 00:24:05,630 so the blood can bypass the liver. 570 00:24:05,664 --> 00:24:06,697 Heart rate's up to 130. 571 00:24:06,732 --> 00:24:09,100 All right, transfuse 2 units of packed red cells. 572 00:24:09,134 --> 00:24:11,903 We don't have a blood bank. We're not a hospital. 573 00:24:11,937 --> 00:24:13,004 I'm calling an ambulance. 574 00:24:13,038 --> 00:24:14,038 Her blood pressure's dropping. 575 00:24:14,072 --> 00:24:15,773 We don't have time. We're working on her now. 576 00:24:15,807 --> 00:24:17,842 I told you, we're only equipped for cardiac emergencies. 577 00:24:18,565 --> 00:24:21,979 Then we have to treat Grace's liver like a heart. 578 00:24:29,237 --> 00:24:30,569 She's never there anymore. 579 00:24:30,604 --> 00:24:32,238 She's only about her trial these days. my plan would work. 580 00:24:32,272 --> 00:24:33,372 Uh, can I run something by you? 581 00:24:33,406 --> 00:24:34,773 Sure, but where's your bodyguard? 582 00:24:34,808 --> 00:24:36,103 Oh, I gave him the slip. 583 00:24:36,138 --> 00:24:38,132 - Really? - No, that's impossible. He's at lunch. 584 00:24:38,158 --> 00:24:39,411 I'm having a bit of a budget crisis, 585 00:24:39,446 --> 00:24:43,182 and I finally figured out a way to, uh, close the gap. 586 00:24:43,216 --> 00:24:44,884 - You ready? - As ready as I'll ever be. 587 00:24:44,918 --> 00:24:48,187 Okay, I want to eliminate all over-testing. 588 00:24:48,221 --> 00:24:50,356 - That's a great idea. - Really? 589 00:24:50,390 --> 00:24:51,523 Oh, my God, 590 00:24:51,558 --> 00:24:53,726 you're the first person who has not wanted to strangle me, 591 00:24:53,760 --> 00:24:55,861 or you know, slam the door in my face. 592 00:24:55,896 --> 00:24:57,429 What test did you have in mind? 593 00:24:57,464 --> 00:24:59,523 I wanna cut yearly mammograms. 594 00:25:00,300 --> 00:25:01,867 - Sorry? - I know how that sounds, 595 00:25:01,902 --> 00:25:03,569 okay, but the US Preventative Task Force 596 00:25:03,603 --> 00:25:05,437 says they're unnecessary for women under 50 597 00:25:05,472 --> 00:25:07,439 unless of course they fall into a high-risk group. 598 00:25:07,474 --> 00:25:10,476 Yeah, the American Cancer Society says 45. 599 00:25:10,510 --> 00:25:12,878 A woman's individual doctor might say 40. 600 00:25:12,913 --> 00:25:15,147 These tests aren't one-size fits all. 601 00:25:15,181 --> 00:25:17,216 I'm not saying they are. All I am saying is women under 50 602 00:25:17,250 --> 00:25:18,817 are more likely to get false positive 603 00:25:18,852 --> 00:25:20,419 and therefore be over-diagnosed 604 00:25:20,453 --> 00:25:21,720 and over-treated for something 605 00:25:21,755 --> 00:25:23,255 that may ultimately be benign. 606 00:25:23,290 --> 00:25:25,157 Someone may want that peace of mind. 607 00:25:25,191 --> 00:25:27,593 Well, but should New Amsterdam be paying for it? 608 00:25:27,627 --> 00:25:30,229 - Fine, cut yearly mammograms. - Really? 609 00:25:30,263 --> 00:25:31,630 - Sure. - Thank you. 610 00:25:31,665 --> 00:25:33,165 Except those mammograms 611 00:25:33,199 --> 00:25:35,267 are actually money-makers for this hospital. 612 00:25:35,302 --> 00:25:37,469 I walked right into this, didn't I? 613 00:25:37,504 --> 00:25:39,271 If you cut mammograms paid for by insurance, 614 00:25:39,306 --> 00:25:40,372 I'm fairly certain 615 00:25:40,407 --> 00:25:42,241 it's gonna make your budget shortfall even worse. 616 00:25:42,275 --> 00:25:44,143 What about mammograms not covered by insurance? 617 00:25:44,177 --> 00:25:46,312 So you're suggesting two standards of care, 618 00:25:46,346 --> 00:25:48,247 one for women with insurance and one for women without? 619 00:25:48,281 --> 00:25:50,649 No, because that would be... 620 00:25:50,684 --> 00:25:51,817 - Draconian. - Yeah. 621 00:25:51,851 --> 00:25:54,620 And I would be ashamed to even be having this conversation. 622 00:25:54,654 --> 00:25:55,754 Don't be, 623 00:25:55,789 --> 00:25:57,890 because I'm sure Castro will cut whatever you want. 624 00:25:59,826 --> 00:26:01,160 Mm. 625 00:26:06,533 --> 00:26:08,500 Glad I was at lunch for that one. 626 00:26:12,539 --> 00:26:14,440 These cardiac stents are too small. 627 00:26:14,474 --> 00:26:16,342 They're made to open a tiny artery, 628 00:26:16,376 --> 00:26:18,344 not make a large conduit for bypassing the liver. 629 00:26:18,378 --> 00:26:20,946 If I can just get this last stent in place, 630 00:26:20,981 --> 00:26:23,178 the portal vein and the hepatic vein will flow as one. 631 00:26:23,213 --> 00:26:25,718 Switch ultrasound to Doppler mode. 632 00:26:25,752 --> 00:26:28,187 I don't see anything. There's no flow. 633 00:26:28,221 --> 00:26:29,955 You missed the connection. We must have gone too distal. 634 00:26:29,990 --> 00:26:31,722 BP's dropping again. 635 00:26:31,756 --> 00:26:34,226 Hang a bag of Dobutamine. Titrate to 3 micrograms. 636 00:26:34,260 --> 00:26:35,694 I'm gonna try to pass the wire. 637 00:26:35,729 --> 00:26:37,830 See if you can grab it, all right? 638 00:26:37,864 --> 00:26:40,366 That'll help us make the connection. 639 00:26:40,400 --> 00:26:42,334 Little further. 640 00:26:44,270 --> 00:26:45,471 A little further. 641 00:26:47,240 --> 00:26:48,707 - Now. - Got it. 642 00:26:48,742 --> 00:26:50,342 Muy bien. 643 00:26:50,377 --> 00:26:51,810 Looks like flow. 644 00:26:51,845 --> 00:26:54,680 I can't believe it. 645 00:26:55,415 --> 00:26:56,682 Gauze. 646 00:26:56,716 --> 00:26:59,518 Forgot how much I missed real medicine. 647 00:27:19,305 --> 00:27:21,440 My baby. 648 00:27:21,474 --> 00:27:23,442 Okay, but the W.H.O. needs a sponsor, 649 00:27:23,476 --> 00:27:26,512 and I can't... I can't get a sponsor until the W.H.O... 650 00:27:26,546 --> 00:27:28,547 Right exactly. 651 00:27:28,581 --> 00:27:29,748 - Yes. - Iggy! 652 00:27:29,783 --> 00:27:32,251 Yes, I'll be there. Thank you very much. 653 00:27:32,285 --> 00:27:34,420 Iggy, where have you been? 654 00:27:34,454 --> 00:27:36,789 Every day patients come in with so many stressors 655 00:27:36,823 --> 00:27:38,924 that I have no idea what the problem is. 656 00:27:38,958 --> 00:27:41,427 With Cephas, I know exactly what the problem is, 657 00:27:41,461 --> 00:27:42,628 but I can't to do anything about it, 658 00:27:42,662 --> 00:27:45,264 which is just crazy-maker, you know? 659 00:27:45,298 --> 00:27:46,932 So I just managed to get a meeting 660 00:27:46,966 --> 00:27:48,600 with a member the World Health Organization so I can lobby... 661 00:27:48,635 --> 00:27:50,769 Okay, Iggy, I love you, 662 00:27:50,804 --> 00:27:52,604 and I mean this in the best possible way... 663 00:27:52,639 --> 00:27:53,810 Uh-oh. 664 00:27:53,844 --> 00:27:56,442 Forget about trying to save the world 665 00:27:56,476 --> 00:27:59,578 and focus on trying to save our patient, 666 00:27:59,612 --> 00:28:01,947 'cause no one else is going to. 667 00:28:11,658 --> 00:28:14,960 Help. Help, please, help. 668 00:28:14,994 --> 00:28:16,728 Okay, deep breaths for me, Steph, okay? 669 00:28:16,763 --> 00:28:19,631 - Deep breaths. - Now I can't move my arms. 670 00:28:19,666 --> 00:28:23,469 Okay, let's get her on 100% non-rebreather and a stat EKG. 671 00:28:23,503 --> 00:28:25,804 Squeeze my hands. Come on, as hard as you can. 672 00:28:25,839 --> 00:28:27,439 I can't. 673 00:28:27,474 --> 00:28:28,574 Steph! 674 00:28:29,642 --> 00:28:31,577 Okay, let's get her on 2 milligrams of Ativan. 675 00:28:31,611 --> 00:28:32,744 2 milligrams of Ativan! 676 00:28:32,779 --> 00:28:34,346 Oh, Mommy... 677 00:28:34,380 --> 00:28:36,582 I need that Ativan! 678 00:28:36,616 --> 00:28:40,552 Mommy, please stop. 679 00:28:43,523 --> 00:28:45,524 Ascending paralysis. 680 00:28:45,558 --> 00:28:47,860 Soon she won't be able to breathe. 681 00:28:47,894 --> 00:28:49,995 It could be Neuro-Bechet's Disease. 682 00:28:50,029 --> 00:28:53,999 Diagnostic accuracy below 1%. 683 00:28:54,033 --> 00:28:56,468 A tumor can cause paraneoplastic syndrome. 684 00:28:56,503 --> 00:29:00,038 Diagnostic accuracy less than 1%. 685 00:29:00,073 --> 00:29:02,007 D.A.W.N. if you do not have any actual ideas, 686 00:29:02,041 --> 00:29:03,008 please shut up. 687 00:29:03,042 --> 00:29:04,877 Advise patient be placed 688 00:29:04,911 --> 00:29:06,845 in phenobarbital coma 689 00:29:06,880 --> 00:29:09,114 until diagnosis can be reached. 690 00:29:09,149 --> 00:29:11,525 Tell me we're not doing that. 691 00:29:12,085 --> 00:29:14,686 If we do not reach diagnosis today... 692 00:29:16,022 --> 00:29:17,689 We'll have to. 693 00:29:22,929 --> 00:29:24,913 I really thought we could do it. 694 00:29:25,565 --> 00:29:27,699 We knew this would be painful. 695 00:29:27,734 --> 00:29:29,401 Why do you think Brantley sent me? 696 00:29:29,435 --> 00:29:30,969 I could chip away at it, 697 00:29:31,004 --> 00:29:34,072 but every cut just makes this hospital worse. 698 00:29:34,107 --> 00:29:36,041 Which is why I still think you should pick 699 00:29:36,075 --> 00:29:38,051 one big ticket item. 700 00:29:38,912 --> 00:29:40,479 Will it make the hospital worse? 701 00:29:40,513 --> 00:29:41,713 Unfortunately, yes. 702 00:29:41,748 --> 00:29:44,716 But will it compromise every single one of your departments? 703 00:29:44,751 --> 00:29:45,918 No. 704 00:29:45,952 --> 00:29:47,536 Yeah. 705 00:29:48,454 --> 00:29:50,556 You know, we were the first hospital 706 00:29:50,590 --> 00:29:52,524 in the country to cover postnatal care 707 00:29:52,559 --> 00:29:54,726 for undocumented mothers. 708 00:29:59,232 --> 00:30:01,324 We were trying to be pioneers. 709 00:30:10,210 --> 00:30:12,085 Now I can make payroll. 710 00:30:21,955 --> 00:30:23,263 Max. 711 00:30:24,824 --> 00:30:26,600 You did the right thing. 712 00:30:56,806 --> 00:30:58,807 Well, it looks like Klinger's missed 713 00:30:58,842 --> 00:31:00,976 11 games this year, and he's been battling 714 00:31:01,011 --> 00:31:02,711 this injury all season. 715 00:31:02,746 --> 00:31:04,280 Oh, missed the second free throw. 716 00:31:04,314 --> 00:31:06,215 Miller with the rebound. Are we winning? 717 00:31:06,249 --> 00:31:09,151 - He's got seven assists... - Oh, I'm sorry. 718 00:31:09,185 --> 00:31:11,120 Please, please, don't tell my dad. 719 00:31:11,154 --> 00:31:14,056 Ah, the Sabbath. No electricity. 720 00:31:14,090 --> 00:31:16,702 It's just a really big game. 721 00:31:16,736 --> 00:31:19,055 Your secret is safe with me. 722 00:31:19,089 --> 00:31:21,233 Nets fans have suffered enough. 723 00:31:23,098 --> 00:31:25,166 May I? 724 00:31:28,237 --> 00:31:31,339 You must miss many games because of the Sabbath. 725 00:31:31,373 --> 00:31:34,342 Well, I kind of make an exception for the Nets. 726 00:31:34,376 --> 00:31:36,778 We haven't won a championship game in my whole life, 727 00:31:36,812 --> 00:31:39,514 but we're doing really well this year. 728 00:31:39,548 --> 00:31:41,282 - Hm. - Mm-hmm. 729 00:31:41,317 --> 00:31:44,452 So do you break any other Sabbath rules? 730 00:31:44,486 --> 00:31:46,554 No way. Never. 731 00:31:49,558 --> 00:31:50,976 Shirley... 732 00:31:52,161 --> 00:31:54,813 this is question is a matter of life and death. 733 00:31:56,565 --> 00:31:59,442 I believe you have kept the Sabbath, but... 734 00:32:00,569 --> 00:32:02,445 have you kept kosher? 735 00:32:07,643 --> 00:32:09,110 Vijay, you paged? 736 00:32:09,144 --> 00:32:12,647 - Hot dog! - What are we talking about? 737 00:32:12,681 --> 00:32:16,150 Shirley secretly ate a street vendor's hot dog. 738 00:32:17,002 --> 00:32:18,553 Shirley got a tapeworm? 739 00:32:18,587 --> 00:32:20,254 And passed its eggs unknowingly 740 00:32:20,289 --> 00:32:22,724 to her mother with a kiss. 741 00:32:22,758 --> 00:32:25,626 Neurocysticercosis. 742 00:32:25,661 --> 00:32:26,828 Did D.A.W.N. confirm? 743 00:32:26,862 --> 00:32:28,663 I turned D.A.W.N. off. 744 00:32:28,697 --> 00:32:31,733 Two tablets each, and they will be cleared up. 745 00:32:31,767 --> 00:32:33,101 I... 746 00:32:33,135 --> 00:32:35,269 I don't understand. 747 00:32:35,304 --> 00:32:37,572 Did I hurt my mom? 748 00:32:37,606 --> 00:32:40,817 No, Shirley. You saved her life. 749 00:32:47,783 --> 00:32:49,584 Hey, there, kiddo. How you doing? 750 00:32:49,618 --> 00:32:51,202 Better. 751 00:32:51,787 --> 00:32:54,706 Better is good. Very good. 752 00:32:56,625 --> 00:32:59,761 So listen, I have... 753 00:32:59,795 --> 00:33:03,097 I have one question that was not on my list from earlier. 754 00:33:03,132 --> 00:33:04,799 You feel up to answering it? 755 00:33:06,676 --> 00:33:09,763 Why wouldn't the librarian let you take out those books? 756 00:33:12,641 --> 00:33:13,875 I don't know. 757 00:33:13,909 --> 00:33:15,644 Well, I think you do know. 758 00:33:16,512 --> 00:33:18,479 I think you know it so well 759 00:33:18,514 --> 00:33:20,114 that it is eating you up inside, 760 00:33:20,149 --> 00:33:23,151 and it is causing you to be sick. 761 00:33:24,887 --> 00:33:26,905 Why wouldn't the librarian let you take out those books? 762 00:33:33,262 --> 00:33:35,205 Because of the color of my skin. 763 00:33:36,231 --> 00:33:37,765 But she's not racist. 764 00:33:37,900 --> 00:33:39,634 Yeah, I don't doubt that for a second. 765 00:33:39,668 --> 00:33:42,870 But, you know, racism is so deeply ingrained 766 00:33:42,905 --> 00:33:45,573 in our society that people, myself included, 767 00:33:45,607 --> 00:33:48,259 we often don't realize that we're perpetuating it. 768 00:33:49,378 --> 00:33:50,929 So, like... 769 00:33:51,713 --> 00:33:53,548 when people give me nicknames I don't want 770 00:33:53,582 --> 00:33:54,749 'cause my name is different? 771 00:33:54,783 --> 00:33:57,151 Yes, that is a microaggression 772 00:33:57,186 --> 00:33:58,853 because of the color of your skin. 773 00:34:00,689 --> 00:34:03,591 What about when adults tell me I speak really good English? 774 00:34:03,625 --> 00:34:05,652 It's because of the color of your skin. 775 00:34:06,562 --> 00:34:08,162 Or when people assume 776 00:34:08,197 --> 00:34:11,332 I only got into my school 'cause I'm diverse? 777 00:34:11,366 --> 00:34:12,701 Yes. 778 00:34:13,735 --> 00:34:15,436 When the teacher tells me to lower my voice, 779 00:34:15,471 --> 00:34:17,455 even though I'm not the only one talking? 780 00:34:18,474 --> 00:34:20,675 Or she makes me answer all the Latino questions 781 00:34:20,709 --> 00:34:21,943 'cause I'm the only one in the room? 782 00:34:21,977 --> 00:34:23,628 Yes. 783 00:34:27,549 --> 00:34:28,967 I just thought... 784 00:34:30,385 --> 00:34:32,262 I didn't deserve to be there. 785 00:34:33,455 --> 00:34:35,523 I wasn't good enough. I was a mistake. 786 00:34:35,557 --> 00:34:38,435 No, Cephas, listen to me. 787 00:34:39,328 --> 00:34:41,729 All of this, everything you're talking about 788 00:34:41,763 --> 00:34:43,431 has nothing to do with you, 789 00:34:43,465 --> 00:34:46,234 and everything to do with the world around you. 790 00:34:46,268 --> 00:34:49,737 You walking around with all of this shame and confusion 791 00:34:49,771 --> 00:34:51,372 and stress inside your body, 792 00:34:51,406 --> 00:34:54,375 I can see that you don't want to feel this right now. 793 00:34:54,409 --> 00:34:56,644 But I'm telling you, your body is definitely feeling it, 794 00:34:56,678 --> 00:34:59,747 and that is what is making you sick. 795 00:35:01,483 --> 00:35:02,792 So... 796 00:35:05,654 --> 00:35:07,955 How are you gonna fix the world? 797 00:35:07,990 --> 00:35:09,257 I'm not. 798 00:35:09,791 --> 00:35:11,509 I can't. 799 00:35:12,828 --> 00:35:15,513 But I can help you process. 800 00:35:17,266 --> 00:35:19,601 Because if we can name it, 801 00:35:20,435 --> 00:35:22,036 we can treat it. 802 00:35:45,561 --> 00:35:46,711 You win. 803 00:35:48,213 --> 00:35:50,423 What do you want, Mom? 804 00:35:55,470 --> 00:35:56,805 Dinner. 805 00:36:23,432 --> 00:36:26,300 May, how long has Fatima been like this? 806 00:36:26,335 --> 00:36:28,469 - All day. - You should've paged me. 807 00:36:28,503 --> 00:36:30,839 She's listed as Castro's patient. 808 00:36:31,673 --> 00:36:34,075 Fatima, sweetheart, can I help you get back? 809 00:36:34,109 --> 00:36:35,743 I'm fine. Fine, fine, fine. 810 00:36:35,768 --> 00:36:38,713 Okay. Have you seen Dr. Castro? 811 00:36:38,747 --> 00:36:40,848 Dr. Castro said my numbers are good. 812 00:36:40,882 --> 00:36:42,650 I'm good. Better than good. 813 00:36:42,684 --> 00:36:45,019 She said her trial's helping. 814 00:36:59,067 --> 00:37:00,034 Yeah. 815 00:37:00,068 --> 00:37:02,003 Max, I got some bad news. 816 00:37:02,037 --> 00:37:04,772 I'm already there, so just hit me. 817 00:37:04,806 --> 00:37:07,708 Mexico is not the answer to your budget crisis. 818 00:37:07,743 --> 00:37:09,377 You know, we shouldn't be sending our patients 819 00:37:09,411 --> 00:37:12,113 2,000 miles away. It erodes our hospital. 820 00:37:12,147 --> 00:37:15,049 And American hospitals are eroded enough. 821 00:37:15,083 --> 00:37:17,551 And, Max, the other thing I gotta tell you, 822 00:37:17,586 --> 00:37:19,020 it can't wait anymore, all right? 823 00:37:19,054 --> 00:37:20,688 Floyd, you're the best. I gotta go. 824 00:37:25,761 --> 00:37:27,728 Hey, wait! 825 00:37:29,631 --> 00:37:30,765 Excuse me. 826 00:37:30,799 --> 00:37:33,367 Todd. Wait, buddy, hold up. 827 00:37:33,402 --> 00:37:34,902 Hey. 828 00:37:34,936 --> 00:37:37,571 Listen, I found a way to make payroll, 829 00:37:37,606 --> 00:37:40,775 save $2 million, and not cut a single program. 830 00:37:40,809 --> 00:37:41,876 How? 831 00:37:41,910 --> 00:37:43,744 Add a program. 832 00:37:43,779 --> 00:37:45,913 Todd, there are two ways to meet the budget, right? 833 00:37:45,947 --> 00:37:46,981 We were trying to cut costs, 834 00:37:47,015 --> 00:37:49,583 but what if we tried to add revenue? 835 00:37:49,618 --> 00:37:51,085 Okay, what we need isn't less programs, 836 00:37:51,119 --> 00:37:52,647 it's more patients. 837 00:37:52,681 --> 00:37:54,755 I think you've got all the sick people you can handle. 838 00:37:54,790 --> 00:37:56,157 Exactly. 839 00:37:56,191 --> 00:37:58,384 And so does every other hospital. 840 00:37:59,094 --> 00:38:01,662 New Amsterdam has every specialist under the sun. 841 00:38:01,697 --> 00:38:03,397 Right? But other hospitals can't even afford 842 00:38:03,432 --> 00:38:05,566 to keep one specialist on staff full time. 843 00:38:05,600 --> 00:38:09,070 America is full of people who have specific medical needs 844 00:38:09,104 --> 00:38:10,838 that their local hospitals can't meet, 845 00:38:10,872 --> 00:38:12,473 but we can. 846 00:38:12,507 --> 00:38:15,076 So instead of outsourcing our patients, 847 00:38:15,110 --> 00:38:17,645 we're gonna outsource our doctors. 848 00:38:17,679 --> 00:38:19,613 Okay, yeah, I'm gonna call it something better, 849 00:38:19,648 --> 00:38:21,148 but I have commitments already 850 00:38:21,183 --> 00:38:23,451 from Bridgeport Medical in Alabama, 851 00:38:23,485 --> 00:38:24,985 Mount Ida Memorial in Arkansas, 852 00:38:25,020 --> 00:38:26,754 Townsend Hospital Center in Delaware. 853 00:38:26,788 --> 00:38:29,757 Look, we can fill America's healthcare gaps, 854 00:38:29,791 --> 00:38:32,593 we can get fairly compensated, and most importantly, 855 00:38:32,627 --> 00:38:33,878 we can... 856 00:38:34,730 --> 00:38:36,422 we can balance the budget. 857 00:38:37,032 --> 00:38:38,799 What? 858 00:38:38,834 --> 00:38:41,094 Am I too late? The budget's already in? 859 00:38:41,803 --> 00:38:43,037 I threw it away. 860 00:38:43,071 --> 00:38:44,972 - You what? - Your budget. 861 00:38:45,006 --> 00:38:45,973 Threw it away. 862 00:38:46,007 --> 00:38:48,509 Threw it away? Why? 863 00:38:50,846 --> 00:38:53,106 I knew you'd come up with something. 864 00:38:57,652 --> 00:38:59,587 Huh. 865 00:39:26,548 --> 00:39:27,915 Hi. 866 00:39:27,949 --> 00:39:30,651 You look really nice. 867 00:39:30,685 --> 00:39:32,437 - So do you. - Thanks. 868 00:39:33,688 --> 00:39:35,656 Here you go. 869 00:39:35,690 --> 00:39:37,691 Right. Yeah. 870 00:39:41,196 --> 00:39:42,780 Um... 871 00:39:51,039 --> 00:39:55,075 I'm sorry. I don't think I can do this. 872 00:39:56,545 --> 00:39:58,179 Thank God. Me, neither. 873 00:39:58,213 --> 00:39:59,213 Really? 874 00:39:59,247 --> 00:40:02,016 Yeah, I feel incredibly guilty just being here. 875 00:40:02,050 --> 00:40:02,983 And I know I shouldn't, but I... 876 00:40:03,018 --> 00:40:07,221 Yeah, no, it just sneaks up on you, right? 877 00:40:11,326 --> 00:40:15,596 My husband was a musician. 878 00:40:15,630 --> 00:40:17,097 He took his own life. 879 00:40:20,302 --> 00:40:22,136 Sorry. 880 00:40:22,170 --> 00:40:23,871 I don't talk about that much. 881 00:40:23,905 --> 00:40:25,448 - Yeah, no... - Ever. 882 00:40:26,908 --> 00:40:28,943 But the moment I start to feel happiness, 883 00:40:28,977 --> 00:40:31,946 a wave of panic just... 884 00:40:31,980 --> 00:40:33,247 Yeah. 885 00:40:34,850 --> 00:40:36,984 Is that crazy to be triggered by happiness? 886 00:40:37,018 --> 00:40:38,853 No. 887 00:40:42,791 --> 00:40:43,791 Sorry I ruined the evening. 888 00:40:43,825 --> 00:40:45,426 No, I mean... 889 00:40:46,328 --> 00:40:49,597 you... you didn't. You didn't ruin anything. 890 00:40:57,772 --> 00:40:58,898 Um... 891 00:41:19,961 --> 00:41:22,763 Yeah, this is Max. 892 00:41:22,797 --> 00:41:25,299 Sorry, I thought I'd get your voicemail. 893 00:41:25,333 --> 00:41:26,767 No, that's okay. Who is this? 894 00:41:26,801 --> 00:41:28,335 My name's Nolene George, 895 00:41:28,370 --> 00:41:31,605 and I heard there was an opening at New Amsterdam. 896 00:41:31,640 --> 00:41:34,008 I'd love to be considered for the position. 897 00:41:34,042 --> 00:41:35,109 Sorry, what position? 898 00:41:35,143 --> 00:41:37,778 Chair of cardiothoracic surgery. 899 00:41:37,812 --> 00:41:40,356 Since Dr. Reynolds is leaving. 900 00:41:42,640 --> 00:41:43,984 ♪ Damn