1 00:00:05,630 --> 00:00:07,048 Novak and Violet are ten minutes out. 2 00:00:07,507 --> 00:00:08,717 I can take it. 3 00:00:08,800 --> 00:00:10,218 Mm, I wonder why he's so eager. 4 00:00:10,301 --> 00:00:12,595 Could it have something to do with a certain paramedic? 5 00:00:12,679 --> 00:00:14,806 You want to go back to your place? 6 00:00:18,143 --> 00:00:21,104 Sharon, you're overseeing the nursing program? 7 00:00:21,187 --> 00:00:22,814 - Yeah, that's right. - My nephew, Colton. 8 00:00:24,607 --> 00:00:26,109 I got in? 9 00:00:26,234 --> 00:00:27,569 You went with another candidate. 10 00:00:27,652 --> 00:00:29,070 Yes, but-- 11 00:00:29,195 --> 00:00:31,239 No, I understand your support behind someone who 12 00:00:31,364 --> 00:00:34,075 would benefit from the same opportunities you were given. 13 00:00:34,117 --> 00:00:36,369 You know, I'm not gonna dignify that statement 14 00:00:36,494 --> 00:00:37,954 with a response. 15 00:00:41,124 --> 00:00:43,460 Thank you. 16 00:00:43,501 --> 00:00:44,919 {\an8}Good morning. 17 00:00:45,045 --> 00:00:46,963 {\an8}This is a lot of hoopla 18 00:00:47,047 --> 00:00:49,883 {\an8}just to go kiss the ring of our majority owner. 19 00:00:49,966 --> 00:00:51,051 {\an8}Well, I'm hearing whispers 20 00:00:51,092 --> 00:00:52,635 {\an8}this meeting isn't just a formality. 21 00:00:52,677 --> 00:00:54,763 {\an8}Apparently, he's not happy with last year's profits. 22 00:00:54,846 --> 00:00:56,222 {\an8}Well, if they want to cut costs, 23 00:00:56,306 --> 00:00:58,141 {\an8}they can start by not chartering a jet 24 00:00:58,224 --> 00:00:59,559 {\an8}to Jackson Hole. 25 00:00:59,726 --> 00:01:01,394 {\an8}Yeah, well, maybe don't lead with that. 26 00:01:01,478 --> 00:01:03,146 {\an8}I could talk to Miranda, 27 00:01:03,229 --> 00:01:05,982 {\an8}see if we could go in with a unified plan. 28 00:01:06,024 --> 00:01:09,652 {\an8}I don't have time to explain your mistake to your boss. 29 00:01:09,694 --> 00:01:12,155 {\an8}I'm already late. 30 00:01:12,238 --> 00:01:14,324 {\an8}Looks like she's in a good mood. 31 00:01:17,952 --> 00:01:20,288 I should probably go to work. 32 00:01:23,333 --> 00:01:26,002 - Your feet aren't moving. - It's weird, right? 33 00:01:27,587 --> 00:01:29,005 You're probably coming down with something. 34 00:01:29,089 --> 00:01:32,550 You should call off work. - Mm, yeah, maybe. 35 00:01:32,592 --> 00:01:35,470 {\an8}Mm. 36 00:01:35,595 --> 00:01:38,014 {\an8}Sorry, can I help you? 37 00:01:38,098 --> 00:01:41,518 {\an8}- You look like a doctor. - Thanks. So do you. 38 00:01:41,559 --> 00:01:44,437 {\an8}Oh, I'm a med student. I'm looking for Dr. Charles. 39 00:01:44,479 --> 00:01:46,147 {\an8}I'm supposed to meet him in the ED, 40 00:01:46,231 --> 00:01:47,774 {\an8}but I keep getting turned around. 41 00:01:47,857 --> 00:01:49,401 {\an8}All right, yeah. 42 00:01:49,484 --> 00:01:53,279 {\an8}I'm actually headed in, so I could take you to him. 43 00:01:53,321 --> 00:01:55,824 {\an8}Want to pick this up later? - Yeah. 44 00:01:55,865 --> 00:01:57,242 {\an8}I will text you with takeout options. 45 00:01:57,283 --> 00:02:00,203 {\an8}Okay. 46 00:02:03,873 --> 00:02:06,418 {\an8}- She seems nice. - She's great. 47 00:02:06,459 --> 00:02:10,088 {\an8}Man, med students just keep getting younger every year. 48 00:02:10,213 --> 00:02:11,548 {\an8}They look like they're in high school. 49 00:02:11,589 --> 00:02:14,509 {\an8}- They're first-years. - First-years? 50 00:02:14,634 --> 00:02:16,261 {\an8}What are they doing here? 51 00:02:16,386 --> 00:02:18,680 {\an8}You, uh--you remember my friend Howie? 52 00:02:18,722 --> 00:02:21,725 {\an8}Of course. Yeah, I'm-- I'm sorry about his wife. 53 00:02:21,766 --> 00:02:23,476 {\an8}I know how close you were. - Yeah, well, thanks. 54 00:02:23,560 --> 00:02:27,147 {\an8}Um, anyway, Howie is on the faculty of the med school 55 00:02:27,230 --> 00:02:28,732 {\an8}at Porter University, right? 56 00:02:28,857 --> 00:02:29,899 {\an8}As you might know, there's a shortage 57 00:02:30,025 --> 00:02:32,193 {\an8}of mental-health workers in this country. 58 00:02:32,277 --> 00:02:33,862 {\an8}So Howie identified a few students 59 00:02:33,987 --> 00:02:35,071 {\an8}who were interested in psych. 60 00:02:35,155 --> 00:02:36,239 {\an8}He asked me to come talk to them. 61 00:02:36,322 --> 00:02:37,615 {\an8}Oh, but that wasn't good enough. 62 00:02:37,741 --> 00:02:39,034 {\an8}No, it wasn't, because I'm a lazy ass, 63 00:02:39,159 --> 00:02:40,577 {\an8}so I made 'em come to me. 64 00:02:40,660 --> 00:02:42,871 {\an8}Dr. Charles, this is, uh, Amira. 65 00:02:42,954 --> 00:02:44,247 {\an8}She's been looking for you. 66 00:02:44,330 --> 00:02:45,915 {\an8}Amira, what a pleasure to meet you. 67 00:02:45,957 --> 00:02:48,084 {\an8}I was just on the way to say hi to your friends. 68 00:02:48,168 --> 00:02:49,919 {\an8}Oh, they're not my friends. 69 00:02:50,003 --> 00:02:51,171 {\an8}I don't really have friends at school yet. 70 00:02:51,212 --> 00:02:53,631 {\an8}Oh, no? Well, um, who knows? 71 00:02:53,715 --> 00:02:56,176 {\an8}Maybe by the end of the day, that will have changed. 72 00:02:56,301 --> 00:02:57,761 {\an8}How are we doing? 73 00:02:57,886 --> 00:02:59,304 {\an8}Uh, not as good as you, 74 00:02:59,387 --> 00:03:01,097 {\an8}judging by that lipstick on your neck. 75 00:03:01,139 --> 00:03:04,100 {\an8}That explains why security keeps high-fiving me today. 76 00:03:04,184 --> 00:03:06,227 {\an8}Okay. Sorry. 77 00:03:09,522 --> 00:03:11,024 {\an8}Sorry, it's, uh, spam. 78 00:03:11,107 --> 00:03:12,692 {\an8}What were you, uh, saying? 79 00:03:12,817 --> 00:03:14,944 {\an8}Uh, just that it looks like it's getting hot and heavy 80 00:03:14,986 --> 00:03:16,654 {\an8}with you and Novak. 81 00:03:16,738 --> 00:03:19,783 {\an8}Yeah, it's definitely hot. Don't know about heavy. 82 00:03:19,824 --> 00:03:22,285 {\an8}She's not super into talking about personal stuff. 83 00:03:24,079 --> 00:03:27,290 {\an8}Thoughts? 84 00:03:27,332 --> 00:03:30,168 {\an8}What is it with these men wanting emotional intimacy? 85 00:03:30,251 --> 00:03:31,670 {\an8}Can you not just be happy 86 00:03:31,795 --> 00:03:33,922 {\an8}that you're having sex in a parking lot? 87 00:03:34,005 --> 00:03:35,882 {\an8}That's-- that's oddly specific. 88 00:03:36,007 --> 00:03:38,635 {\an8}- Treatment three. - Um-- 89 00:03:38,802 --> 00:03:40,970 {\an8}If we have specific questions about procedures, is it okay-- 90 00:03:41,054 --> 00:03:43,139 {\an8}Fire away anytime, Sabrina. 91 00:03:43,223 --> 00:03:45,892 {\an8}Yo, TikTok, what's up? Stay with me, Quentin, okay? 92 00:03:46,017 --> 00:03:48,645 {\an8}100%. I'm stoked, boss. 93 00:03:48,687 --> 00:03:50,980 {\an8}So do you use structure protocols for triage here? 94 00:03:51,064 --> 00:03:52,941 {\an8}Or are you more focused on rapid assessment 95 00:03:53,024 --> 00:03:54,693 {\an8}for better crisis intervention? - That's an excellent question. 96 00:03:54,776 --> 00:03:57,028 {\an8}Uh, should-- should we all be taking notes? 97 00:03:57,112 --> 00:03:59,030 {\an8}You know what? My only wish is, 98 00:03:59,114 --> 00:04:01,741 at the end of the day, you guys have a much clearer idea 99 00:04:01,783 --> 00:04:03,326 of what this specialty is about. 100 00:04:03,493 --> 00:04:05,120 Somebody please help us! 101 00:04:05,203 --> 00:04:06,454 Our son was shot! Please help him! 102 00:04:06,538 --> 00:04:07,997 Let's give 'em some room. 103 00:04:08,123 --> 00:04:09,290 Trauma 3 is open. It's over here. 104 00:04:09,416 --> 00:04:11,126 What happened? 105 00:04:11,251 --> 00:04:12,419 We were just walking to his speech therapy appointment. 106 00:04:12,544 --> 00:04:14,629 One wound under the right collarbone, 107 00:04:14,671 --> 00:04:16,506 second wound just below the tip of the scapula-- 108 00:04:16,589 --> 00:04:18,049 subclavian trajectory. 109 00:04:18,133 --> 00:04:20,051 We were waiting at the light. There was two guys. 110 00:04:20,135 --> 00:04:22,429 One pulled out a gun, and we just heard a loud pop. 111 00:04:22,554 --> 00:04:24,764 Decreased biradial pulse. Let's get blood in the room. 112 00:04:24,806 --> 00:04:26,599 - Copy. - Is he gonna be okay? 113 00:04:26,683 --> 00:04:28,059 Billy! - Page Dr. Morgan. 114 00:04:28,101 --> 00:04:29,894 You guys need to wait outside. 115 00:04:29,978 --> 00:04:31,855 I promise we're gonna take good care of him, okay? 116 00:04:31,938 --> 00:04:33,940 I'll get the cordis in. We need to intubate. 117 00:04:34,065 --> 00:04:35,942 Let's call the blood bank and move MTP to the OR. 118 00:04:36,067 --> 00:04:37,527 - Copy. - Billy. 119 00:04:37,652 --> 00:04:39,029 They got him. He's gonna be okay. 120 00:04:39,154 --> 00:04:40,864 2 grams of TXA, 1 gram of Ancef, 121 00:04:40,989 --> 00:04:43,283 and let's get ready to X-ray. - On it. 122 00:04:43,366 --> 00:04:44,743 Excuse me. 123 00:04:59,132 --> 00:05:00,300 Hey, Kiana. I'm Dr. Frost. 124 00:05:01,384 --> 00:05:03,636 I'm seeing here that you fainted today. 125 00:05:03,678 --> 00:05:05,347 Yep, ate it walking to school, 126 00:05:05,472 --> 00:05:07,474 {\an8}and I've been all hammajang since I woke up. 127 00:05:07,557 --> 00:05:09,726 {\an8}I'm sorry. Hamma--hamma what? 128 00:05:09,893 --> 00:05:12,228 {\an8}It's Hawaiian Pidgin. It's like "out of sorts." 129 00:05:12,270 --> 00:05:14,647 {\an8}I'm Jean, Kiana's mom. - It's nice to meet you both. 130 00:05:14,773 --> 00:05:16,024 {\an8}All right, you're from Hawaii, huh? 131 00:05:16,191 --> 00:05:19,110 {\an8}Kauai. We moved to Chicago this past summer. 132 00:05:19,152 --> 00:05:22,238 {\an8}Yeah, we came because my mom is marrying Steve the Dentist. 133 00:05:22,280 --> 00:05:24,741 {\an8}Steve the Dentist-- why does that sound familiar? 134 00:05:24,908 --> 00:05:29,537 {\an8}Dude, his face is on, like, most of the city buses. 135 00:05:29,621 --> 00:05:31,164 "Smiles for miles," right? 136 00:05:31,247 --> 00:05:32,916 All right. 137 00:05:32,999 --> 00:05:34,959 Can you look forward for me, Kiana? 138 00:05:35,043 --> 00:05:36,711 We met when he was visiting Lihue 139 00:05:36,836 --> 00:05:38,338 for a conference a couple years back. 140 00:05:38,421 --> 00:05:41,007 Did the long-distance thing until he proposed. 141 00:05:41,091 --> 00:05:42,342 Congratulations. 142 00:05:42,425 --> 00:05:45,053 And now we're here freezing to death. 143 00:05:45,095 --> 00:05:46,971 Can I see your hands for a moment, Kiana? 144 00:05:47,055 --> 00:05:49,307 Are you feeling cold right now? - A little. 145 00:05:49,391 --> 00:05:50,934 I've been achy since yesterday. 146 00:05:51,059 --> 00:05:52,977 I thought it was because my period came on pretty aggro 147 00:05:53,144 --> 00:05:54,604 this month. - Kiana. 148 00:05:54,688 --> 00:05:56,106 And then earlier today, 149 00:05:56,231 --> 00:05:58,775 I got a little lightheaded and woke up on the ground. 150 00:05:58,942 --> 00:06:01,903 You know, I think I'm just allergic to the Midwest. 151 00:06:01,945 --> 00:06:03,905 I'm gonna get some labs done 152 00:06:03,947 --> 00:06:06,408 and then loop in OB/GYN, see if it is menstrual-related. 153 00:06:06,491 --> 00:06:08,118 Uh, in the meantime, Nancy, 154 00:06:08,201 --> 00:06:10,745 can we get a, uh, bag of warm saline and a heated blanket? 155 00:06:10,870 --> 00:06:12,080 Yep. 156 00:06:15,041 --> 00:06:17,627 How are you, Miranda? 157 00:06:17,669 --> 00:06:18,962 I'm all right. 158 00:06:19,045 --> 00:06:20,380 What's up? 159 00:06:20,422 --> 00:06:22,757 I heard a rumor about this meeting. 160 00:06:22,841 --> 00:06:25,010 More budget cuts? 161 00:06:25,051 --> 00:06:27,262 I didn't come to argue. 162 00:06:27,429 --> 00:06:29,264 I came because we should talk about it, 163 00:06:29,305 --> 00:06:31,516 make sure we're protecting what's important. 164 00:06:31,599 --> 00:06:33,893 I appreciate that offer, but why don't we just go in there 165 00:06:33,977 --> 00:06:36,104 and see what's what first? 166 00:06:36,146 --> 00:06:38,231 You know, it may be good to highlight 167 00:06:38,273 --> 00:06:40,358 moves that cost Gaffney up front 168 00:06:40,483 --> 00:06:42,777 but protect us in the long-term. 169 00:06:42,819 --> 00:06:45,780 Hiring better staff, getting better equipment 170 00:06:45,947 --> 00:06:48,742 means better outcomes, less lawsuits. 171 00:06:48,825 --> 00:06:51,494 Dr. Hayes's lawsuits cost us a fortune. 172 00:06:51,536 --> 00:06:55,123 So I was supposed to sweep that under the rug? 173 00:06:55,206 --> 00:06:56,791 No, but I am getting tired 174 00:06:56,958 --> 00:06:58,585 of your sanctimonious attitude, Sharon, 175 00:06:58,752 --> 00:07:01,296 like you're somehow unimpeachable. 176 00:07:01,379 --> 00:07:03,381 The moral center of this hospital-- 177 00:07:03,506 --> 00:07:05,050 I mean, you get to be that 178 00:07:05,133 --> 00:07:07,510 because I make the hard choices. 179 00:07:07,635 --> 00:07:09,137 I'm done with it. 180 00:07:11,056 --> 00:07:13,099 Oh, I see. 181 00:07:13,224 --> 00:07:16,853 I'm the budget cut, aren't I? 182 00:07:16,895 --> 00:07:19,773 You're trying to get rid of me. - Look, as I said-- 183 00:07:19,814 --> 00:07:22,400 Damn! 184 00:07:22,484 --> 00:07:24,235 Let's just talk at the meeting. 185 00:07:30,325 --> 00:07:32,577 Okay, nothing abnormal. 186 00:07:32,702 --> 00:07:36,664 I think that your period issues might just be regular cramps. 187 00:07:36,831 --> 00:07:38,667 Safe to come in? 188 00:07:38,750 --> 00:07:40,210 You may enter, Steve the Dentist. 189 00:07:40,251 --> 00:07:41,711 Hey, you! 190 00:07:41,795 --> 00:07:43,838 Hi. 191 00:07:43,922 --> 00:07:45,131 Where are the girls? 192 00:07:45,215 --> 00:07:46,424 I just dropped them off with their mom. 193 00:07:46,508 --> 00:07:48,176 Thought it might be nice to have a little quiet 194 00:07:48,343 --> 00:07:50,261 when Kiana comes home. - Oh, that's thoughtful. 195 00:07:50,428 --> 00:07:51,971 It'll also allow me 196 00:07:52,013 --> 00:07:55,600 to absolutely own you in "Super Smash Bros." 197 00:07:55,642 --> 00:07:58,520 Oh, you think I'm gonna go easy on you 'cause you fainted? 198 00:07:58,561 --> 00:08:01,022 Yeah, think again. I prey on the weak. 199 00:08:01,106 --> 00:08:02,315 Oh. 200 00:08:02,399 --> 00:08:03,274 Hey, can I borrow you for a second? 201 00:08:03,316 --> 00:08:04,776 Yeah. We'll be back. 202 00:08:07,320 --> 00:08:08,863 So the exam didn't suggest 203 00:08:09,030 --> 00:08:11,408 any gynecological causes for Kiana's symptoms. 204 00:08:11,491 --> 00:08:13,368 Well, we got her labs back. 205 00:08:15,995 --> 00:08:19,082 Hemoglobin's 8.6. She's anemic. 206 00:08:19,165 --> 00:08:20,709 Yeah, but what's causing it? 207 00:08:20,875 --> 00:08:23,378 Well, her iron levels, folate, and B12 208 00:08:23,503 --> 00:08:25,255 look all normal. 209 00:08:25,380 --> 00:08:27,424 Though it did take them two times running the blood 210 00:08:27,507 --> 00:08:29,050 because it was so thick. 211 00:08:30,885 --> 00:08:32,971 Her hands were blue when she came in, right? 212 00:08:33,054 --> 00:08:34,597 Yeah. 213 00:08:34,681 --> 00:08:37,100 And she has never experienced anything like this 214 00:08:37,183 --> 00:08:39,102 until she left Hawaii. 215 00:08:39,185 --> 00:08:41,896 You think this might be CAD. 216 00:08:42,063 --> 00:08:44,774 So she might actually be allergic to the Midwest? 217 00:08:46,151 --> 00:08:48,069 What's CAD? 218 00:08:48,194 --> 00:08:50,071 I heard some doctors talking about it. 219 00:08:50,196 --> 00:08:51,781 Anybody know what they were referring to? 220 00:08:51,865 --> 00:08:54,534 - Nope. - Cold agglutinin disease. 221 00:08:54,576 --> 00:08:56,077 It's a rare autoimmune disorder. 222 00:08:56,161 --> 00:08:57,454 Very good. 223 00:08:57,579 --> 00:08:59,289 Uh, more specifically, it's when cold weather 224 00:08:59,456 --> 00:09:01,791 triggers your immune system to attack red blood cells, 225 00:09:01,916 --> 00:09:02,959 which, in turn, causes... 226 00:09:03,084 --> 00:09:04,836 - Anemia. - Excellent. 227 00:09:05,003 --> 00:09:07,630 Dr. Charles, two patients incoming--one in restraints. 228 00:09:07,756 --> 00:09:09,507 Why restraints? 229 00:09:09,549 --> 00:09:11,009 He attacked his brother with a large rocking pizza cutter. 230 00:09:11,092 --> 00:09:12,552 Okay. 231 00:09:12,677 --> 00:09:15,055 Maybe you guys hang back a bit on this one. 232 00:09:15,138 --> 00:09:17,307 His guts are coming out of him! 233 00:09:17,474 --> 00:09:20,477 His guts are coming out of him! - Enzo Pagliano. 234 00:09:20,518 --> 00:09:22,645 You can't let him do this! You got to stop him! 235 00:09:22,812 --> 00:09:24,064 Wait, where's the wound? I don't see a wound. 236 00:09:24,105 --> 00:09:25,482 It's not blood. It's pizza sauce. 237 00:09:25,565 --> 00:09:26,733 "Pizza sauce"? 238 00:09:26,900 --> 00:09:28,151 They're opening a restaurant, 239 00:09:28,318 --> 00:09:29,944 were in the middle of a tasting when he attacked. 240 00:09:30,111 --> 00:09:32,030 Guy behind us is the one in real trouble. 241 00:09:32,072 --> 00:09:34,491 Please don't let him do this! He's trying to cut me out! 242 00:09:34,574 --> 00:09:36,576 5 of haloperidol IM. 243 00:09:36,618 --> 00:09:38,370 Dante Pagliano, Enzo's brother. 244 00:09:38,411 --> 00:09:40,789 - Trauma 2. - Tachycardic at 133. 245 00:09:40,830 --> 00:09:43,541 Blood pressure's dropping, now 94 over 53. 246 00:09:43,708 --> 00:09:45,085 Lower-abdominal injury-- 247 00:09:45,168 --> 00:09:47,379 unknown blood loss, eviscerated bowel. 248 00:09:47,462 --> 00:09:49,839 On my count. One, two, three. 249 00:09:49,964 --> 00:09:52,592 50 of fentanyl, and let's get some wet lap sponges. 250 00:09:52,634 --> 00:09:54,719 Listen to me, please. 251 00:09:54,803 --> 00:09:57,389 He's got an eviscerated small bowel 252 00:09:57,430 --> 00:09:59,140 and lacerated mesentery. 253 00:09:59,224 --> 00:10:00,684 We need to get him to an OR. - Right, I'll call up. 254 00:10:00,725 --> 00:10:01,768 I brought it out. 255 00:10:01,810 --> 00:10:03,269 You didn't do anything, Dante. 256 00:10:03,353 --> 00:10:04,145 Your intestines are outside your body. 257 00:10:04,229 --> 00:10:05,689 We need to get them back in. 258 00:10:05,730 --> 00:10:07,273 No, no, my brother-- I brought a demon out of him. 259 00:10:07,399 --> 00:10:09,734 You can't let him do this! 260 00:10:09,859 --> 00:10:12,737 No! Let me go! 261 00:10:12,904 --> 00:10:15,115 I spilled his guts! 262 00:10:15,198 --> 00:10:17,867 Aah! Let me go! 263 00:10:24,499 --> 00:10:26,084 Dante suffered an evisceration of his intestines, 264 00:10:27,210 --> 00:10:29,337 which will require an exploratory laparotomy 265 00:10:29,379 --> 00:10:31,423 and an abdominal-wall reconstruction. 266 00:10:31,506 --> 00:10:33,633 As soon as we get an OR, we'll be moving him to surgery. 267 00:10:33,758 --> 00:10:35,885 Don't you usually refer to patients by their last name? 268 00:10:35,969 --> 00:10:37,512 What was that? 269 00:10:37,595 --> 00:10:39,556 It's, uh, usually patient preference, 270 00:10:39,681 --> 00:10:40,890 but given that they're brothers, 271 00:10:40,974 --> 00:10:42,517 it's probably better to go with first names 272 00:10:42,559 --> 00:10:45,478 because it'll be clearer. - Got it. Okay. 273 00:10:45,520 --> 00:10:46,980 Did Dante have any other ideas 274 00:10:47,105 --> 00:10:49,441 about why his brother might have had a psychotic break? 275 00:10:49,482 --> 00:10:51,026 Just that he thought 276 00:10:51,151 --> 00:10:52,777 he brought out the psychosis in him 277 00:10:52,861 --> 00:10:54,404 and it was all his fault. 278 00:10:54,529 --> 00:10:58,825 But he'd lost a lot of blood. - He also said it was a demon. 279 00:10:58,908 --> 00:11:00,952 - Yeah. - Oh. 280 00:11:01,036 --> 00:11:03,830 I've encouraged them to speak up and ask questions. 281 00:11:03,955 --> 00:11:05,582 That's fun. 282 00:11:05,623 --> 00:11:07,042 How's Enzo now? 283 00:11:07,125 --> 00:11:09,169 Well, the haloperidol just kicked in, 284 00:11:09,294 --> 00:11:11,588 so we're hoping to have a conversation with him 285 00:11:11,671 --> 00:11:14,424 when he wakes up. - All right, keep me posted. 286 00:11:14,466 --> 00:11:17,385 - Oh, excuse me, Dr. Lenox. - Oh, good, more questions. 287 00:11:17,469 --> 00:11:18,887 Sorry, um, I was just wondering 288 00:11:18,970 --> 00:11:20,430 if there was an update on the boy 289 00:11:20,513 --> 00:11:21,931 with the gunshot wound from earlier? 290 00:11:21,973 --> 00:11:23,391 Billy, I think. 291 00:11:23,475 --> 00:11:25,393 Mm, he had a subclavian-artery injury. 292 00:11:25,518 --> 00:11:27,062 He's in the ICU. 293 00:11:27,187 --> 00:11:29,564 Oh, but is he gonna be okay? 294 00:11:29,647 --> 00:11:32,776 I have a brother who's the same age. 295 00:11:32,859 --> 00:11:34,444 If he makes it through the next few hours, 296 00:11:34,486 --> 00:11:36,571 he'll have a chance. 297 00:11:38,615 --> 00:11:40,825 So she's had this CAD her whole life? 298 00:11:40,909 --> 00:11:42,744 She's just never been anywhere cold enough 299 00:11:42,786 --> 00:11:44,496 to feel the effects. - But the good news is-- 300 00:11:44,537 --> 00:11:46,623 rituximab infusions four times 301 00:11:46,706 --> 00:11:48,750 over the next month should resolve your symptoms. 302 00:11:48,833 --> 00:11:51,753 - Like, forever? - Like, foreva, eva. 303 00:11:54,464 --> 00:11:56,049 Spam again? 304 00:11:56,174 --> 00:11:58,426 Yeah, just, uh, probably got put on some list. 305 00:12:01,221 --> 00:12:03,556 Is my brother okay? 306 00:12:03,640 --> 00:12:05,767 Could be in surgery a few more hours, 307 00:12:05,850 --> 00:12:07,977 but as soon as we know anything, 308 00:12:08,061 --> 00:12:09,979 we'll let you know. - Oh, God, I hurt him. 309 00:12:10,021 --> 00:12:11,940 I hurt him. 310 00:12:12,065 --> 00:12:13,983 Enzo, can you tell me 311 00:12:14,067 --> 00:12:16,611 from your perspective what happened today? 312 00:12:16,695 --> 00:12:19,531 That's the thing. I don't really know. 313 00:12:19,698 --> 00:12:21,032 It doesn't really make any sense. 314 00:12:21,074 --> 00:12:23,159 Well, how do you mean that? 315 00:12:23,243 --> 00:12:25,328 Well, Dante and I were working on the menu, 316 00:12:25,453 --> 00:12:27,414 and I started to get this suspicion. 317 00:12:27,497 --> 00:12:31,543 And then it came on so strong, like he was trying to cheat me. 318 00:12:31,668 --> 00:12:33,420 Had he done anything to make you think that? 319 00:12:33,545 --> 00:12:34,754 No. 320 00:12:34,838 --> 00:12:36,965 Dante? If you met him, 321 00:12:37,132 --> 00:12:41,011 he's the most honest, gentle guy in the whole world. 322 00:12:41,094 --> 00:12:42,595 He'd never do something like that. 323 00:12:42,762 --> 00:12:44,014 Right. 324 00:12:44,139 --> 00:12:45,807 But this morning, in that moment, 325 00:12:45,974 --> 00:12:47,809 I was sure of it. 326 00:12:47,892 --> 00:12:51,062 And it made me so angry. 327 00:12:51,229 --> 00:12:53,189 Has this ever happened before? 328 00:12:53,273 --> 00:12:55,108 Not like this exactly. 329 00:12:55,191 --> 00:12:57,777 But, lately, yeah. 330 00:12:57,819 --> 00:13:00,321 Sometimes I have these thoughts. 331 00:13:00,405 --> 00:13:02,157 They don't feel like they're mine. 332 00:13:02,198 --> 00:13:03,283 Huh. 333 00:13:03,366 --> 00:13:05,326 Your brother seems to think 334 00:13:05,368 --> 00:13:08,204 that he's responsible for this reaction. 335 00:13:08,246 --> 00:13:10,206 Oh, yeah, well... 336 00:13:10,331 --> 00:13:12,709 'cause a lot of times I have these thoughts, 337 00:13:12,834 --> 00:13:15,003 it's when we're together. 338 00:13:15,128 --> 00:13:16,671 And I don't know why. 339 00:13:16,755 --> 00:13:18,506 He didn't do anything to provoke you? 340 00:13:18,590 --> 00:13:19,924 This just--it just happened? 341 00:13:20,008 --> 00:13:20,967 No. 342 00:13:21,051 --> 00:13:22,385 I love my brother. 343 00:13:22,469 --> 00:13:23,845 He's everything to me. 344 00:13:23,887 --> 00:13:27,182 You got to save him, Doc. You can't let him die. 345 00:13:29,809 --> 00:13:31,519 So, what, she was just gonna ambush you at this meeting? 346 00:13:31,686 --> 00:13:33,938 Sounds like it. 347 00:13:33,980 --> 00:13:36,775 Let me go talk to them, see if I can smooth things over. 348 00:13:36,858 --> 00:13:39,069 They can't let personal issues from one board member 349 00:13:39,194 --> 00:13:41,237 dictate a decision of this magnitude. 350 00:13:41,321 --> 00:13:44,240 You know, actually, let me go over there. 351 00:13:44,366 --> 00:13:45,825 Sharon, don't make things worse. 352 00:13:45,909 --> 00:13:48,370 I'm good. 353 00:13:48,453 --> 00:13:51,122 I don't have any interest 354 00:13:51,247 --> 00:13:52,123 in going another round on this right now. 355 00:13:52,207 --> 00:13:53,416 I don't either. 356 00:13:53,541 --> 00:13:55,960 I just want to know if you're feeling okay. 357 00:13:56,086 --> 00:13:57,962 I'm fine. Why wouldn't I be? 358 00:13:58,004 --> 00:14:00,173 You seem a little shaky. 359 00:14:00,215 --> 00:14:02,509 I-- because I spilled a drink? 360 00:14:02,550 --> 00:14:05,845 Miranda, your hand's still shaking. 361 00:14:05,929 --> 00:14:09,015 Talk to me. 362 00:14:09,140 --> 00:14:11,434 I'm just a little shaken up from this morning. 363 00:14:11,518 --> 00:14:13,520 My driver got in a fender bender, 364 00:14:13,603 --> 00:14:16,314 and I--I wasn't wearing my seat belt. 365 00:14:16,398 --> 00:14:18,108 - Did you hit your head? - No. 366 00:14:18,191 --> 00:14:19,901 But I did get thrown into the back 367 00:14:19,984 --> 00:14:21,611 of the driver's seat pretty hard, 368 00:14:21,736 --> 00:14:23,655 and my ribs feel a little sore, 369 00:14:23,738 --> 00:14:26,866 and I'm sure the altitude is not helping my breathing. 370 00:14:26,950 --> 00:14:28,868 So you feel out of breath? 371 00:14:29,035 --> 00:14:30,245 Come. 372 00:14:30,328 --> 00:14:32,205 I want you to lay down here. 373 00:14:32,288 --> 00:14:33,873 Excuse us? 374 00:14:33,957 --> 00:14:36,334 Peter, can you get rid of these pillows, please? 375 00:14:36,459 --> 00:14:38,294 Really, you don't need to make a fuss. 376 00:14:38,420 --> 00:14:40,463 I mean, the car wasn't even going that fast. 377 00:14:40,547 --> 00:14:42,799 Yeah, well, slow-speed accidents 378 00:14:42,882 --> 00:14:47,512 can be just as dangerous as high-speed ones. 379 00:14:47,554 --> 00:14:49,973 Your heart rate's in the 120s. 380 00:14:50,098 --> 00:14:51,558 - That's high. - Uh, excuse me. 381 00:14:51,599 --> 00:14:53,435 Can you bring some blankets, please? 382 00:14:53,518 --> 00:14:54,936 Of course. 383 00:14:55,020 --> 00:14:56,980 I'm gonna need you to lay back 384 00:14:57,063 --> 00:15:01,651 and take deep, slow breaths, okay? 385 00:15:04,320 --> 00:15:06,406 Hey, please stop calling me. 386 00:15:06,448 --> 00:15:08,533 You've been ignoring me all day. 387 00:15:08,575 --> 00:15:10,618 I'm at work right now, so... 388 00:15:10,702 --> 00:15:14,289 I know, I know, but I need to talk to you. 389 00:15:14,414 --> 00:15:17,417 You've put on weight. 390 00:15:24,674 --> 00:15:28,720 - What are you doing here, Mom? - I just want to talk. 391 00:15:28,845 --> 00:15:31,681 We really don't have anything to talk about. 392 00:15:31,723 --> 00:15:35,852 It's been 14 years. There's plenty to discuss. 393 00:15:35,935 --> 00:15:40,023 Like, I don't know-- how you bankrupted me? 394 00:15:40,106 --> 00:15:42,275 We were just trying to provide a better life 395 00:15:42,400 --> 00:15:44,027 for everyone. 396 00:15:44,110 --> 00:15:46,196 What do you want us to do, grovel? 397 00:15:46,279 --> 00:15:48,698 That could be a start. 398 00:15:48,740 --> 00:15:53,703 Look, we took the RV here, and there's a little 399 00:15:53,787 --> 00:15:55,330 hole-in-the-wall restaurant near us. 400 00:15:55,413 --> 00:15:56,873 Your father and I would like to see you. 401 00:15:56,998 --> 00:15:59,542 Really? So where is he, then? 402 00:15:59,584 --> 00:16:01,086 I--I'm sorry. 403 00:16:01,169 --> 00:16:03,755 Hey, we have a situation. It's Kiana. 404 00:16:05,840 --> 00:16:08,343 She was fine a minute ago. 405 00:16:08,385 --> 00:16:10,929 125 milligrams SOLU-MEDROL, 50 of Benadryl. 406 00:16:11,012 --> 00:16:12,389 What's going on? 407 00:16:12,514 --> 00:16:14,891 She had an allergic reaction to the infusion. 408 00:16:14,933 --> 00:16:16,976 She started hyperventilating and then lost consciousness. 409 00:16:17,102 --> 00:16:19,062 I already gave her 0.3 epi. 410 00:16:19,145 --> 00:16:20,814 Kiana? Hey! 411 00:16:20,855 --> 00:16:23,149 - BP's 80/55. - Anaphylactic shock. 412 00:16:23,191 --> 00:16:24,359 Okay, let's get ready to intubate. 413 00:16:24,442 --> 00:16:25,985 One more dose of epi. 414 00:16:26,069 --> 00:16:28,196 - Oh, my God, my baby! - Come on, Kiana, stay with us. 415 00:16:34,035 --> 00:16:35,829 She's resting now, but she'll be okay. 416 00:16:36,579 --> 00:16:38,790 So she has a rare disease, 417 00:16:38,873 --> 00:16:41,543 then a rare allergic reaction to the medicine that cures it? 418 00:16:41,626 --> 00:16:43,586 There is a second-line treatment. 419 00:16:43,670 --> 00:16:45,046 It would resolve the symptoms, 420 00:16:45,171 --> 00:16:48,383 but it would not cure the CAD like the rituximab. 421 00:16:48,466 --> 00:16:51,720 It would also require infusions every other week. 422 00:16:51,761 --> 00:16:54,931 But only during cold-weather months. 423 00:16:55,015 --> 00:16:58,018 But if we went back to Hawaii, presumably, 424 00:16:58,184 --> 00:17:00,854 she'd go back to being totally fine again? 425 00:17:02,647 --> 00:17:03,732 Presumably. 426 00:17:09,946 --> 00:17:12,699 Okay, CT clean, MRI clean. 427 00:17:12,741 --> 00:17:15,035 So no trauma, nothing neuroplastic. 428 00:17:15,076 --> 00:17:17,162 What's going on here? Wide lens, guys. 429 00:17:17,328 --> 00:17:19,539 No bad ideas. Let's go. Quentin. 430 00:17:19,622 --> 00:17:22,834 Uh... Let me think. I-- 431 00:17:22,917 --> 00:17:26,087 Oh, uh, maybe preexisting mental-health conditions. 432 00:17:26,171 --> 00:17:27,756 - Yeah. - Bipolar, schizophrenia. 433 00:17:27,839 --> 00:17:29,382 I like it, 434 00:17:29,466 --> 00:17:31,968 except Enzo's been a stable, high-functioning executive 435 00:17:32,135 --> 00:17:34,304 for a whole bunch of years 436 00:17:34,429 --> 00:17:37,140 with, technically, no family history. 437 00:17:37,223 --> 00:17:39,309 Oh, my God. 438 00:17:39,351 --> 00:17:40,810 Folie à deux. 439 00:17:40,894 --> 00:17:42,771 Huh? 440 00:17:42,812 --> 00:17:44,731 Go on. 441 00:17:44,856 --> 00:17:48,943 It's a phenomenon in which a dominant individual 442 00:17:49,027 --> 00:17:51,780 with a psychotic disorder imposes their delusions 443 00:17:51,946 --> 00:17:54,741 onto a close partner, inducing psychosis in someone 444 00:17:54,824 --> 00:17:56,576 who otherwise would have no mental-health issues 445 00:17:56,701 --> 00:17:58,036 of their own. 446 00:17:58,161 --> 00:18:01,748 So what you're suggesting is that perhaps... 447 00:18:01,790 --> 00:18:04,125 Dante's actually the sick one? - Yes. 448 00:18:04,167 --> 00:18:07,003 And that Enzo, just by nature of standing 449 00:18:07,045 --> 00:18:10,048 side by side with his brother for all those hours-- 450 00:18:10,131 --> 00:18:11,966 Enzo got pulled into his delusions. 451 00:18:12,008 --> 00:18:14,260 Huh. 452 00:18:14,302 --> 00:18:16,596 You're a first-year? - I read ahead. 453 00:18:16,680 --> 00:18:20,350 Okay, well, honestly, that's a pretty impressive hypothesis. 454 00:18:20,433 --> 00:18:22,977 I think that maybe we should be, uh, looking 455 00:18:23,061 --> 00:18:25,522 into Dante's history. 456 00:18:25,563 --> 00:18:27,107 What do you say? 457 00:18:29,401 --> 00:18:33,154 Hey, uh, Kiana's waking up. She was looking... 458 00:18:33,279 --> 00:18:36,574 Whoa. What's going on? 459 00:18:36,700 --> 00:18:38,493 What's best for my daughter 460 00:18:38,618 --> 00:18:41,746 is going to destroy my marriage... 461 00:18:41,830 --> 00:18:45,709 not even my marriage, my impending marriage. 462 00:18:45,750 --> 00:18:48,253 That's tough, but, I mean, how are you so sure? 463 00:18:48,378 --> 00:18:50,338 Because Steve just told me. 464 00:18:50,505 --> 00:18:53,466 I mean, he was lovely about it, and he adores Kiana, 465 00:18:53,550 --> 00:18:56,386 but he doesn't want to do long distance anymore. 466 00:18:56,469 --> 00:18:58,680 He doesn't want to move to Hawaii? 467 00:18:58,722 --> 00:19:00,682 He would in a heartbeat, if he could, 468 00:19:00,765 --> 00:19:02,308 but he has shared custody of his daughters, 469 00:19:02,392 --> 00:19:06,771 and his ex lives here, so... - Yeah, it's a nonstarter. 470 00:19:06,855 --> 00:19:09,065 I don't even blame him. 471 00:19:09,149 --> 00:19:11,192 We did the whole long-distance thing for two years, 472 00:19:11,276 --> 00:19:12,777 and it was so hard. 473 00:19:12,861 --> 00:19:17,157 And it's four more till Kiana goes to college, so... 474 00:19:17,240 --> 00:19:18,700 I just don't know. 475 00:19:18,825 --> 00:19:21,786 You don't know what? 476 00:19:21,870 --> 00:19:24,706 How many times have you been in love? 477 00:19:26,499 --> 00:19:29,044 Yeah, that's, uh, hard to say. 478 00:19:29,127 --> 00:19:31,046 Well, for me, it was zero. 479 00:19:31,129 --> 00:19:33,089 That's crazy to say, but it's true. 480 00:19:33,173 --> 00:19:35,091 Even Kiana's father-- 481 00:19:35,216 --> 00:19:39,262 I never felt that connection, that euphoria. 482 00:19:39,304 --> 00:19:43,475 I came to terms with the fact that I was just... 483 00:19:43,558 --> 00:19:46,019 broken. 484 00:19:46,061 --> 00:19:48,897 But then I met Steve the Dentist. 485 00:19:48,980 --> 00:19:51,024 And every awkward little edge of his 486 00:19:51,066 --> 00:19:53,151 fit every awkward little edge of mine. 487 00:19:53,193 --> 00:19:54,444 And for the first time, 488 00:19:54,527 --> 00:19:57,405 I was totally and completely head over heels. 489 00:19:59,324 --> 00:20:01,618 But what are the odds I'll ever find that again? 490 00:20:04,788 --> 00:20:07,624 I just don't know if I can give that up. 491 00:20:11,086 --> 00:20:12,837 Tough choice. 492 00:20:12,921 --> 00:20:15,256 I can't decide if I want sweet or salty. 493 00:20:15,340 --> 00:20:16,883 It's the age-old question, man. 494 00:20:20,136 --> 00:20:23,306 Just came out here to check up on how you're doing. 495 00:20:23,431 --> 00:20:25,016 You okay? 496 00:20:25,100 --> 00:20:27,477 Me? I'm good. 497 00:20:27,560 --> 00:20:30,021 Just, uh, got the feeling-- I don't know-- 498 00:20:30,105 --> 00:20:31,815 you're not that engaged 499 00:20:31,898 --> 00:20:33,608 with what we're doing here today. 500 00:20:35,402 --> 00:20:38,154 Oh, uh... 501 00:20:38,238 --> 00:20:40,532 Like, I don't want to seem unappreciative. 502 00:20:40,657 --> 00:20:42,575 I think what you're doing here is really cool. 503 00:20:42,701 --> 00:20:45,328 It's just... 504 00:20:45,412 --> 00:20:48,123 What? 505 00:20:48,206 --> 00:20:50,959 I'm not really interested in ED psych. 506 00:20:51,001 --> 00:20:52,252 Oh. 507 00:20:52,335 --> 00:20:54,254 Figured that out already, did you? 508 00:20:55,755 --> 00:20:58,341 I guess I just want a good work-life balance. 509 00:20:58,425 --> 00:21:00,760 Both of my parents are immigrants. 510 00:21:00,885 --> 00:21:04,597 They had to work--still do-- really hard. 511 00:21:04,681 --> 00:21:06,725 And they pushed me 512 00:21:06,808 --> 00:21:10,186 so I don't have to kill myself like they do. 513 00:21:10,228 --> 00:21:13,398 I just think having a private practice is more my speed. 514 00:21:13,523 --> 00:21:16,109 Quentin, diagnostics are diagnostics, right? 515 00:21:16,192 --> 00:21:18,153 I mean, you're gonna run into this stuff 516 00:21:18,236 --> 00:21:20,572 no matter where you end up. 517 00:21:20,655 --> 00:21:23,366 I mean, what, you think because you got a cozy office setup, 518 00:21:23,491 --> 00:21:25,493 your patients are just gonna walk in 519 00:21:25,535 --> 00:21:27,203 and plop themselves down on the couch, 520 00:21:27,287 --> 00:21:29,247 tell you what's wrong with them and how to fix it? 521 00:21:29,330 --> 00:21:31,249 I'm not saying I don't want to do a good job, Doctor. 522 00:21:31,374 --> 00:21:32,751 I-- 523 00:21:32,876 --> 00:21:34,586 Look, work-life balance is important. 524 00:21:34,627 --> 00:21:36,296 I get it. Really, I do. 525 00:21:36,421 --> 00:21:38,381 It's just that this field-- 526 00:21:38,465 --> 00:21:40,717 I don't know if you can really half-ass it. 527 00:21:40,800 --> 00:21:42,469 You know, you really got to-- 528 00:21:42,510 --> 00:21:44,262 you got to get to know your patients. 529 00:21:44,346 --> 00:21:46,931 You got to get in there so you can understand them, 530 00:21:47,057 --> 00:21:49,142 see the world the way they do, right? 531 00:21:49,184 --> 00:21:51,978 So you can understand their issues. 532 00:21:52,020 --> 00:21:54,397 I mean, if you don't want to do that, 533 00:21:54,439 --> 00:21:57,400 you don't want to put your whole soul into this, 534 00:21:57,484 --> 00:21:58,943 you might want to reconsider. 535 00:22:01,404 --> 00:22:02,697 Reconsider what? 536 00:22:02,864 --> 00:22:05,158 Being a doctor. 537 00:22:08,703 --> 00:22:10,914 Ms. Goodwin, it's Dr. Howard. 538 00:22:11,039 --> 00:22:12,791 Can I help you with something? - I hope so. 539 00:22:12,874 --> 00:22:15,418 I'm currently on a plane with a woman, a board member, 540 00:22:15,460 --> 00:22:17,587 who seems to be in trouble. - What's going on? 541 00:22:17,712 --> 00:22:20,256 Well, she was in a minor traffic accident 542 00:22:20,340 --> 00:22:23,134 that caused some sort of thoracic trauma. 543 00:22:23,176 --> 00:22:24,594 She didn't think much of it 544 00:22:24,719 --> 00:22:27,180 until she started experiencing weakness. 545 00:22:27,222 --> 00:22:29,724 - Any idea of her vitals? - Oh, yes. 546 00:22:29,766 --> 00:22:31,726 There is an emergency medical kit up here. 547 00:22:31,810 --> 00:22:33,603 Her breath sounds are good, 548 00:22:33,687 --> 00:22:37,107 but her BP is only 84 over 42. 549 00:22:37,148 --> 00:22:40,110 Oh, okay, um... 550 00:22:40,193 --> 00:22:42,737 then it's not a pneumothorax or hemothorax. 551 00:22:42,862 --> 00:22:44,989 Uh, take a look at her neck. Is the jugular vein distended? 552 00:22:45,115 --> 00:22:46,741 Hold on. 553 00:22:52,455 --> 00:22:54,624 Yes. 554 00:22:54,666 --> 00:22:57,502 Okay, um, it sounds like pericardial tamponade. 555 00:22:57,585 --> 00:22:59,796 She's bleeding into the sac around her heart. 556 00:22:59,879 --> 00:23:01,631 How much time until you land? 557 00:23:01,715 --> 00:23:05,218 Uh, 30 minutes, maybe more? 558 00:23:05,301 --> 00:23:07,012 Oh, um... 559 00:23:07,053 --> 00:23:10,140 Dr. Howard, what is it? 560 00:23:10,223 --> 00:23:11,975 Ms. Goodwin, are there any surgical supplies 561 00:23:12,017 --> 00:23:13,601 in that medical kit? 562 00:23:20,275 --> 00:23:22,777 I've got lidocaine, some saline flushes, 563 00:23:23,361 --> 00:23:24,904 and a few needles. 564 00:23:25,030 --> 00:23:27,949 - What size needles? - 16 gauge and a 22. 565 00:23:27,991 --> 00:23:29,826 Okay, good. You're going to use the 16 566 00:23:29,909 --> 00:23:31,745 to remove the fluid built up around her heart. 567 00:23:31,786 --> 00:23:34,372 You'll angle it at a 15-degree angle 568 00:23:34,414 --> 00:23:35,999 just under the breastbone, 569 00:23:36,041 --> 00:23:37,625 and you should push 570 00:23:37,709 --> 00:23:39,252 until the tip punctures the pericardium. 571 00:23:39,419 --> 00:23:41,379 Wait, how will I know when that happens? 572 00:23:41,504 --> 00:23:43,465 Usually, we'd have an ultrasound to guide us, 573 00:23:43,506 --> 00:23:45,550 but you're just gonna have to take it slow. 574 00:23:45,633 --> 00:23:48,928 And you should feel a-- a soft pop when it goes in. 575 00:23:49,054 --> 00:23:50,847 A soft pop. 576 00:23:50,930 --> 00:23:55,018 And--and what if I miss or--or go too far? 577 00:23:55,143 --> 00:23:56,269 You mean if you puncture the heart? 578 00:23:56,353 --> 00:23:58,229 Dr. Howard, I don't know. 579 00:23:58,355 --> 00:24:01,816 I don't feel comfortable going in blind like this. 580 00:24:01,900 --> 00:24:03,693 - There is another option. - Yes? 581 00:24:03,818 --> 00:24:05,111 But let me just start by saying, 582 00:24:05,153 --> 00:24:06,863 it's not as scary as it sounds. 583 00:24:10,450 --> 00:24:13,370 You want to cut me open? 584 00:24:13,453 --> 00:24:14,954 It's a small incision, 585 00:24:15,038 --> 00:24:17,499 just so I can see where to put the needle. 586 00:24:17,540 --> 00:24:19,918 The needle you want to put in my heart? 587 00:24:19,959 --> 00:24:22,045 Not in your heart, Miranda, 588 00:24:22,170 --> 00:24:25,131 into the sac around your heart. 589 00:24:25,215 --> 00:24:27,217 Have you done this before? 590 00:24:27,258 --> 00:24:28,885 I've seen it done. 591 00:24:28,968 --> 00:24:30,470 No way. We can wait. We can wait. 592 00:24:30,553 --> 00:24:31,846 We can wait until we land. 593 00:24:31,971 --> 00:24:34,307 Miranda, if we wait... 594 00:24:34,391 --> 00:24:36,059 you're not going to make it. 595 00:24:38,436 --> 00:24:40,647 Am I just gonna be awake for this? 596 00:24:40,772 --> 00:24:44,192 Yes, but you shouldn't feel much, okay? 597 00:24:44,234 --> 00:24:47,195 We have lidocaine that will numb the area, 598 00:24:47,278 --> 00:24:50,657 and we also-- we also have these. 599 00:24:50,740 --> 00:24:53,118 What is that? A weed gummy? 600 00:24:53,201 --> 00:24:56,246 It is, provided by in-house counsel. 601 00:24:58,998 --> 00:25:00,959 I don't-- 602 00:25:01,001 --> 00:25:03,837 I don't--I don't want to die. 603 00:25:03,962 --> 00:25:05,880 Miranda... 604 00:25:06,006 --> 00:25:09,009 I know we have had our issues, 605 00:25:09,134 --> 00:25:13,763 but I think you also know that I mean what I say. 606 00:25:13,805 --> 00:25:16,099 And I'm telling you, 607 00:25:16,266 --> 00:25:19,102 I will do everything I can 608 00:25:19,185 --> 00:25:22,647 to get you through this. 609 00:25:22,731 --> 00:25:24,607 Okay. 610 00:25:24,649 --> 00:25:28,820 Hey, where are your, uh, med-school ducklings? 611 00:25:28,903 --> 00:25:30,822 - Lunch. - What? 612 00:25:30,947 --> 00:25:32,866 How are you preparing them for life as a doctor 613 00:25:33,033 --> 00:25:34,993 if you are letting them take a full lunch? 614 00:25:35,118 --> 00:25:38,079 - Easing them in. - Except for that guy. 615 00:25:44,294 --> 00:25:46,004 Quentin. 616 00:25:46,129 --> 00:25:47,881 You can't talk to the patients without me there. 617 00:25:48,048 --> 00:25:49,716 Sorry. 618 00:25:49,841 --> 00:25:52,969 I--I was just thinking about what you were saying earlier 619 00:25:53,094 --> 00:25:54,846 about connecting with patients, 620 00:25:54,971 --> 00:25:58,141 seeing every angle of their condition. 621 00:25:58,224 --> 00:25:59,726 Okay. 622 00:25:59,809 --> 00:26:02,145 Well, um... 623 00:26:02,187 --> 00:26:04,856 what did you learn? 624 00:26:04,981 --> 00:26:07,233 Well, I--I know Sabrina has that theory 625 00:26:07,359 --> 00:26:09,819 about shared psychosis, but when I talked to Enzo 626 00:26:09,903 --> 00:26:11,279 about what he and his brother do together, 627 00:26:11,363 --> 00:26:13,156 he said all they really do is work. 628 00:26:13,239 --> 00:26:15,867 So I started to wonder if Dante being there 629 00:26:15,950 --> 00:26:18,411 when Enzo had an episode was more a coincidence 630 00:26:18,536 --> 00:26:20,163 rather than a cause. 631 00:26:20,246 --> 00:26:22,540 Maybe it's the restaurant itself causing it. 632 00:26:22,624 --> 00:26:25,126 So you're saying you think maybe it's environmental? 633 00:26:25,168 --> 00:26:26,378 Maybe. 634 00:26:26,419 --> 00:26:28,088 Now, I know it's a long shot, 635 00:26:28,129 --> 00:26:29,798 but I remember reading somewhere 636 00:26:29,839 --> 00:26:32,592 that celiac disease can cause psychosis. 637 00:26:32,676 --> 00:26:35,720 It's certainly true that, uh, in rare cases, right, 638 00:26:35,804 --> 00:26:38,932 that the inflammation can extend beyond the abdomen 639 00:26:39,015 --> 00:26:40,809 and up into the brain, yep. 640 00:26:40,850 --> 00:26:43,395 And it can come on later on in life, right? 641 00:26:43,436 --> 00:26:45,980 Like, when you open a pizza restaurant with your brother, 642 00:26:46,106 --> 00:26:48,566 and you're suddenly exposed to gluten in massive quantities. 643 00:26:48,650 --> 00:26:50,777 I'm just saying, it would explain the-- 644 00:26:50,860 --> 00:26:53,488 the weight loss, the vitamin-deficiency issues-- 645 00:26:53,530 --> 00:26:56,700 And why it only happens when they're together. 646 00:26:56,783 --> 00:26:58,535 Yeah. 647 00:26:58,618 --> 00:27:00,370 Trini... 648 00:27:00,453 --> 00:27:03,790 order a, uh, tissue transglutaminase test. 649 00:27:03,873 --> 00:27:06,418 - Yeah? - Hell, yeah. 650 00:27:06,501 --> 00:27:09,004 Get it back in an hour or so. We'll see what's what. 651 00:27:09,045 --> 00:27:10,380 Nice work. 652 00:27:10,422 --> 00:27:12,674 All right! 653 00:27:12,757 --> 00:27:14,676 I'm gonna go grab lunch now. 654 00:27:16,261 --> 00:27:18,221 Uh, Dr. Charles, I-- I'm sorry, 655 00:27:18,304 --> 00:27:21,099 but you already asked us to test for celiac. 656 00:27:21,224 --> 00:27:24,060 I sent you the results. They came back positive. 657 00:27:24,144 --> 00:27:27,022 I know, but, like, why rain on the guy's parade? 658 00:27:27,105 --> 00:27:29,107 He did good. 659 00:27:29,149 --> 00:27:30,734 Yeah. 660 00:27:30,817 --> 00:27:33,737 - Did you hear the good news? - Yeah, what's that? 661 00:27:33,820 --> 00:27:37,115 We're going back to Hawaii. Peace out, Chi-town. 662 00:27:37,157 --> 00:27:38,783 Wow, I--I didn't realize 663 00:27:38,908 --> 00:27:40,994 you'd, uh, already made the decision. 664 00:27:41,119 --> 00:27:43,621 Wasn't really a decision. It's what's best for Kiana. 665 00:27:43,705 --> 00:27:45,707 Well, she's going to be transferred 666 00:27:45,790 --> 00:27:47,375 to the PICU in a bit 667 00:27:47,500 --> 00:27:49,377 just to observe overnight, but she should be out tomorrow. 668 00:27:49,461 --> 00:27:51,338 Sounds good. Thank you. 669 00:27:51,421 --> 00:27:53,340 Hey, can we get a place closer to Salt Pond Beach 670 00:27:53,423 --> 00:27:54,758 or a place with a game room 671 00:27:54,841 --> 00:27:56,718 so I can keep schooling Steve the Dentist? 672 00:27:56,801 --> 00:27:58,845 Where is he, by the way? 673 00:27:58,887 --> 00:28:02,057 Uh, he, uh, had to run out for work. 674 00:28:02,140 --> 00:28:03,600 Poor guy. 675 00:28:03,641 --> 00:28:05,435 He's gonna have to build up that base tan again. 676 00:28:05,477 --> 00:28:09,147 On the other hand, maybe he'll finally learn how to surf. 677 00:28:09,189 --> 00:28:11,524 Yeah. 678 00:28:11,691 --> 00:28:13,276 Maybe. 679 00:28:16,821 --> 00:28:18,573 That's pretty tight. 680 00:28:18,615 --> 00:28:21,242 Well, we don't want any involuntary movement. 681 00:28:21,368 --> 00:28:23,453 That gummy help? - I don't think so. 682 00:28:23,495 --> 00:28:26,247 Uh, all right. 683 00:28:26,331 --> 00:28:29,334 Can you feel that? - No. 684 00:28:29,459 --> 00:28:31,670 Lidocaine's working. That's something. 685 00:28:31,836 --> 00:28:34,214 Dr. Howard, I think we're ready. 686 00:28:34,339 --> 00:28:35,757 Okay, good. 687 00:28:35,840 --> 00:28:37,759 So you're gonna find the xiphoid process, 688 00:28:37,842 --> 00:28:39,594 the very tip of the sternum. 689 00:28:39,678 --> 00:28:41,638 About one finger width below that, 690 00:28:41,721 --> 00:28:43,098 you'll make your incision-- 691 00:28:43,181 --> 00:28:46,059 8 centimeters or about 3 inches vertically. 692 00:28:46,184 --> 00:28:49,270 Okay. Okay. 693 00:28:49,354 --> 00:28:51,481 You might not want to watch this. 694 00:28:51,523 --> 00:28:52,899 Oh, my God. 695 00:28:57,237 --> 00:28:58,947 Okay. 696 00:28:59,072 --> 00:29:00,699 I've made my incision. 697 00:29:00,782 --> 00:29:02,367 Gauze. - Good. 698 00:29:02,450 --> 00:29:05,120 Okay, now, you're gonna push the tissue laterally 699 00:29:05,245 --> 00:29:06,621 until you find the heart 700 00:29:06,788 --> 00:29:10,667 and the bulging sac around it filled with fluid. 701 00:29:10,709 --> 00:29:12,419 Get closer. 702 00:29:12,502 --> 00:29:15,046 I think I see it. - Good. 703 00:29:15,213 --> 00:29:16,840 Her pulse is slowing down now. 704 00:29:16,923 --> 00:29:18,258 I-it's okay. It's okay. 705 00:29:18,341 --> 00:29:19,592 When we get that fluid out, 706 00:29:19,676 --> 00:29:20,885 it'll take the strain off of the heart, 707 00:29:20,969 --> 00:29:22,429 and that pulse is gonna come right back up. 708 00:29:22,512 --> 00:29:24,431 Okay, what now? 709 00:29:24,597 --> 00:29:27,308 Okay, you're gonna take your syringe 710 00:29:27,392 --> 00:29:29,436 and push it through the pericardium. 711 00:29:29,519 --> 00:29:31,062 When you start-- needle--penetrate-- 712 00:29:31,229 --> 00:29:34,566 Dr. Howard, the needle goes in 713 00:29:34,649 --> 00:29:37,694 at 15 degrees, correct? 714 00:29:37,777 --> 00:29:39,904 15 to 20 when it gets to the pericard-- 715 00:29:40,030 --> 00:29:42,115 Dr. Howard? 716 00:29:42,240 --> 00:29:44,325 Dr. Howard? 717 00:29:44,409 --> 00:29:47,037 - Oh, no, we lost service. - No, no, no, no, no. 718 00:29:47,120 --> 00:29:49,414 - Do you know what to do? - Uh, I'm not sure. 719 00:29:49,456 --> 00:29:51,833 Please, I--I can't breathe. 720 00:29:51,916 --> 00:29:53,752 Oh, my God. I think she's dying! 721 00:29:53,793 --> 00:29:55,462 Okay, st-- Okay. 722 00:29:55,503 --> 00:29:57,172 We need to find another phone. 723 00:29:57,297 --> 00:29:59,382 Everyone, stop talking! 724 00:30:03,720 --> 00:30:05,472 Okay, go in 725 00:30:05,597 --> 00:30:07,766 at a shallow angle, 726 00:30:07,849 --> 00:30:11,394 and then as the... 727 00:30:11,436 --> 00:30:13,521 needle penetrates 728 00:30:13,646 --> 00:30:18,443 until you feel the pop. 729 00:30:18,485 --> 00:30:21,363 I think... 730 00:30:21,404 --> 00:30:22,947 I feel it. 731 00:30:26,326 --> 00:30:27,702 Oh. 732 00:30:27,744 --> 00:30:29,537 That's it. I mean, that's good, right? 733 00:30:31,498 --> 00:30:33,958 Her pulse is coming back up. 734 00:30:51,393 --> 00:30:52,227 So Dr. Lenox had to do 735 00:30:53,228 --> 00:30:55,397 a pretty significant bowel resection 736 00:30:55,438 --> 00:30:57,732 and then repair the initial laceration, 737 00:30:57,816 --> 00:31:00,819 but it looks like Dante's gonna make a complete recovery. 738 00:31:00,902 --> 00:31:02,946 Hard to imagine that Dante and Enzo's relationship 739 00:31:03,113 --> 00:31:04,531 will recover that quickly. 740 00:31:04,572 --> 00:31:06,491 You're probably right about that. 741 00:31:10,412 --> 00:31:12,580 Ah. You're all still here. 742 00:31:12,664 --> 00:31:15,125 Yeah, we're just finishing up our day. 743 00:31:15,250 --> 00:31:17,460 Uh-huh. Well, I heard one of you 744 00:31:17,502 --> 00:31:19,963 cracked the case with Enzo-- gluten-induced psychosis. 745 00:31:20,088 --> 00:31:22,090 Yeah, undiagnosed celiac disease. 746 00:31:22,132 --> 00:31:23,299 As long as he stays away from gluten, 747 00:31:23,425 --> 00:31:24,801 he should be fine, right? 748 00:31:24,884 --> 00:31:26,553 Sucks that they have a pizza place, though. 749 00:31:26,678 --> 00:31:28,972 I mean, I've had gluten-free pizza, so that's an option, 750 00:31:29,055 --> 00:31:32,892 but I feel like it's never as good, you know? 751 00:31:33,018 --> 00:31:36,062 Oh, no, no! 752 00:31:36,104 --> 00:31:38,023 That's the boy from this morning. 753 00:31:38,064 --> 00:31:41,276 - Billy. - Wait. Is he-- 754 00:31:41,317 --> 00:31:43,319 Yes. 755 00:31:43,403 --> 00:31:45,655 I thought you said he was gonna be okay. 756 00:31:45,780 --> 00:31:47,741 I said he had a chance. 757 00:31:47,824 --> 00:31:49,659 But the bleeding was too severe. 758 00:31:49,701 --> 00:31:51,411 He was in DIC. 759 00:31:51,494 --> 00:31:53,204 We couldn't get him to clot. 760 00:31:53,288 --> 00:31:54,789 Yeah. 761 00:31:54,873 --> 00:31:57,459 Unfortunately, subclavian injuries 762 00:31:57,542 --> 00:32:00,545 are really tough to survive. 763 00:32:20,648 --> 00:32:23,318 Please don't get up. 764 00:32:25,403 --> 00:32:27,864 Jonathan Michael. 765 00:32:27,947 --> 00:32:29,532 I didn't think you would come. 766 00:32:29,616 --> 00:32:31,159 Neither did I. 767 00:32:33,828 --> 00:32:36,373 What's the thing? 768 00:32:36,414 --> 00:32:37,999 Excuse me? 769 00:32:38,083 --> 00:32:40,502 The thing you want? 770 00:32:40,585 --> 00:32:43,338 If it's money, I'm-- I'm on a resident's salary. 771 00:32:43,421 --> 00:32:45,507 And if it's a place to live, 772 00:32:45,548 --> 00:32:49,302 then, well, I'm sleeping at a friend's house. 773 00:32:49,386 --> 00:32:51,888 We didn't come here to get anything from you. 774 00:32:51,971 --> 00:32:56,101 You really think we're monsters, don't you? 775 00:32:56,142 --> 00:32:58,728 I watched a mom today... 776 00:32:58,895 --> 00:33:01,981 blow up her entire life... 777 00:33:02,065 --> 00:33:04,109 for her kid 778 00:33:04,234 --> 00:33:07,696 because she wanted to put her health first. 779 00:33:07,779 --> 00:33:11,366 And then I watched that same mom... 780 00:33:11,491 --> 00:33:14,077 put a smile on her face so... 781 00:33:14,244 --> 00:33:16,413 her kid wouldn't feel bad. 782 00:33:16,496 --> 00:33:20,458 - I don't understand. - I know you don't. 783 00:33:20,500 --> 00:33:23,670 See? 'Cause, um... 784 00:33:23,712 --> 00:33:27,465 well, I--I witness things like that 785 00:33:27,507 --> 00:33:29,551 every day in my hospital-- 786 00:33:29,634 --> 00:33:34,556 you know, parents that go to the end of the Earth 787 00:33:34,597 --> 00:33:38,018 to protect their kids, no matter what. 788 00:33:38,143 --> 00:33:39,728 And, I mean... 789 00:33:39,769 --> 00:33:42,981 you two... 790 00:33:45,900 --> 00:33:48,820 I'm just gonna ask again. 791 00:33:48,903 --> 00:33:51,114 What do you want? 792 00:33:51,239 --> 00:33:53,742 - We just want to see-- - I'm sick. 793 00:33:56,411 --> 00:33:58,788 Secondary progressive MS. 794 00:34:02,292 --> 00:34:05,420 How long have you known? 795 00:34:05,503 --> 00:34:09,174 A while, maybe six months. 796 00:34:13,219 --> 00:34:15,889 That's why we're here. 797 00:34:15,930 --> 00:34:19,351 We want to reconnect with our son. 798 00:34:22,020 --> 00:34:24,272 - No. - No what? 799 00:34:24,356 --> 00:34:26,274 No, I'm not doing this 800 00:34:26,358 --> 00:34:27,817 With you right now. 801 00:34:27,901 --> 00:34:29,444 Okay, I-- 802 00:34:45,502 --> 00:34:47,170 Mm. 803 00:34:47,253 --> 00:34:49,172 Listen, great job today. 804 00:34:49,297 --> 00:34:52,050 - Yeah, thanks. - No, no, I mean it. 805 00:34:52,133 --> 00:34:56,721 I mean, that, um--that "folie à deux" idea you had 806 00:34:56,763 --> 00:34:58,807 about Enzo... 807 00:34:58,932 --> 00:35:00,517 That was a spectacular guess. 808 00:35:00,600 --> 00:35:02,519 Look, it might not have been the right one, 809 00:35:02,644 --> 00:35:05,146 but trust me, that kind of creativity, 810 00:35:05,188 --> 00:35:07,941 you know, lateral thinking is really important 811 00:35:08,024 --> 00:35:09,984 in this line of work, so... 812 00:35:10,068 --> 00:35:11,820 It's not that, though. 813 00:35:11,861 --> 00:35:14,114 I think I'm just kind of rethinking things. 814 00:35:14,280 --> 00:35:15,407 Huh. 815 00:35:15,573 --> 00:35:17,701 I don't know if this is for me. 816 00:35:17,742 --> 00:35:19,202 Oh, how so? 817 00:35:20,787 --> 00:35:22,831 I didn't know it would affect me so much. 818 00:35:22,914 --> 00:35:24,791 I mean, even with Dante and Enzo, 819 00:35:24,874 --> 00:35:29,004 even though that worked out, there was still so much... 820 00:35:29,087 --> 00:35:31,339 It just got to me. I don't know. 821 00:35:31,464 --> 00:35:33,383 There's a cost 822 00:35:33,508 --> 00:35:36,970 to having a job with meaning, right? 823 00:35:37,053 --> 00:35:39,431 I mean, we experience these... 824 00:35:39,514 --> 00:35:41,349 Brutal... 825 00:35:41,433 --> 00:35:43,727 moments here, like... 826 00:35:43,768 --> 00:35:45,437 true despair. 827 00:35:45,562 --> 00:35:49,566 But trust me, there are also these moments of euphoria, 828 00:35:49,649 --> 00:35:52,444 of, like, extraordinary fulfillment, 829 00:35:52,527 --> 00:35:55,238 because we change people's lives here. 830 00:35:55,321 --> 00:35:59,284 And if we're lucky, we actually save them. 831 00:35:59,409 --> 00:36:02,537 So, for me, anyway, I mean, over time, 832 00:36:02,704 --> 00:36:06,708 the benefits definitely come to outweigh the costs. 833 00:36:06,750 --> 00:36:08,918 I know it might not feel like it right now, 834 00:36:09,044 --> 00:36:11,379 but if you are feeling things deeply, 835 00:36:11,463 --> 00:36:12,964 as far as I'm concerned, 836 00:36:13,048 --> 00:36:15,175 it just means that, you know, you're doing it right. 837 00:36:17,218 --> 00:36:19,596 Yeah... maybe. 838 00:36:19,679 --> 00:36:22,182 I-I just think that-- 839 00:36:22,265 --> 00:36:23,892 I don't know. 840 00:36:24,059 --> 00:36:27,103 Maybe I like the puzzle piece and not all the pain. 841 00:36:27,187 --> 00:36:29,189 Yeah, maybe I'll go into research. 842 00:36:29,314 --> 00:36:30,482 I don't know. 843 00:36:30,565 --> 00:36:32,609 Anyway. 844 00:36:38,531 --> 00:36:40,658 Thank you anyway, Dr. Charles. 845 00:36:42,911 --> 00:36:44,954 Oh, thanks for coming. Thanks. 846 00:36:53,505 --> 00:36:54,839 You guys taking off? 847 00:36:54,923 --> 00:36:56,257 - Oh, yeah. - Yeah. 848 00:36:58,718 --> 00:37:01,388 Look, today was, uh... 849 00:37:01,513 --> 00:37:03,390 it was a lot, right? 850 00:37:03,515 --> 00:37:05,642 Really glad you got to see what we--we actually do here. 851 00:37:05,725 --> 00:37:06,935 But, you know, just for the record, 852 00:37:07,060 --> 00:37:09,854 it was just extra intense, you know? 853 00:37:09,938 --> 00:37:13,066 I just hope it wasn't-- I don't know--discouraging. 854 00:37:15,235 --> 00:37:18,446 Dr. Charles, today was the greatest day of my life. 855 00:37:20,448 --> 00:37:22,325 Really? 856 00:37:22,450 --> 00:37:24,244 Well, my life's pretty boring, 857 00:37:24,327 --> 00:37:26,162 but, yeah... 858 00:37:26,246 --> 00:37:27,622 Really. 859 00:37:29,666 --> 00:37:32,502 Yeah, it was pretty dope. Thank you. 860 00:37:36,381 --> 00:37:37,757 You're welcome. 861 00:37:37,799 --> 00:37:40,260 Thank you. Yeah, thanks for coming. 862 00:37:40,343 --> 00:37:42,345 - See you around. - See ya. 863 00:37:44,681 --> 00:37:46,725 Huh. 864 00:37:52,355 --> 00:37:54,691 Come in. 865 00:37:54,733 --> 00:37:56,609 Hey. - Hi. 866 00:37:56,693 --> 00:37:59,320 - How's Miranda? - Good. 867 00:37:59,446 --> 00:38:01,740 We were able to repair the laceration in her atrium 868 00:38:01,781 --> 00:38:03,408 without issue. - Great. 869 00:38:03,491 --> 00:38:06,995 You know, all those years of watching surgery, 870 00:38:07,078 --> 00:38:11,374 assisting, I never really understood 871 00:38:11,541 --> 00:38:13,918 the impact of that moment, 872 00:38:13,960 --> 00:38:17,255 of holding the knife and-- 873 00:38:17,339 --> 00:38:19,382 and cutting into someone. 874 00:38:19,466 --> 00:38:21,134 Yeah. 875 00:38:21,176 --> 00:38:24,054 My first surgery was a foot amputation. 876 00:38:24,137 --> 00:38:26,806 I was so nervous, I thought I was gonna puke. 877 00:38:26,931 --> 00:38:29,809 But my attending talked me through it, and I got it done. 878 00:38:29,893 --> 00:38:31,561 Later, she got me a bracelet 879 00:38:31,644 --> 00:38:33,813 that had a little charm of a foot. 880 00:38:33,855 --> 00:38:36,024 She said it should be a reminder-- 881 00:38:36,066 --> 00:38:38,193 even though these miraculous things we do 882 00:38:38,276 --> 00:38:40,612 have somehow become commonplace, 883 00:38:40,695 --> 00:38:42,739 we shouldn't ever forget they're extraordinary. 884 00:38:42,822 --> 00:38:44,199 Yeah. 885 00:38:51,414 --> 00:38:53,291 "I heart Chicago." 886 00:38:53,375 --> 00:38:55,377 Yeah, because of what you did with Miranda's heart. 887 00:38:55,460 --> 00:38:56,753 - Yeah, yeah, yeah. - I'm sorry. 888 00:38:56,878 --> 00:38:58,713 It's the best that I could do on short notice. 889 00:38:58,797 --> 00:39:02,634 But, anyway, um, welcome to the club. 890 00:39:02,676 --> 00:39:04,427 - Thank you. - Mm-hmm. 891 00:39:10,684 --> 00:39:13,520 So what did you say? 892 00:39:13,603 --> 00:39:15,313 I said no. 893 00:39:15,438 --> 00:39:19,067 And, um... 894 00:39:19,109 --> 00:39:23,238 I mean, it--it hurts more than I want to admit. 895 00:39:23,363 --> 00:39:26,074 But it doesn't just erase 896 00:39:26,116 --> 00:39:28,243 how my dad has treated me my whole life. 897 00:39:30,620 --> 00:39:33,915 I--I wish I could just move past it, you know? 898 00:39:33,998 --> 00:39:36,126 But I can't. 899 00:39:36,209 --> 00:39:38,878 And... 900 00:39:38,920 --> 00:39:42,215 it makes me feel like a bad person. 901 00:39:46,052 --> 00:39:48,972 I'm sorry. I know... 902 00:39:49,014 --> 00:39:51,975 this is not the, uh, conversations we usually have. 903 00:39:52,058 --> 00:39:53,768 And... 904 00:39:53,893 --> 00:39:56,021 I mean, well, you ordered takeout 905 00:39:56,104 --> 00:39:58,565 from just about every restaurant in Chicago. 906 00:39:59,941 --> 00:40:01,568 Well, you didn't answer my texts, 907 00:40:01,609 --> 00:40:03,445 so I--I got a little bit of everything. 908 00:40:03,528 --> 00:40:04,863 Now I'm ruining it. 909 00:40:04,904 --> 00:40:06,781 No, you're not. Hey. 910 00:40:09,075 --> 00:40:11,286 Trust me, I would never judge 911 00:40:11,369 --> 00:40:13,830 someone in a situation like this, 912 00:40:13,955 --> 00:40:16,583 let alone tell them what to do. 913 00:40:19,878 --> 00:40:24,341 I will just say, no matter how you are feeling right now, 914 00:40:24,424 --> 00:40:26,885 someday your parents will be gone. 915 00:40:27,010 --> 00:40:31,473 And whenever that happens, however you leave things... 916 00:40:33,350 --> 00:40:36,436 That's how it will stay... 917 00:40:36,603 --> 00:40:39,397 forever. 918 00:40:39,481 --> 00:40:42,025 Sounds like you're speaking from personal experience. 919 00:40:45,320 --> 00:40:48,656 We're talking about you here, pal. 920 00:40:48,782 --> 00:40:50,784 I know, but... 921 00:40:50,825 --> 00:40:53,703 we don't always have to just be on me. 922 00:40:58,458 --> 00:41:01,961 Except I like being on you. 923 00:41:02,045 --> 00:41:04,547 That's not what I meant. 924 00:41:04,631 --> 00:41:06,716 Doesn't make it any less true. 925 00:41:10,387 --> 00:41:12,472 Good talk. - Great talk.