1 00:00:23,940 --> 00:00:26,568 Um... 2 00:00:26,651 --> 00:00:28,153 gentlemen... 3 00:00:31,531 --> 00:00:32,741 ...I'm all in. 4 00:00:32,866 --> 00:00:35,577 You think he's been slow playing us? 5 00:00:35,660 --> 00:00:38,079 Gaslighting is not really my style, 6 00:00:38,163 --> 00:00:39,873 Otto. 7 00:00:39,956 --> 00:00:42,500 You know how I feel about therapy speak, Wolf. 8 00:00:42,584 --> 00:00:45,963 I'm sorry. I didn't mean to trigger you in any way. 9 00:00:46,046 --> 00:00:48,590 Oh! Oops. I did it again. 10 00:00:50,091 --> 00:00:51,926 Alright. I call. 11 00:00:57,390 --> 00:00:59,059 Oh. 12 00:00:59,142 --> 00:01:00,560 I knew you were a snake! 13 00:01:00,643 --> 00:01:02,312 Okay, Otto, you're at a 10. 14 00:01:02,437 --> 00:01:04,147 I need you to bring it down to a five. 15 00:01:04,272 --> 00:01:06,108 Okay? -I'm not at a 10, okay? 16 00:01:06,191 --> 00:01:07,984 I'm at a seven. 17 00:01:08,068 --> 00:01:11,154 If you want to see a 10, I will show you a 10! 18 00:01:11,237 --> 00:01:13,490 Okay? There you go! 19 00:01:13,573 --> 00:01:17,369 -Otto! -You better sit down, Otto! 20 00:01:17,494 --> 00:01:19,204 You want to see me at 10, don't you?! 21 00:01:19,287 --> 00:01:21,873 I can take me up to 11! 22 00:01:24,250 --> 00:01:25,418 Hello? 23 00:01:27,587 --> 00:01:29,047 Wolf? 24 00:01:29,130 --> 00:01:31,174 Hello? You still with us? -Uh, yes. 25 00:01:31,257 --> 00:01:33,343 You were saying that the hospital is 26 00:01:33,426 --> 00:01:34,803 in a financial slump. 27 00:01:34,886 --> 00:01:36,137 Not a slump. A crisis. 28 00:01:36,221 --> 00:01:37,681 We're in the red across the board. 29 00:01:37,764 --> 00:01:39,349 As chief... -Interim chief. 30 00:01:39,474 --> 00:01:41,018 ...it's my responsibility to keep us afloat. 31 00:01:41,101 --> 00:01:42,686 To that end, I need every department 32 00:01:42,769 --> 00:01:44,104 to start spending hospital money like it's your own. 33 00:01:44,187 --> 00:01:45,730 All due respect, Nichols, 34 00:01:45,814 --> 00:01:47,357 you can keep tap dancing around the real issue, 35 00:01:47,440 --> 00:01:48,858 or you can be straight with us... 36 00:01:49,025 --> 00:01:50,568 Wolf is the problem here. 37 00:01:50,652 --> 00:01:53,029 -Neuro does have the most bloat. -Like I said. 38 00:01:53,113 --> 00:01:55,282 I always liked your mother, but she made a mistake recruiting you to work here. 39 00:01:55,365 --> 00:01:57,951 -Carol recruited me. -I had my reasons. 40 00:01:58,034 --> 00:01:59,911 Though they are escaping me at the moment. 41 00:01:59,994 --> 00:02:02,247 I am feeling very ganged up on here. 42 00:02:02,330 --> 00:02:03,832 You reap what you sow, brother. 43 00:02:03,915 --> 00:02:05,195 You're bleeding the hospital dry. 44 00:02:05,291 --> 00:02:06,918 Money, resources, time. 45 00:02:07,002 --> 00:02:09,629 -There is a nuance to what I do. -So when I page Neuro 46 00:02:09,754 --> 00:02:12,174 and I'm told you and your entire team are at church, 47 00:02:12,257 --> 00:02:15,260 that's just nuance? -Pastor Thomas has glioblastoma. 48 00:02:15,427 --> 00:02:17,345 She mistook her husband for a hat. 49 00:02:17,429 --> 00:02:19,389 Wolf, please. Take it on the chin. 50 00:02:19,472 --> 00:02:21,350 No, I am not the problem here. 51 00:02:21,433 --> 00:02:23,852 Public trust in physicians is the lowest it's ever been. 52 00:02:24,019 --> 00:02:26,939 Why? Insufficient communication and rushed appointments. 53 00:02:27,022 --> 00:02:28,982 Just out of curiosity, Chief Nichols, 54 00:02:29,107 --> 00:02:31,067 what are my patient satisfaction scores? 55 00:02:31,151 --> 00:02:33,153 97% strongly satisfied. 56 00:02:33,278 --> 00:02:35,989 Wow. That high? 57 00:02:36,114 --> 00:02:38,992 Look, we live in a world where people would rather 58 00:02:39,117 --> 00:02:40,953 tell a chatbot their symptoms than see a doctor. 59 00:02:41,036 --> 00:02:43,538 Some would rather die than step foot in a hospital. 60 00:02:43,621 --> 00:02:45,248 Yes, I invest time. 61 00:02:45,373 --> 00:02:47,792 I get to know my patients. Every single one. 62 00:02:47,876 --> 00:02:50,420 But if they leave Bronx General with more trust in the system, 63 00:02:50,545 --> 00:02:53,840 then I am helping keep this hospital afloat. 64 00:02:55,759 --> 00:02:57,761 It just came back to me. 65 00:02:57,844 --> 00:02:59,888 That'swhy I recruited him. 66 00:03:10,940 --> 00:03:12,317 Do you always have to be so contrarian? 67 00:03:12,400 --> 00:03:15,570 I'm contrarian? You'recontrarian. 68 00:03:15,653 --> 00:03:17,739 It is impossible to have a conversation with you, Wolf. 69 00:03:17,822 --> 00:03:19,616 I spent the bulk of my career at this hospital. 70 00:03:19,699 --> 00:03:21,284 It means everything to me. 71 00:03:21,368 --> 00:03:22,577 Your dad practiced here. Your mom ran the place. 72 00:03:22,660 --> 00:03:24,496 I know what it means to you, too. 73 00:03:24,579 --> 00:03:26,373 Do you really want to see it get bought out by some corporation 74 00:03:26,456 --> 00:03:27,874 just because you have a stubborn streak? 75 00:03:27,957 --> 00:03:29,751 I am not stubborn. I'm strong-willed. 76 00:03:29,834 --> 00:03:31,962 -Okay. -Okay, fine. What do you need me to do? 77 00:03:32,045 --> 00:03:33,838 I need you to button up. 78 00:03:33,963 --> 00:03:36,049 That means no more unnecessary procedures 79 00:03:36,174 --> 00:03:38,718 or highfalutin experiments or group field trips, 80 00:03:38,843 --> 00:03:41,138 and keep a healthy emotional distance from your patients. 81 00:03:41,221 --> 00:03:42,639 Same for your interns. 82 00:03:42,722 --> 00:03:44,474 Oh. That's cute, I like that. 83 00:03:44,557 --> 00:03:45,809 Does that mean I can trust you with a case 84 00:03:45,892 --> 00:03:47,310 involving the Burnett family? 85 00:03:47,435 --> 00:03:49,062 Am I supposed to know who they are? 86 00:03:49,145 --> 00:03:51,440 Yes. They're one of the hospital's biggest donors. 87 00:03:51,523 --> 00:03:53,191 Their name is literally on the outside of the building. 88 00:03:53,274 --> 00:03:54,943 You've never...? You don't...? Okay. 89 00:03:55,026 --> 00:03:57,154 The matriarch, Arianna Burnett, is a retired entrepreneur 90 00:03:57,237 --> 00:03:58,988 known for her eccentric business practices. 91 00:03:59,072 --> 00:04:00,699 -Oh, I like her already. -She suffered a bad fall 92 00:04:00,782 --> 00:04:02,117 down a flight of stairs this morning. 93 00:04:02,200 --> 00:04:03,994 Possible head trauma. 94 00:04:04,077 --> 00:04:05,787 She was diagnosed with early onset dementia two years ago, 95 00:04:05,870 --> 00:04:07,539 and she's petrified of leaving her home in Fieldston. 96 00:04:07,622 --> 00:04:10,291 So you and Carol need to make an urgent house call. 97 00:04:10,375 --> 00:04:12,252 Uh, that sounds like a field trip. 98 00:04:12,377 --> 00:04:13,962 I am told those are strictly forbidden. 99 00:04:14,087 --> 00:04:16,298 Stop being... 100 00:04:16,381 --> 00:04:18,425 contrarian, 101 00:04:18,550 --> 00:04:20,260 and please... 102 00:04:20,385 --> 00:04:21,803 don't screw this up. 103 00:04:29,894 --> 00:04:31,646 No! 104 00:04:39,946 --> 00:04:41,406 Ready, roomie? 105 00:04:41,489 --> 00:04:44,743 Uh, actually, I'm gonna run to work. 106 00:04:44,909 --> 00:04:46,995 You're gonna run for, like, fun? 107 00:04:49,080 --> 00:04:51,875 Is this because you're mad at me for reporting Carol? 108 00:04:51,958 --> 00:04:53,835 Something you want to get off your chest? 109 00:04:53,918 --> 00:04:56,672 I'm good. Just need to clear my head before our shift. 110 00:04:56,755 --> 00:04:57,964 That okay with you? 111 00:04:58,089 --> 00:04:59,924 Sure, I guess. 112 00:05:00,008 --> 00:05:01,384 ♪ Let's go ♪ 113 00:05:01,468 --> 00:05:03,094 ♪ Put it in motion ♪ 114 00:05:03,178 --> 00:05:04,888 ♪ Baby, we're going ♪ 115 00:05:04,971 --> 00:05:09,392 ♪ Faster, faster, faster, faster ♪ 116 00:05:09,476 --> 00:05:13,396 ♪ Seizing that moment, baby, keep going ♪ 117 00:05:13,480 --> 00:05:17,525 ♪ Faster, faster, faster, faster ♪ 118 00:05:19,819 --> 00:05:21,529 Are you actually finishing patient charts? 119 00:05:21,654 --> 00:05:23,114 Maybe you should get an MRI. 120 00:05:23,198 --> 00:05:25,075 Just, you know, out of an abundance of caution. 121 00:05:25,200 --> 00:05:27,911 An abundance of caution is no longer a reason to order scans. 122 00:05:27,994 --> 00:05:30,830 In fact, think of Bronx General as the opposite of abundant. 123 00:05:30,914 --> 00:05:33,541 I've literally thought of it that way since my first day here. 124 00:05:33,667 --> 00:05:36,169 Is this because we're living in the era of Chief Nichols? 125 00:05:36,252 --> 00:05:39,214 Interimchief, temporary era, but yes. 126 00:05:39,297 --> 00:05:43,176 This new position has really brought out his God complex. That's why I called you in. 127 00:05:43,259 --> 00:05:47,972 As your boss, I strongly advise you to play by the rules until further notice. 128 00:05:48,056 --> 00:05:51,559 Under these new mandates, ask yourself, "What would Wolf do?" 129 00:05:51,643 --> 00:05:53,561 And then do exactly the opposite. 130 00:05:53,728 --> 00:05:56,106 Don't worry about us, Dr. Wolf. I run a very tight ship. 131 00:05:56,189 --> 00:05:57,691 Team, shall we? 132 00:06:06,282 --> 00:06:07,701 If I had put money on it, 133 00:06:07,784 --> 00:06:09,286 I'd say Wolf doesn't last till Halloween. 134 00:06:09,369 --> 00:06:10,829 Ready to round, doctors? 135 00:06:10,912 --> 00:06:11,955 -I can run alone. -I can run alone. 136 00:06:12,038 --> 00:06:13,540 Okay. More efficient for me. 137 00:06:13,623 --> 00:06:15,583 Although, let me remind you that your conduct 138 00:06:15,667 --> 00:06:17,836 is a direct reflection of my leadership. 139 00:06:17,919 --> 00:06:19,796 Speaking of which, 140 00:06:19,879 --> 00:06:21,381 I want you to start following the correct chain of command. 141 00:06:21,464 --> 00:06:22,966 You report to me. I report to Wolf. Understood? 142 00:06:23,049 --> 00:06:24,634 -Yeah. Whatever. -Yeah. Sounds good. 143 00:06:24,718 --> 00:06:26,386 Love the enthusiasm. 144 00:06:26,469 --> 00:06:27,971 Make sure to tell your buddies Van and Jacob. 145 00:06:28,054 --> 00:06:30,265 -And ruin their day off? -Careful, Dr. Kinney. 146 00:06:30,348 --> 00:06:32,183 I could write you up for insubordination. 147 00:06:36,521 --> 00:06:38,065 Thanks for coming. 148 00:06:38,148 --> 00:06:40,942 She just... tumbled all the way down the stairs. 149 00:06:41,026 --> 00:06:42,485 Poor thing. 150 00:06:42,569 --> 00:06:44,154 It's a miracle she didn't break her neck. 151 00:06:44,237 --> 00:06:46,114 Is your wife prone to falls, Mr. Burnett? 152 00:06:46,197 --> 00:06:48,825 Oh, David, please. 153 00:06:48,908 --> 00:06:52,871 And, yes, Arianna can be clumsy. 154 00:06:52,954 --> 00:06:57,792 These last few months, she's been getting more... aloof. 155 00:06:57,917 --> 00:06:59,211 In what ways? 156 00:06:59,294 --> 00:07:01,129 Well, you'll see for yourselves. 157 00:07:03,340 --> 00:07:05,925 I gave her some pain medication after the fall, 158 00:07:06,051 --> 00:07:07,552 kept her awake. 159 00:07:08,928 --> 00:07:12,474 Oh. The cranes help keep her calm. 160 00:07:18,271 --> 00:07:20,148 Arianna, hi. 161 00:07:20,231 --> 00:07:21,692 We're your doctors. 162 00:07:21,775 --> 00:07:24,152 We're here to assess you. 163 00:07:24,277 --> 00:07:25,820 Is that okay? 164 00:07:28,656 --> 00:07:30,784 This could take a little time. 165 00:07:32,452 --> 00:07:34,079 Of course. I've got some tea on. 166 00:07:42,045 --> 00:07:44,548 Arianna... 167 00:07:44,631 --> 00:07:47,634 can you tell us where you are? 168 00:07:47,759 --> 00:07:49,136 What happened? 169 00:07:55,558 --> 00:07:59,813 Arianna... can you look at my penlight? 170 00:07:59,896 --> 00:08:01,147 Follow it with your eyes. 171 00:08:06,569 --> 00:08:08,363 Look at my birds. 172 00:08:09,447 --> 00:08:10,991 If only they could fly. 173 00:08:24,587 --> 00:08:26,006 Dr. Pierce. 174 00:08:27,716 --> 00:08:30,051 Carol. -Hmm? 175 00:08:31,636 --> 00:08:33,472 Do you see what I see? 176 00:08:33,555 --> 00:08:38,268 -See what? -Oh, just... her bruises. 177 00:08:38,393 --> 00:08:41,354 You know, a home visit isn't the best setting 178 00:08:41,438 --> 00:08:43,189 for a comprehensive review. 179 00:08:43,314 --> 00:08:45,525 It would be good if we could bring her to Bronx General, 180 00:08:45,608 --> 00:08:47,611 do a full workup. 181 00:08:47,694 --> 00:08:49,237 Arianna doesn't like hospitals. 182 00:08:49,320 --> 00:08:52,032 Um, head injuries can present as minor, 183 00:08:52,115 --> 00:08:54,617 only to result in something much more serious. 184 00:08:54,701 --> 00:08:56,787 We'd really like to take her in, 185 00:08:56,870 --> 00:08:59,081 out of an abundance of caution. 186 00:08:59,164 --> 00:09:00,915 Of course. 187 00:09:00,999 --> 00:09:03,585 In that case, we'd be happy to go, 188 00:09:03,668 --> 00:09:06,380 wouldn't we... honey? 189 00:09:08,673 --> 00:09:10,425 Mm. 190 00:09:16,639 --> 00:09:17,808 We've got a new patient. 191 00:09:17,891 --> 00:09:19,642 Arianna Burnett, 52, head trauma, 192 00:09:19,726 --> 00:09:22,103 previously diagnosed with dementia, 193 00:09:22,187 --> 00:09:24,981 and her husband just informed us she's in a guardianship. 194 00:09:25,065 --> 00:09:26,733 As in conservatorship? 195 00:09:26,858 --> 00:09:28,777 As in hashtag Free Britney? 196 00:09:28,860 --> 00:09:30,445 -Britney...? -Spears. 197 00:09:30,528 --> 00:09:32,155 -"Baby One More Time." -"Oops!...I Did It Again." 198 00:09:32,238 --> 00:09:33,615 If this is a pop culture reference, 199 00:09:33,698 --> 00:09:34,950 I'm gonna need you to give me more. 200 00:09:35,033 --> 00:09:36,785 Dr. Wolf... are you trolling us? 201 00:09:36,868 --> 00:09:39,621 Arianna secretly asked for our help. 202 00:09:39,704 --> 00:09:42,207 It is our job to determine what that means exactly. 203 00:09:42,290 --> 00:09:43,709 It could mean that she's paranoid... 204 00:09:43,792 --> 00:09:45,960 common symptom among dementia patients. 205 00:09:46,044 --> 00:09:48,380 Yes, but we still need to do our due diligence and proceed with caution. 206 00:09:48,463 --> 00:09:51,466 According to Nichols, the Burnetts are huge donors to the hospital. 207 00:09:51,549 --> 00:09:53,134 Hence, the all hands on deck. 208 00:09:53,218 --> 00:09:54,636 Guardianships are extremely rare. 209 00:09:54,719 --> 00:09:56,221 Do we know how this happened? 210 00:09:56,304 --> 00:09:57,931 History of "destructive behavior." 211 00:09:58,014 --> 00:10:00,308 "Gambled her fortune away." "Self-endangerment." 212 00:10:00,392 --> 00:10:01,643 So it's in place to protect her. 213 00:10:01,726 --> 00:10:03,478 Or control her and her money. 214 00:10:03,603 --> 00:10:05,146 Precisely that. 215 00:10:05,271 --> 00:10:06,690 Not only does a guardianship render its ward 216 00:10:06,773 --> 00:10:08,316 and unable to control their finances, 217 00:10:08,400 --> 00:10:10,402 it can also mean that basic decisions like 218 00:10:10,485 --> 00:10:13,029 where she lives, when she uses her phone, aren't hers to make. 219 00:10:13,113 --> 00:10:15,990 -It's no autonomy. -Okay, so what are we supposed to do? 220 00:10:16,074 --> 00:10:18,535 I mean, it's not our job to get her guardianship removed. 221 00:10:18,618 --> 00:10:20,370 We convinced her family to admit her 222 00:10:20,453 --> 00:10:22,497 for an extensive neuro evaluation. 223 00:10:22,580 --> 00:10:24,749 That means she's in our care for a short window. 224 00:10:24,874 --> 00:10:26,418 I will evaluate Arianna. 225 00:10:26,501 --> 00:10:29,170 For once, I'd like us to work fast. 226 00:10:29,254 --> 00:10:32,007 I'd like to give you five words to remember... 227 00:10:32,090 --> 00:10:35,301 shoebox, Apollo, 228 00:10:35,427 --> 00:10:39,514 computer, pineapple, ersatz. 229 00:10:39,597 --> 00:10:41,349 Now, can you repeat them to me? 230 00:10:41,433 --> 00:10:43,810 Shoebox... 231 00:10:43,893 --> 00:10:45,687 Apollo... 232 00:10:45,770 --> 00:10:47,689 computer... 233 00:10:47,772 --> 00:10:49,649 pineapple, ersatz. -Good. 234 00:10:49,733 --> 00:10:52,318 I'll ask you to repeat them in a bit. 235 00:10:52,402 --> 00:10:58,533 Now, can you tell me why you signaled for help? 236 00:10:58,658 --> 00:11:02,203 The last time I opened up to a psychiatrist, 237 00:11:02,328 --> 00:11:04,456 they testified against me in court. 238 00:11:04,539 --> 00:11:07,709 I'm not against you. I'm here to help you. 239 00:11:07,792 --> 00:11:11,671 But I cannot do that until you tell me what's wrong. 240 00:11:13,131 --> 00:11:16,176 My memory gets worse every day I'm in that house. 241 00:11:17,635 --> 00:11:21,848 I am losing who I am, who I was. 242 00:11:21,931 --> 00:11:24,393 Can you elaborate for me? 243 00:11:24,476 --> 00:11:26,895 They don't want me to be free. 244 00:11:26,978 --> 00:11:29,564 They're making me sick. 245 00:11:29,689 --> 00:11:31,691 They're poisoning me. 246 00:11:33,735 --> 00:11:37,822 -Who is? -My husband, David... 247 00:11:39,282 --> 00:11:41,159 ...and my daughter, Jill. 248 00:11:41,242 --> 00:11:42,952 Why would they want to hurt you? 249 00:11:43,036 --> 00:11:44,746 To control me. 250 00:11:44,829 --> 00:11:47,040 To take everything away from me. 251 00:11:48,041 --> 00:11:50,043 You don't believe me? 252 00:11:50,168 --> 00:11:51,961 I'm here for you, Arianna. 253 00:11:52,045 --> 00:11:54,214 This is a serious accusation, 254 00:11:54,339 --> 00:11:56,258 and if someone is poisoning you, 255 00:11:56,341 --> 00:11:58,593 we will get to the bottom of it. 256 00:11:58,677 --> 00:12:02,889 Now, could you tell me if you remember those five words? 257 00:12:06,434 --> 00:12:07,769 Shoelace. 258 00:12:11,189 --> 00:12:12,607 Shoe store. 259 00:12:14,484 --> 00:12:15,944 Shoo fly? 260 00:12:33,878 --> 00:12:37,507 I want to be sensitive to your situation. 261 00:12:37,590 --> 00:12:39,009 It would be helpful to understand 262 00:12:39,092 --> 00:12:40,719 the reasons for the guardianship. 263 00:12:40,802 --> 00:12:42,846 I don't see why that's relevant. 264 00:12:42,929 --> 00:12:45,849 Well, it's patient history. It's always relevant. 265 00:12:45,932 --> 00:12:48,226 The court agreed to the arrangement two years ago. 266 00:12:48,309 --> 00:12:50,311 After Arianna sold off her businesses, 267 00:12:50,395 --> 00:12:56,234 we saw a dramatic cognitive decline and erratic behavior. 268 00:12:56,317 --> 00:13:00,405 She'd just disappear on us all night, sometimes days. 269 00:13:00,488 --> 00:13:04,075 And... she didn't always remember where she was or what she did. 270 00:13:04,159 --> 00:13:07,162 The dementia diagnosis finally gave us some clarity. 271 00:13:07,287 --> 00:13:09,330 The guardianship ensures her safety. 272 00:13:09,414 --> 00:13:11,791 We don't think she'd be alive without it. 273 00:13:15,045 --> 00:13:17,339 Should I be worried that Arianna Burnett went 274 00:13:17,422 --> 00:13:19,174 from a house call to an inpatient? 275 00:13:19,299 --> 00:13:20,717 If this is Wolf, you have to put a stop to... 276 00:13:20,800 --> 00:13:22,010 I'm not doing this with you, Josh. 277 00:13:22,093 --> 00:13:24,637 -Doing what? -Spying on Wolf. 278 00:13:24,721 --> 00:13:26,389 I did this song and dance with Muriel. 279 00:13:26,473 --> 00:13:28,016 I am not Wolf's keeper. 280 00:13:28,141 --> 00:13:30,310 We brought Arianna in for a proper assessment. 281 00:13:30,435 --> 00:13:32,729 We are doing right by her and her family. 282 00:13:32,812 --> 00:13:34,981 Good, because she's a prominent donor. 283 00:13:35,065 --> 00:13:36,566 And I don't want to be a stick in the mud, 284 00:13:36,649 --> 00:13:37,901 but I gotta make a million decisions now 285 00:13:37,984 --> 00:13:39,611 and still be a doctor. 286 00:13:39,694 --> 00:13:41,947 Speaking of, my friend Harrison asked about you again. 287 00:13:42,030 --> 00:13:43,615 -Josh. -Remember him? The, uh... 288 00:13:43,698 --> 00:13:45,533 -That geriatrician. -You know, 289 00:13:45,617 --> 00:13:48,745 I got a picture here somewhere. -Thanks, but I'm not ready. 290 00:13:48,828 --> 00:13:51,373 The last first date I went on, flip phones were all the rage, 291 00:13:51,456 --> 00:13:53,041 Destiny's Child had four members, 292 00:13:53,124 --> 00:13:54,251 and bucket hats were still in style. 293 00:13:54,334 --> 00:13:55,877 Bucket hats are back. 294 00:13:57,796 --> 00:13:59,506 And so am I. 295 00:13:59,589 --> 00:14:00,715 One drink. 296 00:14:23,947 --> 00:14:26,408 Hey. 297 00:14:26,491 --> 00:14:29,119 Are you hungry? 298 00:14:29,202 --> 00:14:31,830 -Do I know you? -You're Sam, right? 299 00:14:31,913 --> 00:14:35,250 I'm Dr. Kinney. I work over at Bronx General. 300 00:14:37,794 --> 00:14:41,381 You know, there's a great gyro cart around the corner. 301 00:14:41,464 --> 00:14:42,590 My treat. 302 00:14:50,890 --> 00:14:52,643 So where are you from? 303 00:14:52,726 --> 00:14:54,561 Around. 304 00:14:54,644 --> 00:14:57,314 Oh. 305 00:14:57,397 --> 00:15:00,483 Does your family know... -They know. 306 00:15:00,567 --> 00:15:02,819 If I stay at home, they make me go to therapy and take meds. 307 00:15:02,902 --> 00:15:04,904 I'd rather sleep out here. 308 00:15:05,030 --> 00:15:07,490 My parents are the opposite. 309 00:15:07,574 --> 00:15:09,826 Paying a stranger to listen to our problems? 310 00:15:09,909 --> 00:15:12,579 That would never fly. -They'd pay, 311 00:15:12,662 --> 00:15:14,247 if some doctor wrote schizophrenia in your chart 312 00:15:14,330 --> 00:15:15,290 and... 313 00:15:27,635 --> 00:15:29,721 Sam, have you ever had a brain scan? 314 00:15:29,804 --> 00:15:32,515 Sometimes people who we think have schizophrenia 315 00:15:32,599 --> 00:15:34,351 don't have schizophrenia at all, 316 00:15:34,476 --> 00:15:37,896 and they get better with different treatment. 317 00:15:40,565 --> 00:15:42,108 I could set one up for you. 318 00:15:44,569 --> 00:15:46,154 Why would you do that? 319 00:15:46,237 --> 00:15:48,823 Sam, I'm a doctor. 320 00:15:48,907 --> 00:15:50,116 It's my job to help you. 321 00:16:00,168 --> 00:16:02,212 Presenting a kindly gentleman, 322 00:16:02,295 --> 00:16:04,464 78 years young with arthritis, 323 00:16:04,589 --> 00:16:07,050 who suffered a fall after a mishap with, 324 00:16:07,133 --> 00:16:08,551 wait for it... 325 00:16:08,635 --> 00:16:10,220 a penis pump. 326 00:16:10,303 --> 00:16:12,347 I was like, "That's not the head 327 00:16:12,430 --> 00:16:15,850 "I thought I'd be dealing with in Neuro," am I right? 328 00:16:15,975 --> 00:16:19,020 You know, you could be a really great doctor 329 00:16:19,145 --> 00:16:21,398 if it weren't for your personality. 330 00:16:21,523 --> 00:16:26,236 I'm both complimented and insulted? 331 00:16:26,319 --> 00:16:28,196 The sippy cup, the doodle notes, the jokes. 332 00:16:28,279 --> 00:16:30,115 You are a human Mad Lib. 333 00:16:30,198 --> 00:16:32,367 This is a patient case presentation, 334 00:16:32,450 --> 00:16:34,035 not your "SNL" audition. 335 00:16:35,286 --> 00:16:37,914 Next time, come back like an adult. 336 00:16:48,883 --> 00:16:52,679 Arianna suspects her family is actively poisoning her 337 00:16:52,804 --> 00:16:54,723 to lock her into the guardianship. 338 00:16:54,806 --> 00:16:56,599 She thinks they're after her money. 339 00:16:56,683 --> 00:16:59,061 Carol, I'm supposed to be buttoned up. 340 00:16:59,144 --> 00:17:00,854 Josh will kill me if we accuse 341 00:17:00,937 --> 00:17:03,231 one of our biggest donors of poisoning his wife. 342 00:17:03,314 --> 00:17:05,775 But on the flip side, her MoCa score is concerning, 343 00:17:05,900 --> 00:17:08,278 and dementia can make patients feel paranoid. 344 00:17:08,361 --> 00:17:11,197 Yeah, but real paranoia can also be confused for dementia. 345 00:17:11,322 --> 00:17:12,991 Sure, but I also observed 346 00:17:13,074 --> 00:17:15,201 other erratic behaviors during our session. -Yeah. 347 00:17:15,285 --> 00:17:18,288 According to her family, that's why they put her under a guardianship. 348 00:17:18,371 --> 00:17:19,831 Two things can be true. 349 00:17:19,956 --> 00:17:21,374 Arianna could have dementia 350 00:17:21,458 --> 00:17:23,335 and her family could be poisoning her. 351 00:17:23,418 --> 00:17:25,963 I'll need to get blood for tox labs to find out if she's right. 352 00:17:35,221 --> 00:17:36,639 Did the patient leave? 353 00:17:36,723 --> 00:17:38,976 No. Nobody in or out. 354 00:17:39,059 --> 00:17:40,143 Well, how... 355 00:17:40,226 --> 00:17:41,311 Carol. 356 00:17:48,068 --> 00:17:49,944 We've got a patient in the vents! 357 00:17:55,200 --> 00:17:56,285 It's alright. We got you. Nice and easy. 358 00:17:56,368 --> 00:17:57,786 There you go. Take it slow. 359 00:17:57,911 --> 00:17:59,537 Okay, everybody, Showtime is over. 360 00:17:59,621 --> 00:18:02,624 We all have jobs to do. Let's get back to them. 361 00:18:02,707 --> 00:18:04,000 Oh, my God. 362 00:18:04,125 --> 00:18:05,460 -Mom. -Honey, are you okay? 363 00:18:05,585 --> 00:18:07,212 Yeah, I'm fine. It's not a big deal. 364 00:18:07,295 --> 00:18:08,713 I just wanted to stretch my legs. 365 00:18:08,797 --> 00:18:10,465 Yeah, she actually got kind of far. 366 00:18:10,548 --> 00:18:12,092 Mom, you were in the vents. 367 00:18:12,175 --> 00:18:14,386 You're lucky you didn't get seriously hurt. 368 00:18:14,469 --> 00:18:16,555 This is why we didn't want her at the hospital. 369 00:18:16,638 --> 00:18:18,724 We understand, but crawling through the vents 370 00:18:18,807 --> 00:18:20,433 shows a certain level of desperation. 371 00:18:20,558 --> 00:18:23,436 Hey, Dr. Pierce, get a load of this... 372 00:18:23,520 --> 00:18:25,271 shoebox... 373 00:18:25,355 --> 00:18:26,981 Apollo... 374 00:18:27,065 --> 00:18:28,566 computer... 375 00:18:28,650 --> 00:18:31,111 pineapple, ersatz. 376 00:18:31,194 --> 00:18:33,030 What is she talking about? 377 00:18:33,113 --> 00:18:35,866 Those were the five words I gave her to remember hours ago. 378 00:18:35,949 --> 00:18:37,617 And given her prognosis, 379 00:18:37,701 --> 00:18:40,495 her ability to repeat them is surprising. 380 00:18:40,578 --> 00:18:42,497 What does this mean? 381 00:18:42,622 --> 00:18:45,042 I assumed she'd be worse weaning off the medication. 382 00:18:45,125 --> 00:18:47,711 At this point, we have more questions than we have answers, 383 00:18:47,794 --> 00:18:49,629 but that is why we're here. 384 00:18:49,713 --> 00:18:52,215 By the way, you have rats in your vents. 385 00:18:52,298 --> 00:18:54,927 Where is all of our money going? 386 00:18:55,010 --> 00:18:57,846 I want to see a budget with line items. 387 00:18:57,929 --> 00:19:01,141 Surely we donate enough to keep this hospital rodent free. 388 00:19:05,020 --> 00:19:07,689 -Does she really need an fMRI? -Yes. 389 00:19:07,772 --> 00:19:10,233 The structural information from an MRI isn't sufficient. 390 00:19:10,316 --> 00:19:13,611 A functional MRI would allow us to view her brain's activity. 391 00:19:13,695 --> 00:19:15,572 You know, it's generally used for research purposes, 392 00:19:15,655 --> 00:19:17,532 not direct patient care application, right? 393 00:19:17,615 --> 00:19:20,368 I do, but I'm trying to assess early dementia, 394 00:19:20,493 --> 00:19:22,370 which is a diagnosis of exclusion. 395 00:19:22,495 --> 00:19:24,164 Since there's no test to prove it, 396 00:19:24,247 --> 00:19:25,332 it's on us to rule out any other cause. 397 00:19:25,415 --> 00:19:26,916 I hear you, Wolf. 398 00:19:27,042 --> 00:19:28,877 I just... I don't want you giving them hope, 399 00:19:28,960 --> 00:19:31,088 only to then have to deliver the same devastating diagnosis 400 00:19:31,171 --> 00:19:32,672 they've already been dealing with. 401 00:19:32,756 --> 00:19:35,383 We owe them the very best work up we have. 402 00:19:37,302 --> 00:19:39,929 Fine. Run the scan. But I want to see the results. 403 00:19:40,055 --> 00:19:42,557 The money the Burnetts provide this hospital keep the lights on, 404 00:19:42,640 --> 00:19:44,684 the machines beeping, and our patients breathing. 405 00:19:44,809 --> 00:19:46,729 The money didn't keep the rats out of the vents. 406 00:19:47,896 --> 00:19:49,022 You might want to look into that. 407 00:19:58,698 --> 00:20:00,867 Could I get a sign off on a treatment plan? 408 00:20:00,950 --> 00:20:03,036 Standard neuro exam and imaging order. 409 00:20:03,161 --> 00:20:05,038 Mid 20s. Diagnosed schizoaffective. 410 00:20:05,121 --> 00:20:07,040 Never given a proper workup with scans. 411 00:20:07,165 --> 00:20:09,626 Sounds excessive. What's the urgency now? 412 00:20:09,709 --> 00:20:12,003 I'm going on a gut reaction. 413 00:20:12,087 --> 00:20:15,465 A while ago, I assumed a patient was having a drug-induced psychotic break. 414 00:20:15,590 --> 00:20:18,635 Turned out to be a brain tumor that was causing hallucinations. 415 00:20:18,718 --> 00:20:20,679 I don't want to make the same mistake twice. 416 00:20:20,762 --> 00:20:22,264 Has there been an acute change 417 00:20:22,347 --> 00:20:24,266 in your patient's condition? 418 00:20:24,349 --> 00:20:26,476 No, but he could change... 419 00:20:26,559 --> 00:20:29,396 Then they should schedule an appointment like everyone else. 420 00:20:29,479 --> 00:20:31,523 Dr. Ramirez, you're needed in the ER. 421 00:20:31,606 --> 00:20:33,483 Dr. Ramirez to the ER stat, please. 422 00:20:38,863 --> 00:20:41,449 Arianna's amygdala, it's inactive... 423 00:20:41,533 --> 00:20:44,869 scant response to stimuli and emotion, threats, 424 00:20:44,953 --> 00:20:47,330 consistent with her dementia diagnosis. 425 00:20:47,414 --> 00:20:48,790 Carol, when she first met with you, 426 00:20:48,873 --> 00:20:50,250 how was her MoCa test? 427 00:20:50,375 --> 00:20:51,918 She couldn't remember a thing. 428 00:20:52,043 --> 00:20:54,129 And after the Great Vent event of 2025, 429 00:20:54,212 --> 00:20:56,006 her mental status improved. 430 00:20:56,089 --> 00:20:57,799 Her toxicology is clean. 431 00:20:57,882 --> 00:20:59,885 No heavy metals, no sedatives, no benzos, no barbs. 432 00:20:59,968 --> 00:21:01,970 Her family isn't poisoning her. -Wait, you... 433 00:21:02,053 --> 00:21:03,931 you actually thought her family was poisoning her? 434 00:21:04,014 --> 00:21:06,349 She made a very convincing argument. 435 00:21:06,474 --> 00:21:10,311 Sometimes paranoia is justified. -And we saw a personality shift 436 00:21:10,395 --> 00:21:12,189 after she came out of those vents. 437 00:21:12,272 --> 00:21:14,190 A light was back in her eyes. 438 00:21:14,315 --> 00:21:15,817 It's not how I would expect a dementia patient 439 00:21:15,900 --> 00:21:17,318 flooded with adrenaline to react. 440 00:21:17,444 --> 00:21:19,696 I agree. We need to run more tests. 441 00:21:19,779 --> 00:21:21,156 Burn the midnight oil. 442 00:21:21,281 --> 00:21:23,367 Well, not you. 443 00:21:23,450 --> 00:21:25,368 You have a date tonight. 444 00:21:25,452 --> 00:21:27,328 A date? 445 00:21:27,454 --> 00:21:30,165 And you didn't tell me? Carol, I'm hurt. 446 00:21:30,248 --> 00:21:32,042 What's his name? Where did you meet him? How tall is he? 447 00:21:32,125 --> 00:21:33,668 -I'm not... -His name is Harrison. 448 00:21:33,793 --> 00:21:35,193 Uh, it's a blind date. I set him up. 449 00:21:35,295 --> 00:21:38,131 And he is, uh, well over six feet. 450 00:21:38,214 --> 00:21:40,300 O... Are you two done? 451 00:21:40,383 --> 00:21:42,761 -No. Do you have any pictures? -I got a picture. 452 00:21:42,886 --> 00:21:44,304 Okay, well, you'll have to go. 453 00:21:44,429 --> 00:21:45,847 I'll hold down the fort. 454 00:21:45,930 --> 00:21:47,265 What does that entail, exactly? 455 00:21:47,349 --> 00:21:49,268 A few tests, just the right amount, 456 00:21:49,351 --> 00:21:50,894 and then debrief with my interns. 457 00:21:50,977 --> 00:21:53,146 Teach. Nurture. Rinse, repeat. 458 00:22:12,832 --> 00:22:14,209 Arianna? 459 00:22:16,252 --> 00:22:18,380 Are you up for another test? 460 00:22:21,966 --> 00:22:24,678 How about we break you out of your cage, 461 00:22:24,761 --> 00:22:26,013 let you spread your wings? 462 00:22:34,562 --> 00:22:36,439 ♪ If you do it, then you gotta do it big ♪ 463 00:22:36,523 --> 00:22:38,233 Round three? I thought we were going to make our money last. 464 00:22:38,316 --> 00:22:40,819 Doctors don't make nearly as much as you think these days. 465 00:22:40,902 --> 00:22:42,279 Oh, you should have gone into finance. 466 00:22:42,362 --> 00:22:43,863 Thousand dollars all in. 467 00:22:43,947 --> 00:22:47,033 It's a 1.41% house advantage on the pass line, 468 00:22:47,117 --> 00:22:48,952 zero on the odds. 469 00:22:49,035 --> 00:22:51,746 At this table limit, this is our best move. 470 00:22:51,871 --> 00:22:54,499 -Is that a good bet or a risk? -Well, 471 00:22:54,582 --> 00:22:56,584 you're gonna have to wait and see. 472 00:22:59,170 --> 00:23:02,007 Come on, come on, come on, come on! 473 00:23:02,090 --> 00:23:05,093 11.11. Pay the line. 474 00:23:09,556 --> 00:23:11,725 And you need to know when to leave. 475 00:23:11,808 --> 00:23:14,227 Oh, are you thirsty? -Uh, sure. 476 00:23:14,310 --> 00:23:15,770 Right. Thank you. 477 00:23:15,854 --> 00:23:16,939 Mm! 478 00:23:18,189 --> 00:23:19,941 ♪ Oh, yeah ♪ 479 00:23:25,447 --> 00:23:26,657 -Wow. -Don't. 480 00:23:26,740 --> 00:23:28,033 I'm not. Where you going? 481 00:23:28,116 --> 00:23:29,492 I'm not answering any questions. 482 00:23:29,576 --> 00:23:31,536 Wait. Just... 483 00:23:40,045 --> 00:23:41,505 Now you're good. 484 00:23:41,588 --> 00:23:42,964 Don't do anything I would do. 485 00:23:57,479 --> 00:23:59,981 Sam, this is only going to take a minute. Okay? 486 00:24:13,411 --> 00:24:16,164 Get me the hell out! This is a mind control factory! 487 00:24:16,247 --> 00:24:17,874 Get me out! Get me out! -It's okay. It's okay, Sam. 488 00:24:17,957 --> 00:24:18,875 Sam, wait, wait, wait, wait. 489 00:24:18,958 --> 00:24:20,460 Wait, wait, wait! Sam! 490 00:24:20,543 --> 00:24:22,712 Sam! Sam! -Code Gray to the CT room. 491 00:24:22,796 --> 00:24:25,757 I repeat, Code Gray. -Sam, it's okay. It's okay. I'm trying to help you. 492 00:24:25,840 --> 00:24:27,926 Get away! You want them to take me! 493 00:24:28,009 --> 00:24:29,552 I don't want anyone to take you. 494 00:24:29,719 --> 00:24:30,929 Sam, you don't have to... -Stand back, stand back. 495 00:24:31,012 --> 00:24:32,681 -No! -Hey. Hey! Hey! Hey! Hey! 496 00:24:32,764 --> 00:24:35,267 Listen to me, listen to me, listen to me. Alright? 497 00:24:35,350 --> 00:24:37,394 You have exactly two options here. 498 00:24:37,477 --> 00:24:39,270 One, you can try to calm down. 499 00:24:39,354 --> 00:24:41,981 Two, you can be sedated and restrained. 500 00:24:42,107 --> 00:24:43,942 What do you want to do, buddy? 501 00:24:44,109 --> 00:24:45,193 What do you want to do? 502 00:24:50,615 --> 00:24:51,908 There you go. 503 00:24:51,991 --> 00:24:54,453 -You're okay. -Hey. 504 00:24:54,536 --> 00:24:55,912 That's it. 505 00:24:55,995 --> 00:24:57,831 Alright. 506 00:24:57,914 --> 00:25:00,333 Alright. Alright. 507 00:25:02,544 --> 00:25:05,547 It's okay. 508 00:25:05,714 --> 00:25:08,550 It's okay. It's okay, Sam. It's okay. 509 00:25:10,510 --> 00:25:13,013 -Are you okay? -Mm-hmm. 510 00:25:13,096 --> 00:25:16,850 Good. Because my next question is what the hell was Sam doing in the scanner? 511 00:25:17,684 --> 00:25:20,937 Did Wolf put you up to this? -No, no, no, no. This was me. 512 00:25:21,021 --> 00:25:23,023 Sam agreed to a workup for once. 513 00:25:23,189 --> 00:25:24,733 I was just trying to help him. 514 00:25:26,317 --> 00:25:30,905 I respect your... intention, 515 00:25:30,989 --> 00:25:32,950 but do you think that those security guards are equipped 516 00:25:33,033 --> 00:25:36,453 to deal with the patients with complex mental health needs? 517 00:25:36,536 --> 00:25:37,954 They were about to tackle him 518 00:25:38,038 --> 00:25:40,081 in a sad tribute to their JV football days. 519 00:25:40,206 --> 00:25:42,167 You're right. 520 00:25:42,334 --> 00:25:44,794 A patient with schizophrenia was more than I could handle. 521 00:25:44,878 --> 00:25:47,213 That's not my point. 522 00:25:47,380 --> 00:25:49,632 Your approach to schizophrenia 523 00:25:49,758 --> 00:25:54,262 might be more than anyone can, or should, handle. 524 00:25:55,597 --> 00:25:57,390 I wonder where you picked that up from. 525 00:26:12,405 --> 00:26:15,658 We were called to consult on a 63-year-old right-handed man. 526 00:26:15,742 --> 00:26:17,327 What's your impression? 527 00:26:17,452 --> 00:26:19,162 Metabolic encephalopathy. This isn't Neuro. 528 00:26:19,245 --> 00:26:23,250 We can sign off. Which is what I'm doing too. 529 00:26:23,333 --> 00:26:25,168 These consults can be soul-crushing enough. 530 00:26:25,335 --> 00:26:27,754 I don't need to dim my light just to suit you. 531 00:26:29,255 --> 00:26:30,590 Better. 532 00:26:30,715 --> 00:26:32,050 I don't want to dim any lights. 533 00:26:32,133 --> 00:26:34,844 You're funny. I like that about you. 534 00:26:35,011 --> 00:26:37,430 But you have to understand when to shine and where. 535 00:26:38,264 --> 00:26:40,058 Are you going somewhere with this? 536 00:26:41,643 --> 00:26:44,145 Medicine is about showmanship. 537 00:26:44,229 --> 00:26:47,190 It's about acting like people's expectations of a doctor. 538 00:26:47,315 --> 00:26:51,361 Might not be fair, but it's how you gain trust. 539 00:26:51,444 --> 00:26:53,655 That's how you advance. 540 00:26:53,780 --> 00:26:55,282 That's what I want you to understand. 541 00:27:04,416 --> 00:27:05,918 Mm. 542 00:27:06,001 --> 00:27:08,253 Don't spend it all in one place. 543 00:27:08,378 --> 00:27:11,965 Oh, I miss that! You know, spending it all in one place. 544 00:27:13,091 --> 00:27:16,261 Arianna, uh, your blood work came back negative. 545 00:27:16,344 --> 00:27:18,430 Your family is not poisoning you. 546 00:27:20,098 --> 00:27:22,601 Well, I suppose that's good news. 547 00:27:22,684 --> 00:27:24,895 I think they're so angry with me. 548 00:27:24,978 --> 00:27:26,855 I put them through a lot. 549 00:27:26,980 --> 00:27:28,523 I've been with my husband 30 years, 550 00:27:28,690 --> 00:27:31,234 and he looks at me like I'm a stranger. 551 00:27:31,317 --> 00:27:33,611 Can you imagine looking at someone you love 552 00:27:33,737 --> 00:27:35,864 and not recognizing them? 553 00:27:36,031 --> 00:27:40,076 I can, actually. It's very painful. 554 00:27:40,160 --> 00:27:41,828 Well, that's my future. 555 00:27:41,911 --> 00:27:44,956 Not remembering anything. Losing everyone. 556 00:27:45,999 --> 00:27:49,127 Based on your test results and what I've observed tonight, 557 00:27:49,210 --> 00:27:51,629 I don't think that you have dementia. 558 00:27:53,089 --> 00:27:55,383 Okay, don't mess with my head, Dr. Wolf. 559 00:27:55,467 --> 00:27:58,636 You have built your whole life around taking risks 560 00:27:58,803 --> 00:28:00,722 since you were a kid, right? 561 00:28:00,805 --> 00:28:02,265 Always climbed the biggest trees. 562 00:28:02,349 --> 00:28:03,808 Always took the biggest falls. 563 00:28:03,892 --> 00:28:05,519 Not unlike when I threw myself down the stairs 564 00:28:05,602 --> 00:28:07,145 to get you to come over for a house call. 565 00:28:07,228 --> 00:28:10,190 A bold move, but a calculated risk. 566 00:28:10,273 --> 00:28:12,317 I don't think it's ever been about the money 567 00:28:12,442 --> 00:28:14,152 or the businesses for you. 568 00:28:14,235 --> 00:28:17,864 It's about the thrill, the chase. 569 00:28:17,989 --> 00:28:21,785 You are hardwired to seek it out. 570 00:28:21,868 --> 00:28:26,373 They are confusing your innate thrill seeking for a disease. 571 00:28:26,498 --> 00:28:28,083 So I'm not going to get worse? 572 00:28:28,166 --> 00:28:29,751 I'm not going to wake up one day forgetting everything 573 00:28:29,834 --> 00:28:31,503 that matters to me? 574 00:28:31,586 --> 00:28:34,881 Um... 575 00:28:34,964 --> 00:28:36,800 I'm so sorry. I think it's the hospital. 576 00:28:36,883 --> 00:28:39,594 I'll be right back. Hello? 577 00:28:39,761 --> 00:28:42,139 He won't stop talking about his ex-wife. 578 00:28:42,222 --> 00:28:43,765 -Who? -Harrison... 579 00:28:43,848 --> 00:28:45,934 the guy Josh set me up with. 580 00:28:46,017 --> 00:28:48,269 Told him I went to the bathroom seven minutes ago. 581 00:28:49,437 --> 00:28:51,440 Wolf, I think I gotta make a run for it. 582 00:28:51,523 --> 00:28:53,567 Okay, well, that seems like appropriate behavior 583 00:28:53,650 --> 00:28:55,736 for a woman of your age and stature. 584 00:28:55,819 --> 00:28:58,238 Where are you? 585 00:28:58,321 --> 00:28:59,740 I'm with Arianna. 586 00:28:59,823 --> 00:29:01,575 You sort of interrupted our breakthrough. 587 00:29:03,868 --> 00:29:06,287 Uh, hold on, Carol. 588 00:29:08,081 --> 00:29:09,165 Hello? 589 00:29:14,045 --> 00:29:15,588 Arianna! Wait! 590 00:29:17,924 --> 00:29:19,259 Arianna! 591 00:29:29,394 --> 00:29:31,479 You took her out gambling, and now she's gone? 592 00:29:31,563 --> 00:29:33,773 I took her out to test a theory. 593 00:29:35,358 --> 00:29:37,235 Do you see this spot here? 594 00:29:37,360 --> 00:29:40,530 It's the amygdala, commonly known as the fear center. 595 00:29:40,613 --> 00:29:43,283 Arianna's scan showed this area as inactive, 596 00:29:43,366 --> 00:29:45,619 often an indication of early dementia. 597 00:29:45,702 --> 00:29:47,287 Which is why we felt the guardianship was 598 00:29:47,370 --> 00:29:48,747 the right option. -Of course. 599 00:29:48,913 --> 00:29:50,540 You did what you thought was best 600 00:29:50,623 --> 00:29:52,292 with the information you had. 601 00:29:52,375 --> 00:29:55,504 But this scan isn't your wife's brain. 602 00:29:55,587 --> 00:29:57,422 It's Alex Honnold's. 603 00:29:57,505 --> 00:30:00,550 The... guy who climbed El Capitan without a harness? 604 00:30:00,633 --> 00:30:03,470 He has dementia? -No, but he does 605 00:30:03,595 --> 00:30:05,555 naturally possess an abnormal amygdala. 606 00:30:05,680 --> 00:30:08,684 Arianna's brain is exactly the same. 607 00:30:08,767 --> 00:30:11,353 So it's natural to steal motorcycles, climb into vents? 608 00:30:11,436 --> 00:30:13,521 Okay, if... if I may, um... 609 00:30:13,605 --> 00:30:16,358 Winston Churchill gambled the world's fate 610 00:30:16,483 --> 00:30:17,984 while drunk every night. 611 00:30:18,109 --> 00:30:20,404 Nikola Tesla fell in love with a pigeon 612 00:30:20,487 --> 00:30:22,280 while squatting in hotels. 613 00:30:22,364 --> 00:30:25,075 Men who take enormous risks while acting irrationally 614 00:30:25,158 --> 00:30:26,910 are considered geniuses. 615 00:30:26,993 --> 00:30:30,372 But women? We call them crazy, and we try to control them. 616 00:30:30,455 --> 00:30:33,834 Before your mother retired, work was her outlet. 617 00:30:33,917 --> 00:30:37,045 Her investments were an acceptable risk. 618 00:30:37,128 --> 00:30:41,132 You have been reacting to the unacceptable ones. 619 00:30:41,216 --> 00:30:44,844 Every time she'd disappear... I used to watch the news 620 00:30:44,969 --> 00:30:48,098 worried that that's how I'd learn that she died. 621 00:30:48,181 --> 00:30:49,557 Do you know what that feels like? 622 00:30:49,641 --> 00:30:51,893 I do, Jill. 623 00:30:51,976 --> 00:30:54,479 I do know what it feels like 624 00:30:54,604 --> 00:30:56,564 to worry so deeply about someone you love, 625 00:30:56,648 --> 00:30:58,025 to come home one day and realize 626 00:30:58,108 --> 00:31:00,360 you've already seen them for the last time. 627 00:31:00,443 --> 00:31:02,904 The thing is, I've been frequently told 628 00:31:02,987 --> 00:31:05,990 that I'm the cause of chaos myself. 629 00:31:06,074 --> 00:31:10,871 But luckily the people I love accept me for my eccentricities. 630 00:31:15,333 --> 00:31:17,002 We are going to call the police, 631 00:31:17,127 --> 00:31:19,254 issue a Silver Alert and get her home. 632 00:31:29,014 --> 00:31:31,224 Saw your consults. Strong work. 633 00:31:31,349 --> 00:31:33,185 You should go have a night with your little intern friends. 634 00:31:33,268 --> 00:31:37,605 Uh, it's all good. I'm used to a 20-consult day around here. 635 00:31:37,689 --> 00:31:40,609 I thought you and Kinney liked to celebrate a tough day. 636 00:31:40,692 --> 00:31:42,110 Trouble in paradise? 637 00:31:42,193 --> 00:31:44,404 She must be jealous of your mastery 638 00:31:44,487 --> 00:31:46,197 of metabolic encephalopathy. 639 00:31:47,490 --> 00:31:50,535 You saved a life with that solve. And a penis pump. 640 00:31:50,660 --> 00:31:52,328 Porter... 641 00:31:52,412 --> 00:31:54,039 was that an attempt at humor? 642 00:31:56,249 --> 00:31:58,293 Ericka is not the jealous type. 643 00:31:58,418 --> 00:32:00,128 That's not what this is about. 644 00:32:00,253 --> 00:32:01,463 What is it about, then? 645 00:32:05,633 --> 00:32:08,928 I don't know why I'm telling you this, but here goes. 646 00:32:10,263 --> 00:32:13,433 Dr. Pierce just came back from administrative leave 647 00:32:13,558 --> 00:32:17,354 because someone reported her for treating a patient, 648 00:32:17,437 --> 00:32:19,022 despite a major conflict of interest. 649 00:32:19,189 --> 00:32:20,482 I've heard all about it. 650 00:32:20,565 --> 00:32:22,484 What you haven't heard is that... 651 00:32:23,777 --> 00:32:26,863 ...I'm the one who reported her. 652 00:32:26,946 --> 00:32:28,823 Ericka's upset with me. 653 00:32:30,367 --> 00:32:33,828 I did it because I do take this job seriously. 654 00:32:34,913 --> 00:32:36,706 Contrary to popular belief. 655 00:32:36,790 --> 00:32:40,460 If it makes you feel any better, no judgment. 656 00:32:40,543 --> 00:32:42,253 I would have done the same thing for you. 657 00:32:42,379 --> 00:32:44,631 We're gonna play it for you right after this break. 658 00:32:44,756 --> 00:32:46,341 You won't want to miss it. She has... 659 00:32:46,466 --> 00:32:50,470 Uh, can... someone turn that up? 660 00:33:01,606 --> 00:33:03,858 I can't say I loved hearing about your circus in the CT 661 00:33:03,983 --> 00:33:05,110 from Dr. Thorne. 662 00:33:05,193 --> 00:33:07,070 It won't happen again, I swear. 663 00:33:07,153 --> 00:33:09,448 For the record, I understand what you were trying to do, 664 00:33:09,531 --> 00:33:11,533 because it is exactly what I would do. 665 00:33:11,658 --> 00:33:14,411 But for each of my good habits, I have just as many bad ones, 666 00:33:14,494 --> 00:33:16,579 and they're the ones I'm trying to spare you. 667 00:33:16,705 --> 00:33:19,625 And at the risk of sounding like my mother... 668 00:33:19,708 --> 00:33:21,167 I don't think I need to remind you, 669 00:33:21,251 --> 00:33:23,003 but Sam is not your patient. 670 00:33:23,086 --> 00:33:25,380 You went above and beyond for Arianna Burnett 671 00:33:25,463 --> 00:33:27,424 the last couple of days. 672 00:33:27,507 --> 00:33:28,883 Why? Because she has money? 673 00:33:28,967 --> 00:33:30,844 Because she asked for help. 674 00:33:32,429 --> 00:33:33,513 Sam did not. 675 00:33:39,561 --> 00:33:41,229 Ericka, I need you to know that just because 676 00:33:41,312 --> 00:33:42,814 you couldn't save that young woman in the elevator 677 00:33:42,897 --> 00:33:46,067 does not mean you have to save everyone else. 678 00:33:47,652 --> 00:33:48,903 But why not? 679 00:33:51,239 --> 00:33:54,034 What are we doing here if not trying to save people? 680 00:33:57,454 --> 00:34:00,707 Just... work on it, Kinney. 681 00:34:21,311 --> 00:34:24,272 Dr. Wolf, you're gonna want to see this. 682 00:34:26,441 --> 00:34:28,318 I am Arianna Burnett, 683 00:34:28,443 --> 00:34:31,237 former CEO of Burnett Family Investments. 684 00:34:31,321 --> 00:34:34,616 I am a mom and a wife and an entrepreneur. 685 00:34:34,699 --> 00:34:37,827 But today I am speaking to you as a prisoner. 686 00:34:37,994 --> 00:34:43,041 Against my will, my family has trapped me in a guardianship 687 00:34:43,166 --> 00:34:45,001 and has taken everything away from me. 688 00:34:45,085 --> 00:34:47,420 But no more. I am taking my life back, 689 00:34:47,504 --> 00:34:51,258 and I will do whatever I have to do to fight for my freedoms. 690 00:34:51,341 --> 00:34:54,302 I assure you, I am stronger than yesterday. 691 00:34:54,427 --> 00:34:57,097 My life, my choice. 692 00:34:57,180 --> 00:35:00,017 That was Ms. Burnett just moments ago... 693 00:35:03,269 --> 00:35:05,272 I'm pretty sure we found her. 694 00:35:14,239 --> 00:35:15,824 Thank you for coming today. 695 00:35:15,907 --> 00:35:17,326 I know there's a lot of distrust in the family right now, 696 00:35:17,409 --> 00:35:19,035 and maybe even with the hospital, 697 00:35:19,160 --> 00:35:20,746 but I am confident 698 00:35:20,829 --> 00:35:22,164 that this demonstration will help you understand 699 00:35:22,247 --> 00:35:23,998 each other better. -Understand each other? 700 00:35:24,082 --> 00:35:26,043 I think it's pretty clear who's being misunderstood. 701 00:35:26,126 --> 00:35:28,211 And we're sorry, honey. We really are. 702 00:35:28,336 --> 00:35:30,672 But can we please just give Dr. Wolf a chance? 703 00:35:30,797 --> 00:35:32,340 Okay. Let's just get on with this. 704 00:35:32,465 --> 00:35:35,218 You both agreed to be hooked up to EEGs. 705 00:35:35,301 --> 00:35:36,887 We're going to show you some images, 706 00:35:36,970 --> 00:35:38,513 and then these monitors will indicate 707 00:35:38,596 --> 00:35:40,432 how your brains respond. 708 00:35:40,515 --> 00:35:43,226 Okay, um, let's try base jumping. 709 00:35:53,111 --> 00:35:54,654 And mountain biking. 710 00:36:02,829 --> 00:36:04,748 Arianna's not reacting. 711 00:36:04,831 --> 00:36:10,253 And Jill and Arianna's brains are 99.99% genetically similar. 712 00:36:10,337 --> 00:36:14,716 Yet even still, there is a significant difference 713 00:36:14,799 --> 00:36:17,844 in their response to stimuli. 714 00:36:17,927 --> 00:36:19,804 Honey, you weren't afraid of any of that? 715 00:36:21,431 --> 00:36:23,058 That makes so much sense. 716 00:36:23,183 --> 00:36:26,269 Risk and danger make your mother thrive. 717 00:36:26,353 --> 00:36:27,854 The guardianship prevented her 718 00:36:27,937 --> 00:36:29,690 from being able to stimulate her amygdala, 719 00:36:29,773 --> 00:36:32,859 which caused severe depression and memory loss... 720 00:36:32,942 --> 00:36:36,821 and that all can be confused for dementia. 721 00:36:36,905 --> 00:36:39,949 Sometimes we have to let people live their lives, 722 00:36:40,033 --> 00:36:42,160 even if it scares us. 723 00:36:42,285 --> 00:36:46,206 And sometimes, if our actions scare the people we love, 724 00:36:46,331 --> 00:36:48,583 we have to take that into consideration. 725 00:36:50,335 --> 00:36:51,878 So where do we go from here? 726 00:36:51,961 --> 00:36:54,381 Do we just accept a... a lifetime of anxiety? 727 00:36:54,464 --> 00:36:56,758 Or captivity? What am I supposed to do? 728 00:36:56,841 --> 00:36:58,551 How do I get better from here? 729 00:36:58,635 --> 00:37:00,679 The treatment plan to start is simple... 730 00:37:00,762 --> 00:37:04,140 at least three activities a week that activate your risk center. 731 00:37:04,265 --> 00:37:07,560 Rock climbing, amateur mic night, open-water swimming. 732 00:37:07,686 --> 00:37:10,063 As long as it's not in the Hudson. 733 00:37:11,189 --> 00:37:13,775 To help rebuild your family's bond, 734 00:37:13,858 --> 00:37:16,486 I would recommend you all participate together. 735 00:37:16,569 --> 00:37:18,613 Without a court order. 736 00:37:19,864 --> 00:37:21,366 We'll get our lawyers on the phone. 737 00:37:21,449 --> 00:37:23,160 This could be a new beginning. 738 00:37:26,705 --> 00:37:30,125 You're looking at me like... you recognize me. 739 00:37:35,964 --> 00:37:38,175 Sometimes we treat the people we care about 740 00:37:38,258 --> 00:37:40,969 as representations of ourselves. 741 00:37:43,638 --> 00:37:47,142 We want to mold them into what we need them to be 742 00:37:47,267 --> 00:37:49,394 so that our lives can be more comfortable. 743 00:37:49,519 --> 00:37:52,731 ♪ Oh, whoa, oh ♪ 744 00:37:54,232 --> 00:37:56,818 -Sam? -♪ You are home ♪ 745 00:37:56,901 --> 00:38:00,196 Dana? Katie? 746 00:38:00,280 --> 00:38:01,698 Anybody home? 747 00:38:01,781 --> 00:38:05,577 ♪ No, nothing tastes like sweet ♪ 748 00:38:05,660 --> 00:38:08,663 ♪ Sweet home ♪ 749 00:38:13,460 --> 00:38:16,963 We try to change the people to manage our own anxieties, 750 00:38:17,047 --> 00:38:18,965 when instead it would be so much easier 751 00:38:19,049 --> 00:38:21,385 to just accept them for who they are. 752 00:38:21,468 --> 00:38:23,178 I can't believe you haven't come 753 00:38:23,303 --> 00:38:25,347 to tell me all about your date. 754 00:38:25,430 --> 00:38:26,931 Who said anything about a date? 755 00:38:27,015 --> 00:38:28,392 Oh, come on now. 756 00:38:28,475 --> 00:38:30,143 I just want to know if anyone else 757 00:38:30,226 --> 00:38:31,395 got his hands on that zipper last night. 758 00:38:31,478 --> 00:38:33,355 Oh, God. 759 00:38:33,438 --> 00:38:37,734 Unfortunately, your ER-encrusted digits were the only ones. 760 00:38:37,817 --> 00:38:39,486 -Oh. Alright. -Apparently, 761 00:38:39,569 --> 00:38:42,322 the dating skills part of my brain has atrophied 762 00:38:42,405 --> 00:38:45,075 during the last 20 years of my marriage. -Oof. 763 00:38:45,158 --> 00:38:47,827 The first date I went on after the divorce, 764 00:38:47,952 --> 00:38:50,038 I fell asleep at dinner. 765 00:38:50,121 --> 00:38:51,581 Just came off a double shift, 766 00:38:51,664 --> 00:38:53,041 and there was no zipper action that night. 767 00:38:55,377 --> 00:38:57,629 So what? Are we just hopeless? 768 00:38:57,712 --> 00:38:59,714 You will have no trouble getting your groove back, 769 00:38:59,798 --> 00:39:01,008 Dr. Pierce. 770 00:39:01,091 --> 00:39:03,176 I have no doubts. 771 00:39:07,013 --> 00:39:09,266 Oh. Gotta run. 772 00:39:09,349 --> 00:39:10,892 These digits are needed elsewhere. 773 00:39:10,975 --> 00:39:12,477 Somewhere they're appreciated. -Oh. Okay. 774 00:39:12,560 --> 00:39:14,521 Mm-hmm. 775 00:39:23,822 --> 00:39:26,116 I am pleased to report the Burnett family 776 00:39:26,241 --> 00:39:29,703 will enthusiastically continue to be donors to Bronx General, 777 00:39:29,786 --> 00:39:32,080 and I will give credit where credit is due. 778 00:39:32,163 --> 00:39:33,832 That's thanks to you, Wolf. 779 00:39:35,417 --> 00:39:38,294 These are the billable charts you requested. 780 00:39:38,378 --> 00:39:41,047 All sorted, all signed. 781 00:39:41,131 --> 00:39:42,757 See? Not so hard. 782 00:39:44,259 --> 00:39:47,721 I will continue to write my reports, to bill on time, 783 00:39:47,804 --> 00:39:50,348 to delegate to my interns... -That's great, 784 00:39:50,432 --> 00:39:53,435 but we could've gotten here with a lot less grief and turmoil. 785 00:39:53,518 --> 00:39:55,437 I understand you have your way of doing things, 786 00:39:55,520 --> 00:39:59,065 but do you ever stop and... think about what it costs you? 787 00:40:00,859 --> 00:40:04,487 I can't stop being the doctor I am. 788 00:40:04,612 --> 00:40:08,658 If you want a neurologist who checks all your boxes, 789 00:40:08,742 --> 00:40:10,827 feel free to find one. 790 00:40:10,910 --> 00:40:14,790 I do what I do, how I do it, because it's what I believe in, 791 00:40:14,873 --> 00:40:17,959 because my patients deserve it, and that will never change. 792 00:40:18,084 --> 00:40:21,838 I can... learn to play by the rules, 793 00:40:21,921 --> 00:40:23,757 but... 794 00:40:23,840 --> 00:40:25,592 I will not be controlled. 795 00:40:28,928 --> 00:40:30,764 No relationship can survive 796 00:40:30,847 --> 00:40:34,351 once we start compromising ourselves. 797 00:40:34,476 --> 00:40:38,271 Once we lose who we are, we lose everything. 798 00:40:38,355 --> 00:40:41,066 You wanna see me at 10?! I'll show you a 10! 799 00:40:41,149 --> 00:40:43,318 I can take me up to 11! 800 00:40:45,737 --> 00:40:47,739 -Hello? -Josh. I'm in Hudson Oaks. 801 00:40:47,822 --> 00:40:49,908 They took away the phone you gave me. Listen, we don't have much time. 802 00:40:49,991 --> 00:40:53,161 They won't let me leave. I need your help. -Slow down, slow down. 803 00:40:53,244 --> 00:40:55,122 Who said you can't leave? -This place is awful. 804 00:40:55,205 --> 00:40:57,415 I have no control over anything. No autonomy. 805 00:40:57,499 --> 00:40:58,625 Just give me a minute, please. 806 00:40:58,708 --> 00:41:00,001 Put down the phone. Now! 807 00:41:01,461 --> 00:41:03,004 Hello? 808 00:41:05,090 --> 00:41:06,758 You still there? 809 00:41:08,927 --> 00:41:10,303 Was that Dr. Wolf? 810 00:41:12,389 --> 00:41:14,766 It's so sad what's happened to Oliver. 811 00:41:14,891 --> 00:41:18,061 But don't worry. Things are running smoother than ever. 812 00:41:18,144 --> 00:41:19,479 I want you to know that 813 00:41:19,604 --> 00:41:21,732 this Neuro Department is in good hands.