1 00:00:06,966 --> 00:00:09,885 How do human beings, on their worst days, 2 00:00:09,885 --> 00:00:12,388 still manage to get out of bed? 3 00:00:13,389 --> 00:00:16,559 What is it that motivates us to move forward? 4 00:00:18,686 --> 00:00:21,981 Simply put-- desire. 5 00:00:21,981 --> 00:00:27,111 For love. Joy. Money. Food. Sex. 6 00:00:30,364 --> 00:00:31,949 Because in the rare moments 7 00:00:31,949 --> 00:00:33,576 when we actually get what we want, 8 00:00:33,576 --> 00:00:36,537 our brains gift us with dopamine, 9 00:00:36,537 --> 00:00:42,168 the neurotransmitter that creates... pleasure. 10 00:00:42,168 --> 00:00:44,962 And, like water, pleasure is essential 11 00:00:44,962 --> 00:00:46,839 to the survival of human beings... 12 00:00:48,340 --> 00:00:50,760 ...even when it seems out of reach. 13 00:01:01,645 --> 00:01:03,981 Incoming. 14 00:01:03,981 --> 00:01:06,734 I have been searching for a vein for an IV on Mr. Bishop 15 00:01:06,734 --> 00:01:08,152 for 10 minutes. 16 00:01:08,152 --> 00:01:10,112 Your turn, Mr. Touchdown. 17 00:01:10,112 --> 00:01:11,906 Dr. Kinney, are you actually asking for my help? 18 00:01:11,906 --> 00:01:13,824 - Finally, 19 00:01:13,824 --> 00:01:15,534 she sees me in a different light. 20 00:01:15,534 --> 00:01:17,286 So I'd like to consider-- 21 00:01:17,286 --> 00:01:20,039 So I think-- I think we know what we need to do. 22 00:01:25,503 --> 00:01:28,589 You know, let's move Mrs. Arpin post-op into the ICU. 23 00:01:28,589 --> 00:01:31,509 We have a bed now that our John Doe is gone. 24 00:01:31,509 --> 00:01:32,843 Could you please tell the chief 25 00:01:32,843 --> 00:01:35,054 that his name was Roman, not John Doe? 26 00:01:36,514 --> 00:01:38,974 I'd prefer not to get in the middle of this. 27 00:01:38,974 --> 00:01:40,476 Thank you, Dr. Nichols. 28 00:01:40,476 --> 00:01:42,353 It's amazing how smoothly a hospital can run 29 00:01:42,353 --> 00:01:45,231 when its procedures are followed by its doctors. 30 00:01:46,774 --> 00:01:48,192 Okay, I'm just going to say it. 31 00:01:48,192 --> 00:01:50,611 What is the deal with Dr. Wolf and his mom? 32 00:01:50,611 --> 00:01:52,363 Take it from a psychiatrist. 33 00:01:52,363 --> 00:01:55,533 There's never a dull moment between mother and son. 34 00:01:55,533 --> 00:01:56,742 Ever. 35 00:02:17,346 --> 00:02:22,226 I am sorry to report that you have... 36 00:02:22,226 --> 00:02:23,602 {\an8}a twinkle in your eyes. 37 00:02:23,602 --> 00:02:25,229 {\an8}I like him. 38 00:02:25,229 --> 00:02:26,772 {\an8}Mrs. Sullivan, your boys mentioned 39 00:02:26,772 --> 00:02:28,232 {\an8}that you were recently asked 40 00:02:28,232 --> 00:02:30,317 {\an8}to leave your assisted-living facility. 41 00:02:30,317 --> 00:02:33,112 {\an8}On account of erratic behavior. 42 00:02:33,112 --> 00:02:35,239 {\an8}They like their residents sedated, 43 00:02:35,239 --> 00:02:37,491 {\an8}and I have too much pep in my step. 44 00:02:37,491 --> 00:02:40,536 {\an8}They also kept finding her entering other people's rooms 45 00:02:40,536 --> 00:02:42,913 {\an8}at night, and when they'd bring her back to her bed, 46 00:02:42,913 --> 00:02:44,707 {\an8}she'd get aggressive. 47 00:02:44,707 --> 00:02:47,710 {\an8}She has taken a real turn since our dad died last year. 48 00:02:47,710 --> 00:02:49,336 {\an8}Mom, you know it's true. 49 00:02:49,336 --> 00:02:51,213 {\an8}You haven't been acting like yourself. 50 00:02:51,213 --> 00:02:53,090 {\an8}We were wondering if it could be grief related. 51 00:02:53,090 --> 00:02:54,592 {\an8}It's possible. 52 00:02:54,592 --> 00:02:56,927 {\an8}That can be a wildly unpredictable stressor. 53 00:02:56,927 --> 00:02:59,388 {\an8}They want me to be sad forever. 54 00:02:59,388 --> 00:03:01,181 {\an8}- That's not true. 55 00:03:01,181 --> 00:03:02,892 {\an8}I'm going to go ahead and have my team get started 56 00:03:02,892 --> 00:03:04,602 {\an8}on some cognitive tests. 57 00:03:04,602 --> 00:03:06,103 {\an8}Do you think that it might be dementia? 58 00:03:06,103 --> 00:03:07,271 {\an8}It does run in the family. 59 00:03:07,271 --> 00:03:08,355 {\an8}That's why our GP referred us. 60 00:03:08,355 --> 00:03:10,065 {\an8}I don't want to speculate, 61 00:03:10,065 --> 00:03:12,568 {\an8}but we will do everything we can to find out 62 00:03:12,568 --> 00:03:14,361 {\an8}if this has a neurological cause. 63 00:03:14,361 --> 00:03:15,988 {\an8}Does that sound good, Mrs. Sullivan? 64 00:03:15,988 --> 00:03:19,033 {\an8}Mrs. Sullivan is my dead mother-in-law. 65 00:03:19,033 --> 00:03:21,118 {\an8}Please, call me June. 66 00:03:21,118 --> 00:03:23,120 {\an8}June. That's a lovely name. 67 00:03:23,120 --> 00:03:25,122 {\an8}You know, you look 68 00:03:25,122 --> 00:03:28,584 {\an8}like a younger version of my late husband. 69 00:03:28,584 --> 00:03:30,210 {\an8}Do you see it, boys? 70 00:03:31,045 --> 00:03:32,922 {\an8}I think it's the beard. 71 00:03:32,922 --> 00:03:35,633 {\an8}Always made me weak in the knees. 72 00:03:35,633 --> 00:03:38,344 {\an8}Mom, just let the man do his job. 73 00:03:38,344 --> 00:03:42,306 {\an8}Tell me, do you give your mother this much grief? 74 00:03:44,308 --> 00:03:46,018 {\an8}Have you chosen a specialty yet? 75 00:03:46,018 --> 00:03:47,227 {\an8}I'm a bit torn 76 00:03:47,227 --> 00:03:49,897 {\an8}between neuro and cardiology. 77 00:03:49,897 --> 00:03:51,440 {\an8}Oliver. 78 00:03:52,524 --> 00:03:54,818 {\an8}You're just in time for dinner. 79 00:03:54,818 --> 00:03:56,487 {\an8}Come. Say hello. 80 00:04:08,916 --> 00:04:10,876 {\an8}Hi. Tom. 81 00:04:10,876 --> 00:04:13,504 {\an8}Tom is the medical student that I was telling you about. 82 00:04:13,504 --> 00:04:15,047 {\an8}From Oxford. 83 00:04:15,047 --> 00:04:18,175 {\an8}He's visiting for the summer as part of his exchange program. 84 00:04:18,175 --> 00:04:21,095 {\an8}Well, I'm not giving up my bedroom. 85 00:04:22,554 --> 00:04:24,682 {\an8}He'll be sleeping on the pullout. 86 00:04:24,682 --> 00:04:26,100 {\an8}In the office. 87 00:04:26,100 --> 00:04:28,102 {\an8}- You mean dad's office? 88 00:04:28,102 --> 00:04:30,062 {\an8}You can put me anywhere. 89 00:04:30,062 --> 00:04:33,273 {\an8}In the attic. Under the stairs. I'm easy. 90 00:04:33,273 --> 00:04:35,192 {\an8}Just don't touch anything. 91 00:04:35,192 --> 00:04:36,986 {\an8}You know, go wash up. 92 00:04:42,032 --> 00:04:44,243 {\an8}I just don't feel like myself anymore. 93 00:04:44,243 --> 00:04:46,036 {\an8}I swear, I've never been someone 94 00:04:46,036 --> 00:04:47,371 {\an8}who had trouble getting out of bed. 95 00:04:47,371 --> 00:04:50,332 {\an8}Lifelong productivity junkie. 96 00:04:50,332 --> 00:04:53,002 {\an8}But now I just lay there, thinking about him. 97 00:04:53,002 --> 00:04:54,586 {\an8}I haven't slept in days. 98 00:04:54,586 --> 00:04:58,465 {\an8}I just don't understand why he won't return my calls. 99 00:04:59,258 --> 00:05:01,218 {\an8}All I want from him is closure. 100 00:05:01,218 --> 00:05:02,803 {\an8}I know it's painful. 101 00:05:02,803 --> 00:05:06,056 {\an8}But, remember, he asked you to stop contacting him. 102 00:05:06,056 --> 00:05:08,100 {\an8}He drew a healthy boundary, 103 00:05:08,100 --> 00:05:10,185 {\an8}and the best thing you can do for yourself 104 00:05:10,185 --> 00:05:12,312 {\an8}is respect his wishes. 105 00:05:15,607 --> 00:05:18,027 {\an8}I feel like Esther Greenwood in "The Bell Jar." 106 00:05:20,571 --> 00:05:23,741 {\an8}I remember reading that book and thinking, 107 00:05:23,741 --> 00:05:25,576 {\an8}"Get it together, girl." 108 00:05:25,576 --> 00:05:28,412 {\an8}And now look at me. I'm totally incapable. 109 00:05:28,412 --> 00:05:30,330 {\an8}Says the woman who's getting a doctorate 110 00:05:30,330 --> 00:05:33,333 {\an8}in comparative literature. 111 00:05:33,333 --> 00:05:35,878 {\an8}You're incredibly capable. 112 00:05:36,879 --> 00:05:38,380 {\an8}Just going through a rough time. 113 00:05:39,673 --> 00:05:42,676 {\an8}I hate being this weak when it comes to men. 114 00:05:42,676 --> 00:05:45,804 {\an8}I always thought of myself as independent. 115 00:05:45,804 --> 00:05:47,264 {\an8}Like you. - Mm? 116 00:05:47,264 --> 00:05:48,932 {\an8}You didn't even take your husband's last name 117 00:05:48,932 --> 00:05:50,601 {\an8}when you got married. 118 00:05:50,601 --> 00:05:53,812 {\an8}That's, like, the ultimate feminist move. 119 00:05:54,938 --> 00:05:59,860 {\an8}I don't recall mentioning that Pierce is my maiden name. 120 00:06:02,112 --> 00:06:03,363 {\an8}Got me. 121 00:06:04,156 --> 00:06:05,491 {\an8}I Googled you. 122 00:06:05,491 --> 00:06:07,576 {\an8}It came up when I was researching psychiatrists. 123 00:06:07,576 --> 00:06:10,079 {\an8}I-I didn't realize you were married to a doctor, too. 124 00:06:10,079 --> 00:06:11,914 {\an8}Talk about power couple. 125 00:06:15,209 --> 00:06:16,627 Same time next week? 126 00:06:20,464 --> 00:06:22,633 Hey, boys, we spoke to the director 127 00:06:22,633 --> 00:06:24,635 at June's assisted-living facility 128 00:06:24,635 --> 00:06:27,846 to get a better picture of her behavioral issues. 129 00:06:27,846 --> 00:06:30,224 Confirmed that she was kicked out of Sunny Park 130 00:06:30,224 --> 00:06:32,059 and she went out with a bang. 131 00:06:32,059 --> 00:06:33,685 She and the other male residents 132 00:06:33,685 --> 00:06:37,314 were caught multiple times in flagrante delicto. 133 00:06:39,983 --> 00:06:41,985 I failed Latin. 134 00:06:41,985 --> 00:06:43,654 AKA caught in the act. 135 00:06:43,654 --> 00:06:46,031 AKA June was getting down with Mark, Luke, and John 136 00:06:46,031 --> 00:06:47,533 in the biblical sense. AKA-- 137 00:06:47,533 --> 00:06:50,327 Okay, we get it. June was sleeping around. 138 00:06:50,327 --> 00:06:52,746 With half the men in the community. 139 00:06:53,497 --> 00:06:54,915 And it's a big community. 140 00:06:56,542 --> 00:06:57,960 Not a judgment, just a fact. 141 00:06:57,960 --> 00:06:59,545 Okay, just because June's not showing signs 142 00:06:59,545 --> 00:07:01,380 of cognitive decline yet, 143 00:07:01,380 --> 00:07:03,090 we're not out of the woods when it comes to dementia. 144 00:07:03,090 --> 00:07:04,758 I mean, hypersexuality could be 145 00:07:04,758 --> 00:07:08,262 a symptom of a brain injury or tumor or Parkinson's. 146 00:07:08,262 --> 00:07:10,722 Or bipolar disorder, substance abuse. 147 00:07:10,722 --> 00:07:12,474 There's something going on, and it's not clear 148 00:07:12,474 --> 00:07:14,017 if she's going to be safe if we send her home. 149 00:07:14,017 --> 00:07:17,271 So let's admit her and catch Wolf up to speed. 150 00:07:17,271 --> 00:07:19,189 He's going to love this case. 151 00:07:19,189 --> 00:07:20,774 Yeah. 152 00:07:23,485 --> 00:07:25,863 Nichols, can I help you? 153 00:07:26,905 --> 00:07:28,782 I need your thoughts on our-- 154 00:07:28,782 --> 00:07:30,742 our vestibular schwannoma patient. 155 00:07:30,742 --> 00:07:32,369 You know, the-- the-- I asked for your-- 156 00:07:32,369 --> 00:07:34,037 uh, an update as soon as you were done. 157 00:07:34,037 --> 00:07:36,456 Uh, I-I'm not done. 158 00:07:36,456 --> 00:07:38,917 Oh, okay. Look-- Look, I, um-- 159 00:07:38,917 --> 00:07:40,836 I don't care what you do on your own time, 160 00:07:40,836 --> 00:07:42,880 but when we're-- when-- when we're on a case together, 161 00:07:42,880 --> 00:07:45,257 I just-- I need open... 162 00:07:45,257 --> 00:07:47,634 Channels of communication. 163 00:07:50,095 --> 00:07:51,305 Understood. 164 00:08:02,816 --> 00:08:04,776 According to the staff at Sunny Park, 165 00:08:04,776 --> 00:08:07,321 you weren't entering other residents' rooms 166 00:08:07,321 --> 00:08:10,032 because you were confused. 167 00:08:10,032 --> 00:08:11,742 Is that accurate? 168 00:08:11,742 --> 00:08:13,952 My sons said I was confused. 169 00:08:13,952 --> 00:08:18,624 It's more palatable than saying their mother was having sex. 170 00:08:18,624 --> 00:08:22,544 They don't want to use those two words in the same sentence. 171 00:08:22,544 --> 00:08:24,546 I'm not ashamed of myself. 172 00:08:24,546 --> 00:08:26,506 Okay, then, well, uh, in that case, 173 00:08:26,506 --> 00:08:28,717 would you mind walking me through your sexual history? 174 00:08:28,717 --> 00:08:30,928 How much paper do you have? 175 00:08:32,346 --> 00:08:35,182 Mickey and I were high school sweethearts 176 00:08:35,182 --> 00:08:37,059 before we got married. 177 00:08:37,059 --> 00:08:40,771 I'd say we had a healthy sex life for the most part. 178 00:08:40,771 --> 00:08:46,777 And up until a year ago, he was my entire history. 179 00:08:46,777 --> 00:08:52,115 But now the number of my partners has increased... 180 00:08:52,115 --> 00:08:54,117 thirtyfold. 181 00:08:54,117 --> 00:08:56,161 Give or take a few. 182 00:08:56,161 --> 00:08:59,915 Um, June, 183 00:08:59,915 --> 00:09:04,169 you should know that some diseases cause hypersexuality. 184 00:09:04,169 --> 00:09:06,004 And that's why we've admitted you to the hospital 185 00:09:06,004 --> 00:09:08,090 so that we could determine the etiology. 186 00:09:08,090 --> 00:09:10,509 I'm not sick. I know my body. 187 00:09:10,509 --> 00:09:13,595 I feel more alive than ever. 188 00:09:13,595 --> 00:09:17,432 Now that my kids are grown and my grandkids are teenagers, 189 00:09:17,432 --> 00:09:18,850 it's my time. 190 00:09:18,850 --> 00:09:21,478 I just wish my sons could get on board. 191 00:09:21,478 --> 00:09:25,399 Sometimes it's hard for us to see our parents 192 00:09:25,399 --> 00:09:28,902 as anything other than our parents. 193 00:09:30,112 --> 00:09:31,363 True. 194 00:09:33,282 --> 00:09:37,411 Who knew erratic behavior was code for hot octogenarian sex? 195 00:09:37,411 --> 00:09:38,745 Honestly, good for June. 196 00:09:38,745 --> 00:09:39,955 She's out there living her best life. 197 00:09:39,955 --> 00:09:41,373 I don't see the issue. 198 00:09:41,373 --> 00:09:43,542 The issue is June isn't just interested in sex. 199 00:09:43,542 --> 00:09:45,669 She's demonstrating compulsive sexual behavior 200 00:09:45,669 --> 00:09:47,296 to the point of pathology. 201 00:09:47,296 --> 00:09:48,672 Something's up. - We don't know that yet. 202 00:09:48,672 --> 00:09:51,008 But I do agree with the instinct. 203 00:09:51,008 --> 00:09:53,427 We think of disease as deficit, 204 00:09:53,427 --> 00:09:55,470 but it can also present as excess. 205 00:09:55,470 --> 00:09:57,014 Like Parkinson's. 206 00:09:57,014 --> 00:09:59,516 Patients can have excess involuntary movement. 207 00:09:59,516 --> 00:10:01,018 I mean, her exam isn't consistent, 208 00:10:01,018 --> 00:10:04,062 but meds for that can cause hypersexuality. 209 00:10:04,062 --> 00:10:05,522 So can frontotemporal dementia, 210 00:10:05,522 --> 00:10:07,190 Which would make her hypersexuality 211 00:10:07,190 --> 00:10:09,359 just a brief reprieve on the road to a grim death. 212 00:10:09,359 --> 00:10:12,821 Huntington's can present with hypersexuality and paraphilia. 213 00:10:12,821 --> 00:10:15,282 Although, at her age, it's extremely late-onset. 214 00:10:15,282 --> 00:10:17,701 Leave it to Ericka to specialize in all the ways 215 00:10:17,701 --> 00:10:19,244 that sex is a disease. 216 00:10:19,244 --> 00:10:20,912 Maybe June is just finding herself. 217 00:10:20,912 --> 00:10:23,540 Look, we don't want to pathologize June unnecessarily. 218 00:10:23,540 --> 00:10:25,709 We also don't want to miss any diseases 219 00:10:25,709 --> 00:10:27,586 that could be treatable. 220 00:10:27,586 --> 00:10:29,379 Then we'll get a set of neurodegenerative labs. 221 00:10:29,379 --> 00:10:30,630 Send her for a brain MRI. 222 00:10:30,630 --> 00:10:32,382 And a full suite of STI testing. 223 00:10:32,382 --> 00:10:35,510 Just to make sure she didn't pick up any unwanted souvenirs. 224 00:10:40,057 --> 00:10:42,893 Okay. Hold on. Your Sullivan case 225 00:10:42,893 --> 00:10:45,020 reminds me of a patient I had a few years ago. 226 00:10:45,854 --> 00:10:47,898 A guy comes in after a massive car accident 227 00:10:47,898 --> 00:10:49,358 and he's on the verge of herniation, 228 00:10:49,358 --> 00:10:50,734 but somehow we save his life. 229 00:10:50,734 --> 00:10:53,820 Another miracle, courtesy of Dr. Nichols. 230 00:10:53,820 --> 00:10:55,572 Until he comes in for a follow-up, 231 00:10:55,572 --> 00:10:57,157 and his wife is pissed. Something's wrong. 232 00:10:57,157 --> 00:10:59,451 He's eating everything. Like, the TV remote everything. 233 00:10:59,451 --> 00:11:00,869 And he won't stop having sex. 234 00:11:00,869 --> 00:11:02,120 Kluever-Bucy. 235 00:11:02,120 --> 00:11:04,414 Damage to the bilateral medial temporal lobes 236 00:11:04,414 --> 00:11:06,083 in the accident. - Textbook case. 237 00:11:06,083 --> 00:11:09,127 I gave him a neuro referral, and that was all I could do. 238 00:11:09,127 --> 00:11:10,837 No surgery that could fix it. 239 00:11:12,339 --> 00:11:14,424 Do you not think a neurosurgeon should have the dexterity 240 00:11:14,424 --> 00:11:18,220 to handle utensils used by a third of the world's population? 241 00:11:18,220 --> 00:11:20,597 Listen, it's not that I can't use chopsticks. 242 00:11:20,597 --> 00:11:22,724 I just prefer the efficiency of the fork. 243 00:11:22,724 --> 00:11:25,102 Oh, come on, I don't have all day to sit around and opine 244 00:11:25,102 --> 00:11:29,147 and play with my little tools like you neurologists do. 245 00:11:39,616 --> 00:11:40,909 Bathroom's all yours. 246 00:11:43,412 --> 00:11:46,498 Um, if I'm ever in your way, please just let me know. 247 00:11:46,498 --> 00:11:47,791 This is your home. 248 00:11:47,791 --> 00:11:49,418 I don't want to be an imposition. 249 00:11:49,418 --> 00:11:51,211 No, you're not. 250 00:11:55,215 --> 00:11:58,885 If you want, I can show you around. 251 00:11:59,719 --> 00:12:02,556 Take you to the beach. - Yeah, that sounds nice. 252 00:12:03,557 --> 00:12:06,059 Uh, but if your mom's making you play tour guide, then-- 253 00:12:06,059 --> 00:12:07,227 No, she's not. 254 00:12:10,605 --> 00:12:13,525 I was rude earlier. 255 00:12:14,860 --> 00:12:15,902 This is an olive branch. 256 00:12:15,902 --> 00:12:18,864 Or an Oliver branch. 257 00:12:18,864 --> 00:12:22,784 - Anyway, um, offer accepted. 258 00:12:22,784 --> 00:12:24,161 Beach sounds lovely. 259 00:12:24,161 --> 00:12:25,537 Good night. 260 00:12:39,009 --> 00:12:40,927 - Dr. Wolf. - We got June's results back. 261 00:12:40,927 --> 00:12:42,512 Nada. - MRI showed 262 00:12:42,512 --> 00:12:44,014 general age-appropriate cerebral atrophy. 263 00:12:44,014 --> 00:12:45,849 Nothing too specific. - Labs were normal, too. 264 00:12:45,849 --> 00:12:47,851 Even our STI testing was negative. All of it. 265 00:12:47,851 --> 00:12:49,686 Maybe this isn't a disease after all. 266 00:12:49,686 --> 00:12:51,771 Well, we need more time to see how this plays out, 267 00:12:51,771 --> 00:12:53,190 but we can spare her a night in the hospital. 268 00:12:53,190 --> 00:12:54,691 Set her up to see me in the clinic. 269 00:12:56,193 --> 00:12:58,195 - It's a stat page. - From June's room. 270 00:13:00,655 --> 00:13:02,240 There's a reindeer place. 271 00:13:02,240 --> 00:13:03,533 - Oh, thank God. - June? 272 00:13:03,533 --> 00:13:05,285 Nurse Portia just went looking for you. 273 00:13:05,285 --> 00:13:07,037 She was talking to us, and then she just stopped making sense. 274 00:13:07,037 --> 00:13:08,872 June, can you tell me where we are? 275 00:13:08,872 --> 00:13:12,876 Underneath the asphalt, there's cats and big-- 276 00:13:12,876 --> 00:13:14,169 Sounds like word salad to me. 277 00:13:14,169 --> 00:13:15,795 Precisely. It's Wernicke's aphasia. 278 00:13:15,795 --> 00:13:17,380 Excuse me. - She could be having a stroke. 279 00:13:17,380 --> 00:13:20,592 Stay calm, June. We're going to lower your bed, okay? 280 00:13:20,592 --> 00:13:23,261 - June? - Deep breaths, June. 281 00:13:23,261 --> 00:13:25,222 - Focus on your breaths. - Oh, I don't know. 282 00:13:25,222 --> 00:13:27,432 We need to get her to a CT scan-- now. 283 00:13:27,432 --> 00:13:28,892 - June, we got you. 284 00:13:28,892 --> 00:13:32,229 Stay with us, June. It's okay. It's okay. 285 00:13:37,067 --> 00:13:39,903 Your mother had a transient ischemic attack, 286 00:13:39,903 --> 00:13:42,572 or TIA, um, a mini stroke. 287 00:13:42,572 --> 00:13:44,741 The good news is these resolve on their own. 288 00:13:44,741 --> 00:13:46,243 She's already improving, 289 00:13:46,243 --> 00:13:47,619 and she should regain her speech completely 290 00:13:47,619 --> 00:13:48,745 within a couple of hours. 291 00:13:48,745 --> 00:13:50,163 What's the bad news? 292 00:13:50,163 --> 00:13:54,251 A TIA is a warning sign that June is at risk 293 00:13:54,251 --> 00:13:56,294 for having a full stroke in the near future. 294 00:13:56,294 --> 00:13:58,713 To prevent this, we've already started her on medication, 295 00:13:58,713 --> 00:14:00,382 and we're in the middle of a full medical workup. 296 00:14:00,382 --> 00:14:03,343 In the meantime, tell me a little bit about your mom. 297 00:14:03,343 --> 00:14:07,138 What was she like before her personality changed? 298 00:14:07,138 --> 00:14:08,765 Before your father died? 299 00:14:08,765 --> 00:14:10,934 Sweet and kind, thoughtful. 300 00:14:10,934 --> 00:14:13,436 A fourth grade teacher. - Her health? 301 00:14:13,436 --> 00:14:15,605 Uh, she used to have high blood pressure, 302 00:14:15,605 --> 00:14:17,649 but no other major issues, 303 00:14:17,649 --> 00:14:19,150 aside from, when we were in high school, 304 00:14:19,150 --> 00:14:22,070 both our parents got really sick for weeks. 305 00:14:22,070 --> 00:14:24,781 Oh, God. Yeah, they had really bad fevers 306 00:14:24,781 --> 00:14:26,324 that came and went. 307 00:14:26,324 --> 00:14:28,743 Dad even had these patchy bald spots for a while. 308 00:14:28,743 --> 00:14:30,453 I'm sorry. Both of your parents were sick, 309 00:14:30,453 --> 00:14:32,038 and neither of you got it? 310 00:14:33,039 --> 00:14:35,917 And this was decades ago? - Yeah. 311 00:14:35,917 --> 00:14:37,877 I'd like to conduct a lumbar puncture 312 00:14:37,877 --> 00:14:39,337 with your mother's consent. 313 00:14:39,337 --> 00:14:41,548 I think it could illuminate a few things. 314 00:14:48,138 --> 00:14:49,681 Wait up. 315 00:14:57,731 --> 00:14:59,649 - Come on. - Wait. 316 00:14:59,649 --> 00:15:02,277 ♪ One night to be confused ♪ 317 00:15:02,277 --> 00:15:04,988 ♪ One night to speed up truth ♪ - Hey. 318 00:15:04,988 --> 00:15:08,283 - Aw. 319 00:15:08,283 --> 00:15:12,829 So, I gather from the books in your dad's office, 320 00:15:12,829 --> 00:15:14,456 he was a doctor. 321 00:15:14,456 --> 00:15:15,915 GP. 322 00:15:15,915 --> 00:15:18,418 Yeah, worked at Bronx General for a long time. 323 00:15:19,419 --> 00:15:21,254 Can I ask what happened? 324 00:15:22,922 --> 00:15:25,925 He died, uh, four years ago. 325 00:15:26,843 --> 00:15:29,262 We were on a camping trip. 326 00:15:30,722 --> 00:15:35,727 I was with him one minute, and the next he was gone. 327 00:15:37,270 --> 00:15:38,813 I'm sorry. 328 00:15:39,773 --> 00:15:41,775 Uh, it's okay. 329 00:15:42,609 --> 00:15:44,277 Feels good to talk about it. 330 00:15:45,528 --> 00:15:48,323 My mom mostly avoids the topic. 331 00:15:48,323 --> 00:15:49,449 Well... 332 00:15:50,200 --> 00:15:52,410 ...you can always talk to me. 333 00:15:52,410 --> 00:15:53,536 If you want. 334 00:15:53,536 --> 00:15:55,914 ♪ We were in love ♪ 335 00:15:55,914 --> 00:15:59,542 ♪ To call for hands of above ♪ 336 00:15:59,542 --> 00:16:01,670 ♪ To lean on ♪ 337 00:16:01,670 --> 00:16:04,881 ♪ Wouldn't be good enough ♪ 338 00:16:04,881 --> 00:16:06,883 ♪ For me, no ♪ 339 00:16:06,883 --> 00:16:10,387 ♪ To call for hands of above ♪ 340 00:16:10,387 --> 00:16:12,263 ♪ To lean on ♪ 341 00:16:12,263 --> 00:16:15,725 ♪ Wouldn't be good enough ♪ 342 00:16:23,191 --> 00:16:25,235 Transient ischemic attacks can be scary... 343 00:16:25,235 --> 00:16:26,986 - Mm-hmm. - ...but what we really want 344 00:16:26,986 --> 00:16:29,197 to avoid is an actual stroke. 345 00:16:30,448 --> 00:16:35,537 So the spinal tap results will help us zero in on a diagnosis. 346 00:16:35,537 --> 00:16:38,623 You know what they never tell you about getting older? 347 00:16:38,623 --> 00:16:41,960 Doesn't matter what you look like on the outside. 348 00:16:41,960 --> 00:16:45,213 On the inside, you still feel young. 349 00:16:45,213 --> 00:16:47,549 That's why I like sex so much. 350 00:16:47,549 --> 00:16:51,261 It's the one activity that makes me feel young again. 351 00:16:51,261 --> 00:16:52,762 You might be able to chase the same high 352 00:16:52,762 --> 00:16:54,347 with a brisk walk in the morning. 353 00:16:54,347 --> 00:16:57,851 What kind of sex are you having? 354 00:16:58,685 --> 00:17:01,521 Uh, medicine has been my only love for a while now. 355 00:17:01,521 --> 00:17:04,649 So dating and sex had to take a back seat. 356 00:17:04,649 --> 00:17:07,318 A back seat? for how long? 357 00:17:07,318 --> 00:17:09,320 Um... 358 00:17:09,320 --> 00:17:10,864 Three... years. 359 00:17:10,864 --> 00:17:15,952 Oh, honey, I spent the last decade of my marriage celibate. 360 00:17:15,952 --> 00:17:17,746 It was so lonely. 361 00:17:17,746 --> 00:17:19,581 Don't make the same mistake. 362 00:17:19,581 --> 00:17:22,125 Especially at your age. 363 00:17:22,917 --> 00:17:24,586 I never meant for it to last this long, 364 00:17:24,586 --> 00:17:28,298 but when you're in a dry spell, it's scary to jump back in. 365 00:17:28,298 --> 00:17:30,633 You just need to find the right partner. 366 00:17:30,633 --> 00:17:35,805 My neighbor Lou was my first after my husband died. 367 00:17:35,805 --> 00:17:38,558 He made me feel safe. 368 00:17:38,558 --> 00:17:41,227 He made me feel beautiful. 369 00:17:41,227 --> 00:17:43,813 I want that kind of guy for you. 370 00:17:52,614 --> 00:17:55,408 Dr. Dang, I hear you're a whiz 371 00:17:55,408 --> 00:17:57,076 at tracking people down on the internet. 372 00:17:57,076 --> 00:17:59,954 Some say whiz. Others, genius, queen, 373 00:17:59,954 --> 00:18:01,372 the missing face in "Ocean's 8." 374 00:18:01,372 --> 00:18:03,082 But, yes, I am your cybersleuthing girl. 375 00:18:03,082 --> 00:18:05,710 Uh-huh. Um, I need to find a patient 376 00:18:05,710 --> 00:18:09,297 who's gone radio silent. 377 00:18:09,297 --> 00:18:12,175 I did a Google search, nothing came up, and I'm worried. 378 00:18:12,175 --> 00:18:15,178 - What's her name? - Um, Alison Whitaker. 379 00:18:15,178 --> 00:18:19,182 She's a PhD student at NYU. - Mm, common name. 380 00:18:19,182 --> 00:18:21,392 Try cross-checking her with hospital records. 381 00:18:21,392 --> 00:18:22,560 Um, okay. 382 00:18:31,945 --> 00:18:35,073 She used a hyphenated name on one of her intake forms. 383 00:18:35,073 --> 00:18:39,285 Alison Zhang-Whitaker. 384 00:18:40,954 --> 00:18:42,247 Okay, this is weird. 385 00:18:42,247 --> 00:18:45,041 Um, I found her, but, according to Google, 386 00:18:45,041 --> 00:18:48,253 she's a med student at Columbia. 387 00:18:52,340 --> 00:18:54,676 And it looks like she knows your husband. 388 00:19:03,059 --> 00:19:04,435 The spinal tap results revealed 389 00:19:04,435 --> 00:19:06,729 that you have what's called neurosyphilis. 390 00:19:06,729 --> 00:19:08,523 It's caused by an infection 391 00:19:08,523 --> 00:19:13,903 from an untreated case of syphilis from decades past. 392 00:19:13,903 --> 00:19:15,947 The vascular form of neurosyphilis, 393 00:19:15,947 --> 00:19:17,323 which is what you have, 394 00:19:17,323 --> 00:19:19,075 spreads to the central nervous system 395 00:19:19,075 --> 00:19:20,994 and causes a variety of symptoms, 396 00:19:20,994 --> 00:19:23,288 including hypersexuality. 397 00:19:23,288 --> 00:19:25,665 It's sometimes called Cupid's disease. 398 00:19:25,665 --> 00:19:27,876 It's not contagious, so you don't have to contact 399 00:19:27,876 --> 00:19:30,044 your sexual partners, 400 00:19:30,044 --> 00:19:32,005 but if it's not properly treated, 401 00:19:32,005 --> 00:19:33,590 it can be fatal. 402 00:19:35,049 --> 00:19:39,596 So everything I've been feeling? 403 00:19:40,847 --> 00:19:43,099 - It's the disease. 404 00:19:43,099 --> 00:19:46,394 Our mom has neurosyphilis, which, if-- 405 00:19:46,394 --> 00:19:48,980 if I'm hearing you correctly, is something you only contract 406 00:19:48,980 --> 00:19:50,607 if you've had syphilis in the past? 407 00:19:50,607 --> 00:19:53,192 - That's correct. - Mom, make this make sense. 408 00:19:53,192 --> 00:19:55,570 Were you cheating on Dad? 409 00:19:59,616 --> 00:20:04,412 I loved your father with my whole heart, 410 00:20:04,412 --> 00:20:07,415 and I was never unfaithful. 411 00:20:07,415 --> 00:20:12,003 Unfortunately, the same cannot be said about your father. 412 00:20:12,837 --> 00:20:17,759 He had a million wonderful qualities and one big flaw. 413 00:20:18,551 --> 00:20:20,970 But when you're married that long, 414 00:20:20,970 --> 00:20:23,306 you ask yourself a question. 415 00:20:23,306 --> 00:20:26,392 Do I want to look across the dinner table 416 00:20:26,392 --> 00:20:32,649 and see a man who loves me and disappoints me in equal measure, 417 00:20:32,649 --> 00:20:36,110 or do I want to see an empty chair? 418 00:20:37,695 --> 00:20:39,447 I chose him. 419 00:20:42,241 --> 00:20:43,785 We had no idea. 420 00:20:45,370 --> 00:20:47,580 I'm so sorry, Mom. 421 00:20:48,539 --> 00:20:51,250 There is some good news here. 422 00:20:51,250 --> 00:20:53,503 Neurosyphilis can be treated with penicillin, 423 00:20:53,503 --> 00:20:55,672 and many patients make a complete recovery. 424 00:20:55,672 --> 00:20:58,049 In some cases, we won't be able to reverse 425 00:20:58,049 --> 00:20:59,842 neurological damage that's already occurred, 426 00:20:59,842 --> 00:21:01,260 like the cerebral damage 427 00:21:01,260 --> 00:21:02,887 that likely caused your hypersexuality, 428 00:21:02,887 --> 00:21:04,514 but we won't know for sure until we start treatment. 429 00:21:04,514 --> 00:21:06,391 That sounds like too big of a gamble. 430 00:21:06,391 --> 00:21:09,185 Mom, he said it could be fatal. 431 00:21:09,185 --> 00:21:11,229 It's true. 432 00:21:11,229 --> 00:21:13,356 If the hypersexuality goes away, 433 00:21:13,356 --> 00:21:14,941 we can try libido-enhancing-- 434 00:21:14,941 --> 00:21:18,027 My brother and I are completely fine with it going away. 435 00:21:18,027 --> 00:21:20,863 It's just not appropriate. 436 00:21:20,863 --> 00:21:21,990 She's 80 years old. 437 00:21:21,990 --> 00:21:24,200 And still a person. 438 00:21:24,200 --> 00:21:27,370 I love the way I am with this disease, 439 00:21:27,370 --> 00:21:30,039 and I don't know how much time I have left on this planet. 440 00:21:30,039 --> 00:21:32,458 Will you please tell her this is a terrible mistake? 441 00:21:32,458 --> 00:21:34,585 That's enough. 442 00:21:34,585 --> 00:21:36,838 This is my decision. 443 00:21:36,838 --> 00:21:39,090 Now, leave me be. 444 00:21:59,485 --> 00:22:01,779 Am I being completely selfish? 445 00:22:01,779 --> 00:22:03,156 No. 446 00:22:04,741 --> 00:22:06,325 Not at all. 447 00:22:07,577 --> 00:22:11,914 I feel like there's this fire inside of me 448 00:22:11,914 --> 00:22:14,751 that's been gone for so long. 449 00:22:14,751 --> 00:22:17,587 I can't put it out again. 450 00:22:17,587 --> 00:22:19,756 Maybe your sons will come around. 451 00:22:19,756 --> 00:22:22,508 Mm. We'll see. 452 00:22:26,220 --> 00:22:28,723 You know, I might be able 453 00:22:28,723 --> 00:22:33,352 to help your sons understand you a little bit better. 454 00:22:34,520 --> 00:22:35,855 Um... 455 00:22:40,276 --> 00:22:42,862 I want you... 456 00:22:42,862 --> 00:22:44,781 to copy this diagram. 457 00:22:54,582 --> 00:22:56,834 We just got an update on the Sullivan case. 458 00:22:56,834 --> 00:22:58,461 Apparently, June said no to her treatment. 459 00:22:58,461 --> 00:22:59,837 She doesn't want to cure neurosyphilis 460 00:22:59,837 --> 00:23:01,672 if that means killing her sex drive. 461 00:23:01,672 --> 00:23:04,133 Why would a woman in her 80s risk her life for sex? 462 00:23:04,133 --> 00:23:05,635 Bold choice, for sure. 463 00:23:05,635 --> 00:23:08,137 Am I the only one who's Team June here? 464 00:23:08,137 --> 00:23:09,680 Like, let the woman live. 465 00:23:09,680 --> 00:23:12,391 And by live, I mean have sex. - I'm on the fence. 466 00:23:12,391 --> 00:23:15,353 Sex is pretty high on my list of favorite pastimes, 467 00:23:15,353 --> 00:23:17,271 right above beating your sweet little butts at Catan 468 00:23:17,271 --> 00:23:19,315 and right below binging K-dramas. 469 00:23:19,315 --> 00:23:21,192 Okay, but what about emotional intimacy? 470 00:23:21,192 --> 00:23:23,444 That's, like, way hotter. - Strongly agree. 471 00:23:23,444 --> 00:23:25,154 Y'all are so full of it. 472 00:23:25,154 --> 00:23:28,574 What makes pillow talk so great is the sex you have before it. 473 00:23:28,574 --> 00:23:30,493 Look, I'm just being real. 474 00:23:30,493 --> 00:23:32,912 If there's no physical connection between two people, 475 00:23:32,912 --> 00:23:33,996 it's game over. 476 00:23:41,003 --> 00:23:43,714 June has made her decision. 477 00:23:43,714 --> 00:23:46,175 She does not want to be treated. 478 00:23:46,175 --> 00:23:50,346 All I can do at this point is get her sons on her side. 479 00:23:50,346 --> 00:23:52,181 Do you want me to talk to them? 480 00:23:52,181 --> 00:23:54,016 I can be very intimidating. 481 00:23:58,104 --> 00:23:59,147 Mm-hmm. 482 00:24:24,213 --> 00:24:26,299 So, I asked your mom to copy this diagram for me, 483 00:24:26,299 --> 00:24:28,426 and this is what she drew. 484 00:24:32,430 --> 00:24:35,558 Sometimes, inner life and imagination 485 00:24:35,558 --> 00:24:37,768 can be awakened by illness. 486 00:24:37,768 --> 00:24:40,730 It's clear that this disease has unlocked something in your mom. 487 00:24:40,730 --> 00:24:45,401 Where most people see a box, she sees so much more. 488 00:24:45,401 --> 00:24:48,571 We appreciate the sentiment. Really, we do. 489 00:24:48,571 --> 00:24:51,073 And we certainly don't want to take away your joy, Mom, 490 00:24:51,073 --> 00:24:53,910 but we can't support a decision that will kill you. 491 00:24:53,910 --> 00:24:56,287 It feels like you're-- you're choosing your sex life 492 00:24:56,287 --> 00:24:58,581 over everything else. - We still need you. 493 00:24:58,581 --> 00:25:02,460 It isn't just for us. It's for your grandkids, too. 494 00:25:10,718 --> 00:25:13,638 Okay, you can start the treatment. 495 00:25:15,431 --> 00:25:19,810 I'll do anything to get better for my boys. 496 00:25:22,647 --> 00:25:24,315 We're going to take good care of you, Mom. 497 00:25:24,315 --> 00:25:26,859 Patrick and I were talking. I want you to come live with me. 498 00:25:26,859 --> 00:25:30,238 The girls are all excited to have Grandma with us. 499 00:25:39,997 --> 00:25:43,000 Cool. You're doing the facial nerve branches? 500 00:25:44,585 --> 00:25:47,004 Which I somehow cannot commit to memory. 501 00:25:49,048 --> 00:25:51,634 I like a mnemonic. 502 00:25:51,634 --> 00:25:54,553 To Zanzibar by motor car. 503 00:25:54,553 --> 00:25:56,973 Temporal. Zygomatic. Buccal. 504 00:25:56,973 --> 00:25:59,350 Marginal mandibular and cervical. 505 00:25:59,350 --> 00:26:01,060 Mm-hmm. 506 00:26:01,060 --> 00:26:04,146 Thanks. 507 00:26:04,146 --> 00:26:06,774 Oh, God. This is embarrassing. 508 00:26:06,774 --> 00:26:09,694 I should be tutoring you. - Mm. 509 00:26:09,694 --> 00:26:11,654 My lack of a social life means a lot of time 510 00:26:11,654 --> 00:26:13,572 spent alone with medical journals. 511 00:26:14,323 --> 00:26:17,952 Also, I dissected my first cadaver when I was 14. 512 00:26:17,952 --> 00:26:20,913 - Oh, come on. - No. I'm serious. 513 00:26:25,293 --> 00:26:26,919 Well, I'm very impressed. 514 00:26:29,255 --> 00:26:32,425 You're very impressive. 515 00:26:32,425 --> 00:26:33,467 So are you. 516 00:26:57,408 --> 00:27:03,456 June is in an impossible position. 517 00:27:04,290 --> 00:27:05,750 She's sacrificing her own desires 518 00:27:05,750 --> 00:27:07,793 for the good of her kids, and... 519 00:27:09,462 --> 00:27:11,380 Are you even listening to me? 520 00:27:11,380 --> 00:27:12,715 No. 521 00:27:17,178 --> 00:27:18,929 I just found out... 522 00:27:19,764 --> 00:27:22,641 ...that I've been treating... 523 00:27:22,641 --> 00:27:25,728 the woman who slept with Morris... 524 00:27:25,728 --> 00:27:28,564 and ruined my marriage. - What? 525 00:27:28,564 --> 00:27:30,232 She's been a patient for a couple of months. 526 00:27:30,232 --> 00:27:31,859 I had no idea. 527 00:27:32,777 --> 00:27:34,570 I actually liked her. 528 00:27:35,696 --> 00:27:38,324 I was rooting for her. 529 00:27:38,324 --> 00:27:42,161 And then she said something one day that made me suspicious, 530 00:27:42,161 --> 00:27:44,747 and so I did some digging. - Well, obviously. 531 00:27:44,747 --> 00:27:46,749 Anybody in your position would do the same. 532 00:27:46,749 --> 00:27:50,961 Honestly, I don't know whether to throw up or scream. 533 00:27:52,296 --> 00:27:54,090 For eight sessions, 534 00:27:54,090 --> 00:27:57,259 she's been telling me how much she misses her ex 535 00:27:57,259 --> 00:28:01,597 and all the things that they've done together. 536 00:28:01,597 --> 00:28:03,099 I really thought I had some clarity 537 00:28:03,099 --> 00:28:06,936 on where things stood with Morris, but... 538 00:28:06,936 --> 00:28:09,438 I really don't think I can look him in the eye again. 539 00:28:09,438 --> 00:28:13,359 June's husband cheated on her repeatedly for years. 540 00:28:14,151 --> 00:28:16,779 She's 80, and she's just now finding herself, Carol. 541 00:28:16,779 --> 00:28:18,239 I don't want that for you. 542 00:28:18,239 --> 00:28:19,865 Neither do I. 543 00:28:20,991 --> 00:28:25,788 And yet, I wish I'd never looked at his phone that night, 544 00:28:25,788 --> 00:28:30,292 but it was late, and the buzzing woke me up. 545 00:28:30,292 --> 00:28:34,422 Maya was at a sleepover, and I worried something was wrong, 546 00:28:34,422 --> 00:28:36,841 so I checked his phone... 547 00:28:37,633 --> 00:28:39,885 ...and there were all these messages. 548 00:28:41,512 --> 00:28:44,723 I woke him up right then and there. 549 00:28:45,724 --> 00:28:50,104 It's a good thing Maya wasn't there to see me go off. 550 00:28:53,482 --> 00:28:55,025 He swore. 551 00:28:55,818 --> 00:29:02,616 He swore they'd only slept together one time. 552 00:29:02,616 --> 00:29:05,494 But if that were true, 553 00:29:05,494 --> 00:29:07,288 why would that woman be in my office 554 00:29:07,288 --> 00:29:10,040 crying for the last two months? 555 00:29:11,375 --> 00:29:14,128 She's hardly a reliable narrator, Carol. 556 00:29:15,087 --> 00:29:16,964 She sought you out as her therapist 557 00:29:16,964 --> 00:29:18,883 when she knew she was sleeping with your husband. 558 00:29:18,883 --> 00:29:22,011 That is extreme behavior. 559 00:29:22,011 --> 00:29:25,848 She clearly needs help. Just from somebody else. 560 00:29:25,848 --> 00:29:28,809 I already have a reference lined up. 561 00:29:28,809 --> 00:29:33,105 If there's one thing I do know, it's setting boundaries. 562 00:29:38,819 --> 00:29:41,030 Can we get custodial to third-floor nurse's station? 563 00:29:41,030 --> 00:29:42,698 Custodial to third-floor nurse's station. 564 00:29:48,662 --> 00:29:51,582 - Dr. Nichols. - Dr. Landon. 565 00:29:53,792 --> 00:29:55,211 About what happened earlier, I, uh-- 566 00:29:55,211 --> 00:29:58,214 Who my son chooses to be involved with 567 00:29:58,214 --> 00:29:59,882 is none of my business. 568 00:30:04,970 --> 00:30:06,305 Just... 569 00:30:07,515 --> 00:30:09,642 ...don't hurt him. 570 00:30:21,570 --> 00:30:23,322 Good morning, June. 571 00:30:23,322 --> 00:30:24,823 Is it? 572 00:30:25,866 --> 00:30:27,076 I know you're going to tell me 573 00:30:27,076 --> 00:30:30,579 that the antibiotics are working, 574 00:30:30,579 --> 00:30:33,999 but I just feel numb. 575 00:30:34,833 --> 00:30:37,211 It appears the medication is also eradicating 576 00:30:37,211 --> 00:30:38,629 your hypersexuality. 577 00:30:38,629 --> 00:30:40,631 You know, there are other alternatives, 578 00:30:40,631 --> 00:30:42,841 medications that can help your sex drive. 579 00:30:42,841 --> 00:30:45,344 I'm going to be living 580 00:30:45,344 --> 00:30:47,972 with my son and his family. 581 00:30:47,972 --> 00:30:50,808 No freedom, no independence. 582 00:30:50,808 --> 00:30:53,686 No need for alternatives. 583 00:30:58,732 --> 00:31:01,443 Dr. Ross to imaging. 584 00:31:01,443 --> 00:31:03,195 Dr. Ross-- imaging. 585 00:31:08,075 --> 00:31:09,994 Did something happen? Is our mom okay? 586 00:31:09,994 --> 00:31:11,620 It depends on what you consider okay. 587 00:31:11,620 --> 00:31:13,163 When is the last time you saw her? 588 00:31:13,163 --> 00:31:14,415 Early this morning. 589 00:31:14,415 --> 00:31:16,292 She seemed a little quiet, maybe. Tired. 590 00:31:16,292 --> 00:31:18,627 It's not exhaustion, it's despair. 591 00:31:18,627 --> 00:31:21,338 Her brain is getting better, but her state of mind is declining. 592 00:31:21,338 --> 00:31:24,049 I asked her to copy that diagram again. 593 00:31:24,049 --> 00:31:25,676 The neurosyphilis is getting better 594 00:31:25,676 --> 00:31:27,469 and the hypersexuality is going away, 595 00:31:27,469 --> 00:31:28,971 but so is her spark. 596 00:31:28,971 --> 00:31:31,807 Look, I have spent my entire career 597 00:31:31,807 --> 00:31:33,350 helping patients adapt to their conditions, 598 00:31:33,350 --> 00:31:35,519 but your mom doesn't want that. 599 00:31:35,519 --> 00:31:37,688 She wants a life of her own. 600 00:31:37,688 --> 00:31:39,857 Okay. So she doesn't want to live with us. 601 00:31:39,857 --> 00:31:42,401 And she wants to still want to have sex. 602 00:31:42,401 --> 00:31:44,278 You wouldn't listen to me the first time. 603 00:31:44,278 --> 00:31:47,698 I'm asking you to listen to me now. 604 00:31:47,698 --> 00:31:49,033 In addition to her treatment, 605 00:31:49,033 --> 00:31:51,243 I can put her on libido-enhancing meds 606 00:31:51,243 --> 00:31:53,329 and hormone therapy to preserve her sex drive. 607 00:31:53,329 --> 00:31:55,164 It means you will likely have a mom 608 00:31:55,164 --> 00:31:57,082 who brings new boyfriends to family dinners 609 00:31:57,082 --> 00:31:59,168 and overshares about her sex life every chance she gets, 610 00:31:59,168 --> 00:32:01,503 a different person than the woman who raised you, 611 00:32:01,503 --> 00:32:04,423 but no matter how uncomfortable that makes you feel, 612 00:32:04,423 --> 00:32:07,885 I'm asking you to support her, not shame her. 613 00:32:07,885 --> 00:32:11,472 I'm asking you to adapt. 614 00:32:12,890 --> 00:32:15,017 You can help save the part of your mom 615 00:32:15,017 --> 00:32:17,394 that makes her feel alive, 616 00:32:17,394 --> 00:32:21,190 and let her live out her golden years on her terms. 617 00:32:27,404 --> 00:32:29,323 Okay, Doc, yeah. You win. 618 00:32:29,323 --> 00:32:30,449 Yeah, we'll do it. 619 00:32:43,212 --> 00:32:45,130 Uh, maybe we should lock the door this time. 620 00:32:45,130 --> 00:32:48,884 I can only handle my mother walking in on me so many times. 621 00:32:48,884 --> 00:32:51,387 Uh, actually, I was hoping we could talk. 622 00:32:55,099 --> 00:32:59,478 These last few days, this thing, it's been a lot of fun... 623 00:33:00,312 --> 00:33:02,690 ...but we've all been a little impulsive after losing patients, 624 00:33:02,690 --> 00:33:05,442 and losing Roman was especially hard. 625 00:33:06,819 --> 00:33:10,656 We were feeling the grief, and we both needed a pick-me-up. 626 00:33:10,656 --> 00:33:14,034 But I-I just think it's best if we cut our losses, 627 00:33:14,034 --> 00:33:16,829 you know, kept things professional. 628 00:33:19,331 --> 00:33:21,166 Okay. 629 00:33:21,166 --> 00:33:22,543 O-O-Okay? 630 00:33:22,543 --> 00:33:24,545 Yeah. I mean, you made your case, and you're right. 631 00:33:24,545 --> 00:33:28,257 Uh, misplaced grief. That's all this is. 632 00:33:28,257 --> 00:33:32,928 Finally, we agree on something. 633 00:33:32,928 --> 00:33:35,431 Just, uh... 634 00:33:36,265 --> 00:33:38,559 ...try not to be weird when you run into me. 635 00:33:40,811 --> 00:33:42,396 I'll do my best. 636 00:34:06,628 --> 00:34:10,007 We've been seeing each other every week now for two months. 637 00:34:10,007 --> 00:34:12,509 - It's the highlight of my week. - Uh-huh. 638 00:34:12,509 --> 00:34:15,137 Your progress, while steady, 639 00:34:15,137 --> 00:34:18,056 could be accelerated in a different environment. 640 00:34:18,056 --> 00:34:20,476 I think there's another psychiatrist 641 00:34:20,476 --> 00:34:22,478 that would be better suited to help you. 642 00:34:22,478 --> 00:34:24,021 Mm, please, Dr. Pierce. 643 00:34:24,021 --> 00:34:25,481 Please-- Please don't give up on me. 644 00:34:25,481 --> 00:34:27,441 I've already seen three therapists. 645 00:34:27,441 --> 00:34:28,901 You're the only one I can talk to. 646 00:34:28,901 --> 00:34:31,069 - Alison-- - I need you. 647 00:34:32,571 --> 00:34:34,239 If I lose you... 648 00:34:35,949 --> 00:34:37,493 ...I don't know what I'll do. 649 00:34:43,207 --> 00:34:44,583 O-Okay. 650 00:34:46,043 --> 00:34:48,879 Okay. Let's keep trying. 651 00:34:54,343 --> 00:34:58,597 Flibanserin will increase your libido, 652 00:34:58,597 --> 00:35:03,477 and it will reduce your distress about your sexual desires. 653 00:35:04,269 --> 00:35:06,230 We've also referred you to a wonderful GP 654 00:35:06,230 --> 00:35:08,106 to discuss hormone therapy. 655 00:35:08,106 --> 00:35:09,733 And here's a little something 656 00:35:09,733 --> 00:35:12,236 for when you want some alone time. 657 00:35:12,236 --> 00:35:13,904 I hear you'll have plenty of space 658 00:35:13,904 --> 00:35:15,739 at your new, fancy retirement community. 659 00:35:17,491 --> 00:35:19,785 Uh, the meds are going to help you feel like yourself again. 660 00:35:19,785 --> 00:35:21,495 And I don't mean the June of yesteryear, 661 00:35:21,495 --> 00:35:23,914 I mean the June who walked into this hospital 662 00:35:23,914 --> 00:35:25,666 with a twinkle in her eye. 663 00:35:25,666 --> 00:35:32,214 You know, after a certain age, women begin to feel invisible. 664 00:35:32,214 --> 00:35:36,426 But you made me feel anything but. 665 00:35:36,426 --> 00:35:38,679 Thank you, Dr. Wolf. 666 00:35:41,723 --> 00:35:43,976 - June. 667 00:35:43,976 --> 00:35:47,229 Lou, Walt, what are you doing here? 668 00:35:47,229 --> 00:35:48,772 We had to see about our best girl. 669 00:35:48,772 --> 00:35:52,734 Ah. Oh. 670 00:35:52,734 --> 00:35:56,780 We usually see any disease as inherently bad, 671 00:35:56,780 --> 00:35:58,574 a problem to fix. 672 00:35:58,574 --> 00:36:03,579 But in June's case, illness was also wellness. 673 00:36:03,579 --> 00:36:07,583 It opened up a part of her she'd buried a long time ago. 674 00:36:07,583 --> 00:36:09,084 Here's to being women who aren't afraid 675 00:36:09,084 --> 00:36:10,919 to get their needs met. 676 00:36:10,919 --> 00:36:14,506 Sometimes it's hard to tell other people what we want. 677 00:36:14,506 --> 00:36:17,551 Sometimes it's even harder to tell ourselves. 678 00:36:17,551 --> 00:36:20,596 Desire is a complicated emotion. 679 00:36:20,596 --> 00:36:24,099 It can lead to the highest highs 680 00:36:24,099 --> 00:36:26,435 and the lowest lows. 681 00:36:26,435 --> 00:36:30,188 All we can do is savor the peaks 682 00:36:30,188 --> 00:36:32,274 and tolerate the valleys. 683 00:36:32,274 --> 00:36:33,358 Morning. 684 00:36:35,193 --> 00:36:37,154 Where's Tom? 685 00:36:37,154 --> 00:36:39,698 He left early this morning. 686 00:36:39,698 --> 00:36:42,701 Uh, he-- he doesn't have class this morning. 687 00:36:42,701 --> 00:36:44,369 Not for school. 688 00:36:45,495 --> 00:36:47,205 He's on a plane. 689 00:36:47,205 --> 00:36:49,124 Heading back to London. 690 00:36:51,960 --> 00:36:53,253 He went home? 691 00:36:54,463 --> 00:36:55,547 Why? 692 00:36:56,882 --> 00:36:57,925 Mom. 693 00:36:57,925 --> 00:37:00,719 Sit down. Eat. 694 00:37:00,719 --> 00:37:02,471 Before your eggs get cold. 695 00:37:16,777 --> 00:37:19,279 What did you say to Dr. Nichols? 696 00:37:19,279 --> 00:37:20,822 Nothing that concerns you. 697 00:37:20,822 --> 00:37:22,699 I don't believe you. Why didn't you talk to me? 698 00:37:22,699 --> 00:37:25,827 I'm not the one insisting on this cold war. 699 00:37:25,827 --> 00:37:26,912 That's all you. 700 00:37:26,912 --> 00:37:28,497 When I was younger, 701 00:37:28,497 --> 00:37:31,416 you sent Tom away, the Oxford exchange student. 702 00:37:31,416 --> 00:37:34,294 What-- W-W-What about him? 703 00:37:34,294 --> 00:37:36,338 I woke up one morning, and he was gone. 704 00:37:36,338 --> 00:37:38,256 The day after you caught us kissing. 705 00:37:38,256 --> 00:37:41,343 Oliver, what is this about? 706 00:37:41,343 --> 00:37:43,178 You made me feel like I did something wrong, 707 00:37:43,178 --> 00:37:45,055 like there was something wrong with me. 708 00:37:45,055 --> 00:37:48,058 I sent Tom home because it was inappropriate. 709 00:37:48,058 --> 00:37:49,643 I was 18. He was 21. 710 00:37:49,643 --> 00:37:52,896 He was at a completely different stage of his life. 711 00:37:52,896 --> 00:37:56,483 You were confused and still grieving your father. 712 00:37:56,483 --> 00:37:58,276 Then why didn't you say that? 713 00:37:59,528 --> 00:38:01,238 Because by saying nothing, you implied 714 00:38:01,238 --> 00:38:02,823 that there was something about me that you didn't like. 715 00:38:02,823 --> 00:38:06,410 I felt rejected for years. 716 00:38:10,956 --> 00:38:13,083 I didn't say anything... 717 00:38:16,128 --> 00:38:18,630 ...or ask anything because I... 718 00:38:20,132 --> 00:38:22,050 ...I didn't want to know. 719 00:38:22,050 --> 00:38:24,386 It was a very different time. 720 00:38:24,386 --> 00:38:30,308 I was a doctor in New York City in the 1990s. 721 00:38:31,560 --> 00:38:37,566 And I had seen so much pain and suffering and death. 722 00:38:40,152 --> 00:38:43,613 And I was scared for you. 723 00:38:46,158 --> 00:38:48,160 I didn't know how to talk to you. 724 00:38:50,495 --> 00:38:53,749 Your father was always better at that than I was. 725 00:38:53,749 --> 00:38:57,169 You are my mother. 726 00:38:58,462 --> 00:38:59,921 After everything we had been through with him, 727 00:38:59,921 --> 00:39:02,466 why couldn't you see that I was finally happy again? 728 00:39:04,342 --> 00:39:07,345 You just ripped that away from me. 729 00:39:08,305 --> 00:39:10,348 I'm sorry. 730 00:39:10,348 --> 00:39:13,518 I was just trying to protect you. 731 00:39:15,062 --> 00:39:17,189 I didn't need protection. 732 00:39:19,232 --> 00:39:21,193 I needed love. 733 00:39:50,263 --> 00:39:53,016 ♪ Now, look at that road ♪ 734 00:39:53,016 --> 00:39:55,519 ♪ Look at that climb ♪ 735 00:39:55,519 --> 00:39:56,478 Hey. 736 00:39:56,478 --> 00:39:58,271 - Hey. - Uh, hey. 737 00:39:58,271 --> 00:40:00,774 Um, w-what-- Are you okay? 738 00:40:00,774 --> 00:40:03,610 Yeah, you're, uh, elevator broke again. 739 00:40:05,195 --> 00:40:06,530 Uh... 740 00:40:06,530 --> 00:40:07,823 Thanks. 741 00:40:07,823 --> 00:40:10,283 So they didn't have pea shoots, 742 00:40:10,283 --> 00:40:12,327 so I got the garlic cucumber, 743 00:40:12,327 --> 00:40:14,663 and, uh, I thought we'd start with "Episode IV" 744 00:40:14,663 --> 00:40:18,291 because the originals are way better than the prequels. 745 00:40:20,293 --> 00:40:22,838 Am I missing something? 746 00:40:22,838 --> 00:40:24,256 No. 747 00:40:25,423 --> 00:40:27,217 I just thought... 748 00:40:27,217 --> 00:40:30,679 life is short and, uh... 749 00:40:30,679 --> 00:40:31,596 Ah, screw it. 750 00:40:31,596 --> 00:40:33,515 ♪ Ah, ah, ah, ah, ah ♪ 751 00:40:33,515 --> 00:40:36,017 Wait. I thought you said you had feelings for Jacob. 752 00:40:36,017 --> 00:40:37,060 Uh, uh... 753 00:40:37,060 --> 00:40:38,395 ♪ Ah, ah, ah, ah, ah ♪ 754 00:40:38,395 --> 00:40:39,729 Yeah, don't-- don't answer that. 755 00:40:41,898 --> 00:40:44,609 ♪ Ah, ah, ah, ah, ah ♪ 756 00:40:46,653 --> 00:40:49,698 ♪ Ah, ah, ah, ah, ah ♪ 757 00:40:52,450 --> 00:40:56,288 Dr. Bowen, call 3-3-1. Dr. Bowen, 3-3-1. 758 00:40:57,122 --> 00:40:58,373 Hey. 759 00:41:00,625 --> 00:41:01,710 This... 760 00:41:02,627 --> 00:41:04,754 This isn't about grief for me. 761 00:41:05,589 --> 00:41:07,382 And I don't think it's about grief for you, either. 762 00:41:07,382 --> 00:41:09,217 We are doctors. We assess risk every day. 763 00:41:09,217 --> 00:41:11,553 We help patients and families make impossible decisions. 764 00:41:11,553 --> 00:41:14,097 We don't subscribe to leaps of faith. 765 00:41:14,097 --> 00:41:17,350 So I'd say our odds are 50/50, 766 00:41:17,350 --> 00:41:21,188 and pain is inevitable, but so is joy. 767 00:41:21,188 --> 00:41:25,567 And if this thing does implode, then we'll find a way to adapt. 768 00:41:25,567 --> 00:41:27,444 But I don't want to end something 769 00:41:27,444 --> 00:41:29,487 before it's even had a chance to begin. 770 00:41:30,780 --> 00:41:32,616 I want to try. 771 00:41:34,451 --> 00:41:36,870 I'd say our odds are more like 60/40. 772 00:41:40,081 --> 00:41:42,000 But you've proven me wrong before. 773 00:41:42,834 --> 00:41:44,836 - ♪ To lean on ♪ 774 00:41:44,836 --> 00:41:48,423 ♪ Wouldn't be good enough ♪ 775 00:42:21,373 --> 00:42:22,624 Greg, move your head.