1 00:00:07,007 --> 00:00:09,551 - Previously on The Resident... - You're making out a will? 2 00:00:09,635 --> 00:00:10,695 I realized I don't have one. 3 00:00:10,719 --> 00:00:11,762 You are not going to die. 4 00:00:11,845 --> 00:00:12,971 You can't promise me that. 5 00:00:13,055 --> 00:00:15,224 Chastain is performing mandatory drug testing 6 00:00:15,307 --> 00:00:16,558 on all doctors today. 7 00:00:19,061 --> 00:00:20,520 Positive. 8 00:00:20,604 --> 00:00:22,272 This hospital-wide drug test. 9 00:00:22,356 --> 00:00:23,690 Did you name my father? 10 00:00:23,774 --> 00:00:25,359 And I didn't break that confidence. 11 00:00:25,442 --> 00:00:26,985 I don't need you to save me. 12 00:00:27,069 --> 00:00:28,904 Baby number one is out. 13 00:00:30,155 --> 00:00:32,157 Baby number two. 14 00:00:32,241 --> 00:00:34,361 The babies are in the NICU if you want to go see them. 15 00:00:36,161 --> 00:00:38,121 I've been taking Oxaprozin for my back. 16 00:00:38,205 --> 00:00:39,456 It causes a false positive. 17 00:00:39,539 --> 00:00:40,767 Kit's asked me to stop taking them. 18 00:00:40,791 --> 00:00:41,875 I'll test again in a week. 19 00:00:41,959 --> 00:00:43,293 Just wanted you to know. 20 00:00:47,172 --> 00:00:48,483 So, how about some weather? 21 00:00:48,507 --> 00:00:49,567 Joanne, you there with our weather today? 22 00:00:49,591 --> 00:00:50,926 I don't hear water running. 23 00:00:52,386 --> 00:00:55,764 Those teeth aren't gonna clean themselves. 24 00:00:55,847 --> 00:00:58,684 Giorgiana Grace. Chop-chop. We're gonna be late. 25 00:01:01,937 --> 00:01:04,064 Gigi? 26 00:01:09,236 --> 00:01:10,654 Hey. 27 00:01:11,863 --> 00:01:14,074 What's all that hacking up here? 28 00:01:14,199 --> 00:01:16,451 I feel sick. 29 00:01:17,703 --> 00:01:20,080 You're not warm. Tell me what hurts. 30 00:01:20,163 --> 00:01:22,207 I think I have a cold. 31 00:01:25,585 --> 00:01:27,838 Oh, no. 32 00:01:27,921 --> 00:01:29,798 That sounds much worse than a cold. 33 00:01:29,881 --> 00:01:33,719 It sounds like you have Ferris Bueller Syndrome. 34 00:01:33,802 --> 00:01:35,554 What's that? 35 00:01:35,637 --> 00:01:38,849 It is a very rare disease where little boys and girls 36 00:01:38,932 --> 00:01:43,103 fake sick so they don't have to go to school. 37 00:01:43,186 --> 00:01:46,898 Sounds pretty serious to me. 38 00:01:48,233 --> 00:01:50,527 This isn't about school, is it? 39 00:01:50,610 --> 00:01:52,738 Sounds like someone's worried about 40 00:01:52,821 --> 00:01:55,115 their belt ceremony tonight. 41 00:01:55,198 --> 00:01:58,368 I don't want to do tae kwon do anymore. 42 00:01:58,452 --> 00:02:00,492 But you love tae kwon do. And you've worked so hard. 43 00:02:00,537 --> 00:02:02,873 Don't you want to get that cool yellow stripe on your belt? 44 00:02:02,956 --> 00:02:06,376 You only move up if you break the board. 45 00:02:06,460 --> 00:02:08,628 I've seen you do that routine a hundred times. 46 00:02:08,712 --> 00:02:10,088 What's the problem? 47 00:02:10,172 --> 00:02:13,091 And I will be there cheering you on the whole time. 48 00:02:13,175 --> 00:02:15,052 Okay? 49 00:02:15,135 --> 00:02:16,762 I'm sorry, Daddy. I can't do it. 50 00:02:36,698 --> 00:02:37,991 Come on. 51 00:02:39,910 --> 00:02:41,912 Come on. 52 00:02:56,134 --> 00:02:58,178 ♪ ♪ 53 00:03:23,161 --> 00:03:24,538 Morning, Tabitha. 54 00:03:24,621 --> 00:03:26,289 Ooh, love the hair. New highlights? 55 00:03:26,373 --> 00:03:28,083 - They are. - Mm. 56 00:03:28,166 --> 00:03:29,876 Funny, my husband didn't even notice. 57 00:03:29,960 --> 00:03:31,979 Sounds like your husband needs to get his eyes checked. 58 00:03:34,548 --> 00:03:36,550 Did something happen to your eyes? They're... 59 00:03:36,633 --> 00:03:37,634 black. 60 00:03:38,635 --> 00:03:40,762 Oh. Nothing. 61 00:03:40,846 --> 00:03:42,514 - Annual eye checkup. - Mm. 62 00:03:42,597 --> 00:03:44,808 That's what a few drops of tropicamide will do for you. 63 00:03:44,891 --> 00:03:46,351 Hmm. 64 00:03:46,435 --> 00:03:49,396 My cousin, his eyes used to be dilated like that. 65 00:03:49,479 --> 00:03:52,107 Turns out, he was in withdrawal at the time. 66 00:03:52,190 --> 00:03:53,900 You're not withdrawing from drugs now, 67 00:03:53,984 --> 00:03:55,110 are you, Dr. Sullivan? 68 00:03:55,193 --> 00:03:56,486 That's hilarious. 69 00:03:56,570 --> 00:03:57,770 You're hilarious. 70 00:03:57,821 --> 00:03:59,948 On that note, though, I-I do have 71 00:04:00,031 --> 00:04:02,159 an important operation that-that demands my attention 72 00:04:02,242 --> 00:04:03,160 this afternoon. I'm... 73 00:04:03,243 --> 00:04:04,369 I'm wondering if we can move 74 00:04:04,453 --> 00:04:06,013 that drug test up to earlier in the day. 75 00:04:06,079 --> 00:04:07,706 Ideally before noon? 76 00:04:07,789 --> 00:04:09,749 Oh, I'm sorry, Dr. Sullivan, 77 00:04:09,833 --> 00:04:11,769 but we outsource those tests to a third party company. 78 00:04:11,793 --> 00:04:14,171 They won't be here until your appointment at 4:00. 79 00:04:15,797 --> 00:04:17,716 That's a shame. 80 00:04:17,799 --> 00:04:20,343 But... I will make sure 81 00:04:20,427 --> 00:04:21,970 they're still here after your surgery. 82 00:04:22,053 --> 00:04:24,014 We will get you tested, Ian, don't you worry. 83 00:04:24,097 --> 00:04:26,099 - Thank you, Tabitha. - Mm-hmm. 84 00:04:27,267 --> 00:04:29,895 21-year-old woman with endocarditis 85 00:04:29,978 --> 00:04:31,563 in the setting of IV opiates. 86 00:04:31,646 --> 00:04:33,148 She's on broad spectrum antibiotics 87 00:04:33,231 --> 00:04:34,774 with stable hemodynamics. 88 00:04:34,858 --> 00:04:36,151 Diana, hi. 89 00:04:36,234 --> 00:04:38,987 I'm Dr. Sullivan. How are you feeling? 90 00:04:39,988 --> 00:04:41,406 My baby. 91 00:04:41,490 --> 00:04:43,783 Have you, have you seen, have you seen her? 92 00:04:43,867 --> 00:04:47,162 Diana gave birth to a baby girl late last night. 93 00:04:47,245 --> 00:04:49,206 What's your daughter's name? 94 00:04:49,289 --> 00:04:51,917 They won't let me see her. Is-is she okay? 95 00:04:52,000 --> 00:04:54,127 Looks like there's a Baby Jane Doe 96 00:04:54,211 --> 00:04:56,379 in the neonatal intensive care unit. 97 00:04:56,463 --> 00:04:57,672 I can pop by and check on her. 98 00:05:00,091 --> 00:05:02,427 It's my fault that she's suffering. 99 00:05:03,678 --> 00:05:06,890 Everybody told me that I would screw her up if I didn't stop. 100 00:05:06,973 --> 00:05:09,100 But I didn't. 101 00:05:09,184 --> 00:05:10,784 We'll get you a list of treatment centers 102 00:05:10,810 --> 00:05:13,021 once you're a little more stable. 103 00:05:14,648 --> 00:05:16,900 My baby needs her mama. 104 00:05:19,277 --> 00:05:20,904 I want to get clean. 105 00:05:20,987 --> 00:05:23,490 I believe you. 106 00:05:23,573 --> 00:05:27,244 But first we need to get this infection under control. 107 00:05:27,327 --> 00:05:29,538 We'll be back to check on you soon. 108 00:05:39,256 --> 00:05:41,925 Uh, let's do another blood culture on Diana. 109 00:05:42,008 --> 00:05:44,678 And run a CBC, ESR, and CRP. 110 00:05:46,012 --> 00:05:49,724 She's just so nice. And sad. 111 00:05:49,808 --> 00:05:52,936 - I feel bad for her. - So do I. 112 00:05:53,019 --> 00:05:55,063 But right now there are still drugs in her system. 113 00:05:55,146 --> 00:05:58,942 And once she starts withdrawal, Diana will not be as nice. 114 00:05:59,025 --> 00:06:00,652 You should prepare yourself for that. 115 00:06:00,735 --> 00:06:03,405 My uncle was the same way. 116 00:06:03,488 --> 00:06:04,840 He was a completely different person 117 00:06:04,864 --> 00:06:07,784 when he was trying to stop drinking. 118 00:06:07,867 --> 00:06:10,912 Addiction is a horrible disease. 119 00:06:10,996 --> 00:06:14,457 Sometimes fighting it can look just as ugly as feeding it. 120 00:06:18,086 --> 00:06:20,130 Is this about her nightmares again? 121 00:06:20,213 --> 00:06:22,173 Luckily, the nightmares seem to be a thing 122 00:06:22,257 --> 00:06:23,717 of the past. 123 00:06:23,800 --> 00:06:26,344 Gigi and I have a new challenge now. 124 00:06:26,428 --> 00:06:28,263 She needs some tough love. 125 00:06:28,346 --> 00:06:31,308 - So, can you cover for me? -Don't worry, man, I got you. 126 00:06:31,391 --> 00:06:33,101 You sure you don't mind? 127 00:06:33,184 --> 00:06:34,996 Well, it's either this or I'm washing cloth diapers 128 00:06:35,020 --> 00:06:36,730 to prep for the twins' homecoming. 129 00:06:36,813 --> 00:06:38,356 You're doing me a favor. 130 00:06:38,398 --> 00:06:40,066 All right. 131 00:06:40,150 --> 00:06:41,818 Thanks, man. I owe you. 132 00:06:41,901 --> 00:06:43,653 And tell Gigi I hope she feels better. 133 00:06:43,737 --> 00:06:45,780 - Will do. - Sorry, Daddy. 134 00:06:45,864 --> 00:06:48,408 Did I get you in trouble at work? 135 00:06:49,743 --> 00:06:51,745 No, you didn't. 136 00:06:51,828 --> 00:06:53,913 Uncle Devon's gonna cover for me. 137 00:06:53,997 --> 00:06:55,290 But don't think this means 138 00:06:55,373 --> 00:06:56,475 you're getting out of your belt ceremony. 139 00:06:56,499 --> 00:06:58,918 - But, Daddy... - No buts. 140 00:06:59,002 --> 00:07:00,754 Listen, we are gonna practice 141 00:07:00,837 --> 00:07:03,381 until you can do every single takedown in your sleep. 142 00:07:03,465 --> 00:07:04,716 Capisce? 143 00:07:04,799 --> 00:07:06,259 - Capisce. - All right. 144 00:07:06,343 --> 00:07:08,094 But you don't know tae kwon do. 145 00:07:08,178 --> 00:07:09,846 Well, then you better teach me. 146 00:07:09,929 --> 00:07:12,223 All right? Now let's go. 147 00:07:15,769 --> 00:07:16,996 What do you got for me, Feldman? 148 00:07:17,020 --> 00:07:18,539 34-year-old female with myasthenia gravis. 149 00:07:18,563 --> 00:07:20,541 Her parents brought her to the ED after finding her 150 00:07:20,565 --> 00:07:21,834 at the bottom of their staircase. 151 00:07:21,858 --> 00:07:24,027 Classic muscle weakness. Clearly an MG flare-up. 152 00:07:24,110 --> 00:07:26,404 But what caused the flare is your problem, not mine. 153 00:07:26,488 --> 00:07:28,907 This woman was diagnosed over six years ago. 154 00:07:28,990 --> 00:07:30,092 Myasthenia gravis is chronic, 155 00:07:30,116 --> 00:07:31,660 but she should be in remission by now. 156 00:07:31,743 --> 00:07:32,887 No, the treatments never worked. 157 00:07:32,911 --> 00:07:34,245 Her neuromuscular symptoms 158 00:07:34,329 --> 00:07:36,456 worsened to the point that she had to move back in 159 00:07:36,539 --> 00:07:38,500 -with her parents for full-time caretaking. - Hmm. 160 00:07:38,583 --> 00:07:40,752 Well, looks like I've got my work cut out for me. 161 00:07:40,835 --> 00:07:41,753 Yeah, you'll like Marty. 162 00:07:41,836 --> 00:07:43,838 She's a nerd. Like you. 163 00:07:43,963 --> 00:07:45,173 Then we can finally see 164 00:07:45,256 --> 00:07:47,342 if you can still hang with the real doctors. 165 00:07:51,763 --> 00:07:53,741 Attending to vocational counseling... 166 00:07:53,765 --> 00:07:55,433 Hi. 167 00:07:55,517 --> 00:07:58,812 I'm Dr. Pravesh. You must be Marty. 168 00:07:58,895 --> 00:08:02,524 Who is Marty? Why is Marty? 169 00:08:03,566 --> 00:08:05,402 I usually reserve my existential dread 170 00:08:05,485 --> 00:08:06,903 for the end of the day. 171 00:08:06,986 --> 00:08:09,280 But I think I can make an exception. 172 00:08:09,364 --> 00:08:11,282 I heard you took a little tumble. 173 00:08:11,366 --> 00:08:14,119 I didn't want to ask for help. 174 00:08:14,202 --> 00:08:16,955 When your 70-year-old parents have to get you to the bathroom 175 00:08:17,038 --> 00:08:20,125 every morning, you keep the requests to a minimum. 176 00:08:20,208 --> 00:08:21,626 At least when I'm in the hospital, 177 00:08:21,710 --> 00:08:23,586 they get a break from it all. 178 00:08:23,670 --> 00:08:25,672 Probably a nice break for you, too. 179 00:08:26,715 --> 00:08:28,317 Well, if I could help them out financially, 180 00:08:28,341 --> 00:08:29,843 I might feel a little bit better. 181 00:08:29,926 --> 00:08:31,428 But that's the one universal truth 182 00:08:31,511 --> 00:08:32,971 they don't tell you about. 183 00:08:33,054 --> 00:08:35,515 You can't get a job with a philosophy degree. 184 00:08:35,598 --> 00:08:37,934 Oh, it all makes sense. 185 00:08:38,017 --> 00:08:38,935 You're a truth seeker. 186 00:08:40,854 --> 00:08:42,772 Too bad the truth doesn't pay, huh? 187 00:08:42,856 --> 00:08:45,358 I'd like to get to the bottom of your myasthenia flare. 188 00:08:45,442 --> 00:08:46,776 So if you don't mind hanging out, 189 00:08:46,860 --> 00:08:49,612 I can admit you and run some tests, okay? 190 00:08:49,696 --> 00:08:52,657 Lucky for both of us, I got nowhere to be. 191 00:08:52,741 --> 00:08:54,659 I'll be back. 192 00:08:54,743 --> 00:08:56,161 All right. 193 00:08:58,037 --> 00:08:59,664 The twins look perfect. 194 00:08:59,748 --> 00:09:01,875 Healthy weight, strong heartbeats. 195 00:09:01,958 --> 00:09:04,461 I'd say this family can go home this afternoon. 196 00:09:04,544 --> 00:09:05,837 Ah, you hear that, Padma? 197 00:09:05,920 --> 00:09:08,298 We're finally breaking you guys out of here. 198 00:09:08,381 --> 00:09:11,050 That is music to my ears. Oh. 199 00:09:11,134 --> 00:09:12,486 I'll see you and the boys in a month. 200 00:09:12,510 --> 00:09:13,970 You need anything, you call. 201 00:09:14,053 --> 00:09:16,055 Thank you, Ian. 202 00:09:19,100 --> 00:09:21,853 Strong lungs on this one. 203 00:09:21,936 --> 00:09:23,188 She have a name? 204 00:09:23,271 --> 00:09:24,773 This is Jane. 205 00:09:24,856 --> 00:09:26,775 Well, that's what we're calling her. 206 00:09:26,858 --> 00:09:28,526 Typical NAS baby. She just... 207 00:09:28,610 --> 00:09:30,069 she can't get comfortable. 208 00:09:30,153 --> 00:09:31,446 Well, I'd be miserable, too, 209 00:09:31,529 --> 00:09:33,573 -if I was withdrawing from drugs. - Yeah. 210 00:09:33,656 --> 00:09:35,074 - May I? - Yes. 211 00:09:37,118 --> 00:09:41,164 I know it hurts, sweetie. Trust me, I know. 212 00:09:41,247 --> 00:09:42,415 Where's the mother? 213 00:09:42,499 --> 00:09:46,085 Admitted in ICU. Long-term heroin user. 214 00:09:46,169 --> 00:09:50,215 Although "mother" is not the word I would choose. 215 00:09:50,298 --> 00:09:52,008 Neural tube defect. 216 00:09:52,091 --> 00:09:54,636 Has anyone taken Jane for scans? 217 00:09:54,761 --> 00:09:56,405 Well, Dr. Lawrence said he would check her out 218 00:09:56,429 --> 00:09:58,223 after he got out of the OR. 219 00:09:58,306 --> 00:09:59,492 Unless you could take a look at her 220 00:09:59,516 --> 00:10:01,434 because I've had a really rough day today, 221 00:10:01,518 --> 00:10:03,269 and I just, I could really use your help. 222 00:10:05,438 --> 00:10:06,815 I'll be back for Jane. 223 00:10:06,898 --> 00:10:08,983 There's something I need to take care of. 224 00:10:17,867 --> 00:10:20,870 Dr. Sullivan, everything all right in there? 225 00:10:20,954 --> 00:10:23,373 All good, Susan. Out in a sec. 226 00:10:23,456 --> 00:10:25,875 Dr. Voss is out of the office today. 227 00:10:25,959 --> 00:10:27,353 She asked me to remind you about your follow-up 228 00:10:27,377 --> 00:10:28,294 this afternoon, the drug test. 229 00:10:28,378 --> 00:10:30,004 Yeah, of course. 230 00:10:30,088 --> 00:10:31,840 Drug test. Who could forget that? 231 00:10:31,923 --> 00:10:35,009 They'll be ready for you in the lab at 4:00. 232 00:10:35,093 --> 00:10:36,594 4:00. Can't wait. 233 00:10:39,222 --> 00:10:41,474 Oh, my God. 234 00:10:41,558 --> 00:10:44,185 Oh... Nine hours. 235 00:10:46,396 --> 00:10:48,940 Nine hours. 236 00:10:49,023 --> 00:10:50,900 Take your test, 237 00:10:50,984 --> 00:10:54,028 then all the pills you want. 238 00:10:57,117 --> 00:10:59,160 Less than a day old, and this little girl 239 00:10:59,244 --> 00:11:00,524 has already been through it all. 240 00:11:00,579 --> 00:11:01,764 Outside of her obvious spinal deformity, 241 00:11:01,788 --> 00:11:04,416 this is what concerns me the most. 242 00:11:04,499 --> 00:11:06,710 Proximity of her neural tissue to the skin. 243 00:11:06,793 --> 00:11:08,795 They're practically touching. 244 00:11:08,879 --> 00:11:11,006 Jane needs surgery, no doubt about that. 245 00:11:11,089 --> 00:11:12,799 Preferably sooner than later. 246 00:11:12,883 --> 00:11:16,511 I can book us an OR for noon, if that works for you. 247 00:11:16,595 --> 00:11:18,805 I-I'd rather do after 4:00. 248 00:11:18,889 --> 00:11:21,975 That gives us time to get an MRI under sedation. 249 00:11:22,058 --> 00:11:23,536 Well, the longer we wait, the more at-risk Jane is 250 00:11:23,560 --> 00:11:25,103 for a catastrophic CNS infection. 251 00:11:25,186 --> 00:11:27,039 Her immune system is way too fragile to fight that. 252 00:11:30,442 --> 00:11:32,652 Dr. Sullivan, are you feeling okay? 253 00:11:32,736 --> 00:11:35,113 It's like a sauna in here, don't you think? 254 00:11:36,197 --> 00:11:38,116 You know, you're right. 255 00:11:38,199 --> 00:11:39,951 Let's move forward with the surgery. 256 00:11:40,035 --> 00:11:42,162 I-I'll check my schedule. I'll get back to you. 257 00:11:47,626 --> 00:11:49,336 All right, on the count of three 258 00:11:49,419 --> 00:11:51,087 you can open your eyes. 259 00:11:51,171 --> 00:11:53,089 One... 260 00:11:53,173 --> 00:11:56,509 two... 261 00:11:56,593 --> 00:11:58,553 three. 262 00:12:00,096 --> 00:12:04,059 Grandmaster Hawkins' dojo is officially open. 263 00:12:04,184 --> 00:12:06,478 In Korea they call it a dojang. 264 00:12:06,561 --> 00:12:08,939 Yeah, well, my apologies to Korea. 265 00:12:09,022 --> 00:12:11,232 And you're not a grandmaster. 266 00:12:11,316 --> 00:12:14,611 We'll see about that. You ready? 267 00:12:18,907 --> 00:12:22,619 - Kamsahamnida. - Kamsahamnida. 268 00:12:27,457 --> 00:12:29,250 Protect yourself. 269 00:12:30,669 --> 00:12:33,672 - Kiai! - Kiai! 270 00:12:33,755 --> 00:12:34,923 Kiai... 271 00:12:36,299 --> 00:12:38,259 Now... 272 00:12:42,722 --> 00:12:45,433 Break the board, young Padawan. 273 00:12:45,517 --> 00:12:47,978 - Kiai! 274 00:12:48,061 --> 00:12:49,813 Daddy, are you okay? 275 00:12:49,896 --> 00:12:51,439 Yeah, I'm fine. 276 00:12:51,523 --> 00:12:53,400 I'll get my nurse's kit. 277 00:13:07,747 --> 00:13:10,000 Artificial urine? 278 00:13:17,132 --> 00:13:19,050 Okay, that's more like it. 279 00:13:21,511 --> 00:13:24,097 Hey, you're running point on Baby Jane Doe 280 00:13:24,180 --> 00:13:27,225 - in the NICU, right? - I am, yeah. Who-Who's asking? 281 00:13:27,308 --> 00:13:28,685 The mother. She's in my ICU. 282 00:13:28,768 --> 00:13:30,103 I promised I'd give her an update. 283 00:13:30,186 --> 00:13:33,023 How about I come down and talk to her? 284 00:13:33,106 --> 00:13:35,316 Great. Okay. 285 00:13:35,400 --> 00:13:36,943 - See you down there. - All right. 286 00:13:47,537 --> 00:13:49,080 I don't get it. 287 00:13:49,164 --> 00:13:52,625 My, my baby's spinal cord is outside of her body? 288 00:13:52,709 --> 00:13:54,502 Not exactly. 289 00:13:54,586 --> 00:13:57,505 Uh, a neural tube defect occurs 290 00:13:57,589 --> 00:14:00,050 when the fetus doesn't get 291 00:14:00,133 --> 00:14:01,843 enough folic acid during pregnancy. 292 00:14:01,926 --> 00:14:04,137 And when this happens, 293 00:14:04,220 --> 00:14:07,891 the-the lower part of the spine can't grow properly. 294 00:14:07,974 --> 00:14:10,310 - Folic acid? What is that? - Mm. 295 00:14:10,393 --> 00:14:12,187 No one told me anything about any vitamins. 296 00:14:12,270 --> 00:14:13,670 Well, you know what, they might have 297 00:14:13,772 --> 00:14:15,812 if you'd shown up for a single prenatal appointment. 298 00:14:17,484 --> 00:14:20,153 What's important is that Dr. Sullivan is going to 299 00:14:20,236 --> 00:14:21,881 repair the sac of fluid on your daughter's back. 300 00:14:21,905 --> 00:14:23,698 Mm-hmm. 301 00:14:23,782 --> 00:14:25,992 And me and my baby can go home? 302 00:14:26,076 --> 00:14:28,828 We will talk timelines once both of you 303 00:14:28,912 --> 00:14:31,039 are back on your feet. 304 00:14:40,632 --> 00:14:42,151 What you should have told her is that no doctor 305 00:14:42,175 --> 00:14:43,569 in their right mind would send a child home 306 00:14:43,593 --> 00:14:45,512 with an active heroin addict. 307 00:14:45,595 --> 00:14:47,305 And who would that help? 308 00:14:47,388 --> 00:14:48,765 Diana is suffering, too. 309 00:14:48,848 --> 00:14:50,225 She knows she hurt her daughter. 310 00:14:50,308 --> 00:14:52,352 Oh, does she? I heard she was out in the parking lot 311 00:14:52,435 --> 00:14:54,038 shooting up before she came in to deliver. 312 00:14:54,062 --> 00:14:57,482 And I'm horrified by that, but both mom and daughter are here 313 00:14:57,565 --> 00:15:00,068 because they had virtually no access to prenatal care. 314 00:15:00,151 --> 00:15:01,986 She was set up to fail from the start. 315 00:15:02,070 --> 00:15:04,405 I don't think she is in there beating herself up 316 00:15:04,489 --> 00:15:06,008 over what happens, and if you think she is, 317 00:15:06,032 --> 00:15:08,576 you have no idea how addiction works. 318 00:15:13,289 --> 00:15:14,600 Ever since Bell left for Minnesota, 319 00:15:14,624 --> 00:15:16,042 I feel like I've been coasting. 320 00:15:16,126 --> 00:15:19,003 No other surgeon has let me cut. 321 00:15:19,045 --> 00:15:20,588 I really need a challenge. 322 00:15:20,672 --> 00:15:22,549 You've got this, babe. 323 00:15:22,632 --> 00:15:27,178 That blood panel has really got your attention. 324 00:15:27,262 --> 00:15:28,930 Should I be jealous? 325 00:15:29,013 --> 00:15:31,391 I'm sorry. 326 00:15:31,474 --> 00:15:33,226 None of this makes any sense. 327 00:15:33,309 --> 00:15:34,686 Marty's in her mid-30s. 328 00:15:34,769 --> 00:15:35,955 There's no reason her disease should have progressed 329 00:15:35,979 --> 00:15:37,897 to need full-time caretaking. 330 00:15:37,981 --> 00:15:41,818 A lot of myasthenia patients respond to plasma transfusions. 331 00:15:41,901 --> 00:15:45,572 Except she's receiving plasma every six months. 332 00:15:45,655 --> 00:15:47,615 It helps until it doesn't, as does prednisone, 333 00:15:47,699 --> 00:15:50,451 azathioprine, mycophenolate, rituximab. 334 00:15:55,957 --> 00:15:59,502 Unless... the reason none of her treatments have worked 335 00:15:59,586 --> 00:16:03,381 is... is because we're treating the wrong thing. 336 00:16:03,464 --> 00:16:05,341 And by the way, if you want to cut again, 337 00:16:05,425 --> 00:16:08,011 try working with Nolan. 338 00:16:08,094 --> 00:16:09,512 Okay. 339 00:16:09,596 --> 00:16:11,931 I have to go. 340 00:16:14,934 --> 00:16:17,520 Marty, I think it's time we take a step back. 341 00:16:17,604 --> 00:16:20,940 Reassess the basis of why you're here. 342 00:16:21,024 --> 00:16:23,526 - Now who's the existential one? - What I mean is, 343 00:16:23,651 --> 00:16:26,321 have you ever considered that your original diagnosis 344 00:16:26,404 --> 00:16:29,115 could be flawed? 345 00:16:29,199 --> 00:16:33,494 What, like I don't have myasthenia? 346 00:16:33,578 --> 00:16:34,889 On paper you fit all of the criteria 347 00:16:34,913 --> 00:16:36,289 for myasthenia gravis. 348 00:16:36,372 --> 00:16:38,350 Wait, if I don't have it, then what's wrong with me? 349 00:16:38,374 --> 00:16:39,667 I have no idea. 350 00:16:41,502 --> 00:16:42,420 I'm sorry, Marty, I... 351 00:16:42,503 --> 00:16:45,048 I don't mean to overwhelm you. 352 00:16:49,427 --> 00:16:53,723 I've just always been someone who questions everything. 353 00:16:53,806 --> 00:16:55,892 Whether there's a God 354 00:16:55,975 --> 00:16:59,062 or if time is an illusion or... 355 00:17:01,272 --> 00:17:05,360 But I never once thought to question my diagnosis. 356 00:17:08,321 --> 00:17:10,782 You want answers, and I want to give them to you. 357 00:17:10,865 --> 00:17:14,661 This means we have to run a few more tests. 358 00:17:14,744 --> 00:17:17,956 All right. Let's do it. 359 00:17:22,460 --> 00:17:24,170 Let's get security on standby. 360 00:17:24,254 --> 00:17:25,755 That is my baby in there. 361 00:17:25,838 --> 00:17:27,257 You cannot take her from me. 362 00:17:27,340 --> 00:17:29,260 I understand this is upsetting, but we have to do 363 00:17:29,342 --> 00:17:31,094 what's best for Jane. 364 00:17:31,177 --> 00:17:32,696 You think going to a foster home is better than 365 00:17:32,720 --> 00:17:34,389 her own mother?! 366 00:17:35,431 --> 00:17:36,891 - She needs me. - We'll make sure 367 00:17:36,975 --> 00:17:38,851 - CPS finds her a safe home. - No. 368 00:17:38,935 --> 00:17:39,852 This isn't permanent, okay? 369 00:17:39,936 --> 00:17:42,188 You can still make this right. 370 00:17:42,272 --> 00:17:43,273 It hurts. 371 00:17:43,356 --> 00:17:45,024 It all hurts! 372 00:17:45,108 --> 00:17:46,192 I know. I know, Diana, 373 00:17:46,276 --> 00:17:48,987 but you can still get clean. Okay? 374 00:17:49,070 --> 00:17:51,823 Diana? 375 00:17:51,906 --> 00:17:53,283 What's going on? 376 00:17:53,366 --> 00:17:56,160 She's in shock. Likely sepsis from the endocarditis. 377 00:17:56,244 --> 00:17:57,704 I need a norepi drip 378 00:17:57,787 --> 00:17:59,622 and an intubation kit in here now. 379 00:18:05,378 --> 00:18:06,879 Is she gonna be okay? 380 00:18:06,963 --> 00:18:09,549 Diana has a lot to make up for. 381 00:18:09,632 --> 00:18:11,634 We're not giving up on her just yet. 382 00:18:16,850 --> 00:18:20,103 Pupils are reactive. That's a good sign. 383 00:18:20,187 --> 00:18:22,898 BP is still low. The pressors aren't enough. 384 00:18:22,981 --> 00:18:24,691 Hand me that ultrasound. 385 00:18:32,199 --> 00:18:33,700 What is it? 386 00:18:33,784 --> 00:18:35,369 Diana has a splenomegaly. 387 00:18:35,452 --> 00:18:38,163 Why would her spleen be enlarged? 388 00:18:38,247 --> 00:18:39,623 It's hard to say for sure, 389 00:18:39,706 --> 00:18:41,541 so we need to get her to Imaging to confirm. 390 00:18:41,625 --> 00:18:44,920 We can't move her like this. She-she could crash again. 391 00:18:45,003 --> 00:18:46,397 She will eventually if we don't get a clearer picture 392 00:18:46,421 --> 00:18:47,547 of what's going on. 393 00:18:47,631 --> 00:18:51,635 Page Dr. Devi and tell her to meet us in CT. 394 00:19:01,061 --> 00:19:02,729 Scans are up. 395 00:19:08,485 --> 00:19:10,988 Well, the refractory fever makes more sense. 396 00:19:11,071 --> 00:19:13,699 I don't think I've ever seen a spleen with so many abscesses. 397 00:19:13,782 --> 00:19:16,243 The bacteria from her heart has metastasized into clots, 398 00:19:16,326 --> 00:19:17,995 moving from one organ to the next. 399 00:19:18,078 --> 00:19:20,455 A splenectomy might be her only option. 400 00:19:20,539 --> 00:19:23,583 - Will she even survive a surgery? - Maybe. 401 00:19:23,667 --> 00:19:24,960 Maybe not. 402 00:19:25,043 --> 00:19:26,169 Looking at these scans, 403 00:19:26,253 --> 00:19:28,547 I doubt she'll survive without it either. 404 00:19:28,630 --> 00:19:30,299 She's your patient. 405 00:19:30,382 --> 00:19:32,884 What do you want to do? 406 00:19:34,219 --> 00:19:37,347 You're right. Let's do the surgery. 407 00:19:41,184 --> 00:19:42,686 Thank you. 408 00:19:42,769 --> 00:19:44,062 Hey. 409 00:19:44,146 --> 00:19:46,440 Can you spare a second to pick your brain? 410 00:19:46,523 --> 00:19:48,900 - Shoot. - My patient, she's 34 411 00:19:48,984 --> 00:19:51,862 and diagnosed with myasthenia gravis years ago. 412 00:19:51,945 --> 00:19:53,405 That's a rough one. 413 00:19:53,488 --> 00:19:54,799 But at least the prognosis is decent. 414 00:19:54,823 --> 00:19:56,384 Except hers isn't, which is why I questioned 415 00:19:56,408 --> 00:19:58,076 if she was misdiagnosed. 416 00:19:58,160 --> 00:19:59,411 Okay, I hear you. 417 00:19:59,494 --> 00:20:00,829 Have you tested her yourself? 418 00:20:00,912 --> 00:20:02,497 Blood test, edrophonium test. 419 00:20:02,581 --> 00:20:04,124 All point back to myasthenia. 420 00:20:04,207 --> 00:20:06,209 None explain why her muscle weakness 421 00:20:06,293 --> 00:20:07,878 isn't responding to treatment. 422 00:20:07,961 --> 00:20:11,757 Well, maybe the weakness isn't coming from her muscles at all. 423 00:20:11,840 --> 00:20:15,135 If that's true, an electromyography could confirm. 424 00:20:15,218 --> 00:20:17,030 An EMG will tell you if your patient's weakness 425 00:20:17,054 --> 00:20:19,681 is coming from her muscles or her nerve cells. 426 00:20:19,765 --> 00:20:21,200 If it turns out to be a muscle issue, 427 00:20:21,224 --> 00:20:23,060 then she most likely has myasthenia gravis. 428 00:20:23,143 --> 00:20:25,937 But if the EMG proves the nerve cells are responsible, 429 00:20:26,021 --> 00:20:27,564 there's no way she has myasthenia. 430 00:20:27,647 --> 00:20:30,484 An EMG is an incredibly invasive procedure. 431 00:20:30,567 --> 00:20:33,028 Not to mention excruciatingly painful. 432 00:20:33,111 --> 00:20:35,280 Yes, but if the result is what I think it is, 433 00:20:35,364 --> 00:20:37,949 we could potentially cure her symptoms. 434 00:20:38,033 --> 00:20:39,201 You know, Devon, some people 435 00:20:39,284 --> 00:20:40,660 just don't respond to treatment. 436 00:20:40,744 --> 00:20:42,454 We never know why. 437 00:20:42,579 --> 00:20:44,623 Are you sure this is more than a hunch? 438 00:20:44,706 --> 00:20:46,458 My patient wants answers. 439 00:20:46,541 --> 00:20:49,586 She'll do whatever it takes to get them, and so will I. 440 00:20:49,669 --> 00:20:50,921 So, can you do it? 441 00:20:51,004 --> 00:20:52,440 I just hope, for your patient's sake, 442 00:20:52,464 --> 00:20:54,049 this is worth it. 443 00:21:01,348 --> 00:21:03,183 Are you waiting on Postmates, too? 444 00:21:03,266 --> 00:21:07,562 Yep. Should be here any minute. 445 00:21:07,646 --> 00:21:09,082 Hope it's not one of those ghost kitchens. 446 00:21:09,106 --> 00:21:12,109 I've had my fair share of pad thai that never showed up. 447 00:21:12,192 --> 00:21:15,112 Yeah, that-that won't be a problem. 448 00:21:23,245 --> 00:21:25,497 You got to be kidding me. 449 00:21:25,580 --> 00:21:28,166 Yeah, ghost kitchen strikes again. 450 00:21:31,670 --> 00:21:33,713 All right, this is gonna hurt, 451 00:21:33,797 --> 00:21:36,258 but then the worst part will be over. 452 00:21:43,974 --> 00:21:46,309 Why is Billie doing an EMG on our patient? 453 00:21:46,393 --> 00:21:48,687 You mean my patient, and this is the only way 454 00:21:48,770 --> 00:21:50,856 to pinpoint where Marty's weakness is coming from. 455 00:21:50,939 --> 00:21:51,999 We know where her weakness is from. 456 00:21:52,023 --> 00:21:54,359 She has myasthenia gravis. 457 00:21:54,443 --> 00:21:56,069 I'm not so sure about that. 458 00:21:56,153 --> 00:21:58,697 - My gut is telling me something else is going on. - Hold up. 459 00:21:58,780 --> 00:22:00,282 You're saying dozens of neurologists 460 00:22:00,365 --> 00:22:03,076 who've all diagnosed Marty with myasthenia are wrong, 461 00:22:03,160 --> 00:22:05,162 all because you have a Spidey-sense? 462 00:22:05,245 --> 00:22:08,707 I'm sure those doctors made the best diagnoses they could 463 00:22:08,790 --> 00:22:10,792 with the information they had, 464 00:22:10,876 --> 00:22:11,894 but the inefficacies of the treatments... 465 00:22:11,918 --> 00:22:13,920 This isn't about the treatments, Pravesh. 466 00:22:14,004 --> 00:22:15,314 This is about you treating a patient 467 00:22:15,338 --> 00:22:18,550 like one of your little science experiments. 468 00:22:18,633 --> 00:22:20,802 Look, I know you don't think I'm a real doctor anymore, 469 00:22:20,886 --> 00:22:24,097 but I am actually trying to help my patient. 470 00:22:25,765 --> 00:22:28,226 Does that look like it's helping, Devon? 471 00:22:28,310 --> 00:22:31,855 If you ask me, all your clinical trials 472 00:22:31,938 --> 00:22:34,524 have desensitized you to what real harm looks like. 473 00:22:34,608 --> 00:22:37,319 That right there. That's it. 474 00:22:44,953 --> 00:22:47,581 Let's check that balance, check that balance. Here we go. 475 00:22:47,664 --> 00:22:49,207 Okay, we go one, one. And two, two. 476 00:22:49,291 --> 00:22:50,459 That'd be three. Okay. 477 00:22:50,584 --> 00:22:52,627 Four! Four! Kick. 478 00:22:52,711 --> 00:22:54,171 Okay, here we go. 479 00:22:54,254 --> 00:22:56,506 - Kiai. Kiai. -Gigi. 480 00:22:56,590 --> 00:22:59,676 ♪ Why you gotta be always talking in my face ♪ 481 00:22:59,759 --> 00:23:02,345 -♪ Talking in my face? ♪ - Here we go. One. - Kiai! 482 00:23:02,429 --> 00:23:03,346 Again. One. One. Come on, right here. 483 00:23:03,430 --> 00:23:05,098 Ah! One more, one more. 484 00:23:05,182 --> 00:23:07,309 Ah, oh, God, you got me. 485 00:23:07,392 --> 00:23:08,935 Oh, God, you got me. You got me. 486 00:23:09,019 --> 00:23:10,687 - Kiai! Kiai! -Oh, God. 487 00:23:10,770 --> 00:23:12,647 Oh, so strong. I'll fight back. 488 00:23:12,731 --> 00:23:13,749 - I'm gonna fight back. - Kiai! Kiai! 489 00:23:13,773 --> 00:23:16,234 - I'm gonna fight back. - Kiai! 490 00:23:17,360 --> 00:23:19,988 Yeah, time-out, time-out. 491 00:23:20,071 --> 00:23:21,573 Phone call. 492 00:23:23,074 --> 00:23:24,910 Hurry back, Dad. 493 00:23:24,993 --> 00:23:28,288 We have more pummeling to do! 494 00:23:28,371 --> 00:23:29,372 Oh, boy. 495 00:23:32,083 --> 00:23:33,752 So, what, you gonna leave Chastain 496 00:23:33,835 --> 00:23:35,587 and become a karate instructor? 497 00:23:35,670 --> 00:23:37,589 Tae kwon do, technically. 498 00:23:37,672 --> 00:23:39,025 Turns out it's harder than it looks. 499 00:23:39,049 --> 00:23:40,091 Gigi did that to you? 500 00:23:40,175 --> 00:23:41,843 It wasn't my fault. 501 00:23:41,927 --> 00:23:45,180 The Popsicle-stick splint says otherwise. 502 00:23:45,263 --> 00:23:46,890 How are things going over there? 503 00:23:46,973 --> 00:23:49,184 How much time do you have? 504 00:23:49,267 --> 00:23:51,436 Talk to me. 505 00:23:51,520 --> 00:23:53,813 I have this patient who I thought for sure 506 00:23:53,897 --> 00:23:57,108 was misdiagnosed with myasthenia gravis... 507 00:23:57,150 --> 00:23:58,485 so I did an EMG. 508 00:23:58,568 --> 00:24:01,196 Okay. What did it tell you? 509 00:24:01,279 --> 00:24:03,323 Nothing. It only reconfirmed 510 00:24:03,406 --> 00:24:04,783 her original diagnosis. 511 00:24:04,866 --> 00:24:08,745 You know, I keep asking myself where the line is. 512 00:24:08,828 --> 00:24:11,748 How far do I push before what I thought 513 00:24:11,831 --> 00:24:14,960 was helping is actually harming someone? 514 00:24:15,043 --> 00:24:17,254 Trust your instincts. What's your gut say? 515 00:24:22,133 --> 00:24:23,635 That I got to keep digging. 516 00:24:23,718 --> 00:24:26,137 Then you have your answer. I should probably go. 517 00:24:26,221 --> 00:24:28,557 I've got time for about six more kicks to the chest 518 00:24:28,640 --> 00:24:30,225 before Gigi's ceremony tonight. 519 00:24:31,810 --> 00:24:33,770 Wait, hold on. Say that again. 520 00:24:33,853 --> 00:24:35,063 Say what? 521 00:24:35,146 --> 00:24:36,791 That I got about six more kicks to the chest 522 00:24:36,815 --> 00:24:38,316 before Gigi's ceremony? 523 00:24:38,400 --> 00:24:40,610 Keep digging, my friend. I got to go. 524 00:24:43,113 --> 00:24:46,324 Dr. Pravesh, I know I said I wanted answers, 525 00:24:46,408 --> 00:24:50,120 but I'm not sure how much more of this I can take. 526 00:24:50,203 --> 00:24:52,372 I know, Marty. This'll be the last thing. 527 00:24:52,455 --> 00:24:54,374 I promise. It'll be painless. 528 00:24:56,334 --> 00:24:58,670 I'll be back. 529 00:25:10,098 --> 00:25:12,142 Listen, I'm sorry I came on so strong, 530 00:25:12,225 --> 00:25:14,144 but I won't apologize for what I said. 531 00:25:14,227 --> 00:25:16,479 Neither will I. 532 00:25:17,647 --> 00:25:20,442 I want to hear you out, Devon. 533 00:25:20,525 --> 00:25:22,944 So tell me, what exactly is it you expect to find? 534 00:25:27,991 --> 00:25:29,576 That. 535 00:25:31,745 --> 00:25:33,622 You're kidding, right? 536 00:25:33,705 --> 00:25:36,166 You know if you do a full body scan of anyone, 537 00:25:36,249 --> 00:25:37,685 you're gonna find something somewhere. 538 00:25:37,709 --> 00:25:39,629 It's an incidentaloma. It doesn't prove anything. 539 00:25:39,669 --> 00:25:42,005 Not yet. But a biopsy will confirm 540 00:25:42,088 --> 00:25:44,466 that Marty has lung cancer. 541 00:25:44,549 --> 00:25:46,843 Years ago, a trial was conducted 542 00:25:46,926 --> 00:25:48,386 to study a small-cell lung cancer 543 00:25:48,470 --> 00:25:50,597 that was known to mimic neuromuscular symptoms. 544 00:25:50,680 --> 00:25:51,720 All right, so you're saying 545 00:25:51,765 --> 00:25:53,808 it could imitate myasthenia gravis. 546 00:25:53,892 --> 00:25:55,769 It's nearly indistinguishable. 547 00:25:55,852 --> 00:25:57,729 But it wouldn't respond to myasthenia treatment 548 00:25:57,812 --> 00:26:00,565 because it's not a neuromuscular disease at all. 549 00:26:00,649 --> 00:26:02,233 Well, I'll be damned. 550 00:26:03,735 --> 00:26:05,862 Looks like you're still a real doctor after all. 551 00:26:21,378 --> 00:26:23,338 Oh, there you are. 552 00:26:23,421 --> 00:26:25,548 Dr. Sutton's looking for you. 553 00:26:25,632 --> 00:26:27,175 You don't look good, Dr. Sullivan. 554 00:26:27,258 --> 00:26:29,761 Yeah, just a little heartburn. I-I must have eaten too fast. 555 00:26:29,844 --> 00:26:31,763 Okay, well, why don't you sit down? 556 00:26:31,846 --> 00:26:33,240 - You know, I can't, I got to get going. I'm good. - I can help you. 557 00:26:33,264 --> 00:26:34,683 - Okay. - Thank you. Thank you. 558 00:26:34,766 --> 00:26:36,810 Stay here. I'll get you some water. 559 00:26:36,893 --> 00:26:39,896 Everything's fine. 560 00:26:43,108 --> 00:26:44,609 They're taking Jane to the OR. 561 00:26:44,693 --> 00:26:47,696 - We have to go now. - Why? What happened? 562 00:26:47,779 --> 00:26:49,406 She's showing signs of encephalitis. 563 00:26:49,489 --> 00:26:51,783 It's now or never. 564 00:26:53,201 --> 00:26:54,786 All right, 3:55. I need ten minutes 565 00:26:54,869 --> 00:26:56,162 I'll meet you there. 566 00:26:56,246 --> 00:26:58,046 We don't have ten minutes, Ian, you know that. 567 00:26:58,123 --> 00:27:00,458 Okay, five minutes. Start without me. 568 00:27:07,841 --> 00:27:10,301 I have an appointment for Ian Sullivan, 4:00 p.m. 569 00:27:10,385 --> 00:27:11,696 Our technician is stuck in traffic, 570 00:27:11,720 --> 00:27:12,822 so we're running a little late. 571 00:27:12,846 --> 00:27:14,764 He's not here? No, that's not possible. 572 00:27:14,848 --> 00:27:16,641 I have a 4:00 p.m. It's 4:00 now. 573 00:27:16,725 --> 00:27:18,577 I'm sorry for the delay, but if you just take a seat... 574 00:27:18,601 --> 00:27:19,811 No, I'm not taking a seat. 575 00:27:19,894 --> 00:27:21,580 I've been waiting all day for the damn test. 576 00:27:21,604 --> 00:27:24,274 I have a newborn, a little girl waiting for me right now. 577 00:27:24,357 --> 00:27:25,900 Can we please do the test? 578 00:27:25,984 --> 00:27:27,944 You can fill this out while you wait. 579 00:27:45,879 --> 00:27:48,256 Will Dr. Sullivan be joining us? 580 00:28:12,781 --> 00:28:14,657 Okay, let's do this, please. 581 00:28:14,741 --> 00:28:16,594 - Just a few more minutes, sir. - I just need to pee in a cup. 582 00:28:16,618 --> 00:28:18,453 What could possibly take so long?! 583 00:28:18,536 --> 00:28:20,789 Just a few more minutes. 584 00:28:33,259 --> 00:28:36,095 Oh, screw this. 585 00:28:45,396 --> 00:28:47,106 Jane's vitals are starting to dip. 586 00:28:47,190 --> 00:28:49,734 - Should we wait, or... - No. 587 00:28:49,818 --> 00:28:51,736 Let's get started. 588 00:28:53,530 --> 00:28:55,698 Scalpel to me. 589 00:29:06,000 --> 00:29:07,752 Dad, we need to talk. 590 00:29:07,836 --> 00:29:10,922 I can't right now, dear, I've got to get going. 591 00:29:11,005 --> 00:29:13,341 Earlier with a patient, you were having trouble. 592 00:29:13,424 --> 00:29:15,844 You were forgetting things. And it's been weighing on me. 593 00:29:15,927 --> 00:29:19,222 I've got surgery now, Cade. I can't do this right now. Okay? 594 00:29:19,305 --> 00:29:21,140 I don't think you should be operating. 595 00:29:21,224 --> 00:29:22,743 This is exactly why I didn't want to tell you 596 00:29:22,767 --> 00:29:24,811 about the Oxaprozin. Anything I do now 597 00:29:24,894 --> 00:29:25,812 is gonna be under your little microscope. 598 00:29:25,895 --> 00:29:27,095 Well, can you really blame me. 599 00:29:27,146 --> 00:29:30,650 - I am worried about you. - Do not patronize me! 600 00:29:31,651 --> 00:29:33,319 Is that why you came in here? 601 00:29:33,403 --> 00:29:35,864 Comb through all my past. Okay, fine, let's to that, then. 602 00:29:35,947 --> 00:29:37,907 Okay, you're being irrational. Just calm down. 603 00:29:37,991 --> 00:29:38,908 Do you want me to admit it? 604 00:29:38,992 --> 00:29:40,159 I was a terrible father? 605 00:29:40,243 --> 00:29:41,595 That's what you tell all your friends, right? I... 606 00:29:41,619 --> 00:29:43,079 You tell them I was a deadbeat. 607 00:29:43,162 --> 00:29:45,099 - You had to raise yourself, right? - No, that's not fair. 608 00:29:45,123 --> 00:29:46,851 - I-I never meant that you... - You know, Cade, 609 00:29:46,875 --> 00:29:48,155 sometimes you are not the victim. 610 00:29:48,209 --> 00:29:49,502 Sometimes you are the problem. 611 00:29:49,586 --> 00:29:51,963 You make everyone around you feel like a failure, 612 00:29:52,046 --> 00:29:53,756 Miss High and Mighty. 613 00:29:53,840 --> 00:29:55,258 Do you have any idea 614 00:29:55,341 --> 00:29:57,802 what having a daughter like that does to a man? 615 00:29:59,637 --> 00:30:02,724 I'm sorry I'm such a disappointment to you, Ian. 616 00:30:29,127 --> 00:30:31,796 And that concludes time-out. 617 00:30:31,880 --> 00:30:33,691 Does anyone have any questions before we begin? 618 00:30:33,715 --> 00:30:37,677 Unrelated, but does anybody have a bidet that they can recommend? 619 00:30:37,760 --> 00:30:42,765 Dr. Nolan, we are ready to proceed with the splenectomy. 620 00:30:42,849 --> 00:30:44,392 Splenect-away, Dr. Devi. 621 00:30:44,475 --> 00:30:45,810 If you screw up, I'll scrub in. 622 00:30:45,894 --> 00:30:48,187 Just do me a favor and don't 623 00:30:48,271 --> 00:30:51,733 splat yourself all over the pavement. 624 00:30:53,109 --> 00:30:55,570 Looks like you're flying solo today, Dr. Devi. 625 00:30:59,115 --> 00:31:02,160 Scalpel. 626 00:31:08,333 --> 00:31:10,418 Oh. About time. 627 00:31:10,501 --> 00:31:12,061 Where the hell have you been? 628 00:31:18,301 --> 00:31:21,012 Vitals are dropping. Should we push more epinephrine? 629 00:31:24,098 --> 00:31:26,327 Look, I don't know what is going on with you, Ian, 630 00:31:26,351 --> 00:31:27,685 but pull it together. 631 00:31:27,769 --> 00:31:30,813 Jane needs you. 632 00:31:34,108 --> 00:31:36,194 Ian! 633 00:31:51,084 --> 00:31:53,211 - Fever's spiking. - Sepsis is worsening. 634 00:31:53,294 --> 00:31:54,605 We have to move fast. Clamps to me. 635 00:31:54,629 --> 00:31:57,423 Diana's going into A-fib. 636 00:31:57,507 --> 00:31:59,443 You hear those alarms, Devi? You tried, and you failed. 637 00:31:59,467 --> 00:32:01,320 - I am scrubbing in. - This was always a risk. 638 00:32:01,344 --> 00:32:03,179 Let me get her heart rate under control. 639 00:32:03,262 --> 00:32:05,390 She's too sick. Stop the surgery, cardiovert now. 640 00:32:05,473 --> 00:32:08,309 The only way through is to do the surgery. Stapler to me, now. 641 00:32:08,393 --> 00:32:10,436 If you do not get her rate down, she is going to... 642 00:32:10,520 --> 00:32:12,605 She's going to make it. 643 00:32:19,028 --> 00:32:21,698 Heart rate and temperature normalizing. 644 00:32:21,781 --> 00:32:23,491 Great work, Dr. Devi. 645 00:32:23,574 --> 00:32:26,577 See? You can get back 646 00:32:26,661 --> 00:32:28,579 to your bidet now. 647 00:32:30,957 --> 00:32:33,084 With pleasure. 648 00:32:38,339 --> 00:32:41,926 All right, carry your incision down into the meningeal sac. 649 00:32:42,010 --> 00:32:44,929 That's it. Mobilize the nerve roots. 650 00:32:45,013 --> 00:32:46,931 Dr. Sullivan, this is your specialty. 651 00:32:47,015 --> 00:32:48,349 Dr. Sutton can handle it. 652 00:32:48,433 --> 00:32:50,893 Okay, now use your sutures. 653 00:32:50,977 --> 00:32:54,856 Delicately fold the neural placode into the spine. 654 00:33:01,571 --> 00:33:05,533 I know my way around a spine, but not one this small. 655 00:33:05,616 --> 00:33:07,535 Jessica's right. You should take over. 656 00:33:07,618 --> 00:33:11,539 - You're doing fine. Just keep going. - I will. 657 00:33:11,622 --> 00:33:14,167 But if Jane dies on this table, it's on you. 658 00:33:21,883 --> 00:33:24,844 Okay. 7-0 Prolene to me, please. 659 00:33:24,927 --> 00:33:28,139 Better late than never, I suppose. 660 00:33:28,222 --> 00:33:30,099 See if you can get me some exposure here. 661 00:33:30,183 --> 00:33:33,311 Retract the skin edges, please. 662 00:33:35,188 --> 00:33:37,106 All right. 663 00:33:37,190 --> 00:33:39,567 - You see that little guy? - Mm-hmm. 664 00:33:39,650 --> 00:33:41,486 - The filum terminale? - It tethers the spine, 665 00:33:41,611 --> 00:33:44,697 as you know, but now we need to cut it, okay? 666 00:33:44,781 --> 00:33:46,324 Place back in the nerves 667 00:33:46,407 --> 00:33:48,743 and then close the dura and the fascia. 668 00:33:48,826 --> 00:33:51,037 You with me, Sutton? 669 00:33:52,121 --> 00:33:54,540 Lead the way. 670 00:33:54,624 --> 00:33:56,626 Ah. 671 00:34:03,216 --> 00:34:06,219 It's official. You don't have myasthenia gravis. 672 00:34:06,302 --> 00:34:08,805 But I have cancer. 673 00:34:08,888 --> 00:34:13,768 Yes. A paraneoplastic syndrome called Lambert-Eaton. 674 00:34:13,851 --> 00:34:16,312 It explains why your neuromuscular symptoms 675 00:34:16,395 --> 00:34:18,773 were worsening with the myasthenia treatment. 676 00:34:23,736 --> 00:34:27,865 Look, I know cancer is never good news. 677 00:34:27,949 --> 00:34:30,389 But now that we know what we're dealing with, we can fight it. 678 00:34:30,451 --> 00:34:32,411 And we happen to have excellent weapons 679 00:34:32,495 --> 00:34:34,455 against this particular type. 680 00:34:34,539 --> 00:34:36,874 I'm not going to lie to you, Marty. It's a long road ahead. 681 00:34:36,958 --> 00:34:39,544 But if we stay the path, in a few years, there's a chance 682 00:34:39,627 --> 00:34:42,839 that you can gain some of your independence back. 683 00:34:44,924 --> 00:34:47,218 You mean, I could move out of my parents' house? 684 00:34:50,471 --> 00:34:52,098 Take care of them for a change? 685 00:34:52,181 --> 00:34:54,142 The point is, you've had the wrong treatment 686 00:34:54,225 --> 00:34:55,852 for the wrong problem, 687 00:34:55,935 --> 00:34:58,020 and it was only going to get worse. 688 00:34:58,104 --> 00:35:00,106 Now there's hope. 689 00:35:07,238 --> 00:35:09,240 Thank you. 690 00:35:21,961 --> 00:35:25,756 Your training is complete, young Padawan. 691 00:35:25,840 --> 00:35:28,176 You ready to get that yellow stripe? 692 00:35:28,259 --> 00:35:30,428 In class last week, 693 00:35:30,511 --> 00:35:32,722 I couldn't break the board. 694 00:35:32,805 --> 00:35:34,932 And some of the kids laughed at me. 695 00:35:35,016 --> 00:35:36,392 That's not very nice. 696 00:35:36,475 --> 00:35:38,352 We all fail sometimes. That's how we learn. 697 00:35:38,436 --> 00:35:41,772 But you never fail at anything, Daddy. 698 00:35:41,856 --> 00:35:43,524 Oh, yes, I do. 699 00:35:43,608 --> 00:35:45,526 All the time. I just... 700 00:35:45,610 --> 00:35:47,612 I just don't give up. 701 00:35:47,695 --> 00:35:50,364 Remember when you thought you'd never sleep in this bed again? 702 00:35:51,407 --> 00:35:53,409 Because of all the nightmares? 703 00:35:55,411 --> 00:35:57,496 I remember. It was scary. 704 00:35:57,580 --> 00:36:00,291 Yeah, but now you sleep by yourself every night. 705 00:36:00,374 --> 00:36:03,878 Because you were brave enough to try again. 706 00:36:05,463 --> 00:36:08,341 It doesn't matter if you break some stupid board. 707 00:36:08,424 --> 00:36:11,385 What matters is that you keep trying. 708 00:36:11,469 --> 00:36:13,804 - Capisce? - Capisce. 709 00:36:21,145 --> 00:36:23,856 Jane will be okay. 710 00:36:23,940 --> 00:36:26,400 But that could've ended very badly. 711 00:36:26,484 --> 00:36:28,903 Thanks for holding down the fort. 712 00:36:28,986 --> 00:36:30,821 I shouldn't have had to. 713 00:36:30,905 --> 00:36:33,032 What happened back there, Ian? 714 00:36:34,075 --> 00:36:35,576 Well, long story short, 715 00:36:35,660 --> 00:36:38,287 I was sick and now I'm not. 716 00:36:38,371 --> 00:36:41,165 Well, someday, I want the long story. 717 00:36:41,249 --> 00:36:43,542 Because that can never happen again. 718 00:36:43,626 --> 00:36:45,253 It won't. 719 00:36:45,336 --> 00:36:46,879 I assure you. 720 00:36:46,963 --> 00:36:49,924 Dr. Sullivan, they're waiting for you in the lab. 721 00:36:50,007 --> 00:36:52,426 Of course. Be right there. 722 00:36:55,304 --> 00:36:57,306 See you tomorrow. 723 00:36:58,391 --> 00:37:01,102 See you tomorrow. 724 00:37:05,606 --> 00:37:07,483 Excuse me? 725 00:37:08,484 --> 00:37:10,069 Are you a doctor? 726 00:37:16,242 --> 00:37:18,595 The nurse said they were taking me for an MRI two hours ago. 727 00:37:18,619 --> 00:37:20,413 I'll see what I can find out. 728 00:37:30,548 --> 00:37:31,966 Tell me... 729 00:37:32,049 --> 00:37:34,385 Mr... Sanchez. 730 00:37:34,468 --> 00:37:36,470 Any history of liver disease? 731 00:37:36,554 --> 00:37:38,472 Kidney problems? 732 00:37:39,557 --> 00:37:41,267 - Any drug use? - No. 733 00:37:41,350 --> 00:37:42,852 Definitely not. 734 00:37:42,935 --> 00:37:45,146 Great. 735 00:37:47,064 --> 00:37:49,400 Ah. Your urinal's full. 736 00:37:49,483 --> 00:37:51,485 Here, you know what? 737 00:37:51,569 --> 00:37:53,404 Let me help you there. 738 00:37:58,326 --> 00:38:00,286 That's everything. 739 00:38:00,369 --> 00:38:03,164 Enjoy the rest of your evening, Dr. Sullivan. 740 00:38:03,289 --> 00:38:05,291 Oh, I certainly will. 741 00:38:18,931 --> 00:38:20,850 Where am I? 742 00:38:20,933 --> 00:38:23,561 You're in the hospital, Diana. 743 00:38:23,644 --> 00:38:25,271 You had your spleen removed. 744 00:38:25,355 --> 00:38:27,565 But you should be feeling better soon. 745 00:38:31,361 --> 00:38:33,571 Don't touch me! 746 00:38:39,827 --> 00:38:42,038 Where's my bag? 747 00:38:42,121 --> 00:38:44,749 Did someone take it? 748 00:38:44,832 --> 00:38:47,210 They seized it when you were admitted, remember? 749 00:38:48,586 --> 00:38:50,129 I need my bag. 750 00:38:50,213 --> 00:38:52,548 I want to... I want out of here. 751 00:38:52,632 --> 00:38:54,300 Your daughter's out of surgery. 752 00:38:54,384 --> 00:38:56,052 She's recovering now. 753 00:38:56,135 --> 00:38:58,137 Did you hear me? I want to go home. 754 00:38:58,221 --> 00:38:59,972 You're in withdrawal. 755 00:39:00,056 --> 00:39:01,766 You have a long road to getting clean. 756 00:39:01,849 --> 00:39:04,185 And until you are, you won't be getting Jane back. 757 00:39:04,268 --> 00:39:05,895 That's bull. 758 00:39:05,978 --> 00:39:07,814 A baby needs her mom. 759 00:39:07,897 --> 00:39:09,774 Not if her mother continues abusing drugs. 760 00:39:10,817 --> 00:39:12,360 And trust me, 761 00:39:12,443 --> 00:39:14,445 I know what that looks like. 762 00:39:15,780 --> 00:39:18,908 At every soccer game or piano recital, 763 00:39:18,991 --> 00:39:20,576 Jane will look out into the crowd. 764 00:39:20,660 --> 00:39:22,912 And see every parent there but hers. 765 00:39:23,996 --> 00:39:26,082 And she'll hate herself for it. 766 00:39:26,165 --> 00:39:28,543 She'll spend the rest of her life wondering why her mother 767 00:39:28,626 --> 00:39:31,587 chose a fix over a relationship with her daughter. 768 00:39:33,047 --> 00:39:35,383 - Get out. - She'll have a hard time trusting people, 769 00:39:35,466 --> 00:39:38,261 making friends, falling in love. 770 00:39:38,344 --> 00:39:40,346 Because how could she believe anyone could love her 771 00:39:40,430 --> 00:39:42,140 if her own mother doesn't? 772 00:39:43,558 --> 00:39:45,226 I'm begging you, don't do that to Jane. 773 00:39:45,309 --> 00:39:47,395 - She doesn't deserve it. - Evelyn. 774 00:39:52,066 --> 00:39:53,985 That's her name. 775 00:39:56,612 --> 00:39:58,364 Get some sleep. 776 00:40:16,924 --> 00:40:18,926 ♪ ♪ 777 00:40:45,995 --> 00:40:47,872 Champagne? 778 00:40:47,955 --> 00:40:49,248 What's the occasion? 779 00:40:49,332 --> 00:40:50,541 Well, let's see. 780 00:40:50,625 --> 00:40:52,668 Padma and the twins are in the new condo, 781 00:40:52,752 --> 00:40:55,254 safe and sound with AJ. 782 00:40:55,338 --> 00:40:58,007 Which means it's just the two of us tonight. 783 00:40:58,090 --> 00:40:59,467 I like it. 784 00:40:59,550 --> 00:41:02,553 And although karma did come for my neck 785 00:41:02,637 --> 00:41:05,389 when I stupidly asked the universe for a challenge, 786 00:41:05,473 --> 00:41:07,058 I rose to the occasion 787 00:41:07,141 --> 00:41:09,977 and I successfully completed my first solo surgery. 788 00:41:10,061 --> 00:41:11,395 No way. 789 00:41:11,479 --> 00:41:14,065 That's amazing, Leela. 790 00:41:14,148 --> 00:41:15,316 Cheers to that. 791 00:41:22,573 --> 00:41:23,908 So how'd it go with your patient? 792 00:41:23,991 --> 00:41:26,744 Just uncovered a six-year-long misdiagnosis 793 00:41:26,827 --> 00:41:28,472 and started her on a treatment to cure her cancer. 794 00:41:28,496 --> 00:41:29,705 So, no biggie. 795 00:41:29,789 --> 00:41:31,165 Wow. 796 00:41:32,166 --> 00:41:34,335 I think we're becoming a power couple. 797 00:41:34,418 --> 00:41:36,003 ♪ ♪ 798 00:41:36,087 --> 00:41:38,965 ♪ Wake up from your slumber ♪ 799 00:41:41,217 --> 00:41:43,219 ♪ E dide ♪ 800 00:41:45,471 --> 00:41:48,724 ♪ Wake up from you slumber ♪ 801 00:41:50,309 --> 00:41:51,519 ♪ E dide ♪ 802 00:41:51,602 --> 00:41:54,730 ♪ Lie ti mo ♪ 803 00:41:54,814 --> 00:41:56,774 ♪ Ise ti ya ♪ 804 00:41:56,857 --> 00:41:58,234 ♪ Lie ti mo ♪ 805 00:41:58,317 --> 00:42:00,653 ♪ Ise ti ya ♪ 806 00:42:00,736 --> 00:42:03,281 - ♪ lie ti mo, ise ti ya ♪ - Jab. Straight. 807 00:42:03,364 --> 00:42:05,992 - Kick. - - ♪ Iie ti mo ♪ 808 00:42:06,075 --> 00:42:07,076 Bow. 809 00:42:07,159 --> 00:42:08,452 ♪ Gbe'ese, oya ♪ 810 00:42:08,536 --> 00:42:10,830 - ♪ Oya o ♪ - Good job. Have a seat. 811 00:42:10,913 --> 00:42:13,916 - Gigi, stay where you are. - ♪ Gbe'ese, oya, oya o ♪ 812 00:42:15,501 --> 00:42:17,086 ♪ ♪ 813 00:42:17,169 --> 00:42:18,588 Bow. 814 00:42:21,799 --> 00:42:23,718 ♪ Wake up ♪ 815 00:42:27,930 --> 00:42:29,098 Hit! 816 00:42:30,558 --> 00:42:31,767 ♪ Debt, rent ♪ 817 00:42:31,851 --> 00:42:34,228 ♪ Oya o ♪ 818 00:42:34,312 --> 00:42:35,938 ♪ Debt, rent ♪ 819 00:42:36,022 --> 00:42:37,857 ♪ Oya o ♪ 820 00:42:37,940 --> 00:42:39,734 ♪ Debt, rent ♪ 821 00:42:39,817 --> 00:42:42,111 ♪ Oya o ♪ 822 00:42:42,194 --> 00:42:43,821 ♪ Debt, rent ♪ 823 00:42:43,904 --> 00:42:46,115 ♪ Oya o ♪ 824 00:42:46,198 --> 00:42:47,366 ♪ Debt, rent ♪ 825 00:42:47,450 --> 00:42:50,286 ♪ Oya o ♪ 826 00:42:50,369 --> 00:42:51,537 ♪ Debt, rent ♪ 827 00:42:51,621 --> 00:42:54,248 ♪ Oya o ♪ 828 00:42:54,332 --> 00:42:56,876 ♪ ♪ 829 00:43:01,547 --> 00:43:03,382 Great job! Great job! 830 00:43:03,466 --> 00:43:05,468 ♪ ♪ 831 00:43:07,219 --> 00:43:09,263 Yes! 832 00:43:09,347 --> 00:43:10,765 - Great job! - Gigi! 833 00:43:22,945 --> 00:43:26,949 Captioned by Media Access Group at WGBH