1 00:00:17,976 --> 00:00:21,016 - * God rest you, merry gentlemen * 2 00:00:21,062 --> 00:00:24,772 * Let nothing you dismay * 3 00:00:24,816 --> 00:00:27,736 * For Jesus Christ, our savior * 4 00:00:27,777 --> 00:00:31,567 * Was born upon this day * 5 00:00:31,614 --> 00:00:35,494 * To save us all from Satan's power * 6 00:00:35,535 --> 00:00:37,905 * When we were gone astray * 7 00:00:37,954 --> 00:00:43,214 * Oh, tidings of comfort and joy * 8 00:00:43,251 --> 00:00:44,961 * Comfort and joy * 9 00:00:45,003 --> 00:00:51,263 * It is tidings of comfort and joy * 10 00:00:51,301 --> 00:00:55,101 [distant sirens wailing] 11 00:01:02,145 --> 00:01:05,355 [beeping softly] 12 00:01:15,575 --> 00:01:17,865 - Happy holidays, Mrs. Johnson. 13 00:01:17,911 --> 00:01:20,831 Or are you more of a "Merry Christmas" gal? 14 00:01:20,872 --> 00:01:22,042 I need to make sure 15 00:01:22,082 --> 00:01:24,332 you're getting the right blend of tequila. 16 00:01:26,252 --> 00:01:28,002 My name is Dr. Randall Kirby. 17 00:01:28,046 --> 00:01:29,956 I'm here because your doctor 18 00:01:30,006 --> 00:01:33,336 with the warm and fuzzy bedside manner couldn't make it. 19 00:01:35,136 --> 00:01:36,886 [sighs] 20 00:01:36,930 --> 00:01:40,350 Your husband, Tom, tells me that you're a fighter, so... 21 00:01:40,392 --> 00:01:42,852 if it's okay with you, I'm just gonna let her rip. 22 00:01:48,024 --> 00:01:51,404 You came in for a cervical surgery with Dr. Duntsch 23 00:01:51,444 --> 00:01:53,864 a few days ago to remove a disc. 24 00:01:53,905 --> 00:01:56,235 Do you remember that? 25 00:01:56,282 --> 00:01:57,872 Do you remember going home, 26 00:01:57,909 --> 00:01:59,909 telling your husband that you couldn't swallow, 27 00:01:59,953 --> 00:02:01,713 and then you got a fever? 28 00:02:03,498 --> 00:02:06,208 Well, you called Dr. Duntsch, 29 00:02:06,251 --> 00:02:09,211 who told you that everything was normal 30 00:02:09,254 --> 00:02:12,344 and that your fever was from the flu. 31 00:02:12,382 --> 00:02:15,182 Then he stopped taking your calls. 32 00:02:18,096 --> 00:02:20,346 Your fever wasn't from the flu. 33 00:02:20,390 --> 00:02:24,640 It was from an infection moving towards your heart. 34 00:02:24,686 --> 00:02:26,976 Now, we've had that PICC line pumping antibiotics 35 00:02:27,022 --> 00:02:30,402 into your superior vena cava since you got here. 36 00:02:30,442 --> 00:02:32,652 You've turned a corner, but now we need to deal 37 00:02:32,694 --> 00:02:35,864 with the other issues from Dr. Duntsch's surgery. 38 00:02:35,905 --> 00:02:38,985 That crazy straw coming out of your nose 39 00:02:39,034 --> 00:02:40,584 is draining stomach acid 40 00:02:40,618 --> 00:02:44,328 from a hole Duntsch cut in your esophagus. 41 00:02:44,372 --> 00:02:47,502 That's why you couldn't swallow. 42 00:02:47,542 --> 00:02:51,462 As for the surgery Duntsch was supposed to perform, 43 00:02:51,504 --> 00:02:53,514 he failed to remove the disc. 44 00:02:53,548 --> 00:02:56,838 He left it lodged in your spine. 45 00:02:56,885 --> 00:03:01,055 The hardware he was supposed to attach 46 00:03:01,097 --> 00:03:04,427 scattered in there like a bag of leftover screws 47 00:03:04,476 --> 00:03:06,636 from an IKEA bookshelf. 48 00:03:08,396 --> 00:03:10,476 - [exhales deeply] 49 00:03:14,652 --> 00:03:18,282 He sliced through a nerve to your vocal cord. 50 00:03:22,118 --> 00:03:24,038 We can't fix that. 51 00:03:24,079 --> 00:03:27,039 [dramatic music] 52 00:03:27,082 --> 00:03:29,752 * * 53 00:03:29,793 --> 00:03:32,053 This never should have happened. 54 00:03:32,087 --> 00:03:39,257 * * 55 00:03:42,347 --> 00:03:47,267 I apologize to you and to your family. 56 00:03:50,939 --> 00:03:54,479 I promise I will make sure this never happens to anyone else. 57 00:03:56,653 --> 00:04:00,663 Um, om wanted me to discuss a family matter with you. 58 00:04:02,325 --> 00:04:03,905 Your children are in town for the holidays, 59 00:04:03,952 --> 00:04:05,792 and you don't want them to visit. 60 00:04:05,829 --> 00:04:09,209 He's hoping that you would change your mind about that. 61 00:04:09,249 --> 00:04:16,339 * * 62 00:04:22,012 --> 00:04:24,472 I'll fend them off if you provide the stick. 63 00:04:28,143 --> 00:04:30,103 I'm so sorry. 64 00:04:30,145 --> 00:04:37,315 * * 65 00:04:46,161 --> 00:04:47,951 Hey, thanks for coming. 66 00:04:47,996 --> 00:04:51,746 It's, uh, nice to show a united front with these jackasses. 67 00:04:51,791 --> 00:04:55,131 [door opens] - Ah... 68 00:04:55,170 --> 00:04:57,960 Dr. Kirby. - Dr. Lockett. 69 00:04:58,006 --> 00:05:00,546 He's the CEO here. This is Dr. Robert Henderson. 70 00:05:00,592 --> 00:05:03,262 He's my crime-fighting partner in crime. 71 00:05:03,303 --> 00:05:05,353 - Yeah, uh... 72 00:05:05,388 --> 00:05:08,348 would you follow me, please? 73 00:05:11,311 --> 00:05:13,311 [clears throat] 74 00:05:13,355 --> 00:05:16,815 [distant siren wailing] 75 00:05:16,858 --> 00:05:19,688 Duntsch never operates here again. 76 00:05:19,736 --> 00:05:21,396 - Well, I guess we can call it a night, then. 77 00:05:21,446 --> 00:05:23,276 No harm, no foul. 78 00:05:23,323 --> 00:05:25,833 - How did you come to hire him? 79 00:05:25,867 --> 00:05:28,617 - We needed a neurosurgeon on staff 80 00:05:28,661 --> 00:05:31,331 and performed all due diligence. 81 00:05:31,373 --> 00:05:32,833 - You just missed that teeny-tiny detail 82 00:05:32,874 --> 00:05:34,674 about the two dead bodies at Dallas Medical 83 00:05:34,709 --> 00:05:36,089 and Baylor-Plano, but who's counting? 84 00:05:36,127 --> 00:05:37,997 - We inquired with the Texas Medical Board. 85 00:05:38,046 --> 00:05:40,006 We checked the National Practitioners Data Bank... 86 00:05:40,048 --> 00:05:41,048 - Continue. 87 00:05:41,091 --> 00:05:43,431 - To see if he was ever suspended. 88 00:05:43,468 --> 00:05:45,258 He wasn't, no complaints. [door closes] 89 00:05:45,303 --> 00:05:48,893 - So neither Baylor-Plano nor Dallas Medical reported him? 90 00:05:48,932 --> 00:05:50,272 - No. 91 00:05:50,308 --> 00:05:52,188 Look, had we known, we never would have hired him, 92 00:05:52,227 --> 00:05:53,727 plain and simple. 93 00:05:53,770 --> 00:05:56,610 [chuckles] He even came with a clean letter from Baylor. 94 00:05:56,648 --> 00:06:00,568 * * 95 00:06:00,610 --> 00:06:02,740 - "All investigations with respect to any areas 96 00:06:02,779 --> 00:06:05,029 "of concern regarding Christopher D. Duntsch, M.D. 97 00:06:05,073 --> 00:06:06,993 "have been closed. 98 00:06:07,033 --> 00:06:09,043 "As of this date, there have been no summary 99 00:06:09,077 --> 00:06:10,827 "or administrative restrictions or suspensions 100 00:06:10,870 --> 00:06:12,870 "of Dr. Duntsch's medical staff membership 101 00:06:12,914 --> 00:06:14,374 "or clinical privileges 102 00:06:14,416 --> 00:06:15,956 "during the time he has practiced 103 00:06:16,001 --> 00:06:19,751 at Baylor Medical Center at Plano." 104 00:06:19,796 --> 00:06:23,676 - Dr. Henderson, tell me... 105 00:06:23,717 --> 00:06:26,217 you're in my position. 106 00:06:26,261 --> 00:06:28,471 What would you have done? 107 00:06:32,600 --> 00:06:34,440 - They warned 'em-- 108 00:06:34,477 --> 00:06:37,227 this nurse, Preston's her name, she and some other somebody. 109 00:06:37,272 --> 00:06:38,572 - Who? - I don't know. 110 00:06:38,606 --> 00:06:39,936 A scrub tech. It doesn't matter. 111 00:06:39,983 --> 00:06:41,743 They warned the administration about Duntsch. 112 00:06:41,776 --> 00:06:42,896 They looked him up on the Internet. 113 00:06:42,944 --> 00:06:44,284 They found a ton of crap about him. 114 00:06:44,320 --> 00:06:45,410 I'm not talking good crap. 115 00:06:45,447 --> 00:06:46,737 I'm talking he's a crappy surgeon. 116 00:06:46,781 --> 00:06:48,201 - I get it. - Here's the kicker. 117 00:06:48,241 --> 00:06:49,371 When they went to show them 118 00:06:49,409 --> 00:06:51,159 what was on the Internet, it was all gone. 119 00:06:51,202 --> 00:06:53,622 Everything negative about him, completely wiped way. 120 00:06:53,663 --> 00:06:55,173 - Well, how does somebody do that? 121 00:06:55,206 --> 00:06:57,416 - I don't know--hacking's not really my area of expertise. 122 00:06:57,459 --> 00:07:00,419 The point is they warned them, and they blew it off. 123 00:07:00,462 --> 00:07:01,762 Due diligence. 124 00:07:01,796 --> 00:07:03,546 We're up against a citadel of bullshit here. 125 00:07:03,590 --> 00:07:05,130 Most ass-covering-- 126 00:07:05,175 --> 00:07:07,925 In fact, I should use this to wipe my ass. 127 00:07:07,969 --> 00:07:08,929 Definitely... 128 00:07:08,970 --> 00:07:10,310 both: Written by lawyers. - Yeah. 129 00:07:10,347 --> 00:07:12,597 - Are we completing each other's sentences now? 130 00:07:12,640 --> 00:07:15,600 - Ah... 131 00:07:15,643 --> 00:07:19,773 I'm going to see Amy Piel over at Baylor. 132 00:07:19,814 --> 00:07:23,324 You give me a ride? - Jag's right this way. 133 00:07:23,360 --> 00:07:30,490 * * 134 00:07:41,169 --> 00:07:44,089 [engine turning over] 135 00:07:44,130 --> 00:07:51,050 * * 136 00:07:57,435 --> 00:07:59,645 - So? 137 00:07:59,688 --> 00:08:02,108 - They're gonna grant me privileges to operate. 138 00:08:02,148 --> 00:08:05,898 - They're gonna grant, or they have granted? 139 00:08:05,944 --> 00:08:07,994 - [sighs] They are going to grant me privileges 140 00:08:08,029 --> 00:08:10,739 when they see my roster of patients. 141 00:08:13,034 --> 00:08:16,504 Don't--It's-- [scoffs] 142 00:08:16,538 --> 00:08:18,498 It's not a big deal, Wendy. 143 00:08:18,540 --> 00:08:20,290 I have a ton of patients. 144 00:08:20,333 --> 00:08:22,793 All I got to do is make a couple calls. 145 00:08:22,836 --> 00:08:24,456 - Well, that place looks like a Port-a-Potty. 146 00:08:24,504 --> 00:08:25,674 Not like Baylor. 147 00:08:25,714 --> 00:08:27,844 - Fuck Baylor. - Yeah, fuck Baylor. 148 00:08:27,882 --> 00:08:29,432 Fuck Dallas Medical. 149 00:08:29,467 --> 00:08:31,047 Fuck whatever that last one was, 150 00:08:31,094 --> 00:08:34,854 that Legacy Frisco place you were at for, like, two weeks. 151 00:08:34,889 --> 00:08:36,389 It's been quite the fucking year. 152 00:08:36,433 --> 00:08:38,943 - Can you just drive me to my clinic, please? 153 00:08:42,939 --> 00:08:44,939 - Where does it end, Chris? - Oh, my God. 154 00:08:44,983 --> 00:08:47,993 Wendy, I'm handling it, okay? 155 00:08:48,028 --> 00:08:49,738 You left me, remember that? 156 00:08:49,779 --> 00:08:51,529 - I don't feel sorry for you. 157 00:08:51,573 --> 00:08:53,203 Why don't you go fuck your nurse again? 158 00:08:53,241 --> 00:08:55,331 Maybe she'll make you feel better. 159 00:08:55,368 --> 00:08:56,698 - [sighs] 160 00:08:56,745 --> 00:08:58,575 - I'm driving your sorry ass around, 161 00:08:58,621 --> 00:09:02,791 not because I trust you or because I'm here for you... 162 00:09:02,834 --> 00:09:05,134 but because I can't let you mess things up for him. 163 00:09:08,423 --> 00:09:15,353 * * 164 00:09:35,617 --> 00:09:37,077 - Can I come by this weekend? 165 00:09:37,118 --> 00:09:39,658 - Why don't you make a call to your roster of patients? 166 00:09:39,704 --> 00:09:41,544 Then we'll talk. 167 00:09:41,581 --> 00:09:48,671 * * 168 00:10:01,434 --> 00:10:03,694 - It's from my dad. 169 00:10:03,728 --> 00:10:10,858 * * 170 00:10:18,785 --> 00:10:21,865 [keys jingling] 171 00:10:23,498 --> 00:10:25,708 [lock clicks] 172 00:10:25,750 --> 00:10:30,880 * * 173 00:10:36,845 --> 00:10:38,805 - Mrs. Demmings. 174 00:10:38,847 --> 00:10:41,347 How's that Scheuermann's kyphosis coming along? 175 00:10:41,391 --> 00:10:44,061 Is the tingling in your legs pretty consistent? 176 00:10:44,102 --> 00:10:46,812 - I can't stand long enough to hold my grandbabies now. 177 00:10:46,855 --> 00:10:48,895 - And it started in your teens? 178 00:10:48,940 --> 00:10:51,190 - Had no pain until two years ago. 179 00:10:53,445 --> 00:10:57,235 - The problem is these two vertebrae right here-- 180 00:10:57,282 --> 00:10:58,582 T7 and T8. 181 00:10:58,616 --> 00:11:00,946 - The ones sticking out. - Exactly right. 182 00:11:00,994 --> 00:11:02,954 It's actually the discs in between them. 183 00:11:02,996 --> 00:11:05,456 Spinal discs are like natural shock absorbers, 184 00:11:05,498 --> 00:11:06,878 and when they're healthy, 185 00:11:06,916 --> 00:11:08,876 they kind of have the consistency of rubber. 186 00:11:08,918 --> 00:11:10,998 But when they get diseased, they harden, 187 00:11:11,046 --> 00:11:12,796 and these two are pushing 188 00:11:12,839 --> 00:11:15,469 those vertebrae right into your spinal cord. 189 00:11:15,508 --> 00:11:18,638 - Every doctor I see said there's nothing they can do. 190 00:11:18,678 --> 00:11:20,718 - Well, you haven't seen me yet. 191 00:11:22,349 --> 00:11:24,809 - What are you saying? 192 00:11:24,851 --> 00:11:28,191 - Well, your preexisting kyphosis is an issue, 193 00:11:28,229 --> 00:11:30,069 but there are new ways-- - Surgery. 194 00:11:30,106 --> 00:11:32,776 - It's minimally invasive. 195 00:11:32,817 --> 00:11:34,937 A thoracoscopic anterior spinal fusion. 196 00:11:34,986 --> 00:11:38,106 We make a small incision, about the size of a dime. 197 00:11:38,156 --> 00:11:39,986 We go in there and pull out the bad discs, 198 00:11:40,033 --> 00:11:42,243 and then we fuse the vertebrae together with a plate. 199 00:11:42,285 --> 00:11:44,495 And that's it. 200 00:11:44,537 --> 00:11:45,747 - One surgery? 201 00:11:45,789 --> 00:11:47,829 - In and out in about two hours. 202 00:11:47,874 --> 00:11:49,794 You wake up--no pain, no tingling, 203 00:11:49,834 --> 00:11:51,214 and you're about a good inch taller. 204 00:11:51,252 --> 00:11:53,422 It--it straightens out the curvature of the spine. 205 00:11:53,463 --> 00:11:55,423 So the bad news is, you're gonna have to bend down 206 00:11:55,465 --> 00:11:57,085 a little bit lower to pick up those grandbabies. 207 00:11:57,133 --> 00:11:58,893 - Can I have a word with you? 208 00:11:58,927 --> 00:12:01,887 [hopeful music] 209 00:12:01,930 --> 00:12:03,390 * * 210 00:12:03,431 --> 00:12:05,061 I get that you're the golden boy around here, 211 00:12:05,100 --> 00:12:06,690 but you're a resident. 212 00:12:06,726 --> 00:12:08,686 These are not your patients, yet. 213 00:12:08,728 --> 00:12:10,898 - I'm just presenting her her options. 214 00:12:10,939 --> 00:12:12,319 - You gave her a fantasy. 215 00:12:12,357 --> 00:12:14,397 With her kyphosis, she's not a candidate. 216 00:12:14,442 --> 00:12:17,202 Raising her hopes is unethical and cruel. 217 00:12:17,237 --> 00:12:21,697 - I spent all night researching this. 218 00:12:21,741 --> 00:12:23,701 - You diagnosed her off of Google? 219 00:12:23,743 --> 00:12:25,043 - Just look at it. 220 00:12:25,078 --> 00:12:27,458 It's a case from NYU-- worse than hers. 221 00:12:29,499 --> 00:12:30,789 I can show you how to do it. 222 00:12:30,834 --> 00:12:32,174 Just look. 223 00:12:32,210 --> 00:12:36,050 Look, all anterior decompressing arthrodesis. 224 00:12:36,089 --> 00:12:38,049 See the end plate? - Mm-hmm. 225 00:12:38,091 --> 00:12:41,551 - See the retractor? You see the angle? 226 00:12:41,594 --> 00:12:44,564 [dramatic music] 227 00:12:44,597 --> 00:12:49,517 * * 228 00:12:49,561 --> 00:12:52,441 - When the presenting symptoms are pain, 229 00:12:52,480 --> 00:12:56,440 decreased mobility, headaches, and speech dysphasia, 230 00:12:56,484 --> 00:12:58,904 what would your differential diagnosis include? 231 00:12:58,945 --> 00:13:01,525 - Cervical stenosis? 232 00:13:01,573 --> 00:13:03,203 - Are you asking or stating? 233 00:13:03,241 --> 00:13:04,951 Either way, it's incorrect. 234 00:13:04,993 --> 00:13:08,083 Eventually... you'll want to decide 235 00:13:08,121 --> 00:13:10,081 if you're Semmes-Murphey fellows 236 00:13:10,123 --> 00:13:12,133 or Semmes-Murphey dropouts. 237 00:13:12,167 --> 00:13:14,627 - Dr. Skadden? Excuse me. - Christopher, yes. 238 00:13:14,669 --> 00:13:16,629 - Uh, um, I was-- 239 00:13:16,671 --> 00:13:19,171 - Wondering if I'd read your proposal on obtaining 240 00:13:19,215 --> 00:13:21,545 and culturing disc stem cells? 241 00:13:21,593 --> 00:13:23,093 - Yes. 242 00:13:23,136 --> 00:13:25,056 - Eliminates the need for extraction. 243 00:13:25,096 --> 00:13:27,596 Tons of potential. 244 00:13:27,640 --> 00:13:29,310 I'd love to read more, 245 00:13:29,351 --> 00:13:31,191 once you've fleshed out the research you cited. 246 00:13:31,227 --> 00:13:34,807 - Of course. Yes, sir. Thank you, Dr. Skadden. 247 00:13:34,856 --> 00:13:36,816 Chiari malformation. 248 00:13:38,068 --> 00:13:39,568 Speech dysphasia. 249 00:13:39,611 --> 00:13:42,241 It's likely related to pressure on the cerebellum. 250 00:13:42,280 --> 00:13:44,370 That would be my diagnosis. 251 00:13:46,826 --> 00:13:47,946 I'd really like to be considered 252 00:13:47,994 --> 00:13:49,254 for your fellowship program, sir. 253 00:13:49,287 --> 00:13:52,327 - [chuckles] 254 00:13:52,374 --> 00:13:55,634 If and when the time is right, Christopher. 255 00:13:55,669 --> 00:14:02,629 * * 256 00:14:02,676 --> 00:14:05,426 [rock music playing] 257 00:14:05,470 --> 00:14:09,020 [door closes] 258 00:14:09,057 --> 00:14:12,437 - Kayla, Kayla, hey, I got great news. 259 00:14:12,477 --> 00:14:16,187 Skadden read my proposal. 260 00:14:16,231 --> 00:14:18,231 Where are you going? - Don't worry about it. 261 00:14:20,694 --> 00:14:21,994 - Wait, are you leaving? 262 00:14:22,028 --> 00:14:24,068 - Don't play fucking dumb with me, Christopher. 263 00:14:24,114 --> 00:14:26,954 Oxy, Adderall--it's like a C-V-fucking-S in there, 264 00:14:26,991 --> 00:14:27,991 and your name's all over it. 265 00:14:28,034 --> 00:14:29,664 - The scrips? - Scrips. 266 00:14:29,703 --> 00:14:31,003 - They're for friends. 267 00:14:31,037 --> 00:14:32,407 They're all friends in there. It's no big deal. 268 00:14:32,455 --> 00:14:34,165 - Okay, well enjoy your friends. 269 00:14:34,207 --> 00:14:35,577 and whatever's left of your career, 270 00:14:35,625 --> 00:14:38,035 you stupid son of a bitch. 271 00:14:38,086 --> 00:14:41,506 [dog whimpers] 272 00:14:41,548 --> 00:14:45,838 * * 273 00:14:45,885 --> 00:14:47,595 - Oh, this man's a hero. 274 00:14:47,637 --> 00:14:49,807 Partied us under the table last night, 275 00:14:49,848 --> 00:14:51,218 then did his rounds, 276 00:14:51,266 --> 00:14:54,596 saving lives like Mother-fucking-Theresa. 277 00:14:56,312 --> 00:14:58,692 - What the fuck happened with Kayla? 278 00:14:58,732 --> 00:14:59,982 - Kayla's cool. 279 00:15:00,025 --> 00:15:01,395 Give her the night, she'll calm down. 280 00:15:01,443 --> 00:15:04,073 And if she does dump your dumb face, I'll talk to her, 281 00:15:04,112 --> 00:15:06,742 take care of everything, like always. 282 00:15:06,781 --> 00:15:08,531 You'd lose your big, ugly head 283 00:15:08,575 --> 00:15:11,365 if I didn't tighten the screws every morning, wouldn't you? 284 00:15:11,411 --> 00:15:12,451 [sniffs] 285 00:15:12,495 --> 00:15:14,785 - I'm the one with the big, ugly head? 286 00:15:14,831 --> 00:15:16,121 - Yeah. 287 00:15:17,417 --> 00:15:19,207 Oh! 288 00:15:19,252 --> 00:15:21,052 Duntsch on the offensive. 289 00:15:21,087 --> 00:15:24,167 Trying to reverse Summers with a Granby roll. 290 00:15:24,215 --> 00:15:26,045 But Summers dominates. 291 00:15:26,092 --> 00:15:29,352 Oh, he dominates. He dominates so hard. 292 00:15:29,387 --> 00:15:32,967 - Uncle! Uncle, uncle! [groans] 293 00:15:33,016 --> 00:15:34,976 Shit. 294 00:15:35,018 --> 00:15:38,608 * * 295 00:15:38,646 --> 00:15:41,476 Hey, Skadden said he'd take a look at that. 296 00:15:41,524 --> 00:15:43,744 You just got to come on down, and we'll do some imaging. 297 00:15:43,777 --> 00:15:44,987 Get you fixed up. 298 00:15:45,028 --> 00:15:49,368 * * 299 00:15:49,407 --> 00:15:51,197 [sniffs] 300 00:15:52,869 --> 00:15:55,409 Whew. 301 00:15:55,455 --> 00:15:56,825 I got to work. 302 00:15:56,873 --> 00:16:00,843 * * 303 00:16:00,877 --> 00:16:04,337 - [sighs] 304 00:16:04,381 --> 00:16:05,511 [sniffs] 305 00:16:10,136 --> 00:16:12,346 Have you seen my LSD blotter? 306 00:16:19,312 --> 00:16:21,152 How many hits did you take? 307 00:16:24,317 --> 00:16:25,687 Oh, I must be tripping hard, bro. 308 00:16:25,735 --> 00:16:27,605 The letters are all squiggly and shit. 309 00:16:27,654 --> 00:16:30,204 - No, it's Cyrillic. - It's psychedelic. 310 00:16:30,240 --> 00:16:32,410 Oh, stem cells. 311 00:16:32,450 --> 00:16:34,620 Is this for your PhD, Dr. Doctor? 312 00:16:34,661 --> 00:16:36,961 "Glioblastoma's the most prevalent 313 00:16:36,996 --> 00:16:38,916 malignant brain tumor." 314 00:16:38,957 --> 00:16:41,457 That's harsh. 315 00:16:41,501 --> 00:16:43,751 - The glioblastoma stem is so dominant 316 00:16:43,795 --> 00:16:46,585 that it takes normal cells, 317 00:16:46,631 --> 00:16:49,261 and it changes them into cancer cells. 318 00:16:49,300 --> 00:16:51,300 - It dominates. It dominates hard. 319 00:16:51,344 --> 00:16:53,104 - And everybody's trying to figure out 320 00:16:53,138 --> 00:16:54,718 how to stop glioblastoma. 321 00:16:54,764 --> 00:16:56,684 But what if... 322 00:16:56,725 --> 00:17:00,595 you could just program it to make healthy cells? 323 00:17:00,645 --> 00:17:03,395 - Then it--it wouldn't be cancer anymore. 324 00:17:03,440 --> 00:17:05,230 - Right. 325 00:17:05,275 --> 00:17:07,395 Exactly right. 326 00:17:07,444 --> 00:17:09,704 It can be whatever you want. 327 00:17:09,738 --> 00:17:13,118 A cell that takes over another cell 328 00:17:13,158 --> 00:17:15,198 to make something good. 329 00:17:15,243 --> 00:17:18,623 - A molecular biological Granby roll. 330 00:17:18,663 --> 00:17:21,373 - Yes. Yes. Yes. 331 00:17:21,416 --> 00:17:24,626 Stem cells you inject directly into a diseased disc, 332 00:17:24,669 --> 00:17:27,509 making a brand-new healthy baby spine. 333 00:17:27,547 --> 00:17:29,967 - Preach. - 50% of all spinal surgeries 334 00:17:30,008 --> 00:17:31,548 are to repair diseased discs. 335 00:17:31,593 --> 00:17:34,263 We're talking about a startup. - You're Dock Ellis. 336 00:17:34,304 --> 00:17:37,524 You're pitching a no-hitter. You're crushing it. 337 00:17:37,557 --> 00:17:38,847 [softly] I can be your guinea pig. 338 00:17:38,892 --> 00:17:40,062 - What? 339 00:17:40,101 --> 00:17:41,351 - Inject that shit into my neck, 340 00:17:41,394 --> 00:17:44,314 so I can grow a new baby neck with no pain. 341 00:17:44,356 --> 00:17:46,646 Pain's a pain, bro. 342 00:17:46,691 --> 00:17:53,491 * * 343 00:17:53,531 --> 00:17:55,991 That could be your slogan. 344 00:17:56,034 --> 00:18:03,124 * * 345 00:18:17,263 --> 00:18:20,483 - [groans] 346 00:18:20,517 --> 00:18:22,187 [sighs] 347 00:18:29,693 --> 00:18:31,613 [claps hands] 348 00:18:35,657 --> 00:18:37,157 [computer beeps] 349 00:18:37,200 --> 00:18:39,330 [exhales deeply] 350 00:18:42,247 --> 00:18:44,367 [computer beeps] 351 00:18:53,258 --> 00:18:56,388 [exhales sharply] [keys clacking] 352 00:18:56,428 --> 00:18:57,718 [computer beeps] [slams desk] 353 00:18:57,762 --> 00:18:59,932 Fuck. 354 00:18:59,973 --> 00:19:02,933 [tense music] 355 00:19:02,976 --> 00:19:07,226 * * 356 00:19:07,272 --> 00:19:08,942 [clears throat] 357 00:19:08,982 --> 00:19:10,982 * * 358 00:19:11,026 --> 00:19:12,896 [computer beeps] 359 00:19:12,944 --> 00:19:19,874 * * 360 00:19:39,679 --> 00:19:42,349 [exhales deeply] 361 00:19:42,390 --> 00:19:44,560 [exhales sharply] 362 00:19:44,601 --> 00:19:46,271 [key clacks, computer beeps] 363 00:19:46,311 --> 00:19:53,441 * * 364 00:20:46,287 --> 00:20:49,667 [sighs] 365 00:20:49,708 --> 00:20:55,708 * * 366 00:21:00,301 --> 00:21:02,391 [air hisses] 367 00:21:03,888 --> 00:21:05,268 Fuck! 368 00:21:05,306 --> 00:21:12,396 * * 369 00:21:46,306 --> 00:21:48,136 [sniffs] 370 00:21:48,183 --> 00:21:51,063 [melancholy music] 371 00:21:51,102 --> 00:21:58,282 * * 372 00:22:19,422 --> 00:22:21,222 Shit. 373 00:22:21,257 --> 00:22:28,387 * * 374 00:22:36,898 --> 00:22:38,778 [computer beeps] 375 00:22:38,817 --> 00:22:45,447 * * 376 00:22:47,909 --> 00:22:49,829 [knock at door] 377 00:22:52,330 --> 00:22:53,370 - Bob. - Hello. 378 00:22:53,415 --> 00:22:55,455 - What a surprise. - Hey, Amy. 379 00:22:55,500 --> 00:22:58,250 - Afternoon, Randy. 380 00:22:58,294 --> 00:23:00,714 So how can I help you? 381 00:23:02,007 --> 00:23:05,507 - Christopher Duntsch. - Oh, boy. 382 00:23:05,552 --> 00:23:08,472 - [chuckles] Well, that about sums it up. 383 00:23:08,513 --> 00:23:09,723 - He operated on a patient 384 00:23:09,764 --> 00:23:12,144 at Legacy Frisco a few days ago. 385 00:23:12,183 --> 00:23:13,813 - He left a hole in her esophagus, 386 00:23:13,852 --> 00:23:15,692 sliced through her vocal cord. 387 00:23:17,689 --> 00:23:20,689 - We parted ways with Dr. Duntsch almost a year ago. 388 00:23:20,734 --> 00:23:23,494 - Well, what can you tell us about this reference 389 00:23:23,528 --> 00:23:25,068 that you wrote for Dr. Duntsch? 390 00:23:25,113 --> 00:23:26,573 - I didn't write anything. 391 00:23:26,614 --> 00:23:28,414 - Well, whatever law firm you paid to write-- 392 00:23:28,450 --> 00:23:29,740 - And it isn't a reference letter. 393 00:23:29,784 --> 00:23:31,454 It's a letter stating there were no restrictions 394 00:23:31,494 --> 00:23:33,004 or suspensions of his privileges. 395 00:23:33,038 --> 00:23:35,118 - But it implies that there's nothing in this record 396 00:23:35,165 --> 00:23:37,625 to preclude him from working at other hospitals. 397 00:23:37,667 --> 00:23:39,167 He--he maimed people here. 398 00:23:39,210 --> 00:23:40,920 He killed Shelley Brennan 399 00:23:40,962 --> 00:23:43,132 by drilling through her vertebral artery. 400 00:23:43,173 --> 00:23:45,683 - He also did that to another patient at Dallas Medical. 401 00:23:45,717 --> 00:23:47,507 - Shouldn't that have precluded him 402 00:23:47,552 --> 00:23:49,392 from employment at other hospitals? 403 00:23:52,223 --> 00:23:54,813 - I have to be careful about what I say right now. 404 00:23:54,851 --> 00:23:56,691 - [scoffs] - Whoa. 405 00:23:56,728 --> 00:23:58,858 I feel like I'm in the fucking Twilight Zone here, 406 00:23:58,897 --> 00:24:02,397 like I'm staring at the face of a coverup. 407 00:24:02,442 --> 00:24:03,942 - That's offensive. 408 00:24:03,985 --> 00:24:05,735 - Oh, well, I'll make sure to pass on 409 00:24:05,779 --> 00:24:07,699 how offended you are to his other victims. 410 00:24:07,739 --> 00:24:10,199 - Facts were disputed in some of his surgeries here. 411 00:24:10,241 --> 00:24:11,661 - Surgeries? 412 00:24:11,701 --> 00:24:13,871 Yeah, I saw one of his "surgeries" here firsthand. 413 00:24:13,912 --> 00:24:15,462 - And yet somehow, Dr. Kirby, 414 00:24:15,497 --> 00:24:17,827 I didn't receive your complaint. 415 00:24:17,874 --> 00:24:20,094 Our letter for Dr. Duntsch 416 00:24:20,126 --> 00:24:22,666 is our fair and honest appraisal of his standing 417 00:24:22,712 --> 00:24:24,262 at this institution. 418 00:24:24,297 --> 00:24:25,877 - Was Duntsch ever suspended? 419 00:24:25,924 --> 00:24:28,094 Your letter indicates that he was under investigation, 420 00:24:28,134 --> 00:24:29,304 and since it's your policy 421 00:24:29,344 --> 00:24:31,814 to suspend any doctor under investigation, 422 00:24:31,846 --> 00:24:34,016 I assume that you followed through with your policy. 423 00:24:34,057 --> 00:24:36,557 - Yes, you're correct. We did. 424 00:24:36,601 --> 00:24:38,061 As I recall, it was 21 days. 425 00:24:38,103 --> 00:24:41,023 - [chuckles] Well, that's convenient. 426 00:24:41,064 --> 00:24:42,404 - Excuse me? 427 00:24:42,440 --> 00:24:43,780 - National Practitioner Data Bank. 428 00:24:43,817 --> 00:24:46,237 - That thing established by Congress... 429 00:24:46,277 --> 00:24:47,447 - I know. - To warn the public 430 00:24:47,487 --> 00:24:49,317 and other hospitals about bad doctors. 431 00:24:49,364 --> 00:24:50,954 - I know. - You only have to report 432 00:24:50,990 --> 00:24:53,740 the ones that are suspended for 30 days or more. 433 00:24:53,785 --> 00:24:55,405 - How come you didn't report Duntsch 434 00:24:55,453 --> 00:24:57,003 to the Texas Medical Board? 435 00:24:57,038 --> 00:25:00,418 [dramatic music] 436 00:25:00,458 --> 00:25:01,788 - I think we're done here. 437 00:25:01,835 --> 00:25:04,625 - Can I ask you a personal question? 438 00:25:04,671 --> 00:25:07,051 Would you let Duntsch operate on you? 439 00:25:07,090 --> 00:25:10,300 * * 440 00:25:10,343 --> 00:25:12,933 - Lies of omission do not make this institution 441 00:25:12,971 --> 00:25:16,141 any less complicit, Ms. Piel. 442 00:25:16,182 --> 00:25:18,312 - Nobody here is gonna help us. 443 00:25:18,351 --> 00:25:20,231 - I'm not sure what kind of help we're looking for. 444 00:25:20,270 --> 00:25:21,980 - Come on, we can be sitting in Skadden's office 445 00:25:22,022 --> 00:25:23,152 in a few hours. 446 00:25:23,189 --> 00:25:24,819 - We spoke to him already. - I know. 447 00:25:24,858 --> 00:25:26,278 - He says he doesn't know anything. 448 00:25:26,317 --> 00:25:27,607 - I know! 449 00:25:27,652 --> 00:25:29,452 Come on, waste some time with me. 450 00:25:29,487 --> 00:25:32,407 Maybe we'll find out U.T. turned out a fraud. 451 00:25:32,449 --> 00:25:36,749 * * 452 00:25:36,786 --> 00:25:39,826 [indistinct conversation in Russian] 453 00:25:49,841 --> 00:25:54,261 [door closes, conversation continues] 454 00:25:54,304 --> 00:25:55,684 - Hi, everybody. 455 00:25:55,722 --> 00:25:57,432 So sorry I'm late. 456 00:25:57,474 --> 00:25:59,064 Katya, Dr. Duntsch. 457 00:25:59,100 --> 00:26:01,310 Ilya, Dr. Duntsch. 458 00:26:01,353 --> 00:26:03,153 Welcome to DiscGenics. 459 00:26:03,188 --> 00:26:05,648 Thank you all so much for coming. 460 00:26:05,690 --> 00:26:08,110 That's for you. That's for you. 461 00:26:08,151 --> 00:26:09,281 For you, sir. 462 00:26:09,319 --> 00:26:12,069 And do you mind passing those around? 463 00:26:12,113 --> 00:26:15,583 I just need some vitamin C. Be right back. 464 00:26:16,868 --> 00:26:18,908 [indistinct conversation in Russian] 465 00:26:18,953 --> 00:26:20,753 - [sighs] 466 00:26:20,789 --> 00:26:22,919 [machine beeps] 467 00:26:24,834 --> 00:26:27,924 [conversation continues] 468 00:26:34,678 --> 00:26:36,348 Okay. [chuckles] 469 00:26:36,388 --> 00:26:38,718 Sorry about that. 470 00:26:38,765 --> 00:26:43,765 Now, let me tell you why you're all here. 471 00:26:43,812 --> 00:26:46,652 I'm hoping that you will continue to be interested 472 00:26:46,690 --> 00:26:48,530 in what it is that I'm trying to accomplish, 473 00:26:48,566 --> 00:26:50,486 maybe financially interested. 474 00:26:50,527 --> 00:26:51,737 - We already know. 475 00:26:51,778 --> 00:26:54,198 - Our work with osteosarcoma stem cells-- 476 00:26:54,239 --> 00:26:55,529 it's a simple deduction. 477 00:26:55,573 --> 00:26:58,283 You wish to research spinal cancer. 478 00:26:58,326 --> 00:26:59,696 - Nyet. [chuckles] 479 00:26:59,744 --> 00:27:01,914 Nothing so basic. 480 00:27:01,955 --> 00:27:04,205 I brought you here because of your cancer research. 481 00:27:04,249 --> 00:27:05,919 I practically memorized your paper 482 00:27:05,959 --> 00:27:08,209 on phenotypical heterogeneity of neural cells. 483 00:27:08,253 --> 00:27:10,883 But, look, we can all cure cancer another day. 484 00:27:10,922 --> 00:27:13,382 Right now your research can be exploited 485 00:27:13,425 --> 00:27:17,385 to create stem cells to grow new spinal discs. 486 00:27:17,429 --> 00:27:19,679 Eliminate the need for surgery. 487 00:27:19,723 --> 00:27:22,233 That's what we're doing here at DiscGenics. 488 00:27:22,267 --> 00:27:25,147 [both speaking Russian] 489 00:27:30,650 --> 00:27:34,110 - I question if you understand the most basic science. 490 00:27:37,073 --> 00:27:38,373 - Um... 491 00:27:38,408 --> 00:27:41,158 may I see that for one second? Thank you. 492 00:27:41,202 --> 00:27:46,002 Um, if you'll all turn to page... 493 00:27:46,041 --> 00:27:47,961 13. 494 00:27:48,001 --> 00:27:51,381 This is your work in spherical clone generation. 495 00:27:51,421 --> 00:27:54,921 You were able to demonstrate stem cell markers OCT 3/4, 496 00:27:54,966 --> 00:27:58,136 NANOG, and STAT3, unless I misunderstood. 497 00:27:58,178 --> 00:28:00,928 - That is correct. - Right, but unlike with STAT3, 498 00:28:00,972 --> 00:28:04,062 where there was robust expression in both spheres 499 00:28:04,100 --> 00:28:07,100 and adherent cultures, NANOG and OCT 3/4 500 00:28:07,145 --> 00:28:09,105 had more variable patterns of expression. 501 00:28:09,147 --> 00:28:13,027 Ergo, the key determinant in self-renewal and pluripotency 502 00:28:13,068 --> 00:28:17,408 for stem cells in embryonic settings are variable. 503 00:28:17,447 --> 00:28:20,117 Am I right? 504 00:28:20,158 --> 00:28:23,288 I'm right. So all I'm asking is that we take your work 505 00:28:23,328 --> 00:28:25,208 into stem cell self-renewal markers, 506 00:28:25,246 --> 00:28:28,746 and we use it to create a new cell therapy. 507 00:28:28,792 --> 00:28:30,792 We build stem cells 508 00:28:30,835 --> 00:28:34,045 to repair diseased spinal discs. 509 00:28:36,508 --> 00:28:38,468 Will you help me out? 510 00:28:38,510 --> 00:28:45,270 * * 511 00:28:45,308 --> 00:28:47,138 Well, what do you think? 512 00:28:47,185 --> 00:28:49,765 - Definitely intrigued. - [sighs] 513 00:28:49,813 --> 00:28:53,483 - Outside the obvious, how can I help? 514 00:28:53,525 --> 00:28:55,775 - Honestly... 515 00:28:55,819 --> 00:28:56,949 [sighs] 516 00:28:56,986 --> 00:28:59,276 My surgical reps are killing me. 517 00:28:59,322 --> 00:29:02,082 You know, there's only so many hours in the day. 518 00:29:03,535 --> 00:29:05,115 - You are an M.D./PhD. 519 00:29:05,161 --> 00:29:07,911 You have to be able to balance both. 520 00:29:07,956 --> 00:29:09,616 You look tired. 521 00:29:09,666 --> 00:29:12,086 - [sighs] Yeah. 522 00:29:12,127 --> 00:29:14,917 I'm burning the candle at both ends and the middle. 523 00:29:14,963 --> 00:29:18,843 * * 524 00:29:18,883 --> 00:29:20,973 - A little friendly word... 525 00:29:21,011 --> 00:29:23,471 if I had a future ahead of me as bright as yours, 526 00:29:23,513 --> 00:29:27,523 I would never want to be a minute late showing up for it. 527 00:29:27,559 --> 00:29:29,729 Okay? - Yes, sir. 528 00:29:31,730 --> 00:29:33,520 - I'm gonna go press some flesh. 529 00:29:33,565 --> 00:29:35,525 - [clears throat] 530 00:29:35,567 --> 00:29:42,447 * * 531 00:29:53,752 --> 00:29:55,842 [monitor beeping softly] 532 00:29:55,879 --> 00:29:57,259 - Today I will be performing 533 00:29:57,297 --> 00:30:00,587 an anterior cervical discectomy and fusion. 534 00:30:00,633 --> 00:30:04,053 The vertebral bodies are exposed, and so is the disc. 535 00:30:04,095 --> 00:30:06,965 Chris, I'm thinking DiscGenics is gonna need some more money. 536 00:30:07,015 --> 00:30:08,845 - What do you mean? 537 00:30:08,892 --> 00:30:10,942 - You should meet with some investment bankers. 538 00:30:10,977 --> 00:30:13,097 I am drilling directly into the disc 539 00:30:13,146 --> 00:30:17,686 until I encounter the posterior longitudinal ligament. 540 00:30:17,734 --> 00:30:19,994 Beyond that is the spinal cord. 541 00:30:20,028 --> 00:30:22,448 - Before I get the patent? - The PLL is pierced. 542 00:30:22,489 --> 00:30:25,739 Inside the diseased disc resembles crabmeat. 543 00:30:25,784 --> 00:30:29,544 I use a nerve hook to remove the disc 544 00:30:29,579 --> 00:30:31,869 and decompress the spinal cord. 545 00:30:31,915 --> 00:30:34,165 It's classic chicken-and-the-egg. 546 00:30:34,209 --> 00:30:36,539 Private equity is a lusty courtship. 547 00:30:36,586 --> 00:30:38,246 The spinal cord is the white, 548 00:30:38,296 --> 00:30:41,716 glossy structure with a juicy blood vessel on top, 549 00:30:41,758 --> 00:30:43,718 and that is the dura. 550 00:30:43,760 --> 00:30:45,550 Now, we tease out-- 551 00:30:45,595 --> 00:30:48,555 [tense music] 552 00:30:48,598 --> 00:30:52,098 * * 553 00:30:52,143 --> 00:30:55,563 We now tease out the disc. 554 00:30:55,605 --> 00:30:59,815 * * 555 00:30:59,859 --> 00:31:02,399 Dr. Duntsch has successfully removed the disc. 556 00:31:02,445 --> 00:31:03,985 Well done. 557 00:31:04,030 --> 00:31:06,570 Don't worry. You'll get your patent, Chris. 558 00:31:06,616 --> 00:31:09,536 And you and your company will make us obsolete. 559 00:31:09,577 --> 00:31:10,617 - [chuckles] 560 00:31:10,662 --> 00:31:12,412 - We now drill holes 561 00:31:12,455 --> 00:31:16,535 for the twin screws in the vertebra. 562 00:31:16,584 --> 00:31:18,384 You ready? 563 00:31:18,420 --> 00:31:21,210 * * 564 00:31:21,256 --> 00:31:23,126 [drill whirring] 565 00:31:25,719 --> 00:31:27,759 The only useful thing you learned at Harvard 566 00:31:27,804 --> 00:31:29,564 was how to name-drop the word Harvard 567 00:31:29,597 --> 00:31:30,967 into any given conversation. 568 00:31:31,016 --> 00:31:33,726 Oh, here are our two esteemed visitors 569 00:31:33,768 --> 00:31:35,098 I was telling you about-- 570 00:31:35,145 --> 00:31:37,265 Dr. Robert Henderson and Dr. Randall Kirby. 571 00:31:37,313 --> 00:31:39,443 It's a pleasure to make your acquaintance 572 00:31:39,482 --> 00:31:40,442 in the flesh, gentlemen. 573 00:31:40,483 --> 00:31:42,693 Dr. Kirby went to Rice University 574 00:31:42,736 --> 00:31:44,566 and Baylor College of Medicine. 575 00:31:44,612 --> 00:31:47,492 And Dr. Henderson... 576 00:31:47,532 --> 00:31:49,952 I'm so sorry. I-I'm completely forgetting. 577 00:31:49,993 --> 00:31:52,003 Uh, where did you get your M.D.? 578 00:31:52,037 --> 00:31:54,957 - University of Nebraska. - Yes. 579 00:31:54,998 --> 00:31:58,418 Right, right. Um, go, Corn Huskers. 580 00:31:58,460 --> 00:32:01,630 [chuckles] 581 00:32:01,671 --> 00:32:04,421 - Duntsch's friend, if you can believe he actually had one. 582 00:32:04,466 --> 00:32:06,626 - Turned him into a quadriplegic. 583 00:32:06,676 --> 00:32:08,136 As of today, he's closing in 584 00:32:08,178 --> 00:32:10,468 on two dozen botched surgeries-- 585 00:32:10,513 --> 00:32:12,773 holes that drilled through muscle, 586 00:32:12,807 --> 00:32:14,557 nerves severed, arteries. 587 00:32:14,601 --> 00:32:18,191 I mean, the guy can't define basic regional anatomy. 588 00:32:18,229 --> 00:32:20,069 - He approaches spinal surgery 589 00:32:20,106 --> 00:32:23,686 like a child playing with Tinkertoys. 590 00:32:23,735 --> 00:32:26,855 - This is not the Christopher Duntsch I knew. 591 00:32:28,865 --> 00:32:31,485 These things here, I... 592 00:32:31,534 --> 00:32:33,664 I never saw. 593 00:32:33,703 --> 00:32:35,043 I just can't explain it. 594 00:32:35,080 --> 00:32:36,540 - Well, perhaps you could help us unpack 595 00:32:36,581 --> 00:32:38,461 the reference you provided for Duntsch? 596 00:32:38,500 --> 00:32:40,460 - Of course. 597 00:32:40,502 --> 00:32:42,422 - He met all of his training hours? 598 00:32:42,462 --> 00:32:45,052 - Yes, though I-I can't speak to his--his residency. 599 00:32:45,090 --> 00:32:46,630 You'd have to check with them for that. 600 00:32:46,675 --> 00:32:48,505 - I'm sure you wouldn't have included him in your fellowship 601 00:32:48,551 --> 00:32:50,301 if you didn't think he was properly trained, correct? 602 00:32:50,345 --> 00:32:51,385 - Correct. 603 00:32:51,429 --> 00:32:53,429 - You oversaw his surgical reps here? 604 00:32:53,473 --> 00:32:54,473 - Yes. 605 00:32:54,516 --> 00:32:56,726 And if you were one of my fellows 606 00:32:56,768 --> 00:32:58,898 and I was watching 607 00:32:58,937 --> 00:33:01,307 and you did what you've shown me here, 608 00:33:01,356 --> 00:33:03,436 that would be the end of your fellowship. 609 00:33:03,483 --> 00:33:05,073 - Any drugs? 610 00:33:05,110 --> 00:33:06,320 - I never saw anything 611 00:33:06,361 --> 00:33:07,861 that would lead me to that conclusion. 612 00:33:07,904 --> 00:33:09,204 - Psychiatric issues? 613 00:33:09,239 --> 00:33:10,819 - He may have sought counseling. 614 00:33:10,865 --> 00:33:13,235 A lot of students do. 615 00:33:13,284 --> 00:33:16,254 I'm afraid that's really all I can help you with. 616 00:33:16,287 --> 00:33:19,247 - With all due respect, I have to disagree with you there. 617 00:33:19,290 --> 00:33:21,750 - His references are the bedrock to his bullshit. 618 00:33:21,793 --> 00:33:23,293 He can get credentialed anywhere. 619 00:33:23,336 --> 00:33:24,666 - You're in a unique position 620 00:33:24,713 --> 00:33:27,093 to tell them what you know about Dallas. 621 00:33:27,132 --> 00:33:29,882 - I did, on the form for Forest Park. 622 00:33:29,926 --> 00:33:31,926 I mentioned poor outcomes at Baylor. 623 00:33:31,970 --> 00:33:34,060 - But not Dallas Medical? - No, no. 624 00:33:34,097 --> 00:33:36,387 They wanted the form back immediately. 625 00:33:36,433 --> 00:33:39,733 So I checked the boxes as requested, 626 00:33:39,769 --> 00:33:42,059 stated that he was... 627 00:33:42,105 --> 00:33:45,065 satisfactory, which he was. 628 00:33:45,108 --> 00:33:47,148 - If it had been me, 629 00:33:47,193 --> 00:33:49,203 I would have done everything in my power to say, 630 00:33:49,237 --> 00:33:50,657 "No, I cannot recommend him." 631 00:33:50,697 --> 00:33:52,907 - I can read you the form for privileges, 632 00:33:52,949 --> 00:33:54,869 but it only relates to his time here. 633 00:33:54,909 --> 00:33:58,119 You're only allowed to attest to what you directly observe, 634 00:33:58,163 --> 00:34:00,713 that period of time the observation is made, 635 00:34:00,749 --> 00:34:02,419 and your role as observer-- 636 00:34:02,459 --> 00:34:04,669 what happened during his training. 637 00:34:07,297 --> 00:34:10,757 - What about the images we've provided you with? 638 00:34:10,800 --> 00:34:13,470 - Yeah. [sighs] 639 00:34:13,511 --> 00:34:15,261 Yeah, I'm sorry. 640 00:34:15,305 --> 00:34:18,765 I-I'm afraid I'd have to throw the ball back to Dallas. 641 00:34:18,808 --> 00:34:22,398 What happened, he did in Texas. 642 00:34:22,437 --> 00:34:24,107 Makes you think the hospitals there 643 00:34:24,147 --> 00:34:25,727 will take any surgeon with a pulse. 644 00:34:25,774 --> 00:34:27,444 [chuckles] 645 00:34:30,904 --> 00:34:33,114 I see why you're so upset-- 646 00:34:33,156 --> 00:34:35,986 these hospitals not reporting him, 647 00:34:36,034 --> 00:34:39,124 Not vetting him properly. 648 00:34:39,162 --> 00:34:42,922 But this is a Texas problem... 649 00:34:42,957 --> 00:34:45,627 not a Tennessee problem. 650 00:34:45,669 --> 00:34:48,959 [Dr. Kirby sighs] 651 00:34:49,005 --> 00:34:51,925 [phone receiver clatters] 652 00:34:51,966 --> 00:34:53,926 - [exhales sharply] 653 00:34:53,968 --> 00:34:57,598 [tense music] 654 00:34:57,639 --> 00:34:59,969 [clears throat] 655 00:35:00,016 --> 00:35:02,476 Hi, it's Christopher Duntsch. 656 00:35:02,519 --> 00:35:04,519 Dr. Christopher Duntsch calling. 657 00:35:04,562 --> 00:35:07,112 Uh, just following up on that exam you had 658 00:35:07,148 --> 00:35:08,648 a couple of months ago. 659 00:35:08,692 --> 00:35:10,942 I just wanted to see if you're still interested in surgery 660 00:35:10,985 --> 00:35:12,525 to correct all that pain. 661 00:35:12,570 --> 00:35:14,610 I'm still working out of Baylor-Plano, 662 00:35:14,656 --> 00:35:17,446 but I did actually start working at another hospital. 663 00:35:19,536 --> 00:35:21,746 I'm just following up. How's that neck pain? 664 00:35:21,788 --> 00:35:22,828 A tingling foot? 665 00:35:22,872 --> 00:35:24,962 The exam is free. 666 00:35:25,000 --> 00:35:27,880 * * 667 00:35:27,919 --> 00:35:30,009 You are interested. 668 00:35:30,046 --> 00:35:32,256 Oh, you moved. 669 00:35:32,298 --> 00:35:34,258 Out of state. 670 00:35:35,552 --> 00:35:38,812 You know, January is Spinal Health Awareness Month. 671 00:35:38,847 --> 00:35:40,557 Hello? 672 00:35:41,808 --> 00:35:43,848 Mrs. Bloom? 673 00:35:43,893 --> 00:35:45,653 He passed. 674 00:35:45,687 --> 00:35:49,227 * * 675 00:35:49,274 --> 00:35:51,284 I will say hi to Jerry for you. 676 00:35:51,317 --> 00:35:53,027 Kim is great. 677 00:35:53,069 --> 00:35:54,489 [chuckles] Yeah. 678 00:35:54,529 --> 00:35:57,239 No, she's great. 679 00:35:57,282 --> 00:36:00,452 Well, Jerry... 680 00:36:00,493 --> 00:36:02,793 moved on. 681 00:36:04,789 --> 00:36:06,119 That's a hairline fracture. 682 00:36:06,166 --> 00:36:08,126 You--you could be paralyzed if you don't correct it. 683 00:36:08,168 --> 00:36:12,298 * * 684 00:36:12,339 --> 00:36:14,549 Kim is great. 685 00:36:14,591 --> 00:36:15,721 [coughs] 686 00:36:15,759 --> 00:36:18,849 * * 687 00:36:18,887 --> 00:36:20,557 Yes. 688 00:36:20,597 --> 00:36:22,017 Yes, yes. 689 00:36:22,057 --> 00:36:25,807 I promise I'll never call back. 690 00:36:25,852 --> 00:36:32,282 * * 691 00:37:15,402 --> 00:37:17,362 - Dr. Duntsch? 692 00:37:19,114 --> 00:37:20,374 - [clears throat] 693 00:37:20,407 --> 00:37:22,027 - [chuckles] 694 00:37:22,075 --> 00:37:23,615 The Dr. Duntsch? 695 00:37:23,660 --> 00:37:25,370 - Can I help you? We're kind of closing up. 696 00:37:25,412 --> 00:37:27,462 - Uh, I'm Stan Novak. 697 00:37:27,497 --> 00:37:29,287 I, uh, found 'em in your door. 698 00:37:29,332 --> 00:37:31,752 - Oh, it's that damn office manager-- 699 00:37:31,793 --> 00:37:33,673 so scatterbrained. 700 00:37:37,507 --> 00:37:40,507 When did you hurt your neck? 701 00:37:40,552 --> 00:37:42,472 - Motorcycle crash six years ago. 702 00:37:42,512 --> 00:37:45,642 I've had five back surgeries. 703 00:37:45,682 --> 00:37:48,312 How'd you know it was my neck? - [chuckles] 704 00:37:48,351 --> 00:37:51,731 It's kind of what I do for a living. 705 00:37:51,771 --> 00:37:53,981 Let me guess... 706 00:37:54,024 --> 00:37:55,324 when the spasms happen, 707 00:37:55,358 --> 00:37:56,898 it feels like an electric shock? 708 00:37:56,943 --> 00:37:58,493 - Oh, any little thing sets 'em off. 709 00:37:58,528 --> 00:38:00,818 Sometimes hits me when I'm driving. 710 00:38:00,864 --> 00:38:02,324 I almost go off the road. 711 00:38:02,365 --> 00:38:04,775 - Yeah, that's Lhermitte's sign. 712 00:38:04,826 --> 00:38:07,326 We're looking at a cervical fusion. 713 00:38:07,370 --> 00:38:09,540 You got severe compression of the spinal cord, 714 00:38:09,581 --> 00:38:12,331 but if we decompress that, you'll have a full recovery. 715 00:38:12,375 --> 00:38:14,535 - [chuckles] 716 00:38:14,586 --> 00:38:17,336 I've seen so many doctors, but I wanted you. 717 00:38:17,380 --> 00:38:20,050 [chuckles] Saw your award video. 718 00:38:20,091 --> 00:38:23,221 - [clears throat] - Best Docs. 719 00:38:23,261 --> 00:38:26,261 [hopeful music plays, monitor beeping on phone] 720 00:38:26,306 --> 00:38:28,676 * * 721 00:38:28,725 --> 00:38:31,095 - Two reasons why patients normally present 722 00:38:31,144 --> 00:38:33,614 to their doctors for pain related to the spine-- 723 00:38:33,646 --> 00:38:36,686 the first is related to the peripheral nervous system. 724 00:38:36,733 --> 00:38:38,193 That's called radiculopathy. 725 00:38:38,234 --> 00:38:40,904 Now, that's normally associated with compression 726 00:38:40,945 --> 00:38:42,525 or degenerative changes 727 00:38:42,572 --> 00:38:44,952 to the spinal structure irritating the nerve, or-- 728 00:38:44,991 --> 00:38:48,041 - Award for best doctor in Texas, huh? 729 00:38:48,078 --> 00:38:50,038 - [chuckles] 730 00:38:50,080 --> 00:38:51,710 [clears throat] 731 00:38:51,748 --> 00:38:53,378 You caught me in the middle of an expansion. 732 00:38:53,416 --> 00:38:56,166 I'm a little short-staffed right now. 733 00:38:56,211 --> 00:38:58,841 - You can still do it, right? 734 00:38:58,880 --> 00:39:00,840 - I'm all booked up at Baylor, 735 00:39:00,882 --> 00:39:02,972 but I did just start at University General. 736 00:39:03,009 --> 00:39:05,849 I can squeeze you in there. 737 00:39:05,887 --> 00:39:07,847 - [chuckles] 738 00:39:07,889 --> 00:39:10,849 [tense music] 739 00:39:10,892 --> 00:39:12,482 * * 740 00:39:20,402 --> 00:39:21,652 - We get the process, Duntsch. 741 00:39:21,695 --> 00:39:23,855 - And we do like disruptive tech. 742 00:39:23,905 --> 00:39:25,525 - Then you're gonna love DiscGenics. 743 00:39:25,573 --> 00:39:26,993 - Oh, it's just that I was forced to take 744 00:39:27,033 --> 00:39:28,793 the "D to a C" program, in high-school biology, so-- 745 00:39:28,827 --> 00:39:30,407 - I put the fucking A in AP chem, 746 00:39:30,453 --> 00:39:31,873 and I still don't get what it does. 747 00:39:31,913 --> 00:39:33,293 - Okay, brass tacks-- 748 00:39:33,331 --> 00:39:34,711 I'm inventing 749 00:39:34,749 --> 00:39:37,039 an injectable fountain of youth for the spine. 750 00:39:37,085 --> 00:39:40,045 - Work for his wanker? - That's phase two. 751 00:39:40,088 --> 00:39:41,588 - Hey, there's hope. 752 00:39:41,631 --> 00:39:44,381 - Look, simply put, stem cells take over diseased cells 753 00:39:44,426 --> 00:39:46,216 in spinal discs and repair them. 754 00:39:46,261 --> 00:39:48,971 - How far along is it? 755 00:39:49,014 --> 00:39:51,774 - We're looking for partners right now to raise capital 756 00:39:51,808 --> 00:39:54,808 based on lead assets that we've already generated. 757 00:39:54,853 --> 00:39:56,563 I mean, look, I am developing a key process 758 00:39:56,604 --> 00:39:58,364 in the manipulation of stem cells, 759 00:39:58,398 --> 00:39:59,898 but, equally important, 760 00:39:59,941 --> 00:40:02,611 our competitors are going to need to use this step 761 00:40:02,652 --> 00:40:04,402 if they want to play in our space. 762 00:40:04,446 --> 00:40:07,026 We'll own it, and they'll have to pay. 763 00:40:07,073 --> 00:40:09,623 - And how'd you come up with the concept? 764 00:40:09,659 --> 00:40:12,619 - LSD. [laughter] 765 00:40:12,662 --> 00:40:14,292 - I knew it. - I knew it. 766 00:40:14,330 --> 00:40:17,170 - * Bass down low, bass, bass, bass down low * 767 00:40:17,208 --> 00:40:19,498 * B-bass, bass down low * 768 00:40:19,544 --> 00:40:21,594 * I-I-I like my beats fast... * 769 00:40:21,629 --> 00:40:25,089 - Whoa, whoa, whoa, hey, Make way for the king. 770 00:40:25,133 --> 00:40:27,433 Yo, what the fuck's a MISI? 771 00:40:27,469 --> 00:40:29,849 - Minimally Invasive Spine Institute-- 772 00:40:29,888 --> 00:40:31,138 M-I-S-I, MISI. 773 00:40:31,181 --> 00:40:34,021 - Minimally invasive spines are your jam, man. 774 00:40:34,059 --> 00:40:37,269 Too many choices. What are you gonna do? 775 00:40:37,312 --> 00:40:38,862 - What are we gonna do? 776 00:40:40,648 --> 00:40:42,148 I don't think you should sell anymore, you know? 777 00:40:42,192 --> 00:40:43,192 - Come on, man. 778 00:40:43,234 --> 00:40:45,244 It's no big deal. - No, no. 779 00:40:45,278 --> 00:40:47,068 Come with me. 780 00:40:47,113 --> 00:40:48,873 * * 781 00:40:48,907 --> 00:40:50,277 - Where? 782 00:40:50,325 --> 00:40:53,655 - I got job offers in Dallas, California, wherever. 783 00:40:53,703 --> 00:40:56,043 - What am I gonna do? - You already live with me. 784 00:40:56,081 --> 00:40:57,421 You drive me. 785 00:40:57,457 --> 00:40:59,127 We're best friends, right? 786 00:40:59,167 --> 00:41:01,287 - Goddamn right we are. 787 00:41:01,336 --> 00:41:03,876 Wherever you go, I'll work for you. 788 00:41:03,922 --> 00:41:08,472 Hey, how about director of marketing? 789 00:41:08,510 --> 00:41:10,850 Preach the empire of Duntsch. 790 00:41:10,887 --> 00:41:14,307 - * I like my beats fast and my bass down low * 791 00:41:14,349 --> 00:41:15,809 * Drop it to the floor * 792 00:41:15,850 --> 00:41:18,980 * Bass down low, bass, bass, bass down low * 793 00:41:19,020 --> 00:41:23,610 * I-I-I like my beats fast and my bass down low * 794 00:41:23,650 --> 00:41:25,990 * It's like one, two, three, okay * 795 00:41:26,027 --> 00:41:28,067 - Wait a second. 796 00:41:28,113 --> 00:41:29,823 - * Every day feel like my birthday * 797 00:41:29,864 --> 00:41:32,374 * And we sip champagne when we thirsty * 798 00:41:32,409 --> 00:41:34,659 - Evening. 799 00:41:34,703 --> 00:41:36,583 Just wanted to introduce myself. 800 00:41:36,621 --> 00:41:38,371 - Get out of here. - My name's Chris. 801 00:41:38,415 --> 00:41:40,205 What's yours? - I paid for this, Chris. 802 00:41:40,250 --> 00:41:41,670 Back the fuck off. 803 00:41:41,710 --> 00:41:43,380 - Touch my friend again, I'll break your spine, 804 00:41:43,420 --> 00:41:45,800 and you'll have to pay him to fix it. 805 00:41:45,839 --> 00:41:48,509 - So, what's your name? - Crystale. 806 00:41:48,550 --> 00:41:50,510 It's a little early for Halloween. 807 00:41:50,552 --> 00:41:52,012 - [chuckles] 808 00:41:52,053 --> 00:41:54,683 I like your costume better. - You gonna pay for it? 809 00:41:54,723 --> 00:41:57,183 - No, 'cause you are priceless. 810 00:41:57,225 --> 00:42:01,555 - Oh, if only I hadn't heard that line seven times tonight. 811 00:42:01,604 --> 00:42:03,944 - I bet you break a heart every time you say that. 812 00:42:03,982 --> 00:42:05,652 * * 813 00:42:05,692 --> 00:42:08,702 - If you're really a doctor, what kind are you. 814 00:42:08,737 --> 00:42:11,407 aside from being a cheap-ass one? 815 00:42:11,448 --> 00:42:14,618 - [scoffs] Well, Crystale, unless you're board certified 816 00:42:14,659 --> 00:42:16,409 in neurosurgery and molecular biology, 817 00:42:16,453 --> 00:42:19,253 I don't think I could explain it to you. 818 00:42:19,289 --> 00:42:21,959 - I'm board certified in knowing you're an asshole. 819 00:42:22,000 --> 00:42:23,080 - Hey! 820 00:42:23,126 --> 00:42:24,246 - My name's not "hey." 821 00:42:24,294 --> 00:42:26,844 - Well, it's not Crystale either. 822 00:42:26,880 --> 00:42:28,970 Look, I've had a crazy day. 823 00:42:29,007 --> 00:42:32,217 A bunch of dreams just came true all at once. 824 00:42:32,260 --> 00:42:34,050 Has that ever happened to you? 825 00:42:34,095 --> 00:42:36,845 - Dancing here is my trifecta of dreams come true. 826 00:42:36,890 --> 00:42:40,560 * * 827 00:42:40,602 --> 00:42:41,982 - Okay, so I'm an asshole, 828 00:42:42,020 --> 00:42:44,190 and I'm sorry for what I said earlier. 829 00:42:44,230 --> 00:42:45,730 - Pardon the interruption. 830 00:42:45,774 --> 00:42:48,534 Listen, bro, I don't need to be marketing director. 831 00:42:48,568 --> 00:42:50,698 Only title I want in your life is friend, 832 00:42:50,737 --> 00:42:52,657 and you can never fire me. 833 00:42:52,697 --> 00:42:54,447 I go where you go, 834 00:42:54,491 --> 00:42:56,411 but you do need a slogan for DiscGenics. 835 00:42:56,451 --> 00:42:58,791 - A slogan? I'll give it a whirl. 836 00:42:58,828 --> 00:43:01,748 - You don't know what it is. - Do you know what it is? 837 00:43:01,790 --> 00:43:03,880 - I don't need to. I'm good. 838 00:43:03,917 --> 00:43:06,377 * * 839 00:43:06,419 --> 00:43:08,919 - Holy shit. Done fucking deal. 840 00:43:08,963 --> 00:43:11,263 Fuck, yeah. Chris, you got to hear it. 841 00:43:11,299 --> 00:43:13,219 She's rock and roll. 842 00:43:13,259 --> 00:43:16,469 - * La, la, la, la-la, la-la * 843 00:43:16,513 --> 00:43:18,223 - Yes. 844 00:43:18,264 --> 00:43:21,024 - * La, la, la, la-la, la-la * 845 00:43:21,059 --> 00:43:23,269 * If you want to get with me * 846 00:43:23,311 --> 00:43:24,981 * There's some things you got to know * 847 00:43:25,021 --> 00:43:27,111 - * Drop it to the floor * - * Bass down low * 848 00:43:27,148 --> 00:43:29,528 * Bass, bass, bass, bass down low * 849 00:43:29,567 --> 00:43:33,607 * I-I-I like my beats fast and my bass down low * 850 00:43:33,655 --> 00:43:35,815 * B-b-bass down low * 851 00:43:35,865 --> 00:43:38,275 * Bass, bass, bass, bass down low * 852 00:43:38,326 --> 00:43:42,206 * I like my beats fast and my bass down low * 853 00:43:48,670 --> 00:43:51,630 [bird hooting in the distance] 854 00:43:51,673 --> 00:43:55,093 [classical music playing faintly] 855 00:43:55,135 --> 00:43:58,675 * * 856 00:43:58,722 --> 00:44:02,642 [distant dog barking] 857 00:44:02,684 --> 00:44:06,524 [doorbell rings] 858 00:44:13,319 --> 00:44:20,239 * * 859 00:44:22,746 --> 00:44:25,616 [distant dog barking] 860 00:44:25,665 --> 00:44:32,795 * * 861 00:44:41,556 --> 00:44:44,476 [volume increases] 862 00:44:44,517 --> 00:44:50,687 * * 863 00:44:50,732 --> 00:44:51,692 - [muffled] Bob! 864 00:44:51,733 --> 00:44:53,283 Hey! Come on! 865 00:44:53,318 --> 00:44:55,488 - No, no, no--oh. 866 00:44:55,528 --> 00:44:57,358 I came at a bad time, I'm sorry. 867 00:44:57,405 --> 00:44:59,815 - No, no, no! Come on. It's opera night, come on in. 868 00:44:59,866 --> 00:45:01,026 Come on. - Hey, look at this. 869 00:45:01,076 --> 00:45:03,116 * * 870 00:45:03,161 --> 00:45:05,711 He got another job. 871 00:45:05,747 --> 00:45:07,917 - [scoffs] University General Hospital. 872 00:45:07,957 --> 00:45:09,247 You know what? I went to med school 873 00:45:09,292 --> 00:45:10,842 with the owner of this place--Dr. Sasani. 874 00:45:10,877 --> 00:45:12,047 We should go there. 875 00:45:12,087 --> 00:45:13,837 - And do what exactly? - I don't know. 876 00:45:13,880 --> 00:45:14,880 We'll figure it out. 877 00:45:14,923 --> 00:45:17,343 We'll, uh, denounce him publicly. 878 00:45:17,384 --> 00:45:20,014 No more half measures, right? 879 00:45:20,053 --> 00:45:22,263 - Okay. - Come on. 880 00:45:22,305 --> 00:45:24,805 Jacqueline, look who's here! 881 00:45:24,849 --> 00:45:28,099 This is Dr. Bob Henderson. 882 00:45:28,144 --> 00:45:35,114 * *