1 00:00:09,103 --> 00:00:12,275 Previously onWatson... I want this patient admitted 2 00:00:12,379 --> 00:00:13,413 to my spinal project. 3 00:00:13,517 --> 00:00:14,448 How would you do this? 4 00:00:14,586 --> 00:00:15,931 Gigi Grigoryan. 5 00:00:16,034 --> 00:00:17,067 Who is she? Ingrid. 6 00:00:17,068 --> 00:00:19,620 Come on. It's Mom's birthday. 7 00:00:19,724 --> 00:00:21,827 Mom's been gone 20 years, Gigi. 8 00:00:21,965 --> 00:00:24,758 I'm sure she won't mind if we eat a little late. 9 00:00:24,862 --> 00:00:25,931 Devin Chaplin. 10 00:00:26,034 --> 00:00:28,758 Executive director of human resources. 11 00:00:28,862 --> 00:00:29,931 How long have you guys been 12 00:00:30,068 --> 00:00:31,310 eating lunch together? Is it often? 13 00:00:31,413 --> 00:00:32,895 Sometimes. Uh, not usually. 14 00:00:32,896 --> 00:00:35,931 You have an extremely dangerous person working here. 15 00:00:36,034 --> 00:00:38,137 Excuse me? Ingrid Derian is 16 00:00:38,275 --> 00:00:41,103 an incredible talent, but if she stays at UHOP, 17 00:00:41,241 --> 00:00:42,895 sooner or later, there's going to be fallout. 18 00:00:42,896 --> 00:00:45,413 The people around her will take the damage, 19 00:00:45,517 --> 00:00:47,965 including maybe you, Dr. Morstan. 20 00:00:48,931 --> 00:00:50,758 We're here with you on New Year's Eve. 21 00:00:50,862 --> 00:00:52,413 That's right. The whole team will be here... 22 00:00:52,517 --> 00:00:55,448 9:01, and nobody's been knocked out in a fight? 23 00:00:55,586 --> 00:00:57,965 Ah, give it half an hour. New Year's never disappoints. 24 00:00:58,068 --> 00:00:59,758 Aw. 25 00:01:01,827 --> 00:01:03,620 We have a trauma activation in Resus 2. 26 00:01:03,724 --> 00:01:04,965 The patient is a 14-year-old female 27 00:01:05,068 --> 00:01:06,206 with a spinal cord injury. 28 00:01:06,344 --> 00:01:07,862 Let's move, people. 29 00:01:07,965 --> 00:01:09,344 She fell ten feet onto concrete, she landed directly on her back. 30 00:01:09,448 --> 00:01:11,068 She complained she couldn't feel her legs 31 00:01:11,172 --> 00:01:12,379 before we intubated. 32 00:01:12,482 --> 00:01:13,827 Let radiology know we're coming. 33 00:01:13,931 --> 00:01:15,481 We need an emergent CT. Gigi. 34 00:01:15,482 --> 00:01:17,103 Gigi, it's okay, baby. You're her father? 35 00:01:17,206 --> 00:01:18,206 Gigi. Yes. Yes. 36 00:01:18,344 --> 00:01:19,793 Lift. What happened tonight? 37 00:01:19,896 --> 00:01:21,724 She must have been leaning against a railing. 38 00:01:21,862 --> 00:01:23,517 I-I keep telling the landlord that he needs to replace it. 39 00:01:23,655 --> 00:01:25,206 How high up? 40 00:01:25,310 --> 00:01:26,724 Two floors. 41 00:01:26,862 --> 00:01:28,862 Is Gigi gonna be all right? We need to do our work. 42 00:01:28,965 --> 00:01:30,724 We'll get you information as soon as we have it. 43 00:01:31,689 --> 00:01:33,412 We're taking your daughter to radiology. 44 00:01:33,413 --> 00:01:34,724 You can follow me. 45 00:01:37,931 --> 00:01:40,309 Excuse me, is my sister here? 46 00:01:40,310 --> 00:01:42,034 Is she here? Is Gigi here? 47 00:01:42,172 --> 00:01:43,689 Yeah, they just brought her in. She had a fall. 48 00:01:43,793 --> 00:01:45,275 I-I came home, and the entire building was 49 00:01:45,379 --> 00:01:46,724 down in the courtyard. 50 00:01:46,862 --> 00:01:48,068 They said that she fell from the second floor. 51 00:01:50,275 --> 00:01:51,620 She can't feel her legs? 52 00:01:51,724 --> 00:01:53,102 Is my sister gonna be paralyzed? 53 00:01:53,103 --> 00:01:54,655 I should get you a doctor. What's your name? 54 00:01:54,758 --> 00:01:56,274 Didi. 55 00:01:56,275 --> 00:01:58,931 Sorry. That's my nickname, um... 56 00:01:59,034 --> 00:02:01,724 Ingrid. My real name is Ingrid Derian. 57 00:02:03,206 --> 00:02:06,379 The "Spinal Signal" connects an implant in the patient's brain 58 00:02:06,482 --> 00:02:07,827 to others in his spinal cord. 59 00:02:07,931 --> 00:02:09,931 It converts the patient's thoughts into a signal 60 00:02:10,068 --> 00:02:11,931 and transports them right over the injured tissue. 61 00:02:12,068 --> 00:02:13,103 Like a digital bridge. 62 00:02:13,241 --> 00:02:14,689 Before that day, 63 00:02:14,793 --> 00:02:16,379 that man hadn't taken a step in nine years. 64 00:02:17,413 --> 00:02:19,931 This is nothing short of a miracle. 65 00:02:20,034 --> 00:02:23,000 Which, following basic logic, means that you would be-- 66 00:02:23,103 --> 00:02:25,103 If you call me a "miracle worker," 67 00:02:25,206 --> 00:02:27,931 I will stab you in the jugular with that stupid letter opener. 68 00:02:28,068 --> 00:02:29,068 That's still accurate. 69 00:02:29,206 --> 00:02:30,516 Not quite. 70 00:02:30,517 --> 00:02:32,172 We haven't performed the first surgery at UHOP yet. 71 00:02:32,275 --> 00:02:34,103 How about I call you a miracle worker when they do? 72 00:02:34,241 --> 00:02:36,758 If I can have the five days off 73 00:02:36,862 --> 00:02:38,826 I will need for the fundraising tour, 74 00:02:38,827 --> 00:02:40,034 I permit you 75 00:02:40,137 --> 00:02:42,068 one use of the term "miracle worker." 76 00:02:42,206 --> 00:02:44,516 I accept your terms, Dr. Derian. 77 00:02:44,517 --> 00:02:46,205 Hey. Everything okay? 78 00:02:46,206 --> 00:02:48,413 My whole body's sore! 79 00:02:48,517 --> 00:02:49,999 What do you mean, everything hurts? 80 00:02:50,000 --> 00:02:52,343 My muscles ache. My arms hurt. 81 00:02:52,344 --> 00:02:55,655 Okay, well you had ECT today. Some discomfort is normal. 82 00:02:55,758 --> 00:02:57,034 This isn't that! 83 00:02:57,137 --> 00:03:00,620 My arms feels weird. Please come home. 84 00:03:00,758 --> 00:03:02,930 Okay. I'll be right there. 85 00:03:02,931 --> 00:03:04,344 Stay on the line with me. 86 00:03:04,482 --> 00:03:06,310 Everything all right, Ingrid? 87 00:03:11,482 --> 00:03:13,413 Gigi? What are you doing? 88 00:03:13,517 --> 00:03:14,896 Turn-turn off the stove! 89 00:03:15,000 --> 00:03:18,413 It's my arms. The pain... 90 00:03:18,517 --> 00:03:19,965 Tell me what's happening. 91 00:03:20,068 --> 00:03:21,585 Everything's in pain. 92 00:03:21,586 --> 00:03:23,275 The muscles in my arms... 93 00:03:23,413 --> 00:03:24,689 ...are on fire. 94 00:03:24,793 --> 00:03:26,931 I'm gonna examine you, okay? 95 00:03:27,034 --> 00:03:29,206 You're gonna flex and extend your arms. 96 00:03:34,034 --> 00:03:35,655 That's as far as it goes? Okay. 97 00:03:35,758 --> 00:03:37,689 Okay, we're gonna get you to Fort Duke or West Penn. 98 00:03:37,793 --> 00:03:40,172 No! UHOP's the best, that's why you wanted to work there. 99 00:03:40,310 --> 00:03:42,137 There are too many questions if we go there, Gigi. 100 00:03:42,241 --> 00:03:44,482 Those are both excellent emergency departments. 101 00:03:44,586 --> 00:03:45,793 These are my arms, Ingrid! 102 00:03:45,896 --> 00:03:47,931 And I'm not becoming a quad. Of course not. 103 00:03:48,034 --> 00:03:49,103 No one says that's gonna happen. 104 00:03:49,206 --> 00:03:50,551 Then take me to UHOP. 105 00:03:50,655 --> 00:03:52,896 I won't tell them we're related. 106 00:03:54,965 --> 00:03:56,655 Okay? Okay. 107 00:04:09,344 --> 00:04:11,068 Hello. Hi. 108 00:04:11,172 --> 00:04:12,586 My name is Dr. Ingrid Derian, 109 00:04:12,724 --> 00:04:14,068 I'm a neurologist at the Holmes Clinic. 110 00:04:14,172 --> 00:04:15,655 I'm concerned about this patient. 111 00:04:15,758 --> 00:04:18,826 She's a participant in our Spinal Signal Project. 112 00:04:18,827 --> 00:04:20,310 She needs to be seen right away. 113 00:04:20,413 --> 00:04:22,137 Can you breathe? Is your airway obstructed? 114 00:04:22,241 --> 00:04:23,964 She's in pain. She needs to see an attending. 115 00:04:29,137 --> 00:04:30,792 Hey. Listen to me. 116 00:04:30,793 --> 00:04:32,724 Your name is Gigi Grigoryan. 117 00:04:32,862 --> 00:04:34,551 I know, I changed it. Okay, no slipups though, okay? 118 00:04:34,689 --> 00:04:36,551 You can't tell them about any of the changes 119 00:04:36,655 --> 00:04:38,034 we made to your meds. You cannot tell them about 120 00:04:38,137 --> 00:04:39,826 the electroconvulsive therapy treatments. 121 00:04:39,827 --> 00:04:42,551 But what if it's related? It's not. I promise. 122 00:04:42,655 --> 00:04:44,000 There is something else. We'll figure out what it is. 123 00:04:44,103 --> 00:04:45,724 Good evening, my name's Dr. Mira Leela. 124 00:04:45,862 --> 00:04:47,586 I'm the attending in charge. What seems to be-- 125 00:04:47,689 --> 00:04:49,516 Dr. Leela, the patient is a 30-year-old female 126 00:04:49,517 --> 00:04:51,517 with a history of spinal cord injury. 127 00:04:51,620 --> 00:04:53,724 She's experiencing worsening myalgias and rigidity. 128 00:04:53,862 --> 00:04:55,481 What's your name, dear? Gigi Grigoryan. 129 00:04:55,482 --> 00:04:56,896 Miss Grigoryan. 130 00:04:57,034 --> 00:04:58,413 We'll take you to a proper examining room immediately 131 00:04:58,551 --> 00:04:59,862 and we're gonna figure out exactly 132 00:05:00,000 --> 00:05:01,448 what's making you uncomfortable, okay? 133 00:05:01,551 --> 00:05:02,689 I'm coming with you. 134 00:05:02,793 --> 00:05:04,862 You're not a relative, are you? 135 00:05:04,965 --> 00:05:06,758 Then, I appreciate your concern for your patient, 136 00:05:06,862 --> 00:05:08,758 but we need to work. We'll keep you updated 137 00:05:08,862 --> 00:05:10,689 every step of the way. Can we just have a moment? 138 00:05:14,724 --> 00:05:17,172 Hey. 139 00:05:17,275 --> 00:05:19,172 You're gonna be okay, Gigi. 140 00:05:19,275 --> 00:05:20,516 No mistakes. 141 00:05:20,517 --> 00:05:22,172 Not a single one. 142 00:05:22,275 --> 00:05:24,102 I lied to get you into this program. 143 00:05:24,103 --> 00:05:26,655 If they find out we're sisters, I'm gonna lose my job here 144 00:05:26,758 --> 00:05:28,655 and you're gonna get kicked out of the program. 145 00:05:28,758 --> 00:05:30,206 Do you understand? 146 00:05:31,413 --> 00:05:34,793 We did this so you could walk again. 147 00:05:34,931 --> 00:05:38,862 All of it, everything, will be gone. 148 00:05:54,517 --> 00:05:55,620 I don't want to pick one. 149 00:05:56,551 --> 00:05:58,241 This is science. You're putting up a dating profile. 150 00:05:58,344 --> 00:06:00,620 You're coercing me into putting up a dating profile. 151 00:06:00,758 --> 00:06:02,827 It's Valentine's Day. The entire world is coping 152 00:06:02,965 --> 00:06:05,585 with the disappointment of unreasonable expectations. 153 00:06:05,586 --> 00:06:07,551 It is proven that today is the best day 154 00:06:07,655 --> 00:06:08,930 to put up a virgin profile. 155 00:06:08,931 --> 00:06:10,689 I don't like the term "virgin profile." 156 00:06:10,793 --> 00:06:12,792 You need a picture with a dog if you want to get likes. 157 00:06:12,793 --> 00:06:14,827 You have three options. Adam's golden retriever... 158 00:06:14,931 --> 00:06:16,619 Which he named after himself. 159 00:06:16,620 --> 00:06:19,792 His name is John Quincy. Okay. 160 00:06:19,793 --> 00:06:22,689 So you came as close to naming it "Adam" as you possibly could. 161 00:06:22,793 --> 00:06:24,620 Micah's Doberman presents a more active image, 162 00:06:24,758 --> 00:06:26,517 while my little foster gal 163 00:06:26,620 --> 00:06:28,344 shows that you have a kind heart. 164 00:06:28,448 --> 00:06:30,757 Oh, yeah. Go with the little three-legged lady. 165 00:06:30,758 --> 00:06:32,482 She suits ya. 166 00:06:32,620 --> 00:06:34,655 Excuse me. Her name is Tripod. 167 00:06:34,758 --> 00:06:37,655 So your fling is lending you his dog, 168 00:06:37,758 --> 00:06:39,793 and I see he sent you Valentine's Day flowers. 169 00:06:39,896 --> 00:06:43,344 Is rebound boy catching feelings? 170 00:06:43,448 --> 00:06:44,827 I am not, in fact, sure of that, 171 00:06:44,931 --> 00:06:46,655 but I am positive that is not the issue. 172 00:06:46,758 --> 00:06:50,172 Stephens, we have stained glass windows at our disposal. 173 00:06:50,310 --> 00:06:51,965 Quaint Pittsburgh brick. 174 00:06:52,068 --> 00:06:53,310 An eligible bachelor capable 175 00:06:53,413 --> 00:06:56,275 of diagnosing any infectious disease. 176 00:06:56,379 --> 00:06:58,379 So pick a dog, any dog, 177 00:06:58,517 --> 00:07:02,586 muster a smile and... enjoy your feast of interested women. 178 00:07:02,724 --> 00:07:04,758 Oh. 179 00:07:04,862 --> 00:07:06,137 Can we also maybe just try... 180 00:07:06,241 --> 00:07:07,413 these? 181 00:07:07,517 --> 00:07:08,517 I like my glasses. 182 00:07:08,620 --> 00:07:10,931 I think they might help. 183 00:07:15,000 --> 00:07:17,103 I can't see. Does not matter. 184 00:07:17,241 --> 00:07:18,379 Wear those. 185 00:07:19,344 --> 00:07:20,448 Damn it. 186 00:07:20,551 --> 00:07:21,689 Gigi's fever's rising. 187 00:07:21,793 --> 00:07:23,516 BP's on a steady climb upwards. 188 00:07:23,517 --> 00:07:25,103 Your Spinal Signal patient? 189 00:07:25,241 --> 00:07:27,896 Anything we can do? I got it! 190 00:07:28,034 --> 00:07:31,413 They just need to do their job in the ER. 191 00:07:32,275 --> 00:07:34,931 Okay, so, do I just pose 192 00:07:35,068 --> 00:07:36,793 with one of these dogs, or...? Mm-hmm. 193 00:07:36,896 --> 00:07:39,689 Sorry. Is Watson around, or...? 194 00:07:39,793 --> 00:07:40,931 Dr. Morstan. 195 00:07:41,034 --> 00:07:42,310 We were just, um... 196 00:07:42,413 --> 00:07:43,655 Taking pictures for a dating profile. 197 00:07:43,758 --> 00:07:46,034 I heard. Mary. 198 00:07:46,137 --> 00:07:47,688 To what do we owe the pleasure? 199 00:07:47,689 --> 00:07:50,033 Don't tell me there's a VIP patient 200 00:07:50,034 --> 00:07:53,413 with a flesh-eating disease you'd like us to take in? 201 00:07:53,517 --> 00:07:56,413 Mm, could be something like that. 202 00:07:56,551 --> 00:07:59,137 Maybe just walk with me? 203 00:08:06,241 --> 00:08:07,724 Okay, yeah. 204 00:08:10,655 --> 00:08:13,517 Devin asked me to make us a reservation at Emund. 205 00:08:13,620 --> 00:08:15,068 On Valentine's Day? 206 00:08:15,172 --> 00:08:16,930 Every restaurant has a fixed menu 207 00:08:16,931 --> 00:08:18,172 and the service is awful. 208 00:08:18,275 --> 00:08:19,930 Oh, nevertheless. She had it in her head 209 00:08:19,931 --> 00:08:22,137 that couples should do something on the most 210 00:08:22,275 --> 00:08:23,793 "romantic night of the year." 211 00:08:23,896 --> 00:08:25,379 The most romantic night of the year is 212 00:08:25,482 --> 00:08:26,793 whenever something romantic happens. 213 00:08:26,931 --> 00:08:28,172 If you try to schedule it, 214 00:08:28,310 --> 00:08:29,310 it makes it the least romantic night. 215 00:08:29,413 --> 00:08:30,689 Yes, your position is clear. 216 00:08:30,793 --> 00:08:32,241 And yet, here I am 217 00:08:32,344 --> 00:08:37,310 with a reservation, a bottle of wine, and no date. 218 00:08:38,172 --> 00:08:40,034 Oh, would it surprise you to learn that even 219 00:08:40,137 --> 00:08:42,412 executive vice presidents of human resources can 220 00:08:42,413 --> 00:08:45,827 sometimes be... less than faithful? 221 00:08:45,931 --> 00:08:49,240 No. No, I... 222 00:08:49,241 --> 00:08:51,068 No, no, I'm just... 223 00:08:51,172 --> 00:08:52,585 surprised that I'm your backup. 224 00:08:52,586 --> 00:08:55,655 I left home to help Sherlock. 225 00:08:55,758 --> 00:08:58,274 You lost our baby girl while I was gone. 226 00:08:58,275 --> 00:09:01,896 I just didn't think that I would be on the top of your list. 227 00:09:02,034 --> 00:09:05,171 It's out there now, John. We both know about it. 228 00:09:05,172 --> 00:09:08,310 I feel like we can finally have a conversation again. 229 00:09:10,448 --> 00:09:12,861 I prepaid for the meal, and I can use a friend. 230 00:09:12,862 --> 00:09:17,413 But if you're too busy, I'll just drink my Sangiovese alone. 231 00:09:30,241 --> 00:09:32,482 Can you tell me what room Gigi Grigoryan is in? 232 00:09:32,586 --> 00:09:33,724 They have her in four. 233 00:09:33,862 --> 00:09:35,517 But I think they're drawing blood right-- 234 00:09:35,620 --> 00:09:37,862 You're welcome. 235 00:09:43,896 --> 00:09:44,964 Ivo Derian? 236 00:09:44,965 --> 00:09:46,103 I'm Dr. Moynihan, I'm the attending 237 00:09:46,206 --> 00:09:47,379 spine surgeon here. Hi. 238 00:09:47,482 --> 00:09:48,482 You're Gigi's sister? 239 00:09:48,586 --> 00:09:50,136 Didi. Gigi's suffering 240 00:09:50,137 --> 00:09:53,137 from an unstable thoracic spine fracture. 241 00:09:53,241 --> 00:09:55,034 She's suffered a T9 spinal cord injury. 242 00:09:55,172 --> 00:09:56,793 Now, ordinarily, 243 00:09:56,896 --> 00:09:58,172 we would bring her into the OR 244 00:09:58,275 --> 00:10:00,413 and we would decompress the spinal cord 245 00:10:00,517 --> 00:10:02,309 and stabilize the fracture. 246 00:10:02,310 --> 00:10:04,724 But you're not going to do that? 247 00:10:06,310 --> 00:10:10,896 Well, Gigi also has a grade III splenic laceration. 248 00:10:11,000 --> 00:10:12,586 So, if we put her on her abdomen 249 00:10:12,689 --> 00:10:14,241 to be able to do the spinal surgery, 250 00:10:14,379 --> 00:10:15,724 there is the possibility 251 00:10:15,827 --> 00:10:17,275 that her spleen could rupture mid-procedure. 252 00:10:17,379 --> 00:10:20,724 Right now, we have to observe her in the ICU 253 00:10:20,862 --> 00:10:22,448 and wait and see 254 00:10:22,551 --> 00:10:23,827 if the spleen heals itself. 255 00:10:23,931 --> 00:10:25,965 You mean just wait? 256 00:10:26,068 --> 00:10:28,171 You just said she had an unstable spinal fracture. 257 00:10:28,172 --> 00:10:30,379 What's gonna happen if you don't fix it? 258 00:10:32,655 --> 00:10:33,896 This is her spine! 259 00:10:34,034 --> 00:10:35,344 Is my sister gonna wind up paralyzed? 260 00:10:35,448 --> 00:10:37,310 Based on the location of the injury, 261 00:10:37,413 --> 00:10:39,861 your sister's arm function shouldn't be at risk. 262 00:10:39,862 --> 00:10:42,034 Oh, yeah, so she'll just be in a wheelchair. 263 00:10:42,137 --> 00:10:43,344 Damn, Ronnie. 264 00:10:43,448 --> 00:10:44,896 Who's Ronnie? He owns the building. 265 00:10:45,000 --> 00:10:46,241 I'm gonna sue him. 266 00:10:46,379 --> 00:10:48,689 I'm gonna sue him for that railing, I promise you. 267 00:10:50,689 --> 00:10:51,758 Didi. 268 00:10:53,862 --> 00:10:55,516 Didi. 269 00:10:55,517 --> 00:10:58,793 Is there anything I should know about what happened tonight? 270 00:10:58,896 --> 00:11:01,240 I wasn't there. 271 00:11:01,241 --> 00:11:03,000 You believe he's telling the truth? 272 00:11:06,068 --> 00:11:08,310 Is there anything I can do for you? 273 00:11:09,413 --> 00:11:11,448 You can help Gigi. 274 00:11:11,586 --> 00:11:14,103 You can keep my sister out of a wheelchair. 275 00:11:14,241 --> 00:11:16,448 ♪ Should auld acquaintance ♪ 276 00:11:16,551 --> 00:11:19,103 ♪ Be forgot... Stop singing! 277 00:11:20,034 --> 00:11:22,482 My sister has a broken back! Didi. 278 00:11:22,586 --> 00:11:24,413 No. My sister has a broken back. 279 00:11:24,517 --> 00:11:25,965 And no one's gonna help her walk again, 280 00:11:26,068 --> 00:11:27,000 and you're singing? 281 00:11:27,103 --> 00:11:28,275 I'm so sorry, Miss Didi. 282 00:11:28,379 --> 00:11:29,688 There's a chapel if you want quiet. 283 00:11:29,689 --> 00:11:31,413 Come on. 284 00:11:31,517 --> 00:11:33,103 Let's go. No. No. 285 00:11:33,241 --> 00:11:34,620 Okay. 286 00:11:51,206 --> 00:11:52,137 What? 287 00:11:52,275 --> 00:11:53,758 Sorry about your sister. 288 00:11:56,034 --> 00:11:57,275 Thanks. 289 00:11:58,724 --> 00:12:01,724 You know, I used to think a doctor is just a doctor. 290 00:12:01,827 --> 00:12:04,136 If someone worked that hard in school, 291 00:12:04,137 --> 00:12:05,896 if they took an oath to protect other people, 292 00:12:06,000 --> 00:12:09,103 you should be in good hands, right? 293 00:12:09,206 --> 00:12:11,310 It's not true. 294 00:12:11,413 --> 00:12:14,275 You know, there are doctors who can't stop drinking. 295 00:12:14,379 --> 00:12:15,655 There are even doctors 296 00:12:15,758 --> 00:12:17,965 who, when given the chance 297 00:12:18,068 --> 00:12:21,034 to keep a 14-year-old out of a wheelchair, 298 00:12:21,137 --> 00:12:23,275 think only about protecting themselves from liability. 299 00:12:23,379 --> 00:12:24,619 Yeah. 300 00:12:24,620 --> 00:12:27,517 Looks like Gigi got one of them. Yeah, she did. 301 00:12:27,655 --> 00:12:29,965 You know, Dr. Moynihan's a big deal, but... 302 00:12:33,241 --> 00:12:35,448 ...that doesn't mean he's the best surgeon here. 303 00:12:35,551 --> 00:12:36,793 You know, there are people here on staff 304 00:12:36,896 --> 00:12:39,241 that might not have his title, but... 305 00:12:39,344 --> 00:12:41,000 they're better. 306 00:12:41,896 --> 00:12:44,274 I don't know who any of these people are. 307 00:12:44,275 --> 00:12:45,655 I do. 308 00:12:45,758 --> 00:12:47,827 Start there. 309 00:12:47,965 --> 00:12:49,724 You won't do better. 310 00:12:54,862 --> 00:12:56,482 This isn't getting better, Ingrid. 311 00:12:56,586 --> 00:12:58,413 They don't know what's wrong with me. 312 00:12:58,517 --> 00:13:00,793 My heart rate won't go down. 313 00:13:00,896 --> 00:13:02,689 My blood pressure's still climbing, 314 00:13:02,793 --> 00:13:04,413 and I can tell from the look on your face 315 00:13:04,517 --> 00:13:06,724 that that's not all that's wrong with me. 316 00:13:08,586 --> 00:13:09,861 What are you looking at? 317 00:13:09,862 --> 00:13:13,171 Your CK value is 6,000. 318 00:13:13,172 --> 00:13:14,413 That's off the charts. 319 00:13:14,551 --> 00:13:17,275 You're experiencing rhabdomyolysis. 320 00:13:17,413 --> 00:13:19,310 Your muscles are breaking down. 321 00:13:22,896 --> 00:13:24,551 Ingrid, come here. 322 00:13:26,413 --> 00:13:29,827 What you're doing for me is incredible, 323 00:13:29,931 --> 00:13:34,758 but they don't know what's going on with me around here, 324 00:13:34,862 --> 00:13:37,413 and neither do you. 325 00:13:38,241 --> 00:13:40,103 You work with four 326 00:13:40,241 --> 00:13:44,034 of the smartest doctors in this hospital, 327 00:13:44,137 --> 00:13:48,655 and you are hiding me from them while I keep getting sicker. 328 00:13:53,034 --> 00:13:54,413 All right. Okay. 329 00:13:54,517 --> 00:13:56,586 So, they say it's gonna be about another 45 minutes, 330 00:13:56,689 --> 00:13:58,310 30 if we're lucky. 331 00:13:58,413 --> 00:13:59,550 I was nice. 332 00:13:59,551 --> 00:14:01,482 Our reservation was 15 minutes ago. 333 00:14:01,620 --> 00:14:03,413 And I was still nice. 334 00:14:04,413 --> 00:14:05,448 So what you want to do? 335 00:14:05,586 --> 00:14:06,655 Not wait an hour. 336 00:14:06,793 --> 00:14:09,517 I say we get takeout. 337 00:14:09,620 --> 00:14:12,102 Take this to the spot. 338 00:14:12,103 --> 00:14:13,827 Okay. 339 00:14:15,655 --> 00:14:18,068 Okay, yeah. [laughs] All right. 340 00:14:29,482 --> 00:14:30,758 Happy Valentine's Day. 341 00:14:30,862 --> 00:14:32,586 Happy Valentine's Day. 342 00:14:40,310 --> 00:14:42,447 You ever think about her? 343 00:14:42,448 --> 00:14:44,586 Ginny and what she might've been? 344 00:14:47,241 --> 00:14:48,379 Mm. 345 00:14:49,310 --> 00:14:52,310 I've pictured her 100 different ways. 346 00:14:53,344 --> 00:14:55,137 It starts to fade, though. 347 00:14:58,068 --> 00:15:00,619 I was mad at the world for months. 348 00:15:00,620 --> 00:15:02,310 I was mad at you. 349 00:15:03,827 --> 00:15:06,517 But it's not a tragedy, John. 350 00:15:06,620 --> 00:15:08,413 It's a sadness. 351 00:15:08,551 --> 00:15:11,586 I mean, we're not the first couple who couldn't have a baby. 352 00:15:13,448 --> 00:15:16,206 Let it go, little by little. 353 00:15:17,206 --> 00:15:19,206 That's never been your strong suit. 354 00:15:20,344 --> 00:15:22,309 Ah, sorry. It's okay. 355 00:15:22,310 --> 00:15:24,310 You have to check. 356 00:15:26,310 --> 00:15:28,413 Good evening, Dr. Derian. INGRID [over phone]: Dr. Watson, I'm sorry. 357 00:15:28,551 --> 00:15:32,206 Are you busy? No, I was just... 358 00:15:33,344 --> 00:15:35,033 Don't worry about it. What do you need? 359 00:15:35,034 --> 00:15:36,896 There is a patient, 30-year-old female, she's a participant 360 00:15:37,034 --> 00:15:38,931 in our Spinal Signal Project. Uh-huh. 361 00:15:39,034 --> 00:15:40,826 Her fever's elevated and I... 362 00:15:40,827 --> 00:15:42,482 I understand, yeah. No. 363 00:15:42,586 --> 00:15:44,654 No, I'll be right there. 364 00:15:44,655 --> 00:15:48,000 It's... [sighs] one of her Spinal Signal patients. 365 00:15:48,103 --> 00:15:49,379 Sounds bad. I'm sorry. 366 00:15:49,482 --> 00:15:50,413 I-I got to... 367 00:15:50,517 --> 00:15:51,655 No, don't apologize. 368 00:15:51,758 --> 00:15:53,000 Just don't leave me hanging. 369 00:15:53,103 --> 00:15:54,862 I'm the medical directorof UHOP. 370 00:15:54,965 --> 00:15:57,103 I'd like to see the Holmes Clinic in action. 371 00:15:57,206 --> 00:16:00,931 Unless you think I have nothing to contribute? 372 00:16:02,034 --> 00:16:04,793 Come on, Tripod. Let's go. 373 00:16:09,862 --> 00:16:11,550 You guys sleep in your college shirts? 374 00:16:11,551 --> 00:16:12,862 I am wearing my college shirt. 375 00:16:12,965 --> 00:16:14,205 Adam is wearing his safety school shirt. 376 00:16:14,206 --> 00:16:16,793 Well, I had to put something back on. 377 00:16:16,931 --> 00:16:18,895 Would you stop flaunting your fling? 378 00:16:18,896 --> 00:16:21,067 Forget the fling. Did you really have to bring your dog? 379 00:16:21,068 --> 00:16:22,620 Her name's Tripod, and she's not my dog. 380 00:16:22,724 --> 00:16:25,448 I have to take her back to the shelter soon. 381 00:16:25,586 --> 00:16:26,861 Good evening, everyone. 382 00:16:26,862 --> 00:16:28,103 Dr. Morstan. 383 00:16:28,206 --> 00:16:29,310 Hi. 384 00:16:29,448 --> 00:16:31,205 The medical director's gonna lend us 385 00:16:31,206 --> 00:16:33,275 the benefits of her insights. 386 00:16:33,379 --> 00:16:36,000 I am confident she'll be able to keep up. 387 00:16:36,103 --> 00:16:37,931 So, Dr. Derian. 388 00:16:38,034 --> 00:16:40,103 Gigi Grigoryan. 389 00:16:40,206 --> 00:16:42,724 What do we need to know? 390 00:16:45,896 --> 00:16:47,965 Excuse me. Excuse me. 391 00:16:48,103 --> 00:16:50,723 Um, are you Dr. Mary Morstan? 392 00:16:50,724 --> 00:16:52,412 Yeah, are you all right? 393 00:16:52,413 --> 00:16:55,103 I heard that you're the best spine surgeon in this hospital. 394 00:16:55,206 --> 00:16:58,310 I do orthopedics, and I've only been an attending here 395 00:16:58,448 --> 00:16:59,620 for less than a year. 396 00:16:59,758 --> 00:17:03,206 I need your help, Dr. Morstan. My name's Didi. 397 00:17:03,310 --> 00:17:05,758 My sister... 398 00:17:06,689 --> 00:17:08,551 I need you to save her. 399 00:17:08,655 --> 00:17:11,586 I need you to keep Gigi out of a wheelchair. 400 00:17:17,965 --> 00:17:19,482 Dr. Moynihan has certain sharp corners, 401 00:17:19,586 --> 00:17:21,067 but it's no accident he runs this department. 402 00:17:21,068 --> 00:17:23,827 Right now, Gigi's splenic laceration is contained. 403 00:17:23,931 --> 00:17:26,344 It won't keep bleeding because it's walled itself off. 404 00:17:26,448 --> 00:17:28,482 If we put pressure on your sister's abdomen 405 00:17:28,586 --> 00:17:30,344 to do the intervertebral fusion surgery, 406 00:17:30,482 --> 00:17:33,757 there's a very high risk of a splenic rupture mid-operation. 407 00:17:33,758 --> 00:17:36,758 Why does she need a spleen exactly? 408 00:17:36,862 --> 00:17:38,067 What? 409 00:17:38,068 --> 00:17:39,827 Well, people live all the time without spleens. 410 00:17:39,931 --> 00:17:42,137 My aunt got hers removed when she was a kid. 411 00:17:42,241 --> 00:17:44,206 It won't rupture if it's not there. 412 00:17:44,310 --> 00:17:45,689 You said your name's Didi? 413 00:17:45,793 --> 00:17:47,930 Splenectomy, that's smart. 414 00:17:47,931 --> 00:17:50,000 I mean, I'd have to convince general surgery 415 00:17:50,103 --> 00:17:51,274 to do the splenectomy, 416 00:17:51,275 --> 00:17:53,517 and it'd be risky to operate on Gigi's spine 417 00:17:53,655 --> 00:17:55,103 right after an abdominal surgery. 418 00:17:55,206 --> 00:17:57,068 And if my sister spends the rest of her life in a wheelchair, 419 00:17:57,172 --> 00:17:58,827 isn't that risky, too? 420 00:17:58,931 --> 00:18:01,517 Or is it only a risk if someone in the hospital can be blamed? 421 00:18:03,000 --> 00:18:04,586 Let me show you something. 422 00:18:05,620 --> 00:18:07,000 Look at this. 423 00:18:08,034 --> 00:18:09,551 That's where he pinches me. 424 00:18:09,655 --> 00:18:11,310 My dad, 425 00:18:11,413 --> 00:18:14,068 when he wants it to really hurt, but doesn't want anyone to see. 426 00:18:14,172 --> 00:18:17,964 I can take it on, but he's starting on Gigi. 427 00:18:17,965 --> 00:18:20,034 I've been watching it happen. 428 00:18:21,896 --> 00:18:23,516 Do me a favor, 429 00:18:23,517 --> 00:18:26,310 look at the same spot on my sister's arm. 430 00:18:27,206 --> 00:18:28,586 And think about what happened tonight 431 00:18:28,689 --> 00:18:30,586 and how she went through that railing. 432 00:18:32,241 --> 00:18:34,586 My sister doesn't deserve to be a paraplegic 433 00:18:34,689 --> 00:18:36,655 because it's too risky to help her. 434 00:18:42,137 --> 00:18:44,516 Gigi Grigoryan is a 30-year-old female patient 435 00:18:44,517 --> 00:18:47,516 with a history of spinal cord injury and paraplegia. 436 00:18:47,517 --> 00:18:49,482 She's enrolled in our Spinal Signal Project, 437 00:18:49,586 --> 00:18:52,689 and two hours ago she presented to the UHOP ER with fever, 438 00:18:52,793 --> 00:18:54,482 myalgias, rigidity, and now, 439 00:18:54,586 --> 00:18:55,931 there's evidence of rhabdomyolysis. 440 00:18:56,034 --> 00:18:57,724 You worked closely with her for months. 441 00:18:57,862 --> 00:18:59,792 Is there anything else we need to know? 442 00:18:59,793 --> 00:19:01,137 She's been a model candidate. 443 00:19:01,275 --> 00:19:02,827 Adhered to every protocol we've asked. 444 00:19:02,931 --> 00:19:06,310 The rapid onset suggests maybe, um, sepsis or influenza. 445 00:19:06,413 --> 00:19:08,033 We could send a CBC, blood cultures, 446 00:19:08,034 --> 00:19:09,068 and a viral panel. 447 00:19:09,172 --> 00:19:10,793 The initial CBC in the ER 448 00:19:10,896 --> 00:19:12,310 didn't show any leukocytosis. 449 00:19:12,413 --> 00:19:15,241 She hasn't had any sick contacts or recent travel. 450 00:19:15,344 --> 00:19:16,827 What about prescription meds or substance abuse? 451 00:19:16,931 --> 00:19:18,793 Could be serotonin syndrome. 452 00:19:18,896 --> 00:19:20,448 No prior psych history in her charts. 453 00:19:20,551 --> 00:19:21,758 No other prescription medications, 454 00:19:21,862 --> 00:19:23,310 no substance use, and all of the bloodwork 455 00:19:23,448 --> 00:19:25,137 we've done for the trial supports that. 456 00:19:25,275 --> 00:19:28,068 Okay, so she has fever, rigidity, 457 00:19:28,172 --> 00:19:29,586 autonomic instability. 458 00:19:29,689 --> 00:19:31,034 What about malignant catatonia? 459 00:19:31,137 --> 00:19:32,448 No, it's not that. 460 00:19:33,241 --> 00:19:36,275 What possible reason do you have to exclude that diagnosis? 461 00:19:36,379 --> 00:19:37,930 We can't work with you, 462 00:19:37,931 --> 00:19:39,688 Dr. Derian, if you keep shooting everything down. 463 00:19:39,689 --> 00:19:42,379 I'm just trying to stay on point. 464 00:19:42,482 --> 00:19:44,620 The patient's temperature is already at 102, 465 00:19:44,724 --> 00:19:46,482 and her fever's not coming down. 466 00:19:48,620 --> 00:19:52,378 Ingrid is right. We are working 467 00:19:52,379 --> 00:19:53,448 on two fronts here. 468 00:19:53,551 --> 00:19:54,448 We have to figure out 469 00:19:54,551 --> 00:19:55,551 what's wrong with Gigi 470 00:19:55,655 --> 00:19:56,689 and manage her symptoms 471 00:19:56,793 --> 00:19:58,205 so she doesn't deteriorate further. 472 00:19:58,206 --> 00:19:59,724 Sasha and the Crofts, 473 00:19:59,827 --> 00:20:02,068 give her an antipyretic and cool her with ice packs. 474 00:20:02,172 --> 00:20:04,448 Ingrid, follow the patient's CK levels 475 00:20:04,551 --> 00:20:06,448 and start an aggressive fluid resuscitation. 476 00:20:06,551 --> 00:20:08,586 Send electrolytes and a tox screen. 477 00:20:08,689 --> 00:20:12,034 Dr. Morstan, if you're up for a, uh, potential all-nighter, 478 00:20:12,137 --> 00:20:13,413 I'd like you to dig through her charts 479 00:20:13,517 --> 00:20:15,827 for other types of underlying causes. 480 00:20:15,931 --> 00:20:16,793 Of course. 481 00:20:16,896 --> 00:20:18,620 And you? What are you doing? 482 00:20:18,758 --> 00:20:22,241 I have my own theory to follow up on. 483 00:20:23,137 --> 00:20:24,655 A mystery errand. 484 00:20:24,793 --> 00:20:26,758 That's one of Watson's favorite moves. 485 00:20:44,275 --> 00:20:46,379 You can't report this, you know. 486 00:20:46,482 --> 00:20:47,931 I have a duty here. 487 00:20:48,034 --> 00:20:50,827 No, y-you have a patient who needs surgery right now. 488 00:20:50,965 --> 00:20:53,413 If you take my dad into custody, who's gonna make that call? 489 00:20:53,517 --> 00:20:55,482 How old are you, Didi? 490 00:20:55,586 --> 00:20:57,895 Seventeen. 491 00:20:57,896 --> 00:21:00,000 I can't authorize the surgery. 492 00:21:02,137 --> 00:21:04,482 Child Protective Services can do it. 493 00:21:04,586 --> 00:21:06,000 Have you worked with them much? 494 00:21:07,068 --> 00:21:10,275 Just get my dad to sign the authorization. 495 00:21:10,379 --> 00:21:12,517 Keep my sister out of a wheelchair. 496 00:21:14,344 --> 00:21:15,655 When this is over, 497 00:21:15,758 --> 00:21:18,034 Gigi can tell you exactly what happened. 498 00:21:19,827 --> 00:21:22,689 Y-You can call whoever you want. 499 00:21:37,172 --> 00:21:39,827 This feels wrong. 500 00:21:39,931 --> 00:21:42,551 What? Checking the apps while we're treating Gigi? 501 00:21:42,689 --> 00:21:44,172 No. 502 00:21:44,275 --> 00:21:47,206 Well, I mean, yes, but that's a waiting game at the moment. 503 00:21:48,344 --> 00:21:49,551 I mean this. 504 00:21:52,724 --> 00:21:54,793 You look cute. You're not getting any matches? 505 00:21:54,896 --> 00:21:56,792 I'm actually kind of getting a lot. 506 00:21:56,793 --> 00:21:58,551 It's just, this stuff I wrote. 507 00:21:58,655 --> 00:22:00,965 "Infectious disease specialist seeks 508 00:22:01,103 --> 00:22:03,033 incurable chemistry"? That's just... 509 00:22:03,034 --> 00:22:04,482 bragging that I'm a doctor. 510 00:22:04,620 --> 00:22:06,240 That's how the game is played. 511 00:22:06,241 --> 00:22:09,103 I wouldn't know what to say to these people if we did meet. 512 00:22:16,448 --> 00:22:18,205 "Don't ask me to look at your moles"? 513 00:22:18,206 --> 00:22:20,793 I'm just making it more me. 514 00:22:22,827 --> 00:22:24,413 How's her fever? 515 00:22:26,310 --> 00:22:27,861 104. 516 00:22:27,862 --> 00:22:29,758 Gigi's latest labs just came in. 517 00:22:29,862 --> 00:22:32,068 Her potassium levels are elevated-- 6.8. 518 00:22:32,172 --> 00:22:34,275 We'll put her on IV calcium, glucose and insulin. 519 00:22:34,413 --> 00:22:35,931 And if that doesn't bring it down? 520 00:22:36,034 --> 00:22:37,758 Intensive care, dialysis. 521 00:22:37,896 --> 00:22:40,931 And then, who knows? 522 00:22:45,896 --> 00:22:47,034 Uh... 523 00:22:47,137 --> 00:22:49,241 I-I... 524 00:22:49,344 --> 00:22:51,067 I don't understand, I thought this surgery was too risky. 525 00:22:51,068 --> 00:22:52,758 Well, there's always a chance of complications. 526 00:22:52,862 --> 00:22:56,034 But if we don't fix Gigi's fracture now, 527 00:22:56,137 --> 00:22:59,758 she's almost certainly going to lose the use of her legs. 528 00:22:59,862 --> 00:23:01,482 Okay. 529 00:23:02,655 --> 00:23:04,620 Dad. Just... 530 00:23:06,827 --> 00:23:08,068 Can I talk to that other doctor? 531 00:23:08,172 --> 00:23:09,310 What was his name? Dr. Moynihan's... 532 00:23:09,413 --> 00:23:10,586 Yes. ...gone home for the night. 533 00:23:10,689 --> 00:23:12,172 I could have him paged. 534 00:23:12,275 --> 00:23:13,862 I think I'd like that, thank you. 535 00:23:13,965 --> 00:23:15,862 Of course. 536 00:23:18,379 --> 00:23:21,517 By the way, has anyone put you in touch with the police yet? 537 00:23:22,413 --> 00:23:23,793 What? That railing, 538 00:23:23,896 --> 00:23:25,826 it was poorly maintained, right? 539 00:23:25,827 --> 00:23:27,103 I'm happy to call them down here. 540 00:23:27,206 --> 00:23:28,241 There could be criminal liability. 541 00:23:28,379 --> 00:23:29,551 Oh, no, no, no. Thank... 542 00:23:29,655 --> 00:23:31,793 Thank you. I'll-I'll do that. 543 00:23:31,896 --> 00:23:33,241 Okay, um... 544 00:23:38,206 --> 00:23:42,344 So, you... we think that this could save Gigi's legs? 545 00:23:42,448 --> 00:23:45,000 I wouldn't be here if I didn't. 546 00:23:49,931 --> 00:23:52,481 Okay, thank you, Doctor. 547 00:23:52,482 --> 00:23:54,000 God bless you. 548 00:23:55,896 --> 00:23:58,413 Dr. Morstan, thank you. 549 00:23:58,517 --> 00:24:00,931 This can go a lot of ways, Didi. 550 00:24:01,068 --> 00:24:02,551 I understand, I know. I... 551 00:24:02,655 --> 00:24:06,758 But she has a chance now because of you. 552 00:24:20,103 --> 00:24:21,448 You wanted to see me? 553 00:24:21,551 --> 00:24:22,862 When I suggested a diagnosis 554 00:24:22,965 --> 00:24:25,482 of malignant catatonia for Gigi Grigoryan, 555 00:24:25,586 --> 00:24:27,068 you shot me down but you wouldn't give me a reason. 556 00:24:27,172 --> 00:24:29,205 Her fever is spiking. 557 00:24:29,206 --> 00:24:31,172 Yes, that's how you changed the subject, 558 00:24:31,275 --> 00:24:32,585 but would you like to tell me 559 00:24:32,586 --> 00:24:34,068 how you're connected to this patient, 560 00:24:34,172 --> 00:24:35,620 and why you're so sure 561 00:24:35,758 --> 00:24:37,793 that she doesn't have malignant catatonia? 562 00:24:37,896 --> 00:24:40,724 She is my patient in the Spinal Signal Program. 563 00:24:40,827 --> 00:24:43,000 She's obviously a lot more than that. 564 00:24:43,137 --> 00:24:46,241 Nor is it difficult to rule out the closest connection of all. 565 00:24:46,344 --> 00:24:48,275 A piece of your DNA, and a piece of hers 566 00:24:48,379 --> 00:24:49,965 and I can move on to the next theory. 567 00:24:50,103 --> 00:24:53,000 You lied to everybody in the clinic tonight, Ingrid. 568 00:24:53,103 --> 00:24:55,103 We're treating your sister. 569 00:25:03,241 --> 00:25:04,964 What are they talking about in there? 570 00:25:04,965 --> 00:25:06,379 They better wrap it up fast. 571 00:25:06,482 --> 00:25:08,586 The patient's potassium levels are headed back up. 572 00:25:08,689 --> 00:25:10,275 I'm going in. 573 00:25:11,827 --> 00:25:13,102 No. Sorry. 574 00:25:13,103 --> 00:25:14,551 Um, yeah, you go in, 575 00:25:14,655 --> 00:25:15,964 if you like, 576 00:25:15,965 --> 00:25:18,034 obviously, but... 577 00:25:18,172 --> 00:25:21,379 Dr. Watson does have a way of getting answers. 578 00:25:28,310 --> 00:25:32,137 When did your sister change her name? 579 00:25:32,241 --> 00:25:34,448 When I heard about the first Spinal Signal Project 580 00:25:34,551 --> 00:25:37,757 in Europe, I was already specializing in neurology. 581 00:25:37,758 --> 00:25:39,379 She'd never get into the studies 582 00:25:39,482 --> 00:25:40,896 because of the conflict of interest. 583 00:25:41,000 --> 00:25:46,136 So you created a whole new identity for her. 584 00:25:46,137 --> 00:25:48,965 You built it up all throughout the years 585 00:25:49,068 --> 00:25:50,793 and you pushed her application through. 586 00:25:52,206 --> 00:25:53,896 Why? 587 00:25:54,000 --> 00:25:56,482 Why would you risk everything that you built? 588 00:25:56,620 --> 00:25:59,240 I owe it to Gigi. 589 00:25:59,241 --> 00:26:01,172 Gigi. 590 00:26:01,275 --> 00:26:02,586 That's her real name? 591 00:26:02,724 --> 00:26:04,206 Ginnifer. 592 00:26:04,310 --> 00:26:05,826 She's always hated it. 593 00:26:05,827 --> 00:26:09,586 You say you "owe it" to her. 594 00:26:09,689 --> 00:26:13,172 Is Gigi in a wheelchair because of you? 595 00:26:14,241 --> 00:26:16,034 Yes. 596 00:26:16,931 --> 00:26:19,241 What did you do? 597 00:26:19,379 --> 00:26:21,103 I failed her. 598 00:26:21,206 --> 00:26:23,172 I don't understand. 599 00:26:25,517 --> 00:26:28,172 Since it's all coming out anyway, 600 00:26:28,275 --> 00:26:30,689 why don't you ask her? 601 00:26:32,000 --> 00:26:33,793 Mary? 602 00:26:57,172 --> 00:26:58,689 Tell her. 603 00:26:59,482 --> 00:27:02,827 Gigi Grigoryan is Dr. Derian's sister. 604 00:27:02,931 --> 00:27:05,137 What? I'm calling security. 605 00:27:05,241 --> 00:27:06,757 I want you out of here. 606 00:27:06,758 --> 00:27:08,586 Do you remember Gigi? 607 00:27:09,310 --> 00:27:11,172 Do you remember Gigi Derian? 608 00:27:12,413 --> 00:27:13,827 Oh, my God, it's you. 609 00:27:16,068 --> 00:27:17,379 You're... 610 00:27:17,482 --> 00:27:18,827 Didi. 611 00:27:18,931 --> 00:27:20,896 Who's Didi? 612 00:27:24,344 --> 00:27:26,448 I know you removed at least 613 00:27:26,551 --> 00:27:28,793 a hundred spleens, but this right here, tonight, 614 00:27:28,896 --> 00:27:30,482 is why you built that muscle memory. 615 00:27:30,586 --> 00:27:33,000 I need this to be the fastest one you've ever done. 616 00:27:33,137 --> 00:27:35,310 As soon as you close, flip the patient on her abdomen 617 00:27:35,448 --> 00:27:37,965 so we, the spine team, can start right away. 618 00:27:38,068 --> 00:27:40,931 We need to stabilize the T9 vertebral fracture 619 00:27:41,034 --> 00:27:43,241 by fusing two up and two down. 620 00:27:43,344 --> 00:27:45,965 We do what we're trained to do here, we do our jobs, 621 00:27:46,103 --> 00:27:49,585 and this girl walks out of UHOP on her own two feet. 622 00:27:49,586 --> 00:27:51,137 We all good? All good. 623 00:27:51,241 --> 00:27:53,068 Let's do it, Dr. Morstan. 624 00:28:03,310 --> 00:28:05,000 So, you operated 625 00:28:05,103 --> 00:28:06,000 on Ingrid's sister? 626 00:28:06,103 --> 00:28:08,034 Ingrid called herself Didi then. 627 00:28:08,172 --> 00:28:09,343 Well, we kept records. It would have come up 628 00:28:09,344 --> 00:28:10,413 when she applied to the clinic. 629 00:28:10,517 --> 00:28:11,792 Well, this was ages ago, John, 630 00:28:11,793 --> 00:28:13,758 before you and I even started dating. 631 00:28:13,862 --> 00:28:15,344 2008, '9? 632 00:28:15,448 --> 00:28:18,344 We were still transitioning to digital records. 633 00:28:20,724 --> 00:28:22,931 You think I did something to the paper records? 634 00:28:23,034 --> 00:28:24,689 You went to Pitt Medical School. 635 00:28:24,793 --> 00:28:25,931 You did your residency here. 636 00:28:26,034 --> 00:28:27,379 Records get misfiled 637 00:28:27,482 --> 00:28:29,034 all the time, lost. 638 00:28:29,137 --> 00:28:31,206 That's why we switched to digital. 639 00:28:35,655 --> 00:28:38,931 Why don't you tell him how the surgery went? 640 00:28:40,758 --> 00:28:42,482 Prep was going well. 641 00:28:42,586 --> 00:28:45,516 Stop. Get out. Doctor? 642 00:28:45,517 --> 00:28:47,517 Then Moynihan found out 643 00:28:47,620 --> 00:28:48,862 we were going to do the operation. 644 00:29:02,448 --> 00:29:05,551 ♪ Should old acquaintance... ♪ 645 00:29:05,655 --> 00:29:07,965 Stop the surgery. No! 646 00:29:08,068 --> 00:29:09,827 No, please! Gigi! Dad. 647 00:29:09,931 --> 00:29:13,137 ♪ Never brought to mind? ♪ 648 00:29:13,275 --> 00:29:16,068 ♪ Should old acquaintance ♪ 649 00:29:16,172 --> 00:29:19,103 ♪ Be forgot... Five, four, 650 00:29:19,206 --> 00:29:21,723 three, two, one. 651 00:29:21,724 --> 00:29:25,034 Happy New Year! 652 00:29:26,344 --> 00:29:30,413 ♪ For auld lang syne ♪ 653 00:29:30,517 --> 00:29:31,861 ♪ My dear ♪ 654 00:29:31,862 --> 00:29:33,241 ♪ For the sake ♪ 655 00:29:33,344 --> 00:29:37,793 ♪ Of auld lang syne. ♪ 656 00:29:43,206 --> 00:29:44,999 I'm not comfortable watching this. 657 00:29:45,000 --> 00:29:46,862 Maybe we should wait outside. 658 00:29:46,965 --> 00:29:48,413 No one's going no place. 659 00:29:48,551 --> 00:29:51,205 They're having a private conversation. It's awkward. 660 00:29:51,206 --> 00:29:55,000 If Dr. Watson wanted us gone, he'd say so. 661 00:29:55,103 --> 00:29:57,000 Might need us. 662 00:29:57,103 --> 00:29:58,551 Might need you. 663 00:29:58,655 --> 00:30:01,137 We're staying right here. 664 00:30:01,241 --> 00:30:04,826 Dr. Moynihan was the department chair. 665 00:30:04,827 --> 00:30:07,862 He accused me of giving you false hope. 666 00:30:07,965 --> 00:30:09,343 Did you? No. 667 00:30:09,344 --> 00:30:12,931 Gigi, she had an incomplete spinal cord injury. 668 00:30:13,034 --> 00:30:14,517 Why didn't you fight harder? 669 00:30:14,620 --> 00:30:15,654 He was my boss. 670 00:30:15,655 --> 00:30:17,723 You were an attending surgeon. 671 00:30:17,724 --> 00:30:19,793 He did not have the authority to stop a procedure 672 00:30:19,896 --> 00:30:21,310 that you deemed necessary. 673 00:30:21,413 --> 00:30:24,068 He had the authority to fire me if I went ahead with it. 674 00:30:24,172 --> 00:30:27,413 He had the willingness to call every academic hospital 675 00:30:27,517 --> 00:30:29,931 in the country and warn them not to hire me. 676 00:30:30,034 --> 00:30:31,172 Why? 677 00:30:31,275 --> 00:30:33,033 Why wouldn't he let you try to save her? 678 00:30:33,034 --> 00:30:34,931 Because he was Moynihan. 679 00:30:35,034 --> 00:30:37,689 Because he already said surgery was a bad idea, 680 00:30:37,793 --> 00:30:39,551 and he had to be right. 681 00:30:39,655 --> 00:30:43,620 He died with a 25-year-old wife and two 40-year-old daughters. 682 00:30:43,724 --> 00:30:46,758 That's who I was dealing with. 683 00:30:48,586 --> 00:30:50,827 My sister Gigi 684 00:30:50,931 --> 00:30:54,689 wanted to dance at the New York City Ballet. 685 00:30:56,827 --> 00:30:59,241 When she was 14, 686 00:30:59,379 --> 00:31:03,137 she got an offer to train year-round at the Joffrey. 687 00:31:04,965 --> 00:31:06,793 Fourteen. 688 00:31:09,241 --> 00:31:12,172 When she was 15, 689 00:31:12,275 --> 00:31:15,517 six months after that night, 690 00:31:15,655 --> 00:31:18,103 she took a handful of sleeping pills. 691 00:31:26,241 --> 00:31:28,103 The person Gigi dreamed of becoming 692 00:31:28,206 --> 00:31:30,827 died on your operating table that night. 693 00:31:31,724 --> 00:31:33,379 She has major depressive disorder, 694 00:31:33,482 --> 00:31:36,000 and now she fights to dream about anything. 695 00:31:36,103 --> 00:31:37,551 Wait, wait, wait, wait, wait. 696 00:31:37,655 --> 00:31:40,137 Major depressive disorder? 697 00:31:40,241 --> 00:31:42,067 Did you disclose that on her application 698 00:31:42,068 --> 00:31:43,310 for the Spinal Signal Project? 699 00:31:43,448 --> 00:31:44,862 Of course not. 700 00:31:45,000 --> 00:31:47,240 I wanted her to be the best candidate in the stack. 701 00:31:47,241 --> 00:31:50,103 So then you were getting her, what, lithium somehow? 702 00:31:50,206 --> 00:31:52,067 Then you stopped 703 00:31:52,068 --> 00:31:54,000 so she could give blood samples during the trial. 704 00:31:54,137 --> 00:31:57,757 Then you decided to treat the problem with ECT. 705 00:31:57,758 --> 00:31:59,000 Electroconvulsive therapy. 706 00:31:59,137 --> 00:32:00,482 How'd you know that? 707 00:32:00,620 --> 00:32:03,309 Because ECT is the treatment for malignant catatonia. 708 00:32:03,310 --> 00:32:05,241 That's why you dismissed the diagnosis 709 00:32:05,379 --> 00:32:06,551 when I brought it up. 710 00:32:06,655 --> 00:32:08,862 You had already given it to her. 711 00:32:08,965 --> 00:32:11,310 Ingrid, did you give your sister succinylcholine 712 00:32:11,413 --> 00:32:12,482 before ECT? 713 00:32:12,586 --> 00:32:13,965 Yes, of course. That's standard. 714 00:32:14,068 --> 00:32:16,862 Call the pharmacy. Send up some dantrolene. 715 00:32:17,000 --> 00:32:18,413 Dantrolene? For what? 716 00:32:18,551 --> 00:32:21,034 Gigi very likely has a mutation to her RYR1 receptor. 717 00:32:21,137 --> 00:32:22,654 When you administered succinylcholine, 718 00:32:22,655 --> 00:32:25,724 you made your sister vulnerable to malignant hyperthermia. 719 00:32:33,034 --> 00:32:36,136 Gigi. The medication I gave you before the ECT treatments. 720 00:32:36,137 --> 00:32:38,654 It did this. I'm so sorry. 721 00:32:38,655 --> 00:32:41,413 Sorry for not knowing I'm a mutant? 722 00:32:45,206 --> 00:32:48,793 I wanted this as much as you did. More. 723 00:32:48,896 --> 00:32:51,344 I pushed you. 724 00:32:51,448 --> 00:32:53,551 It's not your fault. 725 00:32:53,655 --> 00:32:55,482 They're going to intubate you 726 00:32:55,586 --> 00:32:57,826 and hyperventilate you with 100% oxygen. 727 00:32:57,827 --> 00:32:59,206 Then we'll administer dantrolene. 728 00:32:59,344 --> 00:33:00,895 Your blood pressure, your heart rate, 729 00:33:00,896 --> 00:33:02,379 the pain and rigidity-- 730 00:33:02,482 --> 00:33:04,137 it'll all start to go away in about ten minutes. 731 00:33:04,241 --> 00:33:08,550 What's going to happen with the Spinal Signal Project? 732 00:33:08,551 --> 00:33:11,448 What's gonna happen with you? 733 00:33:13,379 --> 00:33:14,482 I don't know. 734 00:33:14,620 --> 00:33:17,310 What do the other doctors think? 735 00:33:17,448 --> 00:33:19,068 We're not telling them. 736 00:33:19,172 --> 00:33:22,724 Watson and Dr. Morstan are the only ones who know. 737 00:33:30,275 --> 00:33:31,378 You ready? 738 00:33:39,379 --> 00:33:41,482 Hi, Gigi. 739 00:33:44,931 --> 00:33:47,310 I can't feel my legs. 740 00:33:48,379 --> 00:33:49,620 You fell. 741 00:33:49,758 --> 00:33:52,379 Do you remember that? 742 00:33:53,551 --> 00:33:54,896 Yeah. 743 00:33:55,000 --> 00:33:57,482 You landed on your back. 744 00:33:57,620 --> 00:34:01,310 You have something called a T9 spinal fracture. 745 00:34:04,620 --> 00:34:06,000 Um... 746 00:34:07,137 --> 00:34:09,172 They tried to stabilize it. 747 00:34:09,310 --> 00:34:12,274 I even found a doctor who was willing to do the surgery. 748 00:34:12,275 --> 00:34:14,274 And you were in the operating room, 749 00:34:14,275 --> 00:34:15,724 and they stopped it. 750 00:34:16,655 --> 00:34:18,413 They said it was too risky. 751 00:34:24,655 --> 00:34:28,448 So, my legs? I can't walk? 752 00:34:29,379 --> 00:34:31,827 I'm so sorry. I'm sorry. 753 00:34:31,931 --> 00:34:34,034 I was supposed to protect you. 754 00:34:34,931 --> 00:34:38,068 But I-I'm gonna fix this, okay, Gigi? 755 00:34:38,172 --> 00:34:39,241 I promise. 756 00:34:39,344 --> 00:34:43,000 I'm paralyzed. You can't fix that. 757 00:34:46,137 --> 00:34:47,724 Um... 758 00:34:47,827 --> 00:34:50,482 I need you to tell me one thing. 759 00:34:51,379 --> 00:34:54,517 When you went through that railing... 760 00:34:54,655 --> 00:34:56,448 when you fell, 761 00:34:56,551 --> 00:34:59,068 was that Dad? 762 00:35:08,344 --> 00:35:10,516 Okay, um... 763 00:35:10,517 --> 00:35:13,723 Don't tell anyone. 764 00:35:13,724 --> 00:35:15,965 We can't trust anyone. 765 00:35:16,103 --> 00:35:18,068 Okay? It's just you and me. 766 00:35:30,724 --> 00:35:33,517 I did what any doctor would've done. 767 00:35:33,620 --> 00:35:35,655 Not any doctor. Just most doctors. 768 00:35:35,758 --> 00:35:38,137 I was the only one willing to try. 769 00:35:42,413 --> 00:35:44,758 I can't do it to your sister again. 770 00:35:47,103 --> 00:35:49,137 I'm not pulling her from the program. 771 00:35:51,931 --> 00:35:54,378 You know, I was warned 772 00:35:54,379 --> 00:35:56,793 that you were a dangerous person to have around. 773 00:35:56,931 --> 00:35:58,862 I should have listened. 774 00:35:59,655 --> 00:36:02,137 You're a talented neurologist, Dr. Derian. 775 00:36:02,241 --> 00:36:03,724 I'm sure once you start looking around, 776 00:36:03,827 --> 00:36:05,896 you'll have no trouble finding another position. 777 00:36:06,793 --> 00:36:08,826 I'm not looking for another job. 778 00:36:08,827 --> 00:36:10,379 If you don't find another job within two months, 779 00:36:10,482 --> 00:36:13,274 if you're not gone from UHOP forever, 780 00:36:13,275 --> 00:36:14,793 then you're fired. 781 00:36:18,689 --> 00:36:21,586 I've never forgotten that night. And I never will. 782 00:36:21,689 --> 00:36:23,827 But you can't be around here anymore. 783 00:36:29,931 --> 00:36:31,379 So you just wrote 784 00:36:31,482 --> 00:36:33,862 a bunch of bitter nonsense, 785 00:36:33,965 --> 00:36:35,517 and you got all these matches? 786 00:36:35,620 --> 00:36:38,620 I wouldn't call it bitter nonsense, I just... 787 00:36:38,724 --> 00:36:40,482 rewrote it to sound more like me. 788 00:36:40,586 --> 00:36:43,448 - Bitter nonsense. - Got it. 789 00:36:43,551 --> 00:36:45,655 Y-You would not believe 790 00:36:45,758 --> 00:36:47,551 how forward the discourse is on here. 791 00:36:47,655 --> 00:36:51,310 I have like a dozen offers to look at people's moles. 792 00:36:52,413 --> 00:36:54,758 They don't mean medically. 793 00:36:54,862 --> 00:36:55,964 Well done, then. 794 00:36:55,965 --> 00:36:57,724 Just have fun. 795 00:36:57,862 --> 00:37:01,586 I'm sure you'll find a way to turn it into an exam. 796 00:37:02,413 --> 00:37:03,896 Oh. Hey, y'all. 797 00:37:06,689 --> 00:37:08,896 Nice glasses. 798 00:37:10,724 --> 00:37:11,896 All right. 799 00:37:12,000 --> 00:37:14,827 Y-You're taking her back to the shelter today? 800 00:37:14,931 --> 00:37:17,034 My landlord said it was her or me, so... 801 00:37:17,137 --> 00:37:19,620 Mind if I come along? 802 00:37:23,206 --> 00:37:25,482 I don't know. Um... 803 00:37:25,586 --> 00:37:26,896 It's quiet around my place. 804 00:37:27,000 --> 00:37:29,551 I thought she might make a nice addition. 805 00:37:30,827 --> 00:37:32,448 You're gonna adopt Tripod? 806 00:37:33,862 --> 00:37:34,931 "Sauce." 807 00:37:35,034 --> 00:37:36,724 Her new name is Sauce. 808 00:37:36,827 --> 00:37:39,482 It's short for Isosceles. 809 00:37:39,586 --> 00:37:42,034 All right. 810 00:37:43,034 --> 00:37:44,793 Come on. 811 00:37:45,689 --> 00:37:49,413 "Sauce." 812 00:37:49,551 --> 00:37:51,413 There are six kinds of triangles. 813 00:37:51,551 --> 00:37:52,827 Why "Sauce"? 814 00:37:52,931 --> 00:37:56,068 I'm not gonna call a dog "obtuse." 815 00:37:56,172 --> 00:37:58,103 Mm-hmm. "Equilateral" doesn't really shorten 816 00:37:58,241 --> 00:38:00,275 - to a punchy nickname. - Mm-hmm. 817 00:38:00,413 --> 00:38:04,896 And "Scalene" sounds like she's sick. Mm. 818 00:38:05,000 --> 00:38:06,827 She's not sick. 819 00:38:06,931 --> 00:38:09,310 Sauce is doing just fine. 820 00:38:13,965 --> 00:38:15,931 I think she likes you. 821 00:38:35,482 --> 00:38:38,205 I just talked to Dr. Morstan. 822 00:38:38,206 --> 00:38:39,896 I know. 823 00:38:42,310 --> 00:38:44,172 Do you want me gone? 824 00:38:44,310 --> 00:38:46,551 That isn't my decision. 825 00:38:47,517 --> 00:38:49,896 That's not an answer. 826 00:38:55,413 --> 00:38:57,275 I realize that. 827 00:38:58,965 --> 00:39:01,413 I knew not to trust you, Ingrid. 828 00:39:04,344 --> 00:39:07,931 I understand why you did what you did. 829 00:39:08,034 --> 00:39:11,379 But I'm not gonna stand in the way of any consequences. 830 00:40:11,655 --> 00:40:13,172 Dan Quinn scores three times 831 00:40:13,275 --> 00:40:16,206 helping the Penguins pass the Jets, eight-three... 832 00:40:20,172 --> 00:40:21,827 What is this? 833 00:40:22,827 --> 00:40:23,965 We're not home? 834 00:40:24,068 --> 00:40:26,206 We made a stop. 835 00:40:36,655 --> 00:40:38,827 Oh... 836 00:40:38,931 --> 00:40:40,654 What is this? 837 00:40:40,655 --> 00:40:42,793 Just a place. 838 00:40:42,896 --> 00:40:44,862 I come here sometimes. 839 00:40:44,965 --> 00:40:46,827 Oh. Sit down. 840 00:40:46,931 --> 00:40:48,689 Those drinks were really strong. 841 00:40:48,793 --> 00:40:51,000 I know. 842 00:40:52,068 --> 00:40:54,689 Y-You must've wanted this. 843 00:40:54,827 --> 00:40:56,172 At some point. 844 00:40:56,275 --> 00:40:57,862 What? 845 00:40:57,965 --> 00:41:00,241 Kids. 846 00:41:00,344 --> 00:41:02,413 Me. Gigi. 847 00:41:03,689 --> 00:41:04,793 What happened? 848 00:41:04,931 --> 00:41:07,413 I want you now. 849 00:41:09,275 --> 00:41:10,551 And I love you, Didi. 850 00:41:10,655 --> 00:41:11,965 I want you now. 851 00:41:12,068 --> 00:41:15,000 I-I don't really like that nickname anymore. 852 00:41:15,793 --> 00:41:18,344 I love you and I love your sister. 853 00:41:21,896 --> 00:41:24,172 I'll never hurt you again, okay? 854 00:41:25,482 --> 00:41:27,205 I know that. Okay. 855 00:41:30,655 --> 00:41:34,103 You know, they give fentanyl to intubated patients. 856 00:41:35,413 --> 00:41:37,034 They hung it right there on Gigi's IV. 857 00:41:38,000 --> 00:41:42,241 Get your hands on some syringes, take a little bit out at a time. 858 00:41:44,137 --> 00:41:45,379 Yeah, that's good. 859 00:41:45,482 --> 00:41:46,448 Come get me. 860 00:41:52,206 --> 00:41:54,103 I'm your father... 861 00:41:56,275 --> 00:41:57,724 No. 862 00:41:58,724 --> 00:42:00,689 You're nobody now. 863 00:42:09,620 --> 00:42:11,620 Captioning sponsored by CBS 864 00:42:11,724 --> 00:42:15,068 Captioned by Media Access Group at WGBH access.wgbh.org