1 00:00:00,170 --> 00:00:01,230 I had a car accident. 2 00:00:01,750 --> 00:00:03,830 And I lost eight years of my memory. 3 00:00:05,590 --> 00:00:06,590 You have memories? 4 00:00:06,830 --> 00:00:08,790 They're just weird flashes and seizures. 5 00:00:09,890 --> 00:00:13,830 I know my brain is trying to warn me about something. She keeps pushing 6 00:00:13,830 --> 00:00:16,050 herself. She's on the road to losing her job. 7 00:00:19,110 --> 00:00:20,330 What's happening to her? 8 00:00:20,570 --> 00:00:21,870 I need my life back. 9 00:00:22,200 --> 00:00:25,180 Chief resident is up soon. Consider throwing your hat in the ring. You want 10 00:00:25,180 --> 00:00:26,180 more responsibility? 11 00:00:26,420 --> 00:00:30,640 I run circles around her every day. I should at least be considered your chief 12 00:00:30,640 --> 00:00:32,280 resident. You'll be doing it together. 13 00:00:32,619 --> 00:00:34,740 Let me run internal medicine. 14 00:00:35,320 --> 00:00:37,280 I'm going to miss you so much. 15 00:00:37,620 --> 00:00:39,880 You've got plenty more to give. 16 00:00:40,140 --> 00:00:41,200 So do I. 17 00:00:41,820 --> 00:00:43,260 Want to give our date another shot? 18 00:00:44,140 --> 00:00:48,220 Big smacks. And I screwed up in the worst way. I can't live in the past 19 00:00:48,220 --> 00:00:49,940 anymore. I need to move forward. 20 00:00:50,320 --> 00:00:51,320 Amy Larson. 21 00:00:51,760 --> 00:00:55,440 Dr. Ben Grant. I saw you speak three years ago. I don't know what this is, 22 00:00:55,440 --> 00:00:56,740 but you make me smile. 23 00:00:57,360 --> 00:00:59,400 Sorry, I wouldn't remember that. 24 00:01:01,060 --> 00:01:02,060 Okay, now. 25 00:01:02,460 --> 00:01:03,460 Lights up! 26 00:01:06,240 --> 00:01:10,340 What's here? A cup closed in my true love's hands. 27 00:01:11,160 --> 00:01:15,100 Poison, I see, hath been his timeless end. 28 00:01:21,550 --> 00:01:23,210 My lips are still warm. 29 00:01:23,510 --> 00:01:24,510 Lead, boy. 30 00:01:24,650 --> 00:01:25,649 Which way? 31 00:01:25,650 --> 00:01:27,490 More feeling, Tori. Again. 32 00:01:28,310 --> 00:01:29,970 Lead, boy. Which way? 33 00:01:30,230 --> 00:01:31,690 Yay. Noise. 34 00:01:33,110 --> 00:01:34,610 Then I'll be brief. 35 00:01:36,170 --> 00:01:38,170 Oh, happy dagger. 36 00:01:38,490 --> 00:01:41,010 This is my sheath. Their rust. 37 00:01:41,330 --> 00:01:42,490 And let me die. 38 00:01:46,610 --> 00:01:48,330 This is the place. 39 00:01:51,760 --> 00:01:54,360 Paul, what are you doing? You're dead. Mr. Gallivan? 40 00:01:54,960 --> 00:01:58,780 I think... Tori! 41 00:01:59,740 --> 00:02:04,240 Tori! Mr. Gallivan? Tori! Is she shot? What if there were blanks in the gun? 42 00:02:04,280 --> 00:02:05,280 It's a cat gun, Josh. 43 00:02:05,880 --> 00:02:07,480 Oh, my God! 44 00:02:07,740 --> 00:02:09,160 What the hell is happening to her? 45 00:02:09,360 --> 00:02:10,539 I need an ambulance. 46 00:02:12,740 --> 00:02:14,200 Tori! Tori! 47 00:02:24,440 --> 00:02:26,400 Aberrant frontal lobe activity seems to have settled. 48 00:02:26,820 --> 00:02:28,440 Signals are much more organized. 49 00:02:28,980 --> 00:02:32,140 And looks to me like her old neural pathways have actually been recovering. 50 00:02:33,880 --> 00:02:37,220 I think that's what caused the seizures to begin with. Wait, that doesn't track. 51 00:02:37,640 --> 00:02:42,440 New blood flow, new wiring connections, unstable as they reorganize. Neurons 52 00:02:42,440 --> 00:02:43,640 sending improper signals. 53 00:02:43,940 --> 00:02:47,500 She overloaded. Yeah, look at this. This was taken two months ago, just before 54 00:02:47,500 --> 00:02:51,080 the contagion. The blood flow was already increasing, but then look how it 55 00:02:51,080 --> 00:02:52,100 compares to today's. 56 00:02:52,490 --> 00:02:53,790 She's healing and healing fast. 57 00:02:54,130 --> 00:02:58,950 She says no headaches, no nosebleeds. No headaches, no nosebleeds. I get an 58 00:02:58,950 --> 00:03:02,070 occasional memory, but pretty uncontroversial. 59 00:03:02,330 --> 00:03:04,370 Well, I'm assuming she'll want to pursue those then. 60 00:03:04,770 --> 00:03:05,770 With TMS? 61 00:03:06,010 --> 00:03:07,009 And TMS? 62 00:03:07,010 --> 00:03:09,530 No. Past is just a distraction. 63 00:03:09,850 --> 00:03:10,910 I won't get into it anymore. 64 00:03:11,250 --> 00:03:13,330 And she's insisting she's ready to work. 65 00:03:13,630 --> 00:03:15,090 You worried about her or your department? 66 00:03:15,490 --> 00:03:20,210 Both. Especially when she thinks Joan sacrificed her life for her. I know this 67 00:03:20,210 --> 00:03:21,470 is what Joan wanted for you. 68 00:03:22,220 --> 00:03:24,220 Is this really what you want for yourself? 69 00:03:24,680 --> 00:03:26,480 She knew what I needed to do. 70 00:03:26,960 --> 00:03:29,040 It's time to put my needs aside. 71 00:03:29,500 --> 00:03:34,020 No more figuring out my thing with Michael. No more worrying about what I 72 00:03:34,020 --> 00:03:38,780 have with Jake. It's time to move forward, to teach, and to be of service. 73 00:03:39,140 --> 00:03:42,620 And now she's got to honor that mission, no matter the cost. 74 00:03:42,980 --> 00:03:44,280 Are you sure you're ready? 75 00:03:44,580 --> 00:03:46,420 I have never been more ready. 76 00:03:47,300 --> 00:03:50,480 I feel like this is what I was always meant to do. 77 00:03:51,660 --> 00:03:53,680 Before my world got turned upside down. 78 00:03:54,700 --> 00:03:59,040 Well, keep an eye on her. I want daily check-in, neurocogs three times a week, 79 00:03:59,080 --> 00:04:00,800 and bi-weekly fMRIs. 80 00:04:01,220 --> 00:04:03,020 You're on the hook for this as much as anyone. 81 00:04:03,280 --> 00:04:04,280 I know that. 82 00:04:07,340 --> 00:04:08,600 Am I cleared or what? 83 00:04:14,200 --> 00:04:15,200 Dr. 84 00:04:16,860 --> 00:04:17,959 Coleman, Dr. Coleman. 85 00:04:18,480 --> 00:04:20,620 Bitch. I heard you were coming. 86 00:04:21,510 --> 00:04:22,630 If you all will have me. 87 00:04:23,350 --> 00:04:25,290 Ah, this is Dr. Costa. 88 00:04:26,430 --> 00:04:28,410 That's fortuitous. Heard all good things. 89 00:04:28,710 --> 00:04:32,450 Likewise. And Dr. Hamda certainly sings your praises. I hope I can live up to 90 00:04:32,450 --> 00:04:35,250 that. I apologize. I'm going to have to push back our meeting a little bit. 91 00:04:35,370 --> 00:04:36,530 We've got a lab call I've got to handle. 92 00:04:37,010 --> 00:04:40,150 No problem. Actually, Dr. Gamora said they wanted to show me around, so I'll 93 00:04:40,150 --> 00:04:41,150 just... I'll hit him up. 94 00:04:41,490 --> 00:04:43,390 Sounds like they're bringing in the whole cavalry. 95 00:04:43,790 --> 00:04:45,390 I've got to get past the chief first. 96 00:04:46,370 --> 00:04:47,370 I'll let you know when I'm free. 97 00:04:48,290 --> 00:04:49,690 Why don't you scrub up? I'll see you in there. 98 00:04:51,600 --> 00:04:52,600 Good to have you back. 99 00:04:53,160 --> 00:04:54,520 You got a lot of fans here. 100 00:04:54,900 --> 00:04:55,900 Thanks. 101 00:05:07,900 --> 00:05:08,960 They're a strong group. 102 00:05:09,200 --> 00:05:10,580 I think we're in good shape. 103 00:05:10,840 --> 00:05:14,120 I still remember my first day as an intern. I was so nervous. 104 00:05:15,300 --> 00:05:16,640 I couldn't feel my feet. 105 00:05:16,980 --> 00:05:19,000 Sure, I really helped buck you up. 106 00:05:19,480 --> 00:05:20,660 Not so much. 107 00:05:25,450 --> 00:05:28,030 Do you have any idea what Jake's doing in there with Dr. Matos? 108 00:05:28,730 --> 00:05:30,210 Nope. No idea. 109 00:05:32,990 --> 00:05:34,070 You know I love you, right? 110 00:05:36,990 --> 00:05:38,450 Okay, well, let's do this, yeah? 111 00:05:39,190 --> 00:05:41,110 Give him hell. 112 00:05:45,170 --> 00:05:50,490 So you're having second thoughts about peds, and you figured, why not give 113 00:05:50,490 --> 00:05:53,970 cardiology a shot? No, I've always been back and forth in between the two. 114 00:05:54,330 --> 00:05:57,750 And I understand there's enough funding to add another fellow. I spoke to Dr. 115 00:05:57,910 --> 00:06:00,330 Kamara. There is. Would have been nice if I was in the loop. 116 00:06:00,610 --> 00:06:01,610 You're in the loop now. 117 00:06:01,650 --> 00:06:03,790 That's why we're doing this. In your office. 118 00:06:04,730 --> 00:06:05,730 Margaret. 119 00:06:06,010 --> 00:06:08,550 I'll have to look at my roster and talk to Kamara. 120 00:06:13,190 --> 00:06:15,910 Just lay low. Give her a minute to feel like it's her decision. 121 00:06:22,540 --> 00:06:23,940 What's up with the scrubs? 122 00:06:25,160 --> 00:06:26,540 General's got a lead from the front. 123 00:06:26,780 --> 00:06:28,600 Like a Zelensky kind of thing? 124 00:06:29,820 --> 00:06:32,380 I really hope you're not rushing this, Amy. 125 00:06:32,720 --> 00:06:34,140 Gina walked me through the game plan. 126 00:06:35,180 --> 00:06:37,180 I assure you, I can do this. 127 00:06:40,680 --> 00:06:43,860 Nikki, right? Stanford undergrad, honors at Yale Med. 128 00:06:44,140 --> 00:06:46,040 Do you know my social security number, too? 129 00:06:46,380 --> 00:06:50,620 Uh, 1410069412. 130 00:06:52,260 --> 00:06:53,720 That was 10 digits. Social's 9. 131 00:06:53,940 --> 00:06:55,980 Yeah. You know what? You got me there on the gram. 132 00:06:56,760 --> 00:06:57,760 We all know who you are. 133 00:06:58,240 --> 00:06:59,240 Really? Give me a break. 134 00:06:59,820 --> 00:07:01,880 Your parents gave, what, 20 mil to the hospital? 135 00:07:03,960 --> 00:07:09,000 So, what do you think about this whole co-chief situation thing? 136 00:07:09,420 --> 00:07:13,480 Major's a waltz card, but we all know Larson's a ball buster, huh? At least 137 00:07:13,480 --> 00:07:16,560 Larson 1.0 was. Guess we'll have to wait and see about the TBI version. 138 00:07:16,900 --> 00:07:17,900 Ouch. 139 00:07:18,940 --> 00:07:20,460 Don't let anybody else hear you say that. 140 00:07:20,760 --> 00:07:23,900 They both come from the Joan Ridley camp, so you know it's going to be doggy 141 00:07:23,900 --> 00:07:24,900 dog. 142 00:07:25,860 --> 00:07:26,860 Hi. Hi. 143 00:07:27,080 --> 00:07:29,860 Dr. Matra. Ruth Chen. This is Cal Ferguson. 144 00:07:30,160 --> 00:07:31,300 Very excited to be here. 145 00:07:31,540 --> 00:07:32,840 Looking forward to training you. 146 00:07:33,320 --> 00:07:36,220 I'm going to need more than him. You're already published in JAMA. And you're 147 00:07:36,220 --> 00:07:37,440 23, already finished med school. 148 00:07:37,780 --> 00:07:40,580 I was homeschooled, so didn't have the traditional trajectory. 149 00:07:41,100 --> 00:07:44,700 I know. I heard last week was the first time you were on a plane. 150 00:07:45,000 --> 00:07:46,500 Yeah. I just moved here. 151 00:07:47,050 --> 00:07:48,710 Getting acclimated as quickly as I can. 152 00:07:49,610 --> 00:07:53,030 Buckle up. It's all going to move a lot faster than you're ready for. 153 00:07:53,290 --> 00:07:55,830 Okay. If everyone can settle in, we'll get started. 154 00:07:57,690 --> 00:08:00,590 I'm Dr. Michael Hamda, Chief of Internal Medicine. 155 00:08:00,810 --> 00:08:04,930 These are your co-chief residents, Drs. Sonia Mitra and Amy Larson. 156 00:08:05,750 --> 00:08:06,990 I'll let them take it from here. 157 00:08:08,350 --> 00:08:09,350 Okay. Welcome. 158 00:08:09,710 --> 00:08:13,010 I'm sure you all have those butterflies, which is to be expected. 159 00:08:13,750 --> 00:08:15,630 But you're here because you deserve to be. 160 00:08:16,120 --> 00:08:18,760 And you should know that because Joan Ridley chose you. 161 00:08:19,140 --> 00:08:21,600 It was one of the last things she did before she passed away. 162 00:08:22,060 --> 00:08:23,900 So I don't say this lightly. 163 00:08:24,620 --> 00:08:26,540 You are here to carry on her legacy. 164 00:08:27,860 --> 00:08:28,860 This is a calling. 165 00:08:29,440 --> 00:08:33,480 It was for Dr. Ridley. It is for me. And we are going to find out if it is for 166 00:08:33,480 --> 00:08:37,039 you. And if it is, you can be damn sure we're going to help you fulfill it. 167 00:08:38,460 --> 00:08:39,460 Okay, then. 168 00:08:39,640 --> 00:08:45,680 Dr. De Silva and Dr. Ferguson, you'll trail me today. And Drs. Barker and 169 00:08:45,680 --> 00:08:47,480 Chen, you'll be with Dr. 170 00:08:47,700 --> 00:08:53,040 Larson. When someone is this blatantly negligent, it usually means that they 171 00:08:53,040 --> 00:08:54,040 are trying to fail. 172 00:08:54,660 --> 00:08:58,400 Until then, see Julie in the nurse's station. She'll get you your 173 00:08:58,400 --> 00:08:59,400 assignments. 174 00:09:02,440 --> 00:09:04,200 First up is Tori Harris, 16. 175 00:09:04,420 --> 00:09:07,640 She had a grand mal seizure yesterday afternoon. No apparent underlying 176 00:09:07,640 --> 00:09:11,400 conditions. She had CT and lab work done in the ER, and they brought her up here 177 00:09:11,400 --> 00:09:13,140 this morning for a consult with Dr. Walker. 178 00:09:13,540 --> 00:09:17,680 Tori will be shaken up, and assuming there's a parent in there with her, they 179 00:09:17,680 --> 00:09:22,520 will be extremely anxious. So let's be mindful of our bedside manner, not just 180 00:09:22,520 --> 00:09:23,520 the medicine. Yeah? 181 00:09:24,940 --> 00:09:26,980 I don't understand how this can just come out of nowhere. 182 00:09:27,700 --> 00:09:29,280 I've never had anything like this before. 183 00:09:29,900 --> 00:09:36,560 hi i am the chief resident dr larson and this is dr chen and dr barker do we 184 00:09:36,560 --> 00:09:40,180 really need all these doctors please don't be alarmed these are our interns 185 00:09:40,180 --> 00:09:45,240 teaching is part of what we do here so what do you see on the ct scans um 186 00:09:45,240 --> 00:09:48,780 ventricular volume symmetrical no masses or signs of ischemia 187 00:09:50,740 --> 00:09:54,500 That means no stroke, which is a good thing. We've already been over this with 188 00:09:54,500 --> 00:09:57,520 Dr. Walker and her blood tests are all normal. Why doesn't anyone have an 189 00:09:57,520 --> 00:10:00,520 explanation? And what's happening with this thing on my head now? 190 00:10:00,720 --> 00:10:04,200 It measures the electrical activity in your brain. Confirms you definitely had 191 00:10:04,200 --> 00:10:05,159 a seizure. 192 00:10:05,160 --> 00:10:06,400 And what are the signs of that? 193 00:10:06,980 --> 00:10:07,980 Postictal state. 194 00:10:08,640 --> 00:10:10,420 Meaning? Diffused delta-theta slowing. 195 00:10:10,740 --> 00:10:12,560 Which means your brain's been overworked. 196 00:10:12,800 --> 00:10:13,800 Yeah, I get that. 197 00:10:14,280 --> 00:10:15,460 How are you going to fix me? 198 00:10:15,760 --> 00:10:16,820 You into medical school? 199 00:10:17,940 --> 00:10:18,940 No. 200 00:10:19,420 --> 00:10:20,820 So maybe let us figure it out. 201 00:10:23,700 --> 00:10:26,480 Right now, you are stabilized, and we are... Yeah. 202 00:10:26,800 --> 00:10:28,520 No, they still don't know what the hell this is. 203 00:10:29,020 --> 00:10:31,920 You're freaked out. I'm the one that spent the last 14 hours getting my 204 00:10:31,920 --> 00:10:32,920 entire body scanned. 205 00:10:33,640 --> 00:10:36,340 I'll just text you later. The doctors are here. I gotta go. 206 00:10:38,140 --> 00:10:40,460 Sorry. My friends are kind of tweaking. 207 00:10:41,020 --> 00:10:42,020 Understandable. 208 00:10:42,100 --> 00:10:44,660 Now, what can you tell us about how you were feeling yesterday? 209 00:10:45,560 --> 00:10:46,560 Headache? Dizziness? 210 00:10:46,960 --> 00:10:47,959 Flashing lights? 211 00:10:47,960 --> 00:10:52,660 No. I told him this in the ER. How about in those moments right before you 212 00:10:52,660 --> 00:10:53,660 seized? 213 00:10:53,720 --> 00:10:57,660 We were in tech rehearsal, doing the big scene where Juliet's going to kill 214 00:10:57,660 --> 00:11:01,300 herself. To be honest, I was kind of nervous because I kept missing my cues. 215 00:11:01,560 --> 00:11:07,440 And then I heard the fake gunshot, and I... Dr. Larson? 216 00:11:08,320 --> 00:11:09,320 Is something happening? 217 00:11:09,720 --> 00:11:10,800 She's going to seize again. 218 00:11:12,620 --> 00:11:13,620 Tori? 219 00:11:16,099 --> 00:11:20,300 Crash cart, IV lorazepam, intubation kit. Dr. Barker, stabilizer on the left. 220 00:11:20,420 --> 00:11:21,760 Why is this happening again? 221 00:11:22,040 --> 00:11:25,120 Mrs. Harris, please step back. We've got this. Dr. Barker, stabilizer. 222 00:11:28,360 --> 00:11:30,360 That was the supply cart. 223 00:11:30,600 --> 00:11:32,020 The crash cart will be in the hallway. 224 00:11:32,220 --> 00:11:33,220 I've got it. 225 00:11:34,260 --> 00:11:35,239 Oxygen, Ruth. 226 00:11:35,240 --> 00:11:36,760 Yep. Now. 227 00:11:37,700 --> 00:11:38,700 Come on, now. 228 00:11:38,840 --> 00:11:39,840 Here. 229 00:11:45,260 --> 00:11:49,320 I'm sure you're aware Felicia Turner and her husband launched a complaint against 230 00:11:49,320 --> 00:11:50,440 Dr. Larson today. 231 00:11:50,680 --> 00:11:51,619 I am. 232 00:11:51,620 --> 00:11:54,920 They mentioned you were present during some of their interactions. 233 00:11:55,520 --> 00:11:56,520 I was. 234 00:11:57,160 --> 00:11:59,420 Though I'm not sure what the point of this is. 235 00:12:00,020 --> 00:12:02,680 Just tell me what you observed, Dr. 236 00:12:02,880 --> 00:12:03,879 Maitre. 237 00:12:03,880 --> 00:12:08,840 The woman's pregnant, and somehow Amy couldn't imagine why she'd be anxious 238 00:12:08,840 --> 00:12:09,920 about her baby's health. 239 00:12:11,160 --> 00:12:12,160 How so? 240 00:12:12,240 --> 00:12:13,240 Amy was Amy. 241 00:12:14,510 --> 00:12:17,410 I don't know what else you want me to say, especially since we've been down 242 00:12:17,410 --> 00:12:20,110 this road before, but her behavior doesn't change. 243 00:12:21,210 --> 00:12:25,350 It can take some time to adjust the culture of any institution. 244 00:12:25,750 --> 00:12:27,710 But you're not going to fire her, right? 245 00:12:28,790 --> 00:12:29,890 No matter what she does? 246 00:12:33,170 --> 00:12:34,170 Yeah. 247 00:12:35,250 --> 00:12:36,250 I thought so. 248 00:12:38,930 --> 00:12:43,130 Dr. Maitre, give it a few months, okay? 249 00:12:44,430 --> 00:12:47,850 People who matter see your value here, and it won't be forgotten. 250 00:12:54,010 --> 00:12:58,470 Next up, 38-year-old male reporting chest pains, shortness of breath, family 251 00:12:58,470 --> 00:12:59,570 history of heart disease. 252 00:13:00,070 --> 00:13:03,570 Fairly typical cardiac profile. You'll be seeing a lot of these, but we don't 253 00:13:03,570 --> 00:13:04,830 always catch the exciting ones. 254 00:13:05,770 --> 00:13:07,870 And any particular stress lately? 255 00:13:08,090 --> 00:13:12,850 Stress? I mean, one of my students had a seizure yesterday during rehearsals. Ah, 256 00:13:12,850 --> 00:13:13,759 she's here. 257 00:13:13,760 --> 00:13:17,180 Tori, right? Our other doctors are treating her. That's a HIPAA violation, 258 00:13:17,400 --> 00:13:18,400 Dr. Da Silva. 259 00:13:18,940 --> 00:13:22,960 Right. Sorry. I've been texting her. She says that she's had a bunch of tests, 260 00:13:22,980 --> 00:13:24,140 but you still don't know anything. 261 00:13:24,340 --> 00:13:27,540 I know you're concerned, but we're not at liberty to discuss another patient 262 00:13:27,540 --> 00:13:32,800 with you. Now, if you could tell us about your... Is your head hurting now, 263 00:13:32,840 --> 00:13:35,060 too? Yeah, it feels like a migraine. 264 00:13:35,500 --> 00:13:36,940 Have you had those before? 265 00:13:37,560 --> 00:13:38,560 No, never. 266 00:13:39,400 --> 00:13:40,400 Dr. Da Silva? 267 00:13:40,979 --> 00:13:42,560 Feeling any sensitivity to light? 268 00:13:42,760 --> 00:13:44,760 No. Does the pain radiate anywhere? 269 00:13:45,260 --> 00:13:46,260 What does that mean? 270 00:13:48,020 --> 00:13:49,880 Does it go down your back or arm? 271 00:13:50,200 --> 00:13:52,820 I don't think so. I am feeling a bit dizzy, though. 272 00:13:53,280 --> 00:13:54,280 Dr. Ferguson. 273 00:13:54,940 --> 00:13:57,320 I'm trying to reconcile why you're having heart and head pain 274 00:13:57,320 --> 00:14:01,020 simultaneously. Could be a stroke. What? Or carotid artery stenosis. 275 00:14:01,300 --> 00:14:03,640 What is that now? Dr. De Silva, it's not your turn. 276 00:14:03,920 --> 00:14:09,140 Dr. Ferguson, let's stick to more likely scenarios and try not to frighten the 277 00:14:09,140 --> 00:14:10,140 patients. 278 00:14:10,200 --> 00:14:11,560 Am I allowed to posit angina? 279 00:14:11,940 --> 00:14:12,940 You are. 280 00:14:14,040 --> 00:14:16,580 Given the family history of heart disease, would it be too aggressive to 281 00:14:16,580 --> 00:14:17,580 suggest an NGO? 282 00:14:18,560 --> 00:14:19,560 It would not. 283 00:14:20,020 --> 00:14:22,120 Now explain to Mr. Galvin what that means. 284 00:14:25,240 --> 00:14:27,880 I caught you having a memory when we were in the story. 285 00:14:28,380 --> 00:14:32,720 Oh, I've got a highlight reel of the Wicked Witch of Westside coming at me. 286 00:14:33,130 --> 00:14:38,690 It's like a running podcast of how not to be very instructive. Come on, Amy. 287 00:14:38,870 --> 00:14:40,530 I'm on a limb here. So is Dr. Cheryl. 288 00:14:41,210 --> 00:14:42,510 I'm dealing, Gina. 289 00:14:43,010 --> 00:14:44,330 I can bat them away. 290 00:14:47,810 --> 00:14:52,010 Get Tori settled in radiology and have Graham bring those test results as soon 291 00:14:52,010 --> 00:14:53,190 as they're ready. Yep, on it. 292 00:14:54,730 --> 00:14:55,910 TJ said you were here. 293 00:14:56,310 --> 00:14:57,310 In the flesh. 294 00:14:57,950 --> 00:14:59,230 Looks like you're healing well. 295 00:14:59,730 --> 00:15:00,730 All good. 296 00:15:01,390 --> 00:15:02,430 First day of my new gig. 297 00:15:02,690 --> 00:15:03,690 Ah. 298 00:15:03,810 --> 00:15:05,370 I was very sorry to hear about Joan. 299 00:15:06,210 --> 00:15:07,290 She was one of a kind. 300 00:15:07,570 --> 00:15:08,469 And Richard. 301 00:15:08,470 --> 00:15:11,070 TJ said he moved on. He needed a fresh start. 302 00:15:11,290 --> 00:15:12,470 He's just over at Eastside. 303 00:15:13,150 --> 00:15:14,790 Well, it's great to see you. 304 00:15:16,210 --> 00:15:17,210 Both of you. 305 00:15:17,770 --> 00:15:20,690 And you, Dr. Grant. Give him whatever he asks for. 306 00:15:21,350 --> 00:15:22,350 We'll see. 307 00:15:22,790 --> 00:15:23,950 It's good to see you back, Amy. 308 00:15:24,330 --> 00:15:25,450 I guess we've got Dr. 309 00:15:25,670 --> 00:15:26,950 Grant's steady hands to thank for that. 310 00:15:27,570 --> 00:15:28,570 Indeed we do. 311 00:15:30,640 --> 00:15:31,640 Shall we? 312 00:15:31,860 --> 00:15:32,860 Please. 313 00:15:36,320 --> 00:15:37,820 Do I sense something there? 314 00:15:39,480 --> 00:15:40,500 I'm close to business. 315 00:15:40,940 --> 00:15:41,940 Just saying. 316 00:15:41,960 --> 00:15:45,780 If I went the other way... I can still feel it. 317 00:15:47,360 --> 00:15:52,460 Hello. Ben Grant's a cowboy, which I'm sure you know is a problem for a lot of 318 00:15:52,460 --> 00:15:54,920 surgeons, especially the ones from New York. 319 00:15:55,280 --> 00:15:56,280 I do, sir. 320 00:15:56,600 --> 00:15:57,600 That's not me. 321 00:15:57,700 --> 00:15:58,940 Stay centered on my instruments. 322 00:15:59,730 --> 00:16:02,430 Horizon level, don't chase the action. 323 00:16:03,570 --> 00:16:06,810 I know you were a medic in combat, so you've got a lot more experience than 324 00:16:06,810 --> 00:16:10,570 most residents, but I want to make sure you walk before you run. 325 00:16:11,050 --> 00:16:12,150 Yes, sir. Absolutely. 326 00:16:21,590 --> 00:16:22,830 You're beating yourself up. 327 00:16:24,170 --> 00:16:27,670 What? It's your first day. Anybody could have made that mistake with the crash 328 00:16:27,670 --> 00:16:30,390 cart. The important thing now is how you rebound. 329 00:16:32,590 --> 00:16:35,630 And consider that not everybody's meant to be a doctor. 330 00:16:38,030 --> 00:16:39,030 Thanks. 331 00:16:39,250 --> 00:16:40,370 I appreciate that. 332 00:16:40,610 --> 00:16:42,810 Remember what I said this morning. You belong here. 333 00:16:46,330 --> 00:16:48,470 So now that you're not working with Dr. 334 00:16:48,690 --> 00:16:50,370 Larson, you're kind of lost. 335 00:16:50,690 --> 00:16:51,429 Is that it? 336 00:16:51,430 --> 00:16:52,430 Come on, Margaret. 337 00:16:52,650 --> 00:16:56,450 I take what I do very seriously. I don't appreciate people in my department being 338 00:16:56,450 --> 00:16:57,450 half-hearted. 339 00:16:57,690 --> 00:16:58,690 Is that a pun? 340 00:16:59,010 --> 00:17:00,130 Won't be charmed, Jake. 341 00:17:00,630 --> 00:17:01,790 But we do have some money. 342 00:17:02,090 --> 00:17:04,589 Only three months, but at that point we'll reassess. 343 00:17:04,829 --> 00:17:07,790 Okay, that's not... You can't possibly feel you were promised something. No, 344 00:17:07,849 --> 00:17:09,530 no. I'm happy to better myself. 345 00:17:10,069 --> 00:17:11,069 Appreciate the confidence. 346 00:17:11,810 --> 00:17:12,810 Now you can trail Dr. 347 00:17:13,089 --> 00:17:14,089 Douglas this week. 348 00:17:19,250 --> 00:17:20,250 She's tough. 349 00:17:21,130 --> 00:17:22,150 But you've had tougher. 350 00:17:27,440 --> 00:17:30,500 I can't believe I'm 38 years old and there is a catheter in my heart right 351 00:17:30,500 --> 00:17:35,080 now. I know, but it sounds scarier than it is. Just try and breathe and think 352 00:17:35,080 --> 00:17:36,080 about something else, okay? 353 00:17:36,320 --> 00:17:39,560 Besides my favorite student flailing around on the floor of my theater, yeah. 354 00:17:40,460 --> 00:17:42,880 Okay, I'm going to inject the dye now so we can map out your arteries. 355 00:17:45,800 --> 00:17:46,940 It's not quite oriented. 356 00:17:47,220 --> 00:17:48,260 It's like a maze. 357 00:17:48,580 --> 00:17:50,320 Inject more and let's see what we see. 358 00:17:53,740 --> 00:17:54,880 Hard left there. 359 00:17:55,370 --> 00:17:58,570 I'm just feeding the catheter in a bit deeper. Just keep thinking about Juliet 360 00:17:58,570 --> 00:17:59,570 on that balcony. 361 00:17:59,850 --> 00:18:00,850 Not funny. 362 00:18:01,210 --> 00:18:03,510 And we couldn't afford a balcony. 363 00:18:04,870 --> 00:18:05,990 Come on, Mr. Galvin. 364 00:18:06,730 --> 00:18:07,890 Deny thy father. 365 00:18:08,550 --> 00:18:10,650 Refuse thy name. Now that's funny. 366 00:18:11,010 --> 00:18:15,170 I played Juliet and Rosita. These arteries are totally clean. 367 00:18:15,430 --> 00:18:17,170 Well, that's good, right? 368 00:18:17,470 --> 00:18:19,450 Now we can't explain your symptoms. 369 00:18:22,000 --> 00:18:24,960 Okay, Liz, come here. Let's stabilize him. I gotta get this catheter out. 370 00:18:25,100 --> 00:18:26,100 What's going on? 371 00:18:26,700 --> 00:18:27,700 What's going on? 372 00:18:28,840 --> 00:18:30,920 Tori's cerebral parenchyma looks healthy. 373 00:18:31,140 --> 00:18:33,000 No mass or bleed. No stroke. 374 00:18:33,420 --> 00:18:35,460 Vascular malformation. Cortical lesion. 375 00:18:35,660 --> 00:18:36,980 No signs of encephalitis. 376 00:18:37,260 --> 00:18:39,700 I mean, there's no physical reason she should be having these seizures. 377 00:18:41,460 --> 00:18:43,620 Her drama teacher just had a focal seizure. 378 00:18:44,140 --> 00:18:47,000 Can't be a coincidence. They're both having a neurological response. 379 00:18:47,360 --> 00:18:49,100 It has to be an acute environmental exposure. 380 00:18:49,520 --> 00:18:50,520 From the theater. 381 00:18:51,470 --> 00:18:53,050 Which means there are going to be others. 382 00:18:57,710 --> 00:19:00,730 So, Michael sent me home for the night. 383 00:19:01,650 --> 00:19:04,930 Apparently, Sonny ratted on me for being so hard on Felicia. 384 00:19:05,530 --> 00:19:06,810 You've got to be kidding me. 385 00:19:07,050 --> 00:19:10,130 It almost makes me think that maybe she has a thing for you. 386 00:19:11,190 --> 00:19:12,530 What, and this is like payback? 387 00:19:13,250 --> 00:19:14,730 A woman scorned. 388 00:19:15,050 --> 00:19:18,470 No, no, no way. Plus, I mean, she doesn't know about us. 389 00:19:18,670 --> 00:19:19,690 Speaking of which... 390 00:19:20,720 --> 00:19:22,120 See you at my place in an hour. 391 00:19:22,660 --> 00:19:28,620 Yeah, sounds great. And Jake, maybe bring something more than just a 392 00:19:28,620 --> 00:19:29,620 toothbrush. 393 00:19:31,240 --> 00:19:34,000 Wow. That almost sounds like a level of commitment. 394 00:19:35,200 --> 00:19:39,040 I think it's time that I tell Katie about you. 395 00:19:39,720 --> 00:19:41,940 And maybe introduce you. 396 00:19:42,880 --> 00:19:44,780 Yeah, yeah. Same for me, yeah. 397 00:19:46,120 --> 00:19:47,120 I'd love that. 398 00:19:49,290 --> 00:19:50,290 And I love you. 399 00:19:52,810 --> 00:19:53,910 Thank you. You stay here in that. 400 00:19:57,790 --> 00:19:58,790 I'll see you there. 401 00:20:04,970 --> 00:20:08,330 Well, you need public health in there to test the theater. And we need to know if 402 00:20:08,330 --> 00:20:09,770 anyone else has reported any issues. 403 00:20:10,170 --> 00:20:12,450 Have any other students called out? So, cardiology. 404 00:20:14,110 --> 00:20:15,110 Long story. 405 00:20:16,750 --> 00:20:18,130 It could be a lot of things. 406 00:20:18,740 --> 00:20:20,060 How goes it with the interns? 407 00:20:20,400 --> 00:20:21,400 Getting my footing. 408 00:20:22,120 --> 00:20:23,260 Big shoes to fill. 409 00:20:26,240 --> 00:20:28,260 That almost sounds like a level of commitment. 410 00:20:30,700 --> 00:20:31,760 You just have a memory? 411 00:20:32,040 --> 00:20:33,040 Yeah. 412 00:20:33,640 --> 00:20:37,760 I know you can't reveal names to us, but you need to contact their parents and 413 00:20:37,760 --> 00:20:38,760 have them brought here. 414 00:20:39,440 --> 00:20:41,620 I appreciate it. Keep me posted. 415 00:20:43,880 --> 00:20:47,860 Two more left school with dizziness, one other with numbness in their right hand. 416 00:20:48,300 --> 00:20:50,620 All from the theater. He was cagey, wouldn't say. 417 00:20:50,860 --> 00:20:51,860 Okay, well, that's helpful. 418 00:20:51,940 --> 00:20:55,440 He's trying to cover his ass, but he will call public health. What about the 419 00:20:55,440 --> 00:20:59,160 kids? Are they coming in? He's going to push. Once they land, we cross-reference 420 00:20:59,160 --> 00:21:01,000 symptoms, see if we can find a pattern. 421 00:21:01,640 --> 00:21:02,940 When did the dizziness start? 422 00:21:03,380 --> 00:21:04,380 In math class. 423 00:21:04,680 --> 00:21:05,880 Around 11 o'clock, maybe. 424 00:21:07,000 --> 00:21:08,260 Any changes in your vision? 425 00:21:08,540 --> 00:21:11,400 Not really. Is that part of it, with the dizziness? We're just gathering 426 00:21:11,400 --> 00:21:14,920 information. You said the drama teacher's here, too? Yeah, and Tori. You 427 00:21:14,920 --> 00:21:17,200 wouldn't believe what happened to her dad. We're not permitted to discuss 428 00:21:17,200 --> 00:21:18,200 that. 429 00:21:19,679 --> 00:21:23,500 Do we all have the same thing? Did you smell anything unusual at the school? 430 00:21:23,700 --> 00:21:27,020 No, I don't think so. Is that what it is? A gas leak or something? 431 00:21:27,240 --> 00:21:30,600 We're still evaluating, and public health is testing the school right now. 432 00:21:31,180 --> 00:21:33,360 Dr. Ferguson, do you have any questions? 433 00:21:34,580 --> 00:21:35,580 I do. 434 00:21:38,320 --> 00:21:41,360 Absolutely, I believe in being aggressive. Now, if you're asking me if 435 00:21:41,360 --> 00:21:45,920 I'm pathologically in love with cutting... No, my ego's aligned with 436 00:21:45,920 --> 00:21:47,280 outcomes, not bravado. 437 00:21:47,640 --> 00:21:48,920 And why Minneapolis? 438 00:21:49,940 --> 00:21:54,500 I grew up here, and my sisters had some health problems, plus two teenage boys 439 00:21:54,500 --> 00:21:57,740 you could use a role model around. Look, the thing is, I could just go to Mayo. 440 00:21:58,440 --> 00:22:00,760 What I'd hoped to do here was build your department. 441 00:22:01,120 --> 00:22:03,640 Well, that's the idea for bringing you in. 442 00:22:04,680 --> 00:22:08,740 I guess what I'm saying is if I'm coming to Westside, it'll only be to run 443 00:22:08,740 --> 00:22:09,740 surgery. 444 00:22:10,080 --> 00:22:11,680 You want to replace Dr. Costa? 445 00:22:11,900 --> 00:22:13,420 Now, don't get me wrong, he's solid. 446 00:22:13,860 --> 00:22:16,800 I'd welcome him as part of my team. I'd even be willing to... 447 00:22:17,120 --> 00:22:20,400 Reduce some of my own salary so he takes home the same as what he earns now. It's 448 00:22:20,400 --> 00:22:21,680 not about money for me. 449 00:22:21,880 --> 00:22:24,820 What is it you think you can bring that we don't already have now? 450 00:22:25,380 --> 00:22:29,520 Internal medicine's been your bright and shiny here for a long time, but Dr. 451 00:22:29,620 --> 00:22:31,540 Larson's not a draw in her current capacity. 452 00:22:31,960 --> 00:22:36,140 In any case, you need surgery to be your guiding light. That's where the edge is. 453 00:22:36,200 --> 00:22:39,520 That's where the grants are. That's where you get your superstar recruits. 454 00:22:40,020 --> 00:22:43,240 And with my auspices in reach, I'll certainly be able to pull those people 455 00:22:43,240 --> 00:22:44,240 in. 456 00:22:45,560 --> 00:22:48,360 It'll be all the same test for Paul in 618. 457 00:22:48,920 --> 00:22:51,320 Call pathology, tell them I want them all expedited. 458 00:22:51,720 --> 00:22:53,880 Hi, my name is Betsy Fuller. This is my son, Josh. 459 00:22:54,100 --> 00:22:56,720 He was in the theater. We were told everyone's checking in on this floor. 460 00:22:56,900 --> 00:22:58,620 Okay, is he one of the students displaying symptoms? 461 00:22:59,060 --> 00:23:02,060 Well, not yet, but we've heard it's up to six people. 462 00:23:02,540 --> 00:23:03,540 Four, actually. 463 00:23:03,700 --> 00:23:06,960 You said it was six. Well, I don't know. That's what I was told. Well, he still 464 00:23:06,960 --> 00:23:08,600 needs to be seen by the doctors. I understand. 465 00:23:08,860 --> 00:23:11,100 Fill out this form, please, and have a seat in the waiting area. 466 00:23:15,340 --> 00:23:20,320 Tori? She went on responsive pressure 210 over 112, heart rate 48, and her 467 00:23:20,320 --> 00:23:21,320 left pupil's fixed. 468 00:23:21,500 --> 00:23:24,460 What the hell? What's wrong with her? That can't be from new onset. Someone 469 00:23:24,460 --> 00:23:27,240 needs to tell us what this is. What's going on with her? Is this contagious? 470 00:23:27,340 --> 00:23:29,180 Just try to be calm, please. 471 00:23:36,260 --> 00:23:37,260 Nothing to say? 472 00:23:38,200 --> 00:23:39,500 Matthew Reddy's stable? 473 00:23:40,220 --> 00:23:45,640 Dr. Park's covering the ICU and Dr. Barrett's handling Kim Trent's angio. 474 00:23:46,700 --> 00:23:49,200 Everything's in hand. I meant about the complaint. 475 00:23:52,080 --> 00:23:53,420 Felicia Turner complained. 476 00:23:53,680 --> 00:23:56,760 I was asked what happened and I wasn't going to lie. 477 00:23:56,960 --> 00:23:59,500 Right. But the truth can be subjective. 478 00:23:59,980 --> 00:24:04,000 And I'm wondering if you told Dr. Hamda that you missed splintering fingernails 479 00:24:04,000 --> 00:24:06,900 and thus the diagnosis this morning. 480 00:24:08,560 --> 00:24:12,300 Look, I wasn't going to tell you this until tomorrow, but so long as we're 481 00:24:12,300 --> 00:24:16,060 here... I'll be offering my resignation. 482 00:24:17,200 --> 00:24:18,200 Effective in two weeks. 483 00:24:19,240 --> 00:24:20,240 You're quitting. 484 00:24:20,980 --> 00:24:24,580 Because you don't like my leadership style. I'm sure you think it's a style, 485 00:24:24,660 --> 00:24:27,000 but everyone besides Dr. Heller thinks it's abusive. 486 00:24:27,900 --> 00:24:29,260 And I don't need it in my life. 487 00:24:30,020 --> 00:24:32,380 Well, I'll expect to hear from you in a year or two. 488 00:24:33,820 --> 00:24:37,420 Apologizing and thanking me for everything I've taught you. 489 00:24:45,480 --> 00:24:46,920 They told me the MRI was finished? 490 00:24:47,140 --> 00:24:47,879 Just about. 491 00:24:47,880 --> 00:24:48,880 No lesions. 492 00:24:49,020 --> 00:24:50,320 Ventricles look good so far. 493 00:24:50,700 --> 00:24:51,700 How are you doing today? 494 00:24:52,280 --> 00:24:53,280 Tricky case? 495 00:24:53,860 --> 00:24:56,760 No, I mean, being chief resident with Amy. 496 00:24:57,480 --> 00:25:02,640 Oh, yeah. She gave a pretty rah-rah speech to the interns this morning. Kind 497 00:25:02,640 --> 00:25:06,800 of the polar opposite of how she used to be, so that was interesting. 498 00:25:07,480 --> 00:25:09,760 Yeah, I'm sure she's trying a different type this time around. 499 00:25:10,740 --> 00:25:12,580 What about you? Fear out of your approach yet? 500 00:25:14,020 --> 00:25:18,000 Tough love without the snark might be kind of a role reversal with her getting 501 00:25:18,000 --> 00:25:22,140 all touchy-feely How are things going with the two of you? 502 00:25:24,260 --> 00:25:31,220 We split up Really yeah, just trying to figure out the equilibrium now, 503 00:25:31,320 --> 00:25:34,700 you know working together Well, it's day one. 504 00:25:35,180 --> 00:25:36,300 I'm sure you'll get there 505 00:25:43,020 --> 00:25:46,500 The teacher's CBC, CMP, head imaging all looks normal. 506 00:25:47,300 --> 00:25:48,300 Tori's in surgery. 507 00:25:48,500 --> 00:25:52,020 She has to have some obstructive process in her brain. But we imaged the other 508 00:25:52,020 --> 00:25:55,020 kids, none of them show clotting. And we cleared them all on recreational drug 509 00:25:55,020 --> 00:25:56,280 use. Tox screen's all normal. 510 00:25:56,580 --> 00:25:57,940 Okay, so what's our profiling indicate? 511 00:25:58,220 --> 00:26:02,280 No respiratory symptoms, which rules out molds, formaldehyde, carbon monoxide, no 512 00:26:02,280 --> 00:26:03,600 peripheral neuropathy. 513 00:26:03,860 --> 00:26:04,980 No fever, so... 514 00:26:05,360 --> 00:26:09,760 no cyanotoxins from the hvacs something doesn't make sense tori had her first 515 00:26:09,760 --> 00:26:12,860 seizure yesterday afternoon but none of the others started showing symptoms 516 00:26:12,860 --> 00:26:17,660 until today if it was acute exposure they all would have been swarming the er 517 00:26:17,660 --> 00:26:21,000 last night we need to re-interview them all and scrutinize the timeline 518 00:26:21,000 --> 00:26:25,120 something's got to shake out have you heard anything from the school we're 519 00:26:25,120 --> 00:26:29,520 still waiting on the testing okay so how long will that take uh yeah um 520 00:26:31,070 --> 00:26:34,930 Some of the potential toxins they can test in a matter of hours, others can 521 00:26:34,930 --> 00:26:35,930 take a day or two. 522 00:26:36,450 --> 00:26:37,650 Can you please help us? 523 00:26:37,930 --> 00:26:41,530 My son needs to see someone. He wasn't exhibiting any symptoms when he arrived, 524 00:26:41,570 --> 00:26:42,810 but he's starting to feel dizzy now. 525 00:26:43,270 --> 00:26:47,270 And I've got, like, a numbness down my arm. I was just about to admit it. 526 00:26:48,070 --> 00:26:50,010 This has gotten worse since you've been waiting? 527 00:26:50,230 --> 00:26:51,770 Yes, it's been coming on strong. 528 00:26:52,330 --> 00:26:54,630 And no one can tell us what the incubation period is. 529 00:26:55,570 --> 00:26:57,630 Full workup. Room 619. 530 00:26:57,950 --> 00:26:58,950 Oh, it's about time. 531 00:26:59,790 --> 00:27:01,450 She said that Tori was going into surgery. 532 00:27:01,810 --> 00:27:03,970 Are they going to be able to help her? Yes. 533 00:27:04,570 --> 00:27:07,970 Please just go with Dr. Chin. We'll work it all out. Okay, 534 00:27:08,850 --> 00:27:15,470 there 535 00:27:15,470 --> 00:27:16,930 is a clot. 536 00:27:17,810 --> 00:27:21,230 What are our options? Open the transverse sinus and drain it. Or? 537 00:27:23,370 --> 00:27:26,010 Put in an extra ventricular drain and anticoagulate. 538 00:27:26,350 --> 00:27:28,950 Exactly. But her recovery time could be two weeks. 539 00:27:29,390 --> 00:27:31,150 You're not worried about the prolonged pressure to the brain? 540 00:27:31,390 --> 00:27:32,790 Well, stop heparin will tackle that. 541 00:27:33,650 --> 00:27:35,730 Sticking a scalpel in there carries plenty of risk. 542 00:27:37,170 --> 00:27:38,170 Okay. 543 00:27:38,610 --> 00:27:39,610 Prep the drain kit. 544 00:27:41,530 --> 00:27:46,130 Before math, you were in English class, and you said you were worried about 545 00:27:46,130 --> 00:27:49,650 Tori? Nobody knew what was happening to her. And we heard Mr. Galvin wasn't 546 00:27:49,650 --> 00:27:50,650 coming in either. 547 00:27:50,790 --> 00:27:53,310 How did you hear that? There was a group chat. 548 00:27:54,310 --> 00:27:55,310 With a theater group? 549 00:27:56,190 --> 00:27:58,230 Yeah. Do you mind if I have a look at that? 550 00:27:58,700 --> 00:27:59,700 Yeah, sure. 551 00:28:07,600 --> 00:28:09,960 Seems like everyone was getting pretty worked up. 552 00:28:10,160 --> 00:28:11,400 I mean, yeah, of course. 553 00:28:12,580 --> 00:28:14,620 Rapid response team to 619. 554 00:28:15,100 --> 00:28:16,820 Rapid response to 619. 555 00:28:17,060 --> 00:28:18,060 I'm sorry. Excuse me. I'll be back. 556 00:28:19,720 --> 00:28:22,060 Excuse me. Excuse me. Do something! 557 00:28:25,310 --> 00:28:27,150 This is the same thing that happened to Tori. 558 00:28:27,530 --> 00:28:28,530 Stop. 559 00:28:30,770 --> 00:28:34,670 Two milligrams of azepam and nasal product oxygen. For a brain herniation? 560 00:28:34,930 --> 00:28:35,930 This isn't neurological. 561 00:28:36,090 --> 00:28:39,210 What are you talking about? He's catatonic. This is all psychological. 562 00:28:41,410 --> 00:28:42,630 It's mass hysteria. 563 00:28:46,050 --> 00:28:48,310 I thought you went home an hour ago. 564 00:28:49,050 --> 00:28:51,670 Just checking in on Ray Porter post-op. 565 00:28:51,970 --> 00:28:54,330 I spoke to his daughter, clarified the prognosis. 566 00:28:54,840 --> 00:28:56,680 Sorry, I tried to play it down to her before. 567 00:28:56,920 --> 00:28:57,819 Don't be sorry. 568 00:28:57,820 --> 00:29:00,660 You're the one person I can count on to take instruction without whining. 569 00:29:02,580 --> 00:29:04,020 I heard about Sonya leaving. 570 00:29:05,300 --> 00:29:08,700 Spoon-feeding approval is no way to make good doctors, any more than soldiers. 571 00:29:09,440 --> 00:29:12,120 Funny thing is, she is pretty hard in her first years. 572 00:29:12,340 --> 00:29:14,880 Well, she can take her thin skin and hypocrisy elsewhere now. 573 00:29:15,880 --> 00:29:16,880 Yes, she can. 574 00:29:17,300 --> 00:29:18,300 How are you doing? 575 00:29:18,460 --> 00:29:19,460 Good. 576 00:29:20,220 --> 00:29:23,100 Great. Did you follow up on what we talked about? 577 00:29:23,880 --> 00:29:24,859 The nightmares? 578 00:29:24,860 --> 00:29:27,160 Oh, um, yeah. 579 00:29:28,080 --> 00:29:31,800 TJ, you can't white-knuckle your way through everything. 580 00:29:32,580 --> 00:29:33,720 Isn't that what you do? 581 00:29:40,180 --> 00:29:41,180 Something wrong? 582 00:29:42,740 --> 00:29:43,740 No. 583 00:29:47,460 --> 00:29:50,760 So he's okay? He's okay, but I don't understand. 584 00:29:51,310 --> 00:29:56,810 it's called conversion disorder it's a contagious psychological response within 585 00:29:56,810 --> 00:30:02,030 a community that is harboring acute stress the witches in salem or all those 586 00:30:02,030 --> 00:30:07,810 girls in iran a few years ago when your son and the other students saw tori sees 587 00:30:07,810 --> 00:30:12,250 in the theater that started a chain reaction then mr galvin called in sick 588 00:30:12,250 --> 00:30:17,430 and they started to panic then the group chat just contributed to this 589 00:30:18,160 --> 00:30:24,020 fomenting anxiety that accumulated and amplified into this so when josh saw 590 00:30:24,020 --> 00:30:30,820 tori his mind just made him copycat that essentially yes you saw the longer 591 00:30:30,820 --> 00:30:34,860 he was in the waiting room around all that fear and agitation the more he 592 00:30:34,860 --> 00:30:40,260 started to manifest those symptoms we could run a dozen tests and nothing 593 00:30:40,260 --> 00:30:44,900 would show up physically i saw that on the group chat everyone's test came up 594 00:30:44,900 --> 00:30:50,440 negative I can assure you this is a psychological reaction to shared stress. 595 00:30:53,640 --> 00:30:54,640 Shared stress? 596 00:30:55,060 --> 00:30:58,600 They're teenagers, I'm a grown man. I know, but unfortunately that doesn't 597 00:30:58,600 --> 00:30:59,279 make you immune. 598 00:30:59,280 --> 00:31:01,420 Well, I have put on plenty of productions. 599 00:31:02,160 --> 00:31:04,480 And believe me, this was not the most stressful. 600 00:31:04,700 --> 00:31:08,260 So you can't tell me that I'm here and I put everyone else here because I'm some 601 00:31:08,260 --> 00:31:09,740 sort of taskmaster. 602 00:31:10,080 --> 00:31:13,340 Look, I'm not saying that it's the plane necessarily, but it must be something at 603 00:31:13,340 --> 00:31:16,040 the school. And without knowing the source of that trauma, this could go on 604 00:31:16,040 --> 00:31:17,040 for a long time. 605 00:31:17,080 --> 00:31:18,800 Okay, for all of you. This is insane. 606 00:31:19,700 --> 00:31:23,100 Think, Mr. Galvin. What could it be? I have no idea. 607 00:31:23,860 --> 00:31:26,800 And how is this a delusion when Tori's in surgery? 608 00:31:27,840 --> 00:31:29,200 There's the sagittal sinus. 609 00:31:29,480 --> 00:31:31,040 See how it engorges those corticals. 610 00:31:35,899 --> 00:31:36,899 Stalking your prey? 611 00:31:37,020 --> 00:31:40,480 I can get a feel for how he's been running the department by watching how 612 00:31:40,480 --> 00:31:41,480 he cuts. 613 00:31:42,100 --> 00:31:45,020 And you really think he's that conservative? 614 00:31:46,120 --> 00:31:49,920 He's putting a drain into a CVST patient and counting on the heparin to do his 615 00:31:49,920 --> 00:31:54,940 work for him as we speak, so... But I think you already made your decision 616 00:31:54,940 --> 00:31:55,960 before you came in here. 617 00:31:58,200 --> 00:32:00,500 What's the status of your transplant bridge trial? 618 00:32:00,940 --> 00:32:03,360 We understand you're about to enter the human phase now. 619 00:32:03,610 --> 00:32:06,910 My intention is to keep an eye on it from here and travel to New York as 620 00:32:06,910 --> 00:32:09,350 needed. But I assure you, it wouldn't be a distraction. 621 00:32:09,990 --> 00:32:11,330 No, that's not the concern. 622 00:32:11,830 --> 00:32:15,310 If you could get it moved here, the board's prepared to divert $3 million 623 00:32:15,310 --> 00:32:17,550 from one of our research grants to your study. 624 00:32:18,350 --> 00:32:20,190 Plus, everything else you asked for. 625 00:32:20,490 --> 00:32:21,570 You know I have partners. 626 00:32:21,910 --> 00:32:25,850 Yes, but you're the lead, and we just doubled your budget. So, get it done. 627 00:32:26,390 --> 00:32:27,390 We've got a deal. 628 00:32:33,390 --> 00:32:36,650 So we've relieved the pressure that was causing a seizure and put in a 629 00:32:36,650 --> 00:32:40,230 microscopic drain to prevent it from coming back. You left something in my 630 00:32:40,230 --> 00:32:41,870 brain. We'll remove it in a couple of weeks. 631 00:32:42,130 --> 00:32:43,130 After another surgery? 632 00:32:43,510 --> 00:32:45,550 No, no. We'll just pull it out slowly. 633 00:32:46,210 --> 00:32:47,270 It's painless. 634 00:32:47,470 --> 00:32:48,610 I've got to be here two weeks. 635 00:32:49,930 --> 00:32:53,730 We've also got you on blood thinners, so we'll need to monitor you closely. 636 00:32:53,930 --> 00:32:56,150 We appreciate it, Dr. Coleman. If we could have the room now? 637 00:32:57,390 --> 00:32:58,390 Sure. 638 00:32:58,550 --> 00:32:59,550 Yeah. 639 00:33:01,679 --> 00:33:05,520 Now, we'd like to go back to what was happening with you yesterday, before the 640 00:33:05,520 --> 00:33:07,360 rehearsal. I already told you. 641 00:33:07,700 --> 00:33:08,800 Didn't have any symptoms. 642 00:33:09,200 --> 00:33:11,000 Oh, we're not talking about physical symptoms. 643 00:33:11,240 --> 00:33:12,820 Walk us through your day at school. 644 00:33:13,960 --> 00:33:16,500 I had English, then math. 645 00:33:17,160 --> 00:33:19,460 I had a test, but that wasn't a big deal. 646 00:33:19,760 --> 00:33:21,740 Then a free, then lunch. 647 00:33:22,060 --> 00:33:23,520 Then there was a lockdown drill. 648 00:33:24,460 --> 00:33:25,460 Then history. 649 00:33:25,820 --> 00:33:26,940 A lockdown drill? 650 00:33:27,180 --> 00:33:29,820 Yeah. You know, like an active shooter or whatever. 651 00:33:30,180 --> 00:33:31,180 You know? 652 00:33:31,790 --> 00:33:34,290 Did something happen during the drill? 653 00:33:34,710 --> 00:33:36,630 Happen? No, same as always. 654 00:33:37,390 --> 00:33:38,390 Which is? 655 00:33:39,350 --> 00:33:44,810 Lock the door, turn off the lights, move the desk to block the door in case 656 00:33:44,810 --> 00:33:45,810 there's a shooter. 657 00:33:46,610 --> 00:33:47,890 And do you find that stressful? 658 00:33:48,450 --> 00:33:52,450 No, it's what we do. We're used to it. Just because something's been normalized 659 00:33:52,450 --> 00:33:54,210 doesn't mean it isn't having an impact. 660 00:33:54,790 --> 00:33:59,130 I suspect, on some level, those drills can be traumatizing. 661 00:33:59,939 --> 00:34:00,939 Traumatizing. Sure. 662 00:34:01,020 --> 00:34:03,240 For everyone, even the teachers who have to do them. 663 00:34:03,560 --> 00:34:07,480 I mean, the last time we did one, there was this one girl who had a panic 664 00:34:07,480 --> 00:34:11,139 attack. But we all just kind of thought she was being extra. When was that? 665 00:34:11,440 --> 00:34:13,239 I don't know. A couple months ago, maybe. 666 00:34:13,540 --> 00:34:15,380 We do them like six or seven times a year. 667 00:34:15,760 --> 00:34:20,340 So when you heard about the girl who reacted like that, how were you 668 00:34:20,340 --> 00:34:22,760 affected? I didn't hear about it. 669 00:34:23,120 --> 00:34:24,120 I saw it. 670 00:34:25,260 --> 00:34:26,699 There was a video that went viral. 671 00:34:27,380 --> 00:34:28,400 We all saw it. 672 00:34:39,029 --> 00:34:41,210 What was your reaction when you saw this? 673 00:34:41,489 --> 00:34:43,670 We felt sorry for her. 674 00:34:44,650 --> 00:34:48,050 I don't even understand why we have to do these drills all the time. It's like 675 00:34:48,050 --> 00:34:49,530 we've been doing them since we were eight. 676 00:34:49,770 --> 00:34:50,889 We get it already. 677 00:34:51,150 --> 00:34:53,530 They stopped calling it an active shooter drill. 678 00:34:53,770 --> 00:34:56,350 Like we'd be pushing desks against the door for a hurricane. 679 00:34:59,070 --> 00:35:02,510 Tell the students to follow them. Like, why do we have to keep going through it 680 00:35:02,510 --> 00:35:03,468 again and again? 681 00:35:03,470 --> 00:35:06,270 If the schools don't train everybody, then they'll be liable if something 682 00:35:06,270 --> 00:35:09,650 happens. And after that girl had her panic attack, did anybody go to the 683 00:35:09,650 --> 00:35:11,850 school counselors or report having similar anxieties? 684 00:35:12,050 --> 00:35:15,410 I don't even know if the kids realized it was bothering them. I mean, if they 685 00:35:15,410 --> 00:35:16,890 did, would any of this be happening? 686 00:35:17,150 --> 00:35:20,630 I certainly wouldn't have given Juliet the gun in that scene. 687 00:35:21,190 --> 00:35:23,310 I just thought it would be cool and modern. 688 00:35:26,220 --> 00:35:30,680 My thought is when you heard that gunshot on stage, that released all of 689 00:35:30,680 --> 00:35:34,160 the anxieties you've been carrying since you saw Heidi have the panic attack in 690 00:35:34,160 --> 00:35:38,900 that video. Not to mention the anxiety you probably have felt about those 691 00:35:38,900 --> 00:35:41,340 drills and what they mean for a long time. 692 00:35:41,700 --> 00:35:44,680 So if this was all in my head, why did I need surgery? 693 00:35:45,000 --> 00:35:49,700 It turns out you have an underlying blood clotting disorder that was dormant 694 00:35:49,700 --> 00:35:50,840 and the acute stress. 695 00:35:51,560 --> 00:35:54,920 brought it out and tightened it. But only temporarily, right? 696 00:35:55,180 --> 00:35:56,180 Unfortunately not. 697 00:35:56,660 --> 00:35:59,480 Now that the condition is manifest, it'll be chronic. 698 00:36:00,500 --> 00:36:01,660 For the rest of her life? 699 00:36:01,860 --> 00:36:05,760 We can treat it with anti-seizure medication, but that does have side 700 00:36:05,760 --> 00:36:09,060 effects. And yes, it will be for the rest of her life. 701 00:36:09,360 --> 00:36:14,300 You're saying the lockdown drills did this to her? I'd say it's the stress of 702 00:36:14,300 --> 00:36:17,100 being a teenager in a very complicated world. 703 00:36:33,840 --> 00:36:34,840 Totally selling. 704 00:36:35,860 --> 00:36:39,320 Cognitive behavioral therapy, but it's going to be a long road. 705 00:36:40,940 --> 00:36:47,700 Parenting. And then some... You know, I was cramming for all this stuff 706 00:36:47,700 --> 00:36:52,080 for pediatrics, and it just started making me look at me like a patient. 707 00:36:53,720 --> 00:36:54,880 Didn't much care for that. 708 00:36:55,420 --> 00:36:57,200 That's the change to cardiology. 709 00:36:57,420 --> 00:36:58,420 Yeah. 710 00:37:02,240 --> 00:37:04,860 I think it's time that I tell Katie about you. 711 00:37:06,900 --> 00:37:07,900 Do you have another one? 712 00:37:08,660 --> 00:37:11,500 Oh, no. It's nothing. It's just not a big deal. 713 00:37:13,980 --> 00:37:17,740 Um, okay. Well, congrats on today. 714 00:37:17,980 --> 00:37:18,980 You did great. 715 00:37:19,280 --> 00:37:20,280 As expected. 716 00:37:21,620 --> 00:37:22,620 You too? 717 00:37:22,840 --> 00:37:23,840 Yeah. 718 00:37:25,160 --> 00:37:26,160 I'll see you tomorrow. 719 00:37:26,220 --> 00:37:27,220 Okay. 720 00:37:36,880 --> 00:37:39,940 I wanted to catch you before the official postgame, see how you thought 721 00:37:39,940 --> 00:37:40,940 today went. 722 00:37:41,200 --> 00:37:42,200 Ah, yeah. 723 00:37:42,560 --> 00:37:43,560 Wild day. 724 00:37:44,080 --> 00:37:45,120 I mean your performance. 725 00:37:46,620 --> 00:37:51,960 Oh, uh... Self-analysis will be crucial, but since you haven't engaged in that 726 00:37:51,960 --> 00:37:52,960 yet, I can go. 727 00:37:53,240 --> 00:37:57,240 You started the day with a HIPAA violation, then tossed out worst-case 728 00:37:57,240 --> 00:38:01,840 scenarios to an anxious patient with stress-related cardiac issues, then 729 00:38:01,840 --> 00:38:05,800 walked yourself into the lion's den of those terrified parents, completely 730 00:38:05,800 --> 00:38:08,940 unprepared to answer their most obvious question. 731 00:38:10,480 --> 00:38:11,540 You're right. I'm sorry. 732 00:38:12,860 --> 00:38:15,840 You already know what you're supposed to do. What's going to change? 733 00:38:16,120 --> 00:38:20,700 You're extremely smart, Nikki, and can be a great doctor, but I don't want to 734 00:38:20,700 --> 00:38:21,700 hear you're sorry. 735 00:38:21,950 --> 00:38:23,870 I want to know what you're going to do to turn things around. 736 00:38:26,090 --> 00:38:28,050 Think about it tonight and come back to me tomorrow. 737 00:38:30,810 --> 00:38:31,810 Great, thank you. 738 00:38:33,510 --> 00:38:39,890 Not exactly in keeping with the speech we gave this morning. 739 00:38:41,870 --> 00:38:45,330 Our job is to teach them. If they're snowflakes, they're not going to cut it. 740 00:38:52,270 --> 00:38:53,970 I heard you had the trippies case today. 741 00:38:54,990 --> 00:38:56,250 Trippies, one word for it. 742 00:38:59,150 --> 00:39:00,690 You know, I never did a lockdown drill. 743 00:39:01,710 --> 00:39:03,070 Do they really do it at all the schools? 744 00:39:03,370 --> 00:39:06,250 Yeah, at mine they gave out rolls and had us all act it out. 745 00:39:06,690 --> 00:39:09,530 One kid played the shooter, a bunch of us pretended to get shot. 746 00:39:09,990 --> 00:39:14,690 Not possible. Then they told us to fight back, throw books at the shooter. 747 00:39:15,110 --> 00:39:16,029 That just can't be true. 748 00:39:16,030 --> 00:39:18,570 Six times a year, every year since second grade. 749 00:39:20,810 --> 00:39:24,470 Oh my God, Matra just busted me for a couple of misdemeanors. Be well. 750 00:39:24,990 --> 00:39:28,090 Ruth was about to shove a tube down a patient's throat when he didn't need it. 751 00:39:28,330 --> 00:39:30,130 And Larson lets her off the hook. 752 00:39:31,230 --> 00:39:34,610 I heard that they were both vying for the job. Now they gotta share it. 753 00:39:34,970 --> 00:39:36,070 It's gotta be interesting, huh? 754 00:39:41,070 --> 00:39:42,070 Hey, stranger. 755 00:39:43,030 --> 00:39:44,130 Missed you at our department. 756 00:39:44,430 --> 00:39:45,930 Sounds like you managed it all with style. 757 00:39:46,590 --> 00:39:48,150 Gotta admit, felt pretty good. 758 00:39:48,510 --> 00:39:50,450 Well, I guess you're glad you didn't quit last year. 759 00:39:50,800 --> 00:39:51,800 Hey. 760 00:39:53,780 --> 00:39:58,020 You are one of the only people who knows about that, and I don't need the interns 761 00:39:58,020 --> 00:40:01,980 finding out Amy and I didn't get along. Or that the only reason I stayed is 762 00:40:01,980 --> 00:40:03,760 because she got demoted after her accident. 763 00:40:04,180 --> 00:40:05,800 Well, this guy is glad that you did. 764 00:40:07,740 --> 00:40:09,220 This is Katie. Leave a message. 765 00:40:09,780 --> 00:40:12,840 Hey, it's Dad. I texted you, too. 766 00:40:13,680 --> 00:40:19,940 I just wanted to check on you. Ask you if, uh... Well, just call me. 767 00:40:20,400 --> 00:40:21,400 I love you, sweetheart. 768 00:40:22,400 --> 00:40:23,580 I called her, too. 769 00:40:24,740 --> 00:40:28,660 I think she's at some fraternity party. We'll hear from her tomorrow. Yeah. 770 00:40:29,020 --> 00:40:33,140 Did she ever mention anything to us about those lockdown drills? 771 00:40:34,580 --> 00:40:35,580 Nope. 772 00:40:36,300 --> 00:40:40,180 You always thought it was overkill, asking the kids to carry the burden 773 00:40:40,180 --> 00:40:43,340 because the adults in the room can't get it together to do the right thing. 774 00:40:45,420 --> 00:40:48,660 Wondering if you observed Sonia at all today. 775 00:40:50,320 --> 00:40:51,560 Not much, no. 776 00:40:51,840 --> 00:40:54,700 I think she's got some shades of old me. 777 00:40:55,100 --> 00:40:58,280 You're who she learned from, even if she hated it. 778 00:40:59,700 --> 00:41:00,700 Could be a problem. 779 00:41:01,520 --> 00:41:04,160 You asking me to demote her? No, of course not. 780 00:41:04,360 --> 00:41:08,400 Because Joan wanted you paired for a reason. I know that, and she's... 781 00:41:08,400 --> 00:41:11,460 Arrogance and indifferent bedside manner won't be tolerated. 782 00:41:12,860 --> 00:41:13,860 She's what? 783 00:41:14,240 --> 00:41:17,700 Being a great physician isn't enough to protect you. Not anymore. 784 00:41:18,600 --> 00:41:19,600 She's great. 785 00:41:19,770 --> 00:41:20,770 We'll hush it out. 786 00:41:20,830 --> 00:41:22,630 Go home and get some rest. 787 00:41:25,890 --> 00:41:31,510 It was just a barrage today. I mean, so much more than ever before. And I don't 788 00:41:31,510 --> 00:41:34,950 know how I'm going to get through a day without everyone noticing and wondering 789 00:41:34,950 --> 00:41:38,270 if I can do this. You came back to the place that's going to trigger you more 790 00:41:38,270 --> 00:41:40,890 than any place else and your brain's healing. 791 00:41:42,310 --> 00:41:43,910 So this could be the new normal. 792 00:41:44,690 --> 00:41:46,630 There's nothing normal about your brain. 793 00:41:48,170 --> 00:41:51,850 And I hate to break it to you. You might be done with the past, but clearly the 794 00:41:51,850 --> 00:41:53,410 past isn't done with you. 795 00:42:04,170 --> 00:42:06,510 You've reached Dr. Amy Larson. Leave a message. 796 00:42:07,190 --> 00:42:10,570 All right, it's my third time calling you. I get you don't want to talk to me, 797 00:42:10,610 --> 00:42:13,990 but we've got big trouble with what we did.