Original subtitles

Previously on Doc.

She's healing and healing fast.

Well, that would explain the influx of new memories. I really hope you're not

rushing this. I assure you, I can do this.

Ruth Chen, this is Cal Ferguson.

These are your co-chief residents.

Ben, I heard you were coming.

You want to replace Dr. Costa.

If I'm coming to Westside, it'll only be to run surgery.

So now that you're not working with Dr.

Larson, figured why not give cardiology a shot? I'm happy to better myself.

I saw you, Jake. I saw how you looked at her through her window. And you just

pushed me away.

Help!

Help!

Please,

help. What happened? Are you hurt? Not me.

My family's in there. You've got to help them.

Ibuprofen? Mm-hmm.

I didn't realize you were a nurse.

Funny.

And fun.

That's a pretty sneaky martini you make, which is not fair.

You want the recipe?

Oh, God, no.

How about my number?

You're not gonna call me, are you?

on my plate right now.

Can't blame a girl for trying.

Your lucky day, pal. You're with me again.

Great. Call came from on high.

Clearly, Dr. Mato sees some potential in you.

Ooh, what you working on?

Wait.

Is that like Rachel, Rachel?

It's new, okay? So I just need you to keep it to yourself, all right?

Cardio code.

Of course.

Aw, you're nervous.

No, that's not what I said. Right.

Well, carpe diem. Let's go, grasshopper.

Wait.

Does this mean no more Amy?

I had a few more memories last night, but nothing physical. So don't go

running to Michael.

He is the head of your department, and I'm out over my skis for you. So I will

report back to him as soon as I understand what this is. So how is this

different? They're not painful or disorienting. Just constant and

intrusive. And the last thing I need when I'm trying not to look back.

All the more reason to look ahead.

Hey, me.

Hey, Ben.

So I guess you work here now.

Looks that way.

Double espresso, please.

I think Joan would be glad that you're the one filling her position.

Actually, I'm taking over the department.

Does Dr. Costa know that?

Yeah, he's pretty burnt out on the admin stuff and was happy to let that part go.

Works out for everyone.

You do background on everyone at the conference?

Or just me?

Well, I'm glad you're here.

I'm excited to work with you. Same.

Department rolling out the red carpet for Ben on his first day?

So, whose team are you on?

It's not dodgeball. No, it's not, and I'm asking where you stand.

This is ridiculous.

Because I heard you and Grant got pretty chummy during the contagion.

Maybe you knew about the coup before it happened.

What? Come on.

All I know is...

I've been a resident under Costa for four years, and he deserved better than

this.

Dr. Fox could use his annex.

He may not be wrong.

Ben is brilliant, but Costa's the one who hired me.

Joan championed you.

Costa went along, and that happened because you are really good. Yeah, I

just don't like the way things went down.

I get that.

But you said yourself, Costa can be conservative.

I think Ben will be better for the department.

I guess I'll find out for myself soon enough.

Yeah.

Morning.

Dr. Grant.

I figured you'd want to discuss what happened.

As the guy who recommended you for an opening in surgery, I would have

appreciated a heads up that you were... planning to take it over. I'm sorry if

that puts you in an uncomfortable situation.

It did, and it does. I saw the potential in the department, and this was the only

move that made sense for me. And apparently the board saw an opportunity

to upgrade.

I don't disagree with their decision or the direction you want to take things,

but surgery and medicine have to work together, and I'd be lying if I said you

haven't lost some trust.

Well, I hope you'll give me a chance to earn it back.

Dr. Grant, you're needed in surgery, and they want you in the ICU.

Okay. Teenage son was driving.

ER checked a mouth, scraped, sent a mild concussion.

Mom's got rhabdo, causing renal failure and a subdural hematoma. Twelve-year-old

sister has a liver lack from the seatbelt, a pelvic ring fracture, and

DIC. They're on their way up.

We should assign the interns to floor work. They're just going to get in the

way today. My opportunities don't...

come when you're ready. They come when they come.

I think it's a mistake. Fine.

You can have Kyle. I got Ruth.

Try not to break her on day two.

Anthony Evans, 48, NBA.

Deer versus Otto.

Riding shotgun.

FD came to extricate after he was found impaled on the scene.

Wife and daughter are in the ER.

All right. Make them to OR1.

Dr. Coleman, call radiology. I need a bedside chest fill. Got it.

Can you tell me what happened?

Last night, I was... I... Dr.

Ferguson, can you get Mrs. Evans' latest files, please? Yep.

Dr. Larson's latest files. Hey, I know how hard this must be, but we are going

to do everything in our power to help your family.

But in order to do that, I need you to tell me what happened.

We went to Mestizo's to celebrate Harper's Middle School graduation.

My sister could never decide between sushi and Mexican, so she was excited

because, you know, it's both.

After dinner, we went back to our cabin.

I begged my parents to let me drive.

My mom, she said no way because I had just gotten my license, but my dad, he

said I had to learn sometime.

I didn't see the deer. Before I knew what was happening, it crashed through

the windshield.

So your dad was in the passenger seat? Mom and Harper in the back.

My airbag went off. We flipped into a ditch.

The deer was kicking like crazy. It was freaking out. There was blood

everywhere. BP 110 over 73. Heart rate's in the 90s and she's sat in 97.

Oh, great.

Theo, your mom's vitals are all normal, okay?

Yeah. Thank you. During the accident, were you knocked out?

Not for long. It was still dark when I came to, but there was no one else

awake. I tried to get help, but there was no cell service.

Seatbelt was jammed. The door was wedged shut.

It took so long before I got out. When I finally got to the road, there was no

one there for hours.

After sunrise, a few people drove by, but I know they saw me, but they just

kept going.

It's okay.

You're all here now. My dad's not here.

I don't even know what's going on with him. He's gonna be in surgery for a

while longer. We're waiting on his latest lab results. Can you check on

them? Okay.

Are you in?

If you didn't get a flash, then you're not in the vein. Sorry, I've only done

IVs on chicken thighs.

Like, from the grocery store?

What's wrong with her? Her heart rate's rising.

It's okay, Theo.

They'll take care of it.

Liz.

Okay.

Harper has a grade four liver lack.

Dr. Costa wanted to just monitor, but now BP's getting soft.

She's hemodynamically unstable.

She needs to go to the OR.

Yeah, but DIC puts her at higher risk for bleeding out mid-surgery.

Okay, so go with her and manage it while they operate on her liver. It has to

happen now.

Okay, got it?

Okay. Okay, I got this.

What's going on? We have to operate on your sister.

Her too?

Will she be okay?

Did I miss something? Is it my fault?

No, you did nothing wrong.

This can't be happening.

Can you start it?

Hey, Theo.

I know this is scary.

You have to save my family.

Please.

So early wound management and antibiotics are everything.

Any wound that doesn't heal in a diabetic patient is osteomyelitis

until proven otherwise.

Try to remember when we come across these patients, we're not just treating

an infection.

We're saving a limb.

Thank you.

I think it's time for Q&A. Any questions?

Yes? Yeah, with all due respect.

I'd argue surgical intervention is more effective than non-operative wound

management of diabetic ulcers.

The well-worn dichotomy, surgery versus medicine? That's not about cutting for

the sake of cutting.

Never is. Studies have shown that patients who undergo early surgical

debridement have a much higher rate of remission. So?

It was one study.

I saw it.

And the rate of remission by patient was anywhere from 28 to 81%. That's hardly

consistent enough to call evidence.

I guess Harvard didn't teach you to read the footnotes, Dr. Grant?

I have never seen anything like this. Neither have I, and I've got over 25

years on you.

And between the blood and the antlers, I could barely make out much of the

highlamore lungs. We'll have to go in blind.

Doesn't help that no one stopped for the kid.

Caused the sours. No one stopped.

Dr. Fox, ready to assist?

Born ready.

Good. We'll start by tying off any arterial injuries.

That could be the source of the bleeding.

What about removing the antlers?

That's where Dr. Coleman comes in. If I'm right, they're acting like a fish

hook wrapped around the pulmonary artery, vein, bronchi, which means?

If we just pull him out, could rip out the entire vascular pedicle to his lung,

making it possible to repair.

Exactly. So no removal?

Without more data, I need you to track down any case reports of similar

penetrating injuries.

Every operative solution you can find. Go. Fast.

Scrub in.

Yeah.

He has severe acidosis. Given his massive pulmonary contusions, it makes

sense his blood gas is abnormal.

It's a mixed acidosis. The lung trauma alone wouldn't explain it. There's got

to be something else going on. Guess you've got to figure it out, then.

Excuse me?

Medicine's your area of mind.

It'll operate like hell before he bleeds out.

Excuse me.

Who sent him back out there?

Serena, repeat the trauma panel and get a rotum to the lab stat. We need to look

for everything.

We're observing Mrs. Evans' hematoma for now. Kidneys are responding to IV

hydration, but I think I saw PVCs on the monitor, so I want a second opinion.

Dr. Heller, what is a PVC?

Are you kidding me? You're a beginner in cardiology, so we start at the

beginning.

It is a premature beat arising from the ventricle.

And how frequently does this occur?

Can we socratically skip to the solution, please?

We should check for any electrolyte abnormalities, get a 12-lead EKG and an

echo. Correct, young Skywalker.

Okay, you don't cut that out, I'm going to break out my lightsaber. Send you on

a visit to Obi-Wan.

Okay. Sorry, sir.

Jamie, Sponge, there's a significant amount of bleeding from the liver.

We're going to need to administer cryofibrinogen TXA to get this under

control. Then you operate on the fracture?

No, she can't handle that.

He didn't stabilize the pelvic fracture surgically? Just put a binder on. Said

she's too critically ill already.

Too conservative, right? Even with borderline displacement, he should have

operated. I had to keep an eye on her hematocrit.

Any luck on your end? Turns out, antlers to the chest is a one-in-a-million kind

of situation, and I am on the clock here.

What is it?

Improvise? Adapt?

Overcome?

That's the Marines.

Whatever, Ranger.

Think outside the box.

Ben trusts you.

Maybe trust yourself.

I'm seeing some ventricular strain.

We're in here now.

No turning back.

Keep scrolling, Karen.

Show me the enzymes and lactate.

What are you looking for?

I'll know when I see it.

Okay, this is unusual.

Oh, God.

Dr. Grant, Dr. Larson's on the phone for you. Now? She said the surgeon.

Put her on speaker.

What is it? His results came back. Troponin is a BNP and lactate are off

the charts.

You need to stop the surgery.

Where am I? It's okay. It's okay.

You're at Westside Hospital in Minneapolis.

My head is killing me.

What happened?

You were in an accident. Your car hit a deer.

Careful. Careful.

Am I okay?

This will sound worse than it is, but you have a bleed around your brain.

Now... Mom, you're okay.

I'm sorry. I don't know who you are.

I'm your son.

Theo.

What is he talking about?

I don't have a son.

So, did I use up all my questions?

Depends. Can you handle more of my answers?

Oh, I think so.

Okay, then.

You do background on everyone at the conference?

Or just me?

Did you really come up here to ask me that?

Or to eat crumb?

Both.

But I prefer to atone over a drink.

What are you doing?

I told you to stop.

I heard you. The transfusions we've given him have caused fluid overload.

He's in heart failure. I've controlled all the bleeders I can visualize, but

there could be more hiding behind the antlers. I'm pretty sure if I stop,

he'll bleed out. If you don't stop, he's going to die on your table. I have to

fix the heart failure first.

And how are you going to do that?

Goal-directed diuresis.

He can't handle single lung ventilation.

I had to put him on BD ECMO.

I'm aware.

All right.

I'll get him ready for you, but if he's not back in my OR in four hours, the

circuit will clot and he'll die.

In your ICU.

Can you do that in four hours?

We have no choice.

ICU? Your sister should be waking up soon.

Dr. Costa was able to get her bleeding under control.

She looks so small.

She's... she's strong.

And stable, for now. That's good.

Why doesn't my mom know me?

It's not just you. She doesn't remember anyone, right?

Um... We're not sure yet.

Not yet.

She's getting a repeat CT.

It's a scan of her brain, so they can figure it out.

What about my dad?

Is he gonna be okay?

We were doing what what we're doing everything we can

for him Okay

Sorry

stay here and monitor Harper serial

crits and drain output any changes let me know right away

Wake up.

Can she hear me?

Probably. The anesthesia just took some time to wear off.

If you wake up now, I'll show you how to code on Python.

She's been bugging me to teach her.

Theo, she needs to rest. I'm going to take you to the waiting room, okay?

Why? What's going on? I need you to come with me.

Is this about my mom?

No. They took her away and they won't tell me why she doesn't remember.

Remember what? Me.

She doesn't know who I am.

Um, I'm sorry I've been treating your father, but I'll get you an update. I

need you to go to the waiting room, okay?

Someone will be by soon.

Why did he have to go? Did something happen? We're bringing his father up

here now.

Oh. Oh, my God.

And they're still in him.

We need more access. Get a second line going.

He needs Rosaline, Stephapim, and Vancomycin. I can get it.

Julie's got it. Stay back.

You paid cardiology?

Yeah, I need a transesophageal echo to monitor his cardiac function.

Yeah, no problem.

I need to get some more dressings.

Yeah.

Mrs. Evans doesn't remember what happened or recognize Theo or anyone in

her family.

Brain bleed must be getting worse.

So we were wrong about it being stable enough to monitor?

No, you weren't wrong.

Her hematoma's getting smaller.

Well, so what's causing her symptoms?

Sorry to interrupt. Dr. Honda, can I have a word, please?

EEG? MRI?

Yeah, and I want to do some more advanced cognitive testing.

What can I do for you? I just want to make sure you've been apprised of the

situation with my patient.

Your patient?

The guy with the antler in his chest.

Anthony Evans.

What about him? Dr. Larson insisted that I stop mid-surgery so she can find a

medical solution to his heart failure.

And? And he was already at risk of dying from impalement.

The longer we delay, she compounds that risk with the likelihood of eczema

failure and infection.

Are you implying she's not up to the task?

I just checked on Evans' status, and they are no closer to an answer. So

maybe you want to give her a hand.

How is he?

Still alive for the moment. Julie, get me updated on his nose and his latest

ABG and tropes. Hold it.

I heard about Mrs. Evans.

Or Theo's a mess?

He's actually handling it pretty well, considering.

I guess you're an expert.

When I woke up from my accident, I wasn't much fun either.

At least you remembered me.

What's your plan here?

It's a tightrope. We gave him diuretics to get rid of the excess fluid, and the

ECMO started chugging. Not enough blood flow to the pump. You dropped the RPM?

Yeah, I did. But if that doesn't work, we're going to have to give him more

fluids, and then we're back at square one. And his clotting's gotten worse.

Just as Dr.

Grant predicted.

You talked to him? I did. He's wary about what you're attempting.

But that tracks.

Is there something I should know about you two?

What did you sign up for?

Did you just have another memory?

I'm managing.

I'm fine.

We need to regain control of his fluid status.

Don't take it personally.

Thought I was doing pretty well, but suddenly she's acting like I'm in the

way. Yeah, it's hard to predict which version you're gonna get.

And today especially.

Not sure what you know about her, but... Oh, we all know.

Everything.

Okay, well then, this should make sense.

Car accident, woman losing her memory, family hanging in the balance.

Right. But you can't control any of that. All you can do is just manage you.

And try not to wake the beast.

Thanks for the consult.

Yeah.

Jan Evans, coming in.

Her face is drooping.

Speech is slurred.

She's getting worse.

No signs in the imaging, but it looks like a stroke. I started a low-dose

heparin drip.

Hopefully it reverses the effects and the memory loss.

Theo really wants an update.

Yeah. Okay.

Just text me the number.

Thanks.

That was Albert, my dad's friend. I'm glad you have someone to talk to. He's

trying to find me a lawyer.

Why would you need a lawyer? You think I don't know what's going on?

The way you're all acting?

My dad's not going to make it.

My mom, she doesn't even know who we are.

Look, we don't have anyone else. They'll put us in foster care. They'll separate

us. Theo, you're getting ahead of yourself.

Don't lie to me.

You already sent your social worker to come talk to me.

I'm sorry. They shouldn't... I don't get it.

I'm old enough to drive, old enough to kill my parents, but I'm not old enough

to take care of my sister?

I'm sorry. I just... It's okay.

She didn't want me to drive, but... I really thought I was ready.

Dr. Mitra?

What's going on? I know you said to watch her matter crit, but Harper's

getting to Kipnick. I figured I should tell you

Respiratory

distress, I think it's a fat embolism from a pelvic fracture. I got it

Decreasing rpm and giving volume isn't working BP still too low.

I know that like well you think there's bleeding

Sorry, I know you're busy.

Not now, Kyle.

Do you have any idea what you're doing?

We got the labs back.

His hemoglobin's 19. That's high, right?

Very high. So he's not bleeding.

Doesn't make sense.

Stay, Kyle.

It's capillary leak syndrome.

The hemoglobin is falsely elevated because his blood vessels are leaking

fluid into his tissues.

It can happen after a trauma.

Explains the heart failure and why nothing we've been doing has worked to

raise his BP.

What about hepastarch to pull the fluid back into his blood vessels? His kidneys

still won't get rid of the excess fluid in time.

What if we dialyze him via his ECMO to fix the fluid overload in the OR?

What does that mean?

His ECMO is letting us bypass his lungs. If we hooked up a dialysis machine to

it, we could bypass his kidneys, taking the fluid off faster, but still keep it

controlled. Which would allow Dr.

Grant to proceed with the surgery.

No journal articles, not one?

All traditional lit was a bust.

There's got to be something out there. Good for you if you can find it. The

fact that I couldn't got me thinking.

Docs who've dealt with this aren't the ones who write papers. They're the ones

with real-life, hands-on experience. So, I called around to rural hospitals.

Found a similar case in Grand Marais, another one in Drummond.

Based on what those surgeons said, I worked out a strategy for us.

Keep talking.

We need to treat it like a tumor, not a trauma.

Instead of trying to save the damaged blood vessels by taking out the antler

piece by piece, we should remove the whole section of the antler.

and the penetrated vessels, and the airway. And then what? Watch him die?

Then we take what's left over from the artery and bronchus, put those two ends

back together.

He'll bleed like a stuck pig. It means we gotta move fast.

Yeah. I like it.

But it's on mood if Dr. Larson can't stabilize the patient for surgery. He's

just... He's got an hour.

Tops. Already checked in. Not ready yet.

We've got Harper.

Pelvic binder wasn't enough. She needs ORIF. Echo confirmed. The fracture's

causing fat emboli. Should I pay you, Dr. Costa?

No, I got this.

Let's go, Dr. Fox.

Tell Dr. Larson I'll be ready in 30.

She won't be waiting on me.

Prep OR2 right now.

So how long have you been separated?

Three months. We were together 26 years.

Can't be easy, getting back out there.

Who said I'm back out there?

Yeah, I'm sure it's going well for you.

Ask me again in an hour.

Really? Does that work on the other women?

There are no other women.

As far as my ex knows, at least.

Yeah, our divorce isn't exactly amicable.

So you did something wrong.

I did lots of things wrong.

But if you're asking, was I unfaithful?

No. We just disconnected.

Kept it together for the kids, but once they were out of the house... Well,

okay.

Your turn.

No. No, I didn't sign up for that.

What did you sign up for?

Fluoro shows excellent alignment and stabilization of the pelvic ring.

She going to be okay?

She will now.

So, you would have operated on the pelvis this morning? After delivery?

Yeah. You were wrong.

I am waiting for you.

Mr. Evans is ready.

Dr. Fox, close up.

Dr. Coleman, suit up and scrub in. Really? It's your plan. Let's go.

Pickups.

Drop in Larson.

I'll need you to keep him stable so I can finish the surgery this time.

I'll do my part.

Curious how you plan to do yours.

Ask Dr. Coleman.

We'll follow sleeper section guidelines for antler removal and anastomosis, pull

the whole thing out, and put the damaged vessels in the bronchi back together.

What's happening?

She's responding well to the heparin, but now she's got 102-degree fever.

Well, maybe it wasn't the trauma.

Could the stroke have been caused by an infection?

I started her on broad-spectrum antibiotics just in case.

Now she's tachycardic. She needs more fluids.

Why is she getting worse?

Theo, you can't be here right now.

Liz, please help my mom.

Yes, yes, they will. Theo, they will. Okay, but we gotta go now.

Come on.

Got a lot of bleeding here.

What's the fluid status?

Ultrafiltration is working.

Got a coma. I need you to ligate that bleeder with an O-silk.

I'm right here. You gotta learn sometime. Let's go.

You alright?

When I finished med school, they gave me a piece of paper that said, you know,

I'm a doctor.

But I don't feel like a doctor. I feel the exact same way I did a month ago.

You helped save his sister's life. Yeah, what about his mom?

His dad? What are we going to tell that poor kid? It's not easy, but you're

going to need to learn to compartmentalize.

Otherwise, you're just going to keep freezing like you did earlier.

I'm going to get better at this.

I promise.

CBC is normal.

RVP and blood culture is all negative. Still, the fever's going up. It's at 104

now. This has to be an infection. Yeah, but from what? The antibiotics would

have treated all the usual suspects.

The deer carcass.

It was bleeding everywhere.

She had open wounds. The fever, stroke, cognitive impairment.

It's brucellosis from the infected deer's blood.

This is the point of no return.

All right. I got proximal and distal control with clamps.

As soon as this comes out, every millisecond counts. I'll reattach the

artery and bronchi as fast as I can. The rest of you do whatever you need to do

to control the blood and keep them stable. Understood? Everybody copy?

Got it. Yeah?

All right.

We got this.

One.

Two.

Three.

Serena, goggles.

TJ, suction.

Dr. Grant.

Dr. Grant.

Ben, there's air in the circuit.

Get it out. Now.

Turn the ventilator to 100% FiO2.

Dr. Ferguson, get me a 60cc syringe.

Is the doctor just taking? She's not getting any. Just need a few more

minutes to finish reconstructing the pulmonary artery anastomosis.

Can you get the air out?

Amy?

You got this?

So... How do we rate?

What do you mean?

My hospital hosted the conference. You report back how we did.

Ask me again in an hour.

You still questioning my skills?

Hey, my focus was on the patient.

And you came through.

In the end.

That's not an apology.

No, listen.

What we did in there today was impossible on paper.

I needed a rock star to get it done, and I just wasn't sure you were the same

doctor you used to be.

Well, now you know.

Just as good as I ever was. With all due respect, you'd be chief of medicine if

that were true.

I gotta say, this is really starting to feel personal.

How could it? We barely know each other.

I guess nobody told you. I get memories sometimes.

Especially when I'm triggered emotionally.

I started to text you the other day, but I wasn't sure when was

the right time to tell you or how.

Tell me what exactly?

We had, um, a dalliance.

A dalliance? After your divorce, and it was about four years ago, on and off,

long distance, and we mostly wouldn't meet at conferences.

Uh, so nothing serious?

No. And you did a preliminary review of my clinical trials as a courtesy.

I guess...

You didn't read anything about that in your emails.

It doesn't ring a bell.

How did it end?

Us?

Petered out.

With no hard feelings.

I should have called after that last night in New York.

So, uh, we're good.

Absolutely. And Dr. Heller is a great guy. I'm happy for you.

You were outstanding today back at you

Yeah

Harpo

that's not my name it is if I say so

Don't make me laugh it hurts

Mom, is she okay?

Doctors say she will be. What about Dad?

He's still in surgery.

Actually, he's out.

He's stable and resting in the recovery room.

Now, I'm not really supposed to do this, but you want to go see him?

Yeah.

Just want to warn you, surgery can cause swelling, discoloration.

Your dad won't look like himself.

I understand.

Look what you did today.

You fought with everything you had to get out of that car.

To find help, to save your family, and you did it.

You saved them.

You said before you thought you were ready.

Nobody's ever ready for anything until they do it.

But after today...

You can handle whatever's coming.

Are you the one who operated?

Thank you.

You're welcome, my friend.

What am I thanking you for? For accepting you into the secret society of

saviors.

Surgery loves to steal all the glory, but we cardio kings, we had a big part

in saving that family today.

To be fair, I think Dr. Grant gets the MVP, but...

Yeah, we can take some of the credit. Yeah, we can.

People only notice us when things go wrong.

We're basically the FBI.

You see right there? We almost had a moment, and you ruined it.

Great work today.

Yeah, you too.

Go home to your soon-to-be non-ex wife and kid, my brave squire.

And my pursuit of domestic bliss shall continue, as ever.

He wasn't supposed to know about that. Well, it won't come from me, but it's

gonna get out eventually.

And it's not fair for Amy to be blindsided.

Yeah.

Dr. Costa.

Good work today.

I expect to be paged.

Noted.

You didn't mention the pelvic binder.

He understands what happened.

No reason to rub it in his face.

Heard you killed it today.

I don't know about that.

You got the first sign of the Ambalai.

Save that little girl's life.

And you survived Dr. Maitre?

Barely.

How is Ruth today?

She's still intact and she learned some lessons, so maybe you're right.

Good.

I know what my reputation is.

from when I was chief of medicine, and I suspect some of my behavior today may

have reinforced it.

Yeah, I mean, you acted like I was in the way when I'm here to learn and

contribute.

Was that too honest?

My folks say I can be that way. No, honesty can be underrated.

Well, I saw a lot today, too.

I learned a lot, so, you know, thanks for that.

I'm sorry that I behaved badly.

I just want to do well.

It doesn't seem like it was really about me.

Well, I'm hearing she hasn't changed very much. From who?

I'm sure you know that these walls have ears.

Apparently she went toe-to-toe with our new chief of surgery today.

They managed to work it out and save the patient.

But she's not exactly treading lightly.

Well, I don't think she ever will, Max. Which is why you put some serious

guardrails on her. Around the management of her TBI, of course. And what's your

prognosis regarding that?

Her brain's a wild card. You know, has been ever since the accident. What is

this? You asked to be chief of medicine knowing it meant overseeing her.

Yes. And you understand that your success or failure in that job will

depend greatly on how you navigate the situation.

You know, we've had this conversation a dozen times. We've had this conversation

when you were sitting on this floor.

Now you're running internal medicine.

And I know what it means to stake out a new path for yourself.

So, if you're thinking of giving her the kind of leeway you have in the past,

everyone knows the history there. You just said it yourself, Max.

It's history.

There's nothing between us anymore.

And everyone also knows my life would be easier if she wasn't here.

Well, if you want her gone, just fire her.

We'll back you. I won't do that without cause.

But rest assured, she does anything to earn my distrust or to jeopardize this

hospital's reputation, I'll be the first one showing her the door.

Well, that's a hell of a thing to say about the woman you once loved.

If you mean it.

You could say it's all my fault.

We just couldn't get along.

And if anyone asks me, I'll say that's true.

What are you doing up this late? She wouldn't go to sleep until she saw you.

There's nothing left to fix.

You could say I lost my grip.

Say whatever feels better. Whatever.

You can just say I'm crazy.

You could say it's all my fault.

We just couldn't get it along.

And so you know.

No one's gonna be asking me You

could

say it's all my fault We just couldn't get along