1 00:00:00,000 --> 00:00:01,320 Previously on Doc. 2 00:00:01,580 --> 00:00:05,080 He'll say all the right things. He'll do what needs to be done. He's TJ. 3 00:00:05,300 --> 00:00:07,780 Did you follow up on what we talked about? The nightmares? 4 00:00:08,119 --> 00:00:10,030 Yeah. I want to have a child. 5 00:00:10,230 --> 00:00:12,010 We've wasted so much time. 6 00:00:12,230 --> 00:00:14,590 Your ovarian reserve has become very low. 7 00:00:14,830 --> 00:00:16,870 Gina, your eggs appear to still be viable. 8 00:00:17,090 --> 00:00:18,850 You started the day with a HIPAA violation. 9 00:00:19,070 --> 00:00:21,070 I want to know what you're going to do to turn things around. 10 00:00:21,290 --> 00:00:23,510 I'm Graham. Your parents gave, what, 20 mil to the hospital? 11 00:00:23,810 --> 00:00:27,930 She's insisting she's ready to work. If she does anything to earn my distrust, 12 00:00:28,110 --> 00:00:29,650 I'll be the first one showing her the door. 13 00:00:31,830 --> 00:00:34,010 Dad, none of these are going to work. 14 00:00:34,310 --> 00:00:35,830 Oh, no. They're all burnt. 15 00:00:36,670 --> 00:00:37,810 No, we need more. 16 00:00:38,330 --> 00:00:39,330 I've got bad news. 17 00:00:39,910 --> 00:00:41,050 No. No. 18 00:00:41,270 --> 00:00:44,210 We need at least one good batch. I know, I know. Dad, come on. 19 00:00:44,630 --> 00:00:47,410 I've got to do a taste test. Hazel's going to be here in like two minutes for 20 00:00:47,410 --> 00:00:48,830 our sleepover. In like two minutes? 21 00:00:49,450 --> 00:00:52,450 Serious? We can just give these burnt ones to Uncle Kenny. He'll eat anything, 22 00:00:52,610 --> 00:00:53,610 right? 23 00:00:58,150 --> 00:00:59,490 Where this is? 24 00:01:01,090 --> 00:01:02,090 What? 25 00:01:06,860 --> 00:01:07,860 Roxy, what? 26 00:01:09,100 --> 00:01:10,100 What's going on? 27 00:01:10,440 --> 00:01:12,160 Where? Where? 28 00:01:13,140 --> 00:01:14,140 Where? 29 00:01:47,820 --> 00:01:50,280 So did you find Mr. Right yet? Oh, no. 30 00:01:50,580 --> 00:01:53,280 There's way too many to choose from. Oh, I like him. 31 00:01:53,480 --> 00:01:54,480 What's his CV? 32 00:01:54,660 --> 00:01:56,900 UCLA undergrad, MBA from Berkeley. 33 00:01:57,160 --> 00:02:00,420 And he brews his own craft beer as a hobby. Kind of like that. 34 00:02:00,680 --> 00:02:04,940 Is it me or does this whole thing feel like some icky master race sci-fi 35 00:02:04,940 --> 00:02:06,520 experiment? What's the alternative? 36 00:02:07,160 --> 00:02:09,160 If Wendy has her way, Marcus. 37 00:02:10,060 --> 00:02:11,060 Her brother. 38 00:02:11,400 --> 00:02:15,600 Family lines, generational legacy, and a dose of guilt since it was supposed to 39 00:02:15,600 --> 00:02:16,600 be her egg to begin with. 40 00:02:16,700 --> 00:02:19,200 How do you feel about that? About the prospect of Uncle Daddy? 41 00:02:20,260 --> 00:02:21,340 It's a bit fraught. 42 00:02:21,660 --> 00:02:23,600 Too bad you already went there. I'd ask Ben. 43 00:02:23,860 --> 00:02:26,620 Not if you'd been having the memories that I'm getting here with. 44 00:02:26,880 --> 00:02:27,799 Oh, no. 45 00:02:27,800 --> 00:02:28,800 What now? 46 00:02:28,900 --> 00:02:30,140 It's about the trial. 47 00:02:30,920 --> 00:02:35,460 Apparently, I consulted on it, and I remembered calling him and asking him 48 00:02:35,460 --> 00:02:36,460 about a problem. 49 00:02:37,320 --> 00:02:38,980 But that was, like, four years ago. 50 00:02:39,240 --> 00:02:42,820 They must have gone through half a dozen research boards for approval to even get 51 00:02:42,820 --> 00:02:47,700 this far. I know, but now I'm wondering if my brain is back to warning me about 52 00:02:47,700 --> 00:02:50,640 something. So you don't have enough on your plate trying to manage 30 interns. 53 00:02:50,720 --> 00:02:54,440 You want to go on some wild goose chase, which violates your whole mantra. 54 00:02:54,720 --> 00:02:56,040 Wait, what was it again? 55 00:02:56,460 --> 00:02:57,460 Oh, right. 56 00:02:57,660 --> 00:02:59,840 You were going to look forward. 57 00:03:01,300 --> 00:03:04,440 Right. So go then. Into the future, please. 58 00:03:05,380 --> 00:03:06,800 Keep going. Goodbye. 59 00:03:14,300 --> 00:03:15,300 Hey. Hey. 60 00:03:22,340 --> 00:03:23,780 So this is how it's gonna be now? 61 00:03:27,740 --> 00:03:29,660 It's Rachel. I gotta take this. Is that okay? 62 00:03:31,880 --> 00:03:32,880 Did you hear anything yet? 63 00:03:38,030 --> 00:03:39,330 Hi, I'm Dr. Larson. 64 00:03:39,690 --> 00:03:44,590 This is Dr. De Silva and Dr. Barker. James, my wife Hillary, this is Roxy. 65 00:03:44,730 --> 00:03:46,950 Hi. Hi, Roxy. How are you feeling? 66 00:03:47,650 --> 00:03:50,030 I'm good. Yeah. We don't know what happened. 67 00:03:50,950 --> 00:03:55,550 It's like she's totally fine now, but she was... And then they sent us up here 68 00:03:55,550 --> 00:03:58,850 and they wouldn't tell us anything. The ER did preliminary labs and imaging, and 69 00:03:58,850 --> 00:04:00,290 everything came back normal. 70 00:04:00,570 --> 00:04:01,570 Hey there, Rockstar. 71 00:04:01,750 --> 00:04:02,750 Uncle Kenny. 72 00:04:03,390 --> 00:04:04,590 That's my brother, Kenny. 73 00:04:05,290 --> 00:04:08,610 Hi. Is Hazel here? No, sweetie, she's at home. It's her cousin. 74 00:04:08,830 --> 00:04:10,510 We can FaceTime her in a bit, okay? 75 00:04:11,230 --> 00:04:12,850 So, what's going on here? 76 00:04:13,130 --> 00:04:14,130 Dr. De Silva? 77 00:04:14,350 --> 00:04:19,750 We tested Roxy for infections, vitamin deficiencies, and thyroid function, all 78 00:04:19,750 --> 00:04:20,750 of which came back negative. 79 00:04:21,050 --> 00:04:24,910 Our next step is to perform something called a spinal tap, which will allow us 80 00:04:24,910 --> 00:04:27,550 to collect fluid surrounding her spinal nerves. 81 00:04:27,830 --> 00:04:28,830 Oh, my God. 82 00:04:28,950 --> 00:04:30,730 Wait, it's like a... 83 00:04:31,350 --> 00:04:34,630 Like a needle in her spine? Yeah, it's a very standard, well-established 84 00:04:34,630 --> 00:04:35,630 procedure. 85 00:04:35,710 --> 00:04:36,710 Will it hurt? 86 00:04:36,770 --> 00:04:38,690 No. Roxy will be sedated. 87 00:04:39,070 --> 00:04:43,130 You won't feel a thing. Okay, so why do you need to do that? What exactly are 88 00:04:43,130 --> 00:04:44,009 you looking for? 89 00:04:44,010 --> 00:04:45,010 Dr. Barker? 90 00:04:45,330 --> 00:04:47,930 Anything that could be affecting Roxy's nervous system. 91 00:04:48,170 --> 00:04:49,190 Any sign of an infection. 92 00:04:49,430 --> 00:04:51,190 It's the best way for us to get clear answers. 93 00:04:51,570 --> 00:04:53,590 And what we find will determine our next steps. 94 00:04:54,890 --> 00:04:59,440 I know it sounds really scary, but... We wouldn't perform any procedure that we 95 00:04:59,440 --> 00:05:00,500 didn't think was absolutely necessary. 96 00:05:04,940 --> 00:05:06,760 Dr. De Silva, set up the LP. 97 00:05:06,980 --> 00:05:10,100 Yes. And Dr. Barker, make sure you get all the consent signed from Mom and Dad. 98 00:05:10,360 --> 00:05:11,360 Absolutely. 99 00:05:11,800 --> 00:05:16,400 Well, Dr. Larson, I'm sorry. I meant to ask you something earlier, but I have a 100 00:05:16,400 --> 00:05:20,280 family commitment this afternoon. I was hoping I could step out for a bit. Step 101 00:05:20,280 --> 00:05:21,820 out? In the middle of your shift? 102 00:05:22,080 --> 00:05:26,700 Yeah, it's a lunch thing honoring my stepmother, you know, Nina Barker. 103 00:05:28,070 --> 00:05:29,070 It's kind of a big deal. 104 00:05:29,270 --> 00:05:32,710 There are protocols for asking for time off. Clearly you've known about this for 105 00:05:32,710 --> 00:05:35,410 a while. Yeah, yeah, that's my bad. I didn't think it was something I could 106 00:05:35,410 --> 00:05:36,790 ask for my first week. 107 00:05:37,150 --> 00:05:41,270 Then I spoke to her this morning, and she told me how important it was to her. 108 00:05:41,510 --> 00:05:44,370 So it's right on McAllister. 109 00:05:46,890 --> 00:05:47,890 You have an hour. 110 00:05:48,290 --> 00:05:51,610 You will finish everything on your patient list before you go. Of course, 111 00:05:51,750 --> 00:05:54,610 of course, of course. I'm heading to check on Ms. Camelia's blood cultures 112 00:05:54,610 --> 00:05:56,450 right now. Thank you so much. 113 00:05:59,340 --> 00:06:00,340 He seems happy. 114 00:06:00,680 --> 00:06:02,660 He is something, that's for sure. 115 00:06:04,040 --> 00:06:06,020 How did it go last night with TJ? 116 00:06:06,400 --> 00:06:07,600 Honestly, I have no idea. 117 00:06:08,020 --> 00:06:09,020 What do you mean? 118 00:06:09,180 --> 00:06:15,180 Well, he was great, like I expected. And then this morning... 119 00:06:15,180 --> 00:06:18,160 Oh, okay. Well, he's avoiding. 120 00:06:18,620 --> 00:06:19,780 It's not shocking. 121 00:06:21,040 --> 00:06:24,880 This is going to sound strange, but you've known him for longer than anyone 122 00:06:24,880 --> 00:06:25,859 else here. 123 00:06:25,860 --> 00:06:28,620 Yeah, like 15 years. But I have an eight-year blind spot. 124 00:06:29,930 --> 00:06:32,750 No memories of him during that period? 125 00:06:33,530 --> 00:06:34,730 No, not really. 126 00:06:36,090 --> 00:06:37,470 What are you asking exactly? 127 00:06:37,850 --> 00:06:38,850 I don't know. 128 00:06:39,630 --> 00:06:44,790 Something's just kind of... He almost seems detached from the situation. 129 00:06:45,370 --> 00:06:49,410 He's been through a lot. I'm sure he has his coping mechanisms. 130 00:06:50,370 --> 00:06:52,070 Maybe just give him some space. 131 00:06:53,370 --> 00:06:54,990 Right. Thanks. 132 00:06:59,210 --> 00:07:00,210 This happened when? 133 00:07:00,670 --> 00:07:01,670 About a week ago. 134 00:07:02,050 --> 00:07:04,470 Okay, we'll have Dr. Maitre take a look. Here she is. 135 00:07:04,690 --> 00:07:06,990 Dr. Maitre, this is Mason McCanty. 136 00:07:07,230 --> 00:07:09,090 Swollen jaw from a bench-pressing injury. 137 00:07:09,630 --> 00:07:10,890 Barbell slipped out of my hand. 138 00:07:11,170 --> 00:07:13,650 Temp set 102, and the site's warm to the touch. 139 00:07:14,230 --> 00:07:15,230 Looks like an infection. 140 00:07:15,510 --> 00:07:16,510 Yes, it does. 141 00:07:17,290 --> 00:07:18,610 How much were you benching? 142 00:07:19,070 --> 00:07:20,150 About 215. 143 00:07:20,610 --> 00:07:22,650 I'm trying to put on some muscle mass, you know? 144 00:07:24,350 --> 00:07:27,270 I'm gonna demarcate the area around the swelling. 145 00:07:28,280 --> 00:07:29,640 So we can monitor the site. 146 00:07:30,240 --> 00:07:31,260 What does that mean? 147 00:07:32,260 --> 00:07:33,880 It means that you're a circle on your face. 148 00:07:34,940 --> 00:07:36,680 Just making sure the infection doesn't spread. 149 00:07:37,600 --> 00:07:38,640 Suggested course of action? 150 00:07:39,380 --> 00:07:42,420 Blood cultures and start them on a broad-spectrum IV antibiotic. 151 00:07:42,900 --> 00:07:45,520 Plus a CT to make sure the infection hasn't invaded the bone. 152 00:07:45,940 --> 00:07:47,860 Exactly. So we're going to do tests? 153 00:07:48,900 --> 00:07:49,900 What's that going to show? 154 00:07:50,020 --> 00:07:53,600 We need to take a closer look at your injury, see the extent of the damage. 155 00:07:55,140 --> 00:07:56,140 Right. 156 00:07:56,780 --> 00:07:57,780 Sure. Okay. 157 00:08:05,040 --> 00:08:07,760 Looks like the infection has invaded bone. 158 00:08:08,120 --> 00:08:12,140 That's not the only thing I'm worried about. Look at those hairline fractures. 159 00:08:12,400 --> 00:08:14,260 Yeah, there's dozens of them. Yeah, and see the pattern? 160 00:08:15,980 --> 00:08:17,440 I've been reading about this. 161 00:08:18,320 --> 00:08:22,000 It's just hard to believe it, even when you see it. 162 00:08:22,600 --> 00:08:23,920 I don't understand. 163 00:08:24,490 --> 00:08:27,290 This is why he was nervous about us testing him. 164 00:08:28,550 --> 00:08:29,810 He did this to himself. 165 00:08:31,470 --> 00:08:32,470 Intentionally. 166 00:08:43,210 --> 00:08:44,210 Hi. 167 00:08:48,110 --> 00:08:49,590 I'm sorry I'm late. 168 00:08:50,070 --> 00:08:53,050 There was a mistake upstairs that I had to fix. 169 00:08:53,450 --> 00:08:56,970 Always going to be a reason for Dr. Larson to swoop in and save the day. 170 00:08:57,770 --> 00:09:00,950 Can I get you a coffee or something? No, I'm fine. Thanks. 171 00:09:01,430 --> 00:09:06,830 I don't know how to... I'm so sorry about you and Michael. The divorce. 172 00:09:07,190 --> 00:09:09,170 That's nothing that you need to worry about, TJ. 173 00:09:09,830 --> 00:09:10,990 Anyway, I want to talk about you. 174 00:09:11,470 --> 00:09:12,470 How's med school? 175 00:09:13,330 --> 00:09:14,330 Incredible. 176 00:09:14,830 --> 00:09:16,730 Has the transition been hard? 177 00:09:17,550 --> 00:09:19,170 Transition? From active duty. 178 00:09:20,850 --> 00:09:21,850 Stay side is... 179 00:09:22,459 --> 00:09:27,420 Definitely less exciting, but it's all good. 180 00:09:27,660 --> 00:09:29,220 Well, I am so proud of you. 181 00:09:30,080 --> 00:09:32,460 Finishing college while making Ranger. 182 00:09:32,720 --> 00:09:37,920 Yep, traded in frats and keg parties for IEDs and night raids. 183 00:09:38,200 --> 00:09:39,200 That's quite a feat. 184 00:09:39,660 --> 00:09:41,140 Feels like I found purpose over there. 185 00:09:41,760 --> 00:09:43,800 And now, with the medicine. 186 00:09:44,060 --> 00:09:46,320 I better be your first call when residency comes around. 187 00:09:47,300 --> 00:09:49,380 You gonna save a spot for me? I got four more years. 188 00:09:50,200 --> 00:09:51,440 As long as I'm chief. 189 00:09:53,610 --> 00:09:57,090 We perform a bone resection to clear the infected tissue, then flush the area 190 00:09:57,090 --> 00:09:58,090 with antibiotics. 191 00:09:58,130 --> 00:09:59,130 Bone resection? 192 00:09:59,450 --> 00:10:00,450 That'll leave a scar. 193 00:10:00,510 --> 00:10:01,610 We can bring in a plastic surgeon. 194 00:10:01,890 --> 00:10:04,710 If your goal is to clear the infection, I'm sure there's another way. Oh! 195 00:10:05,410 --> 00:10:07,110 You started the consult already. 196 00:10:07,790 --> 00:10:10,470 You weren't here yet, and he wanted to know the plan. Did you explain to him 197 00:10:10,470 --> 00:10:12,110 that this could lead to sepsis? Of course. 198 00:10:12,870 --> 00:10:15,550 Sepsis means it could kill you. I get it. 199 00:10:15,770 --> 00:10:18,190 You are not cutting a hole in my face. 200 00:10:18,430 --> 00:10:21,470 We won't know the extent of the damage until we go in surgically. If you can't 201 00:10:21,470 --> 00:10:22,470 figure it out... 202 00:10:22,480 --> 00:10:23,480 I'll do my own research. 203 00:10:25,320 --> 00:10:28,640 Seriously? Please put the phone down, Mason. You're not going to find the 204 00:10:28,640 --> 00:10:29,640 solution there. 205 00:10:30,820 --> 00:10:35,680 I'm hesitant to suggest this, and I don't recommend it, but we could try a 206 00:10:35,680 --> 00:10:39,380 stronger round of IV antibiotics with a needle aspiration and monitor the 207 00:10:39,380 --> 00:10:42,040 situation very closely over the next 12 hours. 208 00:10:42,480 --> 00:10:44,420 As long as you're not cutting into my face. 209 00:10:44,680 --> 00:10:48,440 But you need to understand that it could get worse, and at that point, we would 210 00:10:48,440 --> 00:10:50,360 need to revisit the surgical option. 211 00:10:51,880 --> 00:10:52,900 I'll take my chances. 212 00:10:54,340 --> 00:10:55,780 You better get an informed refusal. 213 00:10:56,500 --> 00:10:57,459 What's that? 214 00:10:57,460 --> 00:11:01,060 It means you're ignoring sound medical advice in favor of a much riskier 215 00:11:01,060 --> 00:11:02,880 course. So it protects you. 216 00:11:03,180 --> 00:11:04,200 That's right, it does. 217 00:11:05,560 --> 00:11:09,020 Appreciate the consult. Dr. Coleman will pay you if anything changes. 218 00:11:15,160 --> 00:11:16,980 A needle aspiration kit? Please. 219 00:11:23,370 --> 00:11:27,490 I know this is something you're not going to want to talk about, but are you 220 00:11:27,490 --> 00:11:31,050 doing something to your face to change your appearance? I already told you it 221 00:11:31,050 --> 00:11:32,050 was the barbell. 222 00:11:32,470 --> 00:11:36,750 Go get whatever forms you need me to sign. Mason, we need to... No more 223 00:11:36,750 --> 00:11:37,750 talking. 224 00:11:38,750 --> 00:11:41,670 The truth is, looks is health. 225 00:11:42,130 --> 00:11:47,650 I am going to show you how to look smacks the real way in 2026, starting 226 00:11:47,650 --> 00:11:49,070 with your jaw. 227 00:11:49,310 --> 00:11:51,650 Dude, you're gorgeous as you are. What are you doing? 228 00:11:52,780 --> 00:11:55,280 This is about a patient. Oh, God. One of those incel freaks? 229 00:11:55,640 --> 00:11:59,160 No idea. But it's crazy what these looks maxers are doing. 230 00:11:59,500 --> 00:12:02,280 My patient's bone smashing to give himself a better jawline. 231 00:12:02,500 --> 00:12:04,280 Good thing guys like us don't have to worry about that, right? 232 00:12:05,400 --> 00:12:06,400 Right. 233 00:12:06,980 --> 00:12:11,180 Sure. Anyway, a friend of mine bailed on the Twins game tonight, so I got an 234 00:12:11,180 --> 00:12:12,180 extra ticket. 235 00:12:13,100 --> 00:12:15,880 Killer seats, dude. Like, three rows from the dugout. You down? 236 00:12:17,420 --> 00:12:18,420 Yeah. Sure. 237 00:12:18,960 --> 00:12:20,320 Absolutely. Right on. 238 00:12:20,940 --> 00:12:21,940 Twins are... 239 00:12:22,520 --> 00:12:24,080 Baseball, right? Oh, okay. 240 00:12:24,560 --> 00:12:25,560 Got a lot to teach you. 241 00:12:26,140 --> 00:12:30,300 Only thing, though, I gotta go to this lunch thing today, and I'm kind of 242 00:12:30,300 --> 00:12:35,060 behind on some of my patient follow-up. Can you, uh... Can you do me a solid? 243 00:12:36,140 --> 00:12:39,820 You mean covers for you? Yeah. I mean, otherwise, we'll never make it out in 244 00:12:39,820 --> 00:12:42,760 time tonight, so... Um, sure. 245 00:12:44,180 --> 00:12:45,960 Yeah, no problem. All right. 246 00:12:46,920 --> 00:12:47,920 Sick. 247 00:12:48,940 --> 00:12:52,200 I gotta go do this spinal tap with Larson now, but I'll hit you up with the 248 00:12:52,200 --> 00:12:52,959 beads later. 249 00:12:52,960 --> 00:12:53,960 Alright? 250 00:12:58,980 --> 00:12:59,980 We're just waiting. 251 00:13:01,400 --> 00:13:02,400 Yeah. 252 00:13:02,720 --> 00:13:04,020 It'll take a little while longer. 253 00:13:05,520 --> 00:13:06,740 It's gonna be okay, man. 254 00:13:07,260 --> 00:13:08,700 I'm looking it up. 255 00:13:09,260 --> 00:13:11,720 Spinal tap's not nearly as scary as it sounds. 256 00:13:12,640 --> 00:13:16,460 This is a great hospital, and these are the best doctors. 257 00:13:17,600 --> 00:13:18,600 Alright? 258 00:13:21,540 --> 00:13:26,320 Insert the needle at a slight upward angle, aiming toward the umbilicus. 259 00:13:26,840 --> 00:13:30,820 Dr. Barker, what does it mean if the CSF comes out cloudy? 260 00:13:31,620 --> 00:13:35,180 Meningitis. And if it comes up viscous, Dr. De Silva? 261 00:13:35,540 --> 00:13:38,180 Cancer. And yellow fluid indicates brain bleed. 262 00:13:43,080 --> 00:13:44,080 It's clear. 263 00:13:44,640 --> 00:13:46,440 Which means we have no idea what it is. 264 00:13:47,579 --> 00:13:49,720 You did a procedure on her spine for nothing. 265 00:13:49,940 --> 00:13:53,800 It was necessary, and it helped us rule out some things, but we are going to 266 00:13:53,800 --> 00:13:54,800 need to do more tests. 267 00:13:55,240 --> 00:13:56,640 Does this mean I can't go home? 268 00:13:57,180 --> 00:13:59,140 Not for a little while yet, Roxy. 269 00:14:01,080 --> 00:14:03,160 How long has your life been doing that? 270 00:14:04,620 --> 00:14:05,620 I don't know. 271 00:14:05,940 --> 00:14:07,080 Is it from the procedure? 272 00:14:07,880 --> 00:14:08,900 No. No. 273 00:14:11,300 --> 00:14:12,760 Are you feeling hot at all? 274 00:14:12,980 --> 00:14:13,980 No. 275 00:14:14,220 --> 00:14:15,960 And she's all caught up on her vaccines. 276 00:14:16,460 --> 00:14:17,449 Yeah, of course. 277 00:14:17,450 --> 00:14:21,110 Kids need to be 12 months before they can get their first dose of MMR. 278 00:14:21,610 --> 00:14:25,150 Was she ever sick before she was able to get those shots? 279 00:14:25,690 --> 00:14:26,990 Measles, mumps, rubella? 280 00:14:27,430 --> 00:14:32,430 Yeah, she had a fever a few times, but nothing serious. She never had a rash or 281 00:14:32,430 --> 00:14:35,670 anything like that. Measles doesn't always present with a typical rash. 282 00:14:36,190 --> 00:14:39,850 Was she ever around anyone who had it? No, of course not. 283 00:14:40,070 --> 00:14:42,210 We don't know anyone that ever had it. Right. 284 00:14:42,850 --> 00:14:43,850 Hazel did. 285 00:14:44,610 --> 00:14:45,610 What? 286 00:14:45,940 --> 00:14:47,780 Hazel. She had the measles. 287 00:14:49,020 --> 00:14:51,560 When? She was about two years old. 288 00:14:51,800 --> 00:14:56,080 It was a couple weeks after that big family reunion at Leech Lake. 289 00:14:56,700 --> 00:14:59,840 That was before Roxy's first birthday. So she gave it to Roxy? Oh. 290 00:15:00,980 --> 00:15:04,340 Oh, my God. This is... You never had Hazel vaccinated? 291 00:15:04,940 --> 00:15:07,060 No. So this could be SSPE. 292 00:15:07,560 --> 00:15:09,100 S-what? What the hell is that? 293 00:15:09,320 --> 00:15:10,400 Let's not get ahead of ourselves. 294 00:15:10,940 --> 00:15:14,880 Information is key. And we just got a little bit more, which is good. 295 00:15:15,870 --> 00:15:17,270 We're just going to need a little more time. 296 00:15:19,910 --> 00:15:23,270 I'm sorry, Dr. Orson. I wanted to make sure you didn't miss it. 297 00:15:23,530 --> 00:15:26,490 If she had measles as a baby, it could have developed into SSPE. 298 00:15:26,850 --> 00:15:30,750 Of course I didn't miss it. That's why I was asking the questions about the 299 00:15:30,750 --> 00:15:31,790 measles in the first place. 300 00:15:32,470 --> 00:15:35,110 But SSPE is a death sentence. 301 00:15:35,890 --> 00:15:38,930 We don't give that kind of information unless we are absolutely sure. 302 00:15:39,510 --> 00:15:42,550 You're right. I'm sorry. This isn't the first time you've ever stepped in front 303 00:15:42,550 --> 00:15:44,790 of a patient or jumped the gun on a diagnosis. 304 00:15:45,010 --> 00:15:49,790 And if we are going to deliver news like that, there is a... I can't understand 305 00:15:49,790 --> 00:15:50,790 what you're saying, Michael. 306 00:15:54,310 --> 00:15:55,310 Dr. Larson? 307 00:15:57,010 --> 00:16:01,610 If we're going to deliver that kind of news, there is a way to do it. 308 00:16:02,430 --> 00:16:03,430 I understand. 309 00:16:04,190 --> 00:16:05,390 So what do we do next? 310 00:16:05,850 --> 00:16:10,170 For now, we're going to treat SSPE as a diagnosis of exclusion, so let's start 311 00:16:10,170 --> 00:16:16,890 excluding. We will test for every other possible illness and hope that one of 312 00:16:16,890 --> 00:16:17,890 them is the answer. 313 00:16:26,250 --> 00:16:28,890 TJ, your shift ended three hours ago. 314 00:16:29,150 --> 00:16:30,170 Yeah, I'm just catching up. 315 00:16:30,410 --> 00:16:31,970 If you weren't caught up, I'd know. 316 00:16:33,050 --> 00:16:34,050 Right, of course. 317 00:16:34,780 --> 00:16:38,060 You have to be back here at 6 a.m. Yeah, I could just crash in your car. Sure, 318 00:16:38,220 --> 00:16:39,220 but I need you fresh. 319 00:16:39,340 --> 00:16:40,660 I am not sleeping much anyway. 320 00:16:41,080 --> 00:16:42,080 Go home. 321 00:16:44,300 --> 00:16:45,780 Tell Jennifer I said you're welcome. 322 00:16:46,060 --> 00:16:49,660 Oh, um... Jen and I broke up. 323 00:16:50,900 --> 00:16:52,300 Sorry. You okay? 324 00:16:53,240 --> 00:16:54,780 Yeah. I'm fine. 325 00:16:55,360 --> 00:16:59,080 You told me last week she was moving in. She just doesn't get it. 326 00:16:59,600 --> 00:17:01,020 What we need to do to be doctors. 327 00:17:02,830 --> 00:17:06,089 I will go home, be ready for you tomorrow, back at it. 328 00:17:09,589 --> 00:17:11,670 Hey, you sure you're okay? 329 00:17:12,390 --> 00:17:13,890 Yeah, I'm so good. 330 00:17:17,790 --> 00:17:19,670 Yes, I already explained the risks. 331 00:17:20,069 --> 00:17:22,930 The guy needs a psych consult. The girl's 11 and we're looking at the 332 00:17:22,930 --> 00:17:25,109 possibility of SSPE. I need those labs now. 333 00:17:26,730 --> 00:17:29,470 Fine, just get them to me as soon as they're ready. 334 00:17:29,930 --> 00:17:31,110 Literally standing by. 335 00:17:31,480 --> 00:17:32,740 No, no, the name's Gamelia. 336 00:17:33,060 --> 00:17:34,060 Frances Gamelia. 337 00:17:34,140 --> 00:17:36,240 Yeah, just calling to check on her blood culture. 338 00:17:36,480 --> 00:17:38,720 Kyle, what are you doing? 339 00:17:38,960 --> 00:17:43,680 Oh, I was just making sure. I don't remember asking you to check on my 340 00:17:43,680 --> 00:17:44,680 patient. 341 00:17:44,800 --> 00:17:45,800 Right. 342 00:17:46,300 --> 00:17:50,380 Sorry, I should have... I'm just doing a favor for Graham. 343 00:17:50,600 --> 00:17:53,780 Graham can handle Graham's work. I will get the blood culture results. 344 00:17:54,120 --> 00:17:55,460 You get back to your rounds. 345 00:17:55,820 --> 00:17:56,820 Yeah, I understand. 346 00:17:56,920 --> 00:17:57,920 We'll get back to you. 347 00:17:58,020 --> 00:18:00,600 Well, feel free to call Dr. Matri. He is her patient. 348 00:18:02,760 --> 00:18:05,220 I hope you're not talking to Dr. Grant that way. 349 00:18:05,420 --> 00:18:06,760 No, um, Fox. 350 00:18:07,380 --> 00:18:11,180 Still? Yeah, um, non-compliant patient really getting out of my skin. 351 00:18:13,320 --> 00:18:15,920 Hey, I haven't had a chance to check in with you. 352 00:18:16,920 --> 00:18:18,600 How are you doing with everything? 353 00:18:19,100 --> 00:18:20,620 You mean moving to surgery? That's going great. 354 00:18:21,600 --> 00:18:22,760 I mean with Sonia. 355 00:18:23,100 --> 00:18:24,100 Oh. 356 00:18:24,760 --> 00:18:30,360 Yeah. I mean, it's a lot, so it's understandable if you feel thrown a bit. 357 00:18:31,130 --> 00:18:34,210 Did Sonya ask you to talk to me? No, no, of course not. Because it seems like 358 00:18:34,210 --> 00:18:35,610 you're pretty involved in all of this. 359 00:18:36,210 --> 00:18:39,510 She was scared, TJ. She needed to know how far along she was. 360 00:18:40,650 --> 00:18:42,750 She saved hearing the heartbeat for you. 361 00:18:43,550 --> 00:18:47,030 Listen, I don't think this is the place for any of this, so... Right, I'm sorry, 362 00:18:47,210 --> 00:18:48,690 I... I have a few patients to attend to. 363 00:18:49,010 --> 00:18:51,310 Some consults, so... 364 00:18:51,310 --> 00:18:58,170 I know I freaked you out. 365 00:18:58,210 --> 00:18:59,710 Clearly, you need to talk to somebody. 366 00:19:08,880 --> 00:19:11,960 She's negative for anti-NMDA encephalitis. 367 00:19:12,220 --> 00:19:17,020 So that's good, right? It's a process of elimination right now. The next step 368 00:19:17,020 --> 00:19:19,280 would be a cerebral angiogram. What's that? 369 00:19:19,580 --> 00:19:24,940 We put a catheter into the arteries that feed her brain and inject dye so we can 370 00:19:24,940 --> 00:19:26,440 see what's going on with the vessels inside. 371 00:19:28,780 --> 00:19:31,580 God. What are you looking for now? 372 00:19:32,129 --> 00:19:37,070 This would be to eliminate possible aneurysm or abnormal blood vessels, 373 00:19:37,230 --> 00:19:40,930 either of which could be causing this. I know that sounds scary, but either of 374 00:19:40,930 --> 00:19:41,930 those would be treatable. 375 00:19:42,270 --> 00:19:44,410 And if you don't find what you're looking for, then what? 376 00:19:44,790 --> 00:19:49,210 A brain biopsy, which is extremely invasive, so we're putting that off as 377 00:19:49,210 --> 00:19:50,089 long as possible. 378 00:19:50,090 --> 00:19:53,070 What was the thing that your intern said before? SS something? 379 00:19:53,290 --> 00:19:56,910 Yeah, sorry about that. She's only been here a few weeks, and honestly, she was 380 00:19:56,910 --> 00:19:58,270 just trying to impress me. 381 00:19:58,690 --> 00:20:01,190 We're going down much more likely routes right now. 382 00:20:06,480 --> 00:20:10,460 I did the needle aspiration and the second dose of Amselbactim seems to be 383 00:20:10,460 --> 00:20:14,820 working, but he's still non-compliant to surgery and absolutely resistant when it 384 00:20:14,820 --> 00:20:16,380 comes to talking about any of this. 385 00:20:16,700 --> 00:20:19,960 You did the right thing, offering him a less invasive solution. 386 00:20:21,060 --> 00:20:23,380 Let's see if it softened him up a bit to want to talk now. 387 00:20:24,200 --> 00:20:26,060 Have you ever seen anything like this before? 388 00:20:28,100 --> 00:20:29,100 Nope. 389 00:20:31,560 --> 00:20:32,519 Hi, Mason. 390 00:20:32,520 --> 00:20:33,520 I'm Dr. Walker. 391 00:20:34,040 --> 00:20:35,040 Another doctor. 392 00:20:35,880 --> 00:20:37,260 Call it the deluxe package. 393 00:20:38,140 --> 00:20:39,140 Can I sit? 394 00:20:44,100 --> 00:20:50,980 Now, I spoke to Dr. Coleman and Dr. Matra, 395 00:20:51,020 --> 00:20:54,500 and I understand how important it is to you to not have surgery. But you're here 396 00:20:54,500 --> 00:20:55,740 to talk me into it anyway. 397 00:20:55,980 --> 00:20:56,980 Not at all. 398 00:20:57,500 --> 00:21:02,040 But you need to understand, depending on the circumstances, the infection itself 399 00:21:02,040 --> 00:21:04,640 could cause the scarring we're all trying to avoid. 400 00:21:06,320 --> 00:21:09,600 The integrity of the tissue under your jaw is important. 401 00:21:10,020 --> 00:21:14,980 It can cause tethering of the skin as it heals, which can cause asymmetry or even 402 00:21:14,980 --> 00:21:18,400 disfigurement, which is why we need to know if there's been prior trauma to 403 00:21:18,400 --> 00:21:23,000 this area and what caused it. And your facial scans clearly show it wasn't a 404 00:21:23,000 --> 00:21:24,000 barbell. 405 00:21:25,480 --> 00:21:30,140 I've seen this done with fists, hammers, even ice picks. It was a massage gun, 406 00:21:30,240 --> 00:21:31,240 okay? 407 00:21:33,480 --> 00:21:35,700 You take the guard off and... 408 00:21:35,950 --> 00:21:36,950 You get more precision. 409 00:21:37,450 --> 00:21:43,130 And that's to undo years of damage from sleeping incorrectly, bad posture, 410 00:21:43,470 --> 00:21:45,490 chewing wrong. 411 00:21:46,910 --> 00:21:49,830 Yeah, that's exactly right. 412 00:21:50,030 --> 00:21:54,410 The blunt force creates calluses, and when they heal, the jaw squares out. 413 00:21:54,870 --> 00:21:55,869 Wolf's law. 414 00:21:55,870 --> 00:21:56,870 I'm familiar. 415 00:21:57,090 --> 00:21:58,250 It's just science. 416 00:21:58,890 --> 00:21:59,890 Face shape. 417 00:22:00,270 --> 00:22:01,270 It's a myth. 418 00:22:01,550 --> 00:22:03,090 Can I see some of your research? 419 00:22:11,630 --> 00:22:12,810 It's what you're all looking for. 420 00:22:14,070 --> 00:22:16,010 Who? Women like you. 421 00:22:16,790 --> 00:22:21,750 I hate to break it to you, but women like me tend to look for women like me. 422 00:22:23,410 --> 00:22:24,450 But I get your point. 423 00:22:24,830 --> 00:22:29,310 You know, 80% of women only date the top 10% of men. 424 00:22:29,610 --> 00:22:30,810 Sounds like a high bar. 425 00:22:31,130 --> 00:22:32,130 My last girlfriend? 426 00:22:33,370 --> 00:22:34,530 Total freaking Becky. 427 00:22:35,590 --> 00:22:36,690 She dumps me. 428 00:22:37,830 --> 00:22:39,890 Is that when this started? After the breakup? 429 00:22:40,190 --> 00:22:41,190 Started. 430 00:22:41,770 --> 00:22:43,430 This is how life is. 431 00:22:44,850 --> 00:22:48,690 When you're attractive, everything's easier. That's just a fact. 432 00:22:54,190 --> 00:22:55,210 Yeah, I think we're done here. 433 00:22:56,290 --> 00:22:57,290 Thanks for the chat. 434 00:23:01,130 --> 00:23:04,490 Dr. Matos, can I pick your brain for a minute? If you can wait an hour, I've 435 00:23:04,490 --> 00:23:05,349 got a procedure. 436 00:23:05,350 --> 00:23:07,530 Please. The patient's 11 years old. 437 00:23:09,640 --> 00:23:11,680 I'm thinking cardioembolic TIAs. 438 00:23:12,160 --> 00:23:13,660 There's no vegetation on the valves. 439 00:23:14,420 --> 00:23:17,040 EKG is totally normal, not even arrhythmias. 440 00:23:18,040 --> 00:23:21,200 Plus, the head CT is normal. We are redoing that right now. 441 00:23:21,400 --> 00:23:25,300 I'm sorry, Dr. Larson. I have a patient waiting for me, and you're grasping at 442 00:23:25,300 --> 00:23:26,300 straws. 443 00:23:32,640 --> 00:23:33,640 CT is negative. 444 00:23:34,640 --> 00:23:36,720 Hey, SSPE. 445 00:23:37,450 --> 00:23:38,450 That's what you said, right? 446 00:23:38,630 --> 00:23:39,930 There are so many of them. Just tell me. 447 00:23:40,430 --> 00:23:43,210 Okay? Tell me right now my daughter doesn't have this. We can't. 448 00:23:43,870 --> 00:23:46,410 But we really don't know anything for sure. 449 00:23:46,690 --> 00:23:49,250 Hey, sorry. The line of the cafeteria was bananas. 450 00:23:49,610 --> 00:23:50,610 Hey! 451 00:23:50,790 --> 00:23:52,050 You did this! What? 452 00:23:52,870 --> 00:23:53,870 You killed her! 453 00:23:54,190 --> 00:23:55,350 Hey! Security! 454 00:23:55,590 --> 00:23:56,590 Stop! Stop! 455 00:23:56,650 --> 00:23:59,450 Hey! She died? No! Not yet! 456 00:23:59,650 --> 00:24:01,990 Stop! Stop! Get off me! Stop it now! 457 00:24:05,410 --> 00:24:06,570 It's fine. We got this. 458 00:24:08,699 --> 00:24:10,620 I'm fine. Yeah, you're fine, Kenny. 459 00:24:10,940 --> 00:24:11,980 Yeah, you're just fine! 460 00:24:18,160 --> 00:24:20,800 It's kind of a sore subject in the family, you know? 461 00:24:21,740 --> 00:24:24,060 But I've done my own research. 462 00:24:24,680 --> 00:24:26,140 I've read up on all the issues. 463 00:24:27,240 --> 00:24:30,180 Natural immunity is better than vaccine antibodies. 464 00:24:30,640 --> 00:24:34,340 And these pharmaceutical companies, they don't want you to know this, but... 465 00:24:34,760 --> 00:24:38,980 Those vaccines aren't even 100% effective. No, they're not. But before 466 00:24:38,980 --> 00:24:42,100 the vaccine, the measles killed 2 million people a year. That's the point. 467 00:24:42,700 --> 00:24:46,380 Vaccines are highly effective, and they're also a social contract that we 468 00:24:46,380 --> 00:24:51,060 make to protect the weakest among us, our most vulnerable, in this case, our 469 00:24:51,060 --> 00:24:52,060 babies. 470 00:24:52,360 --> 00:24:55,380 Hazel probably got it from somebody who chose not to be vaccinated. 471 00:24:55,860 --> 00:25:00,100 I get that. I do. But when Hazel got sick... 472 00:25:00,570 --> 00:25:05,210 We isolated her. I'm sure you did, but the incubation period for measles is 14 473 00:25:05,210 --> 00:25:08,530 days. Hazel would have been contagious well before she had symptoms. 474 00:25:08,930 --> 00:25:10,070 But she got better. 475 00:25:10,790 --> 00:25:13,650 They both did. So why is this happening now? 476 00:25:14,490 --> 00:25:16,730 SSPE can lie dormant for up to 30 years. 477 00:25:17,030 --> 00:25:18,870 So you're saying my daughter could get this too? 478 00:25:22,570 --> 00:25:23,570 Yes. 479 00:25:23,890 --> 00:25:28,790 If this is SSPE, you're telling me that there's nothing that you could do? 480 00:25:29,420 --> 00:25:30,420 I'm sorry. 481 00:25:30,480 --> 00:25:31,480 No. 482 00:25:41,220 --> 00:25:42,460 Two and a half hours? 483 00:25:44,040 --> 00:25:47,380 I am so sorry. There was this guy that was giving a speech that was way too 484 00:25:47,380 --> 00:25:49,800 long to honor my stepmom, and he asked me to say something. 485 00:25:50,020 --> 00:25:53,360 I hope you enjoyed it, because that is the last time I give you the benefit of 486 00:25:53,360 --> 00:25:54,360 any doubt. 487 00:25:55,820 --> 00:25:56,820 Go. Change. 488 00:25:57,340 --> 00:25:58,720 Help Nikki collect blood cultures. 489 00:26:00,700 --> 00:26:01,700 Oh, my stepmom. 490 00:26:01,920 --> 00:26:03,140 She asked me to send her regards. 491 00:26:04,100 --> 00:26:07,920 I mean, you wouldn't remember, but you two knew each other pretty well a few 492 00:26:07,920 --> 00:26:08,920 years back. 493 00:26:10,600 --> 00:26:11,600 She's a big fan. 494 00:26:18,440 --> 00:26:20,060 Don't tell me you're checking on me again. 495 00:26:20,360 --> 00:26:23,060 We told you this will require constant monitoring. 496 00:26:23,540 --> 00:26:25,020 I get it, but every 20 minutes? 497 00:26:25,560 --> 00:26:26,560 It's starting to spread. 498 00:26:27,020 --> 00:26:28,120 I thought you said it was getting better. 499 00:26:30,700 --> 00:26:33,380 I feel crepitus. Call the OR? 500 00:26:33,600 --> 00:26:37,180 Stat. No. I told you I'm not doing surgery. 501 00:26:37,380 --> 00:26:39,020 Okay, it can't wait any longer, Mason. 502 00:26:39,460 --> 00:26:41,160 The infection's spreading too fast. 503 00:26:41,460 --> 00:26:42,460 I don't care. 504 00:26:42,500 --> 00:26:46,700 Just try something else. It is too late, Mason. You have flesh-eating bacteria. 505 00:26:46,980 --> 00:26:47,980 Do you understand? 506 00:26:48,040 --> 00:26:49,880 This will kill you. I don't believe you. 507 00:26:52,140 --> 00:26:54,040 This is how serious it is. 508 00:26:55,520 --> 00:26:57,620 Okay. Okay, I'll do it. 509 00:26:58,000 --> 00:27:00,840 Just please, can you bring in a plastic surgeon? You can do that, right? 510 00:27:08,900 --> 00:27:10,520 She's negative for Lefora now. 511 00:27:10,820 --> 00:27:12,280 And she's deteriorating. 512 00:27:13,240 --> 00:27:14,400 We're running out of ideas. 513 00:27:14,740 --> 00:27:19,720 It feels like it's time to... Amy. 514 00:27:24,430 --> 00:27:26,330 Like, it's time for the biopsy. 515 00:27:26,590 --> 00:27:31,470 I don't like it, but I... High fever, confusion, delirium, myoclinus. What 516 00:27:31,470 --> 00:27:32,670 about toxoplasmosis? 517 00:27:36,410 --> 00:27:37,490 Do you have a cat? 518 00:27:38,530 --> 00:27:40,170 What? A cat. 519 00:27:41,070 --> 00:27:42,070 No. 520 00:27:42,370 --> 00:27:46,450 There's a rare infection called toxoplasmosis. It can come from cat 521 00:27:46,450 --> 00:27:47,409 litter boxes. 522 00:27:47,410 --> 00:27:50,610 Well, she was over at Jocelyn's place last week. Doesn't she have a cat? I 523 00:27:50,610 --> 00:27:52,930 think so. That could be what's causing this. 524 00:27:53,310 --> 00:27:54,610 If it is, it's good news. 525 00:27:54,810 --> 00:27:56,730 Great. What do we do? 526 00:27:56,950 --> 00:27:58,090 It's a simple blood test. 527 00:27:58,370 --> 00:27:59,990 We'll make sure the lab rushes the results. 528 00:28:00,330 --> 00:28:01,670 We can have them within the hour. 529 00:28:07,630 --> 00:28:08,630 Where's Dr. Coleman? 530 00:28:09,190 --> 00:28:10,430 Good morning, Dr. Larson. 531 00:28:11,210 --> 00:28:14,270 I think he's still in the on-call room. He crashed there last night. 532 00:28:16,290 --> 00:28:20,150 Dr. Coleman, you are... Oh, my God. 533 00:28:20,910 --> 00:28:21,910 TJ? 534 00:28:22,219 --> 00:28:24,280 TJ, hey, wake up. 535 00:28:24,580 --> 00:28:25,580 Wake up. 536 00:28:29,260 --> 00:28:31,060 Hey, it's Amy. It's Amy. 537 00:28:35,520 --> 00:28:36,960 I keep 538 00:28:36,960 --> 00:28:46,080 thinking 539 00:28:46,080 --> 00:28:47,420 what I could have done differently. 540 00:28:47,940 --> 00:28:50,320 His denial was too strong, Sonia. 541 00:28:51,850 --> 00:28:52,930 We did what we could. 542 00:28:55,070 --> 00:28:57,230 Debreeding this area of necrotic tissue now. 543 00:29:06,910 --> 00:29:08,550 Dr. Coleman, irrigate here. 544 00:29:08,830 --> 00:29:11,130 I want this field clear before we go any further. 545 00:29:21,290 --> 00:29:22,310 Give me the bone cutters. 546 00:29:23,550 --> 00:29:25,070 How far does the infection go? 547 00:29:25,330 --> 00:29:26,490 He's going to lose half his jaw. 548 00:29:40,110 --> 00:29:43,530 The extent of the damage is worse than we anticipated, but we were able to 549 00:29:43,530 --> 00:29:46,470 clear the infection, which means there won't be any additional tissue loss. 550 00:29:48,390 --> 00:29:49,570 What will it look like? 551 00:29:51,390 --> 00:29:55,490 The advancements in facial reconstruction have been incredible over 552 00:29:55,490 --> 00:29:59,430 the last few years. It'll take some time, but we'll create a treatment plan. 553 00:29:59,710 --> 00:30:01,730 Time? How much? 554 00:30:07,050 --> 00:30:08,050 A year. 555 00:30:08,450 --> 00:30:13,130 Maybe two. Two years to recover from a surgery? 556 00:30:13,610 --> 00:30:16,050 It's not just one surgery, Mason. 557 00:30:16,910 --> 00:30:17,910 How many? 558 00:30:21,520 --> 00:30:22,520 the truth. 559 00:30:22,900 --> 00:30:24,200 It'll likely be dozens. 560 00:30:27,900 --> 00:30:31,580 I just want to go back to the way I looked before. 561 00:30:43,020 --> 00:30:47,820 Unfortunately, the toxoplasmosis test came back negative. Are you sure? 562 00:30:49,120 --> 00:30:50,120 We are. 563 00:30:52,590 --> 00:30:53,590 So now what? 564 00:30:54,350 --> 00:30:56,070 It's time for the brain biopsy. 565 00:30:56,810 --> 00:31:00,690 Does that mean you have to... Yes, we will take a small bit of brain tissue. 566 00:31:04,210 --> 00:31:05,990 And what will that tell us? 567 00:31:06,190 --> 00:31:09,910 We have eliminated every possible diagnosis except for two. 568 00:31:10,570 --> 00:31:15,790 The first is an idiopathic encephalitis, which would resolve with immunotherapy. 569 00:31:18,690 --> 00:31:19,690 And the other? 570 00:31:20,010 --> 00:31:21,070 The SSP. 571 00:31:25,040 --> 00:31:26,180 Which will kill her. 572 00:31:27,800 --> 00:31:29,800 Slowly, in the most horrible way possible. 573 00:31:30,860 --> 00:31:31,860 James. 574 00:31:32,860 --> 00:31:33,860 Sorry. 575 00:31:36,500 --> 00:31:38,620 I can't understand what you're saying, Michael. 576 00:31:39,880 --> 00:31:40,880 This test. 577 00:31:41,980 --> 00:31:46,360 You're presenting it like it's 50-50, but what is it really? If she did have 578 00:31:46,360 --> 00:31:49,580 measles as a child, SSPE is far more likely. 579 00:31:50,220 --> 00:31:52,360 But there's still a chance it's not. 580 00:31:55,080 --> 00:31:56,080 Oh, my God. 581 00:31:57,820 --> 00:31:59,140 Oh, my God, oh, my God. 582 00:32:04,520 --> 00:32:06,460 If you'll excuse me for a moment. 583 00:32:14,220 --> 00:32:15,300 What happened in there? 584 00:32:15,640 --> 00:32:16,640 Nothing. 585 00:32:16,740 --> 00:32:19,660 You don't need to talk me off the ledge. Well, I'm not here to do that. 586 00:32:20,350 --> 00:32:21,550 Let go. I'm fine. 587 00:32:22,290 --> 00:32:26,270 Sometimes you seem to forget I'm chief of medicine, and one of my residents 588 00:32:26,270 --> 00:32:29,390 just ran out in front of a patient's family, so you need to tell me what's 589 00:32:29,390 --> 00:32:30,390 going on. 590 00:32:32,190 --> 00:32:34,950 I had a memory of the night Danny died. 591 00:32:36,870 --> 00:32:37,870 And the funeral. 592 00:32:38,910 --> 00:32:44,730 And it's just... This is exactly what I was worried about with you coming back. 593 00:32:44,910 --> 00:32:49,370 It wouldn't matter, Michael. These memories could happen anywhere. No, Amy. 594 00:32:49,920 --> 00:32:53,800 This case is triggering you. That is what's making these memories come up. 595 00:32:53,940 --> 00:32:57,400 Well, you're just going to have to deal with that because I'm not going home to 596 00:32:57,400 --> 00:33:00,960 stare at the wall and wait to heal. Right, right. So we're back to that. 597 00:33:01,360 --> 00:33:05,740 I am still the best doctor in this department and everyone knows it. So 598 00:33:05,740 --> 00:33:08,560 what is this? I am trying to figure that out myself. 599 00:33:09,040 --> 00:33:11,760 Well, stop figuring and let me do my job. 600 00:33:17,480 --> 00:33:18,480 Did I hurt you? 601 00:33:19,850 --> 00:33:20,850 No. 602 00:33:20,930 --> 00:33:22,930 But clearly, you need to talk to somebody. 603 00:33:23,830 --> 00:33:26,710 I know I freaked you out, but it was just a nightmare. 604 00:33:27,590 --> 00:33:29,250 This is your life, TJ. 605 00:33:29,870 --> 00:33:32,590 Okay? It's not some mission that needs to be accomplished. The hell do you know 606 00:33:32,590 --> 00:33:33,590 about my missions? 607 00:33:34,970 --> 00:33:35,970 You're right. I don't know. 608 00:33:36,690 --> 00:33:39,090 All the more reason for you to get some help. I don't need them. 609 00:33:39,330 --> 00:33:40,910 Look at what's happening to you, TJ. 610 00:33:41,910 --> 00:33:45,110 Everything you are bottling up inside, it's going to find a way to come out. 611 00:33:45,970 --> 00:33:46,970 It always does. 612 00:33:53,770 --> 00:33:54,770 I'll think about it. 613 00:33:56,030 --> 00:34:02,010 Okay. Because I really don't want to hear you say, it's all good, again. 614 00:34:04,150 --> 00:34:05,150 I promise. 615 00:34:11,270 --> 00:34:17,429 Hey, who's doing Roxy Kettle's brain biopsy? 616 00:34:41,610 --> 00:34:42,610 How is she? 617 00:34:43,050 --> 00:34:47,010 The biopsy went well. No complications, and she's stable. 618 00:34:47,290 --> 00:34:48,288 Thank God. 619 00:34:48,290 --> 00:34:49,969 We sent the tissues up to the lab. 620 00:34:50,270 --> 00:34:54,510 The results can take up to 24 hours, but we pushed them hard, so hopefully we'll 621 00:34:54,510 --> 00:34:55,870 hear something in under 12. 622 00:34:56,130 --> 00:34:59,410 Okay, so now... We wait. 623 00:35:06,410 --> 00:35:07,750 I can't believe my brother. 624 00:35:08,470 --> 00:35:09,710 Can I speak freely? 625 00:35:09,970 --> 00:35:15,270 No. As a doctor, just as somebody who's lost a lot in her life. 626 00:35:17,150 --> 00:35:18,510 Yeah, yeah, go ahead. 627 00:35:21,370 --> 00:35:24,490 Family is a gift for only given ones. 628 00:35:25,850 --> 00:35:27,150 Even when they're at their worst. 629 00:35:27,750 --> 00:35:32,710 And especially when they still want the best for us, we've got to try to find a 630 00:35:32,710 --> 00:35:33,710 way to hold on to them. 631 00:35:34,670 --> 00:35:35,730 I can't forgive them. 632 00:35:37,570 --> 00:35:38,570 So don't. 633 00:35:39,190 --> 00:35:40,190 Not yet. 634 00:35:40,930 --> 00:35:43,210 Maybe just let him be there for you. 635 00:35:45,170 --> 00:35:46,770 Because you're going to need each other. 636 00:35:48,490 --> 00:35:49,610 Trust me on this. 637 00:35:53,810 --> 00:35:54,810 Yeah. 638 00:36:11,180 --> 00:36:12,180 Hey, man. 639 00:36:12,940 --> 00:36:14,940 Been looking for you. Hey, ready to go? 640 00:36:15,380 --> 00:36:19,560 Yeah, I got some bad news, man. It turns out my buddy is coming to the game 641 00:36:19,560 --> 00:36:21,360 tonight, so I don't have that extra ticket with us. 642 00:36:21,820 --> 00:36:24,360 Oh, okay. But I did get you your own seat. 643 00:36:25,060 --> 00:36:27,800 Furo's back, but... Sitting alone? 644 00:36:28,800 --> 00:36:30,360 I was trying to get you something closer. 645 00:36:31,920 --> 00:36:32,920 Right. 646 00:36:33,320 --> 00:36:37,980 Yeah, uh... I think I'm just gonna hang back and get ahead of tomorrow's work. 647 00:36:38,880 --> 00:36:39,880 Thanks anyways. 648 00:36:40,430 --> 00:36:41,450 Yeah, sure. 649 00:36:41,810 --> 00:36:43,330 Brain check. Dr. Barker. 650 00:36:46,830 --> 00:36:47,830 Catch you tomorrow. 651 00:36:55,130 --> 00:36:57,310 You know what we've been dealing with today. 652 00:36:57,790 --> 00:36:59,450 With Roxy and her parents. 653 00:36:59,790 --> 00:37:01,150 Yeah, yeah. Pretty rough. 654 00:37:01,370 --> 00:37:02,930 Yeah, Kyle was on a rough one too. 655 00:37:04,250 --> 00:37:07,150 And do you know what didn't help me or anyone? 656 00:37:07,990 --> 00:37:09,490 Was your lack of performance. 657 00:37:11,100 --> 00:37:15,060 Excuse me? I checked the specimen logs from all the patient labs from earlier. 658 00:37:15,300 --> 00:37:19,520 Mrs. Gettleman, Mr. Wright, Ms. Spahr, Kyle did them all. Yeah, yeah, we 659 00:37:19,520 --> 00:37:20,198 swapped favors. 660 00:37:20,200 --> 00:37:21,198 They're not favors. 661 00:37:21,200 --> 00:37:22,200 They're assignments. 662 00:37:22,740 --> 00:37:26,140 Yeah, but when you're on call. You weren't on call. You were at a luncheon. 663 00:37:26,780 --> 00:37:30,780 I'm sorry. I didn't realize it was a big deal. It's all a big deal. 664 00:37:31,420 --> 00:37:33,760 Being a doctor is a big deal. 665 00:37:35,200 --> 00:37:37,620 So, you'll stay late and finish the handoff list. 666 00:37:37,880 --> 00:37:40,100 Oh no, I'm done with my list. No, not just yours. 667 00:37:40,380 --> 00:37:41,380 Everyone's. 668 00:37:43,680 --> 00:37:44,780 Yeah, I really wish I could. 669 00:37:45,960 --> 00:37:49,600 I'm just taking a few friends to a ball game. They're already there. I can't 670 00:37:49,600 --> 00:37:52,740 text them the tickets. It's a whole moving barcode thing. 671 00:37:54,920 --> 00:37:59,980 Sorry to interrupt. I didn't realize you were... I just need to sign off on Mrs. 672 00:38:00,120 --> 00:38:01,120 Camillia's discharge. 673 00:38:03,569 --> 00:38:04,569 To be continued. 674 00:38:04,690 --> 00:38:06,250 Graham, we'll pick this up in the morning. 675 00:38:27,610 --> 00:38:28,610 Hey, babe. 676 00:38:29,430 --> 00:38:30,430 I can't choose. 677 00:38:31,040 --> 00:38:35,980 the father of our child based on what college he went to or how chiseled his 678 00:38:35,980 --> 00:38:36,980 jawline is. 679 00:38:37,380 --> 00:38:38,880 We're not doing that, Gina. 680 00:38:40,260 --> 00:38:42,120 Yeah, we pretty much are. 681 00:38:42,400 --> 00:38:45,740 So, let's go with your brother. 682 00:38:54,800 --> 00:38:55,800 Hey. 683 00:39:01,770 --> 00:39:03,410 I didn't mean to ambush you earlier. 684 00:39:03,630 --> 00:39:04,630 I know. 685 00:39:06,550 --> 00:39:08,190 TJ? Yes? 686 00:39:08,490 --> 00:39:09,690 Your leg's shaking. 687 00:39:10,970 --> 00:39:14,010 Oh, um, yeah, it does that sometimes. 688 00:39:14,650 --> 00:39:15,650 When? 689 00:39:16,110 --> 00:39:17,210 I don't know exactly. 690 00:39:19,310 --> 00:39:20,370 Clearly you're stressed. 691 00:39:20,870 --> 00:39:24,590 I have handled a lot more than this. I know you have. 692 00:39:26,000 --> 00:39:31,240 But I know you, and you always have a plan, and this... Improvise, adapt, 693 00:39:31,520 --> 00:39:32,520 overcome. 694 00:39:33,280 --> 00:39:36,840 I'm sure that works in battle, but you are not in battle right now. 695 00:39:37,200 --> 00:39:38,200 That was a joke. 696 00:39:38,420 --> 00:39:39,420 Oh. 697 00:39:40,340 --> 00:39:47,280 I had a memory of us, and I told you you needed to see 698 00:39:47,280 --> 00:39:48,280 somebody. 699 00:39:50,400 --> 00:39:52,320 Oh, yeah, that was, um... 700 00:39:52,680 --> 00:39:56,100 That was a few days before your accident. I had a nightmare in the on 701 00:39:56,100 --> 00:39:59,660 -call room. It was a sleepwalking kind of thing. 702 00:39:59,900 --> 00:40:01,220 And did you see someone? 703 00:40:01,700 --> 00:40:02,700 Yeah. 704 00:40:02,840 --> 00:40:06,320 Yeah, I saw a specialist, and I sleep great now. 705 00:40:06,540 --> 00:40:07,540 No more nightmares. 706 00:40:10,240 --> 00:40:13,760 I know you're worried about me, and I appreciate it. 707 00:40:14,820 --> 00:40:15,820 But trust me. 708 00:40:36,270 --> 00:40:37,270 Tough day. 709 00:40:37,730 --> 00:40:38,730 Yeah. 710 00:40:40,030 --> 00:40:41,510 Guess we got our wires crossed a bit. 711 00:40:43,650 --> 00:40:48,550 Maybe you need some space to process this. 712 00:40:51,550 --> 00:40:53,050 Maybe just for tonight? 713 00:40:54,670 --> 00:40:55,970 Maybe I'll get some sleep that way. 714 00:40:57,390 --> 00:40:58,390 Yeah. 715 00:41:24,399 --> 00:41:25,120 I just 716 00:41:25,120 --> 00:41:32,040 checked in with the lab. 717 00:41:32,360 --> 00:41:34,620 They're going to let me know as soon as they have the results. 718 00:41:45,740 --> 00:41:47,060 Do you mind if I wait with you? 719 00:42:25,570 --> 00:42:26,770 This is Dr. Larson. 720 00:42:27,170 --> 00:42:28,590 We got Roxy's results. 721 00:42:29,230 --> 00:42:30,189 I'm sorry. 722 00:42:30,190 --> 00:42:31,430 It's not the news you wanted.