1 00:00:01,101 --> 00:00:02,501 Previously on Doc. 2 00:00:02,502 --> 00:00:04,203 He'll say all the right things, 3 00:00:04,204 --> 00:00:06,372 he'll, do what needs to be done, he's TJ. 4 00:00:06,373 --> 00:00:08,273 Did you follow up on what we talked about? 5 00:00:08,274 --> 00:00:09,742 The nightmares? - Yeah. 6 00:00:09,743 --> 00:00:11,377 I want to have a child. 7 00:00:11,378 --> 00:00:13,412 We've wasted so much time. 8 00:00:13,413 --> 00:00:15,514 Your ovarian reserve has become very low. 9 00:00:15,515 --> 00:00:17,683 Gina, your eggs appear to still be viable. 10 00:00:17,684 --> 00:00:19,918 You started the day with a HIPPA violation. 11 00:00:19,919 --> 00:00:21,987 I wanna know what you're gonna do to turn things around. 12 00:00:21,988 --> 00:00:23,623 - I'm Graham. - Your parents gave what, 13 00:00:23,723 --> 00:00:25,290 20 mil to the hospital? 14 00:00:25,291 --> 00:00:26,992 She's insisting she's ready to work. 15 00:00:26,993 --> 00:00:28,761 She does anything to earn my distrust, 16 00:00:28,762 --> 00:00:31,364 I'll be showing her the door. 17 00:00:32,665 --> 00:00:35,167 Hmm. Dad, none of these are gonna work. 18 00:00:35,168 --> 00:00:37,603 - Oh, no. - They're all burnt! 19 00:00:37,604 --> 00:00:39,271 No, we need more. 20 00:00:39,272 --> 00:00:40,739 I've got bad news. 21 00:00:40,740 --> 00:00:42,141 - No! - I know. 22 00:00:42,142 --> 00:00:43,443 We need at least one good batch. 23 00:00:43,543 --> 00:00:45,044 - I know, I know. - Dad, come on! 24 00:00:45,045 --> 00:00:46,812 Let me just... I gotta do a taste test. 25 00:00:46,813 --> 00:00:49,014 Hazel's gonna be here in like two minutes for our sleepover. 26 00:00:49,015 --> 00:00:51,417 - In like two minutes? - Serious! 27 00:00:51,418 --> 00:00:53,285 We can just give these burnt ones to Uncle Kenny. 28 00:00:53,286 --> 00:00:55,488 He'll eat anything, right? 29 00:00:59,125 --> 00:01:01,060 Where this Is? 30 00:01:03,029 --> 00:01:04,464 What? 31 00:01:08,034 --> 00:01:09,902 Roxy, what... 32 00:01:09,903 --> 00:01:11,671 Wha... What's going on? 33 00:01:11,771 --> 00:01:15,675 Where? Where? Where? 34 00:01:15,775 --> 00:01:17,042 Where! - Where... what? 35 00:01:17,043 --> 00:01:19,645 Where! Where! 36 00:01:48,475 --> 00:01:50,442 So, did you find Mr. Right yet? 37 00:01:50,443 --> 00:01:53,045 Ugh, no. There's way too many to choose from. 38 00:01:53,046 --> 00:01:55,447 Oh, I like him. What's his CV? 39 00:01:55,448 --> 00:01:57,751 UCLA undergrad, MBA from Berkely. 40 00:01:57,851 --> 00:02:00,085 And he brews his own craft beer as a hobby. 41 00:02:00,086 --> 00:02:01,587 Kinda like that. 42 00:02:01,588 --> 00:02:04,590 Is it me or does this whole thing feel like some icky, 43 00:02:04,591 --> 00:02:06,458 master race sci-fi experiment? 44 00:02:06,459 --> 00:02:08,227 Well, what's the alternative? 45 00:02:08,228 --> 00:02:10,796 If Wendy has her way, Marcus. 46 00:02:10,797 --> 00:02:12,231 Her brother? 47 00:02:12,232 --> 00:02:13,999 Family lines, generational legacy, 48 00:02:14,000 --> 00:02:16,802 and a dose of guilt since it was supposed to be her egg 49 00:02:16,803 --> 00:02:17,803 to begin with. 50 00:02:17,804 --> 00:02:19,104 How do you feel about that? 51 00:02:19,105 --> 00:02:21,340 About the prospect of uncle daddy? 52 00:02:21,341 --> 00:02:22,875 It's a bit fraught. 53 00:02:22,876 --> 00:02:25,110 Too bad you already went there, I'd ask Ben. 54 00:02:25,111 --> 00:02:26,812 Not if you'd been having the memories 55 00:02:26,813 --> 00:02:28,080 that I'm getting hit with. 56 00:02:28,081 --> 00:02:29,948 Oh, no. What now? 57 00:02:29,949 --> 00:02:31,750 It's about the trial. 58 00:02:31,751 --> 00:02:35,254 Apparently, I consulted on it and I remember calling him 59 00:02:35,255 --> 00:02:37,623 and asking him about a problem. 60 00:02:37,624 --> 00:02:39,793 But, but that was like four years ago. 61 00:02:39,893 --> 00:02:42,528 They must've gone through half a dozen research boards 62 00:02:42,529 --> 00:02:44,363 for approval to even get this far. 63 00:02:44,364 --> 00:02:46,632 I know, but now I'm wondering 64 00:02:46,633 --> 00:02:48,767 if my brain is back to warning me about something. 65 00:02:48,768 --> 00:02:50,402 So you don't have enough on your plate 66 00:02:50,403 --> 00:02:51,770 trying to manage 30 interns, 67 00:02:51,771 --> 00:02:53,540 you wanna go on some wild goose chase? 68 00:02:53,640 --> 00:02:55,641 Which violates your whole mantra. 69 00:02:55,642 --> 00:02:57,544 Wait, what-what was it again? 70 00:02:57,644 --> 00:03:01,314 Oh, right. You were going to look forward. 71 00:03:01,715 --> 00:03:02,649 Right. 72 00:03:02,749 --> 00:03:05,685 - So go then. Into the future, please. 73 00:03:06,386 --> 00:03:08,588 - Okay, I'm going. - Goodbye. 74 00:03:13,593 --> 00:03:14,761 Hey. 75 00:03:15,462 --> 00:03:16,596 Hey. 76 00:03:23,003 --> 00:03:24,870 So this is how it's gonna be now? 77 00:03:28,675 --> 00:03:31,344 - It's Rachel. I gotta take this. That okay? 78 00:03:32,679 --> 00:03:35,715 Did you hear anything yet? 79 00:03:38,418 --> 00:03:40,686 Hi. I'm Dr. Larsen. 80 00:03:40,687 --> 00:03:43,288 This is Dr. De Silva and Dr. Barker. 81 00:03:43,289 --> 00:03:45,425 - James. My wife, Hillary. This is Roxie. 82 00:03:45,525 --> 00:03:48,160 - Hi. Hi, Roxie. How are you feeling? 83 00:03:48,161 --> 00:03:50,063 - I'm good. - Yeah? 84 00:03:50,163 --> 00:03:51,830 We don't know what happened. 85 00:03:51,831 --> 00:03:54,167 Uh, it's like she's totally fine now, but she was... 86 00:03:54,267 --> 00:03:56,168 And then they sent us up here 87 00:03:56,169 --> 00:03:57,302 and they wouldn't tell us anything. 88 00:03:57,303 --> 00:03:59,571 The ER did preliminary labs and imaging, 89 00:03:59,572 --> 00:04:01,440 and everything came back normal. 90 00:04:01,441 --> 00:04:03,709 - Hey there, rockstar. - Uncle Kenny! 91 00:04:03,710 --> 00:04:06,712 - That's my brother, Kenny. - Hi. 92 00:04:06,713 --> 00:04:08,815 - Is Hazel here? - No, sweetie, she's at home. 93 00:04:08,915 --> 00:04:10,315 Uh, that's her cousin. 94 00:04:10,316 --> 00:04:11,918 We can FaceTime her in a bit, okay? 95 00:04:12,018 --> 00:04:14,053 So, what's going on here? 96 00:04:14,054 --> 00:04:15,354 Dr. De Silva? 97 00:04:15,355 --> 00:04:17,322 We tested Roxie for infections, 98 00:04:17,323 --> 00:04:20,359 vitamin deficiencies, and thyroid function, 99 00:04:20,360 --> 00:04:22,127 all of which came back negative. 100 00:04:22,128 --> 00:04:24,763 Our next step is to perform something called a spinal tap, 101 00:04:24,764 --> 00:04:27,199 which will allow us to collect fluids 102 00:04:27,200 --> 00:04:28,634 surrounding her spinal nerves. 103 00:04:28,635 --> 00:04:30,470 - Oh, my God. - Uh, wait... 104 00:04:30,570 --> 00:04:33,739 uh, it's like a... like a needle in her spine? 105 00:04:33,740 --> 00:04:36,208 Yeah, it's a very standard, well established procedure. 106 00:04:36,209 --> 00:04:38,143 Will it hurt? 107 00:04:38,144 --> 00:04:40,879 - No, Roxie will be sedated. You won't feel a thing. 108 00:04:40,880 --> 00:04:43,482 Okay, so, why do you need to do that? 109 00:04:43,483 --> 00:04:44,850 What exactly are you looking for? 110 00:04:44,851 --> 00:04:46,218 Dr. Barker? 111 00:04:46,219 --> 00:04:47,487 Anything that could be 112 00:04:47,587 --> 00:04:49,121 effecting Roxie's nervous system. 113 00:04:49,122 --> 00:04:50,489 Any sign of infection. 114 00:04:50,490 --> 00:04:52,358 It's the best way for us to get clear answers. 115 00:04:52,359 --> 00:04:54,961 And what we find will determine our next steps. 116 00:04:55,662 --> 00:04:58,130 I know it sounds really scary... 117 00:04:58,131 --> 00:04:59,399 - Yeah. - But we wouldn't 118 00:04:59,499 --> 00:05:00,532 perform any procedure that we didn't think 119 00:05:00,533 --> 00:05:02,101 was absolutely necessary. 120 00:05:05,805 --> 00:05:07,941 Dr. De Silva, set up the LP. - Yes. 121 00:05:08,041 --> 00:05:10,409 And Dr. Barker, make sure you get all the consents signed 122 00:05:10,410 --> 00:05:11,778 from Mom and Dad. 123 00:05:11,878 --> 00:05:13,946 - Yes, absolutely. Oh, and Dr. Larsen? 124 00:05:13,947 --> 00:05:16,416 I'm sorry, I meant to ask you something earlier, 125 00:05:16,516 --> 00:05:18,518 but I have a family commitment this afternoon, 126 00:05:18,618 --> 00:05:20,786 I was hoping I could... step out for a bit. 127 00:05:20,787 --> 00:05:22,956 - Step out? In the middle of your shift? 128 00:05:23,056 --> 00:05:26,258 Yeah, it's a-it's a lunch thing honoring my stepmother. 129 00:05:26,259 --> 00:05:28,527 You know, Nina Barker... It's, uh, 130 00:05:28,528 --> 00:05:30,263 it's kind of a big deal. 131 00:05:30,363 --> 00:05:32,531 There are protocols for asking for time off. 132 00:05:32,532 --> 00:05:33,766 Clearly, you've known about this for a while. 133 00:05:33,767 --> 00:05:36,169 - Yeah, yeah, that's my bad. I didn't think it was something 134 00:05:36,269 --> 00:05:37,971 I could ask for my first week. 135 00:05:38,071 --> 00:05:40,673 Then I spoke to her this morning, and she um, 136 00:05:40,674 --> 00:05:43,376 she told me how important it was to her, so... 137 00:05:44,544 --> 00:05:46,479 It's right on McAllister. It's... 138 00:05:47,881 --> 00:05:49,148 You have an hour. 139 00:05:49,149 --> 00:05:50,717 You will finish everything 140 00:05:50,817 --> 00:05:52,284 on your patient list before you go. 141 00:05:52,285 --> 00:05:53,585 Of course, of course, course. 142 00:05:53,586 --> 00:05:55,054 I'm heading to check on, uh, Mrs. Gamellia's 143 00:05:55,055 --> 00:05:56,588 blood cultures right now. 144 00:05:56,589 --> 00:05:57,857 Thank you so much. 145 00:05:59,559 --> 00:06:01,326 Well. He seems peppy. 146 00:06:01,327 --> 00:06:03,997 He is something, that's for sure. 147 00:06:05,165 --> 00:06:07,100 How did it go last night with TJ? 148 00:06:07,200 --> 00:06:09,836 - Honestly, I have no idea. - What do you mean? 149 00:06:09,936 --> 00:06:12,205 Well, he was great, like I expected. 150 00:06:12,305 --> 00:06:14,007 And then, this morning... 151 00:06:17,143 --> 00:06:19,611 Oh. Okay, well, he's avoiding. 152 00:06:19,612 --> 00:06:21,714 It's not shocking. 153 00:06:21,715 --> 00:06:23,483 This is gonna sound strange, 154 00:06:23,583 --> 00:06:26,618 but you've known him for longer than anyone else here. 155 00:06:26,619 --> 00:06:27,854 Yeah, like, 15 years. 156 00:06:27,954 --> 00:06:30,589 But I have an eight-year blind spot. 157 00:06:30,590 --> 00:06:33,926 No memories of him during that period? 158 00:06:33,927 --> 00:06:36,062 No, not really. 159 00:06:37,330 --> 00:06:38,897 What are you asking exactly? 160 00:06:38,898 --> 00:06:42,368 I don't know. Uh, something's just kind of... 161 00:06:42,369 --> 00:06:46,205 he almost seems detached from the situation. 162 00:06:46,206 --> 00:06:48,007 Well, he's been through a lot. 163 00:06:48,008 --> 00:06:50,810 I'm sure he has his coping mechanisms. 164 00:06:51,711 --> 00:06:53,813 Maybe just give him some space. 165 00:06:54,347 --> 00:06:56,549 Right. Thanks. 166 00:07:00,186 --> 00:07:02,888 - And this happened when? - About a week ago. 167 00:07:02,889 --> 00:07:04,890 Okay, we'll have Dr. Maitra take a look. 168 00:07:04,891 --> 00:07:08,027 Here she is. Dr. Maitra, this is Mason McCanty, 169 00:07:08,028 --> 00:07:10,229 swollen jaw from a bench-pressing injury. 170 00:07:10,230 --> 00:07:12,131 Barbell slipped outta my hand. 171 00:07:12,132 --> 00:07:13,499 Temp's at 102, 172 00:07:13,500 --> 00:07:15,100 and the site's warm to the touch. 173 00:07:15,101 --> 00:07:16,368 Looks like an infection. 174 00:07:16,369 --> 00:07:18,538 Yes, it does. 175 00:07:18,638 --> 00:07:21,206 How much were you benching? - Uh, about 215. 176 00:07:21,207 --> 00:07:23,842 I'm trying to put on some muscle mass, you know? 177 00:07:23,843 --> 00:07:25,377 Uh-huh. 178 00:07:25,378 --> 00:07:26,812 I'm gonna demarcate 179 00:07:26,813 --> 00:07:28,947 the area around the swelling. 180 00:07:28,948 --> 00:07:31,250 So we can monitor the site. 181 00:07:31,251 --> 00:07:32,919 What does that mean? 182 00:07:33,019 --> 00:07:35,255 It means I drew a circle on your face. 183 00:07:36,056 --> 00:07:37,690 Just making sure the infection doesn't spread. 184 00:07:37,691 --> 00:07:39,992 Suggested course of action? 185 00:07:39,993 --> 00:07:41,394 Blood cultures, 186 00:07:41,494 --> 00:07:43,696 and start him on a broad-spectrum IV antibiotic? 187 00:07:43,697 --> 00:07:45,097 - Mm-hmm. - Plus a CT to make sure 188 00:07:45,098 --> 00:07:46,665 the infection hasn't invaded the bone. 189 00:07:46,666 --> 00:07:49,135 - Exactly. - So, we're gonna do tests? 190 00:07:49,235 --> 00:07:50,969 What's that gonna show? 191 00:07:50,970 --> 00:07:53,272 We need to take a closer look at your injury, 192 00:07:53,273 --> 00:07:55,141 see the extent of the damage. 193 00:07:55,542 --> 00:07:59,011 Right. Fair, okay. 194 00:08:05,952 --> 00:08:08,954 Mm. Looks like the infection has invaded bone. 195 00:08:08,955 --> 00:08:11,090 That's not the only thing I'm worried about. 196 00:08:11,091 --> 00:08:13,359 Look at those hairline fractures. 197 00:08:13,360 --> 00:08:15,762 - Yeah, there's dozens of them. - Yeah, and see the pattern? 198 00:08:16,696 --> 00:08:18,732 I've been reading about this. 199 00:08:19,199 --> 00:08:21,333 It's just hard to believe it, 200 00:08:21,334 --> 00:08:23,069 even when you see it. 201 00:08:23,169 --> 00:08:25,004 I don't understand. 202 00:08:25,005 --> 00:08:28,675 This is why he was nervous about us testing him. 203 00:08:29,743 --> 00:08:31,611 He did this to himself. 204 00:08:32,178 --> 00:08:33,646 Intentionally. 205 00:08:45,892 --> 00:08:47,193 Hey! 206 00:08:48,094 --> 00:08:49,329 Aw, hi. 207 00:08:50,363 --> 00:08:52,164 I'm sorry I'm late. 208 00:08:52,165 --> 00:08:55,901 There was a mistake upstairs that I had to fix. 209 00:08:55,902 --> 00:08:58,103 Oh, always gonna be a reason for Dr. Larsen 210 00:08:58,104 --> 00:09:00,472 to swoop in and save the day. 211 00:09:00,473 --> 00:09:02,107 Can I get you a coffee or something? 212 00:09:02,108 --> 00:09:04,209 No, I'm fine, thanks. 213 00:09:04,210 --> 00:09:05,711 I don't know how to... 214 00:09:05,712 --> 00:09:08,347 I'm so sorry about you and Michael. 215 00:09:08,348 --> 00:09:09,748 The, the divorce... 216 00:09:09,749 --> 00:09:12,018 Oh, that's nothing that you need to worry about, TJ. 217 00:09:12,118 --> 00:09:13,752 Anyway, I want to talk about you. 218 00:09:13,753 --> 00:09:15,487 How's med school? 219 00:09:15,488 --> 00:09:17,356 It's incredible. 220 00:09:17,357 --> 00:09:19,591 Has the transition been hard? 221 00:09:19,592 --> 00:09:22,328 - Transition? - From active duty. 222 00:09:23,496 --> 00:09:27,333 Stateside is definitely less exciting. 223 00:09:27,334 --> 00:09:29,769 But it's all good. 224 00:09:29,869 --> 00:09:32,504 Well, I am so proud of you. 225 00:09:32,505 --> 00:09:35,207 Finishing college while making Ranger. 226 00:09:35,208 --> 00:09:37,910 Yup, traded in frats and keg parties 227 00:09:37,911 --> 00:09:40,779 for IEDs and night raids. 228 00:09:40,780 --> 00:09:42,681 It's quite a feat. 229 00:09:42,682 --> 00:09:44,416 Feels like I found purpose over there. 230 00:09:44,417 --> 00:09:46,552 And now, with the medicine. 231 00:09:46,553 --> 00:09:49,488 I better be your first call when residency comes around. 232 00:09:49,489 --> 00:09:52,624 - You gonna save a spot for me? I've got four more years. 233 00:09:52,625 --> 00:09:54,660 As long as I'm Chief. 234 00:09:56,196 --> 00:09:58,630 We'd perform a bone resection to clear the infected tissue 235 00:09:58,631 --> 00:10:00,632 then flush the area with antibiotics. 236 00:10:00,633 --> 00:10:02,701 - Bone resection? That'll leave a scar. 237 00:10:02,702 --> 00:10:04,203 We can bring in a plastic surgeon... 238 00:10:04,204 --> 00:10:05,938 If your goal is to clear the infection, 239 00:10:05,939 --> 00:10:07,172 I'm sure there's another way. 240 00:10:07,173 --> 00:10:09,908 Oh, you started the consult already? 241 00:10:09,909 --> 00:10:12,077 You weren't here yet, and he wanted to know the plan. 242 00:10:12,078 --> 00:10:14,280 Did you explain to him that this could lead to sepsis? 243 00:10:14,381 --> 00:10:15,647 Of course. 244 00:10:15,648 --> 00:10:17,282 Sepsis means it could kill you. 245 00:10:17,283 --> 00:10:18,418 I get it. 246 00:10:18,518 --> 00:10:20,953 You are not cutting a hole in my face. 247 00:10:20,954 --> 00:10:22,654 We won't know the extent of the damage 248 00:10:22,655 --> 00:10:23,355 until we go in surgically. 249 00:10:23,356 --> 00:10:24,824 If you can't figure it out, 250 00:10:24,924 --> 00:10:26,659 I'll do my own research. 251 00:10:27,460 --> 00:10:28,961 Seriously? 252 00:10:28,962 --> 00:10:30,262 Please, put the phone down, Mason. 253 00:10:30,263 --> 00:10:32,132 You're not gonna find the solution there. 254 00:10:32,832 --> 00:10:35,567 I'm hesitant to suggest this, 255 00:10:35,568 --> 00:10:36,969 and I don't recommend it 256 00:10:36,970 --> 00:10:40,105 but we could try a stronger round of IV antibiotics 257 00:10:40,106 --> 00:10:42,708 with a needle aspiration and monitor the situation 258 00:10:42,709 --> 00:10:44,843 very closely over the next 12 hours. 259 00:10:44,844 --> 00:10:47,113 As long as you're not cutting into my face. 260 00:10:47,213 --> 00:10:49,548 But you need to understand that it could get worse, 261 00:10:49,549 --> 00:10:53,218 and at that point we would need to revisit the surgical option. 262 00:10:54,721 --> 00:10:56,322 I'll take my chances. 263 00:10:57,023 --> 00:10:58,724 You'd better get an informed refusal. 264 00:10:58,725 --> 00:11:00,125 What's that? 265 00:11:00,126 --> 00:11:02,227 It means you're ignoring sound medical advice 266 00:11:02,228 --> 00:11:03,996 in favor of a much riskier course. 267 00:11:03,997 --> 00:11:05,631 So, it protects you? 268 00:11:05,632 --> 00:11:07,333 That's right, it does. 269 00:11:08,601 --> 00:11:10,736 Appreciate the consult, Dr. Coleman. 270 00:11:10,737 --> 00:11:12,339 We'll page you if anything changes. 271 00:11:17,711 --> 00:11:20,246 - A needle aspiration kit? - Please. 272 00:11:26,019 --> 00:11:27,519 I know this is something 273 00:11:27,520 --> 00:11:28,787 you're not gonna want to talk about, 274 00:11:28,788 --> 00:11:30,622 but are you doing something 275 00:11:30,623 --> 00:11:32,291 to your face to change your appearance? 276 00:11:32,292 --> 00:11:34,426 I already told you it was the barbell. 277 00:11:34,427 --> 00:11:36,896 Now go get whatever forms you need me to sign. 278 00:11:36,996 --> 00:11:40,500 - Mason, we need to... - No more talking. 279 00:11:41,634 --> 00:11:44,637 The truth is, looks is health. 280 00:11:44,738 --> 00:11:46,405 I am going to show you 281 00:11:46,406 --> 00:11:49,642 how to looksmax the real way in 2026, 282 00:11:49,743 --> 00:11:51,443 starting with your jaw. 283 00:11:51,444 --> 00:11:54,513 Dude, you're gorgeous as you are, what are you doing? 284 00:11:54,514 --> 00:11:56,648 Uh, this is about a patient. 285 00:11:56,649 --> 00:11:58,050 Oh, God, one of those incel freaks? 286 00:11:58,051 --> 00:12:00,152 No idea. But it's, it's... 287 00:12:00,153 --> 00:12:01,787 crazy what these looksmaxxers are doing. 288 00:12:01,788 --> 00:12:03,555 My patient's bone-smashing 289 00:12:03,556 --> 00:12:05,090 to give himself a better jawline. 290 00:12:05,091 --> 00:12:07,659 Good thing guys like us don't have to worry about that, right? 291 00:12:07,660 --> 00:12:10,496 Right. Sure. 292 00:12:10,497 --> 00:12:12,065 Anyway, uh, a friend of mine 293 00:12:12,165 --> 00:12:13,533 bailed on the Twins game tonight, 294 00:12:13,633 --> 00:12:15,300 so I got an extra ticket. 295 00:12:15,301 --> 00:12:18,270 Killer seats, dude, like three rows from the dugout. 296 00:12:18,271 --> 00:12:19,672 You down? 297 00:12:19,673 --> 00:12:22,142 Yeah, sure. Absolutely. 298 00:12:22,242 --> 00:12:23,075 Right on. 299 00:12:23,076 --> 00:12:25,944 - The Twins are... baseball, right? 300 00:12:25,945 --> 00:12:27,346 Oh, okay. 301 00:12:27,347 --> 00:12:29,848 Got a lot to teach you. Uh, only thing though. 302 00:12:29,849 --> 00:12:32,084 Uh, I gotta go to this lunch thing today 303 00:12:32,085 --> 00:12:34,286 and I'm kinda behind on some of my patient follow-up. 304 00:12:34,287 --> 00:12:36,789 Can you, uh... 305 00:12:36,790 --> 00:12:38,191 can you do me a solid? 306 00:12:38,792 --> 00:12:40,926 You mean cover for you? 307 00:12:40,927 --> 00:12:42,795 Yeah. I mean, otherwise, we'll never make it out 308 00:12:42,796 --> 00:12:44,430 in time tonight, so... 309 00:12:44,431 --> 00:12:46,565 Um, sure. 310 00:12:46,566 --> 00:12:48,168 Yeah, uh, no problem. 311 00:12:48,268 --> 00:12:50,270 All right. Sick. 312 00:12:51,371 --> 00:12:54,373 I gotta go do this spinal tap with Larsen right now, 313 00:12:54,374 --> 00:12:56,709 but I'll hit you up with the deets later. All right? 314 00:13:01,581 --> 00:13:03,849 We're just waiting. 315 00:13:03,850 --> 00:13:07,853 Yeah, it'll take little while longer. 316 00:13:07,854 --> 00:13:09,955 It's gonna be okay, man. 317 00:13:09,956 --> 00:13:11,890 I'm looking it up. 318 00:13:11,891 --> 00:13:15,127 A spinal tap's not nearly as scary as it sounds. 319 00:13:15,128 --> 00:13:19,733 And this is a great hospital, and these are the best doctors. 320 00:13:19,833 --> 00:13:21,468 All right? 321 00:13:24,104 --> 00:13:27,474 Insert the needle at a slight upward angle, 322 00:13:27,574 --> 00:13:29,375 aiming towards the umbilicus. 323 00:13:29,376 --> 00:13:34,313 Dr. Barker, what does it mean if the CSF comes out cloudy? 324 00:13:34,314 --> 00:13:35,280 Meningitis. 325 00:13:35,281 --> 00:13:37,016 And if it comes up viscous, 326 00:13:37,017 --> 00:13:38,350 Dr. De Silva? 327 00:13:38,351 --> 00:13:39,285 Cancer. 328 00:13:39,386 --> 00:13:41,020 And yellow fluid indicates a brain bleed. 329 00:13:45,892 --> 00:13:47,393 It's clear. 330 00:13:47,394 --> 00:13:49,329 Which means we have no idea what it is. 331 00:13:50,397 --> 00:13:52,765 You did a procedure on her spine for nothing? 332 00:13:52,766 --> 00:13:54,199 No, it was necessary, 333 00:13:54,200 --> 00:13:55,934 and it helped us rule out some things, 334 00:13:55,935 --> 00:13:57,770 but we are gonna need to do more tests. 335 00:13:57,771 --> 00:13:59,773 Does this mean I can't go home? 336 00:13:59,873 --> 00:14:02,142 Not for a little while, yet, Roxie. 337 00:14:03,410 --> 00:14:06,379 How long has your leg been doing that? 338 00:14:07,347 --> 00:14:08,947 I don't know. 339 00:14:08,948 --> 00:14:09,948 Is it from the procedure? 340 00:14:09,949 --> 00:14:11,651 No, no. 341 00:14:14,054 --> 00:14:16,555 Are you feeling hot at all? - No. 342 00:14:16,556 --> 00:14:18,924 And she's all caught up on her vaccines? 343 00:14:18,925 --> 00:14:20,060 Yeah, of course. 344 00:14:20,160 --> 00:14:22,062 Kids need to be 12 months 345 00:14:22,162 --> 00:14:24,064 before they can get their first dose of MMR. 346 00:14:24,164 --> 00:14:27,966 Was she ever sick before she was able to get those shots? 347 00:14:27,967 --> 00:14:30,302 Measles, mumps, rubella? 348 00:14:30,303 --> 00:14:32,671 Yeah. She had a fever a few times, 349 00:14:32,672 --> 00:14:34,340 but nothing serious. 350 00:14:34,341 --> 00:14:35,741 She never had a rash or anything like that. 351 00:14:35,742 --> 00:14:38,477 Measles doesn't always present with a typical rash. 352 00:14:38,478 --> 00:14:41,081 Was she ever around anyone who had it? 353 00:14:41,181 --> 00:14:42,481 No, of course not. 354 00:14:42,482 --> 00:14:44,683 We don't know anyone that ever had it. 355 00:14:44,684 --> 00:14:45,684 Right. 356 00:14:45,685 --> 00:14:46,819 Hazel did. 357 00:14:46,820 --> 00:14:48,253 What? 358 00:14:48,254 --> 00:14:50,924 - Hazel. She, she had the measles. 359 00:14:51,825 --> 00:14:54,560 - When? - She was about two years old. 360 00:14:54,561 --> 00:14:56,061 It was a couple weeks after 361 00:14:56,062 --> 00:14:59,099 that big family reunion at Leech Lake. 362 00:14:59,199 --> 00:15:00,966 That was before Roxie's first birthday. 363 00:15:00,967 --> 00:15:03,169 - So she gave it to Roxie? - No... 364 00:15:03,937 --> 00:15:05,371 Oh my God, this is... 365 00:15:05,372 --> 00:15:07,473 You never had Hazel vaccinated? 366 00:15:07,474 --> 00:15:08,474 No. 367 00:15:08,475 --> 00:15:10,009 So this could be SSPE. 368 00:15:10,010 --> 00:15:11,845 S-what? What the hell is that? 369 00:15:11,945 --> 00:15:13,545 Let's not get ahead of ourselves. 370 00:15:13,546 --> 00:15:15,247 Information is key, 371 00:15:15,248 --> 00:15:18,250 and we just got a little bit more, which is good. 372 00:15:18,251 --> 00:15:20,687 We're just gonna need a little more time. 373 00:15:22,288 --> 00:15:24,289 I'm sorry, Dr. Larsen. 374 00:15:24,290 --> 00:15:26,291 I wanted to make sure you didn't miss it. 375 00:15:26,292 --> 00:15:29,395 If she had measles as a baby it could've developed into SSPE. 376 00:15:29,396 --> 00:15:31,764 Of course I didn't miss it. 377 00:15:31,765 --> 00:15:33,265 That's why I was the asking questions 378 00:15:33,266 --> 00:15:35,401 about measles in the first place. 379 00:15:35,402 --> 00:15:38,003 But SSPE is a death sentence. 380 00:15:38,004 --> 00:15:40,039 We don't give that kind of information 381 00:15:40,040 --> 00:15:42,007 unless we are absolutely sure. 382 00:15:42,008 --> 00:15:43,409 You're right, I'm sorry. 383 00:15:43,410 --> 00:15:44,810 This isn't the first time you've overstepped 384 00:15:44,811 --> 00:15:47,413 in front of a patient or jumped the gun on a diagnosis. 385 00:15:47,414 --> 00:15:49,248 And if we are going to deliver 386 00:15:49,249 --> 00:15:51,250 news like that, there is a... 387 00:15:51,251 --> 00:15:53,752 I can't understand what you're saying, Michael. 388 00:15:56,723 --> 00:15:58,224 - Dr. - Dr. Larsen? 389 00:15:59,526 --> 00:16:02,062 If we're gonna deliver that kind of news, 390 00:16:02,762 --> 00:16:04,530 there is a way to do it. 391 00:16:04,531 --> 00:16:08,167 - I understand. So what do we do next? 392 00:16:08,168 --> 00:16:10,302 For now, we're gonna treat SSPE 393 00:16:10,303 --> 00:16:11,638 as a diagnosis of exclusion, 394 00:16:11,738 --> 00:16:14,174 so let's start excluding. 395 00:16:14,274 --> 00:16:17,910 We will test for every other possible illness 396 00:16:17,911 --> 00:16:20,513 and hope that one of them is the answer. 397 00:16:30,890 --> 00:16:33,792 TJ, your shift ended three hours ago. 398 00:16:33,793 --> 00:16:35,094 Yeah, I'm just catching up. 399 00:16:35,095 --> 00:16:37,062 If you weren't caught up, I'd know. 400 00:16:37,063 --> 00:16:39,064 Right, of course. 401 00:16:39,065 --> 00:16:41,100 You have to be back here at 6:00 AM. 402 00:16:41,101 --> 00:16:42,801 Yeah. I could just crash in the on-call room. 403 00:16:42,802 --> 00:16:44,103 Sure, but I need you fresh. 404 00:16:44,104 --> 00:16:45,705 I am not sleeping much anyway. 405 00:16:45,805 --> 00:16:47,374 Go home. 406 00:16:48,475 --> 00:16:50,676 Tell Jennifer I said, "You're welcome." 407 00:16:50,677 --> 00:16:52,545 Oh. Um... 408 00:16:52,946 --> 00:16:54,814 Jen and I broke up. 409 00:16:55,348 --> 00:16:57,716 Sorry. Are you okay? 410 00:16:57,717 --> 00:16:59,651 Yeah. I'm fine. 411 00:16:59,652 --> 00:17:02,855 You told me last week she was moving in. 412 00:17:02,856 --> 00:17:04,356 She just doesn't get it. 413 00:17:04,357 --> 00:17:06,526 What we need to do to be doctors. 414 00:17:07,093 --> 00:17:09,962 I will go home, be ready for you tomorrow. 415 00:17:09,963 --> 00:17:11,431 Back at it. 416 00:17:14,401 --> 00:17:15,567 Hey. 417 00:17:15,568 --> 00:17:16,836 You're sure you're okay? 418 00:17:16,936 --> 00:17:18,838 Yeah. It's all good. 419 00:17:22,475 --> 00:17:24,377 Yes, I already explained the risks. 420 00:17:24,477 --> 00:17:26,245 The guy needs a psych consult. 421 00:17:26,246 --> 00:17:27,847 The girl's 11 and we're looking at the possibility 422 00:17:27,947 --> 00:17:30,617 of SSPE, I need those labs now. 423 00:17:31,251 --> 00:17:34,286 Fine. Just get them to me as soon as they're ready. 424 00:17:34,287 --> 00:17:35,788 I'm literally standing by. 425 00:17:35,789 --> 00:17:38,524 - No, no. The name's Gamellia. Francis Gamellia. 426 00:17:38,525 --> 00:17:41,027 Yeah, just calling to check on her blood culture. 427 00:17:41,127 --> 00:17:43,563 Kyle. What are you doing? 428 00:17:43,663 --> 00:17:45,832 Oh, I-I-I was, I was just making sure... 429 00:17:45,932 --> 00:17:49,035 I don't remember asking you to check on my patient. 430 00:17:49,135 --> 00:17:52,371 Right. Sorry, I should've... 431 00:17:53,273 --> 00:17:55,141 I'm just doing a favor for Graham. 432 00:17:55,241 --> 00:17:57,009 Graham can handle Graham's work. 433 00:17:57,010 --> 00:17:58,744 I will get the blood culture results. 434 00:17:58,745 --> 00:18:00,312 You get back to your rounds. 435 00:18:00,313 --> 00:18:01,614 Yeah, I understand. 436 00:18:01,715 --> 00:18:02,881 We'll get back to you. 437 00:18:02,882 --> 00:18:05,618 Well, feel free to call Dr. Maitra, he is her patient. 438 00:18:07,687 --> 00:18:10,322 I hope you're not talking to Dr. Grant that way. 439 00:18:10,323 --> 00:18:13,059 - No, uh, Fox. - Still... 440 00:18:13,159 --> 00:18:14,760 - Yeah. Um, non-compliant patient 441 00:18:14,761 --> 00:18:16,529 really getting under my skin. 442 00:18:17,697 --> 00:18:20,933 Hey, I haven't had a chance to check in with you. 443 00:18:20,934 --> 00:18:23,569 How are you doing? With everything? 444 00:18:23,570 --> 00:18:25,739 - You mean moving to Surgery? That's going great. 445 00:18:26,339 --> 00:18:29,909 - I mean with Sonya. - Oh. Yeah. 446 00:18:30,643 --> 00:18:32,344 I mean, it's a lot 447 00:18:32,345 --> 00:18:35,214 so it's understandable if you feel thrown a bit. 448 00:18:35,215 --> 00:18:37,049 Did Sonya ask you to talk to me? 449 00:18:37,050 --> 00:18:38,484 No, no, of course not. 450 00:18:38,485 --> 00:18:39,918 Because it seems like you're pretty involved 451 00:18:39,919 --> 00:18:40,853 in all of this. 452 00:18:40,854 --> 00:18:43,055 - She was scared, TJ. She needed to know 453 00:18:43,056 --> 00:18:44,590 how far along she was. - Yep. 454 00:18:44,591 --> 00:18:46,993 She saved hearing the heartbeat for you. 455 00:18:47,093 --> 00:18:50,362 Listen, I don't think this is the place for any of this, so... 456 00:18:50,363 --> 00:18:52,064 Right. I'm sorry, I... 457 00:18:52,065 --> 00:18:53,832 I have a few patients to attend to. 458 00:18:53,833 --> 00:18:55,769 Some consults, so... 459 00:19:01,374 --> 00:19:02,475 I know I freaked you out... 460 00:19:02,575 --> 00:19:04,844 Clearly, you need to talk to somebody. 461 00:19:13,353 --> 00:19:16,856 She's negative for anti-NMDA encephalitis. 462 00:19:16,956 --> 00:19:18,257 So that's good, right? 463 00:19:18,258 --> 00:19:20,660 It's a process of elimination right now. 464 00:19:20,760 --> 00:19:23,562 The next step would be a cerebral angiogram. 465 00:19:23,563 --> 00:19:24,763 What's that? 466 00:19:24,764 --> 00:19:26,532 We put a catheter into the arteries 467 00:19:26,533 --> 00:19:28,634 that feed her brain and inject dye 468 00:19:28,635 --> 00:19:31,403 so we can see what's going on with the vessels inside. 469 00:19:33,707 --> 00:19:34,973 God, uh... 470 00:19:34,974 --> 00:19:36,508 What are you looking for now? 471 00:19:36,509 --> 00:19:39,978 This would be to eliminate a possible aneurysm 472 00:19:39,979 --> 00:19:41,414 or abnormal blood vessels, 473 00:19:41,514 --> 00:19:43,849 either of which could be causing this. 474 00:19:43,850 --> 00:19:45,251 I know that sounds scary, 475 00:19:45,352 --> 00:19:46,819 but either of those would be treatable. 476 00:19:46,820 --> 00:19:49,288 And if you don't find what you're looking for, then what? 477 00:19:49,289 --> 00:19:51,123 A brain biopsy, 478 00:19:51,124 --> 00:19:52,791 which is extremely invasive, 479 00:19:52,792 --> 00:19:54,660 so we're putting that off as long as possible. 480 00:19:54,661 --> 00:19:56,862 What was the thing that your intern said before, 481 00:19:56,863 --> 00:19:58,030 SS something? 482 00:19:58,031 --> 00:19:59,531 Yeah, I'm sorry about that. 483 00:19:59,532 --> 00:20:01,167 She's only been here a few weeks and, honestly, 484 00:20:01,267 --> 00:20:02,835 she was just trying to impress me. 485 00:20:02,836 --> 00:20:06,038 We're going down much more likely roads right now. 486 00:20:11,144 --> 00:20:13,145 I did the needle aspiration 487 00:20:13,146 --> 00:20:14,880 and the second dose of amp sulbactam 488 00:20:14,881 --> 00:20:15,848 seems to be working, 489 00:20:15,849 --> 00:20:17,883 but he's still non-compliant to surgery 490 00:20:17,884 --> 00:20:19,185 and absolutely resistant 491 00:20:19,285 --> 00:20:21,286 when it comes to talking about any of this. 492 00:20:21,287 --> 00:20:22,688 You did the right thing. 493 00:20:22,689 --> 00:20:25,125 Offering him a less invasive solution. 494 00:20:25,592 --> 00:20:28,461 Let's see if it softened him up a bit to wanna talk now. 495 00:20:28,561 --> 00:20:31,364 Have you ever seen anything like this before? 496 00:20:32,632 --> 00:20:33,767 Nope. 497 00:20:36,302 --> 00:20:38,672 Hi, Mason. I'm Dr. Walker. 498 00:20:38,772 --> 00:20:40,172 Another doctor. 499 00:20:40,173 --> 00:20:43,910 - Call it the deluxe package! Can I sit? 500 00:20:53,153 --> 00:20:55,721 Now, I spoke to Dr. Coleman and Dr. Maitra 501 00:20:55,722 --> 00:20:58,457 and I understand how important it is to not have surgery... 502 00:20:58,458 --> 00:21:00,793 But you're here to talk me into it anyway. 503 00:21:00,794 --> 00:21:01,927 Not at all. 504 00:21:01,928 --> 00:21:03,596 But you need to understand, 505 00:21:03,697 --> 00:21:05,597 depending on the circumstances, 506 00:21:05,598 --> 00:21:08,067 the infection itself could cause the scarring 507 00:21:08,068 --> 00:21:09,969 we're all trying to avoid. 508 00:21:10,870 --> 00:21:14,607 The integrity of the tissue under your jaw is important. 509 00:21:14,708 --> 00:21:17,343 It can cause tethering of the skin as it heals, 510 00:21:17,344 --> 00:21:20,612 which can cause asymmetry or even disfigurement. 511 00:21:20,613 --> 00:21:22,981 Which is why we need to know if there's been prior trauma 512 00:21:22,982 --> 00:21:24,650 to this area and what caused it. 513 00:21:24,651 --> 00:21:26,819 And your facial scans clearly show 514 00:21:26,820 --> 00:21:28,588 it wasn't a barbell. 515 00:21:29,723 --> 00:21:31,825 I've seen this done with fists. 516 00:21:31,925 --> 00:21:33,092 Hammers, even ice picks... 517 00:21:33,093 --> 00:21:35,961 It was a massage gun. Okay? 518 00:21:38,164 --> 00:21:41,835 You take the guard off, and you get more precision. 519 00:21:42,369 --> 00:21:44,970 And that's to undo years of damage? 520 00:21:44,971 --> 00:21:46,972 From sleeping incorrectly? 521 00:21:46,973 --> 00:21:48,273 Bad posture? 522 00:21:48,274 --> 00:21:50,242 Chewing wrong. 523 00:21:51,678 --> 00:21:55,114 Yeah. That's, that's exactly right. 524 00:21:55,115 --> 00:21:56,782 The blunt force creates calluses 525 00:21:56,783 --> 00:21:59,518 and when they heal, the jaw squares out. 526 00:21:59,519 --> 00:22:01,420 Wolff's Law. I'm familiar. 527 00:22:01,421 --> 00:22:03,522 It's just science. 528 00:22:03,523 --> 00:22:06,126 And face shape is a myth. 529 00:22:06,226 --> 00:22:07,994 Can I see some of your research? 530 00:22:15,001 --> 00:22:16,136 Hm. 531 00:22:16,236 --> 00:22:17,871 It's what you're all looking for. 532 00:22:18,405 --> 00:22:20,907 - Who? - Women like you. 533 00:22:21,408 --> 00:22:22,808 I hate to break it to you, 534 00:22:22,809 --> 00:22:25,044 but women like me tend to look for... 535 00:22:25,045 --> 00:22:27,146 women like me. 536 00:22:28,281 --> 00:22:29,114 But I get your point. 537 00:22:29,115 --> 00:22:31,950 Did you know 80 percent of women 538 00:22:31,951 --> 00:22:34,186 only date the top ten percent of men. 539 00:22:34,187 --> 00:22:35,921 Sounds like a high bar. 540 00:22:35,922 --> 00:22:37,690 My last girlfriend? 541 00:22:37,691 --> 00:22:39,659 Total freakin' Becky. 542 00:22:40,193 --> 00:22:41,695 She dumps me. 543 00:22:41,795 --> 00:22:44,730 - Is that when this started? After the break up? 544 00:22:44,731 --> 00:22:48,168 Started? This is how life is. 545 00:22:48,968 --> 00:22:52,339 When you're attractive, everything's easier. 546 00:22:52,439 --> 00:22:53,907 That's just a fact. 547 00:22:58,445 --> 00:23:00,179 Yeah, I think we're done here. 548 00:23:00,180 --> 00:23:02,181 Uh, thanks for the chat. 549 00:23:07,721 --> 00:23:09,755 Dr. Matos, can I pick your brain for a minute? 550 00:23:09,756 --> 00:23:11,858 - If it can wait an hour. I've got a procedure. 551 00:23:11,958 --> 00:23:14,794 Please, the patient's 11 years old. 552 00:23:16,363 --> 00:23:18,465 I'm thinking cardio-embolic TIAs. 553 00:23:18,565 --> 00:23:20,733 There's no vegetation on the valves. 554 00:23:20,734 --> 00:23:24,236 EKG's totally normal, not even arrhythmias. 555 00:23:24,237 --> 00:23:26,605 Plus, head CT is normal. 556 00:23:26,606 --> 00:23:27,941 We are redoing that right now. 557 00:23:28,041 --> 00:23:29,309 I'm sorry, Dr. Larsen, 558 00:23:29,409 --> 00:23:32,712 I have a patient waiting for me and you're grasping at straws. 559 00:23:38,952 --> 00:23:40,587 CT's negative. 560 00:23:41,254 --> 00:23:43,623 Hey! SSPE. 561 00:23:43,723 --> 00:23:45,024 That's what you said right? 562 00:23:45,025 --> 00:23:46,893 - There are so many other... - Just tell me! 563 00:23:46,993 --> 00:23:49,362 Okay? Tell me right now my daughter doesn't have this. 564 00:23:49,462 --> 00:23:50,630 We can't. 565 00:23:50,730 --> 00:23:53,032 But we really don't know anything for sure. 566 00:23:53,033 --> 00:23:56,236 Hey. Sorry, the line in the cafeteria was bananas. 567 00:23:56,336 --> 00:23:58,137 Hey! You did this! 568 00:23:58,138 --> 00:23:59,371 What? 569 00:23:59,372 --> 00:24:00,373 You killed her! 570 00:24:00,473 --> 00:24:01,774 - James! - Security! 571 00:24:01,775 --> 00:24:04,009 - Get off! - Stop, stop! Hey! 572 00:24:04,010 --> 00:24:05,544 - She died? - No! 573 00:24:05,545 --> 00:24:07,413 - Not yet! - Stop, stop! 574 00:24:07,414 --> 00:24:09,149 - Get off me! - Stop it now! 575 00:24:12,118 --> 00:24:13,720 - It's fine. - We got this. 576 00:24:14,521 --> 00:24:16,088 I'm, I'm fine. 577 00:24:16,089 --> 00:24:19,291 - Yeah. You're fine, Kenny! Yeah, you're just fine! 578 00:24:24,197 --> 00:24:27,734 It's kind of a sore subject in the family, you know? 579 00:24:28,368 --> 00:24:31,403 But, I've done my own research. 580 00:24:31,404 --> 00:24:33,572 I've read up on all the issues. 581 00:24:33,573 --> 00:24:36,943 Natural immunity is better than vaccine antibodies. 582 00:24:37,043 --> 00:24:39,279 And these pharmaceutical companies, 583 00:24:39,379 --> 00:24:40,979 they don't want you to know this, but 584 00:24:40,980 --> 00:24:43,883 those vaccines aren't even 100 percent effective. 585 00:24:43,983 --> 00:24:45,318 No, they're not. 586 00:24:45,418 --> 00:24:46,852 But before the vaccine, the measles killed 587 00:24:46,853 --> 00:24:49,155 two million people a year. That's the point. 588 00:24:49,255 --> 00:24:50,823 Vaccines are highly effective, 589 00:24:50,824 --> 00:24:52,425 and they're also a social contract 590 00:24:52,525 --> 00:24:55,128 that we make to protect the weakest among us. 591 00:24:55,228 --> 00:24:58,564 Our most vulnerable. In this case, our babies. 592 00:24:58,565 --> 00:25:00,833 Hazel probably got it from somebody 593 00:25:00,834 --> 00:25:02,301 who chose not to be vaccinated. 594 00:25:02,302 --> 00:25:04,304 I get that. I do. 595 00:25:04,404 --> 00:25:06,906 But, when Hazel got sick. 596 00:25:07,007 --> 00:25:08,174 We isolated her. 597 00:25:08,274 --> 00:25:09,175 I'm sure you did, 598 00:25:09,275 --> 00:25:10,576 but the incubation period 599 00:25:10,577 --> 00:25:12,311 for measles is 14 days. 600 00:25:12,312 --> 00:25:13,712 Hazel would've been contagious 601 00:25:13,713 --> 00:25:15,348 well before she had symptoms. 602 00:25:15,448 --> 00:25:18,451 - But she got better. They both did. 603 00:25:18,551 --> 00:25:20,486 So why is this happening now? 604 00:25:20,487 --> 00:25:23,590 SSPE can lie dormant for up to 30 years. 605 00:25:23,690 --> 00:25:25,959 So you're saying my daughter could get this too? 606 00:25:28,895 --> 00:25:30,296 Yes. 607 00:25:31,064 --> 00:25:32,765 If this is SSPE, 608 00:25:32,766 --> 00:25:35,934 you're telling me there's nothing that you could do? 609 00:25:35,935 --> 00:25:38,071 I'm sorry. No. 610 00:25:47,747 --> 00:25:49,716 Two and a half hours? 611 00:25:50,316 --> 00:25:51,750 I-I am so sorry. 612 00:25:51,751 --> 00:25:53,486 There was this guy that was giving a speech 613 00:25:53,586 --> 00:25:55,187 that was way too long to honor my stepmom, 614 00:25:55,188 --> 00:25:57,022 and he asked me to say something, and uh... 615 00:25:57,023 --> 00:25:59,058 I hope you enjoyed it, because that is the last time 616 00:25:59,059 --> 00:26:01,094 I give you the benefit of any doubt. 617 00:26:02,328 --> 00:26:03,763 Go. Change. 618 00:26:03,863 --> 00:26:06,066 Help Nicki collect blood cultures. 619 00:26:07,233 --> 00:26:08,368 Oh, my stepmom... 620 00:26:08,468 --> 00:26:10,636 she asked me to send her regards. 621 00:26:10,637 --> 00:26:12,171 I mean, you wouldn't remember, 622 00:26:12,172 --> 00:26:14,974 but, uh, you two knew each other pretty well a few years back. 623 00:26:17,143 --> 00:26:18,678 She's a big fan. 624 00:26:24,317 --> 00:26:26,920 Ugh, don't tell me you're checking on me again. 625 00:26:27,020 --> 00:26:29,922 We told you this would require constant monitoring. 626 00:26:29,923 --> 00:26:32,125 I get it, but every 20 minutes? 627 00:26:32,225 --> 00:26:33,225 It's starting to spread. 628 00:26:33,226 --> 00:26:35,128 I thought you said it was getting better? 629 00:26:38,398 --> 00:26:40,299 - I feel crepitus. - Call the OR? 630 00:26:40,300 --> 00:26:41,801 Stat. 631 00:26:41,901 --> 00:26:43,802 No. I told you I'm not doing surgery. 632 00:26:43,803 --> 00:26:45,938 Okay, it can't wait any longer, Mason. 633 00:26:45,939 --> 00:26:47,940 The infection's spreading too fast. 634 00:26:47,941 --> 00:26:50,209 - I don't care. Just try something else! 635 00:26:50,210 --> 00:26:53,679 - It is too late, Mason. You have flesh-eating bacteria. 636 00:26:53,680 --> 00:26:55,447 Do you understand? This will kill you. 637 00:26:55,448 --> 00:26:56,682 I don't believe you. 638 00:26:59,386 --> 00:27:00,854 This is how serious it is. 639 00:27:02,288 --> 00:27:03,989 Okay. Okay, I'll do it. 640 00:27:03,990 --> 00:27:06,725 Just please, can you bring in a plastic surgeon? 641 00:27:06,726 --> 00:27:08,460 You can do that, right? 642 00:27:15,435 --> 00:27:17,603 She's negative for Lafora now. 643 00:27:17,604 --> 00:27:19,004 And she's deteriorating. 644 00:27:19,005 --> 00:27:21,440 We're running out of ideas. 645 00:27:21,441 --> 00:27:23,309 It feels like it's time to... 646 00:27:25,311 --> 00:27:26,813 Amy? 647 00:27:30,717 --> 00:27:33,452 Like it's time for the biopsy. 648 00:27:33,453 --> 00:27:35,020 I don't like it, but I... 649 00:27:35,021 --> 00:27:37,156 High fever, confusion, delirium, 650 00:27:37,157 --> 00:27:39,459 myoclonus, what about toxoplasmosis? 651 00:27:43,329 --> 00:27:44,464 Do you have a cat? 652 00:27:44,564 --> 00:27:46,198 What? 653 00:27:46,199 --> 00:27:48,335 - A cat. - No. 654 00:27:49,102 --> 00:27:51,870 There's a rare infection called toxoplasmosis. 655 00:27:51,871 --> 00:27:53,772 It can come from cat litterboxes. 656 00:27:53,773 --> 00:27:56,008 Well, she was over at Jocelyn's place last week. 657 00:27:56,009 --> 00:27:57,777 Doesn't she have a cat? - I think so. 658 00:27:57,877 --> 00:28:00,012 That could be what's causing this. 659 00:28:00,013 --> 00:28:01,647 If it is, it's good news. 660 00:28:01,648 --> 00:28:03,516 Great. Um, what do we do? 661 00:28:03,616 --> 00:28:05,017 It's a simple blood test. 662 00:28:05,018 --> 00:28:06,752 We'll make sure the lab rushes the results. 663 00:28:06,753 --> 00:28:08,754 We can have them within the hour. 664 00:28:16,229 --> 00:28:17,629 Where's Dr. Coleman? 665 00:28:17,630 --> 00:28:19,165 Good morning, Dr. Larsen. 666 00:28:19,265 --> 00:28:21,634 I think he's still in the on-call room. 667 00:28:21,735 --> 00:28:23,236 He crashed there last night. 668 00:28:24,771 --> 00:28:26,638 Dr. Coleman, you are... 669 00:28:27,807 --> 00:28:30,409 Oh, my God. TJ! 670 00:28:30,410 --> 00:28:33,245 TJ. Hey, wake up. 671 00:28:33,246 --> 00:28:34,279 Wake up! 672 00:28:38,518 --> 00:28:39,519 Hey, it's Amy! It's... 673 00:28:41,788 --> 00:28:43,122 Oh my God. 674 00:28:53,366 --> 00:28:56,802 Ugh, I keep thinking what I could have done differently. 675 00:28:56,803 --> 00:28:59,406 His denial was too strong, Sonya. 676 00:29:00,640 --> 00:29:02,409 We did what we could. 677 00:29:03,843 --> 00:29:06,278 Debriding this area of necrotic tissue now. 678 00:29:15,555 --> 00:29:17,389 Dr. Coleman, irrigate here. 679 00:29:17,390 --> 00:29:20,293 I want this field clear before we go any further. 680 00:29:29,536 --> 00:29:30,970 Give me the bone cutters. 681 00:29:31,805 --> 00:29:35,308 - How far does the infection go? - He's gonna lose half his jaw. 682 00:29:48,288 --> 00:29:51,157 The extent of the damage is worse than we anticipated. 683 00:29:51,257 --> 00:29:52,892 But we were able to clear the infection, 684 00:29:52,992 --> 00:29:55,362 which means there won't be any additional tissue loss. 685 00:29:56,863 --> 00:29:58,631 What will I look like? 686 00:29:59,432 --> 00:30:02,401 The advancements in facial reconstruction 687 00:30:02,402 --> 00:30:04,904 have been incredible over the last few years. 688 00:30:05,005 --> 00:30:06,305 It'll take some time. 689 00:30:06,306 --> 00:30:08,208 But we'll create a treatment plan. 690 00:30:08,308 --> 00:30:10,510 Time? How much? 691 00:30:15,482 --> 00:30:18,351 A year. Maybe two. 692 00:30:19,019 --> 00:30:22,022 - Two... two years?! To recover from a surgery? 693 00:30:22,122 --> 00:30:25,225 It's not just one surgery, Mason. 694 00:30:25,325 --> 00:30:26,493 How many? 695 00:30:28,762 --> 00:30:30,730 Just tell me the truth. 696 00:30:31,131 --> 00:30:33,400 It'll likely be dozens. 697 00:30:36,603 --> 00:30:40,507 I just want to go back to the way I looked before. 698 00:30:51,418 --> 00:30:53,053 Unfortunately, 699 00:30:53,153 --> 00:30:55,688 the toxoplasmosis test came back negative. 700 00:30:55,689 --> 00:30:56,990 Are you sure? 701 00:30:57,657 --> 00:30:59,359 We are. 702 00:31:01,261 --> 00:31:02,429 So now what? 703 00:31:02,796 --> 00:31:05,097 It's time for the brain biopsy. 704 00:31:05,098 --> 00:31:06,933 Does that mean you have to... 705 00:31:07,033 --> 00:31:09,436 Yes. We will take a small bit of brain tissue. 706 00:31:12,939 --> 00:31:14,808 And what will that tell us? 707 00:31:14,908 --> 00:31:17,677 We have eliminated every possible diagnosis 708 00:31:17,777 --> 00:31:18,945 except for two. 709 00:31:19,045 --> 00:31:21,513 The first is an idiopathic encephalitis, 710 00:31:21,514 --> 00:31:25,018 which would resolve with immunotherapy. 711 00:31:26,953 --> 00:31:28,722 And the other? 712 00:31:28,822 --> 00:31:30,323 The SSPE. 713 00:31:33,560 --> 00:31:35,428 Which will kill her... 714 00:31:36,062 --> 00:31:38,697 Slowly in the most horrible way possible. 715 00:31:38,698 --> 00:31:40,033 James! 716 00:31:41,201 --> 00:31:42,335 Sorry. 717 00:31:45,372 --> 00:31:47,706 I can't understand what you're saying, Michael. 718 00:31:48,742 --> 00:31:49,976 This test. 719 00:31:50,377 --> 00:31:52,579 You're presenting it like it's 50-50, 720 00:31:52,679 --> 00:31:53,545 but what is it really? 721 00:31:53,546 --> 00:31:55,748 If she did have measles as a child, 722 00:31:55,749 --> 00:31:58,485 SSPE is far more likely, 723 00:31:58,985 --> 00:32:01,454 but there's still a chance it's not. 724 00:32:03,456 --> 00:32:05,191 Oh my God. 725 00:32:06,126 --> 00:32:08,361 Oh my God, oh my God. 726 00:32:13,299 --> 00:32:15,969 If you'll excuse me for a moment. 727 00:32:22,308 --> 00:32:23,942 What happened in there? 728 00:32:23,943 --> 00:32:26,780 Nothing. You don't need to talk me off the ledge... 729 00:32:26,880 --> 00:32:28,515 Well, I'm not here to do that. 730 00:32:28,615 --> 00:32:30,416 Then go. I'm fine. 731 00:32:30,417 --> 00:32:32,519 Well, sometimes you seem to forget, 732 00:32:32,619 --> 00:32:33,753 I'm Chief of Medicine. 733 00:32:33,853 --> 00:32:35,454 And one of my residents just ran out 734 00:32:35,455 --> 00:32:37,156 in front of a patient's family. 735 00:32:37,157 --> 00:32:39,526 So you need to tell me what's going on. 736 00:32:40,527 --> 00:32:43,797 I had a memory of the night Danny died. 737 00:32:45,498 --> 00:32:47,166 And the funeral. 738 00:32:47,167 --> 00:32:49,301 And.. 739 00:32:49,302 --> 00:32:51,337 It's just... - This is exactly 740 00:32:51,338 --> 00:32:53,340 what I was worried about with you coming back. 741 00:32:53,440 --> 00:32:55,341 It wouldn't matter, Michael. 742 00:32:55,342 --> 00:32:57,310 These memories could happen anywhere. 743 00:32:57,410 --> 00:33:00,347 No, Amy. This case is triggering you. 744 00:33:00,447 --> 00:33:02,182 That is what's making these memories come up. 745 00:33:02,282 --> 00:33:04,651 Well, you're just gonna have to deal with that. 746 00:33:04,751 --> 00:33:05,918 Because I'm not going home 747 00:33:05,919 --> 00:33:08,053 to stare at the wall and wait to heal. 748 00:33:08,054 --> 00:33:09,923 - Right. Right. So we're back to that. 749 00:33:10,023 --> 00:33:12,324 I am still the best doctor 750 00:33:12,325 --> 00:33:14,059 in this department and everyone knows it! 751 00:33:14,060 --> 00:33:15,194 So what is this? 752 00:33:15,195 --> 00:33:17,629 I am trying to figure that out myself! 753 00:33:17,630 --> 00:33:20,432 Well, stop figuring and let me do my job! 754 00:33:28,074 --> 00:33:31,343 - Did I hurt you? - No. 755 00:33:31,344 --> 00:33:33,879 But clearly, you need to talk to somebody. 756 00:33:33,880 --> 00:33:37,349 I know I freaked you out, but it was just a nightmare. 757 00:33:37,350 --> 00:33:39,785 This is your life, TJ, okay? 758 00:33:39,786 --> 00:33:42,354 It's not some mission that needs to be accomplished. 759 00:33:42,355 --> 00:33:44,457 What the hell do you know about my missions? 760 00:33:45,091 --> 00:33:46,625 You're right. I don't know. 761 00:33:46,626 --> 00:33:49,229 All the more reason for you to get some help. 762 00:33:49,329 --> 00:33:50,363 I don't need that. 763 00:33:50,463 --> 00:33:52,097 Look at what's happening to you, TJ. 764 00:33:52,098 --> 00:33:54,366 Everything you are bottling up inside, 765 00:33:54,367 --> 00:33:56,001 it's gonna find a way to come out. 766 00:33:56,002 --> 00:33:57,671 It always does. 767 00:33:59,806 --> 00:34:01,341 I hear you. 768 00:34:01,441 --> 00:34:02,742 And... 769 00:34:04,077 --> 00:34:05,712 I'll think about it. 770 00:34:05,812 --> 00:34:07,113 Okay. 771 00:34:07,213 --> 00:34:09,748 Because I really don't want to hear you say, 772 00:34:09,749 --> 00:34:12,619 "It's all good," again. 773 00:34:14,721 --> 00:34:16,089 I promise. 774 00:34:22,729 --> 00:34:24,998 - This one here? - Yeah. 775 00:34:25,098 --> 00:34:28,335 Hey, who's doing Roxie Kevel's brain biopsy? 776 00:34:51,591 --> 00:34:53,158 How is she? 777 00:34:53,159 --> 00:34:55,294 Uh, the biopsy went well. 778 00:34:55,295 --> 00:34:57,897 No complications and she's stable. 779 00:34:57,997 --> 00:34:59,064 Thank God. 780 00:34:59,065 --> 00:35:00,899 We sent the tissues up to the lab. 781 00:35:00,900 --> 00:35:03,035 Results can take up to 24 hours, 782 00:35:03,036 --> 00:35:04,570 but we pushed them hard, 783 00:35:04,571 --> 00:35:06,638 so hopefully we'll hear something in under 12. 784 00:35:06,639 --> 00:35:08,807 Okay. So now? 785 00:35:08,808 --> 00:35:10,777 We wait. 786 00:35:17,050 --> 00:35:19,184 I can't believe my brother. 787 00:35:19,185 --> 00:35:20,652 Can I speak freely? 788 00:35:20,653 --> 00:35:22,187 Not as a doctor, 789 00:35:22,188 --> 00:35:25,925 just as somebody who's lost a lot in her life. 790 00:35:27,427 --> 00:35:29,662 Yeah. Yeah, go ahead. 791 00:35:31,064 --> 00:35:35,402 Family is a gift we're only given once. 792 00:35:36,302 --> 00:35:37,737 Even when they're at their worst. 793 00:35:37,837 --> 00:35:41,774 And especially when they still want the best for us, 794 00:35:41,775 --> 00:35:44,677 we've got try to find a way to hold on to them. 795 00:35:44,678 --> 00:35:46,546 I can't forgive him. 796 00:35:48,314 --> 00:35:51,116 So don't. Not yet. 797 00:35:51,117 --> 00:35:54,421 Maybe just let him be there for you. 798 00:35:55,522 --> 00:35:57,724 Because you're gonna need each other. 799 00:35:58,925 --> 00:36:00,593 Trust me on this. 800 00:36:04,330 --> 00:36:06,933 Yeah. Thanks. 801 00:36:21,848 --> 00:36:23,115 Hey, man. 802 00:36:23,116 --> 00:36:24,249 Been looking for you. 803 00:36:24,250 --> 00:36:26,518 - Hey! Ready to go? - Uh, yeah. 804 00:36:26,519 --> 00:36:28,287 Uh, I got some bad news, man. 805 00:36:28,288 --> 00:36:30,390 Turns out my buddy is coming to the game tonight, 806 00:36:30,490 --> 00:36:32,591 so I don't have that extra ticket with us. 807 00:36:32,592 --> 00:36:33,793 Oh. Okay. 808 00:36:33,893 --> 00:36:37,262 But I did get you your own seat. Few rows back, but... 809 00:36:37,263 --> 00:36:38,697 Sitting alone? 810 00:36:38,698 --> 00:36:41,133 I mean, I was trying to get you something closer. 811 00:36:42,435 --> 00:36:45,005 Right. Yeah. Uh, 812 00:36:45,105 --> 00:36:47,273 I think I'm just gonna hang back 813 00:36:47,374 --> 00:36:49,041 and get ahead of tomorrow's work. 814 00:36:49,042 --> 00:36:50,877 Thanks anyways. 815 00:36:50,977 --> 00:36:53,278 Yeah. Sure. Rain check. 816 00:36:53,279 --> 00:36:54,914 Dr. Barker. 817 00:36:56,916 --> 00:36:58,752 Catch you tomorrow. 818 00:37:05,658 --> 00:37:08,160 You know what we've been dealing with today, 819 00:37:08,161 --> 00:37:09,896 with Roxie and her parents. 820 00:37:09,996 --> 00:37:11,563 Yeah, yeah, pretty rough. 821 00:37:11,564 --> 00:37:13,900 Yeah. Kyle was on a rough one, too. 822 00:37:14,968 --> 00:37:18,004 And do you know what didn't help me or anyone? 823 00:37:18,571 --> 00:37:20,607 Was your lack of performance. 824 00:37:21,307 --> 00:37:22,308 Excuse me? 825 00:37:22,409 --> 00:37:23,876 I checked the specimen logs 826 00:37:23,877 --> 00:37:25,612 from all the patient labs from earlier. 827 00:37:25,712 --> 00:37:27,981 Mrs. Gettleman, Mr. Wright, Ms. Sparr. 828 00:37:28,081 --> 00:37:30,582 Kyle did them all. - Yeah. Yeah, we swapped favors. 829 00:37:30,583 --> 00:37:32,919 - They're not favors. They're assignments. 830 00:37:33,019 --> 00:37:34,320 Yeah, but when you're on call... 831 00:37:34,421 --> 00:37:36,822 You weren't on call, you were at a luncheon. 832 00:37:36,823 --> 00:37:38,624 I'm sorry. 833 00:37:38,625 --> 00:37:40,059 I didn't realize it was a big deal. 834 00:37:40,060 --> 00:37:41,593 It's all a big deal. 835 00:37:41,594 --> 00:37:44,798 Being a doctor is a big deal. 836 00:37:45,632 --> 00:37:48,335 So, you'll stay late and finish the hand-off list. 837 00:37:48,435 --> 00:37:49,636 Oh, no, I'm done with my list. 838 00:37:49,736 --> 00:37:51,771 - No. Not just yours. Everyone's. 839 00:37:54,174 --> 00:37:55,775 You know, I really wish I could. 840 00:37:56,476 --> 00:37:59,011 I'm just taking a few friends to a ball game, 841 00:37:59,012 --> 00:38:00,747 they're already there, I can't text them the tickets. 842 00:38:00,847 --> 00:38:04,084 It's a whole... moving barcode thing. 843 00:38:04,617 --> 00:38:09,355 Oh. Sorry to interrupt, I didn't realize you were... 844 00:38:09,356 --> 00:38:11,256 I just need a sign-off on Mrs. Gamellia's discharge. 845 00:38:11,257 --> 00:38:12,559 Mm-hm. 846 00:38:13,526 --> 00:38:15,394 To be continued, Graham. 847 00:38:15,395 --> 00:38:17,797 We'll pick this up in the morning. 848 00:38:38,118 --> 00:38:39,853 Hey, Babe. 849 00:38:39,953 --> 00:38:41,187 I can't choose 850 00:38:41,287 --> 00:38:44,423 the father of our child based on what college he went to 851 00:38:44,424 --> 00:38:47,394 or how chiseled his jawline is. 852 00:38:47,894 --> 00:38:49,863 We're not doing that, Gina. 853 00:38:50,697 --> 00:38:53,132 Yeah, we pretty much are. 854 00:38:53,133 --> 00:38:54,501 So... 855 00:38:55,135 --> 00:38:56,870 let's go with your brother. 856 00:39:09,849 --> 00:39:11,284 Hey. 857 00:39:11,818 --> 00:39:14,420 I didn't mean to ambush you earlier. 858 00:39:14,421 --> 00:39:15,655 I know. 859 00:39:16,556 --> 00:39:19,158 - TJ. - Yes? 860 00:39:19,159 --> 00:39:20,959 Your leg's shaking. 861 00:39:20,960 --> 00:39:25,198 Oh, um... Yeah, it does that sometimes. 862 00:39:25,298 --> 00:39:28,068 - When? - I don't know exactly. 863 00:39:29,402 --> 00:39:31,304 Clearly you're stressed. 864 00:39:31,404 --> 00:39:33,907 I have handled a lot more than this. 865 00:39:34,007 --> 00:39:35,741 I know you have. 866 00:39:35,742 --> 00:39:39,978 But I know you, and you always have a plan. 867 00:39:39,979 --> 00:39:43,615 And this isn't... - Improvise, adapt, overcome. 868 00:39:43,616 --> 00:39:45,484 I'm sure that works in battle. 869 00:39:45,485 --> 00:39:47,320 But you are not in battle right now. 870 00:39:47,420 --> 00:39:48,921 That was a joke. 871 00:39:48,922 --> 00:39:50,657 Oh. 872 00:39:51,191 --> 00:39:53,959 I had a memory of us. 873 00:39:53,960 --> 00:39:56,362 And I told you, 874 00:39:56,363 --> 00:39:58,698 you needed to see somebody. 875 00:40:01,101 --> 00:40:02,901 Oh, yeah, that was um, 876 00:40:02,902 --> 00:40:04,771 that was a few days before your accident. 877 00:40:04,871 --> 00:40:07,239 I had a nightmare in the on-call room. 878 00:40:07,240 --> 00:40:08,507 It was a... 879 00:40:08,508 --> 00:40:10,209 a sleepwalking kind of thing. 880 00:40:10,210 --> 00:40:12,211 And did you see someone? 881 00:40:12,212 --> 00:40:13,479 Yeah. 882 00:40:13,480 --> 00:40:16,950 Yeah, I saw a specialist and I sleep great now. 883 00:40:17,050 --> 00:40:18,685 No more nightmares. 884 00:40:20,487 --> 00:40:22,488 I know you're worried about me. 885 00:40:22,489 --> 00:40:24,224 And I appreciate it. 886 00:40:25,225 --> 00:40:26,593 But trust me. 887 00:40:27,927 --> 00:40:29,129 It's all good. 888 00:40:46,379 --> 00:40:49,082 Tough day. - Yeah. 889 00:40:50,383 --> 00:40:52,585 Guess we got our wires crossed a bit. 890 00:40:54,521 --> 00:40:57,290 Maybe you need some space. 891 00:40:57,390 --> 00:40:59,125 To process this. 892 00:41:01,761 --> 00:41:04,030 Maybe just for tonight? 893 00:41:04,898 --> 00:41:07,000 Maybe I get some sleep that way. 894 00:41:08,001 --> 00:41:09,836 Yeah. Sure. 895 00:41:21,014 --> 00:41:22,048 Dr. Maitra. 896 00:41:25,819 --> 00:41:29,155 - You serious? Have a good night. 897 00:41:31,591 --> 00:41:34,627 Um-it... what time is she going to bed? 898 00:41:40,967 --> 00:41:42,601 I just checked in with the lab. 899 00:41:42,602 --> 00:41:43,970 They're gonna let me know 900 00:41:44,070 --> 00:41:46,006 as soon as they have the results. 901 00:41:56,416 --> 00:41:58,051 Do you mind if I wait with you? 902 00:42:35,655 --> 00:42:37,790 This is Dr. Larsen. 903 00:42:37,791 --> 00:42:39,392 We got Roxie's results. 904 00:42:39,492 --> 00:42:40,493 I'm sorry. 905 00:42:40,593 --> 00:42:42,595 It's not the news you wanted.