1 00:00:01,490 --> 00:00:02,023 . 2 00:00:02,524 --> 00:00:03,225 - April. - Huh? 3 00:00:03,258 --> 00:00:05,260 - Cutting board? - Corner cabinet 4 00:00:05,294 --> 00:00:06,295 by the lazy Susan. 5 00:00:06,328 --> 00:00:08,063 - Yeah. - And you still haven't 6 00:00:08,097 --> 00:00:10,232 weighed in on the paint choices that I asked you about. 7 00:00:10,265 --> 00:00:12,234 - Uh, what room is that for again? 8 00:00:12,267 --> 00:00:14,336 - The den. Come on, Tate. 9 00:00:14,369 --> 00:00:15,804 I've been working on this remodel for weeks. 10 00:00:15,837 --> 00:00:17,572 - I know. I know. I'm sorry, babe. 11 00:00:17,606 --> 00:00:20,809 I love that you're making my house our house. 12 00:00:20,842 --> 00:00:23,278 I love that we set a date for the wedding. 13 00:00:23,312 --> 00:00:25,280 - But I'm driving you crazy. - Yep. 14 00:00:25,314 --> 00:00:26,548 - [laughs] - You know what? 15 00:00:26,581 --> 00:00:29,818 Stuck in a house on TB leave-- I get it. 16 00:00:29,851 --> 00:00:31,620 - I mean, I've been trying to keep busy, 17 00:00:31,653 --> 00:00:35,657 'cause when I'm not, I can't help but worry. 18 00:00:36,658 --> 00:00:38,560 - First ultrasound today. 19 00:00:38,593 --> 00:00:40,462 - Yeah. 20 00:00:40,495 --> 00:00:42,397 - It's gonna be perfect. 21 00:00:45,400 --> 00:00:48,470 [chatter, sirens blaring] 22 00:00:58,613 --> 00:01:00,549 - Are you crazy? Where's your jacket? 23 00:01:00,582 --> 00:01:03,518 - Don't need it. I love the crisp winter air. 24 00:01:03,552 --> 00:01:05,387 - Yeah, right. I can see your goose bumps. 25 00:01:05,420 --> 00:01:08,290 - Oh, you mean my pilomotor reflex? 26 00:01:08,323 --> 00:01:10,592 - Oh, good God. [both laugh] 27 00:01:10,625 --> 00:01:12,661 - Anyway, this weather is balmy. 28 00:01:12,694 --> 00:01:14,463 Do you remember that February 29 00:01:14,496 --> 00:01:16,398 when you and Jeff and me and Lisa 30 00:01:16,431 --> 00:01:18,333 we rented that cabin at Lake Mendota? 31 00:01:18,367 --> 00:01:19,668 - Yes. - And then we got hammered 32 00:01:19,701 --> 00:01:21,670 on that box of wine we found in the pantry. 33 00:01:21,703 --> 00:01:23,505 - Which led to the hot tub. 34 00:01:23,538 --> 00:01:24,706 - Which led to you sneaking a peek. 35 00:01:24,739 --> 00:01:28,343 - I did not! Did you? 36 00:01:28,377 --> 00:01:30,479 - No. Course not. 37 00:01:30,512 --> 00:01:32,147 [both laugh] 38 00:01:32,181 --> 00:01:33,515 - You're terrible. 39 00:01:33,548 --> 00:01:35,484 Ugh! [shivers] 40 00:01:35,517 --> 00:01:37,619 Seems like a lifetime ago. 41 00:01:37,652 --> 00:01:40,389 How'd we lose touch for so long? 42 00:01:40,422 --> 00:01:41,723 - I'm not sure. 43 00:01:41,756 --> 00:01:45,160 [sirens wailing] 44 00:01:45,960 --> 00:01:48,163 Life of a med student. Lunch'll wait. 45 00:01:51,600 --> 00:01:54,403 - Ricky Wade, GCS 15, vitals stable. 46 00:01:54,436 --> 00:01:55,704 - You're going to Treatment 4, Dr. Choi. 47 00:01:55,737 --> 00:01:57,406 - Trauma to the left ear with hematoma, 48 00:01:57,439 --> 00:01:58,907 multiple dislocated fingers, 49 00:01:58,940 --> 00:02:00,609 expanding hematoma of the anterior thigh. 50 00:02:00,642 --> 00:02:02,344 Refused the board and collar. 51 00:02:02,377 --> 00:02:03,545 - I'm not a cripple. I could'a walked. 52 00:02:03,578 --> 00:02:04,646 - I know. MMA. Feel no pain, right? 53 00:02:04,679 --> 00:02:06,748 - Any loss of consciousness? Dizziness? 54 00:02:06,781 --> 00:02:08,650 - Hell no. That bitch barely connected. 55 00:02:08,683 --> 00:02:09,918 - Cage doc called the fight. 56 00:02:09,951 --> 00:02:11,220 Said it was a freakin' bloodbath. 57 00:02:11,253 --> 00:02:12,454 - All right. Let's get an IV in him, 58 00:02:12,487 --> 00:02:13,455 then a gram of Ancef. 59 00:02:13,488 --> 00:02:15,457 [alarm beeps] The opponent? 60 00:02:15,490 --> 00:02:16,958 - Yep. You're going to Treatment 3. 61 00:02:16,991 --> 00:02:19,761 - Thanks. - Cyrus Hammad. GCS 15. 62 00:02:19,794 --> 00:02:21,363 Significant swelling to his left eye 63 00:02:21,396 --> 00:02:22,531 and bruising on the right flank. 64 00:02:22,564 --> 00:02:23,632 No loss of consciousness, 65 00:02:23,665 --> 00:02:25,534 but the fight doc wanted to have him looked at anyway. 66 00:02:25,567 --> 00:02:26,735 - You're lucky that doc stopped the fight. 67 00:02:26,768 --> 00:02:28,570 I would've pounded you into a living-- 68 00:02:28,603 --> 00:02:31,940 - Hey! Not in the cage anymore, huh? Give it a rest. 69 00:02:31,973 --> 00:02:33,742 History and physical and a detailed neuro exam. 70 00:02:33,775 --> 00:02:35,444 - Got it. I'll shout if I need you. 71 00:02:35,477 --> 00:02:36,711 - Yeah. 72 00:02:38,713 --> 00:02:40,415 - Excuse me. - Yes? 73 00:02:40,449 --> 00:02:41,983 - I'm looking for my brother, Cyrus Hammad. 74 00:02:42,016 --> 00:02:43,985 - Cheating-ass punks. 75 00:02:44,018 --> 00:02:45,754 What did you do? Grease some palms? 76 00:02:45,787 --> 00:02:47,422 You know your bro was getting his ass beat. 77 00:02:47,456 --> 00:02:48,657 - I'm gonna need security in the ED. 78 00:02:48,690 --> 00:02:50,459 - [grunts] - Dr. Choi! Stop him! 79 00:02:50,492 --> 00:02:54,396 - Come on! Come on! Come on! [all shouting at once] 80 00:02:54,429 --> 00:02:55,530 - Chill out! 81 00:02:55,564 --> 00:02:57,432 - Walk away. 82 00:02:57,466 --> 00:02:58,800 You okay? - Yeah. 83 00:03:00,702 --> 00:03:03,705 [dramatic music] 84 00:03:03,738 --> 00:03:07,509 * 85 00:03:08,910 --> 00:03:12,981 - It's swollen. Let's get some ice on his thigh and hands. 86 00:03:13,014 --> 00:03:15,284 - Had that A-rab eating mat in the first round. 87 00:03:15,317 --> 00:03:16,951 Should'a stomped him into oblivion. 88 00:03:16,985 --> 00:03:19,020 - You've got a lot of blood in your ear, Mr. Wade. 89 00:03:19,053 --> 00:03:20,822 I need to release the pressure around the cartilage 90 00:03:20,855 --> 00:03:21,890 or it will cauliflower. 91 00:03:21,923 --> 00:03:23,725 - Skip the lido. 92 00:03:23,758 --> 00:03:25,827 Last thing I need's a mile-long hospital bill. 93 00:03:25,860 --> 00:03:28,530 - You're gonna feel it. You sure? 94 00:03:29,631 --> 00:03:31,266 Suit yourself. 95 00:03:35,304 --> 00:03:36,971 - [yells] 96 00:03:37,005 --> 00:03:38,907 Damn it, that hurts like a mother. 97 00:03:38,940 --> 00:03:39,774 [Ricky yelling] 98 00:03:39,808 --> 00:03:41,743 - Bastard was all about cheap shots. 99 00:03:41,776 --> 00:03:44,779 - Towel head. What do you expect? 100 00:03:44,813 --> 00:03:47,616 [grunting, breathing heavily] 101 00:03:47,649 --> 00:03:48,917 - Gonna put a dressing on the ear 102 00:03:48,950 --> 00:03:50,852 and get a CT head and face. 103 00:03:50,885 --> 00:03:52,587 Also some X-rays of the hands. 104 00:04:00,895 --> 00:04:02,331 What have we got? 105 00:04:02,364 --> 00:04:04,065 - Moderate swelling in his left orbit, 106 00:04:04,098 --> 00:04:05,099 probable fracture. 107 00:04:05,133 --> 00:04:08,069 - Inbreds. Always go for the low-hanging fruit. 108 00:04:08,102 --> 00:04:10,539 - Elbow strike? 109 00:04:10,572 --> 00:04:11,840 - Hammerfist. 110 00:04:11,873 --> 00:04:14,609 Sounds bad. I know. But it was a legal shot. 111 00:04:15,910 --> 00:04:17,646 [pained breathing] 112 00:04:17,679 --> 00:04:19,080 - May have a couple fractured ribs. 113 00:04:19,113 --> 00:04:21,550 - CT orbits and facial bones to start, 114 00:04:21,583 --> 00:04:22,817 chest X-ray for the ribs? 115 00:04:22,851 --> 00:04:25,320 - Thanks. 116 00:04:25,354 --> 00:04:27,822 - [indistinct] 117 00:04:27,856 --> 00:04:29,558 I should hit up Rasheed. 118 00:04:29,591 --> 00:04:30,925 Get these jackasses in the parking lot, 119 00:04:30,959 --> 00:04:32,361 show them how the towel heads do it. 120 00:04:32,394 --> 00:04:34,095 - Aamir, let it go. 121 00:04:34,128 --> 00:04:35,997 - This is why you fight, Cyrus. 122 00:04:36,030 --> 00:04:37,566 - Not anymore. 123 00:04:37,599 --> 00:04:39,033 You can't control ignorance, 124 00:04:39,067 --> 00:04:41,370 only how you react. 125 00:04:41,403 --> 00:04:44,072 Surah Al shura verse 40. 126 00:04:44,105 --> 00:04:47,342 [speaking Arabic] 127 00:05:01,656 --> 00:05:03,124 - Scans may take a while. 128 00:05:03,157 --> 00:05:05,627 Moving around's gonna hurt like hell. 129 00:05:05,660 --> 00:05:07,028 How's a bit of morphine sound? 130 00:05:07,061 --> 00:05:08,897 - Like heaven. 131 00:05:15,670 --> 00:05:18,139 - Findings showed that people with higher confidence tend 132 00:05:18,172 --> 00:05:20,375 to use open, expansive postures. 133 00:05:20,409 --> 00:05:23,044 - Sure. Runner crosses the finish line, 134 00:05:23,077 --> 00:05:24,879 throw their hands up in victory. 135 00:05:24,913 --> 00:05:28,049 - Exactly. Conversely, those who are timid or defensive 136 00:05:28,082 --> 00:05:29,651 make themselves small. 137 00:05:29,684 --> 00:05:30,952 They'll slouch in their seats, 138 00:05:30,985 --> 00:05:32,421 cross their arms, their legs, 139 00:05:32,454 --> 00:05:34,956 and actually what is really cool is, um-- 140 00:05:34,989 --> 00:05:36,658 - Hey. How you guys doing? 141 00:05:36,691 --> 00:05:38,393 - Good, good. - So far, so good. 142 00:05:38,427 --> 00:05:40,729 You know, just another day. 143 00:05:42,664 --> 00:05:45,934 Um, so, dinner tonight? Our usual spot? 144 00:05:45,967 --> 00:05:48,036 - You got it. - Good. 145 00:05:49,504 --> 00:05:51,039 Bye. 146 00:05:53,742 --> 00:05:55,376 - I will catch you guys later. 147 00:05:57,078 --> 00:05:59,414 - [clears throat loudly] 148 00:05:59,448 --> 00:06:01,015 Crossed arms. 149 00:06:01,049 --> 00:06:02,751 - What? - Crossed arms. 150 00:06:04,185 --> 00:06:06,688 Sorry. - Hey, Daniel? 151 00:06:06,721 --> 00:06:10,492 I need you to evaluate a potential organ recipient 152 00:06:10,525 --> 00:06:14,195 to see if she's a candidate for transplant. 153 00:06:14,228 --> 00:06:17,999 Her name's Meghan Scott. LVAD. Still in SICU. 154 00:06:18,032 --> 00:06:19,934 I know it's delicate, 155 00:06:19,968 --> 00:06:23,171 but if you could get it back to me by the end of the day? 156 00:06:23,204 --> 00:06:24,673 - I will do my very best. 157 00:06:24,706 --> 00:06:27,041 - Thank you. 158 00:06:27,075 --> 00:06:29,143 - Yeah. For two at 8:00 p.m. 159 00:06:29,177 --> 00:06:31,079 Great. Thank you. 160 00:06:32,246 --> 00:06:34,148 - Look at you, all smiles. 161 00:06:34,182 --> 00:06:35,684 Hot date? 162 00:06:35,717 --> 00:06:37,486 - Surprise date. - Oh, shh. 163 00:06:37,519 --> 00:06:39,954 - I'm taking Nina to this French restaurant on Monroe, 164 00:06:39,988 --> 00:06:41,523 Cochon Volant Brasserie. - Nice. 165 00:06:41,556 --> 00:06:43,758 - Actually, it's Cochon Volant Brasserie. 166 00:06:44,993 --> 00:06:46,160 - Dr. Stohl. 167 00:06:46,194 --> 00:06:48,029 - Personally, I prefer Alinea. 168 00:06:48,062 --> 00:06:51,099 It's American molecular gastronomy at its finest. 169 00:06:51,132 --> 00:06:53,702 Highly ranked on the S.Pelligrino list. 170 00:06:53,735 --> 00:06:56,004 - Didn't realize you were back from your sabbatical already. 171 00:06:56,037 --> 00:06:57,238 - Or that you spoke French. 172 00:06:57,271 --> 00:06:58,840 - Enough to get by. 173 00:07:02,143 --> 00:07:03,812 - Something I can do for you, Dr. Stohl? 174 00:07:03,845 --> 00:07:06,180 - My "sabbatical" was 175 00:07:06,214 --> 00:07:08,983 a World Health Organization assignment. 176 00:07:09,017 --> 00:07:11,986 I advised nongovernmental emergency medical teams 177 00:07:12,020 --> 00:07:16,157 on how best to respond and treat SODs. 178 00:07:16,190 --> 00:07:19,093 Sudden Onset Disasters. 179 00:07:19,127 --> 00:07:21,262 We should sit down and talk about it. 180 00:07:21,295 --> 00:07:23,532 - Sure. Sounds great. 181 00:07:27,769 --> 00:07:29,170 - Who is that? 182 00:07:29,203 --> 00:07:31,172 - The troll. 183 00:07:31,205 --> 00:07:33,842 - Our beloved Chief of Emergency Medicine. 184 00:07:33,875 --> 00:07:35,076 - Okay. 185 00:07:35,109 --> 00:07:37,111 - Talk about sudden onset disasters. 186 00:07:38,146 --> 00:07:40,281 - I've been sober almost three years. 187 00:07:40,314 --> 00:07:42,584 It's--it's not been easy. 188 00:07:42,617 --> 00:07:45,086 Temptation never really goes away. 189 00:07:45,119 --> 00:07:46,988 - But you've done it, Mom. 190 00:07:47,021 --> 00:07:49,123 - Um, you been going to meetings? 191 00:07:49,157 --> 00:07:52,160 - Alcoholics Anonymous? I tried, 192 00:07:52,193 --> 00:07:55,029 but the endless talk about hitting rock bottom-- 193 00:07:55,063 --> 00:07:57,298 I know it's supposed to be cathartic, 194 00:07:57,331 --> 00:08:01,536 but it just put me in a worse mental space. 195 00:08:01,570 --> 00:08:04,205 - So, no meetings, no therapy. 196 00:08:04,238 --> 00:08:07,542 Um, any relapses? 197 00:08:07,576 --> 00:08:10,779 Wow. Well, it's remarkable that you've been able to stay sober. 198 00:08:10,812 --> 00:08:11,813 Congratulations. 199 00:08:11,846 --> 00:08:13,181 - Thank you. 200 00:08:14,215 --> 00:08:15,617 - I--I started meditating 201 00:08:15,650 --> 00:08:20,021 and setting small, achievable goals, 202 00:08:20,054 --> 00:08:21,823 and of course, Bria. 203 00:08:22,924 --> 00:08:26,194 - The crew Mom used to hang with-- 204 00:08:26,227 --> 00:08:28,797 I helped her see they were bad influences. 205 00:08:28,830 --> 00:08:30,031 She dropped them all. 206 00:08:30,064 --> 00:08:32,200 No more bars, nightlife. 207 00:08:33,334 --> 00:08:36,270 She's a homebody now. 208 00:08:36,304 --> 00:08:39,574 - It's senior year. Must be nice to have Mom home more. 209 00:08:39,608 --> 00:08:42,243 - Is college in the picture? - Yes. 210 00:08:42,276 --> 00:08:44,145 But not right away. 211 00:08:44,178 --> 00:08:47,115 - We've agreed I'd take a year off before applying. 212 00:08:48,082 --> 00:08:51,119 - [coughing] 213 00:08:52,353 --> 00:08:53,822 I'm sorry. 214 00:08:53,855 --> 00:08:55,289 A bit parched. 215 00:09:00,328 --> 00:09:04,833 I just--I just want this to be over. 216 00:09:04,866 --> 00:09:08,102 - It's just important that you understand that... 217 00:09:08,136 --> 00:09:10,872 this would be a life-changing event, the surgery, 218 00:09:10,905 --> 00:09:14,242 and could really shake up your and Bria's routine, 219 00:09:14,275 --> 00:09:16,911 so it's very important that you-- 220 00:09:16,945 --> 00:09:18,913 you have a postsurgical plan in place. 221 00:09:18,947 --> 00:09:21,382 - I plan to keep doing what I've been doing. 222 00:09:21,415 --> 00:09:23,284 Going solo has worked. 223 00:09:24,418 --> 00:09:26,621 I need to make sure it keeps working. 224 00:09:33,327 --> 00:09:35,196 - What's the status with the room change, Maggie? 225 00:09:35,229 --> 00:09:37,265 These guys next-door to each other are like napalm. 226 00:09:37,298 --> 00:09:39,200 - I'm working on it, Dr. Choi. 227 00:09:39,233 --> 00:09:40,935 - Thanks. 228 00:09:48,242 --> 00:09:50,879 Hey, man. Where you headed? 229 00:09:50,912 --> 00:09:52,714 - [sighs] To grab a pop. 230 00:09:52,747 --> 00:09:56,217 - Vending machine's in the waiting room, that way. 231 00:09:56,250 --> 00:09:57,952 - So that's how it's gonna be? 232 00:09:59,721 --> 00:10:01,289 Whatever. 233 00:10:08,697 --> 00:10:11,299 - Hey, don't let those ass-wipes get to you. 234 00:10:11,332 --> 00:10:13,434 Just trying to be tough guys. 235 00:10:13,467 --> 00:10:15,269 - No, Jeff. 236 00:10:15,303 --> 00:10:16,671 It goes deeper. 237 00:10:18,472 --> 00:10:22,176 Not many families with the last name Choi where I grew up. 238 00:10:22,210 --> 00:10:23,945 Know the type all too well. 239 00:10:27,949 --> 00:10:30,251 - Dr. Manning, you're going to Trauma 3. 240 00:10:30,284 --> 00:10:32,954 - Got it. - Ted Baylor. 21-year-old male. 241 00:10:32,987 --> 00:10:34,255 Friends found him in his dorm room 242 00:10:34,288 --> 00:10:36,357 hooked up to the Xbox and unresponsive. 243 00:10:36,390 --> 00:10:38,993 Gave him fluids and oxygen in the field. 244 00:10:39,027 --> 00:10:41,329 - Glucose level? - Blood sugar's 800. 245 00:10:41,362 --> 00:10:42,263 - That's sky-high. 246 00:10:42,296 --> 00:10:43,998 - See the train kept rolling without me. 247 00:10:44,032 --> 00:10:46,267 - Yep. Welcome back. We missed you. 248 00:10:48,002 --> 00:10:49,771 - All right. On my count. 249 00:10:49,804 --> 00:10:51,672 One, two, three. 250 00:10:54,008 --> 00:10:56,044 - Mr. Baylor? Mr. Baylor? 251 00:10:56,077 --> 00:10:57,746 He's out. Sternal? - Yep. 252 00:11:00,314 --> 00:11:01,182 - There he is. 253 00:11:01,215 --> 00:11:03,184 Mr. Baylor, do you know where you are? 254 00:11:03,217 --> 00:11:04,252 - Hospital. 255 00:11:04,285 --> 00:11:07,421 - Okay. He's able to speak and protect his airway. 256 00:11:07,455 --> 00:11:09,357 - Good breath sounds. Lungs are clear. 257 00:11:09,390 --> 00:11:11,192 - Maintaining oxygen saturation. 258 00:11:11,225 --> 00:11:12,360 - All right, let's keep him on the O2, 259 00:11:12,393 --> 00:11:13,461 bolus another liter of fluid, 260 00:11:13,494 --> 00:11:14,729 and start an insulin drip. 261 00:11:14,763 --> 00:11:15,997 - Labs? 262 00:11:16,030 --> 00:11:17,298 - What do you think? 263 00:11:17,331 --> 00:11:19,300 - Likely diabetic ketoacidosis, 264 00:11:19,333 --> 00:11:21,335 so, CBC, CMP, VBG, 265 00:11:21,369 --> 00:11:24,372 hemoglobin, A1-C, and another Accu-Chek. 266 00:11:24,405 --> 00:11:27,341 For cardiac, troponin and an EKG. 267 00:11:27,375 --> 00:11:29,043 - Nice job. 268 00:11:32,013 --> 00:11:33,447 [alarm sounding] - Help! Help! 269 00:11:33,481 --> 00:11:34,515 Something's wrong! 270 00:11:34,548 --> 00:11:36,417 - I got it. What happened? 271 00:11:36,450 --> 00:11:38,386 [alarm sounding] 272 00:11:38,419 --> 00:11:39,453 What happened? 273 00:11:39,487 --> 00:11:41,455 - He was talking, and then his eyes rolled back. 274 00:11:41,489 --> 00:11:43,224 I--I don't-- 275 00:11:43,257 --> 00:11:45,093 - Get a [indistinct] right away. 276 00:11:45,126 --> 00:11:46,527 - Got a pulse, but he can't protect his airway. 277 00:11:46,560 --> 00:11:47,996 - We need to intubate. Draw up meds. 278 00:11:48,029 --> 00:11:50,464 20 of etomidate, 100 of sux. 279 00:11:50,498 --> 00:11:53,034 - Is he gonna be okay? - We'll see. 280 00:11:53,067 --> 00:11:56,037 [dramatic music] 281 00:11:56,070 --> 00:11:58,339 * 282 00:11:58,372 --> 00:12:00,108 Hold the meds. 283 00:12:00,141 --> 00:12:03,077 Don't need them. No gag reflex. 284 00:12:03,111 --> 00:12:05,046 I'm in. Bag him. 285 00:12:05,079 --> 00:12:07,415 Let's get an OG tube down to decompress his stomach. 286 00:12:07,448 --> 00:12:09,350 [respirations] 287 00:12:09,383 --> 00:12:11,319 - Pupil's blown. - Must have a head bleed. 288 00:12:11,352 --> 00:12:13,487 Page neurosurgery. We need a stat head CT. 289 00:12:31,205 --> 00:12:31,339 . 290 00:12:31,672 --> 00:12:32,974 - Hi. 291 00:12:33,007 --> 00:12:34,809 - Dr. Manning, I presume? 292 00:12:34,843 --> 00:12:36,845 - [chuckles] - I know. Corny. 293 00:12:36,878 --> 00:12:40,214 - A little. But making jokes? Feeling better? 294 00:12:40,248 --> 00:12:41,215 - Compared to before? 295 00:12:41,249 --> 00:12:44,886 I mean, it still feels like I got hit by a truck. 296 00:12:44,919 --> 00:12:46,220 What happened? 297 00:12:46,254 --> 00:12:48,222 - Your body wasn't producing enough insulin 298 00:12:48,256 --> 00:12:49,924 to control your blood sugar, 299 00:12:49,958 --> 00:12:51,960 so it spiked and it knocked you out. 300 00:12:51,993 --> 00:12:54,228 - Is it diabetes? - Yes. 301 00:12:54,262 --> 00:12:55,396 - Ugh. 302 00:12:55,429 --> 00:12:57,131 - But the crisis period is over. 303 00:12:57,165 --> 00:13:00,869 Your blood sugar levels are improving. 304 00:13:00,902 --> 00:13:02,971 - [grunts] 305 00:13:03,004 --> 00:13:04,906 - You okay? 306 00:13:04,939 --> 00:13:06,908 - It's just a little tender. 307 00:13:06,941 --> 00:13:08,509 - Do you mind if I take a look? 308 00:13:14,248 --> 00:13:15,884 - Oh! 309 00:13:15,917 --> 00:13:17,251 - Pain scale, one to ten? 310 00:13:17,285 --> 00:13:18,419 - 12. 311 00:13:18,452 --> 00:13:20,454 - Okay. 312 00:13:20,488 --> 00:13:22,123 How long has your stomach been hurting? 313 00:13:22,156 --> 00:13:23,457 - A few days. 314 00:13:23,491 --> 00:13:25,159 I mean, it's winter break. 315 00:13:25,193 --> 00:13:29,463 Just more cheap beer and pizza than usual. 316 00:13:29,497 --> 00:13:31,132 I figured it was just indigestion. 317 00:13:31,165 --> 00:13:32,934 Is it the diabetes? 318 00:13:34,202 --> 00:13:36,437 - No. 319 00:13:36,470 --> 00:13:38,072 Gallstones. 320 00:13:40,141 --> 00:13:42,143 I would like to run some additional blood tests 321 00:13:42,176 --> 00:13:43,444 and get an MRCP, 322 00:13:43,477 --> 00:13:45,980 a more detailed scan of your stomach, okay? 323 00:13:46,014 --> 00:13:47,481 - Mm-hmm. - Is there anyone 324 00:13:47,515 --> 00:13:48,917 I can call for you? 325 00:13:48,950 --> 00:13:50,151 - No. My dad's on his way. 326 00:13:50,184 --> 00:13:51,185 - All right. 327 00:13:51,219 --> 00:13:53,554 - He had them. 328 00:13:53,587 --> 00:13:55,456 Gallstones. 329 00:13:55,489 --> 00:13:57,892 They're a fat person's problem, aren't they? 330 00:13:57,926 --> 00:14:00,228 - They are often tied to obesity. 331 00:14:00,261 --> 00:14:02,030 Diabetes as well. 332 00:14:02,063 --> 00:14:03,898 But, you know, with lifestyle changes, 333 00:14:03,932 --> 00:14:05,466 these things are manageable. 334 00:14:05,499 --> 00:14:08,502 - You mean like diet and exercise? 335 00:14:08,536 --> 00:14:10,004 - You're only 21. 336 00:14:10,038 --> 00:14:11,239 It'd be easier than you think. 337 00:14:11,272 --> 00:14:13,174 I'll be back shortly. 338 00:14:17,111 --> 00:14:18,246 - [sighs] 339 00:14:18,279 --> 00:14:21,515 [saw buzzing] 340 00:14:23,017 --> 00:14:30,091 * 341 00:14:37,631 --> 00:14:39,233 - Massive hemorrhaging in his brain. 342 00:14:39,267 --> 00:14:41,569 Trying to get the swelling under control. 343 00:14:41,602 --> 00:14:43,604 - Decompressive craniectomy. 344 00:14:43,637 --> 00:14:45,974 Opening up the skull should relieve the pressure. 345 00:14:46,007 --> 00:14:47,275 - Yeah, but right before they put him under, 346 00:14:47,308 --> 00:14:49,110 he had a Cushing's reflex. 347 00:14:49,143 --> 00:14:50,278 Dropped his heart rate, 348 00:14:50,311 --> 00:14:52,947 and his BP went through the roof. 349 00:14:52,981 --> 00:14:54,348 - Hang in, man. 350 00:15:01,089 --> 00:15:03,124 [indistinct chatter] 351 00:15:05,359 --> 00:15:07,228 - Mm-hmm. Yeah. 352 00:15:09,363 --> 00:15:11,532 All right, I'll check. 353 00:15:11,565 --> 00:15:13,201 Sure. Uh-huh. 354 00:15:15,669 --> 00:15:18,006 - Everything okay? 355 00:15:18,039 --> 00:15:20,341 - Yeah. Why wouldn't it be? 356 00:15:20,374 --> 00:15:23,011 - So, uh-- so, Meghan Scott. 357 00:15:23,044 --> 00:15:26,280 - I got to say I have some reservations. 358 00:15:26,314 --> 00:15:28,616 - But she's three years sober and committed to staying clean. 359 00:15:28,649 --> 00:15:31,319 - Yeah. Without a plan or strategy to avoid relapse. 360 00:15:31,352 --> 00:15:34,322 Addiction is never conquered. Only managed. 361 00:15:34,355 --> 00:15:36,624 - But she's got a support system in her daughter. 362 00:15:36,657 --> 00:15:38,092 Bria's involved. 363 00:15:38,126 --> 00:15:39,260 - Maybe too involved. 364 00:15:39,293 --> 00:15:40,995 I mean, by delaying college, 365 00:15:41,029 --> 00:15:43,164 she is valuating her mother's life over her own, 366 00:15:43,197 --> 00:15:45,299 and as admirable as that may seem, 367 00:15:45,333 --> 00:15:46,634 it just doesn't tend to last. 368 00:15:46,667 --> 00:15:49,003 - Meghan's sick. It makes sense 369 00:15:49,037 --> 00:15:50,204 that she'd want to take care of her. 370 00:15:50,238 --> 00:15:54,308 - There's a very fine line between a healthy support system 371 00:15:54,342 --> 00:15:56,044 and an unhealthy dependence. 372 00:15:56,077 --> 00:15:58,579 I mean, did you see during the evaluation 373 00:15:58,612 --> 00:16:02,316 Meghan needed her daughter's help to reach a glass of water 374 00:16:02,350 --> 00:16:06,254 that was literally right in front of her? 375 00:16:06,287 --> 00:16:08,189 Look, it's a gut-wrenching process, 376 00:16:08,222 --> 00:16:10,358 and we just have to remember 377 00:16:10,391 --> 00:16:13,594 that we give Meghan a heart, 378 00:16:13,627 --> 00:16:16,064 we could be denying one to somebody who is 379 00:16:16,097 --> 00:16:17,398 just as deserving 380 00:16:17,431 --> 00:16:19,633 and might have a better chance of success. 381 00:16:19,667 --> 00:16:23,237 - So Meghan's a no? 382 00:16:23,271 --> 00:16:24,338 - No, I didn't say that. 383 00:16:24,372 --> 00:16:27,208 I just-- 384 00:16:27,241 --> 00:16:29,143 I just want to sit with it a little longer. 385 00:16:30,378 --> 00:16:32,213 - Okay. 386 00:16:34,415 --> 00:16:36,184 - That gallbladder's really inflamed. 387 00:16:36,217 --> 00:16:37,351 It's full of stones. 388 00:16:37,385 --> 00:16:38,619 But it doesn't look like any have dropped 389 00:16:38,652 --> 00:16:39,720 into the common bile duct. 390 00:16:39,753 --> 00:16:42,056 - Oh, but it's only a matter of time before one does 391 00:16:42,090 --> 00:16:43,257 and causes a major obstruction. 392 00:16:43,291 --> 00:16:44,192 - Right. 393 00:16:44,225 --> 00:16:46,394 Well, play it safe, remove the gallbladder? 394 00:16:46,427 --> 00:16:48,362 - Yes, except his latest labs. 395 00:16:48,396 --> 00:16:51,199 Calcium's low. Amylase, lipase, white cells 396 00:16:51,232 --> 00:16:53,167 are all through the roof. 397 00:16:53,201 --> 00:16:55,269 - Gallstone pancreatitis. Man. 398 00:16:55,303 --> 00:16:57,671 - The swelling is really bad. 399 00:16:57,705 --> 00:16:59,340 [sighs] 400 00:17:00,408 --> 00:17:03,277 Right now I think we should up his IV fluids 401 00:17:03,311 --> 00:17:05,413 and start a course of IV nutrition. 402 00:17:05,446 --> 00:17:06,714 - Should buy him a few days, 403 00:17:06,747 --> 00:17:08,249 give his pancreas time to cool off. 404 00:17:08,282 --> 00:17:09,717 Good idea. - Good. 405 00:17:11,419 --> 00:17:13,154 - What does this mean? 406 00:17:13,187 --> 00:17:16,724 His pupils are nonreactive? 407 00:17:18,492 --> 00:17:20,361 - The bleeding in Cyrus's brain 408 00:17:20,394 --> 00:17:22,263 has caused significant injury. 409 00:17:22,296 --> 00:17:25,399 Despite the surgeon's best efforts, 410 00:17:25,433 --> 00:17:28,669 Cyrus has slipped into a persistent vegetative state. 411 00:17:28,702 --> 00:17:30,404 - A coma? 412 00:17:35,309 --> 00:17:38,146 - But he can wake up, no? 413 00:17:38,179 --> 00:17:39,380 It's possible? 414 00:17:42,183 --> 00:17:44,452 - I'm sorry, but it's more likely he stays like this 415 00:17:44,485 --> 00:17:46,287 or devolves to brain death. 416 00:17:47,721 --> 00:17:49,357 - That referee-- 417 00:17:49,390 --> 00:17:51,125 he should've stopped the fight earlier. 418 00:17:51,159 --> 00:17:52,025 Cyrus was dominant. 419 00:17:52,059 --> 00:17:55,296 - The crowd-- they cheered for blood. 420 00:17:55,329 --> 00:17:59,200 They wanted to see the Muslim boy get killed. 421 00:17:59,233 --> 00:18:02,203 [somber music] 422 00:18:02,236 --> 00:18:09,310 * 423 00:18:15,383 --> 00:18:17,351 - Hey. - Hey. 424 00:18:17,385 --> 00:18:20,388 Oh! [laughs] All bundled up? 425 00:18:20,421 --> 00:18:23,391 You--you realize your pilomotor reflex is 426 00:18:23,424 --> 00:18:24,825 the first step towards frostbite? 427 00:18:24,858 --> 00:18:25,959 - Yeah. Something like that. 428 00:18:25,993 --> 00:18:28,729 - So you know, I've been sitting on this for a while now, 429 00:18:28,762 --> 00:18:31,365 and, uh, it might sound silly, 430 00:18:31,399 --> 00:18:34,368 but I believe if couples are good travel partners, 431 00:18:34,402 --> 00:18:38,272 then they have what it takes to have a future. 432 00:18:39,240 --> 00:18:40,374 So what do you think? 433 00:18:40,408 --> 00:18:43,811 New Orleans? Drinks, food, music. 434 00:18:48,249 --> 00:18:50,251 - I-- [clears throat] 435 00:18:50,284 --> 00:18:53,287 "I sometimes imagine it was the other way around: 436 00:18:53,321 --> 00:18:56,757 that Lisa was your wife and Natalie was mine." 437 00:18:56,790 --> 00:18:58,226 - What are you talking about? 438 00:18:58,259 --> 00:19:00,461 - I said that to Jeff. 439 00:19:00,494 --> 00:19:01,562 That's why we all lost touch. 440 00:19:01,595 --> 00:19:03,464 He didn't want us to hang out anymore. 441 00:19:04,598 --> 00:19:06,534 - I don't understand. 442 00:19:06,567 --> 00:19:08,802 - Right when Lisa and I started to go sideways, 443 00:19:08,836 --> 00:19:11,239 you and Jeff met me out at Twin Anchors 444 00:19:11,272 --> 00:19:12,506 for moral support. 445 00:19:12,540 --> 00:19:14,308 - Yeah. I remember. 446 00:19:14,342 --> 00:19:16,310 - You were up at the bar ordering a round, 447 00:19:16,344 --> 00:19:18,312 and I was looking at you, and I just said it. 448 00:19:18,346 --> 00:19:20,414 - Why? 449 00:19:20,448 --> 00:19:22,416 - 'Cause my marriage was falling apart 450 00:19:22,450 --> 00:19:23,251 and I was a little bit drunk, 451 00:19:23,284 --> 00:19:26,587 and right at that moment, it was true. 452 00:19:26,620 --> 00:19:29,223 Jeff, of course, flipped out, 453 00:19:29,257 --> 00:19:30,591 and I mean, if you weren't there, 454 00:19:30,624 --> 00:19:31,825 it might've gotten ugly. 455 00:19:31,859 --> 00:19:33,794 - And you're just telling me this now? 456 00:19:33,827 --> 00:19:35,563 - I know. I should've told you this morning when you asked. 457 00:19:35,596 --> 00:19:37,431 - This morning? 458 00:19:37,465 --> 00:19:39,433 How about when you showed up as a med student? 459 00:19:39,467 --> 00:19:41,235 Or before we slept together, 460 00:19:41,269 --> 00:19:43,804 or before I let you into my life? 461 00:19:43,837 --> 00:19:45,539 Unbelievable. 462 00:19:54,382 --> 00:19:55,449 Hi. 463 00:19:55,483 --> 00:19:56,917 - Setting up grocery delivery. 464 00:19:56,950 --> 00:19:58,586 Farewell, supermarket temptations. 465 00:19:58,619 --> 00:20:00,254 - Well, that's a good first step. 466 00:20:00,288 --> 00:20:01,355 - Mm-hmm. - You know there's some great 467 00:20:01,389 --> 00:20:02,623 apps for tracking calories too. 468 00:20:02,656 --> 00:20:04,658 - That's way down the line. I mean, 469 00:20:04,692 --> 00:20:07,461 after I get a handle on GMOs, gluten, 470 00:20:07,495 --> 00:20:09,297 organic versus farm-fresh. 471 00:20:09,330 --> 00:20:11,665 I--it's why I like fast food. It's simple. 472 00:20:11,699 --> 00:20:12,933 - You know what? Why don't I page 473 00:20:12,966 --> 00:20:14,368 the hospital's nutritionist, 474 00:20:14,402 --> 00:20:15,603 have her come in for a consult? 475 00:20:15,636 --> 00:20:17,838 - [takes deep breath] 476 00:20:17,871 --> 00:20:19,507 - You okay? 477 00:20:19,540 --> 00:20:20,374 - I've just been feeling 478 00:20:20,408 --> 00:20:22,576 a little bit short of breath, and-- 479 00:20:22,610 --> 00:20:24,512 - Just come on now? 480 00:20:24,545 --> 00:20:27,415 - A couple minutes ago. 481 00:20:27,448 --> 00:20:29,583 Is it a reaction to all the meds, or-- 482 00:20:29,617 --> 00:20:31,652 - No. They're just sparking your immune system. 483 00:20:31,685 --> 00:20:33,687 It shouldn't affect your breathing. 484 00:20:33,721 --> 00:20:35,489 Sit up for me? 485 00:20:41,895 --> 00:20:44,598 Lungs are clear. Is the extra oxygen helping? 486 00:20:44,632 --> 00:20:46,434 - No, not really. 487 00:20:46,467 --> 00:20:49,403 - Will? Will, I need a hand. 488 00:20:49,437 --> 00:20:51,605 Stat portable chest X-ray. 489 00:20:51,639 --> 00:20:53,307 - What's going on? - Blood sugar's normal. 490 00:20:53,341 --> 00:20:55,609 White cells, amylase, lipase-- they're all down. 491 00:20:55,643 --> 00:20:57,678 Everything's good, except now he can't breathe. 492 00:20:57,711 --> 00:20:58,812 - What's happening? 493 00:20:58,846 --> 00:21:01,715 - Your blood pressure and oxygen levels keep dropping, 494 00:21:01,749 --> 00:21:03,484 so we're gonna take a chest X-ray 495 00:21:03,517 --> 00:21:04,952 to try to figure out why. 496 00:21:10,624 --> 00:21:12,493 - Mass in the lung. 497 00:21:17,465 --> 00:21:18,999 - [labored breathing] - I'm hearing a rub. 498 00:21:19,032 --> 00:21:20,434 It wasn't there before. 499 00:21:20,468 --> 00:21:21,702 - All right. Let's get an echo. 500 00:21:21,735 --> 00:21:22,770 - I can't breathe. 501 00:21:22,803 --> 00:21:25,473 - O2 keeps dropping. Switching to a full face mask. 502 00:21:31,545 --> 00:21:33,614 - Pericardial effusion. 503 00:21:33,647 --> 00:21:34,648 - What does that mean? 504 00:21:34,682 --> 00:21:35,583 - Keep this on. 505 00:21:35,616 --> 00:21:37,418 There's fluid built up around your heart. 506 00:21:37,451 --> 00:21:38,719 It's constricting it from beating. 507 00:21:38,752 --> 00:21:40,454 Bolus another liter of fluid. 508 00:21:40,488 --> 00:21:42,623 Get 125mg Solu-Medrol IV 509 00:21:42,656 --> 00:21:43,924 and a Levophed drip. - Yes, Doctor. 510 00:21:43,957 --> 00:21:44,992 - Page Dr. Rhodes. We need 511 00:21:45,025 --> 00:21:47,461 to tap this fluid off his heart. 512 00:21:47,495 --> 00:21:48,962 Five minutes ago he was getting better, 513 00:21:48,996 --> 00:21:50,664 and now he's sicker than when he came in. 514 00:21:57,938 --> 00:21:58,071 . 515 00:21:58,105 --> 00:22:00,040 [monitors beeping] 516 00:22:04,011 --> 00:22:06,980 [soft dramatic music] 517 00:22:07,014 --> 00:22:14,054 * 518 00:22:17,991 --> 00:22:19,560 - Okay. 519 00:22:25,766 --> 00:22:27,968 So the fluid's from acute pericarditis. 520 00:22:28,001 --> 00:22:29,970 - Stemming from the mass in his lungs. 521 00:22:30,003 --> 00:22:31,038 - Drain's a temporary fix, 522 00:22:31,071 --> 00:22:33,474 but his heart is really struggling. 523 00:22:33,507 --> 00:22:36,076 CT chest will show exactly what we're dealing with. 524 00:22:37,511 --> 00:22:38,912 - He presented with hyperglycemia 525 00:22:38,946 --> 00:22:40,881 and gallstone pancreatitis. 526 00:22:40,914 --> 00:22:44,885 There was absolutely no evidence of a heart problem. 527 00:22:44,918 --> 00:22:47,020 - My time with Dr. Downey, now Dr. Latham 528 00:22:47,054 --> 00:22:48,889 the one constant: 529 00:22:48,922 --> 00:22:51,592 cardiac events can strike without warning. 530 00:22:54,127 --> 00:22:55,896 - Thought he was on the mend. 531 00:22:55,929 --> 00:22:57,898 - So did I. 532 00:22:57,931 --> 00:23:00,501 - Look. About earlier-- 533 00:23:00,534 --> 00:23:01,902 - Dr. Manning? - Yeah? 534 00:23:01,935 --> 00:23:03,937 - Ted's father has arrived. 535 00:23:03,971 --> 00:23:04,972 I can fill him in. 536 00:23:05,005 --> 00:23:06,907 - No. I'll do it. 537 00:23:10,944 --> 00:23:13,113 Hi. Dr. Manning. 538 00:23:17,918 --> 00:23:20,954 - [groaning] 539 00:23:21,922 --> 00:23:23,156 [squelching] 540 00:23:24,658 --> 00:23:26,093 [breathing heavily] 541 00:23:28,095 --> 00:23:29,997 - Okay. 542 00:23:30,030 --> 00:23:31,565 Hard part's done. 543 00:23:31,599 --> 00:23:32,966 Big muscle bleeder down deep. 544 00:23:33,000 --> 00:23:34,902 Stick tying it now. 545 00:23:36,136 --> 00:23:39,573 - [groaning] 546 00:23:43,176 --> 00:23:46,113 The A-rab, 547 00:23:46,146 --> 00:23:49,082 Cyrus. 548 00:23:49,116 --> 00:23:52,085 You wheeled him out of here, but he never came back. 549 00:23:52,119 --> 00:23:54,154 What happened? 550 00:23:55,823 --> 00:23:57,057 - Turn for the worse. 551 00:23:57,090 --> 00:24:00,027 - He knew the risk when he stepped inside the cage. 552 00:24:01,161 --> 00:24:03,063 It's the cost of doing business. 553 00:24:06,033 --> 00:24:08,001 - Shower and change the dressing every day. 554 00:24:08,035 --> 00:24:10,070 It'll take at least two to three weeks to heal. 555 00:24:12,873 --> 00:24:14,642 Pack the wound. 556 00:24:16,009 --> 00:24:17,911 Get him out of here. 557 00:24:19,647 --> 00:24:21,649 - Bulky, swollen lymph nodes 558 00:24:21,682 --> 00:24:24,017 and a clear primary mass 559 00:24:24,051 --> 00:24:25,986 in the right lower lobe of the lung. 560 00:24:26,019 --> 00:24:28,121 - Non-small cell lung cancer? 561 00:24:28,155 --> 00:24:30,157 - [sighs] The biopsy results are pending, 562 00:24:30,190 --> 00:24:33,627 but I'm almost certain they'll confirm it. 563 00:24:34,928 --> 00:24:36,964 I'm gonna talk to Dr. Latham about surgical options. 564 00:24:36,997 --> 00:24:38,966 - All right. I'll consult with oncology, 565 00:24:38,999 --> 00:24:40,033 get their opinion as well. 566 00:24:40,067 --> 00:24:41,602 - Yeah. 567 00:24:41,635 --> 00:24:43,136 Hey. Sorry, Nat. 568 00:24:43,170 --> 00:24:45,005 - Thank you. - Yeah. 569 00:24:46,974 --> 00:24:48,942 - Hey, Dr. Charles. 570 00:24:48,976 --> 00:24:51,144 Um, speak with you a second? 571 00:24:51,178 --> 00:24:52,880 - What's up? - Yeah, so, my-- 572 00:24:52,913 --> 00:24:54,047 my heart patient Meghan Scott-- 573 00:24:54,081 --> 00:24:55,883 I hadn't heard anything, 574 00:24:55,916 --> 00:24:59,019 so is there something going on with the transplant eval? 575 00:24:59,052 --> 00:25:00,621 - Well, I know you know that we're not supposed 576 00:25:00,654 --> 00:25:02,856 to be talking about this, but unofficially, 577 00:25:02,890 --> 00:25:05,659 her history of addiction makes her very high risk. 578 00:25:05,693 --> 00:25:07,127 - Wh-- I understand her history, 579 00:25:07,160 --> 00:25:10,864 but we're talking about her future here. 580 00:25:10,898 --> 00:25:14,034 - Well, her future's precisely the issue. 581 00:25:14,067 --> 00:25:15,636 I'm sorry, Dr. Rhodes, but the-- 582 00:25:15,669 --> 00:25:16,970 the clearance process-- it's unforgiving. 583 00:25:17,004 --> 00:25:18,706 - No, no, no, no. Dr. Charles, you spent what? 584 00:25:18,739 --> 00:25:21,008 All of an hour with her? 585 00:25:21,041 --> 00:25:22,743 I've known Meghan and her daughter Bria 586 00:25:22,776 --> 00:25:23,777 for months now. 587 00:25:23,811 --> 00:25:26,046 - You've known her within a controlled environment. 588 00:25:26,079 --> 00:25:27,280 The invasive surgery, 589 00:25:27,314 --> 00:25:29,650 the powerful opiates for pain management, 590 00:25:29,683 --> 00:25:31,184 the rigorous medication schedule, 591 00:25:31,218 --> 00:25:32,119 the constant check-ups 592 00:25:32,152 --> 00:25:34,154 to make sure she's not rejecting the organ. 593 00:25:34,187 --> 00:25:36,289 - So you're gonna seal her fate with a checklist, then? 594 00:25:37,958 --> 00:25:38,859 She doesn't get a heart, she dies. 595 00:25:38,892 --> 00:25:41,061 She's looking at six months, maybe a year. 596 00:25:41,094 --> 00:25:45,198 - Do you honestly think that I don't know that? 597 00:25:45,232 --> 00:25:48,001 Someone's got to make the tough decisions here, Dr. Rhodes. 598 00:25:48,035 --> 00:25:50,070 I'd thank you to let me do my job. 599 00:25:58,245 --> 00:26:00,981 - Amniotic fluid level looks okay. 600 00:26:01,014 --> 00:26:03,784 Same with nuchal translucency. 601 00:26:03,817 --> 00:26:06,954 Fetal heart rate is 180, nice and strong. 602 00:26:06,987 --> 00:26:09,122 - Aw, yeah, that's a boy. 603 00:26:09,156 --> 00:26:12,225 What's up, little man? Already looking like a linebacker. 604 00:26:12,259 --> 00:26:15,729 - Um, she looks like a scientist to me. 605 00:26:18,331 --> 00:26:20,734 Dr. Lee? Something wrong? 606 00:26:22,269 --> 00:26:25,138 - At 12 weeks, optimal crown chin length is 607 00:26:25,172 --> 00:26:26,239 26 millimeters. 608 00:26:26,273 --> 00:26:28,108 Your fetal measurement is 23. 609 00:26:28,141 --> 00:26:30,343 - Is that still within the normal range? 610 00:26:30,377 --> 00:26:32,045 - Yes, but on the low end. 611 00:26:32,079 --> 00:26:33,280 Something we need to keep an eye on. 612 00:26:33,313 --> 00:26:36,049 - Low measurement-- what does it mean? 613 00:26:36,083 --> 00:26:38,251 - The main concern is anencephaly, 614 00:26:38,285 --> 00:26:41,021 a neural tube defect that can cause the brain 615 00:26:41,054 --> 00:26:43,056 to develop abnormally. 616 00:26:43,090 --> 00:26:45,759 - Is it because of my TB meds? 617 00:26:57,437 --> 00:26:57,570 . 618 00:26:58,471 --> 00:26:59,139 - [sighs] She said the TB meds could 619 00:26:59,172 --> 00:27:00,340 possibly be affecting the baby. 620 00:27:00,373 --> 00:27:01,341 That doesn't mean-- 621 00:27:01,374 --> 00:27:04,011 - I know. 622 00:27:04,044 --> 00:27:06,346 But what if they are? 623 00:27:06,379 --> 00:27:08,015 You can't stop taking them. 624 00:27:08,048 --> 00:27:12,152 So, where does that leave us? 625 00:27:12,185 --> 00:27:15,022 Look. You're 12 weeks. 626 00:27:15,055 --> 00:27:16,790 If we're considering-- 627 00:27:16,824 --> 00:27:17,991 - We're not. 628 00:27:18,025 --> 00:27:19,092 - April, 629 00:27:19,126 --> 00:27:20,761 it's not what I want either, 630 00:27:20,794 --> 00:27:22,796 but if your health is in question, 631 00:27:22,830 --> 00:27:26,099 the quality of life of our baby is threatened, I-- 632 00:27:26,133 --> 00:27:28,301 we need to understand 633 00:27:28,335 --> 00:27:31,104 this gets riskier, more complicated 634 00:27:31,138 --> 00:27:32,806 after 14 weeks. 635 00:27:32,840 --> 00:27:35,308 - Tate, I am Catholic. 636 00:27:35,342 --> 00:27:37,277 - April, it's my baby too. 637 00:27:37,310 --> 00:27:39,146 Don't I at least get to discuss this? 638 00:27:39,179 --> 00:27:42,082 - We are not terminating this pregnancy. 639 00:27:49,256 --> 00:27:52,025 - So how long would I have to do chemo for? 640 00:27:52,059 --> 00:27:54,127 - That's up to the oncologist. 641 00:27:54,161 --> 00:27:57,130 Generally, it's given in cycles between one and four weeks long 642 00:27:57,164 --> 00:27:58,365 followed by a period of rest. 643 00:27:58,398 --> 00:28:00,367 - How many cycles? 644 00:28:00,400 --> 00:28:03,370 - One average, four to six. 645 00:28:03,403 --> 00:28:06,339 - What about side effects? The Internet lists thousands. 646 00:28:06,373 --> 00:28:08,809 - It all depends on how Ted's body reacts. 647 00:28:08,842 --> 00:28:11,244 But yes, the side effects can add up. 648 00:28:11,278 --> 00:28:14,147 And because of the gallstone pancreatitis, 649 00:28:14,181 --> 00:28:16,116 they may even be exacerbated. 650 00:28:17,384 --> 00:28:19,319 - Well, all of this sounds awful. 651 00:28:19,352 --> 00:28:22,089 Um, what am I looking at with surgery? 652 00:28:22,122 --> 00:28:24,224 - Removal of the mass via thoracotomy. 653 00:28:24,257 --> 00:28:27,828 I'll open your chest and peel away the growth 654 00:28:27,861 --> 00:28:29,362 from whatever it's attached to. 655 00:28:29,396 --> 00:28:32,332 - But my pancreatitis-- a few--a few hours ago 656 00:28:32,365 --> 00:28:34,167 it was too dicey for gallbladder surgery. 657 00:28:34,201 --> 00:28:35,836 How is it okay with all of this? 658 00:28:35,869 --> 00:28:37,905 - Your cardiac function is compromised. 659 00:28:37,938 --> 00:28:41,875 Preventing heart failure has to be our chief concern. 660 00:28:41,909 --> 00:28:43,410 - [crying] Dad, I don't know what I'm gonna do. 661 00:28:43,443 --> 00:28:46,179 I feel like if I make the wrong decision right now 662 00:28:46,213 --> 00:28:49,249 I'm gonna-- I'm gonna die. 663 00:28:49,282 --> 00:28:51,118 - Do you need an answer right now? 664 00:28:51,151 --> 00:28:55,088 - Ted, look, I understand this is all overwhelming, 665 00:28:55,122 --> 00:28:56,389 but you're very sick. 666 00:28:56,423 --> 00:28:58,425 The sooner we start fighting back-- 667 00:28:58,458 --> 00:29:00,327 - Emergency radiation. 668 00:29:00,360 --> 00:29:04,131 Yeah, a single dose intended only to stabilize 669 00:29:04,164 --> 00:29:05,232 the mass in your lung. 670 00:29:05,265 --> 00:29:07,968 It'll give the pancreatitis a few more days to heal, 671 00:29:08,001 --> 00:29:09,970 and it'll give you and your dad more time 672 00:29:10,003 --> 00:29:11,404 to decide on a treatment. 673 00:29:11,438 --> 00:29:13,406 - And if I still choose surgery after, 674 00:29:13,440 --> 00:29:15,142 it'll be safer, right? 675 00:29:15,175 --> 00:29:16,509 - Theoretically, yes. 676 00:29:16,543 --> 00:29:19,512 - When can I do it? The radiation. 677 00:29:19,546 --> 00:29:23,283 - Today. I will set it up with the radiation oncologist. 678 00:29:30,390 --> 00:29:31,458 - You gonna just stand there staring, 679 00:29:31,491 --> 00:29:33,126 or are you gonna come in? 680 00:29:33,160 --> 00:29:37,364 I can't get this frickin' coffee ring off of-- 681 00:29:37,397 --> 00:29:39,332 what's on your mind? 682 00:29:39,366 --> 00:29:41,201 - I know you have reservations, 683 00:29:41,234 --> 00:29:42,469 but I've been reading 684 00:29:42,502 --> 00:29:44,905 about how others have managed addiction 685 00:29:44,938 --> 00:29:47,340 in unorthodox ways. 686 00:29:47,374 --> 00:29:50,177 There's meditation. Meghan already does that. 687 00:29:50,210 --> 00:29:52,145 Predicting your weak spots. 688 00:29:52,179 --> 00:29:55,248 She's cut off friends that were bad influences. 689 00:29:55,282 --> 00:29:56,483 - The problem with these techniques is 690 00:29:56,516 --> 00:29:58,385 that they're all solo endeavors. 691 00:29:58,418 --> 00:30:01,254 What Meghan needs is the support of a sober community. 692 00:30:01,288 --> 00:30:03,323 - But she's been successful without one. 693 00:30:03,356 --> 00:30:04,524 And she's got Bria, 694 00:30:04,557 --> 00:30:06,359 all the reason in the world to stay sober. 695 00:30:06,393 --> 00:30:08,028 - Won't be enough. 696 00:30:08,061 --> 00:30:10,964 I've been treating addiction for over 20 years. 697 00:30:10,998 --> 00:30:15,368 And trust me. I know of what I speak. 698 00:30:15,402 --> 00:30:19,472 My brother lost his battle with addiction about 14 years ago. 699 00:30:21,474 --> 00:30:23,376 - I am sorry. 700 00:30:23,410 --> 00:30:26,513 - I want Meghan to succeed just as badly as you do. 701 00:30:28,315 --> 00:30:31,418 But I look at her, and I-- 702 00:30:31,451 --> 00:30:34,054 I see my little brother. 703 00:30:34,087 --> 00:30:37,257 He tried to do it solo too. It just doesn't work. 704 00:30:38,391 --> 00:30:40,393 And I can't in good conscience recommend her 705 00:30:40,427 --> 00:30:42,295 to the Transplant Committee 706 00:30:42,329 --> 00:30:45,966 without one good, solid, clinical reason 707 00:30:45,999 --> 00:30:48,201 that might give her a chance to succeed. 708 00:30:48,235 --> 00:30:52,005 I've been looking for it. Just--I just can't find it. 709 00:30:55,408 --> 00:30:57,110 - Okay. 710 00:31:06,586 --> 00:31:09,489 - Hey. Okay to discharge the asthmatic in Treatment 2? 711 00:31:11,258 --> 00:31:14,527 - Yeah. Prednisone and albuterol scrips are with the clerk. 712 00:31:16,296 --> 00:31:18,265 They've been going for the last several hours, 713 00:31:18,298 --> 00:31:20,033 trading places. 714 00:31:21,368 --> 00:31:23,403 - They believe prayer can bring him out. 715 00:31:32,445 --> 00:31:34,381 - What are you doing over here? 716 00:31:34,414 --> 00:31:37,284 - I just, um-- 717 00:31:37,317 --> 00:31:38,418 I'm not sure. 718 00:31:38,451 --> 00:31:40,120 - You've been discharged. Go home. 719 00:31:40,153 --> 00:31:42,022 - You're showing your face around here? 720 00:31:42,055 --> 00:31:44,091 [indistinct]. 721 00:31:44,124 --> 00:31:45,558 - Is he gonna wake up? 722 00:31:45,592 --> 00:31:48,528 - Like you care. You did this to him. Murderer! 723 00:31:48,561 --> 00:31:51,264 - It's not my fault. We b--we both wanted to win. 724 00:31:51,298 --> 00:31:53,400 - Go home, Ricky. - God will punish you. 725 00:31:53,433 --> 00:31:54,401 You will burn in hell! 726 00:31:54,434 --> 00:31:56,103 - Aamir! 727 00:31:57,337 --> 00:31:59,072 Enough. 728 00:32:11,651 --> 00:32:13,453 Come. 729 00:32:14,521 --> 00:32:16,356 Pray with us. 730 00:32:19,359 --> 00:32:21,428 - I'm s-- [voice breaks] 731 00:32:23,430 --> 00:32:26,066 [crying] I'm sorry. 732 00:32:26,099 --> 00:32:27,767 [sniffles] 733 00:32:31,638 --> 00:32:34,607 [somber music] 734 00:32:34,641 --> 00:32:41,681 * 735 00:32:46,353 --> 00:32:48,355 - Dr. Halstead, a moment. - Yeah? 736 00:32:48,388 --> 00:32:50,357 - Dr. Manning's patient Ted Baylor-- 737 00:32:50,390 --> 00:32:52,359 I understand surgery was proposed, 738 00:32:52,392 --> 00:32:54,527 but that radiation will be tried first. 739 00:32:54,561 --> 00:32:56,429 - As a short-term measure. 740 00:32:56,463 --> 00:32:58,365 - Yeah, well, it's the size of the mass 741 00:32:58,398 --> 00:32:59,366 that's killing him. 742 00:32:59,399 --> 00:33:00,567 Radiation only stalls its growth. 743 00:33:00,600 --> 00:33:02,202 It doesn't-- doesn't shrink it. 744 00:33:02,235 --> 00:33:03,736 - Well, Dr. Manning's opinion and mine 745 00:33:03,770 --> 00:33:06,439 is that radiation is a much safer option right now. 746 00:33:06,473 --> 00:33:10,543 - Well, you're the attending. Keep me posted. 747 00:33:17,484 --> 00:33:21,388 - Hey, Daniel, I haven't gotten your report on Meghan Scott. 748 00:33:21,421 --> 00:33:22,522 How's it going? 749 00:33:22,555 --> 00:33:25,125 - Still dotting the Is, crossing the Ts. 750 00:33:25,158 --> 00:33:27,360 - You know, I know these evaluations are difficult, 751 00:33:27,394 --> 00:33:29,696 but if you're looking for something and not finding it, 752 00:33:29,729 --> 00:33:32,465 maybe it's not there. 753 00:33:32,499 --> 00:33:34,134 - I said I'd have it for you before the end of the day, 754 00:33:34,167 --> 00:33:35,568 and I will. 755 00:33:37,770 --> 00:33:39,539 - Okay. 756 00:33:43,743 --> 00:33:45,545 - From now on, clean nutrition, 757 00:33:45,578 --> 00:33:46,679 lots of cardio, 758 00:33:46,713 --> 00:33:48,548 diet and exercise. 759 00:33:48,581 --> 00:33:49,582 My dad, too. 760 00:33:49,616 --> 00:33:52,185 - That's the enthusiasm I was hoping to hear. 761 00:33:52,219 --> 00:33:53,786 - I'm getting a second chance. 762 00:33:53,820 --> 00:33:55,688 I'm not wasting a day of it. 763 00:33:55,722 --> 00:33:57,690 - Good for you. 764 00:33:57,724 --> 00:33:59,459 - [sighs] 765 00:33:59,492 --> 00:34:00,760 Okay, let's do this. 766 00:34:10,270 --> 00:34:12,172 - Natalie, hey. 767 00:34:12,205 --> 00:34:13,473 - [exhales sharply] 768 00:34:14,474 --> 00:34:17,710 - I am so sorry that I didn't say something sooner. 769 00:34:17,744 --> 00:34:19,779 I was afraid I'd lose you. 770 00:34:21,814 --> 00:34:23,683 Say something, please. 771 00:34:26,286 --> 00:34:30,290 - I was terrified to move on from Jeff. 772 00:34:30,323 --> 00:34:32,492 Even more afraid to get involved with you, 773 00:34:32,525 --> 00:34:35,528 my husband's best friend. 774 00:34:35,562 --> 00:34:37,664 And yet I thought there is no one 775 00:34:37,697 --> 00:34:40,633 Jeff would approve of me being in a relationship with 776 00:34:40,667 --> 00:34:41,801 more than you. 777 00:34:41,834 --> 00:34:43,470 And you let me think that. 778 00:34:43,503 --> 00:34:45,572 [alarm sounds] - He's coding! I need help! 779 00:34:45,605 --> 00:34:47,507 - What happened? - He just dropped. 780 00:34:47,540 --> 00:34:48,575 - Take over compressions. 781 00:34:48,608 --> 00:34:50,577 - Got it. I got it. I got it. - No pulse. V fib. 782 00:34:50,610 --> 00:34:52,312 Charge 200. - Charging. 783 00:34:52,345 --> 00:34:53,846 [electricity builds] 784 00:34:54,781 --> 00:34:56,483 - Hold compressions. 785 00:34:56,516 --> 00:34:57,817 Clear. 786 00:34:59,886 --> 00:35:01,454 Resume compressions. 787 00:35:01,488 --> 00:35:03,590 Another milligram epi. Charge to 300. 788 00:35:03,623 --> 00:35:05,658 - Charging. [electricity builds] 789 00:35:05,692 --> 00:35:06,659 - Hold compressions. 790 00:35:06,693 --> 00:35:08,295 Clear. 791 00:35:09,796 --> 00:35:12,799 [monitor flatlining] 792 00:35:13,766 --> 00:35:15,502 - Asystole. 793 00:35:15,535 --> 00:35:18,305 [flatlining] 794 00:35:19,272 --> 00:35:20,740 - You gonna call it? 795 00:35:23,610 --> 00:35:26,379 - Time of death 17:32. 796 00:35:29,682 --> 00:35:32,652 [dramatic music] 797 00:35:41,428 --> 00:35:41,561 . 798 00:35:42,128 --> 00:35:44,397 [somber music] 799 00:35:44,431 --> 00:35:51,671 * 800 00:36:00,012 --> 00:36:02,649 - He was dead before the first alarm even went off. 801 00:36:02,682 --> 00:36:04,917 C.O.D. tumor lysis syndrome. 802 00:36:04,951 --> 00:36:06,219 - No way. 803 00:36:06,253 --> 00:36:09,422 - You know, the radiation was supposed to stabilize the mass. 804 00:36:09,456 --> 00:36:11,424 Instead it caused it to burst. 805 00:36:13,493 --> 00:36:16,363 I might as well have just given Ted a lethal injection, 806 00:36:16,396 --> 00:36:18,365 because that is essentially what happened. 807 00:36:18,398 --> 00:36:20,667 - Natalie, this is not on you. 808 00:36:20,700 --> 00:36:23,002 There are no predictors for tumor lysis syndrome. 809 00:36:23,035 --> 00:36:24,904 It is monumentally rare-- 810 00:36:24,937 --> 00:36:26,439 even more so in young people. 811 00:36:26,473 --> 00:36:28,441 And the few times that it does occur, 812 00:36:28,475 --> 00:36:30,743 overwhelmingly, it's a reaction to chemo, 813 00:36:30,777 --> 00:36:32,312 not radiation. 814 00:36:32,345 --> 00:36:33,946 - It still feels like I missed something. 815 00:36:33,980 --> 00:36:35,482 - Well, you didn't. 816 00:36:35,515 --> 00:36:38,751 No doctor sees gallstone pancreatitis with diabetes 817 00:36:38,785 --> 00:36:40,387 and thinks volatile cancerous chest mass. 818 00:36:40,420 --> 00:36:42,522 - And yet here it is. 819 00:36:42,555 --> 00:36:44,257 [sighs] 820 00:36:50,463 --> 00:36:52,365 - Ted's death is not your fault. 821 00:37:07,580 --> 00:37:09,782 - You just get good news or bad news? 822 00:37:11,851 --> 00:37:13,986 - My coma patient-- 823 00:37:14,020 --> 00:37:16,723 this morning, he mentioned a Qur'an verse: 824 00:37:16,756 --> 00:37:20,327 Surah Al shura 40. 825 00:37:20,360 --> 00:37:23,062 "The recompense of an evil deed 826 00:37:23,095 --> 00:37:27,066 "can only be an evil equal to it; 827 00:37:27,099 --> 00:37:32,472 "but whoever pardons and makes reconciliation, 828 00:37:32,505 --> 00:37:34,407 their reward is due from God." 829 00:37:38,845 --> 00:37:41,848 - In the psych world, it's called complementarity. 830 00:37:43,483 --> 00:37:45,385 You know, kindness begets kindness. 831 00:37:45,418 --> 00:37:48,488 Hostility, hostility. 832 00:37:48,521 --> 00:37:50,757 - Yeah. 833 00:37:50,790 --> 00:37:53,793 An hour ago, those two hated each other, 834 00:37:53,826 --> 00:37:56,363 but then his father extends a hand. 835 00:37:56,396 --> 00:37:58,498 - Dr. Charles calls it "flipping the script." 836 00:38:00,867 --> 00:38:03,102 - Don't know if I could've done it. 837 00:38:03,135 --> 00:38:05,838 - Yeah. Not many people can. 838 00:38:21,421 --> 00:38:23,456 [chatter] 839 00:38:36,569 --> 00:38:39,806 - Okay, what is with you? 840 00:38:39,839 --> 00:38:41,908 No invitation to sit down? 841 00:38:41,941 --> 00:38:43,476 Usually I can't sneak past you. 842 00:38:43,510 --> 00:38:45,077 - I'm just a little preoccupied. 843 00:38:45,111 --> 00:38:48,815 I--I got to figure something out fast, and I'm at a roadblock, 844 00:38:48,848 --> 00:38:50,082 and I can't find my way around it. 845 00:38:50,116 --> 00:38:52,385 - Okay. I-- I will leave you to it. 846 00:38:55,488 --> 00:38:57,590 Hey, uh, 847 00:38:57,624 --> 00:38:59,826 if you're going through hell, keep going. 848 00:38:59,859 --> 00:39:01,594 Isn't that what you always taught me? 849 00:39:01,628 --> 00:39:04,397 - Well, technically it was Winston Churchill, but-- 850 00:39:04,431 --> 00:39:07,166 - Well, still, it's never let me down. 851 00:39:07,199 --> 00:39:08,468 - Hm. 852 00:39:08,501 --> 00:39:09,936 Good. 853 00:39:13,973 --> 00:39:16,943 [soft dramatic music] 854 00:39:16,976 --> 00:39:21,448 * 855 00:39:21,481 --> 00:39:23,483 - [laughs softly] Mom. 856 00:39:23,516 --> 00:39:25,184 [light music] 857 00:39:25,217 --> 00:39:26,586 - You're recommending Meghan 858 00:39:26,619 --> 00:39:28,588 to the hospital's Transplant Committee. 859 00:39:28,621 --> 00:39:31,157 - Uh-huh. - Well, what happened? 860 00:39:31,190 --> 00:39:34,427 - Well, if you must know, 861 00:39:34,461 --> 00:39:35,928 a member of my junior staff 862 00:39:35,962 --> 00:39:38,531 drew my attention to the fact that, um, 863 00:39:38,565 --> 00:39:41,601 I was so focused on her risk factors 864 00:39:41,634 --> 00:39:43,703 that I was blind to the one personality trait 865 00:39:43,736 --> 00:39:47,206 that my late brother did not have. 866 00:39:47,239 --> 00:39:48,641 - What? 867 00:39:48,675 --> 00:39:50,443 - Grit. 868 00:39:50,477 --> 00:39:55,214 - One's ability to persevere in the face of obstacles-- 869 00:39:55,247 --> 00:39:56,949 a clean clinical reason. 870 00:39:56,983 --> 00:39:58,885 - I mean, the stressors are still there, 871 00:39:58,918 --> 00:40:00,887 as are significant future challenges, 872 00:40:00,920 --> 00:40:03,490 but I like to think that the determination 873 00:40:03,523 --> 00:40:05,725 that's kept her clean the past three years 874 00:40:05,758 --> 00:40:08,461 is gonna help her go the distance. 875 00:40:08,495 --> 00:40:10,196 - Mm-hmm. 876 00:40:12,164 --> 00:40:14,934 - Hey, what made you think of grit? 877 00:40:17,970 --> 00:40:19,672 - Fatherhood. 878 00:40:27,179 --> 00:40:29,215 - Rough one today, huh? 879 00:40:30,517 --> 00:40:31,584 - To say the least. 880 00:40:31,618 --> 00:40:32,785 - Well, not to pile on, 881 00:40:32,819 --> 00:40:34,954 but Dr. Stohl just informed me that he'd like to use you case 882 00:40:34,987 --> 00:40:39,659 for the next Morbidity and Mortality Review, 883 00:40:39,692 --> 00:40:41,260 trace your steps. 884 00:40:41,293 --> 00:40:43,930 - An MandM? Oh, my God. 885 00:40:43,963 --> 00:40:47,166 - Well, it's not an inquisition. It's just a learning tool 886 00:40:47,199 --> 00:40:48,568 for the medical staff. 887 00:40:48,601 --> 00:40:50,670 - You tell Dr. Stohl that? 888 00:40:50,703 --> 00:40:52,204 [takes deep breath] 889 00:40:52,238 --> 00:40:53,740 Okay, night. 890 00:40:53,773 --> 00:40:55,575 - All righty. Good night. 891 00:41:00,713 --> 00:41:03,683 [soft dramatic music] 892 00:41:03,716 --> 00:41:10,022 * 893 00:41:10,056 --> 00:41:11,591 - What now? 894 00:41:11,624 --> 00:41:13,192 Can't kick me out of here too. 895 00:41:13,225 --> 00:41:15,261 - I'm not here to do that. 896 00:41:16,629 --> 00:41:18,598 I was thinking 897 00:41:18,631 --> 00:41:21,300 we got off to a rough start. 898 00:41:21,333 --> 00:41:23,202 Let me make it up to you. 899 00:41:23,235 --> 00:41:30,276 * 900 00:41:44,757 --> 00:41:46,693 Two beers. My tab. 901 00:41:48,761 --> 00:41:55,835 *