Original subtitles

The nearest galaxy, the Canis Dwarf...

know how long it'd take to get there?

I literally have no idea.

900 million years with our current tech.

25 thousand if you could travel at the speed of light.

So, you're saying it's possible?

Someday.

I mean, if you could build a ship

that could travel at the speed of light,

you wouldn't experience time at all.

You wouldn't age a day.

But when you got back, all your friends

and family would be gone.

Yeah. Probably the whole of humanity.

What would be the point, then?

To find out what the point is!

See you tomorrow?

See you tomorrow.

-Boxer. - Boxer, it's Riggs.

Sorry to be calling so early, but a heart

became available for your patient, Serena Vazquez.

The donor's an 18-year-old male from Buffalo.

Good news. What's the ETA on the heart from Buffalo?

9:25 a.m. I'm on my way.

ECHO and catch reports are uploading.

Thank you.

What time is it?

Ten 'til.

Oh, shit.

Shit.

No yolk. Trust me.

Thank you.

They found Serena Vazquez a heart?

I'm happy for her. She has, what, like seven grand kids?

Five.

And I personally think she's too old.

But there are others on the committee who felt differently.

While you silently judge me...

which is beginning to feel like a theme...

please consider there may be other, more deserving patients.

I'll see you at the hospital.

Don't be ridiculous. I'll drive you.

Big storm brewing for this

upcoming weekend here in Manhattan but it seems

like the worst weather is over the weekend, so--

...gorgeous day here in New York City

as we get up to around 48 degrees,

and the low 50s for the rest of the week...

-Dinner after the shift? -Really?

You're still not taking me to the door?

Jordan, please. It's--

Unprofessional. I know, I get it.

Boxer, the only one that I'm silently judging

in this, whatever this is...

is myself.

Hey, clear the entrance.

What's going on here?

These two patients are together.

-They were airlifted in-- -She's not the one

in critical condition! You treat the boy first.

Dr. Taylor, can you help me check him in?

Please, check him in properly.

Trip Granger, he has a heart condition.

He's a patient of Dr. Boxer.

-Are you the mother? -No, she's my attorney.

He's my son.

So what's the verdict, Taylor?

Should they be diggin' that hole for me or what?

The verdict is, there's no verdict.

I still have to do a full blood work-up.

You're sweet, but... you don't need blood work

to tell ya what you can see with your own eyes.

What's that, Walter?

I'm a fat ass with a bad heart.

No one is digging any holes.

You're up for reclassification today. Let's stay positive.

Make me a deal, Taylor.

I want to watch "The Bachelor" with my daughters,

and eat my wife's shitty meatloaf.

-I think we can arrange that. - No. At home.

If I get rejected again, just let me go home.

When he calls, please,

do not answer the phone. We need everything on paper.

I heard you the first time--

Yeah, but I apparently--

You wanted to see me?

I'm sorry, am I interrupting?

Have a seat, Dr. Taylor.

I'd like you to meet Father Dunbar.

He's consulting for the board.

Charlie. Charlie Dunbar.

Are you, um, a spiritual consultant?

Legal, actually. I've only been ordained for three years.

Before that, I was a defense attorney for 15.

Quite the skill set.

Tell that to my ex-wife.

I understand you've been interviewing

for the Heart Committee.

Word on the street is you're quite

the up-and-comer in cardiac surgery.

She's fantastic.

I see you started your residency in...

-plastic surgery? -Her mother's Nadia Taylor.

She's a cosmetic.

If you were a middle-aged woman from the Upper East Side,

you would know her.

Why didn't you follow in her footsteps?

I watched a friend from college die waiting for a heart.

Ah.

The Lenox Hill committee denied her a status upgrade twice.

I'm sure they had their reasons.

And that didn't make you ambivalent

about these committees?

Honestly? I am a little ambivalent.

Ideally, no one should have the right

to decide who gets priority.

But I'm optimistic that one day,

we won't have an organ shortage.

I think we'll figure out a way to fix this problem.

Until then, this system, it's the best we've got.

It's the only one we've got.

What I'm trying to say is, that I trust myself,

which is why I want to be a part of this process.

Well, you got the position, Dr. Taylor.

Today's session starts at 8:00,

so you have an hour to do your rounds.

Thank you, both. You will not be disappointed.

Trip's stable for the time being.

That doesn't sound very promising.

He's going to need that transplant sooner

than we anticipated.

How soon?

Move him up the list.

You know that's not how it works.

This morning, the committee

-will discuss upgrading his-- -MOVE HIM UP THE LIST!

I apologize.

If he's been using again, there is nothing I can do.

Look after my boy, Andre.

Jesus Christ.

Technically, you'd refer to him as TS-16, or "Test Subject 16."

But folks around the lab have given him

a nickname: Columbus

.

Columbus is the first animal to carry a humanized organ

we believe can be safely used for transplantation.

In his case, it's a kidney.

As you know, Xenotransplantation

is hardly a novel concept.

Doctors and scientists have been trying

to exchange organs and tissue cross-species for years.

Up until now, it hasn't worked.

What is unique about X-Origins is that we've created

a patented gene-editing tool that helps to produce organs

that the host immune system won't reject.

In other words, we harnessed this technology

on pigs so that it can become a reality for humans.

In the prospectus, it says human testing

is 24 months away. Why so far out?

The FDA requires two years of nonhuman trials.

There is a pig exactly like this one

who is carrying a kidney that was engineered for a monkey.

That's where we start.

So when would we start recouping?

I won't lie to you. Uh, it's gonna take quite a while.

Allow me to say this, if I can...

If we are successful, this tech will eradicate

the tremendous need for healthy human organs worldwide.

We will revolutionize transplantation.

And if you don't give a shit

about changing the world, that's okay.

You can still enjoy the obscene amount of money

I'm gonna make you.

Hey, it's Riggs.

I'm leaving Buffalo with the heart.

Should be touching down on schedule.

Mrs. Vazquez.

UNOS has found a match for you, from a donor upstate.

My colleague is on his way to retrieve the organ.

I will be performing the transplant.

My associate, Dr. Pope, will be prepping you in 20 minutes.

Do you have any questions?

Am I dreaming?

No, you're not dreaming.

Thank you. Thank you, Dr. Boxer.

Trip Granger will be dead in a week

if he doesn't get a transplant.

It's on the docket.

Let's hope he's laid off the marching powder.

Well, his blood won't lie.

Though I'm sure the elder Granger wishes it could.

What did he say when you saw him?

Nothing he hasn't already.

-Are you sure? -Yeah, I'm sure.

-Why, Val, what's up? -Nothing.

I hear the board's up in arms about

the rating downgrade.

Brought in a consultant to audit the program.

With the budget cuts, we are officially

on the cutting board.

Jesus, that'd be incredibly short-sighted.

They wouldn't even let me hand-pick your replacement.

Who'd they go with?

Good morning, Dr. Boxer.

-You're in my seat. -Excuse me?

I'm kidding. Welcome to the committee, Dr. Taylor.

Always the charmer, Boxer!

I'm Allen Lau, the shrink on this ship.

Jordan Taylor. Great to meet you.

So, as you have no doubt noticed, we have a new face.

Dr. Taylor is gonna be taking over for Boxer

when he leaves us to join the private sector next month.

Until that time, we're gonna roll with a six-man committee.

Guys, it is an honor.

I'd like to jump right in, 'cause I've got some good news.

One of our own, Serena Vazquez, is getting a heart.

The donor is an 18-year-old boy from Buffalo.

Dr. Riggs is bringing the organ home as we speak.

Boxer's operating, incision time is 9 a.m.

I'll be scrubbing up in 30 minutes.

May we make this short and sweet, please?

Our first patient is up for reclassification.

Walter Curtis, who has DCM.

He is currently Status 1-B, but his condition has deteriorated.

Positives: He's 48, he's employed.

He has a strong support system.

I'm married. And I've got three beautiful daughters

And negatives: he's 5'9, 335 pounds.

Bipolar, but I did pass my last psych eval.

Primary insurance, but... I don't have a secondary policy.

I'd like to point out that Walter

has lost eight pounds since he's been here.

How long has he been here?

-It's still progress. -Three months.

Three months of controlled diet,

he's lost a measly eight pounds.

Richard Simmons wouldn't blush. We wouldn't be

giving him a heart, we'd be giving him a time bomb.

Well, don't sugarcoat it, Boxer.

-Statistics don't lie. -But they never tell

the whole story either, which is why we're here.

Let's hear from Dr. Taylor, Walter's her patient...

I think that Walter's trying.

Actually, I know that he's trying.

He's not blessed with a good metabolism,

but should that preclude him from getting a heart?

I don't think so.

He's putting three daughters through college

on a doorman's salary.

And for that he deserves a heart?

And a Nobel Prize!

Look, he's reliable, he takes his medication.

He's a cheerleader for the entire ward--

And he plays guitar, and he makes finger puppets

for pediatrics. This is not a congeniality contest.

If you would let us finish, Dr. Boxer, what we're trying

to say... is that Walter has the right disposition.

He can handle it.

Walter's medical bills are half a million, easy.

It's difficult to justify adding another 200K

to such a high-risk patient.

With all due respect... how can you quantify it?

We could add years to Walter's life.

-You don't know. - No, I don't know.

But I have to quantify it.

I'm responsible for this program.

We've had some issues recently.

US News downgraded our rating.

Nine heart rejections within the last year.

It's just dumb, bad luck--

Or poor decision-making.

Based on criteria more sentimental than scientific.

We all have a voice, we all come at this

from different angles. It's why the process works.

I would like to propose moving Walter up to Status 1-A.

Dr. Riggs has already e-mailed in his vote. He's in favor.

-Dr. Gilroy? -Not in favor.

-Dr. Boxer? -No.

-Dr. Lau? -I'm abstaining.

I have a conflict.

Dr. Taylor? You're the decider.

Yes. I vote yes.

Walter Curtis is upped to Status 1-A.

It's Dr. Pope.

There's been a complication in the OR.

Serena Vazquez is dead.

What?

The fuck are you talking about?

She coded on the table.

Resuscitation failed... prep was going fine,

and her heart, it just stopped.

Did you call Riggs?

Yes. He's already in the air with the donor heart.

-UNOS? -No time to redirect it.

So, what do you suggest we do?

It goes to somebody else in this hospital.

We can't waste a heart.

It has to be beating by 11:00 a.m.,

which means we need to be

prepping someone else by 9:30, the latest.

That is our true expiration.

Who are the other matches?

Walter Curtis is a match.

I don't know about the rest, I'd have to check.

Then, check. We reconvene in ten, sort through the matches,

-make a decision. - Where are you going?

To tell Mr. Vazquez his wife is dead.

Talk about gettin' thrown into the fire on your first day.

Is UNOS going to have an issue if we make the call?

Never happened before.

We don't have time for their bureaucratic red tape.

That heart'll expire.

Boxer, one month. You are out of here in a month.

Until then, we need to be able to work together.

Can we do that?

In real life, we're obviously finished.

I shouldn't have let things escalate.

I hurt you.

I'm sorry.

You know what hurts?

It's not the fact that you're a self-absorbed asshole.

I blame myself for thinking that

you could be any different.

What hurts is that you don't think I'm a good doctor.

Never said that.

But you don't want me on the committee.

I just don't think you're cut out for this.

And why is that?

You don't realize the heart is just a muscle.

How many chances does this woman get?

She's ballooned to 240 pounds.

We've given her a bed for five months.

Unfortunately, we need to cut our losses. I vote no.

I vote yes. Move her up.

Dr. Taylor?

Dr. Taylor? You're the decider.

No.

Gail Berry, upgrade denied.

Priority should be geographic!

One, Albany. Two, Trenton. Three, White Plains.

Bullshit. Albany is a kidney. In what universe

do you cut out a kidney before a heart?

Heart's staying in the hospital. No transport.

It seems logical to me.

Everybody, please, just calm down.

Will you all just shut the fuck up!

Operational priorities do not deviate based on geography.

One, heart. Two, liver. Three, kidneys--

I think we got it under control.

I don't really give a fuck what you think.

And you are?

I'm Director of the Transplant Program

at this hospital.

Dr. Taylor? Apologies.

We weren't briefed on local protocol.

Oh, yes, you were, honey. You just had your head

stuck too far up your ass to listen.

Babysit them.

Carry on!

Jesus.

I'm confused, Emmett.

My attorney's just still waiting on signatures.

Is there some issue with the docs?

Paperwork was fine.

The others are welcome to invest.

You know they won't come in unless you do.

Were we not at the same meeting?

You mean the one where you promised us

"obscene" sums of money?

So? What the fuck is happening?

You haven't disclosed everything.

You think I'm lying about the tech?

No. Not the tech.

You're lying about your health.

Your heart is failing.

You won't live to see your project

to the end without a transplant.

My files are confidential.

It's ironic, tragically so. I'm very sorry.

I can set a meeting with my successor.

I'm working with some of the finest doctors

and scientists in the world.

Andre, I invested in you. Not your team.

You know, this is the first start-up that I've invested in,

because I believe in what you're doing!

But you're asking for very big money now.

Let me ask you something, Emmett:

Do I strike you as the kind of guy who takes risks?

Okay.

If you agree to a transplant, I'll draw down.

I can't just agree to a transplant.

You read the file.

I'll find you a heart.

That's all I can offer.

I can't.

Okay...

The incoming heart is O positive, 310 grams.

As I mentioned, Walter Curtis is a match,

and there are two other 1-A matches in the hospital. I--

Excuse me, we're in a meeting.

My apologies for being late, Val.

I was already on the train when I got your message.

Guys, this is Father Dunbar.

He is a former attorney representing the board.

Father, this is Dr. Boxer, Dr. Lau, Nurse Wilkes.

And, of course, you know Dr. Taylor.

Why exactly is he here?

Because Trip Granger is a match for this heart.

Boxer is correct.

Trip Granger? I checked him in this morning.

His father's Emmett Granger.

Granger Venture Partners.

What does Trip do?

He tans well, parties even better,

and has a unique talent for ending up

on Page Six for the latter.

Trip had a heart attack early this morning.

He was airlifted from Montauk on his father's jet.

We're also treating his girlfriend, Holly Matson.

I saw her today, too. She was cut up pretty badly.

That's strange...

No, Trip didn't have any lacerations.

I'm assuming they were in some sort of accident?

Why do we suddenly need a spiritual/legal/

whatever-you-are watchdog?

The circumstances have changed. I have a letter from the board.

"At approximately 5:15 a.m.,

Emmett Granger contacted Chairman Scott Lacey.

He wanted the board to be aware of his appreciation

for past care, and understood that we would

do everything humanly possible for his son.

As a show of gratitude, and regardless of Trip's prognosis,

he informed Chairman Lacey

that he would recommend a $25 million grant

from The Granger Institute to St. Augustine Hospital.

The board places full trust in you, the Heart Committee,

to make the right decision regarding Trip Granger."

You can't be serious. $25 million?

I don't get out of bed for less than 30.

What does it mean, he would "recommend"

a grant from the Granger Institute?

He is the Granger Institute.

It's a loophole.

We don't get the money if Trip doesn't get the heart.

-He's bribing us. -Bingo.

Not exactly.

"Regardless of Trip's prognosis."

Disregard the letter. We remain objective.

I hope we can.

Unconsciously, this could prejudice us against Trip.

Or the opposite. Come on, let's be real.

This place has seen better days.

Our equipment is prehistoric, we're short-staffed.

They can't even finish the renovation, for God's sake!

We pick Trip, and we're saving much more than one patient.

Now, of course, we can't let the money decide,

but black and white this ain't.

I disagree. I think the money should be irrelevant.

I'm surprised the board would even make us aware.

You are so young.

The board wants Trip to get the heart.

Uh, that's false.

They were concerned that Mr. Granger

would reach out to one of you personally.

They sent me to ensure that any decision you make

would be irrefutable.

As you know, many of these transplant decisions

-end up in courtrooms. -Very clever,

sending in a priest to do their dirty work.

All right, just relax. We're waiting on Trip's drug results.

The decision could be made for us.

-How so? -If a patient's been using,

they're ineligible. UNOS rules.

As you may have gleaned from our rating,

it's hard enough to keep a transplanted heart ticking.

You add chems to that, and it's sayonara, baby.

And Trip isn't exactly a saint.

He OD'd on cocaine nine months ago.

Let's table Trip and move on. Who's the other match?

Sorry, Andy.

Uh, Macallan, neat.

And a Ketel One martini for the lady, extra dry.

Good memory.

I always remember a person's drink.

It's like a window into the soul.

I actually really should be getting home.

One drink. We're celebrating.

What's the occasion?

Yesterday, there were nine programs in the U.S.

with a rating north of 85.

Today, my friend, there are ten.

You complete me, Dr. Taylor.

You don't seem pleased.

I guess I-- I just, I'm not sure how I'm supposed

to feel about that. What does it signify?

That you run a clean program? Don't overthink it.

I've been waking up a lot

in the middle of the night lately.

It's not fun.

Normally, I just go for a run, but... last night,

I just laid in bed, staring at the ceiling for hours,

doing math, of all things.

Factoring in our survival numbers,

billings, pro rating by time period...

Sounds painful.

It was more painful when I realized what I was doing.

Which was?

Trying to figure out what a day of life is worth.

It's always been about maximizing assets, Jordan.

Unfortunately, the assets happen to be human organs.

You don't sound much like a priest.

Ha. And you don't sound much like a doctor.

Let's just hope that Boxer has cracked it.

Then we can get back to our real jobs, eh?

-Yeah. -Have you spoken to him?

I'm curious as to why he hasn't listed himself.

No... wait, why would he list himself?

Charlie?

Rumor has it...

He's got a bad heart.

Marambaia topaz,

the finest topaz in the world--

Huh.

There's some Zabar's in the fridge.

Thanks for helping out, Mom.

I missed the Save Venice benefit.

Why is it that Rosa gets sick every time I have a party?

I don't know. Maybe it's a conspiracy.

Or maybe it's because you have a party every night?

Mommy? Will I get more handsome if I kiss a princess?

We watched "Beauty and the Beast".

He was quite taken with it.

Do you know a princess?

Come here, my little monster.

Can I sleep in your bed, Mommy?

Are you really gonna sleep?

Or are you gonna just kick me all night?

Sleep. - Okay.

Our third match for the heart is Janet Pike,

who's been on the waiting list

since we classified her 1-A three weeks ago.

Like Walter Curtis, it wasn't unanimous...

Its thighs and wings

are USDA-inspected by the US Department of what?

Agriculture!

Camille? - Agriculture!

Is correct!

Positives: Janet's 59. Solid insurance.

She inherited a lot of money from her husband,

who died on 9/11. Cantor Fitzgerald.

"I'll flip my lid if you know what round brimless hat--"

Time for your meds, Janet.

Take a hike, I'm watchin' my show!

-Pillbox! - Pillbox!

Is correct! -Negatives: I'm single.

I don't have children or any other family.

I haven't worked since my husband passed away.

On paper, she doesn't have an established support system.

I'm fine with Janet getting this heart,

assuming that it's between her and Walter Curtis.

I'm on board with that.

Why, 'cause she passed her wallet autopsy?

-Have you read my reports? -Yes, I have.

And I've examined her myself.

It's not financial. Janet's healthier than Walter.

She has a better shot of sustaining post-op,

even without the support system.

Well, she's demanding and impatient with the nurses.

In other words, she's a bitch.

Wow, that's insightful.

The sort of analytical thinking that's about

to submarine this program.

Here's a fact for you:

Janet's ambivalent about a transplant.

The idea of having someone else's heart

in her body is disturbing to her.

Yet she still listed.

You want Walter to have the heart.

I told you, I'm abstaining.

You have to vote on this.

We are not classifying. What is the conflict?

Nine years ago, Walter tried to commit suicide.

He ingested a bottle of Percocet.

Jesus. And you cleared him after that?

He was diagnosed Bipolar.

He started on Lithium, and he's been stable ever since.

I didn't think he was a suicide risk any longer.

So, what's the problem? Why can't you vote?

I lost my daughter five months ago. She overdosed.

I'm so sorry.

Point is, I can't evaluate Walter fairly.

I think the suicide is a disqualifier.

Besides, there's so many other issues with this patient.

Can I ask you something, Dr. Boxer?

Aren't these decisions supposed to be made

on pragmatic, medical grounds?

They are. -So... who are you to judge?

You can't possibly understand what Walter was going through.

I'd say an attempted suicide is pretty relevant

to a character evaluation, wouldn't you?

Who knows? Evaluating someone's true character--

or soul, if you will-- seems like a risky proposition to me.

It's like waving a welcome mat to a Jehovah's Witness.

Father, this is standard.

Yeah, but it doesn't change the fact

that you're making decisions based on personal perception.

He's not on the stand.

He might be. You all might be.

If you make choices based on anything

that can't be quantified, you're playing God.

I'll be first to step aside

when God walks in here and votes.

In ten years, I haven't seen Him yet.

I'm sorry to hear that.

And I'm sure the board would be sorry to hear

you're supporting anyone other than Trip Granger.

I'm not supporting anyone, Dr. Boxer.

It's Pope.

Trip Granger's drug test results are ready.

Thank you. Bring them up, and we'll make a decision.

Let's reconvene in ten.

Boxer, we're ready for you.

Uh, give me ten.

Release the perinephric fat.

Okay, kidney out.

Scalpel.

Shit.

Boxer, you okay?

I'm fine.

I'm fine.

Good job out there, Pope.

You almost fucked it up.

That's the last time you operate.

I'll be the judge of that.

You need to disclose your illness

and name a successor.

I don't need to do shit.

Boxer. Those people out there? They've bled for this.

Not to mention the investors, who have a right to know

-where their money's going! -There are no investors.

Granger pulled out?

Not officially.

Found out about my condition.