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-Previously on The Resident...
-I think we should
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00:00:05,338 --> 00:00:06,965
dig into Dr. Bosley's
patient outcomes and...
3
00:00:07,048 --> 00:00:08,883
give Ms. Benesch a fair hearing.
4
00:00:08,967 --> 00:00:10,510
Let's just simmer down.
5
00:00:10,593 --> 00:00:12,262
Just watch
6
00:00:12,345 --> 00:00:14,014
and learn how we operate.
7
00:00:14,097 --> 00:00:16,099
I-I think I'm getting a pretty
good sense of how you operate.
8
00:00:16,182 --> 00:00:18,268
Are you looking
for a financial settlement?
9
00:00:18,351 --> 00:00:20,145
No. I'm looking
for accountability.
10
00:00:20,228 --> 00:00:22,772
I did not have to end up
like this.
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00:00:22,856 --> 00:00:25,525
I don't want future patients
of Dr. Bosley to, either.
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00:00:25,608 --> 00:00:27,694
I want the board
to do something.
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-Will they?
-Honestly, probably not.
14
00:00:30,321 --> 00:00:32,991
But I will do something.
15
00:00:34,034 --> 00:00:36,036
(grunting)
16
00:00:44,377 --> 00:00:45,587
So what's happening
in the world?
17
00:00:45,670 --> 00:00:47,422
-I'm not reading the news.
-(grunting)
18
00:00:47,505 --> 00:00:49,174
I'm watching a video
of a bulldog
19
00:00:49,257 --> 00:00:51,301
failing to eat its kibble.
20
00:00:51,384 --> 00:00:52,719
Okay.
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00:00:52,802 --> 00:00:54,262
Slow news day.
22
00:00:55,305 --> 00:00:56,431
What's going on with your leg?
23
00:00:56,514 --> 00:00:58,516
Oh, I guess it slept in.
24
00:00:58,600 --> 00:00:59,768
(groans)
25
00:00:59,851 --> 00:01:01,770
Could be an MS flare-up.
26
00:01:01,853 --> 00:01:03,772
I'll email Dr. Greer,
see if she can fit you in today.
27
00:01:03,855 --> 00:01:05,440
Yeah, well, early is better.
28
00:01:05,523 --> 00:01:06,941
I have a 10:00 with Abernathy,
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00:01:07,025 --> 00:01:08,485
the head of the medical board,
30
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'cause I found more complaints
against Bosley,
31
00:01:10,320 --> 00:01:13,073
the neurosurgeon
who paralyzed Emily Benesch.
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00:01:13,156 --> 00:01:15,241
Do you think you have enough
to convince the board
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00:01:15,325 --> 00:01:17,869
to look into Bosley now?
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00:01:17,952 --> 00:01:20,205
I'm not gonna give 'em
any choice.
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00:01:20,288 --> 00:01:24,626
You know,
this whole moral crusader thing
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00:01:24,709 --> 00:01:26,127
looks good on you.
37
00:01:26,211 --> 00:01:27,212
It's very...
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super hero-y.
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You should see me in spandex.
40
00:01:30,632 --> 00:01:32,217
-Well, that's ruined it.
(chuckles)
-(chuckles)
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00:01:34,427 --> 00:01:35,845
(indistinct chatter)
42
00:01:35,929 --> 00:01:37,263
Can I help you?
43
00:01:37,347 --> 00:01:38,807
You look familiar,
but I can't place you.
44
00:01:38,890 --> 00:01:41,351
Are you gonna harass me
every time I have an ER shift?
45
00:01:41,434 --> 00:01:44,104
-Yes.
-You know, please look
into your abandonment issues.
46
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You know my father left me
at Yankee Stadium and got home
47
00:01:46,272 --> 00:01:48,525
with my brother before
he realized I was missing.
48
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I'm sorry I triggered you,
Irving.
49
00:01:50,777 --> 00:01:52,112
You don't care. Where's Leela?
50
00:01:52,195 --> 00:01:53,863
Sister day with Padma.
51
00:01:53,947 --> 00:01:55,365
Bonding over the gifting
of eggs.
52
00:01:55,448 --> 00:01:56,950
Level-1 trauma coming in!
53
00:01:57,033 --> 00:01:58,910
Bay 11's ready.
54
00:01:59,994 --> 00:02:01,579
Eliza Brockton.
32-year-old female.
55
00:02:01,663 --> 00:02:03,415
Status post-fall from her
sixth-floor apartment building.
56
00:02:03,498 --> 00:02:05,917
BP 120/68, tachy to 100,
57
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satting at 98%.
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00:02:08,336 --> 00:02:10,088
Trauma survey.
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00:02:11,339 --> 00:02:13,883
Pupils equal and reactive.
60
00:02:13,967 --> 00:02:15,552
DEVON:
Airway's intact.
61
00:02:15,635 --> 00:02:18,263
-Good breath sounds bilaterally.
-HUNDLEY: Pulse strong.
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00:02:18,346 --> 00:02:20,598
Vitals stable. I'll get labs.
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00:02:20,682 --> 00:02:23,101
I'll do a FAST exam
and put in for a chest X-ray.
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00:02:23,184 --> 00:02:24,352
Eliza,
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00:02:24,436 --> 00:02:27,230
how did you fall
from your apartment building?
66
00:02:27,313 --> 00:02:28,732
I-I was, um...
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00:02:28,815 --> 00:02:31,317
I was hanging
a-an orchid on my balcony,
68
00:02:31,401 --> 00:02:35,030
and I-I reached too far over the
railing and I just... (sighs)
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00:02:35,113 --> 00:02:36,573
lost my balance.
70
00:02:36,656 --> 00:02:39,784
Thank God the entry awning
broke my fall.
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00:02:39,868 --> 00:02:41,703
Well, we're gonna get
that chest X-ray
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00:02:41,786 --> 00:02:44,122
and CT scan
to check for head trauma.
73
00:02:44,205 --> 00:02:45,457
We'll be back, okay?
74
00:02:45,540 --> 00:02:47,917
-Uh, okay.
-All right, hang tight.
75
00:02:51,421 --> 00:02:53,465
You want to get her records
and I'll arrange the CT?
76
00:02:53,548 --> 00:02:54,716
Yeah.
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00:02:57,594 --> 00:02:59,429
(typing)
78
00:03:01,264 --> 00:03:02,432
What is it?
79
00:03:02,515 --> 00:03:04,142
Eliza's attempted suicide
three times
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00:03:04,225 --> 00:03:05,602
in the past six years.
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00:03:07,604 --> 00:03:09,606
Let's get a psych consult
down here.
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00:03:09,689 --> 00:03:12,108
(dialing)
83
00:03:12,192 --> 00:03:13,443
Eliza.
84
00:03:17,906 --> 00:03:18,823
Hundley.
85
00:03:18,907 --> 00:03:19,949
My patient eloped from 11.
86
00:03:20,033 --> 00:03:21,117
Call the code.
87
00:03:21,201 --> 00:03:22,202
Excuse me.
88
00:03:23,244 --> 00:03:25,830
HUNDLEY:Attention, staff. Code Green.
89
00:03:25,914 --> 00:03:29,084
32-year-old Caucasian female.
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00:03:29,167 --> 00:03:31,336
Dark hair, blue eyes.Code Green.
91
00:03:35,048 --> 00:03:36,633
Eliza!
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00:03:36,716 --> 00:03:39,010
♪ ♪
93
00:03:46,393 --> 00:03:47,894
Eliza!
94
00:03:47,977 --> 00:03:49,312
Wait!
95
00:03:49,396 --> 00:03:52,482
♪ ♪
96
00:03:58,446 --> 00:04:00,240
Eliza!
97
00:04:07,122 --> 00:04:08,665
(horn honks)
98
00:04:08,748 --> 00:04:10,917
♪ ♪
99
00:04:28,309 --> 00:04:29,811
You all right?
100
00:04:29,894 --> 00:04:31,021
I'm fine.
101
00:04:31,104 --> 00:04:32,439
Eliza's stable.
102
00:04:32,522 --> 00:04:34,274
Scans were negative.
BP was borderline,
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00:04:34,357 --> 00:04:35,358
so we placed an A-line.
104
00:04:35,442 --> 00:04:36,860
And Psych is en route.
105
00:04:36,943 --> 00:04:39,988
That was a very brave thing
you did, Dr. Pravesh.
106
00:04:40,071 --> 00:04:41,072
(chuckles)
107
00:04:41,156 --> 00:04:42,532
I'm just glad
we got to her in time.
108
00:04:42,615 --> 00:04:43,908
Mm-hmm.
109
00:04:48,913 --> 00:04:50,498
We're good.
110
00:04:53,460 --> 00:04:54,461
So...
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00:04:57,339 --> 00:04:59,215
I guess the truth is out.
112
00:04:59,299 --> 00:05:00,884
I don't want this anymore.
113
00:05:00,967 --> 00:05:04,554
And I wish you would just mind
your own business and let me go.
114
00:05:04,637 --> 00:05:06,973
-You know we can't do that.
-(sighs)
115
00:05:11,686 --> 00:05:13,605
This is Dr. Malco.
116
00:05:14,606 --> 00:05:17,192
She's from
the psychiatry department.
117
00:05:17,275 --> 00:05:19,194
Hi, Eliza.
118
00:05:19,277 --> 00:05:20,695
I'm guessing
you know the drill here.
119
00:05:20,779 --> 00:05:21,988
I'm gonna ask you
a few questions.
120
00:05:23,031 --> 00:05:24,532
You have my file.
121
00:05:24,616 --> 00:05:26,701
So you could just read
my old answers.
122
00:05:26,785 --> 00:05:29,829
My new answers are all the same.
123
00:05:30,914 --> 00:05:32,499
I'm out of words.
124
00:05:33,541 --> 00:05:36,461
I imagine that must be
very difficult for a writer.
125
00:05:36,544 --> 00:05:37,629
To be out of words.
126
00:05:39,005 --> 00:05:41,091
I'm out of everything.
127
00:05:41,174 --> 00:05:43,510
I want you to know,
128
00:05:43,593 --> 00:05:46,930
both of your books have informed
the way I treat depression.
129
00:05:47,013 --> 00:05:48,932
I'd like to return the favor.
130
00:05:49,933 --> 00:05:50,975
Do you have a gun?
131
00:05:53,436 --> 00:05:56,022
We're gonna keep you
on a 36-hour hold.
132
00:06:04,364 --> 00:06:06,032
Dear merciful Father,
133
00:06:06,116 --> 00:06:08,618
we ask for Your blessings
on Daisy.
134
00:06:08,702 --> 00:06:10,370
She needs You.
135
00:06:10,453 --> 00:06:14,958
We're asking that You grant her
the patience to...
136
00:06:15,041 --> 00:06:17,335
help her with her affliction
137
00:06:17,419 --> 00:06:19,963
and the freedom from her pain.
138
00:06:20,046 --> 00:06:23,717
And lead her out
the shadow of the valley
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00:06:23,800 --> 00:06:27,387
so that we can heal her body
and spirit.
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00:06:27,470 --> 00:06:29,097
(chuckles softly)
141
00:06:30,098 --> 00:06:32,350
Now let's go get you
a damn kidney, huh? (chuckles)
142
00:06:32,434 --> 00:06:33,893
(chuckling)
143
00:06:33,977 --> 00:06:36,229
-Amen.
-Amen.
144
00:06:41,860 --> 00:06:44,529
-Ah... (grunts)
-(laughs)
145
00:06:44,612 --> 00:06:47,073
Aaron, it is good to see you.
146
00:06:47,157 --> 00:06:48,825
Yeah, it's been a minute.
147
00:06:48,908 --> 00:06:51,411
You know we've had our
own conversations about pain.
148
00:06:51,494 --> 00:06:52,537
Mm.
149
00:06:52,620 --> 00:06:54,456
How are you and Gigi holding up?
150
00:06:54,539 --> 00:06:56,541
Yeah, really well.
151
00:06:56,624 --> 00:06:58,543
Gigi's definitely
my greatest achievement so far.
152
00:06:58,626 --> 00:07:00,337
You got that right.
153
00:07:00,420 --> 00:07:01,671
Yeah.
154
00:07:01,755 --> 00:07:03,882
Speaking
of our past conversations,
155
00:07:03,965 --> 00:07:06,092
the last few days, I've...
156
00:07:06,176 --> 00:07:07,844
been...
(exhales)
157
00:07:07,927 --> 00:07:10,180
back in the fresh grief
of Nic's passing,
158
00:07:10,263 --> 00:07:12,849
I-I guess. I don't...
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00:07:12,932 --> 00:07:15,518
Uh, I don't know
what set it off.
160
00:07:15,602 --> 00:07:18,229
Ah, well, if it isn't Pastor
Aaron, my favorite clergyman.
161
00:07:18,313 --> 00:07:21,149
AJ, my big bad Buddhist, you.
162
00:07:21,232 --> 00:07:22,776
-Hey.
-How are you?
163
00:07:22,859 --> 00:07:24,110
How's your mother?
164
00:07:24,194 --> 00:07:27,280
She is as well as she can be.
165
00:07:27,364 --> 00:07:29,449
The cancer is progressing.
166
00:07:29,532 --> 00:07:31,618
I'm sorry to hear that.
167
00:07:31,701 --> 00:07:34,037
I-I'll definitely have
to go see her.
168
00:07:34,120 --> 00:07:36,915
Well, you see, her palliative
care is top-tier, right?
169
00:07:36,998 --> 00:07:39,626
But she's gonna need
to transition
170
00:07:39,709 --> 00:07:41,670
to hospice sooner
rather than later,
171
00:07:41,753 --> 00:07:43,672
and she is not keen on the idea.
172
00:07:43,755 --> 00:07:45,882
So I was thinking
maybe you can help me
173
00:07:45,965 --> 00:07:48,093
have that conversation with her
when it's time.
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I'll be happy to.
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00:07:49,386 --> 00:07:50,720
Appreciate it, man.
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00:07:50,804 --> 00:07:54,683
I have a favor of my own
to ask you two.
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00:07:54,766 --> 00:07:57,352
Yeah. Anything.
178
00:07:57,435 --> 00:08:01,022
Recently, I had a heart stent
placed a few months back.
179
00:08:01,106 --> 00:08:03,983
A fit young dude like you?
180
00:08:04,067 --> 00:08:05,819
They found some blockage.
Now, the doctor told me
181
00:08:05,902 --> 00:08:07,195
that I should be feeling better,
182
00:08:07,278 --> 00:08:09,906
but I've been having
a lot of chest pain lately.
183
00:08:09,989 --> 00:08:13,368
Ah, say no more. AJ and I will
take a look at you in the ER.
184
00:08:13,451 --> 00:08:14,869
Better safe than sorry.
185
00:08:14,953 --> 00:08:16,162
AUSTIN:
Let's go now.
186
00:08:18,289 --> 00:08:20,041
Head scans are good.
187
00:08:20,125 --> 00:08:21,292
-Nothing to worry about.
-Great.
188
00:08:21,376 --> 00:08:23,461
But the leg issue is
a little MS flare-up.
189
00:08:23,545 --> 00:08:25,213
No biggie. This will happen
from time to time.
190
00:08:25,296 --> 00:08:27,215
Well, I'm glad we checked, then.
191
00:08:27,298 --> 00:08:28,466
We'll put you on a short course
of steroids
192
00:08:28,550 --> 00:08:29,801
that should improve
your symptoms.
193
00:08:29,884 --> 00:08:31,302
In the meantime,
take the pressure
194
00:08:31,386 --> 00:08:33,179
-off your leg with this.
-BELL: Oh.
195
00:08:33,263 --> 00:08:36,224
(chuckles) No. That is...
uh, won't be necessary.
196
00:08:36,307 --> 00:08:38,393
GREER:
It's only for a few days.
197
00:08:38,476 --> 00:08:40,395
The last thing we want
is for you to stumble
198
00:08:40,478 --> 00:08:42,105
-and hit your head.
-Randolph,
199
00:08:42,188 --> 00:08:43,940
-take the cane.
-BELL: No, it's...
200
00:08:44,024 --> 00:08:46,067
(stammers) It starts
with a cane, and then it goes
201
00:08:46,151 --> 00:08:48,069
to adult diapers and a chairlift
to get up the stairs.
202
00:08:48,153 --> 00:08:50,572
It's a concession to the
disease, and I won't make it.
203
00:08:50,655 --> 00:08:52,657
Good Lord, Randolph.
Typical man.
204
00:08:52,741 --> 00:08:54,951
You can dress it as bravery,
but it's just vanity.
205
00:08:55,035 --> 00:08:57,787
Okay. Uh,
I'd love to stick around
206
00:08:57,871 --> 00:08:59,622
and talk about canes and men,
207
00:08:59,706 --> 00:09:01,958
but... I have
an important meeting to get to.
208
00:09:02,042 --> 00:09:03,084
So, Meghan, thank you.
209
00:09:07,672 --> 00:09:09,090
(sighs)
210
00:09:10,759 --> 00:09:12,594
I remember
211
00:09:12,677 --> 00:09:16,014
being at a birthday party when
I was four or five years old.
212
00:09:16,097 --> 00:09:18,224
And...
213
00:09:18,308 --> 00:09:21,478
the birthday girl
shrieked with joy
214
00:09:21,561 --> 00:09:25,648
when she unwrapped a doll
from her parents.
215
00:09:25,732 --> 00:09:28,193
For the first time,
I became distinctly aware
216
00:09:28,276 --> 00:09:32,864
that it was something
that I had never... felt.
217
00:09:33,907 --> 00:09:35,325
Is there anything
in your daily life
218
00:09:35,408 --> 00:09:37,535
that brings relief
from the pain and dread?
219
00:09:39,454 --> 00:09:42,123
Periodically, when I'm writing.
220
00:09:42,207 --> 00:09:44,959
Are there any moments
in your past where you...
221
00:09:45,043 --> 00:09:47,003
can recall feeling happy?
222
00:09:49,130 --> 00:09:50,799
This morning.
223
00:09:51,800 --> 00:09:53,551
When I felt the wind on my face
224
00:09:53,635 --> 00:09:57,180
as I fell to what
should have been my death.
225
00:09:59,891 --> 00:10:03,645
My reservoir of hope...
226
00:10:03,728 --> 00:10:05,647
is empty.
227
00:10:11,361 --> 00:10:13,363
(exhales)
228
00:10:20,537 --> 00:10:23,873
Eliza has what we call
treatment-resistant depression.
229
00:10:23,957 --> 00:10:26,710
Cognitive behavioral therapy,
antidepressants,
230
00:10:26,793 --> 00:10:28,878
and ECT have all
been ineffective.
231
00:10:28,962 --> 00:10:30,880
So, what do we do?
232
00:10:30,964 --> 00:10:32,340
We just keep her here
233
00:10:32,424 --> 00:10:34,676
for 34 hours and then just
234
00:10:34,759 --> 00:10:36,928
-let her walk out?
-We don't have a lot of options.
235
00:10:37,012 --> 00:10:39,723
Sad to say, I have no beds free
on the unit.
236
00:10:39,806 --> 00:10:41,975
Don't patients with
237
00:10:42,058 --> 00:10:43,977
treatment-resistant depression
238
00:10:44,060 --> 00:10:46,354
qualify for off-label
deep brain stimulation?
239
00:10:46,438 --> 00:10:48,023
I've read
240
00:10:48,106 --> 00:10:49,941
some clinical trials on it,
241
00:10:50,025 --> 00:10:52,068
and I know Dr. Sutton
has used it on patients
242
00:10:52,152 --> 00:10:53,987
with Parkinson's and even OCD.
243
00:10:54,070 --> 00:10:55,697
They do,
244
00:10:55,780 --> 00:10:57,449
but there's no guarantee
it works.
245
00:10:59,200 --> 00:11:00,702
Well, in one trial,
246
00:11:00,785 --> 00:11:03,872
50% of patients saw some relief
from their symptoms.
247
00:11:07,167 --> 00:11:10,670
Do you think Eliza
would consider the procedure?
248
00:11:12,630 --> 00:11:15,508
All Eliza wants is to exit life.
249
00:11:15,592 --> 00:11:17,844
It'll be challenging
250
00:11:17,927 --> 00:11:20,305
to get her to agree
to any treatment,
251
00:11:20,388 --> 00:11:22,265
much less one that requires
holes drilled in her skull
252
00:11:22,349 --> 00:11:24,976
and electrodes placed
in her brain.
253
00:11:25,060 --> 00:11:27,145
Well, if we do nothing, there
is no doubt that she will try
254
00:11:27,228 --> 00:11:29,773
-to kill herself again.
-No doubt.
255
00:11:29,856 --> 00:11:31,024
I'll talk to Dr. Sutton.
256
00:11:31,107 --> 00:11:33,568
See if she can discuss
the procedure with Eliza.
257
00:11:42,327 --> 00:11:44,162
Dr. Sullivan didn't come in?
258
00:11:44,245 --> 00:11:45,288
She took the day off.
259
00:11:45,372 --> 00:11:46,456
We got Pravesh back instead.
260
00:11:46,539 --> 00:11:48,333
Who?
261
00:11:48,416 --> 00:11:50,168
(chuckles)
262
00:11:50,251 --> 00:11:53,004
Good thing we looked into
your chest pain. You have EKG
263
00:11:53,088 --> 00:11:56,091
changes and labs consistent
with an NSTEMI.
264
00:11:56,174 --> 00:11:58,009
It's a minor heart attack.
265
00:11:58,093 --> 00:12:00,053
AARON:
What? A minor heart attack?
266
00:12:00,136 --> 00:12:02,389
-How is that possible?
-AUSTIN: Take it easy, Aaron.
267
00:12:02,472 --> 00:12:04,557
All right, we're on it.
We got you.
268
00:12:04,641 --> 00:12:06,351
Taking good care
of yourself, right?
269
00:12:06,434 --> 00:12:07,769
-Yes.
-AUSTIN: All right, well,
270
00:12:07,852 --> 00:12:10,563
explain to us how you ended up
with a cardiac stent.
271
00:12:10,647 --> 00:12:14,275
Well, this cardiac clinic came
to the church leaving flyers.
272
00:12:14,359 --> 00:12:16,194
They were offering
heart screenings
273
00:12:16,277 --> 00:12:18,196
with no out-of-pocket
with Medicaid.
274
00:12:18,279 --> 00:12:21,574
And, uh, now, my congregation
275
00:12:21,658 --> 00:12:23,201
relies on outreach, so
276
00:12:23,284 --> 00:12:25,328
I wanted to set an example
to the flock, so I went.
277
00:12:25,412 --> 00:12:28,164
And what did the screening
turn up?
278
00:12:28,248 --> 00:12:31,042
Cardiologist said that my...
279
00:12:31,126 --> 00:12:33,294
my labs and my tests were...
280
00:12:33,378 --> 00:12:34,546
"borderline" was the word,
281
00:12:34,629 --> 00:12:37,048
and that I needed a cath ASAP.
282
00:12:39,843 --> 00:12:41,845
Were you feeling any chest pain?
283
00:12:41,928 --> 00:12:44,180
No. No.
284
00:12:44,264 --> 00:12:46,558
He said that the cath
was very important
285
00:12:46,641 --> 00:12:49,060
to screen for heart disease.
Silent killer.
286
00:12:49,144 --> 00:12:53,189
Okay, but why did
they stent you?
287
00:12:55,734 --> 00:12:58,236
Well, during the procedure,
288
00:12:58,319 --> 00:13:00,822
my heart was beating
out of my chest.
289
00:13:00,905 --> 00:13:02,699
And the pain,
290
00:13:02,782 --> 00:13:05,035
I mean, it's very severe, but
291
00:13:05,118 --> 00:13:07,954
once they put in the stent,
I had relief.
292
00:13:08,038 --> 00:13:09,789
You know, I'm a little
achy and tired
293
00:13:09,873 --> 00:13:11,166
here and there,
but for the most part,
294
00:13:11,249 --> 00:13:13,460
-I'm-I'm thankful.
-(phone ringing)
295
00:13:14,753 --> 00:13:17,339
Chest pain usually comes
before cardiac
296
00:13:17,422 --> 00:13:19,591
catheterization, not after.
297
00:13:19,674 --> 00:13:20,842
Excuse me, I need to take this.
298
00:13:20,925 --> 00:13:23,470
I hate to do this
to you, brother,
299
00:13:23,553 --> 00:13:26,806
but we need to get you
in our cath lab right away.
300
00:13:26,890 --> 00:13:30,226
And I promise you, you won't
feel any pain with these hands.
301
00:13:30,310 --> 00:13:31,936
All right?
302
00:13:34,064 --> 00:13:35,982
We got you, man.
303
00:13:36,066 --> 00:13:38,568
Hey, Billie.
304
00:13:38,651 --> 00:13:40,403
-You got a sec?
-What's up?
305
00:13:40,487 --> 00:13:42,113
So, I have a young woman
in the ER,
306
00:13:42,197 --> 00:13:43,531
she's banged up pretty bad
307
00:13:43,615 --> 00:13:45,533
from two failed
suicide attempts today.
308
00:13:45,617 --> 00:13:48,787
Yeah, I heard Superman
flew in and saved her.
309
00:13:48,870 --> 00:13:52,248
Her name is Eliza Brockton.
She's very smart, wily.
310
00:13:52,332 --> 00:13:54,668
She's a memoirist
who wrote two best sellers
311
00:13:54,751 --> 00:13:55,835
about depression.
312
00:13:55,919 --> 00:13:57,587
Sure, yeah, I read
the first one,
313
00:13:57,671 --> 00:13:58,880
The Lure of the Void.
314
00:13:58,963 --> 00:14:01,007
Right.
315
00:14:01,091 --> 00:14:03,635
So, I think she's
a good candidate for DBS.
316
00:14:03,718 --> 00:14:07,305
Well, DBS is still experimental
for depression.
317
00:14:07,389 --> 00:14:08,556
Does she meet
the inclusion criteria?
318
00:14:08,640 --> 00:14:09,599
Yes.
319
00:14:09,683 --> 00:14:12,852
No improvement
from CBT, SSRIs, or ECT.
320
00:14:12,936 --> 00:14:14,062
-(phone buzzes)
-Okay.
321
00:14:14,145 --> 00:14:15,355
-I'll talk to her.
-Thanks.
322
00:14:16,690 --> 00:14:18,733
It's Trevor. I've been trying
to reach him for weeks.
323
00:14:18,817 --> 00:14:22,404
Take it. No, take it, and
let him know that we miss him.
324
00:14:24,739 --> 00:14:26,908
Trevor, I'm so glad
you finally called.
325
00:14:26,991 --> 00:14:29,494
-Are you okay?
-Uh, yeah, yeah.
326
00:14:29,577 --> 00:14:31,329
I'm sorry it took so long
to get back to you. Just...
327
00:14:31,413 --> 00:14:34,582
-dealing with a lot of stuff.
-Of course.
328
00:14:34,666 --> 00:14:36,084
I can only imagine
a horrible revelation like...
329
00:14:36,167 --> 00:14:37,293
Yeah. We don't have to, um...
330
00:14:39,087 --> 00:14:41,047
Look, there's some...
there's some stuff
331
00:14:41,131 --> 00:14:43,008
I want to tell you in person.
332
00:14:43,091 --> 00:14:46,344
Okay. Sure.
333
00:14:46,428 --> 00:14:48,596
Just know, I've been
worried about you.
334
00:14:48,680 --> 00:14:50,181
All of us here have.
335
00:14:50,265 --> 00:14:51,850
And I'm not sureif you're aware of this,
336
00:14:51,933 --> 00:14:54,269
but you're in dangerof losing your residency.
337
00:14:54,352 --> 00:14:56,896
Yeah, I know.
338
00:14:56,980 --> 00:14:59,524
Uh, look, can we meet up
tomorrow? I'll fill you in.
339
00:15:00,942 --> 00:15:02,485
Yeah, sure. That works.
340
00:15:02,569 --> 00:15:04,237
Cool. Thanks, Billie.
341
00:15:06,364 --> 00:15:07,365
(phone beeps)
342
00:15:10,368 --> 00:15:11,870
Phones in your locker
while you're at the warehouse.
343
00:15:11,953 --> 00:15:13,038
Yeah, yeah, sorry. My bad.
344
00:15:13,121 --> 00:15:14,122
-You know that.
-Yeah.
345
00:15:19,252 --> 00:15:21,671
What's with the limp?
You okay, Randolph?
346
00:15:21,755 --> 00:15:24,424
Oh, I'm-I'm doing great.
Thanks for your concern.
347
00:15:24,507 --> 00:15:26,468
I want to talk to you
about Bosley.
348
00:15:26,551 --> 00:15:28,386
I don't get it.
349
00:15:28,470 --> 00:15:30,388
What is your beef
with Dr. Bosley?
350
00:15:30,472 --> 00:15:33,266
-Is this personal?
-I've never met the man.
351
00:15:33,350 --> 00:15:36,686
I told you last week,
Dr. Elkins was looking
352
00:15:36,770 --> 00:15:37,896
-into the Emily Benesch case.
-Well, you know...
353
00:15:37,979 --> 00:15:39,689
She didn't.
354
00:15:41,107 --> 00:15:43,109
These are five more complaints
against Bosley
355
00:15:43,193 --> 00:15:45,236
for catastrophic outcomes
that the board
356
00:15:45,320 --> 00:15:47,072
didn't look into either.
357
00:15:47,155 --> 00:15:48,615
(sighs)
358
00:15:48,698 --> 00:15:50,533
Look...
359
00:15:50,617 --> 00:15:52,577
I-I'm just not familiar with
360
00:15:52,660 --> 00:15:54,412
the details
of these old complaints
361
00:15:54,496 --> 00:15:55,705
off the top of my head,
362
00:15:55,789 --> 00:15:57,832
but I can tell you that,
if we made the decision
363
00:15:57,916 --> 00:15:59,626
not to investigate,
364
00:15:59,709 --> 00:16:01,586
we had good reasons.
365
00:16:01,670 --> 00:16:04,422
See, I can't imagine what those
366
00:16:04,506 --> 00:16:06,216
could possibly be.
367
00:16:06,299 --> 00:16:10,053
Randolph, you're a good man,
and I like you.
368
00:16:10,136 --> 00:16:13,181
You can be a very valuable
member of the medical board.
369
00:16:13,264 --> 00:16:15,308
That's what I'm trying to be.
370
00:16:15,392 --> 00:16:16,434
Well, typically,
371
00:16:16,518 --> 00:16:18,937
new members tend to stay
on the sidelines
372
00:16:19,020 --> 00:16:20,522
for a period
to see how things work
373
00:16:20,605 --> 00:16:23,233
before going full Norma Rae,
374
00:16:23,316 --> 00:16:25,568
you know what I mean?
375
00:16:25,652 --> 00:16:28,488
I'll see you at the
board meeting this afternoon.
376
00:16:31,741 --> 00:16:34,077
All right, Aaron,
I found the stent,
377
00:16:34,160 --> 00:16:36,496
and I also found the cause
378
00:16:36,579 --> 00:16:38,498
of your heart attack.
379
00:16:38,581 --> 00:16:41,376
Unfortunately,
they're one and the same.
380
00:16:41,459 --> 00:16:43,378
Uh, what does that mean?
381
00:16:43,461 --> 00:16:46,297
The stent your doctors placed
is actually blocking
382
00:16:46,381 --> 00:16:48,383
one of the other arteries
in your heart.
383
00:16:48,466 --> 00:16:50,969
That's why you were
feeling so much pain.
384
00:16:51,052 --> 00:16:53,638
AJ, the rest of his vessels
are pristine.
385
00:16:53,722 --> 00:16:56,683
Cholesterol's low,
no family history...
386
00:16:56,766 --> 00:16:58,685
CONRAD:
And it looks like the stent
was placed in the location
387
00:16:58,768 --> 00:17:01,521
of a coronary artery dissection.
Are we thinking the same thing?
388
00:17:01,604 --> 00:17:03,314
AUSTIN:
Yeah. It sickens me
389
00:17:03,398 --> 00:17:04,816
to say this,
390
00:17:04,899 --> 00:17:07,277
but you never should have had
a cath in the first place.
391
00:17:07,360 --> 00:17:10,613
Worse, the cardiologist
tore blood vessels
392
00:17:10,697 --> 00:17:13,450
when he put it in, which is why
the procedure was so painful.
393
00:17:13,533 --> 00:17:15,952
I should prepare
to see my maker.
394
00:17:16,036 --> 00:17:17,996
No need to pack your bags.
395
00:17:18,079 --> 00:17:20,206
You will get to your next
great achievement.
396
00:17:22,459 --> 00:17:24,169
Aaron,
397
00:17:24,252 --> 00:17:26,504
what was the name
of your cardiologist?
398
00:17:29,174 --> 00:17:30,467
(knock on door)
399
00:17:33,553 --> 00:17:34,471
Eliza,
400
00:17:34,554 --> 00:17:36,514
this is Dr. Billie Sutton,
401
00:17:36,598 --> 00:17:38,683
and she is a neurosurgeon,
402
00:17:38,767 --> 00:17:40,393
and I've asked her to come here
and talk to you.
403
00:17:40,477 --> 00:17:41,603
Hi, Eliza.
404
00:17:41,686 --> 00:17:43,521
I've seen that expression
405
00:17:43,605 --> 00:17:45,106
on your face too many times.
406
00:17:45,190 --> 00:17:47,776
You have a plan to fix me,
407
00:17:47,859 --> 00:17:50,445
but I am unfixable.
408
00:17:52,614 --> 00:17:54,157
I don't want to go
through this again.
409
00:17:54,240 --> 00:17:56,743
I-I get that.
410
00:17:56,826 --> 00:17:59,204
And, truth be told,
my plan might not work.
411
00:17:59,287 --> 00:18:01,664
DEVON:
The success rate
of deep brain stimulation
412
00:18:01,748 --> 00:18:03,249
for depression is about 50%.
413
00:18:03,333 --> 00:18:05,335
That is a broad definition
of success,
414
00:18:05,418 --> 00:18:08,546
from modest improvement
to complete absence
415
00:18:08,630 --> 00:18:10,131
of symptoms.
416
00:18:10,215 --> 00:18:12,300
Deep brain stimulation?
417
00:18:14,636 --> 00:18:16,638
A small conductor, an electrode,
418
00:18:16,721 --> 00:18:19,516
is permanently placed in a
specific region of the brain.
419
00:18:19,599 --> 00:18:22,227
The conductor carries a
low-level impulse from a battery
420
00:18:22,310 --> 00:18:23,687
to the area of the brain
that regulates mood.
421
00:18:23,770 --> 00:18:25,563
What could possibly go wrong?
422
00:18:25,647 --> 00:18:28,608
In very rare circumstances,
a hemorrhage can occur.
423
00:18:30,193 --> 00:18:33,822
Wh-Which would conceivably
turn me into a can of peas.
424
00:18:33,905 --> 00:18:37,450
Well, like I said,
that outcome is very rare,
425
00:18:37,534 --> 00:18:38,827
and I'm very good at this.
426
00:18:38,910 --> 00:18:40,995
And here's the part
you might like...
427
00:18:41,079 --> 00:18:42,539
Can't imagine
what that would be.
428
00:18:42,622 --> 00:18:44,916
Well, first we have
to scan your brain.
429
00:18:45,000 --> 00:18:47,711
Then, I give you a tour
of the organ
430
00:18:47,794 --> 00:18:50,338
that's not only the source
of your literary success,
431
00:18:50,422 --> 00:18:52,132
but the thing
that wants you dead.
432
00:18:52,215 --> 00:18:54,759
I'll pull some strings
to get you out
433
00:18:54,843 --> 00:18:56,928
-of the ER while you wait.
-ELIZA: Mm.
434
00:18:59,055 --> 00:19:01,891
We'll be back.
435
00:19:01,975 --> 00:19:03,852
(door opens)
436
00:19:03,935 --> 00:19:05,520
(door closes)
437
00:19:05,603 --> 00:19:07,147
Aaron is stable,
438
00:19:07,230 --> 00:19:09,524
but I can't undo the injury
his heart has sustained.
439
00:19:09,607 --> 00:19:12,235
Once a blood vessel's been torn,
it can tear again.
440
00:19:12,318 --> 00:19:15,071
And an acute clot could form,
441
00:19:15,155 --> 00:19:16,990
cause him more heart attacks.
442
00:19:17,073 --> 00:19:18,908
His cardiac function
has decreased
443
00:19:18,992 --> 00:19:20,618
to only a third
of what it should be.
444
00:19:20,702 --> 00:19:22,954
-In time, it could improve.
-It's all wrong,
445
00:19:23,038 --> 00:19:24,664
and the worst part is,
446
00:19:24,748 --> 00:19:27,334
the procedure
was entirely unnecessary.
447
00:19:27,417 --> 00:19:29,753
Look, I got a quick errand
I got to run.
448
00:19:29,836 --> 00:19:31,212
I'll be back as fast as I can.
449
00:19:31,296 --> 00:19:34,007
I'll hold the pastor in the ER,
keep an eye on him.
450
00:19:34,090 --> 00:19:36,176
-Yeah, man.
-I'll update you.
451
00:19:47,937 --> 00:19:49,689
This is the cerebrum...
452
00:19:49,773 --> 00:19:52,359
(machine beeps)
453
00:19:52,442 --> 00:19:54,194
...where consciousness,
emotion, perception,
454
00:19:54,277 --> 00:19:57,322
and memory are all integrated.
455
00:19:57,405 --> 00:19:59,616
Like any other part of the body,
456
00:19:59,699 --> 00:20:03,203
pathways of connections
can be too strong or too weak,
457
00:20:03,286 --> 00:20:04,204
and when they are weak, we try
458
00:20:04,287 --> 00:20:05,747
to augment them
with medications,
459
00:20:05,830 --> 00:20:07,874
you know, SSRIs, ECT...
460
00:20:07,957 --> 00:20:10,126
-But those didn't work.
-Which is why we get
461
00:20:10,210 --> 00:20:11,586
to try something more intense.
462
00:20:11,670 --> 00:20:13,922
We would place electrodes
463
00:20:14,005 --> 00:20:16,216
here and here.
464
00:20:16,299 --> 00:20:18,635
Like a pacemaker for the brain
465
00:20:18,718 --> 00:20:20,512
instead of the heart.
466
00:20:20,595 --> 00:20:23,139
The electrodes stimulate
Brodmann area 25,
467
00:20:23,223 --> 00:20:25,767
which is like the interstate
highway of nerve connections,
468
00:20:25,850 --> 00:20:27,560
or white matter,
469
00:20:27,644 --> 00:20:29,354
and it's sitting right on top
470
00:20:29,437 --> 00:20:31,981
of a huge serotonin depot.
471
00:20:32,065 --> 00:20:34,901
It's like drilling
for a well of happiness.
472
00:20:34,984 --> 00:20:38,446
If you like that image.
473
00:20:38,530 --> 00:20:42,075
Reminds me of those
flimsy claws at arcades
474
00:20:42,158 --> 00:20:45,620
that kids dump their money into
and try to grab a prize,
475
00:20:45,704 --> 00:20:48,123
but they never get one.
476
00:20:48,206 --> 00:20:51,710
Well, DBS has much higher odds
of success than those claws.
477
00:20:53,795 --> 00:20:55,755
Define success.
478
00:20:55,839 --> 00:20:58,258
We banish the hell in your head
479
00:20:58,341 --> 00:20:59,926
but keep the heavenly talent.
480
00:21:00,010 --> 00:21:02,262
I won't wake up
481
00:21:02,345 --> 00:21:04,556
and be someone else,
482
00:21:04,639 --> 00:21:07,058
will I?
483
00:21:07,142 --> 00:21:09,436
Everyone facing DBS
asks that question.
484
00:21:10,770 --> 00:21:12,605
Surely not everybody.
485
00:21:14,566 --> 00:21:16,651
Look, they say
in Alcoholics Anonymous,
486
00:21:16,735 --> 00:21:18,486
if you sober up a horse thief,
487
00:21:18,570 --> 00:21:20,321
all you have is
a sober horse thief.
488
00:21:21,990 --> 00:21:24,034
You will remain you,
489
00:21:24,117 --> 00:21:25,869
but a happy you.
490
00:21:29,039 --> 00:21:31,124
You're describing a stranger.
491
00:21:33,877 --> 00:21:35,670
AUSTIN:You know, I reallyappreciate you
492
00:21:35,754 --> 00:21:37,881
making time for me
on such short notice,
493
00:21:37,964 --> 00:21:39,466
Dr. Pellington.
494
00:21:39,549 --> 00:21:41,051
Well, I'm glad we could
make it work, Mr. Austin.
495
00:21:41,134 --> 00:21:43,720
Now, as you know, we took
a picture of your heart
496
00:21:43,803 --> 00:21:46,181
a few minutes ago,
I sure am glad we did.
497
00:21:46,264 --> 00:21:48,391
It revealed some extra beats.
498
00:21:48,475 --> 00:21:50,101
Now, we have
a fancy term for that.
499
00:21:50,185 --> 00:21:52,062
It's called premature
ventricular contractions,
500
00:21:52,145 --> 00:21:54,105
but the important thing is,
501
00:21:54,189 --> 00:21:55,607
it may have shown a blockage
502
00:21:55,690 --> 00:21:58,151
in your arteries
that feed blood to your heart,
503
00:21:58,234 --> 00:22:00,070
and that's the first step
to a heart attack.
504
00:22:00,153 --> 00:22:02,614
Whoa, a heart attack.
505
00:22:02,697 --> 00:22:04,949
(sighs) C-Can I take
a look at that?
506
00:22:05,033 --> 00:22:07,577
-Oh, sure, sure.
-Thanks.
507
00:22:07,660 --> 00:22:09,621
You are one lucky man
508
00:22:09,704 --> 00:22:11,790
because we can do
a cardiac cath.
509
00:22:11,873 --> 00:22:13,124
That's a procedure
510
00:22:13,208 --> 00:22:15,293
where we can get a better view
of those arteries,
511
00:22:15,377 --> 00:22:17,087
and if there is blockages,
512
00:22:17,170 --> 00:22:19,297
which I suspect there will be,
513
00:22:19,381 --> 00:22:21,633
we can open 'em right up.
Any questions?
514
00:22:21,716 --> 00:22:24,260
Yeah, just one.
515
00:22:24,344 --> 00:22:27,222
Did you go into medicine
intending to become a fraud?
516
00:22:27,305 --> 00:22:29,015
Excuse me?
517
00:22:29,099 --> 00:22:31,309
I'm a cardiothoracic surgeon
518
00:22:31,393 --> 00:22:33,269
at Chastain Park Memorial,
519
00:22:33,353 --> 00:22:35,271
and you and I both know that
520
00:22:35,355 --> 00:22:37,148
my EKG is normal.
521
00:22:37,232 --> 00:22:39,734
There is no medical reason
to take me to cath,
522
00:22:39,818 --> 00:22:42,487
just like there wasn't
for Pastor Aaron either.
523
00:22:42,570 --> 00:22:43,697
I could point to hundreds...
524
00:22:43,780 --> 00:22:46,616
Pastor Aaron is in our ICU
525
00:22:46,700 --> 00:22:48,785
right now as a result
of the botched stent
526
00:22:48,868 --> 00:22:51,037
you put in when you dissected
527
00:22:51,121 --> 00:22:54,582
his LAD during
an unnecessary cath.
528
00:22:54,666 --> 00:22:56,584
So, not only are you greedy,
529
00:22:56,668 --> 00:22:59,254
you are incompetent at best.
530
00:22:59,337 --> 00:23:01,673
I don't know what the hell
you think you're getting at,
531
00:23:01,756 --> 00:23:03,174
but everything I did is legal.
532
00:23:03,258 --> 00:23:06,344
Legal? Really?
533
00:23:06,428 --> 00:23:09,347
You know, that's a pretty
low bar for a doctor.
534
00:23:11,266 --> 00:23:12,392
I'll tell you what,
535
00:23:12,475 --> 00:23:15,311
Pellington,
536
00:23:15,395 --> 00:23:17,397
if my friend takes a turn
for the worse,
537
00:23:17,480 --> 00:23:20,900
you will find yourself
on the losing end of a lawsuit
538
00:23:20,984 --> 00:23:23,903
with me as the expert witness.
539
00:23:27,323 --> 00:23:29,242
Aaron.
540
00:23:29,325 --> 00:23:30,785
How you doing?
541
00:23:30,869 --> 00:23:32,704
I was just working
on next week's sermon.
542
00:23:34,748 --> 00:23:36,708
You know, today's been
all about me,
543
00:23:36,791 --> 00:23:39,085
and earlier you mentioned
about being pulled back in
544
00:23:39,169 --> 00:23:41,755
the pain of your wife's death,
before we got interrupted.
545
00:23:41,838 --> 00:23:44,090
And it will continue
to be all about you.
546
00:23:44,174 --> 00:23:46,634
Numbers look good.
Any chest pain?
547
00:23:46,718 --> 00:23:48,678
Ah, nothing significant.
548
00:23:49,971 --> 00:23:52,932
You and I are in
the "you" business.
549
00:23:53,016 --> 00:23:55,560
-You let me do my job.
-(chuckling)
550
00:23:55,643 --> 00:23:58,146
This resurgence of grief,
551
00:23:58,229 --> 00:24:00,648
have you had any big recent
changes in your life?
552
00:24:00,732 --> 00:24:03,985
Crazy work stuff the past week.
553
00:24:05,945 --> 00:24:07,864
(exhales) Have you been
554
00:24:07,947 --> 00:24:10,033
stepping out with any women
since Nic's death?
555
00:24:10,116 --> 00:24:14,412
Eh... one. Nothing serious.
Potentially others.
556
00:24:14,496 --> 00:24:16,498
-They all come
with complications.
-Yeah.
557
00:24:16,581 --> 00:24:19,959
Yeah, and I'm sure that you had
those complications with Nic.
558
00:24:20,043 --> 00:24:22,045
Yeah, but the baggage
was mostly mine.
559
00:24:22,128 --> 00:24:23,213
(laughs)
560
00:24:23,296 --> 00:24:25,382
You know, my experience with
561
00:24:25,465 --> 00:24:28,426
counseling widowers is that
guilt and loyalty
562
00:24:28,510 --> 00:24:31,137
can toss you back
into the original grief.
563
00:24:33,223 --> 00:24:34,766
Maybe.
564
00:24:34,849 --> 00:24:36,768
Hey.
565
00:24:36,851 --> 00:24:38,353
If it's this woman,
566
00:24:38,436 --> 00:24:41,022
or if it's that woman,
you deserve
567
00:24:41,106 --> 00:24:42,857
your next
great romantic achievement.
568
00:24:42,941 --> 00:24:44,693
(heart monitor beeping rapidly)
569
00:24:46,319 --> 00:24:47,904
Patient's in V tach!
I need a crash cart!
570
00:24:47,987 --> 00:24:50,031
(groans)
571
00:24:52,200 --> 00:24:55,662
He's pulseless. Now in V fib.
572
00:24:55,745 --> 00:24:58,665
We need to shock.
Get the pads on.
573
00:25:04,671 --> 00:25:05,588
(grunts)
574
00:25:05,672 --> 00:25:07,465
Charging. And clear.
575
00:25:07,549 --> 00:25:10,260
Now.
576
00:25:10,343 --> 00:25:12,929
Still in V fib.
577
00:25:13,013 --> 00:25:14,514
Get me a bolus of amio
and shock again.
578
00:25:17,475 --> 00:25:19,102
(Conrad grunts)
579
00:25:21,980 --> 00:25:23,356
Charging.
580
00:25:23,440 --> 00:25:25,483
Clear. And shock.
581
00:25:26,985 --> 00:25:28,069
(Aaron gasps)
582
00:25:28,153 --> 00:25:31,114
-He has a pulse.
-HUNDLEY: Sinus rhythm.
583
00:25:31,197 --> 00:25:33,616
But if this happens again,
he is not...
584
00:25:33,700 --> 00:25:35,827
When it happens again,
he won't survive it.
585
00:25:35,910 --> 00:25:39,080
Let's get him to the ICU.
I'll page AJ.
586
00:25:45,045 --> 00:25:47,797
-Hey, what's going on?
-I got him out of V fib, but...
587
00:25:47,881 --> 00:25:50,550
Hey. Right here,
I got you, brother.
588
00:25:54,888 --> 00:25:58,224
His left ventricle
is barely contracting.
589
00:25:58,308 --> 00:26:00,352
Down to about 15%.
He couldn't tolerate
590
00:26:00,435 --> 00:26:01,728
the refractory arrhythmia.
591
00:26:01,811 --> 00:26:03,563
We can't fix
his coronary arteries
592
00:26:03,646 --> 00:26:06,149
with more stents.
They're too damaged.
593
00:26:06,232 --> 00:26:08,943
I'm gonna have to take a vessel
from his chest and go around it.
594
00:26:09,027 --> 00:26:12,697
From an unnecessary cath
to open-heart surgery.
595
00:26:12,781 --> 00:26:14,657
(monitor beeps)
596
00:26:14,741 --> 00:26:17,202
(sighs)
597
00:26:17,285 --> 00:26:19,746
His systolic's
dropping to the 60s.
598
00:26:19,829 --> 00:26:21,289
I need more pressure than that
599
00:26:21,373 --> 00:26:23,583
-to do surgery.
-I'm maxed out on pressors.
600
00:26:23,667 --> 00:26:26,670
We're gonna have to
put him on ECMO.
601
00:26:26,753 --> 00:26:29,589
Wh-What's going on, fellas?
602
00:26:29,673 --> 00:26:32,300
AJ needs to perform
bypass surgery,
603
00:26:32,384 --> 00:26:33,760
so we're gonna
put you on a machine
604
00:26:33,843 --> 00:26:35,428
that will take over
for your heart,
605
00:26:35,512 --> 00:26:38,223
so your heart can survive
the procedure, okay?
606
00:26:38,306 --> 00:26:41,309
If God wants me
at His table right now,
607
00:26:41,393 --> 00:26:43,144
I have faith in Him.
608
00:26:43,228 --> 00:26:45,814
Have faith in me.
609
00:26:45,897 --> 00:26:48,024
I'm gonna do my best to make you
late for that dinner.
610
00:26:48,108 --> 00:26:49,943
You hear me?
611
00:26:52,612 --> 00:26:56,199
I am glad to see that you
agreed to the DBS.
612
00:26:56,282 --> 00:26:58,952
Of course, you'll be
under psychiatric care
613
00:26:59,035 --> 00:27:00,995
for some time
after the surgery, but...
614
00:27:01,079 --> 00:27:03,331
have you thought about
615
00:27:03,415 --> 00:27:04,708
what kind of support
you're gonna need
616
00:27:04,791 --> 00:27:06,001
when you get back
into your life?
617
00:27:08,461 --> 00:27:10,005
Well, if this works,
618
00:27:10,088 --> 00:27:12,674
I'll be happy, right? So...
619
00:27:12,757 --> 00:27:14,300
I won't need anything.
620
00:27:15,552 --> 00:27:16,845
I started reading
your first book.
621
00:27:16,928 --> 00:27:19,639
Hmm. Enjoy it while you can.
622
00:27:21,725 --> 00:27:24,144
And that description
of the conversation that you had
623
00:27:24,227 --> 00:27:26,855
with your therapist after
your first suicide attempt...
624
00:27:26,938 --> 00:27:29,983
About falling in love with
625
00:27:30,066 --> 00:27:32,110
my depression.
626
00:27:32,193 --> 00:27:34,070
DEVON:
Yeah.
627
00:27:34,154 --> 00:27:35,780
It's hard to conceive of that.
628
00:27:37,365 --> 00:27:40,118
Well, for most people, it's...
629
00:27:40,201 --> 00:27:42,162
impossible, which is...
630
00:27:42,245 --> 00:27:45,081
why this is all so futile.
631
00:27:45,165 --> 00:27:46,291
(monitor beeping)
632
00:27:46,374 --> 00:27:48,168
-Are you okay?
-Yeah.
633
00:27:48,251 --> 00:27:50,253
Yeah, I'm just, I'm just tired.
634
00:27:51,463 --> 00:27:54,424
This is so weird.
635
00:27:57,177 --> 00:27:59,346
-Eliza?
-Hmm? Yeah.
636
00:27:59,429 --> 00:28:00,680
Hey.
637
00:28:03,141 --> 00:28:05,810
My God, she pulled out
her A-line!
638
00:28:05,894 --> 00:28:07,645
I need another set
of hands in here!
639
00:28:08,897 --> 00:28:11,149
Eliza, I'm not letting you go.
640
00:28:12,400 --> 00:28:14,361
Please...
641
00:28:14,444 --> 00:28:16,279
give us a chance.
642
00:28:19,783 --> 00:28:23,370
Okay, so, remember, stay calm,
avoid an accusatory tone.
643
00:28:23,453 --> 00:28:26,039
But just share your truth.
644
00:28:26,122 --> 00:28:28,124
Yeah. Okay.
645
00:28:28,208 --> 00:28:30,627
I'm nervous, but I can do that.
646
00:28:33,088 --> 00:28:34,589
I wouldn't put you
in front of these people
647
00:28:34,673 --> 00:28:36,383
if I didn't think
you could reach them.
648
00:28:36,466 --> 00:28:38,343
Okay.
649
00:28:38,426 --> 00:28:40,261
Okay. All right. Here we go.
650
00:28:49,729 --> 00:28:51,481
I'm gonna move that chair.
651
00:28:51,564 --> 00:28:53,858
Just the top of the table.
652
00:28:55,735 --> 00:28:57,445
Okay.
653
00:28:57,529 --> 00:28:59,531
ELKINS:
Uh...
654
00:28:59,614 --> 00:29:01,074
Who is this woman, Dr. Bell?
655
00:29:01,157 --> 00:29:03,535
You didn't mention that you were
bringing a guest this morning.
656
00:29:03,618 --> 00:29:04,994
BELL:
This is Emily Benesch.
657
00:29:05,078 --> 00:29:08,039
She's gonna tell us her story,
658
00:29:08,123 --> 00:29:09,541
and we are going to listen.
659
00:29:11,251 --> 00:29:13,336
EMILY:
The last time I walked
on my own two feet,
660
00:29:13,420 --> 00:29:16,381
it was into
Dr. Bosley's practice.
661
00:29:18,258 --> 00:29:19,592
The man I was engaged to marry
662
00:29:19,676 --> 00:29:21,761
left me
after I was paralyzed.
663
00:29:27,434 --> 00:29:29,019
(exhales)
664
00:29:31,855 --> 00:29:34,482
I can't... (sighs)
turn over in bed,
665
00:29:34,566 --> 00:29:36,568
reach a book on the shelf,
666
00:29:36,651 --> 00:29:38,695
get out of my house, into a car,
667
00:29:38,778 --> 00:29:42,615
through a store
without pain and struggle.
668
00:29:42,699 --> 00:29:44,451
And why?
669
00:29:45,785 --> 00:29:47,996
Because no one stopped a man
670
00:29:48,079 --> 00:29:51,332
who should never have been
operating to begin with.
671
00:29:53,001 --> 00:29:56,254
You sit in here and review
his explanations.
672
00:29:56,338 --> 00:29:57,922
Accidents happen,
673
00:29:58,006 --> 00:29:59,966
but again and again?
674
00:30:01,843 --> 00:30:03,762
Who else will end up like me?
675
00:30:06,389 --> 00:30:09,225
Would you send your wife to him?
676
00:30:09,309 --> 00:30:11,811
Your son?
677
00:30:11,895 --> 00:30:13,688
Your father?
678
00:30:13,772 --> 00:30:16,066
Then why a stranger?
679
00:30:17,400 --> 00:30:20,320
I know that a very high
percentage of doctors
680
00:30:20,403 --> 00:30:22,322
are-are competent
681
00:30:22,405 --> 00:30:24,324
and good people.
682
00:30:24,407 --> 00:30:27,202
And the few who ruin
683
00:30:27,285 --> 00:30:29,329
people's lives,
684
00:30:29,412 --> 00:30:32,540
they're-- are repeat offenders.
685
00:30:32,624 --> 00:30:34,459
Like Dr. Bosley.
686
00:30:36,086 --> 00:30:39,047
If a hundred good doctors
do nothing
687
00:30:39,130 --> 00:30:41,383
about one bad one,
688
00:30:41,466 --> 00:30:43,802
then we've got 101 bad doctors.
689
00:30:46,388 --> 00:30:48,890
You owe it to yourselves.
690
00:30:48,973 --> 00:30:50,934
You owe it to me.
691
00:30:56,356 --> 00:30:58,358
Thank you, Emily.
692
00:31:00,568 --> 00:31:04,239
We'll pass this up to
the complaint division and...
693
00:31:04,322 --> 00:31:06,991
discuss the status
of the investigation
694
00:31:07,075 --> 00:31:10,286
on a weekly basis.
695
00:31:10,370 --> 00:31:11,996
Thank you.
696
00:31:26,136 --> 00:31:28,930
The ECMO's giving his heart
some relief,
697
00:31:29,014 --> 00:31:31,725
but this is as strong
as he's gonna get.
698
00:31:31,808 --> 00:31:33,977
If I don't operate now,
there might not be
699
00:31:34,060 --> 00:31:36,396
-any heart muscle left to save.
-Yeah, it's time.
700
00:31:36,479 --> 00:31:39,899
Let's hope he's strong enough
to survive.
701
00:32:04,341 --> 00:32:07,260
All right, the first graft
is complete.
702
00:32:07,344 --> 00:32:10,055
This LAD is gonna be
a little tougher.
703
00:32:10,138 --> 00:32:11,473
4.0 Prolene to me.
704
00:32:17,312 --> 00:32:19,939
Suturing over the dissection.
705
00:32:21,524 --> 00:32:23,109
CHU:
You're using both internal
706
00:32:23,193 --> 00:32:25,320
mammary arteries for grafts.
707
00:32:25,403 --> 00:32:27,489
Is there a risk
of recurring heart disease?
708
00:32:27,572 --> 00:32:29,866
Oh, good question, Chu.
709
00:32:29,949 --> 00:32:32,410
Not in a man who doesn't
actually have heart disease.
710
00:32:34,913 --> 00:32:37,248
Both anastomoses complete.
711
00:32:37,332 --> 00:32:38,875
Removing the clamp.
712
00:32:43,797 --> 00:32:46,007
CHU:
Let me know when you're ready.
713
00:32:49,719 --> 00:32:52,889
I am in position.
714
00:32:52,972 --> 00:32:55,141
Let's hit the reset button
715
00:32:55,225 --> 00:32:58,103
on the good pastor's
new and improved heart.
716
00:32:58,186 --> 00:32:59,646
-Starting with five joules.
-(whirring)
717
00:33:04,984 --> 00:33:07,112
-CHU: Going up to ten.
-(beeping)
718
00:33:09,072 --> 00:33:11,950
(whirring)
719
00:33:14,452 --> 00:33:16,746
(Austin sighs)
720
00:33:16,830 --> 00:33:18,707
Take it to 20.
721
00:33:20,750 --> 00:33:22,210
(beeping)
722
00:33:25,046 --> 00:33:27,048
(whirring)
723
00:33:31,344 --> 00:33:32,929
Come on.
724
00:33:35,890 --> 00:33:37,434
(sighs)
725
00:33:42,939 --> 00:33:45,316
BILLIE:
I'm placing the electrode.
726
00:33:45,400 --> 00:33:47,861
Now, there are no pain receptors
in the brain,
727
00:33:47,944 --> 00:33:49,654
so this won't hurt.
728
00:33:49,738 --> 00:33:50,947
That's ironic.
729
00:33:52,490 --> 00:33:54,242
BILLIE:
Advancing the electrode.
730
00:33:54,325 --> 00:33:57,078
60 millimeters.
731
00:33:57,162 --> 00:34:00,206
78 millimeters.
732
00:34:03,668 --> 00:34:06,463
We're at the target region.
733
00:34:06,546 --> 00:34:08,340
Dr. Malco?
734
00:34:08,423 --> 00:34:09,674
Pass it over to me.
735
00:34:09,758 --> 00:34:13,219
For what it's worth,
I feel no different.
736
00:34:13,303 --> 00:34:15,472
I...
737
00:34:15,555 --> 00:34:17,098
maybe feel worse, even.
738
00:34:17,182 --> 00:34:18,892
Perhaps because now
739
00:34:18,975 --> 00:34:21,144
my head is screwed
into a metal frame.
740
00:34:21,227 --> 00:34:23,813
We haven't turned it on
yet, Eliza.
741
00:34:23,897 --> 00:34:27,108
-That's what I'm about to do.
-ELIZA: Oh.
742
00:34:27,192 --> 00:34:29,986
-(machine beeps)
-Two volts.
743
00:34:30,070 --> 00:34:33,323
Eliza, rate your mood
on a scale of zero to ten.
744
00:34:33,406 --> 00:34:34,532
Unchanged.
745
00:34:34,616 --> 00:34:37,702
Zero.
746
00:34:37,786 --> 00:34:41,414
Adjusting to four volts.
747
00:34:41,498 --> 00:34:44,209
And now?
748
00:34:46,836 --> 00:34:48,296
Nothing.
749
00:34:51,591 --> 00:34:53,760
-(machine beeps)
-Six volts.
750
00:34:55,679 --> 00:34:57,472
Eliza, how about now?
751
00:34:59,057 --> 00:35:01,893
Eliza, are you okay?
752
00:35:04,896 --> 00:35:06,106
I'm...
753
00:35:07,607 --> 00:35:09,067
-I'm...
-MALCO: Eliza, if we
754
00:35:09,150 --> 00:35:11,152
-went too far we can
turn it back down.
-ELIZA: No.
755
00:35:11,236 --> 00:35:14,114
No. Don't-don't-don't
turn it back down.
756
00:35:14,197 --> 00:35:15,532
Don't-don't...
757
00:35:15,615 --> 00:35:18,034
Don't do anything.
758
00:35:18,118 --> 00:35:20,870
Tell us how you feel, Eliza.
759
00:35:20,954 --> 00:35:23,123
ELIZA:
I feel calm?
760
00:35:23,206 --> 00:35:25,625
Everything...
761
00:35:25,709 --> 00:35:28,545
everything seems... brighter.
762
00:35:30,296 --> 00:35:32,507
(chuckles)
763
00:35:32,590 --> 00:35:35,385
Is...?
764
00:35:35,468 --> 00:35:38,221
Could this be... (chuckles)
765
00:35:38,304 --> 00:35:41,182
Could this be happiness?
766
00:35:41,266 --> 00:35:43,018
(chuckles)
767
00:35:53,445 --> 00:35:55,989
Well, against all odds,
Aaron's alive
768
00:35:56,072 --> 00:35:57,949
with plenty more sermons
to give.
769
00:35:58,033 --> 00:36:00,076
Yeah, well,
it's a flawed victory.
770
00:36:00,160 --> 00:36:01,911
His heart
is permanently damaged,
771
00:36:01,995 --> 00:36:03,747
and he'll spend the rest
of his life exhausted.
772
00:36:03,830 --> 00:36:07,417
All because of unnecessary tests
and useless procedures
773
00:36:07,500 --> 00:36:09,252
that were detrimental
to his health.
774
00:36:09,336 --> 00:36:11,880
You know, I talked to Bell, now
that he's on the medical board.
775
00:36:11,963 --> 00:36:15,091
Ah, let me guess.
The system is so broken,
776
00:36:15,175 --> 00:36:16,885
Pellington won't face
any ramifications.
777
00:36:16,968 --> 00:36:18,219
Bingo.
778
00:36:20,180 --> 00:36:22,557
There's literally
nothing we can do.
779
00:36:22,640 --> 00:36:25,101
Maybe not, but there
is always karma.
780
00:36:25,185 --> 00:36:26,853
So we'd like to think.
781
00:36:26,936 --> 00:36:30,690
♪ Like the beatingof life in my veins ♪
782
00:36:30,774 --> 00:36:32,650
♪ I know there's gonna be ♪
783
00:36:32,734 --> 00:36:35,278
♪ Some brighter days ♪
784
00:36:35,362 --> 00:36:37,072
♪ I know there's ♪
785
00:36:37,155 --> 00:36:41,493
♪ Gonna be some brighter days ♪
786
00:36:41,576 --> 00:36:43,661
♪ I swear that love will find ♪
787
00:36:43,745 --> 00:36:45,830
♪ You in your pain ♪
788
00:36:45,914 --> 00:36:47,165
♪ Ooh ♪
789
00:36:47,248 --> 00:36:49,167
♪ I feel it in me like ♪
790
00:36:49,250 --> 00:36:52,879
♪ The beating of lifein my veins ♪
791
00:36:52,962 --> 00:36:54,673
♪ I know there's gonna be ♪
792
00:36:54,756 --> 00:36:58,134
♪ Some brighter days ♪
793
00:36:58,218 --> 00:36:59,678
♪ I know there's gonna be... ♪
794
00:36:59,761 --> 00:37:02,847
-Are you okay?
-Yeah, yeah, Nic has just...
795
00:37:04,224 --> 00:37:06,101
Nic has just been on my mind.
796
00:37:07,519 --> 00:37:09,521
And...
797
00:37:09,604 --> 00:37:11,314
and what we do,
798
00:37:11,398 --> 00:37:13,942
just...
799
00:37:14,025 --> 00:37:17,112
watching people slide
to the very edge
800
00:37:17,195 --> 00:37:19,739
while we fight to save them.
801
00:37:21,366 --> 00:37:23,618
Yeah.
802
00:37:23,702 --> 00:37:27,330
Yeah, like
we're surrounded by loss.
803
00:37:27,414 --> 00:37:30,709
Past, present, the future.
804
00:37:30,792 --> 00:37:33,378
Ours, other people's.
805
00:37:37,132 --> 00:37:39,175
Look, man, I'm preparing
806
00:37:39,259 --> 00:37:41,469
for my mother's passing.
807
00:37:41,553 --> 00:37:44,639
And when she does, I...
808
00:37:44,723 --> 00:37:46,558
I don't know what I'm gonna do.
809
00:37:46,641 --> 00:37:49,352
I know I'll never know
another like her.
810
00:37:51,146 --> 00:37:52,522
No.
811
00:37:53,857 --> 00:37:56,609
There are some holes
you just can't fill.
812
00:37:57,652 --> 00:37:59,154
Yeah.
813
00:37:59,237 --> 00:38:02,824
♪ I know there's gonna besome brighter ♪
814
00:38:02,907 --> 00:38:05,201
♪ Days. ♪
815
00:38:05,285 --> 00:38:06,286
(knock on door)
816
00:38:07,954 --> 00:38:09,330
(exhales)
817
00:38:09,414 --> 00:38:11,624
Go ahead, ask.
818
00:38:11,708 --> 00:38:13,168
How are you feeling?
819
00:38:14,419 --> 00:38:15,462
(laughs):
Good.
820
00:38:15,545 --> 00:38:18,798
Weird. Um, hopeful.
821
00:38:18,882 --> 00:38:21,634
Scared. Bionic.
822
00:38:21,718 --> 00:38:24,137
I feel like I'm at one
of those all-you-can-eat
823
00:38:24,220 --> 00:38:27,432
buffet restaurants,
only it's for emotions.
824
00:38:27,515 --> 00:38:28,725
(chuckles)
825
00:38:28,808 --> 00:38:31,186
Sounds dizzying,
826
00:38:31,269 --> 00:38:32,687
but an improvement.
827
00:38:34,314 --> 00:38:37,233
Dr. Malco has a few options for
psychiatric treatment centers,
828
00:38:37,317 --> 00:38:38,735
and they all accept
your insurance,
829
00:38:38,818 --> 00:38:40,153
and they're gonna
take you right away.
830
00:38:40,236 --> 00:38:42,530
BILLIE:
You'll come back
and see me in two weeks,
831
00:38:42,614 --> 00:38:45,283
and I'll adjust your stim level
if necessary.
832
00:38:46,785 --> 00:38:49,371
Okay.
833
00:38:49,454 --> 00:38:51,373
Uh, thank you...
834
00:38:52,874 --> 00:38:54,668
...for not letting me go.
835
00:38:56,002 --> 00:38:57,379
Of course.
836
00:39:08,056 --> 00:39:11,101
Days like this,
I love being a doctor.
837
00:39:11,184 --> 00:39:13,645
-Best job in the world.
-(chuckles)
838
00:39:21,444 --> 00:39:23,279
Bell.
839
00:39:23,363 --> 00:39:26,116
Bell, Bell, Bell.
840
00:39:26,199 --> 00:39:28,326
You know, I thought
I had the deepest,
841
00:39:28,410 --> 00:39:30,328
highest-octane reservoir
842
00:39:30,412 --> 00:39:34,124
of ego, but, brother,
your vanity makes mine blush.
843
00:39:34,207 --> 00:39:36,459
CONRAD:
Randolph, you are my friend,
844
00:39:36,543 --> 00:39:39,087
but it's a good thing
you don't have cancer
845
00:39:39,170 --> 00:39:40,505
because you are not
a good enough friend
846
00:39:40,588 --> 00:39:42,465
for me to shave off this.
I mean, this is like a silken
847
00:39:42,549 --> 00:39:45,510
-masterpiece up here.
-AUSTIN: That it is, it is.
-KIT: Ooh.
848
00:39:45,593 --> 00:39:46,970
So...
849
00:39:48,304 --> 00:39:49,931
What do you say?
850
00:39:52,142 --> 00:39:53,893
Okay, I will take this...
851
00:39:53,977 --> 00:39:56,104
walking stick,
852
00:39:56,187 --> 00:39:58,064
but not because
I'm old or infirm,
853
00:39:58,148 --> 00:40:00,358
but because it's really cool.
854
00:40:00,442 --> 00:40:02,027
(laughter)
855
00:40:02,110 --> 00:40:04,696
-Thanks, guys.
-You got it.
856
00:40:24,466 --> 00:40:26,092
Well, you look good.
857
00:40:27,969 --> 00:40:29,387
You okay?
858
00:40:29,471 --> 00:40:31,556
I am.
859
00:40:31,639 --> 00:40:33,058
I'm good.
860
00:40:42,108 --> 00:40:44,110
(Trevor sighs)
861
00:40:45,320 --> 00:40:46,821
So, what's going on?
862
00:40:48,156 --> 00:40:49,574
Okay, first...
863
00:40:51,618 --> 00:40:54,204
I'm not sure
I want to be a doctor.
864
00:40:54,287 --> 00:40:57,415
I went into it
for the wrong reasons.
865
00:40:59,042 --> 00:41:00,627
Why did you go into it?
866
00:41:06,383 --> 00:41:09,094
I wanted to be the person
I thought you'd love enough
867
00:41:09,177 --> 00:41:11,888
to wish you'd kept me.
868
00:41:11,971 --> 00:41:14,557
Now I realize you were a child.
869
00:41:14,641 --> 00:41:16,726
That's why you couldn't keep me.
870
00:41:16,810 --> 00:41:19,270
I know we both suffered.
871
00:41:23,483 --> 00:41:26,069
Right now
it feels like being a doctor
872
00:41:26,152 --> 00:41:27,779
won't give me what it gives you.
873
00:41:30,615 --> 00:41:33,368
The good news is, being an M.D.
874
00:41:33,451 --> 00:41:36,246
opens up a lot of opportunities.
875
00:41:36,329 --> 00:41:38,873
Yeah. I...
876
00:41:38,957 --> 00:41:41,835
got a job in
research and development
877
00:41:41,918 --> 00:41:43,503
at a biotech start-up.
878
00:41:43,586 --> 00:41:46,423
Drug chemistry, my sweet spot.
879
00:41:46,506 --> 00:41:49,592
But I'm gonna do it,
you know, by the rules.
880
00:41:49,676 --> 00:41:52,804
-(both chuckle)
-Try to make a difference.
881
00:41:52,887 --> 00:41:55,390
I don't know.
We'll see what happens.
882
00:41:58,018 --> 00:41:59,728
I'm happy for you, Trevor.
883
00:42:02,022 --> 00:42:04,190
And I'm very proud.
884
00:42:05,734 --> 00:42:07,569
Yeah, since Porter,
885
00:42:07,652 --> 00:42:09,863
since giving you away, I...
886
00:42:09,946 --> 00:42:12,282
It had been inconceivable to me
887
00:42:12,365 --> 00:42:14,743
that I could ever feel maternal
towards anyone.
888
00:42:16,411 --> 00:42:18,121
I never wanted kids.
889
00:42:20,081 --> 00:42:21,499
But you forced me to meet you,
890
00:42:21,583 --> 00:42:23,668
and what had been inconceivable
happened.
891
00:42:23,752 --> 00:42:27,005
Something opened up in me.
No, these last couple
892
00:42:27,088 --> 00:42:29,924
of weeks, when I didn't know
where you were,
893
00:42:30,008 --> 00:42:32,052
what you were doing...
894
00:42:32,135 --> 00:42:34,429
I was beside myself with worry.
895
00:42:37,307 --> 00:42:39,768
Which I suspect means
I was feeling a little bit
896
00:42:39,851 --> 00:42:41,436
like a real mother.
897
00:42:48,651 --> 00:42:51,321
You are my son.
898
00:42:51,404 --> 00:42:53,656
Nothing can ever change that.
899
00:42:55,283 --> 00:42:57,077
And I love you.
900
00:42:57,160 --> 00:42:59,079
Captioning sponsored by
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901
00:42:59,162 --> 00:43:01,164
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902
00:43:01,247 --> 00:43:03,208
Captioned by
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