All language subtitles for Chicago Med s08e17 Know When to Hold.eng

- Here at Gaffney
Chicago Medical Center...

We'll want to get
as much press as possible.

- They're doing infomercials
for 2.0 now?

- When you were a kid, you
started having your problems,

and I wasn't there for you.

- You're here now.

[tense music]

- I could construct
a neural network

and compare it against tens of
thousands of known mutations.

- I wonder
if you might train me

on that new program
you were talking about.

- Dr. Halstead,
can you give Dr. Song a hand?

♪

- You can't play
with the bumpers up.

- So what?
I'm not embarrassed.

- How are you supposed
to improve?

- Who said anything
about improving?

I'm here for the drinks.

- [chuckles]

- Maggie's buying first round?

- That's what I heard.

- This is why I don't
invite you two out,

because you're cheap.

- Where's Ben?

- The science fair is tomorrow.

He's prepping the gym
for a mass eruption

of baking soda volcanoes.

But don't you worry,
I got a fourth.

- Oh, yeah? Who?

- Hey, Grace.
Over here.

Word is she's single.

- What, you're trying
to set us up?

- Mm-hmm.
- Hi.

- Hey.
- Hey.

- We're hitting the bar.
- Can we get you anything?

- Oh, my gosh, yeah.

Guinness.
Anything dark, really.

- Anything dark.
Just like Halstead.

Go figure.

Well, be back in a flash.

- Didn't know you bowled.

- Neither did I,
until undergrad.

It's the least
physically demanding gym credit

I could get away with.

- Not too analog
for your taste?

- It's not gonna do much
for my street cred,

but I fell in love with it.

The physics of the game,
it's just really elegant.

Besides, Jack has me all over
the place these past few years,

and it's easy
to find an alley

pretty much anywhere
in the world.

It's comforting,

finding something familiar
when you travel all the time.

Maybe it's the smell.

- Floor wax, sweaty shoes,
and old beer.

- It's the sweaty shoes
that do it for me.

[laughter]

You gonna have to tell me
if I'm any good, though.

Rarely in one place long enough
to see how I stack up.

- All right.

- Dr. Berger said
placement went smoothly.

- So I can get out of here?
- I'd say so.

Remember to keep the site
sterile every time

you connect to the cycler.
- Yeah, spare me the speech.

I've placed hundreds
of PD catheters.

- You sure?
It's a pretty good speech.

Just take it easy on yourself.

Peritoneal dialysis
will let you keep working,

but you won't be feeling 100%
anytime soon.

- I'll take it
under advisement.

[knocks at door]

- Hey, sweetie.
Still at it?

- Yeah.

Well, I just have one more.
I'm almost done.

But Notre Dame,
Northwestern,

and the University of Chicago
are all finished.

I just need to submit them.

- Wow.

So proud of you, sweetie,
how hard you've worked.

What's the last one?

- Stanford.
- Stanford?

- Well, their school
of sustainability

has all these research groups
on everything

from decommissioning combustion
engines to carbon storage.

The opportunities are unreal.

And I think I'd actually
have a decent shot at it.

- I guess I just thought
that you were planning

to stay closer to Chicago.

- Well, yeah,
I mean, obviously I do.

I mean, I was just
considering all the options.

- As well you should.

Um, honey, I don't want
to slow your roll,

so keep up the good work.

And just give me a shout
if you need anything.

- What can you tell us
about Kuan-yu's journey?

- Kuan-yu has a condition
called ankylosing spondylitis.

It's an inflammatory disease.

As it progresses, it fuses
the vertebrae of the spine.

- I took him many places,
but no one fixed him.

No, it didn't work at all.

We always hoped
that it would stop,

but he got more bent over.

- Kuan-yu, how long have you
been in this position?

- I have not laid on my back
in 19 years.

- It must be hard to function,
to do everyday things.

- Yes, but my mother
helps me in all ways.

She keeps my hope alive.

- Can you tell us
how they came to Chicago Med?

- An international aid
organization

tried to pair Kuan-yu with
a number of renowned surgeons,

but they all declined his case.

- They were too scared.

- Yeah, there are significant
technical challenges

to a surgery like this.

A similar procedure
was performed

in China a few years ago,

but it was spaced out
over several months.

Not everywhere is equipped
for something like this.

- But thankfully, social media
jumped to the rescue

and tagged Dr. Marcel.

- Yeah, I knew we should
and could help,

so I presented Kuan-yu's case
to Jack Dayton,

and he immediately agreed.

- Mr. Dayton flew us here,
paid everything.

He asked nothing
but to make this film.

- Mr. Dayton and Dr. Marcel
are my angels.

- Kuan-yu has candidly
discussed the risks,

and he's mentally prepared.

But are you concerned?

- Tomorrow's surgery has
been meticulously planned

for months,

and I have full faith
in our doctors and nurses.

- And we have OR 2.0.

Because Kuan-yu's spine
is one long, rigid bone,

there are severe risks involved

in separating
and reconstructing it,

which is where 2.0
is a gamechanger,

allowing us to be more precise

as we perform a series
of osteotomies, meaning--

- Sorry to interrupt
the infomercial,

but would you rather hear this
from the surgeon

who's actually performing
the procedure?

- This is Dr. Abrams,
our chief of neurosurgery

and lead surgeon
on Kuan-yu's surgery.

- Yes, and Dr. Marcel,
our esteemed general surgeon,

will be assisting.

- Yes, I will be
helping Dr. Abrams

gain access to Kuan-yu's spine
via anterior approaches.

- So as we discussed,

we'll be placing screws
along every level of the spine,

connected by at least four rods
from the skull to the pelvis,

along with multiple
pedicle subtraction osteotomies

and cerebral column resections.

- Dr. Abrams,
this is wonderful,

but could you turn
and face the camera

and give us that information
again in layman's terms

for our documentary audience?

- Your show pony's right there.

- Yes, I'll be happy
to translate.

♪

.

- Hey, Sharon.

How was filming last night?
- Fine.

I'm relieved my part is over.

And the filming
will be completed

after the surgery today.

- You don't sound too happy
about the documentary.

- Well, I think
Jack has a unique

and commendable understanding
of the power of PR.

- Go on.
I'm listening for the "but."

- Having cameras
in the hospital

doesn't exactly create
a therapeutic environment.

- Yeah, I hear you.

But, Sharon,
this is the kind of case

that puts Gaffney on par
with the Mayo Clinic.

- Well, I can't pretend that
I don't like the sound of that.

So for everyone's sake,

let's hope
that there's a good outcome.

- Now that sounds like a plan.

- So that four-bagger earn me
a spot on the practice team?

- I think you had us
all outclassed.

- You held your own.

Maybe we could square off
sometime, you and me.

- Sure. Sounds good.

- Got to run.
Big day in 2.0.

- Good luck.

- Kind of flat-footed,
Halstead.

- What?

- Will and Grace.

It has a nice,
familiar ring to it.

- If I'm correct,
they were just friends.

- OK, come on.

You can't talk to your ex
about your new crush?

- I think you misread
the situation.

- Hey.
- Hey.

- Mornin'.
- Whoa, whoa.

What's with the jacket?

- I work here now.
- Yeah, that much I guessed.

Wow.

- You all right?

- Yeah, I slept funny.

So you're parking cars.

- Hannah--
Dr. Asher hooked me up.

Sent over the job opening.

Put in a good word.
- How considerate of her.

- Well, I wanted
to surprise you.

Hey, you think I should, like,
write her a thank you note?

Is that weird?

Maybe I'll buy her
a cup of coffee.

- I'll pass along your regards.
Hustle up.

You don't want to be written up
for loitering on the job.

- Dr. Archer, good morning.

How are you?
- Fine.

Why would you ask me that?
- No reason.

Anything you need?
Water or--

- Yeah,
I need residents to talk less.

- Hey.

Hey, how'd the PD cath go?
- OK.

Why would you
get Sean a job here?

- Excuse me?

- Every person in this place
knows what's going on with me.

How long do you think it'll be
before he finds out the news?

- Wait. He doesn't know
about your renal failure?

- And I had planned
to keep it that way.

Listen, I just got
this kid back, all right?

With his sobriety, I don't want
to burden him with my stuff.

- OK, Dean, I'm sorry
if I'm butting in here,

but sobriety depends
on both of you being honest.

If you really want that
real relationship with Sean,

he needs to know.

- You are butting in,
all right?

And I'll tell him
when he's ready.

- OK, hey.

If you need a hand
with anything, I'm here.

I know that the first
few nights of dialysis

can be really rough.

- Yeah, I'm not in the market
for a nursemaid.

- [sighs]

- I can help.
His veins roll.

- Oh, I've got it.
Thank you.

- He can't keep it?
- No, I'm sorry.

He can't wear anything
during surgery.

- Hey, Dan.
Everything good?

- Yeah. Ms. Goodwin
asked me to come down,

you know,
check up on your patient.

Big, stressful day,
even without the damn cameras.

But he seems to be doing great,

you know,
focused on the positives.

- Well, looks like
we're ready to go.

Exciting day, huh?

- Good luck.
- Thanks, buddy.

Hey, Kuan-yu.

It's Dr. Marcel.

Ready to see the world?

- I am born ready.

- Oh, that's the spirit.

Good, buddy.
Great. All right.

I'm gonna have you guys
step back for a moment.

Thank you.

- Can I give you a hand?

Did you need an extra bag
or anything?

- I can't keep still.

Worse today.

- Perfectly normal
to be worried.

- Every day,
I get older, less strong,

and he gets worse.

So yes, I am worried today.

But I am also hopeful.

- Good.

- Maybe I go into surgery now.
- You know what?

I'm afraid that
that's not gonna be possible.

It's against hospital policy.

- No. No, I must be there.

- I'm so sorry that this wasn't
made clear to you earlier,

but it's actually
for Kuan-yu's safety.

- But I can be useful.

Maybe they have questions
or need help moving him.

- Mrs. Wu, your son is
in the best possible hands.

Look, how about
if I find you a place to wait

right next
to the operating room?

That way, you can be
as close as possible.

Would that
make you feel better?

- Dr. Archer, incoming MVC.
Going to Trauma 3.

Zach, you're going with them.

Court!
- Vincent Jones, 40s.

T-boned at Cermak and Clark.

GCS 8.

Sats have been hovering
in the high 80s.

- Pressure?
- 105 over 80.

Heart rate's 135.

- All right, let's go.

Get ready to transfer
on my count.

- Should we get an extra set
of hands so you don't have to--

- No.

Ready?
One, two, three.

[groans]
- Dr. Archer, are you--

- Yeah, just worry
about your patient, all right?

What's the first order
of business?

- Airway.
- Airway, right.

Trini, I need ET kit,
RSI drugs.

I need X-ray in here, please!

All right.

Feeling some instability
in the pelvis.

What is taking so long?
- I think I've got it.

- You think?
- I'm in.

- Breath sounds bilateral.

Sats rising.
Pressure still soft.

- All right.
What's next, Zach?

- X-ray chest and pelvis,
and then a fast.

- You want
to resuscitate this guy

or just let him die
while you order stuff?

- Right.
Two units whole blood.

- Negative fast.

All right.
Where's my X-ray?

All right, clear!

Let's see it.

- Left-sided
posterior hip dislocation.

- Got it in one. And?
- We'll need to reduce.

- Set the scoreboard
back to zero.

He needs a panscan.

Rule out cavitary hemorrhage.

He might need surgery
before we reduce him.

All right, let's move.

[groans]

.

- Here we go.

Kuan-yu's ready,
and the cameras are in place.

I had the one at the head
of the table moved back.

- Better if you moved them
all the way out of the room.

- What, are you afraid
they're gonna throw you off?

- Nothing throws me off.

I just don't think
publicity has a place in my OR.

- I'm surprised
you took this case then.

- Well,
I thought about refusing,

but any other neurosurgeon

would probably
paralyze the poor guy.

Now, sadly,
at the end of the day,

you and I are just shilling

for a billionaire
padding his pockets.

- Well, if you want
to look at it that way, OK.

But this surgery never would
have happened without 2.0,

and it never would have
happened without Jack.

- Right. In other words,
your participation in it.

- Ms. Wallace,
I'm Dr. Halstead.

- My mom's looking
after my son.

Trying to explain

how to swaddle
a six-week-old via text.

- Take your time.

- She'll manage.

I turned out OK.

- So what brings you in today?

- Oh, here it comes.

[retches]
- Asked and answered.

How long you been
feeling this way?

- A few days now.

I thought
maybe it was food poisoning,

but it shouldn't
last this long, right?

- Could be
viral gastroenteritis.

Stomach bug.
Easily treatable.

But we'll start
with some labs and IV fluids.

I can also prescribe you
something for nausea.

- That would be
much appreciated.

- All right.

- Here we go.

- [groans]

You know, I did
the whole single-mom IVF thing.

Everyone warned me
about the risks

of a geriatric pregnancy.

I didn't know the effects
would last postpartum.

- Well, we're gonna
get you sorted out

and back to your son
as soon as possible.

All right, CBC, BMP, KUB, and
bolus a liter of normal saline.

- You got it.
- Thanks, Doc.

- Of course.

- Hey, can I get
your eyes on this?

- Yeah, sure.
What's up?

- 40-year-old
IVF primip came in

with nausea and vomiting,
but her labs are normal.

- Tox?
- Clean.

- OK, yeah, her BP is up.
147 over 92.

- Yeah,
been that way since intake.

- Could be preeclampsia?
- This far out?

- Yeah, it's rare,
but it happens.

I'd check a CMP and PC ratio

and consider mag,
just in case.

I can do the order if you want.

- Sure. Thanks.
- Yeah.

Hey, Will, about earlier,

you know, you and Grace...

- Hannah--
- No.

I never should have teased you.

Obviously,
men and women can be friends.

- OK, look, even
if I were interested in her,

Grace is a nomad.

Jack has her
all over the world.

It's tough to start something
with someone like that.

- Yeah.

I'll let you know
when these labs come back.

[monitors beeping]

- Cervicothoracic PSOs
look good.

- I think so.

- Let's see if 2.0 agrees.

- I don't need another opinion.

- Well,
it could only help us, Sam.

- Standby.

- OK, so 2.0 would determine

if the osteotomy is at the
ideal depth, height, and angles

to achieve correction.

- Acceptable C7
and T1 osteotomies.

- Acceptable?
It's perfect.

- Can you explain
how those lasers are helpful

for the surgeons?

- Yeah, Dr. Marcel,
could you explain that?

- Uh, sure. Yeah.
Could you move over?

In fact, direct your camera
towards the screen there.

You'll see that 2.0
will superimpose lines

onto the spine to help guide
the surgeon where to drill

and the extent of bone
to remove.

- Dr. Abrams, I'm seeing
50% decreases in amplitude

and increased latency
in both legs.

Running a motor.

- Put the evoked
potential response on screen.

- Dr. Marcel,
is there a problem?

- Are we concerned with
cord injury and compression?

- Yeah, 'cause I'm assuming
that our patient's goal

wasn't to become paralyzed.

Push his MAPs.

Reverse everything
that's reversible.

Find out
if this IOM change is real.

And if it is, close him up and
get him down for an MRI stat.

- MRI? No, hold on.

We don't have to move him.
2.0 can do an intraop CT.

- Yeah,
which won't show me anything

about cord edema
or ligamentous buckling.

- But if I can merge a CT with
an intraoperative ultrasound,

you'd have everything
you'd need right here.

- That would work, and we
wouldn't have to move Kuan-yu.

- Look, experiment with
this thing on another patient.

I want to be 100% sure.

- Sam, there are
a hundred reasons

why we should not move him.

Pick one.
Infection risk.

Prolonged time
under anesthesia.

Hell, he could even be unstable
after the move

to even continue surgery.

- Do it.

Let's hope you're right.

Otherwise, you're committing a
career-ending mistake to film.

- You sure
there's nothing we can get you?

Maybe something to eat?
- No.

- How are we doing?

Any updates?
- Not yet.

[phone buzzing]
Oh, excuse me.

- You know,
that's a lovely stone.

I was noticing it earlier
when I was talking to your son.

- From the river.

Kuan-yu found this as a child.

It was smooth and shiny.

He thought it was a gem.

It was one of the last times
he was able to move,

to play.

I made this to give him hope

that one day
he would play again.

I promised I would help him.

- Well, you have certainly
kept that promise.

- What's going on?

- I need to talk to Da-xia.
- About what?

- There's been a complication,

something
about a cord compression.

I've got
to get her point of view.

- Now is not the time.

- [chuckles]

Ms. Goodwin, this is
one of the major risks

they knew he was facing.

Narratively, that's important
to their story.

- Well, this is
not about a story.

It's a complicated
medical procedure

involving real people.

- I have a directive
from Mr. Dayton.

She signed a contract
to be filmed.

- You film at my discretion,
not Jack Dayton's.

And you can speak to Da-xia

after the doctors provide
an update and not before.

- Well, I need
to call Mr. Dayton.

- Well, you just do that.

- Did he need to speak to me?

Did he have news?

- No, nothing concrete.

But the surgeons
will check in with you soon.

- Why don't we go wait
in my office?

It's right upstairs,
and, you know,

we'll be
more comfortable there.

- Thank you, Dr. Charles.
- You bet.

.

- I'm not seeing
any obvious cord compression.

- That's why I'm also checking.

- His evoked potentials
look better.

- All right, I'm satisfied

that the cord was merely
compressed, not injured.

We can continue.

Dr. Marcel?
- Yeah?

- Would you ask 2.0 to prepare
the next osteotomy, please?

- Certainly. Grace?

- Will?

- I'll call you back.

- Results
for your patient, Cara.

Good news: doesn't look like
postpartum preeclampsia.

- Bad news is
nothing definitive

to explain her symptoms.

- Yeah, I'm thinking stress.

I mean, she did just
give birth six weeks ago,

and pregnancy puts the body
at the literal limit

of human endurance
for nine months.

Makes sense that stress
would manifest physically.

- Yeah, I'll look into
anything else to test her for,

but I think you're right.

- Dr. Archer,
do you want my seat?

- Uh, I'm good.

- I got
to turn six over anyway,

so it's not a big deal.
- Oh, for crying out loud.

Listen, I'm not an invalid.

I'm fine!

- Dr. Archer?
- What?

- I have Vincent's CT results.

He has a pelvic hematoma
with a blush.

- We need to embolize him.
Now we can reduce his hip.

Send him up to IR.

You ever done
an Allis reduction?

- I've observed one.
- All right.

Well, you're assisting me.

Oh, what now?

- I just know
an Allis reduction

can be physically taxing.

- And?

- I just don't think
it's the best idea

for you to do this procedure.

- Yeah,
I'm an attending physician

and the chief
of this department.

I will not be advised
by some resident

who barely knows what the hell
he's talking about!

- I'm sorry.
- Yeah, you know what?

Go get yourself
another case, man.

- I'm sorry.
- Yeah, you said that!

Go! Go!

- I have another patient
for you in two.

Need a hand
with a hip reduction?

- Uh-uh.

- Dr. Archer,
I will not have you

speaking to residents
like that.

- Can we just get this done?

- Murphy,
will you assist, please?

- Sure. No problem.

- Over here.
Push down on the pelvis

and give Dr. Archer
counter traction.

- All right,
we're gonna do this in three.

Ready?
One, two, three.

[cracking]
- That's good. It's in.

- [groaning]
- Whoa. Are you OK?

- I'm OK.
- No, you're not.

- I just got
to get him up to IR.

- Stop talking.
Murphy, you take him up.

We need to get you in a bed.
Come on.

- All right.
All right.

- So you think
this was all stress?

- We could not find
any other clinical explanation.

- Stress takes
a real physical toll--

nausea, vomiting, hypertension.

All common
and treatable presentations,

even in the case
of happy stress.

- We'll prescribe you
a low-dose antihypertensive

for your blood pressure.

- But the best thing
you could do

for yourself right now
is find ways

to reduce your stress levels.

- I waited so long
to become a mother,

probably too long,
if I'm being honest.

I naively thought
the perfect moment

would just waltz into my life.

Now that my little Lee is here,
I don't want to miss anything.

- Well, he's a lucky boy.

Don't forget to take
care of yourself too.

- Thank you.

[crash]

- [moaning]
- Cara?

You OK?
- Floor...sliding.

- OK.
- Help me.

- Aphasia.
- Yeah.

Stroke alert!
Need some help in here!

- [moaning]

- You're OK.
Just breathe, breathe, breathe.

OK, try to relax.

- All right.

- Nope.
No, no, back away.

- Let's close up
the lumbar PSO.

- Compressor and set screws.

- So Dr. Abrams and Gottfried
are placing

the final bit
of instrumentation.

Then they will
collapse Kuan-yu's spine,

which will correct his posture
to an upright--

[monitors beeping rapidly]

- His sats are dropping.
Heart rate and BP are down too.

- Airway pressures?
- Peaks are 50s.

- Still dropping.
Sats at 80%.

- It must be due
to his position.

- Well, there's not much
we can do about that

in the middle
of a spine surgery.

- It's got to be
a tension pneumothorax.

Stethoscope?
- Hey.

This isn't a trauma case.
Just bronch him.

And check the tube's position.

- Kuan-yu's chest
and abdominal muscles

are probably atrophied.

When we straightened him,
we likely cracked a rib,

punctured the lung.

There.

Diminished breath sounds
on the right.

- Chest tube kit
for Dr. Marcel.

28 French.

- No, he needs a rescue now.

- What's happening?
Has Kuan-yu stopped breathing?

- I need
to needle decompress him.

Chest tube later.

- Can you reach
the anterior chest?

- I've got no other option.

- Just get it done.

.

- Heart rate's 40.
Sats at 50s.

- Running out of time here,
Crockett.

- Yeah, I don't want
to stick his heart.

Not a ton of room to work.

- Dr. Marcel, can you explain--

- Be quiet!

- OK, needle's in.

- Oxygen saturation climbing.
85%.

- Airway pressure's down to 30.

BP's back up to 120 systolic.

- OK.

Let's finish up the spine.

- I need you to back up.
Back up.

- Doesn't look like
you tore the stitch.

Probably
just overexerted yourself.

- Ah, wonderful.

- There.
- Thank you.

[groans]

- Who do you think
you're kidding

with this tough guy act?

- [scoffs]

- Everyone here knows
what you're going through.

- Oh, well, see,
that's the problem.

That's all they see:
a sick, weak old man.

"Let me get that for you."
"Take my seat."

"Should you be doing that?"
I can't stand that.

- There's no shame
in having an illness.

- Listen, I'm the doctor
in this ED, all right?

I'm not a patient.

- Oh.

You know,
I once thought like you.

After my cancer diagnosis.

I thought folks would only see
what was wrong with me,

that every kind word
or offer to help

was just an act of pity.

Then someone who lived
through my experience

made me realize how far
from the truth that was,

that I was the only one
defining myself by my illness.

My friends, my family,
my community,

all they wanted to do
was support me.

And all I needed to do
was let them.

It's not weakness
to let people be kind.

It's strength.

- OK.

- Oh.

And Zach's a good doctor.

He just needs to be encouraged.

And that's our job.

- Message received.

- One chamomile tea.

My mom drinks this
to help her sleep

because she insists
on drinking coffee

till late in the afternoon.

Go figure.
[phone buzzing]

Oh.

Yes?

OK.

Well, good.
I will tell her.

Thank you.
Thank you very much.

So the surgery is complete,

and Kuan-yu
came through it very well.

As a matter of fact,
the next time you see him,

he will probably be sitting up.

- You mean he'll stand?

He'll walk?
- Yeah.

With time, rehabilitation,

he should live
a pretty normal life.

- [sobbing]

Oh.

Oh, my.

[stammering]
I'm so sorry.

- No, you have absolutely
nothing to apologize for.

There's a lot to take in.

- This is the day
we've been waiting for.

All these years,
I take good care of him.

And now,
what will happen now?

- This surgery has upended

a life that you
and your son have known

for, what,
almost 30 years?

And it makes perfect sense

that you would grieve
the loss of that life

and be apprehensive
about the future.

- But this is not right,
these feelings.

How can I think of me
at such a time?

How can I be so selfish...

- Oh, no, no.
- And not be happy?

- No, no, no.
You are not selfish.

Every parent in the world

understands
what you're feeling right now.

From the moment
our kids are born,

they start
to move away from us.

And when they finally leave,

it's only because we've
actually done our jobs well.

But this, I can promise you:

you will always be his mother.

Always.

One half of the same stone.

[tender music]

♪

- As you can see...

- That's in my head?

- It's a condition
called Moyamoya disease.

- Moyamoya literally means
"puff of smoke" in Japanese.

- It's a progressive disorder

which blocks blood flow
to your brain's arteries.

So to compensate,
your body created

all these smaller vessels,
which are prone to bleeding.

So your symptoms were caused
by small strokes.

- Progressive.

So this is going to get worse?

- Keeping you on aspirin
and calcium channel blockers

will help reduce the risk
of another stroke.

- Just reduce but not prevent.

- It'll keep you stable
for the foreseeable future.

There is a surgical option,

but we don't think
that you're there yet.

- Surgery?

I want the surgery.

- It's an invasive
neurosurgical procedure.

You have a newborn.
You've been through a lot.

The surgery can wait
for a more ideal time.

- I don't want this cloud
hanging over me.

I've waited
for ideal times before.

They don't come.

Please, the surgery.

- We'll have neurosurgery
come speak to you.

- Thank you.

- Yeah.

- Dr. Hudgins.

- Yes?

- I hear our patient,
Mr. Jones,

is resting comfortably
in the ICU

after successful embolization.

- Oh, good.

- There's a sim dummy in seven.

I'm gonna show you
how to reduce a hip.

You said it was a physically
demanding procedure,

so you're gonna do it.

- Mama.

I can see you.

- Yes.

- And you look so beautiful.

- Mm-mm, I'm so old.

- No. No.

- [sobbing]

- I'll see you.

- A word, please.

- Yes?
- Look.

It's one thing to bar them from
filming her during surgery,

but, Sharon, this is what
audiences would want to see.

And you've stopped them
from capturing it.

- After all they've
been through, George,

they deserve this time
without cameras.

- They wouldn't even have had
a chance to get this surgery

if it wasn't
for Jack's generosity.

- Yes, and I still have
to look out for my patients.

George, you're a doctor.
You know that.

- I do.

But I also believe in Jack's
vision for this hospital.

He wants us to be the leader
in cutting-edge healthcare.

Sharon, this film tells
the world exactly who we are.

- And who are we, George,

if we forget about our patients
and their loved ones?

- But Jack is a man who's not
used to hearing the word "no."

- Well, maybe it's time he did.

- Yeah.

.

- Hey, neurosurgery is getting
ready to operate on Cara.

- That's great.

Woman's braver than I am.

- And me.

- Hey, you weren't wrong.

I am interested in Grace.

- OK.

So why did you give her
the brush-off this morning?

And don't give me that stuff
about her being a nomad.

- I mean, look at
my dating track record here.

Hasn't been exactly stellar.
- [scoffs]

- No offense.
- Yeah.

[laughs]

Well, I might be crazy
or out of line,

but I wonder
if all of these excuses

are really just
about one reason,

or rather one person.

Natalie.

- Natalie?

- You know,
it did always feel like

you were still
carrying a torch for her.

- Yeah, maybe.

Maybe I still was.

But now, I mean, it's just me
trying to get it right.

- Good.

[laughter]

You're a really
great guy, Will.

You deserve to be happy.

- Thanks, Hannah.

- Now, what was
particularly difficult

about this operation?

- Well, the angle
was slightly unusual.

But fortunately, we were able
to relieve the pressure

and reinflate his lung.

- You were basically
folded over yourself,

and alarms were blaring, so...
- Right.

- Why don't you tell us
what you felt in that moment?

- I guess
the real headline here

is successfully aligning
Kuan-yu's spine.

You saw firsthand
a revolution in medicine,

thanks in part to OR 2.0.

I mean, this is
just the beginning

of what
this Dayton partnership can--

can produce.

Yeah.

- Hell of a day, huh?

Hope you're off to celebrate.

- You know, you're not
a terrible surgeon,

but you do have awful taste
in heroes.

- Heroes?
Come on, Sam.

At least he's using his
billions for some good, right?

- Oh, yeah, confident that's
why he amassed his fortune.

- Point is, we can help
so many more people

with Jack's vision
and money in our corner.

- No, his vision
of whom to help

seems a bit more narrow
than yours.

- What does that mean?
- I just found out.

Dayton says from now on, 2.0
is for paying customers only.

- Wait, what?
- You heard me.

No more subsidized care.

- Well, if that's true,
then your fight's

with the insurance companies.

[tense music]

♪

- We're all out
of the good stuff.

Radiology's got
a secret stash, though.

- Thanks for the tip.

- Or maybe I could
buy you a cup of coffee.

- I don't think
that's a good idea.

- OK. Have a good night.

- What about a drink instead?

- Guinness, right?

- Mm-hmm.

- Guess that made you happy,
huh?

- I don't know
what you're talking about.

- Ah.

- I gather you told him.
- More or less.

Told him I needed dialysis.
Left it pretty vague.

But I don't want
to make him a caretaker.

He doesn't need that right now.

- It's a good thing
you told him, though,

not just for his sake.

Good night, Dean.

- Wait, hold on.

I have a favor to ask.

[knocks at door]

- Hey, Dad.
There's pizza in the fridge.

I promise it's not Hawaiian.
- Wait.

Are you finished
with your applications?

- Yeah.

All proofed, agonized over,
and submitted.

And I chose early decision
to University of Chicago.

- What happened to Stanford?
- Nothing.

I wasn't really
all that serious about it.

Plus, I'm not exactly
a California girl.

- I don't really know
what that means,

but, I mean, you seemed
pretty serious about it to me.

- There's other schools
with sustainability stuff.

Plus, I would miss
Italian beef too much.

And, you know,
and maybe you.

- You know what?
I'd miss you too.

But the right school
is the right school.

- Why go so far
and leave you all alone

when I have great options
at home?

- OK, first of all,
I'm not gonna be all alone.

And guess what?

It's actually not your job
to worry about me.

Anna, when you've accomplished
what you have in school,

you get to go
to whatever school you want to.

I don't care where it is.

And honestly, I've really
started to kind of look forward

to having an excuse to go
to California in February.

So, you know,
don't step on my dreams.

- Thank you, Dad.

I'm gonna apply.

- Why not?

- Yeah.

Let's see.

- OK.

All set.

Is that all right?
Are you in any pain?

- No, it's fine. Thanks.

- OK.

- Front door sticks, so just
lift up when you close it.

I know it's late.

- Actually, I'm a--

I'm a bit of a night owl.

Occupational hazard
of being an OB-GYN:

always on call.

- Oh, Hannah,
you don't have to stay.

- There is a quiz in here,

and I have always
wanted to know

which classic car matches
my sparkling personality.

- Oh, easy.

You're a Prius.
[laughter]

.

[tense music]

♪

[wolf howl]

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