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These are the user uploaded subtitles that are being translated: 1 00:00:04,787 --> 00:00:07,398 That boy almost died today. 2 00:00:07,398 --> 00:00:09,313 I think the hospital should pull Exsomadex. 3 00:00:09,313 --> 00:00:10,662 It's not how things work here. 4 00:00:10,662 --> 00:00:13,274 This is bigger than just one patient. 5 00:00:13,274 --> 00:00:16,146 I am impressed with how you turned your life around. 6 00:00:16,146 --> 00:00:18,496 Top of the list, maybe county juvenile. 7 00:00:18,496 --> 00:00:20,716 He had a lot to overcome. 8 00:00:20,716 --> 00:00:22,457 You're forgetting things, Bert. 9 00:00:22,457 --> 00:00:25,242 Let's make an appointment with the neurologist. 10 00:00:25,242 --> 00:00:26,852 The two of you are cooking up this nonsense 11 00:00:26,852 --> 00:00:29,464 so you can get my money! 12 00:00:29,464 --> 00:00:31,205 I'll get tested, 13 00:00:31,205 --> 00:00:33,555 just to get you off my back. 14 00:00:43,130 --> 00:00:44,696 Oh, good. 15 00:00:44,696 --> 00:00:45,741 You made it. 16 00:00:45,741 --> 00:00:47,656 Are you spying on me? 17 00:00:47,656 --> 00:00:50,267 You have an appointment at my place of employment. 18 00:00:50,267 --> 00:00:54,097 I thought I'd make myself available to you. 19 00:00:54,097 --> 00:00:57,274 Look, I understand if you're nervous. 20 00:00:57,274 --> 00:00:59,059 I'm not nervous. I told you, I'm fine, Sharon. 21 00:00:59,059 --> 00:01:01,844 I don't need a damn babysitter watching my every move. 22 00:01:01,844 --> 00:01:03,150 You know what? 23 00:01:03,150 --> 00:01:04,977 If you feel that strongly about it, I'll back off. 24 00:01:04,977 --> 00:01:07,458 Just let your children know what the doctor says. 25 00:01:10,157 --> 00:01:11,636 Thanks. 26 00:01:11,636 --> 00:01:14,857 - Hey. I'll do a-- - Good morning. 27 00:01:14,857 --> 00:01:15,988 Hey, good morning. 28 00:01:15,988 --> 00:01:17,555 Get you anything? - Oh, no. 29 00:01:17,555 --> 00:01:20,080 I make my coffee at home. I'm bougie about my coffee. 30 00:01:20,080 --> 00:01:21,298 Oh, is that so? 31 00:01:21,298 --> 00:01:23,909 I'll do a medium drip, black, please. 32 00:01:23,909 --> 00:01:24,954 Thank you. 33 00:01:24,954 --> 00:01:26,564 I'm decidedly unbougie. 34 00:01:26,564 --> 00:01:29,089 No, I hear you reserve your refined taste 35 00:01:29,089 --> 00:01:31,308 for weird cocktails. 36 00:01:31,308 --> 00:01:33,223 You're referring to my Sazerac? 37 00:01:33,223 --> 00:01:35,182 Go to New Orleans and say that. 38 00:01:35,182 --> 00:01:37,662 There you go. Keep the change. Thank you. 39 00:01:37,662 --> 00:01:39,099 You were saying. 40 00:01:39,099 --> 00:01:41,753 Ah, Dr. Ahmad, Dr. Marcel. 41 00:01:41,753 --> 00:01:45,235 I have some news I'm sure you'll be glad to hear. 42 00:01:45,235 --> 00:01:47,629 The hospital has put a temporary hold 43 00:01:47,629 --> 00:01:52,851 on the use of Exsomadex pending a thorough safety review. 44 00:01:52,851 --> 00:01:55,202 That's amazing. 45 00:01:55,202 --> 00:01:56,551 I thought the drug and formula committee 46 00:01:56,551 --> 00:01:57,987 weren't gonna take action. 47 00:01:57,987 --> 00:01:59,249 They weren't, but at the urging 48 00:01:59,249 --> 00:02:01,425 of one of our board members, Everett James, 49 00:02:01,425 --> 00:02:04,211 the committee decided to reverse their decision 50 00:02:04,211 --> 00:02:06,300 until the FDA sorts it out. 51 00:02:06,300 --> 00:02:08,171 Great. Thank you, Ms. Goodwin. 52 00:02:08,171 --> 00:02:09,303 You're welcome. 53 00:02:09,303 --> 00:02:10,739 Look at you. 54 00:02:10,739 --> 00:02:12,436 I always thought institutional inertia meant 55 00:02:12,436 --> 00:02:14,438 we were dead in the water, but we did it. 56 00:02:14,438 --> 00:02:18,181 You did it. Congratulations. 57 00:02:18,181 --> 00:02:19,878 On my count, three, two, one. 58 00:02:19,878 --> 00:02:22,142 - Oh, it hurts. - Okay, Lucas, we got you. 59 00:02:22,142 --> 00:02:24,274 I need an X-ray. Single GSW. 60 00:02:24,274 --> 00:02:25,797 As far as I could tell, I didn't see anything 61 00:02:25,797 --> 00:02:27,451 on his back, but I couldn't stop the bleeding. 62 00:02:27,451 --> 00:02:29,236 BP's falling. Rate's 110. 63 00:02:29,236 --> 00:02:30,324 Hang a unit of O-neg. 64 00:02:30,324 --> 00:02:32,021 Mike, chest X-ray. 65 00:02:32,021 --> 00:02:33,457 - Yep. - Okay, on my count, 66 00:02:33,457 --> 00:02:35,546 let's swap places. Three, two, one. 67 00:02:37,635 --> 00:02:40,160 Yeah, that's the subclavian artery. 68 00:02:40,160 --> 00:02:41,813 Thanks, Courtney, we got this. 69 00:02:45,165 --> 00:02:46,340 Clear. 70 00:02:49,386 --> 00:02:51,475 Yeah, bullet's retained behind the clavicle. 71 00:02:51,475 --> 00:02:53,782 - I-I can't breathe. - Okay, just stay with us. 72 00:02:53,782 --> 00:02:55,653 We gotta get this bleed under control. 73 00:02:55,653 --> 00:02:56,872 Clamp. 74 00:02:56,872 --> 00:02:58,395 We won't be able to get an angle on it. 75 00:02:58,395 --> 00:02:59,527 Get me a Foley cath. 76 00:02:59,527 --> 00:03:01,355 - For a gunshot? - Come on. 77 00:03:03,705 --> 00:03:07,230 I'll insert the Foley to capture the bleed. 78 00:03:07,230 --> 00:03:08,971 It'll let me inflate the balloon. 79 00:03:10,625 --> 00:03:12,583 It'll temporize, buy us some time. 80 00:03:12,583 --> 00:03:14,019 Yeah. 81 00:03:14,019 --> 00:03:15,238 BP's still low but stable. 82 00:03:15,238 --> 00:03:16,848 Page Trauma, have them open an OR. 83 00:03:16,848 --> 00:03:17,893 Let's go. 84 00:03:22,898 --> 00:03:24,073 Little pick-me-up? 85 00:03:24,073 --> 00:03:25,901 Oh, no. I already have one. Thank you. 86 00:03:25,901 --> 00:03:27,555 It's prophylactic. 87 00:03:27,555 --> 00:03:29,209 Figured you'd need a second run after spending another night 88 00:03:29,209 --> 00:03:30,253 in the on-call room. 89 00:03:30,253 --> 00:03:31,776 How'd you know I slept here? 90 00:03:31,776 --> 00:03:33,604 You're brushing your bed hair. 91 00:03:33,604 --> 00:03:35,519 - Oh. - Are you okay? 92 00:03:35,519 --> 00:03:36,955 You've been spending a lot of time in the ED 93 00:03:36,955 --> 00:03:38,392 since the divorce. 94 00:03:38,392 --> 00:03:40,263 Because the house doesn't feel like home anymore 95 00:03:40,263 --> 00:03:42,004 and I feel like a stranger there. 96 00:03:42,004 --> 00:03:43,353 Maggie, I need an assist. 97 00:03:43,353 --> 00:03:44,833 Yep, right behind you. 98 00:03:44,833 --> 00:03:47,052 Thanks for the coffee. - Yeah. 99 00:03:47,052 --> 00:03:48,358 Hello, I'm Dr. Archer. 100 00:03:48,358 --> 00:03:50,142 This is Nurse Lockwood. - Morning, morning. 101 00:03:50,142 --> 00:03:53,276 I hear you're having some trouble with your ileostomy. 102 00:03:53,276 --> 00:03:55,017 Deb. That's my son, Caleb. 103 00:03:55,017 --> 00:03:56,932 - Hey, Doc. - Hi. 104 00:03:56,932 --> 00:04:00,240 I'm pretty sure it's a prolapse again. 105 00:04:00,240 --> 00:04:01,458 Do you mind? 106 00:04:01,458 --> 00:04:03,547 Sorry, I know it's nasty. 107 00:04:03,547 --> 00:04:05,375 Don't worry. We're not squeamish here. 108 00:04:05,375 --> 00:04:08,639 Yeah. Yeah, it's definitely prolapsed. 109 00:04:08,639 --> 00:04:10,380 You say this has happened before? 110 00:04:10,380 --> 00:04:12,600 Every time he sneaks off to play basketball. 111 00:04:12,600 --> 00:04:14,863 You took me to Chicago in the winter. 112 00:04:14,863 --> 00:04:16,691 What else do you expect me to do for fun? 113 00:04:16,691 --> 00:04:18,823 Not run off and hurt yourself. 114 00:04:20,347 --> 00:04:21,913 We're visiting from Oakland. 115 00:04:21,913 --> 00:04:24,829 Well, it's still too inflamed to manipulate right now. 116 00:04:24,829 --> 00:04:26,744 We can reduce the swelling with some-- 117 00:04:26,744 --> 00:04:28,050 Sugar. 118 00:04:28,050 --> 00:04:29,486 I figured that was the case. 119 00:04:29,486 --> 00:04:31,880 Yeah, miracles of modern medicine. 120 00:04:31,880 --> 00:04:35,971 I also want to order some labs, a CBC, BMP, and abdominal CT. 121 00:04:35,971 --> 00:04:37,189 You got it, Doc. 122 00:04:37,189 --> 00:04:40,758 Can I ask, I see some other scars here. 123 00:04:40,758 --> 00:04:43,892 Some are surgical, but the others? 124 00:04:43,892 --> 00:04:46,808 Caleb was shot two times in the fall. 125 00:04:48,331 --> 00:04:49,593 Oh, my God. 126 00:04:49,593 --> 00:04:51,639 A lot of car break-ins where I'm from. 127 00:04:51,639 --> 00:04:52,944 One turned into a shootout, 128 00:04:52,944 --> 00:04:54,642 and I caught a couple of strays. 129 00:04:54,642 --> 00:04:56,296 Sorry to hear that. 130 00:04:56,296 --> 00:04:57,949 You seem to be doing well. 131 00:04:57,949 --> 00:04:59,473 He's a tough kid. 132 00:04:59,473 --> 00:05:00,952 Tough on the court too. 133 00:05:00,952 --> 00:05:03,825 One of the best guards in California before this. 134 00:05:03,825 --> 00:05:05,609 Well, after the reversal procedure, 135 00:05:05,609 --> 00:05:07,176 you'll be back on the court in no time. 136 00:05:07,176 --> 00:05:08,873 Won't matter. 137 00:05:08,873 --> 00:05:10,658 Dr. Davis, our pediatric surgeon back home, 138 00:05:10,658 --> 00:05:14,618 said Caleb has to wait another 10 months. 139 00:05:14,618 --> 00:05:15,880 By then, the summer's gone, 140 00:05:15,880 --> 00:05:17,621 and so are all the college scouts. 141 00:05:17,621 --> 00:05:19,362 Why don't we focus on getting through this 142 00:05:19,362 --> 00:05:21,233 for now, okay, hon? 143 00:05:23,061 --> 00:05:25,499 Do we have your permission to contact your surgeon 144 00:05:25,499 --> 00:05:27,762 to get Caleb's medical records? - Of course. 145 00:05:27,762 --> 00:05:28,806 Okay. 146 00:05:28,806 --> 00:05:30,939 Well, in the meantime, sit tight. 147 00:05:30,939 --> 00:05:32,680 We're gonna get these tests going, 148 00:05:32,680 --> 00:05:35,465 and then I'll be back to check on you shortly. 149 00:05:35,465 --> 00:05:36,858 Thank you. 150 00:05:38,686 --> 00:05:40,470 Mr. Sullivan, a doctor will be with you soon. 151 00:05:40,470 --> 00:05:42,080 We just need you to get in the bed. 152 00:05:42,080 --> 00:05:46,041 Fine, just both of you, give me 6 feet. 153 00:05:46,041 --> 00:05:47,956 Okay. Okay, sir. Okay. 154 00:05:47,956 --> 00:05:49,653 I'm giving you space. It's fine. 155 00:05:49,653 --> 00:05:52,395 Morning, Anita. Early start to the madness? 156 00:05:52,395 --> 00:05:53,918 Got a call about a bar fight, 157 00:05:53,918 --> 00:05:56,791 picked up this charmer, Robert Sullivan. 158 00:05:56,791 --> 00:05:58,358 I don't want any vitals. 159 00:05:58,358 --> 00:05:59,837 I don't want anything. I don't... 160 00:05:59,837 --> 00:06:02,144 He's still intoxicated and wouldn't settle down. 161 00:06:02,144 --> 00:06:04,364 So I told him, it's either the hospital for his injuries 162 00:06:04,364 --> 00:06:05,626 or the drunk tank. 163 00:06:05,626 --> 00:06:07,410 - Hmm. He's no idiot. - Yeah. 164 00:06:07,410 --> 00:06:09,238 He was adamant about being brought to Med, 165 00:06:09,238 --> 00:06:11,022 said he knows a doctor here. 166 00:06:11,022 --> 00:06:12,415 He say which one? 167 00:06:12,415 --> 00:06:14,852 He kept asking for Rip. 168 00:06:14,852 --> 00:06:16,593 - For Rip? - What are you gonna do? 169 00:06:16,593 --> 00:06:18,682 I don't want any BPMs. I don't want nothing. 170 00:06:18,682 --> 00:06:20,423 Hey, Mr. Sullivan, how you doing? 171 00:06:20,423 --> 00:06:22,164 - Who the hell are you? - I'm Dr. Charles. 172 00:06:22,164 --> 00:06:23,818 You know, Nancy's just trying to get your vitals, 173 00:06:23,818 --> 00:06:24,993 make sure you're okay, take two seconds. 174 00:06:24,993 --> 00:06:27,299 No, I'm already good. I feel good. 175 00:06:27,299 --> 00:06:29,563 Where's Rip? I wanna talk to Rip. 176 00:06:29,563 --> 00:06:32,217 Do you mean Dr. Ripley? 177 00:06:32,217 --> 00:06:33,567 Just get him. 178 00:06:33,567 --> 00:06:36,831 Nancy, let's give Mr. Sullivan a little space 179 00:06:36,831 --> 00:06:39,877 and page Dr. Ripley. - Okay. 180 00:06:39,877 --> 00:06:41,401 Thank you. 181 00:06:54,892 --> 00:06:56,416 Hey. Trauma called. 182 00:06:56,416 --> 00:06:57,721 Subclavian repair went smoothly. 183 00:06:57,721 --> 00:07:00,463 Patient's doing well. - Good. Thanks, Trini. 184 00:07:00,463 --> 00:07:02,639 Hey, I got your page. What's up? 185 00:07:02,639 --> 00:07:04,467 Oh, are you, uh, 186 00:07:04,467 --> 00:07:07,427 are you familiar with this gentleman in five here? 187 00:07:07,427 --> 00:07:11,256 Mr., uh--Mr. Sullivan, Robert Sullivan. 188 00:07:11,256 --> 00:07:12,388 Yeah. 189 00:07:12,388 --> 00:07:14,259 Gentleman is pushing it. What happened? 190 00:07:14,259 --> 00:07:15,609 He got banged up in a bar fight, 191 00:07:15,609 --> 00:07:18,873 insisted on being brought to Med because of you. 192 00:07:18,873 --> 00:07:20,222 Won't let anybody else treat him. 193 00:07:20,222 --> 00:07:21,484 No! 194 00:07:21,484 --> 00:07:22,485 At the very least, I need your temperature. 195 00:07:22,485 --> 00:07:23,747 No! No. 196 00:07:23,747 --> 00:07:24,966 Great. 197 00:07:24,966 --> 00:07:27,925 Yeah, keeps on asking for Rip. 198 00:07:30,232 --> 00:07:35,063 Yeah, uh, Sully and I used to run the streets together 199 00:07:35,063 --> 00:07:36,673 before I left Chicago. 200 00:07:36,673 --> 00:07:38,066 Oh, yeah? 201 00:07:38,066 --> 00:07:39,633 You--you okay treating an old buddy? 202 00:07:39,633 --> 00:07:41,243 I can find somebody else. 203 00:07:41,243 --> 00:07:43,506 We're not that close, so it shouldn't be a problem. 204 00:07:43,506 --> 00:07:44,986 Thanks. 205 00:07:45,856 --> 00:07:47,292 Okay. 206 00:07:47,292 --> 00:07:49,338 I won't have this conversation with you. 207 00:07:49,338 --> 00:07:50,774 Hey! 208 00:07:50,774 --> 00:07:52,036 There he is. 209 00:07:52,036 --> 00:07:53,124 All right, let's keep it down, Sully. 210 00:07:53,124 --> 00:07:54,169 I told you I knew him. 211 00:07:54,169 --> 00:07:55,605 I got this. Thank you. 212 00:07:57,564 --> 00:07:59,653 Thank God. 213 00:07:59,653 --> 00:08:01,655 I can finally relax. 214 00:08:05,267 --> 00:08:06,529 Don't even think about it. 215 00:08:09,358 --> 00:08:10,664 Jeez. 216 00:08:10,664 --> 00:08:12,187 Cop might as well have dropped me off at jail. 217 00:08:12,187 --> 00:08:14,015 Still an option if you keep acting this way, 218 00:08:14,015 --> 00:08:16,191 showing up here, giving everybody a hard time. 219 00:08:16,191 --> 00:08:17,758 And a bar fight at the crack of dawn? 220 00:08:17,758 --> 00:08:19,107 What the hell, Sully? 221 00:08:19,107 --> 00:08:21,283 Hey, some guys were talking down on my Bulls, 222 00:08:21,283 --> 00:08:23,067 and I retorted, and they couldn't take a joke, 223 00:08:23,067 --> 00:08:24,373 so we handled it outside. 224 00:08:24,373 --> 00:08:25,809 Yeah, looks like they handled you. 225 00:08:25,809 --> 00:08:26,897 Where else they get you? 226 00:08:26,897 --> 00:08:29,160 Couple cheap body shots. 227 00:08:29,160 --> 00:08:31,162 Not to mention your jaw. 228 00:08:31,162 --> 00:08:33,382 I'm still a sex symbol, though. 229 00:08:33,382 --> 00:08:35,210 I can't say the same for him and his boy. 230 00:08:35,210 --> 00:08:37,386 They were on the receiving end of this. 231 00:08:37,386 --> 00:08:40,171 Looks like what we call a boxer's fracture. 232 00:08:40,171 --> 00:08:41,912 Hmm, I like the sound of that. 233 00:08:41,912 --> 00:08:43,174 I gotta say, I'm impressed 234 00:08:43,174 --> 00:08:44,567 you finally learned how to use your hands. 235 00:08:44,567 --> 00:08:46,482 Could have used them back in the day 236 00:08:46,482 --> 00:08:48,223 while I was busy saving you from getting your ass kicked. 237 00:08:48,223 --> 00:08:51,835 Still got jokes. 238 00:08:51,835 --> 00:08:54,229 Fancy white coat and a pretty-boy haircut, 239 00:08:54,229 --> 00:08:55,926 but at least you kept your sense of humor. 240 00:08:58,146 --> 00:08:59,408 Little short of breath there? 241 00:09:01,715 --> 00:09:02,933 Ugh. 242 00:09:04,631 --> 00:09:06,589 Just a little cough I picked up over the holidays. 243 00:09:07,895 --> 00:09:08,809 Let me take a listen. 244 00:09:08,809 --> 00:09:09,853 Deep breath. 245 00:09:13,857 --> 00:09:15,163 All right, I'm gonna order bloodwork 246 00:09:15,163 --> 00:09:16,512 and an X-ray to be safe. 247 00:09:16,512 --> 00:09:17,731 I just wanted my hand looked at. 248 00:09:17,731 --> 00:09:20,385 Now you're trying to upsell me? 249 00:09:20,385 --> 00:09:22,257 Just put the gown on and stay put. 250 00:09:22,257 --> 00:09:24,476 Someone'll be by soon to image your chest and hand. 251 00:09:24,476 --> 00:09:26,653 And don't give them a hard time. 252 00:09:38,534 --> 00:09:40,492 Throat doesn't look that bad. 253 00:09:40,492 --> 00:09:42,712 How long have you been feeling this way, Adriana? 254 00:09:42,712 --> 00:09:44,496 A few weeks, hard to say. 255 00:09:44,496 --> 00:09:47,587 Been traveling a lot, so my sense of time is out of whack. 256 00:09:47,587 --> 00:09:49,371 Anywhere fun? 257 00:09:49,371 --> 00:09:51,460 Grand tour of the Midwest Hotel Convention circuit. 258 00:09:51,460 --> 00:09:54,768 I organize tabletop and board game cons. 259 00:09:54,768 --> 00:09:57,640 Anyway, I thought this was just another con cough, 260 00:09:57,640 --> 00:09:59,424 you know, something you pick up when you're stuffed 261 00:09:59,424 --> 00:10:01,775 in a ballroom full of gamers, but... 262 00:10:01,775 --> 00:10:03,733 Can you breathe for me? 263 00:10:07,041 --> 00:10:09,217 Ow, that hurt. 264 00:10:11,349 --> 00:10:13,656 Your lungs do sound a little junky. 265 00:10:13,656 --> 00:10:15,440 Just means that there's a lot of phlegm. 266 00:10:15,440 --> 00:10:18,966 Could be from flu, COVID, or pneumonia. 267 00:10:18,966 --> 00:10:22,056 But we won't know until we run a few tests to be sure. 268 00:10:22,056 --> 00:10:24,667 I just got my shots, but pneumonia? 269 00:10:24,667 --> 00:10:25,842 Wow. 270 00:10:25,842 --> 00:10:27,191 We'll take good care of you. 271 00:10:30,064 --> 00:10:34,068 Let's start with a chest X-ray, CBC, BMP, 272 00:10:34,068 --> 00:10:36,244 swabs for COVID, flu, and strep, 273 00:10:36,244 --> 00:10:38,681 and put in a CT for chest and neck. 274 00:10:38,681 --> 00:10:40,030 Okay. 275 00:10:40,030 --> 00:10:41,510 I'll be back to check on you soon. 276 00:10:44,382 --> 00:10:48,169 Hey, I just wanted to double check on those CAT scans. 277 00:10:48,169 --> 00:10:50,127 Shouldn't we wait for the chest X-ray first? 278 00:10:50,127 --> 00:10:51,520 It seems aggressive. 279 00:10:51,520 --> 00:10:52,739 Honestly, I'm not even sure that 280 00:10:52,739 --> 00:10:54,175 this is just an infection. 281 00:10:54,175 --> 00:10:55,872 But page me when those tests are back. 282 00:10:55,872 --> 00:10:57,265 You got it. 283 00:10:59,310 --> 00:11:00,703 There you go. 284 00:11:04,794 --> 00:11:06,578 You're a real pro at this. 285 00:11:06,578 --> 00:11:09,712 It's not a skill I planned on mastering, but thanks. 286 00:11:09,712 --> 00:11:12,062 Caleb, Deb, good news. 287 00:11:12,062 --> 00:11:13,368 Your labs came back normal. 288 00:11:13,368 --> 00:11:15,370 Oh, that's great, hon. 289 00:11:18,068 --> 00:11:19,330 Well, looks like your prolapse 290 00:11:19,330 --> 00:11:21,463 hasn't reduced as quickly as we'd like. 291 00:11:21,463 --> 00:11:24,074 It's probably because of persistent congestion. 292 00:11:25,772 --> 00:11:29,645 So based on what I'm seeing here and Caleb's latest CT, 293 00:11:29,645 --> 00:11:31,516 I think it would be better if we went ahead 294 00:11:31,516 --> 00:11:32,953 with your reversal surgery. 295 00:11:32,953 --> 00:11:34,476 - Excuse me? - Wait, what? 296 00:11:34,476 --> 00:11:36,696 Truthfully, my recommendation would be to do this 297 00:11:36,696 --> 00:11:38,393 as soon as possible. 298 00:11:38,393 --> 00:11:41,918 You're telling me I can get rid of this thing, like, today? 299 00:11:41,918 --> 00:11:43,354 I should be able to get you on the schedule 300 00:11:43,354 --> 00:11:44,529 in a few hours, yeah. 301 00:11:44,529 --> 00:11:45,530 Let's go! 302 00:11:45,530 --> 00:11:47,489 Mom, we can call Coach Mark, 303 00:11:47,489 --> 00:11:50,753 tell him I'm running with the soldiers this summer. 304 00:11:50,753 --> 00:11:52,102 This is good news. 305 00:11:54,104 --> 00:11:57,368 Can I speak with you for a moment? 306 00:12:03,287 --> 00:12:04,636 I don't understand. 307 00:12:04,636 --> 00:12:06,290 You can't reduce the prolapse bedside? 308 00:12:06,290 --> 00:12:08,423 Well, I probably can, but I think surgery 309 00:12:08,423 --> 00:12:10,860 is the better long-term solution at this point. 310 00:12:10,860 --> 00:12:12,253 Caleb is several months out, 311 00:12:12,253 --> 00:12:13,689 and his recovery is going great. 312 00:12:13,689 --> 00:12:15,822 His labs indicate that he's healthy, strong. 313 00:12:15,822 --> 00:12:18,085 All due respect, Dr. Davis has been 314 00:12:18,085 --> 00:12:19,869 with us since day one. 315 00:12:19,869 --> 00:12:22,263 We've known you, what, two hours? 316 00:12:22,263 --> 00:12:25,092 Dr. Archer has a lot of experience with this. 317 00:12:25,092 --> 00:12:27,790 Our doctor was adamant we wait, 318 00:12:27,790 --> 00:12:29,574 that with all of Caleb's surgeries, 319 00:12:29,574 --> 00:12:32,229 the adhesions needed time to break down 320 00:12:32,229 --> 00:12:33,796 before we can do the reversal. 321 00:12:33,796 --> 00:12:35,102 That was a solid plan. 322 00:12:35,102 --> 00:12:37,626 However, Caleb's recurring prolapses 323 00:12:37,626 --> 00:12:40,150 could make it more likely for him to prolapse again. 324 00:12:40,150 --> 00:12:42,936 And possibly make the eventual repair 325 00:12:42,936 --> 00:12:43,980 more challenging. 326 00:12:43,980 --> 00:12:46,766 You don't know for sure. 327 00:12:46,766 --> 00:12:48,811 I won't trade my son's health for that. 328 00:12:48,811 --> 00:12:51,074 I know you wanna hold off until you get home, 329 00:12:51,074 --> 00:12:53,120 but I'd be happy to speak with your pediatric surgeon. 330 00:12:53,120 --> 00:12:55,818 Like I said, Dr. Davis believes 331 00:12:55,818 --> 00:12:57,298 Caleb is better off waiting. 332 00:12:57,298 --> 00:12:58,908 So until he says otherwise, 333 00:12:58,908 --> 00:13:01,302 I'm not discussing surgery any further. 334 00:13:14,271 --> 00:13:16,099 Can I get your eyes on something? 335 00:13:16,099 --> 00:13:17,753 Of course. 336 00:13:18,841 --> 00:13:21,322 Skipped right to CT scans, huh? 337 00:13:21,322 --> 00:13:23,498 Patient came in with classic signs of an infection, 338 00:13:23,498 --> 00:13:25,848 but with the shortness of breath and chest pain, 339 00:13:25,848 --> 00:13:28,938 I was afraid that it was a septic pulmonary embolism. 340 00:13:28,938 --> 00:13:31,332 I know that's a long shot. - No, you were on the money. 341 00:13:31,332 --> 00:13:34,814 Look--definitely a small PE. 342 00:13:36,424 --> 00:13:38,818 Check out this next CT. 343 00:13:38,818 --> 00:13:41,124 I'm not exactly sure what I'm looking at. 344 00:13:43,823 --> 00:13:45,302 Peritonsillar abscess 345 00:13:45,302 --> 00:13:47,870 with infiltration to the jugular vein. 346 00:13:47,870 --> 00:13:49,437 What'd the swab come back as? 347 00:13:49,437 --> 00:13:51,178 Strep. 348 00:13:51,178 --> 00:13:52,875 Hmm. 349 00:13:52,875 --> 00:13:54,572 This is Lemierre syndrome, isn't it? 350 00:13:54,572 --> 00:13:57,837 I've only read about it. 351 00:13:57,837 --> 00:14:00,883 Effective blood clot in the neck, yeah. 352 00:14:00,883 --> 00:14:03,538 Very rare, very dangerous. 353 00:14:03,538 --> 00:14:05,757 Explains a lot-- infection starts in the throat, 354 00:14:05,757 --> 00:14:08,717 spreads to the jugular, starts throwing clots downstream. 355 00:14:08,717 --> 00:14:10,023 Okay, we-- 356 00:14:10,023 --> 00:14:11,894 we need to anticoagulate your patient ASAP. 357 00:14:11,894 --> 00:14:13,722 So go ahead and start her on a heparin drip, 358 00:14:13,722 --> 00:14:15,245 prevent the existing clot from propagating, 359 00:14:15,245 --> 00:14:18,248 and I'd also start her on antibiotics, okay? 360 00:14:18,248 --> 00:14:21,121 Why wait when we can go after the clot with the thrombectomy 361 00:14:21,121 --> 00:14:23,297 and eliminate the risk entirely? 362 00:14:23,297 --> 00:14:24,776 We're not there yet. 363 00:14:24,776 --> 00:14:26,996 Let's give the meds some time to get the fever down. 364 00:14:26,996 --> 00:14:28,476 But if she doesn't turn the corner soon, 365 00:14:28,476 --> 00:14:29,781 I think you're right. 366 00:14:29,781 --> 00:14:31,871 Surgery may be our best bet, okay? 367 00:14:31,871 --> 00:14:32,959 I'll get Adriana up to speed. 368 00:14:32,959 --> 00:14:34,917 Good. And I'll call ENT. 369 00:14:34,917 --> 00:14:36,527 They'll need to scope her, all right? 370 00:14:36,527 --> 00:14:37,789 Mm-hmm. 371 00:14:39,879 --> 00:14:41,924 Oh, Mr. Sullivan-- 372 00:14:41,924 --> 00:14:44,753 Sully, Sully, I'm so sorry. 373 00:14:44,753 --> 00:14:46,102 Buddy, we can't really have patients 374 00:14:46,102 --> 00:14:47,582 wandering around out here. 375 00:14:47,582 --> 00:14:49,149 We just have too much foot traffic out here. 376 00:14:49,149 --> 00:14:50,759 It's a hospital policy thing. I hope you understand. 377 00:14:50,759 --> 00:14:53,153 But I just wanna find a place to smoke. 378 00:14:53,153 --> 00:14:54,676 I just can't be in that room. 379 00:14:54,676 --> 00:14:55,720 Totally get it. 380 00:14:55,720 --> 00:14:57,157 It's such a drag having to wait. 381 00:14:57,157 --> 00:15:00,943 But I promise you, Dr. Ripley will be by any second. 382 00:15:00,943 --> 00:15:02,684 Oh, speak of the devil. 383 00:15:02,684 --> 00:15:04,251 Hey, hard to believe it's the same guy who had us 384 00:15:04,251 --> 00:15:06,035 stealing candy when we were kids. 385 00:15:06,035 --> 00:15:07,732 Where the hell were you? I told you to stay put. 386 00:15:07,732 --> 00:15:10,605 I'm sorry, Dr. Ripley. 387 00:15:10,605 --> 00:15:11,954 Won't happen again. 388 00:15:16,828 --> 00:15:19,179 I got this. Thanks. 389 00:15:21,529 --> 00:15:23,009 Time for a bedtime story? 390 00:15:23,009 --> 00:15:24,880 I'm tired as hell. 391 00:15:24,880 --> 00:15:26,142 Actually, I think you're gonna want 392 00:15:26,142 --> 00:15:29,841 to sit up for this, seriously. 393 00:15:29,841 --> 00:15:32,496 Okay, okay, what? 394 00:15:33,758 --> 00:15:37,414 I got the results from your chest X-ray. 395 00:15:37,414 --> 00:15:40,635 They show a nodule in your left lung that concerns me. 396 00:15:40,635 --> 00:15:43,507 And your white blood cell count came back low. 397 00:15:43,507 --> 00:15:47,816 So you'll--you'll need a chest CT as well as a biopsy. 398 00:15:47,816 --> 00:15:50,514 Can you explain it to me in English? 399 00:15:50,514 --> 00:15:52,995 You got early signs of lung cancer. 400 00:15:56,390 --> 00:15:58,000 Wait, what? 401 00:15:58,000 --> 00:16:01,438 Look, I know it sounds scary. 402 00:16:01,438 --> 00:16:04,702 But some lung cancers are very treatable. 403 00:16:04,702 --> 00:16:06,052 I'll refer you to an oncologist. 404 00:16:06,052 --> 00:16:07,662 That's a cancer specialist. 405 00:16:07,662 --> 00:16:09,229 No, no, no. 406 00:16:09,229 --> 00:16:13,798 I only came here to avoid jail and get my hand patched up. 407 00:16:13,798 --> 00:16:15,148 Now you're throwing the C-word at me. 408 00:16:15,148 --> 00:16:16,410 Like I said, I'll have an oncologist talk-- 409 00:16:16,410 --> 00:16:17,498 I feel fine. 410 00:16:17,498 --> 00:16:20,457 The way I see it, this convo's over. 411 00:16:20,457 --> 00:16:22,111 I want out. 412 00:16:22,111 --> 00:16:24,026 You need a thorough evaluation and treatment plan. 413 00:16:24,026 --> 00:16:27,812 No! I'm done. 414 00:16:27,812 --> 00:16:29,031 Where do I sign? 415 00:16:29,031 --> 00:16:31,120 All right. 416 00:16:31,120 --> 00:16:32,600 At least let me get ortho in here 417 00:16:32,600 --> 00:16:33,993 to splint that broken hand. 418 00:16:33,993 --> 00:16:35,516 The bandage is just temporary. 419 00:16:35,516 --> 00:16:36,821 It shouldn't take long. 420 00:16:36,821 --> 00:16:39,650 Fine, but that's all. 421 00:16:47,528 --> 00:16:48,877 Excuse me. 422 00:16:48,877 --> 00:16:50,444 Can you point me to your cafeteria? 423 00:16:50,444 --> 00:16:52,663 I'm trying to find something Caleb can eat. 424 00:16:52,663 --> 00:16:54,448 Absolutely. 425 00:16:54,448 --> 00:16:56,058 Right this way. 426 00:16:56,058 --> 00:16:58,843 I have to say, you've really got a handle on Caleb's care. 427 00:16:58,843 --> 00:17:00,584 Must be reassuring for him. 428 00:17:00,584 --> 00:17:03,283 Thank you, though I suspect Caleb wishes 429 00:17:03,283 --> 00:17:05,676 he could see a little less of me. 430 00:17:05,676 --> 00:17:06,895 I'd take that as a good sign. 431 00:17:06,895 --> 00:17:08,375 It means he's a normal teenager. 432 00:17:08,375 --> 00:17:09,811 Normal? 433 00:17:09,811 --> 00:17:12,422 It's been a long road to get here, for both of us. 434 00:17:12,422 --> 00:17:13,815 Yeah. 435 00:17:13,815 --> 00:17:16,600 You know, after Caleb was shot, I was a mess. 436 00:17:16,600 --> 00:17:19,386 The emergency room, the ICU, in and out of surgery, 437 00:17:19,386 --> 00:17:21,866 I felt like I basically lived at the hospital. 438 00:17:21,866 --> 00:17:23,433 I can't imagine how rough that was. 439 00:17:23,433 --> 00:17:25,740 It was the waiting, you know, 440 00:17:25,740 --> 00:17:28,177 the not knowing that wore me out. 441 00:17:28,177 --> 00:17:30,179 But we finally made it home. 442 00:17:30,179 --> 00:17:32,660 We figured out a routine together, 443 00:17:32,660 --> 00:17:35,358 the bag changes, the diet, the cleaning. 444 00:17:35,358 --> 00:17:39,449 Caleb hates it, but it's a version of normal. 445 00:17:39,449 --> 00:17:41,234 Yeah. 446 00:17:41,234 --> 00:17:43,323 Oh, the cafeteria is down the hall to the right. 447 00:17:43,323 --> 00:17:45,586 Just follow the signs. You can't miss it. 448 00:17:45,586 --> 00:17:47,240 - Thank you. - Yeah. 449 00:17:49,111 --> 00:17:50,939 All right, Caleb. 450 00:17:50,939 --> 00:17:53,028 I think we're ready to reduce this. 451 00:17:54,203 --> 00:17:56,597 Okay, I'm sorry. 452 00:17:56,597 --> 00:17:58,120 Okay, Caleb. 453 00:17:58,120 --> 00:17:59,643 You're gonna feel a little bit of pressure. 454 00:17:59,643 --> 00:18:01,384 Are you ready? 455 00:18:01,384 --> 00:18:02,733 Okay. 456 00:18:02,733 --> 00:18:04,300 So Oakland. 457 00:18:04,300 --> 00:18:06,955 I know of some Hall of Famers at your position from there. 458 00:18:06,955 --> 00:18:10,524 Gary Payton, Jason Kidd-- before your time. 459 00:18:10,524 --> 00:18:11,481 I studied them both. 460 00:18:11,481 --> 00:18:14,267 But Dame is my guy. - Ah. 461 00:18:16,791 --> 00:18:19,010 So if I get this surgery, 462 00:18:19,010 --> 00:18:20,795 what kind of recovery time am I looking at? 463 00:18:20,795 --> 00:18:22,405 That depends. 464 00:18:22,405 --> 00:18:25,104 Probably a question for your pediatric surgeon. 465 00:18:25,104 --> 00:18:27,280 You've gotta have an idea, right? 466 00:18:27,280 --> 00:18:29,195 I mean, we talking days, weeks? 467 00:18:29,195 --> 00:18:31,153 How long I'ma have to wait to get back on the court? 468 00:18:31,153 --> 00:18:32,763 Yeah, I think that's a conversation 469 00:18:32,763 --> 00:18:34,417 we can have with your mother. 470 00:18:34,417 --> 00:18:36,376 When your mother comes back from the cafeteria, we can-- 471 00:18:36,376 --> 00:18:38,682 She already made up her mind. 472 00:18:38,682 --> 00:18:41,294 But it's my life. 473 00:18:41,294 --> 00:18:42,947 There's a chance that I could still salvage 474 00:18:42,947 --> 00:18:44,993 my high school career, I could still get a full ride 475 00:18:44,993 --> 00:18:46,995 from a big-time D-I school. 476 00:18:46,995 --> 00:18:49,780 And I could make a play for the NBA. 477 00:18:52,261 --> 00:18:54,002 You said you could do this today, right? 478 00:18:56,309 --> 00:18:57,962 Come on, Doc, you did, didn't you? 479 00:18:57,962 --> 00:18:59,616 Yes, I did. 480 00:19:03,707 --> 00:19:07,015 Dr. Archer, may I speak to you for a second? 481 00:19:10,236 --> 00:19:12,151 All right, your stoma's all set. 482 00:19:18,200 --> 00:19:19,897 What can I do? He backed me into a corner. 483 00:19:19,897 --> 00:19:22,291 He's a minor, and his mother made her wishes very clear. 484 00:19:22,291 --> 00:19:24,119 All right, listen, now, 485 00:19:24,119 --> 00:19:26,339 I don't need a tutorial on medical ethics. 486 00:19:26,339 --> 00:19:29,429 Caleb has the right to know what his future holds. 487 00:19:29,429 --> 00:19:31,561 And I feel for Caleb too. 488 00:19:31,561 --> 00:19:33,302 But they just got their lives back 489 00:19:33,302 --> 00:19:35,391 after a horrific experience. 490 00:19:35,391 --> 00:19:36,914 Right, one I wanna help him move on from. 491 00:19:36,914 --> 00:19:38,394 You can't just move on 492 00:19:38,394 --> 00:19:40,440 after your life's been turned upside down. 493 00:19:40,440 --> 00:19:42,137 Deb is just trying to hold on to something 494 00:19:42,137 --> 00:19:43,921 that is normal for them. 495 00:19:43,921 --> 00:19:45,488 That's the problem, okay? 496 00:19:45,488 --> 00:19:47,882 She's clinging to a normal that does not exist. 497 00:19:47,882 --> 00:19:49,275 So instead of moving forward, 498 00:19:49,275 --> 00:19:50,537 she's not doing anything at all, 499 00:19:50,537 --> 00:19:52,321 even when her son clearly wants to. 500 00:19:52,321 --> 00:19:54,367 What-what does my son want? 501 00:19:56,630 --> 00:19:58,501 Caleb reiterated to me 502 00:19:58,501 --> 00:20:01,069 that he wants the reversal procedure, but I told him-- 503 00:20:01,069 --> 00:20:02,113 I thought I made myself clear earlier. 504 00:20:02,113 --> 00:20:03,506 Yes, you did, but-- 505 00:20:03,506 --> 00:20:05,552 Has my son's prolapse been resolved? 506 00:20:05,552 --> 00:20:06,770 Yes, it has. 507 00:20:06,770 --> 00:20:08,555 Then I would like him to be discharged. 508 00:20:20,306 --> 00:20:23,700 Bert, how'd it go? 509 00:20:23,700 --> 00:20:24,745 Bert. 510 00:20:24,745 --> 00:20:27,356 You got what you wanted, okay? 511 00:20:27,356 --> 00:20:29,053 What did the neurologist say? 512 00:20:29,053 --> 00:20:31,230 I was doing fine till you had to go and screw everything up. 513 00:20:31,230 --> 00:20:32,753 Well, I'm just concerned for you, Bert. 514 00:20:32,753 --> 00:20:35,582 We're divorced. Stay out of my life. 515 00:20:45,244 --> 00:20:46,854 Dr. Charles, can you do a capacity check 516 00:20:46,854 --> 00:20:48,290 on Sully for me? 517 00:20:48,290 --> 00:20:51,075 Why, have you noticed some kind of behavioral 518 00:20:51,075 --> 00:20:53,164 or cognitive change since you last connected with him? 519 00:20:53,164 --> 00:20:54,296 He's being irrational. 520 00:20:54,296 --> 00:20:55,515 He probably has lung cancer, 521 00:20:55,515 --> 00:20:57,081 but he's refusing further testing. 522 00:20:57,081 --> 00:20:59,867 Oh, boy. I'm sorry to hear that. 523 00:20:59,867 --> 00:21:01,564 If I let him walk out of here AMA, 524 00:21:01,564 --> 00:21:03,044 I'm basically handing him a death sentence. 525 00:21:03,044 --> 00:21:05,089 Unfortunately, refusing further testing 526 00:21:05,089 --> 00:21:07,657 is not really grounds for questioning somebody's 527 00:21:07,657 --> 00:21:09,398 decisional capacity. 528 00:21:09,398 --> 00:21:12,445 He's got a terminal illness and won't get treatment. 529 00:21:12,445 --> 00:21:13,620 Sounds like he's got a problem 530 00:21:13,620 --> 00:21:15,926 with his decisional capacity to me. 531 00:21:15,926 --> 00:21:18,059 Okay, so this is where I have to ask you, 532 00:21:18,059 --> 00:21:19,539 would you be pushing for this 533 00:21:19,539 --> 00:21:21,715 if this were just a regular patient? 534 00:21:27,111 --> 00:21:29,375 It's the only way I can see to save his life. 535 00:21:29,375 --> 00:21:32,116 I mean, unfortunately, if he doesn't wanna pursue treatment, 536 00:21:32,116 --> 00:21:33,422 there's just-- 537 00:21:33,422 --> 00:21:34,641 I mean, there's nothing we can do about it. 538 00:21:34,641 --> 00:21:36,773 I'm sorry. 539 00:21:36,773 --> 00:21:38,558 Yeah, me too. 540 00:21:43,867 --> 00:21:45,304 Dr. Marcel, Dr. Ahmad. 541 00:21:45,304 --> 00:21:47,349 Her blood pressure just dropped 20 points, 542 00:21:47,349 --> 00:21:48,916 90/60 and still falling. 543 00:21:48,916 --> 00:21:51,222 Where am I? 544 00:21:51,222 --> 00:21:52,441 She's disoriented. 545 00:21:52,441 --> 00:21:54,443 And hypotensive. Must be septic shock. 546 00:21:54,443 --> 00:21:56,619 Zola, start a central line and get her on pressors. 547 00:21:56,619 --> 00:21:58,360 Need to get her BP back up. 548 00:21:58,360 --> 00:22:01,189 Get a bag on her. Dial up the O2 to 15 liters. 549 00:22:01,189 --> 00:22:02,495 And bolus a liter of crystalloid 550 00:22:02,495 --> 00:22:03,887 and set up a norepi drip. - On it. 551 00:22:05,324 --> 00:22:07,630 Adriana, slow, deep breaths for me, okay? 552 00:22:07,630 --> 00:22:08,979 Pressure's still down. 553 00:22:08,979 --> 00:22:10,285 Need to get that line in. 554 00:22:12,069 --> 00:22:12,983 Got it. 555 00:22:16,030 --> 00:22:17,248 Wire. 556 00:22:17,248 --> 00:22:18,206 Go ahead. 557 00:22:20,469 --> 00:22:22,079 We're in. 558 00:22:22,079 --> 00:22:24,343 Okay, start the norepi at 10 and titrate up to a MAP of 65. 559 00:22:24,343 --> 00:22:25,779 Norepi's on. 560 00:22:25,779 --> 00:22:27,607 Okay, cycle the BP cuff. 561 00:22:31,828 --> 00:22:34,483 Blood pressure's coming back up, 95/65, 562 00:22:34,483 --> 00:22:35,615 and sats are climbing as well. 563 00:22:35,615 --> 00:22:36,964 - She's stabilizing. - Good. 564 00:22:36,964 --> 00:22:38,661 Let's draw a culture, start her on vanc, 565 00:22:38,661 --> 00:22:41,011 and let's get an A-line set up. 566 00:22:41,011 --> 00:22:43,405 - Let's get a blood gas too. - Page us when she's lucid. 567 00:22:43,405 --> 00:22:44,667 You were right. 568 00:22:44,667 --> 00:22:46,800 She's gonna need a thrombectomy. 569 00:22:54,155 --> 00:22:56,331 - Here. - What's this? 570 00:22:56,331 --> 00:22:58,464 A little light reading a critical care committee 571 00:22:58,464 --> 00:23:00,030 just drafted. 572 00:23:00,030 --> 00:23:01,815 "Revised post-operative muscle relaxant 573 00:23:01,815 --> 00:23:03,164 reversal agent protocol." 574 00:23:03,164 --> 00:23:05,384 See, I heard getting Exsomadex pulled 575 00:23:05,384 --> 00:23:07,211 was your little crusade. 576 00:23:07,211 --> 00:23:10,432 Thought you might be eager to learn about its replacement. 577 00:23:10,432 --> 00:23:13,827 "The new recommended reversal agent is Gamaverse." 578 00:23:13,827 --> 00:23:15,350 There a problem? 579 00:23:15,350 --> 00:23:18,005 No, except it's ten times the cost of Exsomadex, 580 00:23:18,005 --> 00:23:20,268 which gets pushed on to the patients 581 00:23:20,268 --> 00:23:22,444 when their insurance won't cover it. 582 00:23:22,444 --> 00:23:23,837 That--there has to be 583 00:23:23,837 --> 00:23:25,316 cheaper therapeutic alternative options. 584 00:23:25,316 --> 00:23:27,928 No. Nope. No. Not according to the committee. 585 00:23:27,928 --> 00:23:30,496 So the next time you think about sounding the alarm 586 00:23:30,496 --> 00:23:32,628 off limited data, think twice. 587 00:23:38,460 --> 00:23:41,289 Mom, I got it. 588 00:23:41,289 --> 00:23:42,290 Okay. 589 00:23:43,987 --> 00:23:46,990 Um, Deb, I've got your discharge paperwork, 590 00:23:46,990 --> 00:23:49,340 and I'll have someone by to walk you out. 591 00:23:49,340 --> 00:23:50,603 Thank you. 592 00:23:50,603 --> 00:23:51,778 Okay. 593 00:23:53,997 --> 00:23:57,000 Caleb, I know this is hard. 594 00:23:57,000 --> 00:24:00,134 But your life is more important than some game. 595 00:24:00,134 --> 00:24:02,223 Not much of a life anyways. 596 00:24:05,748 --> 00:24:08,577 I'll go pull the car around. 597 00:24:08,577 --> 00:24:10,623 Deb, wait, please. 598 00:24:10,623 --> 00:24:12,276 - What? - I just-- 599 00:24:14,017 --> 00:24:16,106 I'm sorry that you're leaving. 600 00:24:16,106 --> 00:24:18,587 But Dr. Archer is an excellent surgeon. 601 00:24:18,587 --> 00:24:20,850 And he just wants to do what's right by your son. 602 00:24:20,850 --> 00:24:22,896 I really don't want to discuss this again. 603 00:24:22,896 --> 00:24:24,463 I know you're afraid. 604 00:24:24,463 --> 00:24:26,377 And it makes sense with everything 605 00:24:26,377 --> 00:24:27,422 that you've gone through. 606 00:24:27,422 --> 00:24:29,598 What we're still going through. 607 00:24:29,598 --> 00:24:31,252 Of course. 608 00:24:31,252 --> 00:24:33,384 It's understandable that you would want to hold on 609 00:24:33,384 --> 00:24:35,430 to what's familiar while you can, 610 00:24:35,430 --> 00:24:39,042 while your world has been turned inside-out. 611 00:24:41,305 --> 00:24:45,440 It has taken everything I've got just to make it this far. 612 00:24:45,440 --> 00:24:47,050 Deb. 613 00:24:48,530 --> 00:24:51,925 I don't know if I can go through this again right now. 614 00:24:51,925 --> 00:24:54,754 What if it goes wrong? 615 00:24:54,754 --> 00:24:57,234 I don't think I can handle that. 616 00:24:57,234 --> 00:25:02,065 At least this way, I know what tomorrow looks like. 617 00:25:02,065 --> 00:25:03,806 I understand. 618 00:25:05,591 --> 00:25:08,942 But this life now, 619 00:25:08,942 --> 00:25:11,205 is it worth holding on to, 620 00:25:11,205 --> 00:25:14,208 knowing that there's a possibility of another way? 621 00:25:25,045 --> 00:25:27,134 Dr. Malone, good afternoon. 622 00:25:27,134 --> 00:25:28,831 Ms. Goodwin, come in. 623 00:25:30,180 --> 00:25:32,008 Bert just left, so I have to assume 624 00:25:32,008 --> 00:25:34,445 your visit is not a coincidence. 625 00:25:34,445 --> 00:25:37,492 Well, I know given HIPAA regulations, 626 00:25:37,492 --> 00:25:40,626 it's not my place to come here and ask about your patients, 627 00:25:40,626 --> 00:25:42,628 but my family's worried. 628 00:25:42,628 --> 00:25:43,977 I understand. 629 00:25:43,977 --> 00:25:46,675 And there is no privacy issue here 630 00:25:46,675 --> 00:25:50,461 as you're listed as Bert's primary emergency contact. 631 00:25:50,461 --> 00:25:53,900 I'm listed as his emergency contact? 632 00:25:53,900 --> 00:25:56,424 Yeah, it's what's in his file. 633 00:25:58,861 --> 00:26:01,429 I'm sorry to have to tell you, but... 634 00:26:01,429 --> 00:26:03,562 I've diagnosed Bert with Alzheimer's dementia. 635 00:26:05,694 --> 00:26:07,217 Alzheimer's. 636 00:26:07,217 --> 00:26:10,003 Now, there are treatments available to him. 637 00:26:10,003 --> 00:26:12,353 But as you're well aware, this diagnosis 638 00:26:12,353 --> 00:26:15,269 can be a long and rough road for everyone involved. 639 00:26:15,269 --> 00:26:17,401 You likely know most of this. 640 00:26:18,968 --> 00:26:20,274 But here's some information your family 641 00:26:20,274 --> 00:26:22,842 can anticipate moving forward. 642 00:26:22,842 --> 00:26:24,060 Yeah. 643 00:26:24,060 --> 00:26:27,020 I offered them to Bert, but he, um, 644 00:26:27,020 --> 00:26:29,936 he left them behind. 645 00:26:29,936 --> 00:26:31,590 He didn't take the news well? 646 00:26:31,590 --> 00:26:33,940 Well, in my experience, few people do. 647 00:26:39,685 --> 00:26:42,557 My door is always open. 648 00:26:42,557 --> 00:26:44,428 To you or your children, 649 00:26:44,428 --> 00:26:47,606 if you have any more questions or concerns. 650 00:26:47,606 --> 00:26:49,651 Thank you. 651 00:27:08,452 --> 00:27:10,629 All right, Caleb, game time. 652 00:27:29,386 --> 00:27:30,605 Mr. Sullivan, I assure you, 653 00:27:30,605 --> 00:27:32,085 they're just printing your paperwork. 654 00:27:32,085 --> 00:27:33,739 Keep it. I don't care. 655 00:27:33,739 --> 00:27:35,001 I'm leaving. 656 00:27:35,001 --> 00:27:36,089 I'm out of here. 657 00:27:36,089 --> 00:27:37,307 Excuse me. Excuse me, lady. 658 00:27:37,307 --> 00:27:38,874 Sully, Sully, come on. Knock it off. 659 00:27:38,874 --> 00:27:40,615 Get back in bed. - I got my splint. 660 00:27:40,615 --> 00:27:41,834 I'm leaving. 661 00:27:41,834 --> 00:27:43,096 You need to see an oncologist. 662 00:27:43,096 --> 00:27:44,314 Shut up already. 663 00:27:44,314 --> 00:27:45,707 You got your little iPad and your name tag, 664 00:27:45,707 --> 00:27:47,013 you think I'm supposed to do what you say? 665 00:27:47,013 --> 00:27:48,841 I'm trying to help you, man. 666 00:27:48,841 --> 00:27:50,886 And I'm trying to leave, man. 667 00:27:50,886 --> 00:27:52,366 Move. 668 00:27:56,500 --> 00:27:57,937 If you walk out of here, this will be 669 00:27:57,937 --> 00:27:59,068 the dumbest thing you've ever done. 670 00:27:59,068 --> 00:28:01,114 You can't leave. - Out of my way. 671 00:28:01,114 --> 00:28:02,463 No. 672 00:28:02,463 --> 00:28:03,856 Rip, I'm gonna tell you one more time. 673 00:28:03,856 --> 00:28:05,640 Move! - Can't do it. 674 00:28:07,598 --> 00:28:09,644 Security! 675 00:28:09,644 --> 00:28:11,646 Hey! Security! 676 00:28:11,646 --> 00:28:13,953 Dr. Ripley. 677 00:28:13,953 --> 00:28:15,563 Dr. Ripley! 678 00:28:22,788 --> 00:28:25,094 Calm down. Calm down. 679 00:28:25,094 --> 00:28:27,706 Hey, calm down. Settle down. 680 00:28:27,706 --> 00:28:29,055 You all right? 681 00:28:29,055 --> 00:28:30,709 Yeah. 682 00:28:30,709 --> 00:28:32,232 Should I call Dr. Archer? 683 00:28:34,060 --> 00:28:37,193 Um, no, give me a couple minutes, okay? 684 00:28:47,813 --> 00:28:50,076 No. No. I'm not--I'm not-- 685 00:28:50,076 --> 00:28:51,773 I'm not in the mood for a lecture. 686 00:28:51,773 --> 00:28:53,775 You don't-- you don't know Sully. 687 00:28:53,775 --> 00:28:55,734 There's only one way to deal with him. 688 00:28:55,734 --> 00:28:57,910 By tackling him to the ground? 689 00:28:57,910 --> 00:29:00,260 I was just trying to get the situation under control. 690 00:29:00,260 --> 00:29:03,872 Mm, looked kind of like you lost control to me. 691 00:29:03,872 --> 00:29:06,527 So file a complaint. 692 00:29:06,527 --> 00:29:07,702 Let's go see Archer and Ms. Goodwin. 693 00:29:07,702 --> 00:29:08,834 Come on. Let's get it over with. 694 00:29:08,834 --> 00:29:10,487 So--so you can lose your job? 695 00:29:10,487 --> 00:29:12,228 Is that what we wanna do now? 696 00:29:14,840 --> 00:29:16,711 Yeah, I screwed up. 697 00:29:16,711 --> 00:29:19,105 I screwed up, okay? I know that. 698 00:29:23,065 --> 00:29:25,285 I'm just trying to--just trying to look out for the guy. 699 00:29:25,285 --> 00:29:26,677 I get that, but ideally, 700 00:29:26,677 --> 00:29:30,290 you don't wanna risk your job in doing so. 701 00:29:30,290 --> 00:29:33,206 If I'd never left Chicago, 702 00:29:33,206 --> 00:29:35,469 I'd probably have been right there with him, at that bar, 703 00:29:35,469 --> 00:29:38,167 throwing down beside him. 704 00:29:38,167 --> 00:29:39,560 That's how tight we were. 705 00:29:41,954 --> 00:29:44,173 But I wanted out of that life, and I got out. 706 00:29:44,173 --> 00:29:46,567 And that's a good thing, right? 707 00:29:46,567 --> 00:29:48,569 But it can be a little more complicated for the people 708 00:29:48,569 --> 00:29:50,223 who feel, you know, left behind. 709 00:29:50,223 --> 00:29:53,182 You know, having said that, I think he came here 710 00:29:53,182 --> 00:29:56,055 looking for you because he trusts you. 711 00:29:56,055 --> 00:29:57,883 Then why won't he listen to me? 712 00:29:57,883 --> 00:30:01,321 Maybe he wasn't looking for 713 00:30:01,321 --> 00:30:03,758 some guy in a white coat with a fancy degree. 714 00:30:03,758 --> 00:30:06,152 Maybe he's just looking for his friend. 715 00:30:12,680 --> 00:30:15,335 So... 716 00:30:15,335 --> 00:30:17,076 you tolerated surgery well. 717 00:30:17,076 --> 00:30:21,602 And from what I'm seeing, you're gonna be fine. 718 00:30:21,602 --> 00:30:23,343 - For real? - Thank God. 719 00:30:23,343 --> 00:30:25,214 A few days here, a few weeks at home, 720 00:30:25,214 --> 00:30:26,912 and you'll be back on your feet. 721 00:30:26,912 --> 00:30:28,696 Then I can hoop again? 722 00:30:28,696 --> 00:30:33,483 Maybe in about eight weeks, but only if you take it easy. 723 00:30:33,483 --> 00:30:34,876 That's cool. 724 00:30:36,660 --> 00:30:38,271 I appreciate you, Doc. 725 00:30:38,271 --> 00:30:40,751 Well, save me some tickets when you make it to the NBA-- 726 00:30:40,751 --> 00:30:42,666 floor seats, preferably. 727 00:30:42,666 --> 00:30:44,277 Thank you, Dr. Archer. 728 00:30:46,932 --> 00:30:52,024 And thank you for pushing me. 729 00:30:52,024 --> 00:30:55,331 I'm just glad that you and Caleb get to move forward. 730 00:31:01,120 --> 00:31:04,166 Sharon, I'm just so sorry. 731 00:31:04,166 --> 00:31:07,300 Well, I guess the upside is, 732 00:31:07,300 --> 00:31:09,824 now I know what I'm dealing with. 733 00:31:09,824 --> 00:31:11,478 Exactly. 734 00:31:11,478 --> 00:31:12,914 And you know what? 735 00:31:12,914 --> 00:31:16,309 I mean, there are some very promising clinical trials 736 00:31:16,309 --> 00:31:17,919 happening right now. 737 00:31:17,919 --> 00:31:21,314 Some exciting new medications are being developed. 738 00:31:21,314 --> 00:31:23,533 And I'm just--I'm confident if we get the right kind of help, 739 00:31:23,533 --> 00:31:24,795 that we're-- 740 00:31:24,795 --> 00:31:25,927 we're gonna be able to navigate this. 741 00:31:25,927 --> 00:31:27,624 We? 742 00:31:27,624 --> 00:31:30,323 You mean me. 743 00:31:30,323 --> 00:31:32,716 The decisions that will have to be made, 744 00:31:32,716 --> 00:31:34,980 the appointments, the treatments, 745 00:31:34,980 --> 00:31:38,026 that's all gonna fall on me, Daniel. 746 00:31:38,026 --> 00:31:40,289 What about the kids? I mean, the kids will be there. 747 00:31:40,289 --> 00:31:43,336 No. They've got their own lives. 748 00:31:43,336 --> 00:31:47,340 I don't want them to have to deal with this, either. 749 00:31:47,340 --> 00:31:49,864 And how am I gonna do it? 750 00:31:49,864 --> 00:31:51,997 I've got a hospital to run. 751 00:31:51,997 --> 00:31:55,696 I got a new relationship that... 752 00:31:55,696 --> 00:31:58,525 is really going well. 753 00:31:58,525 --> 00:32:01,397 And then what? 754 00:32:01,397 --> 00:32:05,053 I have to take care of my ex-husband. 755 00:32:06,750 --> 00:32:09,971 I know it's selfish just to think about myself, but... 756 00:32:09,971 --> 00:32:12,800 No, it is not, not at all. 757 00:32:15,020 --> 00:32:16,760 I can't do it, Daniel. 758 00:32:19,763 --> 00:32:21,940 I can't. 759 00:32:29,817 --> 00:32:31,993 Hi, Adriana. How are you feeling? 760 00:32:31,993 --> 00:32:33,560 Been better. 761 00:32:33,560 --> 00:32:35,954 Well, look, we wanna talk to you about next steps. 762 00:32:35,954 --> 00:32:38,565 So given the state of your infection, 763 00:32:38,565 --> 00:32:41,960 it's our recommendation that we progress with a procedure 764 00:32:41,960 --> 00:32:43,439 called a thrombectomy. 765 00:32:43,439 --> 00:32:45,615 Dr. Ahmad said something about that. 766 00:32:45,615 --> 00:32:48,357 Yeah, so myself and an interventional radiologist 767 00:32:48,357 --> 00:32:51,099 would pass a wire up your arm, into your neck, 768 00:32:51,099 --> 00:32:53,580 and basically extract the clot. 769 00:32:53,580 --> 00:32:54,885 Oh, God. 770 00:32:54,885 --> 00:32:56,409 The procedure is minimally invasive, 771 00:32:56,409 --> 00:32:58,063 and it would eliminate any risk posed 772 00:32:58,063 --> 00:32:59,934 by the clot, set the antibiotics up 773 00:32:59,934 --> 00:33:01,240 for success moving forward. 774 00:33:01,240 --> 00:33:03,068 We'll have you home in a few days. 775 00:33:03,068 --> 00:33:06,375 This procedure, I really have to do it? 776 00:33:06,375 --> 00:33:07,811 There's no other option? 777 00:33:07,811 --> 00:33:09,465 Yes, that would be my recommendation. 778 00:33:09,465 --> 00:33:10,466 Well, there might be. 779 00:33:12,991 --> 00:33:14,862 We could wait. - What do you mean? 780 00:33:14,862 --> 00:33:17,299 Give the antibiotics a chance to fight off the infection. 781 00:33:17,299 --> 00:33:19,606 And the blood thinners haven't had that long 782 00:33:19,606 --> 00:33:22,130 to break up the primary clot. 783 00:33:22,130 --> 00:33:24,437 Which means it would still pose a serious threat, no? 784 00:33:24,437 --> 00:33:26,265 But if we give the medications a chance, 785 00:33:26,265 --> 00:33:28,093 then maybe we can bypass the need 786 00:33:28,093 --> 00:33:29,485 for a thrombectomy altogether. 787 00:33:29,485 --> 00:33:30,791 Really? 788 00:33:30,791 --> 00:33:33,750 Very unlikely is how I'd put it. 789 00:33:33,750 --> 00:33:35,883 Dr. Ahmad, could I speak with you? 790 00:33:43,978 --> 00:33:45,240 Now, what was that? 791 00:33:45,240 --> 00:33:47,634 You undermined me in front of the patient. 792 00:33:47,634 --> 00:33:50,898 And this procedure was your plan from the start, right? 793 00:33:50,898 --> 00:33:53,640 We both know that going after an unstable clot is risky. 794 00:33:53,640 --> 00:33:56,991 Same is true if we just sit on our hands here, right? 795 00:33:56,991 --> 00:34:00,473 Now, IR is the only real path forward for Adriana. 796 00:34:00,473 --> 00:34:02,475 You knew that hours ago. 797 00:34:02,475 --> 00:34:04,303 So what's changed? 798 00:34:04,303 --> 00:34:06,870 Everyone keeps saying that I'm impulsive, 799 00:34:06,870 --> 00:34:08,611 that I make rash decisions. 800 00:34:08,611 --> 00:34:10,265 And I think they're right. 801 00:34:10,265 --> 00:34:12,137 I've been here a month, and already, 802 00:34:12,137 --> 00:34:14,313 I've been assigned an ethics course, 803 00:34:14,313 --> 00:34:18,926 pissed off the board, and now this disaster with Exsomadex. 804 00:34:18,926 --> 00:34:20,275 Maybe I should keep my mouth shut. 805 00:34:20,275 --> 00:34:21,320 Stop. 806 00:34:21,320 --> 00:34:23,539 She needs this procedure, period. 807 00:34:27,978 --> 00:34:31,504 All right, go clear your head. 808 00:34:31,504 --> 00:34:33,549 Go on. 809 00:34:41,601 --> 00:34:43,733 Okay, I'm off. 810 00:34:43,733 --> 00:34:45,561 To the on-call room or-- 811 00:34:45,561 --> 00:34:48,782 No, I'm heading home. 812 00:34:48,782 --> 00:34:50,697 Oh. 813 00:34:50,697 --> 00:34:54,744 I think it's time that I move on. 814 00:34:54,744 --> 00:34:56,094 Yeah. 815 00:35:16,331 --> 00:35:17,506 Uh... 816 00:35:17,506 --> 00:35:19,291 Tara, hey, sweetie. 817 00:35:19,291 --> 00:35:21,989 How's it-- 818 00:35:21,989 --> 00:35:23,860 no, wait, wait, wait. 819 00:35:23,860 --> 00:35:27,908 Slow down, sweetie, slow down. 820 00:35:31,564 --> 00:35:33,783 Hey. What are you doing? 821 00:35:33,783 --> 00:35:37,483 Tara called and said Bert's not answering his phone. 822 00:35:37,483 --> 00:35:40,877 And I called, and it went straight to voicemail. 823 00:35:40,877 --> 00:35:43,706 You know he's tried to take his life once before, 824 00:35:43,706 --> 00:35:46,579 so I'm just gonna head over to his place. 825 00:35:46,579 --> 00:35:48,450 - I'll come with you. - You don't have to. 826 00:35:48,450 --> 00:35:50,800 - No, I'm coming. - Okay. 827 00:35:56,502 --> 00:35:58,243 Still nursing that bougie coffee? 828 00:35:58,243 --> 00:36:00,549 How's Adriana? 829 00:36:00,549 --> 00:36:03,117 The procedure went well, no complications. 830 00:36:03,117 --> 00:36:05,902 She's back in the ICU, awake and talking, okay? 831 00:36:05,902 --> 00:36:08,644 - That's great. Thanks. - Sure. 832 00:36:09,906 --> 00:36:11,212 Hey. 833 00:36:11,212 --> 00:36:12,344 Yeah? 834 00:36:12,344 --> 00:36:14,041 Do you know who that guy is? 835 00:36:15,434 --> 00:36:16,913 Everett James? Yeah. 836 00:36:16,913 --> 00:36:19,133 We sit on the board together. 837 00:36:19,133 --> 00:36:22,397 He's a bigwig at Ward and Bancroft. 838 00:36:22,397 --> 00:36:25,661 Yeah, the pharma company, so? 839 00:36:25,661 --> 00:36:28,403 So I did some research while you were in surgery, 840 00:36:28,403 --> 00:36:30,840 and guess who manufactures 841 00:36:30,840 --> 00:36:35,062 our new expensive reversal medication, Gamaverse? 842 00:36:35,062 --> 00:36:36,890 Ward and Bancroft? 843 00:36:36,890 --> 00:36:39,109 Yeah. 844 00:36:39,109 --> 00:36:40,763 Huh. 845 00:36:40,763 --> 00:36:44,114 So this board member sells his product to the hospital. 846 00:36:44,114 --> 00:36:45,681 Must have used our recommendation 847 00:36:45,681 --> 00:36:47,640 to get himself a sweetheart deal. 848 00:36:47,640 --> 00:36:50,730 That--that's a conflict of interest. 849 00:36:50,730 --> 00:36:52,079 That can't be legal. 850 00:36:52,079 --> 00:36:53,341 Look, I don't agree with it, either, 851 00:36:53,341 --> 00:36:55,474 but it's not illegal. 852 00:36:55,474 --> 00:36:58,781 This is all happening because of my recommendation. 853 00:36:58,781 --> 00:37:02,220 Hold on, are you-- are you blaming yourself? 854 00:37:04,439 --> 00:37:06,006 Before you spiral out any further, 855 00:37:06,006 --> 00:37:09,270 let me remind you what's actually important-- 856 00:37:09,270 --> 00:37:11,620 your patient, 857 00:37:11,620 --> 00:37:13,709 who's alive and well in large part 858 00:37:13,709 --> 00:37:16,103 because you listened to your instincts. 859 00:37:18,279 --> 00:37:21,978 You knew thrombectomy was the right call from the get-go. 860 00:37:21,978 --> 00:37:26,374 Now, you might not be able to take down 861 00:37:26,374 --> 00:37:29,377 the medical-industrial complex. 862 00:37:29,377 --> 00:37:32,989 But you saved a life today. 863 00:37:32,989 --> 00:37:37,820 And, Zola, if that's not good enough, then... 864 00:37:37,820 --> 00:37:39,735 maybe you should think about another career. 865 00:38:01,496 --> 00:38:04,760 Bulls snap that losing streak? 866 00:38:04,760 --> 00:38:08,373 Lost it by 2 in OT. 867 00:38:08,373 --> 00:38:09,635 Old fashioned, neat. 868 00:38:09,635 --> 00:38:11,637 Thanks. - Yep. 869 00:38:13,378 --> 00:38:16,119 Fancy drink. 870 00:38:16,119 --> 00:38:17,730 Well, it's a lot smoother than the rotgut 871 00:38:17,730 --> 00:38:19,906 you got in your glass. 872 00:38:30,873 --> 00:38:33,572 Some kind of mouse trap? 873 00:38:33,572 --> 00:38:36,836 I use this and I wake up under a knife? 874 00:38:36,836 --> 00:38:40,361 Just a little something to help out with that cough. 875 00:38:47,977 --> 00:38:50,066 Look... 876 00:38:51,981 --> 00:38:55,463 If you need anything, 877 00:38:55,463 --> 00:38:57,596 anything at all, 878 00:38:57,596 --> 00:38:59,859 you know where I'm hiding. 879 00:38:59,859 --> 00:39:03,515 Doesn't matter where or when. 880 00:39:03,515 --> 00:39:05,821 I got you. 881 00:39:31,325 --> 00:39:32,761 I'll see you around, Rip. 882 00:39:34,415 --> 00:39:35,764 Hope so. 883 00:39:52,085 --> 00:39:54,043 - Bert! - He's gotta be in there. 884 00:39:54,043 --> 00:39:56,655 His car's out front. 885 00:39:56,655 --> 00:39:59,266 - Bert! - I got it. I got it. 886 00:40:00,485 --> 00:40:03,183 Bert. 887 00:40:03,183 --> 00:40:05,098 Bert, you home? 888 00:40:05,098 --> 00:40:06,621 Bert? 889 00:40:19,112 --> 00:40:21,157 Bert? 890 00:40:25,423 --> 00:40:28,948 I don't know what's going to happen to me. 891 00:40:28,948 --> 00:40:34,040 Well, whatever comes, we'll deal with it. 892 00:40:35,998 --> 00:40:38,914 I--I don't wanna make this anyone else's problem. 893 00:40:38,914 --> 00:40:42,091 I--I have to deal with it on my own. 894 00:40:42,091 --> 00:40:43,789 No. 895 00:40:43,789 --> 00:40:46,487 No, you don't, 896 00:40:46,487 --> 00:40:49,664 because I'm here. 897 00:40:49,664 --> 00:40:52,362 And it's all right. 898 00:40:54,539 --> 00:40:56,889 It's gonna be all right. 64446

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