All language subtitles for Pure.Genius.S01E01.720p.HDTV.x264-KILLERS

did you knowingly provide
a chemotherapy treatment

called aladictin
to Marshall Foster,

an eight-year-old patient?

Yes, I did, Ed.

And at the time you
administered the treatment,

were you aware that aladictin
was in the trial stage,

and not approved for use?

Let me make this simple
for all of us.

I gave him the treatment,

I knew it wasn't FDA approved...

and...he died.

It pains me enormously
to have to say

that we have no choice
but to discharge you.

She's 15 years old and healthy.

She's never been sick
a day in her life.

She is in there.
I know she's in there.

Mr. and Mrs. Ramirez,
I understand

how frustrating this is.

"Frustrating"?

Our 15-year-old daughter
is in a coma.

She came home from volleyball
practice last week,

had dinner, went to sleep,
and never woke up.

And no one seems
to be able to tell us

what went wrong,
or how to get her back.

You don't even answer our calls.

How would you feel
if this was your daughter?

Dr. Gilroy,
this is Dr. Channara...

Channarayapatra.

Nice to meet you,
Dr. Gilroy.

My God, you're here.

You came.

Mr. and Mrs. Ramirez,

your request to transfer
your daughter to Bunker Hill

has been approved.

Doctor, this patient is
in no condition

to be transported by ambulance.

Which is why I brought
the helicopter.

Helicopter...

We can't...

Mr. Ramirez, there will be
no charge to your family

as long as you're
at Bunker Hill.

I just need you
to sign a document

releasing your daughter
to our care.

Excuse me, I'm here to...

Dr. Wallace.

If you place your thumb
on the tablet,

I can give you full access
to the hospital.

Actually, I'm only here
a few days to observe.

James wanted you to have
permanent access.

Dr. Wallace,
we need to scan you.

Give me 30 seconds
and permission

to map your entire body,
and I'm going to give you

a plastic action figure
of yourself.

How would you like to be
immortalized, Dr. Wallace?

Good, not great.

How about...?

Will?

So...

I can work with that.

Dr. Wallace.

Welcome to the revolution.

Come with me.

- Thanks.
- Thanks, Anabel.

Of course, James.

He knows my name is Angie,
not Anabel.

It's a thing we do.

I thought I made it clear
when they called

that I can't entertain a job
offer out of state.

I heard. Shrewd
negotiating tactic.

It's not...

This is Brockett.

Double board certified
in internal medicine

and pediatrics, with
a fellowship in critical care,

and my first hire.

Dr. Wallace, it's an honor
to have you join the team.

Does everybody here think
that I'm actually...?

Come check this out, Doctor.

I cannot wait to show you this.

Stick your finger
in the tube intake.

It's a finger prick blood test.

We keep better tabs
on our patients

with more routine monitoring.

Now, check this out.
This is the Wall.

It's mission control
for every patient.

CT scans, MRI,

any imaging, all the labs,

anything that you need to know
or the patient wants to know

is available at any time.

And when it's not medical,

the patient gets to choose
where they want to be.

Machu Picchu.

Buddhist temple.

Earth rising over the moon.

Studies show that
patients eat better,

they sleep better,
they have better recoveries,

if they feel more control
over their environment.

Oop.

Got your results
through there, W.

You blood glucose is
slightly low.

Here, eat that.

"W"?

He likes nicknames.

Mr. and Mrs. Beyer.

Welcome to Bunker Hill.

Hi.

Thank you so much
for having us, Mr. Bell.

You've given us hope.

Well...

this is Dr. Wallace,
hands down

one of the best surgeons
in the world.

We heard you get
the best of the best.

- To be accurate, I'm only here to...
- And this is Dr. Brockett.

She's going to be
your physician advocate.

Okay, what is that?

She's going to be
your touchstone.

But she's not
your only touchstone.

Everyone on the team here
is part

of an information matrix.

You'll be able to
reach out to anybody,

and they'll be able
to help you, okay?

Zoe.

Margo, because of your
pregnancy, you chose

not to have chemotherapy
or radiation,

which would have shrunk or
controlled your lymphoma.

It has grown over time,

and the blue mass
you see here is the tumor.

And as it grows, it becomes more
difficult to address surgically.

But we feel we can do so.

You're saying you can operate?

They told us it was too late.

Well, what about the baby?

Show them.

Can you lift your
shirt up, please?

At 20 weeks, the fetus is
less than a pound.

Its lungs and heart aren't
able to sustain itself

outside of the womb,

and most likely won't
be able to for two weeks.

Well, we made it very clear
when we sent in our application

for a transfer,
a-abortion's not an option.

I understand, but if we wait

until the fetus is viable,
it will be too late.

For our baby?

For both of you.

Mr. Bell, they told us that
Margo couldn't get pregnant.

This child's a miracle.

Margo, at the rate
your cancer is growing,

we don't have weeks to act.

We have days.

Then we will pray.

We'll pray for weeks.

We'll find a way.

I didn't build this hospital
to deliver bad news, so

we will find a way to save
both you and your baby.

We have a lot of work to do.

Let's get past the semantics.

I've already decided
to hire you.

Congratulations, Chief of Staff.

My youngest will be
graduating in a year.

Until then, I'm not
leaving Ohio.

I can work with this.
I need you to start now,

you need to start in a year.

That is a problem
that is solvable.

In the meantime, you should...

change your specs.

My specs?

Spectacles, glasses...
they go against

everything that you are.

You have no idea who I am.

You risked your career
to save a kid's life.

I didn't save his life.
He died.

Well, you tried.

You're a cowboy,
you're a badass.

I like you in thick black rims.

I'm thinking retro Clark Kent.

Look, I appreciate what
you're trying to do here,

but I have to be honest...
gadgets and gizmos

have been around the medical
industry forever.

They come and go.
The great majority

of diagnoses has zero
to do with technology.

It's about doctors talking
directly to patients.

Medicine is ultimately
a human endeavor.

Good speech, W.

Let me show you
why you're dead wrong.

This is the E Hub.

Malik...
meet Dr. Wallace.

Dr. Wallace, I heard your
Melankopf lecture

at the NIH in February...
it was amazing.

Malik grew up dirt poor
in the East Bay area.

Total gangbanger.
He went along on hits.

You did time, am I right?

You don't exactly have
to lead with that,

but yes, that is accurate.

Yeah, so he was tired of seeing
his friends and family members

having suboptimal
healthcare outcomes,

dying an average of 15 years
younger than people

in different zip codes
with higher incomes, so,

um, we set this up.

You can show him.
You show him.

Cool, um...

This is Mary.

56 years old,
affected by epilepsy.

Now, we can monitor the blood
levels of her seizure meds

in real time by using this.

It's a flexible
adhesive computer

with bioactive gel interface.

You stick it on your arm, it
monitors everything about you.

If her Keppra level drops,
we can command it to deliver

an additional dose of medicine.

How long did it take you to get
this program up and running?

Homeboy had the idea
eight months ago?

Yeah, about right.

Here we are.

No red tape, Doctor.

We're pairing the most brilliant
minds in medicine

with the most brilliant minds
in technology,

and we're going to
take out the middleman.

We're gonna get stuff done.

This is the revolution,
Dr. Wallace.

Okay, let's drill down
on Margo Byer.

I want to hear everything
we know about

delivering a fetus at 20 weeks.

We've got the aliens
customizing an ingestible

to get the most accurate read
possible of the fetus'

lung and heart development.

I like that.

Let's see it bigger.

It's a tiny supercomputer.

The patient takes it orally,
like any other pill,

and it travels into her
intestines, which just happens

to be the perfect vantage
point to see the womb.

What if it doesn't land exactly
where you want it to?

I had our tech team modify it
with magnetic sensors.

It'll be the first ingestible in
the world with motion control.

We'll be able to measure
the lung and heart capacity

of the fetus more precisely
than ever before,

and can predict down to the hour
when it'll be able to survive

outside its embryonic
environment.

Excellent work, Anabel.

So, now that we know down to the
hour when the fetus can survive,

the question becomes,
how do we keep Margo Byer alive

long enough to get there?

I'm sorry,

but can I just say something?

And here comes
the reality police.

Tumor mass is filling
the pericardial space

and causing tamponade.

Her blood pressure is dropping.
She is getting weaker.

The sicker she gets,

the lower her chances
of surviving surgery.

We have to play hardball...
tell them we operate,

- or they go home with comfort care.
- Okay, thank you.

I don't need anybody
telling me no right now.

I need ideas.
Good ideas, okay?

I want everyone on this.

We need to buy two weeks
for that baby.

I will not accept that there
isn't a way to bend time here.

Not that I'm even
considering your offer,

but if I were to work here,
I would need you

- to be a passive presence with patients.
- Meaning?

Meaning, I've watched
you promise

Margo Byer an
unrealistic outcome.

- I can't have a layman offering medical opinion.
- Dr. Wallace,

In this hospital, no one
is a passive presence.

I have the same philosophy here
as I did building my company

in Silicon Valley. There's no
hierarchy, no offices.

Best idea wins. Some research
grunt has a better idea

than someone with a Ph.D?
It's still a better idea.

We all speak. We're a team.

Anna, take Dr. Wallace
to the Nuclear Med Lab.

It's gonna blow your mind.

Dr. Wallace, this way.

How is she doing today?

The EEGs, the scans,

the MRI's, all the
monitoring, they don't

give us any indication
that Krissy

is doing anything but
withdrawing from the world.

I think it's time
to talk to her parents

about taking her
off life support.

Krissy?

Krissy.

James!

It has been six months.

This isn't going to change.

The data showed that
she would come out of this.

And I promised her parents.

- What am I supposed to say to them?
- James,

You can't make
those kinds of promises.

How is she doing today?

No change today, Maria.

A few months ago, you said

it was a good idea to read
to her. Should we still do that?

Absolutely, Soul.

Yeah. You guys are
doing a great job.

She loves animals.

We were planning
to go on a safari together

for her 16th birthday.

We're still planning on
taking her one day.

We know you won't give up
on her, James.

It's what keeps
us going every day.

Hi, baby.

Safari, it's a neat way

to explore Africa...

So, I just

swallow this?

Just like an aspirin. Simple.

Now, can we all pray first?

...Sure.

Lord, please help this...

what is it called?

Fetal monitoring ingestible.

Fetal monitoring ingestible

guide this team
of Bunker Hill doctors,

and help bring Angela into
the world. And Lord Jesus...

Why don't you just ask her out?

Who?

Dr. Brockett.

You obviously want to.

- What am I supposed...?
- Just tell her you think she's really smart

And attractive, and no
pressure, but you'd like

to take her out sometime,
socially.

Yeah, right.

Like I'm going to say anything
like that to Zoe Brockett.

You're insane.

Good one, W.

No sickness or disease
to enter our bodies

and harm our health.

- Amen.
- Amen.

- Amen.
- Amen.

Listen, Angie,

I grew up here, okay?

This is my neighborhood.

- Point being?
- Point being,

I know these people.

Let me do the talking.

Racist.

Mrs. Evans?

We can monitor you and your
family right here in your home.

You don't have to wait on long
lines in the ER or at the HMO.

You don't have to miss
work, and your kids

don't have to miss school.

Where does this thing go?

That goes on your ankle.

So you've got us
on house arrest.

Sorry, we're not
going to let you

experiment on our kids.

Mr. Evans,

I get where you're coming from.

But if you give us a shot...

You know, that sounds
pretty bad.

Now, does he sound
like that a lot?

It comes and goes.
He has asthma.

Mrs. Evans, if you
give us a chance,

I think we can help your son.

That's Maharishi Makkar.

James gave him a six-month
residency here.

I haven't introduced
myself....

Doc...

Dr. Channarayapatra.

Out of Johns Hopkins,
neurosurgery.

I like to keep tabs on
the best and the brightest.

Coming from you, Dr. Wallace,
I am flattered.

So do you think it's possible,

what James is trying to do?

What you're all trying to do?

I'd like to think
there's a place

that can actually
innovate, but...

I can't quite believe it.

About 90% of the time
that I'm here,

I think this can never work.

But that leaves
a ten percent chance

that we're actually gonna
be able to do something.

Be a beacon for change.

And I think that's ten
percent more of a chance

than I have at
any other hospital.

Mrs. Byer?

Margo!

Crawling all over me!

Margo, Margo, Margo, it's Dr.
Wallace. I'm here to help you.

- Listen to me.
- Mrs. Byer.

Help me!

- Mrs. Byer, okay, come on.
- Get off me!

This is the view
from the ingestible.

Margo, your fetus is unharmed.

Thank God.

And can the baby
survive on her own yet?

She is getting stronger, but...

no, not yet.

Margo, when you were

in the pond,
what exactly was happening?

There were bugs all over me.

All over my baby.

So were there...

actually bugs?

No, no, they were
in my imagination.

Has anything like this

ever happened to you before?

A few times.

Yeah.

Margo, is there any...

history of mental illness
in your family?

No.

Why? Does that have
something to do

- with why I'm sick?
- No.

Why are you getting her upset?

This is not that big an issue.
She'll be fine.

She's always been fine.
Now, can we please

focus on delivering this child
and saving my wife's life?

Hi, Krissy.

We can't wait for you
to wake up so you can see

what all your friends and family
have written to you,

how much everyone loves you.

We're all waiting for you

to wake up
so we can celebrate with you.

Happy birthday.

Love you.

James?

I need to talk to you
about something.

Not a patient.

It's about us.

O...kay.

In the future,

please don't contradict
my medical opinion

in front of a patient like you
did with Margo the other day.

You shouldn't do that
with any doctor, but

with me, because...
I look young,

patients tend to forget
that I'm a doctor, and...

I work really hard to
make them not forget that, so...

please don't undermine me
that way in the future.

Gotcha.

Anything else?

Well...

I would also appreciate it
if you would refrain

from calling me the "reality
police" in our staff meetings.

Yeah.

Another term for reality police
is "good doctor."

Maybe you could use
that one instead.

And?

- And Anabel isn't Anabel, all right?
- Okay.

She's Angie. James,

she's Angie.
Every time you call her

her Anabel,
you're hurting her feelings.

I will try to remember her name,

and I will try not to...

undermine you.

Great.

Thank you.

Welcome.

That's all.

Great.

- Please don't do that.
- You're tense.

Yeah. That's
making me tenser.

Yeah.

I'm gonna set up an appointment
with you and the maharishi.

Margo's delusions,

It's called formication.

Dr. Wallace, I'm calling HR.

Formication,

With an M.

Sometimes caused by stress,
mental illness.

My instinct is it has something
to do with Margo's illness,

but I can't quite figure out
what, exactly.

And why would Paul and Margo
never tell anyone about it?

- Makes no sense.
- I...

Think I can help you
with all this.

This system can compare...

Margo's medical records
with millions of other

patient profiles and
predict the probability

of likely underlying pathology.

And it can do it in seconds.

Domestic abuse?

The past six years,
one doctor noted her

being disassociated
from her emotions,

two found her depressed,
and another diagnosed her

with irritable bowel syndrome.

Then in 2013, there
was a trip and fall

where she broke her jaw.
How many people fall

and break their jaw?

If this is true,

your program reached
that diagnosis

months before I would have.

Put it up here, W, come on.

Come to papa. Right there.

Let's see if this
is right first.

It's Margo.

Five liters 02, non rebreather.

- Lorazepam, four milligrams, right now.
- No, no, no.

No, that can affect the baby.
You're not gonna put

anything in my wife's body
that can affect the baby.

We're trying to save
your wife's life.

Doing nothing's not an option.

No, you're not giving her drugs.

Aah!

Damn it, I will not allow you!

Take him out of here.

No!

She's moving too much
to inject her.

Move her back.
Hold her head.

Aah!

Sto...

Keep him away from her.

Doctor's orders.

Okay.

Margo?

Margo?

Am I okay?

Yes.

Is my baby okay?

She's fine.

Where's Paul?

I asked them to keep him away
for awhile.

What? Why?

Margo, you have
a medical history

that strongly suggests
domestic abuse.

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

I don't know if that's
what is happening,

but I want you to know
that no one should ever

have to live like that.

And now there are two of you.

I love Paul.

He loves me, he-he does.

He doesn't mean it.

He always feels so bad
afterwards.

He does love me, he really does.

This is Evelyn.

She's a 46-year-old
Hispanic female in Houston

with transient global amnesia

who has repeated, unexplained,

short-term memory loss.

MRI shows no
neurological disease

or structural abnormalities.

What do we think?

If we can find

the trigger, we can reflect that
back to the general population

and help other cases like it.

Yeah, I agree.

Bunker Hill material
all the way.

Okay, arrange the transfer.

You got it.

Anyone else

before we break it off?

Anabel, remind me,

what was that case

you brought up the other day?

You mean the one you asked me

to look up for you?

Nope, your case, you're fine.

No false modesty.

Okay.

Well, I... well,
it's-it's pretty esoteric.

I really doubt it's for us.

Why don't we let
the team decide?

- Okay.
- Sure, great.

this is Louis Keating.

Lives in Chicago.

Male, 42 years old.

He's been diagnosed with GSS,

Gerstmann-Straussler-Scheinker
disease.

It's a neurological disease.
It's like ALS

on steroids.

It's fascinating.

And also extremely rare.

200 cases worldwide.

Yeah, I have to agree,

this case is extremely esoteric.

Okay, thank you,

- man who doesn't even work here.
- It's true, James.

I think this patient's better
off in long term care.

Guys, I agree, it's rare,

but maybe it'll be
a gateway to treatment

for more common
neurological diseases,

like Alzheimer's.

This is a fascinating disease.

I want this patient.

Nice find, Anabel.

Bring him in.

Do you know what Margo
told the police?

Is she definitely planning
to press charges?

Yes.

Good.

So, the domestic abuse diagnosis
was correct.

Guess it's not just all

gizmos and gadgets.

James, the...

Yeah?

GSS case you're
transferring here,

it seemed...

so random,

um, too random.

So, I looked into it

and I discovered that

there's only been
one case of GSS

in the Bay Area
in the last 50 years.

Her name was Lynn Underhill.

She had a child she gave up

for adoption, August 28, 1985.

Your birthday.

Is it you, James?

No.

You see a lot

of billionaires
become philanthropists,

but you never see
them follow it up

with an 80-hour work week.

So, if I'm gonna even think

about uprooting
my life to come here,

I need to know why you're
here, why we're all here.

Are we here to save the world?

Or are we all here
to save James Bell?

You did a bad data search,
Dr. Wallace.

You're wrong.

Better stick to medicine.

I know this kid.

Get the paramedics there now.

Response time
for that neighborhood

right now is 20 minutes.

I'm heading over.

Hey.

Where's Jeffrey?

How's he doing?

Wait, how is that possible?

His lung capacity

showed a severe drop.

That's the lung capacity
of Freddie, not Jeffrey.

Who-Who's Freddie?

Jeffrey put the
sensor on the dog

and we had no idea.

I'm sorry about this.

Look, I like what
you're trying to do here,

but I don't know how much longer
I can keep taking these calls.

Maybe it's better just do things

the old fashioned way:
you feel sick,

you go see a doctor.

"When going on a hunt,
the mother cheetah

will leave her cubs alone and
vulnerable for days at a time."

"If she returns to
find her den empty,

"she will search

relentlessly, calling out

"and listening for their cries.

"But with every passing day,

hope dwindles."

Margo, we're gonna
get you medicine

to help you feel better.

Am I gonna die?

Margo, you need to listen to me.

Okay?

The reason you're
having trouble breathing

is your tumor is now
choking your heart.

We need to operate... now.

What-what
about my baby?

Your baby can't survive

on her own yet.

Margo, this is your decision.

I'll do whatever you want.

But we've run out of time.

Doctor, someday I hope

that I can forget everything
about my husband,

everything he ever did to me.

But this is still my child.

Right now I feel
like she's my reason.

She's my reason for being alive.

S-So, I'm asking you...

how long can I wait

before we have to do
this surgery?

I have a team set and ready to
go first thing in the morning.

What if we waited 24 hours?

Can my girl survive?

Possibly.

Then I want to wait.

Please.

Okay.

Okay, everybody,
just stop what you're doing

for a second
and just gather round.

I got something to say.

Krissy Ramirez,

our young coma patient,

she's been with us
for six months.

We've been trying to get her
to come out to us.

I've decided we're gonna stop

trying to get her to come to us.

We're gonna go to her.

She can't speak;
she can't move;

she can't open her eyes,

so we have
to bypass all of that,

go right to the cerebral cortex.

And I thought,

"Well, that's
impossible."

And then I went online

and I found this.

Check this out.
This is real.

Brain to brain communication.

Somebody actually invented a
version of the Vulcan mind meld.

Okay, this dude here,

the guy on the left
in the crazy helmet,

sent three words to this guy

on the right,
in the crazy helmet,

using only

his thoughts.

Amazing.

But it says here

they've only had
two successful tests,

that this kind of technology
won't be available

to the masses
for another decade.

Do I look like the masses?

Come on.

I just called these guys.

Guess what?
They needed funding.

We now own this.

We're gonna use it

to find out,
unequivocally, whether

Krissy is still Krissy.

Because then we know whether

there's someone
still there to save.

Let's go get Krissy.

Yeah, wow.

Terrific.

Dr. Verlaine.

It's your kid again.

It's showing cardiac arrhythmia.

Get them on the phone now.

Look at that ST elevation.

Hello?

Mrs. Evans, this is Malik
from Bunker Hill.

Has Jeffrey done something
with his sensor again?

He doesn't have the sensor.

What?

We gave it back
to the paramedic yesterday.

Yes?

Sergeant Dawson, this is
Dr. Verlaine, you might be

having a heart attack.
I need you to get

- to the ER right now.
- What?

- How would you know this?
- Look in your pocket.

Good news, Sergeant.

Your troponin is positive,

meaning you did have a cardiac
event, but we caught it early.

You're stabilized.

So you're telling me
I had a heart attack?

Yes.

I thought I had indigestion.

I was gonna go home
and sleep it off.

And you could've had a
fatal arrhythmia in your sleep.

So this idiotic thing
might've just saved my life.

That's the idea, Sergeant.

You okay?

New scan of Margot's heart.

It's worse.

I don't know if I can do it.

You're the best there is.

You'll nail it.

This isn't
programming a computer.

There's only one way
to remove the tumor,

and a million ways
it could go wrong.

If my scalpel misses
by a millimeter,

I could puncture her heart, and
we've lost Margot and the baby.

What if I could give you a
million chances to get it right?

This mass is a tumor,
and that tangle right there

is matted to
the ascending aorta.

Gnarly.

And we can print
as many as you need.

So, Maria, the idea is

we're gonna try to communicate
with Krissy with your thoughts,

- and wake up her brain.
- And we'll be able to monitor

Her brain activity in real time

through the EEG.

The more she hears you,

the more active her
brain will become.

And if you reach her,

maybe she'll be able to
communicate back to you,

let us know she's there.

You ready?

Yes.

Okay.

I want you to focus your
thoughts on the images

that come up on the wall.

Let's take Krissy to Africa.

My God.

What?

Is it working?

W-what is she seeing?

The spikes on the EEG,

the reds and yellows
in her cerebral cortex,

it all indicates brain activity.

Consciousness.

Soul, it's time.

Talk to your daughter.

Let's see if she
can communicate back to us.

Krissy?

Sweetheart?

It's Dad.

Can you hear us?

Krissy-kins?

Hi...

Daddy.

Honey, we will bring
you back to us.

We love you so much.

At 146 days,

baby girl Angela's

the second youngest
birth on record.

And Margot Byer's
tumor's been removed,

and she's stabilized.

Congratulations.

You did it.

Thank you, thank you.

Congratulations.

Thank you.

- Margot's in recovery.
- Okay.

She's, she's groggy,

but still conscious.

Do you want to go
give her the good news?

There's no feeling
like it in the world.

This is yours.
You do it.

The trial period is up, so...

I need to know whether
you're gonna take the job.

I've come to a decision.

But before you tell me,
I should tell you...

um...

I did have the
genetic test done,

and it came back
positive... for GSS.

Um, so at some point

probably over
the next five years

my hands will start to shake,

and my speech will slow.

And then
I'll develop tics, and...

until finally, the man that
everybody calls a genius,

won't be able to remember
his own name.

Ooh...

I built the hospital for all
the wrong reasons, but, um...

does that really matter?

I'm so sorry, James.

It's...

You're the only one who knows.

So...

I want the job.

I want to be part of this.

Your family.

I'll go home every weekend.

- I'll make it work.
- Okay.

Good, good!

Then this is for you.

Okay.

Yeah.

- May I?
- Yeah.

Right?

Amazing.

- James?
- Yeah?

Your new transfer arrived.
GSS patient.

Okay.

Mr. Keating.

Welcome to Bunker Hill.