Original subtitles

[Cade] Previously on The Resident…

MS is such a bastard.

You think you're on a plateau, and then it just crumbles.

Things are developing all the time, Kit.

But it's always there, hanging over our heads.

This hospital-wide drug test.

-Did you name my father? -Of course not.

Would Nic approve of me with Cade?

I just want you to be happy. So would Nic.

[Ian] The twins look perfect. Healthy weight, strong heartbeat.

This family can go home this afternoon.

Ah, you hear that, Padma?

We're finally breaking you guys out of here.

That is music to my ears.

CT is backed up. I'll call over.

One cranberry juice coming up. [sighs] And your discharge papers.

Looks like we can send you home with a prednisone burst.

[sighs] No rest for the weary.

No rest, little reward, and yet, I keep coming back for more.

[siren wails]

-[Hundley] What do you have? -Raja El Khoury.

38-year-old male, episode of emesis. Students called EMS.

-Sats were low, tachy to 120s. -Let's get him to Bay Eight.

He's improving with oxygen but still out of it.

-What are you doing? -Raja, is it?

Okay, you're in the ER at Chastain.

I'm Dr. Feldman, this is Nurse Hundley. We're gonna take care of you.

I don't care who you are. I want out of here.

-Just let me get up! -[Irving] Okay.

Let's get him on a monitor and a 12-lead EKG.

[Hundley] I'm on it.

None of the rest of you touch me. He's the only doctor I'll see.

Seriously? Who are you talking about?

Dr. Hawkins.

[Raja panting]

He saved my life.

[door opens]

How old do you think I am? Wager a guess.

I'm sorry, are you my 8:00 a.m. meeting about a research possibility--

Sorry, yes. I'm Marko Zytylny.

So, come on, how old?

All right, all right. No need to guess.

See this?

My genetic age, according to this, is 50.

But my real age, in real life…

72.

Yup.

That's impressive, Mr. Zytylny.

No, please, call me Marko.

Since I was a child,

I believed that aging, infirmity and death were inevitable,

but that's a fallacy.

Hmm. You see, here at Chastain,

you guys are playing a very expensive game of Whac-A-Mole.

The patients come to you with, uh, heart disease in their fifties.

Whack.

In their seventies, with cancer. Whack.

In their eighties, with Alzheimer's…

Try to whack it, you can't. They die.

But not if you fix aging.

You get rid of all of that.

-You see, that's my dream. -Okay.

I am intrigued,

but how can I help you?

Dr. Pravesh, I've read your work, and you think outside the box.

I really believe--

What is the scientific question that you want me to answer?

Isn't that obvious?

How to live forever.

[opening theme music playing]

And I want to thank you for only doing pee-pee

while daddy changes you. [chuckles]

[watch beeps]

Hey, Padma, I got to get going, okay?

[baby crying]

He's probably tired or hungry,

or gassy or he pooped again.

Or maybe he just needs a little of this.

♪ Twinkle, twinkle ♪

[beatboxes]

♪ Twinkle, twinkle ♪

[beatboxes, chuckles]

All right, now, you be a good little boy for your mama, all right?

And, Padma, if all else fails,

remember you have these womb-inspired sounds and motions

to remind them of the good old days.

Paddie, I'm gonna get going, all right?

But you haven't had any coffee yet. Do you want to wait ten minutes?

I'm sorry, I wish I could, but I can't.

Look, I'll try to swing by between surgeries, okay?

-It's okay. I got this. -[Austin] Yes, you do.

Look, you are an amazing mom already.

Just remember, Padma, if you need anything…

I know. I'll call. Okay.

♪ Goodbye… ♪

All right.

♪ Good… ♪

-[door slams] -[babies crying]

[Raja] If I go in a couple of minutes, I might be able to finish my lecture.

I have spent way too much of my life in this place,

with doctors drawing my blood.

-No offense. -[Conrad laughs]

None taken.

I took care of Raja when he was diagnosed with bone cancer.

Diagnosis you made.

-All the other doctors said shin splints. -[laughs]

You were sweating bullets when you told me.

I was an intern.

I never told someone they had advanced cancer.

Oh, that takes me back to a time I never want to revisit.

Managed to stay away from this building for the last eight years, till today.

So, what happened?

Well, I was giving my favorite lecture on Who's Afraid of Virginia Woolf?

when I threw up.

Then I couldn't catch my breath.

-My students called 911. -It's good they did.

It actually looks like you have a bad pneumonia.

You might've aspirated from the vomit,

or you could have a virus that explains both symptoms.

So, that's all that's wrong?

As far as we can tell right now.

So, maybe I wait here a few more hours

and, uh, I call my fiancée, and she takes me home.

Whoa, hold your horses. We need to get you on IV antibiotics,

keep you on oxygen, and get you to the ICU.

Home will have to wait.

Just get me better.

You did it once,

you do it again, okay?

That's the plan.

You know, that's the one drawback of being an ER doc.

-There's just one? -One of many.

No one credits me with saving their life, though I do all the time,

but I send them off, and they fawn over their internists

who take care of them upstairs.

Do I detect some envy, Dr. Feldman?

It's just frustrating.

Yeah, they get to know you. You see them day after day.

Why not add another specialty?

-Irving Feldman, Doctor of Medicine. -[laughs]

No, thank you. I did my internship.

I remember those interminable rounds,

discussing hyponatremia.

You don't know what you're missing. You might like hanging out with the patients.

Can't a man complain without you always trying to offer a solution, Hawkins?

When my shift ends in two hours,

I am out of here. Done.

Gone. Buh-bye.

Buh-bye.

And, after my daily push-ups,

I do a quick five-minute liquid nitrogen bath.

You ever had one?

-Uh, I can't say that I have. -I highly recommend it.

Soothes the muscles, reduces inflammation, lifts the mood.

[panting] Damn, I think I've lost count.

Remarkably, you're at 90.

And my protocols work, Dr. Pravesh.

Just help me study my tests,

then we could all maybe live forever.

[pants] Ninety-nine… 100.

[whoops, sighs]

[spectators cheer, applaud]

I'm telling you

that death is a scientific problem we can solve together.

Trust me.

This about does it for our tour of the hospital today.

I am afraid I'm gonna have to wrap it up. I have a full day.

-On one condition. -What's that?

We round this out with one set of stairs.

-[laughs] -Mr. Zytylny…

Let's go! Whoo!

[grunting]

-What's going on? -I don't know.

-I can't breathe. -Whoa, whoa.

Can I get some help over here?

Reading something good?

Uh, just an email Ian forwarded me

from a mom thanking him for saving her baby.

-Modest as always. -Sounds like the Ian we know.

Hmm.

How is everything with him, in general?

Passed his drug test.

Operating up a storm…

So, fine, I guess.

That's a relief.

So is the fact that I am finally off nights.

As much as I love my solo dinners with Gigi…

You have room for one more tonight?

-Always. -[curtain pulls back]

Dr. Hawkins, we need you in Raja's room now.

[monitors beeping rapidly]

Raja, you're okay. You're safe. What's going on?

[strained] Good, better, best, bested.

He was answering my questions, and then he stopped making sense.

Get his fever down. One gram of acetaminophen.

Grab a liter of lactated Ringer's.

Sats are dropping. I'm going up on his O2.

[Raja grunts] Dance like the wind.

-This is more than just pneumonia. -He's too altered.

I'm worried about meningitis.

-[screaming] It hurts! Stop! -Photophobia.

Let's check for nuchal rigidity.

-We're just gonna move your head a bit. -[groans] Get off me!

-[Cade] His neck is stiff. -Raja, what's this?

No, bandage. Don't… don't touch it.

-Is that-- -Looks like spinal hardware.

From the surgery for spinal mets.

-But you said his cancer was-- -Eight years ago.

Raja, that rod sticking out of your neck, how long has that been there?

Yeah, I need two milligrams of IV lorazepam

and get me an intubation kit now.

Tell CT to get ready.

Coming in for a head scan.

You know, I'm still game to go back to your office.

This is no place to discuss data.

It's pretty loud, and, well, it's full of sick people.

We're not talking data now.

You nearly passed out, so, Dr. Feldman and I are gonna find out why.

I'm sure Dr. Feldman has a lot better things to do.

Marko, you said you wanted me to study you, right?

-Let me study you. -Looks like your EKG is normal.

We're waiting on some lab results, and we'll see what they tell us.

-Okay. -All right. Back in a sec.

Thank you.

No way that man is 70.

He has an anti-aging regimen he thinks is the path to eternal life.

So, what's his secret?

Well…

knock yourself out.

Whoa.

You know, it's being studied all over Silicon Valley.

Every tech entrepreneur wants to figure out how to live forever,

and I cannot blame them.

I think he collapsed on our stairway

while claiming to have the answer to eternal life.

He needs to face the truth.

We all age. We all die. We can't stop it.

But we can try.

-I'll see about those labs. You enjoy. -Yeah, thanks.

-[babies crying] -[Padma shushing]

I would love to hold you both,

but that is physically impossible.

-You get that, right, guys? -[cell phone ringing]

[sighs]

[shushing]

[lullaby music playing]

Okay, please, just go to sleep. You'll feel better.

[babies continue crying]

[cell phone continues ringing]

Hey. Just checking in.

-How are the little fellas doing? -Oh, um…

Good. Yeah, they're… they're falling asleep now.

Ah, they like those bassinets, don't they? I knew that was a good purchase.

Yeah. Loving them.

[chuckles] Um, listen, I got to go. Diapers need changing.

But thanks for checking in. Okay, bye.

[line disconnects]

[pager beeps, buzzes]

Wait, I don't understand. He has hardware sticking out of his neck

and did nothing to get it fixed?

He didn't even mention it when he was awake.

Now that he's intubated, I can't ask him about it.

It's not just you he didn't tell. [sighs]

Looks like he stopped showing up

to his follow-up scans and appointments five years ago.

They left message after message.

He never even called them back.

We've all seen cases like this.

The patient who ignores their breast cancer

till it starts bleeding through their skin.

Mm-hmm. I took care of a man with squamous cell cancer on his scalp

that he hid under a hat for years.

When I first told Raja he had cancer,

he wanted to do everything to stay positive.

He didn't want to know his odds. Nothing negative.

And it worked. His cancer was cured.

[Kit] It's complicated.

Sometimes you need a dose of denial to have hope.

[machine beeps]

[sighs] This is even worse than I thought.

See the debris in the ventricles?

Ventriculitis. No wonder he seized.

Bacteria must have tracked from his skin, via the rod, to his brain.

We'll need to make sure antibiotics cross the blood-brain barrier.

We'll take him to the OR to remove the rod,

or antibiotics won't be enough.

Damn it, I already see signs of hydrocephalus.

I'll have to intervene on that. That's what will kill him.

So we get him back to the ICU.

And I'll place an EVD in his ventricles at the bedside

to help drain the pus and relieve the brain swelling.

If that's not enough, I'll have to take him to the OR

for an open craniotomy and a washout.

I told Raja I'd get him out of this.

That he'd be okay.

I'll do everything I can.

-[shallow breathing] -Marko, what's going on?

[splutters] Something's not right.

[gasps] I can't catch my breath. My body hurts all over. Oh…

-His lungs are clear. -Sats are fine.

He's just breathing 40 times a minute.

-Marko, try to take long, slow breaths. -Okay. [inhales deeply]

-[exhales forcefully] -Let's get a blood gas.

-[tablet chimes] -Hold on.

His labs just came in. This explains it.

His lactic acid is sky-high.

[Marko breathes heavily]

-Ischemic bowel or a perf? -[Devon] Unlikely.

His belly exam is soft, but his blood pressure is stable.

Infection then, or alcoholic ketoacidosis.

Alcohol? And degrade my body's ability to fight off infection?

Ruin my liver? I do not drink alcohol!

Okay, so no alcohol, but let's get more fluids running.

Pan-culture, start broad-spectrum antibiotics to be safe.

-And a tox screen. Could be an ingestion. -Hmm.

[Marko groans]

-Marko, are you a diabetic? -[Marko scoffs]

Alcohol, diabetes. Are you guys insulting me?

Sorry, but are you on the diabetes medication metformin?

Well, of course, and you guys should be, too.

That stuff is a miracle drug.

That miracle drug could be what's making you so sick.

Metformin can cause a dangerous build-up of lactic acid.

[splutters] You guys can fix it, right?

We should be able to,

but we're gonna have to admit you to the ICU and start you on dialysis.

Hey. Your shift's over, right?

-Any plans for the day? -Once Jessica's done, definitely.

[sighs] Till then, waiting for her,

charting, searching the call room for bedbugs.

Sounds like a blast.

Well, if you get bored, you're welcome to join

me and our very mortal patient instead.

Interesting. I would, but I've already promised Jessica I'd go rock climbing.

-All right, see you. -All right, bye.

[Billie] Won't know how bad this ventriculitis is until I'm in there.

I remember the last time I saw Raja here.

Nic took care of him. Threw him a birthday party.

I remember her talking about that.

Threading the catheter.

Conrad…

I'll put a drain in the left frontal horn.

He is gonna be a lucky man if he gets out of this

without any major neurologic deficits.

If he just would've told anyone.

Maybe he was afraid it was the cancer, and couldn't face it.

It seems crazy.

But we all cover up things we don't want to see.

The longer we look away,

the harder it gets to see what's right before our eyes.

What is on your mind?

Uh, I can't say I'm unfamiliar with denial.

None of us are.

What have you denied?

Fair amount.

First drain is in.

-[monitor beeping rapidly] -[Raja gags]

Looks like a massive upper GI bleed.

We'll need central access. We need norepinephrine,

and call the blood bank!

Why is this happening? Ventriculitis shouldn't cause a GI hemorrhage.

[Conrad] No, it shouldn't.

-Unless… -What are you thinking?

Rod tore through the skin.

The infection ate away at the bones in his c-spine

and allowed the rod to come loose.

Could cause any amount of damage to his muscle, vessels…

It could've pushed through his esophagus, causing him to bleed.

Which could kill him even faster than any brain infection.

And then he developed a huge GI bleed,

so we did an upper endoscopy in the ICU. Take a look.

The rod penetrated the man's esophagus?

It did, which explains why he vomited initially.

The more we unearth, the more devastating this becomes.

Question is, can you operate and save him?

[chuckles] You realize what that surgery would entail, right?

Man, I'd have to open his neck,

reconstruct his esophagus with a muscle flap from his pec.

That's if I can remove the rod.

-As far as the spine-- -Billie will take that one with Voss.

It's a Hail Mary, man, but this is what we do, isn't it?

We take on surgeries that can't be done,

then convince ourselves we can accomplish the impossible.

All right, clearly, he can't give consent himself.

Now, you know him,

do you think he would agree to a surgery this dangerous?

I thought I knew him, but I don't know this guy

who put a Band-Aid over a rod sticking out of his neck.

-Any family on the way? -Yeah. Fiancée.

I'll talk to her.

All right, if she gives her consent,

then tell Billie to book us an OR.

[babies crying]

Get that air out, little guy. You'll feel better.

You have to, 'cause I don't really have a backup plan here.

-Come on. -[burps]

[sighs] Great.

[sighs] See? Something's working.

Now you feel--

[gasps]

-[sighs] -[crying]

…like crying.

-[cell phone ringing] -Always crying.

[Leela] Hey, did you try to call?

Did I?

Baby butt dial. Sorry.

Oh, wait, no, no, since I have you, how are things?

Aw, I hear the little guys showing off their lungs.

[sighs] Good, good.

Yeah, they are little show-offs, aren't they?

I was thinking about you three today in my wellness yoga.

Sara's not as motivating as you,

but it still feels nice.

Yoga? Nice.

And you know what?

What?

When I was lying in Savasana,

I found myself thinking about your dream of being a mother, no matter what.

How you didn't let anything stop you.

You wanted it and you made it happen.

[sniffles] All thanks to you, Leela. I love you.

-Now go save lives. -[line disconnects]

-Here you go. -Thanks.

-[chuckles] Hi. -[chuckles]

-Mwah. Hi. -How was your shift?

The usual.

Fighting the entropy that is our broken system

while trying not to get sued

There was one interesting case, and Hundley brought muffins.

-Hmm. -Ready to flee?

[sighs]

-I have bad news. -No.

-I can't. -Why?

-Nathan called out. -Oh.

So I have to stay.

But you should still go rock climbing without me.

Yeah.

Which really is a wise move anyway since I primarily stay earthbound

and I just watch you, praying that you don't fall

and shatter every bone in your body.

I never fall. I mean, fall-fall.

Everyone does eventually.

I mean, we're not old, but we're not young either.

I'm just saying, if you did fall, you wouldn't bounce.

Ha!

Just keep in mind the consequences, okay? And be careful.

Okay. I think I might just stick around.

Really? 'Cause I could be several hours.

There's this case I'm curious about.

Could shed some light on how to be able to climb rock walls

like a young mountain goat for years to come.

He told me he wore that bandage to keep his surgical scar clean.

He wore it the entire time we were together.

Two years.

-You must think I'm so stupid. -No.

Raja's got us all thinking about denial.

Mm-hmm. My own fiancé.

I knew how much he hated talking about hard things.

I asked him once about his cancer

and whether he still needed to see doctors regularly,

and he told me no, he was all better.

What do I know? I believed him.

This isn't your fault.

What matters is what we do next.

Raja can't speak for himself anymore,

and he designated you to make his medical decisions.

Wow, uh, okay.

-Tell me. -He's gonna need surgery.

The rod that stabilized his spine pushed through his esophagus,

so, our thoracic surgeon will need to work with our spine surgeon to remove it.

And if you're successful, he'll be okay?

The surgery's dangerous.

Life-threatening.

And if he lives…

he will not be the same.

There's a chance he might not be able to eat again or…

talk again…

or breathe on his own.

And the infection in his brain

might mean that he has trouble with his thinking…

or walking.

I'm so sorry.

Because of a…

a… a bandage he… he wouldn't remove?

I'm afraid so.

[crying]

He's a brilliant man.

I fell in love with his mind.

I… I'd never met anyone with a better bookshelf than mine.

But to not eat

or talk

or think…

is that living?

Those are all possible consequences,

not guaranteed.

But without the surgery, he will die.

Is he awake? Can I talk to him?

No. He's sedated and intubated.

What can I do to help you make this decision?

I'd like to see him.

-[monitors beeping rapidly] -[gasping]

Pravesh, your immortal patient's in trouble. Get over here.

[tense music plays]

I need resveratrol. I have the telomeres of a 50-year-old.

Get him an oxygen mask. He's hypoxic.

And I'll keep him from pulling out his dialysis line.

-You still here? -I just can't quit you.

Jessica's in another surgery, and I want to live forever.

We're just trying to keep Marko from dying.

His labs came back. Lactate is coming down.

So, dialysis is clearing the metformin.

But now he can't breathe and he's febrile. Temp 103.

Which means the metformin toxicity was actually masking another problem.

We don't know the extent of what he was taking.

There could be any number of drug-drug interactions with this man.

Wait.

The briefcase full of papers that he keeps talking about.

We've to look through it. The answer's got to be there.

[tense music plays]

Tell me.

-Are we headed to the OR? -Abigail's deciding.

She needed a little time. She's reeling.

Raja wore that bandage for at least two years, their entire relationship,

and she never looked under it.

I can't imagine being in her position.

Makes me want to ask everybody everything…

even if I'm afraid of the answer.

Me, too.

[footsteps approaching]

Please do the surgery.

I know the odds are long, but we'll take whatever chance.

I think that's the choice Raja would make.

Just do your best for him, okay?

Of course.

[babies crying]

[Dr. Petrosian over phone] Ms. Devi? Ms. Devi? Are you still there?

Wow, I, um,

I forgot I was on hold. Dr. Petrosian, sorry to bother.

I just-- I had one question about the babies.

Of course. Go ahead.

Things were okay at first, but…

they won't stop crying, and I mean…

all day long.

Something must be wrong.

Babies cry, Padma.

No, but…

sometimes I think that they're gonna pass out,

because they're crying so hard that they're not breathing.

They won't pass out, and if they do, they'll breathe again.

Just hold them as much as you can. Lots of skin-to-skin contact.

-[babies continue crying] -There's two of them.

I can't…

I can't hold them both all day long when they scream.

This is hard, do you understand?

I do. Moms worry, that's normal.

-And crying for babies is also normal. -[sniffles]

Are you sure I shouldn't just bring them in for a little while?

No need. Now, do you want me to transfer you to our receptionist,

confirm your next appointment?

[babies continue crying]

[water running]

Hey. Getting into anything good?

Uh, an esophageal reconstruction.

It's interesting, complex,

but not good, not by any stretch of the imagination.

-You? -Just a lap chole.

Wish I could stay and watch.

-[water turns off] -Hey, Devi.

Listen, uh, you talked to your sister?

-Why? What's wrong? -Nothing.

I was gonna drop by this afternoon to see if she needed any help,

but I got this case, and I won't be done till late.

I was gonna surprise her after lunch, but… [sighs]

…I don't want her to think I don't trust her, you know?

Yeah. I mean, she's got to learn to fly solo at some point, right?

She wanted this. She chose it.

But did she understand what she was choosing?

-You're worried? -Maybe.

A little, but hopeful.

Look, I talked to her, and she was

upbeat, on top of it.

-You sure? -Yes.

Great. You know her better than anyone.

[sighs] All right. See you.

-Send off another blood gas, okay? -Mm-hmm.

Has he gotten all the antibiotics we ordered?

The cefepime is going in. The vanco just finished.

-Any other ideas? -Not yet.

Marko's sats are worsening. Chest images show diffuse ground glass.

-I want to bronch him, but… -He'd have to get intubated.

Please tell me you found a potential culprit med.

But first, tell me, why did you stick around?

I'm afraid of death.

You?

Seriously? You see it all the time.

Every day, somebody dies in our ER.

And when it happens, I walk away.

Another team comes in, cleans the body, zips up the bag.

One moment, a person is there, and the next, there's just…

dead flesh.

Empty eyes. Heavy limbs. Absence.

When I almost lost Jessica, it got personal.

I realized it will happen to us. Could happen at any time.

And it scares the hell out of me.

Dying.

Jessica dying.

My parents or our family cat dying.

It's inevitable.

Irrational, but there it is.

-So, you don't think this guy is nuts? -Oh, obviously.

He's discounted the fact that a piano could fall on his head.

Accidents can happen, even if you stop the ticking clock.

Stopping the clock…

Slowing it down…

…is appealing, I get it.

And reading these papers, I've learned a few things.

Who knew Dairy Queen could help you live forever?

Hmm?

Okay, now you lost me.

DQ. It's all over the notes for his protocols.

DQ isn't Dairy Queen.

It's a combination of two meds that help get rid of old cells.

I want to get rid of my old cells. What's in it?

Well…

It looks like the Q is quercetin, another antioxidant found in plants.

Cross that one off. And the D?

Dasatinib, that's chemo.

Marko's been taking chemo? He is nuts.

But wait, if he's taking dasatinib, he has a compromised immune system.

And we have a whole new differential.

Marko.

-Hey, Marko. -[groans]

Do you take the chemo drug dasatinib?

Yeah, yeah, I take it every day.

[Austin] Great vessels mobilized.

[Billie] Spinal rod visualized.

[Austin] Damage is extensive.

Manipulation could cause injury to the spinal cord.

That's why you two are here, Kit.

Hold retraction steady.

I'll begin working on the hardware.

[door opens]

It was finally quiet in the unit.

I wanted to see how you were doing with all of this.

Raja was my biggest win of intern year.

We saved his life. Now…

he'll never be the same again,

if he even gets out of this OR.

And it was all avoidable.

I can't pretend to know what was going on in his head, but…

but I can imagine.

Tell me.

The cancer was a trauma.

He wanted to leave it behind, believe he was all better.

Couldn't tolerate knowing if he wasn't.

Okay, yeah, but…

look at the consequences.

I looked away many times with my dad.

For years, there were signs that something was wrong,

that he was altered,

but I'd excuse it.

I'd say it was pressure or stress or fatigue.

But then, I realized,

the next time I looked away,

he could OD and die.

So, you started watching him like a hawk.

Yeah.

But this last time, I was wrong.

He wasn't using, the drug test proved it.

And I… [sighs] I overreacted.

It happens to everyone who loves an addict.

Nic had the same issue with her sister, her father.

She spent her whole life trying to save them.

In Al-Anon, they say let go.

-Let them take the consequences. -Mm-hmm.

But, sometimes, those consequences are death.

How can a family not try to prevent that?

I think that whatever happens with Ian, it is out of your control.

He's a grown man.

Maybe the same thing is true with Raja.

Once he left the hospital,

it was out of your control.

You did everything you could, Conrad.

Thank you.

[monitors beeping rapidly]

[Chu] BP's spiking. Heart rate's slowing.

[Austin] He could be herniating. Check his pupils.

Pupils unequal.

-The EVD. Nothing's coming out. -Must be an obstruction.

Ventriculitis. Pus must've clotted the drain. I'll relieve pressure.

-Tell me what you need. -Craniotome to me.

[drill whirring]

[tense music plays]

-[monitors beeping rapidly] -He's going into V-fib.

I feel a pulse, but it's thready.

[monitor alarms beeping]

-[Austin] He's coding. -Almost done.

-I'll start compressions. -Get the pads on him.

Clear!

Well, I was taking chemo, but in… in such low doses

to clear dead cells,

you know, to extend my life, not to threaten it.

It was a perfect storm.

Your strict diet and exercise left you dehydrated,

which allowed for the metformin to build up in your bloodstream.

That damaged your kidneys and caused the lactic acidosis.

That's what made you so short of breath when doing push-ups.

And once your kidneys were injured,

they couldn't metabolize the chemo fast enough,

so it accumulated, and you couldn't fight infection.

Which is how you got this pneumonia.

[sighs] But… but I'll be okay, right?

It'll take some time,

but with a full course of treatment, you should be okay.

But you should know, Marko, that this could've easily killed you.

[sighs]

Well… I guess we know what this means, right?

No one lives forever.

[scoffs] No.

No, I meant that I should not be doing this by myself.

I totally messed this up.

I should be doing this under a doctor's supervision, and now I have two.

-Yes, but-- -[Marko] No, no.

You guys looked at the science, right?

You saw my protocols, the regimen, the underlying data,

you had to, in order to see what I took to see what happened to me, right?

We did, but--

[Marko] So, please, doc,

help me study how to slow down aging.

A clinical trial.

I will completely fund it.

I would have to think about that some more.

[Marko] I understand.

What if anti-aging

wasn't the only research I was willing to fund?

I mean, you must have other studies that need money, right?

Doc, I… I don't want to just live forever.

I want my life to have meaning.

Me, too.

Eh. I just want to live forever.

[chuckles]

-[gasps] Hey, you. -Hey, you.

I thought you would've gone home by now.

I would've thought so, too, but there was this case…

I have to tell you about it. I actually wanted to stay and help solve it.

-I've never heard you say that before. -I know.

I even followed him up to the ICU and saved his life, if I do say so myself.

He might even remember my name.

It's possible.

Well, how serious is this?

Are you considering becoming some kind of internist?

Earlier today, I wondered… [sighs]

…but I like my life as it is.

-I just want more of it. -[chuckles]

How about another hundred years with you?

Okay, that sounds great.

[chuckles]

I'll explain it all on the drive home.

-Ooh, stop for some DQ on the way? -Mm-hmm. Sure.

-I have a craving. -[chuckles]

[door opens]

I'm so sorry.

I'll never get used to this.

That's one of the many ways that you are special.

[melancholy music plays]

Dr. Voss.

You look awfully happy.

Get this, my patient from today

may be writing us a check with a whole lot of zeroes

to fund some new research.

I like the sound of that. What's the story?

His name is Marko Zytylny, and he first came to me with a pitch about longevity

and anti-aging science--

Oh, Devon, please don't go selling our reputation

to some zillionaire with delusions of immortality.

I'm not, and it's not all snake oil and chemical peels.

Besides, if we didn't explore the fringes,

we never would've discovered antibiotics, evolution, or handwashing.

Anyway, Marko is willing to fund more than one area of our research.

Dr. Voss, we're talking cancer, MS,

we name it.

Well, now that does sound interesting.

What do we have to do to make this real?

[jazz music playing over speakers]

[pan clatters]

Hello, beautiful.

[laughs] I didn't think you were coming home until tomorrow.

Well, it was either one flight tomorrow

or two flights today.

I just couldn't wait to see you.

Wow.

-That smells good. -[both laugh]

You look great.

Well, I feel great. There's no pain, no flare-ups.

It's just like… I'm a new man.

And so ready to get back to you

and my OR.

[chuckles]

Okay, so, just tell me

every little thing I missed.

Oh, Devon and I are hot on the trail of a major research grant.

You are such a rock star.

It's good news,

but it doesn't solve the fact that the governor's cutting our funding.

Well, it's lucky I'm in fighting shape.

You do look healthy.

You'd tell me if you weren't, right? If…

If there's something I should ask?

Not at all. I'm good.

I… I really am.

Where is this coming from?

Rough case.

I know what will make me smile.

Showing you photos of the exquisite venue I booked for us,

where, in a few short weeks, I will marry the man of my dreams.

Can I get an invitation?

[laughs]

Ah, I am so unbelievably happy you're home.

[both laugh]

[jazz music continues]

[Devon] I was thinking we should try that Brazilian restaurant.

[Leela] Sure.

Hey, are you sure you're okay not having kids?

-Um, what? -Look at this.

They're little miracles. How can I deny you that?

Are we seriously doing this right now?

I just don't want you to resent me.

Well, are you changing your mind?

No.

I don't know.

-[Devon scoffs] -[car alarm chirps]

I always thought I'd be a father,

but helping out for two weeks with those newborns

and Padma while she recovered?

It wasn't all roses.

I mean, it was sort of a reality check.

I mean, it's nice, you know, being the auntie and uncle.

Those babies are cute and all,

but you know what else is so cute?

Hmm?

The patio at that Brazilian restaurant. [laughs]

Come on.

[knocks on door]

[Austin] Hey.

[melancholy music plays]

[crying]

[closing theme music playing]