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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:17,000 --> 00:00:18,430 Previously on The Resident... 2 00:00:18,435 --> 00:00:20,525 MS is such a bastard. 3 00:00:20,530 --> 00:00:24,170 You think you're on a plateau, and then it just crumbles. 4 00:00:24,175 --> 00:00:26,005 Things are developing all the time, Kit. 5 00:00:26,010 --> 00:00:28,440 But it's always there, hanging over our heads. 6 00:00:28,445 --> 00:00:30,275 This hospital-wide drug test. 7 00:00:30,280 --> 00:00:32,778 - Did you name my father? - Of course not. 8 00:00:32,783 --> 00:00:34,533 Would Nic approve of me with Cade? 9 00:00:34,538 --> 00:00:36,769 I just want you to be happy, so would Nic. 10 00:00:36,774 --> 00:00:39,338 The twins look perfect. Healthy weight, strong heartbeat. 11 00:00:39,343 --> 00:00:41,207 I'd say this family can go home this afternoon. 12 00:00:41,212 --> 00:00:43,209 Ah, you hear that, Padma? We're finally 13 00:00:43,214 --> 00:00:44,811 breaking you guys out of here. 14 00:00:44,816 --> 00:00:47,216 That is music to my ears. 15 00:00:51,260 --> 00:00:54,625 CT is backed up. I'll call over. 16 00:00:54,630 --> 00:00:57,061 One cranberry juice coming up. 17 00:00:57,066 --> 00:00:59,930 And your discharge papers. 18 00:00:59,935 --> 00:01:03,503 Looks like we can send you home with a prednisone burst. 19 00:01:05,374 --> 00:01:07,070 No rest for the weary. 20 00:01:07,075 --> 00:01:10,107 No rest, little reward, and yet I keep coming back for more. 21 00:01:12,882 --> 00:01:14,278 What do you have for us? 22 00:01:14,283 --> 00:01:16,014 Raja El Khoury. 38-year-old male, 23 00:01:16,019 --> 00:01:18,077 episode of emesis. Students called EMS. 24 00:01:18,082 --> 00:01:19,782 Sats were low, tachy to 120s. 25 00:01:19,787 --> 00:01:20,884 Let's get him to Bay Eight. 26 00:01:20,889 --> 00:01:22,822 He's improving with oxygen but still kind of out of it. 27 00:01:22,826 --> 00:01:23,826 What are you doing? 28 00:01:23,831 --> 00:01:25,031 Raja, is it? 29 00:01:25,036 --> 00:01:27,200 Okay, you're in the ER at Chastain. 30 00:01:27,205 --> 00:01:29,225 I'm Dr. Feldman, this is Nurse Hundley. 31 00:01:29,230 --> 00:01:31,429 - We're gonna take care of you. - I don't care who you are. 32 00:01:31,433 --> 00:01:32,562 I want out of here. 33 00:01:32,567 --> 00:01:34,801 - Just let me get up! - Okay. 34 00:01:35,403 --> 00:01:38,268 Let's get him on a monitor and a 12-lead EKG. 35 00:01:38,273 --> 00:01:40,270 - I'm on it. - None of the rest of you 36 00:01:40,275 --> 00:01:42,639 touch me. He's the only doctor I'll see. 37 00:01:42,644 --> 00:01:44,541 Seriously? Who are you talking about? 38 00:01:44,546 --> 00:01:46,208 Dr. Hawkins. 39 00:01:48,282 --> 00:01:51,447 He saved my life. 40 00:01:56,290 --> 00:01:57,453 How old do you think I am? 41 00:01:57,458 --> 00:01:58,967 - Wager a guess. - I'm sorry, 42 00:01:58,972 --> 00:02:00,522 are you my 8:00 a.m. meeting about 43 00:02:00,527 --> 00:02:01,928 - a research possibility... ? - Sorry, yes. 44 00:02:01,932 --> 00:02:04,159 I'm Marko Zytylny. So, come on, 45 00:02:04,164 --> 00:02:05,560 how old? 46 00:02:05,565 --> 00:02:07,596 All right, all right, all right. No need to guess. 47 00:02:07,601 --> 00:02:09,398 See this? 48 00:02:09,403 --> 00:02:11,534 My genetic age, according to this, is 50. 49 00:02:11,539 --> 00:02:14,236 But my real age, in real life, 50 00:02:14,241 --> 00:02:15,538 72. 51 00:02:15,543 --> 00:02:16,772 Yup. 52 00:02:16,777 --> 00:02:18,607 That's impressive, Mr. Zytylny. 53 00:02:18,612 --> 00:02:21,077 No, please, call me Marko. 54 00:02:21,082 --> 00:02:22,644 Since I was a child, 55 00:02:22,649 --> 00:02:24,380 I believed that aging, 56 00:02:24,385 --> 00:02:26,682 infirmity, and death were inevitable, 57 00:02:26,687 --> 00:02:28,484 but that's a fallacy. 58 00:02:28,489 --> 00:02:31,887 Hmm. You see, here at Chastain, 59 00:02:31,892 --> 00:02:34,255 you guys are playing a very expensive 60 00:02:34,260 --> 00:02:35,691 game of Whac-A-Mole. 61 00:02:35,696 --> 00:02:38,727 The patients come to you with, uh, heart disease in their 50s. 62 00:02:38,732 --> 00:02:41,630 Whack. In their 70s, with cancer. Whack. 63 00:02:41,635 --> 00:02:44,099 In their 80s, with Alzheimer's... 64 00:02:44,104 --> 00:02:46,934 Try to whack it, you can't. They die. 65 00:02:46,939 --> 00:02:48,637 But not 66 00:02:48,642 --> 00:02:51,707 if you fix aging. 67 00:02:51,712 --> 00:02:53,609 You get rid of all of that. 68 00:02:53,614 --> 00:02:56,377 - You see, that's my dream. - Okay. 69 00:02:56,382 --> 00:02:58,146 I am intrigued, 70 00:02:58,151 --> 00:03:00,816 - but how can I help you? - Dr. Pravesh, I-I've 71 00:03:00,821 --> 00:03:04,152 read your work, and you think outside the box. 72 00:03:04,157 --> 00:03:05,286 I really believe... 73 00:03:05,291 --> 00:03:07,823 What is the scientific question 74 00:03:07,828 --> 00:03:09,457 that you want me to answer? 75 00:03:09,462 --> 00:03:11,496 Isn't that obvious? 76 00:03:14,566 --> 00:03:16,798 How to live forever. 77 00:03:18,874 --> 00:03:26,374 - Synced and corrected by Firefly - - www.addic7ed.com - 78 00:03:41,726 --> 00:03:43,757 And I want to thank you 79 00:03:43,762 --> 00:03:45,459 for only doing pee-pee 80 00:03:45,464 --> 00:03:47,394 while Daddy changes you. 81 00:03:48,668 --> 00:03:50,531 Hey, Padma, I got to get going, okay? 82 00:03:52,271 --> 00:03:55,068 He's probably tired 83 00:03:55,073 --> 00:03:56,403 or hungry 84 00:03:56,408 --> 00:03:58,972 or gassy or he pooped again. 85 00:03:58,977 --> 00:04:01,207 Or maybe he just needs 86 00:04:01,212 --> 00:04:03,143 a little of this. 87 00:04:03,148 --> 00:04:05,178 ♪ Twinkle, twinkle ♪ 88 00:04:06,685 --> 00:04:08,514 ♪ Twinkle, twinkle. ♪ 89 00:04:10,588 --> 00:04:12,585 All right, now, you be a good 90 00:04:12,590 --> 00:04:14,921 little boy for your mama, all right? 91 00:04:14,926 --> 00:04:17,290 And, Padma, if all else fails, remember 92 00:04:17,295 --> 00:04:20,326 you have these womb-inspired sounds and motions 93 00:04:20,331 --> 00:04:22,696 to remind them of the good old days. 94 00:04:22,701 --> 00:04:24,497 Paddie, I'm gonna get going, all right? 95 00:04:24,502 --> 00:04:26,566 But you haven't had any coffee yet. 96 00:04:26,571 --> 00:04:27,901 Do you want to wait ten minutes? 97 00:04:27,906 --> 00:04:30,136 I'm sorry, I wish I could, but I can't. 98 00:04:30,141 --> 00:04:32,471 Look, I'll try to swing by between surgeries, okay? 99 00:04:32,476 --> 00:04:34,240 - It's okay. I got this. - Yes, you do. 100 00:04:34,245 --> 00:04:36,909 Look, you are an amazing mom already. 101 00:04:36,914 --> 00:04:40,046 Just remember, Padma, if you need anything... 102 00:04:40,051 --> 00:04:41,947 I know. I'll call. Okay. 103 00:04:41,952 --> 00:04:44,250 ♪ Goodbye... ♪ 104 00:04:44,255 --> 00:04:45,851 All right. 105 00:04:45,856 --> 00:04:47,786 ♪ Good... ♪ 106 00:04:53,631 --> 00:04:55,695 If I go in the next couple of minutes, 107 00:04:55,700 --> 00:04:57,463 I might be able to finish my lecture. 108 00:04:57,468 --> 00:05:00,799 I have spent way too much of my life in this place 109 00:05:00,804 --> 00:05:03,402 with doctors drawing my blood. 110 00:05:03,407 --> 00:05:05,571 No offense. 111 00:05:05,576 --> 00:05:08,807 None taken. 112 00:05:08,812 --> 00:05:12,144 I took care of Raja when he was diagnosed with bone cancer. 113 00:05:12,149 --> 00:05:13,613 Diagnosis you made. 114 00:05:13,618 --> 00:05:15,248 All the other doctors said 115 00:05:15,253 --> 00:05:16,749 shin splints. 116 00:05:16,754 --> 00:05:19,251 You were sweating bullets when you told me. 117 00:05:19,256 --> 00:05:20,953 I was an intern. 118 00:05:20,958 --> 00:05:23,488 I never told someone they had advanced cancer. 119 00:05:23,493 --> 00:05:25,824 Oh, that takes me back to a time 120 00:05:25,829 --> 00:05:27,559 I never want to revisit. 121 00:05:27,564 --> 00:05:29,662 Managed to stay away from this building for the last 122 00:05:29,667 --> 00:05:32,430 eight years, till today. 123 00:05:32,435 --> 00:05:33,499 So, what happened? 124 00:05:33,504 --> 00:05:35,533 Well, I was giving my favorite lecture 125 00:05:35,538 --> 00:05:37,202 on Who's Afraid of Virginia Woolf? 126 00:05:37,207 --> 00:05:38,503 when I threw up. 127 00:05:38,508 --> 00:05:41,473 Then I couldn't catch my breath. 128 00:05:41,478 --> 00:05:43,275 My students called 911. 129 00:05:43,280 --> 00:05:44,510 It's good they did. 130 00:05:44,515 --> 00:05:46,511 It actually looks like you have a bad pneumonia. 131 00:05:46,516 --> 00:05:48,147 You might have aspirated from the vomit, 132 00:05:48,152 --> 00:05:51,082 or you could have a virus that explains both symptoms. 133 00:05:51,087 --> 00:05:53,352 So, that's all that's wrong? 134 00:05:53,357 --> 00:05:55,553 - As far as we can tell right now. - So, 135 00:05:55,558 --> 00:05:57,022 maybe I wait here a few more hours 136 00:05:57,027 --> 00:05:58,857 and, uh, I call my fiancée, 137 00:05:58,862 --> 00:06:00,859 - and she takes me home. - Whoa, hold your horses. 138 00:06:00,864 --> 00:06:03,060 We need to get you on IV antibiotics, 139 00:06:03,065 --> 00:06:05,396 keep you on oxygen, and get you to the ICU. 140 00:06:05,401 --> 00:06:07,231 Home will have to wait. 141 00:06:07,236 --> 00:06:09,700 Just get me better. 142 00:06:09,705 --> 00:06:11,602 You did it once, 143 00:06:11,607 --> 00:06:14,772 you do it again, okay? 144 00:06:14,777 --> 00:06:16,177 That's the plan. 145 00:06:18,314 --> 00:06:21,345 You know, that's the one drawback of being an ER doc. 146 00:06:21,350 --> 00:06:24,148 - There's just one? - One of many. No one 147 00:06:24,153 --> 00:06:26,183 credits me with saving their life, though I do 148 00:06:26,188 --> 00:06:28,488 all the time, but I send them off, 149 00:06:28,493 --> 00:06:30,657 and they fawn over their internists 150 00:06:30,662 --> 00:06:31,989 who take care of them upstairs. 151 00:06:31,994 --> 00:06:34,558 Do I detect some envy, Dr. Feldman? 152 00:06:34,563 --> 00:06:36,194 It's just frustrating. 153 00:06:36,199 --> 00:06:38,829 Yeah, they get to know you. You see them day after day. 154 00:06:38,834 --> 00:06:41,866 Why not add another specialty? Irving Feldman, 155 00:06:41,871 --> 00:06:44,035 Doctor of Medicine. 156 00:06:44,040 --> 00:06:46,369 No, thank you. I did my internship. 157 00:06:46,374 --> 00:06:48,505 I remember those interminable rounds, 158 00:06:48,510 --> 00:06:50,374 discussing hyponatremia. 159 00:06:50,379 --> 00:06:52,075 Hey, you don't know what you're missing. 160 00:06:52,080 --> 00:06:53,812 You might actually like hanging out with the patients. 161 00:06:53,816 --> 00:06:55,313 Can't a man complain around here without you 162 00:06:55,317 --> 00:06:57,380 always trying to offer a solution, Hawkins? 163 00:06:57,385 --> 00:06:59,683 When my shift ends in two hours, 164 00:06:59,688 --> 00:07:01,352 I am out 165 00:07:01,357 --> 00:07:02,753 of here. Done. 166 00:07:02,758 --> 00:07:05,589 Gone. Buh-bye. 167 00:07:05,594 --> 00:07:07,158 Buh-bye. 168 00:07:07,163 --> 00:07:09,259 And after my daily push-ups, 169 00:07:09,264 --> 00:07:11,595 I do a quick five-minute liquid nitrogen bath. 170 00:07:11,600 --> 00:07:13,196 You ever had one? 171 00:07:13,201 --> 00:07:15,732 - Uh, I can't say that I have. - I highly recommend it. 172 00:07:15,737 --> 00:07:18,502 Soothes the muscles, reduces inflammation, 173 00:07:18,507 --> 00:07:19,870 lifts the mood. 174 00:07:19,875 --> 00:07:22,295 Damn, I think I've lost count. 175 00:07:22,300 --> 00:07:24,040 Remarkably, you're at 90. 176 00:07:24,045 --> 00:07:26,577 And my protocols work, Dr. Pravesh. 177 00:07:26,582 --> 00:07:29,344 Just help me study my tests, 178 00:07:29,349 --> 00:07:30,713 then we could all maybe 179 00:07:30,718 --> 00:07:34,350 live forever. 99... 100. 180 00:07:37,392 --> 00:07:38,654 I'm telling you 181 00:07:38,659 --> 00:07:40,790 that death is a scientific problem 182 00:07:40,795 --> 00:07:42,191 we can solve together. 183 00:07:42,196 --> 00:07:43,593 Trust me. 184 00:07:43,598 --> 00:07:45,995 This about does it for our tour of the hospital today. 185 00:07:46,000 --> 00:07:47,229 I am afraid I'm gonna have to 186 00:07:47,234 --> 00:07:48,665 wrap it up. I have a full day, so... 187 00:07:48,669 --> 00:07:50,966 - On one condition. - What's that? 188 00:07:50,971 --> 00:07:54,570 We round this out with one set of stairs. 189 00:07:54,575 --> 00:07:56,573 Mr. Zytylny... 190 00:07:56,578 --> 00:07:58,408 Let's go! Whoo! 191 00:08:01,916 --> 00:08:03,379 - What's going on? - I don't know. 192 00:08:03,384 --> 00:08:05,348 - I can't, I can't breathe. - Whoa, whoa, whoa, whoa. 193 00:08:05,352 --> 00:08:07,019 Can I get some help over here? 194 00:08:13,058 --> 00:08:15,055 Reading something good? 195 00:08:15,060 --> 00:08:16,989 Uh, just an email 196 00:08:16,994 --> 00:08:18,294 Ian forwarded me 197 00:08:18,299 --> 00:08:20,996 from a mom thanking him for saving her baby. 198 00:08:21,001 --> 00:08:22,998 Modest as always. 199 00:08:23,003 --> 00:08:25,071 - Sounds like the Ian we know. - Hmm. 200 00:08:25,076 --> 00:08:27,836 How is everything with him, in general? 201 00:08:27,841 --> 00:08:30,105 Passed his drug test. 202 00:08:30,110 --> 00:08:33,475 Operating up a storm, so... 203 00:08:33,480 --> 00:08:34,876 fine, I guess. 204 00:08:34,881 --> 00:08:36,415 That's a relief. 205 00:08:37,818 --> 00:08:39,614 So is the fact that 206 00:08:39,619 --> 00:08:42,221 I am finally off nights. 207 00:08:45,525 --> 00:08:48,823 As much as I love my solo dinners with Gigi... 208 00:08:48,828 --> 00:08:51,830 You have room for one more tonight? 209 00:08:52,899 --> 00:08:54,262 Always. 210 00:08:54,267 --> 00:08:57,131 Dr. Hawkins, we need you in Raja's room now. 211 00:08:59,473 --> 00:09:03,304 Raja, you're okay. You're safe. What's going on? 212 00:09:03,309 --> 00:09:05,273 Good, better, best, bested. 213 00:09:05,278 --> 00:09:06,808 He was answering my questions, 214 00:09:06,813 --> 00:09:08,543 and then he stopped making sense. 215 00:09:08,548 --> 00:09:10,845 We need to get his fever down. One gram of acetaminophen. 216 00:09:10,850 --> 00:09:12,214 Grab a liter of Lactated Ringer's. 217 00:09:12,219 --> 00:09:14,149 Sats are dropping. I'm going up on his O2. 218 00:09:14,153 --> 00:09:15,951 Dance like the wind. 219 00:09:15,956 --> 00:09:18,454 - This is more than just pneumonia. - He's too altered. 220 00:09:18,458 --> 00:09:20,221 I'm worried about meningitis. 221 00:09:20,226 --> 00:09:22,657 - It hurts! Stop! - Photophobia. 222 00:09:22,662 --> 00:09:24,391 Let's check for nuchal rigidity. 223 00:09:24,396 --> 00:09:25,828 We're just gonna move your head a little bit. 224 00:09:25,832 --> 00:09:28,029 Get off me! 225 00:09:28,034 --> 00:09:30,430 - His neck is stiff. - Raja, what's this? 226 00:09:30,435 --> 00:09:33,200 No, bandage. Don't-don't touch it. 227 00:09:33,205 --> 00:09:35,168 - Is that... - Looks like spinal hardware. 228 00:09:35,173 --> 00:09:37,104 From the surgery for spinal mets. 229 00:09:37,109 --> 00:09:39,972 - But you said his cancer was... - Eight years ago. 230 00:09:39,977 --> 00:09:41,907 Raja, that rod sticking out of your neck... 231 00:09:41,912 --> 00:09:44,011 how long has that been there? Yeah, I need two milligrams 232 00:09:44,015 --> 00:09:46,679 of IV lorazepam and get me an intubation kit now. 233 00:09:46,684 --> 00:09:48,615 Tell CT to get ready. 234 00:09:48,620 --> 00:09:50,653 Coming in for a head scan. 235 00:09:54,340 --> 00:09:56,680 You know, I'm still game to go back to your office. 236 00:09:56,685 --> 00:10:00,010 This is no place to discuss data. It's pretty loud, 237 00:10:00,015 --> 00:10:02,465 and, well, it's full of sick people. 238 00:10:02,470 --> 00:10:04,433 We're not talking data now. 239 00:10:04,438 --> 00:10:06,302 You nearly passed out, so Dr. Feldman 240 00:10:06,307 --> 00:10:07,470 and I are gonna find out why. 241 00:10:07,475 --> 00:10:08,572 I'm sure Dr. Feldman 242 00:10:08,577 --> 00:10:09,817 has a lot better things to do. 243 00:10:09,822 --> 00:10:11,876 Marko, you said you wanted me to study you, right? 244 00:10:11,880 --> 00:10:14,577 - Let me study you. - Looks like your EKG is normal. 245 00:10:14,582 --> 00:10:16,013 We're waiting on some lab results, 246 00:10:16,018 --> 00:10:17,614 and we'll see what they tell us. 247 00:10:17,619 --> 00:10:19,916 - Okay. - All right. Back in a sec. 248 00:10:19,921 --> 00:10:21,785 Thank you. 249 00:10:21,790 --> 00:10:23,720 No way that man is 70. 250 00:10:23,725 --> 00:10:25,354 He has an anti-aging regimen 251 00:10:25,359 --> 00:10:28,224 he thinks is the path to eternal life. 252 00:10:28,229 --> 00:10:30,493 So, what's his secret? 253 00:10:30,498 --> 00:10:32,195 Well... 254 00:10:32,200 --> 00:10:34,964 - knock yourself out. - Whoa. 255 00:10:34,969 --> 00:10:37,499 You know, it's being studied all over Silicon Valley. 256 00:10:37,504 --> 00:10:39,335 Every tech entrepreneur wants to figure out 257 00:10:39,340 --> 00:10:41,337 how to live forever, and I cannot blame them. 258 00:10:41,342 --> 00:10:43,605 I think he collapsed on our stairway 259 00:10:43,610 --> 00:10:46,142 while claiming to have the answer to eternal life. 260 00:10:46,147 --> 00:10:48,110 He needs to face the truth. 261 00:10:48,115 --> 00:10:51,080 We all age. We all die. We can't stop it. 262 00:10:51,085 --> 00:10:52,381 But we can try. 263 00:10:52,386 --> 00:10:54,250 I'll see about those labs. You enjoy. 264 00:10:54,255 --> 00:10:56,288 Yeah, thanks. 265 00:11:02,830 --> 00:11:06,062 I would love to hold you both, 266 00:11:06,067 --> 00:11:07,964 but that is physically impossible. 267 00:11:07,969 --> 00:11:09,731 You get that, right, guys? 268 00:11:19,346 --> 00:11:22,110 Okay, please just go to sleep. You'll feel better. 269 00:11:30,891 --> 00:11:33,555 Hey. Just checking in. 270 00:11:33,560 --> 00:11:35,957 - How are the little fellas doing? - Oh, um... 271 00:11:35,962 --> 00:11:38,259 Good. Yeah, they're-they're falling asleep now. 272 00:11:38,264 --> 00:11:39,761 Ah, they like those bassinets, 273 00:11:39,766 --> 00:11:41,930 don't they? I knew that was a good purchase. 274 00:11:41,935 --> 00:11:43,198 Yeah. Loving them. 275 00:11:43,203 --> 00:11:44,932 Um, listen, I got to go. 276 00:11:44,937 --> 00:11:46,367 Diapers need changing. 277 00:11:46,372 --> 00:11:48,402 But thanks for checking in. Okay, bye. 278 00:12:05,024 --> 00:12:06,387 Wait, I don't understand. 279 00:12:06,392 --> 00:12:09,223 He has hardware sticking out of his neck 280 00:12:09,228 --> 00:12:10,758 and did nothing to get it fixed? 281 00:12:10,763 --> 00:12:12,693 He didn't even mention it when he was awake, 282 00:12:12,698 --> 00:12:15,195 and now that he's intubated, I can't ask him about it. 283 00:12:15,200 --> 00:12:17,498 It's not just you he didn't tell. 284 00:12:17,503 --> 00:12:19,903 Looks like he stopped showing up to his follow-up scans 285 00:12:19,908 --> 00:12:21,535 and appointments five years ago. 286 00:12:21,540 --> 00:12:25,172 They left message after message. 287 00:12:25,177 --> 00:12:26,673 He never even called them back. 288 00:12:26,678 --> 00:12:28,708 We've all seen cases like this. 289 00:12:28,713 --> 00:12:31,044 The patient who ignores their breast cancer 290 00:12:31,049 --> 00:12:32,812 till it starts bleeding through their skin. 291 00:12:32,817 --> 00:12:35,349 Mm-hmm. I took care of a man with squamous cell cancer 292 00:12:35,354 --> 00:12:37,618 on his scalp that he hid under a hat for years. 293 00:12:37,623 --> 00:12:39,386 When I first told Raja he had cancer, 294 00:12:39,391 --> 00:12:41,392 he wanted to do everything he could to stay positive. 295 00:12:41,396 --> 00:12:43,659 He didn't want to know his odds. Nothing negative. 296 00:12:43,664 --> 00:12:44,894 And it worked. 297 00:12:44,899 --> 00:12:47,294 His cancer was cured. 298 00:12:47,299 --> 00:12:48,562 It's complicated. 299 00:12:48,567 --> 00:12:50,431 Sometimes you need a 300 00:12:50,436 --> 00:12:52,502 dose of denial to have hope. 301 00:13:00,011 --> 00:13:03,543 This is even worse than I thought. 302 00:13:03,548 --> 00:13:05,111 See the debris in the ventricles? 303 00:13:05,116 --> 00:13:07,747 Ventriculitis. No wonder he seized. 304 00:13:07,752 --> 00:13:09,550 Bacteria must have tracked from his skin, 305 00:13:09,554 --> 00:13:10,650 via the rod, to his brain. 306 00:13:10,655 --> 00:13:12,187 You'll need to make sure his antibiotics 307 00:13:12,191 --> 00:13:14,492 - cross the blood-brain barrier. - We'll take him to the OR 308 00:13:14,496 --> 00:13:17,691 to remove the rod, or antibiotics won't be enough. 309 00:13:17,696 --> 00:13:19,993 Damn it, I already see signs of hydrocephalus. 310 00:13:19,998 --> 00:13:22,528 I'll have to intervene on that before anything else. 311 00:13:22,533 --> 00:13:23,629 That's what will kill him. 312 00:13:23,634 --> 00:13:25,198 So we get him back to the ICU. 313 00:13:25,203 --> 00:13:26,232 And I'll place an EVD 314 00:13:26,237 --> 00:13:28,334 in his ventricles at the bedside to help drain the pus 315 00:13:28,338 --> 00:13:30,868 and relieve the brain swelling. If that's not enough, 316 00:13:30,873 --> 00:13:32,538 then I'll have to take him to the OR for an open 317 00:13:32,542 --> 00:13:33,872 craniotomy and a washout. 318 00:13:33,877 --> 00:13:36,378 I told Raja I'd get him out of this. 319 00:13:41,551 --> 00:13:43,582 That he'd be okay. 320 00:13:43,587 --> 00:13:45,787 I'll do everything I can. 321 00:13:51,360 --> 00:13:53,458 Marko, what's going on? 322 00:13:53,463 --> 00:13:55,728 Something's not right. 323 00:13:55,733 --> 00:13:57,630 I can't catch my breath. 324 00:13:57,635 --> 00:13:59,764 My body hurts all over. Ooh... 325 00:13:59,769 --> 00:14:02,100 - His lungs are clear. - And his sats are fine. 326 00:14:02,105 --> 00:14:04,168 He's just breathing 40 times a minute. Marko, 327 00:14:04,173 --> 00:14:07,239 - try to take long, slow breaths. - Okay. 328 00:14:07,244 --> 00:14:09,307 Let's get a blood gas. 329 00:14:10,380 --> 00:14:13,211 Hold on. His labs just came in. This explains it. 330 00:14:13,216 --> 00:14:14,946 His lactic acid is sky-high. 331 00:14:17,854 --> 00:14:20,952 - Ischemic bowel or a perf? - Unlikely. 332 00:14:20,957 --> 00:14:22,621 His belly exam is soft, 333 00:14:22,626 --> 00:14:24,021 but his blood pressure is stable. 334 00:14:24,026 --> 00:14:26,524 Infection then, or alcoholic ketoacidosis. 335 00:14:26,529 --> 00:14:27,926 Alcohol? 336 00:14:27,931 --> 00:14:30,528 And degrade my body's ability to fight off infection? 337 00:14:30,533 --> 00:14:33,230 Ruin my liver? I do not drink alcohol. 338 00:14:33,235 --> 00:14:35,899 Okay, so no alcohol, but let's get more fluids running. 339 00:14:35,904 --> 00:14:38,535 Pan-culture, start broad-spectrum antibiotics 340 00:14:38,540 --> 00:14:40,072 - to be safe. - And a tox screen. It could be 341 00:14:40,076 --> 00:14:41,638 - an ingestion. - Hmm. 342 00:14:44,045 --> 00:14:46,042 Marko, are you a diabetic? 343 00:14:46,047 --> 00:14:49,079 Alcohol, diabetes. Are you guys insulting me? 344 00:14:49,084 --> 00:14:52,048 Sorry, but are you on the diabetes medication metformin? 345 00:14:52,053 --> 00:14:55,553 Well, of course, and you guys should be, too. 346 00:14:55,558 --> 00:14:57,220 That stuff is a miracle drug. 347 00:14:57,225 --> 00:14:59,923 That miracle drug could be what's making you so sick. 348 00:14:59,928 --> 00:15:02,959 Metformin can cause a dangerous build-up of lactic acid. 349 00:15:02,964 --> 00:15:06,099 You guys can fix it, right? 350 00:15:06,802 --> 00:15:09,099 We should be able to, but we're gonna have to admit you 351 00:15:09,103 --> 00:15:11,103 to the ICU and start you on dialysis. 352 00:15:16,577 --> 00:15:19,175 Hey. Your shift's over, right? 353 00:15:19,180 --> 00:15:20,560 Any plans for the day? 354 00:15:20,565 --> 00:15:22,545 Once Jessica's done, definitely. 355 00:15:22,550 --> 00:15:24,414 Till then, waiting for her, 356 00:15:24,419 --> 00:15:26,816 charting, searching the call room for bedbugs. 357 00:15:26,821 --> 00:15:28,884 Sounds like a blast. Well, if you get bored, 358 00:15:28,889 --> 00:15:32,654 you're welcome to join me and our very mortal patient instead. 359 00:15:32,659 --> 00:15:33,989 Interesting. I would, 360 00:15:33,994 --> 00:15:36,391 but I've already promised Jessica I'd go rock climbing. 361 00:15:36,396 --> 00:15:37,694 All right, see you. 362 00:15:37,699 --> 00:15:39,362 All right, bye. 363 00:15:39,367 --> 00:15:42,567 Won't know how bad this ventriculitis is 364 00:15:42,572 --> 00:15:43,572 until I'm in there. 365 00:15:43,577 --> 00:15:45,807 I remember the last time I saw Raja here. 366 00:15:45,812 --> 00:15:47,369 Nic took care of him. 367 00:15:47,374 --> 00:15:50,104 Threw him a birthday party. 368 00:15:50,109 --> 00:15:52,708 I remember her talking about that. 369 00:15:52,713 --> 00:15:54,947 Threading the catheter. 370 00:15:59,019 --> 00:16:00,585 Conrad... 371 00:16:02,655 --> 00:16:04,920 I'll have to put another drain in the left frontal horn. 372 00:16:04,925 --> 00:16:07,256 He is gonna be a lucky man if he gets out of this 373 00:16:07,261 --> 00:16:09,024 without any major neurologic deficits. 374 00:16:09,029 --> 00:16:10,492 If he just would've told anyone. 375 00:16:10,497 --> 00:16:13,062 Maybe he was afraid it was the cancer, and he couldn't face it. 376 00:16:13,067 --> 00:16:14,767 It seems crazy. 377 00:16:15,636 --> 00:16:18,165 But we all cover up things we don't want to see. 378 00:16:18,170 --> 00:16:21,034 The longer we look away, 379 00:16:21,039 --> 00:16:23,640 the harder it gets to see what's right before our eyes. 380 00:16:25,178 --> 00:16:26,843 What is on your mind? 381 00:16:29,948 --> 00:16:31,678 Uh, I can't say I'm unfamiliar 382 00:16:31,683 --> 00:16:33,513 with denial. 383 00:16:33,518 --> 00:16:35,018 None of us are. 384 00:16:38,857 --> 00:16:40,456 What have you denied? 385 00:16:43,295 --> 00:16:44,624 Fair amount. 386 00:16:44,629 --> 00:16:47,193 First drain is in. 387 00:16:49,667 --> 00:16:51,731 Looks like a massive upper GI bleed. 388 00:16:51,736 --> 00:16:54,768 We'll need central access. We need norepinephrine, 389 00:16:54,773 --> 00:16:56,870 - and call the blood bank! - Why is this happening? 390 00:16:56,875 --> 00:16:59,171 Ventriculitis shouldn't cause a GI hemorrhage. 391 00:16:59,176 --> 00:17:00,676 No, it shouldn't. 392 00:17:02,246 --> 00:17:05,077 - Unless... - What are you thinking? 393 00:17:05,082 --> 00:17:06,778 Rod tore through the skin. 394 00:17:06,783 --> 00:17:09,081 The infection ate away at the bones in his c-spine 395 00:17:09,086 --> 00:17:10,417 and allowed the rod to come loose. 396 00:17:10,421 --> 00:17:12,620 Could cause any amount of damage to his muscle, vessels... 397 00:17:12,624 --> 00:17:14,264 It could've pushed through his esophagus, 398 00:17:14,269 --> 00:17:15,799 causing him to bleed. 399 00:17:15,804 --> 00:17:18,385 Which could kill him even faster than any brain infection. 400 00:17:24,260 --> 00:17:26,340 And then he developed a huge GI bleed, 401 00:17:26,345 --> 00:17:29,175 so we did an upper endoscopy in the ICU. Take a look. 402 00:17:30,732 --> 00:17:32,795 The rod penetrated the man's esophagus? 403 00:17:32,800 --> 00:17:35,631 It did, which explains why he vomited initially. 404 00:17:35,636 --> 00:17:38,234 The more we unearth, the more devastating this becomes. 405 00:17:38,239 --> 00:17:39,569 Question is, 406 00:17:39,574 --> 00:17:42,572 can you operate and save him? 407 00:17:42,577 --> 00:17:45,742 You realize what that surgery 408 00:17:45,747 --> 00:17:47,644 would entail, right? 409 00:17:47,649 --> 00:17:49,679 Man, I'd have to open his neck, 410 00:17:49,684 --> 00:17:53,015 reconstruct his esophagus with a muscle flap from his pec. 411 00:17:53,020 --> 00:17:54,984 That's if I can remove the rod. 412 00:17:54,989 --> 00:17:56,186 As far as the spine... 413 00:17:56,191 --> 00:17:58,054 Billie will take that one with Voss. 414 00:17:58,059 --> 00:18:00,121 It's a Hail Mary, man, but this is what we do, 415 00:18:00,126 --> 00:18:02,858 isn't it? We take on surgeries that can't be done, 416 00:18:02,863 --> 00:18:04,960 then convince ourselves we can accomplish 417 00:18:04,965 --> 00:18:07,095 the impossible. 418 00:18:07,100 --> 00:18:09,965 All right, clearly he can't give consent himself. 419 00:18:09,970 --> 00:18:12,734 Now, you know him, do you think he would even agree 420 00:18:12,739 --> 00:18:14,069 to a surgery this dangerous? 421 00:18:14,074 --> 00:18:15,939 I thought I knew him, but I don't know this guy 422 00:18:15,943 --> 00:18:18,640 who put a Band-Aid over a rod sticking out of his neck. 423 00:18:18,645 --> 00:18:20,508 - Any family on the way? - Yeah. 424 00:18:20,513 --> 00:18:23,144 Fiancée. I'll talk to her. 425 00:18:23,149 --> 00:18:25,881 All right, if she gives her consent, 426 00:18:25,886 --> 00:18:28,583 then tell Billie to book us an OR. 427 00:18:38,931 --> 00:18:42,162 Get that air out, little guy. You'll feel better. 428 00:18:42,167 --> 00:18:45,733 You have to 'cause I don't really have a backup plan here. 429 00:18:45,738 --> 00:18:48,102 Come on. 430 00:18:49,341 --> 00:18:50,605 Great. 431 00:18:50,610 --> 00:18:53,173 See? Something's working. 432 00:18:53,178 --> 00:18:54,642 Now you feel... 433 00:18:58,684 --> 00:19:00,047 ... like crying. 434 00:19:00,052 --> 00:19:02,552 Always crying. 435 00:19:07,523 --> 00:19:09,653 Hey, Padma, did you try to call? 436 00:19:09,658 --> 00:19:10,658 Did I? 437 00:19:10,663 --> 00:19:12,426 Baby butt dial. Sorry. 438 00:19:12,431 --> 00:19:15,128 Oh, wait, no, no, since I have you, how are things? 439 00:19:15,133 --> 00:19:17,396 Aw, I hear the little guys showing off their lungs. 440 00:19:17,401 --> 00:19:18,765 Good, good. 441 00:19:18,770 --> 00:19:20,934 Yeah, they are little show-offs, aren't they? 442 00:19:20,939 --> 00:19:22,969 You know, I was thinking about you three today 443 00:19:22,974 --> 00:19:25,339 in my wellness yoga. Sara's not as motivating as you, 444 00:19:25,344 --> 00:19:26,840 but it still feels nice. 445 00:19:26,845 --> 00:19:29,208 Yoga? Nice. 446 00:19:29,213 --> 00:19:30,276 And you know what? 447 00:19:30,281 --> 00:19:32,612 What? 448 00:19:32,617 --> 00:19:34,347 When I was lying in Savasana, 449 00:19:34,352 --> 00:19:36,216 I found myself thinking about your dream 450 00:19:36,221 --> 00:19:38,217 of being a mother, no matter what. 451 00:19:38,222 --> 00:19:39,953 How you didn't let anything stop you. 452 00:19:39,958 --> 00:19:42,922 You wanted it and you made it happen. 453 00:19:42,927 --> 00:19:46,159 All thanks to you, Leela. I love you. 454 00:19:46,164 --> 00:19:48,731 Now go save lives. 455 00:19:50,467 --> 00:19:51,563 Here you go. 456 00:19:51,568 --> 00:19:54,066 Thanks. 457 00:19:54,071 --> 00:19:56,201 Hi. 458 00:19:56,206 --> 00:19:58,270 - Mwah. Hi. - How was your shift? 459 00:19:58,275 --> 00:19:59,672 The usual. 460 00:19:59,677 --> 00:20:01,706 Fighting the entropy that is our broken system 461 00:20:01,711 --> 00:20:03,709 - while trying not to get sued. - Mm. 462 00:20:03,714 --> 00:20:05,277 There was one interesting case, 463 00:20:05,282 --> 00:20:07,512 - and Hundley brought muffins. - Hmm. 464 00:20:07,517 --> 00:20:08,784 Ready to flee? 465 00:20:10,120 --> 00:20:11,183 I have bad news. 466 00:20:11,188 --> 00:20:13,318 - No. Why? - I can't. 467 00:20:13,323 --> 00:20:14,552 Nathan called out. 468 00:20:14,557 --> 00:20:16,455 - Oh. - So I have to stay, 469 00:20:16,460 --> 00:20:18,425 but you should still go rock climbing without me. 470 00:20:18,430 --> 00:20:20,958 - Yeah. - Which really is a wise move anyway 471 00:20:20,963 --> 00:20:22,760 since I primarily stay earthbound 472 00:20:22,765 --> 00:20:24,896 and I just watch you, praying that you don't fall 473 00:20:24,901 --> 00:20:26,698 and shatter every bone in your body. 474 00:20:26,703 --> 00:20:29,000 I never fall. I mean, fall-fall. 475 00:20:29,005 --> 00:20:31,202 Everyone does eventually. 476 00:20:31,207 --> 00:20:35,472 I mean, we're not old, but we're not young either. 477 00:20:35,477 --> 00:20:38,475 I'm just saying, if you didn't fall, you wouldn't bounce. 478 00:20:38,480 --> 00:20:40,211 - Ha! - Just keep in mind 479 00:20:40,216 --> 00:20:41,979 the consequences, okay? And be careful. 480 00:20:41,984 --> 00:20:44,716 Okay. I think I might just stick around. 481 00:20:44,721 --> 00:20:47,218 Really? 'Cause I could be several hours. 482 00:20:47,223 --> 00:20:49,253 There's this case I'm curious about. 483 00:20:49,258 --> 00:20:51,988 Could shed some light on how to be able to climb rock walls 484 00:20:51,993 --> 00:20:54,828 like a young mountain goat for years to come. 485 00:20:55,964 --> 00:20:58,596 He told me he wore that bandage to keep 486 00:20:58,601 --> 00:20:59,763 his surgical scar clean. 487 00:20:59,768 --> 00:21:02,133 He wore it the entire time we were together. 488 00:21:02,835 --> 00:21:04,835 Two years. 489 00:21:04,840 --> 00:21:07,738 You must think I'm so stupid. 490 00:21:07,743 --> 00:21:09,440 No. 491 00:21:09,445 --> 00:21:12,576 Raja's got us all thinking about denial. 492 00:21:12,581 --> 00:21:14,945 Mm-hmm. My own fiancé. 493 00:21:14,950 --> 00:21:18,014 I knew how much he hated talking about hard things. 494 00:21:18,019 --> 00:21:20,684 I asked him once about his cancer 495 00:21:20,689 --> 00:21:23,654 and whether he still needed to see doctors regularly, 496 00:21:23,659 --> 00:21:24,722 and he told me no, 497 00:21:24,727 --> 00:21:26,423 he was all better. 498 00:21:26,428 --> 00:21:28,826 What do I know? I believed him. 499 00:21:28,831 --> 00:21:31,828 This isn't your fault. 500 00:21:31,833 --> 00:21:34,597 What matters is what we do next. 501 00:21:34,602 --> 00:21:36,866 Raja can't speak for himself anymore, 502 00:21:36,871 --> 00:21:40,039 and he designated you to make his medical decisions. 503 00:21:41,476 --> 00:21:43,943 Wow, uh, okay. 504 00:21:49,651 --> 00:21:51,982 - Tell me. - He's gonna need surgery. 505 00:21:51,987 --> 00:21:54,885 The rod that stabilized his spine 506 00:21:54,890 --> 00:21:57,120 pushed through his esophagus, so 507 00:21:57,125 --> 00:21:59,122 our thoracic surgeon will need to work 508 00:21:59,127 --> 00:22:01,124 with our spine surgeon to remove it. 509 00:22:01,129 --> 00:22:03,663 And if you're successful, he'll be okay? 510 00:22:09,737 --> 00:22:12,769 The surgery's dangerous. 511 00:22:13,574 --> 00:22:16,172 Life-threatening. 512 00:22:16,177 --> 00:22:19,009 And if he lives, 513 00:22:20,014 --> 00:22:23,045 he will not be the same. 514 00:22:23,050 --> 00:22:26,783 There's a chance he might not be able to eat again or... 515 00:22:26,788 --> 00:22:29,352 talk again 516 00:22:29,357 --> 00:22:31,454 or breathe on his own. 517 00:22:31,459 --> 00:22:33,422 And the infection in his brain 518 00:22:33,427 --> 00:22:35,925 might mean that he has trouble with his thinking 519 00:22:35,930 --> 00:22:37,963 or walking. 520 00:22:39,100 --> 00:22:41,630 I'm so sorry. 521 00:22:41,635 --> 00:22:43,799 Because of a... 522 00:22:43,804 --> 00:22:47,402 a-a bandage he-he wouldn't remove? 523 00:22:47,407 --> 00:22:50,239 I'm afraid so. 524 00:22:58,017 --> 00:23:01,115 He's a brilliant man. 525 00:23:01,120 --> 00:23:03,452 I fell in love with his mind. 526 00:23:03,457 --> 00:23:06,854 I-I'd never met anyone with a better bookshelf than mine. 527 00:23:06,859 --> 00:23:10,558 But to not eat 528 00:23:10,563 --> 00:23:11,959 or talk 529 00:23:11,964 --> 00:23:15,429 or think... 530 00:23:15,434 --> 00:23:17,297 is that living? 531 00:23:17,302 --> 00:23:19,834 Those are all possible consequences, 532 00:23:19,839 --> 00:23:21,438 not guaranteed. 533 00:23:22,875 --> 00:23:26,374 But without the surgery he will die. 534 00:23:26,379 --> 00:23:28,542 Is he awake? 535 00:23:28,547 --> 00:23:31,044 - Can I talk to him? - No. 536 00:23:31,049 --> 00:23:33,216 He's sedated and intubated. 537 00:23:34,319 --> 00:23:37,521 What can I do to help you make this decision? 538 00:23:39,023 --> 00:23:41,223 I'd like to see him. 539 00:23:46,998 --> 00:23:50,296 Pravesh, your immortal patient's in trouble. 540 00:23:50,301 --> 00:23:51,301 Get over here. 541 00:23:54,338 --> 00:23:55,902 I need resveratrol. 542 00:23:55,907 --> 00:23:58,170 I have the telomeres of a 50-year-old. 543 00:23:58,175 --> 00:24:00,443 Get him an oxygen mask. He's hypoxic. 544 00:24:01,646 --> 00:24:04,414 And I'll keep him from pulling out his dialysis line. 545 00:24:12,556 --> 00:24:15,220 - You still here? - I just can't quit you. 546 00:24:15,225 --> 00:24:18,490 Jessica's in another surgery, and I want to live forever. 547 00:24:18,495 --> 00:24:20,559 We're just trying to keep Marko from dying. 548 00:24:20,564 --> 00:24:23,295 His labs came back. Lactate is coming down. 549 00:24:23,300 --> 00:24:25,131 So, dialysis is clearing the metformin. 550 00:24:25,136 --> 00:24:26,698 But now he can't breathe 551 00:24:26,703 --> 00:24:28,501 and he's febrile. Temp 103. 552 00:24:28,506 --> 00:24:30,336 Which means the metformin toxicity 553 00:24:30,341 --> 00:24:32,070 was actually masking another problem. 554 00:24:32,075 --> 00:24:34,031 And we don't know the extent of what he was taking. 555 00:24:34,035 --> 00:24:37,235 There could be any number of drug-drug interactions with this man. 556 00:24:39,283 --> 00:24:40,646 Wait. 557 00:24:40,651 --> 00:24:41,980 The briefcase full of papers 558 00:24:41,985 --> 00:24:43,315 that he keeps talking about. 559 00:24:43,320 --> 00:24:44,416 We have to look through it. 560 00:24:44,421 --> 00:24:46,054 The answer's got to be in there. 561 00:24:57,100 --> 00:24:58,164 Tell me. 562 00:24:58,169 --> 00:24:59,999 Are we headed to the OR? 563 00:25:00,004 --> 00:25:02,930 Abigail's deciding. She needed a little time. 564 00:25:02,935 --> 00:25:05,165 She's reeling. Raja wore that bandage 565 00:25:05,170 --> 00:25:07,034 for at least two years, their entire relationship, 566 00:25:07,038 --> 00:25:08,434 and she never looked under it. 567 00:25:08,439 --> 00:25:10,370 I can't imagine being in her position. 568 00:25:10,375 --> 00:25:13,008 Makes me want to ask everybody everything... 569 00:25:14,946 --> 00:25:18,180 ... even if I'm afraid of the answer. 570 00:25:19,416 --> 00:25:21,684 Me, too. 571 00:25:25,675 --> 00:25:27,472 Please do the surgery. 572 00:25:27,477 --> 00:25:30,341 I know the odds are long, but we'll take 573 00:25:30,346 --> 00:25:32,076 whatever chance. 574 00:25:32,081 --> 00:25:35,213 I think that's the choice Raja would make. 575 00:25:35,218 --> 00:25:38,483 Just do your best for him, okay? 576 00:25:38,488 --> 00:25:40,722 Of course. 577 00:25:51,133 --> 00:25:53,497 Ms. Devi? Ms. Devi? 578 00:25:53,502 --> 00:25:55,068 Are you still there? 579 00:25:57,072 --> 00:25:58,669 Wow, I, um, 580 00:25:58,674 --> 00:26:01,805 I forgot I was on hold. Dr. Petrosian, sorry to bother. 581 00:26:01,810 --> 00:26:05,342 I just... I had one question about the babies. 582 00:26:05,347 --> 00:26:08,012 Of course. Go ahead. 583 00:26:08,017 --> 00:26:11,015 Things were okay at first, but... 584 00:26:11,020 --> 00:26:14,051 they won't stop crying, and I mean... 585 00:26:14,056 --> 00:26:16,520 all day long. 586 00:26:16,525 --> 00:26:18,022 Something must be wrong. 587 00:26:18,027 --> 00:26:19,823 Babies cry, Padma. 588 00:26:19,828 --> 00:26:21,224 No, but... 589 00:26:21,229 --> 00:26:23,727 sometimes I think that they're gonna pass out 590 00:26:23,732 --> 00:26:26,154 because they're crying so hard that they're not breathing. 591 00:26:26,159 --> 00:26:29,598 They won't pass out, and if they do, they'll breathe again. 592 00:26:29,603 --> 00:26:31,666 Just hold them as much as you can. 593 00:26:31,671 --> 00:26:33,636 Lots of skin-to-skin contact. 594 00:26:34,709 --> 00:26:36,639 There's two of them. 595 00:26:36,644 --> 00:26:38,207 I can't... 596 00:26:38,212 --> 00:26:40,879 I can't hold them both all day long when they scream. 597 00:26:43,217 --> 00:26:45,815 This is hard, do you understand? 598 00:26:45,820 --> 00:26:49,652 I do. Moms worry, that's normal. 599 00:26:49,657 --> 00:26:53,189 And crying for babies is also normal. 600 00:26:53,194 --> 00:26:54,523 Are you sure I shouldn't 601 00:26:54,528 --> 00:26:56,358 just bring them in for a little while? 602 00:26:56,363 --> 00:26:59,694 No need. Now, do you want me to transfer you 603 00:26:59,699 --> 00:27:02,968 to our receptionist, confirm your next appointment? 604 00:27:18,952 --> 00:27:20,216 Hey. 605 00:27:20,221 --> 00:27:21,817 Getting into anything good? 606 00:27:21,822 --> 00:27:25,021 Uh, an esophageal reconstruction. 607 00:27:25,026 --> 00:27:27,523 It's interesting, complex, 608 00:27:27,528 --> 00:27:30,726 but not good, not by any stretch of the imagination. 609 00:27:30,731 --> 00:27:31,960 You? 610 00:27:31,965 --> 00:27:33,996 Just a lap chole. 611 00:27:34,001 --> 00:27:36,197 Wish I could stay and watch. 612 00:27:36,202 --> 00:27:38,533 Hey, Devi. 613 00:27:38,538 --> 00:27:41,336 Listen, uh, you talked to your sister? 614 00:27:41,341 --> 00:27:43,639 - Why? What's wrong? - Nothing. 615 00:27:43,644 --> 00:27:45,773 I was gonna drop by this afternoon 616 00:27:45,778 --> 00:27:47,809 to see if she needed any help, but 617 00:27:47,814 --> 00:27:49,677 I got this case, and I won't be 618 00:27:49,682 --> 00:27:52,280 - done till late. - I was gonna surprise her after lunch, 619 00:27:52,285 --> 00:27:53,715 but... 620 00:27:53,720 --> 00:27:55,984 I don't want her to think I don't trust her, you know? 621 00:27:55,989 --> 00:27:57,485 Yeah. I mean, she's got to learn 622 00:27:57,490 --> 00:27:59,154 to fly solo at some point, right? 623 00:27:59,159 --> 00:28:01,690 She wanted this. She chose it. 624 00:28:01,695 --> 00:28:05,027 But did she understand what she was choosing? 625 00:28:05,032 --> 00:28:07,928 - You're worried? - Maybe. 626 00:28:07,933 --> 00:28:11,231 A little, but hopeful. 627 00:28:11,236 --> 00:28:12,933 Look, I talked to her, 628 00:28:12,938 --> 00:28:15,502 and she was upbeat, 629 00:28:15,507 --> 00:28:17,805 - on top of it. - You sure? 630 00:28:17,810 --> 00:28:19,206 Yes. 631 00:28:19,211 --> 00:28:23,044 Great. You know her better than anyone. 632 00:28:23,049 --> 00:28:24,378 All right. 633 00:28:24,383 --> 00:28:26,116 See you. 634 00:28:36,528 --> 00:28:38,492 Send off another blood gas, okay? 635 00:28:38,497 --> 00:28:39,559 Mm-hmm. 636 00:28:39,564 --> 00:28:41,595 Has he gotten all the antibiotics we ordered? 637 00:28:41,600 --> 00:28:45,064 The cefepime is going in. The vanco just finished. 638 00:28:45,069 --> 00:28:46,833 Any other ideas? 639 00:28:46,838 --> 00:28:48,372 Not yet. 640 00:28:50,840 --> 00:28:52,203 Marko's sats are worsening. 641 00:28:52,208 --> 00:28:54,607 Chest images show diffuse ground glass. 642 00:28:54,612 --> 00:28:57,015 - I want to bronch him, but... - He'd have to get intubated. 643 00:28:57,020 --> 00:28:59,117 Please tell me you found a potential culprit med. 644 00:28:59,122 --> 00:29:02,954 But first, tell me, why did you stick around? 645 00:29:02,959 --> 00:29:04,856 I'm afraid of death. 646 00:29:04,861 --> 00:29:06,157 You? 647 00:29:06,162 --> 00:29:07,893 Seriously? 648 00:29:07,898 --> 00:29:09,761 You see it all the time. 649 00:29:09,766 --> 00:29:11,897 Every day, somebody dies in our ER. 650 00:29:11,902 --> 00:29:14,164 And when it happens, I walk away. 651 00:29:14,169 --> 00:29:17,334 Another team comes in, cleans the body, zips up the bag. 652 00:29:17,339 --> 00:29:18,902 One moment, a person is there, 653 00:29:18,907 --> 00:29:20,838 and the next, there's just... 654 00:29:20,843 --> 00:29:22,106 dead flesh. 655 00:29:22,111 --> 00:29:24,375 Empty eyes. Heavy limbs. 656 00:29:24,380 --> 00:29:25,809 Absence. 657 00:29:25,814 --> 00:29:28,013 When I almost lost Jessica, that's when it got personal. 658 00:29:28,017 --> 00:29:29,414 I realized it will happen to us. 659 00:29:29,419 --> 00:29:31,216 Could happen at any time. 660 00:29:31,221 --> 00:29:32,917 And it scares the hell out of me. 661 00:29:32,922 --> 00:29:34,753 Dying. 662 00:29:34,758 --> 00:29:36,355 Jessica dying. 663 00:29:36,360 --> 00:29:39,255 My parents or our family cat dying. 664 00:29:39,260 --> 00:29:41,758 It's inevitable. 665 00:29:41,763 --> 00:29:45,631 Irrational, but there it is. 666 00:29:46,334 --> 00:29:47,964 So, you don't think this guy is nuts? 667 00:29:47,969 --> 00:29:49,132 Oh, obviously. 668 00:29:49,137 --> 00:29:50,467 He's discounted the fact 669 00:29:50,472 --> 00:29:52,168 that a piano could fall on his head. 670 00:29:52,173 --> 00:29:54,404 Accidents can happen, even if you stop 671 00:29:54,409 --> 00:29:56,074 - the ticking clock. - But stopping the clock... 672 00:29:56,078 --> 00:29:58,608 - Slowing it down... - ... is appealing, I get it. 673 00:29:58,613 --> 00:30:01,311 And reading these papers, I've learned a few things. 674 00:30:01,316 --> 00:30:03,814 Who knew Dairy Queen could help you live forever? 675 00:30:03,818 --> 00:30:07,083 - Hmm? - Okay, now you lost me. 676 00:30:07,088 --> 00:30:08,385 DQ. 677 00:30:08,390 --> 00:30:10,887 It's all over the notes for his protocols. 678 00:30:10,892 --> 00:30:13,388 DQ isn't Dairy Queen. It's a combination of two meds 679 00:30:13,393 --> 00:30:14,857 that help your body get rid of old cells. 680 00:30:14,861 --> 00:30:16,792 I want to get rid of my old cells. What's in it? 681 00:30:16,797 --> 00:30:18,297 Well... 682 00:30:19,665 --> 00:30:21,029 It looks like the Q is quercetin, 683 00:30:21,034 --> 00:30:22,898 another antioxidant found in plants. 684 00:30:22,903 --> 00:30:24,769 All right, cross that one off, and the D? 685 00:30:26,139 --> 00:30:28,536 Dasatinib, that's chemo. 686 00:30:28,541 --> 00:30:30,672 Marko's been taking chemo? He is nuts. 687 00:30:30,677 --> 00:30:32,675 But wait, if he's taking dasatinib, 688 00:30:32,679 --> 00:30:34,442 then he has a compromised immune system. 689 00:30:34,447 --> 00:30:37,713 And we have a whole new differential. 690 00:30:37,718 --> 00:30:38,981 Marko. 691 00:30:38,986 --> 00:30:41,117 Hey, Marko. 692 00:30:41,122 --> 00:30:43,052 Do you take the chemo drug dasatinib? 693 00:30:43,056 --> 00:30:46,057 Yeah, yeah, I take it every day. 694 00:30:52,740 --> 00:30:54,571 Great vessels mobilized. 695 00:30:54,576 --> 00:30:56,442 Spinal rod visualized. 696 00:30:58,823 --> 00:31:01,355 Damage is extensive. 697 00:31:01,360 --> 00:31:04,291 Manipulation could cause injury to the spinal cord. 698 00:31:04,296 --> 00:31:06,226 That's why you two are here, Kit. 699 00:31:06,231 --> 00:31:08,428 Hold retraction steady. 700 00:31:08,433 --> 00:31:10,766 I'll begin working on the hardware. 701 00:31:20,278 --> 00:31:23,345 It was finally quiet in the unit. 702 00:31:25,449 --> 00:31:28,247 I wanted to see how you were doing with all of this. 703 00:31:28,252 --> 00:31:31,717 Raja was my biggest win of intern year. 704 00:31:31,722 --> 00:31:34,286 We saved his life. Now... 705 00:31:34,291 --> 00:31:36,122 he'll never be the same again, 706 00:31:36,127 --> 00:31:39,361 if he even gets out of this OR. 707 00:31:41,198 --> 00:31:42,828 And it was all avoidable. 708 00:31:42,833 --> 00:31:45,664 I can't pretend to know what was going on in his head, 709 00:31:45,669 --> 00:31:48,367 but... I can imagine. 710 00:31:48,372 --> 00:31:50,439 Tell me. 711 00:31:51,708 --> 00:31:54,273 The cancer was a trauma. 712 00:31:54,278 --> 00:31:56,175 He wanted to leave it behind, 713 00:31:56,180 --> 00:31:58,444 believe he was all better. 714 00:31:58,449 --> 00:32:02,047 Couldn't tolerate knowing if he wasn't. 715 00:32:02,052 --> 00:32:04,585 Okay, yeah, but... 716 00:32:07,590 --> 00:32:09,287 ... look at the consequences. 717 00:32:09,292 --> 00:32:12,723 I looked away many times with my dad. 718 00:32:12,728 --> 00:32:16,361 For years, there were signs that something was wrong, 719 00:32:16,366 --> 00:32:18,996 that he was altered, 720 00:32:19,001 --> 00:32:20,331 but I'd excuse it. 721 00:32:20,336 --> 00:32:22,434 I'd say it was pressure 722 00:32:22,439 --> 00:32:25,403 or stress or fatigue. 723 00:32:25,408 --> 00:32:28,139 But then, I realized, 724 00:32:28,144 --> 00:32:31,242 the next time I looked away, 725 00:32:31,247 --> 00:32:34,115 he could OD and die. 726 00:32:35,185 --> 00:32:37,182 So, you started watching him like a hawk. 727 00:32:37,187 --> 00:32:38,349 Yeah. 728 00:32:38,354 --> 00:32:41,418 But this last time, I was wrong. 729 00:32:41,423 --> 00:32:44,221 He wasn't using, the drug test proved it. 730 00:32:44,226 --> 00:32:46,190 And I... I overreacted. 731 00:32:46,195 --> 00:32:49,460 It happens to everyone who loves an addict. 732 00:32:49,465 --> 00:32:53,130 Nic had the same issue with her sister, her father. 733 00:32:53,135 --> 00:32:56,200 She spent her whole life trying to save them. 734 00:32:56,205 --> 00:32:59,637 In Al-Anon, they say let go. 735 00:32:59,642 --> 00:33:02,173 Let them take the consequences. 736 00:33:02,178 --> 00:33:03,708 Mm-hmm. 737 00:33:03,713 --> 00:33:06,811 But, sometimes, those consequences are death. 738 00:33:06,816 --> 00:33:09,546 How can a family not try to prevent that? 739 00:33:09,551 --> 00:33:12,783 I think that whatever happens with Ian, 740 00:33:12,788 --> 00:33:15,319 it is out of your control. 741 00:33:15,324 --> 00:33:17,190 He's a grown man. 742 00:33:18,460 --> 00:33:21,291 Maybe the same thing is true with Raja. 743 00:33:21,296 --> 00:33:24,394 Once he left the hospital, 744 00:33:24,399 --> 00:33:26,666 it was out of your control. 745 00:33:28,170 --> 00:33:30,770 You did everything you could, Conrad. 746 00:33:34,209 --> 00:33:36,607 Thank you. 747 00:33:38,780 --> 00:33:40,644 BP's spiking. Heart rate's slowing. 748 00:33:40,649 --> 00:33:41,978 He could be herniating. 749 00:33:41,983 --> 00:33:43,450 Check his pupils. 750 00:33:46,019 --> 00:33:47,515 Pupils unequal. 751 00:33:47,520 --> 00:33:48,984 The EVD. Nothing's coming out. 752 00:33:48,989 --> 00:33:50,819 - Must be an obstruction. - The ventriculitis. 753 00:33:50,824 --> 00:33:52,156 The pus must've clotted off the drain. 754 00:33:52,160 --> 00:33:54,392 - I'll have to relieve the pressure. - Tell me what you need. 755 00:33:54,396 --> 00:33:55,762 Craniotome to me. 756 00:34:04,405 --> 00:34:05,869 He's going into V-fib. 757 00:34:05,874 --> 00:34:08,275 I feel a pulse, but it's thready. 758 00:34:12,313 --> 00:34:14,110 He's coding. 759 00:34:14,115 --> 00:34:15,645 Almost done. 760 00:34:15,650 --> 00:34:18,284 - I'll start compressions. - Get the pads on him. 761 00:34:21,355 --> 00:34:22,922 Clear! 762 00:34:27,609 --> 00:34:30,039 Well, I was taking chemo, 763 00:34:30,044 --> 00:34:31,994 but in-in such low doses 764 00:34:31,999 --> 00:34:33,663 to clear dead cells, 765 00:34:33,668 --> 00:34:36,099 you know, to extend my life, not to threaten it. 766 00:34:36,104 --> 00:34:37,934 - It was a perfect storm. - Your strict diet 767 00:34:37,938 --> 00:34:39,902 and exercise left you dehydrated, 768 00:34:39,907 --> 00:34:42,205 which allowed for the metformin to build up 769 00:34:42,210 --> 00:34:44,007 - in your bloodstream. - That damaged your kidneys 770 00:34:44,011 --> 00:34:46,374 and caused the lactic acidosis, and that's 771 00:34:46,379 --> 00:34:48,344 what made you so short of breath when doing push-ups. 772 00:34:48,348 --> 00:34:49,945 And once your kidneys were injured, 773 00:34:49,950 --> 00:34:52,147 they couldn't metabolize the chemo fast enough, 774 00:34:52,152 --> 00:34:54,582 so it accumulated, and you couldn't fight infection. 775 00:34:54,587 --> 00:34:56,484 Which is how you got this pneumonia. 776 00:34:56,489 --> 00:34:58,920 But-but I'll be okay, right? 777 00:34:58,925 --> 00:35:01,790 It'll take some time, but with a full course of treatment, 778 00:35:01,795 --> 00:35:03,224 you should be okay. 779 00:35:03,229 --> 00:35:06,094 But you should know, Marko, that 780 00:35:06,099 --> 00:35:07,929 this could've easily killed you. 781 00:35:07,934 --> 00:35:10,665 Well... 782 00:35:10,670 --> 00:35:12,567 I guess we know what this means, right? 783 00:35:12,572 --> 00:35:14,936 No one lives forever. 784 00:35:14,941 --> 00:35:16,671 No. 785 00:35:16,676 --> 00:35:19,574 No, I meant that I should not be doing this by myself. 786 00:35:19,579 --> 00:35:21,142 I totally messed this up. 787 00:35:21,147 --> 00:35:23,511 I should be doing this under a doctor's supervision, 788 00:35:23,516 --> 00:35:25,213 - and now I have two. - Yes, but... 789 00:35:25,218 --> 00:35:26,381 No, no, no, no. You guys 790 00:35:26,386 --> 00:35:27,549 looked at the science, right? 791 00:35:27,554 --> 00:35:29,115 You saw my protocols, the regimen, 792 00:35:29,120 --> 00:35:30,385 you looked at the underlying data, 793 00:35:30,389 --> 00:35:32,453 you had to, in order to see what I took 794 00:35:32,458 --> 00:35:34,522 - to see what happened to me, right? - We did, but.... 795 00:35:34,526 --> 00:35:37,358 So, please, Doc, help me 796 00:35:37,363 --> 00:35:39,960 study how to slow down aging. 797 00:35:39,965 --> 00:35:41,928 A clinical trial. 798 00:35:41,933 --> 00:35:44,401 I will completely fund it. 799 00:35:45,471 --> 00:35:48,502 I would have to think about that some more. 800 00:35:48,507 --> 00:35:49,970 I understand. 801 00:35:49,975 --> 00:35:52,705 What if anti-aging 802 00:35:52,710 --> 00:35:55,575 wasn't the only research I was willing to fund? 803 00:35:55,580 --> 00:35:58,411 I mean, you must have other studies that need money, right? 804 00:35:58,416 --> 00:36:00,781 Doc, I... 805 00:36:00,786 --> 00:36:03,383 I don't want to just live forever. 806 00:36:03,388 --> 00:36:05,922 I want my life to have meaning. 807 00:36:09,127 --> 00:36:11,424 - Me, too. - Eh. 808 00:36:11,429 --> 00:36:12,959 I just want to live forever. 809 00:36:23,300 --> 00:36:25,531 - Hey, you. - Hey, you. 810 00:36:25,536 --> 00:36:27,390 I thought you would've gone home by now. 811 00:36:27,395 --> 00:36:30,093 Yeah, I would've thought so, too, but there was this case 812 00:36:30,098 --> 00:36:32,395 I have to tell you about it. I actually wanted to stay 813 00:36:32,400 --> 00:36:34,063 and help solve it. 814 00:36:34,068 --> 00:36:35,732 I've never heard you say that before. 815 00:36:35,737 --> 00:36:38,368 I know. I even followed him up to the ICU 816 00:36:38,373 --> 00:36:41,371 and saved his life, if I do say so myself. 817 00:36:41,376 --> 00:36:43,473 He might even remember my name. 818 00:36:43,478 --> 00:36:44,841 It's possible. 819 00:36:44,846 --> 00:36:46,910 Well, how serious is this? 820 00:36:46,915 --> 00:36:50,712 Are you considering becoming some kind of internist? 821 00:36:50,717 --> 00:36:53,915 Earlier today, I wondered... 822 00:36:53,920 --> 00:36:55,685 but I like my life as it is. 823 00:36:55,690 --> 00:36:59,355 I just want more of it. 824 00:36:59,360 --> 00:37:01,990 How about another hundred years with you? 825 00:37:01,995 --> 00:37:05,093 Okay, that sounds great. 826 00:37:07,534 --> 00:37:10,199 I'll explain it all on the drive home. 827 00:37:10,204 --> 00:37:12,034 Ooh, stop for some DQ 828 00:37:12,039 --> 00:37:14,136 - on the way? - Mm-hmm. Sure. 829 00:37:14,141 --> 00:37:16,372 I have a craving. 830 00:37:39,165 --> 00:37:41,199 I'm so sorry. 831 00:37:43,903 --> 00:37:46,136 I'll never get used to this. 832 00:37:48,140 --> 00:37:51,409 That's one of the many ways that you are special. 833 00:38:08,193 --> 00:38:10,524 Dr. Voss. 834 00:38:10,529 --> 00:38:11,991 You look awfully happy. 835 00:38:11,996 --> 00:38:14,594 Get this, my patient from today 836 00:38:14,599 --> 00:38:16,663 may be writing us a check with a whole lot 837 00:38:16,668 --> 00:38:18,365 of zeroes to fund some new research. 838 00:38:18,370 --> 00:38:20,370 I like the sound of that. What's the story? 839 00:38:20,375 --> 00:38:23,206 His name is Marko Zytylny, and he first came to me with a pitch 840 00:38:23,211 --> 00:38:24,474 about longevity 841 00:38:24,479 --> 00:38:25,975 and anti-aging science... 842 00:38:25,980 --> 00:38:28,675 Oh, Devon, please don't go selling our reputation 843 00:38:28,680 --> 00:38:31,144 to some zillionaire with delusions of immortality. 844 00:38:31,149 --> 00:38:34,713 I'm not, and it-it's not all snake oil and chemical peels. 845 00:38:34,718 --> 00:38:36,682 Besides, if we didn't explore the fringes, 846 00:38:36,687 --> 00:38:38,817 we never would've discovered antibiotics, 847 00:38:38,822 --> 00:38:40,386 evolution, or handwashing. 848 00:38:40,391 --> 00:38:43,322 Anyway, Marko is willing to fund more than one area 849 00:38:43,327 --> 00:38:45,658 of our research. Dr. Voss, we're talking 850 00:38:45,663 --> 00:38:47,693 cancer, MS, 851 00:38:47,698 --> 00:38:50,162 we name it. 852 00:38:50,167 --> 00:38:53,031 Well, now that does sound interesting. 853 00:38:53,036 --> 00:38:55,371 What do we have to do to make this real? 854 00:39:04,948 --> 00:39:06,179 Hello, beautiful. 855 00:39:06,184 --> 00:39:08,013 I didn't think you were coming home 856 00:39:08,017 --> 00:39:10,181 - until tomorrow. - Well, it was either 857 00:39:10,186 --> 00:39:13,184 one flight tomorrow or two flights today. 858 00:39:13,189 --> 00:39:15,990 I just couldn't wait to see you. 859 00:39:18,295 --> 00:39:19,691 Wow. 860 00:39:19,696 --> 00:39:21,359 That smells good. 861 00:39:25,635 --> 00:39:27,064 You look great. 862 00:39:27,069 --> 00:39:28,933 Well, I feel great. There's no pain. 863 00:39:28,938 --> 00:39:30,868 No flare-ups. It's just like... 864 00:39:30,873 --> 00:39:33,070 I'm a new man. 865 00:39:33,075 --> 00:39:36,274 And so ready to get back to you 866 00:39:36,279 --> 00:39:39,076 and my OR. Okay, so... 867 00:39:39,081 --> 00:39:43,814 ... just tell me every little thing I missed. 868 00:39:43,819 --> 00:39:45,849 Oh, Devon and I are hot on the trail 869 00:39:45,854 --> 00:39:47,551 of a major research grant. 870 00:39:47,556 --> 00:39:49,253 You are such a rock star. 871 00:39:49,258 --> 00:39:51,755 It's good news, but it doesn't solve the fact 872 00:39:51,760 --> 00:39:53,456 that the governor's cutting our funding. 873 00:39:53,461 --> 00:39:55,759 Well, it's lucky I'm in fighting shape. 874 00:39:55,764 --> 00:39:57,997 You do look healthy. 875 00:39:59,501 --> 00:40:02,099 You'd tell me if you weren't, right? If... 876 00:40:02,104 --> 00:40:04,438 if there's something I should ask? 877 00:40:06,174 --> 00:40:08,038 Not at all. I'm good. 878 00:40:08,043 --> 00:40:10,273 I-I really am. 879 00:40:10,278 --> 00:40:13,677 Where is this coming from? 880 00:40:13,682 --> 00:40:15,812 Rough case. 881 00:40:15,817 --> 00:40:18,514 I know what will make me smile. 882 00:40:18,519 --> 00:40:21,884 Showing you photos of the exquisite venue 883 00:40:21,889 --> 00:40:24,387 I booked for us, where, in a few short weeks, 884 00:40:24,392 --> 00:40:26,689 I will marry the man of my dreams. 885 00:40:26,694 --> 00:40:28,258 Can I get an invitation? 886 00:40:29,564 --> 00:40:35,698 I am so unbelievably happy you're home. 887 00:40:47,282 --> 00:40:50,479 So, I was thinking we should try that new Brazilian restaurant. 888 00:40:50,484 --> 00:40:51,516 Sure. 889 00:40:53,053 --> 00:40:56,919 Hey, are you sure you're okay not having kids? 890 00:40:56,924 --> 00:40:59,889 - Um, what? - Look at this. 891 00:40:59,894 --> 00:41:02,124 They're little miracles. 892 00:41:02,129 --> 00:41:03,695 How can I deny you that? 893 00:41:04,498 --> 00:41:06,396 Are we seriously doing this right now? 894 00:41:06,401 --> 00:41:09,636 I just don't want you to resent me. 895 00:41:11,438 --> 00:41:13,302 Well, are you changing your mind? 896 00:41:13,307 --> 00:41:15,537 No. 897 00:41:15,542 --> 00:41:17,242 I don't know. 898 00:41:23,783 --> 00:41:25,780 I always thought I'd be a father, 899 00:41:25,785 --> 00:41:27,882 but helping out for two weeks with those newborns 900 00:41:27,887 --> 00:41:30,818 and Padma while she recovered? 901 00:41:30,823 --> 00:41:32,387 It wasn't all roses. 902 00:41:32,392 --> 00:41:35,823 I mean, it was sort of a reality check. 903 00:41:35,828 --> 00:41:39,894 I mean, it's nice, you know, being the auntie and uncle. 904 00:41:39,899 --> 00:41:42,030 Those babies are cute and all, 905 00:41:42,035 --> 00:41:45,499 but you know what else is so cute? 906 00:41:45,504 --> 00:41:47,168 Hmm? 907 00:41:47,173 --> 00:41:50,441 The patio at that Brazilian restaurant. 908 00:41:51,911 --> 00:41:53,610 Come on. 909 00:42:02,821 --> 00:42:04,421 Hey. 910 00:43:36,000 --> 00:43:43,540 - Synced and corrected by Firefly - - www.addic7ed.com - 65726

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