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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:00,062 --> 00:00:04,092 The night that you left, I kissed Crockett. 2 00:00:04,117 --> 00:00:05,367 I'm sorry. 3 00:00:05,392 --> 00:00:06,891 April? Really? 4 00:00:06,916 --> 00:00:09,406 Huh? All this time acting like this? 5 00:00:09,431 --> 00:00:10,992 - Come on! - Hey! 6 00:00:11,258 --> 00:00:13,459 I couldn't let you keep treating patients. 7 00:00:13,484 --> 00:00:14,921 I had to make your addiction known. 8 00:00:14,946 --> 00:00:17,445 - What you did was a betrayal. - You're an excellent doctor. 9 00:00:17,470 --> 00:00:19,492 I wasn't about to let you throw your life away. 10 00:00:19,584 --> 00:00:22,732 You were right. They gave me my life back. 11 00:00:26,220 --> 00:00:27,886 It's beaiful, Ben. 12 00:00:27,911 --> 00:00:29,364 You're beautiful. 13 00:00:29,389 --> 00:00:31,679 I pronounce you husband and wife. 14 00:00:34,571 --> 00:00:36,412 I'll say it till the day I die: 15 00:00:36,437 --> 00:00:38,571 there is no better pizza than Chicago deep dish. 16 00:00:38,596 --> 00:00:41,148 But it's not even pizza. It's lasagna. 17 00:00:41,173 --> 00:00:42,750 We're gonna have to agree to disagree. 18 00:00:42,775 --> 00:00:44,899 I will not agree to disagree. 19 00:00:44,924 --> 00:00:46,180 No, you are flat wrong. 20 00:00:46,205 --> 00:00:48,717 Flat. The way that pizza should be. 21 00:00:50,723 --> 00:00:52,290 Lasagna, huh? 22 00:00:52,324 --> 00:00:54,023 That's good. Smart lady. 23 00:00:54,048 --> 00:00:56,086 No, Dr. Charles, not you too. 24 00:00:56,111 --> 00:00:59,769 I don't know that... That you and Dr. Asher were... 25 00:00:59,794 --> 00:01:01,211 - Friends. - Yeah. 26 00:01:01,236 --> 00:01:02,664 Good. That's good. 27 00:01:03,237 --> 00:01:04,607 And? 28 00:01:04,706 --> 00:01:07,694 And she needs a strong support system right now. 29 00:01:07,719 --> 00:01:11,155 So I'm glad that she has you as a... as a friend. 30 00:01:12,080 --> 00:01:13,346 Look, I get it. 31 00:01:13,371 --> 00:01:15,550 Romantic relationships are discouraged 32 00:01:15,575 --> 00:01:17,086 during the first year of recovery. 33 00:01:17,111 --> 00:01:19,811 Neurochemically, very little difference between 34 00:01:19,836 --> 00:01:22,734 the dopamine rush that we get from drugs and alcohol 35 00:01:22,848 --> 00:01:24,750 and the rush that we get from romance. 36 00:01:25,225 --> 00:01:26,924 Well, you know, I'm sure as with anything, 37 00:01:26,949 --> 00:01:28,968 there are exceptions to the rule. 38 00:01:28,993 --> 00:01:31,426 I have never actually seen that go well. 39 00:01:31,451 --> 00:01:33,305 Well, at least not in my, you know, 40 00:01:33,330 --> 00:01:36,109 three decades of experience counseling people in recovery. 41 00:01:36,134 --> 00:01:37,469 Next! 42 00:01:42,511 --> 00:01:44,063 Hey. 43 00:01:44,230 --> 00:01:46,024 So how are things with Ethan? 44 00:01:46,141 --> 00:01:48,735 Okay, I guess. 45 00:01:48,891 --> 00:01:50,461 I tried to get him to talk about it, 46 00:01:50,486 --> 00:01:51,742 and he hasn't wanted to. 47 00:01:51,767 --> 00:01:54,429 Hmm, maybe that's his way of processing. 48 00:01:54,624 --> 00:01:56,784 Yeah. Maybe. 49 00:01:57,917 --> 00:01:59,507 Will, you're up. 50 00:01:59,532 --> 00:02:01,622 Ambo's landed. You're going to Trauma 2. 51 00:02:01,647 --> 00:02:03,290 All right. 52 00:02:05,513 --> 00:02:07,586 Evelyn Myers. 49-year-old female 53 00:02:07,611 --> 00:02:10,070 with progressive early-onset Alzheimer's. Passed out at home. 54 00:02:10,095 --> 00:02:12,388 Did a 12-lead in the ambo. She's got peaked T Waves. 55 00:02:12,413 --> 00:02:14,185 And did she hit her head when she passed out? 56 00:02:14,210 --> 00:02:15,957 Her daughter, Molly, didn't think so. 57 00:02:15,982 --> 00:02:17,648 No overt signs of head trauma. 58 00:02:17,673 --> 00:02:18,977 I'm pretty sure that she didn't, 59 00:02:19,002 --> 00:02:20,905 but I was in the other room when it happened. 60 00:02:20,930 --> 00:02:22,891 I shouldn't have left her alone. 61 00:02:22,916 --> 00:02:24,736 Evelyn, I'm Dr. Halstead. 62 00:02:24,761 --> 00:02:27,440 All right, on my count. One, two, three. 63 00:02:28,459 --> 00:02:30,031 - Thanks, guys. - Yup. 64 00:02:33,609 --> 00:02:35,016 Rhonchi, both sides. 65 00:02:35,041 --> 00:02:36,574 Blunted breath sounds at the base. 66 00:02:36,931 --> 00:02:38,445 2 plus pitting edema. 67 00:02:40,512 --> 00:02:41,696 Yeah. 68 00:02:44,321 --> 00:02:47,255 Molly, is your mom on any medications for kidney disease? 69 00:02:47,280 --> 00:02:48,547 I'm not sure. 70 00:02:48,572 --> 00:02:50,839 She takes something called Capto... 71 00:02:50,864 --> 00:02:52,992 - Captopril? - I think so. 72 00:02:53,017 --> 00:02:54,461 Sorry, I'm not with her every day. 73 00:02:54,486 --> 00:02:55,844 I'm just home for spring break. 74 00:02:55,869 --> 00:02:57,633 Any family history of kidney problems? 75 00:02:57,658 --> 00:02:59,515 Uh, yeah, yeah. 76 00:02:59,540 --> 00:03:01,328 My grandma, my mom's mom, she had 77 00:03:01,353 --> 00:03:02,641 something wrong with her kidneys. 78 00:03:02,666 --> 00:03:04,056 My dad will know what it's called. 79 00:03:04,081 --> 00:03:06,081 - CBC, CMP stat. - What's going on? 80 00:03:07,598 --> 00:03:10,623 Molly, I told you to call me if anything happened with Mom. 81 00:03:10,648 --> 00:03:12,385 Sorry, Dad. I just freaked out. 82 00:03:12,410 --> 00:03:13,736 It's okay. 83 00:03:13,996 --> 00:03:16,267 - Hi, I'm Dr. Halstead. - Elliot. 84 00:03:16,292 --> 00:03:18,709 Elliot, well, we still need labs, 85 00:03:18,734 --> 00:03:22,033 but I suspect Evelyn's in acute renal failure. 86 00:03:22,058 --> 00:03:23,955 In which case, she needs emergency dialysis. 87 00:03:23,980 --> 00:03:26,041 No. No dialysis. 88 00:03:26,501 --> 00:03:28,793 It's against Evelyn's advance directive. 89 00:03:29,130 --> 00:03:31,087 Don't listen to him. He lies. 90 00:03:32,201 --> 00:03:35,525 Evelyn, honey, you signed an advance directive. 91 00:03:35,550 --> 00:03:37,478 Advance directive? What is that, Dad? 92 00:03:37,503 --> 00:03:39,705 No, I didn't sign anything. No. 93 00:03:39,730 --> 00:03:41,822 You don't want dialysis, my love. 94 00:03:41,847 --> 00:03:44,439 Yes, I do. I do! 95 00:03:44,464 --> 00:03:45,935 Help me! 96 00:03:47,175 --> 00:03:52,197 - Synced and corrected by martythecrazy - - www.addic7ed.com - 97 00:03:57,463 --> 00:03:59,064 - Hey, take a look. 98 00:03:59,393 --> 00:04:01,992 Did you get Mrs. Myers' lab work back? 99 00:04:02,132 --> 00:04:04,603 She's profoundly uremic and hyperkalemic. 100 00:04:04,628 --> 00:04:05,980 She's not making urine. 101 00:04:06,005 --> 00:04:07,738 If we don't dialyze her, she'll die. 102 00:04:07,763 --> 00:04:10,081 Well, I've reviewed her advance directive. 103 00:04:10,106 --> 00:04:13,995 She prepared it shortly after her Alzheimer's diagnosis, 104 00:04:14,020 --> 00:04:16,130 and I'll tell you, Mrs. Myers outlined 105 00:04:16,155 --> 00:04:20,690 a number of interventions she didn't want including dialysis. 106 00:04:20,715 --> 00:04:23,616 And she appointed her husband to be her proxy 107 00:04:23,641 --> 00:04:25,724 when she could no longer speak for herself. 108 00:04:25,781 --> 00:04:27,514 But she can speak for herself, 109 00:04:27,539 --> 00:04:28,932 and she has changed her mind. 110 00:04:28,957 --> 00:04:30,990 I mean, people can modify their advanced directives 111 00:04:31,015 --> 00:04:32,015 at any time, right? 112 00:04:32,040 --> 00:04:34,237 As long as they still have decisional capacity. 113 00:04:34,601 --> 00:04:36,597 Well, you do an evaluation 114 00:04:36,622 --> 00:04:38,854 and then we'll take it from there. 115 00:04:38,948 --> 00:04:40,365 Great. 116 00:04:42,350 --> 00:04:43,726 - Sharon? - Yeah. 117 00:04:43,751 --> 00:04:45,718 Your assistant called. Michael's plane has landed. 118 00:04:45,743 --> 00:04:47,247 Oh, good. 119 00:04:47,272 --> 00:04:50,745 It's silly, I know, but he's 33 years old. 120 00:04:50,770 --> 00:04:53,063 - Mm-hmm. - I still get nervous when he flies. 121 00:04:54,564 --> 00:04:57,316 I guess I just feel a lot better 122 00:04:57,341 --> 00:05:00,276 when I know he's got two feet back on the ground. 123 00:05:00,301 --> 00:05:02,093 Well, he's your baby boy. 124 00:05:02,118 --> 00:05:04,539 - How long is he in town? - Just 24 hours. 125 00:05:04,564 --> 00:05:08,308 Interviewing for a sales job at Kender Bio Systems. 126 00:05:08,333 --> 00:05:10,925 I would love to have at least one of my kids 127 00:05:10,950 --> 00:05:12,328 living in the city. 128 00:05:12,353 --> 00:05:15,117 Need some help over here! 129 00:05:15,142 --> 00:05:17,555 This is Nick Elms. 130 00:05:17,580 --> 00:05:19,563 Experiencing severe abdominal pain. 131 00:05:19,588 --> 00:05:21,948 Haven't finished uploading his information into the system. 132 00:05:21,973 --> 00:05:23,783 I can tell you anything you need to know. 133 00:05:23,808 --> 00:05:25,141 I'm his wife, Alice. 134 00:05:25,166 --> 00:05:27,162 - Trini, where we headed? - 4's open. 135 00:05:27,187 --> 00:05:28,547 Just breathe. 136 00:05:28,572 --> 00:05:30,668 All right, Mr. Elms, we're gonna take you right here. 137 00:05:30,693 --> 00:05:32,633 Ready? 138 00:05:32,658 --> 00:05:35,079 One, two, three. There you go. 139 00:05:35,104 --> 00:05:37,555 All right. When did the pain start? 140 00:05:37,580 --> 00:05:38,580 Last night. 141 00:05:38,605 --> 00:05:42,634 Nick has a condition called familial adenomatous polyposis. 142 00:05:42,659 --> 00:05:44,633 - It causes polyps in his... - Colon and rectum. 143 00:05:44,658 --> 00:05:47,557 I'm familiar. 144 00:05:47,658 --> 00:05:50,659 - When was he first diagnosed? - Five years ago. 145 00:05:50,684 --> 00:05:53,516 It had already developed into colorectal cancer. 146 00:05:53,541 --> 00:05:55,508 He had multiple runs of chemo, 147 00:05:55,533 --> 00:05:57,274 but it came back again last year. 148 00:05:57,320 --> 00:05:59,680 He developed congestive heart failure from the chemo. 149 00:05:59,705 --> 00:06:00,836 Nick, can you tell me 150 00:06:00,861 --> 00:06:02,376 when you had your last bowel movement? 151 00:06:02,401 --> 00:06:03,766 Yesterday morning. 152 00:06:04,150 --> 00:06:06,283 No, the day before. 153 00:06:06,308 --> 00:06:08,016 All right, well, we do need a CT scan, 154 00:06:08,041 --> 00:06:10,169 but I'm worried there's a colonic obstruction. 155 00:06:10,194 --> 00:06:12,906 Which means a colostomy, right? 156 00:06:12,931 --> 00:06:13,953 Mm-hmm. 157 00:06:13,978 --> 00:06:15,862 My doc warned me that was coming. 158 00:06:15,887 --> 00:06:17,377 Well, it may be short term. 159 00:06:17,402 --> 00:06:19,507 In as a little as 12 weeks, they can reverse... 160 00:06:19,532 --> 00:06:21,539 That's long term for me, Doc. 161 00:06:21,701 --> 00:06:24,469 I got four months left at the most. 162 00:06:24,764 --> 00:06:28,071 I really gotta spend it defecating into a bag? 163 00:06:32,885 --> 00:06:36,156 Hey, Mags, can you page general surgery for a consult? 164 00:06:36,218 --> 00:06:37,835 Patient is Nick Elms. 165 00:06:37,898 --> 00:06:41,188 Late stage colorectal cancer due to FAP. 166 00:06:41,213 --> 00:06:42,913 Suspected colonic obstruction. 167 00:06:42,938 --> 00:06:44,259 - Mm-hmm. - Thank you. 168 00:06:44,284 --> 00:06:45,615 Got it. 169 00:06:47,747 --> 00:06:49,243 - Hey, Mags. - Mm-hmm? 170 00:06:49,268 --> 00:06:50,744 I can do the consult. 171 00:06:51,041 --> 00:06:52,373 You sure? 172 00:06:52,398 --> 00:06:53,883 I thought you were clocking out. 173 00:06:53,908 --> 00:06:56,071 Yeah, well, I got nowhere to be till cocktail hour. 174 00:06:56,096 --> 00:06:58,086 Have at it. 175 00:07:03,953 --> 00:07:06,602 Come in. 176 00:07:07,494 --> 00:07:09,054 Bert. 177 00:07:09,653 --> 00:07:11,053 What's up? 178 00:07:11,078 --> 00:07:13,768 Sorry to show up unannounced. 179 00:07:13,941 --> 00:07:16,646 I spoke with Michael. 180 00:07:17,790 --> 00:07:20,591 With him in town, I thought it would be a good opportunity 181 00:07:20,616 --> 00:07:22,249 to smooth things over with him. 182 00:07:22,274 --> 00:07:25,250 Our relationship hasn't been the best since the divorce. 183 00:07:25,275 --> 00:07:27,375 That's between you and Michael. 184 00:07:27,536 --> 00:07:33,245 I just thought if I told him about us... 185 00:07:33,855 --> 00:07:35,581 Whoa, whoa, whoa. 186 00:07:35,926 --> 00:07:38,930 Uh, told him what exactly? 187 00:07:38,955 --> 00:07:42,024 Jus that we've been seeing each other. 188 00:07:44,633 --> 00:07:47,211 I should've checked with you first. 189 00:07:47,236 --> 00:07:50,388 Yeah. That would've been nice. 190 00:07:50,701 --> 00:07:53,719 And now we're seeing each other? 191 00:07:53,744 --> 00:07:56,266 We're seeing each other? 192 00:07:56,291 --> 00:07:58,238 We go out once a week, Sharon. 193 00:07:58,263 --> 00:07:59,712 What would you call it? 194 00:08:00,691 --> 00:08:03,276 Look, Bert, I don't have time for this. 195 00:08:04,380 --> 00:08:05,904 Okay. 196 00:08:07,000 --> 00:08:13,074 Advertise your product or brand here contact www.OpenSubtitles.org today 197 00:08:17,382 --> 00:08:19,918 Babe, what are you doing here? 198 00:08:21,249 --> 00:08:23,469 And who's your sidekick? 199 00:08:23,494 --> 00:08:25,613 This is Auggie, one of my students. 200 00:08:25,638 --> 00:08:28,008 Auggie this is my wife, Ms. Lockwood. 201 00:08:28,132 --> 00:08:30,065 Nonsense. You call me Maggie. 202 00:08:30,137 --> 00:08:32,904 - Hi, Maggie. - What's going on, little man? 203 00:08:33,878 --> 00:08:36,735 Auggie has cirrhosis from something they call 204 00:08:36,760 --> 00:08:38,269 chronic autoimmune... 205 00:08:38,294 --> 00:08:41,284 - Autoimmune chronic hepatitis? - Yup, that. 206 00:08:41,518 --> 00:08:43,441 And when he showed up at school this morning, 207 00:08:43,466 --> 00:08:44,832 he sounded winded. 208 00:08:44,857 --> 00:08:47,153 He was running a slight fever as well. 209 00:08:47,178 --> 00:08:48,745 All right, little man. 210 00:08:48,770 --> 00:08:50,781 Why don't you come with me, fellas? 211 00:08:50,947 --> 00:08:52,909 We're going right here. 212 00:08:53,433 --> 00:08:57,830 Babe, why don't you help Auggie hop up and grab a seat? 213 00:08:57,855 --> 00:08:59,449 All right. 214 00:09:01,828 --> 00:09:03,961 Why don't you scoot back, Auggie? 215 00:09:03,986 --> 00:09:05,416 There you go. 216 00:09:05,441 --> 00:09:08,189 And I am gonna grab you 217 00:09:08,214 --> 00:09:10,510 all the fruit snacks you could want. 218 00:09:10,885 --> 00:09:12,678 I don't have any money. 219 00:09:13,957 --> 00:09:16,014 You're a very important person, Auggie. 220 00:09:16,191 --> 00:09:18,479 The fruit snacks are on the house. 221 00:09:20,610 --> 00:09:22,396 Give me a sec. 222 00:09:25,489 --> 00:09:26,985 Earl. 223 00:09:28,138 --> 00:09:31,113 Do you mind keeping my friend Auggie company for a sec? 224 00:09:31,768 --> 00:09:33,283 Oh, no. Not at all. 225 00:09:33,386 --> 00:09:35,213 Awesome. Auggie, this is Earl. 226 00:09:35,238 --> 00:09:36,737 He works here. 227 00:09:37,472 --> 00:09:38,997 Hey, big man. 228 00:09:39,690 --> 00:09:42,166 All right, buddy, give me some. 229 00:09:42,673 --> 00:09:44,751 Bop, bam, boom. 230 00:09:45,003 --> 00:09:46,754 Did you get ahold of his parents? 231 00:09:46,783 --> 00:09:48,096 Auggie's in foster care. 232 00:09:48,121 --> 00:09:51,009 I haven't been able to reach his foster mom, Ruth, just yet. 233 00:09:51,034 --> 00:09:52,822 - But I'll keep trying. - All right. 234 00:09:52,847 --> 00:09:54,588 I'll go get a doctor and some fruit snacks. 235 00:09:54,613 --> 00:09:56,824 Oh, babe, did you remember to... 236 00:09:56,849 --> 00:09:59,073 To call the spa at the resort? 237 00:09:59,643 --> 00:10:01,509 We're booked for a couples massage 238 00:10:01,534 --> 00:10:03,229 on the beach tomorrow morning. 239 00:10:06,260 --> 00:10:08,471 Joy, you fractured your distal fibula. 240 00:10:08,496 --> 00:10:10,166 It doesn't require surgery, 241 00:10:10,191 --> 00:10:12,432 but you'll need to be in a boot for 6-8 weeks. 242 00:10:12,489 --> 00:10:13,852 I feel like I'm cursed. 243 00:10:13,877 --> 00:10:15,659 You know, I started this diet two months ago. 244 00:10:15,684 --> 00:10:18,072 I can't lose any weight. That's why I joined the gym. 245 00:10:18,097 --> 00:10:19,440 I thought I had to exercise more. 246 00:10:19,465 --> 00:10:21,332 Babe, what happened? 247 00:10:21,357 --> 00:10:23,141 You passed out on the treadmill? 248 00:10:23,166 --> 00:10:26,291 Dr. Choi, Nurse Sexton, this is Max, my fiancé. 249 00:10:26,440 --> 00:10:28,322 I was telling them the reason I joined the gym 250 00:10:28,347 --> 00:10:30,213 is 'cause I was having trouble losing weight. 251 00:10:30,238 --> 00:10:31,538 - You look great. - Max! 252 00:10:31,563 --> 00:10:33,956 It's not about that, right? 253 00:10:34,895 --> 00:10:37,012 Now I just wanna get healthier. 254 00:10:37,124 --> 00:10:38,697 Well, Joy, there are certain conditions 255 00:10:38,722 --> 00:10:40,338 that could make weight loss difficult, 256 00:10:40,363 --> 00:10:42,190 but most of them are commonly treatable. 257 00:10:42,215 --> 00:10:44,182 While you're here, we can run some tests 258 00:10:44,207 --> 00:10:45,740 if you don't mind waiting a bit. 259 00:10:45,838 --> 00:10:48,260 - Sounds good. - April, let's get a CBC, FSH, TSH, 260 00:10:48,285 --> 00:10:49,510 and a cortisol level to start. 261 00:10:49,535 --> 00:10:50,837 - Okay. - We'll see you in a bit. 262 00:10:50,862 --> 00:10:52,567 All right. Thanks. 263 00:11:04,941 --> 00:11:07,250 Hey Ethan, listen, man, I... 264 00:11:13,664 --> 00:11:15,213 How'd it go? 265 00:11:15,300 --> 00:11:18,935 Evelyn definitely does not have decisional capacity. 266 00:11:18,960 --> 00:11:22,182 I mean, she didn't understand the treatment being offered 267 00:11:22,207 --> 00:11:25,228 or even that she had an issue with her kidneys in the first place. 268 00:11:26,207 --> 00:11:28,523 Did she seem depressed? Suicidal? 269 00:11:28,704 --> 00:11:30,399 No, I wouldn't say that. 270 00:11:30,424 --> 00:11:32,544 So, she still possesses the will to live. 271 00:11:32,569 --> 00:11:34,569 She just can't articulate it clearly. 272 00:11:34,811 --> 00:11:37,177 Well, except that when she was of sound mind, 273 00:11:37,202 --> 00:11:40,677 she made it very clear in writing and to her husband... 274 00:11:40,702 --> 00:11:43,373 Who she seems highly suspicious of, by the way. 275 00:11:43,398 --> 00:11:44,427 That's not uncommon. 276 00:11:44,452 --> 00:11:46,623 I mean, it's often the primary caregivers 277 00:11:46,648 --> 00:11:48,591 that get the brunt of the paranoia 278 00:11:48,616 --> 00:11:50,130 in situations like this. 279 00:11:50,155 --> 00:11:51,221 Well, I... I don't know. 280 00:11:51,246 --> 00:11:54,048 Maybe it's worth convening an ethics committee then? 281 00:11:54,073 --> 00:11:55,572 An ethics committee? 282 00:11:55,597 --> 00:11:57,177 Yeah, just get some other perspectives. 283 00:11:57,278 --> 00:11:58,944 Will, I don't think that's necessary. 284 00:11:58,969 --> 00:12:00,568 I gave her a very thorough evaluation. 285 00:12:00,593 --> 00:12:02,493 I'm confident in my assessment. 286 00:12:02,518 --> 00:12:04,442 Yeah, but ultimately, it is subjective. 287 00:12:04,467 --> 00:12:05,748 - Your opinion... - That's right. 288 00:12:05,773 --> 00:12:07,753 My professional opinion, which is based on... 289 00:12:07,778 --> 00:12:09,223 Decades of experience. I know. 290 00:12:09,248 --> 00:12:11,774 That's right. Decades of experience. 291 00:12:15,523 --> 00:12:17,029 I'll see ya. 292 00:12:23,677 --> 00:12:25,130 Oh. 293 00:12:25,560 --> 00:12:27,496 ‭Why does it look like that? 294 00:12:27,617 --> 00:12:29,031 Ascites. 295 00:12:29,056 --> 00:12:31,423 Fluid accumulates in the peritoneal cavity. 296 00:12:31,560 --> 00:12:33,498 Can happen in patients with cirrhosis. 297 00:12:37,011 --> 00:12:39,497 Did you tell Ruth that your belly was hurting this morning? 298 00:12:39,731 --> 00:12:42,560 She goes to work before the school bus comes. 299 00:12:42,585 --> 00:12:44,441 Auggie, I'm going to need to do a procedure 300 00:12:44,466 --> 00:12:45,942 called paracentesis. 301 00:12:45,967 --> 00:12:47,708 What I'll do is I'll insert a needle... 302 00:12:47,733 --> 00:12:50,354 A needle into my tummy to get all the bad stuff out. 303 00:12:53,614 --> 00:12:57,987 It's not so bad, Mr. Campbell. Just sounds scary. 304 00:12:58,564 --> 00:13:00,572 So I'll be performing the abdominal portion 305 00:13:00,597 --> 00:13:01,997 of the surgery robotically, 306 00:13:02,022 --> 00:13:04,536 while Dr. Castaneda works endoscopically from below. 307 00:13:04,629 --> 00:13:06,396 Dr. Manning. Perfect timing. 308 00:13:06,469 --> 00:13:09,856 Good morning, Dr. Marcel. Robots and endoscopes? 309 00:13:09,881 --> 00:13:11,348 Doesn't sound like a colostomy. 310 00:13:11,373 --> 00:13:14,521 Yeah, Nick and Alice and I were discussing it 311 00:13:14,546 --> 00:13:16,302 and we're gonna take a different approach. 312 00:13:16,327 --> 00:13:18,797 Transanal Total Mesorectal Excision. 313 00:13:19,092 --> 00:13:20,635 TaTME. 314 00:13:20,854 --> 00:13:23,690 I'm sorry, forgive me. I'm not familiar with it. 315 00:13:23,715 --> 00:13:27,067 I am aware of TME, which is a major surgery. 316 00:13:27,092 --> 00:13:29,474 Right, well, this is a new approach 317 00:13:29,499 --> 00:13:31,333 that allows for better visualization 318 00:13:31,358 --> 00:13:34,075 and removal of tumors in the lower rectum. 319 00:13:34,100 --> 00:13:35,949 Well, I'm sure you've explained the risks 320 00:13:35,974 --> 00:13:37,020 to Nick and Alice. 321 00:13:37,045 --> 00:13:38,474 I sure have. Yeah? 322 00:13:38,499 --> 00:13:40,075 We're ready to move Mr. Elms upstairs. 323 00:13:40,100 --> 00:13:42,066 Great. All right. 324 00:13:42,611 --> 00:13:44,505 So I'll see you in a couple hours. 325 00:13:44,530 --> 00:13:46,163 - Thanks. Dr. Marcel. - All right. 326 00:13:46,188 --> 00:13:48,013 Alice, I'll see you. 327 00:13:50,766 --> 00:13:52,427 - Crockett. - Yeah? 328 00:13:52,452 --> 00:13:54,748 Why would you suggest a radical surgery 329 00:13:54,773 --> 00:13:56,073 for a terminal patient? 330 00:13:56,098 --> 00:13:57,564 Even if it's successful, 331 00:13:57,589 --> 00:14:00,052 it is highly unlikely it's gonna save his life. 332 00:14:00,077 --> 00:14:01,676 But it could buy him more time 333 00:14:01,701 --> 00:14:03,145 and a better quality of life. 334 00:14:03,170 --> 00:14:04,880 Yeah, if he doesn't die on the table, 335 00:14:04,905 --> 00:14:06,966 which is a real risk, given his heart problems. 336 00:14:06,991 --> 00:14:08,677 And I didn't sugarcoat that risk. 337 00:14:08,702 --> 00:14:10,192 He has seen many surgeons, 338 00:14:10,217 --> 00:14:12,317 and none of them have put this option on the table. 339 00:14:12,342 --> 00:14:14,177 Yeah, 'cause most of them are gutless, 340 00:14:14,202 --> 00:14:15,411 obsessed with their stats. 341 00:14:15,436 --> 00:14:17,703 Okay, you say gutless. I'd say pragmatic. 342 00:14:17,728 --> 00:14:19,110 Oof. 343 00:14:19,568 --> 00:14:21,912 I see us edging towards a semantics debate. 344 00:14:21,937 --> 00:14:23,770 I know when I'm out of my depth. 345 00:14:29,450 --> 00:14:31,294 Why don't you just stay with me? 346 00:14:31,319 --> 00:14:33,192 No, the company's putting me up at the Peninsula. 347 00:14:33,217 --> 00:14:36,343 Ooh, fancy! They must really want you. 348 00:14:36,368 --> 00:14:38,735 Mm-hmm. 349 00:14:40,882 --> 00:14:43,911 So I gotta ask about this nonsense Dad was talking. 350 00:14:44,719 --> 00:14:46,678 It's not for real, right? 351 00:14:49,406 --> 00:14:51,707 Wait, you're not seriously considering taking Dad back? 352 00:14:51,741 --> 00:14:53,123 Michael. 353 00:14:53,172 --> 00:14:56,341 He... he walked out after 35 years of marriage. 354 00:14:56,474 --> 00:14:58,199 Ink was barely dry on the divorce papers 355 00:14:58,224 --> 00:15:02,193 - when he started seeing someone else. - Your father and I had a drink. 356 00:15:02,696 --> 00:15:04,697 Maybe he read more into it. 357 00:15:06,434 --> 00:15:08,325 So you're not dating or anything? 358 00:15:10,173 --> 00:15:11,818 No. 359 00:15:12,175 --> 00:15:13,717 I figured he was full of it. 360 00:15:15,993 --> 00:15:17,726 So are we still on for dinner? 361 00:15:18,330 --> 00:15:21,404 I got us a reservation at Swift & Sons for seven. 362 00:15:21,429 --> 00:15:23,434 No, no, no! That's too expensive! 363 00:15:23,459 --> 00:15:26,318 Only the best for my mom! 364 00:15:26,614 --> 00:15:28,388 And the company's paying for it. 365 00:15:36,428 --> 00:15:40,052 Hey, are you busy tonight? 366 00:15:40,350 --> 00:15:43,235 This new Thai place opened up in the neighborhood. 367 00:15:43,631 --> 00:15:46,832 - Wanna give it a whirl? - Let's give it a whirl. 368 00:15:46,881 --> 00:15:48,248 Seven-ish? 369 00:15:48,319 --> 00:15:49,716 Works for me. 370 00:15:56,526 --> 00:15:59,210 Dr. Choi, something's wrong! 371 00:16:01,955 --> 00:16:03,381 5 of Ativan. 372 00:16:03,681 --> 00:16:05,447 Has Joy ever had a seizure before? 373 00:16:05,472 --> 00:16:06,917 No. Never. 374 00:16:07,034 --> 00:16:09,344 Joy? Babe? 375 00:16:09,948 --> 00:16:11,941 Well, I thought you said all her labs were normal. 376 00:16:11,966 --> 00:16:14,019 - They were. - Meds are in. 377 00:16:14,044 --> 00:16:16,075 Well, so, is this like an allergic reaction 378 00:16:16,100 --> 00:16:17,327 to something you gave her? 379 00:16:17,352 --> 00:16:20,021 We only gave her ibuprofen, and she's had that before. 380 00:16:26,238 --> 00:16:29,305 "TaTME: Innovative Surgery for Rectal Cancer," 381 00:16:29,330 --> 00:16:31,886 co-authored by Crockett Marcel, M.D. 382 00:16:31,911 --> 00:16:34,612 Oh, you internet stalking me, Manning? 383 00:16:34,637 --> 00:16:35,831 Don't flatter yourself. 384 00:16:35,856 --> 00:16:38,290 I found it when I was researching the procedure. 385 00:16:38,457 --> 00:16:39,808 Good for you. 386 00:16:39,833 --> 00:16:42,501 You spent your lab-year studying the technique. 387 00:16:42,526 --> 00:16:44,519 You did your fellowship in the surgical center 388 00:16:44,544 --> 00:16:46,119 that helped pioneer it. 389 00:16:46,144 --> 00:16:47,769 Which makes me, what? 390 00:16:47,794 --> 00:16:49,644 Highly qualified to perform the procedure? 391 00:16:49,669 --> 00:16:51,579 No, it makes you biased 392 00:16:51,604 --> 00:16:54,305 and motivated by professional advancement. 393 00:16:56,861 --> 00:16:59,436 You see what you want to see. Excuse me. 394 00:17:00,886 --> 00:17:02,617 You are potentially costing Nick 395 00:17:02,642 --> 00:17:05,518 the chance to see the birth of his child. 396 00:17:05,992 --> 00:17:08,993 What, so you can get a shot at performing a complex surgery? 397 00:17:09,018 --> 00:17:12,286 I answer to my patients, not to you. 398 00:17:19,790 --> 00:17:22,251 - Sats are down to 85. - Get her on a mask. 399 00:17:22,342 --> 00:17:24,085 What's wrong with her? 400 00:17:24,110 --> 00:17:26,254 She has fluid in her lungs. Another dose of Lasix. 401 00:17:26,285 --> 00:17:29,425 I gave her 10mg an hour ago. It's not working. 402 00:17:30,157 --> 00:17:31,790 Just do it. 403 00:17:32,206 --> 00:17:34,873 - Where's your father? - We went to get his coffee. 404 00:17:35,805 --> 00:17:37,271 Stats are still dropping. 405 00:17:37,296 --> 00:17:39,230 You have to do something! Help her! 406 00:17:39,255 --> 00:17:40,922 Molly, I would need to intubate. 407 00:17:40,947 --> 00:17:42,360 - So do that. - I can't. 408 00:17:42,385 --> 00:17:44,112 It's against your mom's advanced directive. 409 00:17:44,153 --> 00:17:46,776 Mom, you have to listen to me, okay? 410 00:17:46,801 --> 00:17:49,566 You want the doctor to help you, right? 411 00:17:50,721 --> 00:17:52,322 Mom, please. 412 00:17:54,745 --> 00:17:56,509 What was that, Mom? 413 00:18:00,377 --> 00:18:02,277 - Molly? - That's right. 414 00:18:02,302 --> 00:18:03,915 It's me. It's Molly. 415 00:18:03,940 --> 00:18:06,149 She hasn't called me Molly in months. 416 00:18:06,463 --> 00:18:07,996 Evelyn? 417 00:18:08,562 --> 00:18:11,363 Do you want me to save your life? 418 00:18:11,506 --> 00:18:13,516 Yeah, I need a verbal response. 419 00:18:13,634 --> 00:18:16,105 Do I have your permission to intubate, to save your life? 420 00:18:16,130 --> 00:18:17,446 Yes or no? 421 00:18:17,471 --> 00:18:18,603 Yes. 422 00:18:18,746 --> 00:18:20,725 Intubation. Give 70 of ketamine. 423 00:18:20,809 --> 00:18:22,642 Mom, it's gonna be okay. 424 00:18:36,773 --> 00:18:39,537 Okay, I'm in. Bag her. 425 00:18:40,733 --> 00:18:44,250 Oh, my God. What the hell did you just do? 426 00:18:51,279 --> 00:18:55,027 I mean, really. This is like déjà vu. 427 00:18:55,121 --> 00:18:56,590 Getting sued didn't teach you 428 00:18:56,615 --> 00:19:00,019 why you don't ignore an advance directive? 429 00:19:00,044 --> 00:19:02,347 Ms. Goodwin, this is a completely different situation. 430 00:19:02,372 --> 00:19:05,121 I wasn't ignoring the patient's wishes, I was honoring them, 431 00:19:05,146 --> 00:19:06,762 and her daughter will back me up on that. 432 00:19:06,787 --> 00:19:08,754 Yes? 433 00:19:09,452 --> 00:19:11,480 Peter Kalmick is waiting for you in the board room. 434 00:19:11,505 --> 00:19:13,035 Tell him I'll be right there. 435 00:19:13,060 --> 00:19:17,200 Excuse me while I attempt to clean up your mess. 436 00:19:21,089 --> 00:19:22,922 Dr. Charles, you weren't there. 437 00:19:22,947 --> 00:19:24,205 Oh, come on, Will. 438 00:19:24,530 --> 00:19:27,133 An Alzheimer's patient has a fluctuation in cognition 439 00:19:27,158 --> 00:19:30,415 doesn't mean they've recovered their decisional capacity. 440 00:19:30,611 --> 00:19:32,554 I mean, when Evelyn was making her wishes known, 441 00:19:32,579 --> 00:19:34,032 she certainly understood that. 442 00:19:34,057 --> 00:19:35,829 The most important thing she understood 443 00:19:35,854 --> 00:19:37,540 is that eventually this disease 444 00:19:37,565 --> 00:19:39,888 was going to take everything from her. 445 00:19:40,214 --> 00:19:41,724 Signing that piece of paper 446 00:19:41,749 --> 00:19:44,056 was her final act of self-determination. 447 00:19:55,038 --> 00:19:57,954 - Alice. - Dr. Manning. 448 00:19:58,028 --> 00:19:59,898 I was just heading up to pre-op to meet Nick. 449 00:19:59,923 --> 00:20:01,872 Oh, good. I'm so glad I caught you. 450 00:20:01,935 --> 00:20:04,324 You know, everything just moved to quickly this morning. 451 00:20:04,349 --> 00:20:07,783 I wanted to make sure that you are onboard with the surgery. 452 00:20:07,808 --> 00:20:09,108 I'm not. 453 00:20:09,133 --> 00:20:10,899 Well, did you tell Nick how you feel? 454 00:20:10,924 --> 00:20:12,695 I begged him not to do it, 455 00:20:12,720 --> 00:20:15,421 especially after Dr. Marcel warned us about the risks, 456 00:20:15,586 --> 00:20:17,079 but Nick was adamant. 457 00:20:17,434 --> 00:20:20,381 He said he wanted to help improve 458 00:20:20,406 --> 00:20:22,294 the treatment options for our son, 459 00:20:22,319 --> 00:20:25,017 even if it meant he may not live to see him. 460 00:20:25,862 --> 00:20:27,203 Your son. 461 00:20:27,228 --> 00:20:29,661 He could inherit the FAP gene. 462 00:20:29,706 --> 00:20:31,439 There's a 50% chance. 463 00:20:32,545 --> 00:20:34,734 This pregnancy was a surprise. 464 00:20:34,908 --> 00:20:36,718 When we found out, all Nick could think about 465 00:20:36,743 --> 00:20:38,358 was our baby's future, 466 00:20:38,383 --> 00:20:41,356 and doing everything he could 467 00:20:41,381 --> 00:20:44,341 to prevent our son from facing the same fate. 468 00:20:56,418 --> 00:20:58,083 Trini, will you take over for a minute? 469 00:20:58,108 --> 00:21:00,223 I'll be right back. A word outside? 470 00:21:04,286 --> 00:21:06,953 Auggie's primary physician sent over his medical records. 471 00:21:06,978 --> 00:21:09,201 Turns out he's supposed to have paracentesis every two weeks, 472 00:21:09,226 --> 00:21:11,514 but he hasn't shown up to his last couple appointments. 473 00:21:11,539 --> 00:21:13,412 No wonder his ascites got so bad. 474 00:21:13,437 --> 00:21:15,099 Yeah, I'm calling Child Protective Services. 475 00:21:15,124 --> 00:21:16,628 Yeah, whoa, whoa, whoa. Hold on a second. 476 00:21:16,653 --> 00:21:19,183 Dr. Lanik, can you please wait 477 00:21:19,208 --> 00:21:20,662 until we speak to his caregiver? 478 00:21:20,687 --> 00:21:22,732 Maybe there's a reasonable explanation. 479 00:21:22,757 --> 00:21:24,123 I thought she was MIA. 480 00:21:24,148 --> 00:21:26,160 I'm working on trying to reach her. 481 00:21:26,928 --> 00:21:28,761 Fine. 482 00:21:28,786 --> 00:21:31,029 You have until 4:00, but if she is not here in the flesh, 483 00:21:31,054 --> 00:21:32,387 I'm making the call. 484 00:21:35,566 --> 00:21:37,799 Maybe you don't want to take care of her anymore. 485 00:21:37,824 --> 00:21:38,933 You know that isn't true. 486 00:21:38,958 --> 00:21:40,550 You know I'd do anything for your mom. 487 00:21:40,575 --> 00:21:42,949 Then you can't let her die. I won't let you! 488 00:21:42,974 --> 00:21:44,449 Honey... 489 00:21:56,100 --> 00:21:57,818 Ms. Myers? 490 00:21:57,916 --> 00:21:59,667 My name is Sharon Goodwin. 491 00:21:59,692 --> 00:22:02,489 I'm in charge of patient services here at the hospital. 492 00:22:02,588 --> 00:22:05,033 Yeah, I saw you talking to my dad. 493 00:22:05,807 --> 00:22:07,386 What if I don't want the doctors 494 00:22:07,411 --> 00:22:09,871 to take out my mom's breathing tube? 495 00:22:10,442 --> 00:22:12,665 Would I have to sue my dad? 496 00:22:13,220 --> 00:22:14,501 Well... 497 00:22:17,833 --> 00:22:20,841 Before we get into logistics, 498 00:22:21,352 --> 00:22:23,676 are you sure you want to do that? 499 00:22:24,465 --> 00:22:27,065 Do you really believe your father isn't acting 500 00:22:27,090 --> 00:22:29,557 in your mother's best interests? 501 00:22:31,745 --> 00:22:34,145 I mean, he loves her. I just... 502 00:22:35,201 --> 00:22:37,106 I don't want to lose her. 503 00:22:38,205 --> 00:22:40,485 I don't know what to do. 504 00:22:41,885 --> 00:22:44,947 My mom kept me in the dark about all of this. 505 00:22:47,582 --> 00:22:52,120 You know, when parents don't share things 506 00:22:52,145 --> 00:22:53,665 with their children, 507 00:22:54,278 --> 00:22:58,462 it's usually out of a desire to protect them. 508 00:22:58,774 --> 00:23:01,814 I suspect your mother knew how painful it would be 509 00:23:01,839 --> 00:23:04,133 for you to know her wishes. 510 00:23:04,489 --> 00:23:07,556 And she didn't want to place the burden 511 00:23:07,581 --> 00:23:11,349 of carrying them out on your shoulders. 512 00:23:13,246 --> 00:23:15,597 She put a lot on my dad's shoulders. 513 00:23:15,622 --> 00:23:16,722 Yes. 514 00:23:16,911 --> 00:23:19,691 Because she knew he could handle it. 515 00:23:19,919 --> 00:23:23,528 But you're right, it is a lot, 516 00:23:23,986 --> 00:23:25,863 and he's going to need you. 517 00:23:26,271 --> 00:23:28,705 You're going to need each other. 518 00:23:40,825 --> 00:23:43,108 Dr. Marcel, you should be seeing me. 519 00:23:43,133 --> 00:23:47,121 Yup, seeing your sponge now. 520 00:23:47,440 --> 00:23:49,173 Nice to finally meet up. 521 00:23:49,565 --> 00:23:51,910 Okay, let's bring the pressure down to 12. 522 00:23:52,130 --> 00:23:53,863 Ready to take the rectum out? 523 00:23:53,888 --> 00:23:55,685 You bet. 524 00:23:55,795 --> 00:23:57,604 Here we go, Nick. 525 00:24:03,566 --> 00:24:06,894 Joy, your seizure was caused by high levels of ammonia in your blood. 526 00:24:06,919 --> 00:24:08,855 How'd she get ammonia in her blood? 527 00:24:09,093 --> 00:24:12,227 Testing revealed Joy has a urea cycle disorder. 528 00:24:12,269 --> 00:24:14,881 It's a genetic condition that causes a deficiency 529 00:24:14,906 --> 00:24:16,067 in one of the six enzymes 530 00:24:16,092 --> 00:24:18,792 responsible for removing ammonia from the bloodstream. 531 00:24:18,968 --> 00:24:22,855 But if it's genetic, why was I never diagnosed as a child? 532 00:24:22,880 --> 00:24:24,546 With milder forms of the disorder, 533 00:24:24,655 --> 00:24:27,593 often undiagnosed until a trigger unmasks it. 534 00:24:27,618 --> 00:24:29,051 Such as childbirth... 535 00:24:29,076 --> 00:24:31,541 Another possible trigger can be a dramatic increase 536 00:24:31,566 --> 00:24:32,582 in protein intake. 537 00:24:32,607 --> 00:24:34,773 Could you be taking in more protein with your new diet? 538 00:24:34,858 --> 00:24:36,082 Not really. 539 00:24:36,107 --> 00:24:38,107 I actually cut out red meat and most dairy. 540 00:24:38,218 --> 00:24:40,313 What about protein bars or shakes? 541 00:24:40,439 --> 00:24:42,754 No. I drink green smoothies. 542 00:24:42,779 --> 00:24:45,379 Triggers aside, how do you treat it? 543 00:24:45,855 --> 00:24:47,965 Well, you're going to have to be on an enzyme supplement 544 00:24:47,990 --> 00:24:49,152 for the rest of your life, 545 00:24:49,177 --> 00:24:51,408 and maintain a very low protein diet. 546 00:24:51,433 --> 00:24:53,952 We can manage that. Right, babe? 547 00:24:53,977 --> 00:24:55,443 Yeah. 548 00:24:55,468 --> 00:24:57,068 Joy, just so you understand, 549 00:24:57,093 --> 00:24:58,621 if you don't regulate your protein intake, 550 00:24:58,646 --> 00:25:00,541 there can be serious consequences. 551 00:25:00,566 --> 00:25:01,809 Understood. 552 00:25:01,834 --> 00:25:03,501 Now, even a few high protein meals... 553 00:25:03,526 --> 00:25:05,559 I said I understand, Dr. Choi. 554 00:25:05,872 --> 00:25:08,395 What, do you think because I'm fat I have no self-control? 555 00:25:08,541 --> 00:25:10,293 No. Not at all. 556 00:25:10,318 --> 00:25:12,160 I'm just suggesting if protein is the trigger... 557 00:25:12,185 --> 00:25:14,863 Yeah, and I just told you that it wasn't. 558 00:25:15,324 --> 00:25:18,308 Dr. Choi, may I speak with you outside, please? 559 00:25:18,741 --> 00:25:20,646 Excuse us. 560 00:25:24,003 --> 00:25:26,270 - What? - You're so suspicious of Joy. 561 00:25:26,295 --> 00:25:28,660 I can't help but wonder if you're projecting. 562 00:25:28,685 --> 00:25:30,355 I'm not projecting anything. 563 00:25:30,422 --> 00:25:32,616 The only trigger that makes sense is protein. 564 00:25:32,641 --> 00:25:34,907 So she's either lying about what she's eating, 565 00:25:35,025 --> 00:25:36,702 or she's in denial. 566 00:25:44,690 --> 00:25:47,066 I am so sorry I missed your calls. 567 00:25:47,091 --> 00:25:49,160 My manager doesn't allow us to check our messages 568 00:25:49,185 --> 00:25:50,207 while we're working. 569 00:25:50,232 --> 00:25:51,621 This should never have happened. 570 00:25:51,957 --> 00:25:53,581 We know that Auggie has missed 571 00:25:53,606 --> 00:25:55,309 his last two doctor's appointments. 572 00:25:55,334 --> 00:25:57,168 And I'm really sorry about that. 573 00:25:57,374 --> 00:26:00,275 I... I do my best to get him there, 574 00:26:00,300 --> 00:26:02,636 but the clinic's 40 miles from my house. 575 00:26:02,661 --> 00:26:05,941 I... I don't have a car, and I can't always get off of work. 576 00:26:06,033 --> 00:26:07,966 Is there someone else that could help out? 577 00:26:07,991 --> 00:26:10,152 Maybe a babysitter that could take him? 578 00:26:10,574 --> 00:26:12,240 Who's gonna pay for that? 579 00:26:12,265 --> 00:26:15,908 Ms. Johnson, we're supposed to report this as neglect. 580 00:26:16,548 --> 00:26:19,749 But if we do that, they might remove Auggie from your home. 581 00:26:19,774 --> 00:26:22,123 - Maybe you should. - What? 582 00:26:22,412 --> 00:26:24,500 Maybe you should report it. 583 00:26:27,691 --> 00:26:29,758 I love that little boy. 584 00:26:30,056 --> 00:26:32,009 I love him, but... 585 00:26:33,167 --> 00:26:35,971 But it's too much. 586 00:26:36,653 --> 00:26:38,515 It's too much. 587 00:26:39,471 --> 00:26:41,171 And I can't. 588 00:26:51,924 --> 00:26:53,423 Alice. 589 00:26:57,151 --> 00:27:00,203 He did well, Alice. Real well. 590 00:27:00,495 --> 00:27:02,705 You can visit him in the recovery room shortly. 591 00:27:03,102 --> 00:27:05,875 Oh, thank God. 592 00:27:21,819 --> 00:27:23,378 So, what happens now? 593 00:27:23,403 --> 00:27:25,573 Evelyn's family is gonna take her home 594 00:27:25,598 --> 00:27:29,066 to receive hospice care until she dies. 595 00:27:31,453 --> 00:27:34,738 I wasn't trying to prove you wrong today, 596 00:27:34,860 --> 00:27:36,655 if that's what you're thinking. 597 00:27:37,255 --> 00:27:42,245 Will, I never thought of you as a spiteful person. 598 00:27:43,330 --> 00:27:46,720 But we all have a tendency to put blinders on 599 00:27:46,745 --> 00:27:49,794 when we're confronted with things 600 00:27:49,819 --> 00:27:51,837 that we don't wanna hear. 601 00:28:05,542 --> 00:28:07,350 That's why we thought it would be better 602 00:28:07,375 --> 00:28:10,107 for you go live with another family. 603 00:28:11,162 --> 00:28:13,896 Since she can't always take you to the doctor 604 00:28:13,921 --> 00:28:15,483 when you need it. 605 00:28:15,734 --> 00:28:18,368 She doesn't want you to get sick again, Auggie. 606 00:28:19,131 --> 00:28:21,910 I know it's scary going to live somewhere new. 607 00:28:22,527 --> 00:28:24,294 I'm not scared. 608 00:28:25,618 --> 00:28:27,685 I know why she doesn't want me. 609 00:28:27,710 --> 00:28:31,757 Oh, sweetie, it's not that she doesn't want you. 610 00:28:31,782 --> 00:28:34,550 - She just... - No one wants a sick kid. 611 00:28:43,451 --> 00:28:46,303 Max, I know Joy wants to be discharged, 612 00:28:46,328 --> 00:28:50,196 but this meal plan she's on, is she adhering to it? 613 00:28:50,295 --> 00:28:51,601 Yeah. 614 00:28:51,626 --> 00:28:52,898 Because her tests results 615 00:28:52,923 --> 00:28:55,436 and what she's saying, they don't add up. 616 00:28:57,367 --> 00:28:58,833 Max... 617 00:28:59,241 --> 00:29:00,991 Okay, um... 618 00:29:01,726 --> 00:29:04,160 I have an idea of what's going on. 619 00:29:04,421 --> 00:29:07,622 Sometimes I wake up in the middle of the night, 620 00:29:07,647 --> 00:29:10,916 and I hear Joy downstairs in the kitchen. 621 00:29:11,127 --> 00:29:13,394 And in the morning, there's food missing 622 00:29:13,419 --> 00:29:15,380 from the fridge and the pantry. 623 00:29:15,717 --> 00:29:17,674 Have you ever talked to her about it? 624 00:29:17,748 --> 00:29:19,669 No, I'm guessing she's real self-conscious. 625 00:29:19,694 --> 00:29:21,511 That's why she does it after I'm asleep. 626 00:29:21,536 --> 00:29:22,616 Yeah. 627 00:29:22,641 --> 00:29:25,306 Sounds like she may have a binge-eating disorder. 628 00:29:25,629 --> 00:29:28,083 I like to bring in psychiatry to come speak with her. 629 00:29:28,108 --> 00:29:31,757 No. I know her, and an ambush will just humiliate her. 630 00:29:31,782 --> 00:29:33,436 This has to be dealt with now. 631 00:29:33,461 --> 00:29:36,025 If she overloads on protein again, it could kill her. 632 00:29:37,149 --> 00:29:39,384 - God. - Tell you what. 633 00:29:39,409 --> 00:29:41,609 I'll let you speak with Joy first. 634 00:29:43,594 --> 00:29:45,257 Come on. 635 00:29:53,292 --> 00:29:54,919 I can't do this. 636 00:29:56,147 --> 00:29:58,255 Joy doesn't binge in the middle of the night. 637 00:29:59,323 --> 00:30:02,301 I've been slipping protein powder in her green smoothies. 638 00:30:02,682 --> 00:30:03,803 Why? 639 00:30:04,098 --> 00:30:06,655 I read protein powder can make you gain weight 640 00:30:06,680 --> 00:30:08,092 by increasing your overall caloric... 641 00:30:08,117 --> 00:30:09,911 Why were you trying to make Joy gain weight? 642 00:30:09,936 --> 00:30:11,218 I wasn't trying to make her gain weight, 643 00:30:11,243 --> 00:30:13,543 I was trying to keep her from losing weight. 644 00:30:14,288 --> 00:30:16,389 - I know it sounds insane. - And criminal. 645 00:30:16,414 --> 00:30:18,014 I wasn't gonna do it forever. 646 00:30:18,039 --> 00:30:21,850 Just long enough for... for her to get discouraged 647 00:30:21,875 --> 00:30:23,308 and stop dieting. 648 00:30:23,333 --> 00:30:25,405 And I never meant to hurt her. 649 00:30:26,085 --> 00:30:28,170 I was scared that if Joy lost weight, 650 00:30:28,195 --> 00:30:29,592 she'd leave me. 651 00:30:33,626 --> 00:30:36,022 You need to tell Joy the truth or I will. 652 00:30:40,712 --> 00:30:43,007 So Alice and I were talking, Doc, 653 00:30:43,032 --> 00:30:45,166 and while we really would like 654 00:30:45,191 --> 00:30:46,924 to name our son in your honor.... 655 00:30:46,949 --> 00:30:47,960 Oh! 656 00:30:47,985 --> 00:30:49,647 We're just not sure about Crockett. 657 00:30:51,407 --> 00:30:53,874 It is a statement. That's for sure. 658 00:30:55,137 --> 00:30:57,397 I don't suppose you have a middle name 659 00:30:57,422 --> 00:30:59,122 that's a little more... 660 00:30:59,291 --> 00:31:01,702 Nick? Nick? 661 00:31:01,727 --> 00:31:03,366 Honey, what's wrong? 662 00:31:03,391 --> 00:31:05,324 Okay, take slow, deep breaths. 663 00:31:05,628 --> 00:31:07,546 Nice and easy, okay? 664 00:31:07,718 --> 00:31:10,132 Nick, bud? Talk to me. 665 00:31:10,157 --> 00:31:11,951 Let's get a mask on him. 666 00:31:13,374 --> 00:31:14,650 Let's go. Come on. 667 00:31:14,675 --> 00:31:15,750 Drop it. 668 00:31:16,444 --> 00:31:18,982 - Heart rate's 133. BP's 77. - Nick, Nick. 669 00:31:19,007 --> 00:31:20,266 I need you to breathe. 670 00:31:20,291 --> 00:31:21,936 - Hey, Nick? - He's in VFib! 671 00:31:21,961 --> 00:31:23,515 - Nick, honey, wake up. - Nick! 672 00:31:23,540 --> 00:31:24,703 No pulse. All right, let's go. 673 00:31:24,728 --> 00:31:26,156 Bag him. Milligram of epi. 674 00:31:26,181 --> 00:31:27,492 Let's go. Come on. 675 00:31:27,517 --> 00:31:29,445 Paddles and charge to 200. 676 00:31:29,653 --> 00:31:31,428 Oh, my God! 677 00:31:31,453 --> 00:31:32,664 Nick? 678 00:31:32,874 --> 00:31:34,156 Charged. Clear. 679 00:31:34,181 --> 00:31:35,686 Let's go. Come on. 680 00:31:40,303 --> 00:31:42,343 Another round of epi. Let's go. 681 00:31:42,765 --> 00:31:44,587 - Charge 200. - Charged. 682 00:31:44,612 --> 00:31:45,734 Clear! 683 00:31:48,899 --> 00:31:50,699 Nick? Nick, can you hear me? 684 00:31:50,743 --> 00:31:52,579 I am right here, honey. 685 00:31:52,824 --> 00:31:53,913 Nick. 686 00:31:53,938 --> 00:31:55,781 Epi and charge. Let's go. 687 00:31:56,081 --> 00:31:57,334 Clear. 688 00:32:03,616 --> 00:32:05,341 You'll be fine. 689 00:32:05,604 --> 00:32:07,259 He's asystole. 690 00:32:07,573 --> 00:32:08,905 No... 691 00:32:09,686 --> 00:32:10,937 Come on! 692 00:32:21,638 --> 00:32:22,939 No. 693 00:32:23,444 --> 00:32:26,112 No. No. 694 00:32:29,043 --> 00:32:31,367 No. No. 695 00:32:31,392 --> 00:32:33,035 No. 696 00:32:34,544 --> 00:32:37,612 Time of death, 16:54. 697 00:32:40,764 --> 00:32:42,000 No! 698 00:32:51,701 --> 00:32:53,505 Thank you so much, Ms. Gastern. 699 00:32:53,673 --> 00:32:55,434 ‭Bye-bye. 700 00:32:56,122 --> 00:32:57,801 DCFS is going to start looking 701 00:32:57,826 --> 00:33:00,360 for a new foster placement for Auggie tomorrow. 702 00:33:03,839 --> 00:33:05,441 What about tonight? 703 00:33:05,466 --> 00:33:07,821 Well, I got him a bed on the peds floor. 704 00:33:07,846 --> 00:33:09,946 And since Earl is back for night shift, 705 00:33:09,971 --> 00:33:11,597 he promised that he would try to check in 706 00:33:11,622 --> 00:33:13,014 on Auggie upstairs. 707 00:33:13,039 --> 00:33:15,285 That's good. 708 00:33:15,785 --> 00:33:17,952 Taxi's here. We should... 709 00:33:17,977 --> 00:33:19,499 Right. 710 00:33:30,171 --> 00:33:31,844 Baby. 711 00:33:33,119 --> 00:33:36,168 - Just, uh... - Yeah. 712 00:33:36,881 --> 00:33:38,642 Okay. 713 00:33:39,115 --> 00:33:42,647 I'll call the airline and the hotel, reschedule. 714 00:33:42,793 --> 00:33:45,567 And we'll spend the night with Auggie. 715 00:33:45,878 --> 00:33:48,045 You know how amazing you are? 716 00:33:48,070 --> 00:33:50,822 Mmm. 717 00:33:51,162 --> 00:33:53,407 You're pretty amazing yourself, Mr. Ben Campbell. 718 00:33:53,960 --> 00:33:55,550 I'm a lucky man. 719 00:33:55,575 --> 00:33:57,575 Go ahead, and yes, you are. 720 00:33:59,102 --> 00:34:02,238 - Oh, thank you. - Joy. 721 00:34:02,624 --> 00:34:06,392 You should know what Max did was a form of assault. 722 00:34:06,732 --> 00:34:10,014 And I can call CPD, and you can press charges against him. 723 00:34:10,039 --> 00:34:11,772 No, no, you don't have to call them. 724 00:34:11,828 --> 00:34:13,113 I'm not pressing charges. 725 00:34:13,138 --> 00:34:15,392 Joy, he lied to you, betrayed your trust. 726 00:34:15,417 --> 00:34:17,179 You don't have to act like nothing happened. 727 00:34:17,204 --> 00:34:20,350 No, I know what Max did was so messed up, 728 00:34:20,531 --> 00:34:22,035 but we talked it out. 729 00:34:22,066 --> 00:34:23,317 You know, and he was acting 730 00:34:23,342 --> 00:34:26,982 from a place of fear and insecurity, and... 731 00:34:27,398 --> 00:34:30,445 you know, Max is a good person. 732 00:34:31,491 --> 00:34:33,124 Okay, I know his heart. 733 00:34:35,095 --> 00:34:36,742 Can I just go? 734 00:34:38,831 --> 00:34:40,662 Take care. 735 00:34:43,588 --> 00:34:45,168 Unbelievable. 736 00:34:45,327 --> 00:34:46,826 If it were me, I'd be furious. 737 00:34:46,851 --> 00:34:49,019 - Anyone would. - Really? 738 00:34:49,234 --> 00:34:51,633 - Of course. - Then why aren't you? 739 00:34:52,359 --> 00:34:54,736 - What? - Ethan, I lied to you. 740 00:34:54,761 --> 00:34:56,074 Oh, God. April... 741 00:34:56,099 --> 00:34:57,121 I betrayed your trust. 742 00:34:57,146 --> 00:34:58,471 Look, what do you want me to say? 743 00:34:58,496 --> 00:35:00,059 That I can't believe you kissed someone else? 744 00:35:00,084 --> 00:35:01,089 Someone we work with? 745 00:35:01,114 --> 00:35:02,340 You want to know how crazy it makes me 746 00:35:02,365 --> 00:35:03,722 that I have to see that son of a bitch every day? 747 00:35:03,747 --> 00:35:05,427 - Is this what you want to hear? - Yeah, I do. 748 00:35:05,452 --> 00:35:06,699 I want to know what you're feeling. 749 00:35:06,724 --> 00:35:09,067 Why? Why couldn't you just tell me? 750 00:35:09,423 --> 00:35:12,403 Why did it take physically harming yourself to come clean? 751 00:35:15,465 --> 00:35:17,282 Are you in love with him? 752 00:35:17,307 --> 00:35:18,878 What? No! 753 00:35:18,903 --> 00:35:20,011 Of course not. 754 00:35:20,036 --> 00:35:21,918 It was just a meaningless attraction. 755 00:35:21,943 --> 00:35:23,498 Well, if it's so meaningless, 756 00:35:23,523 --> 00:35:25,291 why are we even talking about it? 757 00:35:25,328 --> 00:35:26,794 Because I... 758 00:35:26,914 --> 00:35:29,628 You deserve to know everything. 759 00:35:30,374 --> 00:35:32,474 Ethan, I love you. 760 00:35:32,586 --> 00:35:34,426 I made a mistake. 761 00:35:34,451 --> 00:35:37,952 That day, when I found out I couldn't have children... 762 00:35:37,977 --> 00:35:40,472 You pushed me away and ran into another man's arms. 763 00:35:53,168 --> 00:35:54,834 Hey. 764 00:35:56,223 --> 00:35:57,614 You called it. 765 00:35:57,959 --> 00:36:00,118 Played out just like you said it would. 766 00:36:00,733 --> 00:36:03,000 You don't know what killed Nick. 767 00:36:03,167 --> 00:36:06,206 He was tachycardic, hypotensive, and desatting. 768 00:36:06,486 --> 00:36:09,795 Classic trifecta. Had to be a PE. 769 00:36:09,944 --> 00:36:12,207 If that's the case, then the clot could have been there 770 00:36:12,232 --> 00:36:13,589 prior to the surgery. 771 00:36:13,625 --> 00:36:17,319 I mean, Nick had pretty much been bedridden for months. 772 00:36:17,344 --> 00:36:19,637 Surgery caused it. End of story. 773 00:36:20,482 --> 00:36:22,265 You don't know that. 774 00:36:22,768 --> 00:36:24,267 You know... 775 00:36:25,221 --> 00:36:27,655 if I hadn't put that surgery on the table, 776 00:36:27,680 --> 00:36:29,446 chances are he'd still be alive. 777 00:36:33,412 --> 00:36:34,979 Crockett. 778 00:36:37,557 --> 00:36:41,926 Sometimes in the ED, we get tunnel vision. 779 00:36:42,986 --> 00:36:45,787 All we can see is the patient in front of us. 780 00:36:46,609 --> 00:36:50,293 But Nick could see past that, beyond his own benefit, 781 00:36:50,768 --> 00:36:52,634 and I think you did too. 782 00:36:54,841 --> 00:36:57,225 You know, with new surgery, the more you do it, 783 00:36:57,250 --> 00:36:59,928 the better you'll get, the more lives you'll save. 784 00:37:00,335 --> 00:37:02,430 And maybe you couldn't save Nick's, 785 00:37:03,189 --> 00:37:06,691 but maybe someday, you'll save his son's. 786 00:37:10,647 --> 00:37:12,447 Hey! 787 00:37:14,254 --> 00:37:16,187 We still on for The Green Mill, Crockett? 788 00:37:16,212 --> 00:37:18,145 The next set starts in an hour. 789 00:37:18,170 --> 00:37:19,947 Yeah, of course, darling. 790 00:37:20,912 --> 00:37:24,577 Okay. Good night, Dr. Manning. 791 00:37:25,197 --> 00:37:26,870 Night. 792 00:37:41,332 --> 00:37:43,032 Hey, Mom, you look nice. 793 00:37:43,057 --> 00:37:45,129 Thank you. 794 00:37:50,756 --> 00:37:53,565 - What's Dad doing here? - I invited him. 795 00:37:56,933 --> 00:37:58,318 It's good to see you, son. 796 00:37:59,914 --> 00:38:01,905 If he's staying, I'm leaving. 797 00:38:02,194 --> 00:38:03,793 Sit down. 798 00:38:09,603 --> 00:38:12,868 Now this Cold War you've got going with your father 799 00:38:12,893 --> 00:38:14,459 ends tonight. 800 00:38:14,746 --> 00:38:16,630 After what he did to you? Forget it. 801 00:38:16,655 --> 00:38:18,798 You don't know the full story. 802 00:38:21,366 --> 00:38:22,898 What are you talking about? 803 00:38:24,421 --> 00:38:25,888 Look... 804 00:38:26,865 --> 00:38:31,681 I thought I was protecting you and David and Tara 805 00:38:31,729 --> 00:38:34,813 by not talking to you about the divorce. 806 00:38:35,362 --> 00:38:38,430 But it was painful. 807 00:38:38,478 --> 00:38:41,486 Yeah, and Dad caused that pain. 808 00:38:42,333 --> 00:38:45,986 Son, the end of any relationship, 809 00:38:46,056 --> 00:38:50,492 especially one with a 35-year history, 810 00:38:50,596 --> 00:38:52,228 is complicated. 811 00:38:52,693 --> 00:38:54,689 But the bottom line, Michael, 812 00:38:54,714 --> 00:38:58,142 is you can spend your whole life looking back 813 00:38:58,299 --> 00:39:00,466 and pointing fingers, 814 00:39:00,577 --> 00:39:03,728 or you could choose to move forward. 815 00:39:03,953 --> 00:39:08,805 I... I don't know what's to come of your father and me, 816 00:39:10,182 --> 00:39:13,478 but it's time for this family to start healing. 817 00:39:13,934 --> 00:39:16,147 You need your father, 818 00:39:17,110 --> 00:39:19,232 and your father needs you. 819 00:39:29,992 --> 00:39:32,287 Let's start by having dinner. 820 00:39:44,310 --> 00:39:45,842 You wanna come up? 821 00:39:46,474 --> 00:39:48,029 I cleared out my liquor cabinet, 822 00:39:48,054 --> 00:39:51,755 but I do have a pretty stellar tea collection. 823 00:39:54,499 --> 00:39:57,235 But you know, if tea is not your thing, 824 00:39:57,260 --> 00:40:00,661 I can make a gin and tonic, sans the gin. 825 00:40:00,686 --> 00:40:02,527 No, it's not... 826 00:40:03,451 --> 00:40:05,363 I want to come up. I do. 827 00:40:07,597 --> 00:40:09,826 I just wonder if that's a good idea. 828 00:40:10,965 --> 00:40:12,381 Okay. 829 00:40:12,406 --> 00:40:14,882 You may be surprised to hear this, 830 00:40:14,907 --> 00:40:18,059 but there's actually very little neurochemical difference 831 00:40:18,084 --> 00:40:19,414 between drug addiction... 832 00:40:19,439 --> 00:40:21,212 And romance addiction? 833 00:40:21,734 --> 00:40:25,069 And should something go wrong inside the relationship, 834 00:40:25,094 --> 00:40:27,885 it increases the chances of relapse. 835 00:40:29,229 --> 00:40:30,461 Yeah. 836 00:40:30,486 --> 00:40:32,220 I've been going to the meetings, Will. 837 00:40:32,245 --> 00:40:34,308 This stuff's been drilled into my head. 838 00:40:37,803 --> 00:40:40,570 So, um, what do we do? 839 00:40:45,242 --> 00:40:47,280 Let's go up and discuss it. 840 00:40:55,234 --> 00:41:00,265 - Synced and corrected by martythecrazy - - www.addic7ed.com - 840 00:41:01,305 --> 00:41:07,779 Support us and become VIP member to remove all ads from www.OpenSubtitles.org 60804

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