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1
00:00:05,547 --> 00:00:05,714
.
2
00:00:05,755 --> 00:00:06,715
- Colleagues date
all the time.
3
00:00:07,424 --> 00:00:08,633
It's not a big deal.
4
00:00:08,675 --> 00:00:10,010
- Yeah, but it is to me.
5
00:00:10,051 --> 00:00:11,136
- There's no rush.
6
00:00:11,177 --> 00:00:13,513
It's fun sneaking around.
7
00:00:13,555 --> 00:00:15,306
- I didn't know
you were a Chicago boy.
8
00:00:15,348 --> 00:00:17,017
- Born and raised.
9
00:00:17,058 --> 00:00:19,060
Just been away a lot of years.
10
00:00:19,102 --> 00:00:20,729
- Must be nice, being home.
11
00:00:20,770 --> 00:00:22,355
[dramatic music]
12
00:00:22,397 --> 00:00:25,358
- Public shaming is a way
to get companies' attention
13
00:00:25,400 --> 00:00:26,818
and move them to act.
14
00:00:26,860 --> 00:00:28,194
- It's not our lane.
15
00:00:28,236 --> 00:00:30,196
We don't get involved
with insurance.
16
00:00:30,238 --> 00:00:32,073
- I'm not sure
that's the kind of impact
17
00:00:32,115 --> 00:00:33,783
I'm trying to make.
18
00:00:35,535 --> 00:00:37,495
- Whoa, heads up,
coming through!
19
00:00:37,537 --> 00:00:39,414
- Good job, Haley,
you're doing great.
20
00:00:39,456 --> 00:00:43,293
[Haley screaming in pain]
You're doing great, Haley!
21
00:00:43,335 --> 00:00:45,128
Baby one is almost out!
22
00:00:45,170 --> 00:00:47,047
Get ready to give me
everything you can,
23
00:00:47,088 --> 00:00:48,631
and push as hard
as you can, okay?
24
00:00:48,673 --> 00:00:50,717
- What do you need from me?
- Twins, four weeks early.
25
00:00:50,759 --> 00:00:52,510
Neo's on their way down, but
I need eyes on baby number two.
26
00:00:52,552 --> 00:00:54,262
- Got it.
- Okay, ready?
27
00:00:54,304 --> 00:00:56,765
Here it comes.
Give me one big push.
28
00:00:56,806 --> 00:00:59,225
There you go! There you go!
- [screaming]
29
00:00:59,267 --> 00:01:02,437
- Almost out! He's out!
30
00:01:02,479 --> 00:01:04,564
[baby crying]
- A quick breather.
31
00:01:04,606 --> 00:01:05,857
Baby two is head down
on its way,
32
00:01:05,899 --> 00:01:07,233
baby three right behind it.
33
00:01:07,275 --> 00:01:09,069
- Baby three?
- Baby three?
34
00:01:09,110 --> 00:01:11,404
- No, no, no, no, twins.
Not triplets.
35
00:01:11,446 --> 00:01:15,325
- One down,
definitely two to go.
36
00:01:15,367 --> 00:01:16,826
- Haley, when was
your last ultrasound?
37
00:01:16,868 --> 00:01:19,746
- Uh, I had one
my first trimester,
38
00:01:19,788 --> 00:01:21,373
another in my second,
39
00:01:21,414 --> 00:01:23,667
and I was on my way
to see my doctor next week.
40
00:01:23,708 --> 00:01:25,877
- Well, you would have
gotten a big surprise.
41
00:01:25,919 --> 00:01:29,422
- Triplets? Twins.
Two cribs, two car seats.
42
00:01:29,464 --> 00:01:31,049
- I have seven brothers
and sisters.
43
00:01:31,091 --> 00:01:34,636
Trust me, the more the merrier.
- [laughs nervously]
44
00:01:34,678 --> 00:01:36,096
- Okay, you ready
for round two?
45
00:01:36,137 --> 00:01:37,180
- Come on, baby.
- Yeah.
46
00:01:37,222 --> 00:01:39,182
- Okay, deep inhale.
47
00:01:39,224 --> 00:01:40,809
Exhale!
48
00:01:40,850 --> 00:01:42,435
Push!
49
00:01:42,477 --> 00:01:45,271
- Coming through.
- Whoops. Sheesh.
50
00:01:45,313 --> 00:01:46,356
Home sweet home, huh?
51
00:01:46,398 --> 00:01:47,816
- There he is.
52
00:01:47,857 --> 00:01:50,110
Welcome back, Dean.
We missed you.
53
00:01:50,151 --> 00:01:51,277
- Yeah.
54
00:01:51,319 --> 00:01:52,696
I appreciate
the low-key welcome.
55
00:01:52,737 --> 00:01:54,114
I was a little
worried people would
56
00:01:54,155 --> 00:01:55,907
make a big deal about it.
57
00:01:55,949 --> 00:01:57,450
- What, like with a...
58
00:01:57,492 --> 00:01:59,119
"congrats on the new kidney"
banner?
59
00:01:59,160 --> 00:02:02,247
[chuckles]
No.
60
00:02:02,288 --> 00:02:04,040
We just delivered
surprise triplets.
61
00:02:04,082 --> 00:02:05,583
Kind of stole your thunder.
62
00:02:05,625 --> 00:02:07,919
- My lucky day.
- [chuckles]
63
00:02:07,961 --> 00:02:11,631
- So look, the whole
kidney thing, dialysis,
64
00:02:11,673 --> 00:02:14,384
and the house calls
and the Sean stuff.
65
00:02:14,426 --> 00:02:16,845
You were a saint,
66
00:02:16,886 --> 00:02:20,390
even when I tried my hardest
to push you away, so thanks.
67
00:02:20,432 --> 00:02:23,226
- Wow, look at you,
practicing gratitude.
68
00:02:23,268 --> 00:02:24,477
- Something wrong with that?
- No, I like it.
69
00:02:24,519 --> 00:02:26,771
It's just not
normally your style.
70
00:02:26,813 --> 00:02:29,691
- Oh, really?
71
00:02:29,733 --> 00:02:31,818
- Mm-hmm.
72
00:02:31,860 --> 00:02:35,321
- That guy's
scoping you out at six o'clock.
73
00:02:35,363 --> 00:02:37,741
- Wyatt from pharma.
74
00:02:37,782 --> 00:02:40,410
Talked a few times.
Seems like a nice guy.
75
00:02:40,452 --> 00:02:42,412
- Those weren't his babies
you delivered, were they?
76
00:02:42,454 --> 00:02:43,538
- [chuckling] Hey.
- Hey.
77
00:02:43,580 --> 00:02:45,457
- There he is.
Welcome back, Dean.
78
00:02:45,498 --> 00:02:46,583
What do we got, LJ?
79
00:02:46,624 --> 00:02:48,543
- High-speed
motor vehicle crash.
80
00:02:48,585 --> 00:02:50,712
Car hit some black ice,
skidded off the road.
81
00:02:50,754 --> 00:02:54,924
Victim's Mark May, GCS 8,
and hypotensive.
82
00:02:54,966 --> 00:02:56,343
Gave him a unit of
whole blood on the flight.
83
00:02:56,384 --> 00:02:59,637
- Okay. Here we go.
84
00:02:59,679 --> 00:03:02,307
Thanks, guys.
We got it from here.
85
00:03:02,349 --> 00:03:03,975
Got a rail coming down.
86
00:03:04,017 --> 00:03:06,811
You want to hop on the chest?
- Yeah, you got it.
87
00:03:06,853 --> 00:03:08,688
- Hello, hello.
88
00:03:08,730 --> 00:03:11,524
BP 102/96.
89
00:03:11,566 --> 00:03:14,652
- Breath sounds bilaterally.
90
00:03:14,694 --> 00:03:17,572
Crockett, it's almost showtime.
91
00:03:17,614 --> 00:03:20,367
Got to make a decision.
- Thought we made it.
92
00:03:20,408 --> 00:03:21,785
You host, I handle the menu.
93
00:03:21,826 --> 00:03:24,537
- Oh, Lord.
- Pelvis feels loose.
94
00:03:24,579 --> 00:03:27,457
- Ultrasound coming in.
- Mm-hmm.
95
00:03:27,499 --> 00:03:29,209
- I'm thinking barbecue now.
96
00:03:29,250 --> 00:03:31,711
[suspenseful music]
97
00:03:31,753 --> 00:03:33,380
Fast looks good.
98
00:03:33,421 --> 00:03:34,923
He's not bleeding
into his belly.
99
00:03:34,964 --> 00:03:37,717
- He's bleeding from somewhere.
BP just dropped 95/60.
100
00:03:37,759 --> 00:03:39,219
- Hang another unit of blood
and trigger the MTP.
101
00:03:39,260 --> 00:03:40,387
- Jimmy, that's you.
102
00:03:40,428 --> 00:03:41,554
- Mike, let's get some X-rays.
103
00:03:41,596 --> 00:03:43,431
Chest and pelvis, please.
- Yep.
104
00:03:43,473 --> 00:03:44,766
- So, uh,
11th-hour menu change?
105
00:03:44,808 --> 00:03:46,643
Seriously now?
- It's the middle of winter.
106
00:03:46,685 --> 00:03:49,396
T-bones and filets just sound
better than catfish and cod.
107
00:03:49,437 --> 00:03:51,898
- Clear.
[machine beeps]
108
00:03:51,940 --> 00:03:53,358
- Good.
109
00:03:53,400 --> 00:03:56,027
- Resetting for pelvis.
110
00:03:56,069 --> 00:03:57,737
Clear.
111
00:03:57,779 --> 00:04:00,115
- Chest is good,
but his pelvis is busted.
112
00:04:00,156 --> 00:04:01,866
Open-book fracture,
probably bleeding into it.
113
00:04:01,908 --> 00:04:03,493
- All right,
let's put them in a binder
114
00:04:03,535 --> 00:04:05,620
to close down the pelvis until
I can get in there and pack it.
115
00:04:05,662 --> 00:04:07,330
- That's still you, Jimmy.
- Yep.
116
00:04:07,372 --> 00:04:09,666
- Nice and easy, guys.
I got his head.
117
00:04:09,708 --> 00:04:12,919
Log roll on my count.
One, two, three.
118
00:04:12,961 --> 00:04:14,754
Easy, easy, easy.
119
00:04:14,796 --> 00:04:17,549
Maggie, what do you think?
Surf or turf?
120
00:04:17,590 --> 00:04:19,592
- Uh-uh. Don't put me
in the middle of this.
121
00:04:21,094 --> 00:04:22,929
- Easy on your end.
122
00:04:22,971 --> 00:04:24,597
- To me.
123
00:04:24,639 --> 00:04:26,558
- I got his head. Go.
- You got it.
124
00:04:26,599 --> 00:04:28,309
- Got it.
- Yep. Put him down.
125
00:04:28,351 --> 00:04:29,936
- I'll call the OR and let
them know that you're coming.
126
00:04:29,978 --> 00:04:31,354
- Yep.
127
00:04:31,396 --> 00:04:33,106
- I'm telling you.
128
00:04:33,148 --> 00:04:34,941
Barbecue's the way to go.
129
00:04:34,983 --> 00:04:37,485
- Okay, well,
we'll figure it out later.
130
00:04:39,237 --> 00:04:40,613
- Dr. Archer, good morning.
131
00:04:40,655 --> 00:04:43,283
I'm Zola Ahmad,
your new senior resident.
132
00:04:43,324 --> 00:04:44,701
I'm not stalking you.
133
00:04:44,743 --> 00:04:46,411
I just wanted to introduce
myself first thing.
134
00:04:46,453 --> 00:04:47,787
- Yeah?
135
00:04:47,829 --> 00:04:49,122
You mean before I'm caught up
136
00:04:49,164 --> 00:04:51,207
on your renegade antics
of the last few weeks?
137
00:04:51,249 --> 00:04:52,751
- Yeah, kind of. Too late?
138
00:04:52,792 --> 00:04:54,544
- Yeah, too late, too late.
139
00:04:54,586 --> 00:04:56,963
- [sighs] Look, I may have
crossed a few lines
140
00:04:57,005 --> 00:04:59,632
and stepped
on a few toes, but--
141
00:04:59,674 --> 00:05:02,177
you know what?
There is no but.
142
00:05:02,218 --> 00:05:04,304
The renegade is
out of my system.
143
00:05:04,346 --> 00:05:06,931
I am no longer going
to be a headache.
144
00:05:06,973 --> 00:05:08,099
- Well, you know what,
Dr. Ahmad?
145
00:05:08,141 --> 00:05:09,517
You caught me on a good day.
146
00:05:09,559 --> 00:05:11,478
I'm gonna give you
the benefit of the doubt.
147
00:05:11,519 --> 00:05:14,773
Tabula rasa. Clean slate.
148
00:05:14,814 --> 00:05:16,941
- Mm.
- Don't dirty it up.
149
00:05:20,236 --> 00:05:21,654
- Look at this.
150
00:05:21,696 --> 00:05:24,991
D-E-N-N-I-S. Dennis.
151
00:05:25,033 --> 00:05:26,284
- Okay, that's your name,
152
00:05:26,326 --> 00:05:28,328
but I'm not sure where
you're going with this.
153
00:05:28,370 --> 00:05:32,499
- I've been Denny's, Dentist,
Ennis, everything but Dennis.
154
00:05:32,540 --> 00:05:34,459
- Denny's?
- Until today.
155
00:05:34,501 --> 00:05:35,710
- [laughs]
156
00:05:35,752 --> 00:05:36,836
- Maybe 'cause
everyone now knows
157
00:05:36,878 --> 00:05:38,630
I'm the big boss's boyfriend.
158
00:05:38,672 --> 00:05:40,131
- You're ridiculous.
159
00:05:40,173 --> 00:05:41,841
- Ah, what you meant
to say is "charming."
160
00:05:41,883 --> 00:05:43,426
- Mm.
- Or was it "handsome"?
161
00:05:43,468 --> 00:05:44,844
Go with me here.
162
00:05:44,886 --> 00:05:46,304
[notification chimes]
"Charmingly handsome."
163
00:05:46,346 --> 00:05:47,931
- I like that.
164
00:05:51,017 --> 00:05:53,186
- Sharon. What is it?
165
00:05:53,228 --> 00:05:55,188
- My grandson, Isaiah,
166
00:05:55,230 --> 00:05:59,484
is being brought into the ED
by ambulance.
167
00:05:59,526 --> 00:06:01,069
[dramatic music]
168
00:06:01,111 --> 00:06:04,948
[baby crying]
169
00:06:04,989 --> 00:06:05,907
- Lungs are clear.
170
00:06:05,949 --> 00:06:09,160
- BP's 110/76.
Heart rate's 115.
171
00:06:09,202 --> 00:06:12,205
- That's--that's good, right?
He's--he's breathing okay?
172
00:06:12,247 --> 00:06:13,540
His heart's fine?
173
00:06:13,581 --> 00:06:15,375
- Bert, let's step
to the hallway.
174
00:06:15,417 --> 00:06:17,043
Give the doctor
some space to work.
175
00:06:17,085 --> 00:06:19,462
- It happened so fast.
- Yes, yes.
176
00:06:19,504 --> 00:06:20,880
Well, we're gonna
straighten it all out.
177
00:06:20,922 --> 00:06:24,592
- Bert, what happened?
[baby crying]
178
00:06:27,262 --> 00:06:29,139
- I fell on Isaiah.
179
00:06:29,180 --> 00:06:36,104
* *
180
00:06:44,904 --> 00:06:45,113
.
181
00:06:45,155 --> 00:06:45,739
[EKG beeping steadily]
182
00:06:48,450 --> 00:06:50,285
- He fell asleep.
183
00:06:50,326 --> 00:06:52,120
Does that mean he's okay,
184
00:06:52,162 --> 00:06:54,706
or did he just cry himself
into exhaustion?
185
00:06:54,748 --> 00:06:56,541
- Shh. I don't know, honey.
186
00:06:56,583 --> 00:06:58,501
Let's wait and see what
the tests say.
187
00:06:58,543 --> 00:07:01,504
Dr. Ripley has ordered
a skeleton survey
188
00:07:01,546 --> 00:07:02,922
to check for fractures
189
00:07:02,964 --> 00:07:06,843
and a rapid MRI
in case of a head injury.
190
00:07:06,885 --> 00:07:09,888
[apprehensive music]
191
00:07:09,929 --> 00:07:14,267
- And Dad just fell on him?
192
00:07:14,309 --> 00:07:15,935
- They were playing.
193
00:07:15,977 --> 00:07:20,565
Your father's legs
got tangled up.
194
00:07:20,607 --> 00:07:23,026
He couldn't really
explain the details.
195
00:07:23,068 --> 00:07:24,694
- How is he? Dad?
196
00:07:24,736 --> 00:07:27,781
- Dr. Ripley is
examining him now.
197
00:07:29,324 --> 00:07:30,950
Hey.
198
00:07:30,992 --> 00:07:31,951
- Yeah.
199
00:07:33,995 --> 00:07:36,164
It's okay. It's okay, baby.
200
00:07:36,206 --> 00:07:38,375
Mama's here.
201
00:07:38,416 --> 00:07:40,877
It's okay.
202
00:07:42,837 --> 00:07:45,173
- [whispering] This is
the bravest face I've got.
203
00:07:45,215 --> 00:07:46,216
[breath catches]
204
00:07:46,257 --> 00:07:52,555
* *
205
00:07:53,723 --> 00:07:56,851
- Yeah, I saw you
checking me out just now.
206
00:07:56,893 --> 00:07:58,353
Earlier this morning too.
207
00:07:58,395 --> 00:08:01,022
- Hmm. Yeah, I think that was
you checking me out.
208
00:08:01,064 --> 00:08:02,065
- Huh.
209
00:08:02,107 --> 00:08:03,858
- Not the first time,
I might add.
210
00:08:03,900 --> 00:08:05,443
- I guess we should
get dinner tonight then.
211
00:08:05,485 --> 00:08:08,238
Right? Settle the whole
who's-been-checking-out-who
212
00:08:08,279 --> 00:08:09,447
once and for all?
213
00:08:09,489 --> 00:08:11,574
Hmm?
214
00:08:11,616 --> 00:08:13,368
- Yeah, that sounds fun.
215
00:08:13,410 --> 00:08:15,870
I'll, um, give you my number.
216
00:08:20,166 --> 00:08:21,251
- Until later then.
217
00:08:21,292 --> 00:08:22,752
- Mm-hmm.
218
00:08:24,212 --> 00:08:25,880
- What was all that?
219
00:08:25,922 --> 00:08:28,216
- Wyatt just asked me out.
220
00:08:28,258 --> 00:08:30,093
- Wow, face-to-face.
221
00:08:30,135 --> 00:08:32,512
That's confident.
Boyfriend material.
222
00:08:32,554 --> 00:08:33,555
- Mm.
223
00:08:33,596 --> 00:08:34,889
- Or boy toy.
- Easy.
224
00:08:34,931 --> 00:08:36,808
Let's not get carried away.
225
00:08:36,850 --> 00:08:38,143
- I don't know.
226
00:08:38,184 --> 00:08:39,728
There's research that
shows your brain knows
227
00:08:39,769 --> 00:08:41,021
the kind of
relationship it wants
228
00:08:41,062 --> 00:08:43,982
as soon as you meet someone.
229
00:08:44,024 --> 00:08:46,568
- So what do we think
of the new resident?
230
00:08:46,609 --> 00:08:47,569
- Who? Zola?
- Yeah.
231
00:08:47,610 --> 00:08:49,821
- I like her. She's fun.
232
00:08:49,863 --> 00:08:51,239
You're not a fan?
233
00:08:51,281 --> 00:08:54,534
- Cautious optimism,
emphasis on cautious.
234
00:08:54,576 --> 00:08:56,536
- Mm. Shocker.
235
00:08:56,578 --> 00:08:59,205
You didn't warm up to me
for a few months,
236
00:08:59,247 --> 00:09:00,290
but look at us now.
237
00:09:00,331 --> 00:09:01,916
Bosom buddies.
- What's good, guys?
238
00:09:01,958 --> 00:09:04,210
- Hey.
- Sean.
239
00:09:04,252 --> 00:09:05,754
I thought you weren't supposed
to be at the valet stand
240
00:09:05,795 --> 00:09:07,088
until next week.
241
00:09:07,130 --> 00:09:09,674
- Well, that was the plan
until this morning.
242
00:09:09,716 --> 00:09:11,509
I came in
to turn in my uniform.
243
00:09:11,551 --> 00:09:12,802
- What happened?
244
00:09:12,844 --> 00:09:14,804
- I got a new gig.
245
00:09:14,846 --> 00:09:17,432
Recovery coach
at a rehab center.
246
00:09:17,474 --> 00:09:18,516
- Oh.
- Wow.
247
00:09:18,558 --> 00:09:19,726
- Way to go.
Proud of you, son.
248
00:09:19,768 --> 00:09:22,771
- Congratulations.
- Thanks. Thanks, Dad.
249
00:09:22,812 --> 00:09:24,105
It's been a long road,
250
00:09:24,147 --> 00:09:26,733
but it's all beginning
to fall into place.
251
00:09:26,775 --> 00:09:30,195
All right, well,
I'm gonna go give notice.
252
00:09:30,236 --> 00:09:33,490
[soft music]
253
00:09:33,531 --> 00:09:35,992
- How about that?
- [sighs]
254
00:09:39,120 --> 00:09:41,706
- No evidence he hit his head
or lost consciousness,
255
00:09:41,748 --> 00:09:44,292
but his left knee is swollen
and loose.
256
00:09:44,334 --> 00:09:46,378
X-ray's negative.
It's not a fracture.
257
00:09:46,419 --> 00:09:48,963
- A ligament injury?
- That's my guess.
258
00:09:49,005 --> 00:09:51,299
Ordered an MRI, techs will
be by in a bit to take him.
259
00:09:51,341 --> 00:09:53,635
- All right.
Thank you, Dr. Ripley.
260
00:09:53,677 --> 00:09:55,345
- Of course.
261
00:09:55,387 --> 00:09:58,348
[apprehensive music]
262
00:09:58,390 --> 00:09:59,974
- How's Isaiah?
263
00:10:00,016 --> 00:10:02,769
- Well, he's getting X-rays
and a rapid MRI.
264
00:10:02,811 --> 00:10:04,521
Tara's with him.
265
00:10:04,562 --> 00:10:08,149
- The doctor said two-year-olds
fall all the time,
266
00:10:08,191 --> 00:10:10,318
that they're built
for bumps and bruises.
267
00:10:10,360 --> 00:10:13,405
But I fell on him, Sharon.
It's not the same thing.
268
00:10:13,446 --> 00:10:15,115
- It was an accident, Bert.
269
00:10:15,156 --> 00:10:17,784
- Doesn't change
where we are right now.
270
00:10:19,744 --> 00:10:22,038
- Any vomiting, Floyd?
Diarrhea?
271
00:10:22,080 --> 00:10:24,833
- No, but I'm bloated
morning, noon, and night.
272
00:10:24,874 --> 00:10:26,668
Nauseous most of the time too.
273
00:10:26,710 --> 00:10:29,004
- Appetite?
- Zero.
274
00:10:29,045 --> 00:10:30,255
I know it don't look like it,
275
00:10:30,296 --> 00:10:32,590
but this spare tire's lost
a lot of tread.
276
00:10:32,632 --> 00:10:35,051
[chuckling]
277
00:10:37,220 --> 00:10:39,556
- How would you describe
this pain in your abdomen?
278
00:10:39,597 --> 00:10:41,683
Dull, sharp?
279
00:10:41,725 --> 00:10:44,185
- Um, mushy?
280
00:10:44,227 --> 00:10:45,437
Is that a thing?
281
00:10:45,478 --> 00:10:47,689
- In here, we call
it "diffuse tenderness,"
282
00:10:47,731 --> 00:10:50,358
but I like your way
much better.
283
00:10:50,400 --> 00:10:52,360
So this mush,
when did it start?
284
00:10:52,402 --> 00:10:56,448
- Uh, best recollection,
two, three weeks ago.
285
00:10:56,489 --> 00:10:57,824
It was after visiting Memphis
286
00:10:57,866 --> 00:10:59,492
but before rolling into
St. Louis.
287
00:10:59,534 --> 00:11:01,745
- Oh, you're on the road.
Where are you headed?
288
00:11:01,786 --> 00:11:04,372
- Eh, don't know.
I'm wandering.
289
00:11:04,414 --> 00:11:05,373
[both chuckle]
290
00:11:05,415 --> 00:11:07,250
Uh, I lost my job
a few months ago,
291
00:11:07,292 --> 00:11:10,754
and I'm just using my severance
to zigzag the US of A.
292
00:11:10,795 --> 00:11:12,088
- Where'd you get
this scar, Floyd?
293
00:11:12,130 --> 00:11:15,550
Prior surgery?
- A week after I was born.
294
00:11:15,592 --> 00:11:17,719
It's been so long, I can barely
remember what it's called.
295
00:11:17,761 --> 00:11:19,721
A misrotation?
296
00:11:19,763 --> 00:11:20,889
- Malrotation.
297
00:11:20,930 --> 00:11:22,682
- Bingo, that's it.
298
00:11:22,724 --> 00:11:25,060
Yeah, came out my mama with
my insides all over the place.
299
00:11:25,101 --> 00:11:28,104
Doctors had to put it back
in the right spot.
300
00:11:28,146 --> 00:11:30,357
You think that's why
my gut's a mess now?
301
00:11:30,398 --> 00:11:31,358
- I don't think so,
302
00:11:31,399 --> 00:11:32,817
but I also
don't have any theories,
303
00:11:32,859 --> 00:11:35,070
so I wanna run some tests
and go from there.
304
00:11:35,111 --> 00:11:37,906
CBC, CMP, LFTs, and a KUB.
305
00:11:37,947 --> 00:11:39,157
- Yes, Doctor.
306
00:11:39,199 --> 00:11:41,576
- Uh, that's a lot of initials.
307
00:11:41,618 --> 00:11:43,370
And hospitals like to charge
by the letter.
308
00:11:43,411 --> 00:11:45,080
- Well, we'll get
an estimate on the cost
309
00:11:45,121 --> 00:11:47,415
and see how much
your insurance will approve.
310
00:11:47,457 --> 00:11:49,876
- I'm already in my pocket
just visiting the ED.
311
00:11:49,918 --> 00:11:51,586
If insurance ain't
gonna pony up
312
00:11:51,628 --> 00:11:53,004
for the rest of the tab,
313
00:11:53,046 --> 00:11:54,964
I'm just gonna have to keep
grinning and bearing it.
314
00:11:55,006 --> 00:11:56,591
- Well, you came here
for help, Floyd.
315
00:11:56,633 --> 00:11:58,510
That's what you're gonna get.
316
00:11:58,551 --> 00:12:00,136
- Thank you, Doctor.
317
00:12:05,684 --> 00:12:08,061
- Dr. Archer, incoming,
going to treatment six.
318
00:12:08,103 --> 00:12:10,271
- Jordan Moore III, 32,
319
00:12:10,313 --> 00:12:12,816
got lightheaded and fell down a
flight of stairs at his office.
320
00:12:12,857 --> 00:12:15,276
Initial GCS 13, now 15.
321
00:12:15,318 --> 00:12:17,779
Witness said he was out
about 30 seconds.
322
00:12:17,821 --> 00:12:19,989
Been lethargic
since we got here.
323
00:12:20,031 --> 00:12:22,617
- All right. On my count.
Ready?
324
00:12:22,659 --> 00:12:24,994
And one, two, three.
325
00:12:25,036 --> 00:12:26,621
All right, got him.
326
00:12:26,663 --> 00:12:29,791
- Take it easy with this guy.
- All right, Jordan.
327
00:12:29,833 --> 00:12:32,669
I'm Dr. Archer.
This is Nurse Doris.
328
00:12:32,711 --> 00:12:33,878
Do you know where you are?
329
00:12:33,920 --> 00:12:36,965
- [softly]
Oh, man, I'm going.
330
00:12:37,007 --> 00:12:38,675
- All right.
I'll take that as a no.
331
00:12:38,717 --> 00:12:40,218
[tense music]
332
00:12:40,260 --> 00:12:41,553
All right.
333
00:12:41,594 --> 00:12:43,471
Lungs are clear.
334
00:12:43,513 --> 00:12:48,309
Okay, Jordan, you are
in the ED, Chicago Med.
335
00:12:48,351 --> 00:12:50,478
You fell down some stairs,
buddy.
336
00:12:50,520 --> 00:12:52,772
- My dad. My dad.
337
00:12:52,814 --> 00:12:54,274
- We'll call him, hon.
338
00:12:54,315 --> 00:12:56,776
- Okay, belly's good.
Let's take a look at that arm.
339
00:12:56,818 --> 00:12:58,194
- Mm-hmm.
340
00:12:58,236 --> 00:13:00,905
- Jordan, I'm gonna open
your shirt, okay?
341
00:13:00,947 --> 00:13:03,366
- Well, damn.
342
00:13:03,408 --> 00:13:05,535
- Anterior dislocation
of the left shoulder,
343
00:13:05,577 --> 00:13:07,620
CBC, CMP, cardiac labs.
344
00:13:07,662 --> 00:13:08,872
- Mike, give me the iPad.
345
00:13:08,913 --> 00:13:11,332
- Give me a 12-lead EKG
and a panscan.
346
00:13:11,374 --> 00:13:14,044
All right, Jordan, we are
gonna start doing some--
347
00:13:15,045 --> 00:13:16,671
- What's happening to me now?
348
00:13:16,713 --> 00:13:19,883
Please help. I don't wanna die.
349
00:13:22,052 --> 00:13:24,054
- All right,
all right, all right.
350
00:13:24,095 --> 00:13:26,473
* *
351
00:13:32,270 --> 00:13:32,479
.
352
00:13:32,520 --> 00:13:32,896
- Dr. Ahmad.
353
00:13:33,897 --> 00:13:35,357
Floyd's HMO isn't gonna cover
354
00:13:35,398 --> 00:13:39,277
the labs that you ordered,
so he's passing on the tests.
355
00:13:39,319 --> 00:13:41,154
- [scoffs]
I expected as much.
356
00:13:41,196 --> 00:13:42,280
I've never been
pleasantly surprised
357
00:13:42,322 --> 00:13:43,698
by an insurance company.
358
00:13:43,740 --> 00:13:46,242
- Me neither,
which is why I reached out
359
00:13:46,284 --> 00:13:49,120
to his primary care physician
to get him seen there.
360
00:13:49,162 --> 00:13:51,915
- Oh, good call.
His HMO should cover that 100%.
361
00:13:51,956 --> 00:13:54,417
- Yeah, but unfortunately,
his PCP's in Kentucky,
362
00:13:54,459 --> 00:13:57,629
and their next available isn't
until the first of the month.
363
00:13:57,671 --> 00:13:59,297
- Insurance companies--the only
thing that they're good at
364
00:13:59,339 --> 00:14:00,840
is getting in the way.
- Amen.
365
00:14:00,882 --> 00:14:04,135
But we have to work with them.
366
00:14:04,177 --> 00:14:06,096
- Do we, though?
367
00:14:06,137 --> 00:14:09,182
Three weekends now, I've traded
drunk underage college kids
368
00:14:09,224 --> 00:14:10,642
who have registered
under fake IDs,
369
00:14:10,684 --> 00:14:12,477
made-up names,
made-up addresses.
370
00:14:12,519 --> 00:14:14,521
Admin sends the bills.
What happens?
371
00:14:14,562 --> 00:14:17,065
- It bounces back,
and the hospital eats the cost.
372
00:14:17,107 --> 00:14:18,400
- Exactly.
373
00:14:18,441 --> 00:14:21,486
So what if we register Floyd
under self-pay
374
00:14:21,528 --> 00:14:23,697
with a different name
and a different--
375
00:14:23,738 --> 00:14:25,156
no.
- No.
376
00:14:25,198 --> 00:14:26,366
- We can't do that.
- Uh-uh.
377
00:14:26,408 --> 00:14:28,535
- What am I saying?
- It's fraud.
378
00:14:28,576 --> 00:14:30,370
It's called fraud.
379
00:14:30,412 --> 00:14:32,163
- I know. Yeah, I know.
380
00:14:32,205 --> 00:14:33,248
Can you just
forget I said that?
381
00:14:33,289 --> 00:14:35,500
- Mm-hmm. Sure.
382
00:14:35,542 --> 00:14:38,086
- It just sucks that
all we can do for Floyd
383
00:14:38,128 --> 00:14:40,422
is make him an appointment
with his PCP.
384
00:14:40,463 --> 00:14:42,674
All right.
I'll sign off on his discharge.
385
00:14:42,716 --> 00:14:44,843
- Hold on.
Let me think on it for a bit.
386
00:14:44,884 --> 00:14:46,594
Maybe there's
something more that we can do
387
00:14:46,636 --> 00:14:48,888
that won't cost Floyd
a small fortune.
388
00:14:48,930 --> 00:14:50,181
- Yeah, sure.
389
00:14:50,223 --> 00:14:53,059
[soft dramatic music]
390
00:14:57,105 --> 00:14:58,982
- Jordan.
391
00:14:59,024 --> 00:15:01,026
I'm Dr. Archer.
392
00:15:01,067 --> 00:15:02,652
- Yeah, I, um--
393
00:15:02,694 --> 00:15:04,029
I remember.
394
00:15:04,070 --> 00:15:06,322
Well, vaguely.
395
00:15:06,364 --> 00:15:08,491
Thanks for bringing me back.
396
00:15:08,533 --> 00:15:10,493
I thought that was the big one.
397
00:15:10,535 --> 00:15:12,120
- No, no, no.
Your heart's fine.
398
00:15:12,162 --> 00:15:14,289
Your cardiac tests were normal.
399
00:15:14,330 --> 00:15:15,957
Your troponins were
a bit elevated,
400
00:15:15,999 --> 00:15:17,417
so your heart was
under some stress,
401
00:15:17,459 --> 00:15:19,294
but nowhere near the level
of a heart attack.
402
00:15:19,336 --> 00:15:22,797
- Yeah. Yeah, this time.
403
00:15:22,839 --> 00:15:24,716
Next time, though.
404
00:15:24,758 --> 00:15:28,011
Men in my family just drop dead
out of the blue.
405
00:15:28,053 --> 00:15:29,888
Both my father and his father
406
00:15:29,929 --> 00:15:33,391
died of heart attacks when they
were the same age I am now.
407
00:15:33,433 --> 00:15:36,227
No warning at all.
- Well, I'm sorry to hear that.
408
00:15:36,269 --> 00:15:39,105
I certainly can
understand your concern.
409
00:15:39,147 --> 00:15:41,816
But I assure you,
it was no heart attack.
410
00:15:41,858 --> 00:15:43,318
- Then why'd I collapse?
411
00:15:43,360 --> 00:15:45,028
- It's most likely from
412
00:15:45,070 --> 00:15:47,238
a transient abnormal
heart rhythm.
413
00:15:47,280 --> 00:15:48,823
It's not uncommon.
414
00:15:48,865 --> 00:15:50,909
They're often harmless.
They're blips.
415
00:15:50,950 --> 00:15:52,744
- No.
416
00:15:52,786 --> 00:15:54,287
This wasn't a blip.
417
00:15:54,329 --> 00:15:56,247
I know what I felt.
418
00:15:56,289 --> 00:15:58,750
It's the family curse,
and now it's my turn.
419
00:15:58,792 --> 00:15:59,959
Damn it.
420
00:16:00,001 --> 00:16:01,753
[EKG beeping]
I eat right. I don't smoke.
421
00:16:01,795 --> 00:16:04,756
I don't drink.
I exercise like a maniac!
422
00:16:04,798 --> 00:16:06,424
[EKG beeping quicker]
I see a GP, a cardiologist!
423
00:16:06,466 --> 00:16:08,301
I am on top of my health,
and yet here I am!
424
00:16:08,343 --> 00:16:10,637
- Okay, okay, okay.
Breathe.
425
00:16:10,679 --> 00:16:13,264
Breathe, Jordan.
Come on, breathe.
426
00:16:13,306 --> 00:16:17,519
- [breathing heavily]
427
00:16:17,560 --> 00:16:21,731
Hearts don't just skip a beat
at random in my family.
428
00:16:21,773 --> 00:16:25,026
All right? They give out.
429
00:16:25,068 --> 00:16:27,696
- Well, on occasion,
and I'm not saying this is you,
430
00:16:27,737 --> 00:16:31,366
but sometimes transient
abnormal rhythms
431
00:16:31,408 --> 00:16:34,953
are caused
by cardiac miswiring.
432
00:16:34,994 --> 00:16:38,289
Yeah, so I can repeat the EKG
and get an echo,
433
00:16:38,331 --> 00:16:40,917
and we can go from there.
434
00:16:40,959 --> 00:16:43,169
- I'll try anything.
435
00:16:43,211 --> 00:16:46,256
I just want answers.
436
00:16:46,297 --> 00:16:48,299
I'm terrified.
437
00:16:48,341 --> 00:16:50,802
- All right. All right.
438
00:16:50,844 --> 00:16:53,680
[soft suspenseful music]
439
00:16:53,722 --> 00:16:55,890
* *
440
00:16:55,932 --> 00:16:57,058
- Hey, Marcel.
- Hey.
441
00:16:57,100 --> 00:16:58,560
Hey, I'll see you
guys tomorrow.
442
00:16:58,601 --> 00:17:00,270
- How'd surgery go for our MVC?
443
00:17:00,311 --> 00:17:01,771
- Smooth sailing.
444
00:17:01,813 --> 00:17:03,481
Packed his pelvis,
got the bleeding under control,
445
00:17:03,523 --> 00:17:05,358
embolized in angio.
446
00:17:05,400 --> 00:17:07,485
Ortho has to go back in
to reduce and fixate
447
00:17:07,527 --> 00:17:09,320
the pelvis, but a couple
of months, some rehab,
448
00:17:09,362 --> 00:17:10,739
he'll be good to go.
449
00:17:10,780 --> 00:17:12,240
- Oh, that's great.
450
00:17:12,282 --> 00:17:14,159
And knowing that he's on the
mend means we can settle up.
451
00:17:14,200 --> 00:17:16,411
Barbecue versus Cajun fish fry.
452
00:17:16,453 --> 00:17:17,537
- Cajun fish feast.
- [chuckles]
453
00:17:17,579 --> 00:17:18,788
- I'm not an amateur.
454
00:17:18,830 --> 00:17:20,582
- And I'm not just
a helicopter pilot.
455
00:17:20,623 --> 00:17:23,918
Grill master extraordinaire.
- If you do say so yourself.
456
00:17:23,960 --> 00:17:26,463
- So we dug in here?
- Yep. How you wanna handle it?
457
00:17:26,504 --> 00:17:29,174
Best of three?
- Uh, no.
458
00:17:29,215 --> 00:17:31,176
No, one and done.
- Let's go.
459
00:17:31,217 --> 00:17:32,927
- Rock paper, scissors, shoot.
460
00:17:32,969 --> 00:17:35,138
[groans softly]
And barbecue it is.
461
00:17:35,180 --> 00:17:36,514
- Lucky break.
462
00:17:36,556 --> 00:17:38,308
- Oh, please, dude,
I'm a surgeon too.
463
00:17:38,350 --> 00:17:41,061
I know the first instinct
is to throw scissors.
464
00:17:41,102 --> 00:17:42,479
Oh, hey, Maggie, you got a sec?
465
00:17:42,520 --> 00:17:43,855
- Only if you walk with me.
466
00:17:43,897 --> 00:17:45,065
- Look, I just received
467
00:17:45,106 --> 00:17:46,733
my general surgery credentials
here at Med.
468
00:17:46,775 --> 00:17:48,234
- Mm-hmm.
469
00:17:48,276 --> 00:17:49,694
- Also applied for my trauma
surgery fellowship in July.
470
00:17:49,736 --> 00:17:52,072
- Nice. Good luck.
- Thanks.
471
00:17:52,113 --> 00:17:53,239
You know, in the meantime,
472
00:17:53,281 --> 00:17:54,366
I'll be around the ED
more often,
473
00:17:54,407 --> 00:17:56,910
so if I can ever help out,
hit me up.
474
00:17:56,951 --> 00:17:59,871
- Will do.
Are you flying anywhere today?
475
00:17:59,913 --> 00:18:01,956
- No, shift just ended.
476
00:18:01,998 --> 00:18:05,460
- Treatment 7.
Scrubs are in the locker room.
477
00:18:05,502 --> 00:18:06,878
Welcome to the team,
Dr. Johnson.
478
00:18:09,297 --> 00:18:10,507
- Okay, no problem.
479
00:18:10,548 --> 00:18:12,509
And that's scheduled
for tomorrow.
480
00:18:12,550 --> 00:18:14,594
Ah, great. Caught you.
481
00:18:14,636 --> 00:18:16,429
All of Isaiah's tests
were negative.
482
00:18:16,471 --> 00:18:18,223
No fractures, no head injury.
483
00:18:18,264 --> 00:18:19,474
- Then he's not hurt?
484
00:18:19,516 --> 00:18:22,268
- He's fine.
- Oh, thank goodness.
485
00:18:22,310 --> 00:18:23,853
[laughs]
486
00:18:23,895 --> 00:18:25,855
[soft music]
487
00:18:25,897 --> 00:18:28,775
- Whew. [chuckles]
488
00:18:28,817 --> 00:18:30,485
- [sighs]
489
00:18:30,527 --> 00:18:32,570
Excuse me, Ms. Goodwin.
490
00:18:32,612 --> 00:18:36,449
- Dr. Washington. Thank you.
491
00:18:36,491 --> 00:18:42,330
* *
492
00:18:42,372 --> 00:18:47,836
- So, ladies,
Wyatt just texted me.
493
00:18:49,462 --> 00:18:51,256
- Oh, no.
- Mm-mm.
494
00:18:51,297 --> 00:18:53,299
- Uh, that's, uh--
495
00:18:53,341 --> 00:18:55,260
yeah, that's his--
- Oh!
496
00:18:55,301 --> 00:18:56,803
- Penis?
- Yeah.
497
00:18:56,845 --> 00:18:59,597
- Yeah, no, I was expecting
"Made reservations for 7:00."
498
00:18:59,639 --> 00:19:02,100
Instead, bam, full frontal.
499
00:19:02,142 --> 00:19:03,351
- Mm-mm.
500
00:19:03,393 --> 00:19:05,395
- Your first D-pic?
- Uh, yeah.
501
00:19:05,437 --> 00:19:06,521
- [chuckles]
- Yeah.
502
00:19:06,563 --> 00:19:08,606
Why, you've gotten one before?
503
00:19:08,648 --> 00:19:10,817
- One? I'm to at least five.
- Oh, I've got--
504
00:19:10,859 --> 00:19:11,943
- What? Okay.
505
00:19:11,985 --> 00:19:13,945
Well, then, so,
what was he thinking?
506
00:19:13,987 --> 00:19:16,531
He sends this to me
and I'll just start swooning?
507
00:19:16,573 --> 00:19:19,409
- I think some men
are still cavemen.
508
00:19:19,451 --> 00:19:21,244
Is that portrait mode?
509
00:19:21,286 --> 00:19:22,996
- Hmm.
510
00:19:23,038 --> 00:19:25,290
[soft suspenseful music]
511
00:19:25,331 --> 00:19:28,084
Ooh. You see that?
512
00:19:28,126 --> 00:19:30,378
Underneath the shaft,
next to the frenulum?
513
00:19:30,420 --> 00:19:31,838
- Some kind of lesion?
514
00:19:31,880 --> 00:19:32,881
- Syphilis?
515
00:19:32,922 --> 00:19:35,133
- It's hard to tell.
It could be.
516
00:19:35,175 --> 00:19:37,802
Disease is on the rise because
of penicillin shortages.
517
00:19:37,844 --> 00:19:40,347
- [groans]
- Flashing his junk like that?
518
00:19:40,388 --> 00:19:41,848
Gotta assume that
he's sexually active.
519
00:19:41,890 --> 00:19:43,308
Means he could be spreading it.
520
00:19:43,350 --> 00:19:45,101
- Oh, he's gotta get
checked out.
521
00:19:45,143 --> 00:19:46,603
- Yeah.
522
00:19:46,644 --> 00:19:47,937
- That means that I actually
have to respond to this
523
00:19:47,979 --> 00:19:49,981
and get him
to take it seriously.
524
00:19:50,023 --> 00:19:51,483
What--what do I type?
525
00:19:51,524 --> 00:19:53,318
- Just keep it clinical.
526
00:19:53,360 --> 00:19:54,652
- I don't know.
527
00:19:54,694 --> 00:19:55,862
I think you have to
speak his language,
528
00:19:55,904 --> 00:19:57,322
make sure that
he really gets the message.
529
00:19:57,364 --> 00:19:59,949
May I?
- Mm, yeah.
530
00:19:59,991 --> 00:20:02,911
- Unfortunately,
I'm fluent in alpha male.
531
00:20:02,952 --> 00:20:06,331
* *
532
00:20:06,373 --> 00:20:07,749
- "Nice pic."
533
00:20:07,791 --> 00:20:09,167
- [laughs]
534
00:20:09,209 --> 00:20:11,503
- "Meet me in the ED. I want--"
535
00:20:11,544 --> 00:20:13,505
"I want to see that thing
in person."
536
00:20:13,546 --> 00:20:16,508
- Oh. Good luck with that.
537
00:20:16,549 --> 00:20:18,968
- [sputters]
538
00:20:19,010 --> 00:20:21,054
- Hi.
Dropping off from Odyssey Labs.
539
00:20:21,096 --> 00:20:22,055
- Odyssey?
540
00:20:22,097 --> 00:20:23,556
You sure
you're in the right place?
541
00:20:23,598 --> 00:20:26,059
- Doris, I got it.
Thank you very much.
542
00:20:26,101 --> 00:20:27,769
Are you looking for me,
Maggie Lockwood?
543
00:20:27,811 --> 00:20:29,354
- Yes.
544
00:20:29,396 --> 00:20:30,814
- Where do I sign?
- Right here.
545
00:20:30,855 --> 00:20:32,357
- Thank you.
546
00:20:32,399 --> 00:20:35,026
Now, please
get out of here quickly.
547
00:20:35,068 --> 00:20:37,654
- Floyd's now got
a low-grade fever.
548
00:20:37,696 --> 00:20:39,489
Says that his bloating
and nausea has gotten worse,
549
00:20:39,531 --> 00:20:41,282
and there are no tests
this hospital can run
550
00:20:41,324 --> 00:20:42,951
anywhere near his price range.
551
00:20:42,992 --> 00:20:44,577
- That's okay.
552
00:20:44,619 --> 00:20:45,954
I took care of his blood work.
553
00:20:45,995 --> 00:20:48,289
- Lab results?
How did you get these?
554
00:20:48,331 --> 00:20:50,041
- I outsourced Floyd's tests
555
00:20:50,083 --> 00:20:52,168
to the lab contracted
to his insurance company.
556
00:20:52,210 --> 00:20:55,171
- Everything's covered by his
HMO and nothing out of pocket,
557
00:20:55,213 --> 00:20:56,214
leaving Med out of the loop.
558
00:20:56,256 --> 00:20:57,549
Shady!
559
00:20:57,590 --> 00:20:59,801
- But no fraud or lying.
560
00:20:59,843 --> 00:21:02,178
So?
561
00:21:02,220 --> 00:21:04,347
- His EOS is a little high.
562
00:21:04,389 --> 00:21:07,976
- That's it? Elevated EOS?
That could be from anything.
563
00:21:08,018 --> 00:21:09,978
Simple allergy
all the way to cancer.
564
00:21:10,020 --> 00:21:12,063
- And the only way to
narrow it down is more tests.
565
00:21:12,105 --> 00:21:13,398
A CT to start.
566
00:21:13,440 --> 00:21:16,401
We're right back
where we started.
567
00:21:16,443 --> 00:21:18,028
* *
568
00:21:18,069 --> 00:21:20,739
I just--I can't let him
just walk out of here.
569
00:21:20,780 --> 00:21:23,199
I need to make
this right somehow.
570
00:21:23,241 --> 00:21:25,869
- Yeah.
571
00:21:25,910 --> 00:21:29,456
[machines beeping rapidly]
- [groaning] You see something?
572
00:21:29,497 --> 00:21:30,582
Oh, it's bad, isn't it?
- No.
573
00:21:30,623 --> 00:21:32,083
Try and keep still, Jordan.
574
00:21:32,125 --> 00:21:34,461
- [groaning] Oh, God!
575
00:21:34,502 --> 00:21:37,130
[machine beeping rapidly]
Oh, this is it.
576
00:21:37,172 --> 00:21:38,923
Oh, this is it.
577
00:21:38,965 --> 00:21:41,092
My chest is getting tight.
- All right, come on, Jordan.
578
00:21:41,134 --> 00:21:44,054
Just deep breaths.
Deep breaths, come on.
579
00:21:44,095 --> 00:21:46,222
- I can't breathe!
580
00:21:46,264 --> 00:21:47,223
I can't breathe!
581
00:21:47,265 --> 00:21:48,892
- Two of Versed.
582
00:21:48,933 --> 00:21:50,477
All right, we're gonna give
you something to calm you down.
583
00:21:50,518 --> 00:21:52,562
In the meantime, I want you to
breathe with me, Jordan, okay?
584
00:21:52,604 --> 00:21:53,980
Four seconds in, come on.
585
00:21:54,022 --> 00:21:58,068
- [inhales raggedly]
- Okay, four seconds out.
586
00:21:58,109 --> 00:21:59,861
- [exhaling]
587
00:21:59,903 --> 00:22:01,738
[alarm beeping]
- Jordan? Ah, he's coding.
588
00:22:01,780 --> 00:22:03,490
Damn it, no pulse.
- Need a hand?
589
00:22:03,531 --> 00:22:05,367
- All right, yeah.
Bag him, okay?
590
00:22:05,408 --> 00:22:08,203
Crash cart!
Yeah, yeah, a V-fib.
591
00:22:08,244 --> 00:22:11,623
Start compressions.
592
00:22:11,664 --> 00:22:14,000
All right, charge to 200.
593
00:22:14,042 --> 00:22:15,669
[tense music]
594
00:22:15,710 --> 00:22:18,004
All right, clear.
595
00:22:20,090 --> 00:22:21,424
- Still no pulse.
596
00:22:21,466 --> 00:22:23,927
- All right, again. 200.
Milligram of epi.
597
00:22:23,968 --> 00:22:25,011
- Clear.
598
00:22:29,599 --> 00:22:30,892
- No.
599
00:22:30,934 --> 00:22:34,312
- All right, again. 200.
Milligram of epi.
600
00:22:34,354 --> 00:22:35,563
Clear.
601
00:22:37,857 --> 00:22:40,193
- Pulse is back. ROSC.
602
00:22:41,695 --> 00:22:43,363
- All right, let's replay.
603
00:22:43,405 --> 00:22:47,659
* *
604
00:22:47,701 --> 00:22:49,577
- Ultrasound's a little fuzzy.
605
00:22:49,619 --> 00:22:50,995
He was clearly moving around
a lot.
606
00:22:51,037 --> 00:22:53,331
But overall, heart looks good.
607
00:22:53,373 --> 00:22:55,625
- Yeah, wall motion is normal.
608
00:22:55,667 --> 00:22:57,585
- Then why the arrest?
609
00:22:57,627 --> 00:23:01,631
- [sighs]
I'm wondering that myself.
610
00:23:08,304 --> 00:23:08,722
.
611
00:23:08,763 --> 00:23:09,389
- He still tachycardic?
612
00:23:10,515 --> 00:23:12,017
- Yeah, heart rate's
in the 130s.
613
00:23:12,058 --> 00:23:14,269
Given it just hit 190,
I'll take it.
614
00:23:14,310 --> 00:23:15,687
- Hey, I was thinking, uh,
615
00:23:15,729 --> 00:23:17,939
your patient going from
panic attack to full arrest
616
00:23:17,981 --> 00:23:19,190
in the blink of an eye
could mean
617
00:23:19,232 --> 00:23:21,735
there's a heart signaling
or conduction issue.
618
00:23:21,776 --> 00:23:23,236
- Yeah, those are
at the top of my list.
619
00:23:23,278 --> 00:23:24,738
I'll run some more tests.
620
00:23:24,779 --> 00:23:28,408
Uh, appreciate the help.
621
00:23:28,450 --> 00:23:29,909
- Yeah.
622
00:23:31,453 --> 00:23:32,704
- Dr. Archer?
623
00:23:32,746 --> 00:23:35,123
CT's waiting for you
on line three.
624
00:23:36,458 --> 00:23:37,709
- Got Floyd's CT.
625
00:23:37,751 --> 00:23:39,336
- [softly] Wait, how?
626
00:23:39,377 --> 00:23:41,379
- Tech ran it off book.
We cut a deal.
627
00:23:41,421 --> 00:23:42,964
- What kind of a deal?
628
00:23:43,006 --> 00:23:46,301
- The kind that gets things
done without red tape.
629
00:23:46,343 --> 00:23:49,262
No fraud, no lying, promise.
630
00:23:49,304 --> 00:23:51,973
Come on, fire it up.
631
00:23:52,015 --> 00:23:55,560
Calcification and inflammation
on the abdominal wall.
632
00:23:55,602 --> 00:23:57,145
Seriously, nothing else?
633
00:23:57,187 --> 00:23:58,480
- A normal scan
is a good thing.
634
00:23:58,521 --> 00:23:59,981
- Yeah, of course.
635
00:24:00,023 --> 00:24:03,068
But just doesn't explain any
of his symptoms is all.
636
00:24:03,109 --> 00:24:04,652
We've been
sneaking around all day,
637
00:24:04,694 --> 00:24:05,570
and we haven't gotten anywhere.
638
00:24:05,612 --> 00:24:07,113
- Well--
639
00:24:07,155 --> 00:24:08,865
- All right, uh, I just
got a call from radiology.
640
00:24:08,907 --> 00:24:11,910
Seems a CT tech
641
00:24:11,951 --> 00:24:14,788
didn't close down his window
when his shift ended,
642
00:24:14,829 --> 00:24:16,539
and he left up
images of a patient
643
00:24:16,581 --> 00:24:18,958
who's not listed on the log.
644
00:24:19,000 --> 00:24:20,460
You can't go to CT
without bloodwork first,
645
00:24:20,502 --> 00:24:23,713
and yet, not one test
run through our lab--
646
00:24:23,755 --> 00:24:25,382
- Well, actually, that was me.
647
00:24:25,423 --> 00:24:27,676
- Oh, that's wonderful.
So what she has is catching?
648
00:24:27,717 --> 00:24:29,302
- Dr. Archer, I can explain.
649
00:24:29,344 --> 00:24:33,139
My patient, Floyd,
he's got a really crappy HMO.
650
00:24:33,181 --> 00:24:35,600
His preventative care was
literally preventing his care.
651
00:24:35,642 --> 00:24:38,061
I've seen that movie before.
It doesn't have a happy ending.
652
00:24:38,103 --> 00:24:39,979
- Yeah, well, at this rate,
neither does your career.
653
00:24:40,021 --> 00:24:41,523
You've already
flamed out of two hospitals,
654
00:24:41,564 --> 00:24:43,149
and you're doing your best
to flame out of a third.
655
00:24:43,191 --> 00:24:44,484
- I hear you.
I overstepped.
656
00:24:44,526 --> 00:24:47,028
- Okay, and we get it.
657
00:24:47,070 --> 00:24:49,823
We won't dig the hole
any deeper, okay?
658
00:24:49,864 --> 00:24:52,325
[soft tense music]
659
00:24:52,367 --> 00:24:53,743
- Archer.
- [sighs]
660
00:24:53,785 --> 00:24:55,537
- What was that about?
661
00:24:55,578 --> 00:24:56,663
- What was that about?
Uh...
662
00:24:56,705 --> 00:24:57,831
it was about Dr. Ahmad trying
663
00:24:57,872 --> 00:24:59,082
to make a good
first impression.
664
00:24:59,124 --> 00:25:00,291
You know, I missed everything
about this place
665
00:25:00,333 --> 00:25:02,711
during my recovery
except idiot residents.
666
00:25:02,752 --> 00:25:04,587
- And there he goes.
667
00:25:04,629 --> 00:25:06,589
Goodbye, Dr. Gratitude.
668
00:25:06,631 --> 00:25:07,590
- All right,
can we get somebody
669
00:25:07,632 --> 00:25:09,467
to take this thing down,
please?
670
00:25:13,513 --> 00:25:15,890
- I know you're still
feeling crummy, Floyd.
671
00:25:15,932 --> 00:25:17,559
But all your test results
were negative,
672
00:25:17,600 --> 00:25:18,935
so it makes me think
you're just fighting a bug
673
00:25:18,977 --> 00:25:20,186
you picked up on the road.
674
00:25:20,228 --> 00:25:22,772
- Gonna just let it
run its course then.
675
00:25:22,814 --> 00:25:24,274
- I wish I could
have been more help.
676
00:25:24,315 --> 00:25:26,901
- Oh, you tried.
677
00:25:26,943 --> 00:25:29,029
- Confirmation with
your primary care physician.
678
00:25:29,070 --> 00:25:30,655
- What's another three weeks,
right?
679
00:25:30,697 --> 00:25:32,449
[chuckles]
Thanks, Doctor.
680
00:25:40,081 --> 00:25:41,458
- Dr. Archer looking for me?
681
00:25:41,499 --> 00:25:44,878
- [chuckles] No.
682
00:25:44,919 --> 00:25:45,837
I think
he's going out of his way
683
00:25:45,879 --> 00:25:47,505
to avoid both of us for now.
684
00:25:47,547 --> 00:25:50,008
- [chuckles]
685
00:25:50,050 --> 00:25:52,427
- Sorry about today.
686
00:25:52,469 --> 00:25:55,513
I shouldn't have led off
by using an outside lab
687
00:25:55,555 --> 00:25:57,057
for Floyd's bloodwork.
688
00:25:57,098 --> 00:25:58,475
I set a bad precedent.
689
00:25:58,516 --> 00:26:01,478
- It was inspiring,
but I made my own choices.
690
00:26:01,519 --> 00:26:03,772
[notepad tapping]
691
00:26:03,813 --> 00:26:05,982
- Mind If I pry?
692
00:26:06,024 --> 00:26:08,234
- Oh, you're wondering why,
aren't you?
693
00:26:08,276 --> 00:26:10,487
- I'm actually wondering who.
694
00:26:10,528 --> 00:26:11,905
From the start,
695
00:26:11,946 --> 00:26:14,908
you were willing to commit
insurance fraud for Floyd.
696
00:26:14,949 --> 00:26:16,576
A leap like that makes me think
697
00:26:16,618 --> 00:26:19,079
treating him was really
about someone else.
698
00:26:19,120 --> 00:26:21,039
- Shirleen Watkins.
699
00:26:21,081 --> 00:26:23,416
- Hmm. Is she a relative?
700
00:26:23,458 --> 00:26:26,586
- Not blood,
but definitely family.
701
00:26:26,628 --> 00:26:28,088
I was a surprise baby.
702
00:26:28,129 --> 00:26:30,965
The next closest sibling
to me was nine years older.
703
00:26:31,007 --> 00:26:33,259
I was in grade school.
They were adults.
704
00:26:33,301 --> 00:26:36,596
My parents were great,
but they were just old.
705
00:26:36,638 --> 00:26:38,932
You know, almost 60
and working full-time.
706
00:26:38,973 --> 00:26:41,434
I was alone a lot.
707
00:26:41,476 --> 00:26:45,605
Shirleen was our neighbor.
She was 24, super cool.
708
00:26:45,647 --> 00:26:47,440
[soft dramatic music]
709
00:26:47,482 --> 00:26:49,776
But my junior year
of high school,
710
00:26:49,818 --> 00:26:52,445
she came down with something.
- Mm.
711
00:26:52,487 --> 00:26:56,533
- We thought
it was just a cold.
712
00:26:56,574 --> 00:26:58,034
I was already
interested in medicine,
713
00:26:58,076 --> 00:27:00,662
so I told her to see a doctor.
714
00:27:00,704 --> 00:27:02,539
She had just started a new job.
715
00:27:02,580 --> 00:27:07,168
Insurance hadn't kicked in,
so she put it off.
716
00:27:07,210 --> 00:27:10,380
By the time her insurance
was active,
717
00:27:10,422 --> 00:27:12,465
the runaround was
so ridiculous.
718
00:27:12,507 --> 00:27:13,550
Weeks were wasted before
719
00:27:13,591 --> 00:27:14,968
she was able
to make an appointment,
720
00:27:15,010 --> 00:27:17,429
and by then, it was too late.
- What was it?
721
00:27:17,470 --> 00:27:19,639
- Lung cancer.
722
00:27:19,681 --> 00:27:22,851
- Oh.
723
00:27:22,892 --> 00:27:25,228
- She died six weeks later.
724
00:27:27,230 --> 00:27:28,481
If not for the insurance BS,
725
00:27:28,523 --> 00:27:31,443
then maybe
she'd still be around.
726
00:27:31,484 --> 00:27:34,029
- I'm sorry, Zola.
727
00:27:34,070 --> 00:27:37,949
- I was 16.
728
00:27:37,991 --> 00:27:39,659
It still burns.
729
00:27:39,701 --> 00:27:42,662
[somber music]
730
00:27:42,704 --> 00:27:44,748
* *
731
00:27:44,789 --> 00:27:47,250
[baby whimpering]
- Oh, careful.
732
00:27:47,292 --> 00:27:50,337
We don't want anybody else
to get any more X-rays today.
733
00:27:50,378 --> 00:27:52,255
- Oh, but the tickle monster
has been unleashed,
734
00:27:52,297 --> 00:27:53,965
and he loves little boys
named Michael!
735
00:27:54,007 --> 00:27:56,384
- That's Isaiah, Dad.
736
00:27:58,011 --> 00:28:00,805
- Knock, knock.
Hope I'm not interrupting.
737
00:28:00,847 --> 00:28:02,682
Hey, Isaiah.
How you doing, buddy?
738
00:28:02,724 --> 00:28:04,517
[chuckles]
739
00:28:04,559 --> 00:28:09,105
Uh, so Bert, your MRI
shows a tear in your ACL.
740
00:28:09,147 --> 00:28:11,858
We got two options for you--
rest and rehab,
741
00:28:11,900 --> 00:28:13,777
or surgery to reconstruct it.
742
00:28:13,818 --> 00:28:16,363
But you can't do that
until the swelling goes down,
743
00:28:16,404 --> 00:28:19,699
so you don't have a decision
to make now.
744
00:28:19,741 --> 00:28:21,034
- Okay. Thanks, Doc.
745
00:28:21,076 --> 00:28:22,911
Meantime, ortho will
be down in a few
746
00:28:22,952 --> 00:28:24,829
to fit you with
a knee immobilizer,
747
00:28:24,871 --> 00:28:26,873
just to give you
some added stability.
748
00:28:26,915 --> 00:28:29,376
- Immobilizer? Is it big?
749
00:28:29,417 --> 00:28:31,628
I need to be able to drive.
- [stammers]
750
00:28:31,670 --> 00:28:35,048
It's bulky,
but it's your left leg, Bert.
751
00:28:35,090 --> 00:28:36,800
You use your right
with the pedals.
752
00:28:36,841 --> 00:28:38,093
You'll be able to drive.
753
00:28:38,134 --> 00:28:41,012
- Oh, yeah. My right leg.
[chuckles]
754
00:28:41,054 --> 00:28:42,931
- [chuckling]
Your father, without fail,
755
00:28:42,972 --> 00:28:45,225
left is right, push is pull.
756
00:28:45,266 --> 00:28:47,936
Thank goodness
we have revolving doors.
757
00:28:47,977 --> 00:28:49,771
- Well, I got to imagine
you had enough
758
00:28:49,813 --> 00:28:51,398
of the ED for one day.
759
00:28:51,439 --> 00:28:53,566
I'll get the
discharge paperwork going.
760
00:28:53,608 --> 00:28:55,235
Nice meeting you all.
761
00:28:55,276 --> 00:28:57,362
See you later, buddy.
[Bert chuckles]
762
00:28:57,404 --> 00:28:59,072
- Thank you, Dr. Ripley.
- Yeah.
763
00:28:59,114 --> 00:29:01,282
- Now, now, where were we?
764
00:29:01,324 --> 00:29:04,953
Oh, yes, I remember,
tickle monster!
765
00:29:04,994 --> 00:29:07,163
[laughs]
766
00:29:07,205 --> 00:29:10,083
- Psst.
[taps table]
767
00:29:10,125 --> 00:29:12,585
- Well, here I am.
768
00:29:12,627 --> 00:29:15,255
All of me.
769
00:29:15,296 --> 00:29:17,757
- [whispers] This way.
770
00:29:17,799 --> 00:29:18,717
- Oh.
771
00:29:22,762 --> 00:29:24,389
I can't believe it.
772
00:29:24,431 --> 00:29:26,808
I get to play doctor
with a real doctor.
773
00:29:26,850 --> 00:29:28,435
- Oh, not so fast.
774
00:29:28,476 --> 00:29:30,603
The doctor will be with you
in a moment.
775
00:29:30,645 --> 00:29:31,730
- What?
776
00:29:31,771 --> 00:29:33,273
All right.
777
00:29:35,650 --> 00:29:37,777
- Hi.
778
00:29:37,819 --> 00:29:40,613
I'm Dr. Ripley.
779
00:29:40,655 --> 00:29:42,657
I hear you have a lesion
on your penis.
780
00:29:42,699 --> 00:29:45,869
[tense music]
781
00:29:45,910 --> 00:29:47,662
- Floyd!
782
00:29:47,704 --> 00:29:50,790
[Floyd retching]
783
00:29:50,832 --> 00:29:52,500
- Here you go.
784
00:29:52,542 --> 00:29:54,627
He went for deep dish pizza
right after being discharged.
785
00:29:54,669 --> 00:29:57,297
Shortly after, he started
vomiting and couldn't stop.
786
00:29:57,339 --> 00:30:00,383
Fever jumped to 102.
Abdominal pains also got worse.
787
00:30:00,425 --> 00:30:03,386
- Oh, it hurts
so bad right here,
788
00:30:03,428 --> 00:30:05,347
and the pain started jumping up
to my shoulder.
789
00:30:05,388 --> 00:30:07,557
[groans] Don't press so hard!
790
00:30:07,599 --> 00:30:10,518
- Sorry, Floyd.
I gotta get a good look.
791
00:30:10,560 --> 00:30:13,355
His gallbladder is inflamed
with pericystic fluid.
792
00:30:13,396 --> 00:30:14,898
With the fever, it could
be acute cholecystitis.
793
00:30:14,939 --> 00:30:18,068
It needs to come out.
- I'll call surgery. Brandon!
794
00:30:18,109 --> 00:30:19,652
- No. Page Crockett.
795
00:30:19,694 --> 00:30:21,946
Likely have to be open because
of his malrotation scarring
796
00:30:21,988 --> 00:30:23,198
from when he was a baby.
- All right.
797
00:30:23,239 --> 00:30:24,824
You got it, Doctor.
798
00:30:24,866 --> 00:30:27,494
- I can't afford an operation.
- It's an emergency now, Floyd.
799
00:30:27,535 --> 00:30:29,371
Everything's covered
by your HMO.
800
00:30:34,626 --> 00:30:34,834
.
801
00:30:34,876 --> 00:30:36,044
- So your father's gonna be out
of commission
802
00:30:36,878 --> 00:30:38,463
for a while with his knee.
803
00:30:38,505 --> 00:30:40,590
I know some nurses who might
want a part-time nanny.
804
00:30:40,632 --> 00:30:41,925
- Oh, that's okay.
805
00:30:41,966 --> 00:30:43,718
I actually started putting
feelers out last week.
806
00:30:43,760 --> 00:30:45,178
- Really?
807
00:30:45,220 --> 00:30:47,222
- I think that Isaiah is
getting to be too much for Dad.
808
00:30:47,263 --> 00:30:48,890
Last few weeks, he's been off.
809
00:30:48,932 --> 00:30:52,060
He's forgetting things
and misplacing stuff.
810
00:30:52,102 --> 00:30:54,813
- The last few weeks?
Or forever?
811
00:30:54,854 --> 00:30:57,565
- I know he's quirky,
but it's getting worse.
812
00:30:57,607 --> 00:31:00,568
He keeps repeating himself too.
813
00:31:00,610 --> 00:31:04,155
- Tara, your father has
always been a broken record.
814
00:31:04,197 --> 00:31:06,741
I mean, how many times has
he told the story
815
00:31:06,783 --> 00:31:09,744
about meeting Michael Jordan
in the DMV?
816
00:31:09,786 --> 00:31:13,081
- So you think
it's just Dad being Dad?
817
00:31:13,123 --> 00:31:14,791
- If the shoe fits.
818
00:31:14,833 --> 00:31:16,918
[pensive music]
819
00:31:16,960 --> 00:31:19,671
You keep me in the loop
with that knee, okay?
820
00:31:19,713 --> 00:31:20,964
- You got it.
821
00:31:21,006 --> 00:31:25,135
* *
822
00:31:25,176 --> 00:31:26,803
- Love you.
823
00:31:28,138 --> 00:31:30,265
Everything's fine.
824
00:31:31,975 --> 00:31:33,476
- Okay.
825
00:31:38,648 --> 00:31:40,316
- Is it syphilis?
826
00:31:40,358 --> 00:31:42,277
- No, actinic keratosis.
827
00:31:42,318 --> 00:31:43,903
- Oh, thank God.
828
00:31:43,945 --> 00:31:45,613
Wait, is that still an STI?
829
00:31:45,655 --> 00:31:47,490
- No, it's a patch
of rough scaly skin
830
00:31:47,532 --> 00:31:49,409
caused by UV exposure.
831
00:31:49,451 --> 00:31:51,619
Based on the pic you sent me,
832
00:31:51,661 --> 00:31:53,038
pretty clear you like
to bask in the sun.
833
00:31:53,079 --> 00:31:55,165
- Yeah, I guess
I should have worn sunscreen.
834
00:31:55,206 --> 00:31:56,332
- Should have left it
in your pants.
835
00:31:56,374 --> 00:31:57,500
- Well, then we wouldn't have
836
00:31:57,542 --> 00:32:00,628
this great origin story
about how we met.
837
00:32:00,670 --> 00:32:03,131
- For real, you think that...
838
00:32:03,173 --> 00:32:04,466
we're gonna still date?
839
00:32:04,507 --> 00:32:06,009
- Yeah, it's a clean
bill of health.
840
00:32:06,051 --> 00:32:07,677
Something to celebrate.
841
00:32:07,719 --> 00:32:08,970
- Hard pass.
842
00:32:09,012 --> 00:32:10,597
I can't speak for all women,
843
00:32:10,638 --> 00:32:14,100
but for me, getting blasted
with a closeup of your business
844
00:32:14,142 --> 00:32:16,936
is a giant red flag.
845
00:32:16,978 --> 00:32:18,980
- Oh.
- Bye, Wyatt.
846
00:32:19,022 --> 00:32:21,066
- Prepare for takeoff.
847
00:32:21,107 --> 00:32:23,485
Seeing big brother
and going in!
848
00:32:23,526 --> 00:32:26,488
[making blasting sounds]
[kids giggling]
849
00:32:26,529 --> 00:32:28,656
[imitating aircraft noises]
850
00:32:28,698 --> 00:32:31,242
Difficulty in the air! Oh, no!
851
00:32:31,284 --> 00:32:33,411
He's coming down
for a crash landing!
852
00:32:33,453 --> 00:32:35,497
[child laughing]
[imitating aircraft noises]
853
00:32:36,706 --> 00:32:38,958
- So I didn't have
a heart attack.
854
00:32:39,000 --> 00:32:40,752
I went into cardiac arrest.
855
00:32:40,794 --> 00:32:42,712
And they're different?
- Yes.
856
00:32:42,754 --> 00:32:47,384
So a heart attack is when blood
flow to the heart is blocked
857
00:32:47,425 --> 00:32:48,968
and is starved of oxygen.
858
00:32:49,010 --> 00:32:52,222
Cardiac arrest is when the
heart suddenly stops beating.
859
00:32:52,263 --> 00:32:53,640
Your arrest was caused by
860
00:32:53,682 --> 00:32:57,519
a rare type of arrhythmia
called CPVT,
861
00:32:57,560 --> 00:33:01,231
catecholaminergic polymorphic
ventricular tachycardia.
862
00:33:01,272 --> 00:33:04,359
Heart starts beating so fast,
it essentially shorts out.
863
00:33:04,401 --> 00:33:06,319
It's genetic.
864
00:33:06,361 --> 00:33:08,113
- It's genetic?
- Yeah.
865
00:33:08,154 --> 00:33:10,156
- So that means my father
and grandfather had it too.
866
00:33:10,198 --> 00:33:11,866
- It's very likely.
867
00:33:11,908 --> 00:33:13,702
It would have been easily
missed in your grandfather.
868
00:33:13,743 --> 00:33:17,622
That era was the dark ages
for cardiac care.
869
00:33:17,664 --> 00:33:21,459
So an autopsy, would have
looked like a heart attack.
870
00:33:21,501 --> 00:33:22,877
As far as your father
is concerned,
871
00:33:22,919 --> 00:33:24,546
your family history
now established--
872
00:33:24,587 --> 00:33:26,464
- So the family curse
is a strain of bad DNA
873
00:33:26,506 --> 00:33:27,924
getting passed down?
874
00:33:27,966 --> 00:33:31,845
- Well, stress
exacerbates the condition,
875
00:33:31,886 --> 00:33:33,722
and there's no shortage
of things to stress about
876
00:33:33,763 --> 00:33:35,432
when you're in your 30s, right?
877
00:33:35,473 --> 00:33:38,476
So it stands to reason
that CPVT presented itself
878
00:33:38,518 --> 00:33:40,270
to you, your father,
and your grandfather
879
00:33:40,311 --> 00:33:42,063
around the same age.
880
00:33:42,105 --> 00:33:43,565
- Is there a cure?
881
00:33:43,606 --> 00:33:45,900
- No, but it can be controlled
882
00:33:45,942 --> 00:33:49,946
with beta blockers
and an internal defibrillator.
883
00:33:49,988 --> 00:33:51,656
[soft music]
884
00:33:51,698 --> 00:33:54,367
- How long have internal
defibrillators been around?
885
00:33:54,409 --> 00:33:56,703
- Almost 45 years.
886
00:33:56,745 --> 00:33:58,621
- [chuckles]
887
00:33:58,663 --> 00:34:00,373
So if the doctors
would have figured this out,
888
00:34:00,415 --> 00:34:03,001
my father could have had one.
889
00:34:03,043 --> 00:34:05,587
And probably my grandfather.
890
00:34:07,297 --> 00:34:09,674
Dr. Archer, if you hadn't
cared enough to keep digging,
891
00:34:09,716 --> 00:34:14,512
I'm pretty sure I wouldn't have
been around much longer.
892
00:34:14,554 --> 00:34:16,139
I'm very grateful.
893
00:34:16,181 --> 00:34:22,979
* *
894
00:34:23,021 --> 00:34:25,106
- Should have been thinking
gallbladder from the start,
895
00:34:25,148 --> 00:34:27,734
especially when Floyd said that
he dropped a bunch of weight.
896
00:34:27,776 --> 00:34:30,528
There was no vomiting,
pain was limited, no jaundice.
897
00:34:30,570 --> 00:34:33,156
Plus, the CT didn't
see any gallstones.
898
00:34:33,198 --> 00:34:34,949
- Hey, hindsight's 20/20.
899
00:34:34,991 --> 00:34:37,410
We're getting Floyd fixed up.
That's all that matters.
900
00:34:37,452 --> 00:34:39,371
- Well, if it's my last case
at Med,
901
00:34:39,412 --> 00:34:41,039
at least I'll be leaving
on a high note.
902
00:34:41,081 --> 00:34:42,540
- Hey, Dean's no choirboy.
903
00:34:42,582 --> 00:34:44,334
And he's definitely
not a fan of bureaucracy.
904
00:34:44,376 --> 00:34:45,794
He gets it.
905
00:34:45,835 --> 00:34:47,295
- So you think
all's well that ends well?
906
00:34:47,337 --> 00:34:48,630
I won't get fired?
907
00:34:48,672 --> 00:34:51,508
- Whatever happens,
you're a good doctor.
908
00:34:51,549 --> 00:34:53,093
- Appreciate that.
909
00:34:53,134 --> 00:34:54,511
- Gallbladder coming out.
910
00:34:54,552 --> 00:34:57,972
[EKG beeping steadily]
911
00:34:58,014 --> 00:35:00,058
Lat.
912
00:35:00,100 --> 00:35:01,309
[tense music]
913
00:35:01,351 --> 00:35:04,104
Abdominal wall feels
really inflamed.
914
00:35:04,145 --> 00:35:06,981
- Yeah, I saw that on CT,
a lot of calcification.
915
00:35:07,023 --> 00:35:09,067
- No, I don't think
that's the case.
916
00:35:09,109 --> 00:35:10,777
Feels like something else.
917
00:35:10,819 --> 00:35:12,362
Stomach is adhered to
the abdominal wall.
918
00:35:12,404 --> 00:35:13,905
Scissors?
919
00:35:13,947 --> 00:35:15,407
Thank you.
920
00:35:15,448 --> 00:35:18,827
* *
921
00:35:18,868 --> 00:35:19,786
Ooh.
922
00:35:19,828 --> 00:35:22,288
- What are you seeing?
923
00:35:22,330 --> 00:35:24,874
- Not sure. Hemostat.
924
00:35:29,921 --> 00:35:30,922
Ooh.
925
00:35:36,094 --> 00:35:39,931
It looks like
some kind of bristle.
926
00:35:39,973 --> 00:35:42,183
- Oh, my God, I think
I know where that came from.
927
00:35:42,225 --> 00:35:45,603
* *
928
00:35:51,151 --> 00:35:51,526
.
929
00:35:51,568 --> 00:35:52,944
- Nice going, distracting
that boy so he could get an IV.
930
00:35:54,946 --> 00:35:56,906
The brother was a lot heavier
than you thought, though, huh?
931
00:35:56,948 --> 00:35:58,616
- Like an anvil.
932
00:35:58,658 --> 00:36:00,285
I might have to learn
some magic tricks.
933
00:36:00,326 --> 00:36:01,578
Easier on the upper body.
934
00:36:01,619 --> 00:36:03,288
- It's good thinking.
935
00:36:03,329 --> 00:36:05,749
- Check this out.
936
00:36:05,790 --> 00:36:07,959
- I have no clue what
I'm looking at here, man.
937
00:36:08,001 --> 00:36:11,087
- Oh, well, that is a
nylon bristle I just fished out
938
00:36:11,129 --> 00:36:13,798
of the abdominal wall
of Zola and Maggie's patient,
939
00:36:13,840 --> 00:36:18,261
Floyd, just like
the kind on barbecue brushes.
940
00:36:18,303 --> 00:36:21,097
- Oh, man, Floyd was
in Memphis a few weeks ago.
941
00:36:21,139 --> 00:36:23,600
Shortly thereafter is when
his pain set in.
942
00:36:23,641 --> 00:36:25,560
A lot of barbecue in that town.
- Oh, yeah.
943
00:36:25,602 --> 00:36:27,270
- The bristle could have
fallen from a brush,
944
00:36:27,312 --> 00:36:30,440
ended up in the meat,
and eroded through his stomach,
945
00:36:30,482 --> 00:36:32,192
and migrated
to his abdominal wall.
946
00:36:32,233 --> 00:36:33,526
- Sounds about right.
947
00:36:33,568 --> 00:36:35,695
- Magic bristle theory? Really?
948
00:36:35,737 --> 00:36:38,114
- Oh, it's not as farfetched
as you would think.
949
00:36:38,156 --> 00:36:40,200
Zola found a bunch
of documented cases.
950
00:36:40,241 --> 00:36:41,493
One patient even died.
951
00:36:41,534 --> 00:36:43,828
They found a bristle
during autopsy.
952
00:36:43,870 --> 00:36:47,165
- Okay.
Guess we're hosting a fish fry.
953
00:36:47,207 --> 00:36:48,750
- Feast, Johnson.
- Feast.
954
00:36:48,792 --> 00:36:50,627
- Feast.
- When is the shindig?
955
00:36:50,669 --> 00:36:52,295
- Saturday.
956
00:36:52,337 --> 00:36:53,546
What, are you coming?
957
00:36:53,588 --> 00:36:56,466
- I don't know.
I was thinking about it.
958
00:36:56,508 --> 00:36:58,259
[pensive music]
959
00:36:58,301 --> 00:37:00,595
- Okay.
960
00:37:00,637 --> 00:37:03,098
- What's up?
Why wouldn't Maggie be there?
961
00:37:03,139 --> 00:37:04,599
- She's going through
a divorce.
962
00:37:04,641 --> 00:37:11,773
* *
963
00:37:17,570 --> 00:37:19,364
- I heard everything went well
in the OR.
964
00:37:19,406 --> 00:37:21,616
Your patient take a turn?
965
00:37:21,658 --> 00:37:23,326
- Nope.
966
00:37:23,368 --> 00:37:27,288
Just hiding out, I guess.
967
00:37:27,330 --> 00:37:30,166
- Hmm.
968
00:37:30,208 --> 00:37:32,043
The CT scan.
969
00:37:34,254 --> 00:37:37,465
What'd you trade with the tech
to get him to run it?
970
00:37:37,507 --> 00:37:39,050
- My Ventra card.
971
00:37:39,092 --> 00:37:42,262
His commute's on me
for a while.
972
00:37:42,303 --> 00:37:45,265
- ICU lounge, 20 minutes.
973
00:37:45,306 --> 00:37:50,562
* *
974
00:37:50,603 --> 00:37:52,272
- I wish I could
have seen Wyatt's face
975
00:37:52,313 --> 00:37:55,734
when Mitch walked in.
- Oh, this is fascinating.
976
00:37:55,775 --> 00:37:57,235
I just clicked
a link to an article
977
00:37:57,277 --> 00:37:59,738
detailing how there's
still Neanderthal DNA
978
00:37:59,779 --> 00:38:01,781
floating around the population.
979
00:38:01,823 --> 00:38:04,200
Variants are associated
with a variety of traits:
980
00:38:04,242 --> 00:38:07,037
neurological, immunological,
and--get this--
981
00:38:07,078 --> 00:38:08,997
dermatological,
where they've been linked
982
00:38:09,039 --> 00:38:11,708
to the development
of sun-induced keratosis.
983
00:38:11,750 --> 00:38:13,209
- Shut up.
984
00:38:13,251 --> 00:38:16,046
- [laughing] So Zola was right.
- Oh, my God.
985
00:38:16,087 --> 00:38:17,714
- Some guys really
are still cavemen.
986
00:38:17,756 --> 00:38:19,257
- That's hilarious.
987
00:38:19,299 --> 00:38:21,676
And utterly depressing,
988
00:38:21,718 --> 00:38:23,636
because now
there's actual science
989
00:38:23,678 --> 00:38:26,389
that states that dating
is not for me.
990
00:38:26,431 --> 00:38:29,559
- Well, I bet the numbers are
still on your side, though.
991
00:38:29,601 --> 00:38:31,478
Yeah, Google estimates
992
00:38:31,519 --> 00:38:35,398
40,000 single men in Chicago
in your demographic.
993
00:38:35,440 --> 00:38:37,233
So you've gotta click
with at least one of them.
994
00:38:37,275 --> 00:38:38,943
- Mm?
995
00:38:41,279 --> 00:38:43,698
Yeah.
996
00:38:43,740 --> 00:38:45,116
Maybe.
997
00:38:45,158 --> 00:38:47,577
* *
998
00:38:47,619 --> 00:38:49,621
- Get back to you.
999
00:38:49,662 --> 00:38:53,249
- Hey.
- Hey, nice surprise.
1000
00:38:53,291 --> 00:38:55,085
- So how was your grandson
and the ex-husband?
1001
00:38:55,126 --> 00:38:58,004
- Oh, they're both fine.
Catastrophe averted.
1002
00:38:58,046 --> 00:39:01,341
And I'm sorry about that
deer-in-the-headlights stare
1003
00:39:01,383 --> 00:39:02,926
I gave you this afternoon.
1004
00:39:02,967 --> 00:39:04,886
It was just so much happening.
1005
00:39:04,928 --> 00:39:07,722
I didn't have the bandwidth
for worlds colliding.
1006
00:39:07,764 --> 00:39:08,932
- Of course not.
1007
00:39:08,973 --> 00:39:11,059
It wasn't the time
or the place.
1008
00:39:11,101 --> 00:39:13,937
And I'm the one who
should be apologizing.
1009
00:39:13,978 --> 00:39:16,398
Even though it's not
a shortcut to anywhere,
1010
00:39:16,439 --> 00:39:20,026
I sometimes cut through the ED
hoping to run into you.
1011
00:39:20,068 --> 00:39:22,445
And today, it was because
I wanted to be supportive,
1012
00:39:22,487 --> 00:39:24,823
but I really didn't know how.
1013
00:39:24,864 --> 00:39:29,035
- You see,
it's that kind of honesty
1014
00:39:29,077 --> 00:39:33,123
that's gonna really
make me fall for you.
1015
00:39:33,164 --> 00:39:35,500
I'm done for the day.
You wanna grab dinner?
1016
00:39:35,542 --> 00:39:37,085
- [sighs]
Wish I could.
1017
00:39:37,127 --> 00:39:39,254
I still got a few things
I gotta finish up with.
1018
00:39:39,295 --> 00:39:41,047
- Okay.
- But we still on for Friday?
1019
00:39:41,089 --> 00:39:43,008
- Oh, I can't wait.
- Aw.
1020
00:39:43,049 --> 00:39:46,136
- [chuckles]
- Mwah.
1021
00:39:46,177 --> 00:39:48,972
- [chuckles]
1022
00:39:49,014 --> 00:39:52,684
- See you.
- All right.
1023
00:39:52,726 --> 00:39:54,352
[laughs]
1024
00:39:57,480 --> 00:39:58,898
- Dr. Archer, I am so sorry--
1025
00:39:58,940 --> 00:40:00,775
- I know, I know.
Yes, you're sorry.
1026
00:40:00,817 --> 00:40:02,110
You're sorry.
1027
00:40:02,152 --> 00:40:03,486
All right, you got caught up
in the moment.
1028
00:40:03,528 --> 00:40:05,071
It'll never happen again.
1029
00:40:05,113 --> 00:40:07,490
We're way past apologies,
Dr. Ahmad.
1030
00:40:07,532 --> 00:40:09,784
[soft dramatic music]
1031
00:40:09,826 --> 00:40:12,704
* *
1032
00:40:12,746 --> 00:40:14,414
Primer for you for class.
1033
00:40:14,456 --> 00:40:16,374
- Class?
- Mm-hmm.
1034
00:40:16,416 --> 00:40:18,168
Medical ethics course.
1035
00:40:18,209 --> 00:40:21,338
Eight hours every weekend
for ten weeks.
1036
00:40:21,379 --> 00:40:23,923
I signed you up.
You start Saturday.
1037
00:40:23,965 --> 00:40:26,676
If I were you, I'd take notes.
1038
00:40:26,718 --> 00:40:29,262
- So I'm not fired?
1039
00:40:29,304 --> 00:40:31,264
- Not today.
1040
00:40:31,306 --> 00:40:33,683
That's something
to be grateful for.
1041
00:40:33,725 --> 00:40:40,148
* *
1042
00:40:40,190 --> 00:40:42,859
- Ma!
1043
00:40:42,901 --> 00:40:44,235
- Tara, what are
you doing here?
1044
00:40:44,277 --> 00:40:45,945
Where is Isaiah?
- Michael's watching him.
1045
00:40:45,987 --> 00:40:47,906
I need to show you
something now.
1046
00:40:47,947 --> 00:40:49,866
I know you said
everything's fine with Dad,
1047
00:40:49,908 --> 00:40:51,785
but I was looking through
footage on the nanny cam
1048
00:40:51,826 --> 00:40:54,204
in Isaiah's room,
and I saw this.
1049
00:40:54,245 --> 00:40:56,289
Take a look.
1050
00:40:56,331 --> 00:41:00,835
He goes to leave the room,
but he opens the closet door.
1051
00:41:00,877 --> 00:41:03,046
And he's just standing there.
1052
00:41:03,088 --> 00:41:05,340
He doesn't know where he is.
1053
00:41:05,382 --> 00:41:08,343
[somber music]
1054
00:41:08,385 --> 00:41:10,512
* *
1055
00:41:10,553 --> 00:41:12,931
Something's wrong with Dad.
1056
00:41:15,892 --> 00:41:17,602
- Damn.
1057
00:41:17,644 --> 00:41:22,774
* *
1058
00:41:26,903 --> 00:41:29,823
[dramatic music]
1059
00:41:29,864 --> 00:41:36,996
* *
1060
00:41:56,891 --> 00:42:00,020
[wolf howls]
70973
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