All language subtitles for NA20

.

[bright tones]

- Mom?
[panting]

Mom?
[heavy breathing]

- Next Tuesday's fine.

- Let's do that.
- Yeah.

- Keep him on the leash, honey.

Thank you.

- Mom!

Mom?

Mom!

[hyperventilating]

- [shushing]
It's okay, honey.

It's okay.
How can I help?

- I can't find my mom.

I don't know where she went.
- It's okay.

We'll find her.
What's your name?

- Luna.
- Luna.

That's a pretty name.

What about your dad?
Do you know where he is?

- I don't have a dad.

My dad died.

- [gasps]
[panting]

[melancholy piano music]

[cars honking]
[sirens wailing]

♪

- [sighs]

♪

[overlapping chatter,
laughter]

- All right, I've got
two infinity pools,

I got a swim-up Jacuzzi,
and this?

This is where
the Millennium Falcon lands.

So...
[laughter]

What?

- No, Jeffery, it's, uh--
it's great.

It's just, it's safe to say
you followed the letter

of the exercise
and perhaps not the spirit.

- I mean, you said
envision our futures, right?

Well, y'all, this is mine.
- Yes, Jeffery.

It's just, your future contains
a few more

two-piece bathing suits
than I had anticipated.

That's all.
[laughter]

- Can--can I go next,
Dr. Frome?

- Yes, Avi, please.

Talk us through your vision
of your future.

Jeffery, it's fantastic.

- Thanks.

- Okay, so right here
is Parthenon in Athens.

I'm gonna go after I learn
some Greek, you know?

So I can speak
to the locals.

I hate that everybody
just assume that everybody's

just gonna speak English,
you know?

- That's smart.

- And this?

This is Table Mountain
in Cape Town.

One day I'm gonna hike it.

Right to the top.

- What drew you to Cape Town?

- I guess I just, you know,
want to see the world.

Go places I never been before.

I mean, come on.
Look at that view.

- That's spectacular.
- It's beautiful.

- It is, Avi.
Fantastic, truly.

Now, guys,
it is more than fine

to look forward
to material things--

- Yeah.
- Yes.

[laughs]
But--but sometimes

goals are stronger
when they affect who we are.

You know what I mean?

- Iggy.
- Yes.

- You have a visitor.
- Ah.

It's my new Jet Ski.

Um, guys, keep filling out
your vision boards.

I will be right back.

And Jeffrey, ease off
the swimsuit models.

Thank you.
[laughter]

both: Hi.

- Tiara Dobbs.
Avi Mantell's social worker.

It's good to finally meet you
in person.

- Yeah, likewise.

So, um, what brings you down
to our neck of the woods today?

Avi's mother's been offered
a job in Missouri--

her hometown--
and she can't pass it up,

so she's gonna be
moving back there next week.

- Oh, wow.

With Avi, obviously.
[laughs]

- Yes.

I reviewed Avi's case
and it appears

that he has made
huge strides with you,

so I can't think of any reason
that he can't transfer

from inpatient care
to weekly visits

with a local therapist.

I just need you to sign off

so I can begin Avi's
official discharge procedure.

- [sighs]

- Unless you don't agree.

- I did--I did have...

a pretty huge breakthrough
with him recently.

- Well, that's certainly good
to hear.

- I know, it is.

Yes, I think that Avi
is ready for the next step.

- Wonderful.
- Okay.

- I'll tell Avi
to pack his things.

- [laughing]
- What is so funny?

- I've just discovered

that New Amsterdam has
a listing on Yelp.

- "Yelp"?

- Yeah, you know, where people
post online reviews

about places they love,
things they hate,

their experiences.

- Oh, like Facebook
but on the internet.

- Uh...
[sighs]

Yes, exactly.

Listen to this:
it was posted two minutes ago

by @NancyPants.

"The rooms at New Amsterdam
are freezing,

"the lights are
horrifically bright,

"and the only thing older
than this mattress

"is my bald doctor
who can never seem

"to find his glasses.

One star."
[laughing]

- Let me see this.

[upbeat percussion music]

I know this patient.

This is Nancy Nan.

She's doing a sleep study
with me.

- One star, Vijay.

- Ouch.
- One star?

That's absurd.
All she has to do is to sleep.

- I'm joking.
Don't worry about it.

[laughs]

- 40-plus years of practice

and an expert
in my field of study.

I should be able
to do better than one star.

We shall see about this.
- Uh, Vijay.

My phone and your glasses.

- Yeah.

- [laughs]

[feverish music]

- Nice cap, Williamsburg.

When does your artisan
pickle shop open up?

- Proud of that one?
- Mm, I'm proud of all of them.

So, today's schedule
isn't too terrible.

Fist up: Quarterly Allocation
Review Committee.

- Pass.
- Uh, you can't really pass.

- No?
Watch me.

I'm skipping
that redundant meeting.

- What's next?
- [stammers]

Then there's a new
pharma vendor show-and-tell.

- Pass.
- You--okay.

Uh, the Board requested
your presence

at the Strategic Objective
Luncheon in midtown.

- Pass. Next?
- Max--

- Pass. Next?

- Police commissioner
called again.

I'm guessing it has to do
with what happened

to Officer McNeil.

- Yeah, hard pass.

- Max.
- No.

There's not a single essential
meeting on that entire list.

They're all just arbitrary,

and I'm not wasting
any more time on arbitrary.

- Well, what--
well, now that you've cleared

your entire schedule,
what do you intend to do--

- I don't know,
something that matters.

You know,
something worth my time.

Maybe something life and death.

[tense music]

♪

- What was that all about?

- He's in a mood.

[alarm ringing]

- It's okay, honey.

[extinguisher spraying]
- Whoa, whoa!

Whoa, whoa, whoa!

What the hell happened
in here?

- You might want to ask him.

[alarm continues ringing]

- Okay, I got this.

- It just came out of nowhere.
- It's okay.

- All right, let's go.

♪

- [clicks tongue]

♪

That was your
vision board, bud.

What's going on?
- I'm not going nowhere!

- Avi...

- You're gonna do great today.

- I've been to plenty

of morbidity
and mortality conferences.

[sighs]
Just never had to lead one.

- Well, you're my, uh,
chief resident now.

It comes with the job title.

- Been going over your case
and it sounded just awful.

Officer McNeil
just bled out so fast.

- Yes.

- I'm sorry, Dr. Reynolds.

- So am I.

- Look, I just want you to know
I'm not gonna throw you

under the bus or anything
during this discussion.

- No, no, no.

Look, M&Ms aren't about blame,
all right?

They're a teaching tool.

We come together to see
if our actions contributed

to the patient's death so we
never repeat those mistakes.

- But that's just the thing.

I've been preparing this
for days.

I haven't found any mistakes.

- Hey, that can happen too,
all right?

But we still study the case

and we vow to do better
the next time.

That's it.

- Today's case is a white
4o-year-old female

trauma patient.

She initially presented with--
[door opens]

[door slams]

- Go ahead.

- The patient presented
with a fractured femur,

cervical and thoracic
abrasions--

- Was Officer McNeil
on any medications?

[paper rustling]

She was on...

low-dose birth control.

25 minutes post arrival--

- Did Officer McNeil have
a history of heart disease?

- Uh...

No, the patient did not.

- We all know you're talking

about Officer McNeil,
Dr. Nottingham.

No need for anonymity.

- Okay.

Um...

25 minutes post arrival,
Officer McNeil developed

a pneumomediastinum,
necessitating--

- Before the pneumomediastinum,
were there any other signs

in her vitals that could have
predicted her eventual death?

- Not that I'm aware of.
- Hmm.

What did Officer McNeil
look like

as she went into surgery?

- I don't know.
- You don't know?

♪

- I wasn't there.

- You weren't there.

Well, if we have any hope of
getting some real answers today

then we need someone
presenting this case

who was actually there.

♪

Dr. Reynolds?

She was your patient, right?

♪

Yes, she was.
- Hmm.

So you would have
the most salient information

on this case.

- I think Nottingham
is providing

an accurate case review.

- Hmm. Indeed.

But, uh, to really get
to the bottom of how she died,

don't you think that
you might be better qualified

to lead this discussion?

If it's not
too much trouble.

♪

.

- Next slide.
- Okay.

Let's go
to the chest x-ray first.

Okay, good.
- [indistinct]

Next slide.
- Okay.

All right.

So here we have
Marie McNeil's chest x-ray.

You will notice
the mediastinum.

It measured just over
9 centimeters in length.

Now, Dr. Nottingham,
can you give us the criteria

for pathological widening?

- 8 centimeters
on a supine AP chest.

- Very good.

We have met the criteria
for pathological widening.

If we take a closer look
right about here--see that?

Air bubbles.

That's the cause
for the widened mediastinum.

Now, that's actually caused
by tears in the esophagus

called Boerhaave's syndrome,
all right?

And also of note:

normal pulmonary parenchyma

and normal cardiac silhouette.

Next.

- Uh, wait, go back
to the chest x-ray.

[mouse clicks]

You said cardiac silhouette
was normal?

- Yes.

- But the chest x-ray
is a rather blunt instrument

for examining something
as delicate as the human heart,

wouldn't you say?

So what other modalities
did you use?

- An EKG and
a transthoracic echocardiogram,

both of which
came back normal.

- Good.
Can we see those?

[tense music]

♪

- Uh, Dr. Nottingham
didn't include them

in today's presentation
because they were normal.

- Well, I can't tell
if they were normal

if I can't see them for myself.

- Well, I don't have them here.

- No?

♪

The entire purpose of an M&M
is to analyze the data

to ensure
that if mistakes were made

those mistakes
will not be made again.

It is particularly difficult
to analyze that data

when that data isn't here.

So why don't we take
a brief recess

to allow Dr. Reynolds
to compile

all the necessary cardiac data.

♪

[door opens, closes]

[indistinct muttering]

- Uh, why are you moving me?

- I honestly have no idea.

- To get better results
on your sleep study

we wish for you
to, uh, have a warmer room

with better lighting
and much, much softer bed.

- Okay.

- Oh!
- Uh, hello.

What's up with the lamp?

- Uh, we're moving this patient
to a nicer room

for some random reason.

- What?
- No.

We have a reason.

The reason is because
we are trying

to provide Ms. Nan with
the most comfortable care here

in the New Amsterdam
because patient comes first.

Right?

- Yes.

Yes.
[laughs]

Finally, someone who gets it.
Thank you.

- You are welcome.
- Yeah.

We gotta go the extra mile,
you know?

Our patients do come first.

I mean, this is
what I've been saying.

You know, these people
depend on us for care.

They put their very lives
in our hands.

- My boyfriend just hates
my snoring.

- You know, we can do better.

We can do better
than just provide her

with comfortable care.

- We can?
- Yeah.

How would Ms. Nan like a stay
in our Presidential Suite?

- I imagine she would
like that very much.

Yes, thank you.
- Mm, good.

- Okay.

Come on,
before he changes his mind.

♪

Hurry up.

[jaunty percussion music]

[sirens wailing]

- Why does she have
to be here?

- Uh, Ms. Dobbs and I are both
your advocates, Avi.

She's part of the team.
- I don't have a team.

- You don't.
You have an entire network.

Me, Ms. Dobbs, your mother.

The All Stars, man,
you know?

Everyone wants
to see your transition

to life outside
of the hospital go smoothly.

- Too big of a freak
to be in the real world

with normal people.

- What is--what are you doing?
Time out, time out.

You know full well on this ward
we don't use words like freak.

"Real world," "normal"--
whatever that is.

All right?

Those are day-one
ground rules, Avi.

Come on.

I think you're breaking
the rules on purpose.

That's my theory.

I think you're scared
of what's to come.

You're scared of these changes,

so you think if you act out now
you can get out in front of it

and stop these changes
from happening.

Talk to us.

- When they kicked me out
of school,

I didn't care
where they sent me.

I didn't care about anything.

It was like, whatever.

But then...

Things just got better here.

- That's right.

- Things were starting
to make sense.

I felt like I belonged here.

But now that I'm starting
to get the hang of it

my mom is trying
to ruin my life again.

- No one--no one
is ruining your life, Avi.

I--I don't even think
anyone has that power.

All right?
You put in the work.

You learned the tools.
You can cope anywhere.

Even Missouri.

- How do you know?

- Just listen to me, okay?

'Cause I'm good at what I do.

I can promise you this:

you are ready.

He is not ready.
- What?

Were we both in
the same session?

- Avi accused his mother...

of ruining his life again.

- And?

- Avi was admitted for
a serious outburst at school.

Kids were teasing him
over his learning disability,

but it had nothing
to do with his mother.

- What are you saying?

- I'm saying whatever's
going on with him

was triggered only once
he learned he was leaving.

- Avi's mother can't
just change her travel plans.

Her new job is expecting
her there on Monday.

- I need more time with him.

- Dr. Frome, his discharge
paperwork has been filed.

- I know.
I know.

Just let me talk to him.

Alone.

Let me see
if I can get through to him.

That's it.

[indistinct chatter]

[stirring classical music]

♪

- Thank you.

Oh, um, Dr. Kao?

How do you spell
your last name?

- Uh, K-A-O?

- "Dr. Agnes Kao..."

♪

- [sighs]
Thomas Jefferson once stayed

in our Presidential Suite.

- Is that right?
- Mm.

This room has housed
the architect

of the Declaration
of Independence.

And now @NancyPants
from Yelp.

- I know how this looks.

- Yeah, I feel like if you did

we wouldn't be having
this conversation.

- This was not my idea,
I swear.

It was Max's.
- Hold on.

The ludicrous coddling
of Nancy Nan--

a woman who isn't even sick--
came from Max?

- Yes.

And if his error in judgment
leads to an enhancement

of my online status,

well, this is just
a happy coincidence.

- Did Max seem like himself
to you?

- He seemed erratic.

Annoyed, then excited,
then distracted,

all in quick succession.

And if it was anyone but Max,
I would have got worried.

♪

Should I be worried?

♪

Aww, she found the fizzy water.

[water hissing]

- [scoffs]

♪

[door slams]

[indistinct chatter]

- Brought everything
I could find.

Action logs, nursing notes,
imaging studies.

Oh, and here are those, uh,
ultrasounds.

- Oh, good work.

- I'm sorry about this,
Dr. Reynolds.

I didn't really expect
Dr. Goodman would want

to see every last scan.

- It's not your fault.

This, uh, level
of due diligence is extreme.

- That's one way to put it.

- But my work on Officer McNeil
was solid, you know?

Our job now is just
to present the case clearly.

- Hey, can we talk?

- I'll get these loaded
onto the computer.

- Thanks.

Hey.

- I don't like this, Floyd.
- It's fine.

- It doesn't feel fine.

Feels like you're putting
yourself on the line.

- Okay, these conferences
are for internal use only.

They're protected.

- But we both know
that Max has been

fielding calls on this one.

From the mayor,
the police commissioner.

Board of Directors,
malpractice department at HCC.

- Evie--

- There was a police officer
that died on your table,

under your knife.

You know that they're gonna be
looking for someone to blame.

[door slams]

Hate to say it, but it sure
feels like Max is trying

to make sure that person
is you.

- Dr. Reynolds?

Are you actually ready?

[foreboding music]

♪

.

- What we have here is the
pre-op echocardiogram

for Officer McNeil.

Now, let's focus on where
the rupture occurred.

Here to here, all right?

.34 centimeters

at the thinnest width
of the right ventricular wall.

Normal.

Also, normal valve function.

Normal papillary musculature.

And, as noted before,
normal echo.

- Hmm.

How about a second opinion?

Dr. Jessup?

- Yes, it appears normal.

- How about you, Dr. Flores?

Don't you think
the right ventricular wall

looks a little thin?

- Uh, no.

It looks like
a normal thickness to me.

- Is there anyone here
who disagrees?

Dr. Nottingham?

- I see what Dr. Reynolds sees.

Normal ultrasound.

- Well, an ultrasound is just
an approximate image

of the real heart.

But, fortunately for us,
the real heart is still here

down in pathology,
so I think we should

all take a trip down there

and have a closer look
for ourselves.

- You can't be serious.

- Oh, but I am serious.

Once we examine the real heart,
then we'll know

if these readings were in fact,
as you say, normal.

[tense music]

♪

Right now.
Here we go.

Everybody up.

[overlapping muttering]

♪

- You know you can talk
to me, right?

It's just me and you.

In here, just like before.

- It'll never be
like it was before.

Not where I'm going.

- Okay, let's talk about that.
- Let's not.

- Avi, I believe there is
something in your life

that really upsets you.

Something you've worked very,
very hard to lock away.

And now, for some reason,

that thing has
snuck back around

to the front of your mind.

For some reason, that's all
you can think about right now.

You know I can help you.

I can help you manage
these emotions,

but first you have
to let me in.

- I don't want
to move back there.

I hate it there.
- You hate it in Missouri?

- Why do I have
to go with her?

Why can't she just
go back there

and do her dumb job there
and I could stay here, right?

Don't make me go.

- Does this have something
to do with your mom?

- No!

My mom doesn't know
anything about it.

- Doesn't know anything
about what?

- No, no, no.

Avi, what doesn't
she know about?

You have to tell me.

You gotta let me in
so we can face it together.

- I don't want to face it!

I want to stay here, but nobody
cares about what I want!

- That is not true.
- It is true!

If you cared about me at all
you'd be on my side right now.

You'd be on my side
instead of working so hard

to ship me off to Missouri!

[objects clattering]

♪

I can't go back.

[sighs]

♪

both: Hi.
- Have you got a minute?

- Well, despite this
whimsical tableau

I'm actually quite busy.

- Tough case?
- Understatement.

But, you know,
nothing fires up the brain

like sugar
and titanium dioxide.

- Well, before you slip
into insulin shock,

I--I want to get
your professional opinion.

- About?

- About Max.

- You know, speculating
on the boss's mental health

is not my favorite thing.

- Nor mine,

but if the medical director
of New Amsterdam's ability

to make decisions
is compromised,

then I need to know about it.

Every cancer patient struggles,
but in the past few days

he has been exhibiting
behavior that's erratic.

Unstable, even angry.

That's not Max.

- Well, I do, um--
I have a theory but...

I don't think
you're gonna like it.

- Go on.

- It's you.

- Me?

- This all started once
you passed him off

to Dr. Stauton
like a hot potato.

- That's irrelevant.

Our treatment plans
are almost identical.

- Yeah, but your relationships
with Max are not, are they?

- Dr. Stauton is
an excellent doctor.

Max knows that.
- Yeah, and he respects her.

But he believes in you.

- I need your help right away.

- Hey.
- Not now.

- Okay.

- This better be important.

- I am at the end
of my rope now.

I have a patient who,
no matter the treatment,

cannot be helped.

- Is this about your

spinocerebellar degeneration
patient?

- No, he's fine.
It's about @NancyPants.

- I brought this on myself,
didn't I?

- Look at this.

[upbeat percussion music]

- "The 100-year-old doctor
just tried to buy me off.

"Pro tip: want a better review?

"Don't give me the scratchiest
sheets on the planet.

One star."

- She is insufferable.

- Isn't she in
the Presidential Suite?

- Yes, and she's still
displeased.

- Wait, we use 600 thread-count
Egyptian cotton in there.

- Nothing will ever be
good enough for this woman.

- It's hard to believe
she's a woman of fine taste

given her screenname
is @NancyPants.

- I don't know what more to do.

- Wait, what if
she actually had

incredibly sensitive skin?

- It has to be the most
sensitive skin on this planet,

or...

[funky music]

Oh, dear.
- Exactly.

♪

- Max, we should talk.
- Not really a good time.

♪

- What is this?

- A fool's errand.

♪

- If we look at
the patient's heart,

we see the chambers intact.

Normal in appearance.

But let's turn
to the cardiac injury.

Even after this dramatic
free wall rupture,

the actual
cardiac tissue itself

is amazingly normal.

- No thinning?

- None.
- No?

No, uh, infiltrative process
like amyloid or fibrosis?

- No, no abnormalities
whatsoever.

- Dr. Reynolds, what about
your, uh, mental state

during the surgery?

- Nothing of particular note.
- Really?

Because I know for a fact
on that day

that you were, uh, distracted.

- No, I was fine.

- If you recall, you spent
the entire morning

going over your budgets.

- It's unrelated
and you know it.

- Not if it compromised
your concentration

during the surgery.

- You honestly believe
I was still thinking about

your stupid budgets?

- I don't know.
You tell me, Floyd.

The woman died on your table.
- You know what?

That's it.

This M&M is over.
Everyone back to work.

Now!

Except for you.
We got business.

.

- You were way out of line.
- Not if I'm right.

- Well, you're not right,
and that wasn't an M&M.

That was a public shaming.

- I am only asking
the tough questions.

- No, you are undermining my
credibility at this hospital.

In front of my staff.
In front of my colleagues.

- Are you really making
this patient's death about you?

- No, you made it about me when
you brought up my mental state.

- The whole point
of this exercise

was to determine,
once and for all,

if Officer Marie McNeil's death
was preventable.

- We have sifted through
every notation, every scan,

every piece
of recorded imaging.

Hell, 50 people
just watched you poke and prod

at the poor woman's heart.

There's nothing else
to investigate!

- Then we start over!
- Max.

- [scoffs] You are
unbelievable, you know that?

- Yeah, no, we start over.
We dig deeper.

We keep looking
until we find--

- No!

- What did you say?

- In what world do you think
I'd stick around

for more of this?

I was so excited
when you offered me chair.

To build a department that--

that we could both be proud of.

An environment based
on mutual respect.

But in one afternoon you
managed to tear it all down.

In one afternoon you showed
how little you trust me,

and you did it
in front of everyone.

You can expect my resignation.

- Do you want to tell me
what this is really about?

[suspenseful music]

♪

- You're not my doctor,
remember?

♪

- We must examine you
right away.

- I'm trying to sleep, here.
- You're on your phone.

- That's how I get to sleep.

- Blue light disrupts
the production of melatonin,

but we'll talk
about that later.

Uh, do you mind showing me
your legs, please?

- Um...

- Dr. Kapoor believes
your discomfort

has nothing to do
with the sheets.

- O-okay, sure.

Oh.

- How long have you had
this rash?

- I've never noticed it before.

- Can I have that glass?

♪

- The rash doesn't blanch
under pressure.

- We must get her
to the procedure room now.

- [stammering]
Wait, why?

- Ms. Nan, it appears
you have contracted

meningococcal meningitis.

If we don't treat you now,
you could die.

- I need a procedure room,
stat.

[somber music]

♪

- Dr. Sharpe.

Something I can help you with?

- I need to talk to you...

about Max.

- Somewhat irregular.

- I know.

- Come in.

♪

[knocking on door]

- Hey, Avi.
Hi.

Yeah, come in.
Come in.

- My mom's waiting.

I just wanted to, you know...

Say goodbye real quick.

- You have my number,
you know.

You can call me anytime.
Anytime.

- Thank you...

for, you know...

trying to fix me.

I know I let you down.

I'm really sorry for that, Doc.
- You never let me down.

- But you couldn't fix me, so--

- Hey, stop, stop.
Listen to me, listen to me.

"Fixed"...

that's not a thing.

It doesn't exist.

Nobody leaves
this hospital fixed.

Do you understand?

My job is to give you the tools
to get through the day.

♪

That's it.

♪

- I wish I could
just stay here.

- Hey, hey.

You're gonna make it
to Missouri.

But that's just the beginning.

Don't forget
about Table Mountain.

The Parthenon.

Right?

Gonna hike all the way
to the top.

- Right to the top.

- Yeah.

♪

Use the tools.

- Use the tools.
- Every day.

- Every day.

- Come on.

You're gonna be great.

- Avi.

- Hey.

- It's time to go.

♪

- All right.
[swallows]

Bye, Doc.
- Bye, Avi.

♪

- Pulse ox 97,
BP 100 over 60.

- When you feel the pop...

[monitor beeping]

You know you are in.

There.
- HR normative range.

[tense music]

- Nancy?
- Here you go.

- You okay?

- Uh, I guess so.

- We are collecting the fluid

to identify which bacteria
is making you so sick.

- Additional LP tubes
on the tray.

- I just came in
for a simple sleep study.

[mumbles indistinctly]

[monitor beeping rapidly]

- Nancy?

- She's unresponsive.
- Heart rate is up to 124.

- BP's down to 80 over 40.

- She's going into
septic shock.

Deliver to the lab.
Hurry.

[indistinct chatter]

[monitors beeping]

- Rapid response,
procedure room number two.

[indistinct chatter]

- What the hell was that?

I did everything in my power
to save this patient's life.

I did everything right,

and now it's gonna bury
my career?

- This doesn't need
to land on you.

Max was--I don't know
what that was.

- Out of control.

Insane.
Tyrannical.

- Babe, you have
legal recourse here.

I have a friend
at Adler & Morgan

who would take on this case
at the drop of a hat.

[knocking on door]

- Yeah?

- Not the best time.

- W-we should talk.

- Text me later.

[door closes]

- This better not be
you defending him.

Not after what he did.

- No, I--I can't defend that.

But, uh--
- But?

But?

- Max's cancer.

It's not responding
to chemo or radiation.

[tense music]

♪

- How bad?

- It's bad.

♪

- When did he find out?

- Stauton told him
this morning.

♪

[sirens wailing]

.

[suspenseful music]

- Got enough light
on the keyhole?

- Passing through
the cerebral cortex.

- The center of the infection
is in the third ventricle.

I don't think
you'll be able to hit it.

- Keep looking at the CT.

♪

- Go ahead and remove
[indistinct].

- 4 centimeters
to the lateral ventricle.

You're too close.

- I can make it.

[indistinct chatter]

- If you clip that
she'll never walk again.

Just imagine that review.

[monitors beeping]

- Advancing caudal
to the corticospinal tract.

♪

- You're clear.

- And I am into ventricle.

[indistinct chatter]

♪

Injecting...

Cephillicam.

[liquid squirting]

♪

- Heart rate and blood pressure
are stable.

♪

[indistinct chatter]

♪

- 43 years ago,

I made a decision
to be a doctor.

Dedicate my life
to the service of others.

It was never about reviews.

[introspective music]

♪

[indistinct announcement
over PA]

- I heard.
- Mm.

Yeah, well, what can you do?

- I get why you pushed hard.

I want answers too.

- How do we just accept
that her death...

or anyone's death, was random?

Life, death.

It can't be arbitrary.

- It's not.

- I just thought maybe
there was something...

That we missed.

You know,
maybe there was something

that we could have
done differently.

Maybe--maybe I could have
done a lot of things...

differently.

- Sometimes
you do everything right.

You know?

And get the same result.

As though you've done nothing.

[phone ringing]

- I'm sorry, Floyd.

I don't know...

what else to say
or how else to say it.

I just...

I don't know who that--

who that was today.

♪

I mean, I look
in the mirror and I--

I don't even recognize
that person.

♪

- What's happening to you
is not fair.

There's no reason behind it.

No answer
that will make it better.

- I know.

I just don't want my life...

♪

or my death...

to be...

arbitrary.

- Okay.

Okay, well,
the way I see it...

you got a choice.

[chuckles]

You either let
the randomness of this...

beat you down...

or you pick yourself up
and you just keep fighting.

♪

Endings be damned.

♪

[sirens wailing]

[approaching footsteps]

♪

- Hey.

- I know what you're gonna say.

♪

- I like your hat.

- [laughs]

[cars honking]

♪

- [sighs]

- I have been sitting here
all afternoon

researching
alternative options.

Have you heard
of the Norton-Simon model?

- No.
- It's called DDC.

Dose-dense chemo.
- "Dose-dense"?

- Essentially,
it's the same dose

of cisplatin that you're on,

but we would administer it
twice as frequently.

By amping up the quantity
and frequency of your treatment

we could interrupt
the rapid growth phase

of your malignant tumor cells.

[papers slap]

- What's the catch?

- If you were experiencing
side effects

from your normal dose,

DDC is the equivalent

of napalming
your internal organs.

Essentially, it's a human
scorched-earth policy.

Take time to think it over.
It's a big decision.

So read that article,
and then tomorrow--

- Can we start tonight?

[bittersweet music]

I wanna keep fighting.

Endings be damned.

♪

- [mutters indistinctly]

♪

Hey.
Still here?

- I had a lot
of paperwork to finish,

given everything I saw today.

- Yeah, yeah.
- [clears throat]

- Yeah, days like today,
they, uh--they hit hard, man.

Don't always get the time
you need with a patient,

so we do what we can
and we find solace

in knowing
that our contribution helped,

if even just a little bit.

- Dr. Frome, I wasn't
filling out paperwork

for Avi Mantell.

- No?

- I was opening
a formal investigation on you.

[tense music]

♪

I don't understand.

- What I witnessed today

was a therapist actively
and knowingly...

forming non-therapeutic
alliances with his patients.

- No, that's not right.

- The physical exchanges
with Avi?

The emotional boundaries?
You overstepped with him.

It crossed a line, Dr. Frome.

♪

This is my official report.

I wanted you
to hear it from me.

♪

I'm sorry...

but our patients
must come first.

♪

[mellow piano music]

♪