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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:01,740 --> 00:00:04,786 - Previously on Doc... - I wanted to give you another chance 2 00:00:04,787 --> 00:00:05,961 to answer my question. - About what? 3 00:00:05,962 --> 00:00:08,442 - Bill Dixon. - He aspirated on lunch 4 00:00:08,443 --> 00:00:10,096 and he could not be resuscitated. 5 00:00:10,097 --> 00:00:12,446 If you're lying, you're done here. 6 00:00:12,447 --> 00:00:15,144 Dr. Larsen has no recollection of the last eight years. 7 00:00:15,145 --> 00:00:17,625 Are you married? I hope she appreciates what she has. 8 00:00:17,626 --> 00:00:21,281 Maybe all that matters is how you feel about him now. 9 00:00:21,282 --> 00:00:23,283 Promise me you will get counselling. 10 00:00:23,284 --> 00:00:25,633 I will. And I'm gonna take some time off. 11 00:00:25,634 --> 00:00:27,896 TJ? What are you doing here? 12 00:00:27,897 --> 00:00:29,115 You know you're the reason. 13 00:00:29,116 --> 00:00:31,466 You're the reason I became a doctor. 14 00:00:35,252 --> 00:00:37,297 Hi, what can I get for you? 15 00:00:37,298 --> 00:00:40,169 I want snack! 16 00:00:40,170 --> 00:00:43,955 Shh. Could we possibly get seconds on pretzels? 17 00:00:43,956 --> 00:00:46,654 Somebody's already eaten everything I packed. 18 00:00:46,655 --> 00:00:48,264 I'll be right back. 19 00:00:48,265 --> 00:00:50,005 I want Daddy. 20 00:00:50,006 --> 00:00:54,357 Remember I told you that he had to go on the plane 21 00:00:54,358 --> 00:00:58,796 a day early? But he's gonna be there when we land. 22 00:00:58,797 --> 00:01:00,755 But right now, I think your brother wants to play. 23 00:01:00,756 --> 00:01:02,452 You wanna listen? - Yeah. 24 00:01:02,453 --> 00:01:04,280 Okay. 25 00:01:04,281 --> 00:01:06,326 Here. I'll listen too. 26 00:01:06,327 --> 00:01:09,024 We'll listen together. Here. - Like this. 27 00:01:09,025 --> 00:01:12,245 Yeah, put it here. Put it here. What's he doing? 28 00:01:12,246 --> 00:01:14,160 What's he saying, Katydid? 29 00:01:14,161 --> 00:01:15,770 My God! 30 00:01:15,771 --> 00:01:17,989 He can't breathe! Is there a doctor on board? 31 00:01:17,990 --> 00:01:19,339 Could you... 32 00:01:19,340 --> 00:01:20,862 watch her for a second? - Yes. 33 00:01:20,863 --> 00:01:22,994 Mama's gonna be right back, okay? 34 00:01:22,995 --> 00:01:25,910 We need a doctor! - It's okay, I'm a doctor. 35 00:01:25,911 --> 00:01:27,652 Let's give him some space. 36 00:01:29,263 --> 00:01:31,916 Hey, I'm gonna need the emergency kit now. 37 00:01:31,917 --> 00:01:32,830 Yeah. 38 00:01:32,831 --> 00:01:35,355 Okay. Okay, it's okay. 39 00:01:35,356 --> 00:01:37,313 I'm gonna have a listen. 40 00:01:40,230 --> 00:01:42,884 Okay. Your left lung has collapsed. 41 00:01:42,885 --> 00:01:45,713 But I can fix that. I need scissors. 42 00:01:45,714 --> 00:01:49,195 Okay. I'm gonna need alcohol wipes, gloves, 43 00:01:49,196 --> 00:01:52,286 a syringe, and the largest IV catheter you have. 44 00:01:53,374 --> 00:01:55,026 Yes. 45 00:01:58,335 --> 00:01:59,640 Here we go. - Okay, listen. 46 00:01:59,641 --> 00:02:02,164 This is gonna pinch a little bit 47 00:02:02,165 --> 00:02:05,647 but it's gonna work, I promise. Here we go. 48 00:02:07,692 --> 00:02:10,869 Okay. Here we go, here we go, here we go. 49 00:02:13,394 --> 00:02:15,656 Breathe, just breathe. 50 00:02:15,657 --> 00:02:18,094 Okay... 51 00:02:19,661 --> 00:02:20,835 Relax. 52 00:02:20,836 --> 00:02:22,576 Let's start over. 53 00:02:22,577 --> 00:02:25,579 I'm Doctor Amy, what's your name? 54 00:02:25,580 --> 00:02:29,366 Theo, but my friends call me TJ. 55 00:02:38,462 --> 00:02:42,726 All right, as most of you have no doubt heard, 56 00:02:42,727 --> 00:02:45,599 the incomparable Amy Larsen 57 00:02:45,600 --> 00:02:48,689 has once again passed her Boards. 58 00:02:50,344 --> 00:02:52,780 Congratulations. 59 00:02:52,781 --> 00:02:55,304 On being the oldest intern of all time? 60 00:02:55,305 --> 00:02:59,961 As of today, Dr. Larsen's full privileges are restored. 61 00:02:59,962 --> 00:03:02,920 Which means she can see patients on her own, 62 00:03:02,921 --> 00:03:06,315 prescribe meds, perform procedures unassisted. 63 00:03:06,316 --> 00:03:08,970 I can even walk and chew gum by myself. 64 00:03:08,971 --> 00:03:11,147 When does she get her office back? 65 00:03:13,976 --> 00:03:16,282 What are you even doing here? This isn't your department. 66 00:03:16,283 --> 00:03:18,284 - I heard there'd be cake. - No cake, but 67 00:03:18,285 --> 00:03:20,374 we do have a little something... 68 00:03:33,517 --> 00:03:35,257 Well done, Dr. Larsen. 69 00:03:35,258 --> 00:03:37,260 Couldn't have done it without you. 70 00:03:38,696 --> 00:03:41,176 I mean, without all of you, really. 71 00:03:41,177 --> 00:03:45,485 Thank you all for your patience and your support. 72 00:03:45,486 --> 00:03:48,488 Yeah, especially those who had to be coerced. 73 00:03:48,489 --> 00:03:51,099 Yeah, 74 00:03:51,100 --> 00:03:52,927 and when I make Attending, there'll be cake. 75 00:03:52,928 --> 00:03:55,322 Meanwhile, don't all of you have work to do? 76 00:03:58,542 --> 00:03:59,935 Thank you. 77 00:04:02,981 --> 00:04:04,982 How do I look? - Incredible. 78 00:04:04,983 --> 00:04:07,071 Next time, maybe that's all you'll wear? 79 00:04:08,335 --> 00:04:09,813 - Hey! - Hey, TJ! 80 00:04:09,814 --> 00:04:11,815 - Look who's back in uniform. - I'll catch you later. 81 00:04:11,816 --> 00:04:14,122 Okay. Where's yours? 82 00:04:14,123 --> 00:04:16,516 I'm off today. Or I was. 83 00:04:16,517 --> 00:04:17,865 But, actually, 84 00:04:17,866 --> 00:04:19,432 can you come with me? There's a patient 85 00:04:19,433 --> 00:04:20,260 who wants to see you. 86 00:04:23,480 --> 00:04:26,874 No way! Mr. Coleman! 87 00:04:26,875 --> 00:04:29,398 Hey! It's so good to see you. 88 00:04:29,399 --> 00:04:31,531 - So good to see you too. - How long's it been? 89 00:04:31,532 --> 00:04:34,708 Too long. And you know you're supposed to call me Randy. 90 00:04:34,709 --> 00:04:36,405 "Mr. Coleman" makes me feel old. 91 00:04:36,406 --> 00:04:38,929 Well, if it makes you feel any better, you look exactly 92 00:04:38,930 --> 00:04:40,322 the way that I remember. 93 00:04:40,323 --> 00:04:42,629 And that is saying something these days. 94 00:04:42,630 --> 00:04:44,326 Heard about your accident. 95 00:04:44,327 --> 00:04:45,849 Theresa and I have been praying for you. 96 00:04:45,850 --> 00:04:47,503 Well, somebody must've been listening, 97 00:04:47,504 --> 00:04:50,550 because I'm actually doing okay. So, how can I repay the favor? 98 00:04:50,551 --> 00:04:53,292 You can start by telling this son of mine 99 00:04:53,293 --> 00:04:55,859 - he's overreacting. - Here we go. 100 00:04:55,860 --> 00:04:58,253 He fell on the job, hurt his knee. 101 00:04:58,254 --> 00:04:59,820 Yeah, don't sell me short, 102 00:04:59,821 --> 00:05:03,214 son, some punk snatched a purse on the Metro. 103 00:05:03,215 --> 00:05:05,565 Luckily, Officer Coleman here 104 00:05:05,566 --> 00:05:07,741 still got some wheels. - Okay, Pops. 105 00:05:07,742 --> 00:05:09,830 More like a flat tire. 106 00:05:09,831 --> 00:05:11,571 I just wanna make sure the knee's not something 107 00:05:11,572 --> 00:05:13,529 to worry about. He claims he has no pain, 108 00:05:13,530 --> 00:05:16,750 but I noticed some gait instability. Possible weakness. 109 00:05:16,751 --> 00:05:19,362 Randy, will you walk across the room for me? 110 00:05:28,153 --> 00:05:29,806 It's good to have you back. 111 00:05:29,807 --> 00:05:32,374 So, you're okay? 112 00:05:32,375 --> 00:05:34,768 Well, I'm a little bummed the hospital didn't fall apart 113 00:05:34,769 --> 00:05:36,944 without me, but I'll get over it. 114 00:05:36,945 --> 00:05:38,728 That's not what I meant. 115 00:05:38,729 --> 00:05:41,601 Yeah, I know what you meant. 116 00:05:41,602 --> 00:05:43,386 Anything I can do? 117 00:05:44,474 --> 00:05:47,650 Yeah. Don't treat me differently. 118 00:05:47,651 --> 00:05:50,914 Okay. Well, in that case, quit standing around. 119 00:05:50,915 --> 00:05:53,308 Get back to work. 120 00:05:53,309 --> 00:05:57,095 Okay, Nikki. Can you just gimme a deep breath? 121 00:05:58,749 --> 00:06:00,360 Again. 122 00:06:05,365 --> 00:06:07,496 Okay ,diminished right-side breath sounds, 123 00:06:07,497 --> 00:06:09,411 worse at the base. How long have you had the cough? 124 00:06:09,412 --> 00:06:12,632 - About three weeks. - And the chest pain? 125 00:06:12,633 --> 00:06:14,416 I dunno, a couple of days? 126 00:06:14,417 --> 00:06:16,287 Look, Lyla has to be at school or she'll miss breakfast, 127 00:06:16,288 --> 00:06:19,987 and I'll miss my shift, so... It's probably bronchitis, right? 128 00:06:19,988 --> 00:06:22,468 Can't you just write me a prescription or something? 129 00:06:22,469 --> 00:06:24,165 Not before we know what to treat, 130 00:06:24,166 --> 00:06:26,080 and with your symptoms, you're gonna need a chest CT, 131 00:06:26,081 --> 00:06:28,082 EKG, bloodwork. - Great. 132 00:06:28,083 --> 00:06:31,912 How long's that gonna take? - Mommy, I'm hungry. 133 00:06:31,913 --> 00:06:34,654 I know, sweetie. I'm working on it, okay? 134 00:06:34,655 --> 00:06:37,526 Um, look, just forget it. We shouldn't have come. 135 00:06:37,527 --> 00:06:40,442 We can't discharge you with vitals like these. 136 00:06:40,443 --> 00:06:42,879 Is there someone you can call to take care of your daughter? 137 00:06:42,880 --> 00:06:45,316 Well, if there was, then she wouldn't be here now, would she? 138 00:06:45,317 --> 00:06:47,144 Okay, let's do this. 139 00:06:47,145 --> 00:06:48,668 Nikki, you're gonna stay here while we run some tests. 140 00:06:48,669 --> 00:06:52,628 And, Lyla, you wanna come with me down to the cafeteria? 141 00:06:52,629 --> 00:06:55,979 My daughter Mia says that they make a mean French toast. 142 00:06:55,980 --> 00:06:57,503 Why is it so mean? 143 00:06:57,504 --> 00:06:59,548 Well, that's just code for delicious. 144 00:06:59,549 --> 00:07:03,596 You can get whipped cream, strawberries, chocolate chips... 145 00:07:03,597 --> 00:07:06,208 Can I, Mommy? Please? 146 00:07:07,383 --> 00:07:08,688 Fine. 147 00:07:08,689 --> 00:07:10,385 It wasn't real cheese. 148 00:07:10,386 --> 00:07:11,691 Somebody needs to give you the recipe 149 00:07:11,692 --> 00:07:13,649 - It wasn't real cheese. - MRI is clean. 150 00:07:13,650 --> 00:07:16,783 No evidence of ligamentous injury or fracture, 151 00:07:16,784 --> 00:07:19,307 or any trauma. - See? I'm fine. 152 00:07:19,308 --> 00:07:21,570 But there is a small collection of fluid 153 00:07:21,571 --> 00:07:25,008 in the joint, and I would like to drain it just to be safe 154 00:07:25,009 --> 00:07:29,056 and send it for additional labs. - What do you think? 155 00:07:29,057 --> 00:07:31,625 We're here, might as well run one more test. 156 00:07:35,455 --> 00:07:37,543 Pop, what is it? 157 00:07:37,544 --> 00:07:40,242 I can't feel that. 158 00:07:41,417 --> 00:07:42,418 No. 159 00:07:51,122 --> 00:07:54,561 Do you feel this? - No. 160 00:07:55,779 --> 00:07:57,215 What about this? 161 00:07:58,434 --> 00:08:00,523 Nothing. 162 00:08:02,090 --> 00:08:05,267 Okay, you push your toes against my hand. 163 00:08:06,877 --> 00:08:09,358 I can't move my legs. 164 00:08:14,581 --> 00:08:16,712 Well, that was pretty scary? 165 00:08:16,713 --> 00:08:18,758 - Why is this happening to me? - I don't know yet. 166 00:08:18,759 --> 00:08:21,238 Did you hurt yourself in Hawaii? Any falls? 167 00:08:21,239 --> 00:08:22,892 Were you feeling sick today? 168 00:08:22,893 --> 00:08:24,633 A little nauseous, maybe? 169 00:08:24,634 --> 00:08:28,289 Kinda sore, all over? But like, mainly my legs. 170 00:08:28,290 --> 00:08:30,205 Knees and ankles. 171 00:08:33,817 --> 00:08:36,689 Sorry, TJ. 172 00:08:42,826 --> 00:08:45,132 Is there any chance that you have been scuba diving 173 00:08:45,133 --> 00:08:47,047 in the last 24 hours? 174 00:08:47,048 --> 00:08:48,744 I just wanted one last dive. 175 00:08:48,745 --> 00:08:52,313 I only visit my grandparents once a year. 176 00:08:52,314 --> 00:08:55,708 Okay. I think you have decompression sickness. 177 00:08:55,709 --> 00:08:57,144 The bends. 178 00:08:57,145 --> 00:08:59,755 It happens when you ascend too quickly after diving 179 00:08:59,756 --> 00:09:03,542 and you get small nitrogen bubbles in your bloodstream. 180 00:09:03,543 --> 00:09:05,544 And you're not supposed to fly. 181 00:09:05,545 --> 00:09:07,676 I thought I did everything right. 182 00:09:07,677 --> 00:09:10,679 It's okay. It's nothing we can't handle. 183 00:09:10,680 --> 00:09:13,639 He needs a hyperbaric oxygen chamber as soon as possible. 184 00:09:13,640 --> 00:09:15,423 We're in the middle of the Pacific Ocean. 185 00:09:15,424 --> 00:09:17,730 Closest airport is LA, and even that is three hours out. 186 00:09:17,731 --> 00:09:19,122 Two and a half, if we burn fuel. 187 00:09:19,123 --> 00:09:21,777 Do it. Were you able to reach his parents? 188 00:09:21,778 --> 00:09:24,737 Air Traffic Control was able to patch his father in. 189 00:09:24,738 --> 00:09:26,434 I know it's frightening. 190 00:09:26,435 --> 00:09:29,002 Try not to panic. There are plenty of reasons 191 00:09:29,003 --> 00:09:31,700 for weakness and loss of sensation in the legs. 192 00:09:31,701 --> 00:09:36,009 It could be a lumbar disc issue or peripheral neuropathy. 193 00:09:36,010 --> 00:09:37,793 It could be an autoimmune attack. 194 00:09:37,794 --> 00:09:40,361 He had a cold, what, a month ago? 195 00:09:40,362 --> 00:09:42,058 That sounds right. But why does it matter? 196 00:09:42,059 --> 00:09:44,713 Okay, well, in that case, it's probably Guillain-Barré. 197 00:09:44,714 --> 00:09:47,629 It's an autoimmune disease that's often triggered by a GI 198 00:09:47,630 --> 00:09:49,675 or a respiratory infection. - Is it treatable? 199 00:09:49,676 --> 00:09:51,720 With plasmapheresis 200 00:09:51,721 --> 00:09:53,722 and intravenous immunoglobulin, most patients make 201 00:09:53,723 --> 00:09:55,855 a complete recovery. - A spinal tap to confirm. 202 00:09:55,856 --> 00:09:58,858 And I'll also schedule a lumbar MRI, just to be safe. 203 00:09:58,859 --> 00:10:00,860 Okay. 204 00:10:00,861 --> 00:10:04,472 Almost done, Nikki. 205 00:10:04,473 --> 00:10:07,344 Is Lyla behaving herself out there? 206 00:10:07,345 --> 00:10:09,999 It's all good. She's doing great. 207 00:10:10,000 --> 00:10:11,827 Dr. Jake? 208 00:10:11,828 --> 00:10:15,570 - Why do you have crayons? - Well, sometimes, if I'm lucky, 209 00:10:15,571 --> 00:10:18,791 my daughter comes to visit me here at work. 210 00:10:18,792 --> 00:10:20,793 I go to Mom's work sometimes, 211 00:10:20,794 --> 00:10:23,883 but her boss never has any crayons. 212 00:10:23,884 --> 00:10:28,539 - What are you drawing? - It's you guys, fixing Mommy. 213 00:10:28,540 --> 00:10:31,718 You are gonna fix her, right? 214 00:10:32,893 --> 00:10:34,590 Pinky promise. 215 00:10:41,292 --> 00:10:44,251 Hey, Chief, you got a sec? 216 00:10:44,252 --> 00:10:45,948 Sure, what's going on? 217 00:10:45,949 --> 00:10:48,908 Dr. Larsen had asked me to look into an old patient, 218 00:10:48,909 --> 00:10:50,736 Bill Dixon? 219 00:10:50,737 --> 00:10:53,869 What? She remembers him? 220 00:10:53,870 --> 00:10:56,698 No, but apparently she found something vague 221 00:10:56,699 --> 00:10:58,745 in her email and she was asking about it. 222 00:11:00,224 --> 00:11:03,879 So what's the problem? 223 00:11:03,880 --> 00:11:06,447 Well, his patient record said he died in our care, 224 00:11:06,448 --> 00:11:09,102 but when I tried to access the autopsy, it was restricted. 225 00:11:09,103 --> 00:11:11,408 I don't know why. 226 00:11:11,409 --> 00:11:13,933 I'm happy to look into it and I'll circle back 227 00:11:13,934 --> 00:11:16,065 with Dr. Larsen. Now, if you'll excuse me, 228 00:11:16,066 --> 00:11:17,589 I'm actually late for a meeting. 229 00:11:18,982 --> 00:11:20,548 You said you had your bases covered. 230 00:11:20,549 --> 00:11:22,289 And I thought that I did. 231 00:11:22,290 --> 00:11:23,943 But now Amy's asking questions. 232 00:11:23,944 --> 00:11:26,554 And Amy's questions are becoming Julie's questions. 233 00:11:26,555 --> 00:11:28,251 All right, don't spiral! 234 00:11:28,252 --> 00:11:29,775 So, people are digging. So what? 235 00:11:29,776 --> 00:11:31,691 What exactly are they gonna find? 236 00:11:34,171 --> 00:11:35,824 That wasn't rhetorical, Richard. 237 00:11:35,825 --> 00:11:38,914 What's your exposure? Is there a paper trail? 238 00:11:38,915 --> 00:11:41,438 No, I don't think so. 239 00:11:41,439 --> 00:11:43,484 Okay, I'm gonna say this 240 00:11:43,485 --> 00:11:45,965 with love 'cause my fee buys a certain bedside manner, 241 00:11:45,966 --> 00:11:48,445 but you don't inspire confidence. 242 00:11:48,446 --> 00:11:51,318 Well, your fee better buy a whole lot more than that. 243 00:11:51,319 --> 00:11:53,450 We need to start preparing a defense in case 244 00:11:53,451 --> 00:11:57,454 this goes to trial. - My negligence killed a man, 245 00:11:57,455 --> 00:12:01,502 and then I lied about it. How do you defend that? 246 00:12:01,503 --> 00:12:04,898 Well, is there an alternate theory for what happened? 247 00:12:08,728 --> 00:12:12,339 Okay, so, my dad's losing feeling in his abdomen, 248 00:12:12,340 --> 00:12:14,428 which has him freaked. But I assured him 249 00:12:14,429 --> 00:12:16,256 that ascending paralysis just further confirms 250 00:12:16,257 --> 00:12:17,997 the Guillain-Barré theory. 251 00:12:19,608 --> 00:12:21,478 The lab sent through the results 252 00:12:21,479 --> 00:12:23,481 from the lumbar puncture. 253 00:12:26,223 --> 00:12:29,792 - What's wrong? - It's negative for GB. 254 00:12:30,706 --> 00:12:31,967 S... 255 00:12:31,968 --> 00:12:33,708 S-So it's a false negative. 256 00:12:33,709 --> 00:12:35,971 Early onset may not yield elevated protein levels 257 00:12:35,972 --> 00:12:37,538 or other diagnostic CSF findings. 258 00:12:37,539 --> 00:12:39,714 Maybe. But I think we need to consider 259 00:12:39,715 --> 00:12:43,370 the possibility that it is something else. 260 00:12:43,371 --> 00:12:46,025 - Something worse, you mean? - We need a cervical 261 00:12:46,026 --> 00:12:47,635 and a thoracic MRI. 262 00:12:47,636 --> 00:12:51,858 And, if I were you, I'd get your mother to the hospital. 263 00:12:54,425 --> 00:12:56,078 So, we got your chest scans back, 264 00:12:56,079 --> 00:12:58,994 they show a collection of fluid on your right side 265 00:12:58,995 --> 00:13:01,649 and multiple lung nodules. 266 00:13:01,650 --> 00:13:06,523 Nodules? You mean, like, like cancer? 267 00:13:06,524 --> 00:13:09,352 They could just as easily be benign growths, 268 00:13:09,353 --> 00:13:12,051 or it could be an infection. - We won't know for sure 269 00:13:12,052 --> 00:13:14,662 until we biopsy. But we'll schedule the procedure 270 00:13:14,663 --> 00:13:17,230 for first thing in the morning and go from there. 271 00:13:17,231 --> 00:13:19,580 Ms. Wilson? Hi. 272 00:13:19,581 --> 00:13:21,538 My name is Linda. I'm a social worker 273 00:13:21,539 --> 00:13:24,019 here at Westside and the hospital liaison 274 00:13:24,020 --> 00:13:27,414 to the Department of Child and Family Services. 275 00:13:27,415 --> 00:13:29,198 Wait, what's going on here? 276 00:13:29,199 --> 00:13:30,417 I think there's been a mistake. 277 00:13:30,418 --> 00:13:32,071 We didn't place a consult. - No, 278 00:13:32,072 --> 00:13:33,942 but a nurse in the clinic did. 279 00:13:33,943 --> 00:13:37,424 This patient is the sole caregiver to a minor. 280 00:13:37,425 --> 00:13:39,121 Ms. Wilson, if you're staying overnight, 281 00:13:39,122 --> 00:13:41,602 we need to find a temporary placement for your daughter. 282 00:13:41,603 --> 00:13:44,431 No. Like hell you do. You're not taking my kid. 283 00:13:44,432 --> 00:13:46,085 Not again. 284 00:13:46,086 --> 00:13:47,129 What are my rights here? 285 00:13:47,130 --> 00:13:48,565 Because if this is my only option, 286 00:13:48,566 --> 00:13:50,263 then I will check myself out. 287 00:13:50,264 --> 00:13:51,917 You'd be doing that against medical advice. 288 00:13:51,918 --> 00:13:54,093 - Does it look like I care?! - Whoa, whoa! Let's just take 289 00:13:54,094 --> 00:13:55,877 a beat here. Maybe we can figure something out. 290 00:13:55,878 --> 00:13:57,618 I'm afraid there is nothing to figure out. 291 00:13:57,619 --> 00:14:00,099 It's hospital policy. - I mean it, Dr. Heller. 292 00:14:00,100 --> 00:14:01,578 I will leave right now 293 00:14:01,579 --> 00:14:03,451 unless you tell me there is another way. 294 00:14:08,412 --> 00:14:10,805 I know that this exposes the hospital 295 00:14:10,806 --> 00:14:12,633 to a certain amount of liability, but we have-- 296 00:14:12,634 --> 00:14:14,461 This isn't about liability, this is about the safety 297 00:14:14,462 --> 00:14:16,724 of the child. I mean, where do you plan to put her? 298 00:14:16,725 --> 00:14:18,465 Every bed is taken. - There's a couch 299 00:14:18,466 --> 00:14:20,423 in her mom's room. - No, there will be staff 300 00:14:20,424 --> 00:14:22,164 in and out all night, not to mention it's not fair 301 00:14:22,165 --> 00:14:24,732 to Nikki's roommate. - Okay. The on-call room, then. 302 00:14:24,733 --> 00:14:26,821 It's private, it's quiet, Dr. Maitra and I, 303 00:14:26,822 --> 00:14:29,563 we can take shifts watching her. - As well-meaning as that is, 304 00:14:29,564 --> 00:14:31,304 Dr. Heller and Dr. Maitra should be focused 305 00:14:31,305 --> 00:14:33,088 on their patient, not her daughter. 306 00:14:33,089 --> 00:14:35,482 Look, all due respect, you do not know this family. 307 00:14:35,483 --> 00:14:37,745 Nikki has a history with DCFS. 308 00:14:37,746 --> 00:14:40,487 During COVID, she lost her job, then she lost her apartment. 309 00:14:40,488 --> 00:14:43,011 They were living in her car. When DCFS got involved, 310 00:14:43,012 --> 00:14:45,100 it took 18 months before Lyla could come home. 311 00:14:45,101 --> 00:14:47,015 That's awful. 312 00:14:47,016 --> 00:14:50,410 But our primary responsibility has to be Nikki's care. 313 00:14:50,411 --> 00:14:52,891 Okay, if you try to separate them right now, 314 00:14:52,892 --> 00:14:55,110 Nikki will leave. And she is too sick. 315 00:14:55,111 --> 00:14:57,678 God only knows what will happen to her, or Lyla, 316 00:14:57,679 --> 00:14:59,027 if they walk out so, tell me, 317 00:14:59,028 --> 00:15:00,855 how is that in the best interests of this child? 318 00:15:00,856 --> 00:15:04,119 The on-call room is not a long-term solution. 319 00:15:04,120 --> 00:15:08,341 If Nikki has lung cancer-- - That is tomorrow's problem. 320 00:15:08,342 --> 00:15:10,386 Just give me some time to figure this out. 321 00:15:15,523 --> 00:15:17,438 You have 24 hours. 322 00:15:21,181 --> 00:15:23,225 I'm right here, Dad. Not going anywhere. 323 00:15:23,226 --> 00:15:25,662 Thought after all the years of Confined Spaces Training, 324 00:15:25,663 --> 00:15:27,316 this'd be a cakewalk. 325 00:15:27,317 --> 00:15:29,623 I know. But hey, one sequence down, 326 00:15:29,624 --> 00:15:31,365 only about ten more to go. 327 00:15:37,414 --> 00:15:38,980 Have we got an image yet? 328 00:15:38,981 --> 00:15:41,113 Loading as we speak. 329 00:15:51,080 --> 00:15:52,254 You see that, right? 330 00:15:52,255 --> 00:15:53,735 I do. 331 00:15:56,433 --> 00:15:58,173 Th-That's cancer. 332 00:15:58,174 --> 00:16:01,263 No, right now that is just a lesion. 333 00:16:01,264 --> 00:16:04,788 We don't know more than that without a CT scan or a biopsy. 334 00:16:04,789 --> 00:16:06,138 I know what I'm looking at. 335 00:16:08,271 --> 00:16:10,533 Okay. 336 00:16:10,534 --> 00:16:13,406 So we call in the specialists. 337 00:16:13,407 --> 00:16:16,322 We get Dr. Flint, Dr. Reza, Dr. Walker... 338 00:16:16,323 --> 00:16:19,412 We get them all back to the hospital. 339 00:16:19,413 --> 00:16:21,763 First, we've gotta talk to your parents. 340 00:16:23,591 --> 00:16:25,419 I need a minute. 341 00:16:37,213 --> 00:16:40,085 Hi, Chief. You wanted to see me before I left? 342 00:16:40,086 --> 00:16:43,089 I did, yeah. Come on in. Have a seat. 343 00:16:51,619 --> 00:16:54,273 Leave her alone! - Lyla. Lyla. 344 00:16:54,274 --> 00:16:56,275 - Mom! - Lyla. Honey, honey. 345 00:16:56,276 --> 00:16:58,407 Lyla, wake up. Wake up. 346 00:16:58,408 --> 00:16:59,974 Hey. 347 00:16:59,975 --> 00:17:02,281 You're okay. It was just a bad dream. 348 00:17:02,282 --> 00:17:04,283 You wanna talk about it? 349 00:17:04,284 --> 00:17:05,893 I want my mommy. 350 00:17:05,894 --> 00:17:07,896 Keep it down, would you? 351 00:17:11,247 --> 00:17:13,032 Okay, come on. 352 00:17:17,079 --> 00:17:18,123 Let's go. 353 00:17:18,124 --> 00:17:20,125 So sorry to wake you. 354 00:17:20,126 --> 00:17:21,517 She had a nightmare. 355 00:17:21,518 --> 00:17:25,173 It's okay. It happens when she's not in her bed. 356 00:17:25,174 --> 00:17:27,741 It started when they took her. - Yeah. I can imagine. 357 00:17:27,742 --> 00:17:30,571 Okay, you want a lullaby? Yeah. 358 00:17:41,843 --> 00:17:43,322 - Need some help in here! - Mommy? 359 00:17:43,323 --> 00:17:46,325 Lyla! Lyla! Lyla. Come with me. Come with me! 360 00:17:46,326 --> 00:17:49,197 - No, no! - Lyla! Lyla! Come, come! 361 00:17:49,198 --> 00:17:51,460 Listen to me! I need you to wait outside, 362 00:17:51,461 --> 00:17:56,161 so I can help your mommy, okay? Can you do that for me? Go! 363 00:18:02,298 --> 00:18:04,169 What happened? I saw her O2 plummet 364 00:18:04,170 --> 00:18:05,953 on the telemetry monitor. 365 00:18:05,954 --> 00:18:07,520 Right-side chest is completely filled with fluid. 366 00:18:07,521 --> 00:18:09,957 Likely acute blood. She's suffocating. 367 00:18:09,958 --> 00:18:11,698 Okay, let's get her on her side. 368 00:18:15,094 --> 00:18:16,790 Okay, no pulse. Let's start CPR! 369 00:18:16,791 --> 00:18:19,010 Code blue! Get some suction. 370 00:18:27,845 --> 00:18:29,411 Okay, I can't see to intubate. There's too much blood. 371 00:18:29,412 --> 00:18:32,633 Bag her, get an airway if you can. I'll get CT surgery. 372 00:18:35,940 --> 00:18:38,377 This is Dr. Heller, I need an emergency thoracoscopy. 373 00:18:38,378 --> 00:18:40,293 Room 619. - Mommy! 374 00:18:42,251 --> 00:18:43,382 Go, we've got this! 375 00:18:43,383 --> 00:18:45,166 Okay, just get someone here now! 376 00:18:45,167 --> 00:18:46,907 - Mommy? - Lyla, don't look. Come here, 377 00:18:46,908 --> 00:18:49,214 come here, come here. Hey, hey, hey, hey, hey. 378 00:18:49,215 --> 00:18:50,912 Hey, hey, it's okay. 379 00:18:52,740 --> 00:18:54,568 It's gonna be okay. 380 00:19:01,052 --> 00:19:04,359 We need to stop the vomiting. But he is maxed on IV Zofran, 381 00:19:04,360 --> 00:19:06,492 and his blood pressure's high, which puts him at risk 382 00:19:06,493 --> 00:19:08,363 of a brain bleed. 383 00:19:08,364 --> 00:19:10,278 What can we do? 384 00:19:10,279 --> 00:19:14,848 I could place a nasogastric tube to decompress his stomach. 385 00:19:14,849 --> 00:19:16,676 Can you get any more of that oxygen tubing? 386 00:19:16,677 --> 00:19:19,374 Sure, but that sounds painful. 387 00:19:19,375 --> 00:19:21,768 I don't suppose there's a morphine drip 388 00:19:21,769 --> 00:19:24,162 in that medical kit? - No, but there are 389 00:19:24,163 --> 00:19:26,773 187 passengers on this flight. 390 00:19:26,774 --> 00:19:29,254 Next best thing to a pharmacy. 391 00:19:29,255 --> 00:19:30,864 - Go. - Yeah. 392 00:19:30,865 --> 00:19:33,562 Get everything you can, but see if you get pain patches. 393 00:19:33,563 --> 00:19:35,261 Okay. 394 00:19:37,306 --> 00:19:40,482 Pain on a scale of 1 to 10? 395 00:19:40,483 --> 00:19:42,397 Seven? 396 00:19:42,398 --> 00:19:43,964 Liar. 397 00:19:43,965 --> 00:19:46,619 Look, this patch will help soon, 398 00:19:46,620 --> 00:19:48,882 but in the meantime, I need to put a tube 399 00:19:48,883 --> 00:19:50,710 up your nose and down your throat 400 00:19:50,711 --> 00:19:52,451 to try to help the vomiting. 401 00:19:52,452 --> 00:19:55,105 Okay, I'm gonna numb you as best I can, 402 00:19:55,106 --> 00:19:57,805 and I'll be quick. Do you trust me? 403 00:19:58,588 --> 00:19:59,936 Okay. 404 00:19:59,937 --> 00:20:03,418 Open your mouth wide. Say, "" 405 00:20:05,639 --> 00:20:08,467 Okay. Good. Okay. 406 00:20:08,468 --> 00:20:10,383 Hold his hand? - Yeah. 407 00:20:16,998 --> 00:20:23,133 Okay. Hey, look at me. On the count of one, two, three. 408 00:20:23,134 --> 00:20:25,135 I know it's painful to hear, 409 00:20:25,136 --> 00:20:27,094 but it's our best course of action. 410 00:20:27,095 --> 00:20:30,184 The patient has a C1 intramedullary lesion. 411 00:20:30,185 --> 00:20:33,970 I'd do an occipital craniectomy and C1-2 laminectomy, 412 00:20:33,971 --> 00:20:37,147 open dura, and perform a midline myelotomy, 413 00:20:37,148 --> 00:20:39,672 going through the spinal cord to access the lesion. 414 00:20:39,673 --> 00:20:41,151 You'll numb him from the neck down 415 00:20:41,152 --> 00:20:43,676 for the rest of his life. - Yes, but he will regain 416 00:20:43,677 --> 00:20:45,852 the ability to move. That's not nothing. 417 00:20:45,853 --> 00:20:48,376 And cutting through the cord is the only way to biopsy 418 00:20:48,377 --> 00:20:51,379 and resect the lesion. I know it's less than ideal. 419 00:20:51,380 --> 00:20:53,860 Less than ideal? I'd say we're pretty well past 420 00:20:53,861 --> 00:20:56,341 less than ideal. - I'm not happy about it either. 421 00:20:56,342 --> 00:20:58,517 But I think this is glioblastoma. 422 00:20:58,518 --> 00:21:01,171 If you wait on surgery, the tumor could grow, 423 00:21:01,172 --> 00:21:03,130 become inoperable, or the cancer could spread, 424 00:21:03,131 --> 00:21:05,219 and these are the good scenarios. 425 00:21:05,220 --> 00:21:06,655 If the edema reaches his brainstem-- 426 00:21:06,656 --> 00:21:08,702 He'll die, I know. 427 00:21:10,356 --> 00:21:13,880 What if it's Primary Spinal Cord Lymphoma? 428 00:21:13,881 --> 00:21:15,577 Patient doesn't fit the profile, 429 00:21:15,578 --> 00:21:18,188 he's not immunocompromised. - Which would make this unusual 430 00:21:18,189 --> 00:21:20,887 but not impossible. Think about it. 431 00:21:20,888 --> 00:21:24,064 Rapid onset, cervical location, 432 00:21:24,065 --> 00:21:27,328 homogenous enhancement. If I am right, 433 00:21:27,329 --> 00:21:30,244 chemo and corticosteroids can dissolve the tumor 434 00:21:30,245 --> 00:21:34,335 without surgery. We could see initial effects within a day. 435 00:21:34,336 --> 00:21:37,338 And if you're wrong, that time could cost him everything. 436 00:21:37,339 --> 00:21:40,254 If paralysis isn't reversed within the first 24 hours, 437 00:21:40,255 --> 00:21:42,474 it's often permanent. You don't know when we cross 438 00:21:42,475 --> 00:21:44,171 the point of no return, Amy. 439 00:21:44,172 --> 00:21:45,738 No. But that choice should be his. 440 00:21:45,739 --> 00:21:48,784 What choice? There's only one safe option. 441 00:21:48,785 --> 00:21:52,745 And I'm the neurosurgeon here who saved your life, by the way! 442 00:21:52,746 --> 00:21:54,703 Don't call me in at the crack of dawn 443 00:21:54,704 --> 00:21:56,444 if you're not gonna take my advice! 444 00:21:56,445 --> 00:21:59,099 - I'm just asking questions. - No, you're hearing hoofbeats 445 00:21:59,100 --> 00:22:01,406 and thinking zebras. And you sound like an intern! 446 00:22:01,407 --> 00:22:03,625 Okay, okay. That is unnecessary. 447 00:22:03,626 --> 00:22:07,108 We're all professionals here, with differing opinions. 448 00:22:08,631 --> 00:22:11,416 TJ, what do you think? 449 00:22:11,417 --> 00:22:13,592 Your heart's in the right place. 450 00:22:13,593 --> 00:22:18,553 But there are fewer than 15 cases of PSCL per year 451 00:22:18,554 --> 00:22:19,903 in the entire country. 452 00:22:22,602 --> 00:22:24,255 And we don't give false hope. 453 00:22:25,735 --> 00:22:27,302 You taught me that. 454 00:22:28,912 --> 00:22:30,392 Okay. 455 00:22:33,308 --> 00:22:36,920 Okay. I will get the paperwork. 456 00:22:42,665 --> 00:22:46,102 I need an operative consent form for Randy Coleman, 457 00:22:46,103 --> 00:22:48,367 Room 617. Okay. 458 00:22:50,847 --> 00:22:53,632 - Here. You need to eat. - No, I'm not hungry. 459 00:22:53,633 --> 00:22:55,460 I know. But you've been up all night. 460 00:22:55,461 --> 00:22:59,333 Just eat. 461 00:22:59,334 --> 00:23:01,509 I take it your consult didn't go well? 462 00:23:01,510 --> 00:23:03,990 I've been here all of a day and I am already well 463 00:23:03,991 --> 00:23:06,471 on my way to alienating every doctor here. 464 00:23:06,472 --> 00:23:08,169 Not every doctor. 465 00:23:09,866 --> 00:23:11,476 How'd your babysitting gig go? 466 00:23:11,477 --> 00:23:13,826 Mom's in surgery, 467 00:23:13,827 --> 00:23:16,045 but I might have to keep my day job. 468 00:23:16,046 --> 00:23:18,004 Dr. Larsen. 469 00:23:18,005 --> 00:23:19,919 Did the chief talk to you about Dixon? 470 00:23:19,920 --> 00:23:21,573 No, was he supposed to? 471 00:23:21,574 --> 00:23:23,270 Well, I looked into it, like you asked, 472 00:23:23,271 --> 00:23:25,838 and Bill Dixon was a patient who died. 473 00:23:25,839 --> 00:23:28,275 - Whose patient? - Dr. Miller's. 474 00:23:28,276 --> 00:23:29,842 So, what happened, how did he die? 475 00:23:29,843 --> 00:23:31,365 Well, that's just it. I tried to access 476 00:23:31,366 --> 00:23:33,672 the autopsy report, and it was restricted. 477 00:23:33,673 --> 00:23:39,547 Thank you. Um, lawsuit, maybe? 478 00:23:39,548 --> 00:23:42,289 No idea. But he said he'd circle back with you. 479 00:23:42,290 --> 00:23:45,161 Okay. I'll talk to him today. Thanks, Julie. 480 00:23:45,162 --> 00:23:46,946 You know, 481 00:23:46,947 --> 00:23:48,687 I knew that name sounded familiar. 482 00:23:48,688 --> 00:23:50,689 - Dixon? - Yeah. I mean, 483 00:23:50,690 --> 00:23:52,386 it might be nothing, but ... 484 00:23:52,387 --> 00:23:54,344 a while ago, Richard and I were treating a patient 485 00:23:54,345 --> 00:23:57,304 when a nurse interrupted to say the Dixon autopsy was ready. 486 00:23:57,305 --> 00:23:59,611 And I didn't think much of it at the time, 487 00:23:59,612 --> 00:24:02,309 but why the urgency? 488 00:24:02,310 --> 00:24:04,050 I mean, most autopsy reports 489 00:24:04,051 --> 00:24:06,313 just come in an EHR alert, right? 490 00:24:06,314 --> 00:24:10,361 So, what did he think he was gonna find? 491 00:24:15,584 --> 00:24:17,063 Dr. Franco! 492 00:24:17,064 --> 00:24:20,980 Dr. Larsen, what brings you into my neck of the woods? 493 00:24:20,981 --> 00:24:23,199 Please tell me those aren't your exam gloves. 494 00:24:23,200 --> 00:24:26,333 Not anymore. Kidding. 495 00:24:26,334 --> 00:24:29,075 I just don't like the cheese dust. What's up? 496 00:24:29,076 --> 00:24:32,078 I wanted to ask you about a patient autopsy 497 00:24:32,079 --> 00:24:34,689 from a while ago. - Um ... 498 00:24:34,690 --> 00:24:37,649 - Something wrong? - Dr. Miller sent me an email 499 00:24:37,650 --> 00:24:39,738 awhile back instructing me 500 00:24:39,739 --> 00:24:43,481 not to discuss patient results with you without his approval 501 00:24:43,482 --> 00:24:45,744 - What? - Well, until you were back 502 00:24:45,745 --> 00:24:48,355 on staff, you know? Um, 503 00:24:48,356 --> 00:24:51,925 but as of yesterday, I guess it's kosher. 504 00:24:52,882 --> 00:24:54,579 Congrats, by the way. - Thanks. 505 00:24:54,580 --> 00:24:57,669 Um, what autopsy are you interested in? 506 00:24:57,670 --> 00:24:59,498 Bill Dixon. 507 00:25:01,108 --> 00:25:02,761 That guy. 508 00:25:02,762 --> 00:25:04,589 Pretty popular for an 83-year-old 509 00:25:04,590 --> 00:25:06,765 who choked on a ham sandwich. 510 00:25:06,766 --> 00:25:08,897 Dr. Miller asked about him, too, a few months ago. 511 00:25:08,898 --> 00:25:11,247 Said the family requested the autopsy. 512 00:25:11,248 --> 00:25:12,945 Why? Was there some reason 513 00:25:12,946 --> 00:25:14,555 to suggest that something went wrong? 514 00:25:14,556 --> 00:25:16,383 Some people are just in denial 515 00:25:16,384 --> 00:25:17,776 when the end comes, you know? 516 00:25:17,777 --> 00:25:19,865 Okay, well, did you find something? 517 00:25:19,866 --> 00:25:21,431 Not really. I mean, 518 00:25:21,432 --> 00:25:24,260 I was surprised to find Metoprolol in his system 519 00:25:24,261 --> 00:25:26,480 since it wasn't on his administered meds. 520 00:25:26,481 --> 00:25:28,700 But Dr. Miller said it was a mistake, 521 00:25:28,701 --> 00:25:30,832 he just had to update the chart. 522 00:25:30,833 --> 00:25:34,575 He changed the medical record after Dixon's death? 523 00:25:34,576 --> 00:25:37,143 I know, I know. It's against protocol, 524 00:25:37,144 --> 00:25:38,753 but, you know, people are moving fast, 525 00:25:38,754 --> 00:25:40,842 making life-or-death decisions. 526 00:25:40,843 --> 00:25:43,542 Detailed and accurate charting can be an afterthought. 527 00:25:53,421 --> 00:25:55,553 Finally got her back to sleep. 528 00:25:55,554 --> 00:25:57,990 She won't stop asking about her mom, 529 00:25:57,991 --> 00:26:00,514 and she refuses to leave her room. 530 00:26:00,515 --> 00:26:02,168 Any idea when Nikki's out of surgery? 531 00:26:02,169 --> 00:26:04,823 Not for a few hours. But we've got another problem. 532 00:26:04,824 --> 00:26:07,477 - What's wrong? - Our time's up. 533 00:26:07,478 --> 00:26:11,744 - DCFS is here. - My God. 534 00:26:15,574 --> 00:26:18,663 All told, the procedure should last five hours. 535 00:26:18,664 --> 00:26:20,839 I won't lie, it's a long road to recovery. 536 00:26:20,840 --> 00:26:24,190 But if you commit to PT, OT, 537 00:26:24,191 --> 00:26:26,845 and inpatient rehab, we'll get you back on your feet. 538 00:26:26,846 --> 00:26:28,629 I don't understand. 539 00:26:28,630 --> 00:26:30,631 The only way to prevent permanent paralysis 540 00:26:30,632 --> 00:26:33,678 is to numb him for the rest of his life? 541 00:26:33,679 --> 00:26:35,462 That's not a choice. 542 00:26:35,463 --> 00:26:38,552 With the numbness, he'll still have movement. 543 00:26:38,553 --> 00:26:39,988 It's like when your leg falls asleep. 544 00:26:39,989 --> 00:26:42,338 If you're looking at your foot, you can still move it. 545 00:26:42,339 --> 00:26:44,906 You can relearn how to walk. 546 00:26:44,907 --> 00:26:48,040 This doesn't have to stop you from living your life. 547 00:26:48,041 --> 00:26:50,477 How can this be happening? 548 00:26:50,478 --> 00:26:53,219 I was absolutely fine yesterday morning. 549 00:26:53,220 --> 00:26:55,700 Pop, we will figure this out. 550 00:26:55,701 --> 00:26:57,919 Whatever we need to do, it'll be hard, 551 00:26:57,920 --> 00:27:00,706 but we're gonna figure it-- - I don't need a pep talk, son. 552 00:27:02,403 --> 00:27:05,187 I need another answer. 553 00:27:05,188 --> 00:27:09,322 One that doesn't turn my wife into my nurse. 554 00:27:09,323 --> 00:27:13,152 - Randy, no. - No, I won't ask that of you. 555 00:27:13,153 --> 00:27:16,069 Isn't there any other way? 556 00:27:19,289 --> 00:27:22,204 Actually, there is another possible diagnosis. 557 00:27:34,914 --> 00:27:38,220 So. How am I? 558 00:27:38,221 --> 00:27:39,831 As good as I look? 559 00:27:41,268 --> 00:27:43,922 Well, I've given you all of the fluids and meds 560 00:27:43,923 --> 00:27:47,186 that I can, and, yeah. 561 00:27:47,187 --> 00:27:50,102 Your organs are still not getting enough oxygen. 562 00:27:50,103 --> 00:27:52,278 And that's why I'm so tired? 563 00:27:52,279 --> 00:27:54,715 But it just means we have to work a little harder 564 00:27:54,716 --> 00:27:56,238 to keep you alert. 565 00:27:56,239 --> 00:27:57,762 Here, you wanna tell me about this book you're reading? 566 00:27:57,763 --> 00:28:00,634 Or is that gonna put you to sleep? 567 00:28:00,635 --> 00:28:03,419 - You don't like Homer? - Simpson, yes. 568 00:28:03,420 --> 00:28:06,901 But Greek poet, not so much. 569 00:28:06,902 --> 00:28:10,600 I want to have adventures like those someday. 570 00:28:10,601 --> 00:28:12,864 That's why I'm gonna do like my parents did. 571 00:28:12,865 --> 00:28:15,605 Join the Army, then become a cop. 572 00:28:15,606 --> 00:28:18,435 So you are smart and brave. 573 00:28:19,610 --> 00:28:21,133 I guess that shouldn't surprise me, 574 00:28:21,134 --> 00:28:23,483 seeing how well you've handled all this. 575 00:28:23,484 --> 00:28:26,878 I hope this little guy grows up to be half the young man 576 00:28:26,879 --> 00:28:28,444 that you are. 577 00:28:28,445 --> 00:28:30,795 Hey, if I don't make it, 578 00:28:30,796 --> 00:28:32,622 can you please just tell my parents-- 579 00:28:32,623 --> 00:28:35,843 No, no, no. Hey, none of that. 580 00:28:35,844 --> 00:28:39,412 We are landing in 45 minutes. There's an ambulance there 581 00:28:39,413 --> 00:28:40,761 to take you to the nearest hospital, 582 00:28:40,762 --> 00:28:42,502 and your parents are on their way. 583 00:28:42,503 --> 00:28:44,286 All you have to do is hold on. 584 00:28:44,287 --> 00:28:46,333 That's easier said than done. 585 00:28:47,029 --> 00:28:49,248 Here. 586 00:28:49,249 --> 00:28:51,338 I want you to listen to something. 587 00:28:54,863 --> 00:28:56,255 You hear that? 588 00:29:02,131 --> 00:29:05,265 You are not going anywhere. 589 00:29:06,396 --> 00:29:09,094 I'm just asking you to reconsider. 590 00:29:09,095 --> 00:29:10,835 My mind's made up, son. 591 00:29:10,836 --> 00:29:14,664 Dr. Flint is the best neurosurgeon in the state. 592 00:29:14,665 --> 00:29:18,016 And if this is a GBM, the surgery is your only shot. 593 00:29:18,017 --> 00:29:20,018 Shot at what?! 594 00:29:20,019 --> 00:29:21,671 I don't want the life he's offering. 595 00:29:21,672 --> 00:29:24,196 For me or your mother. - Dad, I know you're scared. 596 00:29:24,197 --> 00:29:25,850 No, you don't know jack about how I feel. 597 00:29:25,851 --> 00:29:29,027 Fine. But I do know medicine. 598 00:29:29,028 --> 00:29:31,029 Look, my whole life, 599 00:29:31,030 --> 00:29:33,118 you've been the one who knew better. 600 00:29:33,119 --> 00:29:35,294 I came to you for advice, or I didn't, 601 00:29:35,295 --> 00:29:36,948 and I found out the hard way. 602 00:29:36,949 --> 00:29:39,952 But this time, Dad, I know better. 603 00:29:41,040 --> 00:29:46,349 So, please, Dad, please, listen to me. 604 00:29:47,916 --> 00:29:49,657 Son, I love you. 605 00:29:50,310 --> 00:29:53,355 But it's my life, 606 00:29:53,356 --> 00:29:55,794 and I'm gonna live it on my terms. 607 00:30:00,233 --> 00:30:02,495 And you're okay with this? 608 00:30:02,496 --> 00:30:06,194 You're alive because of Dr. Larsen. 609 00:30:06,195 --> 00:30:07,980 We gotta trust her now. 610 00:30:10,809 --> 00:30:13,899 Mr. Coleman, you ready for your first round of treatment? 611 00:30:16,945 --> 00:30:18,251 Please. 612 00:30:19,948 --> 00:30:21,863 Ready as I'll ever be. 613 00:30:31,481 --> 00:30:35,049 TJ won't talk to me. But it's only been a few hours 614 00:30:35,050 --> 00:30:39,227 of treatment. I wouldn't expect to see any improvements yet. 615 00:30:39,228 --> 00:30:42,230 Not exactly the triumphant return you were hoping for. 616 00:30:42,231 --> 00:30:44,319 He's just too close to it. 617 00:30:44,320 --> 00:30:48,758 There are good reasons to think that this could be lymphoma. 618 00:30:48,759 --> 00:30:51,761 And, more importantly, it is what Randy wants. 619 00:30:51,762 --> 00:30:54,112 What he wants or what you want? 620 00:30:54,113 --> 00:30:56,593 What's that supposed to mean? 621 00:30:58,769 --> 00:31:01,554 You know what it's like to lose everything. 622 00:31:01,555 --> 00:31:04,122 And you'd jump at any chance, 623 00:31:04,123 --> 00:31:06,038 however small, to get it back. 624 00:31:07,343 --> 00:31:10,955 Are you sure that's not what this is about? 625 00:31:10,956 --> 00:31:14,828 I empathize with the man, sure, 626 00:31:14,829 --> 00:31:18,964 but, no, that is not what this decision is based on. 627 00:31:23,272 --> 00:31:25,884 I have to trust my gut, Gina. 628 00:31:27,320 --> 00:31:29,670 It's the only piece of me I have left. 629 00:31:39,985 --> 00:31:43,465 Hey, welcome back. 630 00:31:43,466 --> 00:31:45,206 - What happened? - You had acute, 631 00:31:45,207 --> 00:31:50,298 severe bleeding from thoracic endometriosis lesions 632 00:31:50,299 --> 00:31:52,300 in and around your lung. 633 00:31:52,301 --> 00:31:54,650 That means you had uterine tissue where it shouldn't be. 634 00:31:54,651 --> 00:31:56,957 The good news is, it wasn't cancer. 635 00:31:56,958 --> 00:31:58,872 But the surgeons did need to remove a portion 636 00:31:58,873 --> 00:32:00,482 of your right lower lobe, so you'll be here for-- 637 00:32:00,483 --> 00:32:02,703 Where's Lyla? 638 00:32:03,834 --> 00:32:06,140 DCFS picked her up this morning. 639 00:32:06,141 --> 00:32:07,533 No. 640 00:32:07,534 --> 00:32:09,361 After what happened last night, we had no choice. 641 00:32:09,362 --> 00:32:12,190 It will just be while you recover. 642 00:32:12,191 --> 00:32:13,539 It won't! 643 00:32:13,540 --> 00:32:16,063 Lyla fell off the monkey bars a few months ago, 644 00:32:16,064 --> 00:32:18,022 she broke her arm. And between the hospital visits 645 00:32:18,023 --> 00:32:20,546 and the cast, I-I couldn't pay my bills. 646 00:32:20,547 --> 00:32:22,722 And they turned off my electricity, 647 00:32:22,723 --> 00:32:25,246 and I'm skipping meals so that I can pay it 648 00:32:25,247 --> 00:32:27,945 at the end of the month! But if DCFS goes to my place 649 00:32:27,946 --> 00:32:29,511 and gets Lyla's things and sees 650 00:32:29,512 --> 00:32:31,165 that my electricity doesn't work, 651 00:32:31,166 --> 00:32:33,298 then they will take her from me again! 652 00:32:33,299 --> 00:32:35,213 There must be something we can do. 653 00:32:35,214 --> 00:32:37,737 There's not. There's nothing you can do, 654 00:32:37,738 --> 00:32:40,480 so please, just leave me alone. 655 00:32:41,872 --> 00:32:45,964 I said please, just leave! Go! 656 00:32:54,537 --> 00:32:56,364 Okay, here you go. 657 00:32:56,365 --> 00:32:57,452 - Great. - Night. 658 00:32:57,453 --> 00:33:00,455 - Hey. - You headed home? 659 00:33:00,456 --> 00:33:02,762 Yeah. I am, but did you need something? 660 00:33:02,763 --> 00:33:05,765 I talked over Mr. Coleman's care with the night nurse, 661 00:33:05,766 --> 00:33:08,028 she's on it. - But I wanted to talk 662 00:33:08,029 --> 00:33:08,942 about Bill Dixon. 663 00:33:08,943 --> 00:33:10,335 You were there three months ago 664 00:33:10,336 --> 00:33:12,076 when he coded, right? 665 00:33:12,077 --> 00:33:14,861 Yeah, I was. 666 00:33:14,862 --> 00:33:18,213 Tough night. He was a nice guy. Funny. 667 00:33:19,475 --> 00:33:21,607 I have to ask you, was there something 668 00:33:21,608 --> 00:33:26,699 unusual about the code? - Um, not really. 669 00:33:26,700 --> 00:33:30,137 I-I mean, it was chaotic, they always are. 670 00:33:30,138 --> 00:33:32,966 We did CPR, pushed epi every three to five minutes. 671 00:33:32,967 --> 00:33:35,142 When shocking didn't work, Dr. Miller pushed Amiodarone-- 672 00:33:35,143 --> 00:33:37,927 You mean you pushed it, at his direction, right? 673 00:33:37,928 --> 00:33:39,755 No, I wasn't working fast enough, 674 00:33:39,756 --> 00:33:41,757 so he had to step in. 675 00:33:41,758 --> 00:33:43,542 So, you're saying Dr. Miller 676 00:33:43,543 --> 00:33:45,283 reached into the cart himself to-- 677 00:33:45,284 --> 00:33:46,806 Don't, Dr. Larsen. 678 00:33:46,807 --> 00:33:49,287 Look, this is your second day back. 679 00:33:49,288 --> 00:33:51,376 Do you really want to go down this road? 680 00:33:51,377 --> 00:33:53,160 Even if there was a mistake made, 681 00:33:53,161 --> 00:33:57,469 there's nothing to be done about it now. He's gone. 682 00:33:57,470 --> 00:33:59,124 Good night, Dr. Larsen. 683 00:34:05,434 --> 00:34:06,913 I don't think we could ever repay you 684 00:34:06,914 --> 00:34:08,262 for what you did today. 685 00:34:08,263 --> 00:34:10,264 I was just in the right place at the right time. 686 00:34:10,265 --> 00:34:13,006 Nah, you should've seen her up there. She was Superwoman. 687 00:34:13,007 --> 00:34:16,401 I want Daddy. I wanna go home. I want Daddy. 688 00:34:16,402 --> 00:34:20,841 I know, Katydid, we're gonna go. 689 00:34:26,325 --> 00:34:28,631 Okay. TJ. 690 00:34:30,677 --> 00:34:32,504 Thank you. 691 00:34:32,505 --> 00:34:35,159 We won't forget this, Doctor. 692 00:34:35,160 --> 00:34:37,422 Thank you. 693 00:34:37,423 --> 00:34:40,034 Wait! Isn't this yours? 694 00:34:41,557 --> 00:34:44,342 You know what? You keep it. 695 00:34:44,343 --> 00:34:45,473 I got my hands full. 696 00:34:45,474 --> 00:34:47,824 And you were pretty good with it up there. 697 00:34:48,608 --> 00:34:50,175 Thanks, Doc. 698 00:35:15,113 --> 00:35:17,201 I know you're upset about the course of treatment 699 00:35:17,202 --> 00:35:18,550 that I recommended. 700 00:35:18,551 --> 00:35:21,248 He's now lost all arm movement and sensation. 701 00:35:21,249 --> 00:35:23,729 Breathing's labored too. We're gonna have to intubate him 702 00:35:23,730 --> 00:35:25,600 if he gets any worse. 703 00:35:25,601 --> 00:35:27,080 You know, 704 00:35:27,081 --> 00:35:29,430 you haven't changed as much as people think. 705 00:35:29,431 --> 00:35:32,564 You've always been a maverick. Unafraid to take chances. 706 00:35:32,565 --> 00:35:34,914 I used to like that about you. 707 00:35:34,915 --> 00:35:37,395 But now I'm starting to think you just wanna play the hero. 708 00:35:37,396 --> 00:35:40,007 You came to me, TJ. 709 00:35:52,106 --> 00:35:55,240 How're you feeling? You look better. 710 00:35:57,372 --> 00:36:00,113 Still giving us the silent treatment, I see? 711 00:36:00,114 --> 00:36:02,071 Well, hopefully you can muster up a little more enthusiasm 712 00:36:02,072 --> 00:36:04,726 for your next visitor. - Mommy! Mommy! 713 00:36:04,727 --> 00:36:08,295 Hey, hey! Your Mommy's still recovering. 714 00:36:08,296 --> 00:36:11,169 But we got her all fixed up, just like we promised. 715 00:36:13,301 --> 00:36:15,041 Are you okay, sweetheart? 716 00:36:15,042 --> 00:36:17,391 They have Magma Tiles! 717 00:36:17,392 --> 00:36:21,613 We've found a placement for Lyla, just for a few days. 718 00:36:21,614 --> 00:36:24,616 - And that's it? - Yeah. 719 00:36:24,617 --> 00:36:27,314 I know you've had some hard years, Ms. Wilson, 720 00:36:27,315 --> 00:36:30,317 but you've done a tremendous job getting back on your feet. 721 00:36:30,318 --> 00:36:34,279 We'll have Lyla back home as soon as you're discharged. 722 00:36:35,410 --> 00:36:37,282 I appreciate that. 723 00:36:38,674 --> 00:36:40,415 I'll be outside. 724 00:36:45,855 --> 00:36:47,639 What just happened? 725 00:36:47,640 --> 00:36:49,423 Somebody must've paid your electric bill 726 00:36:49,424 --> 00:36:50,990 before DCFS swung by. 727 00:36:58,520 --> 00:37:02,480 It's possible I owe you an apology. 728 00:37:02,481 --> 00:37:05,005 Just take care of yourself, okay? 729 00:37:06,746 --> 00:37:08,400 Lyla. 730 00:37:24,981 --> 00:37:28,506 Can I come in? 731 00:37:28,507 --> 00:37:29,856 Sure. 732 00:37:32,554 --> 00:37:34,076 I just... 733 00:37:34,077 --> 00:37:36,209 I wanted to thank you 734 00:37:36,210 --> 00:37:38,342 for helping out with Lyla and Nikki. 735 00:37:38,343 --> 00:37:40,474 I know it got dicey there for a minute, 736 00:37:40,475 --> 00:37:42,259 but it all worked out. 737 00:37:42,260 --> 00:37:44,522 Yeah, well... 738 00:37:44,523 --> 00:37:46,437 I'm not always the bad guy. 739 00:37:46,438 --> 00:37:48,353 And now I know that. 740 00:37:49,702 --> 00:37:51,356 I'll leave you to it. 741 00:37:54,097 --> 00:37:58,840 Hey, um, just for the record, 742 00:37:58,841 --> 00:38:02,454 all I ever wanted was for Amy to be happy. 743 00:38:04,717 --> 00:38:06,893 And I guess she could do worse. 744 00:38:23,518 --> 00:38:24,866 There you are. 745 00:38:24,867 --> 00:38:27,479 I feel like I haven't seen you all day. 746 00:38:30,786 --> 00:38:33,571 Any word on Mr. Coleman? 747 00:38:33,572 --> 00:38:35,400 When I know, you'll know. 748 00:38:38,446 --> 00:38:40,187 Hey. 749 00:38:41,536 --> 00:38:43,190 You okay? 750 00:38:44,278 --> 00:38:47,933 Not really. But thanks for asking. 751 00:38:47,934 --> 00:38:50,544 You wanna come over to my place, 752 00:38:50,545 --> 00:38:52,417 see if I can't turn your day around? 753 00:38:54,462 --> 00:38:56,463 Sounds nice. 754 00:38:56,464 --> 00:38:59,902 But I can't leave yet. I'm waiting to talk to Richard. 755 00:39:02,644 --> 00:39:04,124 Okay. 756 00:39:05,081 --> 00:39:08,258 Well, good luck then. 757 00:39:30,977 --> 00:39:32,456 You done for the day? 758 00:39:32,457 --> 00:39:34,110 I am. 759 00:39:35,590 --> 00:39:37,635 You want to walk with me? 760 00:39:37,636 --> 00:39:39,638 I know what happened to Dixon. 761 00:39:42,554 --> 00:39:45,991 We all do. It's right there in his medical record. 762 00:39:45,992 --> 00:39:50,299 A record you had restricted for some reason. 763 00:39:51,606 --> 00:39:53,172 I'll tell you what happened. 764 00:39:53,173 --> 00:39:55,000 He aspirated. You called the code, 765 00:39:55,001 --> 00:39:57,306 and then you mistakenly picked up Metoprolol 766 00:39:57,307 --> 00:40:00,919 instead of Amiodarone. And if you inject Metoprolol 767 00:40:00,920 --> 00:40:02,355 into a patient who's already coding-- 768 00:40:02,356 --> 00:40:04,792 I would stop right there if I were you. 769 00:40:04,793 --> 00:40:07,534 I figured it out, didn't I? 770 00:40:07,535 --> 00:40:12,844 Before the accident, and that is why you were so keen 771 00:40:12,845 --> 00:40:15,107 to get rid of me. 772 00:40:15,108 --> 00:40:16,804 Answer the question, Richard. 773 00:40:16,805 --> 00:40:20,505 I didn't kill Bill Dixon, you did! 774 00:40:22,289 --> 00:40:24,203 What are you talking about? 775 00:40:24,204 --> 00:40:27,468 You gave him that Metoprolol, Amy. 776 00:40:32,212 --> 00:40:35,388 A few weeks before Dixon died, 777 00:40:35,389 --> 00:40:37,346 I was treating him for complications 778 00:40:37,347 --> 00:40:40,654 from pneumonia. He had mild pulmonary edema, 779 00:40:40,655 --> 00:40:42,526 his BP was high. 780 00:40:42,527 --> 00:40:45,485 I wanted to treat with diuretics. 781 00:40:45,486 --> 00:40:47,574 You didn't feel like that was enough, 782 00:40:47,575 --> 00:40:50,055 you felt like beta blockers were called for. 783 00:40:50,056 --> 00:40:52,797 We argued. Ultimately, 784 00:40:52,798 --> 00:40:55,800 you wrote him a script for Metoprolol 785 00:40:55,801 --> 00:40:57,062 without my knowledge, 786 00:40:57,063 --> 00:40:58,585 and you failed to put it in his chart. 787 00:40:58,586 --> 00:41:01,066 - Why would I do that? - Because that's what 788 00:41:01,067 --> 00:41:03,198 you were like as chief! 789 00:41:03,199 --> 00:41:05,853 Micromanaging, marching around here 790 00:41:05,854 --> 00:41:07,725 like you and you alone could do the job. 791 00:41:07,726 --> 00:41:12,643 And you were spread so thin that you made mistakes. 792 00:41:12,644 --> 00:41:17,125 I haven't been covering my ass, Amy. 793 00:41:17,126 --> 00:41:19,346 I've been covering yours. 794 00:41:22,131 --> 00:41:24,438 I don't believe you. 795 00:41:25,091 --> 00:41:27,266 Ask Liz. 796 00:41:27,267 --> 00:41:30,096 She was there when you wrote the prescription. 797 00:41:36,102 --> 00:41:38,756 You never understood 798 00:41:38,757 --> 00:41:42,194 why I didn't want you coming back. But then... 799 00:41:42,195 --> 00:41:44,589 then you were different. 800 00:41:46,634 --> 00:41:48,462 Your better self. 801 00:41:49,637 --> 00:41:53,510 Please, for both of our sakes, 802 00:41:53,511 --> 00:41:56,121 just forget about all of this. 803 00:41:56,122 --> 00:41:58,516 Okay? It would be best for everyone. 804 00:42:44,257 --> 00:42:47,912 Hey, what's wrong? 805 00:42:47,913 --> 00:42:49,653 Come here. Come here. 806 00:42:53,353 --> 00:42:57,139 - I, I... - It's okay. 807 00:43:00,708 --> 00:43:03,668 What happened? What is it? 808 00:43:04,799 --> 00:43:06,408 I... 809 00:43:06,409 --> 00:43:09,543 Hey, you're okay. I'm here. 810 00:43:10,979 --> 00:43:12,937 It's okay. 811 00:43:54,196 --> 00:43:56,503 difuze 60964

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