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Excuse me?
Hello?

Hey, Antoine.
Who is this?

Oh! Shoot.
I don't know.

Okay, uh.

Excuse me?

Sir? Ma'am?

May I... Can you sit up?

Can you hear me?

Antoine,
how did she get here?

This is unbelievable.

She just wandered in
off the street,

saw the gurney, climbed
up to get some sleep.

- Let's try to get her up on that bed.
- Maybe she should be in the E.R.

She's already got
a patient I.D. bracelet,

so there's clearly some kind of
extended-care issues involved.

You know what?
Let's gown up.

All right, ma'am. I'm gonna
move your arm out here.

I'm gonna take it out of the
jacket if you can hear me, okay?

- That's what's going on.
- There's like two more jackets.

Okay. Oh, okay.

Just moving...
oh, it's worse when she moves.

It's spilling
out of everywhere here.

Okay. Ew.

Can we just stop for a second and
get used to the smell on this layer?

Okay, ma'am, I'm just
gonna take your shoes off.

- Can we do that last, please?
- No no, we gotta do that... oh.

- I can't see. Oh God.
- I told you!

I need goggles
or something.

Don't open your mouth, 'cause if the smell
goes in your mouth, you'll taste it.

There's something...
I can't... there's like a...

It's like a newspaper crammed
into her underpants or something.

Oh God.

"The Las Vegas Sun."

It's the entertainment section.

Those Nevada douchebags.
They dump their psych patients on us.

They discharge them
from their hospitals

and they buy them one-way bus
tickets and send them off to us.

Dawn, come look at this.
It's all stuck together.

It's fused to the... the
fabric is fused to the skin.

- What should we do about that?
- Hand me the scissors.

Should we wet it?
We don't want to hurt her.

No, just pull this down
over here, please?

- No, the other way.
- Poor, poor creature.

Okay.

- Ugh. I'm going to call security...
- What?

- And see if anyone saw her...
- But...

Come in.

Hi. How may I help you today?

Yes, I'm looking
for my mother Fiona Sullivan.

I'm her daughter
Phyllis Marmatan.

Right. Your mama's in 106.
Right this way.

I didn't wanna leave
my suitcase in the car.

I parked next to one of those pickup
trucks with the weird decals.

You'd think my brother could come down
'cause he's only an hour away, but no.

- Well...
- Yeah.

Hi, Mommy.
It's me.

I'm sorry
it took me so long.

Do you want to see pictures?

Look, here's me
and the boys.

Darcy in the dryer.

That dumb cat Darcy.

What happened
to your nightgown, Mom?

Why is she wearing
this nightgown?

I got her two very nice
yellow nightgowns.

- She had a few accidents.
- She wet herself?

It happens
to the best of us.

Me especially these days, but
I sent them out to the wash.

Well, I sent
a Security Cam Review Form

to the Video Surveillance
Control Manager,

but did either of you at the front
desk see the homeless woman enter?

Okay. Well, can you talk to
him and then get back to me?

Thank you.
Dr. James.

- How was the conference?
- Excellent.

I presented my paper
before a packed house.

A vigorous Q & A afterwards,
moderated by Dr. Hector Rabinowitz.

Long story short, there is a new
gold standard for stool charts.

- Congratulations.
- Thank you.

And it's on
to new horizons.

And the hot topic
is geriatric exercise.

Everybody was buzzing about
it in the cloakrooms.

So I've already
ordered a meeting

with the Physical Therapy department
to get things moving around here.

I see by your pin that
the "Make Someone Happy"

campaign is still underway.

Yes. We had a really
great kickoff seminar.

Do you like
the new fountain?

The whole world knows
that this looks ridiculous?

Well, that's just a temporary one until
they can afford a new built-in one.

- Temporary fountain?
- Yeah.

We also have
Ambient Piano Mornings.

Plus weekly
Caregiver Concerts.

Mm-hmm. Well, my new
focus on physical fitness

will deliver an astonishing range
of proven clinical results

and not merely improving
patients' perceptions.

So exciting.

- Here you go.
- Yes. Oh, good.

Let me just drop this off
and get ready for rounds.

- Good morning, Mrs. Dayward.
- Good morning.

So if I recall correctly, you're supposed
to be running a marathon next month?

That was the plan. That was the reason
I had the surgery in the first place.

Yes, not sure that
that's gonna happen.

We've hit a little unfortunate
bump on our road to recovery,

a badly swollen knee.
So, gentlemen,

what we have here
is a nasty little infection,

acute inflammation, significant drainage.
What do we do?

Take an enlarged needle and suck
out some septic pustulence.

- Turbid pus, yes. How much?
- Around 40 mil?

Very good. Yeah, very good.
Little bit more if we can.

So we're gonna start you
in physical therapy soon,

but first we really need to deal
with this infection.

- All right?
- Okay.

Good.
Dawn, where to next?

Well, I'll say that our first clue here
is quite literally in the air.

Everyone come here.
Press in, everyone. Come in.

- Dawn?
- Uh, Jane Doe from Nevada.

She got dumped.

She had a Vegas newspaper
as a panty liner.

Of all the states in the Union I'd like
to kick out, Nevada is near the top.

Dumping patients
is unconscionable.

Somehow she got past security
and climbed up on the gurney.

It's like a sea turtle throwing itself
up on a beach to finally lay its eggs.

I've got her laying
face down at the moment

'cause she has
a sore bottom.

All right,
she has a sore bottom,

or anus.
Team, differential diagnosis?

Thrombosed hemorrhoids?

Herpes infection?
LGV of the rectum?

All possible. Or...
Perianal abscess?

Rectal prolapse? Anal fistulae?
Anal cancer...

Of course, it could be
none of the above.

This is an ideal learning experience
for someone to get a closer peek.

Andrew, what about you?

Don't be shy.
It's a chance not to be missed.

Come have a poke around.

Slip those on quickly.

Dawn,
could you help here?

Don't wave the sheet
around so much.

- Okay. Just...
- Yeah. Just right on in.

Go on. You have
to take a closer look.

I think that's
a perianal abscess.

I'll just have
a quick peek.

Yeah.
That's a perianal abscess.

Looks like it's about
ready to rupture.

Clearly we need to set up
a course of antibiotics.

Prepare the forms
for me to sign, Dawn...

And that's it.
All right, now we're cooking.

So what's this I hear about some new
ward-wide physical fitness program?

It's Dr. James' latest project.
It was all the buzz in Cleveland.

Didi? Mrs. Warren's IV
needs changing, please.

Does administration know about this?
Has she even run it by the committee?

- She sent a memo from the Denver airport.
- I was CC'ed.

Which is not consulting
or working with.

CC-ing is just, "Oh, you. You're not
really involved, but what the heck."

I think maybe you're
reading into it a little bit.

Are you taking her side?

- It feels like you're taking her side.
- Mm.

Don't even look
at me, okay?

- He and I are so over.
- Good...

- We went out on Friday.
- Ooh.

We had this long,
involved sex scene.

I think I tore my meniscus
by climbing out of the back

of his Karmann Ghia.
My knee's all swollen.

But he didn't call me all weekend,
so, you know, that is not happening.

- Good. Move on.
- I know.

What are you doing?

Taking my professional
refresher.

I have to...
to end the hearing.

Oh, good.

So thank you all for coming to the
kickoff of my new fitness program.

Excuse me,
I was just wondering

if all of this has been cleared
through the proper channels?

Fine.

Geriatric exercise promotes
cognitive functioning,

bone density,
plaque retardation,

and it's not too shabby
for depression either.

And it all starts
with the first step.

So let's get moving
on the count of three.

One, two, three.

No no. You know, we do have
hoist belts and lifts.

Yes, all exceptionally
unnecessary.

Old school is best. Grab the
panties, seize the panties.

Madam, I'm going to lift you up
on the count of three.

Ready? One, two, three.

Oh no, nurse. Nurse, no. Not the gown.

Um, pull up on the hem
to form a saddle,

and then you can smoothly hoist
using the entire undercarriage.

Right.
I understand, but...

- May I?
- Sure.

- All right, you find the panties.
- Oh oh, me.

Trying to find the pant...
oh, there they are.

Okay.
One, two, three.

Oh, that's a thong.
Yes, ma'am, it is.

All right. Well, everybody, it doesn't
work the same way with a thong.

Okay?
Lesson learned there.

Oh my God.

Didi, I won.

I won!

All those raffle tickets I bought,
I won the whole magilla.

I won the weekend
in Pechanga gift basket.

Vouchers to
the Tomahawk suite.

A Town Car to the casino...
a chauffeur.

I'm going to...

I won!

All those raffle tickets I bought,
I won the whole magilla.

I won the weekend
in Pechanga gift basket.

Vouchers to
the Tomahawk suite.

A Town Car to the casino...
a chauffeur.

I'm going to Pechanga.

Roasted Mojave
piñon nuts.

Here. For you.

- Oh...
- And this.

Oh, thank you.
What is it?

Anasazi champagne truffles.
I want you to have them.

I can't eat them. I'm still
on my diet for Mr. Right,

for Mr. Match.com. I have never
won anything in my life.

Ever. Nothing nice has
ever happened to me.

Got any cheese
in there?

I always wanted to be able
to say "keep the change"

or, you know, "Order whatever
you like. I'll get the check."

'Cause usually
they have cheese in here.

Remy,
I won the raffle.

You can give them to your
daughter when she visits.

Birdy.

I won the Indian
gift basket.

- Geronimo's rum pears for you.
- Oh oh!

Mrs. Lomax,
dreamcatcher hand soap.

Ow, my knee.
Ow.

Who else wants something
from the gift basket?

Come in.

- You wanted to see me?
- I did.

If you have a minute.
Sit down?

Um, the thing is
I'm pretty busy.

I've got a liver failure
on the ward,

and, like, my fifth
Nevada dumpee this month.

I just wanted to address
what's been going on between us.

Nothing's going on between us.
I think we're both just moving on.

- Well, we have to move on, so...
- Well, I know.

I'm definitely
moving on.

Okay.
That's... well, that's good.

Yeah. I know it's good.
That's why I said it.

Well, that's why
I said it too, first.

Oh, I'm not so sure about that.
Because I was feeling it.

No, well,
I did say it on Saturday.

Fine. We don't even know
if you're gay, so...

The thing is, Dawn,

I just...

I don't know
if I have moved on.

Can we at least
talk about it again?

Maybe.

Yeah.

Definitely.
Really?

Okay.

- Just not at work.
- Oh.

- I mean, how about Delbert's at 7:00?
- Sure.

I'm still on my diet, but maybe
like some grilled vegetables

and a protein.

Okay.

Oh, what exactly is...
is that?

Oh, your husband's
raffle basket.

You want these Indian hot buns?
No one else does.

No no, I have some of those.
But who won the basket?

- Dawn.
- Oh, Dawn won.

Oh, Dawn, good.
That's good. That's nice.

Good. It's good. She needed
a little psychic boost.

And look, she's given
all the nice treats away.

Dawn, could I speak
with you for a second?

- Sure. Do I need to grab a chart?
- No no no. It's not a... medical matter.

It's just
a brief little...

I just wanted to have a quick
word with you about the raffle.

Oh my God. Isn't it amazing?
I can't believe it.

When you won the raffle, Dawn,
at the time that you won it...

Right.

it's just that you hadn't exactly
paid me the money for the ticket.

Oh, I'm such
a dumb-dumb.

- I can give it to you right now.
- Well, no, see...

The thing of it is I bought
the three books of tickets,

and at the moment when
that ticket was drawn,

since you hadn't actually
paid me the money...

You see where
I'm heading?

- That the ticket was still yours?
- Technically.

- When I intended to pay for it?
- Yes, but you didn't pay for it though.

Did you?
That's the point.

So you're saying that in some
kind of alternate universe

that I didn't win
the raffle after all?

No, in this universe.

No, what you're saying is
that I should give it back

and that you get to win it.

Except you've already given
away half of the treats.

Just when my life is
finally going good for me,

you just have
to dump all over it.

I have not dumped
on anything.

You know what? You've been
so negative and mean...

- Me?
- ...All day... yes!

I said the fountain was stupid
and the piano was stupid.

Those were not mean things.
Those were facts.

But what else?

I'm sure we need to catalogue every single
drop of supposed offending negativity.

You're just sore because
I don't like your program.

And I prefer a program
with proven clinical results.

Dawn, what?
Now stop.

She should just see what
people say about her behind her back.

What was that?
What did you just say?

- Nothing.
- No, I believe...

I'm sure that we would
all like to hear it.

Didi, I understand that your
husband is a tradesman?

Um, yeah. Darnell does masonry...
Concrete.

I wonder if he would like to have a crack
at my driveway. It needs repaving.

- As a favor...?
- No.

I'm not nearly as mean or cheap
as you may have been led to believe.

- Is he licensed and bonded?
- He's had this company for 15 years.

You know, he can get you
lighting fixtures wholesale.

Oh, thanks. No, I don't like wholesale.
That's a bit grubby.

But if you would have him give me
a call, that would be great.

Okay, seats, everyone.
Let's get started.

In nursing school, they said
the most important thing is

picking an inspired
mentor.

So I've got
my eye on you.

- Oh.
- Yeah.

Okay, making someone happy is
a transformational experience.

People come to us frightened,
hurting, in pain.

Look at me
when I say this -

in order to change the culture
of the workplace to one that "CARES,"

we must break down the
barriers between departments,

between Nursing
and Housekeeping.

We must become
interdepartmental pods.

So, everyone, welcome Manny
from Janitorial,

and Rita and Pablo
from Food Services.

So then the light came on
from Birdy's room,

and even though I had like
10 other things to do,

I chose to take just a little
bit longer on the call

knowing that between
efficiency and courtesy...

Courtesy trumps.

Excellent. Nurse Ortley, did you
witness Nurse Forchette doing this?

Basically.

- Okay, so would you like to nominate her?
- Nominate who?

For a CARES award.

Sure, I guess. I nominate
Dawn for who cares.

Excuse me.

- Excuse me? Excuse me?
- Hmm...?

Yes, I'd like to talk to somebody
about my mother's treatment plan.

Oh yes. Absolutely. I know Dr. James
was dealing with the oncologist.

Oh, well, I don't
want to be a bother.

Oh, no no no. Do you
want to speak with her?

- That would be really great.
- Because I can get her.

- Isn't that her?
- That is Dr. James.

- Ohh. Did I hear my name?
- Um, yes. This is Phyllis Marmatan.

- Hello.
- Mrs. Sullivan's daughter.

Phyllis Marmatan, Dr. Jenna James.
How can I help?

Yeah, my mother's
in a lot of pain.

Yes, we're doing the very best
we can to alleviate that.

Yes, it's just that I... gosh,
I know nothing about this, of course,

but I did read
on the internet...

We caution relatives
not to do too much Googling.

- "A little knowledge..."
- I did drive seven hours to get here,

so I feel a responsibility
to be my mom's advocate.

And I did read that people
with my mother's level of pain

should be on either
Tramadol,

or a more, like, morphine-based
drug like Oramorph.

Well, the internet
is awash with the drugs

that people could be on. But rest
assured, we are doing our very best.

I just...
I printed up this.

- With all respect to you.
- Yeah no.

It could be this, it could be that.
But I've considered the many choices.

What Dr. James is saying is that
there's always alternatives.

Absolutely. It could be
oxycodone, hydrocodone,

hydromorphone, Percocet,
pethidine, morphine,

Atchison, Topeka
and the Santa Fe.

You know what? I really feel
like nobody's listening to me.

I'm trying to show you this and
I feel like nobody's letting me talk.

You're absolutely talking.
And I'm absolutely listening.

I'm trying to tell you
that she is in pain.

She needs more help in dealing
with her chemotherapy.

- No no. There's no chemo.
- What do you mean "There's no chemo"?

Well, the tumors were
much more invasive

than we thought,
and we're well beyond chemo.

Dr. Lucini said that this was
all explained on the phone.

This was not explained to me.
Dr. Lucini

told me that he would be
sending her to rehab.

Yes, well, sometimes
rehab is the, um,

palliative, uh... I'm sure
there's a note in the notes.

- Well, may I see the notes?
- No, you won't be able to understand...

But they're my mom's notes, so I think I
have a right... I'd like to see the notes.

Yes, but they are misunderstood
or misinterpreted,

and in usually
very negative ways.

For example "S.O.B.," that's not gonna
mean what you think it's gonna mean.

So "palliative"?

So... so what are you saying?
Are you saying she's dying?

Yes. Or...

I'm very sorry.
Yes.

How long?

One week, maybe two.
No more.

And we will obviously
do everything that we can.

And I will gladly
take these and read them.

If you could please,
I would really appreciate it.

Of course I will.

So I just spoke
to Nurse De La Serda,

and he indicated to me
that once you finish

your professional
refresher course

and successfully
pass the exam,

he's willing to put
an end to the matter.

What exam?

The one at the end
of your 18-hour course.

18 hours? I thought I just had to watch
that stupid video and that was it?

Come on, Didi.

Times may be changing, but borderline
homophobic remarks like yours

still cut very deep
when someone is gay.

But... technically
he's not gay.

Can I ask how you know
he's not gay?

'Cause he's having sex with a woman
and that means not gay.

He's having sex with a woman
that works at this medical center?

I'm really not
at liberty to say.

Uh-huh, I see.
So if I guessed the name?

I really can't say,

'Cause it might be
someone I work closely with.

So if I guessed,

you wouldn't
be saying who it is,

then you wouldn't have
broken any confidences.

Mm-mm. I wouldn't feel
comfortable with that.

Because obviously the first
person that comes to mind

is... is Dawn.

No.

And physical activity also
decreases beta-amyloid proteins,

leading to less disruption
between brain neurons.

Well, gosh.
That's excellent, Jenna.

But I'm thinking whether
this is the right time

for a comprehensive rethink
of patient fitness, that's the rub.

I've brought two fat packets
of information. For both of you.

We're very committed
to the Disney program

and changing corporate
culture, as you know,

is like trying to turn
the Queen Mary.

You can't go port and
starboard at the same time.

Sure.

But listen, as long as we have
you here, uh, have a seat.

We wanted to give you
just a... a tiny heads up.

They're asking you to reapply
for your job over here.

- Say again?
- It's an HR thing.

Hospital jumped the gun
just a little bit.

You were given the position before it was
fully offered up to the wider community.

Apparently there were
three other candidates.

Uh-huh.
So I have to reapply

for the job that I didn't
want in the first place,

and there's three
other candidates?

You're not doing very
well on the surveys, Jenna.

What surveys?

The "Make Someone Happy" surveys.
They've been going on for weeks.

You're at 2.3 overall.

2.3.

- On a scale from one to 10.
- Okay. That's inaccurate.

- Well, it's technically very poor.
- Uh-huh.

- Caring, 1.8.
- Okay.

See, now... I actually
don't think these are my scores.

Because I care, and I think that
somebody might be out for me.

I think it could be
some sort of a vendetta.

It's your patients, Jenna.

That's how they regard you.

- How I'm regarded?
- And some staff.

Staff too. Okay.

Nothing's etched in stone. We all
have room for improvement, right?

Yes. Yes. I never
claimed to be perfect.

Well, of course not.

Listen, we'll be in
touch about the interviews

and let's put a pin

in the exercise program
for the time being.

- Change is in the air, Jenna.
- Yes.

So let's all just focus on...
"Make Someone Happy" for now, okay?

Change is good.
All aboard.

And thank you.

It's yours.
Just take it.

Dawn, I'm truly sorry
if I made such a big...

If I hurt your feelings in any way,
that was not my intention.

Well, it's fine.
You should just take it.

No, Dawn. No, I just really
want you to have it.

And I'm sorry.

- What are you... What are you doing?
- I want to make sure you receive it.

Oh, here we go with the attitude.
I sincerely do not want it.

It was a matter
of principle.

If it makes anybody happy,
I'll take it.

All right, fine.
There you go.

Half-eaten hemp sticks,
whatever those are.

Dawn, just... why don't you
have some nougat?

I don't...
we don't eat sugar.

No thank you.
I don't care for nougat.

What about the tickets to Pechanga?
And the limo. I don't gamble.

- You couldn't pay me to go to Pechanga.
- I'll go to Pechanga.

Alright, fine. They'll just go to waste.
I'm out $300. Nobody cares about that.

Checking in.
How you doing?

I'm doing okay.
I'm fine, thanks.

I went and checked
the laundry cart

for Mom's gowns,
but I didn't see them.

That can't be.
I saw them myself.

I really wanted her
to have them to wear.

One was petite-medium,
the other was petite-large.

I'm just so scared
they're gone.

She'll be so lost. I don't know
what she's gonna do without them.

We'll find them.
They were on that cart.

Things don't just usually
disappear around here.

This is from
6:10 this morning.

The camera out front
caught this all on tape.

Those are her trash bags and
that's her coming up the walkway.

Go back?
Go back, go back, go back.

And that's our van.

Yeah. Why is she getting
out of a Mount Palms van?

I don't know.

Why don't you know?

I wasn't here
at the time.

Dr. Rabinowitz?
It's Jenna James.

No, my flight back was
exceptionally uneventful.

Thank you so much
for asking.

Well, I was thinking about the position
at the clinic that you had mentioned.

I adore my colleagues and all of our
warm, professional relationships.

Yes. I would be open
to relocating to Cleveland.

Hi.

- I got a call to come see Dawn?
- Oh, I'm Dawn.

David from the E.R. I got a
message you needed to see me?

- David, yes. Thank you for coming.
- Yeah. So what do you need?

If you ever refuse care
for someone in your E.R.,

I don't care who
or where they're from,

and then drive them two blocks
to dump them on us,

I will have you brought up
on ethics charges

faster than you can say "what
happened to my medical career?"

because you're a lousy
dumper.

- Excuse me?
- You know what? You're a jerk.

Okay well, I'm reporting
you for that.

You know what?
Maybe I'm reporting you.

Yeah? Well, you're just
a nobody in Extended Care.

- Didi, did you hear that?
- Yeah.

So who's gonna believe
you two over me?

I don't know.
Let's find out.

- Dawn, he's a doctor.
- Excuse me.

Did you hear what
Nurse Forchette has told you?

Yes, Dr. James.

And I expect you to treat my nurses
with respect, is that clear?

Yes, ma'am.

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