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[UPBEAT CLASSICAL MUSIC PLAYING]
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[MUSIC CONTINUES OVER SPEAKER]
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♪♪
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00:00:18,664 --> 00:00:23,919
♪♪
5
00:00:23,961 --> 00:00:26,589
Um...
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00:00:26,672 --> 00:00:28,174
gentlemen...
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...I'm all in.
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00:00:32,887 --> 00:00:35,598
You think he's been slow playing us?
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Gaslighting is not really my style,
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00:00:38,184 --> 00:00:39,935
- Otto.
- [CLEARS THROAT]
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00:00:39,977 --> 00:00:42,521
You know how I feel
about therapy speak, Wolf.
12
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I'm sorry. I didn't mean
to trigger you in any way.
13
00:00:46,067 --> 00:00:48,611
Oh! Oops. I did it again.
14
00:00:50,112 --> 00:00:51,947
Alright. I call.
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♪♪
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- [LOUD THUD]
- Oh.
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I knew you were a snake!
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00:01:00,664 --> 00:01:02,333
Okay, Otto, you're at a 10.
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I need you to bring it down to a five.
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00:01:04,293 --> 00:01:06,170
- Okay?
- I'm not at a 10, okay?
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00:01:06,212 --> 00:01:08,005
I'm at a seven.
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If you want to see a 10,
I will show you a 10!
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Okay? There you go!
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- Otto!
- You better sit down, Otto!
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You want to see me at 10, don't you?!
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- I can take me up to 11!
- [INDISTINCT SHOUTING]
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[RINGING]
28
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Hello?
29
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Wolf?
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- Hello? You still with us?
- Uh, yes.
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You were saying that the hospital is
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in a financial slump.
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Not a slump. A crisis.
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We're in the red across the board.
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- As chief...
- Interim chief.
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...it's my responsibility
to keep us afloat.
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To that end, I need every department
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to start spending hospital money
like it's your own.
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All due respect, Nichols,
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you can keep tap dancing
around the real issue,
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or you can be straight with us...
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Wolf is the problem here.
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- Neuro does have the most bloat.
- Like I said.
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I always liked your
mother, but she made
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a mistake recruiting you to work here.
46
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- Carol recruited me.
- I had my reasons.
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Though they are escaping me
at the moment.
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I am feeling very ganged up on here.
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You reap what you sow, brother.
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You're bleeding the hospital dry.
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Money, resources, time.
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- There is a nuance to what I do.
- So when I page Neuro
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00:02:09,775 --> 00:02:12,236
and I'm told you and your
entire team are at church,
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- that's just nuance?
- Pastor Thomas has glioblastoma.
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She mistook her husband for a hat.
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Wolf, please. Take it on the chin.
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No, I am not the problem here.
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00:02:21,454 --> 00:02:23,873
Public trust in physicians
is the lowest it's ever been.
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00:02:24,040 --> 00:02:27,001
Why? Insufficient communication
and rushed appointments.
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Just out of curiosity, Chief Nichols,
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what are my
patient satisfaction scores?
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97% strongly satisfied.
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Wow. That high?
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00:02:36,135 --> 00:02:39,013
Look, we live in a world
where people would rather
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tell a chatbot their symptoms
than see a doctor.
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Some would rather die
than step foot in a hospital.
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Yes, I invest time.
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I get to know my patients.
Every single one.
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But if they leave Bronx General
with more trust in the system,
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then I am helping keep
this hospital afloat.
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It just came back to me.
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That’s why I recruited him.
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♪♪
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♪♪
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Do you always have
to be so contrarian?
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00:03:12,421 --> 00:03:15,591
I'm contrarian? You're contrarian.
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It is impossible to have
a conversation with you, Wolf.
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I spent the bulk of my
career at this hospital.
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It means everything to me.
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Your dad practiced here.
Your mom ran the place.
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I know what it means to you, too.
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00:03:24,600 --> 00:03:26,453
Do you really want to see it get
bought out by some corporation
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just because you have
a stubborn streak?
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I am not stubborn. I'm strong-willed.
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- Okay.
- Okay, fine. What do you need me to do?
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I need you to button up.
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00:03:33,984 --> 00:03:36,070
That means no more
unnecessary procedures
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or highfalutin experiments
or group field trips,
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and keep a healthy emotional
distance from your patients.
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Same for your interns.
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00:03:42,743 --> 00:03:44,495
Oh. That's cute, I like that.
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Does that mean I can
trust you with a case
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involving the Burnett family?
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Am I supposed to know who they are?
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Yes. They're one of the
hospital's biggest donors.
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Their name is literally
on the outside of the building.
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You've never...? You don't...? Okay.
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The matriarch, Arianna Burnett,
is a retired entrepreneur
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known for her eccentric
business practices.
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00:03:59,093 --> 00:04:00,779
- Oh, I like her already.
- She suffered a bad fall
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00:04:00,803 --> 00:04:02,197
down a flight of stairs this morning.
102
00:04:02,221 --> 00:04:04,056
Possible head trauma.
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00:04:04,098 --> 00:04:05,867
She was diagnosed with early
onset dementia two years ago,
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00:04:05,891 --> 00:04:07,619
and she's petrified of leaving
her home in Fieldston.
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00:04:07,643 --> 00:04:10,312
So you and Carol need to make
an urgent house call.
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00:04:10,396 --> 00:04:12,273
Uh, that sounds like a field trip.
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I am told those are
strictly forbidden.
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Stop being...
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contrarian,
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00:04:18,571 --> 00:04:20,281
and please...
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don't screw this up.
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♪♪
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- [CABLE SNAPS]
- [SCREAMING]
114
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No!
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Ready, roomie?
116
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Uh, actually, I'm gonna run to work.
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00:04:44,930 --> 00:04:47,016
You're gonna run for, like, fun?
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00:04:49,101 --> 00:04:51,896
Is this because you're mad at me
for reporting Carol?
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00:04:51,979 --> 00:04:53,856
Something you want to
get off your chest?
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00:04:53,939 --> 00:04:56,734
I'm good. Just need to clear
my head before our shift.
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That okay with you?
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00:04:58,110 --> 00:04:59,945
Sure, I guess.
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♪ Let's go ♪
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♪ Put it in motion ♪
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00:05:03,199 --> 00:05:04,909
♪ Baby, we're going ♪
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00:05:04,992 --> 00:05:09,413
♪ Faster, faster, faster, faster ♪
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00:05:09,497 --> 00:05:13,417
♪ Seizing that moment,
baby, keep going ♪
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00:05:13,501 --> 00:05:17,546
♪ Faster, faster, faster, faster ♪
129
00:05:19,840 --> 00:05:21,550
Are you actually finishing
patient charts?
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00:05:21,675 --> 00:05:23,135
Maybe you should get an MRI.
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00:05:23,219 --> 00:05:25,096
Just, you know,
out of an abundance of caution.
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An abundance of caution is no
longer a reason to order scans.
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00:05:28,015 --> 00:05:30,851
In fact, think of Bronx General
as the opposite of abundant.
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00:05:30,935 --> 00:05:33,562
I've literally thought of it that
way since my first day here.
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00:05:33,688 --> 00:05:36,232
Is this because we're living
in the era of Chief Nichols?
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00:05:36,273 --> 00:05:39,235
Interim chief, temporary era, but yes.
137
00:05:39,318 --> 00:05:41,134
This new position
has really brought out
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his God complex.
That's why I called you in.
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00:05:43,280 --> 00:05:45,507
As your boss, I strongly advise you to
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play by the rules
until further notice.
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00:05:48,077 --> 00:05:51,580
Under these new mandates, ask
yourself, "What would Wolf do?"
142
00:05:51,664 --> 00:05:53,582
And then do exactly the opposite.
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Don't worry about us, Dr. Wolf.
I run a very tight ship.
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Team, shall we?
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♪♪
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[DOOR CLOSES]
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00:06:06,303 --> 00:06:07,763
If I had put money on it,
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00:06:07,805 --> 00:06:09,366
I'd say Wolf doesn't last
till Halloween.
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00:06:09,390 --> 00:06:10,850
Ready to round, doctors?
150
00:06:10,933 --> 00:06:12,035
- I can run alone.
- I can run alone.
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00:06:12,059 --> 00:06:13,602
Okay. More efficient for me.
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00:06:13,644 --> 00:06:15,604
Although, let me remind you
that your conduct
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00:06:15,688 --> 00:06:17,857
is a direct reflection
of my leadership.
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Speaking of which,
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I want you to start following
the correct chain of command.
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You report to me. I report
to Wolf. Understood?
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00:06:23,070 --> 00:06:24,655
- Yeah. Whatever.
- Yeah. Sounds good.
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00:06:24,739 --> 00:06:26,407
Love the enthusiasm.
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00:06:26,490 --> 00:06:28,051
Make sure to tell
your buddies Van and Jacob.
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00:06:28,075 --> 00:06:30,286
- And ruin their day off?
- Careful, Dr. Kinney.
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00:06:30,369 --> 00:06:32,204
I could write you up
for insubordination.
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[INDISTINCT ANNOUNCEMENT
OVER PA SYSTEM]
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[DOORBELL RINGS]
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Thanks for coming.
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She just... tumbled
all the way down the stairs.
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Poor thing.
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00:06:42,590 --> 00:06:44,230
It's a miracle she
didn't break her neck.
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Is your wife prone to falls,
Mr. Burnett?
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00:06:46,218 --> 00:06:48,888
Oh, David, please.
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00:06:48,929 --> 00:06:52,892
And, yes, Arianna can be clumsy.
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These last few months,
she's been getting more... aloof.
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In what ways?
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Well, you'll see for yourselves.
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00:07:03,361 --> 00:07:05,946
I gave her some pain
medication after the fall,
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00:07:06,072 --> 00:07:07,573
kept her awake.
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00:07:08,949 --> 00:07:12,495
Oh. The cranes help keep her calm.
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♪♪
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Arianna, hi.
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We're your doctors.
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We're here to assess you.
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00:07:24,298 --> 00:07:25,841
Is that okay?
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00:07:28,677 --> 00:07:30,805
This could take a little time.
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Of course. I've got some tea on.
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00:07:34,308 --> 00:07:41,982
♪♪
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00:07:42,066 --> 00:07:44,610
Arianna...
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can you tell us where you are?
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What happened?
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♪♪
189
00:07:55,579 --> 00:07:59,834
Arianna... can you look at my penlight?
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00:07:59,917 --> 00:08:01,168
Follow it with your eyes.
191
00:08:01,335 --> 00:08:06,507
♪♪
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00:08:06,590 --> 00:08:08,384
Look at my birds.
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00:08:09,468 --> 00:08:11,053
If only they could fly.
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00:08:11,095 --> 00:08:17,727
♪♪
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00:08:17,810 --> 00:08:24,525
♪♪
196
00:08:24,608 --> 00:08:26,027
Dr. Pierce.
197
00:08:27,737 --> 00:08:30,072
- Carol.
- Hmm?
198
00:08:31,657 --> 00:08:33,534
Do you see what I see?
199
00:08:33,576 --> 00:08:38,289
- See what?
- Oh, just... her bruises.
200
00:08:38,414 --> 00:08:41,375
You know, a home visit
isn't the best setting
201
00:08:41,459 --> 00:08:43,210
for a comprehensive review.
202
00:08:43,335 --> 00:08:45,546
It would be good if we could
bring her to Bronx General,
203
00:08:45,629 --> 00:08:47,673
do a full workup.
204
00:08:47,715 --> 00:08:49,258
Arianna doesn't like hospitals.
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00:08:49,341 --> 00:08:52,094
Um, head injuries
can present as minor,
206
00:08:52,136 --> 00:08:54,638
only to result in
something much more serious.
207
00:08:54,722 --> 00:08:56,849
We'd really like to take her in,
208
00:08:56,891 --> 00:08:59,143
out of an abundance of caution.
209
00:08:59,185 --> 00:09:00,936
Of course.
210
00:09:01,020 --> 00:09:03,647
In that case, we'd be happy to go,
211
00:09:03,689 --> 00:09:06,442
wouldn't we... honey?
212
00:09:06,484 --> 00:09:08,569
♪♪
213
00:09:08,694 --> 00:09:10,446
Mm.
214
00:09:16,660 --> 00:09:17,870
We've got a new patient.
215
00:09:17,912 --> 00:09:19,663
Arianna Burnett, 52, head trauma,
216
00:09:19,747 --> 00:09:22,124
previously diagnosed with dementia,
217
00:09:22,208 --> 00:09:25,002
and her husband just informed us
she's in a guardianship.
218
00:09:25,086 --> 00:09:26,754
As in conservatorship?
219
00:09:26,879 --> 00:09:28,798
As in hashtag Free Britney?
220
00:09:28,881 --> 00:09:30,466
- Britney...?
- Spears.
221
00:09:30,549 --> 00:09:32,235
- "Baby One More Time."
- "Oops!...I Did It Again."
222
00:09:32,259 --> 00:09:33,659
If this is a pop culture reference,
223
00:09:33,719 --> 00:09:35,030
I'm gonna need you to give me more.
224
00:09:35,054 --> 00:09:36,806
Dr. Wolf... are you trolling us?
225
00:09:36,889 --> 00:09:39,642
Arianna secretly asked for our help.
226
00:09:39,725 --> 00:09:42,228
It is our job to determine
what that means exactly.
227
00:09:42,311 --> 00:09:43,771
It could mean that she's paranoid...
228
00:09:43,813 --> 00:09:45,981
common symptom among
dementia patients.
229
00:09:46,065 --> 00:09:48,460
Yes, but we still need to do our due
diligence and proceed with caution.
230
00:09:48,484 --> 00:09:51,529
According to Nichols, the Burnetts
are huge donors to the hospital.
231
00:09:51,570 --> 00:09:53,155
Hence, the all hands on deck.
232
00:09:53,239 --> 00:09:54,699
Guardianships are extremely rare.
233
00:09:54,740 --> 00:09:56,283
Do we know how this happened?
234
00:09:56,325 --> 00:09:57,993
History of "destructive behavior."
235
00:09:58,035 --> 00:10:00,329
"Gambled her fortune away."
"Self-endangerment."
236
00:10:00,413 --> 00:10:01,693
So it's in place to protect her.
237
00:10:01,747 --> 00:10:03,499
Or control her and her money.
238
00:10:03,624 --> 00:10:05,167
Precisely that.
239
00:10:05,292 --> 00:10:06,770
Not only does
a guardianship render its ward
240
00:10:06,794 --> 00:10:08,337
and unable to control their finances,
241
00:10:08,421 --> 00:10:10,423
it can also mean
that basic decisions like
242
00:10:10,506 --> 00:10:13,050
where she lives, when she uses
her phone, aren't hers to make.
243
00:10:13,134 --> 00:10:16,011
- It's no autonomy.
- Okay, so what are we supposed to do?
244
00:10:16,095 --> 00:10:18,597
I mean, it's not our job
to get her guardianship removed.
245
00:10:18,639 --> 00:10:20,433
We convinced her family to admit her
246
00:10:20,474 --> 00:10:22,518
for an extensive neuro evaluation.
247
00:10:22,601 --> 00:10:24,770
That means she's in our care
for a short window.
248
00:10:24,895 --> 00:10:26,439
I will evaluate Arianna.
249
00:10:26,522 --> 00:10:29,191
For once, I'd like us to work fast.
250
00:10:29,275 --> 00:10:32,028
I'd like to give
you five words to remember...
251
00:10:32,111 --> 00:10:35,322
shoebox, Apollo,
252
00:10:35,448 --> 00:10:39,577
computer, pineapple, ersatz.
253
00:10:39,618 --> 00:10:41,370
Now, can you repeat them to me?
254
00:10:41,454 --> 00:10:43,831
Shoebox...
255
00:10:43,914 --> 00:10:45,708
Apollo...
256
00:10:45,791 --> 00:10:47,752
computer...
257
00:10:47,793 --> 00:10:49,670
- pineapple, ersatz.
- Good.
258
00:10:49,754 --> 00:10:52,339
I'll ask you to repeat them in a bit.
259
00:10:52,423 --> 00:10:58,554
Now, can you tell me
why you signaled for help?
260
00:10:58,679 --> 00:11:02,224
The last time I opened up
to a psychiatrist,
261
00:11:02,349 --> 00:11:04,518
they testified against me in court.
262
00:11:04,560 --> 00:11:07,730
I'm not against you.
I'm here to help you.
263
00:11:07,813 --> 00:11:11,692
But I cannot do that
until you tell me what's wrong.
264
00:11:13,152 --> 00:11:16,197
My memory gets worse
every day I'm in that house.
265
00:11:17,656 --> 00:11:21,911
I am losing who I am, who I was.
266
00:11:21,952 --> 00:11:24,455
Can you elaborate for me?
267
00:11:24,497 --> 00:11:26,957
They don't want me to be free.
268
00:11:26,999 --> 00:11:29,585
They're making me sick.
269
00:11:29,710 --> 00:11:31,712
[WHISPERING] They're poisoning me.
270
00:11:33,756 --> 00:11:37,843
- Who is?
- My husband, David...
271
00:11:39,303 --> 00:11:41,222
...and my daughter, Jill.
272
00:11:41,263 --> 00:11:42,973
Why would they want to hurt you?
273
00:11:43,057 --> 00:11:44,809
To control me.
274
00:11:44,850 --> 00:11:47,061
To take everything away from me.
275
00:11:48,062 --> 00:11:50,064
You don't believe me?
276
00:11:50,189 --> 00:11:51,982
I'm here for you, Arianna.
277
00:11:52,066 --> 00:11:54,235
This is a serious accusation,
278
00:11:54,360 --> 00:11:56,320
and if someone is poisoning you,
279
00:11:56,362 --> 00:11:58,614
we will get to the bottom of it.
280
00:11:58,698 --> 00:12:02,910
Now, could you tell me if
you remember those five words?
281
00:12:02,993 --> 00:12:06,414
♪♪
282
00:12:06,455 --> 00:12:07,790
Shoelace.
283
00:12:07,873 --> 00:12:11,127
♪♪
284
00:12:11,210 --> 00:12:12,628
Shoe store.
285
00:12:14,505 --> 00:12:15,965
Shoo fly?
286
00:12:16,048 --> 00:12:20,594
[LAUGHING]
287
00:12:20,761 --> 00:12:27,476
♪♪
288
00:12:27,518 --> 00:12:28,936
[STOPS LAUGHING]
289
00:12:29,019 --> 00:12:33,816
♪♪
290
00:12:33,899 --> 00:12:37,528
I want to be sensitive
to your situation.
291
00:12:37,611 --> 00:12:39,030
It would be helpful to understand
292
00:12:39,113 --> 00:12:40,781
the reasons for the guardianship.
293
00:12:40,823 --> 00:12:42,867
I don't see why that's relevant.
294
00:12:42,950 --> 00:12:45,911
Well, it's patient history.
It's always relevant.
295
00:12:45,953 --> 00:12:48,247
The court agreed to
the arrangement two years ago.
296
00:12:48,330 --> 00:12:50,332
After Arianna sold off her businesses,
297
00:12:50,416 --> 00:12:56,255
we saw a dramatic cognitive
decline and erratic behavior.
298
00:12:56,338 --> 00:13:00,426
She'd just disappear on us
all night, sometimes days.
299
00:13:00,509 --> 00:13:04,096
And... she didn't always remember
where she was or what she did.
300
00:13:04,180 --> 00:13:07,183
The dementia diagnosis
finally gave us some clarity.
301
00:13:07,308 --> 00:13:09,351
The guardianship ensures her safety.
302
00:13:09,435 --> 00:13:11,812
We don't think
she'd be alive without it.
303
00:13:11,979 --> 00:13:14,982
♪♪
304
00:13:15,066 --> 00:13:17,360
Should I be worried
that Arianna Burnett went
305
00:13:17,443 --> 00:13:19,195
from a house call to an inpatient?
306
00:13:19,320 --> 00:13:20,797
If this is Wolf, you have to
put a stop to...
307
00:13:20,821 --> 00:13:22,090
I'm not doing this with you, Josh.
308
00:13:22,114 --> 00:13:24,658
- Doing what?
- Spying on Wolf.
309
00:13:24,742 --> 00:13:26,410
I did this song and dance with Muriel.
310
00:13:26,494 --> 00:13:28,037
I am not Wolf's keeper.
311
00:13:28,162 --> 00:13:30,331
We brought Arianna in
for a proper assessment.
312
00:13:30,456 --> 00:13:32,792
We are doing right
by her and her family.
313
00:13:32,833 --> 00:13:35,002
Good, because she's a prominent donor.
314
00:13:35,086 --> 00:13:36,646
And I don't want to be
a stick in the mud,
315
00:13:36,670 --> 00:13:37,981
but I gotta make
a million decisions now
316
00:13:38,005 --> 00:13:39,673
and still be a doctor.
317
00:13:39,715 --> 00:13:42,009
Speaking of, my friend Harrison
asked about you again.
318
00:13:42,051 --> 00:13:43,636
- Josh.
- Remember him? The, uh...
319
00:13:43,719 --> 00:13:45,554
- That geriatrician.
- You know,
320
00:13:45,638 --> 00:13:48,766
- I got a picture here somewhere.
- Thanks, but I'm not ready.
321
00:13:48,849 --> 00:13:51,394
The last first date I went on,
flip phones were all the rage,
322
00:13:51,477 --> 00:13:53,062
Destiny's Child had four members,
323
00:13:53,145 --> 00:13:54,331
and bucket hats were still in style.
324
00:13:54,355 --> 00:13:55,898
Bucket hats are back.
325
00:13:57,817 --> 00:13:59,527
And so am I.
326
00:13:59,610 --> 00:14:00,736
One drink.
327
00:14:00,820 --> 00:14:06,075
♪♪
328
00:14:06,158 --> 00:14:08,160
[BREATHING HEAVILY]
329
00:14:10,454 --> 00:14:17,044
♪♪
330
00:14:17,211 --> 00:14:23,884
♪♪
331
00:14:23,968 --> 00:14:26,429
Hey.
332
00:14:26,512 --> 00:14:29,181
Are you hungry?
333
00:14:29,223 --> 00:14:31,851
- Do I know you?
- You're Sam, right?
334
00:14:31,934 --> 00:14:35,271
I'm Dr. Kinney.
I work over at Bronx General.
335
00:14:37,815 --> 00:14:41,402
You know, there's a great
gyro cart around the corner.
336
00:14:41,485 --> 00:14:42,611
My treat.
337
00:14:42,695 --> 00:14:46,699
♪♪
338
00:14:46,782 --> 00:14:50,828
[CAR HORN HONKS, DOG BARKING
IN DISTANCE]
339
00:14:50,911 --> 00:14:52,705
So where are you from?
340
00:14:52,747 --> 00:14:54,582
Around.
341
00:14:54,665 --> 00:14:57,376
Oh.
342
00:14:57,418 --> 00:15:00,504
- Does your family know...
- They know.
343
00:15:00,588 --> 00:15:02,899
If I stay at home, they make me
go to therapy and take meds.
344
00:15:02,923 --> 00:15:04,925
I'd rather sleep out here.
345
00:15:05,051 --> 00:15:07,511
My parents are the opposite.
346
00:15:07,595 --> 00:15:09,847
Paying a stranger
to listen to our problems?
347
00:15:09,930 --> 00:15:12,600
- That would never fly.
- They'd pay,
348
00:15:12,683 --> 00:15:14,327
if some doctor wrote
schizophrenia in your chart
349
00:15:14,351 --> 00:15:15,351
and...
350
00:15:15,394 --> 00:15:21,359
♪♪
351
00:15:21,525 --> 00:15:27,573
♪♪
352
00:15:27,656 --> 00:15:29,742
Sam, have you ever had a brain scan?
353
00:15:29,825 --> 00:15:32,536
Sometimes people
who we think have schizophrenia
354
00:15:32,620 --> 00:15:34,372
don't have schizophrenia at all,
355
00:15:34,497 --> 00:15:37,917
and they get better
with different treatment.
356
00:15:40,586 --> 00:15:42,129
I could set one up for you.
357
00:15:44,590 --> 00:15:46,175
Why would you do that?
358
00:15:46,258 --> 00:15:48,844
Sam, I'm a doctor.
359
00:15:48,928 --> 00:15:50,137
It's my job to help you.
360
00:15:50,304 --> 00:15:55,684
♪♪
361
00:15:55,768 --> 00:15:57,603
[SLURPING]
362
00:16:00,189 --> 00:16:02,233
Presenting a kindly gentleman,
363
00:16:02,316 --> 00:16:04,485
78 years young with arthritis,
364
00:16:04,610 --> 00:16:07,071
who suffered a fall
after a mishap with,
365
00:16:07,154 --> 00:16:08,572
wait for it...
366
00:16:08,656 --> 00:16:10,282
a penis pump.
367
00:16:10,324 --> 00:16:12,368
[CHUCKLES] I was like,
"That's not the head
368
00:16:12,451 --> 00:16:15,871
I thought I'd be dealing with
in Neuro," am I right?
369
00:16:15,996 --> 00:16:19,041
You know, you could be
a really great doctor
370
00:16:19,166 --> 00:16:21,419
if it weren't for your personality.
371
00:16:21,544 --> 00:16:26,257
[SCOFFS] I'm both
complimented and insulted?
372
00:16:26,340 --> 00:16:28,259
The sippy cup,
the doodle notes, the jokes.
373
00:16:28,300 --> 00:16:30,136
You are a human Mad Lib.
374
00:16:30,219 --> 00:16:32,430
This is a patient case presentation,
375
00:16:32,471 --> 00:16:34,056
not your "SNL" audition.
376
00:16:35,307 --> 00:16:37,977
Next time, come back like an adult.
377
00:16:38,018 --> 00:16:43,399
♪♪
378
00:16:43,482 --> 00:16:48,779
♪♪
379
00:16:48,904 --> 00:16:52,700
Arianna suspects her family
is actively poisoning her
380
00:16:52,825 --> 00:16:54,744
to lock her into the guardianship.
381
00:16:54,827 --> 00:16:56,620
She thinks they're after her money.
382
00:16:56,704 --> 00:16:59,123
[EXHALES SHARPLY] Carol,
I'm supposed to be buttoned up.
383
00:16:59,165 --> 00:17:00,916
Josh will kill me if we accuse
384
00:17:00,958 --> 00:17:03,252
one of our biggest donors
of poisoning his wife.
385
00:17:03,335 --> 00:17:05,796
But on the flip side,
her MoCa score is concerning,
386
00:17:05,921 --> 00:17:08,299
and dementia can make
patients feel paranoid.
387
00:17:08,382 --> 00:17:11,218
Yeah, but real paranoia can
also be confused for dementia.
388
00:17:11,343 --> 00:17:13,054
Sure, but I also observed
389
00:17:13,095 --> 00:17:15,222
- other erratic behaviors during our session.
- Yeah.
390
00:17:15,306 --> 00:17:18,309
According to her family, that's why
they put her under a guardianship.
391
00:17:18,392 --> 00:17:19,852
Two things can be true.
392
00:17:19,977 --> 00:17:21,395
Arianna could have dementia
393
00:17:21,479 --> 00:17:23,356
and her family could be poisoning her.
394
00:17:23,439 --> 00:17:26,025
I'll need to get blood for tox
labs to find out if she's right.
395
00:17:26,067 --> 00:17:34,067
♪♪
396
00:17:35,242 --> 00:17:36,660
Did the patient leave?
397
00:17:36,744 --> 00:17:39,038
No. Nobody in or out.
398
00:17:39,080 --> 00:17:40,164
Well, how...
399
00:17:40,247 --> 00:17:41,332
Carol.
400
00:17:41,499 --> 00:17:48,005
♪♪
401
00:17:48,089 --> 00:17:49,965
We've got a patient in the vents!
402
00:17:55,221 --> 00:17:56,365
It's alright. We got you.
Nice and easy.
403
00:17:56,389 --> 00:17:57,807
There you go. Take it slow.
404
00:17:57,932 --> 00:17:59,558
Okay, everybody, Showtime is over.
405
00:17:59,642 --> 00:18:02,686
We all have jobs to do.
Let's get back to them.
406
00:18:02,728 --> 00:18:04,021
Oh, my God.
407
00:18:04,146 --> 00:18:05,481
- Mom.
- Honey, are you okay?
408
00:18:05,606 --> 00:18:07,274
Yeah, I'm fine. It's not a big deal.
409
00:18:07,316 --> 00:18:08,734
I just wanted to stretch my legs.
410
00:18:08,818 --> 00:18:10,486
Yeah, she actually got kind of far.
411
00:18:10,569 --> 00:18:12,113
Mom, you were in the vents.
412
00:18:12,196 --> 00:18:14,407
You're lucky you
didn't get seriously hurt.
413
00:18:14,490 --> 00:18:16,617
This is why we didn't want her
at the hospital.
414
00:18:16,659 --> 00:18:18,786
We understand,
but crawling through the vents
415
00:18:18,828 --> 00:18:20,454
shows a certain level of desperation.
416
00:18:20,579 --> 00:18:23,457
Hey, Dr. Pierce, get a load of this...
417
00:18:23,541 --> 00:18:25,292
shoebox...
418
00:18:25,376 --> 00:18:27,002
Apollo...
419
00:18:27,086 --> 00:18:28,587
computer...
420
00:18:28,671 --> 00:18:31,132
pineapple, ersatz.
421
00:18:31,215 --> 00:18:33,092
What is she talking about?
422
00:18:33,134 --> 00:18:35,928
Those were the five words I
gave her to remember hours ago.
423
00:18:35,970 --> 00:18:37,638
And given her prognosis,
424
00:18:37,722 --> 00:18:40,516
her ability to repeat them
is surprising.
425
00:18:40,599 --> 00:18:42,518
What does this mean?
426
00:18:42,643 --> 00:18:45,104
I assumed she'd be worse
weaning off the medication.
427
00:18:45,146 --> 00:18:47,732
At this point, we have more
questions than we have answers,
428
00:18:47,815 --> 00:18:49,650
but that is why we're here.
429
00:18:49,734 --> 00:18:52,278
By the way,
you have rats in your vents.
430
00:18:52,319 --> 00:18:54,989
Where is all of our money going?
431
00:18:55,031 --> 00:18:57,908
I want to see a
budget with line items.
432
00:18:57,950 --> 00:19:01,162
Surely we donate enough to
keep this hospital rodent free.
433
00:19:01,328 --> 00:19:04,957
♪♪
434
00:19:05,041 --> 00:19:07,752
- Does she really need an fMRI?
- Yes.
435
00:19:07,793 --> 00:19:10,296
The structural information
from an MRI isn't sufficient.
436
00:19:10,337 --> 00:19:13,632
A functional MRI would allow us
to view her brain's activity.
437
00:19:13,716 --> 00:19:15,652
You know, it's generally used
for research purposes,
438
00:19:15,676 --> 00:19:17,553
not direct patient care
application, right?
439
00:19:17,636 --> 00:19:20,389
I do, but I'm trying
to assess early dementia,
440
00:19:20,514 --> 00:19:22,391
which is a diagnosis of exclusion.
441
00:19:22,516 --> 00:19:24,185
Since there's no test to prove it,
442
00:19:24,268 --> 00:19:25,412
it's on us to rule
out any other cause.
443
00:19:25,436 --> 00:19:26,937
I hear you, Wolf.
444
00:19:27,063 --> 00:19:28,898
I just... I don't want
you giving them hope,
445
00:19:28,981 --> 00:19:31,168
only to then have to deliver
the same devastating diagnosis
446
00:19:31,192 --> 00:19:32,693
they've already been dealing with.
447
00:19:32,777 --> 00:19:35,404
We owe them the
very best work up we have.
448
00:19:37,323 --> 00:19:39,950
Fine. Run the scan.
But I want to see the results.
449
00:19:40,076 --> 00:19:42,596
The money the Burnetts provide
this hospital keep the lights on,
450
00:19:42,661 --> 00:19:44,705
the machines beeping,
and our patients breathing.
451
00:19:44,830 --> 00:19:46,750
The money didn't keep
the rats out of the vents.
452
00:19:47,917 --> 00:19:49,102
You might want to look into that.
453
00:19:49,126 --> 00:19:55,841
♪♪
454
00:19:58,719 --> 00:20:00,930
Could I get a sign off
on a treatment plan?
455
00:20:00,971 --> 00:20:03,057
Standard neuro exam and imaging order.
456
00:20:03,182 --> 00:20:05,101
Mid 20s. Diagnosed schizoaffective.
457
00:20:05,142 --> 00:20:07,061
Never given a proper workup
with scans.
458
00:20:07,186 --> 00:20:09,689
Sounds excessive.
What's the urgency now?
459
00:20:09,730 --> 00:20:12,024
I'm going on a gut reaction.
460
00:20:12,108 --> 00:20:13,675
A while ago, I assumed a patient was
461
00:20:13,687 --> 00:20:15,486
having a drug-induced psychotic break.
462
00:20:15,611 --> 00:20:18,656
Turned out to be a brain tumor
that was causing hallucinations.
463
00:20:18,739 --> 00:20:20,741
I don't want to make
the same mistake twice.
464
00:20:20,783 --> 00:20:22,326
Has there been an acute change
465
00:20:22,368 --> 00:20:24,328
in your patient's condition?
466
00:20:24,370 --> 00:20:26,497
No, but he could change...
467
00:20:26,580 --> 00:20:29,458
Then they should schedule an
appointment like everyone else.
468
00:20:29,500 --> 00:20:31,544
Dr. Ramirez, you're needed in the ER.
469
00:20:31,627 --> 00:20:33,546
Dr. Ramirez to the ER stat, please.
470
00:20:33,587 --> 00:20:38,801
♪♪
471
00:20:38,884 --> 00:20:41,470
Arianna's amygdala, it's inactive...
472
00:20:41,554 --> 00:20:44,890
scant response to stimuli
and emotion, threats,
473
00:20:44,974 --> 00:20:47,351
consistent
with her dementia diagnosis.
474
00:20:47,435 --> 00:20:48,835
Carol, when she first met with you,
475
00:20:48,894 --> 00:20:50,271
how was her MoCa test?
476
00:20:50,396 --> 00:20:51,939
She couldn't remember a thing.
477
00:20:52,064 --> 00:20:54,191
And after
the Great Vent event of 2025,
478
00:20:54,233 --> 00:20:56,068
her mental status improved.
479
00:20:56,110 --> 00:20:57,820
Her toxicology is clean.
480
00:20:57,903 --> 00:20:59,947
No heavy metals, no sedatives,
no benzos, no barbs.
481
00:20:59,989 --> 00:21:02,033
- Her family isn't poisoning her.
- Wait, you...
482
00:21:02,074 --> 00:21:04,011
you actually thought
her family was poisoning her?
483
00:21:04,035 --> 00:21:06,370
She made a very convincing argument.
484
00:21:06,495 --> 00:21:10,332
- Sometimes paranoia is justified.
- And we saw a personality shift
485
00:21:10,416 --> 00:21:12,251
after she came out of those vents.
486
00:21:12,293 --> 00:21:14,211
A light was back in her eyes.
487
00:21:14,336 --> 00:21:15,897
It's not how I would expect
a dementia patient
488
00:21:15,921 --> 00:21:17,339
flooded with adrenaline to react.
489
00:21:17,465 --> 00:21:19,759
I agree. We need to run more tests.
490
00:21:19,800 --> 00:21:21,177
Burn the midnight oil.
491
00:21:21,302 --> 00:21:23,429
Well, not you.
492
00:21:23,471 --> 00:21:25,389
You have a date tonight.
493
00:21:25,473 --> 00:21:27,349
A date?
494
00:21:27,475 --> 00:21:30,227
And you didn't tell me?
Carol, I'm hurt.
495
00:21:30,269 --> 00:21:32,122
What's his name? Where did
you meet him? How tall is he?
496
00:21:32,146 --> 00:21:33,689
- I'm not...
- His name is Harrison.
497
00:21:33,814 --> 00:21:35,254
Uh, it's a blind date. I set him up.
498
00:21:35,316 --> 00:21:38,152
And he is, uh, well over six feet.
499
00:21:38,235 --> 00:21:40,321
[EXHALES SHARPLY] O...
Are you two done?
500
00:21:40,404 --> 00:21:42,782
- No. Do you have any pictures?
- I got a picture.
501
00:21:42,907 --> 00:21:44,325
Okay, well, you'll have to go.
502
00:21:44,450 --> 00:21:45,927
- [CHUCKLES]
- I'll hold down the fort.
503
00:21:45,951 --> 00:21:47,286
What does that entail, exactly?
504
00:21:47,370 --> 00:21:49,330
A few tests, just the right amount,
505
00:21:49,372 --> 00:21:50,915
and then debrief with my interns.
506
00:21:50,998 --> 00:21:53,209
Teach. Nurture. Rinse, repeat.
507
00:21:53,250 --> 00:22:01,250
♪♪
508
00:22:03,094 --> 00:22:07,181
♪♪
509
00:22:07,306 --> 00:22:09,183
[INDISTINCT ANNOUNCEMENT
OVER PA SYSTEM]
510
00:22:09,350 --> 00:22:12,728
♪♪
511
00:22:12,853 --> 00:22:14,230
Arianna?
512
00:22:16,273 --> 00:22:18,401
Are you up for another test?
513
00:22:21,987 --> 00:22:24,699
How about we break you
out of your cage,
514
00:22:24,782 --> 00:22:26,075
let you spread your wings?
515
00:22:26,117 --> 00:22:29,078
♪♪
516
00:22:34,583 --> 00:22:36,460
♪ If you do it,
then you gotta do it big ♪
517
00:22:36,544 --> 00:22:38,313
Round three? I thought we were
going to make our money last.
518
00:22:38,337 --> 00:22:40,840
Doctors don't make nearly
as much as you think these days.
519
00:22:40,923 --> 00:22:42,359
Oh, you should have gone into finance.
520
00:22:42,383 --> 00:22:43,884
Thousand dollars all in.
521
00:22:43,968 --> 00:22:47,054
It's a 1.41% house advantage
on the pass line,
522
00:22:47,138 --> 00:22:48,973
zero on the odds.
523
00:22:49,056 --> 00:22:51,767
At this table limit,
this is our best move.
524
00:22:51,892 --> 00:22:54,562
- Is that a good bet or a risk?
- Well,
525
00:22:54,603 --> 00:22:56,605
you're gonna have to wait and see.
526
00:22:56,689 --> 00:22:59,108
[INDISTINCT CONVERSATIONS]
527
00:22:59,191 --> 00:23:02,069
Come on, come on, come on, come on!
528
00:23:02,111 --> 00:23:05,114
- 11. 11. Pay the line.
- [CHEERS AND APPLAUSE]
529
00:23:05,197 --> 00:23:07,450
[LAUGHS]
530
00:23:07,491 --> 00:23:09,535
[SIGHS]
531
00:23:09,577 --> 00:23:11,746
And you need to know when to leave.
532
00:23:11,829 --> 00:23:14,290
- Oh, are you thirsty?
- Uh, sure.
533
00:23:14,331 --> 00:23:15,791
Right. Thank you.
534
00:23:15,875 --> 00:23:17,001
Mm!
535
00:23:17,043 --> 00:23:18,169
[LAUGHS]
536
00:23:18,210 --> 00:23:19,962
♪ Oh, yeah ♪
537
00:23:25,468 --> 00:23:26,719
- Wow.
- Don't.
538
00:23:26,761 --> 00:23:28,095
I'm not. Where you going?
539
00:23:28,137 --> 00:23:29,513
I'm not answering any questions.
540
00:23:29,597 --> 00:23:31,557
Wait. Just...
541
00:23:33,726 --> 00:23:40,024
♪♪
542
00:23:40,066 --> 00:23:41,567
Now you're good.
543
00:23:41,609 --> 00:23:42,985
Don't do anything I would do.
544
00:23:43,069 --> 00:23:44,945
♪♪
545
00:23:45,071 --> 00:23:47,990
[INDISTINCT ANNOUNCEMENT
OVER PA SYSTEM]
546
00:23:48,074 --> 00:23:55,122
♪♪
547
00:23:57,500 --> 00:24:00,002
Sam, this is only
going to take a minute. Okay?
548
00:24:00,086 --> 00:24:02,004
[MACHINE WHIRRING]
549
00:24:02,046 --> 00:24:07,676
♪♪
550
00:24:07,718 --> 00:24:13,391
♪♪
551
00:24:13,432 --> 00:24:16,227
Get me the hell out!
This is a mind control factory!
552
00:24:16,268 --> 00:24:17,954
- Get me out! Get me out!
- It's okay. It's okay, Sam.
553
00:24:17,978 --> 00:24:19,000
Sam, wait, wait, wait, wait.
554
00:24:19,024 --> 00:24:20,523
Wait, wait, wait! Sam!
555
00:24:20,564 --> 00:24:22,733
- Sam! Sam!
- Code Gray to the CT room.
556
00:24:22,817 --> 00:24:23,930
I repeat, Code Gray.
557
00:24:23,954 --> 00:24:25,837
Sam, it's okay. It's okay.
I'm trying to help you.
558
00:24:25,861 --> 00:24:27,988
Get away! You want them to take me!
559
00:24:28,030 --> 00:24:29,573
I don't want anyone to take you.
560
00:24:29,740 --> 00:24:31,009
- Sam, you don't have to...
- Stand back, stand back.
561
00:24:31,033 --> 00:24:32,743
- No!
- Hey. Hey! Hey! Hey! Hey!
562
00:24:32,785 --> 00:24:35,329
Listen to me, listen to me,
listen to me. Alright?
563
00:24:35,371 --> 00:24:37,456
You have exactly two options here.
564
00:24:37,498 --> 00:24:39,291
One, you can try to calm down.
565
00:24:39,375 --> 00:24:42,002
Two, you can be sedated
and restrained.
566
00:24:42,128 --> 00:24:43,963
What do you want to do, buddy?
567
00:24:44,130 --> 00:24:45,214
What do you want to do?
568
00:24:45,297 --> 00:24:50,594
♪♪
569
00:24:50,636 --> 00:24:51,971
There you go.
570
00:24:52,012 --> 00:24:54,515
- You're okay.
- Hey.
571
00:24:54,557 --> 00:24:55,933
That's it. [STAND CLATTERS]
572
00:24:56,016 --> 00:24:57,893
Alright.
573
00:24:57,935 --> 00:25:00,354
Alright. Alright.
574
00:25:02,565 --> 00:25:05,568
- It's okay.
- [EXHALES SHARPLY]
575
00:25:05,735 --> 00:25:08,571
It's okay. It's okay, Sam. It's okay.
576
00:25:10,531 --> 00:25:13,075
- Are you okay?
- Mm-hmm.
577
00:25:13,117 --> 00:25:16,871
Good. Because my next question is what
the hell was Sam doing in the scanner?
578
00:25:17,705 --> 00:25:20,958
- Did Wolf put you up to this?
- No, no, no, no. This was me.
579
00:25:21,042 --> 00:25:23,044
Sam agreed to a workup for once.
580
00:25:23,210 --> 00:25:24,754
I was just trying to help him.
581
00:25:26,338 --> 00:25:30,926
I respect your... intention,
582
00:25:31,010 --> 00:25:33,030
but do you think that those
security guards are equipped
583
00:25:33,054 --> 00:25:36,474
to deal with the patients with
complex mental health needs?
584
00:25:36,557 --> 00:25:37,975
They were about to tackle him
585
00:25:38,059 --> 00:25:40,102
in a sad tribute to
their JV football days.
586
00:25:40,227 --> 00:25:42,188
You're right.
587
00:25:42,355 --> 00:25:44,815
A patient with schizophrenia
was more than I could handle.
588
00:25:44,899 --> 00:25:47,234
That's not my point.
589
00:25:47,401 --> 00:25:49,653
Your approach to schizophrenia
590
00:25:49,779 --> 00:25:54,283
might be more than anyone
can, or should, handle.
591
00:25:55,618 --> 00:25:57,411
I wonder where
you picked that up from.
592
00:25:57,495 --> 00:26:03,667
♪♪
593
00:26:03,709 --> 00:26:05,795
[SOBS SOFTLY]
594
00:26:05,836 --> 00:26:12,385
♪♪
595
00:26:12,426 --> 00:26:15,679
We were called to consult on
a 63-year-old right-handed man.
596
00:26:15,763 --> 00:26:17,348
What's your impression?
597
00:26:17,473 --> 00:26:19,153
Metabolic encephalopathy.
This isn't Neuro.
598
00:26:19,266 --> 00:26:23,312
We can sign off.
Which is what I'm doing too.
599
00:26:23,354 --> 00:26:25,189
These consults
can be soul-crushing enough.
600
00:26:25,356 --> 00:26:27,775
I don't need to dim my light
just to suit you.
601
00:26:29,276 --> 00:26:30,611
Better.
602
00:26:30,736 --> 00:26:32,071
I don't want to dim any lights.
603
00:26:32,154 --> 00:26:34,865
You're funny. I like that about you.
604
00:26:35,032 --> 00:26:37,451
But you have to understand
when to shine and where.
605
00:26:38,285 --> 00:26:40,079
Are you going somewhere with this?
606
00:26:41,664 --> 00:26:44,166
Medicine is about showmanship.
607
00:26:44,250 --> 00:26:47,211
It's about acting like people's
expectations of a doctor.
608
00:26:47,336 --> 00:26:51,382
Might not be fair,
but it's how you gain trust.
609
00:26:51,465 --> 00:26:53,676
That's how you advance.
610
00:26:53,801 --> 00:26:55,344
That's what I want you to understand.
611
00:26:55,386 --> 00:27:00,683
♪♪
612
00:27:00,725 --> 00:27:04,311
♪♪
613
00:27:04,437 --> 00:27:05,980
Mm.
614
00:27:06,022 --> 00:27:08,274
Don't spend it all in one place.
615
00:27:08,399 --> 00:27:11,986
Oh, I miss that! You know,
spending it all in one place.
616
00:27:13,112 --> 00:27:16,282
Arianna, uh, your blood work
came back negative.
617
00:27:16,365 --> 00:27:18,451
Your family is not poisoning you.
618
00:27:20,119 --> 00:27:22,663
Well, I suppose that's good news.
619
00:27:22,705 --> 00:27:24,957
I think they're so angry with me.
620
00:27:24,999 --> 00:27:26,876
I put them through a lot.
621
00:27:27,001 --> 00:27:28,544
I've been with my husband 30 years,
622
00:27:28,711 --> 00:27:31,255
and he looks at me
like I'm a stranger.
623
00:27:31,338 --> 00:27:33,632
Can you imagine
looking at someone you love
624
00:27:33,758 --> 00:27:35,885
and not recognizing them?
625
00:27:36,052 --> 00:27:40,097
I can, actually. It's very painful.
626
00:27:40,181 --> 00:27:41,849
Well, that's my future.
627
00:27:41,932 --> 00:27:44,977
Not remembering anything.
Losing everyone.
628
00:27:46,020 --> 00:27:49,190
Based on your test results
and what I've observed tonight,
629
00:27:49,231 --> 00:27:51,650
I don't think that you have dementia.
630
00:27:53,110 --> 00:27:55,404
Okay, don't mess with my head,
Dr. Wolf.
631
00:27:55,488 --> 00:27:58,657
You have built your
whole life around taking risks
632
00:27:58,824 --> 00:28:00,743
since you were a kid, right?
633
00:28:00,826 --> 00:28:02,286
Always climbed the biggest trees.
634
00:28:02,370 --> 00:28:03,829
Always took the biggest falls.
635
00:28:03,913 --> 00:28:05,599
Not unlike when I threw
myself down the stairs
636
00:28:05,623 --> 00:28:07,223
to get you to come over
for a house call.
637
00:28:07,249 --> 00:28:10,252
A bold move, but a calculated risk.
638
00:28:10,294 --> 00:28:12,338
I don't think it's ever been
about the money
639
00:28:12,463 --> 00:28:14,215
or the businesses for you.
640
00:28:14,256 --> 00:28:17,885
It's about the thrill, the chase.
641
00:28:18,010 --> 00:28:21,847
You are hardwired to seek it out.
642
00:28:21,889 --> 00:28:26,394
They are confusing your innate
thrill seeking for a disease.
643
00:28:26,519 --> 00:28:28,145
So I'm not going to get worse?
644
00:28:28,187 --> 00:28:29,831
I'm not going to wake up
one day forgetting everything
645
00:28:29,855 --> 00:28:31,524
that matters to me?
646
00:28:31,607 --> 00:28:34,902
- [CELLPHONE VIBRATING]
- Um...
647
00:28:34,985 --> 00:28:36,821
I'm so sorry.
I think it's the hospital.
648
00:28:36,904 --> 00:28:39,615
I'll be right back. Hello?
649
00:28:39,782 --> 00:28:42,201
He won't stop talking
about his ex-wife.
650
00:28:42,243 --> 00:28:43,786
- Who?
- Harrison...
651
00:28:43,869 --> 00:28:45,955
the guy Josh set me up with.
652
00:28:46,038 --> 00:28:48,290
Told him I went to the bathroom
seven minutes ago.
653
00:28:49,458 --> 00:28:51,502
Wolf, I think I gotta
make a run for it.
654
00:28:51,544 --> 00:28:53,629
Okay, well, that seems
like appropriate behavior
655
00:28:53,671 --> 00:28:55,798
for a woman of your age and stature.
656
00:28:55,840 --> 00:28:58,259
- [CHEERING IN DISTANCE]
- Where are you?
657
00:28:58,342 --> 00:28:59,802
I'm with Arianna.
658
00:28:59,844 --> 00:29:01,637
You sort of interrupted
our breakthrough.
659
00:29:01,679 --> 00:29:03,848
♪♪
660
00:29:03,889 --> 00:29:06,308
Uh, hold on, Carol.
661
00:29:08,102 --> 00:29:09,186
Hello?
662
00:29:09,270 --> 00:29:11,397
[MOTORCYCLE REVVING]
663
00:29:11,605 --> 00:29:14,025
♪♪
664
00:29:14,066 --> 00:29:15,609
Arianna! Wait!
665
00:29:15,693 --> 00:29:17,820
♪♪
666
00:29:17,945 --> 00:29:19,280
Arianna!
667
00:29:19,363 --> 00:29:23,784
♪♪
668
00:29:29,415 --> 00:29:31,500
You took her out gambling,
and now she's gone?
669
00:29:31,584 --> 00:29:33,794
I took her out to test a theory.
670
00:29:35,379 --> 00:29:37,256
Do you see this spot here?
671
00:29:37,381 --> 00:29:40,551
It's the amygdala, commonly
known as the fear center.
672
00:29:40,634 --> 00:29:43,345
Arianna's scan showed
this area as inactive,
673
00:29:43,387 --> 00:29:45,681
often an indication of early dementia.
674
00:29:45,723 --> 00:29:47,363
Which is why we felt
the guardianship was
675
00:29:47,391 --> 00:29:48,768
- the right option.
- Of course.
676
00:29:48,934 --> 00:29:50,561
You did what you thought was best
677
00:29:50,644 --> 00:29:52,355
with the information you had.
678
00:29:52,396 --> 00:29:55,566
But this scan isn't your wife's brain.
679
00:29:55,608 --> 00:29:57,443
It's Alex Honnold's.
680
00:29:57,526 --> 00:30:00,571
The... guy who climbed
El Capitan without a harness?
681
00:30:00,654 --> 00:30:03,491
- He has dementia?
- No, but he does
682
00:30:03,616 --> 00:30:05,576
naturally possess
an abnormal amygdala.
683
00:30:05,701 --> 00:30:08,746
Arianna's brain is exactly the same.
684
00:30:08,788 --> 00:30:11,374
So it's natural to steal
motorcycles, climb into vents?
685
00:30:11,457 --> 00:30:13,542
Okay, if... if I may, um...
686
00:30:13,626 --> 00:30:16,379
Winston Churchill gambled
the world's fate
687
00:30:16,504 --> 00:30:18,005
while drunk every night.
688
00:30:18,130 --> 00:30:20,466
Nikola Tesla fell in love with a pigeon
689
00:30:20,508 --> 00:30:22,301
while squatting in hotels.
690
00:30:22,385 --> 00:30:25,096
Men who take enormous risks
while acting irrationally
691
00:30:25,179 --> 00:30:26,931
are considered geniuses.
692
00:30:27,014 --> 00:30:30,393
But women? We call them crazy,
and we try to control them.
693
00:30:30,476 --> 00:30:33,896
Before your mother retired,
work was her outlet.
694
00:30:33,938 --> 00:30:37,108
Her investments were
an acceptable risk.
695
00:30:37,149 --> 00:30:41,153
You have been reacting
to the unacceptable ones.
696
00:30:41,237 --> 00:30:44,865
Every time she'd disappear...
I used to watch the news
697
00:30:44,990 --> 00:30:48,119
worried that that's
how I'd learn that she died.
698
00:30:48,202 --> 00:30:49,578
Do you know what that feels like?
699
00:30:49,662 --> 00:30:51,914
I do, Jill.
700
00:30:51,997 --> 00:30:54,500
I do know what it feels like
701
00:30:54,625 --> 00:30:56,585
to worry so deeply
about someone you love,
702
00:30:56,669 --> 00:30:58,087
to come home one day and realize
703
00:30:58,129 --> 00:31:00,423
you've already seen them
for the last time.
704
00:31:00,464 --> 00:31:02,925
The thing is,
I've been frequently told
705
00:31:03,008 --> 00:31:06,011
that I'm the cause of chaos myself.
706
00:31:06,095 --> 00:31:10,933
But luckily the people I love
accept me for my eccentricities.
707
00:31:10,975 --> 00:31:15,271
♪♪
708
00:31:15,354 --> 00:31:17,023
We are going to call the police,
709
00:31:17,148 --> 00:31:19,275
issue a Silver Alert and get her home.
710
00:31:19,358 --> 00:31:27,358
♪♪
711
00:31:29,035 --> 00:31:31,245
Saw your consults. Strong work.
712
00:31:31,370 --> 00:31:33,265
You should go have a night
with your little intern friends.
713
00:31:33,289 --> 00:31:37,626
Uh, it's all good. I'm used to
a 20-consult day around here.
714
00:31:37,710 --> 00:31:40,671
I thought you and Kinney
liked to celebrate a tough day.
715
00:31:40,713 --> 00:31:42,131
Trouble in paradise?
716
00:31:42,214 --> 00:31:44,425
She must be jealous of your mastery
717
00:31:44,508 --> 00:31:46,218
of metabolic encephalopathy.
718
00:31:47,511 --> 00:31:50,556
You saved a life with that
solve. And a penis pump.
719
00:31:50,681 --> 00:31:52,349
Porter...
720
00:31:52,433 --> 00:31:54,060
was that an attempt at humor?
721
00:31:56,270 --> 00:31:58,314
Ericka is not the jealous type.
722
00:31:58,439 --> 00:32:00,149
That's not what this is about.
723
00:32:00,274 --> 00:32:01,484
What is it about, then?
724
00:32:01,567 --> 00:32:05,571
♪♪
725
00:32:05,654 --> 00:32:08,949
I don't know why I'm
telling you this, but here goes.
726
00:32:10,284 --> 00:32:13,454
Dr. Pierce just came back
from administrative leave
727
00:32:13,579 --> 00:32:17,375
because someone reported her
for treating a patient,
728
00:32:17,458 --> 00:32:19,043
despite a major conflict of interest.
729
00:32:19,210 --> 00:32:20,503
I've heard all about it.
730
00:32:20,586 --> 00:32:22,505
What you haven't heard is that...
731
00:32:23,798 --> 00:32:26,884
...I'm the one who reported her.
732
00:32:26,967 --> 00:32:28,844
Ericka's upset with me.
733
00:32:30,388 --> 00:32:33,849
I did it because
I do take this job seriously.
734
00:32:34,934 --> 00:32:36,727
Contrary to popular belief.
735
00:32:36,811 --> 00:32:40,523
If it makes you feel
any better, no judgment.
736
00:32:40,564 --> 00:32:42,274
I would have done
the same thing for you.
737
00:32:42,400 --> 00:32:44,652
We're gonna play it for you
right after this break.
738
00:32:44,777 --> 00:32:46,362
You won't want to miss it. She has...
739
00:32:46,487 --> 00:32:50,533
Uh, can... someone turn that up?
740
00:32:50,574 --> 00:32:55,371
♪♪
741
00:32:55,454 --> 00:32:58,541
[INDISTINCT ANNOUNCEMENT
OVER PA SYSTEM]
742
00:32:58,624 --> 00:33:01,502
[EXHALES SHARPLY, SCOFFS]
743
00:33:01,627 --> 00:33:03,879
I can't say I loved hearing
about your circus in the CT
744
00:33:04,004 --> 00:33:05,131
from Dr. Thorne.
745
00:33:05,214 --> 00:33:07,133
It won't happen again, I swear.
746
00:33:07,174 --> 00:33:09,510
For the record, I understand
what you were trying to do,
747
00:33:09,552 --> 00:33:11,554
because it is exactly what I would do.
748
00:33:11,679 --> 00:33:14,432
But for each of my good habits,
I have just as many bad ones,
749
00:33:14,515 --> 00:33:16,600
and they're the ones
I'm trying to spare you.
750
00:33:16,726 --> 00:33:19,687
And at the risk
of sounding like my mother...
751
00:33:19,729 --> 00:33:21,188
I don't think I need to remind you,
752
00:33:21,272 --> 00:33:23,065
but Sam is not your patient.
753
00:33:23,107 --> 00:33:25,401
You went above and beyond
for Arianna Burnett
754
00:33:25,484 --> 00:33:27,486
the last couple of days.
755
00:33:27,528 --> 00:33:28,904
Why? Because she has money?
756
00:33:28,988 --> 00:33:30,865
Because she asked for help.
757
00:33:32,450 --> 00:33:33,534
Sam did not.
758
00:33:34,660 --> 00:33:39,498
♪♪
759
00:33:39,582 --> 00:33:41,302
Ericka, I need you to know
that just because
760
00:33:41,333 --> 00:33:42,894
you couldn't save
that young woman in the elevator
761
00:33:42,918 --> 00:33:46,088
does not mean
you have to save everyone else.
762
00:33:47,673 --> 00:33:48,924
But why not?
763
00:33:51,260 --> 00:33:54,096
What are we doing here
if not trying to save people?
764
00:33:54,138 --> 00:33:57,391
♪♪
765
00:33:57,475 --> 00:34:00,770
Just... work on it, Kinney.
766
00:34:00,811 --> 00:34:07,610
♪♪
767
00:34:07,693 --> 00:34:14,450
♪♪
768
00:34:14,533 --> 00:34:21,207
♪♪
769
00:34:21,332 --> 00:34:24,293
Dr. Wolf, you're
gonna want to see this.
770
00:34:26,462 --> 00:34:28,339
I am Arianna Burnett,
771
00:34:28,464 --> 00:34:31,258
former CEO
of Burnett Family Investments.
772
00:34:31,342 --> 00:34:34,637
I am a mom and a wife
and an entrepreneur.
773
00:34:34,720 --> 00:34:37,848
But today I am speaking to you
as a prisoner.
774
00:34:38,015 --> 00:34:43,062
Against my will, my family has
trapped me in a guardianship
775
00:34:43,187 --> 00:34:45,022
and has taken everything away from me.
776
00:34:45,106 --> 00:34:47,441
But no more. I am taking my life back,
777
00:34:47,525 --> 00:34:51,320
and I will do whatever I have
to do to fight for my freedoms.
778
00:34:51,362 --> 00:34:54,323
I assure you, I am stronger
than yesterday.
779
00:34:54,448 --> 00:34:57,159
My life, my choice.
780
00:34:57,201 --> 00:35:00,079
That was Ms. Burnett
just moments ago...
781
00:35:00,121 --> 00:35:03,249
[ALARM BLARING ON CELLPHONES]
782
00:35:03,290 --> 00:35:05,334
I'm pretty sure we found her.
783
00:35:05,376 --> 00:35:09,171
♪♪
784
00:35:12,832 --> 00:35:14,417
Thank you for coming today.
785
00:35:14,527 --> 00:35:17,377
I know there's a lot of distrust
in the family right now,
786
00:35:17,430 --> 00:35:19,056
and maybe even with the hospital,
787
00:35:19,181 --> 00:35:20,808
but I am confident
788
00:35:20,850 --> 00:35:22,244
that this demonstration
will help you understand
789
00:35:22,268 --> 00:35:24,028
- each other better.
- Understand each other?
790
00:35:24,103 --> 00:35:26,123
I think it's pretty clear
who's being misunderstood.
791
00:35:26,147 --> 00:35:28,232
And we're sorry, honey. We really are.
792
00:35:28,357 --> 00:35:30,693
But can we please just give
Dr. Wolf a chance?
793
00:35:30,818 --> 00:35:32,361
Okay. Let's just get on with this.
794
00:35:32,486 --> 00:35:35,239
You both agreed
to be hooked up to EEGs.
795
00:35:35,322 --> 00:35:36,949
We're going to show you some images,
796
00:35:36,991 --> 00:35:38,576
and then these monitors will indicate
797
00:35:38,617 --> 00:35:40,494
how your brains respond.
798
00:35:40,536 --> 00:35:43,247
Okay, um, let's try base jumping.
799
00:35:43,330 --> 00:35:46,167
[MAN LAUGHING, SHOUTING]
800
00:35:46,250 --> 00:35:53,049
♪♪
801
00:35:53,132 --> 00:35:54,675
And mountain biking.
802
00:35:54,842 --> 00:36:02,767
♪♪
803
00:36:02,850 --> 00:36:04,769
Arianna's not reacting.
804
00:36:04,852 --> 00:36:10,274
And Jill and Arianna's brains
are 99.99% genetically similar.
805
00:36:10,358 --> 00:36:14,779
Yet even still, there is
a significant difference
806
00:36:14,820 --> 00:36:17,907
in their response to stimuli.
807
00:36:17,948 --> 00:36:19,825
Honey, you weren't
afraid of any of that?
808
00:36:21,452 --> 00:36:23,079
That makes so much sense.
809
00:36:23,204 --> 00:36:26,290
Risk and danger
make your mother thrive.
810
00:36:26,374 --> 00:36:27,875
The guardianship prevented her
811
00:36:27,958 --> 00:36:29,752
from being able to stimulate
her amygdala,
812
00:36:29,794 --> 00:36:32,922
which caused severe depression
and memory loss...
813
00:36:32,963 --> 00:36:36,842
and that all can be
confused for dementia.
814
00:36:36,926 --> 00:36:39,970
Sometimes we have to let
people live their lives,
815
00:36:40,054 --> 00:36:42,181
even if it scares us.
816
00:36:42,306 --> 00:36:46,227
And sometimes, if our actions
scare the people we love,
817
00:36:46,352 --> 00:36:48,604
we have to take that
into consideration.
818
00:36:50,356 --> 00:36:51,899
So where do we go from here?
819
00:36:51,982 --> 00:36:54,402
Do we just accept
a... a lifetime of anxiety?
820
00:36:54,485 --> 00:36:56,821
Or captivity?
What am I supposed to do?
821
00:36:56,862 --> 00:36:58,572
How do I get better from here?
822
00:36:58,656 --> 00:37:00,700
The treatment plan to start
is simple...
823
00:37:00,783 --> 00:37:04,161
at least three activities a week
that activate your risk center.
824
00:37:04,286 --> 00:37:07,581
Rock climbing, amateur mic
night, open-water swimming.
825
00:37:07,707 --> 00:37:10,084
As long as it's not in the Hudson.
826
00:37:11,210 --> 00:37:13,796
To help rebuild your family's bond,
827
00:37:13,879 --> 00:37:16,507
I would recommend
you all participate together.
828
00:37:16,590 --> 00:37:18,634
Without a court order.
829
00:37:19,885 --> 00:37:21,387
We'll get our lawyers on the phone.
830
00:37:21,470 --> 00:37:23,222
This could be a new beginning.
831
00:37:23,264 --> 00:37:26,642
♪♪
832
00:37:26,726 --> 00:37:30,146
You're looking at me like...
you recognize me.
833
00:37:30,229 --> 00:37:35,860
♪♪
834
00:37:35,985 --> 00:37:38,237
Sometimes we treat
the people we care about
835
00:37:38,279 --> 00:37:40,990
as representations of ourselves.
836
00:37:41,073 --> 00:37:43,576
♪♪
837
00:37:43,659 --> 00:37:47,163
We want to mold them
into what we need them to be
838
00:37:47,288 --> 00:37:49,415
so that our lives can be
more comfortable.
839
00:37:49,540 --> 00:37:52,752
♪ Oh, whoa, oh ♪
840
00:37:54,253 --> 00:37:56,839
- Sam?
- ♪ You are home ♪
841
00:37:56,922 --> 00:38:00,217
Dana? Katie?
842
00:38:00,301 --> 00:38:01,761
Anybody home?
843
00:38:01,802 --> 00:38:05,639
♪ No, nothing tastes like sweet ♪
844
00:38:05,681 --> 00:38:08,684
♪ Sweet home ♪
845
00:38:08,768 --> 00:38:13,397
♪♪
846
00:38:13,481 --> 00:38:16,984
We try to change the people
to manage our own anxieties,
847
00:38:17,068 --> 00:38:18,986
when instead it would be
so much easier
848
00:38:19,070 --> 00:38:21,447
to just accept them for who they are.
849
00:38:21,489 --> 00:38:23,199
I can't believe you haven't come
850
00:38:23,324 --> 00:38:25,409
- to tell me all about your date.
- [SCOFFS]
851
00:38:25,451 --> 00:38:26,952
Who said anything about a date?
852
00:38:27,036 --> 00:38:28,454
Oh, come on now.
853
00:38:28,496 --> 00:38:30,164
I just want to know if anyone else
854
00:38:30,247 --> 00:38:31,475
got his hands on that zipper
last night.
855
00:38:31,499 --> 00:38:33,376
[CHUCKLES] Oh, God.
856
00:38:33,459 --> 00:38:37,755
Unfortunately, your ER-encrusted
digits were the only ones.
857
00:38:37,838 --> 00:38:39,548
- Oh. Alright.
- Apparently,
858
00:38:39,590 --> 00:38:42,343
the dating skills part
of my brain has atrophied
859
00:38:42,426 --> 00:38:45,137
- during the last 20 years of my marriage.
- Oof.
860
00:38:45,179 --> 00:38:47,848
The first date
I went on after the divorce,
861
00:38:47,973 --> 00:38:50,101
- I fell asleep at dinner.
- [LAUGHS]
862
00:38:50,142 --> 00:38:51,644
Just came off a double shift,
863
00:38:51,685 --> 00:38:53,121
and there was
no zipper action that night.
864
00:38:53,145 --> 00:38:55,356
[LAUGHTER]
865
00:38:55,398 --> 00:38:57,692
So what? Are we just hopeless?
866
00:38:57,733 --> 00:38:59,735
You will have no trouble
getting your groove back,
867
00:38:59,819 --> 00:39:01,070
Dr. Pierce.
868
00:39:01,112 --> 00:39:03,197
I have no doubts.
869
00:39:04,490 --> 00:39:06,951
[CELLPHONE VIBRATING]
870
00:39:07,034 --> 00:39:09,328
Oh. Gotta run.
871
00:39:09,370 --> 00:39:10,955
These digits are needed elsewhere.
872
00:39:10,996 --> 00:39:12,557
- Somewhere they're appreciated.
- Oh. Okay.
873
00:39:12,581 --> 00:39:14,542
- Mm-hmm.
- [CHUCKLES]
874
00:39:14,625 --> 00:39:20,089
♪♪
875
00:39:20,172 --> 00:39:23,801
[KNOCKING]
876
00:39:23,843 --> 00:39:26,137
I am pleased to report
the Burnett family
877
00:39:26,262 --> 00:39:29,724
will enthusiastically continue
to be donors to Bronx General,
878
00:39:29,807 --> 00:39:32,101
and I will give credit
where credit is due.
879
00:39:32,184 --> 00:39:33,853
That's thanks to you, Wolf.
880
00:39:35,438 --> 00:39:38,315
These are the billable charts
you requested.
881
00:39:38,399 --> 00:39:41,068
All sorted, all signed.
882
00:39:41,152 --> 00:39:42,778
See? Not so hard.
883
00:39:44,280 --> 00:39:47,742
I will continue to write
my reports, to bill on time,
884
00:39:47,825 --> 00:39:50,369
- to delegate to my interns...
- That's great,
885
00:39:50,453 --> 00:39:53,456
but we could've gotten here with
a lot less grief and turmoil.
886
00:39:53,539 --> 00:39:55,458
I understand you have
your way of doing things,
887
00:39:55,541 --> 00:39:59,086
but do you ever stop and...
think about what it costs you?
888
00:40:00,880 --> 00:40:04,508
I can't stop being the doctor I am.
889
00:40:04,633 --> 00:40:08,679
If you want a neurologist
who checks all your boxes,
890
00:40:08,763 --> 00:40:10,848
feel free to find one.
891
00:40:10,931 --> 00:40:14,852
I do what I do, how I do it,
because it's what I believe in,
892
00:40:14,894 --> 00:40:17,980
because my patients deserve it,
and that will never change.
893
00:40:18,105 --> 00:40:21,901
I can... learn to play by the rules,
894
00:40:21,942 --> 00:40:23,819
but...
895
00:40:23,861 --> 00:40:25,613
I will not be controlled.
896
00:40:25,696 --> 00:40:28,866
♪♪
897
00:40:28,949 --> 00:40:30,785
No relationship can survive
898
00:40:30,868 --> 00:40:34,372
once we start compromising ourselves.
899
00:40:34,497 --> 00:40:38,292
Once we lose who we are,
we lose everything.
900
00:40:38,376 --> 00:40:41,087
You wanna see me at 10?!
I'll show you a 10!
901
00:40:41,170 --> 00:40:43,339
- I can take me up to 11!
- [INDISTINCT SHOUTING]
902
00:40:43,422 --> 00:40:45,674
[RINGING]
903
00:40:45,758 --> 00:40:47,760
- Hello?
- Josh. I'm in Hudson Oaks.
904
00:40:47,843 --> 00:40:49,988
They took away the phone you gave
me. Listen, we don't have much time.
905
00:40:50,012 --> 00:40:51,607
They won't let me
leave. I need your help.
906
00:40:51,631 --> 00:40:53,182
Slow down, slow down.
907
00:40:53,265 --> 00:40:55,202
- Who said you can't leave?
- This place is awful.
908
00:40:55,226 --> 00:40:57,436
I have no control over anything.
No autonomy.
909
00:40:57,520 --> 00:40:58,705
Just give me a minute, please.
910
00:40:58,729 --> 00:41:00,022
Put down the phone. Now!
911
00:41:00,106 --> 00:41:01,357
[LINE DISCONNECTS]
912
00:41:01,482 --> 00:41:03,025
Hello?
913
00:41:05,111 --> 00:41:06,779
You still there?
914
00:41:08,948 --> 00:41:10,324
Was that Dr. Wolf?
915
00:41:12,410 --> 00:41:14,787
It's so sad what's happened to Oliver.
916
00:41:14,912 --> 00:41:18,082
But don't worry. Things are
running smoother than ever.
917
00:41:18,165 --> 00:41:19,500
I want you to know that
918
00:41:19,625 --> 00:41:21,794
this Neuro Department
is in good hands.
919
00:41:21,836 --> 00:41:24,296
♪♪
920
00:41:24,422 --> 00:41:26,507
[EXHALES SHARPLY]
921
00:41:26,674 --> 00:41:29,552
♪♪
922
00:41:29,577 --> 00:41:35,903
sync & corrections awaqeded
www.addic7ed.com
923
00:41:38,154 --> 00:41:45,143
♪♪
924
00:41:46,360 --> 00:41:54,360
♪♪
925
00:41:56,203 --> 00:42:01,208
♪♪
926
00:42:01,375 --> 00:42:06,589
♪♪
67752
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