1 00:00:02,030 --> 00:00:04,100 - Previously on Doc... - I lost a lot of my memory. 2 00:00:04,170 --> 00:00:04,910 You saved Charlie. 3 00:00:05,010 --> 00:00:06,240 After everything they did to you. 4 00:00:06,340 --> 00:00:07,940 Chief Resident is up soon. 5 00:00:07,980 --> 00:00:09,110 Considered throwing your hat in the ring? 6 00:00:09,180 --> 00:00:10,620 I should at least be considered. 7 00:00:10,650 --> 00:00:13,320 I heard you had the chance to sell me down the river. 8 00:00:13,360 --> 00:00:15,130 Jake is sick of us fighting. Frankly, so am I. 9 00:00:15,190 --> 00:00:16,190 I like you, Liz. 10 00:00:16,330 --> 00:00:18,400 A workplace relationship can really twist things up. 11 00:00:18,500 --> 00:00:21,000 All I care about is, do you wanna be with me? 12 00:00:21,100 --> 00:00:22,010 She's had to grow up fast. 13 00:00:22,070 --> 00:00:24,240 Sometimes she thinks she can handle too much. 14 00:00:24,280 --> 00:00:26,350 Some maniac sends you a recording 15 00:00:26,380 --> 00:00:27,980 of what my ex-wife's therapist says 16 00:00:28,020 --> 00:00:29,750 and off of that, you're leaving me? 17 00:00:32,230 --> 00:00:33,500 I'm hoping you're gonna change your mind. 18 00:00:33,530 --> 00:00:35,270 Thank you so, so much. 19 00:00:35,330 --> 00:00:38,370 It's an important vote. Thank you very much. 20 00:00:38,410 --> 00:00:40,340 Say yes and we're good. - Fine. We're even. 21 00:00:40,380 --> 00:00:43,580 But don't ask me for anything else. Ever. 22 00:00:43,620 --> 00:00:44,890 Well? 23 00:00:44,990 --> 00:00:46,820 We still don't have the votes. 24 00:00:47,290 --> 00:00:49,830 Tell Conner to bring in the cavalry. 25 00:00:52,270 --> 00:00:54,370 Ready? - Action. 26 00:00:57,010 --> 00:00:58,450 Oh, seriously, Will? 27 00:00:58,510 --> 00:01:00,280 That's how you're gonna play this? 28 00:01:00,320 --> 00:01:02,290 Uh, Representative Troy Willis here, folks. 29 00:01:02,320 --> 00:01:04,190 Just outside the City Council chambers. 30 00:01:04,290 --> 00:01:05,590 My good friend Will Archer 31 00:01:05,660 --> 00:01:09,000 doesn't want to help me pass a law that would allow me 32 00:01:09,030 --> 00:01:10,570 to get up these stairs to talk to him. 33 00:01:10,640 --> 00:01:14,510 The same law which means people with disabilities don't die 34 00:01:14,550 --> 00:01:17,620 inside a burning building because a ramp 35 00:01:17,650 --> 00:01:18,990 was too expensive. 36 00:01:19,020 --> 00:01:21,560 Which actually only goes to prove my point. 37 00:01:21,590 --> 00:01:24,030 Good thing I brought some friends with me. 38 00:01:24,060 --> 00:01:26,170 Full access; full rights! 39 00:01:26,200 --> 00:01:28,740 Full access; full rights! 40 00:01:29,170 --> 00:01:30,780 Full access; full rights! 41 00:01:31,080 --> 00:01:33,480 Full access Full rights! 42 00:01:33,780 --> 00:01:35,220 Full access; full rights! 43 00:01:35,320 --> 00:01:37,920 Full access... 44 00:01:37,960 --> 00:01:39,660 Troy! 45 00:01:39,690 --> 00:01:41,060 Dad?! 46 00:01:44,870 --> 00:01:47,610 - Call 911! - Dad? Dad? Dad! 47 00:01:56,090 --> 00:01:58,570 Hey, good morning. 48 00:01:59,230 --> 00:02:00,240 What is this? 49 00:02:00,340 --> 00:02:02,670 Nightmare's over, baby. 50 00:02:03,380 --> 00:02:04,410 And I get French Toast? 51 00:02:04,440 --> 00:02:07,380 - There's your French toast. There's your coffee. 52 00:02:07,450 --> 00:02:09,390 I got you turkey bacon, extra crispy. 53 00:02:09,490 --> 00:02:11,530 - Aw! - So just sit down, enjoy, 54 00:02:11,590 --> 00:02:13,960 focus on becoming the next Chief Resident at Westside. 55 00:02:14,000 --> 00:02:17,470 Next, not best? 56 00:02:17,500 --> 00:02:20,410 - I don't know what to tell you. Best is already taken. 57 00:02:24,120 --> 00:02:25,520 I advised you when I found you the job 58 00:02:25,620 --> 00:02:28,830 that working with your ex-wife would be complicated. 59 00:02:28,860 --> 00:02:30,360 This isn't just about Amy. 60 00:02:30,400 --> 00:02:31,570 Well, you've only been there 8 months. 61 00:02:31,670 --> 00:02:35,240 The scandal in your hospital... this doctor getting arrested? 62 00:02:35,270 --> 00:02:36,370 It's not a great look. 63 00:02:36,410 --> 00:02:38,480 - I understand. What's out there? 64 00:02:38,510 --> 00:02:40,250 You willing to take a pay cut? 65 00:02:42,850 --> 00:02:44,620 Excuse me. 66 00:02:45,160 --> 00:02:46,430 Hey, Dad. Everything okay? 67 00:02:46,490 --> 00:02:48,530 Michael Where's our ride? 68 00:02:48,600 --> 00:02:51,270 - Tell him there's no car here. - I told him, Samira. 69 00:02:51,340 --> 00:02:53,510 - Uh, he says he's there. The driver's name is Dwayne. 70 00:02:53,540 --> 00:02:55,880 How does that help? 71 00:02:55,950 --> 00:02:57,880 Just wave your hand. 72 00:02:57,980 --> 00:02:59,090 Who are you waving at? 73 00:02:59,120 --> 00:03:00,420 Dwayne. The driver. 74 00:03:00,490 --> 00:03:02,290 - Where is he? - No idea. 75 00:03:02,360 --> 00:03:04,030 Then why are you waving at him? 76 00:03:04,130 --> 00:03:05,230 I don't know, Samira. 77 00:03:05,270 --> 00:03:06,840 - Just wait there. He's coming to you. 78 00:03:06,940 --> 00:03:10,540 All right. All right, we'll wait. We've been waiting. 79 00:03:10,580 --> 00:03:12,650 Tell him to let Nora know we're excited to see her. 80 00:03:12,680 --> 00:03:15,190 She knows that, Samira. 81 00:03:15,250 --> 00:03:16,760 Of course she knows that. 82 00:03:17,460 --> 00:03:19,660 My God, they're looking at serious jail time. 83 00:03:19,690 --> 00:03:22,000 - Well, yeah. After what they did. 84 00:03:22,030 --> 00:03:23,400 - It's crazy. She seemed so nice. 85 00:03:23,430 --> 00:03:25,140 That's what people always say about 86 00:03:25,170 --> 00:03:26,840 the serial killer next door. 87 00:03:26,910 --> 00:03:29,880 TJ's patient from yesterday needs to be discharged. 88 00:03:29,920 --> 00:03:31,150 Can you handle? 89 00:03:31,180 --> 00:03:33,020 Sure. Where is he? 90 00:03:33,050 --> 00:03:34,990 Cousin's wedding. 91 00:03:35,030 --> 00:03:36,290 Ooh! Eligible doctor. 92 00:03:36,330 --> 00:03:39,900 All those desperate bridesmaids. Candy from a baby. 93 00:03:39,940 --> 00:03:41,340 Classy as always, Peter. 94 00:03:43,140 --> 00:03:45,650 Nurses' Station. This is Julie. 95 00:03:48,050 --> 00:03:49,650 Yeah, she's right here. 96 00:03:55,770 --> 00:03:57,600 Yeah. 97 00:03:59,470 --> 00:04:01,610 I'll tell her. 'Kay. 98 00:04:01,680 --> 00:04:05,020 Sonya? Dr. Ridley wants to see you in her office. 99 00:04:06,420 --> 00:04:08,460 I need to properly assess you both 100 00:04:08,490 --> 00:04:11,230 to determine who's better suited to be Chief Resident. 101 00:04:11,330 --> 00:04:12,300 Part of that job requires 102 00:04:12,400 --> 00:04:14,500 giving constructive feedback to your colleagues. 103 00:04:14,600 --> 00:04:17,480 Clearly, you can't do that while you're working together. 104 00:04:17,510 --> 00:04:21,750 So, today you will each have your own cases. 105 00:04:21,790 --> 00:04:24,520 And we will meet back here at the end of the day, 106 00:04:24,590 --> 00:04:28,030 go over the details. And you'll critique each other's work. 107 00:04:29,370 --> 00:04:30,800 Sounds great to me. 108 00:04:33,240 --> 00:04:35,250 Good. Then get on with it. 109 00:04:39,620 --> 00:04:41,660 - Excuse me. - Give me the skinny. 110 00:04:41,730 --> 00:04:43,530 - Female. Forty-four. Mild pancreatitis. 111 00:04:43,630 --> 00:04:45,400 She mentioned having a glass of wine most nights, 112 00:04:45,500 --> 00:04:47,100 which usually means a bottle, right? 113 00:04:47,140 --> 00:04:48,670 So, that's our likely culprit. 114 00:04:48,770 --> 00:04:50,880 - All right, thanks. I'll admit her. 115 00:04:50,980 --> 00:04:51,880 Just a heads-up. 116 00:04:52,050 --> 00:04:53,820 She's a frequent flier with vague abdominal pain. 117 00:04:53,880 --> 00:04:57,160 Over 20 CTs past few years and... nothing. 118 00:04:57,260 --> 00:04:59,390 You're saying drug-seeking behavior? 119 00:04:59,430 --> 00:05:01,400 You said it. Not me. 120 00:05:04,400 --> 00:05:07,140 Whenever I come, damn ER gives me the same meds 121 00:05:07,240 --> 00:05:08,950 and they don't work! 122 00:05:09,050 --> 00:05:12,150 - I'm sorry, Jayla. How long have you had the pain? 123 00:05:12,220 --> 00:05:13,250 It's on my chart! 124 00:05:13,290 --> 00:05:14,990 Well, I have to ask anyway. 125 00:05:16,390 --> 00:05:17,800 On and off for six years. 126 00:05:17,830 --> 00:05:21,300 Okay. Um, and are you still ovulating? 127 00:05:21,400 --> 00:05:22,810 Oh my God! Read the chart! 128 00:05:22,840 --> 00:05:24,540 Y'all ask me that every time I come! 129 00:05:24,580 --> 00:05:26,180 We have a system of checks and balances 130 00:05:26,250 --> 00:05:28,380 so nothing falls through the cracks. 131 00:05:28,420 --> 00:05:30,060 Ugh. I think you need a new system. 132 00:05:30,120 --> 00:05:31,930 Been in menopause two years. 133 00:05:31,960 --> 00:05:36,300 All right. We'll start you off with fluids and pancreatic 134 00:05:36,370 --> 00:05:37,570 enzyme replacement. 135 00:05:37,670 --> 00:05:39,540 - And for the pain? - Probably Toradol? 136 00:05:39,570 --> 00:05:42,110 - That doesn't work for me. I need something stronger. 137 00:05:46,560 --> 00:05:47,690 Have you ever used anything 138 00:05:47,720 --> 00:05:49,060 outside the hospital for your pain? 139 00:05:49,090 --> 00:05:51,830 So, I'm a druggie? A junkie looking for a fix, huh? 140 00:05:51,870 --> 00:05:54,600 I'm just trying to get all the information so I can help you. 141 00:05:54,700 --> 00:05:57,740 - You want to help? Tell me why I have pancreatitis. 142 00:05:57,840 --> 00:06:01,720 Well, the wine you drink at night could explain it. 143 00:06:01,750 --> 00:06:04,060 It's one glass to ease the pain. 144 00:06:04,090 --> 00:06:05,490 One glass? 145 00:06:05,590 --> 00:06:08,570 If you can't help me, find me somebody who will! 146 00:06:08,600 --> 00:06:10,600 I am not gonna pass you along, Jayla. 147 00:06:10,700 --> 00:06:12,210 - Mm-hmm. - But I would like 148 00:06:12,310 --> 00:06:13,710 to bring in a neuropsychiatrist 149 00:06:13,740 --> 00:06:16,550 A shrink? 'Cause you think I'm crazy? 150 00:06:16,580 --> 00:06:20,590 No, no. But your mental health has been neglected 151 00:06:20,620 --> 00:06:23,960 and I want to break the cycle. So I will be right back. 152 00:06:28,870 --> 00:06:30,740 So, he has a T2 153 00:06:30,780 --> 00:06:33,980 spinal cord injury from a skiing accident? 154 00:06:34,050 --> 00:06:35,020 Three years ago. 155 00:06:35,120 --> 00:06:37,660 He developed a cystic cavity in his spinal cord. 156 00:06:37,720 --> 00:06:39,330 We've been managing it best we can 157 00:06:39,360 --> 00:06:41,670 but obviously it's flaring up. 158 00:06:41,770 --> 00:06:44,370 The mucous plug blocked his airway, 159 00:06:44,440 --> 00:06:46,610 and that's why he turned blue. 160 00:06:46,640 --> 00:06:48,480 That's never happened before. 161 00:06:48,510 --> 00:06:49,910 Does that mean it's getting worse? 162 00:06:51,480 --> 00:06:54,120 Mr. Willis. Oh, okay. 163 00:06:54,220 --> 00:06:55,790 Hey, try not to fight it. 164 00:06:55,860 --> 00:06:57,230 There's still some fluid in your airway. 165 00:06:57,260 --> 00:06:58,970 Let's see if I can clear it. 166 00:07:01,510 --> 00:07:03,680 Great. Take this off. 167 00:07:06,250 --> 00:07:09,020 Good. 168 00:07:14,360 --> 00:07:15,630 What's happening to me? 169 00:07:15,670 --> 00:07:19,980 Unfortunately, the imaging shows that the syrinx 170 00:07:20,010 --> 00:07:23,210 has progressed, and it's pressing on the nerves 171 00:07:23,250 --> 00:07:24,450 that control your diaphragm. 172 00:07:24,480 --> 00:07:26,190 So that's what caused the lung damage. 173 00:07:26,220 --> 00:07:27,660 So what do we do about it? 174 00:07:27,760 --> 00:07:31,930 I spoke to your neurologist at Eastside, and he agrees that 175 00:07:32,030 --> 00:07:35,640 we manage the symptoms and we support your breathing 176 00:07:35,670 --> 00:07:37,840 to make you comfortable. 177 00:07:38,210 --> 00:07:39,880 So the damage is permanent. 178 00:07:40,820 --> 00:07:43,820 Depending on how today goes, I think we're looking at 179 00:07:43,920 --> 00:07:48,060 a few weeks to a month before he's on a ventilator. 180 00:07:52,010 --> 00:07:54,080 For good? 181 00:07:54,110 --> 00:07:55,880 I'm sorry. Yes. 182 00:07:56,680 --> 00:08:00,160 Conner? Conner? 183 00:08:00,220 --> 00:08:01,160 Conner. 184 00:08:01,260 --> 00:08:04,130 Conner, honey? 185 00:08:04,160 --> 00:08:06,670 We knew this day would come. 186 00:08:06,700 --> 00:08:08,540 I'll do everything I can 187 00:08:08,570 --> 00:08:10,780 to get you as much time as possible. 188 00:08:10,810 --> 00:08:14,680 Hey, I'm gonna take time off work. 189 00:08:14,720 --> 00:08:18,020 And we've still got four things left on the Bucket List. 190 00:08:19,260 --> 00:08:20,800 Come here, Conner, please. 191 00:08:21,570 --> 00:08:23,370 Conner. - Here, honey, come. 192 00:08:23,400 --> 00:08:24,710 C'mon. 193 00:08:24,810 --> 00:08:28,880 C'mon. Bring it in, huh? It's okay. 194 00:08:33,120 --> 00:08:36,430 I'm gonna get some medication to help clear the fluid. 195 00:08:36,460 --> 00:08:38,670 Dr. Larsen. 196 00:08:38,700 --> 00:08:41,770 I need to be out of here in a few hours. 197 00:08:42,440 --> 00:08:44,540 Uh, he's a legislator. 198 00:08:44,580 --> 00:08:45,610 He's been working on a bill; 199 00:08:45,710 --> 00:08:47,620 the vote's today, and without him... 200 00:08:47,720 --> 00:08:48,990 It'll never happ... 201 00:08:49,020 --> 00:08:52,830 He has to be at City Hall by 5 PM. Somehow. 202 00:08:53,600 --> 00:08:55,470 Can't someone else do that? 203 00:08:55,570 --> 00:08:57,540 He sponsored the bill and without him, 204 00:08:57,570 --> 00:08:58,740 it doesn't have a chance. 205 00:08:58,840 --> 00:09:01,080 He's been working on it for 9 months. 206 00:09:01,140 --> 00:09:02,910 I have, too. 207 00:09:04,850 --> 00:09:07,460 Whatever you need to do... 208 00:09:07,490 --> 00:09:08,590 please. 209 00:09:15,470 --> 00:09:17,440 Being early won't help with her. 210 00:09:17,480 --> 00:09:19,750 - I'm always early. Will it hurt? 211 00:09:19,850 --> 00:09:21,180 Probably somehow. 212 00:09:23,760 --> 00:09:26,160 Dr. Larsen. I'm Sonya Maitra, 213 00:09:26,160 --> 00:09:28,030 the med student assigned to you today. 214 00:09:28,030 --> 00:09:29,630 I've listened to you in grand rounds. 215 00:09:29,730 --> 00:09:31,000 You have so many med students; 216 00:09:31,040 --> 00:09:32,610 you probably have no idea who I am. 217 00:09:32,640 --> 00:09:34,340 - Uh, I know who you are. - Really? 218 00:09:34,440 --> 00:09:36,350 Uh, I just want to say what an honor 219 00:09:36,380 --> 00:09:37,520 it is to get to work with you, 220 00:09:37,620 --> 00:09:38,920 and I hear you're gonna be Chief soon... 221 00:09:39,020 --> 00:09:42,590 - Are you done? Good. Because we have a patient. 222 00:09:48,510 --> 00:09:50,980 Hi, Jayla. I'm Dr. Walker. 223 00:09:51,380 --> 00:09:53,920 Nice to meet you, Doc. 224 00:09:54,020 --> 00:09:56,320 But no offense; I ain't crazy. 225 00:09:56,320 --> 00:09:58,530 I wouldn't describe most of my patients as crazy. 226 00:09:58,560 --> 00:10:00,400 Yeah. 'Cause you can't say that. 227 00:10:00,500 --> 00:10:01,400 Oh no, I'll say it. 228 00:10:01,430 --> 00:10:02,500 Some of them are completely 229 00:10:02,500 --> 00:10:04,340 out of their minds. 230 00:10:04,440 --> 00:10:07,010 Says here you've had pain for 6 years in your stomach. 231 00:10:07,040 --> 00:10:09,650 And whatever they give you doesn't seem to work. 232 00:10:09,650 --> 00:10:12,050 Ha. You're the first doctor 233 00:10:12,150 --> 00:10:14,220 who actually read the damn chart. 234 00:10:14,320 --> 00:10:16,560 You've had a lot of conflict with doctors? 235 00:10:16,660 --> 00:10:19,270 Yeah, 'cause it's like they blame me for my pain. 236 00:10:19,270 --> 00:10:20,700 You know what I'm sayin'? 237 00:10:23,940 --> 00:10:28,150 - Well, that doesn't feel good. So, let's talk about the pain. 238 00:10:30,190 --> 00:10:31,320 It comes and goes. 239 00:10:31,360 --> 00:10:33,390 - Does it keep you up at night? - Sometimes. 240 00:10:33,490 --> 00:10:36,070 - And what are you doing for it? - I've tried everything. 241 00:10:36,070 --> 00:10:39,270 They got cold compress, heating pad. 242 00:10:39,310 --> 00:10:41,540 Acupuncture. Hypnosis. 243 00:10:41,580 --> 00:10:43,380 And all of that, it doesn't work? 244 00:10:43,410 --> 00:10:45,090 - No. - Any medications? 245 00:10:45,090 --> 00:10:48,020 - Advil usually. - Nothing stronger? 246 00:10:49,030 --> 00:10:50,190 Oh... 247 00:10:53,370 --> 00:10:55,540 All right. I'm gonna tell you something, okay? 248 00:10:55,570 --> 00:10:58,410 When I was 16, 249 00:10:58,440 --> 00:10:59,980 I took my mom to the hospital. 250 00:11:00,020 --> 00:11:03,290 She was in excruciating pain, 251 00:11:03,320 --> 00:11:05,990 and they sent her home. 252 00:11:05,990 --> 00:11:09,770 A few hours later, her appendix burst, and she almost died. 253 00:11:10,440 --> 00:11:11,240 I know what it's like 254 00:11:11,340 --> 00:11:13,110 to be ignored by the health care system. 255 00:11:13,140 --> 00:11:16,450 You can tell me anything, Jayla. There's no judgment here. 256 00:11:21,260 --> 00:11:24,330 My girl Cheryl gave me her old Vicodin. 257 00:11:24,360 --> 00:11:26,470 And for a while, that helped. 258 00:11:26,470 --> 00:11:28,770 And that was how many times? 259 00:11:28,870 --> 00:11:31,210 - She got me a refill... so, twice. 260 00:11:31,210 --> 00:11:32,980 Or three times maybe? 261 00:11:33,010 --> 00:11:34,850 And is there any history of addiction in your family? 262 00:11:34,880 --> 00:11:40,260 Doc, come on, man! I don't want pain meds! 263 00:11:42,330 --> 00:11:45,070 I want the pain to go away. 264 00:11:46,240 --> 00:11:49,510 - I called a treatment center. They have a spot for her. 265 00:11:49,610 --> 00:11:51,990 She's not an addict, Sonya. 266 00:11:52,020 --> 00:11:54,520 You rushed to judgment and you're still doing it now. 267 00:11:54,620 --> 00:11:56,560 - I'm sorry. What are you implying here? 268 00:11:56,560 --> 00:11:59,370 I'm raising the possibility that your biases are affecting 269 00:11:59,370 --> 00:12:00,540 how you approach this patient. 270 00:12:00,600 --> 00:12:03,070 She had every indicated test and there was nothing there. 271 00:12:03,170 --> 00:12:05,050 Do you know how often Black women are dismissed 272 00:12:05,150 --> 00:12:05,980 when they enter the hospital? 273 00:12:06,080 --> 00:12:08,850 Why do you think I referred her to you? 274 00:12:10,890 --> 00:12:13,930 I saw the ER doc had some pretty strong opinions. 275 00:12:13,960 --> 00:12:16,300 It looks like he set the expectations 276 00:12:16,330 --> 00:12:19,310 and you followed possibly based on your own biases? 277 00:12:19,310 --> 00:12:20,370 I think maybe you're the one who's biased. 278 00:12:20,510 --> 00:12:23,310 Or maybe your best friend clouded your judgment about me? 279 00:12:23,410 --> 00:12:26,320 Dr. Maitra, you're missing something, medically. 280 00:12:26,350 --> 00:12:28,220 So, what are you gonna do about it? 281 00:12:33,370 --> 00:12:34,670 An artificial cough 282 00:12:34,700 --> 00:12:37,310 can feel strange. Are you ready? 283 00:12:37,410 --> 00:12:38,850 Let's try. 284 00:12:52,370 --> 00:12:53,110 That was weird. 285 00:12:53,210 --> 00:12:55,880 I may have undersold how weird. 286 00:12:57,380 --> 00:12:58,850 I think I'm good now. 287 00:13:00,590 --> 00:13:02,290 Give me my chair. 288 00:13:07,800 --> 00:13:10,310 Oh, your oxygen is dropping. 289 00:13:10,840 --> 00:13:12,650 - I just I'm good. Just gimme a second... 290 00:13:12,650 --> 00:13:15,920 - I don't think you're ready... - I got it. I got it. 291 00:13:22,170 --> 00:13:23,430 What's happening?! 292 00:13:23,470 --> 00:13:24,840 His breathing muscles 293 00:13:24,840 --> 00:13:26,880 are spent. - Why does it only happen 294 00:13:26,980 --> 00:13:29,250 when he sits up? - His lower lung is collapsed. 295 00:13:29,250 --> 00:13:32,320 And when he sits up, it forces the blood to that area 296 00:13:32,420 --> 00:13:33,720 but there's no air there. 297 00:13:33,820 --> 00:13:36,290 Can't they postpone this vote? - I don't know; 298 00:13:36,330 --> 00:13:37,260 I don't think so. 299 00:13:37,260 --> 00:13:38,730 We're about to go into recess. 300 00:13:38,830 --> 00:13:41,400 I'll be dead by the time they're back in session. 301 00:13:41,440 --> 00:13:44,880 What is this bill that it's so important? 302 00:13:45,510 --> 00:13:48,050 About 3 years ago, right after my accident, 303 00:13:48,150 --> 00:13:51,160 Conner was rehearsing for the school play. 304 00:13:51,190 --> 00:13:53,160 And he started feeling sick. 305 00:13:53,160 --> 00:13:54,900 He called me to come get him. 306 00:13:54,930 --> 00:13:57,340 I got there fast. And he was walking out to me 307 00:13:57,370 --> 00:14:00,840 and he fainted. 308 00:14:00,880 --> 00:14:04,620 He hit his head, and he broke his nose. 309 00:14:04,650 --> 00:14:07,020 He was right there. 310 00:14:07,120 --> 00:14:09,790 He was bleeding. Scared. 311 00:14:10,430 --> 00:14:12,200 And but that part of the school had no ramp; 312 00:14:12,300 --> 00:14:15,510 it had no elevator. And I couldn't get to him. 313 00:14:15,510 --> 00:14:16,810 It was three steps! 314 00:14:16,910 --> 00:14:19,010 And I couldn't get to my son when he needed me. 315 00:14:19,050 --> 00:14:21,320 - And it's not just that. In floods, fires, 316 00:14:21,320 --> 00:14:23,760 people get left behind. Not because they can't move, 317 00:14:23,790 --> 00:14:25,320 but because no one built a way out. 318 00:14:25,430 --> 00:14:27,930 The new law would require hundreds of buildings like that 319 00:14:28,030 --> 00:14:30,570 to do the right thing. Any building before 1992 320 00:14:30,670 --> 00:14:33,410 is grandfathered in, and they don't have to do anything. 321 00:14:33,510 --> 00:14:34,640 It's wrong. 322 00:14:36,080 --> 00:14:38,380 And we can fix it. 323 00:14:40,920 --> 00:14:42,930 Can I get you a coffee or something? 324 00:14:42,930 --> 00:14:44,930 No, we want to say hello first. 325 00:14:44,960 --> 00:14:47,240 Where's Nora and the baby? 326 00:14:47,340 --> 00:14:49,640 I wanted to talk to you first. 327 00:14:49,670 --> 00:14:51,040 Can you have a seat? 328 00:14:52,680 --> 00:14:54,650 I don't like the sound of this. 329 00:14:54,750 --> 00:15:00,390 I'd hoped to sort things out before you came, but... 330 00:15:01,870 --> 00:15:04,770 Nora's been staying at her mother's house. 331 00:15:05,340 --> 00:15:07,410 - For how long? A few weeks. 332 00:15:07,440 --> 00:15:09,010 With Simon? 333 00:15:09,550 --> 00:15:11,220 Michael, what did you do? 334 00:15:11,220 --> 00:15:13,120 It's not something I'm gonna talk about. 335 00:15:13,220 --> 00:15:15,430 But I can handle this. 336 00:15:15,430 --> 00:15:16,730 You didn't with Amy. 337 00:15:16,830 --> 00:15:18,200 Okay, let's not go there, Ommi. 338 00:15:18,230 --> 00:15:18,900 Well, we don't want you 339 00:15:19,100 --> 00:15:21,200 making the same mistake twice, Michael. 340 00:15:21,240 --> 00:15:22,970 I didn't make any mistakes with Amy. 341 00:15:22,970 --> 00:15:25,850 - She lost her son. Your job was to support her. 342 00:15:25,880 --> 00:15:28,350 I said, I'm not doing this. 343 00:15:28,450 --> 00:15:29,850 Fine. 344 00:15:29,850 --> 00:15:32,630 How are we going to see our grandson? 345 00:15:32,660 --> 00:15:34,730 Nora's bringing him over in a few minutes. 346 00:15:34,830 --> 00:15:38,170 Please, don't make this difficult. 347 00:15:45,150 --> 00:15:48,260 I need a really smart sounding board. 348 00:15:48,290 --> 00:15:49,990 Okay. Uh, what's the case? 349 00:15:49,990 --> 00:15:51,870 High spinal cord injury. 350 00:15:51,900 --> 00:15:55,100 Syrinx. Progressive respiratory failure. 351 00:15:55,140 --> 00:15:59,250 - Lung scarring; bronchiectasis. I mean, this is end-stage. 352 00:15:59,280 --> 00:16:02,350 Yeah, and I need him up. 353 00:16:02,890 --> 00:16:05,160 - Uh... okay. Trach and full vent. 354 00:16:05,160 --> 00:16:06,190 He needs to speak. 355 00:16:06,290 --> 00:16:08,730 Neural-assisted ventilation would allow for that. 356 00:16:08,830 --> 00:16:10,130 Plus bronchodilators. 357 00:16:10,230 --> 00:16:11,970 Mm-hm. And drying agents for the secretions. 358 00:16:12,010 --> 00:16:13,740 Those would kill his speech. 359 00:16:13,840 --> 00:16:15,380 What about botox to the salivary glands? 360 00:16:15,410 --> 00:16:18,150 - That'll buy him some time. - How much, do you think? 361 00:16:18,250 --> 00:16:19,890 After a couple days to stabilize him; 362 00:16:19,990 --> 00:16:21,760 uh, maybe a month. 363 00:16:21,860 --> 00:16:23,630 He wants up today. 364 00:16:23,630 --> 00:16:25,930 Today? I... 365 00:16:26,030 --> 00:16:28,370 we can't help every patient the way they want. 366 00:16:30,640 --> 00:16:31,810 That's odd. 367 00:16:31,910 --> 00:16:34,220 Good odd? 368 00:16:35,190 --> 00:16:36,660 You have a memory? 369 00:16:36,690 --> 00:16:38,160 Yeah, an old case. 370 00:16:38,190 --> 00:16:41,100 The details are hazy, but I know how my brain works now. 371 00:16:41,200 --> 00:16:43,300 It must be relevant to this situation. 372 00:16:43,400 --> 00:16:46,740 - Another spinal patient? - Uh, I'm not sure. 373 00:16:46,780 --> 00:16:49,610 But I saw an unusual EMG reading. 374 00:16:49,710 --> 00:16:52,950 Low amplitude, but high diaphragmatic pressure. 375 00:16:53,050 --> 00:16:54,020 Yeah, that would be unusual. 376 00:16:54,190 --> 00:16:55,960 Something's gotta be driving the muscle contraction. 377 00:16:56,060 --> 00:16:58,830 - Yeah, but what? - A drug maybe? 378 00:16:58,930 --> 00:17:00,200 I mean, I can't think of one. 379 00:17:00,300 --> 00:17:03,310 What else, uh, something about the patient? 380 00:17:03,340 --> 00:17:05,410 Or something in the room? 381 00:17:07,320 --> 00:17:08,520 Mm... 382 00:17:12,560 --> 00:17:14,100 Yes. 383 00:17:14,130 --> 00:17:17,400 Sonya was there. 384 00:17:20,240 --> 00:17:21,910 This is a new calcium-sensitizing 385 00:17:21,940 --> 00:17:23,480 agent for heart failure. 386 00:17:23,520 --> 00:17:26,720 I want you to monitor his cardiac output. 387 00:17:26,790 --> 00:17:29,260 So, it improves output without 388 00:17:29,360 --> 00:17:31,330 risking an arrhythmia? - How? 389 00:17:31,430 --> 00:17:32,060 Uh... 390 00:17:32,260 --> 00:17:33,470 You need to read the Revive trial. 391 00:17:33,500 --> 00:17:36,010 I did. It, it was complicated. 392 00:17:36,810 --> 00:17:39,010 We need calcium to stimulate muscle contraction. 393 00:17:39,080 --> 00:17:41,550 Drugs that spike it also cause arrhythmias. 394 00:17:41,650 --> 00:17:43,120 So this drug utilizes the calcium 395 00:17:43,150 --> 00:17:45,490 that's already in the body. Stronger contractions; 396 00:17:45,560 --> 00:17:46,860 same calcium. 397 00:17:46,900 --> 00:17:48,830 Right. Heart rate's steady. 398 00:17:48,900 --> 00:17:51,600 Okay, now we just wait and see if his heart improves enough 399 00:17:51,670 --> 00:17:53,610 to get off the ventilator. 400 00:17:53,680 --> 00:17:55,580 That's odd. 401 00:17:55,610 --> 00:17:57,110 Good odd? 402 00:17:57,150 --> 00:18:00,290 Must be. His cardiac output's improving. 403 00:18:00,390 --> 00:18:01,620 No, Sonya, it's not. 404 00:18:01,660 --> 00:18:03,660 But his heart's getting stronger. 405 00:18:03,700 --> 00:18:05,160 He must be fighting the ventilator. 406 00:18:05,230 --> 00:18:07,030 Maybe we should remove the tube? 407 00:18:07,100 --> 00:18:09,170 Oh, that's good, right? 408 00:18:09,270 --> 00:18:11,010 No, it's not. Don't, don't listen to her. 409 00:18:11,040 --> 00:18:12,750 She doesn't know what she's talking about. 410 00:18:12,780 --> 00:18:15,320 I need you out of here. 411 00:18:15,350 --> 00:18:15,920 Now! 412 00:18:23,170 --> 00:18:25,640 - Yeah. I was a med student. I remember. 413 00:18:25,670 --> 00:18:28,910 - I'm surprised. That was 5 years ago. 414 00:18:29,010 --> 00:18:30,410 Yeah, well, you kicked me off the case 415 00:18:30,450 --> 00:18:31,780 so it kind of stuck with me. 416 00:18:31,850 --> 00:18:35,060 We were using a brand-new drug 417 00:18:35,160 --> 00:18:37,260 you were studying. Levosimendan? 418 00:18:37,300 --> 00:18:38,000 I've never heard of it. 419 00:18:38,260 --> 00:18:40,840 - It's an orphan drug. Expensive, esoteric, 420 00:18:40,870 --> 00:18:43,680 low efficacy didn't justify mass production. 421 00:18:43,710 --> 00:18:46,480 - You coming or what? It's been over an hour! 422 00:18:46,580 --> 00:18:48,920 I'll be right there. 423 00:18:48,950 --> 00:18:49,850 What was the patient's problem? 424 00:18:49,950 --> 00:18:52,330 - Cardiac issues. The problem with the drug 425 00:18:52,360 --> 00:18:54,230 was that it helped the heart but drove 426 00:18:54,330 --> 00:18:55,460 the diaphragm too far. 427 00:18:55,500 --> 00:18:57,200 That's exactly what I need. 428 00:18:57,270 --> 00:18:59,210 Do you know that patient's name? I need to see their file. 429 00:18:59,310 --> 00:19:02,350 I don't. But I have to get back to my own patient. 430 00:19:03,920 --> 00:19:05,920 - So, she's back. - I am. 431 00:19:05,950 --> 00:19:07,790 I wanted to start again. 432 00:19:07,820 --> 00:19:10,060 Oh, good. 433 00:19:10,090 --> 00:19:13,370 All right then. Ask your questions. 434 00:19:16,240 --> 00:19:18,980 Hey. Thanks for doing this. 435 00:19:19,080 --> 00:19:21,450 He's their grandson. 436 00:19:24,760 --> 00:19:27,630 I fed him in the car and there's enough milk here 437 00:19:27,660 --> 00:19:31,070 for two more feedings. And he's due for a nap in an hour. 438 00:19:31,100 --> 00:19:32,970 Don't worry, Nora. I remember. 439 00:19:33,040 --> 00:19:36,080 Well, I should go. 440 00:19:36,110 --> 00:19:37,580 It was so nice to see you both. 441 00:19:37,620 --> 00:19:39,950 You don't have to rush out, Nora. 442 00:19:39,990 --> 00:19:42,230 Thanks, but I should really go. 443 00:19:42,260 --> 00:19:44,560 So, when are you moving back home? 444 00:19:45,130 --> 00:19:47,230 Don't do this. 445 00:19:47,270 --> 00:19:49,140 Farouk and I had our tough times too, you know. 446 00:19:49,240 --> 00:19:51,540 Every family does. But we worked through it. 447 00:19:51,610 --> 00:19:54,080 What we didn't do was give up. 448 00:19:54,120 --> 00:19:56,150 Mom, you're here to see Simon. 449 00:19:56,250 --> 00:19:58,760 Farouk and I have been married 52 years. 450 00:19:58,790 --> 00:20:00,930 I know, Samira. We threw your anniversary party. 451 00:20:00,960 --> 00:20:03,400 Then you know I know what I'm talking about. 452 00:20:03,500 --> 00:20:06,010 These days everybody wants things to be easy. 453 00:20:06,040 --> 00:20:09,480 All due respect, you have no idea what you're talking about. 454 00:20:09,510 --> 00:20:13,350 Well, nobody seems to want to explain it to us. 455 00:20:14,520 --> 00:20:15,190 I don't think that Katie 456 00:20:15,490 --> 00:20:18,030 really needs to be a part of this, do you? 457 00:20:20,030 --> 00:20:21,440 Oh, he's still hungry. 458 00:20:21,500 --> 00:20:23,880 That's okay. We can feed him with the bottle. 459 00:20:23,910 --> 00:20:25,750 I've got this, Samira. Thanks. 460 00:20:25,780 --> 00:20:27,650 Okay, oh... 461 00:20:36,000 --> 00:20:40,710 Okay, um, any specific foods trigger the abdominal pain? 462 00:20:41,580 --> 00:20:42,850 Not that I can think of. 463 00:20:42,950 --> 00:20:45,120 - Sometimes fast food... - Uh, uh. I don't eat 464 00:20:45,150 --> 00:20:47,350 fast food. I eat healthy. 465 00:20:48,290 --> 00:20:50,730 - Sorry. Okay. How about exercise? 466 00:20:50,800 --> 00:20:52,930 Uh, it hurts on the days I run, 467 00:20:53,030 --> 00:20:54,870 hurts on the days I don't... 468 00:20:54,900 --> 00:20:56,340 Oh! - Jayla? 469 00:20:56,440 --> 00:20:58,040 It's my foot! 470 00:20:58,080 --> 00:21:00,280 What is that?! 471 00:21:00,310 --> 00:21:03,450 What's happening to me? 472 00:21:03,490 --> 00:21:06,090 Hey! Call Radiology. 473 00:21:06,190 --> 00:21:08,230 I need a stat Doppler and an angio. 474 00:21:08,330 --> 00:21:09,930 I need a patient transport now! 475 00:21:12,570 --> 00:21:15,440 I need your sign-off on a thrombolysis for my patient. 476 00:21:15,480 --> 00:21:18,820 Angio showed a clot in the popliteal artery 477 00:21:18,890 --> 00:21:19,820 supplying her foot. 478 00:21:19,920 --> 00:21:21,590 Diagnosis? 479 00:21:21,620 --> 00:21:23,090 I haven't sorted that out yet, 480 00:21:23,160 --> 00:21:25,230 but I need to restore blood flow. 481 00:21:25,300 --> 00:21:26,930 How many of these have you done? 482 00:21:26,970 --> 00:21:29,410 Twenty-eight but never solo. 483 00:21:30,040 --> 00:21:32,410 - Until now. - Great, thanks. 484 00:21:33,920 --> 00:21:35,720 - Oh. - Whoa, whoa. 485 00:21:36,520 --> 00:21:38,390 Uh, are you okay? 486 00:21:38,460 --> 00:21:43,530 - Yeah. I skipped... I skipped breakfast and lunch. 487 00:21:44,700 --> 00:21:46,770 I need to eat. 488 00:21:47,980 --> 00:21:50,580 Yeah. - Yeah. 489 00:21:57,230 --> 00:21:59,500 It's, uh, Sonya, right? 490 00:21:59,530 --> 00:22:02,540 - Yeah, Dr. Heller? I've seen you around. 491 00:22:02,640 --> 00:22:04,880 Uh, just call me Jake. 492 00:22:04,910 --> 00:22:07,050 So, I hear you're applying to the program. 493 00:22:07,080 --> 00:22:10,620 Who isn't? Westside's the tertiary referral center 494 00:22:10,660 --> 00:22:12,260 for the upper Midwest. 495 00:22:12,960 --> 00:22:15,100 And, uh, how's your rotation going? 496 00:22:15,130 --> 00:22:17,740 Oh... great. 497 00:22:17,840 --> 00:22:18,670 Really? 498 00:22:18,740 --> 00:22:20,540 Okay, not great. 499 00:22:20,640 --> 00:22:22,910 Yeah, yeah. I saw, you're working with Dr. Larsen today. 500 00:22:22,950 --> 00:22:26,150 I was. And I'm hoping to turn that around. 501 00:22:26,250 --> 00:22:27,920 With Dr. Larsen? 502 00:22:27,960 --> 00:22:30,230 She is the last person to throw anybody a lifeline. 503 00:22:30,260 --> 00:22:32,300 I know her reputation, but honestly, 504 00:22:32,370 --> 00:22:34,570 she's a big part of why I want to come here. 505 00:22:34,640 --> 00:22:37,170 I mean, she is a total badass. 506 00:22:37,270 --> 00:22:39,980 I'm pretty sure she thinks I'm just bad. 507 00:22:40,050 --> 00:22:42,250 Well, I hear she's gonna be the new Chief. 508 00:22:42,290 --> 00:22:43,560 I'm not looking forward to that. 509 00:22:43,590 --> 00:22:47,100 Uh, sorry, I overstepped, Dr. Larsen. 510 00:22:47,130 --> 00:22:52,370 But I reread the Revive trial and it led me to a JAMA article. 511 00:22:52,400 --> 00:22:55,010 Emerson used a guanylate cyclase stimulator 512 00:22:55,040 --> 00:22:56,050 on his heart patients. 513 00:22:56,080 --> 00:22:58,690 Got more kick out of the myocardium without 514 00:22:58,720 --> 00:23:00,520 diaphragm cross-reactivity. 515 00:23:00,560 --> 00:23:05,130 Hm. Okay. I'll take a look at it. 516 00:23:09,610 --> 00:23:12,810 So the first thing you did was call in a psych consult? 517 00:23:12,850 --> 00:23:14,420 She checked a lot of boxes. 518 00:23:14,450 --> 00:23:16,690 We're prepping her now for a thrombolysis, 519 00:23:16,720 --> 00:23:18,320 but I'm thinking Raynaud's. 520 00:23:18,360 --> 00:23:20,090 - Raynaud's? With this presentation? 521 00:23:20,130 --> 00:23:22,900 Well, I'm running auto-antibodies, too. 522 00:23:23,940 --> 00:23:26,870 So... you ordered the Levosimendan? 523 00:23:26,970 --> 00:23:28,340 Yeah. It'll be here within the hour. 524 00:23:28,410 --> 00:23:30,310 And you're seriously considering using it 525 00:23:30,350 --> 00:23:33,220 on a patient with a perfectly healthy heart? 526 00:23:33,320 --> 00:23:34,890 He needs to be able to sit up. 527 00:23:34,990 --> 00:23:36,900 Have you investigated the side effects? 528 00:23:37,000 --> 00:23:38,760 I just got off the phone with the lead researcher 529 00:23:38,860 --> 00:23:43,040 in Barcelona. It'll burn out his diaphragm in 6 hours. 530 00:23:43,110 --> 00:23:46,110 I don't see how this is a course of action 531 00:23:46,210 --> 00:23:47,180 you can even present. 532 00:23:47,280 --> 00:23:50,790 - He has his reasons. I've got to respect them. 533 00:23:50,860 --> 00:23:52,260 What does his family think? 534 00:23:52,330 --> 00:23:54,760 I don't know yet. 535 00:23:54,800 --> 00:23:58,440 So what? It's like steroids for my diaphragm? 536 00:23:58,470 --> 00:24:00,310 It would get you what you need for today 537 00:24:00,340 --> 00:24:02,780 but if we push the muscle that hard, 538 00:24:02,880 --> 00:24:04,650 it's gonna burn it out completely. 539 00:24:04,720 --> 00:24:06,990 What does that mean? 540 00:24:07,790 --> 00:24:12,800 Most likely, he would be on a ventilator by tonight. 541 00:24:14,670 --> 00:24:16,640 Then why are we even discussing this?! 542 00:24:16,670 --> 00:24:19,750 I am obligated as his physician to present 543 00:24:19,780 --> 00:24:22,920 all the options and you all seemed pretty determined to... 544 00:24:22,950 --> 00:24:26,830 No! Not if it means we only have a few more hours with him! 545 00:24:27,800 --> 00:24:31,140 And there's no other way to get me there tonight? 546 00:24:31,200 --> 00:24:33,110 I'm afraid not. 547 00:24:40,020 --> 00:24:41,260 No, Troy. 548 00:24:43,490 --> 00:24:45,230 No way. 549 00:24:53,050 --> 00:24:54,820 We need, we... 550 00:24:54,850 --> 00:24:56,420 we need to think about this. 551 00:24:56,450 --> 00:24:58,020 Sure. 552 00:25:03,370 --> 00:25:06,410 Ooh. Okay. Okay. 553 00:25:06,440 --> 00:25:09,180 Oh, all right. Okay, there we go. 554 00:25:09,250 --> 00:25:10,720 Oh, yo, yo. 555 00:25:10,820 --> 00:25:12,690 I'm sorry about my mother. 556 00:25:12,720 --> 00:25:15,220 I didn't think you'd want her to know the details. 557 00:25:15,260 --> 00:25:17,700 Well, you have no idea what I want. Clearly. 558 00:25:17,730 --> 00:25:20,570 Well, I've been talking to a headhunter. 559 00:25:20,600 --> 00:25:22,400 Because you have to get away from her? 560 00:25:22,510 --> 00:25:25,810 Because the situation there has been nothing but a mess. 561 00:25:25,850 --> 00:25:28,080 I am not a consolation prize. 562 00:25:28,180 --> 00:25:29,420 It's not like that. 563 00:25:29,450 --> 00:25:31,090 I want our family back. 564 00:25:31,160 --> 00:25:33,060 I know you think you do. 565 00:25:34,060 --> 00:25:35,930 Nora, Nora. 566 00:25:41,610 --> 00:25:42,550 Hey, Mom. 567 00:25:42,750 --> 00:25:45,450 Hey, how's the visit so far? Is it okay? 568 00:25:45,480 --> 00:25:48,020 Honestly? It's all pretty intense. 569 00:25:48,090 --> 00:25:51,000 I really wish you didn't have to be there. 570 00:25:51,030 --> 00:25:53,770 You know how Gedo and Teta are. 571 00:25:53,870 --> 00:25:55,000 And Dad needs the backup. 572 00:25:55,040 --> 00:25:57,940 That's not your role, Sweetheart. 573 00:25:59,210 --> 00:26:00,310 Gedo asked about you. 574 00:26:00,350 --> 00:26:01,920 He sends his love. - He does? 575 00:26:01,980 --> 00:26:04,320 I would have thought they hated me. 576 00:26:04,360 --> 00:26:05,630 After the way things ended. 577 00:26:05,660 --> 00:26:08,530 Actually, no. They blamed Dad. 578 00:26:08,630 --> 00:26:10,170 And they're blaming him now. 579 00:26:10,230 --> 00:26:13,910 Well, they are pretty traditional that way. 580 00:26:14,380 --> 00:26:15,610 I should get back. 581 00:26:15,650 --> 00:26:18,120 - Okay, call me later. Let me know how it goes. 582 00:26:18,180 --> 00:26:19,950 - I will. - Bye. 583 00:26:31,140 --> 00:26:32,080 Where's your family? 584 00:26:32,180 --> 00:26:36,020 - Conner stormed out. Maya went after him. 585 00:26:36,050 --> 00:26:40,630 It's gonna be hard to do this without their support. 586 00:26:41,800 --> 00:26:44,700 I spent my career playing politics. 587 00:26:46,210 --> 00:26:48,880 Chasing donors. Power. 588 00:26:50,250 --> 00:26:52,520 I turned on friends. 589 00:26:52,550 --> 00:26:54,460 I lied to people who trusted me. 590 00:26:54,490 --> 00:26:59,130 I killed legislation that I believed in to get endorsements. 591 00:27:01,270 --> 00:27:03,840 I was an arrogant jackass. 592 00:27:03,910 --> 00:27:08,650 Concerned more with winning than helping people. 593 00:27:08,690 --> 00:27:11,890 It's hard to picture you like that. 594 00:27:13,860 --> 00:27:15,830 Spinal cord injury was the worst thing 595 00:27:15,870 --> 00:27:18,100 that ever happened to me... 596 00:27:22,310 --> 00:27:24,110 ..but it also gave me clarity. 597 00:27:26,720 --> 00:27:29,460 I've always loved my family... 598 00:27:29,530 --> 00:27:32,900 but, but this is... 599 00:27:35,270 --> 00:27:39,210 but I wasted my life chasing the wrong things, 600 00:27:39,250 --> 00:27:43,120 and this is my last chance to make up for it. 601 00:27:43,150 --> 00:27:45,890 To do something that actually matters. 602 00:27:45,960 --> 00:27:50,170 But I need them. And I need them to understand. 603 00:27:54,070 --> 00:27:56,210 I understand. 604 00:27:57,450 --> 00:28:00,820 - Could you talk to them? Please? 605 00:28:06,730 --> 00:28:09,240 Hey, Conner. Where's your Mom? 606 00:28:09,340 --> 00:28:11,240 Calling my uncle. 607 00:28:11,280 --> 00:28:14,080 See if he can get here in time to say goodbye. 608 00:28:15,520 --> 00:28:17,450 You wanna talk about it? 609 00:28:19,160 --> 00:28:20,630 You don't know anything about me. 610 00:28:20,660 --> 00:28:22,360 I know that you've been through a lot 611 00:28:22,400 --> 00:28:23,570 for someone your age. 612 00:28:23,630 --> 00:28:27,980 My daughter has too. She's 18, just a little younger than you. 613 00:28:28,080 --> 00:28:29,350 So what? 614 00:28:29,380 --> 00:28:31,020 You trying to bond with me now? 615 00:28:31,050 --> 00:28:32,250 No. I'm just trying to help. 616 00:28:32,280 --> 00:28:34,860 - You wanna help? Tell my dad not to do it. 617 00:28:37,230 --> 00:28:38,730 That's not my role. 618 00:28:39,770 --> 00:28:41,770 But maybe I can help you understand. 619 00:28:41,800 --> 00:28:45,650 I understand that he's obsessed with his legacy. 620 00:28:45,680 --> 00:28:48,480 It's not that simple, Conner. 621 00:28:48,520 --> 00:28:49,790 I think you know that. 622 00:28:49,820 --> 00:28:51,260 Oh, yeah? 623 00:28:53,360 --> 00:28:55,670 He told me you took a leave from Georgetown 624 00:28:55,700 --> 00:28:57,800 to spend the year with him. 625 00:28:57,870 --> 00:29:00,170 I'm sure that makes it even harder to understand 626 00:29:00,210 --> 00:29:03,810 why he would give up any time with you. 627 00:29:03,910 --> 00:29:07,620 I think he's trying to show you how to live with purpose, 628 00:29:07,660 --> 00:29:10,160 even when it costs you. 629 00:29:10,190 --> 00:29:13,130 How to be brave when it counts. 630 00:29:16,410 --> 00:29:17,440 Noble. 631 00:29:17,510 --> 00:29:18,910 Yeah. 632 00:29:21,820 --> 00:29:24,560 Well, I think that's easy for you to say 633 00:29:24,590 --> 00:29:26,190 because he's not your father. 634 00:29:33,370 --> 00:29:36,080 Last one's down to Jeff Alden and Sonya Maitra. 635 00:29:36,080 --> 00:29:39,590 Maitra's solid but she doesn't have much research published 636 00:29:39,690 --> 00:29:41,420 and I'm not excited about her pedigree. 637 00:29:41,520 --> 00:29:43,960 She got into Yale and Hopkins; 638 00:29:43,960 --> 00:29:45,830 she just didn't want to take her parents' money. 639 00:29:45,830 --> 00:29:48,100 She took a financial aid package from the U of M. 640 00:29:48,140 --> 00:29:49,570 I admire her principles. 641 00:29:49,570 --> 00:29:52,480 But Alden actually trained at Yale. 642 00:29:52,580 --> 00:29:53,750 And she's relentless. 643 00:29:53,850 --> 00:29:55,990 She takes a hit, she learns from it, 644 00:29:55,990 --> 00:29:57,620 she comes back fighting. 645 00:29:57,720 --> 00:29:59,390 You can't teach that kind of grit. 646 00:29:59,390 --> 00:30:02,000 I think I might want to run this one by Numeroff. 647 00:30:02,100 --> 00:30:03,270 Numeroff's out the door. 648 00:30:03,270 --> 00:30:04,700 I'm going to lead his department. 649 00:30:04,800 --> 00:30:06,910 That's why we're here, right? 650 00:30:08,440 --> 00:30:09,580 You better push her. 651 00:30:09,580 --> 00:30:11,850 Oh, I will. 652 00:30:11,850 --> 00:30:13,750 There's the clot. 653 00:30:13,860 --> 00:30:14,860 Popliteal artery. 654 00:30:14,860 --> 00:30:17,600 So. She actually found something. 655 00:30:17,600 --> 00:30:18,760 Yes, she did. 656 00:30:18,860 --> 00:30:20,600 She's tachycardic. 657 00:30:20,700 --> 00:30:22,000 Could be a contrast reaction. 658 00:30:22,100 --> 00:30:24,880 No. It's too late in the procedure for that. 659 00:30:24,880 --> 00:30:25,810 What's happening? 660 00:30:26,050 --> 00:30:28,120 - Your heart rate's spiking. - And you don't know why?! 661 00:30:28,150 --> 00:30:29,750 Gotta bring it down, Dr. Maitra. 662 00:30:29,750 --> 00:30:32,090 I'm giving her 15 mg ketamine. 663 00:30:33,060 --> 00:30:35,200 Heart rate's spiking more, BP's dropping O2 sats... 664 00:30:35,300 --> 00:30:37,370 Can't be. This is the opposite of what should be happening. 665 00:30:37,400 --> 00:30:38,740 The ketamine's making her worse. 666 00:30:38,740 --> 00:30:40,580 - Why would that be? - It induces P450 667 00:30:40,680 --> 00:30:43,110 enzymes. Your chart said you had a history of anemia. 668 00:30:43,150 --> 00:30:44,320 How long ago was that? 669 00:30:44,420 --> 00:30:47,620 It, it, it stopped when I went into menopause. 670 00:30:48,790 --> 00:30:50,390 Show me the urine Foley bag. 671 00:30:52,670 --> 00:30:54,270 Her urine's purple. 672 00:30:54,300 --> 00:30:57,010 - She has porphyria. The anemia masked it; 673 00:30:57,040 --> 00:30:58,680 the ketamine's bringing on an acute attack. 674 00:30:58,710 --> 00:31:02,690 Start IV heme and glucose. Order a confirmatory porphyrin panel. 675 00:31:02,790 --> 00:31:05,260 - Am I all right? - We got this. 676 00:31:05,260 --> 00:31:06,790 Okay. 677 00:31:08,000 --> 00:31:11,270 - Please. Please go get him. I'm running out of time. 678 00:31:11,300 --> 00:31:14,640 - He's not coming, Troy. I tried. 679 00:31:15,310 --> 00:31:18,920 - He listened. I'm not sure he heard. 680 00:31:18,920 --> 00:31:21,320 You have nothing else to prove. 681 00:31:21,320 --> 00:31:25,930 I promised all those people, Maya. That I'd fight for them. 682 00:31:26,030 --> 00:31:28,440 - And you did. - So, my last decision in life 683 00:31:28,470 --> 00:31:31,010 will be to quit on the five-yard line? 684 00:31:37,960 --> 00:31:39,990 You really going through with this? 685 00:31:40,800 --> 00:31:42,360 You know I want to. 686 00:31:42,360 --> 00:31:45,170 But I won't if it's gonna hurt you this much. 687 00:31:45,200 --> 00:31:49,550 No, that's not fair. Like, 'cause now I'm hurting you. 688 00:31:49,580 --> 00:31:52,180 That's what life's about, son. 689 00:31:52,220 --> 00:31:55,690 Hard choices. And sacrifices. 690 00:31:55,730 --> 00:31:58,100 Accomplishing anything that matters 691 00:31:58,130 --> 00:31:59,600 always comes with a price. 692 00:31:59,630 --> 00:32:02,140 - No, don't do that. Don't put this on him! 693 00:32:06,610 --> 00:32:08,650 This is his life. 694 00:32:08,750 --> 00:32:14,130 No matter when you lose him, it's gonna be unbearable. 695 00:32:14,160 --> 00:32:17,570 But believe me, you don't want to add guilt to your grief. 696 00:32:18,240 --> 00:32:20,940 Because guilt is what you're gonna feel if you don't let him 697 00:32:20,980 --> 00:32:24,950 live his last moments the way he wants to. 698 00:32:26,220 --> 00:32:30,960 Hey, these past 9 months, all that campaigning we did, 699 00:32:31,000 --> 00:32:35,510 the flyers, those posters, all those meetings 700 00:32:35,610 --> 00:32:38,010 and the speeches... 701 00:32:38,040 --> 00:32:39,210 were you proud of me? 702 00:32:39,980 --> 00:32:41,150 Yeah. 703 00:32:41,150 --> 00:32:43,350 Were you proud of yourself? 704 00:32:46,030 --> 00:32:49,060 Then let's finish what we started. 705 00:32:55,440 --> 00:32:56,980 Do it. 706 00:32:57,750 --> 00:33:01,090 Yeah. Yeah. 707 00:33:12,580 --> 00:33:15,450 Well, we all want access for people in need 708 00:33:15,450 --> 00:33:18,290 but we have to choose our priorities. 709 00:33:18,320 --> 00:33:20,730 We just can't afford to spend... Excuse me. 710 00:33:20,730 --> 00:33:23,870 This much money to help such a small group of people. 711 00:33:23,900 --> 00:33:26,040 Don't let me interrupt. 712 00:33:26,040 --> 00:33:28,310 Uh, no. please. 713 00:33:28,340 --> 00:33:30,680 Councilman. The floor is yours. 714 00:33:38,700 --> 00:33:40,670 You all know me. 715 00:33:40,770 --> 00:33:43,040 Who I am... 716 00:33:43,070 --> 00:33:46,380 Who I was... 717 00:33:46,410 --> 00:33:47,720 One... 718 00:33:49,750 --> 00:33:54,230 One in nine people has some kind of mobility challenge. 719 00:33:54,260 --> 00:33:58,500 One in nine. People see... 720 00:33:58,600 --> 00:34:02,510 people see ramps, people see parking spots 721 00:34:02,610 --> 00:34:06,990 and assume that accessibility is a done deal. 722 00:34:07,090 --> 00:34:09,160 I used to. 723 00:34:10,700 --> 00:34:12,970 But when you live it... 724 00:34:15,100 --> 00:34:16,640 I can't... 725 00:34:16,670 --> 00:34:19,340 Okay. Let's try a bronchodilator. 726 00:34:19,440 --> 00:34:20,980 Okay. 727 00:34:31,740 --> 00:34:33,570 When you... 728 00:34:33,610 --> 00:34:36,450 I can't, I can't... 729 00:34:38,150 --> 00:34:39,550 Sorry. Sorry. 730 00:34:42,760 --> 00:34:45,500 I can do it, Mom. 731 00:34:47,130 --> 00:34:49,470 My son would like to say something. 732 00:34:57,690 --> 00:35:01,530 Our world changed the day of my father's accident. 733 00:35:03,870 --> 00:35:07,540 So many of the things we took for granted were gone. 734 00:35:07,640 --> 00:35:11,650 A couple steps or a narrow doorway, 735 00:35:11,680 --> 00:35:14,760 that's all it takes to shut him out. 736 00:35:14,860 --> 00:35:16,760 And to keep him from me. 737 00:35:20,940 --> 00:35:26,050 My father chose to give up his last few weeks of his life, 738 00:35:26,050 --> 00:35:28,320 his final moments with the people he loves, 739 00:35:28,350 --> 00:35:31,890 to be here today because he knows we can do better. 740 00:35:35,200 --> 00:35:38,800 Imagine that was you and your kid. 741 00:35:41,180 --> 00:35:43,380 What would you do to fix that? 742 00:35:50,730 --> 00:35:53,930 Seems like the right time to call a vote. 743 00:35:55,800 --> 00:35:57,680 Those in favor? 744 00:36:14,480 --> 00:36:16,710 Looks like the ayes have it. 745 00:36:18,820 --> 00:36:20,420 Oh! 746 00:36:24,130 --> 00:36:26,200 We did it, Dad, we did it! 747 00:36:26,230 --> 00:36:28,200 You did it. 748 00:36:31,710 --> 00:36:33,310 I'm so happy for you. 749 00:36:43,270 --> 00:36:45,400 So, your menopause started two years ago, 750 00:36:45,470 --> 00:36:48,540 but you were in perimenopause for several years before that, 751 00:36:48,640 --> 00:36:50,980 which is... - When my pain started. 752 00:36:51,420 --> 00:36:53,550 Less bleeding means you lose less iron. 753 00:36:53,650 --> 00:36:57,230 And it built up in your body and triggered your porphyria. 754 00:36:57,260 --> 00:36:59,370 - Porphyria... - It's an inherited condition 755 00:36:59,400 --> 00:37:02,670 and it's invisible on all imaging and labs. 756 00:37:02,710 --> 00:37:06,010 And to anyone who doesn't look close enough. 757 00:37:07,820 --> 00:37:09,590 How is she tolerating the new meds? 758 00:37:09,690 --> 00:37:12,290 - So far, so good. - Oh, pain's so much better. 759 00:37:12,320 --> 00:37:13,990 Thanks to both of you. 760 00:37:21,240 --> 00:37:24,920 This was a rough one and you found a way to turn it around. 761 00:37:25,020 --> 00:37:26,190 Thank you for pushing me. 762 00:37:26,250 --> 00:37:28,560 I may have learned something about you too. 763 00:37:28,590 --> 00:37:30,830 That I'm not judgmental and biased? 764 00:37:30,860 --> 00:37:33,600 I hate to break it to you, but you are judgmental. 765 00:37:33,670 --> 00:37:37,270 And of course you have biases. We all do. 766 00:37:37,310 --> 00:37:38,610 What do you do with yours? 767 00:37:38,710 --> 00:37:43,720 Try to be aware of them, keep an open mind and then, 768 00:37:43,750 --> 00:37:46,930 every so often, take my foot out of my mouth. 769 00:37:50,000 --> 00:37:54,210 And I will tell Dr. Ridley how well you did today. 770 00:37:54,310 --> 00:37:56,010 Thank you. 771 00:38:11,110 --> 00:38:12,850 Dr. Larsen. 772 00:38:13,510 --> 00:38:15,720 - Hi, Sonya. - I don't know if you know, 773 00:38:15,790 --> 00:38:17,450 but I got in. 774 00:38:18,460 --> 00:38:19,730 Congratulations. 775 00:38:19,760 --> 00:38:23,370 Uh, I just wanted to tell you how excited I am 776 00:38:23,400 --> 00:38:25,140 to come here and learn from you. 777 00:38:25,170 --> 00:38:27,810 Well, you have two months before residency starts. 778 00:38:27,840 --> 00:38:28,980 So use it wisely. 779 00:38:31,820 --> 00:38:33,950 You barely made the cut. 780 00:38:33,990 --> 00:38:35,730 You have a lot to prove. 781 00:38:35,790 --> 00:38:38,260 I get it. 782 00:38:38,360 --> 00:38:40,470 And I will. 783 00:38:40,500 --> 00:38:42,510 You did thrombolysis. 784 00:38:42,540 --> 00:38:44,340 That was to avoid the bypass. 785 00:38:44,370 --> 00:38:45,740 Why post-op Plavix? 786 00:38:45,850 --> 00:38:46,980 Aspirin allergy. 787 00:38:47,010 --> 00:38:48,080 Huh. 788 00:38:49,020 --> 00:38:50,660 And no post-op stress echoes? 789 00:38:50,690 --> 00:38:52,260 Stress is a trigger for porphyria. 790 00:38:52,290 --> 00:38:54,830 I'm doing a persantine in the morning. 791 00:38:55,970 --> 00:38:58,800 Vague symptoms, atypical presentation. 792 00:38:58,900 --> 00:39:04,350 I hate to admit it, but this is excellent work. 793 00:39:05,780 --> 00:39:09,690 Uh, it's a little bit harder for me to evaluate yours. 794 00:39:09,790 --> 00:39:13,400 He did a lot of good for a lot of people today. 795 00:39:13,430 --> 00:39:16,000 But I guess you can't really put that in a chart. 796 00:39:17,140 --> 00:39:20,580 So, feels like we fought to a draw? 797 00:39:21,580 --> 00:39:23,290 You're waiting on Dr. Ridley? 798 00:39:23,320 --> 00:39:24,420 Yeah. 799 00:39:24,460 --> 00:39:25,390 She left early. 800 00:39:25,420 --> 00:39:27,660 - Oh. - Did she say why? 801 00:39:27,760 --> 00:39:30,100 No. Sorry. 802 00:39:30,130 --> 00:39:31,600 'Kay. 803 00:39:35,680 --> 00:39:38,020 Guess it's definitely a draw then. 804 00:39:38,050 --> 00:39:39,850 Mm-hmm. 805 00:40:03,470 --> 00:40:05,070 You're leaving your job? 806 00:40:06,340 --> 00:40:09,480 Yeah, Dad. Maybe. 807 00:40:09,580 --> 00:40:10,610 I thought you liked it? 808 00:40:10,680 --> 00:40:12,480 - I do. - Well, you're lucky. 809 00:40:12,590 --> 00:40:15,490 I hated my job. But I did it. 810 00:40:15,590 --> 00:40:17,660 It's what you do. 811 00:40:21,840 --> 00:40:24,110 Just say what you want to say. 812 00:40:24,910 --> 00:40:26,610 You need to fight for your wife. 813 00:40:26,650 --> 00:40:29,080 Because that's also what you do. 814 00:40:29,120 --> 00:40:29,920 I appreciate your advice... 815 00:40:29,990 --> 00:40:31,620 She doesn't care where you work! 816 00:40:31,660 --> 00:40:32,790 She cares you love her! 817 00:40:32,860 --> 00:40:33,930 What do you know about love? 818 00:40:34,030 --> 00:40:36,160 You and mom spent years barely talking. 819 00:40:36,200 --> 00:40:39,040 - Well, at least I stayed! You're walking away, Mister! 820 00:40:39,100 --> 00:40:41,510 - I'm not the one leaving! What do you want from me?! 821 00:40:41,580 --> 00:40:43,450 Convince Nora you love her! 822 00:40:43,480 --> 00:40:46,220 I can't! Because I don't! 823 00:40:47,350 --> 00:40:48,620 Not the way she needs. 824 00:40:48,660 --> 00:40:51,760 I thought I did, but then Amy came back. 825 00:40:51,800 --> 00:40:55,140 - Oh please, Michael. Life isn't some fairy tale! 826 00:40:55,240 --> 00:40:57,980 Stop it! Just stop fighting! 827 00:40:58,680 --> 00:41:00,850 - Honey! - It's... Katie, it's okay. 828 00:41:00,880 --> 00:41:02,520 No, it isn't! 829 00:41:02,550 --> 00:41:04,990 I need to... - Katie! 830 00:41:06,530 --> 00:41:09,160 Katie! 831 00:41:12,240 --> 00:41:14,880 So, how'd it go at City Hall? 832 00:41:14,910 --> 00:41:16,680 - He passed the bill. - Yeah? 833 00:41:16,750 --> 00:41:19,080 - It was something to see. - Yeah, I bet. 834 00:41:19,180 --> 00:41:21,560 So how long before he's gotta go back on the ventilator? 835 00:41:21,660 --> 00:41:23,230 Tomorrow morning. 836 00:41:24,400 --> 00:41:27,670 Yeah, they have one more night together as a family. 837 00:41:27,700 --> 00:41:29,100 I guess that puts the whole 838 00:41:29,170 --> 00:41:31,210 Battle Royale with Sonya into perspective, doesn't it? 839 00:41:31,240 --> 00:41:36,220 Yeah. She's actually giving me a run for my money. 840 00:41:36,250 --> 00:41:39,760 Well, I guess somebody must've taught her well. 841 00:41:45,840 --> 00:41:46,640 Hi. 842 00:41:46,670 --> 00:41:47,980 Katie wants to come to your place. 843 00:41:48,080 --> 00:41:49,810 Yeah, okay. Send her over. 844 00:41:49,850 --> 00:41:52,020 No. I think I should bring her. 845 00:41:52,050 --> 00:41:53,250 Everything okay? 846 00:41:53,290 --> 00:41:56,560 - I'm not sure. - Uh, okay. 847 00:41:56,590 --> 00:41:58,460 Uh, yeah, bring her over. 848 00:41:58,530 --> 00:41:59,830 See you soon. 849 00:41:59,870 --> 00:42:01,270 - What's going on? - I don't know. 850 00:42:01,340 --> 00:42:04,840 Something with Katie. I, I think I've gotta go. 851 00:42:04,880 --> 00:42:08,350 Uh, yeah, yeah, yeah, of course. 852 00:42:08,450 --> 00:42:09,590 Just, uh... 853 00:42:09,620 --> 00:42:11,720 just keep me posted? 854 00:42:11,760 --> 00:42:14,090 Yeah? - Yup. 855 00:42:20,940 --> 00:42:22,980 Hey. 856 00:42:23,010 --> 00:42:25,220 Whoa. What's going on? 857 00:42:25,280 --> 00:42:26,850 You okay? 858 00:42:26,890 --> 00:42:29,590 Oh, let's sit down. - No, no, I can't, I... 859 00:42:29,630 --> 00:42:32,460 What is it, Honey? 860 00:42:32,500 --> 00:42:34,470 What's going on? 861 00:42:39,180 --> 00:42:43,920 Something's wrong; I feel, I feel, I feel like I'm dying! 862 00:42:43,990 --> 00:42:47,800 - It's a panic attack. Try-try to slow your breathing. 863 00:42:47,900 --> 00:42:51,740 Mom! It's bad! 864 00:42:51,770 --> 00:42:55,840 We got you. We got you.