Original subtitles

Previously on Watson.

All this patient admitted to my spinal project. How would you do this? J .G.

Gregorian. Who is she? Ingrid, come on.

It's Mom's birthday.

Mama's been gone 20 years. J .G., I'm sure she won't mind if we eat a little

late.

Devon Chaplin.

Executive Director of Human Resources.

Now, how long have you guys been eating lunch together? As often? Um, not

usually. You have an extremely dangerous person working here.

Excuse me? Ingrid Darien is an incredible talent, but if she stays at U

sooner or later there's going to be fallout. The people around her will take

damage, including maybe you, Dr. Morstan.

We're here with you all New Year's Eve.

That's right. The whole team will be here. I know one, and nobody's been

out in a fight. I give it half an hour. New Year's never disappoints.

You have a trauma activation and recess too. Patient's a 14 -year -old female

with a spinal cord injury. Let's move, people.

She fell 10 feet onto concrete. She landed directly on her back. She

she couldn't feel her legs before we intubated.

Let radiology know we're coming. We need an emergency fee. Gigi.

Gigi, it's okay, babe. You her father?

Gigi, yes, yes. What happened tonight?

She must have been bleeding against the railing. I keep telling the landlord

that he needs to replace it. How high up?

Two points.

Is Gigi going to be all right?

We need to do our work. We'll get you information as soon as we have it.

We're taking your daughter to radiology. You can follow me.

Excuse me. Is my sister here?

Is she here? Is Gigi here?

Yeah, they just brought her in. She had a fall.

I came home and the entire building was out in the courtyard. They said that she

fell from the second floor.

She can't feel her legs?

Is my sister going to be paralyzed?

I should get you a doctor. What's your name?

Didi.

Sorry, that's my nickname.

Ingrid. My real name is Ingrid Darian.

The spinal signal connects an implant to the patient's brain to others in the

spinal cord. It converts the patient's thoughts into a signal and transports

them right over the injured tissue, like a digital bridge.

Before that day, that man hadn't taken a step in nine years.

This is nothing short of a miracle, which, following basic logic, means that

would be... If you call me a miracle worker...

I will stab you in the jugular with that stupid letter opener.

That's too accurate.

Not quite.

We haven't performed the first surgery at U -Hop yet. Okay, how about I call

a miracle worker when they do?

If I can have the five days off I will need for the fundraising tour, I permit

you one use of the term miracle worker.

I accept your term, Dr. Darian.

Hey, everything okay?

My whole body is sore.

What do you mean, everything hurts?

My muscles.

Okay, well, you had ECT today. Some discomfort is normal.

This isn't that. My arms feel weird.

Please come home.

Okay, I'll be right there.

Stay on the line with me.

Everything all right, Ingrid?

Gigi, what are you doing?

Turn off the stove.

It's my arm.

It's the pain.

I told you what's happening.

and extend your arms.

As far as it goes. Okay, we're going to get you to Fort Duke. What then? No, U

-Hop's the best. That's why you wanted to work there. There are too many

questions if we go there, Gigi. Those are both excellent emergency

These are my arms, Ingrid, and I'm not becoming a quad.

When is this going to happen? Then take me to U -Hop. I won't tell them we're

related.

My name is Dr. Ingrid Darien. I'm a neurologist at the Holmes Clinic. I'm

concerned about this patient.

She's a participant in our spinal signal project. She needs to be seen right

away. Can you breathe? Is your airway obstructed? She's in pain. She needs to

see an attending.

Listen to me. Her name is Gigi Gregorian. No, I can't see.

Okay, no slip -ups, okay?

You can't tell them about any of the changes we've made to your meds. You

tell them about the electric convulsive therapy treatments.

What if it's real? Lady, if not, I promise there is something else. We'll

out what it is. Good evening.

My name is Dr. Mira Lila. I'm the attending in charge. Dr.

Lila, the patient is a 30 -year -old female with a history of spinal cord

injury. She's experiencing worsening myelitis and rigidity.

What's your name, dear? J .J. Gregorian.

Mrs. Gregorian. We'll take you to a proper exam room immediately, and we're

going to figure out exactly what's making you uncomfortable, okay?

I'm coming with you. You're not a relative, are you?

Then I appreciate your concern for your patient, but we need to work.

We'll keep you updated every step of the way. Can we just have a moment?

You're going to be okay, Gigi.

No mistakes.

Not a single one.

I lied to get you into this program.

If they find out we're sisters, I'm going to lose my job here, and you're

to get kicked out of the program.

That's what I said.

We did this so you could walk again.

All of it.

Everything.

He'll be gone.

I don't want to pick one.

This is science. You're putting up a dating profile.

You're coercing me into putting up a dating profile.

It's Valentine's Day. The entire world is coping with the disappointment of

unreasonable expectations.

It is proven that today is the best day to put up a virgin profile.

I don't like the term virgin profile.

You need a picture with a dog if you want to get likes.

You have three options.

Adam's golden retriever. Would you name that for himself?

His name is John Quincy. Okay, so you came as close to naming an Adam that he

possibly could.

Micah Stoberman presents a more active image while my little foster gal shows

that you have a kind heart. Oh, yeah.

So is a little three -legged lady.

She suits you. Excuse me. Her name's Tripod. So your fling is lending you his

dog, and I see he sent you Valentine's Day flowers.

Is Rebound Boy catching feelings?

I'm not in fact sure of that, but I'm positive that is not the issue.

Stevens, we have stained glass windows at our disposal, quaint Pittsburgh

and Elville Batchelor capable of diagnosing any infectious disease.

So, pick a dog.

Any dog.

Muster a smile and enjoy your feast of interested women.

Oh, can we also maybe just try these?

I like my glasses.

I think they might help.

I can't see.

Does not matter. Wear those.

Damn it.

T .J.'s fever is rising.

BP's on a steady climb upwards.

Your spinal signal patient?

Anything we can do? I got it.

They just need to do their job in the ER.

Okay, so do I just pose with one of these dogs?

Sorry,

is Watson around or... Dr. Morstan, we were just... Taking pictures for a

profile. I heard.

Mary, to what do we owe the pleasure?

Don't tell me there's a VIP patient with a flesh -eating disease you'd like us

to take in?

Could be something like that.

And maybe just walk with me?

Devin asked me to make us a reservation that evening.

On Valentine's Day?

Every restaurant has a fixed menu and the service is off. Well, nevertheless,

she had it in her head that couples should do something on the most romantic

night of the year. The most romantic night of the year is whenever something

romantic happens.

You try to schedule it because it's the least romantic. Yes, your position is

clear. And yet here I am with a reservation, a bottle of wine, and no

Oh, would it surprise you to learn that even executive vice presidents of human

resources can sometimes be less than faithful?

No, no, I... No, no, I'm just surprised they got me back up.

I left home to help Sherlock.

You lost our baby girl while I was gone. I just didn't think that I would be on

the top of your list.

It's out there now, John.

We both know about it. I feel like we can finally have a conversation again.

I prepaid for the meal, and I can use a friend, but if you're too busy, I'll

just drink my Saint -Gervais alone.

Can you tell me what room Gigi Gregorian is in?

They have her in four, but I think they're drawing blood right... You're

welcome.

Ivo Darien?

I'm Dr. Moynihan. I'm the attending spine surgeon. Hi.

You're Gigi's sister?

Didi. Gigi is suffering from an unstable thoracic spine fracture.

She suffered a T9 spinal cord injury.

Ordinarily, we would bring her into the OR and we would decompress the spinal

cord and stabilize the fracture.

You're not going to do that.

Well, Gigi also has a grade 3 splenic laceration.

So if we put her on her abdomen to be able to do the spinal surgery, there is

the possibility that her spleen could rupture mid -procedure. Right now, we

to observe her in the ICU and wait and see if the spleen heals itself.

You mean just wait?

You just said she had an unstable spinal fracture. What's going to happen if you

don't fix it?

This is her spine.

Is my sister going to wind up paralyzed? Based on the location of the injury,

your sister's arm function shouldn't be at risk. Oh, yeah, so she'll just be in

a wheelchair.

Damn, Ronnie.

Who's Ronnie? He owns the building. I'm going to sue him. I'm going to sue him

for that railing, I promise you.

Dee?

Dee Dee?

Is there anything I should know about what happened tonight?

I wasn't there.

You believe he's telling the truth?

Is there anything I can do for you?

You can help Gigi.

You can keep my sister out of a wheelchair.

I'm so sorry, Miss Thede. There's a chapel if you want quiet.

Come on.

No, no.

What?

Sorry about your sister.

Yeah, I used to think a doctor's just a doctor.

If someone worked that hard in school, if they took notes to protect other

people, they should make good hands, right?

It's not true.

You know, there are doctors who can't stop drinking.

There are even doctors who, given the chance to keep a 14 -year -old out of a

wheelchair, think only about protecting themselves from liability.

Yeah.

Looks like Gigi got one of them.

Yeah, she did.

You know, Dr. Martin has a big deal, but... It doesn't mean he's the best

surgeon here.

You know, there are people here on staff that might not have his title, but...

It better.

I don't know who any of these people are.

I do.

It's right there.

It won't do better.

This isn't getting better, Ingrid. They don't know what's wrong with me.

My heart rate won't go down.

My blood pressure's still climbing, and I can tell from the look on your face

that that's not all that's wrong with me.

What are you looking at?

Your CK value is 6 ,000.

It's off the charts.

You're experiencing ribomyelosis.

Your muscles are breaking down.

Ingrid, come here.

What you're doing for me is incredible, but they don't know what's going on with

me around here.

Neither do you.

You work with four of the smartest doctors in this hospital, and you

are hiding me from them while I keep getting sicker.

All right. Okay.

So this is going to be about another 45 minutes, 30 if we're lucky.

I was nice.

Our reservation was 15 minutes ago. And I was still nice.

So what do you want to do?

Not wait an hour.

I say we get takeout.

Take this to the spot.

Okay.

Okay. All right.

Happy Valentine's Day.

Happy Valentine's Day.

You ever think about her?

Jeannie and what she might have been?

Hmm.

I've pictured her a hundred different ways.

Starts to fade, though.

I was mad at the world for months.

I was mad at you.

But it's not a tragedy, John.

It's sadness.

You were not the first couple who couldn't have a baby.

Let it go, little by little.

It's never been your strong suit.

Sorry. It's okay.

You have to check.

Good evening, Dr. Terry.

No, I was just... Don't worry about it. What do you need?

Uh -huh.

I understand. Yeah.

No, I'll be right there.

It's one of her spinal signal patients.

Sounds bad.

I'm sorry. I got to... No, don't apologize.

Just don't leave me hanging.

I'm the medical director of U -Hop.

I'd like to see the Holmes Clinic in action.

Unless you think I have nothing to contribute.

Come on, tripod.

You guys sleep in your college shirts?

I am wearing my college shirt. Adam is wearing his safety school shirt. Well, I

had to put something back on. Jesus, stop flaunting your flank. Forget the

flank. Did you really have to bring your dog? Her name's Tripod, and she's not

my dog. I have to take her back to the shelter soon.

Good evening, everyone.

Dr. Marston.

Hi. The medical director is going to lend us the benefits of her insights.

I am confident she'll be able to keep up.

So, Dr. Darian, Gigi Gregorian, what do we need to know?

Excuse me.

Excuse me.

Are you Dr. Mary Marston?

Yeah. Are you all right?

I heard that you're the best spine surgeon in this hospital.

I do orthopedics, and I've only been attending here for less than a year. I

your help, Dr. Morton.

My name's C .D.

My sister... I need you to save her.

I need you to keep Gigi out of a wheelchair.

Dr. Moynihan has...

Certain sharp corners, but it's no accident he runs this department.

Right now, Gigi's splenic laceration is contained. It won't keep bleeding

because it's walled itself off.

If we put pressure on your sister's abdomen to do the intervertebral fusion

surgery, there's a very high risk of a splenic rupture mid -operation.

Why does she need a spleen, exactly?

What? Look, people live all the time without spleens. My aunt got hers

when she was a kid.

It won't rupture if it's not there.

You said your name's Ziti?

Spenectomy, that's smart.

I mean, I'd have to convince general surgery to do the splenectomy, and it'd

risky to operate on Gigi's spine right after an abdominal surgery. And if my

sister spends the rest of her life in a wheelchair, isn't that risky, too? Or is

it only a risk if someone in the hospital can be blamed?

Let me show you something.

Look at this.

This is where he pinches me.

My dad, when he wants it to really hurt but doesn't want anyone to see.

I can take it on, but he's starting on Gigi.

I've been watching it happen.

Do me a favor.

Look at the same spot on my sister's arm.

And think about what happened tonight and how she went through that railing.

My sister doesn't deserve to be a paraplegic because it's too risky to

Gigi Gregorian is a 30 -year -old female patient with a history of spinal cord

injury and paraplegia. She's enrolled in our Spinal Signal Project, and two

hours ago she presented the UHOP ER with fever, myalgias, rigidity, and now

there's evidence of rhabdomyolysis.

We worked closely with her for months. Is there anything else we need to know?

She's been a model candidate.

Adhered to every protocol we've asked.

The rapid onset suggests maybe sepsis or influenza. We could send a CBC, blood

cultures, and a viral panel.

Had the initial CBC in the ER. Didn't show any leukocytosis.

She hasn't had any sick contacts or recent travel.

What about prescription meds or substance abuse?

Could be serotonin syndrome.

No prior psych history in our charts. No other prescription medications.

No substance use. And all of the blood work we've done for the trial supports

that. All right, so she has fever, rigidity, autonomic instability.

What about malignant kinetonia? No, it's not that.

What possible reason do you have to exclude that diagnosis?

We can't work with you, Dr. Darian, if you keep shooting everything down.

I'm just trying to stay on point.

The patient's temperature is already at 102, and her fever is not coming down.

Ingrid is right. We are working on two fronts here. We have to figure out

wrong with Gigi and manage her symptoms so she doesn't deteriorate further.

Soft -trap in a cross.

Give her an antipyretic and cool her with ice packs.

Ingrid, follow patient's CK levels and start an aggressive fluid resuscitation.

Send electrolytes and a toxin. Dr. Morstan, if you're up for a potential on

that, I'd like you to dig through her charts for other types of underlying

causes. Of course.

And you?

What are you doing? I have my own theory to follow, Bart.

A mystery errand.

One of Watson's favorite moves.

You can't report this, you know. I have a duty here.

No, you have a patient who needs surgery right now.

If you take my dad into custody, who's going to make that call?

How old are you, Dee Dee?

Seventeen.

I can't authorize the surgery.

Child Protective Services can do it. Have you worked with them much?

Just get my dad to sign the authorization.

Get my sister out of a wheelchair.

When this is over, Gigi can tell you exactly what happened.

Call whoever you want.

It feels wrong.

What? Checking the apps while we're treating Gigi?

Well, I mean, yes, but that's a waiting game at the moment.

I mean this.

You look cute.

You're not getting any matches?

I'm actually kind of getting a lot.

It's just the stuff I wrote. Infectious disease specialist seeks incurable

chemistry. That's just bragging that I'm a doctor.

That's how the game's played. I wouldn't know what to say to these people if we

did meet.

Don't ask me to look at your moles.

I'm just making it more me.

How's her fever?

104.

Gigi's latest labs just came in. Her potassium levels are elevated at 6 .8.

We'll put her on IV calcium, glucose, and insulin.

If that doesn't bring her down, intensive care, dialysis, and then who

I don't understand. I thought this surgery was too risky.

Well, there's always a chance of complications.

But if we don't fix Gigi's fracture now, she's almost certainly going to lose

the use of her legs.

Okay.

Dad.

Can I talk to that other doctor? What was his name? Dr.

Moynihan's gone home for the night.

I could have him paged. I think I'd like that. Thank you. Of course.

By the way, has anyone put you in touch with the police yet?

What? That railing. It was poorly maintained, right?

I'm happy to call them down here. There could be criminal liability.

Oh, no, no, no. Thank you. I'll do that.

Okay.

So you... We think that this could save Gigi's life.

I wouldn't be here if I didn't.

Okay, thank you, Doctor.

God bless you.

Dr. Morrison, thank you.

This can go a lot of ways, Dee Dee. I understand. I know.

But she has a chance now.

This of you.

You want to meet me?

When I projected a diagnosis of malignant catatonia for Gigi Gregorian,

me down, but you wouldn't give me a reason.

Her fever is spiking.

Yes, that's how you change the subject. But would you like to tell me how you're

connected to this patient and why you're so sure that she doesn't have malignant

catatonia?

She is my patient in the spinal signal program.

She's obviously a lot more than that.

Nor is it difficult to rule out the closest connection of all.

A piece of your DNA and a piece of hers, and I can move on to the next theory.

You lied to everybody in the clinic tonight, Ingrid.

We're feeding your sister.

What are they talking about in there?

They better wrap it up fast.

Patients' potassium levels are headed back up. I'm going in.

Yeah, you go in, if you like.

Obviously. But Dr.

Watson does have a way of getting answers.

When did your sister change her name?

When I heard about the first spinal signal project in Europe, I was already

specializing in neurology.

She'd never get into the studies because of the conflict of interest.

So?

You created a whole new identity for her.

You built it up all throughout the years, and you pushed her application

through.

Why?

Why would you risk everything that you built?

I owe it to Gigi.

Gigi.

That's her real name?

Jennifer.

She's always hated it.

You say you owe it.

Is Gigi in a wheelchair because of you?

Yes.

What did you do?

I failed her.

I don't understand.

Since it's all coming out anyway, why don't you ask her?

Gigi Gregorian is Dr. Darien's sister.

What?

I'm calling security. I want you out of here. Do you remember Gigi?

Do you remember Gigi Darien?

Oh, my God, it's you.

You're Didi.

Who's Didi?

I know you've removed at least 100 spleens, but this right here tonight is

you built that muscle memory.

I need this to be the fastest one you've ever done.

As soon as you close, flip the patient on her abdomen so we, the spine team,

start right away.

We need to stabilize the canine vertebral fracture by fusing two up and

down. We do what we're trained to do here. We do our jobs.

And this girl walks out of U -Hop on her own two feet.

We all good?

All good.

Let's do it, Dr. Marston.

You operated on Ingrid's sister? Ingrid called herself Dee Dee then.

We kept records. It would have come up when she applied to the clinic. This was

ages ago, John, before you and I even started dating.

2008, 2009.

We were still transitioning to digital records.

Do you think I did something to the paper records?

You went to Pitt Medical School.

You did your residency here.

Records get misfiled all the time. Lost.

That's why we switched to digital.

Why don't you tell him how the surgery went?

Prep was going well.

Stop. Get out.

Thanks. Doctor? Ben Moynihan found out we were going to do the operation.

Good

old

acquaintance. No!

Nobody's cheating!

We're watching this. Maybe we should wait outside.

No one's going no place.

They're having a private conversation. It's awkward.

Dogs are watching when it is gone. He'd say so.

They might need us.

Might need you.

We stay in right here.

Dr. Moynihan was the department chair.

He accused me of giving you false hope.

Did you? No.

Gigi, she had an incomplete spinal cord injury. Why didn't you fight harder?

He was my boss. You were an attending surgeon.

He did not have the authority to stop a procedure that you deemed necessary.

He had the authority to fire me if I went ahead with it. He had the

to call every academic hospital in the country and warn them not to hire me.

Why?

Why wouldn't he let you try to save her? Because he was Moynihan.

Because he already said surgery was a bad idea, and he had to be right.

He died with a 25 -year -old wife and two 40 -year -old daughters. That's who

was dealing with.

My sister Gigi wanted to dance at the New York City Ballet.

When she was 14, she got an offer to train year -round at the Joffrey.

She was 15.

Six months after that night, she took a handful of sleeping pills.

The person Gigi dreamed of becoming died on your operating table that night.

She has major depressive disorder, and now she fights to dream about anything.

Wait, wait, wait, wait, wait.

Major depressive disorder?

Did you disclose that on her application for the spinal signal project?

Of course not. I wanted her to be the best candidate in the stack.

So then you were giving her what? Lithium somehow?

Then you stopped so she could get blood samples during the trial.

Then you decided to treat the problem with ECT.

Electrocombustive therapy.

How did you know that? Because ECT is a treatment for malignant catatonia.

That's why you dismissed the diagnosis when I brought it up. You had already

given it to her.

Ingrid. Did you give your sister succinylcholine before ECT?

Of course, that's standard.

Call the pharmacy. Send her some dantelene. Dantelene for what?

Gigi very likely has mutation to her RYR1 receptor.

When you administer succinylcholine, you make your sister vulnerable to

malignant hypothermia.

Gigi, the medication I gave you before the ECT treatment, it did that.

I'm so sorry.

Sorry for not knowing. I'm a mutant.

I wanted this as much as you did.

More. I pushed you.

It's not your fault.

They're going to intubate you and hyperventilate you with 100 % oxygen,

will administer adangeline.

Your blood pressure, your heart rate, the pain, rigidity, it'll all start to

away in about 10 minutes.

What's going to happen with this spinal signal project?

What's going to happen with you?

I don't know.

What do the other doctors think?

We're not telling them.

Watson and Dr. Morrison are the only ones who know.

Hi, Gigi.

I can't feel my legs.

You fell.

Do you remember that?

Yeah.

You landed on your back.

You have something called a T9 spinal fracture.

They tried to stabilize it.

I even found a doctor who was willing to do the surgery, and he ran out of

breathing room, and they stopped him.

He said it was too risky.

My legs, I can't walk.

I'm so sorry.

I'm sorry I was supposed to protect you.

I'm going to fix this, okay, Gigi?

I promise.

I'm paralyzed.

You can't fix that.

I need you to tell me one thing.

When you went through that railing, when you fell, was that

Dad?

Don't tell anyone.

We can't trust anyone.

Tate's just you and me.

I did what any doctor would have done. Not any doctor, just most doctors. I was

the only one willing to try.

I can't do it to your sister again.

I'm not pulling her from the program.

You know, I was warned that you were a dangerous person to have around.

I should have listened.

You're a talented neurologist, Dr. Darian. I'm sure once you start looking

around, you'll have no trouble finding another position.

I'm not looking for another job. If you don't find another job within two

months, if you're not gone from UHOP forever, then you're fired.

I've never forgotten that night, and I never will, but you can't be around here

anymore.

So you just wrote a bunch of bitter nonsense.

You got all these matches.

I wouldn't call it bitter nonsense.

I just rewrote it to sound more like me.

Bitter nonsense.

Got it.

You would not believe how forward the discourse is on here. I have like a

offers to look at people's moles.

They don't mean medically.

Well done, Leather. It's just that fun.

I'm sure you'll find a way to turn it into an exam.

Well, Hey, y 'all.

Nice glasses.

All right.

You taking her back to the shelter today?

My landlord said it was her and me, so... Mind if I come along?

I don't know.

It's quiet around my place. I thought she might make a nice addition.

You're gonna adopt Tripod?

Sauce. Her new name is Sauce, short for my sauce legs.

All right.

Come on.

Sauce.

There are six kinds of triangles.

Why sauce?

I'm not going to call a dog obtuse.

Equilateral doesn't be shortened to a punchy nickname.

Scalene sounds like she's sick.

Hmm. It's not sexy.

It's also too unjustified.

I think she likes you.

I just talked to Dr. Morrison.

I know.

Do you want me gone?

That isn't my decision.

I thought an answer.

I realize that.

And do not trust your ingrate.

I understand why you did what you did.

But I'm not going to stand in the way of any consequences.

What is this?

Are they home?

We need to stop.

What is this?

A place.

I come here sometimes.

Oh, it's snow.

The strength.

You're really strong.

I know.

You must have wanted this.

At some point.

Why?

Kids.

Me, Gigi.

What happened?

I want you now.

I love you, Dee Dee. I want you now.

Hey, I don't really like that nickname anymore.

I love you and I love your sister.

I'll never hurt you again, okay?

I knew that.

Okay.

You know, they give fentanyl to intubated patients.

They hang it right there on Gigi's IV.

Get your hands on some syringes.

Take a little bit out at a time.

Come get me.

No.

You're nobody now.

Stay tuned for scenes from our next episode.