1 00:00:02,200 --> 00:00:03,570 - Previously, on Doc. - He's back! 2 00:00:03,570 --> 00:00:05,210 I made mistakes. 3 00:00:05,210 --> 00:00:06,940 Actually, you leveraged an incredibly painful situation 4 00:00:06,940 --> 00:00:08,080 to your advantage. 5 00:00:08,080 --> 00:00:10,180 And how are things with Nora now? 6 00:00:10,680 --> 00:00:13,090 - Over. - I found a lump. 7 00:00:13,090 --> 00:00:14,190 Please don't tell anyone about this. 8 00:00:14,190 --> 00:00:15,390 Do you have a minute? 9 00:00:15,390 --> 00:00:16,800 I'm in radiology right now with a patient. 10 00:00:16,800 --> 00:00:19,100 What if she's sick and she's trying to hide it? 11 00:00:19,100 --> 00:00:20,370 It's progressing quickly. 12 00:00:20,370 --> 00:00:22,240 I suggest you reach out to Ethan. 13 00:00:22,240 --> 00:00:23,740 Get a support system in place. 14 00:00:23,740 --> 00:00:25,210 You went into her desk? 15 00:00:25,210 --> 00:00:26,520 We had no other choice. 16 00:00:26,520 --> 00:00:28,390 I'm afraid that you might be sick. 17 00:00:28,390 --> 00:00:30,190 We have to talk about Joan. 18 00:00:43,620 --> 00:00:44,990 Dr. Ridley? 19 00:00:44,990 --> 00:00:47,090 - Oh, they're here? - Heading up now. 20 00:00:47,090 --> 00:00:49,260 OR 3 is clear and the blood bank's on standby. 21 00:00:49,260 --> 00:00:51,870 Good. Then we are ready. 22 00:00:52,570 --> 00:00:55,870 Bay 4. Read me in. - Penetrating abdominal wound. 23 00:00:55,870 --> 00:00:57,680 Initial stabilizing surgery on site, 24 00:00:57,680 --> 00:00:59,750 but multiple retained foreign bodies could not be removed. 25 00:00:59,750 --> 00:01:01,120 Open wound packed for transport. 26 00:01:01,120 --> 00:01:03,020 - How'd he do on the flight? - Hypotensive and tachy. 27 00:01:03,020 --> 00:01:05,190 Started nor-epi and fluid resus en route. 28 00:01:05,190 --> 00:01:07,060 - Conscious? - In and out. 29 00:01:07,060 --> 00:01:09,130 And asking for you. - On my count. 30 00:01:09,130 --> 00:01:11,070 Three, two, one. 31 00:01:12,570 --> 00:01:14,240 Hang TXA. Two of O-neg. 32 00:01:14,240 --> 00:01:16,210 I want him on the table in half an hour. 33 00:01:16,480 --> 00:01:18,120 Ridley? 34 00:01:18,620 --> 00:01:19,990 Is that you? 35 00:01:19,990 --> 00:01:22,130 If you missed me this much, you could've just called. 36 00:01:24,030 --> 00:01:25,800 You know I love to make an entrance. 37 00:01:25,800 --> 00:01:31,040 Well, you are here now, Javi, and I am gonna take care of you. 38 00:01:39,290 --> 00:01:41,330 I thought you were coming in later. 39 00:01:43,030 --> 00:01:45,040 So did I, but I've gotta review 40 00:01:45,040 --> 00:01:46,840 all of Amy's cases by end of day. 41 00:01:46,840 --> 00:01:48,980 - She doing the same for yours? - She handed hers in already. 42 00:01:48,980 --> 00:01:51,850 Not that it matters anymore. - Okay, why do you say that? 43 00:01:51,850 --> 00:01:54,660 Don't you think Joan's gonna figure out we were the ones 44 00:01:54,660 --> 00:01:55,860 who told Jake about her? 45 00:01:55,860 --> 00:01:57,860 She was hazing me yesterday as if she already knew. 46 00:01:57,860 --> 00:02:00,740 I'm pretty sure Jake passed that baton to Amy today, 47 00:02:00,740 --> 00:02:02,310 so I'm sure you're on equal footing now. 48 00:02:02,310 --> 00:02:04,240 I heard she's prepping another surgery. 49 00:02:04,240 --> 00:02:07,150 And clearly she hasn't invited you to audit. 50 00:02:08,490 --> 00:02:10,220 We did the right thing. 51 00:02:10,220 --> 00:02:12,330 Can't overthink the consequences. 52 00:02:13,500 --> 00:02:15,370 This should hold him for now, 53 00:02:15,370 --> 00:02:17,800 but prep the team for massive transfusion protocol. 54 00:02:18,100 --> 00:02:20,480 Damn generator exploded. 55 00:02:20,480 --> 00:02:23,780 We worked medical missions together for 22 years, 56 00:02:23,780 --> 00:02:26,450 but why don't you go ahead and say what you need to say? 57 00:02:27,220 --> 00:02:30,560 Uh, I thought maybe we could step away. 58 00:02:31,630 --> 00:02:33,370 Is your boyfriend hiding out there somewhere 59 00:02:33,370 --> 00:02:34,740 to double team me? 60 00:02:34,740 --> 00:02:35,810 Joan. 61 00:02:35,810 --> 00:02:37,580 It's MDS. 62 00:02:39,110 --> 00:02:41,620 - Oh, God. - Please. Don't. 63 00:02:41,620 --> 00:02:45,660 I was diagnosed a few weeks ago, it's mostly indolent. 64 00:02:45,660 --> 00:02:47,630 Haven't had a chance to tell Michael yet, 65 00:02:47,630 --> 00:02:49,840 so I'd appreciate if you let me do that. 66 00:02:49,840 --> 00:02:50,970 Yeah, of course. 67 00:02:50,970 --> 00:02:53,240 And, before you ask, Javi knows. 68 00:02:53,240 --> 00:02:55,410 He came here anyway. He has Addison's. 69 00:02:55,410 --> 00:02:57,420 He needed a surgeon he could trust. 70 00:02:59,220 --> 00:03:02,590 Does he know that your hand's been shaking? 71 00:03:05,530 --> 00:03:09,140 That happened once, Amy, after a very difficult surgery. 72 00:03:09,140 --> 00:03:11,340 Which this will be. 73 00:03:17,120 --> 00:03:19,330 I'm medicated and I'm fine. 74 00:03:20,960 --> 00:03:23,370 You could use an extra set of hands to manage his cortisol 75 00:03:23,370 --> 00:03:24,870 and electrolyte levels. 76 00:03:24,870 --> 00:03:26,710 Is that you offering? 77 00:03:27,280 --> 00:03:29,750 I'll get him started on a TTE. 78 00:03:34,020 --> 00:03:35,960 - Thank you, Wright. Mr. Voit. 79 00:03:35,960 --> 00:03:38,430 Who are you? I'm supposed to be seeing Dr. Ridley. 80 00:03:38,430 --> 00:03:40,970 Dr. Ridley had an emergency, but I can assure you... 81 00:03:40,970 --> 00:03:43,070 And Dr. Hamda was supposed to be joining us as well. 82 00:03:43,070 --> 00:03:47,080 His whereabouts I can't speak to, but I'm Dr. Miller... 83 00:03:47,080 --> 00:03:49,020 - First name? - Uh, Richard. 84 00:03:49,020 --> 00:03:50,320 And you are? 85 00:03:50,320 --> 00:03:52,830 - Fiona. Xander's COO. - And my wife. 86 00:03:52,830 --> 00:03:54,100 You're an internist? 87 00:03:54,100 --> 00:03:55,130 Board-certified in oncology as well. 88 00:03:55,130 --> 00:03:56,400 Pulmonary subspecialty. 89 00:03:56,400 --> 00:03:57,700 - Where? - St. Agericus. 90 00:03:57,700 --> 00:03:59,940 And he used to be Chief of Internal Medicine here. 91 00:03:59,940 --> 00:04:01,040 For just two months? 92 00:04:01,040 --> 00:04:02,680 I didn't love the admin. 93 00:04:02,680 --> 00:04:05,920 So, I took a little hiatus and I came back to work with patients, 94 00:04:05,920 --> 00:04:07,820 which is what I do love. 95 00:04:07,820 --> 00:04:09,230 Okay. Continue. 96 00:04:09,230 --> 00:04:11,030 I understand you have a suspicious mass 97 00:04:11,030 --> 00:04:12,470 in your right lung. 98 00:04:12,470 --> 00:04:14,140 I get regular full-body scans in Palo Alto. 99 00:04:14,140 --> 00:04:17,310 But I was here at a conference when the PolaDx flagged it. 100 00:04:17,310 --> 00:04:18,910 It's an AI diagnostic program. 101 00:04:18,910 --> 00:04:21,890 17 percent better than humans at early cancer detection. 102 00:04:21,890 --> 00:04:25,090 It's also far more likely to give you a false positive. 103 00:04:25,090 --> 00:04:26,360 Well, that's the hope. 104 00:04:26,360 --> 00:04:28,060 But I won't wait to get home to find out. 105 00:04:28,600 --> 00:04:31,470 - Hi, I'm Dr. Coleman. I'll be assisting Dr. Miller. 106 00:04:31,470 --> 00:04:33,840 - Uh, yeah. That's Theodore Coleman. 107 00:04:33,840 --> 00:04:36,210 He's an intern. Columbia Med School. 108 00:04:36,210 --> 00:04:38,080 Army ranger medic. 109 00:04:38,080 --> 00:04:40,490 He is highly skilled, very ambitious, 110 00:04:40,490 --> 00:04:42,360 and an extremely hard worker. 111 00:04:42,360 --> 00:04:44,230 - Are we being interviewed? - Vetted. 112 00:04:44,230 --> 00:04:46,200 - It's gonna be on him anyway. Steiner vouches. 113 00:04:46,200 --> 00:04:47,500 - Oh, I'm flattered. - Great. 114 00:04:47,500 --> 00:04:49,370 I want the tissue removed and studied. 115 00:04:49,370 --> 00:04:52,150 So, how would you do that, Dr. Coleman? 116 00:04:52,150 --> 00:04:54,250 A bronchoscopic biopsy and a PET scan. 117 00:04:54,250 --> 00:04:57,020 - Is that correct? - It is. 118 00:04:57,020 --> 00:04:59,460 Then let's do that, huh? Stat. 119 00:05:01,400 --> 00:05:03,500 I want to thank you both for being here today. 120 00:05:03,500 --> 00:05:06,780 My role is not to judge or to take sides 121 00:05:06,780 --> 00:05:09,880 but to facilitate a productive, respectful conversation. 122 00:05:12,520 --> 00:05:15,020 - I'm so sorry. It's Max. - It's fine, Michael. 123 00:05:16,960 --> 00:05:20,040 I told you I had a personal matter to attend to today. 124 00:05:20,040 --> 00:05:23,070 You also told me Joan would be taking care of Xander Voit. 125 00:05:23,070 --> 00:05:25,210 Well, she has a patient who is a higher priority. 126 00:05:25,210 --> 00:05:28,920 Than a tech tycoon who can fund our entire capital campaign 127 00:05:28,920 --> 00:05:31,290 with what he makes while brushing his teeth? 128 00:05:31,290 --> 00:05:32,930 Well, Dr. Miller's on the case. 129 00:05:32,930 --> 00:05:33,860 I hear he's excellent. 130 00:05:33,860 --> 00:05:35,270 Why else would you have hired him back? 131 00:05:35,270 --> 00:05:37,400 - Not funny, Michael. - No, it's not. 132 00:05:37,400 --> 00:05:38,970 I'll deal with this in a few hours 133 00:05:38,970 --> 00:05:41,780 when I get back to the hospital. Goodbye, Max. 134 00:05:42,580 --> 00:05:44,820 So she took this job and she didn't tell Michael? 135 00:05:44,820 --> 00:05:48,730 No. She was diagnosed after she was offered the job. 136 00:05:49,430 --> 00:05:50,600 And she still hasn't told him. 137 00:05:50,600 --> 00:05:52,470 She's getting her head around it. 138 00:05:52,470 --> 00:05:53,800 And in the meantime, what? 139 00:05:53,800 --> 00:05:55,310 You're aiding and abetting? Risking a patient? 140 00:05:55,310 --> 00:05:57,440 The patient knows and he chose her anyway. 141 00:05:57,440 --> 00:05:59,880 Besides, there's no time to move him. 142 00:05:59,880 --> 00:06:01,820 - I don't know. Something doesn't feel right. 143 00:06:01,820 --> 00:06:04,090 She's working you. - No, she isn't. 144 00:06:04,090 --> 00:06:06,290 You... you just don't know her the way I do. 145 00:06:06,290 --> 00:06:09,030 - You don't know her either. Not in the last eight years. 146 00:06:12,340 --> 00:06:15,550 I'm sorry. But that's the truth. 147 00:06:15,950 --> 00:06:18,380 And you know you can't justify any of this. 148 00:06:26,740 --> 00:06:28,310 How long has it been like this? 149 00:06:28,310 --> 00:06:31,080 Mom says a week. They thought it would heal on its own but... 150 00:06:31,080 --> 00:06:32,310 No. She's too malnourished. 151 00:06:32,310 --> 00:06:34,820 Fighting in Goma cut off the food supply. 152 00:06:42,600 --> 00:06:46,780 So I got saline, debridement kit, mupirocin. 153 00:06:47,080 --> 00:06:48,780 Please trade with me. 154 00:06:48,780 --> 00:06:50,520 What's wrong with your case? 155 00:06:50,520 --> 00:06:53,050 Oh, Marcus keeps sending me lumps, bumps and dumps. 156 00:06:53,050 --> 00:06:55,230 That's what you get for sleeping with him 157 00:06:55,230 --> 00:06:56,730 and not calling him back. 158 00:06:56,730 --> 00:06:58,270 - Dr. Ridley? - Mm-hmm? 159 00:06:58,270 --> 00:06:59,630 - It's your son. - What? 160 00:06:59,630 --> 00:07:03,440 It's... it's 2 AM in Minneapolis. 161 00:07:04,880 --> 00:07:06,110 Ethan? 162 00:07:06,110 --> 00:07:07,720 Hey, what's wrong? 163 00:07:09,520 --> 00:07:11,060 No, no, no. Uh... 164 00:07:11,060 --> 00:07:13,700 Forget the pediatrician. Get to Westside, ask for Amy. 165 00:07:13,700 --> 00:07:16,000 I'll make sure she's waiting for you. 166 00:07:21,180 --> 00:07:24,620 Thank you for doing this. - I'm here for you. 167 00:07:24,620 --> 00:07:26,020 But keeping this a secret 168 00:07:26,020 --> 00:07:28,490 won't do you, or our patients, any favors. 169 00:07:28,490 --> 00:07:30,260 You're giving me an ultimatum? 170 00:07:30,260 --> 00:07:32,800 I'm asking you to tell Michael today. 171 00:07:32,800 --> 00:07:36,910 We both know that this disease will take things from you. 172 00:07:37,540 --> 00:07:39,610 Your legacy shouldn't be one of them. 173 00:07:44,690 --> 00:07:46,630 I'll see you in there. 174 00:07:52,770 --> 00:07:56,650 - I can't do dinner. I'm too tired. 175 00:07:59,550 --> 00:08:00,960 But we are still facing resistance 176 00:08:00,960 --> 00:08:02,690 from regulators on the new build. 177 00:08:02,690 --> 00:08:04,460 So find a new country or grease the wheels. 178 00:08:04,460 --> 00:08:06,700 I don't care which. Look, I gotta go. 179 00:08:06,700 --> 00:08:09,010 But one way or another, I want movement by next week. 180 00:08:09,010 --> 00:08:11,980 Hi, Mr. Voit, Max Garner, CEO of the hospital. 181 00:08:11,980 --> 00:08:15,420 Just wanted to say that we will do everything in our power 182 00:08:15,420 --> 00:08:17,190 to give you what you need today. 183 00:08:17,190 --> 00:08:19,560 My test results would be nice. 184 00:08:22,000 --> 00:08:24,840 Unfortunately, I'm going to have to eat my words. 185 00:08:24,840 --> 00:08:28,880 The biopsy confirms you have small cell lung cancer. 186 00:08:30,080 --> 00:08:31,480 - Lung cancer? - Yes. 187 00:08:31,480 --> 00:08:33,490 But he hasn't smoked a day in his life. 188 00:08:33,490 --> 00:08:34,860 And he's meticulous about his health. 189 00:08:34,860 --> 00:08:37,460 Fiona, we are not gonna argue this away, 190 00:08:37,460 --> 00:08:39,200 but I'm sure if you couldn't see the mass, 191 00:08:39,200 --> 00:08:40,870 we caught it early, right? 192 00:08:41,710 --> 00:08:44,580 Yes, but genetic sequencing 193 00:08:44,580 --> 00:08:47,050 indicates it's an aggressive variant. 194 00:08:47,050 --> 00:08:48,820 And the PET scan shows 195 00:08:48,820 --> 00:08:52,590 micro-metastases in your brain, abdomen and bones. 196 00:08:52,590 --> 00:08:54,030 So it's already spread? 197 00:08:55,030 --> 00:08:56,230 So what now? 198 00:08:56,230 --> 00:08:58,970 Well, we can try chemo and molecular therapy, 199 00:08:58,970 --> 00:09:01,010 but those treatments are very painful. 200 00:09:01,010 --> 00:09:03,310 And even then... - So, how long do I have? 201 00:09:04,050 --> 00:09:05,650 Best guess, 202 00:09:06,350 --> 00:09:08,060 we can get you four to six months. 203 00:09:09,860 --> 00:09:12,600 Personally, I'd consider palliative care. 204 00:09:12,600 --> 00:09:14,170 I'm getting Dr. Steiner. 205 00:09:14,170 --> 00:09:15,640 We'd be happy to interface 206 00:09:15,640 --> 00:09:17,140 with any of your own specialists. 207 00:09:17,140 --> 00:09:19,920 Well, we've already conferred with our Chief of Oncology, 208 00:09:19,920 --> 00:09:21,350 and he agrees with our assessment. 209 00:09:21,350 --> 00:09:22,750 Well, of course he does. 210 00:09:22,750 --> 00:09:25,020 He works in a bureaucracy and can't think out of the box. 211 00:09:25,020 --> 00:09:27,230 - I wish we could do more. - We could try CAR-T. 212 00:09:28,870 --> 00:09:31,740 - No, we cannot. - What is CAR-T? 213 00:09:31,740 --> 00:09:34,010 Chimeric Antigen Receptor T-cell therapy. 214 00:09:34,010 --> 00:09:35,750 It reprograms your white cells... 215 00:09:35,750 --> 00:09:38,480 And has absolutely no efficacy on this type of cancer. 216 00:09:38,480 --> 00:09:40,090 I don't think anyone knows that for sure. 217 00:09:40,090 --> 00:09:41,020 There's not enough data. 218 00:09:41,020 --> 00:09:42,860 Steiner is fielding second opinions 219 00:09:42,860 --> 00:09:44,260 and wants to teleconference in an hour. 220 00:09:44,260 --> 00:09:46,870 The plane will be ready to take you to Sloan or Hutch 221 00:09:46,870 --> 00:09:49,070 or Oxford if we have to. 222 00:09:49,070 --> 00:09:50,170 Wait a minute. 223 00:09:50,170 --> 00:09:52,280 Anything any of those places can do, we can do. 224 00:09:52,280 --> 00:09:54,920 And we'll be completely transparent with your team. 225 00:09:54,920 --> 00:09:56,760 Your team is not even on the same page. 226 00:09:56,760 --> 00:09:58,890 - We will get there. I assure you. 227 00:09:58,890 --> 00:10:00,700 Then come back to me with a plan. 228 00:10:00,700 --> 00:10:02,400 If I'm still here, I'm all ears. 229 00:10:05,170 --> 00:10:08,240 One centimetre fragment in segment six. 230 00:10:08,240 --> 00:10:10,720 Two-suture repair. 231 00:10:14,560 --> 00:10:16,360 Hey, any news? 232 00:10:16,360 --> 00:10:18,400 No. I'm freaking out. 233 00:10:18,400 --> 00:10:19,800 Listen, I told you. 234 00:10:19,800 --> 00:10:21,710 Just because you're taking longer to get the results, 235 00:10:21,710 --> 00:10:22,670 that doesn't mean anything. 236 00:10:22,670 --> 00:10:24,080 I know, I know. 237 00:10:24,080 --> 00:10:26,210 And I thought I'd be okay at this, but I am really not. 238 00:10:26,210 --> 00:10:27,720 Maybe stay away from work today. 239 00:10:27,720 --> 00:10:29,420 Just try and distract yourself. 240 00:10:29,420 --> 00:10:31,190 Funny you should say that. 241 00:10:31,190 --> 00:10:33,700 'Cause I'm kind of at the cafe around the corner. 242 00:10:33,700 --> 00:10:35,700 - Uh, from the hospital? Right now? 243 00:10:36,070 --> 00:10:38,200 Look, is there any way you can come for a minute? 244 00:10:38,200 --> 00:10:39,540 I'm really not handling this well. 245 00:10:39,540 --> 00:10:41,410 - Yeah, yeah. I'll be right there. 246 00:10:43,110 --> 00:10:44,950 BP's dropping. 91 over 59. 247 00:10:44,950 --> 00:10:47,820 - Amy? - Pushing 100 hydrocortisone. 248 00:10:47,820 --> 00:10:50,330 Normal saline wide open. What's his sodium? 249 00:10:50,330 --> 00:10:51,830 It's fine. 134. 250 00:10:51,830 --> 00:10:53,970 - It's not me. You have a bleeder. 251 00:10:53,970 --> 00:10:56,310 - My field is clear. Unless... 252 00:10:56,740 --> 00:10:58,550 Damn it! Suction! 253 00:10:58,550 --> 00:11:00,210 200 CCs lost already. 254 00:11:00,210 --> 00:11:01,380 You're counting? 255 00:11:01,380 --> 00:11:03,890 I can't clear the field fast enough. 256 00:11:03,890 --> 00:11:05,630 Want another clamp for a Pringle maneuver? 257 00:11:05,630 --> 00:11:07,460 No time. I'll do it blind. 258 00:11:07,460 --> 00:11:09,300 Vicryl suture on a needle driver. 259 00:11:30,840 --> 00:11:32,210 BP's rising. 260 00:11:34,650 --> 00:11:36,320 That was amazing. 261 00:11:36,750 --> 00:11:38,490 Piece of cake. 262 00:12:00,640 --> 00:12:01,910 Yeah, we're here with Amy now. 263 00:12:01,910 --> 00:12:03,270 She's checking his lungs. 264 00:12:03,270 --> 00:12:06,310 Stop, stop, I can't hear anything you're saying. 265 00:12:06,310 --> 00:12:09,250 You have to find somewhere with a better signal. 266 00:12:09,250 --> 00:12:10,660 Mom? Mom? 267 00:12:16,730 --> 00:12:19,370 So, the albuterol is working, 268 00:12:19,370 --> 00:12:21,240 but his oxygen is still low. 269 00:12:21,240 --> 00:12:22,680 If it drops any more... 270 00:12:22,680 --> 00:12:24,180 Don't tell me you have to intubate. 271 00:12:24,180 --> 00:12:26,190 - Oh my God! - No, we're not there yet. 272 00:12:26,190 --> 00:12:28,420 Let's... let's just try to stay calm. 273 00:12:29,690 --> 00:12:31,030 I never thought I'd say this, 274 00:12:31,030 --> 00:12:32,530 but I wish my mother were here. 275 00:12:32,530 --> 00:12:33,800 There's nothing she would do 276 00:12:33,800 --> 00:12:34,940 that I'm not already doing. 277 00:12:34,940 --> 00:12:36,410 You think I want her here 278 00:12:36,410 --> 00:12:37,540 for medical expertise? 279 00:12:38,040 --> 00:12:39,110 Oh. 280 00:12:39,110 --> 00:12:41,950 You know, when I had meningitis in college, 281 00:12:41,950 --> 00:12:43,820 she at least offered to fly home. 282 00:12:43,820 --> 00:12:45,690 Ethan, she's doing the best... 283 00:12:45,690 --> 00:12:48,000 - Don't defend her, Amy. All right? Please. 284 00:13:07,140 --> 00:13:07,970 Joan? 285 00:13:07,970 --> 00:13:10,340 - Yep. - You okay? 286 00:13:10,340 --> 00:13:12,010 I'm fine. 287 00:13:12,510 --> 00:13:16,320 I just had to splash a little water on my face. 288 00:13:16,320 --> 00:13:18,320 I'll be right out. 289 00:13:29,010 --> 00:13:31,080 Okay, let's bump his methimazole up to 20 290 00:13:31,080 --> 00:13:32,420 and then recheck his TSH. 291 00:13:32,420 --> 00:13:34,860 And can you have Dr. Park give me a call 292 00:13:34,860 --> 00:13:36,290 when labs come back on 612? 293 00:13:36,290 --> 00:13:38,030 Okay, thanks. 294 00:14:08,490 --> 00:14:10,230 - All handled? - Yeah. 295 00:14:10,630 --> 00:14:11,900 I think they can survive without me. 296 00:14:11,900 --> 00:14:13,640 Apparently, I can't. 297 00:14:13,640 --> 00:14:15,710 Hey, it's fine. Okay? 298 00:14:15,710 --> 00:14:19,080 I'm not going anywhere until the labs come back. Thank you. 299 00:14:19,080 --> 00:14:22,050 - What is this? - This is the Mia treatment. 300 00:14:22,050 --> 00:14:23,690 And you thought this would distract me 301 00:14:23,690 --> 00:14:24,820 from my impending doom? 302 00:14:24,820 --> 00:14:26,990 I've seen you around a sundae. 303 00:14:33,270 --> 00:14:36,280 I want primary custody for as long as I'm breastfeeding. 304 00:14:36,280 --> 00:14:37,550 Absolutely. 305 00:14:37,550 --> 00:14:40,190 I'll take regular visitation rights for the first year. 306 00:14:40,190 --> 00:14:42,460 And after this first period, 307 00:14:42,460 --> 00:14:45,130 we'll transition to the 50-50 custody? 308 00:14:45,630 --> 00:14:46,970 - Yes. - Agreed. 309 00:14:46,970 --> 00:14:48,970 Now on to assets. 310 00:14:48,970 --> 00:14:51,740 First, the family home, it's in Michael's name. 311 00:14:51,740 --> 00:14:54,120 I'm prepared to sell it and give Nora half the proceeds. 312 00:14:54,120 --> 00:14:56,660 I can't let you do that, Michael. 313 00:14:56,660 --> 00:14:58,060 Why not? 314 00:14:58,060 --> 00:15:00,090 - I know what it means to you. And what about Katie? 315 00:15:00,090 --> 00:15:01,800 She's fine with it. 316 00:15:01,800 --> 00:15:03,100 She's off to college soon, 317 00:15:03,100 --> 00:15:04,470 and I think it's the least I can do. 318 00:15:04,470 --> 00:15:07,110 Oh God. Don't you dare be kind to me right now. 319 00:15:08,780 --> 00:15:11,150 What else would I... 320 00:15:13,390 --> 00:15:16,430 - I need to hate you, Michael. And you need to let me. 321 00:15:21,710 --> 00:15:23,110 - Hey. - Hey! 322 00:15:23,110 --> 00:15:24,540 How's our patient? 323 00:15:24,540 --> 00:15:27,250 Well, strong vitals, no sign of infection. 324 00:15:27,250 --> 00:15:30,520 Emptied his drains, hung post-op antibiotics... 325 00:15:30,520 --> 00:15:32,830 Wow, you're gonna put our nurses out of business. 326 00:15:34,160 --> 00:15:37,670 I can handle post-op if you just wanna sit with him. 327 00:15:38,540 --> 00:15:41,740 That's a hell of a bedside manner you got there. 328 00:15:44,120 --> 00:15:46,450 You all right? Amy? 329 00:15:47,420 --> 00:15:48,560 Hey. 330 00:15:49,560 --> 00:15:51,200 I'm good. Uh... 331 00:15:51,200 --> 00:15:52,230 I... 332 00:15:52,530 --> 00:15:55,000 I have another patient I should check on. 333 00:15:55,000 --> 00:15:58,910 But Javi needs post-op lytes and hourly labs. 334 00:15:58,910 --> 00:16:00,380 I'll take care of it. 335 00:16:05,330 --> 00:16:06,730 We talked about this. 336 00:16:06,730 --> 00:16:09,100 I don't want you back in that chair until we have... 337 00:16:09,100 --> 00:16:11,400 I know, until I've had two months of normal EEGs. 338 00:16:11,400 --> 00:16:14,840 I know, but I've had four clean studies, 339 00:16:14,840 --> 00:16:16,250 and I need this memory now. 340 00:16:16,250 --> 00:16:17,820 Look, I know you're going for Chief Resident, 341 00:16:17,820 --> 00:16:20,620 and recovering your medical knowledge is important, but... 342 00:16:20,620 --> 00:16:21,990 No, it's not that. 343 00:16:21,990 --> 00:16:23,760 When my brain does this, it's because... 344 00:16:24,430 --> 00:16:26,200 it's trying to tell me something. 345 00:16:26,200 --> 00:16:28,540 My friend needs help and this memory 346 00:16:28,540 --> 00:16:30,640 may be the only way that I can help her. 347 00:16:31,740 --> 00:16:34,520 Any headaches or nosebleeds and I'm pulling the plug. 348 00:16:34,520 --> 00:16:36,090 Of course. 349 00:16:37,220 --> 00:16:40,060 I want to be clear that the treatment protocol 350 00:16:40,060 --> 00:16:42,170 that I'm proposing will be risky and painful. 351 00:16:42,170 --> 00:16:43,900 - Pain is irrelevant. Will it work? 352 00:16:43,900 --> 00:16:45,710 I found one successful case. 353 00:16:45,710 --> 00:16:48,180 But as your team will tell you, cancer involves many mutations. 354 00:16:48,180 --> 00:16:50,920 The treatment has to be as unique as the disease. 355 00:16:50,920 --> 00:16:52,690 That is where CAR-T comes in. 356 00:16:52,690 --> 00:16:55,490 We take your own T-cells and re-engineer them 357 00:16:55,490 --> 00:16:58,360 to target the specific markers of your illness. 358 00:16:58,360 --> 00:17:00,030 Which antigen will you use? 359 00:17:00,030 --> 00:17:02,040 His cancer cells exhibit a large number of DLL3 360 00:17:02,040 --> 00:17:03,440 surface proteins. 361 00:17:03,440 --> 00:17:05,440 And which viral vector for delivery? 362 00:17:05,440 --> 00:17:07,750 The case I'm referencing used a lentivirus model. 363 00:17:07,750 --> 00:17:09,990 The case he's referencing was so much less aggressive, 364 00:17:09,990 --> 00:17:11,360 it shouldn't even be considered a comp. 365 00:17:11,360 --> 00:17:13,260 Mr. Voit's immuno-response 366 00:17:13,260 --> 00:17:16,170 will almost certainly be catastrophic. 367 00:17:16,170 --> 00:17:18,940 There's a very good chance this treatment will kill you. 368 00:17:18,940 --> 00:17:20,210 By tomorrow. 369 00:17:20,210 --> 00:17:22,080 Or it could add years to his life. 370 00:17:22,080 --> 00:17:24,820 - Team? Some feedback would be nice. 371 00:17:24,820 --> 00:17:26,450 Give us a moment please. 372 00:17:26,450 --> 00:17:28,460 I thought you were getting on the same page? 373 00:17:28,460 --> 00:17:29,730 So did I. 374 00:17:30,090 --> 00:17:32,000 Okay. 375 00:17:32,000 --> 00:17:34,970 The only other option we can se here is Ludo's team in Zurich. 376 00:17:34,970 --> 00:17:36,610 They have a vaccine model 377 00:17:36,610 --> 00:17:38,240 that's had some limited success in mice. 378 00:17:38,240 --> 00:17:41,380 - Limited? And only with mice? No. That's out. What else? 379 00:17:41,680 --> 00:17:44,360 I'm sorry, but there's nothig we can stand behind. 380 00:17:44,360 --> 00:17:46,860 So Dr. Coleman's idea is the best option? 381 00:17:46,860 --> 00:17:48,430 It would be, yes. 382 00:17:48,430 --> 00:17:49,500 Elise? 383 00:17:49,500 --> 00:17:52,270 With more time we could dig deeper, 384 00:17:52,270 --> 00:17:55,110 but big things don't happen overnight in the cancer game. 385 00:17:55,110 --> 00:17:58,280 Okay, so... we have no choice. 386 00:17:58,280 --> 00:18:00,620 Okay then, let's get the ball rolling 387 00:18:00,620 --> 00:18:02,830 with whatever we need to do next. 388 00:18:02,830 --> 00:18:05,230 I'm sorry, but clearly these people on your payroll 389 00:18:05,230 --> 00:18:07,170 don't know how to say "no" to you. 390 00:18:07,170 --> 00:18:08,670 - Dr. Miller. - And I gotta say... 391 00:18:08,670 --> 00:18:10,910 if you were anyone else, this hospital wouldn't even be 392 00:18:10,910 --> 00:18:12,280 considering this course of treatment. 393 00:18:12,280 --> 00:18:14,380 Mr. Voit has an appetite for risk... 394 00:18:14,380 --> 00:18:16,150 An appetite for risk is one thing. 395 00:18:16,150 --> 00:18:19,630 This is trying to kill a lion with a toothpick. 396 00:18:23,770 --> 00:18:26,670 Look, sometimes we fly too close to the sun, 397 00:18:26,670 --> 00:18:30,620 but we get nowhere if we don't try to fly. 398 00:18:30,620 --> 00:18:32,220 Right, Dr. Coleman? 399 00:18:33,660 --> 00:18:36,900 Well, I sincerely hope this works. 400 00:18:37,300 --> 00:18:40,370 But, respectfully, I won't be a part of it. 401 00:18:52,230 --> 00:18:54,500 I, uh... 402 00:18:54,500 --> 00:18:57,070 I didn't mean what I said before. 403 00:18:57,070 --> 00:18:58,670 I mean... 404 00:18:59,770 --> 00:19:01,180 I don't want to hate you. 405 00:19:01,180 --> 00:19:03,820 I wouldn't blame you if you did. 406 00:19:05,720 --> 00:19:10,260 I hope that selling the house will be a fresh start for you. 407 00:19:12,060 --> 00:19:13,770 I think you really need that. 408 00:19:15,200 --> 00:19:17,580 Okay, I've drafted an agreement. 409 00:19:17,580 --> 00:19:19,680 Why don't we give it a once-over? 410 00:19:23,790 --> 00:19:25,190 And focus. 411 00:19:25,190 --> 00:19:27,230 Ground yourself in the memory. 412 00:19:27,230 --> 00:19:31,240 What can you smell, hear, see? 413 00:19:36,310 --> 00:19:37,920 Okay, let it rip. 414 00:19:48,100 --> 00:19:49,370 So just stay out of it! 415 00:19:49,370 --> 00:19:50,510 What are you not telling me? 416 00:19:50,510 --> 00:19:52,550 It's... it's MDS. 417 00:19:52,550 --> 00:19:56,850 So there's a good chance it'll turn into leukemia. 418 00:19:59,630 --> 00:20:02,400 - What is it, Amy? - I have to go. 419 00:20:08,340 --> 00:20:10,620 You can't perform surgery anymore. 420 00:20:18,000 --> 00:20:19,400 Place a vascath. 421 00:20:19,400 --> 00:20:21,500 Prep him for temporary hemodialysis. 422 00:20:21,500 --> 00:20:23,880 - What happened? - BP spike. 423 00:20:23,880 --> 00:20:25,980 Acute renal failure. 424 00:20:25,980 --> 00:20:27,310 But that makes no sense. 425 00:20:27,310 --> 00:20:28,790 Addison's should prevent BP spikes, 426 00:20:28,790 --> 00:20:31,120 and his renal function was normal pre-op. 427 00:20:31,120 --> 00:20:33,260 Well, clearly, we're missing something. 428 00:20:33,260 --> 00:20:36,500 Blood cultures, autoantibodies and a Pan CT scan. 429 00:20:36,500 --> 00:20:38,300 That's a good idea. 430 00:20:38,300 --> 00:20:39,410 It was even better when 431 00:20:39,410 --> 00:20:40,880 Dr. Maitra had it five minutes ago. 432 00:20:40,880 --> 00:20:42,340 Where were you? 433 00:20:43,610 --> 00:20:45,020 I was in TMS. 434 00:20:45,020 --> 00:20:46,890 I love your sense of timing. 435 00:20:46,890 --> 00:20:48,620 I remembered. 436 00:20:49,290 --> 00:20:50,830 You were diagnosed months ago 437 00:20:50,830 --> 00:20:52,670 and the disease certainly wasn't indolent. 438 00:20:52,670 --> 00:20:54,700 So, you're off chasing unreliable memories 439 00:20:54,700 --> 00:20:56,840 while our patient's life hangs in the balance? 440 00:20:56,840 --> 00:20:58,950 You're gonna look me in the eye and tell me 441 00:20:58,950 --> 00:21:00,180 that was a false memory? 442 00:21:00,180 --> 00:21:01,720 It was a bad day. 443 00:21:01,720 --> 00:21:04,460 I was emotional, and I'm fine now. 444 00:21:04,460 --> 00:21:07,700 You took this job knowing you couldn't handle it! 445 00:21:07,700 --> 00:21:09,670 - I am handling it. - Really? 446 00:21:09,670 --> 00:21:11,170 Where did you get this bruise? 447 00:21:11,170 --> 00:21:13,110 And what about the edema in your wrist? 448 00:21:13,110 --> 00:21:16,450 How much prednisone does it take to get you through a shift? 449 00:21:16,450 --> 00:21:19,020 You know what? Dr. Maitra and I will take it from here. 450 00:21:21,490 --> 00:21:24,060 I would never do anything 451 00:21:24,060 --> 00:21:25,500 to jeopardize a patient, 452 00:21:25,500 --> 00:21:28,640 and I don't need you to tell me that! 453 00:21:49,610 --> 00:21:51,920 Let me ask you something. 454 00:21:52,520 --> 00:21:54,160 When you went up against Dr. Miller, 455 00:21:54,160 --> 00:21:58,430 was that for my sake, or were you just pandering to your CEO? 456 00:21:59,330 --> 00:22:00,770 Oh, c'mon. 457 00:22:00,770 --> 00:22:02,670 Don't pretend you don't have a lot riding on this, too. 458 00:22:02,670 --> 00:22:04,840 I don't do anything I don't believe in. 459 00:22:06,050 --> 00:22:08,550 - A man of conviction. Guess I'm not surprised, huh? 460 00:22:08,550 --> 00:22:10,250 Four years in Afghanistan. 461 00:22:10,250 --> 00:22:11,820 Took a bullet during that hostage crisis... 462 00:22:11,820 --> 00:22:14,030 Okay, you guys gotta ease up on the background checks. 463 00:22:14,030 --> 00:22:15,830 It's getting weird. 464 00:22:15,830 --> 00:22:17,670 Honest too, huh? 465 00:22:17,670 --> 00:22:20,470 Look, this idea is out of the box. 466 00:22:20,470 --> 00:22:22,410 But you push boundaries for a living. 467 00:22:22,410 --> 00:22:24,980 Controversial but necessary to a society. 468 00:22:27,860 --> 00:22:29,460 I've just... 469 00:22:31,430 --> 00:22:33,730 I've never been the lab rat before. 470 00:22:50,400 --> 00:22:53,240 Dr. Ridley, he has tuberculosis. 471 00:22:53,840 --> 00:22:57,420 I saw some nonspecific areas lighting up on CT, 472 00:22:57,420 --> 00:22:59,290 figured they were artifact, 473 00:22:59,290 --> 00:23:00,720 but his sed rate was up 474 00:23:00,720 --> 00:23:02,560 so I ordered an ultrasound with Doppler. 475 00:23:02,560 --> 00:23:06,230 And found a cavitous lesion in his hepatic artery. 476 00:23:06,230 --> 00:23:09,310 Add that to his chronic inflammation, milky drain fluid, 477 00:23:09,310 --> 00:23:10,840 travel exposure... 478 00:23:10,840 --> 00:23:12,910 extra-pulmonary TB explains it all. 479 00:23:12,910 --> 00:23:13,980 Even the Addison's. 480 00:23:13,980 --> 00:23:16,050 He must have a lesion on his adrenal gland. 481 00:23:16,050 --> 00:23:18,060 And who knows where else. 482 00:23:18,060 --> 00:23:19,160 We need a full-body MRI 483 00:23:19,160 --> 00:23:22,370 with contrast and surgery to remove infection. 484 00:23:22,370 --> 00:23:24,840 - Good. I'll take him to radiology. 485 00:23:24,840 --> 00:23:27,540 You can grab a few protein bars, Dr. Maitra. We're going back in. 486 00:23:31,450 --> 00:23:33,020 You feeling okay? 487 00:23:33,960 --> 00:23:35,590 I feel like crap. 488 00:23:35,590 --> 00:23:37,930 Guess that's what we want, though, right? 489 00:23:39,230 --> 00:23:40,640 Means it's working. 490 00:23:40,640 --> 00:23:42,240 Yeah, well, your BP's a little low. 491 00:23:42,240 --> 00:23:43,940 I'm gonna start you on pressors. 492 00:23:45,510 --> 00:23:47,750 Mr. Voit? Mr. Voit! 493 00:23:47,750 --> 00:23:51,790 - Two milligrams IV lorazapam. Stat! 494 00:23:51,790 --> 00:23:53,360 When did you inject the CAR-T cells? 495 00:23:53,360 --> 00:23:56,170 - An hour ago. - It's a cytokine storm. 496 00:23:56,170 --> 00:23:58,340 But I pre-medicated with Benadryl and methylprednisolone. 497 00:23:58,340 --> 00:24:00,240 Well, it wasn't enough! 498 00:24:18,610 --> 00:24:20,520 What else we got? - Dinner. 499 00:24:20,520 --> 00:24:22,520 Oh, no, I'm gonna eat later. 500 00:24:22,520 --> 00:24:25,120 You can't help them if you can't stand. 501 00:24:25,120 --> 00:24:26,730 Ridley, eat. 502 00:24:31,670 --> 00:24:34,280 Can we talk about the real reason you won't slow down? 503 00:24:34,280 --> 00:24:35,850 Have you had Terry's moambe? 504 00:24:38,550 --> 00:24:39,920 Your grandson's gonna be fine. 505 00:24:39,920 --> 00:24:41,790 From everything you've said about Amy, 506 00:24:41,790 --> 00:24:43,830 he's in the best possible hands. 507 00:24:45,360 --> 00:24:46,530 Not mine, though. 508 00:24:46,530 --> 00:24:48,500 You can't be everywhere. 509 00:24:51,080 --> 00:24:53,650 When Harry and I were first married, 510 00:24:53,650 --> 00:24:55,850 I tried to stay put. 511 00:24:56,190 --> 00:24:58,390 Be the doting wife and mother 512 00:24:58,390 --> 00:25:00,630 and have a regular nine to five. 513 00:25:02,230 --> 00:25:06,370 The truth is, I just wasn't cut out for it. 514 00:25:08,540 --> 00:25:11,020 Maybe you were right to never settle down. 515 00:25:12,380 --> 00:25:14,160 Or maybe I just never found a man 516 00:25:14,160 --> 00:25:15,420 who could put up with me. 517 00:25:17,560 --> 00:25:19,670 Well, that makes two of us. 518 00:25:25,340 --> 00:25:26,450 Hello? 519 00:25:26,450 --> 00:25:27,720 It's me. 520 00:25:27,720 --> 00:25:30,450 Albuteral and high flow oxygen 521 00:25:30,450 --> 00:25:31,860 are keeping his numbers in the 80s. 522 00:25:31,860 --> 00:25:33,730 So no need to intubate? 523 00:25:33,730 --> 00:25:35,200 No, he's stabilized. 524 00:25:35,200 --> 00:25:37,130 But they've got an intense 525 00:25:37,130 --> 00:25:38,200 recovery ahead of them. 526 00:25:38,200 --> 00:25:41,310 If you could come home, I would. 527 00:25:44,220 --> 00:25:45,820 I'm trying to do my job. 528 00:25:45,820 --> 00:25:49,030 - At what cost? Joan! 60 milligrams! 529 00:25:49,030 --> 00:25:51,700 At that rate, you will flame out in weeks! 530 00:25:51,700 --> 00:25:52,830 That's my choice! 531 00:25:52,830 --> 00:25:54,300 Does Javi know what you're doing? 532 00:25:54,300 --> 00:25:55,470 I'm not killing myself, Amy. 533 00:25:55,470 --> 00:25:57,710 I am trying to make the most 534 00:25:57,710 --> 00:25:59,380 of the time I have left. 535 00:25:59,380 --> 00:26:01,620 And he would respect that. 536 00:26:01,620 --> 00:26:03,450 Well, what does Ethan think? 537 00:26:03,450 --> 00:26:05,260 I don't know. 538 00:26:05,260 --> 00:26:06,760 He doesn't know? 539 00:26:06,760 --> 00:26:08,160 He doesn't return my calls. 540 00:26:08,160 --> 00:26:10,500 - What? Wait... How long have things... 541 00:26:10,500 --> 00:26:12,740 - You know what? I think you've dredged up 542 00:26:12,740 --> 00:26:14,980 enough bad memories for one day, and if you'll excuse me, 543 00:26:14,980 --> 00:26:17,110 I have a patient who needs me. 544 00:26:19,620 --> 00:26:21,290 What do we got? 545 00:26:21,290 --> 00:26:25,100 Uh, granulomas in the liver, kidney, adrenals, bowel... 546 00:26:25,100 --> 00:26:26,700 they're everywhere. 547 00:26:32,180 --> 00:26:34,680 Tell the on-call surgeons to drop what they're doing 548 00:26:34,680 --> 00:26:36,050 and meet us in the OR, 549 00:26:36,050 --> 00:26:37,990 we're gonna need all the hands we can get. 550 00:26:38,420 --> 00:26:40,190 I commend you, my dear brother, 551 00:26:40,190 --> 00:26:44,140 to Almighty God and entrust you to your Creator. 552 00:26:44,140 --> 00:26:45,940 May you return to Him, 553 00:26:45,940 --> 00:26:48,510 who made you from the dust of the earth. 554 00:26:48,950 --> 00:26:51,050 May Holy Mary, the angels 555 00:26:51,050 --> 00:26:53,090 and all the saints come to greet you.. 556 00:26:53,090 --> 00:26:54,390 I'm... 557 00:26:55,260 --> 00:26:56,330 I'm so sorry, Mrs. Voit. 558 00:26:56,330 --> 00:26:58,800 May Christ who was crucified for you... 559 00:26:58,800 --> 00:27:01,670 I never should have let him go through with this. 560 00:27:03,540 --> 00:27:05,410 Excuse me. 561 00:27:17,170 --> 00:27:20,140 Care to explain how this went so wrong? 562 00:27:21,680 --> 00:27:23,110 We tried CAR-T... 563 00:27:23,110 --> 00:27:25,050 No, I read the report, I know what was attempted. 564 00:27:25,050 --> 00:27:27,090 I'm wondering how that was allowed to happen. 565 00:27:27,090 --> 00:27:29,390 You'd have to ask the CEO about that. 566 00:27:29,390 --> 00:27:31,660 He was pushing medical decisions? 567 00:27:31,660 --> 00:27:33,430 We could've used you here. 568 00:27:35,870 --> 00:27:37,580 So what are you proposing now? 569 00:27:37,580 --> 00:27:40,580 I'm thinking IL-6 blockers. 570 00:27:40,580 --> 00:27:41,980 The COVID treatment? 571 00:27:41,980 --> 00:27:45,390 CAR-T triggers a similar inflammatory cascade, 572 00:27:45,390 --> 00:27:47,830 and I don't think that the standard protocol 573 00:27:47,830 --> 00:27:49,970 will get the inflammation under control. 574 00:27:49,970 --> 00:27:51,800 He's been right all along. 575 00:27:54,410 --> 00:27:56,150 We should follow his lead. 576 00:27:59,620 --> 00:28:01,320 Your patient, your call. 577 00:28:04,090 --> 00:28:06,970 - Okay, okay, okay! The, the... our Thailand trip! 578 00:28:06,970 --> 00:28:08,040 You got booed off the karaoke stage... 579 00:28:08,040 --> 00:28:10,170 - Uh, Bohemian Rhapsody! - Yes, yes! 580 00:28:12,580 --> 00:28:13,780 And for the record, 581 00:28:13,780 --> 00:28:16,150 it wasn't my performance that people hated, 582 00:28:16,150 --> 00:28:18,260 it was just that that song is too long. 583 00:28:29,480 --> 00:28:30,820 They in? 584 00:28:32,350 --> 00:28:34,320 I can't look, you do it. 585 00:28:46,110 --> 00:28:47,320 It's negative. 586 00:28:47,320 --> 00:28:50,150 - I don't have cancer? - You don't have cancer. 587 00:29:04,020 --> 00:29:05,790 Saddle up, everyone. 588 00:29:05,790 --> 00:29:09,530 For the next 11 hours, we're doing an ex-vivo. 589 00:29:10,260 --> 00:29:11,660 That's right. 590 00:29:11,660 --> 00:29:13,030 The thing you learned about in med school 591 00:29:13,030 --> 00:29:14,370 but never thought you'd actually do. 592 00:29:14,370 --> 00:29:17,340 We're removing every damaged organ, repairing it, 593 00:29:17,340 --> 00:29:20,310 and then putting it back where we found it. 594 00:29:20,310 --> 00:29:23,920 We'll run two full operating fields side-by-side. 595 00:29:23,920 --> 00:29:26,560 My team will be the one removing organs 596 00:29:26,560 --> 00:29:28,100 and keeping Javi alive. 597 00:29:28,100 --> 00:29:30,770 That means controlling bleeding, managing perfusion, 598 00:29:30,770 --> 00:29:32,670 oxygenating his heart and brain. 599 00:29:32,670 --> 00:29:35,440 Team Two is on ex-vivo work. 600 00:29:35,440 --> 00:29:37,310 When we pass off an organ, 601 00:29:37,310 --> 00:29:40,660 you strip the granulomas and adhesions, 602 00:29:40,660 --> 00:29:42,260 repair what you can, 603 00:29:42,260 --> 00:29:45,830 then it comes straight back to us in working order. 604 00:29:45,830 --> 00:29:47,600 Precision is everything. 605 00:29:47,600 --> 00:29:49,840 We lose focus, we lose an organ. 606 00:29:49,840 --> 00:29:52,310 We lose an organ, we lose the man. 607 00:29:55,890 --> 00:29:57,590 No mistakes. 608 00:29:57,590 --> 00:29:58,820 Let's go. 609 00:29:59,860 --> 00:30:01,860 God, I cannot believe I'm seeing this. 610 00:30:01,860 --> 00:30:03,600 All right, I brought nourishments. 611 00:30:03,600 --> 00:30:06,010 - Oh, great. - There you are. 612 00:30:06,540 --> 00:30:08,280 Did she just do 613 00:30:08,280 --> 00:30:09,950 a rapid artery reconstruct on the fly? 614 00:30:09,950 --> 00:30:12,120 Yeah, it's unreal. 615 00:30:12,120 --> 00:30:13,950 She's a friggin' rockstar. 616 00:30:13,950 --> 00:30:16,260 She's something, that's for sure. 617 00:30:16,260 --> 00:30:18,500 You wonder why I didn't want to tell you? 618 00:30:18,500 --> 00:30:20,470 Look, but the way she's managing everyone, 619 00:30:20,470 --> 00:30:22,340 she's like a maestro. 620 00:30:23,170 --> 00:30:25,140 Okay, so what exactly is her endgame here? 621 00:30:25,140 --> 00:30:26,910 She's just going to keep operating until she drops? 622 00:30:26,910 --> 00:30:29,320 I can't believe what she's doing to herself. 623 00:30:29,320 --> 00:30:31,420 I know that you don't want to go behind her back, 624 00:30:31,420 --> 00:30:34,190 but I don't think she's really leaving us many options here. 625 00:30:35,200 --> 00:30:37,330 Just give me a couple hours. 626 00:30:37,330 --> 00:30:39,040 Till the end of the day. 627 00:30:47,450 --> 00:30:49,330 Ethan, it's Amy. 628 00:30:49,330 --> 00:30:52,930 Uh, gimme a call back when you can. There's... 629 00:30:52,930 --> 00:30:55,640 There's something going on with your mom. 630 00:30:55,640 --> 00:30:57,210 Okay, liver's coming out. 631 00:30:57,210 --> 00:31:00,410 Subhepatic space is clear. Put a retractor in there, Carol. 632 00:31:00,410 --> 00:31:01,650 Sponge. 633 00:31:04,220 --> 00:31:05,490 Okay. 634 00:31:07,700 --> 00:31:11,070 That granuloma's wrapped around the inferior vena cava. 635 00:31:11,070 --> 00:31:12,940 We can clamp, take it out, 636 00:31:12,940 --> 00:31:14,280 then reconstruct with Dacron graft? 637 00:31:14,280 --> 00:31:16,350 No. We've made enough compromises today. 638 00:31:16,350 --> 00:31:19,020 I'll dissect it off the wall, leave the vein intact. Scalpel. 639 00:31:19,320 --> 00:31:22,590 Uh... isn't it safer to do a graft? 640 00:31:22,590 --> 00:31:24,930 One slip and he could bleed out in seconds. 641 00:31:24,930 --> 00:31:26,330 I know. 642 00:31:26,330 --> 00:31:28,710 I wrote that chapter in your vascular surgery textbook. 643 00:31:28,710 --> 00:31:30,570 Suction, Dr. Maitra. 644 00:31:31,980 --> 00:31:34,450 Clamp ready in case it goes south. 645 00:31:46,410 --> 00:31:48,040 Metz. 646 00:31:49,210 --> 00:31:51,080 I'm securing the vena cava now. 647 00:31:51,080 --> 00:31:53,690 Dr. Maitra, get that lump out of my hair, please. 648 00:31:57,800 --> 00:32:00,200 You know what they say about me? 649 00:32:01,440 --> 00:32:03,270 Hands of stone. 650 00:32:08,320 --> 00:32:09,820 Hi. Hi. 651 00:32:10,250 --> 00:32:11,690 What are you doing here, Mom? 652 00:32:11,690 --> 00:32:14,300 - I wanted to check on Robbie. I came as soon as I could. 653 00:32:14,300 --> 00:32:16,570 Well, we both know that's not true. 654 00:32:16,570 --> 00:32:17,970 Okay, okay. 655 00:32:17,970 --> 00:32:20,270 I came as soon as I could responsibly leave. 656 00:32:20,270 --> 00:32:22,240 And why is it you feel a greater sense 657 00:32:22,240 --> 00:32:25,350 of responsibility to a group of strangers than your own family? 658 00:32:25,350 --> 00:32:27,860 Robbie was fine, he didn't need me. 659 00:32:27,860 --> 00:32:29,320 No, I needed you! 660 00:32:32,000 --> 00:32:33,840 You know, for once, I actually let myself believe 661 00:32:33,840 --> 00:32:34,870 that you'd be here. 662 00:32:34,870 --> 00:32:36,740 I was on my way 663 00:32:36,740 --> 00:32:38,140 and then we got the call. 664 00:32:38,140 --> 00:32:41,620 Fighting broke out in Sake, we were inundated... 665 00:32:41,620 --> 00:32:44,350 It's always something, Mom. 666 00:32:47,030 --> 00:32:48,700 And what would you have me do? 667 00:32:48,700 --> 00:32:51,140 Let those people die so I can come and hold your hand? 668 00:32:51,140 --> 00:32:52,540 No, you're right. 669 00:32:52,540 --> 00:32:54,710 No, you had to do what you thought was right. 670 00:32:54,710 --> 00:32:57,050 And now I have to do the same. 671 00:32:57,050 --> 00:32:59,280 So... you know what? I'm... I'm done. 672 00:32:59,280 --> 00:33:01,020 What does that mean, "You're done?" 673 00:33:01,020 --> 00:33:02,560 It means I'm just... I'm done. 674 00:33:02,560 --> 00:33:04,330 You know, at some point, I only have myself to blame 675 00:33:04,330 --> 00:33:06,030 for letting you disappoint me. 676 00:33:11,580 --> 00:33:15,880 If you can't see I made the only choice I could, 677 00:33:15,880 --> 00:33:17,590 in that moment, 678 00:33:17,590 --> 00:33:20,230 then I didn't raise the man I thought. 679 00:33:21,930 --> 00:33:24,370 You barely raised me at all. 680 00:33:39,630 --> 00:33:41,140 Welcome back. 681 00:33:43,170 --> 00:33:44,710 Must've been a close one. 682 00:33:45,710 --> 00:33:48,250 Turns out your Addison's 683 00:33:48,250 --> 00:33:50,620 was a symptom of indolent TB. 684 00:33:50,620 --> 00:33:53,590 You had a lesion on your adrenal gland. 685 00:33:53,990 --> 00:33:55,500 Along with 14 others. 686 00:33:55,500 --> 00:33:58,570 But we cleared the damage, and you'll make a full recovery. 687 00:34:00,040 --> 00:34:03,110 So... so, no more Addison's? 688 00:34:03,110 --> 00:34:06,050 No more Addison's. 689 00:34:10,260 --> 00:34:12,160 You saved my life. 690 00:34:13,130 --> 00:34:15,840 I wish there were more I could do for you. 691 00:34:15,840 --> 00:34:17,240 Are you kidding? 692 00:34:17,240 --> 00:34:19,680 That was a career-making surgery you bagged me, 693 00:34:19,680 --> 00:34:21,880 I'm gonna live forever in these halls. 694 00:34:23,820 --> 00:34:25,460 So, uh... 695 00:34:27,260 --> 00:34:29,430 when can I get back out there? 696 00:34:29,430 --> 00:34:31,140 Well, in the last 12 hours, 697 00:34:31,140 --> 00:34:33,510 most of your organs have been outside your body, 698 00:34:33,510 --> 00:34:36,080 so maybe you wanna give it a few weeks. 699 00:34:36,080 --> 00:34:41,090 Hey, we go where we're needed, right? 700 00:34:41,090 --> 00:34:42,860 Hmm. 701 00:35:03,900 --> 00:35:05,600 Hi, stranger. 702 00:35:07,440 --> 00:35:08,740 Mom. 703 00:35:25,410 --> 00:35:28,450 Unfortunately, the CAR-T 704 00:35:28,450 --> 00:35:30,890 hit you harder than your cancer. 705 00:35:30,890 --> 00:35:32,320 We've retested your blood 706 00:35:32,320 --> 00:35:34,030 and your small cell tumour markers 707 00:35:34,030 --> 00:35:35,800 only dropped three percent. 708 00:35:35,800 --> 00:35:37,540 Meaning it didn't make a dent. 709 00:35:37,540 --> 00:35:38,800 Right. 710 00:35:39,910 --> 00:35:42,610 Well, then, what's next? 711 00:35:43,280 --> 00:35:45,020 We're back where we started. 712 00:35:45,420 --> 00:35:48,290 Chemo and molecular therapy. 713 00:35:48,290 --> 00:35:49,590 So, you were right. 714 00:35:49,590 --> 00:35:52,670 My "yes men" almost killed me for nothing. 715 00:35:53,070 --> 00:35:55,170 We're just glad you're still here. 716 00:35:55,170 --> 00:35:56,910 I'll be dead by the end of the year. 717 00:35:56,910 --> 00:35:57,940 I'm sorry. 718 00:35:57,940 --> 00:35:59,780 But there's plenty you can do 719 00:35:59,780 --> 00:36:01,120 with the time you have left. 720 00:36:01,120 --> 00:36:02,720 No. I won't slowly degenerate. 721 00:36:02,720 --> 00:36:05,960 If you can't cure me, I will wait. 722 00:36:05,960 --> 00:36:07,330 Xander, no. 723 00:36:07,330 --> 00:36:08,760 What better time to do it than now? 724 00:36:08,760 --> 00:36:10,370 I'm sorry, what are we talking about? 725 00:36:10,370 --> 00:36:12,200 There's a Swiss cryogenics company that will freeze me 726 00:36:12,200 --> 00:36:13,510 until further notice. 727 00:36:13,510 --> 00:36:15,380 When there's a cure for this in 10, 20, 30 years, 728 00:36:15,380 --> 00:36:17,350 I'll be first in line. 729 00:36:17,350 --> 00:36:20,990 If they find a way to reverse the freezing process. 730 00:36:20,990 --> 00:36:22,590 We can do it with embryos. 731 00:36:23,460 --> 00:36:24,730 It's only a matter of time. 732 00:36:24,730 --> 00:36:26,100 And I won't... 733 00:36:26,470 --> 00:36:28,440 exactly be in a rush. 734 00:36:35,150 --> 00:36:36,890 She knew who she married, 735 00:36:36,890 --> 00:36:39,860 and I still have way too much to do in this world. 736 00:36:41,560 --> 00:36:43,030 The man needs a psych consult. 737 00:36:43,030 --> 00:36:44,400 We should put him on a 72-hour hold. 738 00:36:44,400 --> 00:36:45,940 On what grounds? 739 00:36:45,940 --> 00:36:48,280 He's not depressed or pathological, 740 00:36:48,280 --> 00:36:49,980 he's got a God complex. 741 00:36:51,120 --> 00:36:52,950 And I flew too close to the sun. 742 00:36:53,990 --> 00:36:55,390 The CEO's watching, 743 00:36:55,390 --> 00:36:57,830 you got a billionaire setting you up to be a hero. 744 00:36:57,830 --> 00:36:59,360 You got carried away. 745 00:36:59,360 --> 00:37:00,970 You're right. 746 00:37:00,970 --> 00:37:01,970 I'm sorry. 747 00:37:03,240 --> 00:37:04,540 I know you think 748 00:37:04,540 --> 00:37:06,310 I don't have a leg to stand on here, 749 00:37:06,310 --> 00:37:09,180 but what happened with Mr. Voit was unethical. 750 00:37:09,180 --> 00:37:10,820 And there isn't always gonna be 751 00:37:10,820 --> 00:37:12,890 someone more senior around to push back. 752 00:37:12,890 --> 00:37:15,160 You're not a rookie anymore, TJ. 753 00:37:15,160 --> 00:37:17,300 Time to start acting like it. 754 00:37:25,150 --> 00:37:26,320 Hey. 755 00:37:26,750 --> 00:37:28,120 Oh, hey. 756 00:37:28,120 --> 00:37:29,660 So... 757 00:37:31,160 --> 00:37:33,930 I need to tell you where I was yesterday. 758 00:37:35,040 --> 00:37:36,270 Okay. 759 00:37:36,840 --> 00:37:39,780 Rachel had a mammogram and they found a mass. 760 00:37:39,780 --> 00:37:42,920 Oh, no. Is she okay? 761 00:37:42,920 --> 00:37:44,320 Yeah, yeah, she's fine now. 762 00:37:44,320 --> 00:37:45,860 The biopsy results finally came back negative, 763 00:37:45,860 --> 00:37:49,200 but the past week has been kind of tough, so I just... 764 00:37:49,200 --> 00:37:50,640 I wanted to be there for her. 765 00:37:51,270 --> 00:37:53,810 So that's why you left early? 766 00:37:53,810 --> 00:37:56,010 - Yeah, yeah. She was spiralling. 767 00:37:56,680 --> 00:38:00,020 And that patient you were with 768 00:38:00,020 --> 00:38:01,890 in radiology last week? 769 00:38:01,890 --> 00:38:03,960 When you didn't want to talk? That was her? 770 00:38:04,630 --> 00:38:06,800 She asked me not to tell anyone. 771 00:38:06,800 --> 00:38:08,400 Um... 772 00:38:10,240 --> 00:38:11,740 But I see the look on your face, 773 00:38:11,740 --> 00:38:14,650 so clearly I went about this all wrong... 774 00:38:14,650 --> 00:38:16,350 No, you were in a tough spot. 775 00:38:16,350 --> 00:38:18,820 I'm just glad she's okay. 776 00:38:18,820 --> 00:38:20,990 - Yeah? - Yeah! 777 00:38:25,540 --> 00:38:26,670 Yeah. 778 00:38:28,210 --> 00:38:29,650 Okay. 779 00:38:31,650 --> 00:38:35,120 That was pretty sneaky, you calling Ethan. 780 00:38:35,660 --> 00:38:37,700 Dare I ask how it went? 781 00:38:39,460 --> 00:38:41,070 Well, uh... 782 00:38:41,070 --> 00:38:43,010 we have a lot to clean up. 783 00:38:43,010 --> 00:38:44,470 But... 784 00:38:45,510 --> 00:38:48,420 He's here. So, thank you. 785 00:38:49,550 --> 00:38:51,790 If there's one thing this year has taught me, 786 00:38:51,790 --> 00:38:54,730 it's that family finds a way to forgive. 787 00:38:56,700 --> 00:38:58,070 Let's hope. 788 00:38:59,640 --> 00:39:02,750 He certainly thinks I have a lot to answer for. 789 00:39:06,050 --> 00:39:09,560 We need to figure out what you're gonna do, Joan. 790 00:39:10,030 --> 00:39:12,100 Oh, I know what I'm gonna do. 791 00:39:13,770 --> 00:39:16,370 I didn't think it could get any worse 792 00:39:16,370 --> 00:39:17,710 than being schooled by Richard Miller, 793 00:39:17,710 --> 00:39:19,280 and knowing he was right. 794 00:39:19,280 --> 00:39:20,810 Try this. 795 00:39:20,810 --> 00:39:23,550 I spent all of last week trying to sideline Dr. Ridley, 796 00:39:23,550 --> 00:39:27,560 and the second she asks me to scrub in for a big operation, 797 00:39:27,560 --> 00:39:29,160 I leap at the chance. 798 00:39:29,160 --> 00:39:30,670 So we're hypocrites. 799 00:39:30,670 --> 00:39:33,810 Or maybe we're just doing the best we can 800 00:39:33,810 --> 00:39:36,750 in a job that has a lot of grey areas. 801 00:39:37,450 --> 00:39:39,420 Maybe we are. 802 00:39:40,050 --> 00:39:43,760 So? You wanna give our date another shot? 803 00:39:44,390 --> 00:39:45,700 Dinner? 804 00:39:45,700 --> 00:39:49,040 That Italian place on the corner? 805 00:39:49,040 --> 00:39:50,710 Or we could just go to mine. 806 00:39:50,710 --> 00:39:53,810 - For dinner? - That, too. 807 00:40:07,210 --> 00:40:09,680 Dr. Ridley would like all of Internal Medicine 808 00:40:09,680 --> 00:40:12,150 to report to the office for an all hands. 809 00:40:17,190 --> 00:40:19,100 Excuse me. 810 00:40:20,030 --> 00:40:22,070 Any idea what this is about? 811 00:40:22,070 --> 00:40:23,640 Uh... nope. 812 00:40:23,640 --> 00:40:25,610 No idea, but... I guess we'll both find out. 813 00:40:35,770 --> 00:40:39,910 - Wow, that was fast. Am I that scary? 814 00:40:39,910 --> 00:40:41,340 Yes! 815 00:40:43,450 --> 00:40:47,320 Uh, this is not a conversation 816 00:40:47,320 --> 00:40:49,660 I ever wanted to have, so... 817 00:40:51,030 --> 00:40:53,870 forgive me if I'm not exactly sure where to start. 818 00:40:56,270 --> 00:40:59,240 I know there's been concern 819 00:40:59,240 --> 00:41:01,080 about my health, 820 00:41:01,080 --> 00:41:02,750 and I truly appreciate it. 821 00:41:03,220 --> 00:41:05,860 It turns out, it was warranted. 822 00:41:07,760 --> 00:41:10,500 I have MDS. It's advanced. 823 00:41:10,500 --> 00:41:13,740 And it's time for me to accept that... 824 00:41:15,780 --> 00:41:18,350 it's not something I can outrun. 825 00:41:18,350 --> 00:41:19,890 So... 826 00:41:23,130 --> 00:41:24,900 last night 827 00:41:26,170 --> 00:41:28,870 will be my final surgery. 828 00:41:29,670 --> 00:41:34,150 And next week will be my last as your chief. 829 00:41:37,190 --> 00:41:39,120 I've spoken to Dr. Hamda 830 00:41:39,120 --> 00:41:43,300 and he has agreed to facilitate a smooth transition. 831 00:41:43,300 --> 00:41:44,800 And never fear... 832 00:41:44,800 --> 00:41:47,440 you will all receive your long-awaited 833 00:41:47,440 --> 00:41:49,240 evaluations before I go. 834 00:41:51,120 --> 00:41:53,250 I'd like to think, um... 835 00:41:53,250 --> 00:41:56,530 that I still have some wisdom 836 00:41:58,400 --> 00:42:00,870 to impart on the next generation. 837 00:42:02,140 --> 00:42:03,710 Even you, Peter. 838 00:42:05,910 --> 00:42:06,950 So, um, 839 00:42:07,820 --> 00:42:11,660 as my friend reminded me today, uh... 840 00:42:12,220 --> 00:42:14,600 we go where we're needed. 841 00:42:14,600 --> 00:42:17,740 And right now, there are more important places 842 00:42:17,740 --> 00:42:21,780 for me to be than inside an OR, or behind a desk. 843 00:42:24,580 --> 00:42:26,690 Being a doctor 844 00:42:28,020 --> 00:42:30,630 has been the privilege of my life. 845 00:42:33,570 --> 00:42:35,070 Being your chief 846 00:42:37,340 --> 00:42:40,210 has meant more to me than I expected. 847 00:42:41,380 --> 00:42:43,050 Thank you. 848 00:42:47,360 --> 00:42:49,570 All of you. 849 00:42:52,510 --> 00:42:55,310 And I'll see you tomorrow. 850 00:43:30,280 --> 00:43:32,720 Subtitling: difuze