1 00:00:00,000 --> 00:00:04,162 WWW.MY-SUBS.CO 1 00:00:00,913 --> 00:00:03,546 - Previously, on Doc. - He's back! 2 00:00:03,570 --> 00:00:04,799 I made mistakes. 3 00:00:04,823 --> 00:00:06,916 Actually, you leveraged an incredibly painful situation 4 00:00:06,940 --> 00:00:08,056 to your advantage. 5 00:00:08,080 --> 00:00:10,180 And how are things with Nora now? 6 00:00:10,680 --> 00:00:13,066 - Over. - I found a lump. 7 00:00:13,090 --> 00:00:14,166 Please don't tell anyone about this. 8 00:00:14,190 --> 00:00:15,366 Do you have a minute? 9 00:00:15,390 --> 00:00:16,776 I'm in radiology right now with a patient. 10 00:00:16,800 --> 00:00:19,076 What if she's sick and she's trying to hide it? 11 00:00:19,100 --> 00:00:20,346 It's progressing quickly. 12 00:00:20,370 --> 00:00:22,216 I suggest you reach out to Ethan. 13 00:00:22,240 --> 00:00:23,716 Get a support system in place. 14 00:00:23,740 --> 00:00:25,186 You went into her desk? 15 00:00:25,210 --> 00:00:26,496 We had no other choice. 16 00:00:26,520 --> 00:00:28,366 I'm afraid that you might be sick. 17 00:00:28,589 --> 00:00:30,389 We have to talk about Joan. 18 00:00:43,620 --> 00:00:44,966 Dr. Ridley? 19 00:00:44,990 --> 00:00:47,066 - Oh, they're here? - Heading up now. 20 00:00:47,090 --> 00:00:49,236 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 --> 00:00:55,846 - Bay 4. Read me in. - Penetrating abdominal wound. 23 00:00:55,870 --> 00:00:57,656 Initial stabilizing surgery on site, 24 00:00:57,680 --> 00:00:59,726 but multiple retained foreign bodies could not be removed. 25 00:00:59,750 --> 00:01:01,096 Open wound packed for transport. 26 00:01:01,120 --> 00:01:02,996 - How'd he do on the flight? - Hypotensive and tachy. 27 00:01:03,020 --> 00:01:05,166 Started nor-epi and fluid resus en route. 28 00:01:05,190 --> 00:01:06,709 - Conscious? - In and out. 29 00:01:06,733 --> 00:01:09,106 - And asking for you. - On my count. 30 00:01:09,130 --> 00:01:11,305 Three, two, one. 31 00:01:12,570 --> 00:01:14,216 Hang TXA. Two of O-neg. 32 00:01:14,240 --> 00:01:16,268 I want him on the table in half an hour. 33 00:01:16,873 --> 00:01:18,513 Ridley? 34 00:01:18,620 --> 00:01:19,966 Is that you? 35 00:01:19,990 --> 00:01:22,106 If you missed me this much, you could've just called. 36 00:01:24,030 --> 00:01:25,776 You know I love to make an entrance. 37 00:01:25,800 --> 00:01:31,016 Well, you are here now, Javi, and I am gonna take care of you. 38 00:01:31,040 --> 00:01:39,040 Synced and corrected by -robtor- www.MY-SUBS.com 39 00:01:39,290 --> 00:01:41,330 I thought you were coming in later. 40 00:01:43,030 --> 00:01:45,016 So did I, but I've gotta review 41 00:01:45,040 --> 00:01:46,816 all of Amy's cases by end of day. 42 00:01:46,840 --> 00:01:49,454 - She doing the same for yours? - She handed hers in already. 43 00:01:49,478 --> 00:01:52,271 - Not that it matters anymore. - Okay, why do you say that? 44 00:01:52,295 --> 00:01:54,636 Don't you think Joan's gonna figure out we were the ones 45 00:01:54,660 --> 00:01:55,836 who told Jake about her? 46 00:01:55,860 --> 00:01:57,836 She was hazing me yesterday as if she already knew. 47 00:01:57,860 --> 00:02:00,716 I'm pretty sure Jake passed that baton to Amy today, 48 00:02:01,021 --> 00:02:02,286 so I'm sure you're on equal footing now. 49 00:02:02,310 --> 00:02:04,216 I heard she's prepping another surgery. 50 00:02:04,240 --> 00:02:07,150 And clearly she hasn't invited you to audit. 51 00:02:08,490 --> 00:02:10,196 We did the right thing. 52 00:02:10,533 --> 00:02:12,643 Can't overthink the consequences. 53 00:02:14,384 --> 00:02:15,346 This should hold him for now, 54 00:02:15,370 --> 00:02:18,055 but prep the team for massive transfusion protocol. 55 00:02:18,954 --> 00:02:20,705 Damn generator exploded. 56 00:02:20,729 --> 00:02:24,005 We worked medical missions together for 22 years, 57 00:02:24,029 --> 00:02:26,699 but why don't you go ahead and say what you need to say? 58 00:02:27,469 --> 00:02:30,809 Uh, I thought maybe we could step away. 59 00:02:31,879 --> 00:02:33,595 Is your boyfriend hiding out there somewhere 60 00:02:33,619 --> 00:02:34,965 to double team me? 61 00:02:34,989 --> 00:02:36,035 Joan. 62 00:02:36,473 --> 00:02:37,829 It's MDS. 63 00:02:39,359 --> 00:02:41,845 - Oh, God. - Please. Don't. 64 00:02:41,869 --> 00:02:45,885 I was diagnosed a few weeks ago, it's mostly indolent. 65 00:02:45,909 --> 00:02:47,855 Haven't had a chance to tell Michael yet, 66 00:02:47,879 --> 00:02:50,065 so I'd appreciate if you let me do that. 67 00:02:50,089 --> 00:02:51,195 Yeah, of course. 68 00:02:51,219 --> 00:02:53,465 And, before you ask, Javi knows. 69 00:02:53,489 --> 00:02:55,635 He came here anyway. He has Addison's. 70 00:02:55,659 --> 00:02:57,669 He needed a surgeon he could trust. 71 00:02:59,997 --> 00:03:02,839 Does he know that your hand's been shaking? 72 00:03:05,779 --> 00:03:08,993 That happened once, Amy, after a very difficult surgery. 73 00:03:09,017 --> 00:03:11,589 Which this will be. 74 00:03:17,369 --> 00:03:19,579 I'm medicated and I'm fine. 75 00:03:21,209 --> 00:03:23,595 You could use an extra set of hands to manage his cortisol 76 00:03:23,619 --> 00:03:25,095 and electrolyte levels. 77 00:03:25,325 --> 00:03:27,165 Is that you offering? 78 00:03:27,722 --> 00:03:30,192 I'll get him started on a TTE. 79 00:03:34,269 --> 00:03:36,507 Thank you, Wright. Mr. Voit. 80 00:03:36,532 --> 00:03:38,654 Who are you? I'm supposed to be seeing Dr. Ridley. 81 00:03:38,679 --> 00:03:41,350 Dr. Ridley had an emergency, but I can assure you... 82 00:03:41,374 --> 00:03:43,295 And Dr. Hamda was supposed to be joining us as well. 83 00:03:43,319 --> 00:03:47,305 His whereabouts I can't speak to, but I'm Dr. Miller... 84 00:03:47,329 --> 00:03:49,245 - First name? - Uh, Richard. 85 00:03:49,269 --> 00:03:50,545 And you are? 86 00:03:50,569 --> 00:03:53,055 - Fiona. Xander's COO. - And my wife. 87 00:03:53,079 --> 00:03:54,117 You're an internist? 88 00:03:54,141 --> 00:03:55,355 Board-certified in oncology as well. 89 00:03:55,379 --> 00:03:56,625 Pulmonary subspecialty. 90 00:03:56,649 --> 00:03:57,925 - Where? - St. Agericus. 91 00:03:57,949 --> 00:04:00,165 And he used to be Chief of Internal Medicine here. 92 00:04:00,189 --> 00:04:01,265 For just two months? 93 00:04:01,289 --> 00:04:02,905 I didn't love the admin. 94 00:04:02,929 --> 00:04:06,145 So, I took a little hiatus and I came back to work with patients, 95 00:04:06,169 --> 00:04:08,045 which is what I do love. 96 00:04:08,069 --> 00:04:09,455 Okay. Continue. 97 00:04:09,479 --> 00:04:11,255 I understand you have a suspicious mass 98 00:04:11,279 --> 00:04:12,695 in your right lung. 99 00:04:12,719 --> 00:04:14,365 I get regular full-body scans in Palo Alto. 100 00:04:14,389 --> 00:04:17,535 But I was here at a conference when the PolaDx flagged it. 101 00:04:17,559 --> 00:04:19,135 It's an AI diagnostic program. 102 00:04:19,159 --> 00:04:22,115 17 percent better than humans at early cancer detection. 103 00:04:22,139 --> 00:04:25,082 It's also far more likely to give you a false positive. 104 00:04:25,159 --> 00:04:26,405 Well, that's the hope. 105 00:04:26,430 --> 00:04:28,251 But I won't wait to get home to find out. 106 00:04:28,849 --> 00:04:31,695 Hi, I'm Dr. Coleman. I'll be assisting Dr. Miller. 107 00:04:31,719 --> 00:04:34,065 Uh, yeah. That's Theodore Coleman. 108 00:04:34,089 --> 00:04:36,435 He's an intern. Columbia Med School. 109 00:04:36,459 --> 00:04:38,102 Army ranger medic. 110 00:04:38,126 --> 00:04:40,715 He is highly skilled, very ambitious, 111 00:04:40,739 --> 00:04:42,585 and an extremely hard worker. 112 00:04:42,609 --> 00:04:44,455 - Are we being interviewed? - Vetted. 113 00:04:44,479 --> 00:04:46,425 It's gonna be on him anyway. Steiner vouches. 114 00:04:46,449 --> 00:04:47,725 - Oh, I'm flattered. - Great. 115 00:04:47,749 --> 00:04:49,595 I want the tissue removed and studied. 116 00:04:49,619 --> 00:04:52,375 So, how would you do that, Dr. Coleman? 117 00:04:52,399 --> 00:04:54,475 A bronchoscopic biopsy and a PET scan. 118 00:04:55,281 --> 00:04:57,244 - Is that correct? - It is. 119 00:04:57,269 --> 00:04:59,709 Then let's do that, huh? Stat. 120 00:05:01,649 --> 00:05:03,725 I want to thank you both for being here today. 121 00:05:04,037 --> 00:05:07,005 My role is not to judge or to take sides 122 00:05:07,029 --> 00:05:10,105 but to facilitate a productive, respectful conversation. 123 00:05:12,769 --> 00:05:15,269 - I'm so sorry. It's Max. - It's fine, Michael. 124 00:05:17,467 --> 00:05:20,265 I told you I had a personal matter to attend to today. 125 00:05:20,289 --> 00:05:23,295 You also told me Joan would be taking care of Xander Voit. 126 00:05:23,319 --> 00:05:25,435 Well, she has a patient who is a higher priority. 127 00:05:25,459 --> 00:05:29,145 Than a tech tycoon who can fund our entire capital campaign 128 00:05:29,169 --> 00:05:31,515 with what he makes while brushing his teeth? 129 00:05:31,539 --> 00:05:33,155 Well, Dr. Miller's on the case. 130 00:05:33,179 --> 00:05:35,495 I hear he's excellent. Why else would you have hired him back? 131 00:05:35,519 --> 00:05:37,625 - Not funny, Michael. - No, it's not. 132 00:05:37,649 --> 00:05:39,195 I'll deal with this in a few hours 133 00:05:39,219 --> 00:05:41,742 when I get back to the hospital. Goodbye, Max. 134 00:05:42,775 --> 00:05:44,991 So she took this job and she didn't tell Michael? 135 00:05:45,069 --> 00:05:48,979 No. She was diagnosed after she was offered the job. 136 00:05:49,679 --> 00:05:50,825 And she still hasn't told him. 137 00:05:50,849 --> 00:05:52,695 She's getting her head around it. 138 00:05:52,719 --> 00:05:54,025 And in the meantime, what? 139 00:05:54,049 --> 00:05:55,535 You're aiding and abetting? Risking a patient? 140 00:05:55,559 --> 00:05:57,665 The patient knows and he chose her anyway. 141 00:05:57,689 --> 00:06:00,105 Besides, there's no time to move him. 142 00:06:00,129 --> 00:06:02,045 I don't know. Something doesn't feel right. 143 00:06:02,069 --> 00:06:04,315 - She's working you. - No, she isn't. 144 00:06:04,339 --> 00:06:06,515 You... you just don't know her the way I do. 145 00:06:06,539 --> 00:06:09,279 You don't know her either. Not in the last eight years. 146 00:06:12,589 --> 00:06:15,799 I'm sorry. But that's the truth. 147 00:06:16,199 --> 00:06:18,629 And you know you can't justify any of this. 148 00:06:26,402 --> 00:06:27,716 How long has it been like this? 149 00:06:27,740 --> 00:06:31,305 Mom says a week. They thought it would heal on its own but... 150 00:06:31,329 --> 00:06:32,535 No. She's too malnourished. 151 00:06:32,559 --> 00:06:35,045 Fighting in Goma cut off the food supply. 152 00:06:42,849 --> 00:06:47,029 So I got saline, debridement kit, mupirocin. 153 00:06:47,557 --> 00:06:49,005 Please trade with me. 154 00:06:49,029 --> 00:06:50,745 What's wrong with your case? 155 00:06:50,769 --> 00:06:53,275 Oh, Marcus keeps sending me lumps, bumps and dumps. 156 00:06:53,299 --> 00:06:55,455 That's what you get for sleeping with him 157 00:06:55,479 --> 00:06:56,955 and not calling him back. 158 00:06:56,979 --> 00:06:58,495 - Dr. Ridley? - Mm-hmm? 159 00:06:58,519 --> 00:06:59,855 - It's your son. - What? 160 00:06:59,879 --> 00:07:03,689 It's... it's 2 AM in Minneapolis. 161 00:07:05,129 --> 00:07:06,335 Ethan? 162 00:07:06,359 --> 00:07:07,969 Hey, what's wrong? 163 00:07:09,769 --> 00:07:11,285 No, no, no. Uh... 164 00:07:11,309 --> 00:07:13,925 Forget the pediatrician. Get to Westside, ask for Amy. 165 00:07:13,949 --> 00:07:16,225 I'll make sure she's waiting for you. 166 00:07:22,008 --> 00:07:24,845 - Thank you for doing this. - I'm here for you. 167 00:07:24,869 --> 00:07:26,245 But keeping this a secret 168 00:07:26,269 --> 00:07:28,715 won't do you, or our patients, any favors. 169 00:07:28,739 --> 00:07:30,485 You're giving me an ultimatum? 170 00:07:30,509 --> 00:07:33,497 I'm asking you to tell Michael today. 171 00:07:33,521 --> 00:07:37,159 We both know that this disease will take things from you. 172 00:07:37,789 --> 00:07:39,859 Your legacy shouldn't be one of them. 173 00:07:44,939 --> 00:07:46,879 I'll see you in there. 174 00:07:53,019 --> 00:07:56,899 I can't do dinner. I'm too tired. 175 00:07:59,799 --> 00:08:01,185 But we are still facing resistance 176 00:08:01,209 --> 00:08:02,915 from regulators on the new build. 177 00:08:02,939 --> 00:08:04,685 So find a new country or grease the wheels. 178 00:08:04,709 --> 00:08:06,925 I don't care which. Look, I gotta go. 179 00:08:06,949 --> 00:08:09,235 But one way or another, I want movement by next week. 180 00:08:09,259 --> 00:08:12,205 Hi, Mr. Voit, Max Garner, CEO of the hospital. 181 00:08:12,229 --> 00:08:15,645 Just wanted to say that we will do everything in our power 182 00:08:15,669 --> 00:08:17,415 to give you what you need today. 183 00:08:17,439 --> 00:08:19,809 My test results would be nice. 184 00:08:22,249 --> 00:08:25,413 Unfortunately, I'm going to have to eat my words. 185 00:08:25,437 --> 00:08:29,129 The biopsy confirms you have small cell lung cancer. 186 00:08:30,329 --> 00:08:31,705 - Lung cancer? - Yes. 187 00:08:31,729 --> 00:08:33,388 But he hasn't smoked a day in his life. 188 00:08:33,412 --> 00:08:35,085 And he's meticulous about his health. 189 00:08:35,109 --> 00:08:37,685 Fiona, we are not gonna argue this away, 190 00:08:37,709 --> 00:08:39,425 but I'm sure if you couldn't see the mass, 191 00:08:39,449 --> 00:08:41,119 we caught it early, right? 192 00:08:41,959 --> 00:08:44,805 Yes, but genetic sequencing 193 00:08:44,829 --> 00:08:47,275 indicates it's an aggressive variant. 194 00:08:47,299 --> 00:08:49,045 And the PET scan shows 195 00:08:49,069 --> 00:08:52,815 micro-metastases in your brain, abdomen and bones. 196 00:08:52,839 --> 00:08:54,279 So it's already spread? 197 00:08:55,018 --> 00:08:56,194 So what now? 198 00:08:56,219 --> 00:08:59,195 Well, we can try chemo and molecular therapy, 199 00:08:59,219 --> 00:09:01,235 but those treatments are very painful. 200 00:09:01,259 --> 00:09:03,559 - And even then... - So, how long do I have? 201 00:09:04,545 --> 00:09:06,145 Best guess, 202 00:09:06,599 --> 00:09:08,309 we can get you four to six months. 203 00:09:10,109 --> 00:09:12,825 Personally, I'd consider palliative care. 204 00:09:12,849 --> 00:09:14,395 I'm getting Dr. Steiner. 205 00:09:14,419 --> 00:09:15,865 We'd be happy to interface 206 00:09:15,889 --> 00:09:17,365 with any of your own specialists. 207 00:09:17,389 --> 00:09:20,145 Well, we've already conferred with our Chief of Oncology, 208 00:09:20,169 --> 00:09:21,342 and he agrees with our assessment. 209 00:09:21,366 --> 00:09:22,508 Well, of course he does. 210 00:09:22,532 --> 00:09:25,245 He works in a bureaucracy and can't think out of the box. 211 00:09:25,269 --> 00:09:27,479 - I wish we could do more. - We could try CAR-T. 212 00:09:29,119 --> 00:09:31,965 - No, we cannot. - What is CAR-T? 213 00:09:31,989 --> 00:09:34,235 Chimeric Antigen Receptor T-cell therapy. 214 00:09:34,259 --> 00:09:35,975 It reprograms your white cells... 215 00:09:35,999 --> 00:09:38,705 And has absolutely no efficacy on this type of cancer. 216 00:09:38,729 --> 00:09:41,246 I don't think anyone knows that for sure. There's not enough data. 217 00:09:41,270 --> 00:09:43,085 Steiner is fielding second opinions 218 00:09:43,109 --> 00:09:44,485 and wants to teleconference in an hour. 219 00:09:44,509 --> 00:09:47,095 The plane will be ready to take you to Sloan or Hutch 220 00:09:47,119 --> 00:09:48,794 or Oxford if we have to. 221 00:09:48,818 --> 00:09:49,894 Wait a minute. 222 00:09:49,918 --> 00:09:52,505 Anything any of those places can do, we can do. 223 00:09:52,529 --> 00:09:55,145 And we'll be completely transparent with your team. 224 00:09:55,169 --> 00:09:56,985 Your team is not even on the same page. 225 00:09:57,009 --> 00:09:59,115 We will get there. I assure you. 226 00:09:59,139 --> 00:10:00,719 Then come back to me with a plan. 227 00:10:00,743 --> 00:10:02,649 If I'm still here, I'm all ears. 228 00:10:05,744 --> 00:10:08,790 One centimetre fragment in segment six. 229 00:10:08,815 --> 00:10:11,295 Two-suture repair. 230 00:10:14,809 --> 00:10:16,585 Hey, any news? 231 00:10:16,609 --> 00:10:18,625 No. I'm freaking out. 232 00:10:18,649 --> 00:10:20,025 Listen, I told you. 233 00:10:20,049 --> 00:10:21,748 Just because you're taking longer to get the results, 234 00:10:21,772 --> 00:10:22,896 that doesn't mean anything. 235 00:10:22,920 --> 00:10:24,305 I know, I know. 236 00:10:24,329 --> 00:10:26,435 And I thought I'd be okay at this, but I am really not. 237 00:10:26,459 --> 00:10:27,945 Maybe stay away from work today. 238 00:10:27,969 --> 00:10:29,645 Just try and distract yourself. 239 00:10:29,669 --> 00:10:31,415 Funny you should say that. 240 00:10:31,439 --> 00:10:33,925 'Cause I'm kind of at the cafe around the corner. 241 00:10:33,949 --> 00:10:36,036 Uh, from the hospital? Right now? 242 00:10:36,319 --> 00:10:38,425 Look, is there any way you can come for a minute? 243 00:10:38,449 --> 00:10:39,765 I'm really not handling this well. 244 00:10:39,789 --> 00:10:41,659 Yeah, yeah. I'll be right there. 245 00:10:43,359 --> 00:10:45,175 BP's dropping. 91 over 59. 246 00:10:45,199 --> 00:10:48,045 - Amy? - Pushing 100 hydrocortisone. 247 00:10:48,069 --> 00:10:50,555 Normal saline wide open. What's his sodium? 248 00:10:50,579 --> 00:10:52,055 It's fine. 134. 249 00:10:52,079 --> 00:10:54,195 It's not me. You have a bleeder. 250 00:10:54,219 --> 00:10:56,559 My field is clear. Unless... 251 00:10:56,989 --> 00:10:58,775 Damn it! Suction! 252 00:10:58,799 --> 00:11:00,435 200 CCs lost already. 253 00:11:00,459 --> 00:11:01,605 You're counting? 254 00:11:01,629 --> 00:11:04,115 I can't clear the field fast enough. 255 00:11:04,139 --> 00:11:05,855 Want another clamp for a Pringle maneuver? 256 00:11:05,879 --> 00:11:07,685 No time. I'll do it blind. 257 00:11:07,709 --> 00:11:09,525 Vicryl suture on a needle driver. 258 00:11:31,089 --> 00:11:32,459 BP's rising. 259 00:11:34,899 --> 00:11:36,569 That was amazing. 260 00:11:36,999 --> 00:11:38,739 Piece of cake. 261 00:12:00,192 --> 00:12:02,135 Yeah, we're here with Amy now. 262 00:12:02,159 --> 00:12:03,495 She's checking his lungs. 263 00:12:03,519 --> 00:12:06,535 Stop, stop, I can't hear anything you're saying. 264 00:12:06,559 --> 00:12:09,475 You have to find somewhere with a better signal. 265 00:12:09,499 --> 00:12:10,885 Mom? Mom? 266 00:12:16,979 --> 00:12:19,341 So, the albuterol is working, 267 00:12:19,365 --> 00:12:21,465 but his oxygen is still low. 268 00:12:21,489 --> 00:12:22,905 If it drops any more... 269 00:12:22,929 --> 00:12:24,405 Don't tell me you have to intubate. 270 00:12:24,429 --> 00:12:26,415 - Oh my God! - No, we're not there yet. 271 00:12:26,439 --> 00:12:28,669 Let's... let's just try to stay calm. 272 00:12:29,939 --> 00:12:31,255 I never thought I'd say this, 273 00:12:31,279 --> 00:12:32,755 but I wish my mother were here. 274 00:12:32,779 --> 00:12:35,165 There's nothing she would do that I'm not already doing. 275 00:12:35,189 --> 00:12:37,789 You think I want her here for medical expertise? 276 00:12:38,289 --> 00:12:39,335 Oh. 277 00:12:40,034 --> 00:12:42,175 You know, when I had meningitis in college, 278 00:12:42,199 --> 00:12:44,045 she at least offered to fly home. 279 00:12:44,069 --> 00:12:45,915 Ethan, she's doing the best... 280 00:12:45,939 --> 00:12:48,249 Don't defend her, Amy. All right? Please. 281 00:13:07,389 --> 00:13:08,489 Joan? 282 00:13:08,513 --> 00:13:10,565 - Yep. - You okay? 283 00:13:10,828 --> 00:13:12,498 I'm fine. 284 00:13:12,759 --> 00:13:16,545 I just had to splash a little water on my face. 285 00:13:16,788 --> 00:13:18,788 I'll be right out. 286 00:13:29,259 --> 00:13:31,305 Okay, let's bump his methimazole up to 20 287 00:13:31,329 --> 00:13:32,645 and then recheck his TSH. 288 00:13:32,669 --> 00:13:35,085 And can you have Dr. Park give me a call 289 00:13:35,109 --> 00:13:36,515 when labs come back on 612? 290 00:13:36,539 --> 00:13:38,279 Okay, thanks. 291 00:14:08,739 --> 00:14:10,479 - All handled? - Yeah. 292 00:14:10,879 --> 00:14:12,125 I think they can survive without me. 293 00:14:12,149 --> 00:14:13,865 Apparently, I can't. 294 00:14:13,889 --> 00:14:15,935 Hey, it's fine. Okay? 295 00:14:15,959 --> 00:14:19,305 I'm not going anywhere until the labs come back. Thank you. 296 00:14:19,329 --> 00:14:22,275 - What is this? - This is the Mia treatment. 297 00:14:22,299 --> 00:14:23,915 And you thought this would distract me 298 00:14:23,939 --> 00:14:25,045 from my impending doom? 299 00:14:25,069 --> 00:14:27,239 I've seen you around a sundae. 300 00:14:33,519 --> 00:14:36,505 I want primary custody for as long as I'm breastfeeding. 301 00:14:36,529 --> 00:14:37,775 Absolutely. 302 00:14:37,799 --> 00:14:40,415 I'll take regular visitation rights for the first year. 303 00:14:40,439 --> 00:14:42,530 And after this first period, 304 00:14:42,554 --> 00:14:45,379 we'll transition to the 50-50 custody? 305 00:14:45,879 --> 00:14:47,195 - Yes. - Agreed. 306 00:14:47,219 --> 00:14:49,195 Now on to assets. 307 00:14:49,219 --> 00:14:51,965 First, the family home, it's in Michael's name. 308 00:14:51,989 --> 00:14:54,345 I'm prepared to sell it and give Nora half the proceeds. 309 00:14:54,369 --> 00:14:56,885 I can't let you do that, Michael. 310 00:14:56,909 --> 00:14:59,345 - Why not? - I know what it means to you. 311 00:14:59,369 --> 00:15:00,315 And what about Katie? 312 00:15:00,339 --> 00:15:02,025 She's fine with it. 313 00:15:02,049 --> 00:15:03,325 She's off to college soon, 314 00:15:03,349 --> 00:15:04,695 and I think it's the least I can do. 315 00:15:04,719 --> 00:15:07,359 Oh God. Don't you dare be kind to me right now. 316 00:15:09,029 --> 00:15:11,399 What else would I... 317 00:15:13,639 --> 00:15:16,679 I need to hate you, Michael. And you need to let me. 318 00:15:21,959 --> 00:15:23,335 - Hey. - Hey! 319 00:15:23,359 --> 00:15:24,484 How's our patient? 320 00:15:24,508 --> 00:15:27,475 Well, strong vitals, no sign of infection. 321 00:15:27,499 --> 00:15:30,745 Emptied his drains, hung post-op antibiotics... 322 00:15:30,769 --> 00:15:33,055 Wow, you're gonna put our nurses out of business. 323 00:15:34,409 --> 00:15:38,046 I can handle post-op if you just wanna sit with him. 324 00:15:38,789 --> 00:15:41,965 That's a hell of a bedside manner you got there. 325 00:15:44,369 --> 00:15:46,699 You all right? Amy? 326 00:15:47,669 --> 00:15:48,809 Hey. 327 00:15:49,809 --> 00:15:51,425 I'm good. Uh... 328 00:15:51,449 --> 00:15:52,479 I... 329 00:15:52,779 --> 00:15:55,225 I have another patient I should check on. 330 00:15:55,249 --> 00:15:59,135 But Javi needs post-op lytes and hourly labs. 331 00:15:59,159 --> 00:16:00,629 I'll take care of it. 332 00:16:05,579 --> 00:16:06,955 We talked about this. 333 00:16:06,979 --> 00:16:09,325 I don't want you back in that chair until we have... 334 00:16:09,349 --> 00:16:11,625 I know, until I've had two months of normal EEGs. 335 00:16:11,649 --> 00:16:15,065 I know, but I've had four clean studies, 336 00:16:15,089 --> 00:16:16,686 and I need this memory now. 337 00:16:16,710 --> 00:16:18,426 Look, I know you're going for Chief Resident, 338 00:16:18,450 --> 00:16:20,845 and recovering your medical knowledge is important, but... 339 00:16:20,869 --> 00:16:21,980 No, it's not that. 340 00:16:22,004 --> 00:16:24,009 When my brain does this, it's because... 341 00:16:24,679 --> 00:16:26,425 it's trying to tell me something. 342 00:16:26,449 --> 00:16:28,765 My friend needs help and this memory 343 00:16:28,789 --> 00:16:30,889 may be the only way that I can help her. 344 00:16:31,989 --> 00:16:34,745 Any headaches or nosebleeds and I'm pulling the plug. 345 00:16:34,769 --> 00:16:36,339 Of course. 346 00:16:37,469 --> 00:16:39,953 I want to be clear that the treatment protocol 347 00:16:39,977 --> 00:16:42,032 that I'm proposing will be risky and painful. 348 00:16:42,056 --> 00:16:43,710 Pain is irrelevant. Will it work? 349 00:16:43,734 --> 00:16:45,338 I found one successful case. 350 00:16:45,362 --> 00:16:48,405 But as your team will tell you, cancer involves many mutations. 351 00:16:48,429 --> 00:16:51,145 The treatment has to be as unique as the disease. 352 00:16:51,169 --> 00:16:52,915 That is where CAR-T comes in. 353 00:16:52,939 --> 00:16:55,715 We take your own T-cells and re-engineer them 354 00:16:55,739 --> 00:16:58,585 to target the specific markers of your illness. 355 00:16:58,609 --> 00:16:59,877 Which antigen will you use? 356 00:16:59,902 --> 00:17:02,104 His cancer cells exhibit a large number of DLL3 357 00:17:02,129 --> 00:17:03,505 surface proteins. 358 00:17:03,689 --> 00:17:05,665 And which viral vector for delivery? 359 00:17:05,689 --> 00:17:07,975 The case I'm referencing used a lentivirus model. 360 00:17:07,999 --> 00:17:10,215 The case he's referencing was so much less aggressive, 361 00:17:10,239 --> 00:17:11,585 it shouldn't even be considered a comp. 362 00:17:11,609 --> 00:17:13,485 Mr. Voit's immuno-response 363 00:17:13,509 --> 00:17:16,395 will almost certainly be catastrophic. 364 00:17:16,419 --> 00:17:19,165 There's a very good chance this treatment will kill you. 365 00:17:19,189 --> 00:17:20,435 By tomorrow. 366 00:17:20,459 --> 00:17:22,305 Or it could add years to his life. 367 00:17:22,329 --> 00:17:25,045 Team? Some feedback would be nice. 368 00:17:25,069 --> 00:17:26,675 Give us a moment please. 369 00:17:26,699 --> 00:17:28,685 I thought you were getting on the same page? 370 00:17:28,709 --> 00:17:29,979 So did I. 371 00:17:30,700 --> 00:17:31,966 Okay. 372 00:17:31,990 --> 00:17:35,195 The only other option we can se here is Ludo's team in Zurich. 373 00:17:35,219 --> 00:17:36,835 They have a vaccine model 374 00:17:36,859 --> 00:17:38,465 that's had some limited success in mice. 375 00:17:38,489 --> 00:17:41,629 Limited? And only with mice? No. That's out. What else? 376 00:17:41,929 --> 00:17:44,585 I'm sorry, but there's nothig we can stand behind. 377 00:17:44,609 --> 00:17:47,085 So Dr. Coleman's idea is the best option? 378 00:17:47,109 --> 00:17:48,655 It would be, yes. 379 00:17:48,679 --> 00:17:49,725 Elise? 380 00:17:49,749 --> 00:17:52,495 With more time we could dig deeper, 381 00:17:52,519 --> 00:17:55,335 but big things don't happen overnight in the cancer game. 382 00:17:55,359 --> 00:17:58,505 Okay, so... we have no choice. 383 00:17:58,529 --> 00:18:00,845 Okay then, let's get the ball rolling 384 00:18:00,869 --> 00:18:02,730 with whatever we need to do next. 385 00:18:02,754 --> 00:18:05,455 I'm sorry, but clearly these people on your payroll 386 00:18:05,479 --> 00:18:07,395 don't know how to say "no" to you. 387 00:18:07,419 --> 00:18:08,691 - Dr. Miller. - And I gotta say... 388 00:18:08,715 --> 00:18:11,135 if you were anyone else, this hospital wouldn't even be 389 00:18:11,159 --> 00:18:12,505 considering this course of treatment. 390 00:18:12,529 --> 00:18:14,605 Mr. Voit has an appetite for risk... 391 00:18:14,629 --> 00:18:16,375 An appetite for risk is one thing. 392 00:18:16,399 --> 00:18:19,879 This is trying to kill a lion with a toothpick. 393 00:18:24,670 --> 00:18:26,895 Look, sometimes we fly too close to the sun, 394 00:18:26,919 --> 00:18:30,845 but we get nowhere if we don't try to fly. 395 00:18:31,215 --> 00:18:32,815 Right, Dr. Coleman? 396 00:18:34,101 --> 00:18:37,341 Well, I sincerely hope this works. 397 00:18:37,835 --> 00:18:40,905 But, respectfully, I won't be a part of it. 398 00:18:52,479 --> 00:18:54,510 I, uh... 399 00:18:54,534 --> 00:18:57,295 I didn't mean what I said before. 400 00:18:57,319 --> 00:18:58,919 I mean... 401 00:19:00,019 --> 00:19:01,405 I don't want to hate you. 402 00:19:01,708 --> 00:19:04,348 I wouldn't blame you if you did. 403 00:19:05,969 --> 00:19:10,509 I hope that selling the house will be a fresh start for you. 404 00:19:12,309 --> 00:19:13,995 I think you really need that. 405 00:19:15,449 --> 00:19:17,805 Okay, I've drafted an agreement. 406 00:19:17,829 --> 00:19:19,929 Why don't we give it a once-over? 407 00:19:23,965 --> 00:19:25,341 ...And focus. 408 00:19:25,439 --> 00:19:27,455 Ground yourself in the memory. 409 00:19:27,479 --> 00:19:31,489 What can you smell, hear, see? 410 00:19:36,559 --> 00:19:38,169 Okay, let it rip. 411 00:19:48,349 --> 00:19:49,595 So just stay out of it! 412 00:19:49,619 --> 00:19:50,735 What are you not telling me? 413 00:19:50,759 --> 00:19:52,775 It's... it's MDS. 414 00:19:52,799 --> 00:19:57,099 So there's a good chance it'll turn into leukemia. 415 00:20:00,092 --> 00:20:02,862 - What is it, Amy? - I have to go. 416 00:20:08,589 --> 00:20:10,869 You can't perform surgery anymore. 417 00:20:18,249 --> 00:20:19,625 Place a vascath. 418 00:20:19,649 --> 00:20:21,275 Prep him for temporary hemodialysis. 419 00:20:21,299 --> 00:20:24,105 - What happened? - BP spike. 420 00:20:24,129 --> 00:20:26,205 Acute renal failure. 421 00:20:26,229 --> 00:20:27,535 But that makes no sense. 422 00:20:27,559 --> 00:20:29,015 Addison's should prevent BP spikes, 423 00:20:29,039 --> 00:20:31,630 and his renal function was normal pre-op. 424 00:20:31,654 --> 00:20:33,485 Well, clearly, we're missing something. 425 00:20:33,509 --> 00:20:36,725 Blood cultures, autoantibodies and a Pan CT scan. 426 00:20:36,749 --> 00:20:38,221 That's a good idea. 427 00:20:38,245 --> 00:20:41,105 It was even better when Dr. Maitra had it five minutes ago. 428 00:20:41,129 --> 00:20:42,589 Where were you? 429 00:20:43,805 --> 00:20:45,191 I was in TMS. 430 00:20:45,361 --> 00:20:47,207 I love your sense of timing. 431 00:20:47,232 --> 00:20:48,962 I remembered. 432 00:20:49,539 --> 00:20:51,055 You were diagnosed months ago 433 00:20:51,079 --> 00:20:52,895 and the disease certainly wasn't indolent. 434 00:20:52,919 --> 00:20:54,925 So, you're off chasing unreliable memories 435 00:20:54,949 --> 00:20:57,065 while our patient's life hangs in the balance? 436 00:20:57,089 --> 00:20:59,175 You're gonna look me in the eye and tell me 437 00:20:59,199 --> 00:21:00,405 that was a false memory? 438 00:21:00,429 --> 00:21:01,945 It was a bad day. 439 00:21:01,969 --> 00:21:04,685 I was emotional, and I'm fine now. 440 00:21:04,709 --> 00:21:07,925 You took this job knowing you couldn't handle it! 441 00:21:07,949 --> 00:21:09,895 - I am handling it. - Really? 442 00:21:09,919 --> 00:21:11,395 Where did you get this bruise? 443 00:21:11,419 --> 00:21:13,335 And what about the edema in your wrist? 444 00:21:13,359 --> 00:21:16,675 How much prednisone does it take to get you through a shift? 445 00:21:16,699 --> 00:21:19,269 You know what? Dr. Maitra and I will take it from here. 446 00:21:21,739 --> 00:21:24,285 I would never do anything 447 00:21:24,309 --> 00:21:25,725 to jeopardize a patient, 448 00:21:25,749 --> 00:21:28,889 and I don't need you to tell me that! 449 00:21:50,835 --> 00:21:52,336 Let me ask you something. 450 00:21:52,769 --> 00:21:54,385 When you went up against Dr. Miller, 451 00:21:54,409 --> 00:21:58,679 was that for my sake, or were you just pandering to your CEO? 452 00:21:59,579 --> 00:22:00,995 Oh, c'mon. 453 00:22:01,019 --> 00:22:02,895 Don't pretend you don't have a lot riding on this, too. 454 00:22:02,919 --> 00:22:05,065 I don't do anything I don't believe in. 455 00:22:06,299 --> 00:22:08,775 A man of conviction. Guess I'm not surprised, huh? 456 00:22:08,799 --> 00:22:10,475 Four years in Afghanistan. 457 00:22:10,499 --> 00:22:12,045 Took a bullet during that hostage crisis... 458 00:22:12,069 --> 00:22:14,255 Okay, you guys gotta ease up on the background checks. 459 00:22:14,279 --> 00:22:15,668 It's getting weird. 460 00:22:16,402 --> 00:22:17,895 Honest too, huh? 461 00:22:17,919 --> 00:22:20,695 Look, this idea is out of the box. 462 00:22:20,719 --> 00:22:22,635 But you push boundaries for a living. 463 00:22:22,659 --> 00:22:25,229 Controversial but necessary to a society. 464 00:22:28,109 --> 00:22:29,709 I've just... 465 00:22:31,585 --> 00:22:33,885 I've never been the lab rat before. 466 00:22:50,649 --> 00:22:53,814 Dr. Ridley, he has tuberculosis. 467 00:22:54,482 --> 00:22:57,645 I saw some nonspecific areas lighting up on CT, 468 00:22:57,669 --> 00:22:59,174 figured they were artifact, 469 00:22:59,198 --> 00:23:00,945 but his sed rate was up 470 00:23:00,969 --> 00:23:02,785 so I ordered an ultrasound with Doppler. 471 00:23:02,809 --> 00:23:06,455 And found a cavitous lesion in his hepatic artery. 472 00:23:06,479 --> 00:23:09,535 Add that to his chronic inflammation, milky drain fluid, 473 00:23:09,559 --> 00:23:11,065 travel exposure... 474 00:23:11,089 --> 00:23:13,135 extra-pulmonary TB explains it all. 475 00:23:13,159 --> 00:23:14,205 Even the Addison's. 476 00:23:14,229 --> 00:23:16,275 He must have a lesion on his adrenal gland. 477 00:23:16,299 --> 00:23:17,998 And who knows where else. 478 00:23:18,022 --> 00:23:19,385 We need a full-body MRI 479 00:23:19,409 --> 00:23:22,595 with contrast and surgery to remove infection. 480 00:23:22,619 --> 00:23:25,065 Good. I'll take him to radiology. 481 00:23:25,089 --> 00:23:27,973 You can grab a few protein bars, Dr. Maitra. We're going back in. 482 00:23:31,699 --> 00:23:33,269 You feeling okay? 483 00:23:34,209 --> 00:23:35,815 I feel like crap. 484 00:23:35,839 --> 00:23:38,155 Guess that's what we want, though, right? 485 00:23:39,479 --> 00:23:40,865 Means it's working. 486 00:23:40,889 --> 00:23:42,465 Yeah, well, your BP's a little low. 487 00:23:42,489 --> 00:23:44,165 I'm gonna start you on pressors. 488 00:23:45,759 --> 00:23:47,975 Mr. Voit? Mr. Voit! 489 00:23:49,286 --> 00:23:52,015 Two milligrams IV lorazapam. Stat! 490 00:23:52,039 --> 00:23:53,585 When did you inject the CAR-T cells? 491 00:23:53,609 --> 00:23:56,395 - An hour ago. - It's a cytokine storm. 492 00:23:56,419 --> 00:23:58,565 But I pre-medicated with Benadryl and methylprednisolone. 493 00:23:58,589 --> 00:24:00,005 Well, it wasn't enough! 494 00:24:18,859 --> 00:24:20,745 - What else we got? - Dinner. 495 00:24:20,769 --> 00:24:22,745 Oh, no, I'm gonna eat later. 496 00:24:22,769 --> 00:24:25,105 You can't help them if you can't stand. 497 00:24:25,129 --> 00:24:26,979 Ridley, eat. 498 00:24:31,919 --> 00:24:34,505 Can we talk about the real reason you won't slow down? 499 00:24:34,529 --> 00:24:36,075 Have you had Terry's moambe? 500 00:24:38,799 --> 00:24:40,485 Your grandson's gonna be fine. 501 00:24:40,509 --> 00:24:42,015 From everything you've said about Amy, 502 00:24:42,039 --> 00:24:44,079 he's in the best possible hands. 503 00:24:45,609 --> 00:24:46,755 Not mine, though. 504 00:24:47,105 --> 00:24:49,075 You can't be everywhere. 505 00:24:51,329 --> 00:24:53,875 When Harry and I were first married, 506 00:24:54,092 --> 00:24:56,292 I tried to stay put. 507 00:24:56,439 --> 00:24:58,615 Be the doting wife and mother 508 00:24:58,639 --> 00:25:00,879 and have a regular nine to five. 509 00:25:02,479 --> 00:25:06,595 The truth is, I just wasn't cut out for it. 510 00:25:08,789 --> 00:25:11,245 Maybe you were right to never settle down. 511 00:25:12,629 --> 00:25:14,385 Or maybe I just never found a man 512 00:25:14,409 --> 00:25:15,645 who could put up with me. 513 00:25:17,809 --> 00:25:19,919 Well, that makes two of us. 514 00:25:25,589 --> 00:25:26,675 Hello? 515 00:25:26,699 --> 00:25:27,945 It's me. 516 00:25:27,969 --> 00:25:30,675 Albuteral and high flow oxygen 517 00:25:30,699 --> 00:25:32,085 are keeping his numbers in the 80s. 518 00:25:32,109 --> 00:25:33,955 So no need to intubate? 519 00:25:33,979 --> 00:25:35,425 No, he's stabilized. 520 00:25:35,449 --> 00:25:38,425 But they've got an intense recovery ahead of them. 521 00:25:38,449 --> 00:25:41,535 If you could come home, I would. 522 00:25:44,469 --> 00:25:46,045 I'm trying to do my job. 523 00:25:46,069 --> 00:25:49,255 At what cost? Joan! 60 milligrams! 524 00:25:49,279 --> 00:25:51,702 At that rate, you will flame out in weeks! 525 00:25:51,727 --> 00:25:52,833 That's my choice! 526 00:25:52,858 --> 00:25:54,304 Does Javi know what you're doing? 527 00:25:54,329 --> 00:25:55,475 I'm not killing myself, Amy. 528 00:25:55,500 --> 00:25:57,716 I am trying to make the most 529 00:25:57,959 --> 00:25:59,605 of the time I have left. 530 00:25:59,959 --> 00:26:01,845 And he would respect that. 531 00:26:01,869 --> 00:26:03,675 Well, what does Ethan think? 532 00:26:04,171 --> 00:26:05,485 I don't know. 533 00:26:05,881 --> 00:26:07,203 He doesn't know? 534 00:26:07,227 --> 00:26:08,385 He doesn't return my calls. 535 00:26:08,884 --> 00:26:10,725 What? Wait... How long have things... 536 00:26:10,749 --> 00:26:12,965 You know what? I think you've dredged up 537 00:26:12,989 --> 00:26:15,205 enough bad memories for one day, and if you'll excuse me, 538 00:26:15,229 --> 00:26:17,359 I have a patient who needs me. 539 00:26:19,869 --> 00:26:21,515 What do we got? 540 00:26:21,539 --> 00:26:25,325 Uh, granulomas in the liver, kidney, adrenals, bowel... 541 00:26:25,349 --> 00:26:26,949 they're everywhere. 542 00:26:32,429 --> 00:26:34,905 Tell the on-call surgeons to drop what they're doing 543 00:26:34,929 --> 00:26:36,275 and meet us in the OR, 544 00:26:36,299 --> 00:26:38,239 we're gonna need all the hands we can get. 545 00:26:38,669 --> 00:26:40,415 I commend you, my dear brother, 546 00:26:40,833 --> 00:26:44,365 to Almighty God and entrust you to your Creator. 547 00:26:44,389 --> 00:26:46,165 May you return to Him, 548 00:26:46,189 --> 00:26:48,759 who made you from the dust of the earth. 549 00:26:49,199 --> 00:26:51,275 May Holy Mary, the angels 550 00:26:51,299 --> 00:26:53,315 and all the saints come to greet you.. 551 00:26:53,339 --> 00:26:54,639 I'm... 552 00:26:55,509 --> 00:26:56,555 I'm so sorry, Mrs. Voit. 553 00:26:56,579 --> 00:26:59,025 May Christ who was crucified for you... 554 00:26:59,049 --> 00:27:01,895 I never should have let him go through with this. 555 00:27:03,789 --> 00:27:05,635 Excuse me. 556 00:27:17,870 --> 00:27:20,365 Care to explain how this went so wrong? 557 00:27:21,929 --> 00:27:23,335 We tried CAR-T... 558 00:27:23,359 --> 00:27:25,275 No, I read the report, I know what was attempted. 559 00:27:25,299 --> 00:27:26,958 I'm wondering how that was allowed to happen. 560 00:27:26,982 --> 00:27:29,615 You'd have to ask the CEO about that. 561 00:27:29,639 --> 00:27:31,885 He was pushing medical decisions? 562 00:27:31,909 --> 00:27:33,655 We could've used you here. 563 00:27:36,119 --> 00:27:37,805 So what are you proposing now? 564 00:27:37,829 --> 00:27:40,805 I'm thinking IL-6 blockers. 565 00:27:40,829 --> 00:27:42,205 The COVID treatment? 566 00:27:42,229 --> 00:27:45,615 CAR-T triggers a similar inflammatory cascade, 567 00:27:45,639 --> 00:27:48,055 and I don't think that the standard protocol 568 00:27:48,079 --> 00:27:50,195 will get the inflammation under control. 569 00:27:50,219 --> 00:27:52,049 He's been right all along. 570 00:27:54,659 --> 00:27:56,399 We should follow his lead. 571 00:28:00,095 --> 00:28:01,795 Your patient, your call. 572 00:28:04,339 --> 00:28:07,195 Okay, okay, okay! The, the... our Thailand trip! 573 00:28:07,219 --> 00:28:08,265 You got booed off the karaoke stage... 574 00:28:08,289 --> 00:28:10,395 - Uh, Bohemian Rhapsody! - Yes, yes! 575 00:28:12,829 --> 00:28:14,005 And for the record, 576 00:28:14,029 --> 00:28:16,375 it wasn't my performance that people hated, 577 00:28:16,399 --> 00:28:18,485 it was just that that song is too long. 578 00:28:29,729 --> 00:28:31,069 They in? 579 00:28:32,879 --> 00:28:34,849 I can't look, you do it. 580 00:28:46,359 --> 00:28:47,545 It's negative. 581 00:28:47,569 --> 00:28:50,399 - I don't have cancer? - You don't have cancer. 582 00:29:04,269 --> 00:29:06,015 Saddle up, everyone. 583 00:29:06,039 --> 00:29:09,779 For the next 11 hours, we're doing an ex-vivo. 584 00:29:10,509 --> 00:29:11,885 That's right. 585 00:29:11,909 --> 00:29:13,255 The thing you learned about in med school 586 00:29:13,279 --> 00:29:14,595 but never thought you'd actually do. 587 00:29:14,619 --> 00:29:17,565 We're removing every damaged organ, repairing it, 588 00:29:17,589 --> 00:29:20,535 and then putting it back where we found it. 589 00:29:20,559 --> 00:29:24,145 We'll run two full operating fields side-by-side. 590 00:29:24,169 --> 00:29:26,785 My team will be the one removing organs 591 00:29:26,809 --> 00:29:28,325 and keeping Javi alive. 592 00:29:28,349 --> 00:29:30,995 That means controlling bleeding, managing perfusion, 593 00:29:31,019 --> 00:29:32,895 oxygenating his heart and brain. 594 00:29:32,919 --> 00:29:35,665 Team Two is on ex-vivo work. 595 00:29:35,689 --> 00:29:37,535 When we pass off an organ, 596 00:29:37,559 --> 00:29:40,885 you strip the granulomas and adhesions, 597 00:29:40,909 --> 00:29:42,485 repair what you can, 598 00:29:42,509 --> 00:29:46,055 then it comes straight back to us in working order. 599 00:29:46,079 --> 00:29:47,825 Precision is everything. 600 00:29:47,849 --> 00:29:50,065 We lose focus, we lose an organ. 601 00:29:50,089 --> 00:29:52,559 We lose an organ, we lose the man. 602 00:29:56,139 --> 00:29:57,815 No mistakes. 603 00:29:57,839 --> 00:29:59,239 Let's go. 604 00:30:00,109 --> 00:30:02,085 God, I cannot believe I'm seeing this. 605 00:30:02,109 --> 00:30:03,825 All right, I brought nourishments. 606 00:30:03,849 --> 00:30:06,259 - Oh, great. - There you are. 607 00:30:07,331 --> 00:30:10,175 Did she just do a rapid artery reconstruct on the fly? 608 00:30:10,199 --> 00:30:12,345 Yeah, it's unreal. 609 00:30:12,369 --> 00:30:14,175 She's a friggin' rockstar. 610 00:30:14,199 --> 00:30:16,485 She's something, that's for sure. 611 00:30:16,882 --> 00:30:18,725 You wonder why I didn't want to tell you? 612 00:30:18,749 --> 00:30:20,695 Look, but the way she's managing everyone, 613 00:30:20,719 --> 00:30:22,589 she's like a maestro. 614 00:30:23,419 --> 00:30:25,365 Okay, so what exactly is her endgame here? 615 00:30:25,389 --> 00:30:27,135 She's just going to keep operating until she drops? 616 00:30:27,159 --> 00:30:29,545 I can't believe what she's doing to herself. 617 00:30:29,569 --> 00:30:31,645 I know that you don't want to go behind her back, 618 00:30:31,669 --> 00:30:34,439 but I don't think she's really leaving us many options here. 619 00:30:35,449 --> 00:30:37,555 Just give me a couple hours. 620 00:30:37,579 --> 00:30:39,289 Till the end of the day. 621 00:30:47,699 --> 00:30:49,555 Ethan, it's Amy. 622 00:30:49,579 --> 00:30:53,155 Uh, gimme a call back when you can. There's... 623 00:30:53,179 --> 00:30:55,865 There's something going on with your mom. 624 00:30:55,889 --> 00:30:57,435 Okay, liver's coming out. 625 00:30:57,839 --> 00:31:01,095 Subhepatic space is clear. Put a retractor in there, Carol. 626 00:31:01,120 --> 00:31:02,336 Sponge. 627 00:31:04,469 --> 00:31:05,739 Okay. 628 00:31:07,949 --> 00:31:11,295 That granuloma's wrapped around the inferior vena cava. 629 00:31:11,319 --> 00:31:14,505 We can clamp, take it out, then reconstruct with Dacron graft? 630 00:31:14,529 --> 00:31:16,575 No. We've made enough compromises today. 631 00:31:16,599 --> 00:31:19,269 I'll dissect it off the wall, leave the vein intact. Scalpel. 632 00:31:19,569 --> 00:31:22,815 Uh... isn't it safer to do a graft? 633 00:31:22,839 --> 00:31:25,155 One slip and he could bleed out in seconds. 634 00:31:25,179 --> 00:31:26,283 I know. 635 00:31:26,307 --> 00:31:28,935 I wrote that chapter in your vascular surgery textbook. 636 00:31:29,158 --> 00:31:31,018 Suction, Dr. Maitra. 637 00:31:32,229 --> 00:31:34,699 Clamp ready in case it goes south. 638 00:31:46,659 --> 00:31:48,289 Metz. 639 00:31:49,459 --> 00:31:51,305 I'm securing the vena cava now. 640 00:31:51,329 --> 00:31:53,939 Dr. Maitra, get that lump out of my hair, please. 641 00:31:58,049 --> 00:32:00,449 You know what they say about me? 642 00:32:01,689 --> 00:32:03,519 Hands of stone. 643 00:32:08,455 --> 00:32:10,162 Hi. Hi. 644 00:32:10,499 --> 00:32:11,915 What are you doing here, Mom? 645 00:32:11,939 --> 00:32:14,525 I wanted to check on Robbie. I came as soon as I could. 646 00:32:14,549 --> 00:32:16,795 Well, we both know that's not true. 647 00:32:16,819 --> 00:32:18,195 Okay, okay. 648 00:32:18,219 --> 00:32:20,495 I came as soon as I could responsibly leave. 649 00:32:20,519 --> 00:32:22,465 And why is it you feel a greater sense 650 00:32:22,489 --> 00:32:25,575 of responsibility to a group of strangers than your own family? 651 00:32:25,599 --> 00:32:28,085 Robbie was fine, he didn't need me. 652 00:32:28,109 --> 00:32:29,569 No, I needed you! 653 00:32:32,249 --> 00:32:34,065 You know, for once, I actually let myself believe 654 00:32:34,089 --> 00:32:35,095 that you'd be here. 655 00:32:35,119 --> 00:32:36,965 I was on my way 656 00:32:36,989 --> 00:32:38,365 and then we got the call. 657 00:32:38,389 --> 00:32:41,845 Fighting broke out in Sake, we were inundated... 658 00:32:41,869 --> 00:32:44,599 It's always something, Mom. 659 00:32:47,279 --> 00:32:48,925 And what would you have me do? 660 00:32:48,949 --> 00:32:51,862 Let those people die so I can come and hold your hand? 661 00:32:51,886 --> 00:32:54,935 No, you're right. No, you had to do what you thought was right. 662 00:32:54,959 --> 00:32:56,980 And now I have to do the same. 663 00:32:57,004 --> 00:32:59,505 So... you know what? I'm... I'm done. 664 00:32:59,529 --> 00:33:01,245 What does that mean, "You're done?" 665 00:33:01,269 --> 00:33:02,785 It means I'm just... I'm done. 666 00:33:02,809 --> 00:33:04,555 You know, at some point, I only have myself to blame 667 00:33:04,579 --> 00:33:06,255 for letting you disappoint me. 668 00:33:11,829 --> 00:33:16,105 If you can't see I made the only choice I could, 669 00:33:16,129 --> 00:33:17,815 in that moment, 670 00:33:17,839 --> 00:33:20,479 then I didn't raise the man I thought. 671 00:33:22,179 --> 00:33:24,619 You barely raised me at all. 672 00:33:40,125 --> 00:33:41,635 Welcome back. 673 00:33:43,419 --> 00:33:44,959 Must've been a close one. 674 00:33:45,959 --> 00:33:48,825 Turns out your Addison's 675 00:33:48,849 --> 00:33:50,845 was a symptom of indolent TB. 676 00:33:50,869 --> 00:33:53,839 You had a lesion on your adrenal gland. 677 00:33:54,239 --> 00:33:55,725 Along with 14 others. 678 00:33:55,749 --> 00:33:58,819 But we cleared the damage, and you'll make a full recovery. 679 00:34:00,289 --> 00:34:03,335 So... so, no more Addison's? 680 00:34:04,025 --> 00:34:06,299 No more Addison's. 681 00:34:10,694 --> 00:34:12,594 You saved my life. 682 00:34:13,379 --> 00:34:16,065 I wish there were more I could do for you. 683 00:34:16,089 --> 00:34:17,465 Are you kidding? 684 00:34:17,489 --> 00:34:19,905 That was a career-making surgery you bagged me, 685 00:34:19,929 --> 00:34:22,105 I'm gonna live forever in these halls. 686 00:34:24,069 --> 00:34:25,709 So, uh... 687 00:34:27,509 --> 00:34:29,655 when can I get back out there? 688 00:34:29,679 --> 00:34:31,365 Well, in the last 12 hours, 689 00:34:31,389 --> 00:34:33,735 most of your organs have been outside your body, 690 00:34:33,759 --> 00:34:36,305 so maybe you wanna give it a few weeks. 691 00:34:37,100 --> 00:34:41,315 Hey, we go where we're needed, right? 692 00:34:41,339 --> 00:34:43,085 Hmm. 693 00:35:04,149 --> 00:35:05,849 Hi, stranger. 694 00:35:07,689 --> 00:35:08,989 Mom. 695 00:35:26,024 --> 00:35:28,675 Unfortunately, the CAR-T 696 00:35:28,699 --> 00:35:31,115 hit you harder than your cancer. 697 00:35:31,139 --> 00:35:32,545 We've retested your blood 698 00:35:32,569 --> 00:35:34,255 and your small cell tumour markers 699 00:35:34,279 --> 00:35:36,025 only dropped three percent. 700 00:35:36,049 --> 00:35:37,765 Meaning it didn't make a dent. 701 00:35:37,789 --> 00:35:39,049 Right. 702 00:35:40,345 --> 00:35:43,045 Well, then, what's next? 703 00:35:43,529 --> 00:35:45,269 We're back where we started. 704 00:35:45,669 --> 00:35:48,515 Chemo and molecular therapy. 705 00:35:48,539 --> 00:35:49,815 So, you were right. 706 00:35:49,839 --> 00:35:52,919 My "yes men" almost killed me for nothing. 707 00:35:53,319 --> 00:35:55,395 We're just glad you're still here. 708 00:35:55,419 --> 00:35:57,135 I'll be dead by the end of the year. 709 00:35:57,159 --> 00:35:58,165 I'm sorry. 710 00:35:58,189 --> 00:36:00,005 But there's plenty you can do 711 00:36:00,029 --> 00:36:01,345 with the time you have left. 712 00:36:01,369 --> 00:36:02,945 No. I won't slowly degenerate. 713 00:36:02,969 --> 00:36:06,185 If you can't cure me, I will wait. 714 00:36:06,209 --> 00:36:07,555 Xander, no. 715 00:36:07,579 --> 00:36:08,985 What better time to do it than now? 716 00:36:09,009 --> 00:36:10,332 I'm sorry, what are we talking about? 717 00:36:10,356 --> 00:36:12,425 There's a Swiss cryogenics company that will freeze me 718 00:36:12,449 --> 00:36:13,735 until further notice. 719 00:36:13,759 --> 00:36:16,126 When there's a cure for this in 10, 20, 30 years, 720 00:36:16,150 --> 00:36:17,575 I'll be first in line. 721 00:36:17,599 --> 00:36:21,215 If they find a way to reverse the freezing process. 722 00:36:21,239 --> 00:36:22,839 We can do it with embryos. 723 00:36:23,709 --> 00:36:24,955 It's only a matter of time. 724 00:36:24,979 --> 00:36:26,349 And I won't... 725 00:36:26,719 --> 00:36:28,689 exactly be in a rush. 726 00:36:35,399 --> 00:36:37,115 She knew who she married, 727 00:36:37,139 --> 00:36:40,307 and I still have way too much to do in this world. 728 00:36:41,809 --> 00:36:43,255 The man needs a psych consult. 729 00:36:43,279 --> 00:36:44,625 We should put him on a 72-hour hold. 730 00:36:44,649 --> 00:36:46,165 On what grounds? 731 00:36:46,189 --> 00:36:48,505 He's not depressed or pathological, 732 00:36:48,529 --> 00:36:50,229 he's got a God complex. 733 00:36:51,369 --> 00:36:53,199 And I flew too close to the sun. 734 00:36:54,239 --> 00:36:55,615 The CEO's watching, 735 00:36:55,639 --> 00:36:58,055 you got a billionaire setting you up to be a hero. 736 00:36:58,079 --> 00:36:59,585 You got carried away. 737 00:36:59,609 --> 00:37:01,195 You're right. 738 00:37:01,445 --> 00:37:02,445 I'm sorry. 739 00:37:03,489 --> 00:37:04,765 I know you think 740 00:37:04,789 --> 00:37:06,535 I don't have a leg to stand on here, 741 00:37:06,559 --> 00:37:09,405 but what happened with Mr. Voit was unethical. 742 00:37:09,429 --> 00:37:11,045 And there isn't always gonna be 743 00:37:11,069 --> 00:37:13,115 someone more senior around to push back. 744 00:37:13,139 --> 00:37:15,385 You're not a rookie anymore, TJ. 745 00:37:15,409 --> 00:37:17,525 Time to start acting like it. 746 00:37:25,399 --> 00:37:26,569 Hey. 747 00:37:26,999 --> 00:37:28,345 Oh, hey. 748 00:37:28,755 --> 00:37:30,295 So... 749 00:37:31,409 --> 00:37:34,179 I need to tell you where I was yesterday. 750 00:37:35,289 --> 00:37:36,519 Okay. 751 00:37:37,089 --> 00:37:40,005 Rachel had a mammogram and they found a mass. 752 00:37:40,029 --> 00:37:42,734 Oh, no. Is she okay? 753 00:37:42,758 --> 00:37:44,545 Yeah, yeah, she's fine now. 754 00:37:44,569 --> 00:37:46,085 The biopsy results finally came back negative, 755 00:37:46,109 --> 00:37:49,425 but the past week has been kind of tough, so I just... 756 00:37:49,449 --> 00:37:50,889 I wanted to be there for her. 757 00:37:51,519 --> 00:37:54,035 So that's why you left early? 758 00:37:54,059 --> 00:37:56,259 Yeah, yeah. She was spiralling. 759 00:37:56,929 --> 00:38:00,245 And that patient you were with 760 00:38:00,269 --> 00:38:02,115 in radiology last week? 761 00:38:02,139 --> 00:38:04,209 When you didn't want to talk? That was her? 762 00:38:04,879 --> 00:38:07,025 She asked me not to tell anyone. 763 00:38:07,588 --> 00:38:09,188 Um... 764 00:38:10,689 --> 00:38:11,965 But I see the look on your face, 765 00:38:11,989 --> 00:38:14,875 so clearly I went about this all wrong... 766 00:38:14,899 --> 00:38:16,575 No, you were in a tough spot. 767 00:38:16,599 --> 00:38:19,045 I'm just glad she's okay. 768 00:38:19,069 --> 00:38:21,239 - Yeah? - Yeah! 769 00:38:25,789 --> 00:38:26,895 Yeah. 770 00:38:28,459 --> 00:38:29,899 Okay. 771 00:38:31,899 --> 00:38:35,369 That was pretty sneaky, you calling Ethan. 772 00:38:36,235 --> 00:38:38,275 Dare I ask how it went? 773 00:38:39,709 --> 00:38:41,295 Well, uh... 774 00:38:41,319 --> 00:38:43,235 we have a lot to clean up. 775 00:38:43,259 --> 00:38:44,719 But... 776 00:38:45,899 --> 00:38:48,809 He's here. So, thank you. 777 00:38:49,799 --> 00:38:52,015 If there's one thing this year has taught me, 778 00:38:52,039 --> 00:38:54,979 it's that family finds a way to forgive. 779 00:38:56,949 --> 00:38:58,319 Let's hope. 780 00:38:59,889 --> 00:39:02,999 He certainly thinks I have a lot to answer for. 781 00:39:06,299 --> 00:39:09,809 We need to figure out what you're gonna do, Joan. 782 00:39:10,279 --> 00:39:12,349 Oh, I know what I'm gonna do. 783 00:39:14,019 --> 00:39:16,293 I didn't think it could get any worse 784 00:39:16,317 --> 00:39:17,935 than being schooled by Richard Miller, 785 00:39:17,959 --> 00:39:19,505 and knowing he was right. 786 00:39:19,529 --> 00:39:21,035 Try this. 787 00:39:21,059 --> 00:39:23,775 I spent all of last week trying to sideline Dr. Ridley, 788 00:39:23,799 --> 00:39:27,785 and the second she asks me to scrub in for a big operation, 789 00:39:27,809 --> 00:39:29,385 I leap at the chance. 790 00:39:29,409 --> 00:39:31,433 So we're hypocrites. 791 00:39:31,457 --> 00:39:34,035 Or maybe we're just doing the best we can 792 00:39:34,059 --> 00:39:36,999 in a job that has a lot of grey areas. 793 00:39:38,058 --> 00:39:40,028 Maybe we are. 794 00:39:40,391 --> 00:39:44,101 So? You wanna give our date another shot? 795 00:39:44,639 --> 00:39:45,925 Dinner? 796 00:39:45,949 --> 00:39:49,265 That Italian place on the corner? 797 00:39:49,289 --> 00:39:50,935 Or we could just go to mine. 798 00:39:50,959 --> 00:39:54,059 - For dinner? - That, too. 799 00:40:07,459 --> 00:40:09,905 Dr. Ridley would like all of Internal Medicine 800 00:40:09,929 --> 00:40:12,399 to report to the office for an all hands. 801 00:40:17,439 --> 00:40:19,349 Excuse me. 802 00:40:20,279 --> 00:40:22,295 Any idea what this is about? 803 00:40:22,319 --> 00:40:23,865 Uh... nope. 804 00:40:23,889 --> 00:40:26,079 No idea, but... I guess we'll both find out. 805 00:40:36,019 --> 00:40:40,135 Wow, that was fast. Am I that scary? 806 00:40:40,159 --> 00:40:41,565 Yes! 807 00:40:44,092 --> 00:40:47,545 Uh, this is not a conversation 808 00:40:47,569 --> 00:40:49,909 I ever wanted to have, so... 809 00:40:51,279 --> 00:40:54,119 forgive me if I'm not exactly sure where to start. 810 00:40:56,519 --> 00:40:59,465 I know there's been concern 811 00:40:59,489 --> 00:41:00,984 about my health, 812 00:41:01,048 --> 00:41:02,718 and I truly appreciate it. 813 00:41:03,915 --> 00:41:06,555 It turns out, it was warranted. 814 00:41:08,009 --> 00:41:10,725 I have MDS. It's advanced. 815 00:41:10,749 --> 00:41:13,989 And it's time for me to accept that... 816 00:41:16,029 --> 00:41:18,575 it's not something I can outrun. 817 00:41:18,912 --> 00:41:20,452 So... 818 00:41:23,379 --> 00:41:25,149 ...last night 819 00:41:26,498 --> 00:41:29,198 will be my final surgery. 820 00:41:29,919 --> 00:41:34,399 And next week will be my last as your chief. 821 00:41:37,439 --> 00:41:39,345 I've spoken to Dr. Hamda 822 00:41:39,369 --> 00:41:43,525 and he has agreed to facilitate a smooth transition. 823 00:41:43,549 --> 00:41:45,025 And never fear... 824 00:41:45,049 --> 00:41:47,665 you will all receive your long-awaited 825 00:41:47,689 --> 00:41:49,824 evaluations before I go. 826 00:41:51,369 --> 00:41:53,475 I'd like to think, um... 827 00:41:53,499 --> 00:41:56,779 that I still have some wisdom 828 00:41:58,649 --> 00:42:01,119 to impart on the next generation. 829 00:42:02,389 --> 00:42:03,935 Even you, Peter. 830 00:42:06,159 --> 00:42:07,425 So, um, 831 00:42:08,069 --> 00:42:11,909 as my friend reminded me today, uh... 832 00:42:12,469 --> 00:42:14,825 we go where we're needed. 833 00:42:14,849 --> 00:42:17,965 And right now, there are more important places 834 00:42:17,989 --> 00:42:22,029 for me to be than inside an OR, or behind a desk. 835 00:42:24,829 --> 00:42:26,939 Being a doctor 836 00:42:28,535 --> 00:42:31,145 has been the privilege of my life. 837 00:42:33,819 --> 00:42:35,319 Being your chief 838 00:42:37,589 --> 00:42:40,459 has meant more to me than I expected. 839 00:42:41,629 --> 00:42:43,299 Thank you. 840 00:42:47,609 --> 00:42:49,819 All of you. 841 00:42:52,759 --> 00:42:55,559 And I'll see you tomorrow.