Original subtitles

It's been a long road, but I think we're there.

You have a viable embryo.

- Are you sure? - I'm about as sure as I can be.

We've ruled out any major chromosome abnormalities,

and the single-gene conditions we can screen.

As long as the implantation is successful,

you can have a viable pregnancy.

Wow.

That is... Thank you.

Thank you.

I need to call my husband and tell him the good news.

- Of course. - Thank you.

You're very welcome.

Identical twins.

Do you just do everything together?

- I applied here first. - We have different specialties.

Something tells me Dr. Watson's gonna have

a field day with you two.

Well, I'm not sure what that means,

but I'm hoping to utilize Dr. Watson's work

on immune pathways to fight infections.

I was thinking of something similar.

Are you an immunologist? Me, too. And rheumatology.

I'm double boarded.

I'm infectious disease, actually.-.

Interesting.

Maybe we can work on a project together.

Everybody says that Watson is good and fair...

Clearly into competition.

Should we make a bet about who gets cut first?

Why would he hire all of us just to turn around and cut one?

Let me guess, family medicine?

Not far off.

Functional medicine.

Okay.

Let me help you understand.

Watson either has one too few desks or

one too many fellows,

and he's had ample time to get another desk.

Or maybe it's a hot desk situation.

So, you're a "glass-half-full" type. Got it.

Ready for our first official day, guv?

I am.

Just got to do a little decorating first.

Holmes's violin.

Feels like he could just walk in,

play us a tune, solve a mystery or two.

Yeah, I wish he could.

We'll just have to honor his memory with our work.

Fellows here yet?

Down in the bullpen.

One concern. You asked me to order four desks.

There are five fellows.

Seems like this desk has already been claimed.

It's mine.

Been here for a week, working on our first case.

Thought I'd make myself at home.

I'm sure you four can make the three other desks work.

You're the one who cuts, aren't you?

Paola barajas. Surgical specialist.

Ingrid derian, neurologist.

My bet is miss glass-half-full is the first to go.

Nobody's going anywhere.

And don't underestimate me.

Fellows.

Good morning.

Happy first day. Welcome. Et cetera, et cetera.

Why don't we meet in the conference room?

Kyren garner. 16.

He has been my patient since before his birth.

I worked with his parents during my genetics fellowship

to help them conceive.

So what's his deal?

I just assume there must be a rare genetic condition at play

if we're here discussing him 16 years later.

- That's correct, Dr. Derian. - You're half-right.

Kyren has vacterl association.

Vacterl patients have multiple anomalies.

The name is an acronym.

It's a disorder that really means

"a bunch of disorders."

Each letter stands for a different body part

- that can be affected. - But it's not genetic.

There's no clear cause, and since you can't test for it,

it's hard to diagnose prenatally.

Correct.

We knew kyren had a vsd from a sonogram.

So, you knew he had a heart condition,

but you need three of these anomalies

to be diagnosed with vacterl.

It was at his birth that we learned

kyren had two more:

A tracheoesophageal fistula and

a malformation of his lower gi tract.

That gives him vacterl.

Poor kid.

That means he had several surgeries

soon after he was born.

Yes, he did.

Kyren learned to walk in the peds ward,

after a g tube revision.

And then, he celebrated his seventh birthday

here at uhop once we

readmitted him for one of his chronic utis.

He and his family must've spent more nights

in the hospital than at home.

Well, it's just mostly he and his mother now.

His medical needs were a lot for his father.

Kyren has had over 12 surgeries

just to simply rebuild his body.

And even so, at 16,

he was accepted to penn state for robotics.

Though he had to defer.

But tomorrow, I'll perform his final surgery

to fuse his spine and correct his severe scoliosis.

We'll get kyren to college sooner rather than later,

but I'd like you all to acquaint yourselves with this case.

Dr. Barajas and I are gonna meet with kyren and his mother.

But they were my first patients when I was a fellow.

Now, they're yours.

Sorry, Dr. Watson,

I couldn't help but notice there are only four desks.

I'll have to look into that.

Thank you.

Wow, this is definitely an improvement

over that tiny office I met you in.

Isn't it?

Yeah, you're really coming up in the world.

They built this entire clinic for you?

Well, for the advancement of genetics

and the education of a select group of fellows.

- Dr. Paola barajas. - Hi.

- I'll be doing kyren's spinal fusion. - Nice to meet you.

Yeah. You know, I'm gonna have my own robotics clinic one day,

just like this.

Better than this, maybe.

Well, if anyone has the brains and perseverance

to accomplish their dreams, it's you, kyren.

Yeah. Now I just need the body.

- Kyren. - What?

Dr. Watson understands my need for bodily improvement.

Our plan will do just that.

We'll use metal rods to hold your spine straight

and bone grafts to fuse the vertebrae.

Once it's fused, your spine will never curve again.

It's a very successful technique.

We do it all the time.

Really? And, when do I get to penn state?

After about a year of p.T.

Now, the recovery is intense,

but once you're through, I mean,

you'll be done with all of the major issues

associated with vacterl.

Right.

I don't know. Will I, though?

Kind of feels like I'll never be done with this, Dr. Watson.

I know it feels that way, kyren, but you're almost there.

And I promise you, you will be done.

- Now, remember, I don't... - Yeah, yeah, yeah.

You don't make promises you can't keep. I know.

All done.

It's been a long road, but it's official.

You're cleared for college.

My gosh.

- Yes? - Yes. Yes.

Finally. Wow.

Mom, orientation's next week.

We got to choose our teams

and get into our rover designs for the challenge.

Now, make sure that you stick to the diet

- that Dr. Croft designed for you. - Yeah, yeah.

And don't be a stranger, okay?

Yeah.

Man, it is so crazy to think

I'm not gonna be seeing you

in a couple weeks for a check-up.

Well, you're at the finish line now, kyren.

The most serious challenges of the vacterl are behind you.

Thank you for everything you've done,

- Dr. Watson. Thank you. - Of course.

Come on, mom, don't get mushy.

- You're gonna give him the ick. - Sorry.

Bless you.

Thank...

Kyren?

- My back. - Kyren.

Kyren, what's happening? What's happening?

My back. My back, it hurts.

Shinwell!

What's wrong with his back?

- What's happening? - What's happening?

It looks like one of your rods broke

and is tenting your skin.

We need to get a gurney for kyren.

Ask Dr. Morstan to meet us in the or.

- On it. - Wait. Wait, wait,

wait, wait, wait, ortho...

Kyren, we have to get you to the or before this rod

- breaks through your skin. - No, no, no.

I can't go through another procedure. Okay?

Dang, you promised this was the last surgery.

You promised.

You... Dr. Watson, you never break your promises.

You lied to me.

Mary, what are you seeing?

No corrosion here, either.

Well, there's no visible signs of infection,

but we've taken cultures.

Wait.

Kyren's spinal fusion was two years ago,

when your clinic opened, right?

Yeah, that's right. Why?

Well, I mean, it didn't show up on imaging,

but now that I'm in here, I can see why his rod broke.

His bones didn't fuse.

Two years ago, we did a surgery to fuse kyren's spine, but...

his bones didn't fuse,

which caused the rod to fracture from too much tension.

Our job today is to figure out why his surgery failed.

Infection is the obvious answer.

Cultures from the or are pending,

but we do know that kyren didn't have any fever

or other symptoms before his rod broke.

Could be hardware.

Maybe the screws or rods were faulty in some way?

I can check for recalls.

Or kyren could have a metal hypersensitivity.

He could be rejecting the hardware.

Ingrid, Adam, look into all the hardware.

He still has one rod and all the screws in his back.

If there is a problem...

If there's a problem, we need to know.

Sasha and Stephens, look through all of his

medical records. See if there's

anything in his history that we could've missed.

We're on it, but... Watson, are you okay?

I will be once we get answers.

I want updates in the morning.

Didn't Paola do his spinal fusion?

Wow. Paola.

I forgot we once were five.

Should we reach out to her?

Ask her about the case? Maybe she has some insights.

Why would we do that?

Her surgery failed.

If you need a refresher, Watson fired her.

We don't know if she was actually fired.

Watson never told us.

Would he tell us?

I mean, he told us about Ingrid, but...

He never tried to replace Paola, so...

Well, we've established that's not Watson's strong suit.

It's kind of wild,

all that's happened since she was with us.

- When did you know? - Kyren, we didn't know.

You had him do genetic testing.

I... Dr. Watson. Thank god.

Kyren... kyren wants to know when-when we knew.

Did you know how sick I was gonna be...

before I was born?

Did you tell my mom?

And she decided to have me anyway?

No. We couldn't know, kyren.

She said you knew about my heart condition.

- But, honey, it's not important. - Yes, it is.

It's my life.

You knew about how much pain I was gonna go through,

and you decided to have me anyway.

Kyren, please don't talk like that.

I wouldn't trade you for anything.

- You know that. - You need to tell me

exactly what you knew.

I deserve to know.

Kyren, when your mother was five months pregnant,

she did an ultrasound.

Dr. Watson, I need your help.

My ob says there's a hole in my baby's heart.

Yes, it's called a vsd.

It's the hole in the wall that divides

the lower chambers of his heart.

I don't understand. Why didn't you say...

wh-why didn't you tell me that he would have a-a vsd before...

But there's no way we could've known that

from the genetic screening.

And sometimes, vsds, they just,

- they just go away on their own. - Okay, well, what if it doesn't?

There are a lot of good treatment options if it doesn't.

Okay, well, that's encouraging.

My husband and I, we just made partner at our law firms.

We want a child, but he's afraid of having a sick child.

Do you see anything else on the sonogram?

No. I don't see anything else concerning.

What if I... If I terminated?

Would I still be able to have another baby?

With an egg donor or maybe adoption.

I'm sorry, but your body's no longer producing eggs, so

we can't make more embryos.

I had eight miscarriages before I even met you, and

I was afraid the universe was telling me

I wasn't meant to be a mother, and then I-I got pregnant.

With my son, and-and now...

Marlise, I can see that you already love your son.

- I can see it. - Yeah.

Whatever challenges life throws at you,

you will face them, and I'm gonna help you. I promise.

Okay?

Okay.

So you didn't tell her it could be vacterl?

No, we didn't know for sure. Not until you were born.

And then, once we did,

I put together the best possible care.

But you wouldn't have had to do all that

if I wasn't here in the first place.

She could've saved me from a lifetime of pain.

My dad wouldn't've left.

Kyren, I'm sorry.

No, I'm sorry.

I'm sorry you didn't get a choice.

'Cause if you knew everything that would happen...

all this pain...

maybe... You would've made a different decision.

I know I would've.

I've never seen him so disheartened.

Even... even on his worst days,

he hasn't talked about wishing he hadn't been born.

He's processing. It's...

It's the first time he's learned something new,

and he's just taking it in.

We've always known what the next treatment was.

This is the first time we didn't have a plan.

I-I'm scared it's more than that.

He didn't think we knew anything.

The fact that we did...

And now, this is his life, he... He's mad.

And he... And he's hurt.

I mean, I don't blame him.

Honestly, I blame you.

Thank you.

Where are we with kyren?

Adam's not here yet.

Then we're gonna proceed without him.

Kyren is okay physically, but emotionally,

he's struggling.

We need to present him with a plan as soon as possible.

The cultures Dr. Morstan took came back negative,

as did his metal allergy test.

He doesn't have an infection or metal hypersensitivity.

I looked over the or notes.

There were no obvious concerns reported during surgery.

I checked with the hardware manufacturers.

No reported issues with the screws or rods.

Okay, okay.

So who has any suggestions about what we should do next?

Nothing? Nobody?

Okay, this is unacceptable. Okay? You guys aren't

new fellows anymore.

You need to be searching for possibilities always,

not waiting for me to ask.

Now, one of you two, you guys

- call Paola barajas in... - Excuse me?

- Are you Dr. John Watson? - Yes.

Yes, I am.

You've been served.

For what?

The wrongful life of kyren garner.

The wrongful life?

What the hell does that even mean?

Kyren said he shouldn't be here.

He's suing me because he thinks he never should've been born.

"Wrongful life." Sounds... wrong.

It is wrong.

I can be iffy on existence as a whole,

but even I don't think that life is wrongful.

There are a few people

whose lives I think might be wrongful.

But that's not what this case is about.

It's Lauren.

She says these cases are rare.

Many states don't allow them.

The child has to prove their parents

would've terminated the pregnancy

if the doctor had given them all of the information.

So, what the suit is basically saying is that,

if marlise knew that vacterl was a possibility,

she would've terminated the pregnancy.

And by extension, that kyren wishes that were the case.

Kyren is angry and in pain.

Seems like he's just lashing out.

Or he truly wishes he didn't exist.

But kyren does exist.

I don't understand how a court can debate

whether that should've happened or not.

Or pay out money for... what?

The curse of being alive?

Lauren says if kyren wins,

"the damages amount is based on an aggregate

of their medical expenses over his lifetime."

My god.

Kyren's had so much medical care,

that must be tens of millions of dollars.

His story is heartbreaking.

I don't know if any jury would side against him.

What will this mean for Watson?

For the clinic?

- How is he? - Well, you know,

just as you'd expect if one of your closest patients

decides to sue ya.

Dr. Morstan's up there trying to talk him down.

How can we help?

Focus on your work.

Watson's worried that

we might've disappointed a patient.

Last thing he wants is for us to disappoint any more.

How can kyren believe he shouldn't exist?

We shouldn't even be entertaining this lawsuit

because he does exist.

"Entertain"? That's not up to us.

A lawsuit like this is serious.

We definitely need to end this

before it turns into clickbait and damages your reputation.

I'm not worried about clickbait or my reputation.

But the board is.

They're not exactly happy about this,

especially given everything with mycroft Holmes.

This must be putting a lot of pressure on you,

and I'm sorry for that.

Okay? But we shouldn't be talking about a lawsuit.

With a failed fusion, it's just a matter of time

- before the second rod breaks. - John...

What we need to do is figure out what went wrong

- and fix it. - Actually, we don't.

After he served you, kyren transferred hospitals.

- What? - He's not your patient anymore.

They took him ten minutes ago, guv.

I did think about blocking the door, but...

Mary told you that kyren was transferring before she told me?

Not one to rat on the boss, guv.

So you work for Mary now?

Ooh.

Technically speaking, we all work for Dr. Morstan, guv.

Yeah, that's very true.

I guess blocking the door

certainly wouldn't have helped the lawsuit.

No.

So how was he? How was kyren?

He was okay.

Hurting, but okay.

We're talking about settling the lawsuit.

That might be a way to convince him to come back to uhop.

And how do you feel about that, guv?

All I want is what's best for kyren.

And if... If he needs this, then...

Look, guv, if there's one thing I know about you,

it's that you're always gonna put your patient first.

That's all you're doing.

Appreciate you.

Seems like Paola's doing some cutting-edge work.

Using 3D printing to customize components

for joint replacements.

I think it's worth having a conversation

to see if any of it can help kyren, but

- she hasn't returned my call. - You were calling her

when we thought she was the reason the bone didn't fuse.

Let me reach out to her.

Really? From what I recall, the two of you

weren't exactly friendly.

Which is why I'm sure she won't be able to refuse

surgeon-splaining all her fancy tech and gadgets to me.

Why would you volunteer for that?

For kyren.

Okay, look, I know you're in therapy now

and have changed some of your ways, but...

There's something you're not telling me.

I just know I probably owe her an apology, okay?

What'd you do?

Saved by the ding.

- Convenient. - Made contact.

She can meet in the morning. I'll let you know how it goes.

The, board wanted me to remind you,

no surprises in there.

- Understood. - I'll stick to the script.

This is serious, Dr. Watson.

If we don't play our cards right...

We've got it, Charles. Thanks.

This'll all be over soon.

We appreciate you all moving to a settlement so quickly.

Well, Dr. Watson and uhop care about kyren,

and want the outcome that best sets him up for success.

Kyren.

Are you all right?

- You look flushed. - John... No, it's okay.

Old habits, right? H-He's fine, Dr. Watson.

Kyren just had a minor uti, but he's taking antibiotics.

We caught it early.

Apologies. Before we move further,

we have one addition to the settlement.

And what is it, Ms. Tannerman?

My client would like an apology from Dr. Watson.

The excruciating pain my client has felt his entire life

could have been avoided if Dr. Watson had given

marlise all of the information

when she brought him the sonogram 18 years ago.

Okay, I'm sorry. So...

You want me to apologize for kyren's existence?

I... Kyren, is that what you really want?

Yes.

That's what I want.

How long have you been on antibiotics?

See, I told you he would never apologize.

No, it's not about that, kyren. You are sick.

- John. - Is this some kind of stunt?

I've been working hard to try to figure out

why your bones didn't fuse. Now-now, just right now,

I got the clue that I needed to understand what's going on.

Dr. Watson, I advise against you getting involved.

Wait, what is it? What's wrong with kyren?

- I believe he has an infection... - Stop!

Just... stop.

Anything that's wrong with me is your fault.

You made me.

And you let me live just to

be in hospitals like some freak.

Kyren, please, let me treat you.

- Okay? - Treat me?

Why?

I'm not even supposed to be alive.

- God. - Whoa, whoa.

Kyren. Kyren. Call-call an ambulance, Georgia.

Please, help him. Dr. Watson, please help my son.

Mary, let us take him to uhop. He should be with us.

This lawsuit isn't settled. You shouldn't get involved.

Please, Dr. Morstan.

The board won't be happy.

Then let them take that up with me.

Marlise gives permission, so uhop will treat kyren.

Put this under.

- Stay with us. Stay with us. - It's okay.

Just stay with us. You're gonna be okay. Stay with us.

There. You were right.

I don't know how you knew the infection was deep

in his spine. The initial wound cultures were negative.

Well, kyren had a fever, and the new doctors assumed

that it was a uti, and that tracks,

but the antibiotics weren't working,

so it had to be something else.

An occult spinal infection.

Explains everything. Why his bones didn't fuse.

And there it is.

So now, we have a plan. We remove the infection...

We do, but...

- it's tough, John. - Kyren can do tough.

To treat the infection, I'll need to remove

the remaining rod and all of his hardware.

He'll be hospitalized for iv

until we can perform the revision surgery.

Is kyren prepared for that?

No, he's too sick to make that decision.

Then we'll need marlise to sign a consent on his behalf.

We don't need this to complicate the lawsuit.

Mary, thank you for letting kyren come back to uhop.

I'm sure the board wasn't too happy.

They weren't.

And you're welcome.

Nice write-up in the beechview journal.

Well, you know how it is.

Those publicity things are silly, but

they're fun to send home to the parents.

So what are you working on right now?

Do you remember kyren garner?

The first patient we had at the Holmes clinic?

Of course. How's he doing with his new spine?

Actually, his spine didn't fuse.

I know Sasha tried to reach out to you.

I've been busy.

Why are we here?

I've been looking into the best redo surgeries for kyren.

I thought his anatomy might benefit

from the precision cages.

Can I see his chart and labs?

I think he's an ideal candidate.

Have him transfer to beechview, and my team will take the case.

I know it's important for Watson that he stay at uhop.

Dr. Morstan taking the lead in the surgery.

Would you consider a collaboration?

You're different now.

I can't imagine the Ingrid I knew

asking me if I would consider collaborating.

You're right. I wouldn't have.

Paola...

I'm the one who reached out to beechview about you.

What do you mean?

It was the desk.

I was pissed about you claiming the desk I wanted,

so I sent beechview your résumé.

I wanted you gone.

Sorry.

Let me get this straight.

You were pissed, so you told a rival hospital

I'd be a great fit for their new, state-of-the-art lab?

I just wanted you gone.

I didn't want patients not to have you as a surgeon,

just somewhere else.

Somewhere not at that desk.

I can't tell if that makes me like you more or less.

Have Dr. Morstan reach out to me if she wants to move forward.

Morning.

How's kyren?

Okay.

Ct scan went well.

Watson was able to figure out what's wrong.

That's good.

I'm just glad that he's back here at uhop.-

I'm not sure Watson could handle knowing

he was in trouble somewhere else.

Hey. What's going on?

That kid's gonna wake up to learn

that he's stuck at uhop for months.

He was already struggling.

I don't know how this won't devastate him.

But then he'll get better.

Watson is dedicated to coming up with the best plan for him.

I know, but...

A plan doesn't really make up for what kyren's losing.

It doesn't really acknowledge it.

I don't know. It just feels like he needs something... more.

Like what?

Sorry...

Dr. Morstan has something she wants to show yinz guys.

During the washout, Dr. Morstan took measurements

and combined them with kyren's scans

to create this virtual replica of his spine.

You can see here, a hemivertebra at t8

and cleft through t9.

A malformation like that could also contribute

to why the fusion didn't take.

- That, plus an occult infection. - Exactly.

It's a perfect storm. So, how do we make sure his bones

fuse this time?

This might potentially be a good time to mention

that I met with Paola barajas.

She finally got back to someone?

She did. Looks like some of the innovations

she's been working on at the beechview medical institute

can help kyren.

It was a shame to lose Paola,

but I knew she would be a better fit at beechview.

So you didn't fire her?

On the contrary, I asked her to stay.

Whoa. Interesting.

Well, looks like Paola's doing quite well where she is.

She suggests we use a custom cage

printed to kyren's specifications.

That would make sense.

Something tailor-made would prevent infection

and increase his chances of a successful fusion.

She also said she may be willing to collaborate.

That would be great. I'll reach out to her and see

if we can put together a specific surgical plan.

We could share the broad strokes with kyren and marlise.

Yeah. I mean, let's do it.

I'm sure they could use some good news.

Good news?

How is removing every rod and every screw good news?

I know it sounds daunting, kyren,

but this is the best way to treat the infection

that prevented your bones from fusing.

So...

I have the pleasure of lying down on my back for...

Who knows how long?

We'll give you iv antibiotics for a month.

Once we're certain it's gone,

we can prepare for your revision surgery.

A month?

So, I'm just as bad off as when my back was deformed.

Worse off, actually.

Because back then, I was gonna go to school.

I was gonna start my life.

Well, I guess,

I'm realizing that's never gonna happen now.

I'm sure you can defer, kyren.

Again?

What's the point in deferring

if a new problem's just gonna pop up every time I get close?

Because there's no reason to believe

that something like this is gonna happen again.

You haven't heard?

I have a one in a million association.

Had to be rebuilt starting an hour after birth.

And then my back broke because of some

occult infection that hid from even

"the world's greatest diagnostician"

for years.

You're a fighter, kyren.

What don't you understand, doctor?

Fighting is useless.

Something is always gonna come up.

Kyren, we are on the verge of having a plan

to rebuild your spine

so something like that will never happen again.

You can't quit on us now.

I'm not quitting on you.

I'm firing you.

Kyren, that is no way to talk to the man

who is trying to save your life.

I didn't ask him to. You did.

I sued him

because I realized something you could never accept.

My life is not worth saving.

Just leave.

Okay?

Get out of here, all of you.

I said everybody.

Yes?

Do you have a moment?

I just need to finish reviewing these titanium cages.

For kyren?

I was under the impression that he's no longer our patient.

Which is exactly why

I have to present him with a flawless plan.

I see.

Actually, I don't see.

With all due respect, Watson,

I think your judgement is compromised.

I'm listening.

Well, that's the thing.

I don't think you are listening.

To kyren, which is unlike you.

And it makes me wonder if

the personal nature of this case and

your connection to the patient is clouding your judgement.

And how is my judgement being clouded?

You keep focusing on alternative treatment plans,

pitching solutions.

Kyren doesn't believe his life is worth fighting for.

Okay? Now, it's my job to convince him otherwise.

No, it's not.

I'm sorry, but I can speak with confidence

that reassurances and promises don't always help.

In fact, those words,

as well-intentioned as they may be,

often represent their own kind of pressure.

And added up, it can be another burden

on someone who's already struggling.

I hear your diagnosis, Dr. Croft.

What's your recommendation?

Empathy.

Compassion. Truly listening.

Making sure the patient knows he's not alone.

That's my recommendation.

- Wait, I have to ask. - Where's Clyde?

I expected to see him zipping around back there.

It's a long story. You were saying, Dr. Morstan?

The lower model, it's too loose.

There's a millimeter gap at the posterior wall.

Yeah, I see that.

It's collapsing from the deformity.

Is there any way we could model it

from the healthy vertebrae above it?

That's a great idea. We could match the curvature.

But what if it's still not quite right?

It's titanium. There's no adjustments in the or.

Well, actually, with 3D printing,

I could model a flexible lattice.

Build it with just enough give for alignment.

That is ideal.

Amazing what you all can do with this new tech.

Well, not to be a jerk, Dr. Morstan, but...

You're an orthopedic surgeon

and the director of the hospital.

I'm a little surprised uhop doesn't have a more robust

ortho program.

You know, you might be on to something.

I'm late for a meeting.

You two wrap up here, and, Sasha, you can fill me in.

- Are you enjoying your fellowship? - Honestly?

More than I hoped I would.

It's been life-changing.

Life-changing?

I'd expect you to use a word like that

to describe your wedding to...?

You mean Zach.

I actually ended it with him a while ago.

And, I'm dating Stephens now.

Stephens?

Now, that's the bet I should've made with Ingrid.

Speaking of Ingrid, she apologizes now?

Apparently, she does, and sometimes,

she even means it.

I told you to go away.

You're still fired.

I'm not here as your doctor.

I'm here as someone who's known you for 18 years.

As a... I don't know. A friend?

I'd never call you a friend.

That's fair.

I haven't always acted like one.

A friend would've listened to you, kyren.

All these years, you've been trying to tell me

how much pain you were in, how hard life was for you.

Yeah.

And you wanted me to fight, be positive.

Kyren, I... I thought that I was helping you

when I came at you with all those plans and promises.

I realize now that that was... That was wrong.

And I'm truly sorry for that.

Life is hard for everybody.

But your life?

It's a whole nother level.

I see that.

I see you.

I wanted to make it different, kyren.

I wanted to make it better.

Sometimes, medicine fails.

I'm sorry for that.

But I'm not sorry that you exist.

No matter what you do.

No matter what you think of me.

I'm sorry for what I did.

But I'm glad you're here.

The settlement is in.

The lawyers negotiated and all of this explains where we got.

Kyren said you satisfied the apology requirement.

Everybody's good with this number?

It's toward the further reaches of what they think

a jury might've awarded, but spares us court expenses

and potential negative press.

Well, at least kyren and marlise have a financial safety net,

no matter what happens next, so...

But you're good with this, too?

It's not ruining uhop or anything, is it?

I'm good with it.

All right. Where do I sign?

What are you doing in scrubs?

Kyren asked me to be in the or with him.

I'm glad the two of you made up.

It's better for the both of you.

It was your surgical plan that sealed the deal.

Thank you for taking so much interest in him and this case.

I got to say,

I find what we're about to do with the 3D cages fascinating.

It's a shame we had to go to

beechview medical institute to get them.

We should be working with that kind of tech here at uhop.

I agree, but why aren't we?

I asked myself the same question

and got started on an answer.

An ortho 3D printing program is starting right here,

under this roof.

What?

Well, during residency, you chose ortho

because it exists in the space

between tradition and innovation.

The traditional piece keeps patients safe.

But the innovation comes with such potential.

Yeah, I remember.

Yeah, you invested so much time in me

and in the Holmes clinic.

Maybe it's time we return the favor.

How about a collaboration

on the cutting edge of orthopedics?

An intriguing idea.

But I know you just want access to my new tech lab.

Maybe.

See you out there.

I'll see you out there.

All right. How you doing? You nervous?

Always a little nervous before surgery.

I get it.

Thanks for being here.

I told you I'd be here for you.

Really hope it goes better than last time.

Yeah, me, too. I will be there with you, and so will

all those people rooting for you there.

It's better than being alone, that's for sure.

All right. So you're ready?

All right. Count backwards from 100.

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