Original subtitles

Previously on Doc.

We lost Danny.

And I blamed you for it.

You were pretty impressive out there.

It reminded me of my ER rotation. I miss it.

How'd it go? You didn't really say much in your text.

I'll tell you when I see you.

There will be an official evaluation.

Some of you will not survive it.

I should at least be considered for Chief Resident.

I was wondering how you feel you're lining up

against Dr. Larsen.

She's prepping another surgery

and she hasn't invited you to audit.

We did the right thing.

I know there's been concern about my health.

Next week will be my last as your chief.

What's going on? What is this?

What does that even mean?

It means you can't just show up here unannounced

and pretend I'm the one being unreasonable.

What are you doing here?

I'm here for our daughter.

We have a schedule, Carl.

You can't just show up whenever you want.

Hayley said she was ready.

You always do this.

You're being insane right now.

I'm being insane?

You're not supposed to take her until nine. You're early.

- It's an hour, Jocelyn. - It's my hour.

Guys, come on.

Where were you yesterday?

- Are you kidding me right now? I was working, Carl.

Somebody has to work.

Oh God, you are such a...

Mom? Mom?

Hayley.

- Let it out. - It's okay.

I have transferred my surgical cases to my colleagues.

Fellowships, rotations and promotions

will be finalized this afternoon.

And the culling of the herd?

Will be done judiciously, and with grace.

And you'll be naming Chief Resident?

Normally below your pay grade.

I understand Dr. Larsen is in the running?

Indeed.

Oh, I don't even know what she's decided.

Somehow, I find that hard to believe.

I'm assuming you'll start the search

for my replacement immediately.

We've already started a shortlist,

have several candidates coming in today.

I'm sure you remember I have veto power over my successor.

We remember that well, Joan.

But that's not taking on too much.

We're concerned about your health.

I think I can make it through

a day of paperwork and interviews.

Only on the right side?

I had appendicitis when I was a teenager,

I'm sure that's all this is.

Why don't you just let the doctor figure that out?

I'm just giving her some context.

But thanks for that, Carl.

Hi, I'm Dr. Heller, I'll be working with Dr. Larsen today.

- Hi. - Hey.

This is Hayley, 16,

and she's suffering from right abdominal pain.

ER took blood, and we're just waiting on the labs.

In the meantime, we need to ask her some sensitive questions,

so you two might want to step out.

No, it's okay. They can stay.

I need honest answers from you, Hayley.

Of course.

Okay. Any drugs in the last 24 hours?

- No. - Alcohol?

Are you sexually active?

I have a boyfriend, but no.

Not in the way you're talking about.

Okay then, as soon as we get the labs back,

someone will come and take you to radiology.

It shouldn't be too long.

So, you're shadowing me today?

Yeah. I figured, might be the last time

before you succeed me as Chief Resident.

Ah, you're gonna miss bossing me around, huh?

Hey, so I heard Julie say something about you and Michael

saving a couple in the woods.

Yeah, it was intense.

I was just a little surprised you didn't tell me about it.

I know, I was so tired last night.

But I'll fill you in later, okay?

Yeah, yeah. Sure.

How was the night shift?

- Nothing dramatic. Though, I didn't get much sleep.

You headed home?

Yeah, it's gonna be a glorious day of laundry

and waiting for Dr. Ridley to name Amy Chief Resident.

Stop that.

Doesn't everyone want to spend their day off preparing

to have their soul crushed?

If you were out of consideration,

they would've told you already.

And, you're gonna hear about your surgical residency today?

I think she has to talk to Dr. Costa first.

Well, either way, we're gonna celebrate or commiserate.

Absolutely.

And I will let you know if I hear anything.

Yeah, well, I'll talk to you later.

Bye.

Hey, there. I am Dr. Coleman.

- Walter Babbitt. Nice to meet you.

- Oh, and nice to meet you. You have a parent around?

I live in a group home.

Oh. One of your counselors, then?

Dropped me off, but he had to do something else

for Mrs. Thompson.

She's the one who runs the home.

Okay.

Any idea if she's allowed to make medical decisions for you?

No, that's usually my social worker.

The one I had last time quit,

and I don't even know who my new one is.

I have rheumatoid arthritis.

It's a chronic condition that flares up sometimes.

I'm familiar.

You have it, too?

Oh, you mean this?

No, this um, was a stupid accident.

Well, I really can't miss the fair.

It's next week.

- Alright. What kind of fair is it?

- Science. I'm really into rockets,

and I need to be able to walk.

- Hurts too much right now? - It's even worse this morning.

- How long have you been here? - Four hours.

- Four hours? And nobody's seen you?

Hold on, I'll take care of it.

We got your lab results back,

and you are seven weeks pregnant.

I know you said earlier

that you weren't sexually active,

so we just want to make sure nobody's hurting you.

No, no. Um, I'm sorry, I lied.

They just don't know I'm having sex yet.

That's understandable.

That's why we wanted to get you in here,

so you could have some privacy.

We still need to figure out

what exactly is causing that pain,

but since you're pregnant, we're gonna run an ultrasound

instead of a CT Scan.

And don't worry, it won't hurt,

Dr. Larsen's just gonna run that wand over your belly, okay?

Okay.

It's probably a good idea to include your parents in this,

but in the State of Minnesota,

discussing your sexual health is at your discretion,

so you have the right to tell whoever you want,

or tell no one, and we will all support you.

Okay. Um, I just wanna text my dad.

Can I tell him what room we're in?

Yeah, it's Radiology 3, fourth floor.

Okay. We've got an unusually busy day today,

so, preliminary assignments, then circle back to me.

Dr. Lee, 712, post-op Whipple.

I want drain totals, hemoglobin trend,

and a differential for why it dropped.

Dr. Ramirez, 704,

small bowel obstruction with a rising lactate.

Full abdominal exam, repeat CBCs and review the CT

in real time.

Dr. Haynes, 726, GI bleed.

Two large-bore IV's, type and cross to four,

start a proton pump inhibitor drip.

Oh, and get GI to hold an endoscopy slot.

Michael.

I see your residents

haven't been ordering head CTs on your migraine patients.

I told you, I'm not doing that

unless it's indicated clinically.

The hospital's policy on headache management is clear.

Clearly designed to maximize revenue.

And until I get my day in court with Admin,

I'm not going along with it. - I wish you luck with that.

Just so you know, even if you replace me,

you won't have the juice to do anything about it.

Why do you think I'm moving into private practice?

So you worked under Dr. Moynihan at UPMC?

- I did. He was a real mentor to me.

Well, you certainly made quite the impression.

That's not easy to do.

I'd be interested to hear

what you learned about leadership from him.

He was great, but I learned that I do it differently.

How so?

I was on call one night in the ER.

Mass casualty event, all hands on deck.

And one of the interns freezes.

Now, my first thought was,

"Moynihan would eviscerate this kid."

But when I turned to do that,

I heard a voice coming out of me

that was calm and reassuring.

Gave him clear instructions to get him reoriented.

Next thing I know, he's coming out of it.

That sounds like Dr. Hamda's style.

Well, thank you for coming in.

Thanks for letting us take your time.

- My pleasure. - Great meeting you, thank you.

Likewise. Thank you.

Hmm. We got plenty more but I like him.

I don't know, that story seemed a bit rehearsed.

Oh, I found it to be sincere.

- Hey, buddy. This is Dr. Walker,

she is awesome, and she's here to help you.

- Hi, Walter. What you got there?

It's the solar system.

Oh yeah.

That is Saturn, Jupiter, the asteroid belt?

The asteroid belt's the best.

You made all this?

Mrs. Thompson gave me the stickers.

That's his group home supervisor.

So you take this everywhere you go?

I know they're supposed to go on the wall,

but I move around so much, so I put them on this.

So I can take my sky with me.

I wanted to be an astronaut when I was your age.

I even went to Space Camp.

And I met Mae Jemison.

Oh, the first Black woman in space.

- No way. - You are full of surprises.

Yeah, my dad got me into model rockets.

We would make them, and then we launch them

in the front yard.

I'm really sorry you're in pain, Walter,

and as soon as we, wait...

Speak of the devil, it's your social worker,

just give me a sec.

I've been calling you for hours, Cliff.

We need your approval to give Walter his medication.

- So now you have it, okay? How is he?

In pain, which is keeping from walking,

and he's really worried he'll miss the science fair.

Science fair?

He said it was next week.

Oh no, it's an adoption fair.

Foster mix with prospective parents.

Dog and pony show.

Guess he was too embarrassed to admit that.

All his medical issues, he's not a great candidate.

He figures if he can walk, somebody might choose him.

Well, I'm glad you're there with him,

and you have my sign off.

Okay. But this delay has already increased

his risks of an escalation.

I need to be able to get you promptly the next time

a decision needs to be made.

You know how this goes, Gina.

I've got 40 other kids who require just as much as Walter.

- We're all pretty busy, Cliff. Just keep your ringer on.

I'm so sorry, Dad. We were using protection, I don't know...

Sweetheart, these things happen.

I love you. It's gonna be okay. - Ryan's gonna be so freaked.

Don't worry about Ryan. Okay?

We'll talk to him when you're ready.

What am I gonna do?

We'll figure it out together, okay?

It's gonna be all right.

Okay, Hayley.

So typically, it's a corpus luteum cyst,

which is a cyst in your ovary.

It can cause pain in early pregnancy.

Dr. Heller?

Yeah, I see it.

Is it the cyst?

The embryo's implanted in the fallopian tubes,

it's what we call an ectopic pregnancy.

What does that mean?

It means it's not viable.

So I'm not having a baby?

No.

Oh my God, thank you.

The situation is more serious now, Hayley.

Do you want us to bring in your mom?

I don't want her to know.

I have a responsibility to ask.

Is there an abusive situation going on with your mother?

No. No.

It's nothing like that, she's just very judgmental,

it's not what Hayley needs right now.

Okay, so should we go over the options?

Sure. Uh, I would recommend surgery.

Without it, the embryo could rupture...

But rupture usually occurs

when the pregnancy is further along,

and surgery does pose its own risks.

So you don't agree?

Um, I mean, look.

There's no guarantees either way,

but I think that with medication,

we can monitor for what Dr. Larsen is concerned about.

Well then, why didn't you suggest that?

Because if it were my daughter,

I would want it done as quickly and expeditiously as possible.

And our surgeons are excellent. - It's not black and white.

It's a serious decision,

which is why I think it's a mistake

not to give your mom a chance...

Please. Don't pressure her when you don't know our family.

Could you give us a few minutes so we can discuss it?

Yeah, yeah, of course.

Hey, excuse me.

What's going on with my daughter?

Um, we're still getting some imaging and running some tests.

Okay, this is starting to feel weird.

Her father says he's going for coffee,

and I haven't heard from him in over an hour.

That's because he's in there with Hayley.

Excuse me?

She only wants to talk to him, and we have to respect that.

He's turning her against me.

And you're keeping me out of that room?

What's wrong with her?

I'm sorry, and I know this is hard to hear,

but legally we just can't disclose that right now.

I can say that she's in good hands,

and her life is not in danger.

Okay? We'll let you know more as soon as we can.

I'm just worried about her, she's my whole life.

Dr. Larsen?

This is way beyond reproductive health, Jake.

No, it is not.

This is a potentially life-threatening situation.

It could rupture, she could die,

and her mom wouldn't even know.

Her condition started with sex,

which means she retains those rights.

Doesn't matter how you and me feel about it.

End of story.

So, um...

I've been talking with Sanders,

about creating a pediatric cardiology unit at the hospital.

Oh, when did that start?

Couple months ago.

I didn't think you'd want to engage unless it was real.

Point is, it's something we'll be able to achieve.

And it's gonna be amazing for the hospital,

help a lot of families.

That's great, then.

Yeah, it's also making me rethink some things.

What things?

I want to get an MBA,

and go into hospital administration.

You're in line to run clinical medicine at St. Paul's.

I know, but there are so many things

in the system that need to be confronted.

And you're gonna change them?

I can do my part.

And so few administrators

have the depth of medical experience I have.

I think you're doubting yourself as a physician

because of what happened at the museum.

I can't believe you just said that.

I'm sorry if I'm wrong.

You are.

In every way.

This is not the guy.

We haven't even met him.

CV reads like an academic,

overemphasis on publishing, research.

He's been awarded some highly coveted grants.

There's very little experience in management,

dealing with performance issues, staff conflicts.

Questions we can ask him when we talk to him.

Hey, Dr. Coleman.

Sorry, I heard you wanted to see me.

Just about to conduct another interview,

do you mind coming back in an hour?

Yeah, okay. Sure.

Just tell him.

I know, you wanna roll out the red carpet, but look at him.

You were awarded the surgical residency you wanted.

Are you, are you serious?

I don't joke about surgery.

Congratulations, TJ.

Thank you.

I can't thank you enough, Dr. Ridley.

It's truly been an honor.

Alright, yeah. Get outta here.

I gotta find the ass that's gonna sit in this chair.

Yes ma'am, yes ma'am.

- Hey. - Guess you can't sleep.

Be easier if you were here.

Don't I wish?

Please, tell me you heard something.

Not about the big jobs but I got some good news.

You're gonna be a surgeon.

In like, five years.

- Oh my God. Oh my God. How, how did she tell you?

She just called me into her office.

But before you panic, she's been in there all day

with Dr. Hamda, interviewing people to succeed her.

She squeezed me into a 15 second slot,

so I don't think she's getting to your gig

until the end of the day.

Well, whatever happens, we're gonna celebrate you tonight,

and I'm not gonna think about Amy Larsen

for the rest of the day.

Somehow I doubt that, but nice try.

And?

I don't know.

It's kind of hard to watch this parade

of pretenders to your throne.

'Twas a short reign,

but a worthy one. I hope.

Anyone you like yet?

0 for 4 thus far.

I think he's getting finicky in his old age.

I'm just trying to top Dr. Miller.

Please, just pick somebody I don't have a history with.

I'm offended by that.

I'll be a little more docile if you name me Chief Resident.

Cocky.

Keep me out of this.

I'm being summoned.

So, Hayley and her father chose the medication route,

went ahead and moved them to a procedure room

so we could avoid a confrontation with the mother.

You're really going above and beyond.

Just respecting our patient's wishes.

Yeah, you keep saying that.

Okay, what's that supposed to mean?

Would you do this to Rachel?

If you were in the same situation?

If Mia asked me to, yeah.

I guess you're really comfortable with secrets.

- Okay, come on. Is that what this is about?

I don't know, I was surprised

at how quickly you took the father's position

without even trying to mediate.

Listen, fathers and daughters are capable

of having this kind of bond, okay?

I know that might be triggering for you,

but we have to listen... - That's, that's a low blow.

- What is this? What's going on here?

You tell me.

I don't like when you try and play by your own rules,

but you just expect everyone else to go along.

- Oh, is that what I do? - Sometimes, yeah.

Good to know.

Should we go see our patient in witness protection?

Houston, we're approaching the moons of Mars.

Phobos on my right.

And Demos on your left.

Dr. Walker.

Aww, you feeling any better with the medications?

Not yet. Feeling a little short of breath.

I'll increase the dose of your pain meds, then.

Meantime, I came by to give you...

This.

A rocket?

You have to put it together.

I know you have other patients,

but would you by any chance

have time to help me assemble it?

I'd like nothing more.

Your oxygen levels are holding,

I just need to take a blood sample

to make sure there's no internal bleeding.

Internal bleeding?

I warned you earlier about a potential rupture.

And?

Levels are a little low.

So it's bad?

No, you're not bleeding,

but we need to continue to monitor.

This is the unpredictability aspect I was concerned about.

She keeps calling me.

I know, I turned my phone off.

You really think that's a fair way to handle this?

Look, I don't know what else to do.

I mean, you explained the situation to her,

sounds like she won't take no for an answer,

which is part of her problem.

Well, imagine what it's like to be her,

and not know what's going on with her daughter.

You're hiding my child from me?

What procedure are you even doing?

I'm sorry, like we told you...

- This is insane. She's 16, she's my child.

How can you do this? - I'm pregnant.

Okay? And it's stuck in my tube, and they have to get it out.

Do you wanna tell me how irresponsible I am now?

I'm sorry. Mrs. Sato, I told you,

you're not permitted to be in here.

Is that why you came early today?

Cause you were taking her to the doctor?

Are you crazy?

I didn't know till they told me, neither did she.

I'm sorry you had to find out this way.

It's okay.

It's like Russian Roulette in that office.

Did she talk to you yet?

She said I'm a schmuck, but too good a doctor to let go.

One of the nicest things anybody's said about me.

So you're just hanging out, watching the firing squad?

Yeah.

Oh jeez, another one bites the dust.

Thank you.

Nice working with y'all.

Oh God.

Liz.

It's gonna be fine.

You got this.

- Hi. - Hi. You look terrified.

I think everyone is.

You're an excellent nurse, Liz.

But you have a credibility problem.

You don't know what I'm talking about?

No, not exactly.

Remember that incident with the faulty dose of lorazepam

that Dr. Larsen supposedly prescribed?

I've been through that with Dr. Hamda,

everyone knows that Hannah was manipulating me.

Right. But it took some time for people to believe that,

because you lied for Dr. Miller,

when he tried to cover up the death of Bill Dixon.

I don't need to remind you of the impact of that lie.

But, but that was...

Not that long ago, Liz.

And people will always remember it.

That's the thing about your reputation,

you only have one, and once you lose it,

it's almost impossible to get it back.

I understand.

The question is, does it bother you?

Yeah, of course it bothers me.

And yet he's still here,

a daily reminder of the damage he did to you.

The hospital brought him back, knowing everything.

What could I do at this point?

Find your voice.

Sixteen years.

You're trying to make her hate me.

It's that look on your face, you're always mad,

always disappointed.

She knows I'll leave her alone. - Yeah, you leave her alone.

You left her alone so much that she's pregnant.

Right, of course, you blame it all on me.

She is having an adverse reaction to the methotrexate.

She's in renal failure.

Put her on dialysis.

It's not gonna be that simple.

I'm seeing some hemodynamic instability from the pregnancy.

So, what do you want to do?

CRRT and vasopressors.

You're not concerned about cardiovascular collapse?

Yeah, of course I am, but um, surgery's a higher risk now.

Well, that was exactly my point to begin with.

I will go tell the parents.

Yeah.

Hi. Hayley's reacting negatively to the drugs.

So we are gonna have to put her on a new course of treatment.

Okay, is there some sort of decision that needs to be made?

Not anymore, that was this morning.

Oh. Sonya, thanks for coming in,

I know you were on call last night.

Oh, no. I'm glad I'll have a chance to say goodbye,

and to thank you.

For what?

For mentoring me,

and for even considering me for Chief Resident.

For the record, um...

I understand why you brought your concerns

about my health to Dr. Heller.

You risked a great deal doing that.

Most people would have looked the other way.

Well, I appreciate you saying that.

In any event, I wanted to give you one last chance

to make your case for the coveted post.

Well, I think I'm a very good doctor.

I have compassion for my patients,

I work well with my colleagues,

I learn from my mistakes,

and I think I can be a great teacher.

And in terms of you and Dr. Larsen?

I read the transcript of your interrogation

during that internal review about Dr. Clark.

Yes.

You could have put your foot

on Amy's neck that day.

Matter of fact, you lied to protect her.

Yeah, I had my reasons.

You respect her.

Everyone does.

And if you were sitting in my chair, who would you choose?

Well, that's kind of a trick question, right?

To build my case, I'd have to disparage her.

Which you fear is dangerous

because of our long relationship?

If I've earned it on my own merits, it'll be mine.

If not,

I'm sure she'd make an excellent Chief Resident,

and you'll make the best decision for the department.

- My last patient took so long. How are we doing?

I'm good.

You finished it without me.

Can we... launch it now?

Um, we need to get your breathing under control first.

How long's this been going on for?

Maybe 20 minutes.

Why didn't you call someone?

Got that buzzer there, you know that, right?

I figured they got machines, they can see what's going on.

Why don't you hit that button now?

Okay. Take a deep breath for me.

It hurts.

Sharp or dull pain?

I would say sharp.

Okay. Take a really deep breath for me.

It hurts even more.

Okay. Believe it or not, that's good news.

It means the fluid's around your lungs

and not in your lungs.

Pleural effusion, we need to tap.

Just gonna put a little oxygen mask on you, okay?

It's Cliff, leave a message.

Cliff, it's Gina.

Walter's in distress, and we need your sign-off again.

Call me back, please? Now.

God knows when we'll hear back. - We can't afford to wait.

Get it set up, I'll take the responsibility.

It's my understanding that you were in the running

to become Chief of Internal Medicine at St. Paul's

six years ago.

I was, then had a change of heart.

So, an MBA, then Chief Administrator at Regency Clinic,

two years VP of Clinical Medicine at Grace River.

They were headed for bankruptcy.

He turned that place around.

The thing I'm most proud of is our patient satisfaction scores.

The open access outpatient system

had a lot to do with that.

Most institutions resist that.

How'd you get it past their board?

Passion and persistence.

And you still kept your hand in clinical practice.

I'm in the clinic at least once a week.

I'm a better administrator

if I stay connected to the medicine and our staff.

Admirable. But you realize

that we're too big a hospital to accommodate that.

I do, and I'll miss it,

but it would be worth it

to have the kind of impact I'm looking for.

Thank you so much for coming in.

Thank you, Dr. Ridley.

Okay, what's wrong with this one?

Nothing. He's great.

Come on, Michael.

This is starting to feel like Goldilocks.

What is it? Spit it out.

You're gonna think I'm crazy.

Crazy is probably the last word

anyone would use to describe you.

I think maybe...

I'm the best person for that chair.

You?

Yes.

So, you saved those two people in the woods,

and got a taste of the action again, and...

I miss getting my hands dirty.

And the camaraderie with the other doctors,

and everything I went to

med school for in the first place.

And, oh boy, wouldn't it be nice to get away from Max

and those insipid suits.

Definitely.

Plus you'd be even closer to Amy.

That has nothing to do with it.

No?

I love her, but she's not taking me back anytime soon.

So no, that's not a bonus, that's probably a downside.

Okay.

Now, tell me why you think it'd be good for the department.

Well, for starters, I'm an excellent doctor.

Who hasn't practiced in a year.

Ten months.

And I've maintained my board certification,

so rust would not be a factor.

And no one who could sit in that sit would have

my administrative experience and leadership skills.

And you left out that you could hit the ground running,

cause you know all the players and help stabilize a department

that's had a lot of turbulence.

Well, it sounds like you could support this.

Only one thing.

You started this by saying

you think you could be the best person for the job.

If you're going to walk in Max's office

with my endorsement,

you better know you are.

- Okay, Walter. So, Dr. Coleman's

gonna stick that needle into the space between your chest

and your lung, to relieve the pressure there.

Now, you should be numb from the medication we gave you,

but if you feel any pressure, or more out of breath,

then you just let us know, alright?

Does it hurt?

No.

Good, that's because you're numb, like I said.

Just try to relax, alright?

- Why does it look like milk? Is that okay?

The counselor you sent him with left him alone in the ER,

said he had something else to do.

Well, he thought that the social worker

was gonna be there any minute,

and we have eight kids with the flu.

So he hustled back.

Well, the social worker didn't come, and was never even called.

And I reprimanded him.

But he's got a GED and he's getting paid 12 bucks an hour.

And you know what? I'm lucky to have him.

He's one of the best people on my staff.

I just looked at his medical file, going all the way back.

Delayed decisions on his care

have been hurting him a long time.

You don't have to tell me the system's broken.

Seems like such a great kid.

Oh, he's exceptional.

I mean, we had his IQ tested, he was over 130.

Kind, never complains.

So much to give the world.

And he's falling through the cracks.

Vitals are stable.

Looks like this is starting to work.

Starting?

It'll be a couple more hours

until we've cleared the toxins

and we can see for sure

that your kidney function's normalizing.

- And what if it's not? - Then we'll figure it out.

Obviously, this isn't how any of us wanted it,

and I know you've had a very difficult day.

Probably should have told my mom from the beginning.

You know, my daughter was closer

to her father for a long time.

And I brought that on myself.

But the thing that I am grateful for

is that she let me know why,

and she gave me a chance to fix it.

You don't know my mother.

No, but hospitals have a way of humbling people.

And I'm pretty sure

your message to her was loud and clear.

So maybe, this is a place to start.

I don't know how it all got to this.

I think that winning became the most important thing.

Instead of what was best for Hayley.

- It's not as simple as that. - Come on, man.

You gonna tell me a part of you wasn't feeling pretty good

about being the chosen parent today.

I get it, I'm a divorced dad, I know how things can be.

- Then why didn't you push? The way Dr. Larsen did?

I mean, I wouldn't want some doctor

who barely knows my daughter doing that.

But listen, I do think that for Hayley's sake,

you gotta try and repair things with your ex.

Look, man. You're gonna have birthdays,

and graduations, and weddings,

hopefully some grandkids,

and you're gonna need to co-exist.

Maybe even find a way to share some of the joy.

- Hey, did I miss something? I was in the restroom.

She is turning a corner.

But she's still gonna need a lot of support.

Thank you.

- I've been offered the CMO job. - Here?

- Yes. - I work here.

This, this is mine.

They pursued me, and this is a huge opportunity.

There are a hundred other jobs, Michael.

Not in Minneapolis.

Only other openings at this level are in St. Louis,

New York and Rhode Island.

And I'm not missing Katie's senior year,

or moving her to one of those places.

What about the conflict of interest?

There is no conflict of interest.

I'm gonna be your boss.

Ready to crown a winner?

The candidates are all impressive.

Um, speaking with them

solidified my opinion of what,

and who, is needed.

Okay.

I know how much you want to replace me.

But I have three years left on my contract,

so let me run Internal Medicine.

Are you kidding me?

You get to fill my position

with someone who's more of a yes man,

I think that's what you want.

And you're willing to take the pay cut?

Money's not the primary factor for me.

But I do need Joan's contract terms.

Ah, the ones you gave away to someone

who should never have had the job.

I've been here long enough

to know where a lot of bodies are buried.

I have a similar map.

Let's go to our separate corners.

You raise money and worry about the hospital's image,

I'll go save patients

and train great doctors

in a culture people can believe in.

Back to your roots, huh?

I guess you could say that.

I know you have some pretty strong feelings about me,

I just wanted to tell you

how much I've always respected you.

And I'm very sorry you're leaving,

especially under these circumstances.

You're right.

I do have strong feelings about you.

I need you to say Dr. Larsen

prescribed the wrong medication.

Am I okay?

You're stabilized,

but we still need to do a few more tests.

So I'm not gonna make it to the science fair?

I really wanted to bring my rocket.

I'm really sorry, Walter.

But you're gonna need at least a few days to recover.

But I really need to get there.

I know you feel like you do.

But there will be other chances.

And Mrs. Thompson came by,

and left some of your clothes for you.

Wanted you to know how much everyone misses you.

I know you had to make the decision about my treatment.

Cause you couldn't find anyone else to do it.

That's okay, I'm a doctor.

But you could've gotten in trouble. Right?

Well, I wasn't gonna let you suffer anymore.

- So what happens next time? If I don't get as nice a doctor?

I don't know, Walter.

But we'll figure it out. Okay?

I'm glad to see they're in a better place.

I didn't like how that went today.

Yeah. Yeah, no, me neither.

We both said things.

You've been different since you came back from Chicago.

You've changed since this whole thing with Rachel.

Seriously?

Are you saying you haven't?

I think when you need time to work out things with Michael,

I just, I accept it.

But when the shoe's on the other foot...

When the shoe's on the other foot,

you have a hard time telling me the truth.

And then you expect me to accept that.

I think we might need some space tonight.

Yeah. We do.

So you're really going for the suspense thing, huh?

First order of business is my successor.

- You found someone already? - It's going to be Michael.

I know the whole thing in the woods really galvanized him,

but I wasn't expecting this.

It's a lot more than the woods,

and I think it'll be stabilizing for the department.

Yeah.

Yeah, he's amazing.

I mean, when I, when I came out of my accident,

I was surprised

that he'd given it up in the first place.

He rediscovered his calling.

Okay, well, maybe it'll be fun

having two chiefs in the family.

I wouldn't, wouldn't jump the gun there, kiddo.

What are you talking about?

I'm... I'm concerned

that you grabbed for the Chief Residency

because you hate being an intern

and it's the next highest rung on the ladder.

So, you'd give it to somebody not as good as me?

No, I'd give it to someone

who understands the immensity of the responsibility.

I understand the responsibility, Joan.

So you want to teach, and mentor, and train,

and tolerate people of inferior intelligence and acumen?

I don't think of them that way.

No?

I think you might actually be good at it,

I saw glimpses of it with TJ

and Hannah from time to time,

but it can't just be people you're fond of.

Oh, I wasn't that fond of Hannah.

Don't be clever, Amy.

This is an inflection point, so I need you to hear me.

You've been focused on what you think you need,

whether it's Michael or Jake, or being a good doctor,

or finding your memories.

I got news for you,

most people are a complete mystery to themselves,

even when they have all their memories.

Why did you become a doctor?

To help people.

Of course.

But also,

also to validate your sense of worth in the world,

and I know how those two things can get tangled up.

I just did that to myself,

so now I say this with humility.

It is time for you to put your own needs to the side,

to use your greatness,

to pull the greatness out of others,

including Sonya.

I don't understand.

I looked back at the hiring notes on her,

and you were the one that fought for her.

You said she has grit and resilience,

and she got back up every time you knocked her down.

Now, that's the kind of gal I want leading next generation.

- Great. - And apparently, you did too.

How am I supposed to teach her if I'm two rungs below her?

You won't be, cause you'll be doing it together.

Co-chiefs?

It'll make you better.

In all the ways that really matter.

Because the question is,

what are you going to do with the rest of your life?

Self-development? Self-fulfilment?

Or service to others?

But I won't push it forward,

unless you tell me you can see the wisdom in it.

And I gotta believe you.

Come here.

I'm gonna miss you so much.

Well?

We're sharing it.

Didn't see that coming.

Neither did I.

Did you guys kiss and make up?

We texted, very polite.

I guess we'll just see what tomorrow brings.

Well, two of my favorite people.

Let's go celebrate you.

We are celebrating both of us,

because I am taking you dancing.

Dancing? What about your cane?

What cane?

What cane?

- What cane? - What cane?

- My goodness. - Yeah, it's gonna be fun.

Ah.

All the I's dotted and the T's crossed.

I'm really glad I gave you the farm on your deal.

I played you like a fiddle.

How'd Amy take her news?

She saw the merits of my idea.

It'll be your job to keep her honest.

How'd she feel about that?

You? You, she loves.

There's the chair. Try it.

It's still yours.

I'll sit tomorrow.

To whatever comes next.