1 00:00:02,503 --> 00:00:04,073 [ SIREN WAILS ] 2 00:00:04,105 --> 00:00:05,565 [ RADIO CHATTER ] 3 00:00:07,575 --> 00:00:10,135 FACIAL DROOP RIGHT SIDE, ARMS ARE NUMB, SPEECH SLURRED. 4 00:00:10,178 --> 00:00:12,078 HE'S INCOHERENT. OKAY. INITIATE CODE STROKE. CALL SUNG. 5 00:00:12,113 --> 00:00:14,223 WHAT'S GOING ON? WHAT'S WRONG WITH HIM? NO. HE'S OKAY. 6 00:00:14,248 --> 00:00:16,978 DON'T PUSH ME AWAY! MA'AM, I'M NOT PUSHING YOU AWAY. 7 00:00:17,017 --> 00:00:18,487 YOUR HUSBAND HAS HAD A STROKE. 8 00:00:18,519 --> 00:00:21,359 WE NEED TO MAKE A PLAN, AND WE NEED TO DO IT VERY FAST. 9 00:00:24,192 --> 00:00:26,332 HE WAS ADMITTED LAST NIGHT -- PTOSIS. 10 00:00:26,360 --> 00:00:29,530 THEY PAGED ME TO TAKE A LOOK. WHAT'S HIS HISTORY? 11 00:00:29,563 --> 00:00:32,003 LIVING ON THE STREETS FOR AT LEAST FIVE YEARS, IN -- 12 00:00:32,032 --> 00:00:33,502 [ HISSES ] 13 00:00:33,534 --> 00:00:35,344 IN AND OUT OF PSYCH WARDS, NO FAMILY. 14 00:00:35,369 --> 00:00:39,039 IT'S PURPLE AND BULBOUS. 15 00:00:39,073 --> 00:00:41,583 HE'S BEEN PREVIOUSLY DIAGNOSED WITH SCHIZOPHRENIA. 16 00:00:41,609 --> 00:00:43,509 I SEE GOVERNMENT. THERE YOU ARE. I SEE GOVERNMENT. 17 00:00:43,544 --> 00:00:45,184 HE'S BEEN GOING ON AND ON 18 00:00:45,213 --> 00:00:47,683 ABOUT HOW THE CIA PUT EXTRA SALT ON HIS FRENCH FRIES 19 00:00:47,715 --> 00:00:50,415 TO DEHYDRATE HIM AND -- WHAT DID THE SUPREME COURT DO? 20 00:00:50,451 --> 00:00:53,391 THEY KILLED STEVIE RAY VAUGHAN. OKAY. 21 00:00:53,421 --> 00:00:54,561 [ MUMBLES ] MR. CARTER? 22 00:00:54,588 --> 00:00:56,358 HUH? 23 00:00:56,390 --> 00:00:58,030 HOW LONG HAS YOUR EYELID BEEN DROOPING LIKE THIS? 24 00:00:58,058 --> 00:01:03,398 I-I CAN HEAR YOU. YEAH. THEY AL-- ALWAYS GO IN ADVANCE. 25 00:01:03,431 --> 00:01:06,071 MAY I? I'M NOT CIA, SIR. 26 00:01:10,571 --> 00:01:12,141 HOW LONG'S HE BEEN IN HERE? 27 00:01:12,173 --> 00:01:15,083 HE COMES AND GOES, SOMETIMES FOR A DAY OR TWO, 28 00:01:15,109 --> 00:01:18,049 DEPENDING ON THE SEVERITY OF HIS PSYCHOSIS. 29 00:01:18,078 --> 00:01:19,408 [ MUMBLING ] LET'S GET AN MRI. 30 00:01:19,447 --> 00:01:21,477 OH, HE'S NOT INSURED. 31 00:01:21,515 --> 00:01:22,775 NOT THAT THAT MATTERS. 32 00:01:22,816 --> 00:01:25,316 WHITE ONES. IT'S ALWAYS WHITE ONES. 33 00:01:25,353 --> 00:01:29,463 I THINK. YEAH. THAT'S RIGHT. I-I CAN HEAR YOU. 34 00:01:29,490 --> 00:01:30,460 [ INDISTINCT CONVERSATIONS ] 35 00:01:30,491 --> 00:01:32,231 [ MONITOR BEEPING ] 36 00:01:32,260 --> 00:01:36,400 [ HEART BEATING RAPIDLY ] 37 00:01:36,430 --> 00:01:37,570 [ FLATLINE ] 38 00:01:37,598 --> 00:01:39,228 [ SIREN WAILING ] 39 00:01:39,267 --> 00:01:40,467 WHAT'S HAPPENING IS THAT YOU HAVE YET AGAIN 40 00:01:40,501 --> 00:01:43,101 BARRED AN INSTRUMENT REP FROM THE O.R. 41 00:01:43,137 --> 00:01:45,467 IN DEFIANCE OF OUR EXPRESS DIRECTIVES... BECAUSE THEY INTERFERE WITH THE PROCEDURES. 42 00:01:45,506 --> 00:01:47,336 THEY EXALT THE INTEREST OF THE HARDWARE... ...IN DEFIANCE OF HOSPITAL POLICY... 43 00:01:47,375 --> 00:01:48,775 ...OVER THE THE PATIENT. ...AND IN PARTICULAR DEFIANCE OF ME. 44 00:01:48,809 --> 00:01:51,609 OH, WELL, IT'S ALL ABOUT YOU, ISN'T IT, BUCK? 45 00:01:51,645 --> 00:01:53,075 YOU LISTEN TO ME, MISSY. [ SCOFFS ] MISSY? 46 00:01:53,113 --> 00:01:55,823 HOW LOVELY TO SEE THE CHILDREN AT PLAY. 47 00:01:55,849 --> 00:01:56,819 DR. RIDGEWAY, LET ME START WITH YOU. 48 00:01:56,850 --> 00:01:59,120 I HAVE DELIGHTFUL NEWS. 49 00:01:59,153 --> 00:02:00,423 YOU WON'T HAVE TO WORRY ABOUT 50 00:02:00,454 --> 00:02:01,664 ATTORNEY TOMPKINS COMPLICATING YOUR LIFE, 51 00:02:01,689 --> 00:02:03,289 AT LEAST NOT FOR THE IMMEDIATE FUTURE, 52 00:02:03,324 --> 00:02:06,634 THE CASE HAS GONE AWAY. REALLY? HOW? 53 00:02:06,660 --> 00:02:08,560 OUR ATTORNEY DEEMED IT UNWINNABLE, SO WE'VE SETTLED. 54 00:02:10,464 --> 00:02:12,704 I BEG YOUR PARDON? WELL, THAT'S WHAT HAPPENS 55 00:02:12,733 --> 00:02:15,273 WHEN YOU NICK THE OLFACTORY NERVE OF A CHEF, 56 00:02:15,303 --> 00:02:17,173 OR RATHER WHEN YOU DELEGATE THE NICKING OF SAID NERVE 57 00:02:17,205 --> 00:02:20,805 TO A RESIDENT WITH NO PREVIOUS EXPERIENCE OF THE PROCEDURE. 58 00:02:21,642 --> 00:02:23,812 OH, AND YOU CAN WIPE THAT SMILE OFF YOUR FACE, BUCK. 59 00:02:23,844 --> 00:02:26,284 THE ATTORNEY HAS SET HIS SIGHTS ON YOU NOW. 60 00:02:26,314 --> 00:02:27,454 ME? WHY? 61 00:02:27,481 --> 00:02:29,451 SOMETHING TO DO WITH YOUR INSISTENCE 62 00:02:29,483 --> 00:02:32,453 ON PRONOUNCING A RATHER-ALIVE PATIENT DEAD. 63 00:02:32,486 --> 00:02:34,316 YOU'LL BE MEETING WITH OUR LAWYER FIRST, SCOTT HENDERSON. 64 00:02:34,355 --> 00:02:36,155 HE'S WAITING FOR YOU ON THE THIRD FLOOR. 65 00:02:39,660 --> 00:02:41,530 Sung: LARGE OCCLUSION -- THERE. LOT OF PLAQUE. 66 00:02:41,562 --> 00:02:44,632 MIDDLE CEREBRAL ARTERY, SWELLING. 67 00:02:44,665 --> 00:02:46,695 NEED HEMICRANIECTOMY. 68 00:02:46,734 --> 00:02:48,844 I'M SORRY. I DIDN'T UNDERSTAND A WORD HE SAID. 69 00:02:48,869 --> 00:02:51,209 YOUR HUSBAND NEEDS SURGERY 70 00:02:51,239 --> 00:02:53,139 TO RELIEVE THE PRESSURE ON HIS BRAIN. 71 00:02:53,173 --> 00:02:55,843 THE SOONER WE DO IT, THE MORE BRAIN CELLS WE CAN SAVE. 72 00:02:55,876 --> 00:02:57,476 HE HAD A MASSIVE STROKE. 73 00:02:57,511 --> 00:03:00,811 MEDICATIONS, THROMBOLYTICS -- ALREADY GIVEN. 74 00:03:00,848 --> 00:03:03,648 AND WHAT'S A HEMI... 75 00:03:03,684 --> 00:03:05,554 CRANIECTOMY. REMOVE PART OF SKULL BONE. 76 00:03:05,586 --> 00:03:08,416 CREATE FLAP. WHAT DO YOU MEAN, "FLAP"? 77 00:03:08,456 --> 00:03:12,156 ONLY ONE ENTRANCE INTO SKULL. HOLE AT BASE. 78 00:03:12,192 --> 00:03:15,362 IF NO ROOM, BRAIN SQUISH OUT OF HOLE. 79 00:03:15,396 --> 00:03:18,226 WHAT IS HE TALKING ABOUT? 80 00:03:18,266 --> 00:03:21,736 THE BRAIN IS SWELLING, SO WE NEED TO CREATE MORE ROOM. 81 00:03:21,769 --> 00:03:23,599 SO WE REMOVE PART OF THE SKULL. 82 00:03:23,637 --> 00:03:25,667 AND DO WHAT WITH IT? STOMACH. 83 00:03:25,706 --> 00:03:28,506 WE STORE THE SKULL BONE IN THE ABDOMEN. 84 00:03:28,542 --> 00:03:29,842 THE PERITONEUM IN THE BELLY 85 00:03:29,877 --> 00:03:32,847 ACTUALLY NOURISHES THE SKULL BONE. 86 00:03:32,880 --> 00:03:34,920 IT KEEPS IT HEALTHY WHILE HE RECOVERS. 87 00:03:34,948 --> 00:03:38,748 AND THE OPERATION -- IS IT RISKY? 88 00:03:38,786 --> 00:03:40,886 YES, MA'AM. 89 00:03:40,921 --> 00:03:42,861 WILL DIE WITHOUT. 90 00:03:42,890 --> 00:03:45,260 [ Voice breaking ] OH, MY GOD. 91 00:03:45,293 --> 00:03:48,733 PROMISE ME YOU'LL SAVE HIM. PLEASE. 92 00:03:50,798 --> 00:03:51,898 I WILL DO. 93 00:04:00,408 --> 00:04:04,648 "IF NO ROOM, BRAIN SQUISH OUT HOLE"? 94 00:04:04,678 --> 00:04:07,248 MM. 95 00:04:09,283 --> 00:04:10,923 WOW. 96 00:04:10,951 --> 00:04:13,921 SO ALL THIS TIME THEY'VE BEEN THINKING IT'S SCHIZOPHRENIA, 97 00:04:13,954 --> 00:04:15,964 WHEN THAT HAS BEEN GROWING INSIDE HIS HEAD. 98 00:04:15,989 --> 00:04:19,429 PERHAPS GROWING FOR FIVE-PLUS YEARS. 99 00:04:21,295 --> 00:04:23,395 IT'S A BILOBED MENINGIOMA. IT'S ON YOUR FRONTAL LOBES. 100 00:04:23,431 --> 00:04:25,331 NOW, THE GOOD NEWS IS I MIGHT BE ABLE TO FIX IT 101 00:04:25,366 --> 00:04:27,436 WITH SURGERY, BUT THERE ARE RISKS. 102 00:04:27,468 --> 00:04:29,338 NEED DEDICATED TDM INTERCONNECTIONS. 103 00:04:29,370 --> 00:04:31,270 THE I.S.A.N. ALLEVIATES POST D.A. DELAY. 104 00:04:31,305 --> 00:04:32,765 REDUCES ROUTING ISSUES. 105 00:04:32,806 --> 00:04:34,676 YEAH. I'LL TAKE CARE OF THE ROUTING ISSUES. 106 00:04:34,708 --> 00:04:36,238 IN THE MEANTIME, PLEASE, SIGN HERE. 107 00:04:36,276 --> 00:04:39,846 SAYS THAT YOU UNDERSTAND THE INHERENT RISKS. 108 00:04:39,880 --> 00:04:42,580 THE SOFT-SWITCH ARCHITECTURE IS NOT RIGHT. IT JUST ISN'T RIGHT. 109 00:04:42,616 --> 00:04:44,246 ABSOLUTELY. PLEASE, SIGN HERE. 110 00:04:44,284 --> 00:04:46,254 IT SAYS THAT YOU UNDERSTAND THE RISKS OF SURGERY 111 00:04:46,286 --> 00:04:47,956 AND THAT YOU KNOWINGLY CONSENT TO THE PROCEDURE. 112 00:04:53,293 --> 00:04:54,933 YOU WANT TO SCRUB UP, BE PART OF THIS? 113 00:04:54,962 --> 00:04:57,772 I WOULD, BUT... 114 00:04:57,798 --> 00:04:59,768 I KNOW IT ISN'T MY PLACE TO RAISE THIS CONCERN -- 115 00:04:59,800 --> 00:05:02,640 IF YOU HAVE A CONCERN, DOCTOR, IT'S YOUR DUTY TO RAISE IT. 116 00:05:02,670 --> 00:05:04,270 OKAY, THE CONSENT -- 117 00:05:04,304 --> 00:05:05,614 WAS ANYTHING BUT INFORMED. 118 00:05:05,639 --> 00:05:07,939 THE MAN HAD NO IDEA WHAT I WAS TALKING ABOUT. 119 00:05:07,975 --> 00:05:10,475 BUT WITH NO FAMILY, NO GUARDIAN, I'D EITHER HAVE TO GO TO COURT, 120 00:05:10,511 --> 00:05:12,381 WHICH COULD TAKE TIME HE DOES NOT HAVE, 121 00:05:12,413 --> 00:05:13,883 GIVEN THE SIZE OF THE MENINGIOMA, 122 00:05:13,914 --> 00:05:15,724 OR I SIMPLY GET ANOTHER NEURO WHO WILL AGREE 123 00:05:15,749 --> 00:05:17,849 THAT THE SURGERY IS AS NECESSARY AS IT IS URGENT. 124 00:05:17,885 --> 00:05:19,785 ARE YOU THAT NEURO, DR. ROBIDAUX? 125 00:05:19,820 --> 00:05:20,990 UM... 126 00:05:21,822 --> 00:05:25,362 YES. GOOD, THEN. SCRUB UP. 127 00:05:26,927 --> 00:05:28,627 SO YOU'RE NOT GETTING SUED NOW. THIS IS GREAT. 128 00:05:28,662 --> 00:05:30,002 NO, IT'S BAD, BECAUSE I'VE LOST 129 00:05:30,030 --> 00:05:32,000 EVEN BEFORE BEING ALLOWED TO DEFEND MYSELF. 130 00:05:32,032 --> 00:05:34,372 LOOK -- WE GET SUED. BIG DEAL. IT HAPPENS. 131 00:05:34,402 --> 00:05:36,042 BE GLAD YOU NOW DON'T HAVE TO DEAL WITH MITCH TOMPKINS. 132 00:05:36,069 --> 00:05:38,539 OKAY, YOU ARE WAY TOO MELLOW. 133 00:05:38,572 --> 00:05:39,912 HOW GREAT WAS THIS DATE WITH LIEBERMAN? 134 00:05:39,940 --> 00:05:41,710 OH! NOT GET PAGED? 135 00:05:41,742 --> 00:05:43,312 WE DID, SUNG, WHICH IS WHY WE'RE ON OUR WAY TO SEE YOU. 136 00:05:43,343 --> 00:05:45,713 WALK LEISURE. THIS URGENT. STROKE PATIENT. 137 00:05:45,746 --> 00:05:47,576 HEMICRANIECTOMY. NEED YOU. AND YOU. 138 00:05:47,615 --> 00:05:48,975 PATIENT OLD. FAT. SCRUB. 139 00:05:49,016 --> 00:05:50,916 OKAY. 140 00:05:50,951 --> 00:05:52,851 YEAH. 141 00:05:52,886 --> 00:05:55,316 A GANGBANGER GETS SHOT IN THE HEAD BY ANOTHER BANGER, 142 00:05:55,355 --> 00:05:56,655 AND THE FAMILY IS SUING ME, THE DOCTOR. 143 00:05:56,690 --> 00:05:58,490 WELCOME TO AMERICAN JURISPRUDENCE. 144 00:05:58,526 --> 00:06:01,326 YOU THINK THAT'S FUNNY? I DIDN'T INTEND IT AS FUNNY. 145 00:06:01,361 --> 00:06:03,331 MR. TOMPKINS SUES DOCTORS IN BULK 146 00:06:03,363 --> 00:06:04,733 AND TYPICALLY EXTRACTS ONEROUS SETTLEMENTS, 147 00:06:04,765 --> 00:06:06,325 MORE TIMES THAN NOT, 148 00:06:06,366 --> 00:06:07,836 BY GETTING DEFENDANTS TO MAKE INCRIMINATING -- 149 00:06:07,868 --> 00:06:09,838 OR, WORSE, DUMB -- DECLARATIONS ON THE RECORD. 150 00:06:09,870 --> 00:06:11,370 AND IF FIRST IMPRESSIONS COUNT, 151 00:06:11,405 --> 00:06:14,035 YOU STRIKE ME AS LOW-HANGING FRUIT. 152 00:06:14,074 --> 00:06:16,744 HAVE YOU EVER BEEN DEPOSED BY MR. TOMPKINS BEFORE? 153 00:06:16,777 --> 00:06:19,007 NO, BUT I CAN CERTAINLY HANDLE -- THE ANSWER TO THAT QUESTION WOULD BE "NO." 154 00:06:19,046 --> 00:06:21,916 YOU LEAVE IT AT "NO." YOU DO NOT QUALIFY, ELABORATE, OR EXPLAIN. 155 00:06:21,949 --> 00:06:23,619 THE MORE YOU SAY, THE MORE YOU PAY -- 156 00:06:23,651 --> 00:06:25,451 THIS HAS BEEN MY EXPERIENCE WITH MITCH TOMPKINS. 157 00:06:25,486 --> 00:06:27,556 [ SIREN WAILS IN DISTANCE ] 158 00:06:31,625 --> 00:06:34,355 OKAY. MR. CARTER, HOW WE DOING? 159 00:06:34,394 --> 00:06:36,534 I KNOW. 160 00:06:36,564 --> 00:06:39,374 I'M SORRY? I KNOW THAT YOU'RE CIA 161 00:06:39,399 --> 00:06:40,969 AND YOU'RE TRYING TO CUT THESE SECRETS OUT OF MY HEAD. 162 00:06:41,001 --> 00:06:43,641 YOU JUST TRY TO RELAX, OKAY? 163 00:06:43,671 --> 00:06:46,541 I'LL MAKE YOU BETTER. I WANT MY LAWYER. 164 00:06:46,574 --> 00:06:48,544 WHOA. WHAT DID HE SAY? 165 00:06:48,576 --> 00:06:50,506 HE SAID, "LET'S DO IT." 166 00:06:53,080 --> 00:06:55,580 I'M NOT SURE I'M COMFORTABLE WITH WHAT I JUST HEARD. 167 00:06:55,616 --> 00:06:57,546 THAT'S NOT WHAT I GOT FROM THE PRE-OP EVAL. 168 00:06:57,585 --> 00:06:59,785 UH, H-HOLD ON, EVERYBODY. 169 00:06:59,820 --> 00:07:02,390 LET'S ALL TAKE A MOMENT 170 00:07:02,422 --> 00:07:05,062 WHILE DR. WONG GETS HIMSELF COMFORTABLE. 171 00:07:05,092 --> 00:07:06,662 MAYBE, IN THE MEANTIME, WE CAN ALL WATCH A LITTLE TV. 172 00:07:06,694 --> 00:07:08,064 I DIRECT YOUR ATTENTION 173 00:07:08,095 --> 00:07:11,395 TO THE MONITOR FEATURING A LARGE BILOBED MENINGIOMA, 174 00:07:11,431 --> 00:07:12,971 ONE WHICH NEEDS TO COME OUT OF THE HEAD. 175 00:07:13,000 --> 00:07:14,400 LOOK -- I HAVE ASSESSED THIS PATIENT, DOCTOR, 176 00:07:14,434 --> 00:07:15,944 AND FOUND HIM TO LACK ANY COMPREHENSION 177 00:07:15,969 --> 00:07:17,669 OF HIS MEDICAL CONDITION, 178 00:07:17,705 --> 00:07:20,835 AND THEREFORE INCAPABLE OF EXPRESSING INFORMED CONSENT. 179 00:07:20,874 --> 00:07:22,744 THERE IS NO ALTERNATIVE SOURCE FOR SUCH CONSENT. 180 00:07:22,776 --> 00:07:25,406 IT THEREFORE FALLS TO ME TO WEIGH THE RISKS 181 00:07:25,445 --> 00:07:28,075 OF PERFORMING THE PROPOSED TREATMENT VERSUS NOT PERFORMING. 182 00:07:28,115 --> 00:07:30,775 MY MEDICAL OPINION IS THAT THIS TUMOR NEEDS TO COME OUT. 183 00:07:30,818 --> 00:07:32,588 DO YOU REALLY MEAN 184 00:07:32,620 --> 00:07:35,560 TO SUBSTITUTE YOUR JUDGMENT FOR MINE, DR. WONG? 185 00:07:37,190 --> 00:07:38,930 NO. 186 00:07:38,959 --> 00:07:41,799 GOOD, THEN. PLEASE PUT HIM TO SLEEP. 187 00:07:45,966 --> 00:07:49,766 CIA. IT'S THE CIA. 188 00:07:49,803 --> 00:07:51,973 THERE ARE SO MANY CIA. 189 00:07:52,005 --> 00:07:55,005 AND THEN THEY HAVE... 190 00:07:55,042 --> 00:07:57,882 THAT'S... [ EXHALES DEEPLY ] 191 00:08:01,982 --> 00:08:03,382 * SO, THE WAY THAT THESE THINGS GO * 192 00:08:09,356 --> 00:08:11,486 I'M TELLING YOU, ONE GLASS OF WINE, 193 00:08:11,525 --> 00:08:13,355 HE WENT FROM GEEK TO CYRANO de BERGERAC. 194 00:08:13,393 --> 00:08:16,963 SHH! NO TALK. NOT HIGH SCHOOL. 195 00:08:16,997 --> 00:08:20,127 WAS I BEING LOUD? I DIDN'T THINK SO. 196 00:08:20,167 --> 00:08:23,467 SHH! I STAND CORRECTED. 197 00:08:23,503 --> 00:08:27,143 [ SIGHS ] 198 00:08:27,174 --> 00:08:28,984 YOU READY? YEAH. BRING IT HERE, BABE. 199 00:08:29,009 --> 00:08:34,009 * OFTEN FINDS ME CRYING IN THE CAR * 200 00:08:34,047 --> 00:08:35,177 THE SUTURE. 201 00:08:37,184 --> 00:08:38,294 FORCEPS. 202 00:08:47,895 --> 00:08:54,365 * AND I AM STILL PRETENDING I BELIEVE YOU * 203 00:08:54,401 --> 00:08:57,241 YOU DOING OKAY? 204 00:08:57,270 --> 00:09:01,040 Michelle: ME? I FEEL LIKE I'M AT DISNEYLAND. 205 00:09:01,074 --> 00:09:03,844 HAVE YOU EVER HAD A TUMOR ON BOTH HEMISPHERES BEFORE? 206 00:09:03,877 --> 00:09:07,507 ONCE. THIS IS RARE. 207 00:09:07,547 --> 00:09:09,847 * JUST AS LONG AS NO ONE SAYS YOUR NAME * 208 00:09:09,883 --> 00:09:11,423 YOU READY? 209 00:09:12,620 --> 00:09:16,560 * JUST AS LONG AS NO ONE 210 00:09:24,397 --> 00:09:27,527 NICE. 211 00:09:27,567 --> 00:09:29,267 WELL, FIRST OF ALL, LET ME SAY -- 212 00:09:29,302 --> 00:09:31,202 AND I'LL EVEN SAY IT FOR THE RECORD -- 213 00:09:31,238 --> 00:09:34,608 I HAPPEN TO BE A BIG PROPONENT OF ORGAN DONATION. 214 00:09:34,642 --> 00:09:37,482 I HAVE A BROTHER-IN-LAW WHO WOULD NOT BE ALIVE TODAY 215 00:09:37,510 --> 00:09:39,450 BUT FOR OUR ORGAN DONATION NETWORK. 216 00:09:39,479 --> 00:09:43,049 SO, TO THE EXTENT THAT YOU ARE A PARTICIPANT IN THIS PROCESS -- 217 00:09:43,083 --> 00:09:45,593 AND I KNOW YOU ARE, AS HEAD OF TRANSPLANTS AT CHELSEA GENERAL -- 218 00:09:45,619 --> 00:09:49,619 LET ME START OFF BY OFFERING A HEARTFELT THANK YOU. 219 00:09:49,657 --> 00:09:53,257 I SHOULD ALSO LIKE TO MENTION, FOR THE RECORD, 220 00:09:53,293 --> 00:09:57,603 THAT WHEN A LIFE IS LOST, MANY, MANY PEOPLE SUFFER. 221 00:09:57,631 --> 00:10:00,331 THE VICTIM HIMSELF, THE FAMILY, HOSPITAL STAFF, 222 00:10:00,367 --> 00:10:01,467 EVEN THE DOCTORS. 223 00:10:01,501 --> 00:10:03,101 AM I RIGHT, DR. TIERNEY? 224 00:10:03,136 --> 00:10:06,966 HAS MY CLIENT'S LOSS OF LIFE CAUSED YOU TO SUFFER ANY? 225 00:10:08,441 --> 00:10:12,351 I, LIKE YOU, AM PAINED BY ANY LOSS OF LIFE, MR. TOMPKINS. 226 00:10:12,379 --> 00:10:14,919 MY PAIN HERE IS MITIGATED BY THE REALITY THAT, 227 00:10:14,948 --> 00:10:17,578 THROUGH THE GIFT OF TRANSPLANTS, OTHER LIVES WERE SAVED. 228 00:10:17,617 --> 00:10:19,947 HOW VERY WELL SAID. 229 00:10:19,987 --> 00:10:22,957 AND I'M HEARTENED, I MUST SAY, TO SEE YOU HAVE 230 00:10:22,990 --> 00:10:25,360 YOUR OWN PERSONAL SUFFERING IN CHECK. 231 00:10:25,392 --> 00:10:30,662 SHALL WE TURN TO MY CLIENT'S SUFFERING, THEN? 232 00:10:34,534 --> 00:10:36,374 HE TAKING ANY BREATHS ON HIS OWN? 233 00:10:36,403 --> 00:10:39,343 NONE. I HAVEN'T GIVEN HIM ANYTHING FOR A BIT. 234 00:10:39,372 --> 00:10:41,212 BUT HE'S NOT LIGHTENING UP. 235 00:10:41,241 --> 00:10:42,611 NO NEUROMUSCULAR BLOCKADE ON BOARD? NOT FOR A WHILE. 236 00:10:42,642 --> 00:10:43,682 AND NO PAIN RESPONSE. 237 00:10:45,512 --> 00:10:47,652 [ RAPID BEEPING ] 238 00:10:49,216 --> 00:10:51,046 HE'S GOT DECEREBRATE POSTURING! 239 00:10:51,084 --> 00:10:53,194 HOW'S HIS END-TIDAL CO2? NORMAL. 240 00:10:53,220 --> 00:10:55,660 BRING DOWN MORE. HAS HE HAD ANY MANNITOL? DIURETICS? 241 00:10:55,689 --> 00:10:57,459 MAX DOSAGE. STEROIDS, TOO. 242 00:10:57,490 --> 00:10:58,960 CAN YOU BUY HIM SOME MORE ROOM? NO! 243 00:10:58,992 --> 00:11:00,392 NO? Tina: THERE'S TOO MUCH EDEMA. 244 00:11:00,427 --> 00:11:02,627 MALIGNANT BRAIN EDEMA. HE'S HERNIATED HIS BRAIN STEM. 245 00:11:02,662 --> 00:11:04,302 FIXED AND DILATED. 246 00:11:04,331 --> 00:11:06,231 WHAT WAS HIS GLASGOW COMA SCALE TO START? SEVEN. 247 00:11:06,266 --> 00:11:08,036 HE'S ONLY THREE NOW. THREE'S LOW CAN GO. 248 00:11:08,068 --> 00:11:09,998 CALORIC REFLEX? ICE WATER. 249 00:11:16,576 --> 00:11:20,446 NO OCULOVESTIBULAR REFLEXES. 250 00:11:26,186 --> 00:11:28,386 SWELLING COULD NOT BE CONTAINED. 251 00:11:28,421 --> 00:11:31,261 PRESSED ON OTHER PARTS OF BRAIN. 252 00:11:31,291 --> 00:11:33,491 HE'S DEAD? 253 00:11:33,526 --> 00:11:39,496 H-HE'S... HE'S BRAIN DEAD, YES. 254 00:11:39,532 --> 00:11:41,742 HE'S ON A VENTILATOR. 255 00:11:41,769 --> 00:11:47,369 HIS BODY IS STILL WORKING, BUT I'M AFRAID HE'S GONE. 256 00:11:47,407 --> 00:11:49,437 WE ARE SO SORRY. 257 00:11:49,476 --> 00:11:53,746 HE'S... 258 00:11:53,781 --> 00:11:55,451 A VENTILATOR? HE'S ON A MACHINE? 259 00:11:55,482 --> 00:11:57,422 YES. HE DIDN'T WANT A MACHINE. 260 00:11:57,450 --> 00:12:02,120 THAT'S WHY WE FILLED OUT ALL THAT PAPERWORK -- THE DIRECTIVE. 261 00:12:02,155 --> 00:12:05,225 THE ADVANCE DIRECTIVE DOESN'T ACTUALLY APPLY DURING SURGERY. 262 00:12:06,794 --> 00:12:09,304 [ Voice breaking ] HE'S REALLY DEAD? 263 00:12:09,329 --> 00:12:11,259 OKAY. HEY. 264 00:12:11,298 --> 00:12:15,038 HE'S GONE. 265 00:12:15,068 --> 00:12:16,438 HOW CAN HE BE GONE? 266 00:12:28,581 --> 00:12:30,581 [ INDISTINCT CONVERSATIONS ] 267 00:12:33,153 --> 00:12:36,793 [ SOFT MUSIC PLAYS ] 268 00:12:36,824 --> 00:12:38,634 ARE YOU OKAY? 269 00:12:40,193 --> 00:12:43,133 BECAUSE WE CAN CUT THE NIGHT SHORT IF -- I'M OKAY. 270 00:12:45,165 --> 00:12:47,625 [ SIGHS ] THAT POOR WOMAN. 271 00:12:47,667 --> 00:12:51,697 THEY HAD NO CHILDREN. HE WAS ALL SHE HAD. 272 00:12:55,608 --> 00:12:58,408 WHAT? WHAT ARE YOU THINKING? 273 00:12:58,445 --> 00:12:59,775 NOTHING. THAT ISN'T TRUE. 274 00:12:59,813 --> 00:13:01,753 YOU WERE LOOKING AT ME FUNNY AND THINKING SOMETHING. 275 00:13:01,781 --> 00:13:05,651 IT WASN'T ANYTHING APPROPRIATE. 276 00:13:05,685 --> 00:13:07,185 SECOND DATE, 277 00:13:07,220 --> 00:13:09,190 WE'RE ALREADY KEEPING STUFF FROM EACH OTHER. 278 00:13:09,222 --> 00:13:11,092 I GUESS THAT MEANS WE'RE FAST-TRACKED. 279 00:13:11,124 --> 00:13:13,634 OKAY. 280 00:13:13,660 --> 00:13:15,700 I HAVE BEEN HOPING ALL DAY 281 00:13:15,728 --> 00:13:18,698 THAT TONIGHT I WOULD BE KISSING YOU. 282 00:13:18,731 --> 00:13:21,331 AND WHAT I WAS THINKING JUST NOW 283 00:13:21,368 --> 00:13:25,138 IS HOW THAT'S PROBABLY NOT GOING TO HAPPEN. 284 00:13:25,172 --> 00:13:26,812 [ GASPS ] CARLA? 285 00:13:26,840 --> 00:13:28,310 I TOLD YOU -- NOT APPROPRIATE. ARE YOU OKAY? 286 00:13:28,341 --> 00:13:30,141 [ CHOKING ] SOMEBODY, HELP! 287 00:13:30,177 --> 00:13:31,177 [ MURMURING ] 288 00:13:31,211 --> 00:13:33,281 MA'AM! SOMEBODY HELP HER! 289 00:13:33,313 --> 00:13:36,623 [ GASPING ] 290 00:13:36,649 --> 00:13:39,149 [ GRUNTING ] 291 00:13:40,220 --> 00:13:43,520 ARE YOU OKAY? GET HER A CHAIR NOW. 292 00:13:43,556 --> 00:13:45,526 MA'AM? MA'AM, LOOK AT ME. 293 00:13:45,558 --> 00:13:48,128 I'M DR. SYDNEY NAPUR, I WORK AT CHELSEA GENERAL. 294 00:13:48,161 --> 00:13:49,401 ARE YOU GETTING AIR OKAY? 295 00:13:49,429 --> 00:13:52,469 [ GASPS ] 296 00:13:52,499 --> 00:13:54,369 MA'AM? 297 00:13:54,401 --> 00:13:55,841 MA'AM? 298 00:13:55,869 --> 00:13:57,669 [ INDISTINCT SHOUTING ] 299 00:13:57,704 --> 00:13:59,214 CALL 911! 300 00:13:59,239 --> 00:14:01,639 [ BEEP ] SHE'S NOT BREATHING! 301 00:14:01,674 --> 00:14:02,684 Woman: SOMEBODY CALL IT! 302 00:14:02,709 --> 00:14:06,679 MR. CARTER? 303 00:14:06,713 --> 00:14:07,753 MR. CARTER? 304 00:14:11,418 --> 00:14:12,618 HOW WE DOING? 305 00:14:14,687 --> 00:14:18,157 I'M DR. WILSON. I PERFORMED THE PROCEDURE. 306 00:14:18,191 --> 00:14:20,231 WHAT PROCEDURE? 307 00:14:20,260 --> 00:14:21,860 YOU HAD A LARGE TUMOR 308 00:14:21,895 --> 00:14:25,825 ON EITHER SIDE OF YOUR FRONTAL LOBE. 309 00:14:25,865 --> 00:14:29,335 DO YOU HAVE ANY MEMORY OF MEETING ME BEFORE? 310 00:14:29,369 --> 00:14:31,499 AND THIS IS DR. ROBIDAUX. 311 00:14:31,538 --> 00:14:33,568 SHE ASSISTED ME WITH THE PROCEDURE. 312 00:14:33,606 --> 00:14:36,736 HOW WE DOING? WELL, I THINK WE'RE STILL TRYING TO FIGURE THAT OUT. 313 00:14:36,776 --> 00:14:39,846 OKAY, MR. CARTER, FOR TONIGHT, I JUST WANT YOU TO REST, OKAY? 314 00:14:39,879 --> 00:14:41,549 WE'LL GO OVER EVERYTHING TOMORROW. 315 00:14:41,581 --> 00:14:43,551 IT'S COOPER. I'M SORRY? 316 00:14:43,583 --> 00:14:45,623 MY NAME IS BRIAN COOPER. 317 00:14:46,786 --> 00:14:49,616 UH, YOU WERE ADMITTED AS JAMES EARL CARTER. 318 00:14:49,656 --> 00:14:51,616 OKAY, I HAVE NO IDEA WHO THAT IS. 319 00:14:51,658 --> 00:14:56,358 BUT MY NAME IS BRIAN COOPER. LOOK, IS MY WIFE HERE? 320 00:14:56,396 --> 00:14:57,856 I-I'D REALLY LIKE TO TALK TO MY WIFE. 321 00:14:57,897 --> 00:15:02,237 WELL, UM, WE CAN CERTAINLY ARRANGE THAT IF... 322 00:15:02,269 --> 00:15:05,209 WOULD YOU HAPPEN TO KNOW HOW TO CONTACT HER? 323 00:15:05,238 --> 00:15:10,378 YEAH. YOU CAN CALL HER AT 503-278-8106. 324 00:15:10,410 --> 00:15:13,910 SHE LIVES AT 1215 BITTEROOT DRIVE IN BEAUMONT. 325 00:15:13,947 --> 00:15:15,747 HER NAME IS MARYLIN. 326 00:15:18,918 --> 00:15:21,748 WHOA. 327 00:15:21,788 --> 00:15:23,588 SIR, AR-ARE YOU OKAY? 328 00:15:23,623 --> 00:15:27,233 WHAT YEAR IS IT? 329 00:15:27,260 --> 00:15:30,560 2013. 330 00:15:30,597 --> 00:15:32,497 WHAT YEAR DID YOU THINK IT WAS? 331 00:15:32,532 --> 00:15:35,342 2006. 332 00:15:39,506 --> 00:15:42,276 WHAT HAPPENED TO ME? 333 00:15:46,279 --> 00:15:48,849 WHAT HAPPENED TO ME? 334 00:15:56,756 --> 00:15:57,616 JUST KEEP PUSHING ME. WHERE ARE WE HEADED? 335 00:15:59,559 --> 00:16:01,329 CODE TEAM IS WAITING IN THE CATH LAB. YOU'RE GOOD TO GO. 336 00:16:01,361 --> 00:16:04,331 ASYSTOLE! NOT RESPONDING TO I.V. OR TRACHEAL EPI. 337 00:16:04,364 --> 00:16:05,474 GET ME AN INTRACARDIAC DOSE! 338 00:16:10,637 --> 00:16:12,307 YOU OKAY? 339 00:16:12,339 --> 00:16:14,009 YEAH. FINE. 340 00:16:14,041 --> 00:16:16,511 YOU DON'T LOOK FINE. 341 00:16:16,543 --> 00:16:21,013 SHE'S REALLY AN EXTRAORDINARY WOMAN -- DR. NAPUR. 342 00:16:21,048 --> 00:16:23,218 CAN I BE HONEST? YEAH. 343 00:16:23,250 --> 00:16:25,350 YOU'RE OVERMATCHED, MY MAN. 344 00:16:25,385 --> 00:16:29,685 THAT WOMAN WILL RUN THROUGH YOU LIKE CRAP THROUGH A GOOSE. 345 00:16:31,258 --> 00:16:35,428 JUST MY OPINION, BUT... CRAP THROUGH A GOOSE. 346 00:16:39,332 --> 00:16:41,332 [ WHEELS SQUEAKING ] 347 00:16:44,537 --> 00:16:46,207 Fran: DR. PARK. 348 00:16:46,239 --> 00:16:50,209 HI. FRAN HOROWITZ FROM RISK MANAGEMENT. 349 00:16:50,243 --> 00:16:52,413 WE'VE MET BEFORE. HOW ARE WE TODAY? 350 00:16:52,445 --> 00:16:53,675 BUSY. GO AWAY. 351 00:16:53,713 --> 00:16:55,323 OF COURSE, THIS WILL JUST TAKE A MINUTE. 352 00:16:55,348 --> 00:16:57,248 I UNDERSTAND THAT YOU LOST A PATIENT YESTERDAY 353 00:16:57,284 --> 00:16:59,594 AND YOU'RE MEETING WITH HIS WIFE THIS MORNING. 354 00:16:59,619 --> 00:17:03,089 CAN WE TALK ABOUT THAT FOR A SECOND? NO. BUSY. 355 00:17:03,123 --> 00:17:04,593 WELL, UNDERSTANDING THAT YOU'RE BUSY, 356 00:17:04,624 --> 00:17:07,234 I'D NEVERTHELESS LIKE TO HAVE A CONVERSATION. 357 00:17:07,260 --> 00:17:10,000 AND, IN FACT, HARDING HOOTEN PERSONALLY ASKED ME 358 00:17:10,029 --> 00:17:11,459 TO STOP BY FOR A CHAT. 359 00:17:15,235 --> 00:17:19,435 I KNOW YOU'RE FAMILIAR WITH THE SORRY COALITION, 360 00:17:19,472 --> 00:17:21,442 AND THE MULTITUDE OF STUDIES THAT SHOW, 361 00:17:21,474 --> 00:17:24,014 FROM A RISK-MANAGEMENT PERSPECTIVE, 362 00:17:24,043 --> 00:17:25,453 A DOCTOR'S COMPASSION -- 363 00:17:25,478 --> 00:17:28,118 NOT SORRY. SORRY DEAD. NOT SORRY DO. 364 00:17:28,148 --> 00:17:31,218 DO NOTHING WRONG. GO. YES. 365 00:17:31,251 --> 00:17:34,451 NOTWITHSTANDING THAT THE PROCEDURE WAS DONE CORRECTLY 366 00:17:34,487 --> 00:17:36,387 FROM A MEDICAL AND TECHNICAL STANDPOINT, 367 00:17:36,423 --> 00:17:39,433 STUDIES DO SHOW THAT A DOCTOR'S CONTRITION -- 368 00:17:39,459 --> 00:17:43,199 NOT SORRY DO. SORRY DEAD, NOT DO. GO AWAY. 369 00:17:43,230 --> 00:17:47,130 YES. WHY DON'T I JUST LEAVE YOU SOME INFORMATION TO REVIEW. 370 00:17:47,167 --> 00:17:49,637 THIS IS A PAMPHLET CREATED BY THE SORRY COALITION. 371 00:17:49,669 --> 00:17:52,739 DOCTORS FIND THAT IT, TOO, CAN BE BE VERY HELPFUL. 372 00:17:52,772 --> 00:17:56,112 KEEP IN MIND THAT FAMILY MEMBERS' PRIMARY MOTIVE 373 00:17:56,143 --> 00:17:58,583 WHEN HAVING THESE POST-MORTEM CONVERSATIONS 374 00:17:58,611 --> 00:18:00,651 IS SIMPLY ASCERTAINING EXACTLY WHAT HAPPENED. 375 00:18:00,680 --> 00:18:03,750 NOW, IF WE WERE TO ROLE-PLAY FOR A SECOND, 376 00:18:03,783 --> 00:18:08,123 AND I, AS ELOISE FERNWOOD, WERE TO ASK YOU, 377 00:18:08,155 --> 00:18:10,315 "WHAT HAPPENED, DOCTOR? 378 00:18:10,357 --> 00:18:11,987 WHY DID MY HUSBAND DIE?" 379 00:18:12,024 --> 00:18:13,994 YOUR ANSWER MIGHT BE... 380 00:18:14,026 --> 00:18:17,256 FAT. EAT TOO MUCH BAD FOOD. 381 00:18:19,098 --> 00:18:21,068 YES. 382 00:18:21,100 --> 00:18:24,600 UM, I'M GOING TO LEAVE YOU A FEW MORE PAMPHLETS. 383 00:18:26,806 --> 00:18:29,606 THESE AND THESE AND THESE. 384 00:18:32,712 --> 00:18:35,012 FIRST, REGARDING YESTERDAY'S SESSION, 385 00:18:35,047 --> 00:18:36,417 A HEARTFELT THANK YOU. 386 00:18:36,449 --> 00:18:38,119 I FEEL MUCH MORE UP TO SPEED. 387 00:18:38,151 --> 00:18:41,691 THOUGH A BIT CONFLICTED, I MUST SAY. 388 00:18:41,721 --> 00:18:45,121 GIVEN YOUR ACTIONS, I HAVE ABSOLUTELY NO DOUBT 389 00:18:45,158 --> 00:18:47,688 THAT YOUR EFFORTS CONTRIBUTED GREATLY 390 00:18:47,727 --> 00:18:49,257 TO THE PRESERVATION OF LIFE. 391 00:18:49,296 --> 00:18:51,696 WELL DONE. 392 00:18:51,731 --> 00:18:53,531 NOW... [ CLEARS THROAT ] 393 00:18:53,566 --> 00:18:56,536 IN GOING OVER THE TRANSCRIPT, I DO HAVE A QUESTION. 394 00:18:56,569 --> 00:18:59,209 AT THE TIME YOU HARVESTED THE ORGANS 395 00:18:59,239 --> 00:19:04,109 OF MY CLIENT, GAVIN JASPER, HOW DEAD WAS HE? 396 00:19:04,143 --> 00:19:07,453 HOW DEAD WAS HE? THIS WOULD BE MY QUESTION, YES. 397 00:19:07,480 --> 00:19:09,050 HE WAS DEAD. 398 00:19:09,081 --> 00:19:11,181 BUT YOU MISTAKENLY THOUGHT HIM DEAD BEFORE, RIGHT? 399 00:19:11,218 --> 00:19:13,818 WHICH OCCASIONED HIM TO GESTICULATE AT YOU. 400 00:19:13,853 --> 00:19:16,363 THE VERY REASON I HAD THE NEURO-RESIDENT CONDUCT THE EXAM 401 00:19:16,389 --> 00:19:17,819 WAS TO CONFIRM THE PATIENT'S DEATH. 402 00:19:17,857 --> 00:19:21,727 WHEN IT WAS REVEALED TO ME THAT HE WAS NOT DEAD, I LEFT. 403 00:19:21,761 --> 00:19:23,531 I RETURNED TO HARVEST THE ORGANS 404 00:19:23,563 --> 00:19:26,403 ONLY AFTER HE HAD OFFICIALLY BEEN PRONOUNCED DECEASED. 405 00:19:26,433 --> 00:19:29,273 EXCELLENT. ALL CLEARED UP. WONDERFUL. 406 00:19:30,603 --> 00:19:32,743 EXCEPT I'M STILL A BIT CONFUSED. 407 00:19:32,772 --> 00:19:36,742 WHAT CONSTITUTED GAVIN JASPER AS DEAD? 408 00:19:36,776 --> 00:19:38,246 AFTER THE PATIENT UNDERWENT 409 00:19:38,278 --> 00:19:40,378 A CLINICAL NEUROLOGICAL ASSESSMENT, 410 00:19:40,413 --> 00:19:43,223 HE WAS GIVEN WHAT IS KNOWN AS AN APNEA TEST. 411 00:19:43,250 --> 00:19:46,390 BASICALLY, THE VENTILATOR IS STOPPED. 412 00:19:46,419 --> 00:19:49,559 YOU ALLOW THE CARBON DIOXIDE LEVELS TO INCREASE. 413 00:19:49,589 --> 00:19:52,359 YOU CHECK TO SEE WHETHER THE PATIENT CAN BREATHE OR GASP. 414 00:19:52,392 --> 00:19:54,692 IF HE CANNOT, HE IS DEEMED BRAIN DEAD. 415 00:19:54,727 --> 00:19:56,227 AND THAT'S WHAT HAPPENED HERE? CORRECT. 416 00:19:56,263 --> 00:19:57,603 MR. JASPER WAS TAKEN OFF A VENTILATOR. 417 00:19:57,630 --> 00:19:58,770 HE DID NOT GASP. HE DID NOT BREATHE. 418 00:19:58,798 --> 00:20:00,428 YOU PRONOUNCED HIM DEAD. YES. CORRECT. 419 00:20:00,467 --> 00:20:02,567 AT WHICH POINT YOU PUT HIM BACK ON A VENTILATOR 420 00:20:02,602 --> 00:20:05,102 AND KEPT HIM ALIVE WHILE YOU CUT OUT ALL HIS ORGANS. NO. 421 00:20:05,137 --> 00:20:07,737 NO? HE WAS NOT PUT BACK ON A VENTILATOR? YES, HE WAS. 422 00:20:07,774 --> 00:20:11,614 WHY? TO KEEP HIM DEAD? TO KEEP HIS ORGANS ALIVE. 423 00:20:11,644 --> 00:20:15,354 SEE [CHUCKLES] THIS IS WHERE I GET CONFUSED. 424 00:20:15,382 --> 00:20:19,222 WAS HE DEAD OR ALIVE? HE WAS ABSOLUTELY DEAD. 425 00:20:19,252 --> 00:20:21,552 HIS HEART HAD STOPPED. NO. THE HEART WAS BEATING. 426 00:20:21,588 --> 00:20:23,118 IN FACT, HE COULD STILL HAVE HAD A HEART ATTACK. YES. 427 00:20:23,155 --> 00:20:25,285 HOW COMMON IS THAT, DOCTOR? 428 00:20:25,325 --> 00:20:27,625 FOR A DEAD MAN TO HAVE A HEART ATTACK? 429 00:20:27,660 --> 00:20:29,530 WE ARE TALKING ABOUT BRAIN DEAD, OKAY? 430 00:20:29,562 --> 00:20:31,132 YOUR PATIENT WAS BRAIN DEAD. 431 00:20:31,163 --> 00:20:34,133 NO, HE WAS MY CLIENT, ACTUALLY. 432 00:20:34,166 --> 00:20:37,296 HE WAS YOUR PATIENT, DOCTOR. 433 00:20:37,337 --> 00:20:39,807 YOUR PATIENT. 434 00:20:39,839 --> 00:20:43,709 WHEN MY CLIENT WAS PUT BACK ON A VENTILATOR, 435 00:20:43,743 --> 00:20:46,483 COULD THIS HAVE PROLONGED HIS SUFFERING? ABSOLUTELY NOT. 436 00:20:46,513 --> 00:20:49,553 THE PAIN CENTER OF THE BRAIN WAS DEAD. WELL, THAT'S GOOD TO KNOW. 437 00:20:49,582 --> 00:20:53,952 SO THERE WOULD BE NO NEED FOR, SAY, AN ANESTHESIOLOGIST? 438 00:20:56,789 --> 00:20:59,829 THE ANESTHESIOLOGIST WAS THERE TO MAKE SURE 439 00:20:59,859 --> 00:21:04,299 THE PARTS WERE PROPERLY OXYGENATED. WASN'T HE ALSO MAKING SURE 440 00:21:04,331 --> 00:21:06,671 THAT MR. JASPER WOULDN'T SUFFER MUSCLE SPASMS? YES. 441 00:21:06,699 --> 00:21:08,169 AND CONTROLLING MUSCLE SPASMS WITH ANESTHESIA -- 442 00:21:08,200 --> 00:21:09,440 ISN'T THAT A FORM OF PAIN MANAGEMENT? 443 00:21:09,469 --> 00:21:12,669 JUST SO I'M CLEAR, MY DEAD CLIENT, 444 00:21:12,705 --> 00:21:16,405 YOUR DEAD PATIENT WHOSE LUNGS WERE BREATHING, 445 00:21:16,443 --> 00:21:18,513 WHOSE HEART WAS BEATING, HAD AN ANESTHESIOLOGIST 446 00:21:18,545 --> 00:21:20,345 PRESENT TO MANAGE HIS PAIN. 447 00:21:20,380 --> 00:21:22,850 YOUR CLIENT WAS NOT CAPABLE OF FEELING PAIN. HE WAS BRAIN DEAD. 448 00:21:22,882 --> 00:21:24,852 AND YOU MADE SURE OF THIS, RIGHT? 449 00:21:24,884 --> 00:21:27,254 BEFORE CUTTING OUT HIS PARTS. 450 00:21:27,286 --> 00:21:29,256 YOU DID AN E.E.G. ON HIM 451 00:21:29,288 --> 00:21:31,188 TO SEE IF THERE WAS ANY ACTIVITY IN HIS CORTEX. 452 00:21:31,223 --> 00:21:34,393 YOU TESTED HIM FOR HIGHER BRAIN ACTIVITY, RIGHT? 453 00:21:37,897 --> 00:21:40,267 NO? 454 00:21:40,299 --> 00:21:42,299 YOU JUST GAVE HIM A LITTLE APNEA TEST, 455 00:21:42,335 --> 00:21:43,795 THEN, WHOOSH, 456 00:21:43,836 --> 00:21:45,436 STARTED REMOVING THE KIDNEYS AND LIVER? 457 00:21:45,472 --> 00:21:47,712 HOW DARE YOU? ALL RIGHT. ALL RIGHT. 458 00:21:47,740 --> 00:21:50,340 GEE. THAT WAS ACTUALLY MY NEXT QUESTION. 459 00:21:50,377 --> 00:21:53,647 YOU GOT ALL THE ORGAN RECIPIENTS ON HAND. 460 00:21:53,680 --> 00:21:56,350 A SCHOOLTEACHER, A DOCTOR, AN ENGINEER -- 461 00:21:56,383 --> 00:21:59,223 ALL THESE WONDERFUL LIVES TO BE SAVED. 462 00:21:59,251 --> 00:22:02,391 A BLACK KID, GUNSHOT TO THE HEAD. 463 00:22:02,422 --> 00:22:05,892 WHAT ARE WE WAITING FOR, RIGHT? 464 00:22:05,925 --> 00:22:08,755 SURE LOOKS DEAD ENOUGH FOR ME. 465 00:22:20,607 --> 00:22:21,607 AND YOU HAVE NO REAL MEMORIES OF THE LAST SEVEN YEARS? 466 00:22:25,211 --> 00:22:28,381 WELL, I-I'VE GOT A HAZY RECOLLECTION 467 00:22:28,415 --> 00:22:33,815 OF BEING EITHER ON A STREET OR...OR AN ALLEY. 468 00:22:33,853 --> 00:22:36,263 THE LAB WORK DOES INDICATE SOME DRUG ABUSE. 469 00:22:40,126 --> 00:22:43,396 UH, WE WERE ABLE TO LOCATE A MARYLIN COOPER. 470 00:22:43,430 --> 00:22:47,070 AND, UH, YOU HAVE TWO DAUGHTERS, EMMA AND MICHAELA? 471 00:22:47,099 --> 00:22:50,939 YES. YES. ARE -- ARE THEY HERE? 472 00:22:54,306 --> 00:22:56,106 WHAT? 473 00:22:56,142 --> 00:22:59,912 MR. COOPER, YOU WENT MISSING. 474 00:22:59,946 --> 00:23:02,916 A MISSING PERSON'S REPORT WAS FILED IN 2006. 475 00:23:02,949 --> 00:23:05,919 IN 2009... 476 00:23:05,952 --> 00:23:09,292 YOUR WIFE WAS GRANTED A DIVORCE IN ABSENTIA. 477 00:23:11,223 --> 00:23:13,433 AND SHE'S REMARRIED. 478 00:23:17,163 --> 00:23:20,473 WHAT? 479 00:23:20,500 --> 00:23:22,470 WAS I WRONG TO JUST BLURT IT OUT? 480 00:23:22,502 --> 00:23:25,042 WELL. IT HAD TO BE SAID. 481 00:23:25,071 --> 00:23:27,541 OKAY, FIRST THING, LET'S GET A COUNSELOR IN WITH HIM. 482 00:23:27,574 --> 00:23:30,884 I DID MAKE CONTACT WITH HIS EX-WIFE. 483 00:23:30,910 --> 00:23:32,240 SHE'S COMING IN. 484 00:23:32,278 --> 00:23:35,408 O-OKAY. OKAY. LET ME TALK TO HER FIRST. 485 00:23:35,448 --> 00:23:37,118 MM-HMM. 486 00:23:37,149 --> 00:23:39,889 NO, NO, NO, NO, NO. 487 00:23:39,919 --> 00:23:42,819 I DO NOT WANT THIS CASE SETTLED. ABSOLUTELY -- 488 00:23:44,090 --> 00:23:46,790 HOW MUCH ARE WE LOOKING AT? HIGH SIX FIGURES, MINIMUM. 489 00:23:46,826 --> 00:23:49,426 WHAT? I DIDN'T FIRE THE GUN! I DIDN'T PULL THE TRIGGER. BUCK. 490 00:23:49,462 --> 00:23:51,962 WE NEVER ORDER UP EXTRA TESTS IF THEY MET CRITERIA. 491 00:23:51,998 --> 00:23:54,898 I MEAN, MY GOD, IF WE DOUBLE, TRIPLE, QUADRUPLE CHECK 492 00:23:54,934 --> 00:23:57,004 EVERY THUG THAT COMES IN HERE WITH A HOLE IN HIS HEAD 493 00:23:57,036 --> 00:24:00,406 AND CLINICAL PROOF OF BRAIN DEATH. 494 00:24:00,439 --> 00:24:02,239 THIS IS EXACTLY WHY WE'RE LOOKING AT HIGH SIXES, 495 00:24:02,274 --> 00:24:04,144 LET ALONE YOU HOVERED OVER THIS PATIENT LIKE A VULTURE, 496 00:24:04,176 --> 00:24:05,976 WAITING FOR HIM TO DIE. 497 00:24:06,012 --> 00:24:07,952 THE FACT THAT IT WAS A BLACK BANGER ONLY MAKES IT WORSE. 498 00:24:07,980 --> 00:24:09,980 AND THAT YOU WOULD CELEBRATE 499 00:24:10,016 --> 00:24:11,316 THE SUCCESSFUL HARVESTING OF HIS ORGANS 500 00:24:11,350 --> 00:24:13,290 IN FRONT OF HIS MOTHER -- I DID NOT CELEBRATE. 501 00:24:13,319 --> 00:24:16,159 WE SAVED SIX LIVES, FOR GOD'S SAKE. 502 00:24:16,188 --> 00:24:18,088 NOW, WHAT? WE'RE GONNA GET WHACKED WITH A LAWSUIT FOR THAT? 503 00:24:18,124 --> 00:24:20,434 ARE YOU SERIOUS? 504 00:24:20,459 --> 00:24:22,089 DO NOT SETTLE THIS CASE, HARDING. 505 00:24:22,128 --> 00:24:24,458 THANK YOU, BUCK. I WILL TAKE THAT UNDER ADVISEMENT. 506 00:24:24,497 --> 00:24:27,897 THIS IS UNBELIEVABLE. 507 00:24:31,170 --> 00:24:33,010 SETTLE IT. 508 00:24:33,039 --> 00:24:37,009 WE THINK, UM... 509 00:24:37,043 --> 00:24:39,553 SUFFERED SEQUELAE OF HIS STROKE DURING PROCEDURE. 510 00:24:41,548 --> 00:24:45,178 SOMETIMES BAD THINGS HAPPEN. 511 00:24:45,217 --> 00:24:50,357 DID -- WERE THERE COMPLICATIONS DURING THE PROCEDURE? 512 00:24:50,389 --> 00:24:54,229 NO. IT WENT AS PLANNED... UNTIL DEAD. 513 00:24:57,229 --> 00:25:01,229 YOUR HUSBAND WAS NOT IN GOOD PHYSICAL CONDITION. 514 00:25:01,267 --> 00:25:03,867 WE TRY OUR BEST, BUT... 515 00:25:03,903 --> 00:25:07,573 SOMETIMES THESE THINGS HAPPEN. 516 00:25:11,277 --> 00:25:13,577 SO I HAVE ADVANCE DIRECTIVE. 517 00:25:13,613 --> 00:25:15,253 HE NOT WANT ARTIFICIAL MEANS. 518 00:25:16,616 --> 00:25:18,546 YOU WANT DISCONNECT VENTILATOR? 519 00:25:18,585 --> 00:25:24,055 [ EXHALES SHARPLY ] 520 00:25:24,090 --> 00:25:26,060 [ INDISTINCT CONVERSATIONS ] 521 00:25:26,092 --> 00:25:28,562 HEY! YOU. 522 00:25:28,595 --> 00:25:29,925 UH-OH. YEAH. "UH-OH" IS RIGHT. 523 00:25:29,962 --> 00:25:31,902 DID YOU ACTUALLY TELL LIEBERMAN 524 00:25:31,931 --> 00:25:33,901 I WOULD GO THROUGH HIM LIKE CRAP THROUGH A GOOSE? IN A GOOD WAY. 525 00:25:33,933 --> 00:25:35,573 WHAT IS WRONG WITH YOU? 526 00:25:35,602 --> 00:25:37,572 YOU'RE TOO MUCH FOR THAT GUY. YOU DON'T EVEN KNOW HIM. 527 00:25:37,604 --> 00:25:39,014 YEAH, BUT I KNOW YOU, SYD. 528 00:25:39,038 --> 00:25:40,408 ALL I WAS DOING WAS MAKING SURE 529 00:25:40,439 --> 00:25:42,039 HE DIDN'T TAKE YOU FOR GRANTED. 530 00:25:42,074 --> 00:25:43,544 FIRST OF ALL, WHAT BUSINESS IS IT OF YOURS -- 531 00:25:43,576 --> 00:25:45,906 THAT I PROTECT MY PEOPLE? 532 00:25:45,945 --> 00:25:48,405 AND BY THE BY, GIVEN YOUR TRACK RECORD WITH MEN, 533 00:25:48,447 --> 00:25:52,417 I STAND BY MY "CRAP THROUGH A GOOSE" ANALOGY. 534 00:25:52,451 --> 00:25:54,051 Hooten: DR. NAPUR. 535 00:25:54,086 --> 00:25:57,386 FIRST OFF, VERY WELL DONE ON SAVING A LIFE LAST NIGHT, 536 00:25:57,423 --> 00:25:58,563 STARTING OFF WITH THE SUCCESSFUL, 537 00:25:58,591 --> 00:26:00,061 THOUGH I HAVE BEEN TOLD, 538 00:26:00,092 --> 00:26:01,562 SLIGHTLY AWKWARD EXECUTION OF THE HEIMLICH. 539 00:26:01,594 --> 00:26:05,264 AND THEN YOUR EXTRAORDINARY EN-ROUTE INTUBATION 540 00:26:05,297 --> 00:26:07,427 AND EVENTUAL RESUSCITATION, 541 00:26:07,466 --> 00:26:10,366 BUTTONED OFF FINALLY WITH YOUR BRILLIANT BYPASS. 542 00:26:10,402 --> 00:26:12,302 WHAT'D I DO? I BEG YOUR PARDON? 543 00:26:12,338 --> 00:26:14,108 YOU GOT THAT MONDAY-MORNING LOOK IN YOUR EYE. 544 00:26:14,140 --> 00:26:15,640 AM I GETTING 311'd? OH, DON'T BE SILLY. 545 00:26:15,675 --> 00:26:17,405 I GOT THE PAGE, HARDING, DOES IT TOLL FOR ME? IT DOES NOT. 546 00:26:17,443 --> 00:26:18,583 HOWEVER, IF IT WERE TO TOLL FOR YOU... 547 00:26:18,611 --> 00:26:21,711 I KNEW IT. WHAT'D I DO? 548 00:26:21,748 --> 00:26:23,318 WELL, YOU DID RATHER DECLARE YOURSELF 549 00:26:23,349 --> 00:26:24,579 LAST NIGHT IN THE RESTAURANT 550 00:26:24,617 --> 00:26:26,447 AS A DOCTOR FROM CHELSEA GENERAL. 551 00:26:26,485 --> 00:26:28,385 IN SO DOING, ANY SUBSEQUENT TREATMENT YOU RENDERED 552 00:26:28,420 --> 00:26:31,460 WOULD POTENTIALLY INCUR A LIABILITY 553 00:26:31,490 --> 00:26:32,630 ON THE HOSPITAL'S BEHALF. 554 00:26:32,659 --> 00:26:34,229 WE DON'T LIKE BEING HELD ACCOUNTABLE 555 00:26:34,260 --> 00:26:37,130 FOR THINGS THAT TRANSPIRE IN RESTAURANTS. 556 00:26:37,163 --> 00:26:39,573 NEXT TIME, LET'S JUST GIVE THE LADY A BIG SQUEEZE 557 00:26:39,598 --> 00:26:42,028 WITHOUT THE SONG AND DANCE, SHALL WE? 558 00:26:47,506 --> 00:26:48,976 [ SIGHS ] 559 00:26:49,008 --> 00:26:51,978 HE STARTED TO BEHAVE ERRATICALLY, 560 00:26:52,011 --> 00:26:54,311 BOTH AT HOME AND AT WORK. 561 00:26:54,346 --> 00:26:56,316 HE STARTED DRINKING. 562 00:26:56,348 --> 00:27:00,648 AND ONE DAY, HE JUST... NEVER CAME HOME. 563 00:27:00,687 --> 00:27:04,217 HE... HE JUST DIDN'T COME BACK. 564 00:27:07,359 --> 00:27:08,699 IT HARDLY SEEMS -- 565 00:27:08,728 --> 00:27:11,528 POSSIBLE? YEAH, I KNOW. 566 00:27:11,563 --> 00:27:14,333 IN FACT, THIS CASE WILL LIKELY GET WRITTEN UP 567 00:27:14,366 --> 00:27:16,636 IN A LOT OF JOURNALS. 568 00:27:16,669 --> 00:27:19,539 BUT IN BETWEEN ALL THE FINE PRINT, 569 00:27:19,571 --> 00:27:21,471 I'M AFRAID, WILL BE A GREAT DEAL OF ANGUISH, 570 00:27:21,507 --> 00:27:25,077 FOR HIM, FOR YOU, YOUR CHILDREN. 571 00:27:26,578 --> 00:27:30,748 AND HOW SHALL I HANDLE THIS? 572 00:27:31,718 --> 00:27:33,348 MRS. COOPER -- 573 00:27:33,385 --> 00:27:34,645 IT'S KUPCHECK NOW. 574 00:27:35,755 --> 00:27:40,125 I'M A NEUROSURGEON. W-WE'RE CUTTERS. 575 00:27:40,159 --> 00:27:43,299 WE OPEN UP BRAINS, WE RESECT TUMORS. 576 00:27:43,329 --> 00:27:44,699 WE'RE -- WE'RE CUTTERS. 577 00:27:44,731 --> 00:27:47,201 AND WHAT WE'VE OPENED UP HERE, I'M AFRAID -- 578 00:27:47,233 --> 00:27:50,573 WE ARE NOT EQUIPPED TO... 579 00:27:52,739 --> 00:27:54,369 BUT YOUR HUSBAND -- YOUR EX-HUSBAND 580 00:27:54,406 --> 00:27:57,376 IS MEETING WITH A COUNSELOR RIGHT NOW. 581 00:27:57,409 --> 00:28:00,579 AND MY FEELING IS THAT YOU SHOULD, AS WELL, 582 00:28:00,612 --> 00:28:02,582 BEFORE YOU SEE HIM. 583 00:28:02,614 --> 00:28:04,684 AND -- AND HOW IS HE? 584 00:28:06,385 --> 00:28:11,055 HE'S... WELL, HE'S VERY SCARED. 585 00:28:11,090 --> 00:28:14,490 AND HE'S MISSING YOU A LOT. 586 00:28:14,526 --> 00:28:16,756 YOU AND THE GIRLS. 587 00:28:27,940 --> 00:28:28,840 OKAY, AS WE SEEM TO HAVE A FULL DOCKET TODAY, 588 00:28:31,077 --> 00:28:33,647 LET'S GET STARTED. 589 00:28:39,618 --> 00:28:40,918 DR. WILSON. 590 00:28:40,953 --> 00:28:42,693 OH, THERE'S NO NEED FOR YOU TO COME UP, 591 00:28:42,721 --> 00:28:46,661 BUT, UM, COULD YOU TELL US ABOUT BRIAN COOPER. 592 00:28:52,799 --> 00:28:56,939 UH, BRIAN COOPER WAS A HOMELESS MAN, 593 00:28:56,969 --> 00:28:59,409 SUFFERING FROM DELUSIONS, WHO WAS ADMITTED 594 00:28:59,438 --> 00:29:01,468 TO THE PSYCH WARD TWO NIGHTS AGO. 595 00:29:01,507 --> 00:29:03,807 SUSPECTING A PHYSICAL ROOT FOR HIS PSYCHOSIS, 596 00:29:03,843 --> 00:29:05,953 I ORDERED AN MRI WHERE IT WAS DETERMINED 597 00:29:05,978 --> 00:29:08,478 THAT HE WAS SUFFERING FROM A BENIGN BUT LARGE 598 00:29:08,514 --> 00:29:09,924 BILOBED MENINGIOMA. 599 00:29:09,949 --> 00:29:12,719 SURGERY WAS PERFORMED, THE TUMOR WAS RESECTED. 600 00:29:12,751 --> 00:29:14,921 THE DELUSIONS HAVE DISAPPEARED, AND, AT THIS POINT, 601 00:29:14,954 --> 00:29:16,624 WE'RE HOPING FOR A FULL RECOVERY. 602 00:29:16,655 --> 00:29:19,125 WOW. I'D CALL THAT A MIRACLE, DR. WILSON. 603 00:29:19,158 --> 00:29:20,628 WOULDN'T YOU CALL THAT A MIRACLE? 604 00:29:20,659 --> 00:29:23,459 I IMAGINE MR. COOPER MUST BE VERY EXCITED 605 00:29:23,495 --> 00:29:25,425 THAT SUCH A MIRACLE WAS PERFORMED. 606 00:29:25,464 --> 00:29:28,134 DID HE STRIKE YOU AS BEING EXCITED THAT YOU PERFORMED IT? 607 00:29:30,469 --> 00:29:33,969 MR. COOPER LACKED ANY AND ALL COMPETENCE 608 00:29:34,006 --> 00:29:36,106 TO PROVIDE INFORMED CONSENT. 609 00:29:36,142 --> 00:29:38,642 DOES HE HAVE FAMILY? NONE THAT WE COULD FIND, SO I MADE THE DECISION -- 610 00:29:38,677 --> 00:29:39,847 HOW HARD DID YOU LOOK? 611 00:29:39,879 --> 00:29:41,479 I'M SORRY? 612 00:29:41,513 --> 00:29:43,653 HOW HARD DID YOU LOOK TO FIND THIS MAN'S FAMILY 613 00:29:43,682 --> 00:29:46,852 BEFORE YOU SUBJECTED HIM TO A LIFE-THREATENING BRAIN SURGERY? 614 00:29:48,988 --> 00:29:51,118 HMM. 615 00:29:51,157 --> 00:29:53,957 IT'S DIFFICULT SOMETIMES NOT TO RUSH, HMM, 616 00:29:53,993 --> 00:29:56,463 WHEN THERE ARE GREAT MIRACLES TO BE HAD? 617 00:29:56,495 --> 00:29:59,025 DID YOU DISCUSS THE MATTER WITH ANY OF YOUR COLLEAGUES? 618 00:29:59,065 --> 00:30:01,595 WITH DR. ROBIDAUX. 619 00:30:01,633 --> 00:30:04,003 DR. ROBIDAUX, PLEASE STAND. 620 00:30:06,973 --> 00:30:09,243 COMMENTS? 621 00:30:10,877 --> 00:30:13,207 UH, WELL, WITH ALL DUE RESPECT, 622 00:30:13,245 --> 00:30:16,815 I'M NOT SURE I WAS EVEN INCLINED TO ORDER UP AN MRI. 623 00:30:16,849 --> 00:30:19,789 THE MAN WAS HOMELESS, A DIAGNOSED SCHIZOPHRENIC, 624 00:30:19,818 --> 00:30:21,488 WITH NO INSURANCE. 625 00:30:21,520 --> 00:30:23,990 AS FOR THE PROCEDURE ITSELF, HE DIDN'T JUST FAIL TO CONSENT, 626 00:30:24,023 --> 00:30:26,663 HE REFUSED TO GIVE IT. 627 00:30:26,692 --> 00:30:28,692 IN FACT, I THINK HE TOLD DR. WILSON TO GO EFF HIMSELF. 628 00:30:28,727 --> 00:30:31,557 IN MY OPINION, 99 OUT OF A HUNDRED DOCTORS 629 00:30:31,597 --> 00:30:33,827 WOULD HAVE WELCOMED THE INVITATION 630 00:30:33,866 --> 00:30:35,166 TO JUST WALK AWAY. 631 00:30:35,201 --> 00:30:37,741 THE ONLY REASON THAT MR. COOPER IS HEALTHY, 632 00:30:37,769 --> 00:30:39,239 PERHAPS EVEN ALIVE, 633 00:30:39,271 --> 00:30:41,811 IS BECAUSE HE GOT THE ONE SURGEON 634 00:30:41,840 --> 00:30:44,740 WILLING TO IGNORE ALL THE BUREAUCRATIC B.S. 635 00:30:44,776 --> 00:30:46,576 AND JUST DO WHAT WAS NECESSARY. 636 00:30:46,612 --> 00:30:47,712 THAT WOULD BE MY COMMENT. 637 00:30:49,048 --> 00:30:52,718 WITH ALL DUE RESPECT. 638 00:30:55,221 --> 00:30:57,191 WELL, THAT'S CERTAINLY ONE WAY OF LOOKING AT IT. 639 00:30:57,223 --> 00:30:59,193 THIS WAS CERTAINLY A VERY LUCKY PATIENT. 640 00:30:59,225 --> 00:31:03,225 NOT JUST TO GET TY WILSON'S GIFTED NEUROLOGICAL HANDS, 641 00:31:03,262 --> 00:31:05,732 BUT ALSO HIS LEGENDARY EGO. 642 00:31:05,764 --> 00:31:08,074 AFTER ALL, HIS LIFE MIGHT HAVE BEEN SAVED 643 00:31:08,100 --> 00:31:10,240 BECAUSE HE JUST HAPPENED ON THE ONE DOCTOR 644 00:31:10,269 --> 00:31:12,769 WHO REFUSES TO RECOGNIZE THE POSSIBILITY 645 00:31:12,804 --> 00:31:14,744 THAT HE MIGHT EVER BE WRONG. 646 00:31:16,775 --> 00:31:18,605 PLEASE TAKE A SEAT, DR. WILSON. 647 00:31:21,247 --> 00:31:24,047 BUCK, DO COME AND JOIN US, PLEASE. 648 00:31:27,586 --> 00:31:29,756 ACTUALLY, I'VE CHANGED MY MIND. GO BACK WHERE YOU WERE. 649 00:31:29,788 --> 00:31:31,218 DR. PARK. 650 00:31:31,257 --> 00:31:33,957 COME TELL US ABOUT FLOYD FERNWOOD. 651 00:31:39,098 --> 00:31:40,898 62-YEAR-OLD MALE. 652 00:31:40,933 --> 00:31:44,073 MIDDLE CEREBRAL ARTERY OCCLUSION. CODE STROKE CALLED. 653 00:31:44,103 --> 00:31:46,243 PERFORM URGENT DECOMPRESSIVE HEMICRANIECTOMY. 654 00:31:46,272 --> 00:31:47,742 DEAD. 655 00:31:47,773 --> 00:31:50,113 OH, WHAT WAS THAT LAST BIT? DEAD. 656 00:31:50,142 --> 00:31:51,712 AND THAT'S THE END OF THE STORY, DOCTOR? 657 00:31:51,743 --> 00:31:53,983 A PATIENT DIED, MOVE ON TO THE NEXT THING, IS IT? 658 00:31:54,013 --> 00:31:55,283 DID YOU MEET WITH FRAN HOROWITZ 659 00:31:55,314 --> 00:31:58,124 FROM RISK MANAGEMENT, DOCTOR? YES. 660 00:31:58,150 --> 00:31:59,590 DID YOU READ THE PAMPHLETS AS PROVIDED 661 00:31:59,618 --> 00:32:00,988 BY THE SORRY COALITION? 662 00:32:01,020 --> 00:32:04,890 ARE YOU AWARE OF THE "SORRY WORKS" PHILOSOPHY, DOCTOR? 663 00:32:04,923 --> 00:32:08,893 TELL US ABOUT THAT PHILOSOPHY, DR. PARK. 664 00:32:08,927 --> 00:32:10,627 SAY SORRY, PATIENT OR FAMILY LESS LIKELY SUE. 665 00:32:10,662 --> 00:32:11,662 STUPID. 666 00:32:11,697 --> 00:32:12,927 STUPID? YES. 667 00:32:12,965 --> 00:32:14,595 DID NOTHING WRONG, NOT SAY SORRY. 668 00:32:14,633 --> 00:32:16,603 MAKE NO MISTAKE, MAKE NO APOLOGY. 669 00:32:16,635 --> 00:32:19,105 BUT WHAT EXACTLY DID YOU CONVEY TO MRS. FERNWOOD 670 00:32:19,138 --> 00:32:20,668 AFTER HER HUSBAND PASSED? 671 00:32:20,706 --> 00:32:24,006 WELL, ACTUALLY, LET'S JUST REWIND, SHALL WE? 672 00:32:24,043 --> 00:32:25,613 LET'S GO BACK TO, UM -- 673 00:32:25,644 --> 00:32:27,854 LET'S GO ALL THE WAY BACK TO "DEAD." 674 00:32:27,879 --> 00:32:31,019 DID MR. FERNWOOD DIE ON THE OPERATING TABLE? 675 00:32:31,050 --> 00:32:32,920 BRAIN DEAD. PUT ON VENTILATOR. 676 00:32:32,951 --> 00:32:34,251 VENTILATOR DISCONNECT THIS MORNING. 677 00:32:34,286 --> 00:32:35,346 NOW DEAD-DEAD. 678 00:32:35,387 --> 00:32:38,187 PRIOR TO SURGERY, 679 00:32:38,224 --> 00:32:40,134 DID MR. FERNWOOD HAVE AN ADVANCE DIRECTIVE? YES. 680 00:32:40,159 --> 00:32:43,129 AND WHAT WERE HIS WISHES AS REGARDS 681 00:32:43,162 --> 00:32:45,802 TO ARTIFICIAL LIFE-SUSTAINING TREATMENT? 682 00:32:45,831 --> 00:32:48,631 NO LIFE-SUSTAINING MEASURES IF CONDITION IRREVERSIBLE. 683 00:32:48,667 --> 00:32:51,667 SO HOW IS IT THAT HE ENDED UP CONNECTED TO A VENTILATOR 684 00:32:51,703 --> 00:32:53,313 IN THE FACE OF IRREVERSIBLE COMA AND BRAIN DEATH? 685 00:32:53,339 --> 00:32:55,309 I MEAN, MOST OF US WOULD RECOGNIZE THAT 686 00:32:55,341 --> 00:32:58,381 AS "LIFE-SUSTAINING." I DIDN'T KNOW WHAT THE ADVANCE DIRECTIVE SAID. 687 00:32:58,410 --> 00:33:01,680 BUT NO MATTER, DIRECTIVE NO GOOD DURING SURGERY ANYWAY. 688 00:33:01,713 --> 00:33:06,153 SUSPENDED. AH, SO AFTER SURGERY, WE HAD A PATIENT WHO WAS BRAIN DEAD, 689 00:33:06,185 --> 00:33:08,845 HOOKED UP TO A RESPIRATOR. ASK MRS. FERNWOOD WHAT WANT DO. 690 00:33:08,887 --> 00:33:12,057 WE THEN DISCONNECT. NOW PATIENT DEAD-DEAD. 691 00:33:14,760 --> 00:33:18,230 "ASK MRS. FERNWOOD WHAT WANT DO"? 692 00:33:18,264 --> 00:33:20,974 WHY BOTHER TO ASK HER ANYTHING AT ALL? 693 00:33:20,999 --> 00:33:22,129 COURTESY. 694 00:33:22,168 --> 00:33:23,838 COURTESY. OH, MY GIDDY HEART. 695 00:33:23,869 --> 00:33:26,869 I DIDN'T KNOW YOU HAD THAT IN YOUR BAG OF TRICKS, DOCTOR. 696 00:33:26,905 --> 00:33:29,705 YOU DIDN'T THINK TO ASK BEFORE THE SURGERY, 697 00:33:29,741 --> 00:33:31,041 AS IS REQUIRED? 698 00:33:31,077 --> 00:33:33,047 WOULDN'T THAT HAVE BEEN A MORE APPROPRIATE, 699 00:33:33,079 --> 00:33:35,349 COURTEOUS COURSE OF ACTION TO TAKE? 700 00:33:35,381 --> 00:33:37,181 I'M CURIOUS, DOCTOR. 701 00:33:37,216 --> 00:33:41,046 WHY DO YOU THINK PEOPLE EVEN BOTHER WITH ADVANCE DIRECTIVES? 702 00:33:41,087 --> 00:33:44,387 I MEAN, IF ONE CHOOSES NOT TO BE KEPT ALIVE ARTIFICIALLY, 703 00:33:44,423 --> 00:33:47,863 WHY DOESN'T ONE JUST COMMUNICATE THAT TO FAMILY AND FRIENDS 704 00:33:47,893 --> 00:33:49,333 AND NEXT OF KIN? 705 00:33:49,361 --> 00:33:53,231 WHY GO TO ALL THE TROUBLE OF EXECUTING A LEGAL DOCUMENT? 706 00:33:53,265 --> 00:33:56,135 THAT SEEMS LIKE SUCH A TO-DO, DOES IT NOT? 707 00:33:57,469 --> 00:34:00,169 ONE REASON MIGHT BE TO SAVE A LOVED ONE 708 00:34:00,206 --> 00:34:03,706 FROM MAKING AN EXCRUCIATING MORAL DECISION. 709 00:34:03,742 --> 00:34:06,012 I HAVE AN ADVANCE DIRECTIVE. 710 00:34:06,044 --> 00:34:08,414 DO YOU KNOW WHY? 711 00:34:08,447 --> 00:34:10,947 BECAUSE, SHOULD I FIND MYSELF HOOKED UP TO A BLOODY MACHINE 712 00:34:10,982 --> 00:34:14,852 ONE DAY, I DON'T MY WIFE FACING A DOCTOR 713 00:34:14,886 --> 00:34:17,356 WHO SAYS TO HER, "WHAT WANT DO?" 714 00:34:17,389 --> 00:34:21,389 I DON'T WANT MY SPOUSE IN THE TERRIBLE POSITION 715 00:34:21,427 --> 00:34:25,257 WHERE SHE HAS TO PULL THE PLUG AND END THE LIFE 716 00:34:25,297 --> 00:34:29,137 ON THE ONE PERSON SHE LOVES MOST OF ALL. 717 00:34:29,168 --> 00:34:33,768 CAN YOU IMAGINE CAUSING SUCH AGONY TO SOMEONE, DOCTOR? 718 00:34:40,779 --> 00:34:42,209 BUCK. 719 00:34:42,248 --> 00:34:45,318 YOU KNOW, I'VE DECIDED TO HAVE A GO AT YOU AFTER ALL. 720 00:34:45,351 --> 00:34:48,121 PLEASE COME AND JOIN US. 721 00:34:50,522 --> 00:34:53,022 OH, YOU CAN STAY RIGHT THERE, DR. PARK. 722 00:34:56,462 --> 00:34:59,272 I PRESENT TO YOU ALL TODAY 723 00:34:59,298 --> 00:35:01,768 THE CASE OF THE DUELING VENTILATORS. 724 00:35:01,800 --> 00:35:05,170 NOW, WE'RE ALL IN THE BUSINESS OF HEALING, AM I RIGHT? 725 00:35:05,204 --> 00:35:08,774 AMELIORATING SUFFERING WHERE AND WHEN WE CAN? 726 00:35:08,807 --> 00:35:11,437 BUT SUFFERING SOMETIMES EXTENDS BEYOND THE PATIENT -- 727 00:35:11,477 --> 00:35:14,447 TO THE PATIENT'S FAMILY. 728 00:35:14,480 --> 00:35:18,780 DR. PARK, YOU LOOKED INTO THE EYES OF A GRIEVING WIDOW 729 00:35:18,817 --> 00:35:21,447 WHILE HER HUSBAND WAS SUSTAINED ON A MACHINE, 730 00:35:21,487 --> 00:35:23,987 WHEN YOU SAID, "WHAT WANT DO?" 731 00:35:24,022 --> 00:35:25,922 THAT WAS NOT YOUR BEST WORK, DOCTOR. 732 00:35:25,957 --> 00:35:29,257 AND DR. TIERNEY, YOU GAVE US ALL A GRAND DISPLAY 733 00:35:29,295 --> 00:35:32,855 ONLY LAST WEEK IN THIS VERY ROOM, 734 00:35:32,898 --> 00:35:35,498 REGALING US ALL WITH YOUR LIFE-SAVING HEROICS. 735 00:35:35,534 --> 00:35:37,874 YOU WERE CALLOUS -- 736 00:35:37,903 --> 00:35:42,873 FIRST WITH GAVIN JASPER, THEN WITH HIS MOTHER. 737 00:35:42,908 --> 00:35:45,878 YOU WERE CALLOUS TO THE POINT OF INDECENCY. 738 00:35:45,911 --> 00:35:50,051 AND YOUR INDECENCY WAS AGAIN ON FULL DISPLAY 739 00:35:50,081 --> 00:35:52,051 DURING YOUR DEPOSITION. 740 00:35:54,520 --> 00:35:58,120 I LOOK AROUND THIS ROOM, I LOOK AROUND THIS HOSPITAL, 741 00:35:58,156 --> 00:36:03,996 AND I SEE SUCH BRILLIANT MINDS, SUCH GIFTED HANDS. 742 00:36:04,029 --> 00:36:09,169 ALL THIS TALENT, SCIENCE, AND TECHNOLOGY... 743 00:36:09,201 --> 00:36:11,071 WHY DO WE NEED ANY HUMANITY? 744 00:36:14,172 --> 00:36:16,282 [ DOOR OPENS ] 745 00:36:18,877 --> 00:36:20,477 [ DOOR CLOSES ] 746 00:36:27,953 --> 00:36:32,093 IT'S PROBABLY BEST IF YOU GO IN ALONE FIRST. 747 00:36:32,123 --> 00:36:36,093 YOU SAY HE'S MET WITH A COUNSELOR, AS WELL? 748 00:36:36,127 --> 00:36:38,227 YES. UM... 749 00:36:38,264 --> 00:36:41,234 I'M NOT SURE IF YOU SHOULD GO IN, 750 00:36:41,267 --> 00:36:42,767 AT LEAST NOT YET. 751 00:36:45,904 --> 00:36:47,914 I UNDERSTAND. 752 00:36:49,308 --> 00:36:52,578 THE NEUROLOGICAL NEWS IS GOOD. IN FACT, IT'S STUNNING. 753 00:36:52,611 --> 00:36:56,751 EMOTIONALLY, YOU CERTAINLY FACE SOME CHALLENGES, BUT, UH... 754 00:36:56,782 --> 00:37:00,552 DO I EVEN HAVE A LIFE HERE TO RESUME? 755 00:37:00,586 --> 00:37:02,216 I MEAN, REALLY? 756 00:37:02,254 --> 00:37:04,894 MR. COOPER, YOUR LIFE WAS DEEP IN THE TOILET. 757 00:37:04,923 --> 00:37:07,193 MAINLY DUE TO THE PSYCHOLOGICAL DEFICITS CAUSED BY THE TUMOR. 758 00:37:07,225 --> 00:37:08,885 THAT HAS BEEN FIXED. 759 00:37:08,927 --> 00:37:11,557 SO I WOULD SAY, FOR THE FIRST TIME IN SEVEN YEARS, 760 00:37:11,597 --> 00:37:13,627 YOU ACTUALLY DO HAVE A LIFE TO RESUME. 761 00:37:13,665 --> 00:37:14,895 IT'S GONNA BE A HAUL, 762 00:37:14,933 --> 00:37:17,303 BUT I THINK IT'S ONE THAT YOU CAN MAKE. 763 00:37:17,336 --> 00:37:19,906 [ KNOCK ON DOOR ] 764 00:37:19,938 --> 00:37:22,268 [ SIGHS ] ALL RIGHT. LET'S DO THIS. 765 00:37:22,308 --> 00:37:24,208 [ SNIFFS ] 766 00:37:24,242 --> 00:37:28,352 COME ON. I-I REALLY WANT TO GET THIS OVER WITH. 767 00:37:41,827 --> 00:37:45,157 OH, MY GOD. 768 00:37:47,132 --> 00:37:50,342 HI. 769 00:37:50,369 --> 00:37:55,809 [ Voice breaking ] WELCOME BACK. 770 00:38:00,145 --> 00:38:02,275 [ Voice breaking ] HEY, DADDY. 771 00:38:02,314 --> 00:38:04,354 EMMA? 772 00:38:04,383 --> 00:38:08,123 YEAH. 773 00:38:08,153 --> 00:38:09,693 [ Voice breaking ] MICHAELA? 774 00:38:09,721 --> 00:38:11,791 [ CRYING ] 775 00:38:13,191 --> 00:38:15,191 [ CRYING ] 776 00:38:15,226 --> 00:38:18,226 [ SOBBING ] 777 00:38:21,733 --> 00:38:23,033 [ Sobbing ] OHH. 778 00:38:44,356 --> 00:38:45,656 [ KNOCK ON WINDOW ] 779 00:38:45,691 --> 00:38:47,191 HEY. DO YOU REALIZE, 780 00:38:47,225 --> 00:38:49,055 FOR ALL THE MISHEGOSS ON HEALTHCARE, 781 00:38:49,094 --> 00:38:51,064 ALL THE MONEY SPENT ON RESEARCH, DEVELOPMENT, 782 00:38:51,096 --> 00:38:52,656 CURES, WHATEVER, 783 00:38:52,698 --> 00:38:54,668 WE'RE BASICALLY JUST EATING OURSELVES TO DEATH? 784 00:38:54,700 --> 00:38:56,330 I DON'T JUST MEAN OBESITY, BUT ALSO TOXINS -- 785 00:38:56,368 --> 00:38:58,738 THAT GUY WHO STROKED OUT ON SUNG'S TABLE, 786 00:38:58,770 --> 00:39:00,870 THE WOMAN THAT GAGGED AT THE RESTAURANT. 787 00:39:00,906 --> 00:39:02,206 DO YOU HAVE ANY SENSE THE STAGGERING AMOUNT OF PREVENTABLE DEATHS 788 00:39:02,240 --> 00:39:05,210 CAUSED EITHER BY BAD FOOD OR CIGARETTES. 789 00:39:05,243 --> 00:39:07,813 YOU WANT TO SOLVE HEALTHCARE? 790 00:39:07,846 --> 00:39:10,816 WE SHOULD IMPOSE A FAT TAX, A CIGARETTE TAX, A SUGAR TAX. 791 00:39:10,849 --> 00:39:12,019 DO YOU EVER STOP? 792 00:39:12,050 --> 00:39:14,890 NO. 793 00:39:14,920 --> 00:39:16,290 I DON'T, ACTUALLY. 794 00:39:18,757 --> 00:39:20,727 WHAT ARE YOU THINKING? 795 00:39:20,759 --> 00:39:23,399 IT'S INAPPROPRIATE. 796 00:39:36,307 --> 00:39:39,747 [ THUNDER CRASHES ] 797 00:39:42,914 --> 00:39:46,284 [ INDISTINCT CONVERSATIONS ] 798 00:39:53,224 --> 00:39:56,164 [ POOL BALLS CLACKING ] 799 00:40:01,266 --> 00:40:02,426 SO IT'S TRUE? 800 00:40:04,436 --> 00:40:07,066 YOU COME TO THIS HELLHOLE EVERY NIGHT? 801 00:40:07,105 --> 00:40:08,965 [ SIGHS ] WHAT CAN I DO FOR YOU, BUCK? 802 00:40:09,007 --> 00:40:14,207 I'VE GOT A QUESTION FOR YOU 'CAUSE YOU GIVE HONEST ANSWERS. 803 00:40:14,245 --> 00:40:16,445 AM I AN ASSHOLE? 804 00:40:20,919 --> 00:40:23,789 ANOTHER RUM AND COKE FOR MY MAN HERE. 805 00:40:23,822 --> 00:40:25,422 UH, NO, I-I DON'T DRINK RUM. 806 00:40:27,959 --> 00:40:30,259 AND YOU WANT TO KNOW IF YOU'RE AN ASSHOLE? 807 00:40:36,468 --> 00:40:37,768 [ THUNDER CRASHES ] 808 00:40:37,803 --> 00:40:40,943 * A CONSCIENCE IS GONNA CLEAN 809 00:40:40,972 --> 00:40:44,442 * LIKE BLEACH-WHITE TEETH 810 00:40:44,476 --> 00:40:47,146 * YEAH, I KNOW 811 00:40:47,178 --> 00:40:50,848 * THIS AIN'T WHAT IT USED TO BE * 812 00:40:50,882 --> 00:40:55,022 * SAID THE CHOICE WAS EASY 813 00:40:55,053 --> 00:40:57,123 * CAME ON LIKE A THIEF 814 00:40:57,155 --> 00:40:58,455 [ DOORBELL RINGS ] 815 00:40:58,490 --> 00:41:01,460 * GONE LIKE A THRILL 816 00:41:01,493 --> 00:41:04,133 * SANG THE KEY 817 00:41:04,162 --> 00:41:06,432 * AFTER YOU LEAVE 818 00:41:06,464 --> 00:41:08,134 DR. PARK. 819 00:41:08,166 --> 00:41:10,466 * AFTER YOU LEAVE MRS. FERNWOOD. 820 00:41:10,502 --> 00:41:12,442 * SAID YOU'RE GONNA BE 821 00:41:12,470 --> 00:41:15,140 I AM SO, SO SORRY. 822 00:41:15,173 --> 00:41:17,143 * GUILT FREE 823 00:41:17,175 --> 00:41:20,175 * AFTER YOU LEAVE 824 00:41:20,211 --> 00:41:22,981 * AFTER YOU LEAVE 825 00:41:23,014 --> 00:41:24,854 [ THUNDER CRASHES ] 826 00:41:24,883 --> 00:41:29,023 * OH, YOU'RE GONNA BE 827 00:41:29,054 --> 00:41:31,464 * GUILT FREE