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These are the user uploaded subtitles that are being translated: 1 00:00:15,432 --> 00:00:17,535 - Oh yes it's gonna be another beautiful day. 2 00:00:17,559 --> 00:00:18,912 Fortunately it looks like we've gotten 3 00:00:18,936 --> 00:00:20,371 through that tremendous heat wave 4 00:00:20,395 --> 00:00:22,624 with cooler temps expected this afternoon into the evening. 5 00:00:22,648 --> 00:00:24,250 And overnights are gonna be downright cold 6 00:00:24,274 --> 00:00:26,419 with highs expected in the upper 60s until morning. 7 00:00:26,443 --> 00:00:28,129 Right now traffic is moving along fairly well 8 00:00:28,153 --> 00:00:29,797 although if you're headed south to Manhattan Beach 9 00:00:29,821 --> 00:00:31,216 and beyond, you'll wanna give yourself 10 00:00:31,240 --> 00:00:32,800 plenty of additional time due to an overturned 11 00:00:32,824 --> 00:00:34,469 tractor trailer at the number three and four lanes 12 00:00:34,493 --> 00:00:36,387 at the 405 at El Segundo. 13 00:00:36,411 --> 00:00:41,333 Cool, right, let's get back to 14 00:01:21,123 --> 00:01:22,600 - To the rock and roll retrospective 15 00:01:22,624 --> 00:01:24,686 at Chanley Center where 10 of your favorite bands... 16 00:01:42,978 --> 00:01:46,499 - Hey, learn to drive, asshole! 17 00:04:25,307 --> 00:04:27,368 - Dr. Crawford, please call reception. 18 00:04:27,392 --> 00:04:30,061 Dr. Crawford, call reception please. 19 00:04:34,191 --> 00:04:35,793 - Thomas, go long. 20 00:04:41,323 --> 00:04:43,992 Nice catch, going all state! 21 00:04:45,035 --> 00:04:46,220 - Ah, jeez. 22 00:04:57,756 --> 00:05:00,067 - Clinic Services, St. Mary's Hospital. 23 00:05:00,091 --> 00:05:01,527 - Dr. Chin, Dr. Chin 24 00:05:01,551 --> 00:05:03,488 to the fourth floor pediatric unit. 25 00:05:03,512 --> 00:05:07,724 Dr. Chin, you're wanted on the fourth floor pediatric unit. 26 00:05:16,441 --> 00:05:18,002 - Good morning everyone. 27 00:05:18,026 --> 00:05:21,446 First we have two new supportive carefellows joining us. 28 00:05:22,531 --> 00:05:25,760 Dr. Josh Little, a pediatrician from UCLA. 29 00:05:25,784 --> 00:05:30,723 And Dr. Adam Styfan, an oncologist from Nebraska. 30 00:05:30,747 --> 00:05:32,374 Let's start with introductions. 31 00:05:33,375 --> 00:05:35,853 I am Dr. David Olson, the chair 32 00:05:35,877 --> 00:05:37,629 of the Supportive Care Department. 33 00:05:39,047 --> 00:05:41,776 - Good morning, I'm Alex, the Pharmacist for this unit. 34 00:05:41,800 --> 00:05:43,885 - And I'm Anna, I'm the neurologist. 35 00:05:44,719 --> 00:05:46,531 - I'm Michael. 36 00:05:46,555 --> 00:05:48,557 And it is definitely not a good morning. 37 00:05:50,141 --> 00:05:52,870 But I'm still a Nurse Practitioner of the group. 38 00:05:55,063 --> 00:05:56,063 I was up late. 39 00:05:58,149 --> 00:06:00,211 - So my name's Valerie 40 00:06:00,235 --> 00:06:02,487 and I'm the social worker for the team. 41 00:06:03,738 --> 00:06:08,427 And also the babysitter for this guy. 42 00:06:08,451 --> 00:06:10,638 - And for that we are eternally grateful. 43 00:06:12,497 --> 00:06:13,599 - Hi, I'm Nicole. 44 00:06:13,623 --> 00:06:15,101 I'm the Chaplain for the group 45 00:06:15,125 --> 00:06:17,061 and welcome to both of you. 46 00:06:17,085 --> 00:06:18,312 - Good morning, I'm Astrid, 47 00:06:18,336 --> 00:06:20,481 I'm the Psychiatrist for our team. 48 00:06:20,505 --> 00:06:21,505 - Wait a minute. 49 00:06:22,966 --> 00:06:26,654 Did you say Little and Styfan? 50 00:06:26,678 --> 00:06:29,472 How cool is that? 51 00:06:30,765 --> 00:06:32,434 You should be urologists. 52 00:06:33,476 --> 00:06:35,937 Get it? 53 00:06:36,938 --> 00:06:38,332 Right, okay. 54 00:06:38,356 --> 00:06:40,251 - On that note, good morning. 55 00:06:40,275 --> 00:06:41,752 It's time to get started. 56 00:06:41,776 --> 00:06:44,696 The meeting today will be run by Dr. Astrid Adams. 57 00:06:45,780 --> 00:06:47,258 - Thank you. 58 00:06:47,282 --> 00:06:50,869 Welcome everyone to a new day. 59 00:06:52,037 --> 00:06:56,267 I'd like to begin with a little meditation, 60 00:06:56,291 --> 00:07:00,211 taking a moment to clear our heads and recharge. 61 00:07:01,379 --> 00:07:03,214 I'd like to invite you to close your eyes. 62 00:07:04,215 --> 00:07:05,467 Don't talk. 63 00:07:07,052 --> 00:07:11,056 And just let go of work for the next three minutes. 64 00:08:02,190 --> 00:08:03,709 Okay. 65 00:08:09,864 --> 00:08:10,864 - Mhmm. 66 00:08:13,201 --> 00:08:14,720 - All right, we will get started 67 00:08:14,744 --> 00:08:17,598 with some general announcements. 68 00:08:17,622 --> 00:08:20,184 We still need volunteers to help with the survivor 69 00:08:20,208 --> 00:08:21,626 celebration that's coming up. 70 00:08:24,546 --> 00:08:27,858 And sadly, last night we lost 71 00:08:27,882 --> 00:08:30,611 dear Mrs. Debra Urland. 72 00:08:30,635 --> 00:08:35,432 Next on the list is Danny Sorensen, age five. 73 00:08:37,559 --> 00:08:39,936 - Danny's cancer is rapidly progressing. 74 00:08:40,937 --> 00:08:43,207 And he is experiencing difficulty 75 00:08:43,231 --> 00:08:46,043 breathing, severe headaches. 76 00:08:46,067 --> 00:08:48,546 I'm worried about a seizure or sudden head bleed 77 00:08:48,570 --> 00:08:50,589 that can't be stopped. 78 00:08:50,613 --> 00:08:55,553 Sadly I think we only have hours to days left. 79 00:08:55,577 --> 00:08:58,472 - Danny came to us originally to 80 00:08:58,496 --> 00:09:01,416 be part of a phase one clinical trial. 81 00:09:02,417 --> 00:09:05,104 And he wasn't eligible. 82 00:09:05,128 --> 00:09:08,566 So it was decided that he would go home in hospice. 83 00:09:08,590 --> 00:09:13,595 But his condition, it started to deteriorate pretty quickly. 84 00:09:14,763 --> 00:09:16,973 It wasn't safe to transport him home 85 00:09:18,349 --> 00:09:22,621 so we've decided to do hospice here at the hospital 86 00:09:22,645 --> 00:09:25,332 and let him spend the remainder of his time 87 00:09:25,356 --> 00:09:27,984 here under our care with his mother. 88 00:09:29,360 --> 00:09:32,757 - April has requested that we make Danny's time 89 00:09:32,781 --> 00:09:34,491 as special as possible. 90 00:09:35,867 --> 00:09:38,262 So we've decided to throw him a pajama party. 91 00:09:38,286 --> 00:09:39,704 - All right. - Nice. 92 00:09:40,997 --> 00:09:42,308 - Yeah. 93 00:09:42,332 --> 00:09:45,603 - Understandably, April is grieving right now. 94 00:09:45,627 --> 00:09:48,814 The best thing that we can do for her as a team 95 00:09:48,838 --> 00:09:51,466 is to be there with our presence and our compassion. 96 00:09:52,967 --> 00:09:55,529 - And please, always remember. 97 00:09:55,553 --> 00:09:58,616 - The door is always open. 98 00:09:58,640 --> 00:09:59,808 - Thank you very much. 99 00:10:00,642 --> 00:10:01,453 Michael. 100 00:10:01,477 --> 00:10:02,828 - Yeah? 101 00:10:02,852 --> 00:10:04,038 - Would you take the responsibility of introducing 102 00:10:04,062 --> 00:10:06,040 our urol, excuse me, 103 00:10:06,064 --> 00:10:07,649 Josh and Adam to meet Danny. 104 00:10:09,359 --> 00:10:10,377 - Yes sir. 105 00:10:10,401 --> 00:10:12,129 - Thank you, Michael. 106 00:10:12,153 --> 00:10:14,298 - Hey, you let me know if you need any help, okay? 107 00:10:14,322 --> 00:10:15,341 - Okay. - All right. 108 00:10:15,365 --> 00:10:16,634 I gotta run. 109 00:10:16,658 --> 00:10:18,636 I have a new consult in the clinic. 110 00:10:18,660 --> 00:10:19,887 - Let's meet up. 111 00:10:19,911 --> 00:10:21,138 - I'd like to go up to the third floor. 112 00:10:21,162 --> 00:10:22,389 There's two patients up there that I wanna see. 113 00:10:22,413 --> 00:10:23,891 - Gentlemen. 114 00:10:23,915 --> 00:10:26,977 - Alex, maybe you can go over the comfort care medication. 115 00:10:27,001 --> 00:10:28,187 - Sure, I can do that. 116 00:10:28,211 --> 00:10:29,147 I'm just sorry I'm not important enough 117 00:10:29,171 --> 00:10:30,255 for everybody to stay. 118 00:10:31,339 --> 00:10:33,984 - Aw, poor Alex. 119 00:10:34,008 --> 00:10:35,986 Buddy, you know I love you. 120 00:10:36,010 --> 00:10:37,905 But listen, I'm late for clinic. 121 00:10:37,929 --> 00:10:39,198 Tell you what, I'll bring 122 00:10:39,222 --> 00:10:40,075 makeup marshmallow treats tomorrow 123 00:10:40,099 --> 00:10:41,325 just to prove it to you. 124 00:10:41,349 --> 00:10:42,576 - You better use real marshmallows. 125 00:10:42,600 --> 00:10:43,869 - No, use the whip. 126 00:10:43,893 --> 00:10:45,613 Use the cream, use the cream, use the cream. 127 00:10:51,109 --> 00:10:53,420 - Dr. David Olson, Dr. David Olson, 128 00:10:53,444 --> 00:10:55,506 you're needed in clinic 7B. 129 00:10:55,530 --> 00:10:57,782 Dr. David Olson to clinic 7B. 130 00:11:20,805 --> 00:11:22,032 - Hi. 131 00:11:22,056 --> 00:11:23,242 I'm Michael, the Nurse Practitioner 132 00:11:23,266 --> 00:11:24,535 with the Supportive Care Team. 133 00:11:24,559 --> 00:11:25,703 - Hi, I'm Kelly Davis. 134 00:11:25,727 --> 00:11:27,288 This is my father-in-law Oscar. 135 00:11:27,312 --> 00:11:29,480 - Oscar. - Pleased to meet you. 136 00:11:45,246 --> 00:11:47,308 - What the hell are you doing? 137 00:11:47,332 --> 00:11:48,583 - He's alive! 138 00:11:54,756 --> 00:11:56,257 I'm sorry that you're in pain. 139 00:11:58,009 --> 00:12:00,613 And you have every right to be angry. 140 00:12:00,637 --> 00:12:02,180 - What would you know about it? 141 00:12:07,268 --> 00:12:08,268 - You're right. 142 00:12:12,357 --> 00:12:14,108 I could never really know what you 143 00:12:15,276 --> 00:12:16,653 and your family are going through. 144 00:12:18,613 --> 00:12:21,258 But I know that everything in your life has changed. 145 00:12:21,282 --> 00:12:22,283 And you're in pain. 146 00:12:23,868 --> 00:12:25,954 I wanna help get your pain under control. 147 00:12:27,705 --> 00:12:29,999 The problem is, pain can be pretty complex. 148 00:12:31,459 --> 00:12:33,962 Controlling pain, it's more than just about giving drugs. 149 00:12:35,046 --> 00:12:37,191 It's about me getting to know you 150 00:12:37,215 --> 00:12:39,360 and learning what's important to you, 151 00:12:39,384 --> 00:12:40,510 what your goals are. 152 00:12:44,013 --> 00:12:46,391 And if you can beat me in a wheelchair race. 153 00:12:49,894 --> 00:12:51,062 How about we start over. 154 00:12:57,902 --> 00:12:59,404 Hi, I'm Michael. 155 00:13:03,491 --> 00:13:04,468 Are you gonna shake my hand 156 00:13:04,492 --> 00:13:06,035 or should I just wave? 157 00:13:09,497 --> 00:13:10,497 - I'm Cooper. 158 00:13:11,708 --> 00:13:12,893 And I can already tell 159 00:13:12,917 --> 00:13:14,311 you're gonna be a pain in my ass. 160 00:13:14,335 --> 00:13:16,421 - Don't worry, I can fix that too. 161 00:13:21,384 --> 00:13:24,262 - I'm so sorry this is happening to you and Danny. 162 00:13:27,432 --> 00:13:28,850 But you know what? 163 00:13:30,184 --> 00:13:32,395 You're showing an amazing amount of courage. 164 00:13:36,024 --> 00:13:37,525 - He's being so brave. 165 00:13:39,110 --> 00:13:41,029 I just don't want him to see me upset. 166 00:13:47,201 --> 00:13:50,514 I'm just not ready to lose him. 167 00:13:50,538 --> 00:13:51,956 I don't know what else to do. 168 00:13:53,291 --> 00:13:55,519 - You're doing everything you're supposed 169 00:13:55,543 --> 00:13:56,878 to be doing as a mother. 170 00:13:58,296 --> 00:14:02,216 And now, we're gonna focus on celebrating his life. 171 00:14:04,302 --> 00:14:06,554 Let me get things ready for the pajama party. 172 00:14:12,477 --> 00:14:14,121 - Cooper's pain is in his lower back 173 00:14:14,145 --> 00:14:15,873 and it's pretty severe. 174 00:14:15,897 --> 00:14:18,649 He can barely walk and he can't sleep. 175 00:14:20,401 --> 00:14:22,070 We are really hoping you can help. 176 00:14:24,947 --> 00:14:26,133 - Listen, I wish that I could just 177 00:14:26,157 --> 00:14:28,326 make this nightmare go away for all of you. 178 00:14:32,163 --> 00:14:33,163 Here's the plan. 179 00:14:34,916 --> 00:14:37,585 I get you out of pain, and we race. 180 00:14:38,836 --> 00:14:39,836 Deal? 181 00:14:42,340 --> 00:14:43,340 - You got a deal. 182 00:14:49,847 --> 00:14:51,992 - All those participating in the pajama party 183 00:14:52,016 --> 00:14:53,452 for young Danny Sorensen, 184 00:14:53,476 --> 00:14:54,852 the party starts as 11 a.m. 185 00:15:14,205 --> 00:15:16,975 - I love these pajamas. 186 00:15:16,999 --> 00:15:17,936 Monkey ones, huh? 187 00:15:17,960 --> 00:15:20,294 My girls would love these. 188 00:15:22,797 --> 00:15:25,150 You look so alert today. 189 00:15:25,174 --> 00:15:27,778 Does he know what we're planning? 190 00:15:27,802 --> 00:15:30,030 - Yeah, he knows. 191 00:15:30,054 --> 00:15:31,782 I had to tell him earlier. 192 00:15:31,806 --> 00:15:33,474 He was in so much pain. 193 00:15:34,976 --> 00:15:36,561 I felt he needed a distraction. 194 00:15:37,562 --> 00:15:38,562 - Okay. 195 00:15:41,983 --> 00:15:44,318 - Let's show Valerie your new look, okay? 196 00:15:49,907 --> 00:15:52,469 - Oh my god, let me see you. 197 00:15:52,493 --> 00:15:54,471 Look at you, you cool little dude, 198 00:15:54,495 --> 00:15:55,580 give me a high five! 199 00:15:57,248 --> 00:15:58,143 Yay! 200 00:15:58,167 --> 00:15:59,810 Let me go change, all right? 201 00:15:59,834 --> 00:16:01,061 I'll be right back. 202 00:16:01,085 --> 00:16:02,646 I've gotta go find Michael too, okay? 203 00:16:02,670 --> 00:16:03,838 - Okay. - Okay. 204 00:16:42,210 --> 00:16:44,688 - Dr. Frederick Martin, Dr. Frederick Martin, 205 00:16:44,712 --> 00:16:46,273 you have a visitor at reception. 206 00:16:46,297 --> 00:16:48,692 - You guys look so awesome. 207 00:16:50,134 --> 00:16:52,887 Thank you so much for doing this. 208 00:16:54,222 --> 00:16:55,640 Let me go get changed. 209 00:18:36,407 --> 00:18:38,385 Okay, I've got the whole floor in pajamas. 210 00:18:38,409 --> 00:18:41,013 Everyone should be here in just a sec. 211 00:18:41,037 --> 00:18:42,222 - Huh, see? 212 00:18:42,246 --> 00:18:43,998 This is what our job is all about. 213 00:18:45,416 --> 00:18:48,145 - Danny, Danny, what's wrong? 214 00:18:48,169 --> 00:18:50,314 Oh no, someone please! - What's wrong, April? 215 00:18:50,338 --> 00:18:51,732 Come over here. 216 00:18:51,756 --> 00:18:53,341 Let's let the doctor check him. 217 00:18:55,760 --> 00:18:56,987 It's all right. 218 00:18:57,011 --> 00:18:58,238 Come on, take a seat. 219 00:18:58,262 --> 00:18:59,823 - And he was doing so well today. 220 00:18:59,847 --> 00:19:01,325 - It's okay, we've been here. 221 00:19:01,349 --> 00:19:04,077 - Should I order a Dilaudid IV push? 222 00:19:04,101 --> 00:19:05,436 - No, hold off on that. 223 00:19:07,438 --> 00:19:09,607 - Take a breath. 224 00:19:11,567 --> 00:19:15,088 I know he was doing well, but remember, 225 00:19:15,112 --> 00:19:17,090 - He's declining very fast. 226 00:19:17,114 --> 00:19:18,366 He doesn't have much left. 227 00:19:19,950 --> 00:19:24,264 - I'm holding on, I'm right here. 228 00:19:24,288 --> 00:19:26,457 Right here is comfortable. 229 00:19:29,794 --> 00:19:30,794 Right here. 230 00:19:32,421 --> 00:19:33,421 - April. 231 00:19:34,882 --> 00:19:37,051 Would you like to hold Danny one more time? 232 00:19:38,135 --> 00:19:39,780 - You said you wanted to. 233 00:19:39,804 --> 00:19:40,804 It's time. 234 00:19:43,724 --> 00:19:45,810 Now it's up to you, okay? 235 00:19:48,312 --> 00:19:49,480 Take a breath. 236 00:20:26,183 --> 00:20:27,183 April. 237 00:20:31,021 --> 00:20:33,774 Your sweet little Danny has died. 238 00:20:39,113 --> 00:20:40,197 I'm so sorry. 239 00:21:19,487 --> 00:21:21,047 - I can't stand the thought of him 240 00:21:21,071 --> 00:21:22,573 being carried out on a gurney. 241 00:21:23,824 --> 00:21:27,220 Can I please just carry him myself? 242 00:21:27,244 --> 00:21:28,221 - Absolutely. 243 00:21:28,245 --> 00:21:29,580 I will arrange that. 244 00:22:36,480 --> 00:22:38,816 - I know this is tough, guys. 245 00:22:40,401 --> 00:22:42,629 Everyone did the best they could. 246 00:22:42,653 --> 00:22:44,572 Danny's cancer was just too aggressive. 247 00:22:46,448 --> 00:22:48,468 We need to focus on the difference you made 248 00:22:48,492 --> 00:22:49,886 for Danny and his mom 249 00:22:49,910 --> 00:22:53,914 during his last few days. 250 00:22:56,959 --> 00:22:59,312 - Michael, you'd be a little more convincing 251 00:22:59,336 --> 00:23:01,005 if you weren't wearing that sleeper. 252 00:23:11,181 --> 00:23:12,181 - Ooh. 253 00:23:16,312 --> 00:23:17,831 - Don't be ridiculous. 254 00:23:17,855 --> 00:23:20,417 I do have clothes on underneath this. 255 00:23:27,323 --> 00:23:29,116 - I just didn't say how much. 256 00:23:48,052 --> 00:23:49,529 - Thank you. 257 00:23:49,553 --> 00:23:53,867 - Thanks Michael, we needed that. 258 00:23:55,726 --> 00:23:57,495 - Hey girls, do your homework 259 00:23:57,519 --> 00:23:59,289 and listen to your Dad, please. 260 00:23:59,313 --> 00:24:01,499 I've gotta go back to the hospital. 261 00:24:14,995 --> 00:24:15,995 Shit. 262 00:24:37,768 --> 00:24:39,853 - Honey, honey. 263 00:24:41,522 --> 00:24:42,522 What's wrong? 264 00:24:47,069 --> 00:24:48,713 Oh. 265 00:24:48,737 --> 00:24:50,280 Honey, he's not worth it. 266 00:25:07,631 --> 00:25:08,858 - Would Gloria Desouza 267 00:25:08,882 --> 00:25:10,276 please pick up the courtesy phone. 268 00:25:10,300 --> 00:25:13,113 Gloria Desouza please pick up the courtesy phone. 269 00:25:13,137 --> 00:25:14,364 - Well hello, Michael. 270 00:25:14,388 --> 00:25:16,116 - Hello, Anna, I'm so glad you're here. 271 00:25:16,140 --> 00:25:19,119 Listen, I have Cooper Davis on his way in 272 00:25:19,143 --> 00:25:20,704 with pain out of control and 273 00:25:20,728 --> 00:25:22,247 I was wondering if you could see him 274 00:25:22,271 --> 00:25:25,125 on counsel for me please? 275 00:25:25,149 --> 00:25:26,876 - You sound really desperate. 276 00:25:26,900 --> 00:25:28,628 - Yeah. - Yeah. 277 00:25:28,652 --> 00:25:30,714 Sure, I'll take a look at him. 278 00:25:30,738 --> 00:25:31,756 - Thank you. 279 00:25:31,780 --> 00:25:32,780 - You're welcome. 280 00:25:33,574 --> 00:25:35,969 But it's gonna cost you. 281 00:25:37,828 --> 00:25:38,828 - Okay. 282 00:25:39,663 --> 00:25:40,890 - Mhmm. - All right. 283 00:25:40,914 --> 00:25:44,144 There will be a steak dinner in it 284 00:25:44,168 --> 00:25:45,169 and a show. 285 00:25:46,420 --> 00:25:47,731 Your choice. 286 00:25:47,755 --> 00:25:49,774 Oh and some cold beer. 287 00:25:49,798 --> 00:25:50,984 - Ooh, yes. 288 00:25:51,008 --> 00:25:52,760 - And me, I'll be there. 289 00:25:53,802 --> 00:25:54,988 What do you say? 290 00:25:55,012 --> 00:25:57,347 - So are the red footie sleepers optional? 291 00:25:59,933 --> 00:26:01,494 - Okay, thank you. 292 00:26:01,518 --> 00:26:03,997 Obviously she heard about the pajama party. 293 00:26:04,021 --> 00:26:06,416 - Obviously, and I think it's really sweet. 294 00:26:06,440 --> 00:26:08,168 It's all these nurses can talk about. 295 00:26:08,192 --> 00:26:12,130 - Yeah well, I mean enough about my jammy prowess. 296 00:26:12,154 --> 00:26:14,299 - I'm on call, so I can take a look at him 297 00:26:14,323 --> 00:26:16,009 and I'll update you tomorrow morning. 298 00:26:16,033 --> 00:26:17,033 - Perfect. 299 00:26:18,952 --> 00:26:19,952 One more thing. 300 00:26:21,872 --> 00:26:23,600 You better be careful. 301 00:26:23,624 --> 00:26:24,833 This could get serious. 302 00:26:31,048 --> 00:26:34,176 - Do you want me to call HR? 303 00:26:55,823 --> 00:26:57,491 - Marshmallow treats for all. 304 00:26:58,367 --> 00:26:59,367 Help yourselves. 305 00:27:01,078 --> 00:27:02,014 - What? 306 00:27:02,038 --> 00:27:03,181 - Oh my god. 307 00:27:03,205 --> 00:27:04,307 - What's this mess? 308 00:27:04,331 --> 00:27:06,226 I thought it was supposed to be homemade. 309 00:27:06,250 --> 00:27:07,251 - Okay everyone. 310 00:27:08,836 --> 00:27:11,064 It's time to start our pre-meeting meditation. 311 00:27:11,088 --> 00:27:13,423 If everyone could sit down and settle in. 312 00:27:14,758 --> 00:27:16,736 Research shows that three minutes 313 00:27:16,760 --> 00:27:18,696 is the minimum amount of time it takes 314 00:27:18,720 --> 00:27:21,682 to reset your minds 315 00:27:23,767 --> 00:27:27,497 which allows us to be holistically present 316 00:27:27,521 --> 00:27:30,500 for our patients and their families 317 00:27:30,524 --> 00:27:31,525 and one another. 318 00:27:33,944 --> 00:27:38,949 So, with that, welcome to a new day. 319 00:27:40,033 --> 00:27:41,743 I invite you to close your eyes. 320 00:27:43,203 --> 00:27:44,204 No talking. 321 00:27:45,539 --> 00:27:47,433 Let yourself be free from work 322 00:27:47,457 --> 00:27:49,269 and any other stresses. 323 00:28:46,934 --> 00:28:48,328 Thank you. 324 00:28:48,352 --> 00:28:49,770 - Thank you, Astrid. 325 00:28:51,605 --> 00:28:52,749 - Okay. 326 00:28:52,773 --> 00:28:54,125 So the next case 327 00:28:54,149 --> 00:28:56,002 on our agenda here 328 00:28:56,026 --> 00:28:57,110 is... - It's Cooper. 329 00:29:00,113 --> 00:29:03,033 Oh, darn, I have to go. 330 00:29:04,201 --> 00:29:05,678 Hey, I did not plan this. 331 00:29:05,702 --> 00:29:06,804 - Okay, that's fine, great. 332 00:29:06,828 --> 00:29:08,014 - If anyone is wounded, 333 00:29:08,038 --> 00:29:09,349 Alex. - No Micheal, that's fine. 334 00:29:09,373 --> 00:29:10,433 - I have more marshmallow treats in my car 335 00:29:10,457 --> 00:29:11,851 and I'm not afraid to use them. 336 00:29:11,875 --> 00:29:13,102 - Don't worry about us, Michael. 337 00:29:13,126 --> 00:29:14,836 We'll take care of things here as always. 338 00:29:16,171 --> 00:29:17,297 - Hey, Adam. 339 00:29:18,215 --> 00:29:19,883 You wanna go with me? 340 00:29:21,718 --> 00:29:23,845 - Excuse me, guys. 341 00:29:29,309 --> 00:29:30,811 - This way, hotshot. 342 00:29:36,149 --> 00:29:37,377 Look, I know this program can be rough 343 00:29:37,401 --> 00:29:38,461 but I wanna show you how we can really 344 00:29:38,485 --> 00:29:39,712 compliment each other. 345 00:29:39,736 --> 00:29:40,736 Oh, hey. 346 00:29:42,739 --> 00:29:44,342 Psst, Thomas! 347 00:29:44,366 --> 00:29:45,969 - Oh, son of a! 348 00:29:45,993 --> 00:29:48,221 Jeez, dammit, sorry Michael. 349 00:29:48,245 --> 00:29:50,247 This damn thing just won't stay put. 350 00:29:51,748 --> 00:29:53,788 - I don't think you should swear while holding Mary. 351 00:29:54,584 --> 00:29:55,812 Let's go. 352 00:29:55,836 --> 00:29:58,046 We're still broom buddies, for now. 353 00:30:05,012 --> 00:30:08,741 This is Dr. Styfan, a urol, oncologist 354 00:30:08,765 --> 00:30:09,993 working with me today. 355 00:30:10,017 --> 00:30:12,912 - Does that mean I'm so bad I need two of you? 356 00:30:12,936 --> 00:30:15,105 - No, actually we're combining forces. 357 00:30:17,274 --> 00:30:19,401 - Hey, what's going on? 358 00:30:21,528 --> 00:30:23,756 - The pain in my right groin is horrible. 359 00:30:23,780 --> 00:30:28,452 I can't stand it! 360 00:30:34,709 --> 00:30:35,935 - Hi, this is Michael. 361 00:30:35,959 --> 00:30:38,104 I just entered a now order for Dilaudid IV 362 00:30:38,128 --> 00:30:40,398 to be given to Cooper Davis in room six. 363 00:30:40,422 --> 00:30:41,923 Will you please meet me in here? 364 00:30:43,425 --> 00:30:46,195 Would you call Dr. Dracos and fill him in on Cooper? 365 00:30:46,219 --> 00:30:47,219 Thanks. 366 00:30:49,056 --> 00:30:51,808 We're gonna move over to the bed. 367 00:30:57,731 --> 00:30:59,959 Could you hold that. - My god. 368 00:30:59,983 --> 00:31:01,127 - There we go. 369 00:31:01,151 --> 00:31:02,151 Big hug. 370 00:31:06,406 --> 00:31:08,325 There we go, I got you. 371 00:31:44,319 --> 00:31:45,695 - That should do. 372 00:32:01,545 --> 00:32:03,880 - I just love the effect I have on my patients. 373 00:32:05,632 --> 00:32:07,610 - It just breaks my heart to see him 374 00:32:07,634 --> 00:32:09,469 go through so much pain. 375 00:32:12,347 --> 00:32:13,557 I hate this. 376 00:32:15,725 --> 00:32:17,161 - I know. 377 00:32:17,185 --> 00:32:20,289 Well listen, Cooper, he's comfortable now, okay? 378 00:32:20,313 --> 00:32:22,125 I'm gonna ask the nurse to keep an eye on you two 379 00:32:22,149 --> 00:32:23,459 while I go speak with Anna. 380 00:32:23,483 --> 00:32:24,484 - Thank you. 381 00:32:27,821 --> 00:32:29,072 - Sweet dreams. 382 00:32:53,263 --> 00:32:54,740 This is Michael. 383 00:32:54,764 --> 00:32:56,492 - Hey Michael, I have the MRI results for Cooper 384 00:32:56,516 --> 00:32:58,518 and they are not good. 385 00:32:59,895 --> 00:33:01,831 He has multiple compression fractures of his spine 386 00:33:01,855 --> 00:33:03,499 and a mass that looks like it has gotten 387 00:33:03,523 --> 00:33:05,751 into his spinal cord fluid. 388 00:33:05,775 --> 00:33:07,736 Cooper needs surgery right away. 389 00:33:09,946 --> 00:33:11,424 We confirm this in surgery, 390 00:33:11,448 --> 00:33:14,784 his life expectancy is going to be about three months. 391 00:33:15,952 --> 00:33:17,430 In the meantime he could have a stroke, 392 00:33:17,454 --> 00:33:19,873 develop seizures and have even more excruciating pain. 393 00:33:24,961 --> 00:33:26,630 - Okay, Dr. Dracos needs to know. 394 00:33:29,132 --> 00:33:31,903 Could you call him and then meet me in Cooper's room? 395 00:33:31,927 --> 00:33:33,362 - I've already got a page in for him 396 00:33:33,386 --> 00:33:35,239 and for the neurosurgeon on call. 397 00:33:35,263 --> 00:33:36,890 See you in a few minutes. 398 00:33:40,894 --> 00:33:41,978 - Change of plans. 399 00:34:23,436 --> 00:34:24,437 Hi, Kelly. 400 00:34:26,106 --> 00:34:28,584 I'm here with the neurologist, Dr. Crawford 401 00:34:28,608 --> 00:34:30,527 and Dr. Styfan who you've already met. 402 00:34:31,820 --> 00:34:34,114 We wanted to talk with you about Cooper's MRI. 403 00:34:36,783 --> 00:34:39,286 Cooper needs surgery as soon as we can arrange it. 404 00:34:40,704 --> 00:34:43,766 His cancer has caused some bones in his spine to break 405 00:34:43,790 --> 00:34:46,018 and push down on his spinal cord. 406 00:34:46,042 --> 00:34:47,436 And we also think that there's a tumor 407 00:34:47,460 --> 00:34:49,355 growing in his spine that needs to be removed. 408 00:34:49,379 --> 00:34:52,173 Now these two problems are what's causing Cooper's pain. 409 00:34:53,550 --> 00:34:55,444 So Dr. Sun, the neurosurgeon wants to operate 410 00:34:55,468 --> 00:34:58,864 as soon as possible to prevent any permanent damage. 411 00:34:58,888 --> 00:34:59,888 Okay? 412 00:35:02,183 --> 00:35:05,145 - I'm so sorry this has to happen so quickly, Kelly. 413 00:35:06,646 --> 00:35:11,401 Here I have, it's just a surgical release and consent form 414 00:35:12,152 --> 00:35:13,796 for you so you can sign. 415 00:35:13,820 --> 00:35:15,506 Dr. Sun will be doing the surgery. 416 00:35:15,530 --> 00:35:17,049 - Cooper, I know you're listening 417 00:35:17,073 --> 00:35:19,218 because you stopped snoring. 418 00:35:19,242 --> 00:35:21,345 - And she will place and implant a pain pump 419 00:35:21,369 --> 00:35:23,806 if necessary or possible, so, 420 00:35:23,830 --> 00:35:25,373 - Do you wanna talk about this? 421 00:35:29,753 --> 00:35:33,649 - I will do anything to stop the pain from coming back. 422 00:35:33,673 --> 00:35:34,734 - That's it. 423 00:35:34,758 --> 00:35:36,402 Where do I sign? 424 00:35:36,426 --> 00:35:37,862 - Okay. 425 00:35:37,886 --> 00:35:40,406 So generally the logistics is just talking about 426 00:35:40,430 --> 00:35:42,408 before and how properly it should be taken care of, 427 00:35:42,432 --> 00:35:44,160 constantly we need to be monitoring. 428 00:35:44,184 --> 00:35:46,019 - I just realized something. 429 00:35:48,897 --> 00:35:51,024 I was just thinking 430 00:35:52,901 --> 00:35:56,529 how much you remind me of my father right now. 431 00:35:58,948 --> 00:36:00,593 - What the hell? 432 00:36:00,617 --> 00:36:02,202 - Now hear me out. 433 00:36:04,120 --> 00:36:08,291 With a bald head and the blotchy skin. 434 00:36:09,793 --> 00:36:10,793 Yeah. 435 00:36:11,461 --> 00:36:12,962 You look just like my old man. 436 00:36:14,297 --> 00:36:17,926 I mean I know you're not old enough yet. 437 00:36:18,802 --> 00:36:22,222 But wow, you could be twins. 438 00:36:25,058 --> 00:36:26,059 - Are you for real? 439 00:36:29,229 --> 00:36:30,271 - Could you just say, 440 00:36:31,773 --> 00:36:34,776 "shut the hell up, you dumb shit!" for me? 441 00:36:38,238 --> 00:36:39,238 Come on, say it. 442 00:36:39,989 --> 00:36:41,324 Come on, come on. 443 00:36:42,575 --> 00:36:43,575 Say it. 444 00:36:47,247 --> 00:36:49,124 - Shut the hell up, you dumb shit! 445 00:36:51,292 --> 00:36:52,292 Oh god, oh! 446 00:36:54,421 --> 00:36:56,399 - Brings back so many memories. 447 00:36:56,423 --> 00:36:57,441 - Great. 448 00:36:57,465 --> 00:36:58,943 - Why are you being so rude? 449 00:36:58,967 --> 00:37:02,405 - Oh he told me so. 450 00:37:02,429 --> 00:37:03,906 - He's out on an IV. 451 00:37:03,930 --> 00:37:05,658 All right, room 220, got it. 452 00:37:05,682 --> 00:37:07,118 I'll go take a look at him. 453 00:37:07,142 --> 00:37:08,435 Thanks, Doctor. 454 00:37:29,956 --> 00:37:31,600 - My cardiologist told me 455 00:37:31,624 --> 00:37:33,460 I just had another heart attack. 456 00:37:34,669 --> 00:37:36,522 He doesn't wanna do any more procedures 457 00:37:36,546 --> 00:37:38,357 because my heart is too weak 458 00:37:38,381 --> 00:37:40,717 so I guess this is it. 459 00:37:43,178 --> 00:37:44,114 - I'm so sorry that you're going 460 00:37:44,138 --> 00:37:45,448 through this, Mr. Brownrigg. 461 00:37:45,472 --> 00:37:47,032 - Thank you. 462 00:37:47,056 --> 00:37:49,118 You guys can call me Thomas. 463 00:37:49,142 --> 00:37:50,536 We bonded. 464 00:37:50,560 --> 00:37:53,122 The three of us, we survived the near disaster 465 00:37:53,146 --> 00:37:55,166 with my Mary statue. 466 00:37:55,190 --> 00:37:56,500 - How long have you been working here 467 00:37:56,524 --> 00:37:58,002 at St. Mary's? 468 00:37:58,026 --> 00:38:00,629 - Oh I've been in housekeeping 469 00:38:00,653 --> 00:38:02,882 doing floorwork for about two years. 470 00:38:02,906 --> 00:38:05,700 I do it just to feel useful. 471 00:38:06,534 --> 00:38:09,746 See, after my wife died, 472 00:38:10,914 --> 00:38:13,500 I didn't want to just wait around for my turn. 473 00:38:15,668 --> 00:38:17,712 We were married for 35 years. 474 00:38:20,089 --> 00:38:22,568 - So do you have a designated will, 475 00:38:22,592 --> 00:38:25,321 do you got someone to take care of you if you can't? 476 00:38:25,345 --> 00:38:27,698 I'm sorry, Thomas. 477 00:38:27,722 --> 00:38:30,659 What Dr. Styfan means is do you have any family 478 00:38:30,683 --> 00:38:31,994 in the area that can be here for you? 479 00:38:32,018 --> 00:38:35,748 - Oh, I have a good friend. 480 00:38:35,772 --> 00:38:37,065 His name is Louis. 481 00:38:38,358 --> 00:38:40,211 He lives in town here. 482 00:38:40,235 --> 00:38:42,588 I don't really have anyone I'm close to 483 00:38:42,612 --> 00:38:46,509 except for that Mary statue. 484 00:38:46,533 --> 00:38:49,595 I guess I didn't let anyone get too close, you know? 485 00:38:49,619 --> 00:38:51,847 I mean my work filled the gaps. 486 00:38:51,871 --> 00:38:55,100 Coworkers, the wonderful staff here. 487 00:38:55,124 --> 00:38:56,101 And the recent... 488 00:38:56,125 --> 00:38:57,436 - Thomas, I'm sorry. 489 00:38:57,460 --> 00:38:59,939 I need to go check on something. 490 00:38:59,963 --> 00:39:02,399 Dr. Styfan will continue with a few more questions 491 00:39:02,423 --> 00:39:03,424 if you're up for it. 492 00:39:11,432 --> 00:39:14,453 - Thomas, I wanna make sure that you understand 493 00:39:14,477 --> 00:39:16,062 what is happening to your heart. 494 00:39:25,072 --> 00:39:26,447 - I'm dying. 495 00:39:29,993 --> 00:39:31,661 My heart has had enough. 496 00:39:34,831 --> 00:39:36,809 - Unfortunately you are right. 497 00:39:36,833 --> 00:39:40,312 Thomas, your heart is very tired. 498 00:39:40,336 --> 00:39:44,066 And this latest attack has got your heart 499 00:39:44,090 --> 00:39:45,609 working even harder. 500 00:39:45,633 --> 00:39:47,969 And we don't know how long it will continue beating. 501 00:39:50,346 --> 00:39:53,450 Now if it stops, we can get it started again. 502 00:39:53,474 --> 00:39:55,661 You know, with electrical shocks, pushing on your chest, 503 00:39:55,685 --> 00:39:57,162 and or medicine. 504 00:39:57,186 --> 00:40:00,148 But it won't change the fact how sick your heart is. 505 00:40:02,609 --> 00:40:03,752 - Well if it's so sick, 506 00:40:03,776 --> 00:40:05,921 why would you even bother? 507 00:40:05,945 --> 00:40:07,864 - Well some people just need more time. 508 00:40:09,032 --> 00:40:12,428 But ultimately, you need to tell us 509 00:40:12,452 --> 00:40:14,037 what is important to you. 510 00:40:51,699 --> 00:40:53,218 - Please call reception. 511 00:40:53,242 --> 00:40:56,204 Dr. Crawford, call reception please. 512 00:41:00,333 --> 00:41:01,894 - Well being kept alive on machines 513 00:41:01,918 --> 00:41:04,355 is not my idea of living. 514 00:41:04,379 --> 00:41:07,524 - Honestly, I would like to see you take 515 00:41:07,548 --> 00:41:09,175 what energy you have left 516 00:41:10,551 --> 00:41:12,261 and spend it enjoying your life. 517 00:41:19,102 --> 00:41:21,270 - Coming through, watch out, heads up. 518 00:41:23,231 --> 00:41:26,085 Ooh, this statue is heavy. 519 00:41:26,109 --> 00:41:28,236 How in the world were you able to catch it? 520 00:41:29,570 --> 00:41:30,780 One, two, three. 521 00:41:35,702 --> 00:41:37,179 Oh. 522 00:41:37,203 --> 00:41:39,348 I think you need Mary to be with you. 523 00:41:39,372 --> 00:41:41,290 I'm sure she would miss your attention. 524 00:41:42,375 --> 00:41:44,043 Thomas, do you need anything else? 525 00:41:46,421 --> 00:41:48,381 - Dr. Styfan and I had a good talk. 526 00:41:50,425 --> 00:41:52,427 I would like to be kept comfortable. 527 00:41:53,469 --> 00:41:55,138 I don't want any machines. 528 00:41:56,639 --> 00:41:59,308 You know I just wish there was someway I could go home. 529 00:42:01,060 --> 00:42:03,730 - Listen, I'm glad that you were able to talk. 530 00:42:05,231 --> 00:42:07,751 Now tell you what, I'll notify your cardiologist, 531 00:42:07,775 --> 00:42:09,253 I'll ring in some orders 532 00:42:09,277 --> 00:42:12,131 and I'll see what I can do about getting you out of here. 533 00:42:12,155 --> 00:42:13,155 Okay? 534 00:42:14,115 --> 00:42:15,116 In the meantime, 535 00:42:16,284 --> 00:42:18,303 I'm going to ask the nurses to medicate you 536 00:42:18,327 --> 00:42:20,389 if you have any pain or discomfort. 537 00:42:20,413 --> 00:42:22,975 And I'd like to stop all blood draws. 538 00:42:22,999 --> 00:42:24,476 I'm also going to ask the nurses 539 00:42:24,500 --> 00:42:28,105 to reposition you only if you request. 540 00:42:28,129 --> 00:42:30,733 And to let you eat anything you want. 541 00:42:30,757 --> 00:42:33,902 And the statue of Mary is to be left 542 00:42:33,926 --> 00:42:36,447 at Thomas Brownrigg's bedside. 543 00:42:36,471 --> 00:42:39,158 Anyone wishing to remove the statue 544 00:42:39,182 --> 00:42:44,187 must contact Dr. Adam Styfan for permission. 545 00:42:50,276 --> 00:42:53,088 - So we can meet with Barbara Shelley at three? 546 00:42:53,112 --> 00:42:54,864 - Yeah, three to four. 547 00:42:59,827 --> 00:43:00,827 - You asshole. 548 00:43:04,207 --> 00:43:05,207 - Dad? 549 00:43:07,668 --> 00:43:10,105 Oh, why Dr. Styfan. 550 00:43:10,129 --> 00:43:12,131 Whatever could be the problem? 551 00:43:13,216 --> 00:43:15,551 - The problem is you. 552 00:43:18,387 --> 00:43:21,116 I got 12 phone calls from nursing supervisors 553 00:43:21,140 --> 00:43:24,161 and security personnel insisting that I 554 00:43:24,185 --> 00:43:25,895 bring back the statue of Mary? 555 00:43:28,064 --> 00:43:29,792 They weren't buying that a statue 556 00:43:29,816 --> 00:43:33,045 was providing comfort to a dying man. 557 00:43:33,069 --> 00:43:35,172 I tried to convince them that the statue 558 00:43:35,196 --> 00:43:37,382 looked like Thomas' dead wife. 559 00:43:37,406 --> 00:43:38,991 Then I went with he was lonely. 560 00:43:40,159 --> 00:43:41,637 I even tried to say that the statue 561 00:43:41,661 --> 00:43:44,723 was a part of Thomas' legacy where nothing worked. 562 00:43:44,747 --> 00:43:49,001 I had to come back in, sleep next to the statue of Mary 563 00:43:50,169 --> 00:43:52,022 while reassuring Thomas that no one 564 00:43:52,046 --> 00:43:53,172 was going to touch her. 565 00:43:57,760 --> 00:44:00,012 I don't think the nurses like me very much. 566 00:44:03,015 --> 00:44:04,827 - I wanna thank you Adam, for a job 567 00:44:04,851 --> 00:44:06,269 very excellently done. 568 00:44:07,436 --> 00:44:09,772 Why don't you go home now and get some sleep? 569 00:44:11,190 --> 00:44:12,859 I'll take care of things from here. 570 00:44:20,283 --> 00:44:21,367 - Hey, Adam. 571 00:44:22,952 --> 00:44:23,952 Wait up. 572 00:44:27,290 --> 00:44:28,291 - Okay. 573 00:44:30,793 --> 00:44:32,086 - You finally got this. 574 00:44:33,129 --> 00:44:34,130 You finally got it. 575 00:44:45,141 --> 00:44:46,141 He's a keeper. 576 00:44:52,481 --> 00:44:54,877 Mr. Thomas Brownrigg is a 68 year old male 577 00:44:54,901 --> 00:44:56,461 with end stage cardiac disease. 578 00:44:56,485 --> 00:44:58,130 He's a widow of two years. 579 00:44:58,154 --> 00:45:00,382 Thomas works at St. Mary's in housekeeping. 580 00:45:00,406 --> 00:45:02,634 He is comfort measures only. 581 00:45:02,658 --> 00:45:05,745 Thomas is very weak and unable to care for himself. 582 00:45:13,669 --> 00:45:15,230 - What do you think of my cool commode? 583 00:45:15,254 --> 00:45:17,399 - It is not a commode, it's a wheelchair 584 00:45:17,423 --> 00:45:19,151 so don't pee in it, but I like it. 585 00:45:19,175 --> 00:45:21,445 - Eh, wheelchair, commode, same thing. 586 00:45:21,469 --> 00:45:22,654 Ooh, ooh. 587 00:45:22,678 --> 00:45:23,822 - What? 588 00:45:23,846 --> 00:45:25,741 Ooh, yes, very intimidating. 589 00:45:25,765 --> 00:45:27,683 Mhmm, very scary. 590 00:45:45,701 --> 00:45:47,620 - Something tells me I've been set up. 591 00:45:51,624 --> 00:45:52,625 - Yeah, hey! 592 00:45:56,045 --> 00:45:59,840 Oh, Michael, that's a nice ride. 593 00:46:01,467 --> 00:46:03,153 You really went all out. 594 00:46:03,177 --> 00:46:04,696 Nice balloons. 595 00:46:04,720 --> 00:46:06,490 - These are supposed to be gears. 596 00:46:06,514 --> 00:46:07,991 - Look like balloons to me. 597 00:46:08,015 --> 00:46:09,451 - These are my brakes. 598 00:46:10,643 --> 00:46:14,122 - You know, I'm actually a little nervous. 599 00:46:14,146 --> 00:46:16,458 I think there's a good chance you could beat my time. 600 00:46:16,482 --> 00:46:17,668 - Okay. 601 00:46:17,692 --> 00:46:19,878 - If I give you a two hour head start! 602 00:46:23,072 --> 00:46:24,072 - Okay! 603 00:46:25,825 --> 00:46:27,493 Where are you going? 604 00:46:28,828 --> 00:46:31,890 - You're in trouble now, Michael. 605 00:46:31,914 --> 00:46:33,392 Catch me if you can! 606 00:46:33,416 --> 00:46:35,143 - Coop, wait up! 607 00:46:35,167 --> 00:46:37,729 Get over here, you gotta let me see this thing. 608 00:46:37,753 --> 00:46:40,357 - It's been a long time since I've seen him be this happy. 609 00:46:40,381 --> 00:46:42,842 - You better get up. 610 00:46:53,853 --> 00:46:56,772 You better get Michael some oxygen. 611 00:46:58,190 --> 00:46:59,191 Great teamwork, Dad. 612 00:47:00,693 --> 00:47:02,170 I do believe that's mine. 613 00:47:02,194 --> 00:47:03,404 - I surrender, sir. 614 00:47:05,531 --> 00:47:06,531 - Yes! 615 00:47:07,366 --> 00:47:09,118 Victory is mine! 616 00:47:10,953 --> 00:47:12,764 - Hey, I gotta get back to the meeting. 617 00:47:12,788 --> 00:47:15,350 So, why don't you stay, hang out, 618 00:47:15,374 --> 00:47:17,102 take a ride on the chair and I'll cover for you? 619 00:47:17,126 --> 00:47:17,936 - Yeah? 620 00:47:17,960 --> 00:47:18,771 - Yeah. 621 00:47:18,795 --> 00:47:19,855 - You're the best. 622 00:47:19,879 --> 00:47:20,856 I'll be there in a few minutes. 623 00:47:20,880 --> 00:47:21,774 - Okay, yeah. 624 00:47:21,798 --> 00:47:22,774 I'll see you, behave yourself, 625 00:47:22,798 --> 00:47:23,442 bye bye. - Cooper! 626 00:47:23,466 --> 00:47:24,466 I can stay! 627 00:48:29,365 --> 00:48:30,759 - Thank you for taking the time 628 00:48:30,783 --> 00:48:32,451 to join us, Michael. 629 00:48:33,536 --> 00:48:35,013 - I have a good excuse for being late. 630 00:48:35,037 --> 00:48:38,517 I was actually busy getting humiliated by Cooper. 631 00:48:38,541 --> 00:48:40,435 I mean, you should have seen it. 632 00:48:40,459 --> 00:48:41,853 It was amazing how the race challenge 633 00:48:41,877 --> 00:48:44,022 actually helped Cooper's morale. 634 00:48:44,046 --> 00:48:46,691 He was just so glowing with pride 635 00:48:46,715 --> 00:48:49,301 when he showed this outrageous machine to me, just, 636 00:48:52,888 --> 00:48:56,142 I wasn't actually crazy about my humiliation part. 637 00:48:57,309 --> 00:48:59,287 - We all need to make sacrifices, Michael. 638 00:48:59,311 --> 00:49:01,456 I'm glad to hear Cooper has recovered enough 639 00:49:01,480 --> 00:49:03,875 from his surgery to be more active. 640 00:49:03,899 --> 00:49:06,402 I take it the pain pump is working well. 641 00:49:07,570 --> 00:49:08,797 I just hope we can keep him out of pain 642 00:49:08,821 --> 00:49:10,549 for a while longer. 643 00:49:10,573 --> 00:49:13,343 Now is a good time to have a goals of care 644 00:49:13,367 --> 00:49:15,303 conversation with him and his family. 645 00:49:15,327 --> 00:49:18,640 - Yes, Michael I hate to say this right now but 646 00:49:18,664 --> 00:49:21,167 we have to be realistic about where Cooper is. 647 00:49:22,501 --> 00:49:24,688 - Michael, she's right. 648 00:49:24,712 --> 00:49:26,356 We can't wait too long. 649 00:49:26,380 --> 00:49:27,381 It's time. 650 00:49:34,597 --> 00:49:37,016 - All right, I'll help set up the family meeting. 651 00:49:38,350 --> 00:49:39,350 - Okay. 652 00:49:41,020 --> 00:49:42,104 - Thank you, sir. 653 00:49:44,565 --> 00:49:45,941 - Thank you, Michael. 654 00:50:34,990 --> 00:50:37,576 - Thank you everyone, for coming today. 655 00:50:39,119 --> 00:50:40,472 I think we all know each other, 656 00:50:40,496 --> 00:50:43,666 so I'm gonna dispense with introductions. 657 00:50:45,251 --> 00:50:49,105 We're here today to talk about how to support Cooper 658 00:50:49,129 --> 00:50:50,982 and his family. 659 00:50:51,006 --> 00:50:54,236 And we wanna establish a good understanding 660 00:50:54,260 --> 00:50:58,097 of what your values and your wishes are, okay? 661 00:51:00,140 --> 00:51:03,143 - First I wanna thank all of you for having us. 662 00:51:05,354 --> 00:51:07,582 I know it's unusual to have the patient 663 00:51:07,606 --> 00:51:08,691 come to one of these. 664 00:51:09,608 --> 00:51:11,277 So I appreciate the opportunity. 665 00:51:17,866 --> 00:51:18,866 So I'm dying. 666 00:51:24,164 --> 00:51:26,333 You see, I know I'm dying. 667 00:51:28,294 --> 00:51:29,795 I know my time is limited. 668 00:51:31,171 --> 00:51:34,800 The cancer has gotten into my spinal cord fluid. 669 00:51:36,510 --> 00:51:38,530 - As your body becomes weaker, 670 00:51:38,554 --> 00:51:39,781 we need to know, Cooper, 671 00:51:39,805 --> 00:51:41,890 how aggressive you want us to be. 672 00:51:43,517 --> 00:51:45,561 - I don't wanna be kept alive artificially. 673 00:51:47,187 --> 00:51:50,649 I don't want machines, I don't want feeding tubes. 674 00:51:55,029 --> 00:51:58,240 I just want to spend what time I have with my family, 675 00:51:59,366 --> 00:52:00,993 and to have help controlling the pain. 676 00:52:02,369 --> 00:52:04,222 - What if the only way we have of controlling your pain 677 00:52:04,246 --> 00:52:06,165 is to keep you sedated all the time? 678 00:52:08,000 --> 00:52:10,502 You wouldn't be able to interact with your family. 679 00:52:12,546 --> 00:52:15,191 - I can't interact with them now 680 00:52:15,215 --> 00:52:18,510 if I'm screaming and writhing in pain. 681 00:52:21,013 --> 00:52:22,514 So if it comes to that point, 682 00:52:25,017 --> 00:52:28,520 then yes, I wanna be medicated. 683 00:52:31,231 --> 00:52:33,918 - What we've described is called palliative sedation. 684 00:52:33,942 --> 00:52:35,337 We're not gonna deeply sedate you 685 00:52:35,361 --> 00:52:38,280 until all other pain medication options are ineffective. 686 00:52:40,032 --> 00:52:41,676 Cooper, once we do deeply sedate you, 687 00:52:41,700 --> 00:52:43,786 you won't be able to eat or drink anymore. 688 00:52:46,121 --> 00:52:49,124 - Cooper, this is true for all patients who become this ill. 689 00:52:50,459 --> 00:52:52,562 But this can be especially hard on family. 690 00:52:52,586 --> 00:52:54,397 So it's really important that we help you 691 00:52:54,421 --> 00:52:56,691 understand this process. 692 00:52:56,715 --> 00:52:59,527 And that we know that you're really making 693 00:52:59,551 --> 00:53:00,969 the choice that you want here. 694 00:53:02,888 --> 00:53:04,282 This is not the route we wanna go 695 00:53:04,306 --> 00:53:06,725 but we wanna make sure that you're all informed. 696 00:53:09,144 --> 00:53:12,898 - Actually, my greatest desire 697 00:53:14,400 --> 00:53:16,544 is to have another wheelchair race with Michael 698 00:53:16,568 --> 00:53:18,463 so I can kick his ass again. 699 00:53:20,072 --> 00:53:22,217 - I'd pay 20 bucks to watch that. 700 00:53:27,079 --> 00:53:28,264 - All I really want is to go home 701 00:53:28,288 --> 00:53:29,998 and be with my family. 702 00:53:53,856 --> 00:53:55,667 - Dr. Melvin, please report 703 00:53:55,691 --> 00:53:57,127 to the Trauma Center. 704 00:53:57,151 --> 00:54:00,588 Dr. Melvin, you're requested in the Trauma Center. 705 00:54:31,226 --> 00:54:32,328 - Come on now! 706 00:54:32,352 --> 00:54:34,539 Kablooey! 707 00:54:34,563 --> 00:54:39,568 Dead man wheeling here! 708 00:54:41,320 --> 00:54:42,338 - Hey, thank you Coop. 709 00:54:42,362 --> 00:54:43,173 I needed that. 710 00:54:43,197 --> 00:54:44,197 Let's go. 711 00:54:54,666 --> 00:54:58,670 - Look out! 712 00:55:26,448 --> 00:55:28,885 - Would a valet operator please meet 713 00:55:28,909 --> 00:55:31,012 a patient at the front entrance. 714 00:55:31,036 --> 00:55:33,556 A valet operator to the front entrance please. 715 00:55:36,750 --> 00:55:37,769 - I think Cooper's cancer 716 00:55:37,793 --> 00:55:39,771 is just progressing too rapidly. 717 00:55:39,795 --> 00:55:41,856 Now it's starting to get a little rough. 718 00:55:41,880 --> 00:55:44,192 - Michael, I know this is tough for you 719 00:55:44,216 --> 00:55:46,385 but I know you're gonna do the right thing. 720 00:55:59,439 --> 00:56:00,875 - Hey guys. 721 00:56:00,899 --> 00:56:01,899 So what's up? 722 00:56:03,110 --> 00:56:05,630 - Dr. Roberts and I want to check your pain pump. 723 00:56:05,654 --> 00:56:07,656 And Valerie's here to keep an eye on us. 724 00:56:10,784 --> 00:56:14,305 This programmer has a scanner attached to a cord 725 00:56:14,329 --> 00:56:15,807 that is placed over your pump reservoir 726 00:56:15,831 --> 00:56:17,249 implanted under your skin. 727 00:56:18,417 --> 00:56:20,311 The scanner can access data from the pump, 728 00:56:20,335 --> 00:56:22,063 print it out on the programmer screen 729 00:56:22,087 --> 00:56:24,631 and allow me to change settings if I need to. 730 00:56:27,467 --> 00:56:29,612 Now, pull up your gown. 731 00:56:29,636 --> 00:56:32,490 - Aw, aren't you gonna at least buy me dinner first? 732 00:56:41,982 --> 00:56:44,794 You're doing one hell of a job, Doc. 733 00:56:44,818 --> 00:56:46,254 But could you speed it up a bit? 734 00:56:46,278 --> 00:56:47,487 I'm kinda naked here. 735 00:56:48,697 --> 00:56:49,841 - This is great. 736 00:56:49,865 --> 00:56:52,951 Someone's finally giving Michael a hard time. 737 00:56:54,369 --> 00:56:56,848 - Let's pump up the Dilaudid to five. 738 00:56:56,872 --> 00:56:58,457 Everything else is maxed out. 739 00:57:05,714 --> 00:57:07,633 - Just fix this here for you. 740 00:57:11,553 --> 00:57:13,615 - Oh, that's real professional. 741 00:57:13,639 --> 00:57:15,557 They teach you that in nursing school? 742 00:57:16,475 --> 00:57:18,352 Oh please, allow me to fix it. 743 00:57:19,645 --> 00:57:21,039 I don't mind being abused. 744 00:57:21,063 --> 00:57:22,373 I'm only dying here! 745 00:57:26,234 --> 00:57:27,879 - Sorry I'm gonna miss the rest of the show 746 00:57:27,903 --> 00:57:30,322 but I have to get this. 747 00:57:35,243 --> 00:57:36,243 - Sorry, Coop. 748 00:57:37,496 --> 00:57:39,873 I know, I'm not acting like my usual self lately. 749 00:57:47,923 --> 00:57:50,926 Is there anything else that you wanna talk about? 750 00:57:52,386 --> 00:57:55,013 - Just try to keep me out of pain as much as possible. 751 00:57:56,431 --> 00:57:58,159 I don't want my family to be any more upset 752 00:57:58,183 --> 00:57:59,267 than they already are. 753 00:58:00,727 --> 00:58:03,355 - We're hoping that the pain pump will continue to work. 754 00:58:04,773 --> 00:58:06,108 And you know if it doesn't, 755 00:58:07,901 --> 00:58:10,838 unfortunately we're looking at the deeper sedation 756 00:58:10,862 --> 00:58:12,614 that we talked about. 757 00:58:14,032 --> 00:58:15,259 - I know. 758 00:58:15,283 --> 00:58:16,785 Just help them get through it. 759 00:58:17,911 --> 00:58:18,911 - I will. 760 00:58:20,122 --> 00:58:22,725 - Just help me get through it with minimal pain 761 00:58:22,749 --> 00:58:24,519 and support my family. 762 00:58:24,543 --> 00:58:25,627 That's all I'm asking. 763 00:58:27,713 --> 00:58:30,382 Well, maybe not all. 764 00:58:33,468 --> 00:58:36,596 Actually, there is one more thing. 765 00:58:37,597 --> 00:58:38,597 - Anything, Coop. 766 00:58:39,891 --> 00:58:41,560 You know I'll help any way I can. 767 00:58:52,738 --> 00:58:54,573 - I need you to promise me, Michael. 768 00:58:58,160 --> 00:59:01,288 I need you to promise that when this thing happens, 769 00:59:03,081 --> 00:59:05,268 you'll do something for me. 770 00:59:05,292 --> 00:59:06,292 - Consider it done. 771 00:59:12,591 --> 00:59:14,676 - I want you to sing to me! 772 00:59:22,309 --> 00:59:24,996 - Oh man, I walked right into that. 773 00:59:25,020 --> 00:59:26,313 - Yes you did, buddy. 774 00:59:30,108 --> 00:59:32,628 - A little birdy told me 775 00:59:32,652 --> 00:59:35,173 that you used to sing in a band. 776 00:59:35,197 --> 00:59:36,674 Heard you were pretty good too. 777 00:59:36,698 --> 00:59:38,843 And I hope you know the words to the theme song 778 00:59:38,867 --> 00:59:40,094 from The Flinstones. 779 00:59:40,118 --> 00:59:41,453 'Cause that's my favorite. 780 00:59:42,662 --> 00:59:45,707 Yabba dabba do! 781 00:59:49,377 --> 00:59:51,880 - Oh is that a picture of the whole family there? 782 00:59:52,964 --> 00:59:54,275 - Hey! 783 00:59:54,299 --> 00:59:55,467 Patient abuse! 784 00:59:56,468 --> 00:59:57,468 Come on! 785 01:00:16,488 --> 01:00:17,489 Hey Doctor Dumbshit. 786 01:00:19,908 --> 01:00:23,161 You working all night again? 787 01:00:24,329 --> 01:00:25,306 - It's just starting to roll off your tongue 788 01:00:25,330 --> 01:00:26,641 a little too easy. 789 01:00:26,665 --> 01:00:29,501 Actually, no, I'm just on my way home. 790 01:00:31,169 --> 01:00:33,064 Why, do you need me to come tuck you in 791 01:00:33,088 --> 01:00:34,232 and sing to you? 792 01:00:34,256 --> 01:00:35,382 - Let me have a slice. 793 01:00:36,508 --> 01:00:38,903 - I don't have... - Come on, one slice. 794 01:00:38,927 --> 01:00:40,863 And I promise to keep my lips sealed 795 01:00:40,887 --> 01:00:43,390 about you having the hots for Dr. Crawford. 796 01:00:44,349 --> 01:00:45,349 - What? 797 01:00:46,601 --> 01:00:47,995 That's ridiculous. 798 01:00:48,019 --> 01:00:50,498 I don't, where did you hear that? 799 01:00:50,522 --> 01:00:52,858 - Look, I may be sick but I'm not blind. 800 01:00:54,276 --> 01:00:56,570 Don't worry, I'll put in a good word for ya. 801 01:00:57,445 --> 01:00:58,445 Come on. 802 01:01:11,459 --> 01:01:12,627 - The things I do. 803 01:01:17,424 --> 01:01:22,429 - Mmm, mmm, mmm. 804 01:01:25,390 --> 01:01:26,474 Listen, Romeo. 805 01:01:28,560 --> 01:01:30,746 Life's a lot shorter than you think. 806 01:01:30,770 --> 01:01:32,147 Trust me, I know. 807 01:01:35,317 --> 01:01:38,880 You spend all your time here at the hospital 808 01:01:38,904 --> 01:01:40,572 mainly just bothering me. 809 01:01:44,659 --> 01:01:47,454 You need to make time for something else. 810 01:01:49,331 --> 01:01:50,331 Take it from me. 811 01:01:51,750 --> 01:01:54,896 If you're lucky enough to find that special someone 812 01:01:54,920 --> 01:01:57,422 who supports you and loves you, 813 01:01:58,840 --> 01:01:59,840 don't hold back. 814 01:02:01,176 --> 01:02:03,595 Make the most of every minute you have together. 815 01:02:08,183 --> 01:02:09,183 Be a man! 816 01:02:10,268 --> 01:02:12,622 Don't be afraid to open up your heart 817 01:02:12,646 --> 01:02:13,915 even if you think there's a chance 818 01:02:13,939 --> 01:02:14,981 it might get broken. 819 01:02:16,524 --> 01:02:18,836 There's worse things in this world. 820 01:02:18,860 --> 01:02:20,779 - You getting all sensitive on me now? 821 01:02:22,656 --> 01:02:23,656 Okay. 822 01:02:24,616 --> 01:02:25,510 I think it's time for me to go 823 01:02:25,534 --> 01:02:26,614 before all my pizza's gone. 824 01:02:29,037 --> 01:02:31,539 - Michael, look at me! 825 01:02:35,377 --> 01:02:38,439 Go find that beautiful girlfriend of yours 826 01:02:38,463 --> 01:02:41,525 and hold on tight and live your life 827 01:02:41,549 --> 01:02:42,634 to the fullest. 828 01:02:44,719 --> 01:02:45,887 Because if you don't, 829 01:02:50,350 --> 01:02:51,893 then you really are a dumb shit. 830 01:03:03,405 --> 01:03:04,405 - See? 831 01:03:05,657 --> 01:03:07,492 Now you really do remind me of my Dad. 832 01:03:13,581 --> 01:03:14,749 - I love you too, buddy. 833 01:03:16,918 --> 01:03:17,854 Now give me another slice 834 01:03:17,878 --> 01:03:19,045 and get the hell outta here. 835 01:03:26,386 --> 01:03:27,387 - All right. 836 01:04:24,944 --> 01:04:26,237 This is Michael Lafata, NP 837 01:04:27,822 --> 01:04:31,052 dictating a note to chart on Cooper Davis. 838 01:04:31,076 --> 01:04:33,244 Medical record number 34458. 839 01:04:34,746 --> 01:04:37,975 Patient is a 52 year old male with renal cancer. 840 01:04:37,999 --> 01:04:41,729 Status post nephrectomy and T5 tumor biopsy. 841 01:04:46,091 --> 01:04:49,737 Confirmation of leptomenangiomethasthesis, 842 01:04:49,761 --> 01:04:52,263 on comfort measures only with implanted pain pump. 843 01:04:55,475 --> 01:04:58,103 Discharged home per patient's request one month ago, 844 01:04:59,437 --> 01:05:01,165 now at progressively increasing right groin pain 845 01:05:01,189 --> 01:05:03,918 unresponsive to aggressive titration 846 01:05:03,942 --> 01:05:06,027 of intrathecal pain pump. 847 01:05:13,785 --> 01:05:15,930 Patient's wife was advised to bring patient 848 01:05:15,954 --> 01:05:18,873 into the ER for further evaluation. 849 01:06:28,526 --> 01:06:32,030 - So we're here today to talk about what's going on. 850 01:06:33,698 --> 01:06:37,595 - So as you both know, your father is very sick 851 01:06:37,619 --> 01:06:39,722 and in a lot of pain. 852 01:06:39,746 --> 01:06:42,266 And the only way that we can manage that pain right now 853 01:06:42,290 --> 01:06:44,185 is just by putting him deeply asleep, 854 01:06:44,209 --> 01:06:46,604 almost like someone who's about to have surgery. 855 01:06:46,628 --> 01:06:49,356 It's the only way that we can keep him comfortable. 856 01:06:49,380 --> 01:06:50,858 - We know this is bad. 857 01:06:50,882 --> 01:06:52,759 Dad warned us this could happen. 858 01:06:54,469 --> 01:06:56,554 - I still feel like everyone's giving up. 859 01:06:57,931 --> 01:07:00,117 Isn't there anything else you guys can do? 860 01:07:00,141 --> 01:07:03,579 - No, there is nothing more that we can medically do 861 01:07:03,603 --> 01:07:05,456 in order to stop the cancer that's spreading 862 01:07:05,480 --> 01:07:07,374 from his spinal fluid up into his brain. 863 01:07:07,398 --> 01:07:10,544 It's causing him horrible pain. 864 01:07:10,568 --> 01:07:13,923 And now we just wanna focus on managing that pain. 865 01:07:13,947 --> 01:07:16,425 - We're not giving up on your father. 866 01:07:16,449 --> 01:07:20,221 We know you care about him deeply and love him. 867 01:07:20,245 --> 01:07:22,765 And we care about him deeply too. 868 01:07:22,789 --> 01:07:24,308 - Then help him. 869 01:07:24,332 --> 01:07:25,917 Don't just let him die! 870 01:07:27,961 --> 01:07:30,421 - Your father has fought so hard. 871 01:07:31,339 --> 01:07:32,340 His body is tired. 872 01:07:33,758 --> 01:07:35,843 This type of cancer does not have a cure. 873 01:07:37,804 --> 01:07:40,741 It will only progress and his pain will get worse. 874 01:07:40,765 --> 01:07:42,976 Right now we need to do what is best for him. 875 01:07:47,021 --> 01:07:48,356 - So what are you gonna do? 876 01:07:50,358 --> 01:07:52,294 - We're going to keep his pain pump settings 877 01:07:52,318 --> 01:07:53,837 right where they are 878 01:07:53,861 --> 01:07:56,197 and add an additionally IV medication called Ativan. 879 01:07:58,283 --> 01:08:00,785 The problem is, your father will be in a deep sleep. 880 01:08:02,203 --> 01:08:04,706 And he won't be able to talk to you, eat or drink. 881 01:08:07,667 --> 01:08:10,437 - And we want to make sure everybody is comfortable 882 01:08:10,461 --> 01:08:11,605 with this plan. 883 01:08:11,629 --> 01:08:14,108 - So you're just gonna kill him?! 884 01:08:14,132 --> 01:08:15,132 - No, no. 885 01:08:16,634 --> 01:08:18,946 Tiffany, unfortunately, it is the cancer 886 01:08:18,970 --> 01:08:20,346 that is killing your father. 887 01:08:21,389 --> 01:08:22,783 This is the only thing we can do 888 01:08:22,807 --> 01:08:24,684 to keep him from dying in pain. 889 01:08:27,979 --> 01:08:29,957 A body cannot digest food 890 01:08:29,981 --> 01:08:32,376 when someone as sick as your father... 891 01:08:32,400 --> 01:08:34,378 - Tiff! - Tiffany! 892 01:08:34,402 --> 01:08:35,297 - Tiffany. - Tiffany! 893 01:08:35,321 --> 01:08:36,463 - I got this. 894 01:08:36,487 --> 01:08:37,989 - Tiffany. 895 01:08:43,911 --> 01:08:45,580 - I wish there was an easier way. 896 01:08:54,756 --> 01:08:56,317 - We should get him on the Ativan drip. 897 01:08:56,341 --> 01:08:58,701 Can you order one and get the drip hung as soon as possible? 898 01:09:01,387 --> 01:09:03,407 - We can't find Tiffany, what's going on? 899 01:09:03,431 --> 01:09:04,908 - I'm not sure, he just started writhing in pain. 900 01:09:04,932 --> 01:09:06,577 - This is Michael, I need another two milligrams 901 01:09:06,601 --> 01:09:08,412 of Ativan, stat. 902 01:09:08,436 --> 01:09:09,830 And please, call the pharmacy, 903 01:09:09,854 --> 01:09:11,856 tell them I need the Ativan drip right now! 904 01:09:34,962 --> 01:09:35,774 - What's wrong? 905 01:09:35,798 --> 01:09:36,964 What happened? 906 01:09:37,882 --> 01:09:39,384 - We don't know yet. 907 01:09:48,643 --> 01:09:50,812 - I believe Cooper has had a massive stroke. 908 01:10:02,281 --> 01:10:05,576 I don't know how much time he has left. 909 01:10:06,494 --> 01:10:08,496 - We gotta find Tiffany. 910 01:10:51,956 --> 01:10:53,676 - I can't believe this is finally happening. 911 01:10:56,961 --> 01:10:58,838 I mean I knew it would. 912 01:11:00,965 --> 01:11:02,508 I just hoped. 913 01:12:03,694 --> 01:12:06,673 Oh my god, this is the dumbest thing I've ever done. 914 01:12:09,534 --> 01:12:11,202 I hope you're happy in there, bud. 915 01:12:18,960 --> 01:12:19,960 - Hey. 916 01:12:58,833 --> 01:13:02,229 - You see officer, they are killing my father. 917 01:13:02,253 --> 01:13:03,754 - What's up, Michael, Valerie? 918 01:13:05,256 --> 01:13:07,568 This young lady just caused quite a scene out front. 919 01:13:07,592 --> 01:13:09,343 She says you're killing her father. 920 01:13:11,470 --> 01:13:13,907 I thought the least I could do is bring her back here. 921 01:13:13,931 --> 01:13:14,931 - Thanks, Gary. 922 01:13:15,683 --> 01:13:16,851 We'll take it from here. 923 01:13:18,144 --> 01:13:19,329 - You two know each other? 924 01:13:19,353 --> 01:13:21,081 Officer, I insist you arrest them. 925 01:13:21,105 --> 01:13:25,151 - It must be exhausting to stay so angry. 926 01:13:26,611 --> 01:13:28,797 You have so many people who can help you through this 927 01:13:28,821 --> 01:13:31,449 but you insist on pushing them away. 928 01:13:32,617 --> 01:13:34,368 All because you need to stay angry. 929 01:13:35,536 --> 01:13:36,597 - Whoah, I'm out of here. 930 01:13:36,621 --> 01:13:37,639 She's all yours. 931 01:13:37,663 --> 01:13:39,349 Give me a call if you need to. 932 01:13:39,373 --> 01:13:41,018 - Thanks Gary. 933 01:13:41,042 --> 01:13:42,686 Tell Mom I said hi. 934 01:13:42,710 --> 01:13:45,296 - Great, you're all related, perfect. 935 01:14:47,775 --> 01:14:49,026 - I'm sorry I left. 936 01:14:53,030 --> 01:14:54,740 I don't know what's wrong with me. 937 01:15:00,788 --> 01:15:04,041 - It's okay. 938 01:15:23,978 --> 01:15:25,896 - Oh my god. 939 01:15:27,732 --> 01:15:30,401 Even when Valerie's not here, she's still bugging me. 940 01:15:31,902 --> 01:15:32,902 - Go on, read it. 941 01:15:33,654 --> 01:15:34,654 - Yeah. 942 01:15:36,157 --> 01:15:37,157 Okay. 943 01:15:39,577 --> 01:15:42,455 Don't believe the pedestal you placed upon. 944 01:15:44,331 --> 01:15:48,419 Well, that's dumb 'cause I deserve my pedestal. 945 01:15:49,920 --> 01:15:51,273 Of course now there's a statue of Mary 946 01:15:51,297 --> 01:15:54,091 bolted onto it. 947 01:15:57,928 --> 01:15:59,489 A power greater than you 948 01:15:59,513 --> 01:16:01,640 will determine your patient's fate. 949 01:16:04,143 --> 01:16:05,770 Yeah, usually that's the surgeon. 950 01:16:15,362 --> 01:16:18,199 Find comfort in knowing you did your very best. 951 01:16:20,993 --> 01:16:24,622 Review actions and explore feelings daily. 952 01:16:29,001 --> 01:16:30,001 I am. 953 01:16:32,379 --> 01:16:34,298 I promise to stay in the present 954 01:16:35,674 --> 01:16:39,720 and separate my personal issues from what actually happened. 955 01:16:44,141 --> 01:16:46,852 I haven't been very good at that. 956 01:16:53,359 --> 01:16:54,985 I promise not to fear 957 01:16:56,028 --> 01:16:57,988 feelings of sadness or grief. 958 01:17:02,326 --> 01:17:04,721 For it is when the heart is broken 959 01:17:04,745 --> 01:17:07,081 that it is most open to growth and change. 960 01:17:11,502 --> 01:17:14,397 What? 961 01:17:14,421 --> 01:17:17,716 Who writes this stuff? 962 01:17:20,344 --> 01:17:22,763 Well you know it's a good thing I'm not suicidal. 963 01:17:26,016 --> 01:17:28,394 'Cause that would have been over with. 964 01:18:11,604 --> 01:18:13,456 Michael, where are you? 965 01:18:13,480 --> 01:18:14,899 Cooper just died. 966 01:18:17,484 --> 01:18:18,484 Okay. 967 01:18:20,988 --> 01:18:23,324 Yeah, okay, all right, okay. 968 01:18:26,243 --> 01:18:27,244 - It's okay. 969 01:18:41,425 --> 01:18:42,426 Hey. - Yeah. 970 01:18:44,011 --> 01:18:45,930 - How can I love you best, what can I do? 971 01:18:48,307 --> 01:18:49,808 - You're doing it. 972 01:18:55,022 --> 01:18:59,026 And you can give me some pizza and some cold beer. 973 01:19:00,861 --> 01:19:01,861 That's all I want. 974 01:19:02,863 --> 01:19:04,782 - Sounds good. - Right on. 975 01:19:06,450 --> 01:19:07,450 I just wanna go home. 976 01:19:08,994 --> 01:19:10,329 - I know. 977 01:19:22,716 --> 01:19:25,779 - I'd like to order a pizza to be delivered. 978 01:19:25,803 --> 01:19:27,054 Yeah, my usual. 979 01:19:28,055 --> 01:19:29,055 Thanks. 980 01:19:36,230 --> 01:19:37,374 Wow. 981 01:19:37,398 --> 01:19:39,292 - Hi Michael, how are you doing? 982 01:19:39,316 --> 01:19:40,502 I hope you're better. 983 01:19:40,526 --> 01:19:42,128 We're here for you, buddy. 984 01:19:42,152 --> 01:19:44,130 Give me a call when you feel up to it. 985 01:19:44,154 --> 01:19:45,298 We love you. 986 01:19:47,032 --> 01:19:48,802 You know I'm really glad you're taking some time off. 987 01:19:48,826 --> 01:19:49,970 Good for you. 988 01:19:49,994 --> 01:19:51,346 I think it was a good idea. 989 01:19:51,370 --> 01:19:53,807 You've dealt with so much lately. 990 01:19:53,831 --> 01:19:54,831 Call me. 991 01:19:57,710 --> 01:20:00,188 - Hi, I'm calling about that frisbee set 992 01:20:00,212 --> 01:20:01,731 you had for sale. 993 01:20:01,755 --> 01:20:04,234 Would you take 18 dollars instead of 20? 994 01:20:04,258 --> 01:20:05,509 Or like I could go to 19. 995 01:20:06,593 --> 01:20:07,593 All right let me know. 996 01:20:08,929 --> 01:20:09,990 - Michael! 997 01:20:10,014 --> 01:20:11,741 You jerk, pick up the phone 998 01:20:11,765 --> 01:20:12,909 or I'm coming over there 999 01:20:12,933 --> 01:20:14,393 and I'm gonna shove it up your ass! 1000 01:20:16,937 --> 01:20:19,773 - Delivery for Michael Lafa... - Lafata. 1001 01:20:35,789 --> 01:20:38,542 Yup, delete, delete. 1002 01:20:39,418 --> 01:20:40,418 Delete. 1003 01:20:44,798 --> 01:20:47,384 If only my life were that easy. 1004 01:20:48,302 --> 01:20:50,530 Hey, you're nasty, delete. 1005 01:20:50,554 --> 01:20:52,264 Hey, you're stupid, delete. 1006 01:21:12,951 --> 01:21:14,495 - Just don't yell at him, babe. 1007 01:21:16,830 --> 01:21:18,916 - Where the hell are you? 1008 01:21:30,594 --> 01:21:33,305 You're not the only one going through grief. 1009 01:21:36,683 --> 01:21:37,827 I could have been there for you. 1010 01:21:37,851 --> 01:21:39,829 I could have helped you. 1011 01:21:39,853 --> 01:21:43,833 But no, you just go off and hide 1012 01:21:43,857 --> 01:21:45,418 as if nobody cares. 1013 01:21:45,442 --> 01:21:46,442 - Okay. 1014 01:21:47,611 --> 01:21:49,113 I suck at this. 1015 01:21:51,532 --> 01:21:54,118 I had too many days with too little sleep. 1016 01:21:56,995 --> 01:21:57,995 - Look, Michael. 1017 01:22:01,291 --> 01:22:02,376 When Danny died, 1018 01:22:05,212 --> 01:22:06,713 I told myself I was done. 1019 01:22:08,632 --> 01:22:11,218 I was ready to walk away from this job. 1020 01:22:12,469 --> 01:22:14,697 I was done. 1021 01:22:14,721 --> 01:22:17,224 I was thinking about my girls too much. 1022 01:22:20,561 --> 01:22:22,956 And then I had to refocus 1023 01:22:22,980 --> 01:22:26,292 and shift and remain present 1024 01:22:26,316 --> 01:22:28,485 for Danny and his mom. 1025 01:22:29,820 --> 01:22:33,157 Do you think that hurt any less for me? 1026 01:22:35,159 --> 01:22:38,328 You've gotta find something that distracts you. 1027 01:22:39,663 --> 01:22:42,225 You gotta get lost in something. 1028 01:22:42,249 --> 01:22:45,228 You gotta find something that gives you meaning 1029 01:22:45,252 --> 01:22:47,921 and purpose outside of this kind of work. 1030 01:22:51,008 --> 01:22:53,093 You gotta fall in love with something. 1031 01:22:55,012 --> 01:22:57,657 - Yeah, I... - Like maybe art. 1032 01:22:57,681 --> 01:23:00,184 Or like journaling. 1033 01:23:01,351 --> 01:23:04,104 Or like music or biking or something. 1034 01:23:09,193 --> 01:23:11,004 - What's with all the doorbells and the knocking? 1035 01:23:11,028 --> 01:23:12,863 It smells like pizza in here. 1036 01:23:14,948 --> 01:23:16,718 - You dog. 1037 01:23:16,742 --> 01:23:18,219 Here we've been trying to cheer you up 1038 01:23:18,243 --> 01:23:21,246 and you've got your own special therapy going on. 1039 01:23:22,623 --> 01:23:24,517 I was gonna suggest getting the band back together 1040 01:23:24,541 --> 01:23:27,020 but I see you already found your joy. 1041 01:23:27,044 --> 01:23:29,355 - Anna's been so amazing through all this. 1042 01:23:29,379 --> 01:23:30,523 - Thank you. 1043 01:23:30,547 --> 01:23:32,025 Actually I think that's a really good idea. 1044 01:23:32,049 --> 01:23:33,109 I think you guys should get the band back together. 1045 01:23:33,133 --> 01:23:34,736 - See, we should do it. 1046 01:23:34,760 --> 01:23:36,529 We should get the band back together, man. 1047 01:23:36,553 --> 01:23:37,947 Rock and roll! 1048 01:23:37,971 --> 01:23:39,616 - You know what, it's time for us to go. 1049 01:23:39,640 --> 01:23:40,950 - We could run a couple on Saturday. 1050 01:23:40,974 --> 01:23:41,868 - No guys, you do not need to leave. 1051 01:23:41,892 --> 01:23:42,786 You should stay. 1052 01:23:42,810 --> 01:23:44,037 - I gotta rescue my mom. 1053 01:23:44,061 --> 01:23:45,872 She's got my kids and you know, 1054 01:23:45,896 --> 01:23:46,915 sounds like you guys are in good hands. 1055 01:23:46,939 --> 01:23:48,791 - Yeah he is. 1056 01:23:48,815 --> 01:23:50,126 - Come on, come on, let's go. 1057 01:23:50,150 --> 01:23:52,045 - No, but really, this is really great. 1058 01:23:52,069 --> 01:23:54,214 And you have permission to be in the band. 1059 01:23:54,238 --> 01:23:55,215 - What? 1060 01:23:55,239 --> 01:23:56,133 - Thanks? - Way to go. 1061 01:23:56,157 --> 01:23:57,467 - Permission? 1062 01:23:57,491 --> 01:23:59,135 What do you mean permission, that's so rude. 1063 01:23:59,159 --> 01:24:00,720 Who says that? 1064 01:24:00,744 --> 01:24:01,888 Come on. 1065 01:24:01,912 --> 01:24:02,806 Here we go. 1066 01:24:02,830 --> 01:24:06,100 - They're crazy. 1067 01:24:06,124 --> 01:24:07,417 - Let's never get married. 1068 01:24:14,174 --> 01:24:15,401 Mmm, thank you. 1069 01:24:15,425 --> 01:24:16,760 - Ah, you're welcome. 1070 01:24:17,928 --> 01:24:20,657 - I should have seen that coming. 1071 01:24:20,681 --> 01:24:21,824 - Here you go. 1072 01:24:24,977 --> 01:24:26,246 - Why hello. 1073 01:24:26,270 --> 01:24:28,623 This is Dr. David Olson. 1074 01:24:28,647 --> 01:24:32,001 After the tone, please leave a message. 1075 01:24:33,277 --> 01:24:35,112 - Hi, Dr. Olson, it's Michael. 1076 01:24:36,321 --> 01:24:39,300 Thank you for letting me take some time off work. 1077 01:24:39,324 --> 01:24:41,135 Listen, I was wondering if I could get involved 1078 01:24:41,159 --> 01:24:44,347 with the hospital Survivor Celebration this year? 1079 01:24:44,371 --> 01:24:46,182 That's it, thank you again 1080 01:24:46,206 --> 01:24:48,125 and I will for sure be back on Monday. 1081 01:24:52,504 --> 01:24:53,982 So if you take a look at the program 1082 01:24:54,006 --> 01:24:55,525 you'll see we have some fun things lined up for today. 1083 01:24:55,549 --> 01:24:56,609 This is yours if you'd like 1084 01:24:56,633 --> 01:24:59,112 and help yourself, find a seat. 1085 01:24:59,136 --> 01:24:59,947 - All right, thank you. 1086 01:24:59,971 --> 01:25:01,179 - You're welcome. 1087 01:25:08,979 --> 01:25:09,790 Hey. 1088 01:25:09,814 --> 01:25:10,897 - Hey. 1089 01:25:14,651 --> 01:25:17,630 - Thank you for helping me with all of this. 1090 01:25:17,654 --> 01:25:19,716 - Yeah. 1091 01:25:19,740 --> 01:25:21,241 - You've been great. 1092 01:25:25,203 --> 01:25:27,331 Yeah I really just, 1093 01:25:29,166 --> 01:25:32,729 I think I lost sight of patients that actually do well 1094 01:25:32,753 --> 01:25:33,753 and get better. 1095 01:25:35,213 --> 01:25:39,569 I don't see many of the successes in my practice. 1096 01:25:39,593 --> 01:25:41,511 Or maybe it's just I'm too focused on 1097 01:25:42,763 --> 01:25:44,514 the ones with complications to even notice. 1098 01:25:46,933 --> 01:25:49,579 - I would like to call upon everyone today. 1099 01:25:49,603 --> 01:25:51,748 - I'm really, really, really happy 1100 01:25:51,772 --> 01:25:53,357 that you decided to participate. 1101 01:25:54,941 --> 01:25:56,544 - Yeah. 1102 01:25:59,279 --> 01:26:01,507 - Okay, I gotta go. 1103 01:26:01,531 --> 01:26:03,926 But, I will see you. 1104 01:26:03,950 --> 01:26:04,761 - Okay. 1105 01:26:04,785 --> 01:26:05,785 - Okay. 1106 01:26:06,745 --> 01:26:08,246 - I need one more. 1107 01:26:11,917 --> 01:26:12,918 Okay. - Okay. 1108 01:26:14,044 --> 01:26:17,106 All right, now I really gotta go. 1109 01:26:19,549 --> 01:26:22,219 - May we all remember to celebrate the journey 1110 01:26:23,387 --> 01:26:26,532 and honor the special individuals 1111 01:26:26,556 --> 01:26:30,036 who have touched our lives in so many ways. 1112 01:26:30,060 --> 01:26:32,062 Tonight we take time to reflect. 1113 01:26:33,897 --> 01:26:35,649 - You know, he's right. 1114 01:26:36,566 --> 01:26:37,943 It is all about the journey. 1115 01:26:40,654 --> 01:26:42,823 Remember when I got diagnosed two years ago, 1116 01:26:43,990 --> 01:26:47,637 I had to remind myself to focus on the journey 1117 01:26:47,661 --> 01:26:50,247 and that was what was gonna help me get through it. 1118 01:26:51,331 --> 01:26:55,228 We all need to feel loved and valued 1119 01:26:55,252 --> 01:26:57,087 'cause we're not just our disease. 1120 01:26:58,630 --> 01:27:02,592 And the journey makes the whole difference. 1121 01:27:03,927 --> 01:27:05,679 - Here to please take the time 1122 01:27:07,139 --> 01:27:11,935 to recognize what you are personally grateful for. 1123 01:27:13,019 --> 01:27:16,189 - Your courage and your fight that you have, 1124 01:27:17,649 --> 01:27:21,194 your kids, your survival. 1125 01:27:23,280 --> 01:27:24,531 That's my inspiration. 1126 01:27:25,949 --> 01:27:30,954 - It's my pleasure to introduce the melodic stylings. 1127 01:27:31,663 --> 01:27:32,807 - Melodic stylings. 1128 01:27:32,831 --> 01:27:35,167 - Our very own Michael Lafata. 1129 01:27:44,050 --> 01:27:45,343 - Thank you, Dr. Olson. 1130 01:27:46,303 --> 01:27:48,698 I would like to thank everyone 1131 01:27:48,722 --> 01:27:50,199 for giving me the opportunity 1132 01:27:50,223 --> 01:27:52,058 to be a part of today's celebration. 1133 01:27:53,685 --> 01:27:55,663 Now I'd like to perform a song 1134 01:27:55,687 --> 01:27:57,373 that I had the pleasure to write 1135 01:27:57,397 --> 01:27:59,649 with this very special young lady. 1136 01:28:00,650 --> 01:28:02,295 Tiffany is the daughter of the patient 1137 01:28:02,319 --> 01:28:05,197 that we just sang to, my dear friend Cooper. 1138 01:28:06,531 --> 01:28:08,384 And Coop, if you're listening, 1139 01:28:08,408 --> 01:28:09,635 I'm proud to say that Tiffany and I 1140 01:28:09,659 --> 01:28:12,054 have become really good friends. 1141 01:28:12,078 --> 01:28:14,557 Even though she refers to me as Dr. Dumbshit. 1142 01:28:20,504 --> 01:28:21,731 I just wanna let you guys all know 1143 01:28:21,755 --> 01:28:24,859 that our song is about the compassionate work 1144 01:28:24,883 --> 01:28:27,820 and the involvement that a supportive care team can provide 1145 01:28:27,844 --> 01:28:30,740 and the amazing people that come into our lives. 1146 01:28:30,764 --> 01:28:32,516 It's called You'll Never Be Alone. 1147 01:28:36,853 --> 01:28:41,858 - Yeah, Michael! 1148 01:34:44,620 --> 01:34:46,620 >>>>oakislandtk<<<<< www.opensubtitles.org 81386

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