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Previously, on "The Resident"...
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00:00:02,319 --> 00:00:03,617
I think we should
3
00:00:03,702 --> 00:00:06,815
dig into Dr. Bosley's
patient outcomes and...
4
00:00:06,899 --> 00:00:09,000
give Ms. Benesch a fair hearing.
5
00:00:09,083 --> 00:00:10,743
Let's just simmer down.
6
00:00:10,827 --> 00:00:12,285
Just watch
7
00:00:12,369 --> 00:00:13,670
and learn how we operate.
8
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I-I think I'm getting a pretty
good sense of how you operate.
9
00:00:16,195 --> 00:00:18,353
Are you looking
for a financial settlement?
10
00:00:18,437 --> 00:00:20,280
No. I'm looking
for accountability.
11
00:00:20,364 --> 00:00:22,765
I did not have to end up
like this.
12
00:00:22,850 --> 00:00:25,527
I don't want future patients
of Dr. Bosley to, either.
13
00:00:25,611 --> 00:00:27,679
I want the board
to do something.
14
00:00:27,763 --> 00:00:30,291
- Will they?
- Honestly, probably not.
15
00:00:30,375 --> 00:00:33,417
But I will do something.
16
00:00:43,695 --> 00:00:45,692
So what's happening
in the world?
17
00:00:45,777 --> 00:00:47,362
I'm not reading the news.
18
00:00:47,616 --> 00:00:49,585
I'm watching a video
of a bulldog
19
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failing to eat its kibble.
20
00:00:51,637 --> 00:00:53,039
Okay.
21
00:00:53,122 --> 00:00:54,564
Slow news day.
22
00:00:55,009 --> 00:00:56,460
What's going on with your leg?
23
00:00:56,792 --> 00:00:58,820
Oh, I guess it slept in.
24
00:01:00,072 --> 00:01:01,639
Could be an MS flare-up.
25
00:01:01,722 --> 00:01:03,938
I'll email Dr. Greer,
see if she can fit you in today.
26
00:01:04,022 --> 00:01:05,609
Yeah, well, early is better.
27
00:01:05,694 --> 00:01:07,046
I have a 10:00 with Abernathy,
28
00:01:07,131 --> 00:01:08,477
the head of the medical board,
29
00:01:08,563 --> 00:01:10,406
'cause I found more complaints
against Bosley,
30
00:01:10,489 --> 00:01:13,022
the neurosurgeon
who paralyzed Emily Benesch.
31
00:01:13,655 --> 00:01:15,454
Do you think you have enough
to convince the board
32
00:01:15,478 --> 00:01:17,125
to look into Bosley now?
33
00:01:18,039 --> 00:01:19,789
I'm not gonna give 'em
any choice.
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00:01:20,795 --> 00:01:24,686
You know,
this whole moral crusader thing
35
00:01:24,831 --> 00:01:26,399
looks good on you.
36
00:01:26,484 --> 00:01:27,572
It's very...
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00:01:27,656 --> 00:01:29,091
super hero-y.
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You should see me in spandex.
39
00:01:30,420 --> 00:01:32,561
Well, that's ruined it.
40
00:01:36,052 --> 00:01:37,361
Can I help you?
41
00:01:37,501 --> 00:01:38,920
You look familiar,
but I can't place you.
42
00:01:38,944 --> 00:01:41,397
Are you gonna harass me
every time I have an ER shift?
43
00:01:41,483 --> 00:01:42,046
Yes.
44
00:01:42,132 --> 00:01:43,997
You know, please look
into your abandonment issues.
45
00:01:44,021 --> 00:01:46,265
You know my father left me
at Yankee Stadium and got home
46
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with my brother before
he realized I was missing.
47
00:01:48,686 --> 00:01:50,600
I'm sorry I triggered you,
Irving.
48
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You don't care. Where's Leela?
49
00:01:52,287 --> 00:01:53,889
Sister day with Padma.
50
00:01:54,117 --> 00:01:55,460
Bonding over the gifting
of eggs.
51
00:01:55,545 --> 00:01:57,055
Level-1 trauma coming in!
52
00:01:57,140 --> 00:01:59,230
Bay 11's ready.
53
00:01:59,896 --> 00:02:01,707
Eliza Brock ton.
32-year-old female.
54
00:02:01,792 --> 00:02:03,844
Status post-fall from her
sixth-floor apartment building.
55
00:02:03,868 --> 00:02:06,030
BP 120/68, tachy to 100,
56
00:02:06,114 --> 00:02:07,388
satting at 98%.
57
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Trauma survey.
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00:02:12,342 --> 00:02:14,221
Pupils equal and reactive.
59
00:02:14,305 --> 00:02:15,705
Airway's intact.
60
00:02:15,788 --> 00:02:18,466
- Good breath sounds bilaterally.
- Pulse strong.
61
00:02:18,550 --> 00:02:20,801
Vitals stable. I'll get labs.
62
00:02:20,885 --> 00:02:23,318
I'll do a FAST exam
and put in for a chest X-ray.
63
00:02:23,403 --> 00:02:24,579
Eliza,
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00:02:24,663 --> 00:02:27,341
how did you fall
from your apartment building?
65
00:02:27,425 --> 00:02:28,795
I-I was, um...
66
00:02:28,894 --> 00:02:31,475
I was hanging
a-an orchid on my balcony,
67
00:02:31,561 --> 00:02:35,045
and I-I reached too far over the
railing and I just...
68
00:02:35,131 --> 00:02:36,548
lost my balance.
69
00:02:36,633 --> 00:02:40,225
Thank God the entry awning
broke my fall.
70
00:02:40,319 --> 00:02:41,805
Well, we're gonna get
that chest X-ray
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00:02:41,889 --> 00:02:44,248
and CT scan
to check for head trauma.
72
00:02:44,334 --> 00:02:45,493
We'll be back, okay?
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00:02:45,579 --> 00:02:48,312
- Uh, okay.
- All right, hang tight.
74
00:02:51,233 --> 00:02:53,985
You want to get her records
and I'll arrange the CT?
75
00:02:54,069 --> 00:02:55,301
Yeah.
76
00:03:01,501 --> 00:03:02,585
What is it?
77
00:03:02,669 --> 00:03:04,419
Eliza's attempted suicide
three times
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00:03:04,503 --> 00:03:06,062
in the past six years.
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00:03:07,598 --> 00:03:10,018
Let's get a psych consult
down here.
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Eliza.
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00:03:17,826 --> 00:03:18,950
Hundley.
82
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My patient eloped from 11.
Call the code.
83
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Excuse me.
84
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Attention, staff. Code Green.
85
00:03:26,100 --> 00:03:29,187
32-year-old Caucasian female.
86
00:03:29,271 --> 00:03:31,837
Dark hair, blue eyes.
Code Green.
87
00:03:35,329 --> 00:03:36,989
Eliza!
88
00:03:46,424 --> 00:03:47,859
Eliza!
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00:03:47,944 --> 00:03:49,343
Wait!
90
00:03:58,800 --> 00:04:00,783
Eliza!
91
00:04:28,300 --> 00:04:29,901
You all right?
92
00:04:29,987 --> 00:04:30,995
I'm fine.
93
00:04:31,081 --> 00:04:32,314
Eliza's stable.
94
00:04:32,591 --> 00:04:34,418
Scans were negative.
BP was borderline,
95
00:04:34,502 --> 00:04:35,362
so we placed an A-line.
96
00:04:35,446 --> 00:04:36,862
And Psych is en route.
97
00:04:36,947 --> 00:04:40,182
That was a very brave thing
you did, Dr. Pravesh.
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00:04:41,252 --> 00:04:42,562
I'm just glad
we got to her in time.
99
00:04:42,586 --> 00:04:44,327
Mm-hmm.
100
00:04:48,812 --> 00:04:50,562
We're good.
101
00:04:53,704 --> 00:04:54,838
So...
102
00:04:56,737 --> 00:04:58,579
I guess the truth is out.
103
00:04:58,927 --> 00:05:00,420
I don't want this anymore.
104
00:05:01,028 --> 00:05:04,509
And I wish you would just mind
your own business and let me go.
105
00:05:04,630 --> 00:05:06,548
You know we can't do that.
106
00:05:11,814 --> 00:05:13,874
This is Dr. Malco.
107
00:05:14,634 --> 00:05:17,237
She's from
the psychiatry department.
108
00:05:17,321 --> 00:05:19,072
Hi, Eliza.
109
00:05:19,156 --> 00:05:20,798
I'm guessing
you know the drill here.
110
00:05:20,882 --> 00:05:22,365
I'm gonna ask you
a few questions.
111
00:05:22,925 --> 00:05:24,417
You have my file.
112
00:05:24,704 --> 00:05:27,143
So you could just read
my old answers.
113
00:05:27,408 --> 00:05:30,081
My new answers are all the same.
114
00:05:30,893 --> 00:05:32,500
I'm out of words.
115
00:05:33,384 --> 00:05:36,534
I imagine that must be
very difficult for a writer.
116
00:05:36,620 --> 00:05:38,002
To be out of words.
117
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I'm out of everything.
118
00:05:41,956 --> 00:05:43,153
I want you to know,
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00:05:43,596 --> 00:05:46,932
both of your books have informed
the way I treat depression.
120
00:05:47,331 --> 00:05:49,350
I'd like to return the favor.
121
00:05:49,822 --> 00:05:51,215
Do you have a gun?
122
00:05:53,432 --> 00:05:56,399
We're gonna keep you
on a 36-hour hold.
123
00:06:04,367 --> 00:06:05,785
Dear merciful Father,
124
00:06:06,088 --> 00:06:08,439
we ask for Your blessings
on Daisy.
125
00:06:08,750 --> 00:06:09,942
She needs You.
126
00:06:10,627 --> 00:06:14,643
We're asking that You grant her
the patience to...
127
00:06:14,915 --> 00:06:17,257
help her with her affliction
128
00:06:17,529 --> 00:06:19,781
and the freedom from her pain.
129
00:06:19,865 --> 00:06:23,543
And lead her out
the shadow of the valley
130
00:06:23,627 --> 00:06:27,307
so that we can heal her body
and spirit.
131
00:06:30,117 --> 00:06:32,312
Now let's go get you
a damn kidney, huh?
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00:06:34,139 --> 00:06:36,480
- Amen.
- Amen.
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00:06:41,797 --> 00:06:44,548
Ah...
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00:06:44,632 --> 00:06:47,218
Aaron, it is good to see you.
135
00:06:47,302 --> 00:06:48,720
Yeah, it's been a minute.
136
00:06:48,803 --> 00:06:51,572
You know we've had our
own conversations about pain.
137
00:06:51,656 --> 00:06:52,557
Mm.
138
00:06:52,641 --> 00:06:54,558
How are you and Gigi holding up?
139
00:06:54,643 --> 00:06:56,317
Yeah, really well.
140
00:06:56,401 --> 00:06:58,504
Gigi's definitely
my greatest achievement so far.
141
00:06:58,588 --> 00:07:00,507
You got that right.
142
00:07:00,591 --> 00:07:01,591
Yeah.
143
00:07:01,649 --> 00:07:03,843
Speaking
of our past conversations,
144
00:07:03,927 --> 00:07:06,237
the last few days, I've...
145
00:07:06,321 --> 00:07:07,588
been...
146
00:07:07,672 --> 00:07:10,182
Back in the fresh grief
of Nic's passing,
147
00:07:10,266 --> 00:07:12,668
I-I guess. I don't...
148
00:07:12,752 --> 00:07:15,170
Uh, I don't know
what set it off.
149
00:07:15,254 --> 00:07:18,190
Ah, well, if it isn't Pastor
Aaron, my favorite clergyman.
150
00:07:18,274 --> 00:07:21,177
AJ, my big bad Buddhist, you.
151
00:07:21,261 --> 00:07:22,845
- Hey.
- How are you?
152
00:07:22,928 --> 00:07:24,012
How's your mother?
153
00:07:24,096 --> 00:07:27,425
She is as well as she can be.
154
00:07:27,509 --> 00:07:29,427
The cancer is progressing.
155
00:07:29,511 --> 00:07:31,687
I'm sorry to hear that.
156
00:07:31,771 --> 00:07:34,042
I-I'll definitely have
to go see her.
157
00:07:34,307 --> 00:07:37,173
Well, you see, her palliative
care is top-tier, right?
158
00:07:37,266 --> 00:07:39,545
But she's gonna need
to transition
159
00:07:39,629 --> 00:07:41,456
to hospice sooner
rather than later,
160
00:07:41,540 --> 00:07:43,608
and she is not keen on the idea.
161
00:07:43,692 --> 00:07:45,552
So I was thinking
maybe you can help me
162
00:07:45,636 --> 00:07:48,129
have that conversation with her
when it's time.
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00:07:48,213 --> 00:07:49,221
I'll be happy to.
164
00:07:49,305 --> 00:07:50,465
Appreciate it, man.
165
00:07:50,548 --> 00:07:54,709
I have a favor of my own
to ask you two.
166
00:07:54,793 --> 00:07:56,954
Yeah. Anything.
167
00:07:57,038 --> 00:08:00,899
Recently, I had a heart stent
placed a few months back.
168
00:08:00,983 --> 00:08:03,795
A fit young dude like you?
169
00:08:03,879 --> 00:08:05,632
They found some blockage.
Now, the doctor told me
170
00:08:05,656 --> 00:08:06,935
that I should be feeling better,
171
00:08:06,990 --> 00:08:09,483
but I've been having
a lot of chest pain lately.
172
00:08:09,567 --> 00:08:13,245
Ah, say no more. AJ and I will
take a look at you in the ER.
173
00:08:13,329 --> 00:08:14,747
Better safe than sorry.
174
00:08:14,831 --> 00:08:16,413
Let's go now.
175
00:08:18,735 --> 00:08:20,151
Head scans are good.
176
00:08:20,237 --> 00:08:21,372
- Nothing to worry about.
- Great.
177
00:08:21,396 --> 00:08:23,394
But the leg issue is
a little MS flare-up.
178
00:08:23,478 --> 00:08:25,134
No biggie. This will happen
from time to time.
179
00:08:25,158 --> 00:08:26,759
Well, I'm glad we checked, then.
180
00:08:26,843 --> 00:08:28,470
We'll put you on a short course
of steroids
181
00:08:28,494 --> 00:08:29,637
that should improve
your symptoms.
182
00:08:29,661 --> 00:08:31,154
In the meantime,
take the pressure
183
00:08:31,238 --> 00:08:32,990
- off your leg with this.
- Oh.
184
00:08:33,703 --> 00:08:36,713
No. That is...
uh, won't be necessary.
185
00:08:36,798 --> 00:08:38,572
It's only for a few days.
186
00:08:38,768 --> 00:08:40,392
The last thing we want
is for you to stumble
187
00:08:40,415 --> 00:08:42,120
- and hit your head.
- Randolph,
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00:08:42,206 --> 00:08:43,972
- take the cane.
- No, it's...
189
00:08:44,057 --> 00:08:46,216
It starts
with a cane, and then it goes
190
00:08:46,301 --> 00:08:48,037
to adult diapers and a chairlift
to get up the stairs.
191
00:08:48,061 --> 00:08:50,721
It's a concession to the
disease, and I won't make it.
192
00:08:50,804 --> 00:08:52,573
Good Lord, Randolph.
Typical man.
193
00:08:52,658 --> 00:08:54,967
You can dress it as bravery,
but it's just vanity.
194
00:08:55,052 --> 00:08:57,971
Okay. Uh,
I'd love to stick around
195
00:08:58,054 --> 00:08:59,639
and talk about canes and men,
196
00:08:59,722 --> 00:09:02,142
but... I have
an important meeting to get to.
197
00:09:02,225 --> 00:09:03,625
So, Meghan, thank you.
198
00:09:10,900 --> 00:09:12,259
I remember
199
00:09:12,344 --> 00:09:16,338
being at a birthday party when
I was four or five years old.
200
00:09:16,423 --> 00:09:18,249
And...
201
00:09:18,356 --> 00:09:21,552
the birthday girl
shrieked with joy
202
00:09:21,638 --> 00:09:25,514
when she unwrapped a doll
from her parents.
203
00:09:25,599 --> 00:09:28,350
For the first time,
I became distinctly aware
204
00:09:28,434 --> 00:09:33,134
that it was something
that I had never... felt.
205
00:09:33,971 --> 00:09:35,462
Is there anything
in your daily life
206
00:09:35,548 --> 00:09:38,198
that brings relief
from the pain and dread?
207
00:09:39,520 --> 00:09:41,956
Periodically, when I'm writing.
208
00:09:42,040 --> 00:09:44,942
Are there any moments
in your past where you...
209
00:09:45,025 --> 00:09:47,336
can recall feeling happy?
210
00:09:49,380 --> 00:09:50,996
This morning.
211
00:09:51,792 --> 00:09:53,467
When I felt the wind on my face
212
00:09:53,552 --> 00:09:57,638
as I fell to what
should have been my death.
213
00:09:59,950 --> 00:10:03,591
My reservoir of hope...
214
00:10:03,676 --> 00:10:05,735
is empty.
215
00:10:20,412 --> 00:10:23,980
Eliza has what we call
treatment-resistant depression.
216
00:10:24,065 --> 00:10:26,668
Cognitive behavioral therapy,
antidepressants,
217
00:10:26,751 --> 00:10:29,004
and ECT have all
been ineffective.
218
00:10:29,087 --> 00:10:30,821
So, what do we do?
219
00:10:30,904 --> 00:10:32,565
We just keep her here
220
00:10:32,649 --> 00:10:34,325
for 34 hours and then just
221
00:10:34,408 --> 00:10:36,903
- let her walk out?
- We don't have a lot of options.
222
00:10:36,986 --> 00:10:39,681
Sad to say, I have no beds free
on the unit.
223
00:10:39,951 --> 00:10:42,037
Don't patients with
224
00:10:42,121 --> 00:10:43,927
treatment-resistant depression
225
00:10:44,010 --> 00:10:46,730
qualify for off-label
deep brain stimulation?
226
00:10:46,816 --> 00:10:48,232
I've read
227
00:10:48,317 --> 00:10:49,840
some clinical trials on it,
228
00:10:49,931 --> 00:10:52,084
and I know Dr. Sutton
has used it on patients
229
00:10:52,168 --> 00:10:54,196
with Parkinson's and even OCD.
230
00:10:54,279 --> 00:10:55,754
They do,
231
00:10:55,838 --> 00:10:57,780
but there's no guarantee
it works.
232
00:10:59,043 --> 00:11:00,628
Well, in one trial,
233
00:11:00,712 --> 00:11:04,056
50% of patients saw some relief
from their symptoms.
234
00:11:06,958 --> 00:11:11,043
Do you think Eliza
would consider the procedure?
235
00:11:12,474 --> 00:11:15,451
All Eliza wants is to exit life.
236
00:11:16,552 --> 00:11:18,091
It'll be challenging
237
00:11:18,177 --> 00:11:20,113
to get her to agree
to any treatment,
238
00:11:20,197 --> 00:11:22,099
much less one that requires
holes drilled in her skull
239
00:11:22,123 --> 00:11:24,542
and electrodes placed
in her brain.
240
00:11:24,625 --> 00:11:26,879
Well, if we do nothing, there
is no doubt that she will try
241
00:11:26,903 --> 00:11:29,121
- to kill herself again.
- No doubt.
242
00:11:29,206 --> 00:11:30,724
I'll talk to Dr. Sutton.
243
00:11:30,913 --> 00:11:33,597
See if she can discuss
the procedure with Eliza.
244
00:11:42,113 --> 00:11:43,548
Dr. Sullivan didn't come in?
245
00:11:43,967 --> 00:11:45,110
She took the day off.
246
00:11:45,264 --> 00:11:46,966
We got Pravesh back instead.
247
00:11:47,052 --> 00:11:48,350
Who?
248
00:11:50,059 --> 00:11:52,828
Good thing we looked into
your chest pain. You have EKG
249
00:11:52,913 --> 00:11:56,091
changes and labs consistent
with an NSTEMI.
250
00:11:56,174 --> 00:11:57,908
It's a minor heart attack.
251
00:11:57,991 --> 00:12:00,427
What? A minor heart attack?
252
00:12:00,513 --> 00:12:02,451
- How is that possible?
- Take it easy, Aaron.
253
00:12:02,535 --> 00:12:04,414
All right, we're on it.
We got you.
254
00:12:04,499 --> 00:12:06,009
Taking good care
of yourself, right?
255
00:12:06,092 --> 00:12:08,010
- Yes.
- All right, well,
256
00:12:08,095 --> 00:12:10,903
explain to us how you ended up
with a cardiac stent.
257
00:12:10,989 --> 00:12:14,302
Well, this cardiac clinic came
to the church leaving flyers.
258
00:12:14,388 --> 00:12:15,943
They were offering
heart screenings
259
00:12:16,168 --> 00:12:18,004
with no out-of-pocket
with Medicaid.
260
00:12:18,087 --> 00:12:21,325
And, uh, now, my congregation
261
00:12:21,409 --> 00:12:22,659
relies on outreach, so
262
00:12:22,845 --> 00:12:26,128
I wanted to set an example
to the flock, so I went.
263
00:12:26,245 --> 00:12:27,937
And what did the screening
turn up?
264
00:12:28,022 --> 00:12:30,866
Cardiologist said that my...
265
00:12:30,951 --> 00:12:33,201
my labs and my tests were...
266
00:12:33,286 --> 00:12:34,461
"borderline" was the word,
267
00:12:34,546 --> 00:12:37,254
and that I needed a cath ASAP.
268
00:12:39,774 --> 00:12:41,408
Were you feeling any chest pain?
269
00:12:41,494 --> 00:12:43,952
No. No.
270
00:12:44,038 --> 00:12:46,551
He said that the cath
was very important
271
00:12:46,635 --> 00:12:48,959
to screen for heart disease.
Silent killer.
272
00:12:49,043 --> 00:12:53,312
Okay, but why did
they stent you?
273
00:12:55,716 --> 00:12:57,967
Well, during the procedure,
274
00:12:58,052 --> 00:13:00,730
my heart was beating
out of my chest.
275
00:13:00,813 --> 00:13:02,639
And the pain,
276
00:13:02,724 --> 00:13:04,884
I mean, it's very severe, but
277
00:13:04,967 --> 00:13:07,736
once they put in the stent,
I had relief.
278
00:13:07,821 --> 00:13:09,663
You know, I'm a little
achy and tired
279
00:13:09,748 --> 00:13:10,966
here and there,
but for the most part,
280
00:13:10,990 --> 00:13:13,566
I'm-I'm thankful.
281
00:13:14,494 --> 00:13:17,245
Chest pain usually comes
before cardiac
282
00:13:17,330 --> 00:13:19,341
catheterization, not after.
283
00:13:19,424 --> 00:13:20,732
Excuse me, I need to take this.
284
00:13:20,817 --> 00:13:23,010
I hate to do this
to you, brother,
285
00:13:23,095 --> 00:13:26,514
but we need to get you
in our cath lab right away.
286
00:13:26,597 --> 00:13:30,259
And I promise you, you won't
feel any pain with these hands.
287
00:13:30,342 --> 00:13:32,144
All right?
288
00:13:34,087 --> 00:13:36,005
We got you, man.
289
00:13:36,090 --> 00:13:38,341
Hey, Billie.
290
00:13:38,426 --> 00:13:40,086
- You got a sec?
- What's up?
291
00:13:40,169 --> 00:13:41,937
So, I have a young woman
in the ER,
292
00:13:42,022 --> 00:13:43,423
she's banged up pretty bad
293
00:13:43,506 --> 00:13:45,107
from two failed
suicide attempts today.
294
00:13:45,192 --> 00:13:48,277
Yeah, I heard Superman
flew in and saved her.
295
00:13:48,360 --> 00:13:52,215
Her name is Eliza Brock ton.
She's very smart, wily.
296
00:13:52,299 --> 00:13:54,600
She's a memoirist
who wrote two best sellers
297
00:13:54,684 --> 00:13:55,768
about depression.
298
00:13:55,851 --> 00:13:57,528
Sure, yeah, I read
the first one,
299
00:13:57,611 --> 00:13:58,937
The Lure of the Void.
300
00:13:59,022 --> 00:14:00,745
Right.
301
00:14:01,003 --> 00:14:03,792
So, I think she's
a good candidate for DBS.
302
00:14:03,908 --> 00:14:07,054
Well, DBS is still experimental
for depression.
303
00:14:07,139 --> 00:14:08,831
Does she meet
the inclusion criteria?
304
00:14:08,917 --> 00:14:09,706
Yes.
305
00:14:09,791 --> 00:14:12,995
No improvement
from CBT, SSRIs, or ECT.
306
00:14:13,081 --> 00:14:13,966
Okay.
307
00:14:14,051 --> 00:14:15,706
- I'll talk to her.
- Thanks.
308
00:14:16,682 --> 00:14:18,761
It's Trevor. I've been trying
to reach him for weeks.
309
00:14:18,835 --> 00:14:23,111
Take it. No, take it, and
let him know that we miss him.
310
00:14:24,562 --> 00:14:26,980
Trevor, I'm so glad
you finally called.
311
00:14:27,065 --> 00:14:29,134
- Are you okay?
- Uh, yeah, yeah.
312
00:14:29,225 --> 00:14:31,370
I'm sorry it took so long
to get back to you. Just...
313
00:14:31,721 --> 00:14:34,081
- dealing with a lot of stuff.
- Of course.
314
00:14:34,165 --> 00:14:35,868
I can only imagine
a horrible revelation like...
315
00:14:35,892 --> 00:14:37,334
Yeah. We don't have to, um...
316
00:14:39,005 --> 00:14:40,941
Look, there's some...
there's some stuff
317
00:14:41,025 --> 00:14:42,923
I want to tell you in person.
318
00:14:43,932 --> 00:14:45,985
Okay. Sure.
319
00:14:46,068 --> 00:14:48,429
Just know, I've been
worried about you.
320
00:14:48,514 --> 00:14:49,838
All of us here have.
321
00:14:49,923 --> 00:14:51,326
And I'm not sure
if you're aware of this,
322
00:14:51,350 --> 00:14:54,159
but you're in danger
of losing your residency.
323
00:14:54,244 --> 00:14:56,586
Yeah, I know.
324
00:14:56,671 --> 00:14:59,688
Uh, look, can we meet up
tomorrow? I'll fill you in.
325
00:15:00,692 --> 00:15:02,259
Yeah, sure. That works.
326
00:15:02,342 --> 00:15:04,277
Cool. Thanks, Billie.
327
00:15:09,942 --> 00:15:11,738
Phones in your locker
while you're at the warehouse.
328
00:15:11,761 --> 00:15:12,695
Yeah, yeah, sorry. My bad.
329
00:15:12,778 --> 00:15:14,203
- You know that.
- Yeah.
330
00:15:18,876 --> 00:15:21,187
What's with the limp?
You okay, Randolph?
331
00:15:21,270 --> 00:15:23,998
Oh, I'm-I'm doing great.
Thanks for your concern.
332
00:15:24,081 --> 00:15:26,375
I want to talk to you
about Bosley.
333
00:15:26,833 --> 00:15:28,402
I don't get it.
334
00:15:28,486 --> 00:15:30,028
What is your beef
with Dr. Bosley?
335
00:15:30,113 --> 00:15:33,048
- Is this personal?
- I've never met the man.
336
00:15:33,133 --> 00:15:36,201
I told you last week,
Dr. Elkins was looking
337
00:15:36,286 --> 00:15:37,764
- into the Emily Benesch case.
- Well, you know...
338
00:15:37,788 --> 00:15:39,562
She didn't.
339
00:15:40,715 --> 00:15:42,799
These are five more complaints
against Bosley
340
00:15:42,884 --> 00:15:44,894
for catastrophic outcomes
that the board
341
00:15:44,977 --> 00:15:46,971
didn't look into either.
342
00:15:48,556 --> 00:15:50,307
Look...
343
00:15:50,390 --> 00:15:52,067
I-I'm just not familiar with
344
00:15:52,152 --> 00:15:53,995
the details
of these old complaints
345
00:15:54,078 --> 00:15:55,312
off the top of my head,
346
00:15:55,395 --> 00:15:57,572
but I can tell you that,
if we made the decision
347
00:15:57,657 --> 00:15:59,408
not to investigate,
348
00:15:59,491 --> 00:16:01,336
we had good reasons.
349
00:16:01,419 --> 00:16:04,230
See, I can't imagine what those
350
00:16:04,313 --> 00:16:06,006
could possibly be.
351
00:16:06,091 --> 00:16:09,402
Randolph, you're a good man,
and I like you.
352
00:16:09,485 --> 00:16:12,830
You can be a very valuable
member of the medical board.
353
00:16:12,913 --> 00:16:14,999
That's what I'm trying to be.
354
00:16:15,082 --> 00:16:16,082
Well, typically,
355
00:16:16,158 --> 00:16:18,668
new members tend to stay
on the sidelines
356
00:16:18,753 --> 00:16:20,245
for a period
to see how things work
357
00:16:20,330 --> 00:16:22,840
before going full Norma Rae,
358
00:16:22,923 --> 00:16:25,083
you know what I mean?
359
00:16:25,168 --> 00:16:29,088
I'll see you at the
board meeting this afternoon.
360
00:16:31,115 --> 00:16:33,759
All right, Aaron,
I found the stent,
361
00:16:33,844 --> 00:16:36,261
and I also found the cause
362
00:16:36,346 --> 00:16:38,096
of your heart attack.
363
00:16:38,181 --> 00:16:41,116
Unfortunately,
they're one and the same.
364
00:16:41,201 --> 00:16:43,043
Uh, what does that mean?
365
00:16:43,128 --> 00:16:45,863
The stent your doctors placed
is actually blocking
366
00:16:45,947 --> 00:16:47,940
one of the other arteries
in your heart.
367
00:16:48,024 --> 00:16:50,610
That's why you were
feeling so much pain.
368
00:16:50,693 --> 00:16:53,037
AJ, the rest of his vessels
are pristine.
369
00:16:53,120 --> 00:16:56,668
Cholesterol's low,
no family history...
370
00:16:56,753 --> 00:16:58,838
And it looks like the
stent was placed in the location
371
00:16:58,863 --> 00:17:01,631
of a coronary artery dissection.
Are we thinking the same thing?
372
00:17:01,716 --> 00:17:03,533
Yeah. It sickens me
373
00:17:03,619 --> 00:17:04,744
to say this,
374
00:17:04,829 --> 00:17:07,324
but you never should have had
a cath in the first place.
375
00:17:07,704 --> 00:17:10,715
Worse, the cardiologist
tore blood vessels
376
00:17:10,799 --> 00:17:13,568
when he put it in, which is why
the procedure was so painful.
377
00:17:13,653 --> 00:17:16,239
I should prepare
to see my maker.
378
00:17:16,323 --> 00:17:17,964
No need to pack your bags.
379
00:17:18,048 --> 00:17:20,825
You will get to your next
great achievement.
380
00:17:22,334 --> 00:17:23,768
Aaron,
381
00:17:24,094 --> 00:17:26,519
what was the name
of your cardiologist?
382
00:17:33,839 --> 00:17:34,839
Eliza,
383
00:17:35,442 --> 00:17:37,214
this is Dr. Billie Sutton,
384
00:17:37,299 --> 00:17:38,910
and she is a neurosurgeon,
385
00:17:38,994 --> 00:17:40,306
and I've asked her to come here
and talk to you.
386
00:17:40,329 --> 00:17:41,338
Hi, Eliza.
387
00:17:42,362 --> 00:17:43,766
I've seen that expression
388
00:17:43,849 --> 00:17:45,268
on your face too many times.
389
00:17:45,697 --> 00:17:47,807
You have a plan to fix me,
390
00:17:47,892 --> 00:17:50,518
but I am unfixable.
391
00:17:52,281 --> 00:17:54,182
I don't want to go
through this again.
392
00:17:54,751 --> 00:17:56,534
I-I get that.
393
00:17:56,741 --> 00:17:59,299
And, truth be told,
my plan might not work.
394
00:17:59,823 --> 00:18:01,932
The success rate
of deep brain stimulation
395
00:18:02,017 --> 00:18:03,510
for depression is about 50%.
396
00:18:03,595 --> 00:18:05,453
That is a broad definition
of success,
397
00:18:05,538 --> 00:18:08,373
from modest improvement
to complete absence
398
00:18:08,458 --> 00:18:09,724
of symptoms.
399
00:18:10,042 --> 00:18:12,426
Deep brain stimulation?
400
00:18:14,333 --> 00:18:16,631
A small conductor, an electrode,
401
00:18:16,715 --> 00:18:19,542
is permanently placed in a
specific region of the brain.
402
00:18:19,626 --> 00:18:22,378
The conductor carries a
low-level impulse from a battery
403
00:18:22,462 --> 00:18:23,941
to the area of the brain
that regulates mood.
404
00:18:23,964 --> 00:18:25,790
What could possibly go wrong?
405
00:18:25,875 --> 00:18:29,117
In very rare circumstances,
a hemorrhage can occur.
406
00:18:30,170 --> 00:18:33,757
Wh-Which would conceivably
turn me into a can of peas.
407
00:18:33,842 --> 00:18:37,502
Well, like I said,
that outcome is very rare,
408
00:18:37,587 --> 00:18:38,672
and I'm very good at this.
409
00:18:38,887 --> 00:18:41,065
And here's the part
you might like...
410
00:18:41,148 --> 00:18:42,566
Can't imagine
what that would be.
411
00:18:42,650 --> 00:18:44,993
Well, first we have
to scan your brain.
412
00:18:45,077 --> 00:18:47,663
Then, I give you a tour
of the organ
413
00:18:47,747 --> 00:18:50,481
that's not only the source
of your literary success,
414
00:18:50,566 --> 00:18:52,393
but the thing
that wants you dead.
415
00:18:52,477 --> 00:18:54,670
I'll pull some strings
to get you out
416
00:18:54,753 --> 00:18:57,422
- of the ER while you wait.
- Mm.
417
00:18:59,259 --> 00:19:02,236
We'll be back.
418
00:19:05,839 --> 00:19:07,164
Aaron is stable,
419
00:19:07,249 --> 00:19:09,518
but I can't undo the injury
his heart has sustained.
420
00:19:09,602 --> 00:19:12,413
Once a blood vessel's been torn,
it can tear again.
421
00:19:12,497 --> 00:19:15,076
And an acute clot could form,
422
00:19:15,222 --> 00:19:16,900
cause him more heart attacks.
423
00:19:16,984 --> 00:19:18,934
His cardiac function
has decreased
424
00:19:19,019 --> 00:19:20,604
to only a third
of what it should be.
425
00:19:20,688 --> 00:19:23,181
- In time, it could improve.
- It's all wrong,
426
00:19:23,265 --> 00:19:24,682
and the worst part is,
427
00:19:24,767 --> 00:19:27,443
the procedure
was entirely unnecessary.
428
00:19:27,528 --> 00:19:29,930
Look, I got a quick errand
I got to run.
429
00:19:30,013 --> 00:19:31,539
I'll be back as fast as I can.
430
00:19:31,624 --> 00:19:33,977
I'll hold the pastor in the ER,
keep an eye on him.
431
00:19:34,061 --> 00:19:36,461
- Yeah, man.
- I'll update you.
432
00:19:47,690 --> 00:19:49,423
This is the cerebrum...
433
00:19:52,281 --> 00:19:54,142
...where consciousness,
emotion, perception,
434
00:19:54,227 --> 00:19:56,961
and memory are all integrated.
435
00:19:57,416 --> 00:19:59,500
Like any other part of the body,
436
00:19:59,586 --> 00:20:02,800
pathways of connections
can be too strong or too weak,
437
00:20:02,884 --> 00:20:04,415
and when they are weak, we try
438
00:20:04,500 --> 00:20:05,809
to augment them
with medications,
439
00:20:05,894 --> 00:20:07,644
you know, SSRIs, ECT...
440
00:20:07,729 --> 00:20:10,089
- But those didn't work.
- Which is why we get
441
00:20:10,173 --> 00:20:11,590
to try something more intense.
442
00:20:11,674 --> 00:20:13,926
We would place electrodes
443
00:20:14,010 --> 00:20:16,170
here and here.
444
00:20:16,253 --> 00:20:18,655
Like a pacemaker for the brain
445
00:20:18,740 --> 00:20:20,340
instead of the heart.
446
00:20:20,424 --> 00:20:22,826
The electrodes stimulate
Brodmann area 25,
447
00:20:22,911 --> 00:20:25,921
which is like the interstate
highway of nerve connections,
448
00:20:26,005 --> 00:20:27,347
or white matter,
449
00:20:27,432 --> 00:20:29,334
and it's sitting right on top
450
00:20:29,417 --> 00:20:31,611
of a huge serotonin depot.
451
00:20:31,694 --> 00:20:34,948
It's like drilling
for a well of happiness.
452
00:20:35,031 --> 00:20:38,343
If you like that image.
453
00:20:38,426 --> 00:20:41,936
Reminds me of those
flimsy claws at arcades
454
00:20:42,020 --> 00:20:45,682
that kids dump their money into
and try to grab a prize,
455
00:20:45,968 --> 00:20:47,827
but they never get one.
456
00:20:48,638 --> 00:20:52,766
Well, DBS has much higher odds
of success than those claws.
457
00:20:53,328 --> 00:20:55,080
Define success.
458
00:20:55,611 --> 00:20:58,137
We banish the hell in your head
459
00:20:58,221 --> 00:21:00,030
but keep the heavenly talent.
460
00:21:00,115 --> 00:21:02,141
I won't wake up
461
00:21:02,226 --> 00:21:04,477
and be someone else,
462
00:21:04,560 --> 00:21:06,645
will I?
463
00:21:06,730 --> 00:21:09,647
Everyone facing DBS
asks that question.
464
00:21:10,717 --> 00:21:12,817
Surely not everybody.
465
00:21:14,479 --> 00:21:16,471
Look, they say
in Alcoholics Anonymous,
466
00:21:16,556 --> 00:21:18,473
if you sober up a horse thief,
467
00:21:18,557 --> 00:21:20,616
all you have is
a sober horse thief.
468
00:21:21,498 --> 00:21:23,491
You will remain you,
469
00:21:24,138 --> 00:21:26,123
but a happy you.
470
00:21:28,826 --> 00:21:31,294
You're describing a stranger.
471
00:21:33,498 --> 00:21:35,415
You know,
I really appreciate you
472
00:21:35,500 --> 00:21:37,919
making time for me
on such short notice,
473
00:21:38,002 --> 00:21:39,252
Dr. Pellington.
474
00:21:39,336 --> 00:21:41,275
Well, I'm glad we could
make it work, Mr. Austin.
475
00:21:41,359 --> 00:21:43,349
Now, as you know, we took
a picture of your heart
476
00:21:43,433 --> 00:21:46,375
a few minutes ago,
I sure am glad we did.
477
00:21:46,461 --> 00:21:48,246
It revealed some extra beats.
478
00:21:48,329 --> 00:21:49,747
Now, we have
a fancy term for that.
479
00:21:49,830 --> 00:21:52,083
It's called premature
ventricular contractions,
480
00:21:52,166 --> 00:21:54,085
but the important thing is,
481
00:21:54,169 --> 00:21:55,586
it may have shown a blockage
482
00:21:55,671 --> 00:21:57,755
in your arteries
that feed blood to your heart,
483
00:21:57,838 --> 00:22:00,015
and that's the first step
to a heart attack.
484
00:22:00,098 --> 00:22:02,426
Whoa, a heart attack.
485
00:22:02,510 --> 00:22:04,945
C-Can I take a look at that?
486
00:22:05,029 --> 00:22:07,355
- Oh, sure, sure.
- Thanks.
487
00:22:07,440 --> 00:22:09,433
You are one lucky man
488
00:22:09,518 --> 00:22:11,884
because we can do
a cardiac cath.
489
00:22:12,323 --> 00:22:13,400
That's a procedure
490
00:22:13,484 --> 00:22:15,327
where we can get a better view
of those arteries,
491
00:22:15,352 --> 00:22:16,865
and if there is blockages,
492
00:22:16,950 --> 00:22:18,766
which I suspect there will be,
493
00:22:18,851 --> 00:22:21,346
we can open 'em right up.
Any questions?
494
00:22:21,696 --> 00:22:23,964
Yeah, just one.
495
00:22:24,048 --> 00:22:27,117
Did you go into medicine
intending to become a fraud?
496
00:22:27,201 --> 00:22:28,803
Excuse me?
497
00:22:28,886 --> 00:22:31,138
I'm a cardiothoracic surgeon
498
00:22:31,222 --> 00:22:33,066
at Chastain Park Memorial,
499
00:22:33,150 --> 00:22:35,143
and you and I both know that
500
00:22:35,227 --> 00:22:36,644
my EKG is normal.
501
00:22:36,728 --> 00:22:39,703
There is no medical reason
to take me to cath,
502
00:22:39,788 --> 00:22:42,316
just like there wasn't
for Pastor Aaron either.
503
00:22:42,400 --> 00:22:43,519
I could point to hundreds...
504
00:22:43,551 --> 00:22:46,564
Pastor Aaron is in our ICU
505
00:22:46,648 --> 00:22:49,157
right now as a result
of the botched stent
506
00:22:49,242 --> 00:22:51,111
you put in when you dissected
507
00:22:51,195 --> 00:22:54,253
his LAD during
an unnecessary cath.
508
00:22:54,337 --> 00:22:56,480
So, not only are you greedy,
509
00:22:56,565 --> 00:22:58,816
you are incompetent at best.
510
00:22:58,900 --> 00:23:01,335
I don't know what the hell
you think you're getting at,
511
00:23:01,419 --> 00:23:03,077
but everything I did is legal.
512
00:23:03,162 --> 00:23:05,765
Legal? Really?
513
00:23:05,848 --> 00:23:09,392
You know, that's a pretty
low bar for a doctor.
514
00:23:11,096 --> 00:23:12,664
I'll tell you what,
515
00:23:12,750 --> 00:23:14,999
Pellington,
516
00:23:15,083 --> 00:23:17,000
if my friend takes a turn
for the worse,
517
00:23:17,085 --> 00:23:20,837
you will find yourself
on the losing end of a lawsuit
518
00:23:20,922 --> 00:23:23,865
with me as the expert witness.
519
00:23:27,112 --> 00:23:29,029
Aaron.
520
00:23:29,114 --> 00:23:30,515
How you doing?
521
00:23:30,598 --> 00:23:32,749
I was just working
on next week's sermon.
522
00:23:34,377 --> 00:23:36,296
You know, today's been
all about me,
523
00:23:36,380 --> 00:23:38,538
and earlier you mentioned
about being pulled back in
524
00:23:39,333 --> 00:23:42,160
the pain of your wife's death,
before we got interrupted.
525
00:23:42,258 --> 00:23:43,604
And it will continue
to be all about you.
526
00:23:43,627 --> 00:23:46,288
Numbers look good.
Any chest pain?
527
00:23:46,372 --> 00:23:48,673
Ah, nothing significant.
528
00:23:49,559 --> 00:23:52,537
You and I are in
the "you" business.
529
00:23:52,621 --> 00:23:55,297
You let me do my job.
530
00:23:55,381 --> 00:23:57,650
This resurgence of grief,
531
00:23:57,733 --> 00:24:00,377
have you had any big recent
changes in your life?
532
00:24:00,461 --> 00:24:04,114
Crazy work stuff the past week.
533
00:24:05,800 --> 00:24:07,476
Have you been
534
00:24:07,723 --> 00:24:10,939
stepping out with any women
since Nic's death?
535
00:24:11,023 --> 00:24:13,740
Eh... one. Nothing serious.
Potentially others.
536
00:24:13,825 --> 00:24:15,893
- They all come with complications.
- Yeah.
537
00:24:15,977 --> 00:24:19,488
Yeah, and I'm sure that you had
those complications with Nic.
538
00:24:19,571 --> 00:24:21,915
Yeah, but the baggage
was mostly mine.
539
00:24:23,093 --> 00:24:25,289
You know, my experience with
540
00:24:25,375 --> 00:24:28,071
counseling widowers is that
guilt and loyalty
541
00:24:28,155 --> 00:24:31,223
can toss you back
into the original grief.
542
00:24:33,086 --> 00:24:34,686
Maybe.
543
00:24:34,770 --> 00:24:36,522
Hey.
544
00:24:36,606 --> 00:24:37,856
If it's this woman,
545
00:24:37,941 --> 00:24:40,931
or if it's that woman,
you deserve
546
00:24:41,016 --> 00:24:42,808
your next
great romantic achievement.
547
00:24:46,170 --> 00:24:48,180
Patient's in V tach!
I need a crash cart!
548
00:24:51,788 --> 00:24:55,449
He's pulse less. Now in V fib.
549
00:24:56,242 --> 00:24:59,336
We need to shock.
Get the pads on.
550
00:25:05,984 --> 00:25:07,766
Charging. And clear.
551
00:25:07,977 --> 00:25:10,114
Now.
552
00:25:10,198 --> 00:25:12,266
Still in V fib.
553
00:25:12,476 --> 00:25:15,008
Get me a bolus of amio
and shock again.
554
00:25:21,893 --> 00:25:23,402
Charging.
555
00:25:23,487 --> 00:25:25,712
Clear. And shock.
556
00:25:27,844 --> 00:25:31,250
- He has a pulse.
- Sinus rhythm.
557
00:25:31,336 --> 00:25:34,617
- But if this happens again, he is not...
- When it happens again,
558
00:25:34,701 --> 00:25:36,065
he won't survive it.
559
00:25:36,148 --> 00:25:39,125
Let's get him to the ICU.
I'll page AJ.
560
00:25:44,384 --> 00:25:47,259
- Hey, what's going on?
- I got him out of V fib, but...
561
00:25:47,344 --> 00:25:50,552
Hey. Right here,
I got you, brother.
562
00:25:55,695 --> 00:25:57,953
His left ventricle
is barely contracting.
563
00:25:58,038 --> 00:26:00,175
Down to about 15%.
He couldn't tolerate
564
00:26:00,260 --> 00:26:01,701
the refractory arrhythmia.
565
00:26:01,922 --> 00:26:03,703
We can't fix
his coronary arteries
566
00:26:03,788 --> 00:26:05,594
with more stents.
They're too damaged.
567
00:26:05,678 --> 00:26:09,064
I'm gonna have to take a vessel
from his chest and go around it.
568
00:26:09,148 --> 00:26:12,359
From an unnecessary cath
to open-heart surgery.
569
00:26:16,614 --> 00:26:19,349
His systolic's
dropping to the 60s.
570
00:26:19,433 --> 00:26:20,953
I need more pressure than that
571
00:26:21,038 --> 00:26:23,203
- to do surgery.
- I'm maxed out on pressors.
572
00:26:23,288 --> 00:26:26,207
We're gonna have to
put him on ECMO.
573
00:26:26,290 --> 00:26:29,192
Wh-What's going on, fellas?
574
00:26:29,383 --> 00:26:31,953
AJ needs to perform
bypass surgery,
575
00:26:32,052 --> 00:26:33,836
so we're gonna
put you on a machine
576
00:26:33,922 --> 00:26:35,306
that will take over
for your heart,
577
00:26:35,391 --> 00:26:37,521
so your heart can survive
the procedure, okay?
578
00:26:37,634 --> 00:26:41,038
If God wants me
at His table right now,
579
00:26:41,122 --> 00:26:42,815
I have faith in Him.
580
00:26:42,898 --> 00:26:45,209
Have faith in me.
581
00:26:45,746 --> 00:26:48,906
I'm gonna do my best to make you
late for that dinner.
582
00:26:49,016 --> 00:26:50,880
You hear me?
583
00:26:52,690 --> 00:26:56,368
I am glad to see that you
agreed to the DBS.
584
00:26:56,922 --> 00:26:58,846
Of course, you'll be
under psychiatric care
585
00:26:58,931 --> 00:27:01,164
for some time
after the surgery, but...
586
00:27:01,249 --> 00:27:03,166
have you thought about
587
00:27:03,250 --> 00:27:05,003
what kind of support
you're gonna need
588
00:27:05,088 --> 00:27:06,630
when you get back
into your life?
589
00:27:08,497 --> 00:27:09,780
Well, if this works,
590
00:27:09,865 --> 00:27:12,643
I'll be happy, right? So...
591
00:27:12,836 --> 00:27:14,611
I won't need anything.
592
00:27:15,510 --> 00:27:16,730
I started reading
your first book.
593
00:27:16,755 --> 00:27:19,931
Hmm. Enjoy it while you can.
594
00:27:21,435 --> 00:27:24,096
And that description
of the conversation that you had
595
00:27:24,181 --> 00:27:26,856
with your therapist after
your first suicide attempt...
596
00:27:26,941 --> 00:27:30,118
About falling in love with
597
00:27:30,202 --> 00:27:32,195
my depression.
598
00:27:32,279 --> 00:27:34,106
Yeah.
599
00:27:34,191 --> 00:27:36,173
It's hard to conceive of that.
600
00:27:37,039 --> 00:27:39,866
Well, for most people, it's...
601
00:27:39,951 --> 00:27:41,869
impossible, which is...
602
00:27:41,954 --> 00:27:44,798
why this is all so futile.
603
00:27:46,552 --> 00:27:47,971
- Are you okay?
- Yeah.
604
00:27:48,055 --> 00:27:50,646
Yeah, I'm just, I'm just tired.
605
00:27:52,132 --> 00:27:55,275
This is so weird.
606
00:27:56,877 --> 00:27:59,055
- Eliza?
- Hmm? Yeah.
607
00:27:59,153 --> 00:28:00,737
Hey.
608
00:28:02,987 --> 00:28:05,563
My God, she pulled out
her A-line!
609
00:28:05,647 --> 00:28:08,141
I need another set
of hands in here!
610
00:28:09,563 --> 00:28:11,375
Eliza, I'm not letting you go.
611
00:28:12,362 --> 00:28:14,279
Please...
612
00:28:14,365 --> 00:28:16,490
give us a chance.
613
00:28:19,661 --> 00:28:23,172
Okay, so, remember, stay calm,
avoid an accusatory tone.
614
00:28:23,348 --> 00:28:25,875
But just share your truth.
615
00:28:25,991 --> 00:28:27,867
Yeah. Okay.
616
00:28:28,077 --> 00:28:30,854
I'm nervous, but I can do that.
617
00:28:32,857 --> 00:28:34,538
I wouldn't put you
in front of these people
618
00:28:34,585 --> 00:28:36,502
if I didn't think
you could reach them.
619
00:28:36,586 --> 00:28:38,279
Okay.
620
00:28:38,364 --> 00:28:40,614
Okay. All right. Here we go.
621
00:28:49,708 --> 00:28:51,608
I'm gonna move that chair.
622
00:28:51,692 --> 00:28:54,169
Just the top of the table.
623
00:28:55,747 --> 00:28:57,330
Okay.
624
00:28:57,415 --> 00:28:59,038
Uh...
625
00:28:59,124 --> 00:29:00,656
Who is this woman, Dr. Bell?
626
00:29:00,750 --> 00:29:03,367
You didn't mention that you were
bringing a guest this morning.
627
00:29:03,579 --> 00:29:04,864
This is Emily Benesch.
628
00:29:05,734 --> 00:29:08,034
She's gonna tell us her story,
629
00:29:08,117 --> 00:29:09,883
and we are going to listen.
630
00:29:11,045 --> 00:29:13,130
The last time I
walked on my own two feet,
631
00:29:13,875 --> 00:29:16,691
it was into
Dr. Bosley's practice.
632
00:29:18,051 --> 00:29:19,973
The man I was engaged to marry
633
00:29:20,058 --> 00:29:22,484
left me after I was paralyzed.
634
00:29:31,665 --> 00:29:34,419
I can't...
turn over in bed,
635
00:29:34,605 --> 00:29:36,689
reach a book on the shelf,
636
00:29:36,813 --> 00:29:38,565
get out of my house, into a car,
637
00:29:38,648 --> 00:29:42,585
through a store
without pain and struggle.
638
00:29:42,886 --> 00:29:44,936
And why?
639
00:29:45,747 --> 00:29:47,977
Because no one stopped a man
640
00:29:48,172 --> 00:29:51,643
who should never have been
operating to begin with.
641
00:29:52,431 --> 00:29:55,834
You sit in here and review
his explanations.
642
00:29:56,333 --> 00:29:57,692
Accidents happen,
643
00:29:57,776 --> 00:30:00,352
but again and again?
644
00:30:01,589 --> 00:30:03,731
Who else will end up like me?
645
00:30:06,124 --> 00:30:08,805
Would you send your wife to him?
646
00:30:09,429 --> 00:30:11,563
Your son?
647
00:30:11,847 --> 00:30:13,615
Your father?
648
00:30:13,746 --> 00:30:16,005
Then why a stranger?
649
00:30:17,015 --> 00:30:20,268
I know that a very high
percentage of doctors
650
00:30:20,448 --> 00:30:22,172
are-are competent
651
00:30:22,257 --> 00:30:23,932
and good people.
652
00:30:24,285 --> 00:30:27,130
And the few who ruin
653
00:30:27,213 --> 00:30:28,964
people's lives,
654
00:30:29,969 --> 00:30:32,542
they're... are repeat offenders.
655
00:30:32,626 --> 00:30:34,685
Like Dr. Bosley.
656
00:30:35,642 --> 00:30:38,560
If a hundred good doctors
do nothing
657
00:30:38,817 --> 00:30:41,180
about one bad one,
658
00:30:41,377 --> 00:30:44,195
then we've got 101 bad doctors.
659
00:30:46,398 --> 00:30:48,726
You owe it to yourselves.
660
00:30:48,809 --> 00:30:51,161
You owe it to me.
661
00:30:56,242 --> 00:30:58,375
Thank you, Emily.
662
00:31:00,153 --> 00:31:03,982
We'll pass this up to
the complaint division and...
663
00:31:04,067 --> 00:31:06,836
discuss the status
of the investigation
664
00:31:07,906 --> 00:31:10,265
on a weekly basis.
665
00:31:10,582 --> 00:31:12,373
Thank you.
666
00:31:26,992 --> 00:31:29,134
The ECMO's giving his heart
some relief,
667
00:31:29,219 --> 00:31:31,268
but this is as strong
as he's gonna get.
668
00:31:31,352 --> 00:31:33,604
If I don't operate now,
there might not be
669
00:31:33,688 --> 00:31:36,719
- any heart muscle left to save.
- Yeah, it's time.
670
00:31:37,173 --> 00:31:41,027
Let's hope he's strong enough
to survive.
671
00:32:04,126 --> 00:32:06,895
All right, the first graft
is complete.
672
00:32:06,980 --> 00:32:09,807
This LAD is gonna be
a little tougher.
673
00:32:09,891 --> 00:32:11,615
4.0 Prolene to me.
674
00:32:16,914 --> 00:32:20,083
Suturing over the dissection.
675
00:32:21,144 --> 00:32:22,819
You're using both internal
676
00:32:22,903 --> 00:32:25,080
mammary arteries for grafts.
677
00:32:25,164 --> 00:32:27,174
Is there a risk
of recurring heart disease?
678
00:32:27,259 --> 00:32:29,568
Oh, good question, Chu.
679
00:32:29,653 --> 00:32:33,102
Not in a man who doesn't
actually have heart disease.
680
00:32:34,673 --> 00:32:37,093
Both anastomoses complete.
681
00:32:37,176 --> 00:32:38,852
Removing the clamp.
682
00:32:43,500 --> 00:32:46,108
Let me know when you're ready.
683
00:32:49,521 --> 00:32:52,682
I am in position.
684
00:32:52,767 --> 00:32:54,852
Let's hit the reset button
685
00:32:54,935 --> 00:32:57,947
on the good pastor's
new and improved heart.
686
00:32:58,030 --> 00:32:59,705
Starting with five joules.
687
00:33:04,778 --> 00:33:07,172
Going up to ten.
688
00:33:16,624 --> 00:33:18,724
Take it to 20.
689
00:33:31,213 --> 00:33:32,905
Come on.
690
00:33:42,575 --> 00:33:44,826
I'm placing the electrode.
691
00:33:44,911 --> 00:33:47,646
Now, there are no pain receptors
in the brain,
692
00:33:47,730 --> 00:33:49,423
so this won't hurt.
693
00:33:49,508 --> 00:33:50,839
That's ironic.
694
00:33:52,067 --> 00:33:53,927
Advancing the electrode.
695
00:33:54,011 --> 00:33:56,672
60 millimeters.
696
00:33:56,756 --> 00:34:00,182
78 millimeters.
697
00:34:03,413 --> 00:34:06,332
We're at the target region.
698
00:34:06,415 --> 00:34:08,016
Dr. Malco?
699
00:34:08,101 --> 00:34:09,110
Pass it over to me.
700
00:34:09,193 --> 00:34:13,021
For what it's worth,
I feel no different.
701
00:34:13,106 --> 00:34:15,190
I...
702
00:34:15,275 --> 00:34:16,692
maybe feel worse, even.
703
00:34:16,775 --> 00:34:18,193
Perhaps because now
704
00:34:18,277 --> 00:34:20,771
my head is screwed
into a metal frame.
705
00:34:20,855 --> 00:34:23,273
We haven't turned it on
yet, Eliza.
706
00:34:23,356 --> 00:34:26,628
- That's what I'm about to do.
- Oh.
707
00:34:26,711 --> 00:34:29,355
Two volts.
708
00:34:29,438 --> 00:34:32,967
Eliza, rate your mood
on a scale of zero to ten.
709
00:34:33,050 --> 00:34:34,302
Unchanged.
710
00:34:34,385 --> 00:34:37,530
Zero.
711
00:34:37,614 --> 00:34:41,291
Adjusting to four volts.
712
00:34:41,375 --> 00:34:44,184
And now?
713
00:34:46,547 --> 00:34:48,231
Nothing.
714
00:34:51,958 --> 00:34:54,601
Six volts.
715
00:34:55,239 --> 00:34:57,282
Eliza, how about now?
716
00:34:58,726 --> 00:35:01,786
Eliza, are you okay?
717
00:35:04,583 --> 00:35:06,039
I'm...
718
00:35:07,268 --> 00:35:08,853
- I'm...
- Eliza, if we
719
00:35:08,983 --> 00:35:11,460
- went too far we can turn it back down.
- No.
720
00:35:11,726 --> 00:35:14,016
No. Don't-don't-don't
turn it back down.
721
00:35:14,101 --> 00:35:15,318
Don't-don't...
722
00:35:16,110 --> 00:35:17,643
Don't do anything.
723
00:35:17,744 --> 00:35:20,514
Tell us how you feel, Eliza.
724
00:35:20,599 --> 00:35:22,666
I feel calm?
725
00:35:22,750 --> 00:35:25,186
Everything...
726
00:35:25,269 --> 00:35:28,313
everything seems... brighter.
727
00:35:32,351 --> 00:35:34,920
Is...?
728
00:35:35,005 --> 00:35:38,157
Could this be...
729
00:35:38,242 --> 00:35:40,943
Could this be happiness?
730
00:35:52,936 --> 00:35:55,389
Well, against all odds,
Aaron's alive
731
00:35:55,692 --> 00:35:57,773
with plenty more sermons
to give.
732
00:35:57,929 --> 00:35:59,628
Yeah, well,
it's a flawed victory.
733
00:35:59,711 --> 00:36:01,610
His heart
is permanently damaged,
734
00:36:01,695 --> 00:36:03,539
and he'll spend the rest
of his life exhausted.
735
00:36:03,623 --> 00:36:07,284
All because of unnecessary tests
and useless procedures
736
00:36:07,367 --> 00:36:08,952
that were detrimental
to his health.
737
00:36:09,036 --> 00:36:11,547
You know, I talked to Bell, now
that he's on the medical board.
738
00:36:11,630 --> 00:36:15,108
Ah, let me guess.
The system is so broken,
739
00:36:15,193 --> 00:36:17,110
Pellington won't face
any ramifications.
740
00:36:17,195 --> 00:36:18,594
Bingo.
741
00:36:20,047 --> 00:36:22,465
There's literally
nothing we can do.
742
00:36:22,550 --> 00:36:25,135
Maybe not, but there
is always karma.
743
00:36:25,219 --> 00:36:26,711
So we'd like to think.
744
00:36:59,586 --> 00:37:03,222
- Are you okay?
- Yeah, yeah, Nic has just...
745
00:37:04,184 --> 00:37:06,351
Nic has just been on my mind.
746
00:37:07,594 --> 00:37:09,512
And...
747
00:37:09,597 --> 00:37:11,422
and what we do,
748
00:37:11,507 --> 00:37:13,608
just...
749
00:37:13,693 --> 00:37:17,094
watching people slide
to the very edge
750
00:37:17,179 --> 00:37:20,114
while we fight to save them.
751
00:37:21,282 --> 00:37:23,275
Yeah.
752
00:37:23,594 --> 00:37:27,898
Yeah, like
we're surrounded by loss.
753
00:37:28,202 --> 00:37:30,626
Past, present, the future.
754
00:37:30,710 --> 00:37:33,628
Ours, other people's.
755
00:37:37,125 --> 00:37:39,193
Look, man, I'm preparing
756
00:37:39,277 --> 00:37:41,286
for my mother's passing.
757
00:37:41,369 --> 00:37:44,532
And when she does, I...
758
00:37:44,615 --> 00:37:46,309
I don't know what I'm gonna do.
759
00:37:46,393 --> 00:37:49,601
I know I'll never know
another like her.
760
00:37:51,063 --> 00:37:52,621
No.
761
00:37:53,625 --> 00:37:56,818
There are some holes
you just can't fill.
762
00:37:57,628 --> 00:37:58,811
Yeah.
763
00:38:09,248 --> 00:38:11,574
Go ahead, ask.
764
00:38:11,659 --> 00:38:13,333
How are you feeling?
765
00:38:14,253 --> 00:38:16,242
Good.
766
00:38:16,327 --> 00:38:18,898
Weird. Um, hopeful.
767
00:38:18,983 --> 00:38:21,418
Scared. Bionic.
768
00:38:21,501 --> 00:38:24,003
I feel like I'm at one
of those all-you-can-eat
769
00:38:24,088 --> 00:38:27,251
buffet restaurants,
only it's for emotions.
770
00:38:28,556 --> 00:38:30,583
Sounds dizzying,
771
00:38:31,626 --> 00:38:33,293
but an improvement.
772
00:38:33,463 --> 00:38:36,925
Dr. Malco has a few options for
psychiatric treatment centers,
773
00:38:37,018 --> 00:38:38,862
and they all accept
your insurance,
774
00:38:38,947 --> 00:38:40,728
and they're gonna
take you right away.
775
00:38:40,994 --> 00:38:42,594
You'll come back
and see me in two weeks,
776
00:38:42,673 --> 00:38:45,365
and I'll adjust your stim level
if necessary.
777
00:38:46,860 --> 00:38:49,262
Okay.
778
00:38:49,347 --> 00:38:51,621
Uh, thank you...
779
00:38:52,775 --> 00:38:54,791
...for not letting me go.
780
00:38:56,019 --> 00:38:57,586
Of course.
781
00:39:07,699 --> 00:39:11,041
Days like this,
I love being a doctor.
782
00:39:11,126 --> 00:39:13,768
Best job in the world.
783
00:39:21,394 --> 00:39:23,146
Bell.
784
00:39:23,231 --> 00:39:25,574
Bell, Bell, Bell.
785
00:39:25,657 --> 00:39:28,152
You know, I thought
I had the deepest,
786
00:39:28,235 --> 00:39:29,744
highest-octane reservoir
787
00:39:29,829 --> 00:39:33,641
of ego, but, brother,
your vanity makes mine blush.
788
00:39:33,724 --> 00:39:36,143
Randolph, you are my friend,
789
00:39:36,226 --> 00:39:38,586
but it's a good thing
you don't have cancer
790
00:39:38,670 --> 00:39:40,481
because you are not
a good enough friend
791
00:39:40,610 --> 00:39:42,585
for me to shave off this.
I mean, this is like a silken
792
00:39:42,610 --> 00:39:45,485
- masterpiece up here.
- That it is, it is. - Ooh.
793
00:39:45,570 --> 00:39:47,135
So...
794
00:39:48,163 --> 00:39:50,139
What do you say?
795
00:39:52,018 --> 00:39:53,844
Okay, I will take this...
796
00:39:53,927 --> 00:39:55,938
walking stick,
797
00:39:56,021 --> 00:39:57,773
but not because
I'm old or infirm,
798
00:39:57,856 --> 00:40:00,108
but because it's really cool.
799
00:40:01,918 --> 00:40:04,778
- Thanks, guys.
- You got it.
800
00:40:24,365 --> 00:40:26,217
Well, you look good.
801
00:40:27,887 --> 00:40:29,304
You okay?
802
00:40:29,389 --> 00:40:31,456
I am.
803
00:40:31,539 --> 00:40:33,181
I'm good.
804
00:40:45,128 --> 00:40:46,820
So, what's going on?
805
00:40:47,981 --> 00:40:49,657
Okay, first...
806
00:40:51,318 --> 00:40:53,644
I'm not sure
I want to be a doctor.
807
00:40:53,728 --> 00:40:57,414
I went into it
for the wrong reasons.
808
00:40:58,809 --> 00:41:00,626
Why did you go into it?
809
00:41:06,000 --> 00:41:08,918
I wanted to be the person
I thought you'd love enough
810
00:41:09,003 --> 00:41:11,347
to wish you'd kept me.
811
00:41:11,431 --> 00:41:14,240
Now I realize you were a child.
812
00:41:14,324 --> 00:41:16,333
That's why you couldn't keep me.
813
00:41:16,418 --> 00:41:19,228
I know we both suffered.
814
00:41:23,016 --> 00:41:25,976
Right now
it feels like being a doctor
815
00:41:26,061 --> 00:41:27,894
won't give me what it gives you.
816
00:41:30,340 --> 00:41:33,110
The good news is, being an M.D.
817
00:41:33,193 --> 00:41:36,096
opens up a lot of opportunities.
818
00:41:36,179 --> 00:41:38,523
Yeah. I...
819
00:41:38,606 --> 00:41:41,920
got a job in
research and development
820
00:41:42,005 --> 00:41:43,708
at a bio tech start-up.
821
00:41:44,121 --> 00:41:46,030
Drug chemistry, my sweet spot.
822
00:41:46,552 --> 00:41:48,755
But I'm gonna do it,
you know, by the rules.
823
00:41:48,840 --> 00:41:52,295
Try to make a difference.
824
00:41:52,380 --> 00:41:55,306
I don't know.
We'll see what happens.
825
00:41:57,717 --> 00:41:59,726
I'm happy for you, Trevor.
826
00:42:01,722 --> 00:42:04,190
And I'm very proud.
827
00:42:05,318 --> 00:42:07,217
Yeah, since Porter,
828
00:42:07,302 --> 00:42:09,463
since giving you away, I...
829
00:42:09,637 --> 00:42:12,119
It had been inconceivable to me
830
00:42:12,204 --> 00:42:15,206
that I could ever feel maternal
towards anyone.
831
00:42:16,144 --> 00:42:18,119
I never wanted kids.
832
00:42:19,590 --> 00:42:21,233
But you forced me to meet you,
833
00:42:21,318 --> 00:42:23,896
and what had been inconceivable
happened.
834
00:42:24,326 --> 00:42:26,967
Something opened up in me.
No, these last couple
835
00:42:27,052 --> 00:42:29,920
of weeks, when I didn't know
where you were,
836
00:42:30,005 --> 00:42:32,014
what you were doing...
837
00:42:32,099 --> 00:42:34,574
I was beside myself with worry.
838
00:42:36,936 --> 00:42:39,858
Which I suspect means
I was feeling a little bit
839
00:42:39,943 --> 00:42:41,900
like a real mother.
840
00:42:48,465 --> 00:42:51,050
You are my son.
841
00:42:51,135 --> 00:42:53,927
Nothing can ever change that.
842
00:42:55,289 --> 00:42:56,891
And I love you.
843
00:42:56,974 --> 00:42:59,117
Captioning sponsored by
20th CENTURY FOX TELEVISION
844
00:42:59,202 --> 00:43:00,969
and TOYOTA.
845
00:43:01,052 --> 00:43:03,436
Captioned by
Media Access Group at WGBH
access.wgbh.org
60185
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