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I found a clinical trial.
2
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Precision-targeted immunotherapy.
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It's led by Dr. Panthaki at St. Simon's.
4
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He's highly regarded.
5
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And, unlike radiation and chemo,
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it comes with no debilitating
side effects.
7
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That sounds perfect.
8
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It's exactly what he wanted.
9
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All right. Dr. Sharpe gets it done.
10
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Which is the difference
between me and this trial.
11
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Because precision therapy might not work.
12
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Your objection is noted. Again.
13
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Yes, radiation chemotherapy
is challenging,
14
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- but it's...
- It's brutal.
15
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It's... It's hitting yourself with
a brick over and over again
16
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and hoping the cancer dies first.
17
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That's the point.
18
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The cancer dies.
19
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Radiation and chemotherapy work.
20
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Precision therapy is like
gambling your life
21
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on a lottery ticket.
22
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People said the same thing
about bone marrow transplants.
23
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They also say it about lottery tickets.
24
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Enough.
25
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Is this what you really want?
26
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She's right.
27
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Chemo and radiation, they work.
28
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They do the job.
29
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But... they'll break me.
30
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No matter how strong I am.
31
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I'll lose my hearing.
32
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My sight.
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I'll lose my mind.
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They don't always come back.
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And I have so many things...
36
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that I need to do.
37
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So let's get in the trial.
38
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So let's get in the trial.
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Synced & corrected by -robtor-
www.addic7ed.com
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Uh, so?
41
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What? Oh, sorry, I didn't see you there.
42
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You know what, an email
would have covered it,
43
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maybe even a text.
44
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But now we're here in person
45
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you should definitely be groveling.
46
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Evie and I were up all night.
47
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You stallion.
48
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Fighting.
49
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Look, I'm not trying to be a jerk here,
50
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but telling Evie that we used to...
51
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- I know.
- It wasn't cool.
52
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I said I know.
53
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What you should be saying
is, "I am sorry."
54
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I am. I'm sorry.
55
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You don't sound sorry.
56
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Look, can we just not
have this be a thing, okay?
57
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You know what, you're the one who said
58
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that we can be friends.
59
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This doesn't feel like friends.
60
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Early morning rush started early.
61
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You got some nerve.
62
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It's French vanilla.
63
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Like hell it is.
64
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Eh, maybe hazelnut?
65
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You're mothering me or babying me.
66
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Whichever one it is, stop it.
67
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Are you okay?
68
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You're doing it again.
69
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What do we got?
70
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This is LaDavius Powell.
71
00:02:54,804 --> 00:02:56,615
45-year-old man with new onset
72
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right-side abdominal pain.
73
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No meds, no past medical history,
74
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allergic to Cephilicam.
75
00:03:01,977 --> 00:03:03,655
- Cephilicam?
- Fancy penicillin.
76
00:03:03,679 --> 00:03:05,657
- Bay 23, step lively.
- Cephilicam.
77
00:03:05,681 --> 00:03:07,042
Sarah Madsen.
78
00:03:07,066 --> 00:03:08,993
36-year-old woman found
down on the sidewalk.
79
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Unresponsive, hypotensive.
80
00:03:10,569 --> 00:03:12,631
BP 90 over palp, heart rate 120.
81
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Said New Amsterdam was her hospital.
82
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Okay, looks like previous heart surgery.
83
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Find her medical records.
84
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Drew this in the field.
85
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Why is the blood so diluted?
86
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No idea. No sign of bleeding.
87
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The blood's gotta be going somewhere.
88
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Page Dr. Sharpe.
89
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We gotta get on this
or she's not gonna make it.
90
00:03:24,496 --> 00:03:26,111
Maximus, today is one of those days
91
00:03:26,135 --> 00:03:27,896
that makes it all worth it, you know?
92
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It's one of those days
you jump out of bed excited
93
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because you just know...
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It's gonna be one of those days.
95
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Yes! Yes, in a big, big way.
96
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Are you feeling it too?
97
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I am feeling it. I got a
meeting with the nurses' union
98
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about insurance and birth control.
99
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Eh, so not so much.
100
00:03:39,352 --> 00:03:40,771
Nah, it'll be good. What do you got?
101
00:03:40,795 --> 00:03:42,577
Me, I have a transitioning teen
102
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coming in with his parents.
103
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And you know, society is not kind
104
00:03:45,387 --> 00:03:46,865
to trans teens.
105
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Bullying, cultural stigma, hate crimes,
106
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which all leads to depression,
107
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which way too often leads to suicide...
108
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Sorry, this is your happy day?
109
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No, no, my happy day is what happens
110
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when these kids get to feel heard.
111
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Today I get to help somebody
find out who they are.
112
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I get to help somebody find their voice.
113
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- Happy day indeed.
- Indeed.
114
00:04:02,451 --> 00:04:05,013
Yeah, so I'm good
with the whole voice thing,
115
00:04:05,037 --> 00:04:06,764
like, got it, found it.
116
00:04:06,788 --> 00:04:08,099
Fine with it. I've got...
117
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other issues here.
118
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Oh.
119
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Okay.
120
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Uh, what are they?
121
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Exhibit those.
122
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Parents.
123
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All right.
124
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Jillian, Grant?
125
00:04:22,053 --> 00:04:24,020
Care to elaborate?
126
00:04:25,557 --> 00:04:28,870
Well, Dr. Frome, Shay says he's ready
127
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for top surgery.
128
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- But we...
- But they won't let me get it.
129
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I mean, how's that for withholding?
130
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- Shay, that's not fair.
- We have concerns.
131
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See, Doc?
132
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Issues.
133
00:04:39,121 --> 00:04:40,882
I mean...
134
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help me out here.
135
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We could do a sit-in. At shift change.
136
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- Bigger.
- Picket HCC's office.
137
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Bigger.
138
00:04:53,468 --> 00:04:54,753
You want to keep
your birth control coverage?
139
00:04:54,777 --> 00:04:55,922
Then kick 'em where it hurts.
140
00:04:55,946 --> 00:04:57,039
Excuse me, Max,
141
00:04:57,063 --> 00:04:58,132
- can I have a word please?
- All right.
142
00:04:58,156 --> 00:04:59,183
Keep thinking.
143
00:04:59,207 --> 00:05:01,953
Kick some ass for the working class!
144
00:05:01,977 --> 00:05:04,572
Did you hear from Dr. Panthaki?
145
00:05:04,596 --> 00:05:06,157
No, this isn't about the trial.
146
00:05:06,181 --> 00:05:09,527
Dr. Bloom asked me to consult
on a hematology patient.
147
00:05:09,551 --> 00:05:11,663
Turns out that she was
a heart transplant recipient
148
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here, 27 years ago.
149
00:05:13,605 --> 00:05:14,923
And?
150
00:05:15,890 --> 00:05:18,586
Her file says that she received her heart
151
00:05:18,610 --> 00:05:20,345
from a "Luna Goodwin."
152
00:05:22,259 --> 00:05:23,890
Your sister.
153
00:05:27,865 --> 00:05:29,298
She's fading fast.
154
00:05:29,299 --> 00:05:31,840
We've already infused two units
of packed red cells
155
00:05:31,865 --> 00:05:33,808
with a pressure bag
but she's still net negative.
156
00:05:33,833 --> 00:05:35,393
I would give her a plasma expander,
157
00:05:35,418 --> 00:05:37,177
but her hematocrit's
already in the toilet.
158
00:05:37,202 --> 00:05:38,876
I mean, that's just gonna
make it crash even more.
159
00:05:38,988 --> 00:05:40,799
The usual production-
destruction algorithm
160
00:05:40,824 --> 00:05:42,151
doesn't seem to apply to her.
161
00:05:42,176 --> 00:05:44,154
Let's order up two more units
from the blood bank
162
00:05:44,178 --> 00:05:45,656
and let's get a second
large bore IV line.
163
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Give me a little Trendelenburg.
164
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How can I help?
165
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That's where all the blood is going.
166
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Sarah's right thigh.
167
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Why is she bleeding in the first place?
168
00:05:52,403 --> 00:05:53,414
There's no localized source.
169
00:05:53,438 --> 00:05:54,415
No cuts, lacerations,
170
00:05:54,439 --> 00:05:55,858
blown arterial aneurysm?
171
00:05:55,882 --> 00:05:58,356
No, every organ just
seems to be oozing blood.
172
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Elevated PTT?
173
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It's barely out of the normal range.
174
00:06:00,716 --> 00:06:02,271
Yeah, but put that together
with why she's bleeding so much.
175
00:06:02,295 --> 00:06:03,947
Um, acquired hemophilia?
176
00:06:03,972 --> 00:06:05,093
Her clotting factor eight isn't working.
177
00:06:05,117 --> 00:06:06,030
That's why she's bleeding.
178
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Rare, but it would explain it.
179
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That's good.
180
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I'm really thirsty.
181
00:06:09,562 --> 00:06:10,973
Uh, uh, uh...
182
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She's thirsty. Can we
get her some water, nurse?
183
00:06:12,398 --> 00:06:13,592
Uh, let's hold off on that.
184
00:06:13,616 --> 00:06:14,710
Uh, Ms. Madsen, I...
185
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I had a heart transplant.
186
00:06:16,569 --> 00:06:17,847
At my last check-up my doctor said
187
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that my cyclosporin levels were low
188
00:06:19,572 --> 00:06:21,166
and I've been worried that
my body's rejecting my heart.
189
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Could that be causing this?
190
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That wouldn't explain the bleeding.
191
00:06:23,743 --> 00:06:24,854
But it might explain why the bleeding's
192
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been making you so sick.
193
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How sick am I?
194
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I'm afraid acquired
hemophilia is quite serious.
195
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But we're gonna fix it, okay?
196
00:06:30,967 --> 00:06:32,995
Uh, nurses are gonna
take you up to ICU right now.
197
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We're gonna start treatment
and you're gonna do great.
198
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Thank you.
199
00:06:36,806 --> 00:06:38,256
Are you okay?
200
00:06:39,258 --> 00:06:40,786
Uh, once the bleeding is stabilized
201
00:06:40,810 --> 00:06:42,404
get me a transvenous heart biopsy.
202
00:06:42,428 --> 00:06:44,373
Tell me everything you can
about that heart.
203
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Max.
204
00:06:51,871 --> 00:06:54,249
You type so fast!
205
00:06:54,273 --> 00:06:57,052
Like Matthew Broderick in "WarGames."
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No idea who or what that is.
207
00:07:00,830 --> 00:07:02,656
Boom. Now you're on Twitter.
208
00:07:03,449 --> 00:07:05,408
See? That's me right there.
209
00:07:06,770 --> 00:07:09,199
@ShayMyName2018?
210
00:07:09,223 --> 00:07:10,784
Yeah. Silly name, I know.
211
00:07:10,808 --> 00:07:13,486
You have 27,000 followers?
212
00:07:13,510 --> 00:07:15,371
Yeah. Crazy, right?
213
00:07:15,395 --> 00:07:16,706
They've been following me
since the beginning
214
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of my transition.
215
00:07:17,981 --> 00:07:19,626
It's a... it's a real community.
216
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They support me.
217
00:07:20,818 --> 00:07:22,429
- Keep me real.
- I had no idea.
218
00:07:22,453 --> 00:07:24,664
Yeah, they can't wait for me
to get top surgery.
219
00:07:24,688 --> 00:07:26,433
Now we're just waiting for Dr. Frome
220
00:07:26,457 --> 00:07:29,157
to, you know, do his thing.
221
00:07:30,694 --> 00:07:31,971
You don't understand.
222
00:07:31,995 --> 00:07:33,473
We love Shay.
223
00:07:33,497 --> 00:07:34,808
We have been supportive of his transition
224
00:07:34,832 --> 00:07:36,242
from the beginning.
225
00:07:36,266 --> 00:07:37,844
The new haircut, the new clothes.
226
00:07:37,868 --> 00:07:39,612
Even the hormone blockers.
227
00:07:39,636 --> 00:07:41,448
We never pushed back, not once.
228
00:07:41,472 --> 00:07:43,850
But surgery? It's so permanent.
229
00:07:43,874 --> 00:07:45,485
Well, you know, um...
230
00:07:45,509 --> 00:07:47,687
Top surgery is the most common
231
00:07:47,711 --> 00:07:50,457
gender-confirmation surgery
for trans men.
232
00:07:50,481 --> 00:07:52,859
Having a body that doesn't
reflect your gender...
233
00:07:52,883 --> 00:07:54,694
That can be deeply unsettling.
234
00:07:54,718 --> 00:07:56,362
Of course. We know.
235
00:07:56,386 --> 00:07:58,998
- It's just...
- Okay, I'm just gonna say it.
236
00:07:59,022 --> 00:08:01,701
He's not even old enough to drive a car.
237
00:08:01,725 --> 00:08:04,587
He's not old enough to get
into R-rated movies,
238
00:08:04,611 --> 00:08:06,706
and he's not old enough
to decide on his own
239
00:08:06,730 --> 00:08:08,975
to get permanent surgery.
240
00:08:08,999 --> 00:08:10,009
It's okay, it's okay.
241
00:08:10,033 --> 00:08:11,344
This is exactly where we can
242
00:08:11,368 --> 00:08:12,512
talk about all of this.
243
00:08:12,536 --> 00:08:13,596
So why don't you guys tell me
244
00:08:13,620 --> 00:08:14,597
a little bit about Shay
245
00:08:14,621 --> 00:08:16,438
before he came out?
246
00:08:17,841 --> 00:08:19,352
It was hard.
247
00:08:19,376 --> 00:08:21,938
He was anxious all the time.
248
00:08:21,962 --> 00:08:23,890
Sometimes he had trouble
getting out of bed.
249
00:08:23,914 --> 00:08:26,948
What about after he started
to socially transition?
250
00:08:27,518 --> 00:08:29,145
He started smiling.
251
00:08:29,169 --> 00:08:30,827
Making friends.
252
00:08:31,355 --> 00:08:32,866
And when he started the hormone blockers
253
00:08:32,890 --> 00:08:34,868
he said he felt like himself
for the first time.
254
00:08:34,892 --> 00:08:36,558
Yeah.
255
00:08:39,479 --> 00:08:42,756
My baby was 14 and he had
never felt like himself.
256
00:08:43,600 --> 00:08:46,676
And we're grateful he does.
257
00:08:47,538 --> 00:08:49,465
But when we said no to surgery,
258
00:08:49,489 --> 00:08:50,583
you know what he did?
259
00:08:50,607 --> 00:08:52,802
He threw a GoFundMe on Twitter
260
00:08:52,826 --> 00:08:54,804
to ask his followers to pay for it.
261
00:08:54,828 --> 00:08:55,889
And they did.
262
00:08:55,913 --> 00:08:57,590
We're proud that he is a voice
263
00:08:57,614 --> 00:08:59,976
for a community.
264
00:09:00,000 --> 00:09:02,061
But he's just a kid.
265
00:09:02,085 --> 00:09:03,863
Our kid.
266
00:09:03,887 --> 00:09:05,899
Please tell him he can't do this.
267
00:09:05,923 --> 00:09:09,115
All right, I-I understand
that you are overwhelmed.
268
00:09:09,726 --> 00:09:13,323
But the positive changes
in Shay since transitioning
269
00:09:13,347 --> 00:09:15,274
are undeniable.
270
00:09:15,298 --> 00:09:17,493
And emotionally?
271
00:09:17,517 --> 00:09:20,035
I gotta say, I think the
emotions that matter most here
272
00:09:20,059 --> 00:09:22,582
are his. So...
273
00:09:22,606 --> 00:09:25,084
I am going to approve
a medical evaluation
274
00:09:25,108 --> 00:09:26,441
for surgery.
275
00:09:28,000 --> 00:09:34,074
Advertise your product or brand here
contact www.OpenSubtitles.org today
276
00:09:36,503 --> 00:09:38,631
My son has been sober for a year.
277
00:09:38,655 --> 00:09:40,633
Oh, that's terrific.
278
00:09:40,657 --> 00:09:42,602
He has shown great strength.
279
00:09:42,626 --> 00:09:44,804
More than I knew he had.
280
00:09:44,828 --> 00:09:46,522
I should have had more faith.
281
00:09:46,546 --> 00:09:47,574
It's never too late.
282
00:09:47,598 --> 00:09:48,575
Peanuts?
283
00:09:48,599 --> 00:09:49,943
Barbecue or Tangy Fiesta?
284
00:09:49,967 --> 00:09:51,491
Tangy Fiesta.
285
00:09:52,669 --> 00:09:55,081
I would like to give Rohan a gift.
286
00:09:55,105 --> 00:09:57,116
- Show my support.
- Yeah.
287
00:09:57,140 --> 00:09:58,952
But recently my gifts have been
288
00:09:58,976 --> 00:10:00,486
completely misunderstood.
289
00:10:00,510 --> 00:10:01,788
I hear that.
290
00:10:01,812 --> 00:10:03,923
And families see agendas in everything.
291
00:10:03,947 --> 00:10:05,491
What you thinking?
292
00:10:05,515 --> 00:10:07,377
An apartment.
293
00:10:07,401 --> 00:10:09,762
Just a small one. Nothing too fancy.
294
00:10:09,786 --> 00:10:11,998
Yeah, you wouldn't want to
spoil him with a fancy one.
295
00:10:13,523 --> 00:10:15,718
I have been a doctor
for the last 40 years.
296
00:10:15,742 --> 00:10:18,143
I've had more money
than I know what to do with.
297
00:10:19,863 --> 00:10:21,557
It's a beautiful idea.
298
00:10:21,581 --> 00:10:23,443
Use your money to help
someone you care about.
299
00:10:23,467 --> 00:10:25,567
What else is it for, right?
300
00:10:36,430 --> 00:10:37,407
Hey.
301
00:10:37,431 --> 00:10:39,525
Hey. Thanks for coming.
302
00:10:39,549 --> 00:10:40,994
- Is that her?
- Mm-hmm.
303
00:10:41,018 --> 00:10:42,495
She had the transplant here.
304
00:10:42,519 --> 00:10:44,864
She's been coming back ever since.
305
00:10:46,156 --> 00:10:47,964
I didn't even know...
306
00:10:48,492 --> 00:10:50,086
Luna was an organ donor.
307
00:10:50,110 --> 00:10:52,038
It probably wasn't the easiest thing
308
00:10:52,062 --> 00:10:54,053
for your parents to talk about.
309
00:10:55,499 --> 00:10:57,849
My parents didn't even
take me to the funeral.
310
00:10:59,569 --> 00:11:02,098
They just kinda shut the door.
311
00:11:06,209 --> 00:11:07,567
Hey.
312
00:11:08,545 --> 00:11:10,723
Have you told her who you are?
313
00:11:10,747 --> 00:11:12,725
No, she has enough on her mind.
314
00:11:12,749 --> 00:11:14,727
It's not about me.
315
00:11:14,751 --> 00:11:16,367
Isn't it?
316
00:11:17,587 --> 00:11:19,204
Luna's heart...
317
00:11:20,140 --> 00:11:22,001
is beating.
318
00:11:22,025 --> 00:11:23,836
Right over there.
319
00:11:23,860 --> 00:11:25,621
And the amazing thing is,
320
00:11:25,645 --> 00:11:27,712
she gets another chance.
321
00:11:29,032 --> 00:11:30,626
30 years ago, the doctors here
322
00:11:30,650 --> 00:11:33,051
let Luna's heart stop.
323
00:11:34,771 --> 00:11:36,804
Not this time.
324
00:11:45,549 --> 00:11:47,523
Hey. Uh, Evie.
325
00:11:48,118 --> 00:11:50,096
Sorry to bother you.
326
00:11:50,120 --> 00:11:53,432
Slogging through the...
327
00:11:53,456 --> 00:11:55,151
madness of malpractice claims.
328
00:11:55,175 --> 00:11:57,603
Oh. Not my department, I hope.
329
00:11:57,627 --> 00:11:59,427
I always hide the bodies when I'm done.
330
00:12:01,565 --> 00:12:04,332
I... that was not even
a little bit funny.
331
00:12:04,935 --> 00:12:07,947
Okay, uh, listen.
332
00:12:07,971 --> 00:12:10,166
The other day when I mentioned that
333
00:12:10,190 --> 00:12:11,918
Reynolds and I, we...
334
00:12:11,942 --> 00:12:13,720
we kinda had this, uh,
335
00:12:13,744 --> 00:12:15,260
fling?
336
00:12:16,146 --> 00:12:17,924
That was, uh, that was bad form.
337
00:12:17,948 --> 00:12:19,125
To bring that up.
338
00:12:19,149 --> 00:12:21,127
I mean, I totally betrayed the...
339
00:12:21,151 --> 00:12:22,962
sisterhood of...
340
00:12:22,986 --> 00:12:24,230
sisters.
341
00:12:24,254 --> 00:12:26,099
Or whatever.
342
00:12:26,123 --> 00:12:28,634
I think you and Reynolds
are perfect for each other.
343
00:12:28,658 --> 00:12:31,020
I mean that's... that's why I
introduced the two of you, so.
344
00:12:31,044 --> 00:12:32,071
Let me bail you out here.
345
00:12:32,095 --> 00:12:33,606
Oh, great, please hurry.
346
00:12:33,630 --> 00:12:35,942
I know Floyd had a life before me.
347
00:12:35,966 --> 00:12:37,276
I'm glad he did.
348
00:12:37,300 --> 00:12:39,645
I just need to know if you two are over.
349
00:12:39,669 --> 00:12:41,480
Oh. Oh, we're over.
350
00:12:41,504 --> 00:12:43,783
We are the very definition of over.
351
00:12:43,807 --> 00:12:45,752
I like Floyd.
352
00:12:45,776 --> 00:12:48,251
But I've made bad bets before.
353
00:12:48,779 --> 00:12:51,090
So if you really are
a card-carrying member
354
00:12:51,114 --> 00:12:53,214
of the sisterhood of sisters,
355
00:12:53,817 --> 00:12:56,050
you won't let me do it again.
356
00:12:56,787 --> 00:12:59,637
Because I do not have time.
357
00:13:00,663 --> 00:13:03,516
So are you and Floyd done?
358
00:13:04,661 --> 00:13:06,172
Evie.
359
00:13:06,196 --> 00:13:08,641
It is not something
that you have to worry about.
360
00:13:08,665 --> 00:13:10,009
Okay?
361
00:13:10,033 --> 00:13:11,607
Then I won't.
362
00:13:13,003 --> 00:13:14,527
Okay.
363
00:13:31,271 --> 00:13:33,199
That looks fun.
364
00:13:33,223 --> 00:13:35,201
This, uh, infusion
365
00:13:35,225 --> 00:13:37,837
replaces the clotting factor
that your body is destroying.
366
00:13:37,861 --> 00:13:40,089
So you can just replace it?
It's that simple?
367
00:13:40,113 --> 00:13:42,875
Unfortunately, it's not simple at all.
368
00:13:42,899 --> 00:13:44,343
Uh, but it's very doable.
369
00:13:44,367 --> 00:13:47,680
It's been done successfully many times.
370
00:13:47,704 --> 00:13:49,348
We need to infuse the factor
371
00:13:49,372 --> 00:13:51,050
at the exact same rate that
your body is destroying it,
372
00:13:51,074 --> 00:13:53,102
which is an incredibly
difficult rate to find.
373
00:13:53,126 --> 00:13:55,938
But again, doable.
374
00:13:55,962 --> 00:13:58,658
Too much factor and your blood will clot.
375
00:13:58,682 --> 00:13:59,892
You could suffer a stroke.
376
00:13:59,916 --> 00:14:01,360
Or a heart attack.
377
00:14:01,384 --> 00:14:03,229
Too little and you could
start to bleed again.
378
00:14:03,253 --> 00:14:04,897
Which we won't let happen.
379
00:14:04,921 --> 00:14:07,333
I'll be doing a blood test
called the PTT.
380
00:14:07,357 --> 00:14:09,235
I'll be drawing it from the central line
381
00:14:09,259 --> 00:14:10,837
every 20 minutes, and then based on
382
00:14:10,861 --> 00:14:13,339
the results, I will adjust
the rate of infusion.
383
00:14:13,363 --> 00:14:14,874
Will that take a long time?
384
00:14:14,898 --> 00:14:16,923
- Yes, it will.
- Uh, hopefully not.
385
00:14:18,935 --> 00:14:22,081
It's not something that
we can definitively know.
386
00:14:22,105 --> 00:14:24,967
Yeah, but however long it may take,
387
00:14:24,991 --> 00:14:27,353
I will be here by your side
388
00:14:27,377 --> 00:14:29,188
night and day
389
00:14:29,212 --> 00:14:30,923
till we get it right.
390
00:14:30,947 --> 00:14:32,308
Why me?
391
00:14:32,332 --> 00:14:33,759
Excuse me?
392
00:14:33,783 --> 00:14:36,028
Well, um, you're the Medical Director
393
00:14:36,052 --> 00:14:37,897
of the entire hospital.
394
00:14:37,921 --> 00:14:41,150
You're dropping everything
for me, Dr., um...
395
00:14:41,174 --> 00:14:43,741
Uh, Goodwin. Max.
396
00:14:44,678 --> 00:14:46,202
Um...
397
00:14:46,963 --> 00:14:48,941
Just an interesting case.
398
00:14:48,965 --> 00:14:50,376
Dr. Goodwin, Dr. Sharpe.
399
00:14:50,400 --> 00:14:51,878
Could I have a minute?
400
00:14:51,902 --> 00:14:53,334
Excuse us.
401
00:14:57,974 --> 00:14:59,952
I, uh, I got the results
402
00:14:59,976 --> 00:15:01,787
from Sarah's heart biopsy.
403
00:15:01,811 --> 00:15:03,622
The heart muscle showed both fibrosis
404
00:15:03,646 --> 00:15:05,675
and T-lymphocyte infiltration.
405
00:15:05,699 --> 00:15:07,176
It's Grade 4.
406
00:15:07,200 --> 00:15:08,484
Well, it doesn't get much worse.
407
00:15:08,508 --> 00:15:10,598
Okay, so we up the cyclosporin dose.
408
00:15:10,622 --> 00:15:11,898
- Why would we...
- If we up the dose
409
00:15:11,922 --> 00:15:13,132
and we add pulse steroids.
410
00:15:13,156 --> 00:15:14,233
And we look for an anti T-cell agent...
411
00:15:14,257 --> 00:15:15,768
That's out of the question.
412
00:15:15,792 --> 00:15:17,353
Look, the stress from Sarah's hemophilia
413
00:15:17,377 --> 00:15:18,354
has ravaged her heart.
414
00:15:18,378 --> 00:15:19,772
So un-ravage it.
415
00:15:19,796 --> 00:15:21,107
I gave you a whole cardio department.
416
00:15:21,131 --> 00:15:22,358
Use it, because we sure as hell
417
00:15:22,382 --> 00:15:23,716
aren't going to just sit here...
418
00:15:23,740 --> 00:15:25,408
- Max.
- What?
419
00:15:26,469 --> 00:15:29,745
Luna's heart is dying.
420
00:15:31,441 --> 00:15:32,957
It's gone.
421
00:15:34,477 --> 00:15:36,544
That's my sister's heart.
422
00:15:38,181 --> 00:15:39,922
We have to save it.
423
00:15:40,400 --> 00:15:42,044
No.
424
00:15:42,068 --> 00:15:44,760
We have to save Sarah.
425
00:15:45,455 --> 00:15:46,766
And the only thing that's gonna do that
426
00:15:46,790 --> 00:15:47,767
is a new heart.
427
00:15:47,791 --> 00:15:49,101
Because the old one
428
00:15:49,125 --> 00:15:50,537
is out of time.
429
00:15:57,848 --> 00:16:00,719
The waiting list for
heart transplants isn't short,
430
00:16:00,744 --> 00:16:02,486
but the good news is you're at the top.
431
00:16:02,770 --> 00:16:05,125
And priority goes
to the most severe cases
432
00:16:05,149 --> 00:16:07,031
that can withstand a transplant.
433
00:16:07,055 --> 00:16:10,304
Wow. That's, uh, great. Also...
434
00:16:11,127 --> 00:16:12,471
totally terrifying.
435
00:16:12,495 --> 00:16:14,406
Right. So, uh...
436
00:16:14,430 --> 00:16:15,507
OTF gets us a heart.
437
00:16:15,531 --> 00:16:17,509
We fix the hemophilia, and...
438
00:16:17,533 --> 00:16:18,777
you walk out of here.
439
00:16:18,801 --> 00:16:20,746
- That's the plan.
- I like the plan.
440
00:16:20,770 --> 00:16:22,347
Me too, so...
441
00:16:22,371 --> 00:16:23,515
Hang in there.
442
00:16:23,539 --> 00:16:25,016
Question.
443
00:16:25,040 --> 00:16:27,452
Sorry, this is kind of weird.
444
00:16:27,476 --> 00:16:31,307
No. I'm your doctor,
you can ask me anything.
445
00:16:32,315 --> 00:16:34,021
Did you have a sister?
446
00:16:39,388 --> 00:16:41,192
You're Luna's brother.
447
00:16:42,858 --> 00:16:44,369
How did you know?
448
00:16:44,393 --> 00:16:46,588
Your sister gave me her heart.
449
00:16:46,612 --> 00:16:50,259
My... folks told me all about her.
450
00:16:50,283 --> 00:16:51,543
Her family.
451
00:16:51,567 --> 00:16:53,262
When you said your name, I...
452
00:16:53,286 --> 00:16:56,715
It didn't seem, uh, fair to...
453
00:16:56,739 --> 00:16:59,217
say anything. You need to focus on you.
454
00:16:59,241 --> 00:17:01,879
And, uh, really, we are strangers.
455
00:17:02,345 --> 00:17:04,389
I mean, we've never even met before.
456
00:17:04,413 --> 00:17:06,384
Yeah, we did.
457
00:17:06,749 --> 00:17:08,594
You don't remember?
458
00:17:09,418 --> 00:17:11,697
Sorry, no. Where did we meet?
459
00:17:11,721 --> 00:17:14,100
We met in Cold Spring.
460
00:17:15,184 --> 00:17:16,644
Oh.
461
00:17:17,193 --> 00:17:18,837
Wow, I haven't thought about
462
00:17:18,861 --> 00:17:22,541
Cold Spring in... years.
463
00:17:22,565 --> 00:17:23,575
We used to go there on the weekends.
464
00:17:23,599 --> 00:17:24,576
There was this dock.
465
00:17:24,600 --> 00:17:25,794
My sister and I would jump off
466
00:17:25,818 --> 00:17:27,212
and we thought we were...
467
00:17:27,236 --> 00:17:28,797
You know,
468
00:17:28,821 --> 00:17:30,582
cliff divers. We loved it.
469
00:17:30,606 --> 00:17:32,467
Yeah, I know.
470
00:17:32,491 --> 00:17:34,419
That's, uh...
471
00:17:34,443 --> 00:17:36,221
that's where I saw you.
472
00:17:36,245 --> 00:17:38,724
At Luna's funeral.
473
00:17:38,748 --> 00:17:40,309
No, I...
474
00:17:40,333 --> 00:17:42,211
I didn't go to the funeral.
475
00:17:44,170 --> 00:17:46,215
You... you did.
476
00:17:47,256 --> 00:17:50,803
It was in Cold Spring
a week after the transplant.
477
00:17:52,261 --> 00:17:56,708
After the funeral I, uh,
I saw you on that dock.
478
00:17:57,101 --> 00:17:59,110
Skipping stones.
479
00:17:59,134 --> 00:18:01,496
Well, you were trying to skip stones.
480
00:18:01,520 --> 00:18:03,215
You were...
481
00:18:03,239 --> 00:18:05,860
You were really bad at it.
482
00:18:06,809 --> 00:18:11,240
So I went up and I asked you
how the stones were going.
483
00:18:12,531 --> 00:18:15,870
You said... I'll never forget.
484
00:18:17,203 --> 00:18:19,297
Your sister promised to teach you.
485
00:18:19,321 --> 00:18:21,417
The next time you came.
486
00:18:22,758 --> 00:18:24,962
It was the first time it hit me.
487
00:18:25,628 --> 00:18:28,674
I was only here
'cause another girl wasn't.
488
00:18:31,033 --> 00:18:33,137
So I showed you.
489
00:18:35,771 --> 00:18:38,483
You taught me how to skip stones.
490
00:18:38,507 --> 00:18:40,102
Yeah.
491
00:18:41,560 --> 00:18:43,205
I got Mad Libs.
492
00:18:43,229 --> 00:18:46,484
I just... I couldn't believe
they still publish these.
493
00:18:50,352 --> 00:18:52,114
See anything you like?
494
00:18:54,206 --> 00:18:55,801
My patient needs a study
495
00:18:55,825 --> 00:18:57,436
that's going to deliver results.
496
00:18:57,460 --> 00:18:59,838
I'm more intrigued by what I don't see.
497
00:18:59,862 --> 00:19:01,556
Definitive conclusions.
498
00:19:01,580 --> 00:19:02,941
Well, my sample size isn't large enough
499
00:19:02,965 --> 00:19:04,393
for that kind of certainty, but
500
00:19:04,417 --> 00:19:05,844
I like where we're heading.
501
00:19:05,868 --> 00:19:07,612
Strong words
502
00:19:07,636 --> 00:19:10,399
from someone failing
more than he succeeds.
503
00:19:10,423 --> 00:19:11,516
It's cancer.
504
00:19:11,540 --> 00:19:13,618
I'll take any wins I can get.
505
00:19:13,642 --> 00:19:16,288
And each success gets me
a little closer to a cure.
506
00:19:16,312 --> 00:19:17,689
Well, you know what they say.
507
00:19:17,713 --> 00:19:20,358
Close only counts in horseshoes
and hand grenades.
508
00:19:20,382 --> 00:19:22,228
And a couple other things.
509
00:19:23,719 --> 00:19:26,415
You must know your reputation
precedes you.
510
00:19:26,439 --> 00:19:28,500
My reputation for exceptional results?
511
00:19:28,524 --> 00:19:30,635
Your reputation for exceptional charisma
512
00:19:30,659 --> 00:19:33,906
and aptitude for salesmanship.
And I am immune.
513
00:19:34,663 --> 00:19:36,808
Because I have the same reputation.
514
00:19:36,832 --> 00:19:40,204
I'm only paying attention to the numbers.
515
00:19:40,913 --> 00:19:43,265
You got your file upside down.
516
00:19:43,289 --> 00:19:44,708
Made you look.
517
00:19:50,763 --> 00:19:53,024
What would you say to somebody who says
518
00:19:53,048 --> 00:19:55,994
you sell quixotic hope in lieu
of medical certainty?
519
00:19:56,018 --> 00:19:58,280
I'd say that someone is right.
520
00:19:58,304 --> 00:20:00,699
Clinical trials are riskier than chemo.
521
00:20:00,723 --> 00:20:02,378
They're also the only way
to find a treatment
522
00:20:02,402 --> 00:20:03,902
better than chemo.
523
00:20:03,926 --> 00:20:05,454
Yeah, they're quixotic, and yeah,
524
00:20:05,478 --> 00:20:06,905
most of the time it doesn't work.
525
00:20:06,929 --> 00:20:08,373
But when it does,
526
00:20:08,397 --> 00:20:10,241
it's gonna change the world.
527
00:20:10,265 --> 00:20:11,743
But it may never work.
528
00:20:11,767 --> 00:20:14,296
Even Don Quixote
hit a couple of windmills.
529
00:20:14,320 --> 00:20:17,632
He lunged at one and then
promptly fell off his horse.
530
00:20:17,656 --> 00:20:20,908
How soon will you know
if my patient's eligible?
531
00:20:23,445 --> 00:20:24,973
Max Goodwin.
532
00:20:24,997 --> 00:20:26,641
You're treating your boss.
533
00:20:26,665 --> 00:20:28,026
No, I'm treating my patient,
534
00:20:28,050 --> 00:20:30,595
who also happens to be my friend.
535
00:20:30,619 --> 00:20:31,863
I have to warn you,
I don't accept patients
536
00:20:31,887 --> 00:20:33,532
based on prominence.
537
00:20:33,556 --> 00:20:35,370
The integrity of the study
is too important.
538
00:20:35,394 --> 00:20:36,568
Of course.
539
00:20:36,592 --> 00:20:39,555
And at first glance,
this is not a great fit.
540
00:20:40,429 --> 00:20:41,990
That's not a "no."
541
00:20:42,014 --> 00:20:44,943
Give me a beat, let me get into it.
I'll get back to you.
542
00:20:44,967 --> 00:20:47,412
Thank you for your honesty.
543
00:20:47,436 --> 00:20:49,047
And you for yours.
544
00:20:49,071 --> 00:20:51,150
Even though you were a little bit mean.
545
00:20:54,944 --> 00:20:56,838
Okay. This...
546
00:20:56,862 --> 00:20:58,390
is you.
547
00:20:58,414 --> 00:20:59,958
Do you mind if I Insta this?
548
00:20:59,982 --> 00:21:01,009
Eh.
549
00:21:01,033 --> 00:21:02,511
Ah, what the heck. Yeah.
550
00:21:02,535 --> 00:21:04,429
Just, uh, no video, okay?
551
00:21:04,453 --> 00:21:05,797
All right, so.
552
00:21:05,821 --> 00:21:08,016
Do you see the dark spots
here on the ends?
553
00:21:08,040 --> 00:21:10,635
Those are your epiphyseal plates.
554
00:21:10,659 --> 00:21:12,971
That's the stuff inside your
bones that does all the growing.
555
00:21:12,995 --> 00:21:14,606
Now, looking at this,
556
00:21:14,630 --> 00:21:16,975
we can estimate more or less
how much more growing
557
00:21:16,999 --> 00:21:18,977
you are going to do.
558
00:21:19,001 --> 00:21:21,913
So how tall am I gonna be?
559
00:21:21,937 --> 00:21:25,417
I'm pleased to report, tall.
560
00:21:25,441 --> 00:21:26,868
Not, uh, NBA tall.
561
00:21:26,892 --> 00:21:29,371
But, you know, top shelf tall.
562
00:21:29,395 --> 00:21:31,656
#Topshelftall...
563
00:21:31,680 --> 00:21:33,124
Yes, you are in very good health, Shay.
564
00:21:33,148 --> 00:21:34,759
All the doctors here agree
565
00:21:34,783 --> 00:21:36,761
that you will be a prime
candidate for top surgery
566
00:21:36,785 --> 00:21:38,364
in about a year.
567
00:21:39,021 --> 00:21:40,432
A year?
568
00:21:40,456 --> 00:21:42,934
Yeah. I mean, I know you were
hoping for something a little sooner,
569
00:21:42,958 --> 00:21:45,503
but, uh, we have to take
medical into consideration.
570
00:21:45,527 --> 00:21:47,889
It's surgery.
571
00:21:47,913 --> 00:21:50,775
Now you sound just like my parents.
572
00:21:50,799 --> 00:21:52,444
Listen, you've only been
on hormone blockers
573
00:21:52,468 --> 00:21:53,845
for about six months.
574
00:21:53,869 --> 00:21:56,448
We need to see how it affects
your breast tissue
575
00:21:56,472 --> 00:21:59,951
before we can decide what
surgery will be right for you.
576
00:21:59,975 --> 00:22:02,854
So a cisgender doctor gets to tell me
577
00:22:02,878 --> 00:22:05,740
what's right for me.
578
00:22:05,764 --> 00:22:08,460
Okay. Got it.
579
00:22:08,484 --> 00:22:09,828
Got it.
580
00:22:09,852 --> 00:22:11,463
All right.
581
00:22:11,487 --> 00:22:14,132
I hear that you're upset,
582
00:22:14,156 --> 00:22:15,800
but I need you to hear me
583
00:22:15,824 --> 00:22:18,870
when I tell you that I want you
to have the surgery.
584
00:22:18,894 --> 00:22:20,472
I said so to your parents.
585
00:22:20,496 --> 00:22:21,706
Screw this.
586
00:22:21,730 --> 00:22:23,530
And screw you.
587
00:22:25,618 --> 00:22:27,012
Okay, thanks.
588
00:22:27,036 --> 00:22:28,880
Bye.
589
00:22:31,907 --> 00:22:33,018
What's wrong?
590
00:22:33,042 --> 00:22:35,053
Oh, I'm fine.
591
00:22:35,077 --> 00:22:36,438
Please, what's the matter?
592
00:22:36,462 --> 00:22:37,555
Nope, it's nothing.
593
00:22:37,579 --> 00:22:39,174
Honestly.
594
00:22:46,805 --> 00:22:49,310
My dog, Gertie, has cancer.
595
00:22:50,859 --> 00:22:52,107
I'm so sorry.
596
00:22:53,228 --> 00:22:55,173
- Is there anything to be done?
- No.
597
00:22:55,197 --> 00:22:58,543
I mean, surgery, but...
598
00:22:58,567 --> 00:23:00,912
It costs more than I make in a month.
599
00:23:00,936 --> 00:23:02,747
I'm gonna have to put
my little girl to sleep
600
00:23:02,771 --> 00:23:05,743
unless I can come up with $2,000.
601
00:23:07,159 --> 00:23:08,720
I'm sorry.
602
00:23:08,744 --> 00:23:11,473
You do not need to be
thinking about this.
603
00:23:11,497 --> 00:23:13,224
I'm fine, thank you.
604
00:23:13,248 --> 00:23:15,760
Hey, Becky, I'm gonna take five.
605
00:23:20,506 --> 00:23:22,248
Okay, we're starting
to back up down here.
606
00:23:22,273 --> 00:23:24,469
Turan, help me clear some space.
What do you got?
607
00:23:24,494 --> 00:23:26,690
Got an upper GI bleeder in curtains.
Waiting on GI.
608
00:23:26,715 --> 00:23:28,048
- Hemodynamically stable?
- Yes.
609
00:23:28,072 --> 00:23:29,838
Then send him home. He can
get a scope as an outpatient.
610
00:23:29,862 --> 00:23:31,173
And a weak and dizzy in Bay 13.
611
00:23:31,197 --> 00:23:32,889
I'll meet you there.
612
00:23:32,913 --> 00:23:34,482
Surgery cleared him
for conservative treatment.
613
00:23:34,506 --> 00:23:35,996
Okay.
614
00:23:35,996 --> 00:23:38,107
We're gonna treat you
with medicine, Mr. Powell.
615
00:23:38,131 --> 00:23:39,976
No surgery. So we'll get you
out of here real soon.
616
00:23:40,000 --> 00:23:41,110
Sound good?
617
00:23:41,134 --> 00:23:42,812
Sound good?
618
00:23:42,836 --> 00:23:44,347
And we'll give you something
for the nausea.
619
00:23:44,371 --> 00:23:46,849
Start Cephilicam, and when
he can eat and drink
620
00:23:46,873 --> 00:23:48,401
he can go home.
621
00:24:00,237 --> 00:24:02,465
Casey, uh, did you give Mr. Powell...
622
00:24:02,489 --> 00:24:05,368
Levofloxacin plus metronidazole.
623
00:24:05,392 --> 00:24:07,221
Just like you said.
624
00:24:08,996 --> 00:24:10,757
Right. Just like I said.
625
00:24:10,781 --> 00:24:12,041
Great.
626
00:24:12,065 --> 00:24:15,211
Need me to make any other adjustments?
627
00:24:15,235 --> 00:24:16,605
No.
628
00:24:23,076 --> 00:24:24,530
Thank you again, Dr. Kleinman.
629
00:24:24,554 --> 00:24:26,155
I know that this is moving fast,
630
00:24:26,179 --> 00:24:27,490
but, uh, Sarah Madsen's case
631
00:24:27,514 --> 00:24:28,858
is the definition of time-sensitive.
632
00:24:28,882 --> 00:24:30,193
- Mm-hmm.
- I've spoken to
633
00:24:30,217 --> 00:24:31,828
one of your reps over at OTF already
634
00:24:31,852 --> 00:24:33,112
and they have agreed to move Sarah
635
00:24:33,136 --> 00:24:34,831
to the top of the transplant list.
636
00:24:34,855 --> 00:24:36,449
- Hmm.
- We have a viable donor
637
00:24:36,473 --> 00:24:37,900
in our ICU right now,
638
00:24:37,924 --> 00:24:39,369
a brain-dead MVA, actually.
639
00:24:39,393 --> 00:24:40,903
And so go ahead and say
the word, and we...
640
00:24:40,927 --> 00:24:42,121
I'm going to stop you right there.
641
00:24:42,145 --> 00:24:43,239
Okay?
642
00:24:43,263 --> 00:24:44,607
I'm certainly impressed
643
00:24:44,631 --> 00:24:46,042
with your due diligence,
644
00:24:46,066 --> 00:24:49,128
your patient's hemophilia
is too compromising.
645
00:24:49,152 --> 00:24:51,381
She isn't healthy enough
to receive a new heart.
646
00:24:51,405 --> 00:24:53,466
I'm very sorry.
647
00:24:53,490 --> 00:24:55,351
No, so... wait a minute, wait a minute.
648
00:24:55,375 --> 00:24:57,086
Uh, on paper, yes.
649
00:24:57,110 --> 00:24:59,188
I see what you see.
But, uh, this woman...
650
00:24:59,212 --> 00:25:01,858
This woman, she can do this. Believe me.
651
00:25:01,882 --> 00:25:03,259
Will you tell her?
652
00:25:03,283 --> 00:25:04,927
Her INR and creatinine
clearance are normal.
653
00:25:04,951 --> 00:25:06,145
Hepatic function excellent.
654
00:25:06,169 --> 00:25:07,763
Her... Her kidneys are fine.
655
00:25:07,787 --> 00:25:09,148
Right, and she has never shown any signs
656
00:25:09,172 --> 00:25:10,316
of bone marrow suppression.
657
00:25:10,340 --> 00:25:12,101
Dr. Goodwin, this isn't personal.
658
00:25:12,125 --> 00:25:14,937
OTF has strict requirements
to ensure healthy organs
659
00:25:14,961 --> 00:25:17,440
are not placed into bodies
that cannot support them.
660
00:25:17,464 --> 00:25:19,492
Plain and simple.
Sarah Madsen does not qualify.
661
00:25:19,516 --> 00:25:21,444
No, wait, wait, wait.
662
00:25:21,468 --> 00:25:23,130
Sorry.
663
00:25:23,803 --> 00:25:26,883
There has gotta be
something that I can do
664
00:25:26,907 --> 00:25:30,137
to convince you to give Sarah this heart.
665
00:25:31,912 --> 00:25:35,341
She needs to complete three
normal-range PTT tests
666
00:25:35,365 --> 00:25:36,426
in a row.
667
00:25:36,450 --> 00:25:38,020
Consider it done.
668
00:25:42,155 --> 00:25:43,850
- She's not gonna make it, Max.
- Yeah, well,
669
00:25:43,874 --> 00:25:45,184
- it's gonna be hard...
- She could barely pass
670
00:25:45,208 --> 00:25:47,186
one PTT three hours ago.
671
00:25:47,210 --> 00:25:48,938
The chances of her passing three in a row
672
00:25:48,962 --> 00:25:50,824
before her heart gives out?
673
00:26:02,829 --> 00:26:03,854
So...
674
00:26:03,879 --> 00:26:05,409
You said that passing
675
00:26:05,433 --> 00:26:06,476
one of these tests would be hard.
676
00:26:06,500 --> 00:26:08,300
It will be.
677
00:26:09,770 --> 00:26:12,148
Well, I freaking hate failing tests.
678
00:26:12,172 --> 00:26:14,251
Oh, yeah, like you'd know.
679
00:26:14,275 --> 00:26:16,653
My wife seems like
this cool New York chick.
680
00:26:16,677 --> 00:26:18,255
"Oh, I'm a social worker.
681
00:26:18,279 --> 00:26:19,656
- Look at my cool haircut."
- Okay.
682
00:26:19,680 --> 00:26:20,757
Okay, you know,
683
00:26:20,781 --> 00:26:22,259
you dye your hair purple once,
684
00:26:22,283 --> 00:26:23,293
you never hear the end of it.
685
00:26:23,317 --> 00:26:25,095
But she is a nerd.
686
00:26:25,119 --> 00:26:26,713
She has never failed a test.
687
00:26:26,737 --> 00:26:28,432
Not once in her whole life.
688
00:26:32,860 --> 00:26:35,672
The X means a failed PTT, so.
689
00:26:35,696 --> 00:26:37,830
We'll try again.
690
00:26:45,222 --> 00:26:46,733
Hey.
691
00:26:46,757 --> 00:26:48,118
Hey.
692
00:26:48,142 --> 00:26:49,653
Forget it.
693
00:26:49,677 --> 00:26:51,822
What? Wait. Wha...
694
00:26:51,846 --> 00:26:52,955
We, uh,
695
00:26:52,979 --> 00:26:54,458
we need to talk about
696
00:26:54,482 --> 00:26:56,181
what happened with Mr. Powell.
697
00:26:57,217 --> 00:26:59,796
What I did with Mr. Powell.
698
00:26:59,820 --> 00:27:01,498
That was, uh...
699
00:27:01,522 --> 00:27:03,438
That was unacceptable.
700
00:27:05,776 --> 00:27:07,370
Are you...
701
00:27:07,394 --> 00:27:08,511
angry?
702
00:27:08,535 --> 00:27:09,756
I'm not angry.
703
00:27:09,780 --> 00:27:11,341
Well, why are you
standing there with a face
704
00:27:11,365 --> 00:27:13,310
like I just kicked your dog?
705
00:27:13,334 --> 00:27:14,678
It's just my face.
706
00:27:14,702 --> 00:27:17,380
Hey, I am trying to apologize here.
707
00:27:17,404 --> 00:27:19,204
Okay, I'm sorry. I...
708
00:27:19,874 --> 00:27:22,791
I do apologize, okay?
709
00:27:23,878 --> 00:27:25,605
You came through huge for me today,
710
00:27:25,629 --> 00:27:27,379
and if you hadn't, then...
711
00:27:27,965 --> 00:27:31,091
I would never have forgiven myself. Okay?
712
00:27:32,186 --> 00:27:33,747
It won't happen again.
713
00:27:33,971 --> 00:27:35,499
You know I'm not that kind of doctor.
714
00:27:35,523 --> 00:27:36,972
It's happened before.
715
00:27:38,192 --> 00:27:39,169
What?
716
00:27:39,193 --> 00:27:40,670
I correct your EMRs.
717
00:27:40,694 --> 00:27:42,506
Put patient notes on the right charts.
718
00:27:42,530 --> 00:27:44,207
Pull doubles when you
leave holes in scheduling.
719
00:27:44,231 --> 00:27:45,625
Okay, well, that's just paperwork.
720
00:27:45,649 --> 00:27:47,627
That's not exhaustion. That's normal.
721
00:27:47,651 --> 00:27:50,347
Okay? So once or twice
I screw up some red tape...
722
00:27:50,371 --> 00:27:52,415
It happens all the time.
723
00:27:52,439 --> 00:27:53,850
And it's been getting worse.
724
00:27:53,874 --> 00:27:55,185
No. That can't be right.
725
00:27:55,209 --> 00:27:56,575
Dr. Bloom...
726
00:27:57,328 --> 00:27:59,356
I think you may need help.
727
00:27:59,380 --> 00:28:01,257
I'm just tired, okay?
728
00:28:01,281 --> 00:28:02,726
Just an RX from Dr. Sleep and I'll...
729
00:28:02,750 --> 00:28:04,861
Mr. Powell could have died.
730
00:28:15,346 --> 00:28:17,374
Gladys, yes, I knew you'd come around.
731
00:28:17,398 --> 00:28:19,275
This falafel is a revelation.
732
00:28:19,299 --> 00:28:21,328
Something may have happened
733
00:28:21,352 --> 00:28:22,495
on the internet.
734
00:28:22,519 --> 00:28:25,382
Okay, well, the internet
is a big place, Gladys.
735
00:28:25,406 --> 00:28:27,314
Might want to be a little more specific.
736
00:28:27,975 --> 00:28:30,503
"Dr. Frome blocked my top surgery.
737
00:28:30,527 --> 00:28:32,956
Dr. Iggy Frome hates
the trans community."
738
00:28:32,980 --> 00:28:34,391
What? What is that?
739
00:28:34,415 --> 00:28:35,926
- Tweets.
- Tweets?
740
00:28:35,950 --> 00:28:37,928
"What a typical white cis-male move.
741
00:28:37,952 --> 00:28:40,397
Dr. Frome's nothing
but a transphobic loser."
742
00:28:40,421 --> 00:28:42,298
What? Give me that. Let me see that.
743
00:28:42,322 --> 00:28:43,967
And there are so many more.
744
00:28:43,991 --> 00:28:47,404
Like, hundreds of them.
745
00:28:49,430 --> 00:28:51,797
Merci, merci, from Pain de Vie.
746
00:28:54,685 --> 00:28:56,246
Before you say anything,
747
00:28:56,270 --> 00:28:58,648
I would like to pretend
that earlier never happened.
748
00:28:58,672 --> 00:29:00,867
- Ella.
- Uh, cappuccino, extra dry.
749
00:29:00,891 --> 00:29:02,819
Coming up.
750
00:29:06,614 --> 00:29:09,231
Uh, you have any nice evening plans?
751
00:29:12,369 --> 00:29:13,463
What is this?
752
00:29:13,487 --> 00:29:14,861
Please.
753
00:29:25,549 --> 00:29:27,677
Oh, Dr. Kapoor, I can't take that.
754
00:29:27,701 --> 00:29:29,846
- For Gertie.
- No. No.
755
00:29:29,870 --> 00:29:31,962
I can't. That's too much.
756
00:29:32,339 --> 00:29:33,783
I was told to use my money
757
00:29:33,807 --> 00:29:35,507
to help people I care about.
758
00:29:36,310 --> 00:29:38,343
What else is this for?
759
00:29:40,848 --> 00:29:42,347
Please.
760
00:29:47,387 --> 00:29:48,812
Thank you.
761
00:29:49,657 --> 00:29:52,085
Dr. Stiles to trauma center.
762
00:29:52,109 --> 00:29:54,860
Dr. Stiles to trauma center.
763
00:30:03,704 --> 00:30:07,350
I picked a bad time
to start failing tests.
764
00:30:07,374 --> 00:30:09,124
I'm not giving up. Are you?
765
00:30:11,411 --> 00:30:13,023
You need to know it's okay.
766
00:30:13,047 --> 00:30:14,546
What's okay?
767
00:30:15,015 --> 00:30:17,110
That I'm gonna die.
768
00:30:17,134 --> 00:30:18,383
No.
769
00:30:18,919 --> 00:30:21,665
No. See, I'm a maestro at this.
770
00:30:21,689 --> 00:30:23,680
So you're not gonna...
771
00:30:25,526 --> 00:30:27,851
Right after my transplant,
772
00:30:28,595 --> 00:30:30,573
my dad asked me what I'd want to do
773
00:30:30,597 --> 00:30:32,522
if I could do anything.
774
00:30:33,367 --> 00:30:36,401
I said I wanted to be a pirate.
775
00:30:36,904 --> 00:30:39,582
So my parents sold a car,
776
00:30:39,606 --> 00:30:41,114
got a loan,
777
00:30:41,709 --> 00:30:45,201
and we spent a month
on a boat in the Bahamas.
778
00:30:46,380 --> 00:30:48,525
It was insane.
779
00:30:48,549 --> 00:30:50,206
We couldn't afford it.
780
00:30:51,451 --> 00:30:53,363
But at the end of that trip
781
00:30:53,387 --> 00:30:56,004
I wasn't a sick kid anymore.
782
00:30:57,457 --> 00:30:59,674
You know why I wanted to be a pirate?
783
00:31:01,354 --> 00:31:02,804
Me neither.
784
00:31:03,680 --> 00:31:05,742
I never did before the surgery.
785
00:31:05,766 --> 00:31:07,182
I always thought...
786
00:31:07,901 --> 00:31:10,101
maybe it was Luna.
787
00:31:11,739 --> 00:31:13,480
I have to tell you...
788
00:31:14,742 --> 00:31:18,121
Luna's heart didn't always
have the best taste in guys.
789
00:31:20,914 --> 00:31:24,407
But it skipped a beat when she met Andy.
790
00:31:25,586 --> 00:31:28,578
It's like she picked him out just for me.
791
00:31:29,923 --> 00:31:32,569
Me and Luna learned what it felt like
792
00:31:32,593 --> 00:31:34,626
to be in love.
793
00:31:37,714 --> 00:31:41,257
I have a job where I help people.
794
00:31:42,002 --> 00:31:44,469
I've been all over the world.
795
00:31:45,055 --> 00:31:49,641
I ran a half-marathon even
though people told me not to.
796
00:31:50,010 --> 00:31:53,311
Last year I won
a watermelon-eating contest.
797
00:31:53,837 --> 00:31:56,733
Which is a real thing and I love them.
798
00:32:00,020 --> 00:32:02,570
That's why it's okay.
799
00:32:03,523 --> 00:32:05,573
If it's time for me to go.
800
00:32:07,961 --> 00:32:09,828
Your sister...
801
00:32:11,081 --> 00:32:13,832
She gave me a beautiful life.
802
00:32:16,136 --> 00:32:18,648
It's the other way around.
803
00:33:36,873 --> 00:33:39,148
You just lost a follower.
804
00:33:51,054 --> 00:33:52,339
Okay.
805
00:33:52,847 --> 00:33:56,184
I saw what you said about me online.
806
00:33:57,644 --> 00:34:00,847
I was, um, surprised.
807
00:34:00,871 --> 00:34:02,983
My husband read those tweets.
808
00:34:03,441 --> 00:34:05,786
My co-workers. My friends.
809
00:34:05,810 --> 00:34:07,287
And if you Google me right now,
810
00:34:07,311 --> 00:34:10,615
that is the number one thing
that pops up.
811
00:34:12,967 --> 00:34:15,213
Shay, I'm not here to shame you.
812
00:34:15,237 --> 00:34:16,581
I'm not here to yell at you.
813
00:34:16,605 --> 00:34:18,706
But I would like you to look at me.
814
00:34:19,641 --> 00:34:21,858
Please.
815
00:34:25,330 --> 00:34:28,049
Do you really think that I'm anti-trans?
816
00:34:31,870 --> 00:34:35,056
I knew it would make people
upset when I posted it.
817
00:34:36,258 --> 00:34:38,768
But I did it anyways.
818
00:34:39,994 --> 00:34:42,106
I...
819
00:34:42,130 --> 00:34:44,816
I don't even really know why I posted it.
820
00:34:46,434 --> 00:34:48,903
Yeah, social media's weird.
821
00:34:49,437 --> 00:34:51,482
You know, it's like...
822
00:34:51,506 --> 00:34:54,118
we're not even us when we're on it.
823
00:34:54,142 --> 00:34:56,254
It's like we're the thing
that we wish we were.
824
00:34:56,278 --> 00:34:57,705
Or even worse,
825
00:34:58,121 --> 00:35:01,124
we're the thing that we think
others want us to be.
826
00:35:02,567 --> 00:35:05,930
Yeah, I scrolled through your tweets.
827
00:35:05,954 --> 00:35:08,266
It's powerful stuff.
828
00:35:08,290 --> 00:35:09,467
I guess.
829
00:35:09,491 --> 00:35:10,718
No, no, you... it's easy to see why
830
00:35:10,742 --> 00:35:12,470
you have so many followers.
831
00:35:12,494 --> 00:35:14,639
It's pretty intense.
832
00:35:14,663 --> 00:35:16,641
I think it was your GoFundMe
campaign for your surgery
833
00:35:16,665 --> 00:35:18,676
that really put you on the map.
834
00:35:18,700 --> 00:35:20,061
You got a lot of followers
835
00:35:20,085 --> 00:35:22,020
that are very excited about that.
836
00:35:23,638 --> 00:35:25,315
So...
837
00:35:26,341 --> 00:35:28,452
the rush for surgery,
838
00:35:28,476 --> 00:35:31,522
the anger when I advised you to wait...
839
00:35:31,546 --> 00:35:32,957
do you think maybe
840
00:35:32,981 --> 00:35:34,242
that's really more about you
841
00:35:34,266 --> 00:35:36,826
being scared to let your followers down?
842
00:35:39,154 --> 00:35:40,531
They're all counting on me to get it.
843
00:35:40,555 --> 00:35:42,500
And I told them I would.
844
00:35:42,957 --> 00:35:45,336
I mean, now, if I make them wait, it's...
845
00:35:45,360 --> 00:35:47,305
Let 'em wait. I mean...
846
00:35:47,329 --> 00:35:48,472
Shay, I'm not...
847
00:35:48,496 --> 00:35:49,974
I'm not telling you anything
848
00:35:49,998 --> 00:35:51,633
you don't already know.
849
00:35:52,400 --> 00:35:54,712
How and when you transition
850
00:35:54,736 --> 00:35:56,262
is about you.
851
00:35:57,038 --> 00:35:59,483
You're not gonna let some troll
852
00:35:59,507 --> 00:36:01,385
bully you out of a choice.
853
00:36:01,409 --> 00:36:04,054
So you can't let the fans do it either.
854
00:36:04,078 --> 00:36:05,489
Even the ones that mean well.
855
00:36:05,513 --> 00:36:06,691
And, dude, I'm telling you,
856
00:36:06,715 --> 00:36:08,392
you are going to have exactly
857
00:36:08,416 --> 00:36:12,362
zero problems helping people understand.
858
00:36:13,254 --> 00:36:17,335
You are extremely gifted at Twitter.
859
00:36:17,359 --> 00:36:21,038
As my Google hits would prove.
860
00:36:21,062 --> 00:36:23,574
And hey, in a year,
861
00:36:23,598 --> 00:36:25,676
if you want the surgery,
862
00:36:26,167 --> 00:36:28,045
I'll be right there with you.
863
00:36:50,057 --> 00:36:52,091
Doctor.
864
00:36:54,517 --> 00:36:56,634
You all right?
865
00:37:09,194 --> 00:37:12,278
It's not something
you have to worry about.
866
00:37:17,669 --> 00:37:19,597
Come on, Sarah.
867
00:37:19,621 --> 00:37:21,848
Just one more.
868
00:37:24,542 --> 00:37:26,676
You can do it, Sarah.
869
00:37:29,397 --> 00:37:30,982
Sarah.
870
00:37:32,066 --> 00:37:34,110
You're a very good brother.
871
00:37:36,946 --> 00:37:39,533
Nobody has ever said that to me.
872
00:37:43,061 --> 00:37:44,495
Sarah.
873
00:37:45,780 --> 00:37:47,874
You did it.
874
00:37:48,616 --> 00:37:49,760
You did it!
875
00:37:49,784 --> 00:37:51,379
Um, um,
876
00:37:51,403 --> 00:37:53,381
can I get the, uh, transplant team?
877
00:37:53,405 --> 00:37:55,216
- Now?
- Max.
878
00:37:55,240 --> 00:37:57,468
- Okay, we gotta get...
- What? What?
879
00:37:57,492 --> 00:37:59,719
Here, listen to her.
880
00:38:00,295 --> 00:38:01,929
Listen.
881
00:38:03,832 --> 00:38:05,810
Luna.
882
00:38:05,834 --> 00:38:08,102
She did it.
883
00:38:09,471 --> 00:38:11,482
Come here.
884
00:38:49,294 --> 00:38:50,812
- Hello?
- Sharpe?
885
00:38:50,837 --> 00:38:52,723
Panthaki. Got good news and good news.
886
00:38:52,747 --> 00:38:55,400
Dr. Goodwin is a candidate for therapy.
887
00:38:56,634 --> 00:38:58,778
He'll be thrilled to hear it.
888
00:38:59,420 --> 00:39:01,198
What's the other good news?
889
00:39:01,222 --> 00:39:03,116
I'm on my way to your office.
890
00:39:03,725 --> 00:39:05,336
You are?
891
00:39:05,360 --> 00:39:08,506
I have to pick up his cell samples
and give you some paperwork.
892
00:39:08,530 --> 00:39:11,675
Oh, well, uh, I-I'm sure we
can have someone pick that up.
893
00:39:11,699 --> 00:39:14,345
It's too risky.
See, this paperwork includes
894
00:39:14,369 --> 00:39:16,714
two tickets to see Lauryn Hill at BAM.
895
00:39:21,709 --> 00:39:24,388
Hey, if, uh, if I was off-base here,
896
00:39:24,412 --> 00:39:26,557
I apologize. I just, uh...
897
00:39:26,581 --> 00:39:28,359
I was just thinking about
898
00:39:28,383 --> 00:39:30,394
what to do with the extra ticket.
899
00:39:30,418 --> 00:39:32,752
Well, I might have a suggestion.
900
00:39:34,506 --> 00:39:36,534
Dr. Mendez, ER One.
901
00:39:36,558 --> 00:39:38,925
Dr. Mendez to ER One.
902
00:39:42,313 --> 00:39:43,656
How's she doing?
903
00:39:44,824 --> 00:39:46,327
Really well.
904
00:39:46,351 --> 00:39:47,878
Thanks to you.
905
00:39:47,902 --> 00:39:49,330
Good.
906
00:39:49,354 --> 00:39:50,781
The next few weeks are critical, so
907
00:39:50,805 --> 00:39:52,165
stay close to her.
908
00:39:52,740 --> 00:39:54,500
And keep us informed.
909
00:39:55,693 --> 00:39:58,389
My wife is an optimist.
910
00:39:58,413 --> 00:40:02,343
And the minute she found out
911
00:40:02,367 --> 00:40:04,294
that it was your sister,
912
00:40:04,318 --> 00:40:08,538
she had me arrange this.
913
00:40:12,377 --> 00:40:16,941
It's her way of thanking you both.
914
00:41:43,351 --> 00:41:44,944
Max?
915
00:41:45,687 --> 00:41:47,831
Oh, my God.
916
00:41:47,855 --> 00:41:48,899
Max.
917
00:41:48,923 --> 00:41:50,951
Max!
918
00:41:50,975 --> 00:41:53,003
Oh, my God!
919
00:41:53,027 --> 00:41:55,673
Oh, my God.
920
00:41:55,697 --> 00:41:57,999
Help!
921
00:41:58,766 --> 00:42:01,045
Help!
922
00:42:01,069 --> 00:42:02,913
Someone!
923
00:42:02,937 --> 00:42:05,132
Anyone!
924
00:42:05,156 --> 00:42:07,084
Oh, my God.
925
00:42:07,108 --> 00:42:08,852
Anyone...
926
00:42:08,876 --> 00:42:10,743
Help!
927
00:42:11,305 --> 00:42:17,476
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