1 00:00:22,283 --> 00:00:24,850 It might sound extreme, but I'm pretty sure I'm in love. 2 00:00:24,850 --> 00:00:26,635 I thought you had three more nannies to interview. 3 00:00:26,635 --> 00:00:28,680 I do, but Joelle walked through the door, 4 00:00:28,680 --> 00:00:30,421 and Steve immediately stopped fussing. 5 00:00:30,421 --> 00:00:32,467 She held him the whole time. 6 00:00:32,467 --> 00:00:35,296 - Plus, she speaks Spanish. - Bilingual bonus. 7 00:00:35,296 --> 00:00:38,255 Right? And it will be so much easier to go back to work 8 00:00:38,255 --> 00:00:41,084 if I know Steve is happy without me. 9 00:00:41,084 --> 00:00:43,347 But Shaun has reservations. 10 00:00:43,347 --> 00:00:45,132 There's a whole process involving 11 00:00:45,132 --> 00:00:47,090 spreadsheets, ranked voting. 12 00:00:47,090 --> 00:00:49,527 Screw that. Good nannies are hard to find. 13 00:00:49,527 --> 00:00:51,747 You gotta pounce now. 14 00:00:51,747 --> 00:00:54,184 I can't just make that decision without Shaun. 15 00:00:56,186 --> 00:00:58,623 Your body is no longer tolerating the dialysis, 16 00:00:58,623 --> 00:01:01,017 and it is putting you at high risk for stroke or cardiac damage. 17 00:01:01,017 --> 00:01:04,847 We need to start you on continuous renal replacement therapy. 18 00:01:04,847 --> 00:01:06,979 "Continuous" meaning...? 19 00:01:06,979 --> 00:01:08,720 Your mom has to stay here 20 00:01:08,720 --> 00:01:11,593 until she receives a kidney transplant. 21 00:01:11,593 --> 00:01:14,552 I want you home, not living in a hospital for years. 22 00:01:14,552 --> 00:01:16,293 It won't be years. 23 00:01:16,293 --> 00:01:18,991 CRRT is usually only effective for about one week. 24 00:01:19,427 --> 00:01:21,124 And then? 25 00:01:21,994 --> 00:01:23,866 Complications will set in, 26 00:01:23,866 --> 00:01:25,476 and without a transplant, she will-- 27 00:01:25,476 --> 00:01:28,653 W-We're going to find a kidney. 28 00:01:28,653 --> 00:01:31,003 The last two donors weren't compatible. 29 00:01:31,003 --> 00:01:33,919 Suki. Let's try to stay positive. 30 00:01:33,919 --> 00:01:35,965 How? The video I posted last night 31 00:01:35,965 --> 00:01:38,881 asking for donors only has a few hundred views. 32 00:01:38,881 --> 00:01:41,101 I don't have enough followers. 33 00:01:41,101 --> 00:01:42,798 Come here, baby. 34 00:01:48,543 --> 00:01:51,459 You have such a good heart. 35 00:01:55,593 --> 00:01:58,814 We will place a catheter in your right jugular vein 36 00:01:58,814 --> 00:02:00,598 and start CRRT. 37 00:02:05,734 --> 00:02:07,953 Looking forward to my internal medicine rotation 38 00:02:07,953 --> 00:02:09,520 with you, Dr. Reznick. I really-- 39 00:02:09,520 --> 00:02:11,348 Each of the urine samples needs a dip test. 40 00:02:11,348 --> 00:02:13,263 Each of the stool samples in the poop fridge 41 00:02:13,263 --> 00:02:14,743 needs a fecal occult blood test. 42 00:02:14,743 --> 00:02:16,179 Okay. I don't know how to-- 43 00:02:16,179 --> 00:02:19,704 Dip the pee. Dab the poo. Send to the lab. 44 00:02:19,704 --> 00:02:21,489 It's not rocket science, MacGyver. 45 00:02:21,489 --> 00:02:25,014 But first, that little blond girl, Zelda, needs her TDAP vaccine. 46 00:02:25,014 --> 00:02:27,147 And be careful. She's a biter. 47 00:02:29,975 --> 00:02:32,848 - Excuse me. - Hey. 48 00:02:32,848 --> 00:02:35,285 I saw a video post about a patient here. 49 00:02:35,285 --> 00:02:37,200 Where do I go to donate my kidney? 50 00:02:55,523 --> 00:02:58,178 I was supposed to raise my legs and slide on my butt. 51 00:02:58,178 --> 00:02:59,875 Did you hear any cracking sounds? 52 00:02:59,875 --> 00:03:02,356 No. I didn't realize my leg was hurt until we were driving home 53 00:03:02,356 --> 00:03:04,271 and the adrenaline wore off. 54 00:03:04,271 --> 00:03:06,316 Did that say 1.6 million views? 55 00:03:06,316 --> 00:03:08,275 Turns out that when your tech-savvy daughter helps you 56 00:03:08,275 --> 00:03:11,147 with your bucket list, you end up an influencer. 57 00:03:11,147 --> 00:03:13,715 You've got a Grade 4 malignant spinal cord tumor. 58 00:03:13,715 --> 00:03:15,282 How long did they give you? 59 00:03:15,282 --> 00:03:18,589 About a year. 10 months ago. 60 00:03:18,589 --> 00:03:20,678 Which is why I took a break from college. 61 00:03:20,678 --> 00:03:21,984 Spend as much time with him as possible. 62 00:03:21,984 --> 00:03:23,333 Make videos. 63 00:03:23,333 --> 00:03:25,161 And memories. 64 00:03:25,161 --> 00:03:27,685 Let's get x-rays and a CT of the femur. 65 00:03:27,685 --> 00:03:30,210 Get you back on your feet as quick as possible. 66 00:03:30,210 --> 00:03:33,343 Okay, if you'll lie down, we'll get you down to radiology. 67 00:03:33,343 --> 00:03:35,040 Jerome, do you mind just unlocking that side? 68 00:03:36,651 --> 00:03:37,782 Sorry. I need to leave. 69 00:03:43,745 --> 00:03:46,791 Yes, hi. It's Aaron Glassman checking in on those images. 70 00:03:48,010 --> 00:03:49,098 Well, when... 71 00:03:49,098 --> 00:03:50,839 They were supposed to be ready today. 72 00:03:53,624 --> 00:03:57,889 Fine. Can you have them call me as soon asthey come in, please? 73 00:03:57,889 --> 00:03:59,021 Thank you. 74 00:04:03,765 --> 00:04:05,114 Hi. 75 00:04:05,854 --> 00:04:07,159 I'm Dr. Glassman. 76 00:04:08,291 --> 00:04:09,379 I can just tell you what's in there. 77 00:04:10,815 --> 00:04:13,688 World-stopping headaches. 78 00:04:13,688 --> 00:04:15,472 Over and over for the past three years. 79 00:04:15,472 --> 00:04:16,560 The only thing that helps is-- 80 00:04:16,560 --> 00:04:18,040 Oxycodone 20s. 81 00:04:18,475 --> 00:04:20,434 Yeah. 82 00:04:20,434 --> 00:04:22,262 And then, like a total klutz, this morning, 83 00:04:22,262 --> 00:04:27,005 I knocked my pill bottle off the sink, 84 00:04:27,005 --> 00:04:28,050 and they all fell into the toilet. 85 00:04:28,050 --> 00:04:29,138 Uh-huh. 86 00:04:31,401 --> 00:04:34,186 Your prescribing doctor is unreachable, 87 00:04:34,186 --> 00:04:35,971 and it says here you're drug-seeking. 88 00:04:37,799 --> 00:04:40,236 After three years of oxy and a revolving door of doctors, 89 00:04:40,236 --> 00:04:42,586 - that doesn't surprise me. - Forget it. 90 00:04:42,586 --> 00:04:44,719 I'll find another doctor. 91 00:04:47,243 --> 00:04:48,940 Like I said, total klutz. 92 00:04:48,940 --> 00:04:50,028 Hang on, hang on. 93 00:04:51,508 --> 00:04:53,423 - Sit. - I don't have to listen to you. 94 00:04:54,468 --> 00:04:58,167 I know. You don't. Please. Sit. 95 00:05:05,217 --> 00:05:08,395 Follow my finger. Look to your left. 96 00:05:08,395 --> 00:05:10,440 All the way to the right. 97 00:05:10,440 --> 00:05:12,486 You have a twitch in your eye. Did you know that? 98 00:05:13,051 --> 00:05:14,618 Is that a thing? 99 00:05:14,618 --> 00:05:16,490 It might be a thing. Tap your finger 100 00:05:16,490 --> 00:05:17,795 and your thumb together. 101 00:05:17,795 --> 00:05:19,231 There you go. 102 00:05:19,231 --> 00:05:21,408 All the way to your pinky and back. 103 00:05:22,800 --> 00:05:24,411 How about a partial refill? 104 00:05:24,411 --> 00:05:26,282 Tide me over? Just until my doc gets back. 105 00:05:26,282 --> 00:05:29,111 No pills, but I am going to order you 106 00:05:29,111 --> 00:05:31,722 a brain and spinal MRI. 107 00:05:36,466 --> 00:05:38,294 Any family history of kidney disease? 108 00:05:38,294 --> 00:05:40,775 Not that I know of. Mom's a saint, 109 00:05:40,775 --> 00:05:42,690 and I'm adopted on my father's side. 110 00:05:42,690 --> 00:05:45,214 Under name, you only put "Emmanuel." 111 00:05:45,214 --> 00:05:47,434 Yeah, that's what people call me. 112 00:05:47,434 --> 00:05:48,609 Like Beyonce. 113 00:05:48,609 --> 00:05:50,872 Hmm. Okay. 114 00:05:50,872 --> 00:05:53,788 If the blood and tissue type match with our patient, 115 00:05:53,788 --> 00:05:55,485 we'll do a crossmatch test and we'll see-- 116 00:05:55,485 --> 00:05:56,921 Yeah, we'll match. 117 00:05:56,921 --> 00:05:58,575 Whenever I donate, they tell me I have golden blood. 118 00:05:59,402 --> 00:06:01,143 Rhnull? 119 00:06:01,143 --> 00:06:02,840 That's the rarest blood type on Earth. 120 00:06:02,840 --> 00:06:04,668 Only 100 cases. 121 00:06:04,668 --> 00:06:06,366 That makes you a universal blood donor. 122 00:06:06,366 --> 00:06:08,411 Birthplace just says Nazareth. 123 00:06:08,411 --> 00:06:10,065 Is that in Pennsylvania? 124 00:06:10,065 --> 00:06:11,283 No, the other one. 125 00:06:13,677 --> 00:06:16,854 If the blood type tests out, that's great news. 126 00:06:17,420 --> 00:06:18,682 Almost done here. 127 00:06:18,682 --> 00:06:20,902 Uh, you left occupation blank. 128 00:06:20,902 --> 00:06:23,078 I'm a carpenter by trade, 129 00:06:23,078 --> 00:06:25,515 but I really consider myself a teacher. 130 00:06:25,515 --> 00:06:27,474 - Dear Lord. - Yeah, I go by many names. 131 00:06:27,474 --> 00:06:29,432 Uh-huh. This man thinks he's Jesus. 132 00:06:31,608 --> 00:06:32,827 I've been sent here to help. 133 00:06:38,920 --> 00:06:41,096 EGFR and uACR are normal. 134 00:06:41,096 --> 00:06:43,272 Both kidneys are fully functional. 135 00:06:43,272 --> 00:06:44,708 He is an ideal donor. 136 00:06:44,708 --> 00:06:47,189 Except he's obviously crazy. He thinks he's Jesus. 137 00:06:47,189 --> 00:06:48,930 Technically, we can't prove he isn't. 138 00:06:48,930 --> 00:06:51,759 I mean, the Bible says Jesus will return to Earth someday. 139 00:06:51,759 --> 00:06:54,283 There's several examples of ordinary people 140 00:06:54,283 --> 00:06:56,807 becoming holy figures later on in life. 141 00:06:56,807 --> 00:06:59,375 Muhammed didn't receive his first revelation from God 142 00:06:59,375 --> 00:07:00,681 till he was 40. 143 00:07:01,943 --> 00:07:03,727 I minored in theology. 144 00:07:03,727 --> 00:07:05,773 He's certainly your patient's savior. 145 00:07:05,773 --> 00:07:07,905 Without him, she's dead in a week. 146 00:07:07,905 --> 00:07:11,213 It is possible we could find another donor, but unlikely. 147 00:07:11,213 --> 00:07:14,042 but that doesn't mean we should allow a delusional man 148 00:07:14,042 --> 00:07:15,826 to make life-altering decisions. 149 00:07:15,826 --> 00:07:17,915 And the surgery poses a bigger risk for him. 150 00:07:17,915 --> 00:07:20,962 We can only give him blood from another Rhnull donor, 151 00:07:20,962 --> 00:07:22,485 which is nearly impossible to find. 152 00:07:22,485 --> 00:07:24,313 Regardless, we should reach out to his family. 153 00:07:24,313 --> 00:07:25,532 Parents are dead. 154 00:07:25,532 --> 00:07:28,143 His emergency contact is his landlord. 155 00:07:28,143 --> 00:07:30,972 If he wants to save someone's life, I say we let him. 156 00:07:30,972 --> 00:07:34,845 UNOS policy says organ donation is contraindicated 157 00:07:34,845 --> 00:07:36,978 if there is inability to give informed consent 158 00:07:36,978 --> 00:07:39,850 due to impaired cognitive or intellectual capacity. 159 00:07:39,850 --> 00:07:43,550 That's not our call. We need a psych consult. 160 00:07:43,550 --> 00:07:45,073 Your patient is suffering 161 00:07:45,073 --> 00:07:48,250 from delusional disorder of grandiosity. 162 00:07:48,250 --> 00:07:50,252 However, he can reliably articulate 163 00:07:50,252 --> 00:07:51,993 that he understands the procedure. 164 00:07:51,993 --> 00:07:53,473 His driver's license indicates 165 00:07:53,473 --> 00:07:55,692 that he has been an organ donor for at least a decade. 166 00:07:55,692 --> 00:07:59,740 That suggests this decision is consistent with his values. 167 00:07:59,740 --> 00:08:01,872 He is completely competent to donate. 168 00:08:01,872 --> 00:08:03,047 Hallelujah. 169 00:08:07,312 --> 00:08:09,140 I don't know how you live over half a century 170 00:08:09,140 --> 00:08:10,490 without trying an oyster. 171 00:08:10,490 --> 00:08:13,623 Well, I always wanted to. I just... I don't know, 172 00:08:13,623 --> 00:08:16,278 I chickened out because they always look so goopy. 173 00:08:16,278 --> 00:08:17,714 Well, no more fear. 174 00:08:17,714 --> 00:08:18,715 Slurp away. 175 00:08:22,153 --> 00:08:24,982 Mmm. Wow. Mmm. 176 00:08:27,419 --> 00:08:28,899 Your femur's not fractured. 177 00:08:29,639 --> 00:08:31,075 Oh. Good. 178 00:08:31,075 --> 00:08:32,599 But the pain you're feeling is called 179 00:08:32,599 --> 00:08:35,471 referred neuropathic pain, from a fracture in your spine. 180 00:08:35,471 --> 00:08:37,168 It's compressing your spinal cord. 181 00:08:37,168 --> 00:08:38,953 Not good. 182 00:08:38,953 --> 00:08:40,911 The tumor has infiltrated and weakened your spinal column. 183 00:08:40,911 --> 00:08:43,653 It likely fractured when you hit the ground after skydiving. 184 00:08:45,568 --> 00:08:46,787 So how do we fix it? 185 00:08:46,787 --> 00:08:49,572 Open spinal stabilization and fusion surgery. 186 00:08:49,572 --> 00:08:51,922 We replace your fractured vertebrae with a cage 187 00:08:51,922 --> 00:08:54,708 and add bone grafts, screws, and rods for support. 188 00:08:54,708 --> 00:08:57,667 You should be back on your feet in about six weeks. 189 00:08:57,667 --> 00:08:59,800 That could be more than half the time we have left. 190 00:09:01,976 --> 00:09:04,631 There is another option with simpler surgery. 191 00:09:04,631 --> 00:09:07,721 No cage and no bone grafts, much shorter recovery time, 192 00:09:07,721 --> 00:09:10,332 but even a small bump could break it again. 193 00:09:11,507 --> 00:09:14,292 So I'll avoid small bumps. Let's do it. 194 00:09:14,292 --> 00:09:16,425 Dad, are you sure? 195 00:09:16,425 --> 00:09:17,818 We have a mountain to climb. 196 00:09:20,908 --> 00:09:22,562 We'll go get prepped. 197 00:09:24,999 --> 00:09:26,304 Come on, get your camera rolling. 198 00:09:26,304 --> 00:09:28,132 I got 11 more to go. 199 00:09:28,916 --> 00:09:30,439 Dad, you're so old. 200 00:09:30,439 --> 00:09:32,528 Cameras don't roll anymore. 201 00:09:36,140 --> 00:09:39,317 We still need to run an MRI on the potential donor 202 00:09:39,317 --> 00:09:41,842 to evaluate the kidney's structure. 203 00:09:41,842 --> 00:09:44,018 But the labs show he could be an excellent match. 204 00:09:47,499 --> 00:09:49,153 Your video worked. 205 00:09:49,153 --> 00:09:51,199 Turns out you don't need a million followers. 206 00:09:52,548 --> 00:09:54,768 Just one... who thinks he's Jesus. 207 00:09:55,986 --> 00:09:57,335 Hashtag blessed. 208 00:10:06,083 --> 00:10:09,217 I would like to hire Joelle as Steve's nanny. 209 00:10:09,217 --> 00:10:10,610 I worked it out. 210 00:10:10,610 --> 00:10:12,307 If we cut it down to two streaming services 211 00:10:12,307 --> 00:10:14,439 and I stop buying Steve so many cute outfits 212 00:10:14,439 --> 00:10:16,050 and we don't go on that trip this summer, 213 00:10:16,050 --> 00:10:17,573 we can afford her. 214 00:10:17,573 --> 00:10:20,924 - Whew. This is a very thorough spreadsheet. - Mmm-hmm. 215 00:10:20,924 --> 00:10:24,493 You clearly have strong feelings about this. 216 00:10:25,276 --> 00:10:27,714 We can hire Joelle. 217 00:10:27,714 --> 00:10:30,107 - Shaun! Yeah! - Okay. 218 00:10:30,107 --> 00:10:31,326 Okay, we should call her. 219 00:10:31,805 --> 00:10:32,849 Yes. 220 00:10:35,591 --> 00:10:37,027 Hello? 221 00:10:37,027 --> 00:10:39,682 Joelle, it's Lea and Shaun, and we are so, so excited 222 00:10:39,682 --> 00:10:41,945 because we would love to hire you. 223 00:10:42,990 --> 00:10:44,165 Oh. 224 00:10:46,297 --> 00:10:48,430 - You stole my nanny? - She wasn't your nanny. 225 00:10:48,430 --> 00:10:51,259 Yet. And you knew I wanted to hire her. 226 00:10:51,259 --> 00:10:54,218 I encouraged you to hire her on the spot. 227 00:10:54,218 --> 00:10:55,916 But you hemmed you hawed and you dilly-dallied 228 00:10:55,916 --> 00:10:58,179 and you spreadsheeted, so I took action. 229 00:10:58,179 --> 00:11:00,268 And outbid me. It's so gross. 230 00:11:00,268 --> 00:11:01,965 I told you that good nannies are hard to find. 231 00:11:01,965 --> 00:11:03,837 My current one is late half the time, 232 00:11:03,837 --> 00:11:05,403 and she costs more than Joelle. 233 00:11:05,403 --> 00:11:08,755 I wanted to close the deal, so I made an aggressive offer. 234 00:11:08,755 --> 00:11:09,973 I feel like I don't even know you. 235 00:11:12,889 --> 00:11:14,935 I'm finished with the perianal abscess. 236 00:11:14,935 --> 00:11:16,501 Great. Dressing change 237 00:11:16,501 --> 00:11:18,634 for a diabetic foot ulcer in 5 awaits. 238 00:11:20,114 --> 00:11:21,681 Nobody said wound care was glamorous. 239 00:11:24,466 --> 00:11:26,773 Joelle has experience with special-needs kids. 240 00:11:26,773 --> 00:11:28,252 And she's bilingual. 241 00:11:28,252 --> 00:11:30,515 I always wanted Eden to be bilingual, so... 242 00:11:30,515 --> 00:11:33,693 seriously, thanks. 243 00:11:33,693 --> 00:11:37,479 You're trying to replace my dream nanny with regifted wine? 244 00:11:37,479 --> 00:11:39,220 - I'm not evil. - Debatable. 245 00:11:44,921 --> 00:11:46,270 You barely even looked at it. 246 00:11:46,270 --> 00:11:47,924 Enough to see there's no tonsillar herniation, 247 00:11:47,924 --> 00:11:50,666 which is the main criteria for Chiari. 248 00:11:50,666 --> 00:11:53,016 That's why I said Chiari Zero. 249 00:11:53,016 --> 00:11:54,409 That's not a real diagnosis. 250 00:11:54,409 --> 00:11:57,151 It is real. It is controversial, but it's real. 251 00:11:57,151 --> 00:11:59,109 Moderate cervical syrinx, 252 00:11:59,109 --> 00:12:02,722 plus occipital headaches, plus dizziness, 253 00:12:02,722 --> 00:12:05,028 plus clumsiness with the finger tapping. 254 00:12:05,028 --> 00:12:07,378 All symptoms of Chiari malformation. 255 00:12:07,378 --> 00:12:08,989 And also symptoms of withdrawal. 256 00:12:08,989 --> 00:12:11,687 Not the fluid in her spinal cord. 257 00:12:11,687 --> 00:12:13,994 Too many doctors have just fed her pain medication 258 00:12:13,994 --> 00:12:16,126 or shooed her away altogether. 259 00:12:16,126 --> 00:12:17,345 Because she's an addict. 260 00:12:19,695 --> 00:12:23,525 And one who's around your daughter's age when she died. 261 00:12:26,920 --> 00:12:28,312 Wow. Okay. 262 00:12:29,574 --> 00:12:32,926 Hannah's pain is real. She's in actual pain. 263 00:12:32,926 --> 00:12:35,406 Or she's doctor-shopping for a sucker. 264 00:12:35,406 --> 00:12:37,191 Okay. So both can be true. 265 00:12:37,191 --> 00:12:39,323 She's not gonna be able to get over her addiction 266 00:12:39,323 --> 00:12:41,978 unless somebody addresses her pain. 267 00:12:47,027 --> 00:12:48,637 All right, fine. 268 00:12:48,637 --> 00:12:51,945 I don't know how this is not worthwhile. 269 00:12:51,945 --> 00:12:53,337 Leave the images. 270 00:13:09,179 --> 00:13:11,399 Jerome bailed less than an hour into his shift. 271 00:13:12,226 --> 00:13:13,793 I'm worried about him. 272 00:13:14,489 --> 00:13:15,664 He's going through it. 273 00:13:17,361 --> 00:13:19,102 I was thinking you might go talk to him after work? 274 00:13:22,671 --> 00:13:23,846 I can't right now. 275 00:13:24,629 --> 00:13:25,805 Yeah, no, of course. 276 00:13:29,591 --> 00:13:30,897 Anything I can do for you? 277 00:13:32,289 --> 00:13:34,901 Thanks. I've got an MRI. 278 00:13:38,252 --> 00:13:40,080 People are free to choose. 279 00:13:40,080 --> 00:13:42,865 God is simply aware of what those choices will be 280 00:13:42,865 --> 00:13:46,216 because He lives outside of time and space. 281 00:13:46,216 --> 00:13:47,696 Isaiah 57. 282 00:13:47,696 --> 00:13:49,654 Sorry to interrupt your sermon. 283 00:13:49,654 --> 00:13:50,830 Lie back. 284 00:13:52,570 --> 00:13:55,573 I know we just met, but I sense a... 285 00:13:55,573 --> 00:13:57,358 Like, a weight on you. 286 00:13:57,358 --> 00:14:00,840 A sadness. I'm fine. 287 00:14:00,840 --> 00:14:03,016 I'm guessing you were close to the young man who died. 288 00:14:05,670 --> 00:14:07,107 How do you know about him? 289 00:14:07,107 --> 00:14:09,500 Dr. Allen, he's tachycardic 290 00:14:09,500 --> 00:14:11,415 and his blood pressure's elevated, 178 over 112. 291 00:14:11,415 --> 00:14:13,156 Go get 20 milligrams labetalol. 292 00:14:14,766 --> 00:14:16,029 People like to tell me things. 293 00:14:16,029 --> 00:14:17,204 I like to listen. 294 00:14:17,204 --> 00:14:18,379 So you're nosy. 295 00:14:18,379 --> 00:14:21,208 Mmm. I'm friendly. 296 00:14:21,208 --> 00:14:23,340 Um, his vitals are normal again. 297 00:14:24,864 --> 00:14:27,823 Probably spiked due to anxiety, maybe from the machine. 298 00:14:27,823 --> 00:14:30,260 I'm not anxious. I'm enjoying our conversation. 299 00:14:30,260 --> 00:14:31,392 Oh. 300 00:14:31,392 --> 00:14:33,002 Apparently, I'm the only one. 301 00:14:33,002 --> 00:14:35,396 Try to keep still and no talking during the MRI. 302 00:14:43,795 --> 00:14:45,232 Hi. 303 00:14:45,232 --> 00:14:47,364 Just checking in. 304 00:14:47,364 --> 00:14:50,585 I was thinking I could talk to Villanueva if you want, 305 00:14:50,585 --> 00:14:52,239 about getting you some more time off. 306 00:14:52,239 --> 00:14:55,111 Thanks, but I don't think a few more days or... 307 00:14:55,111 --> 00:14:56,591 weeks will make much of a difference. 308 00:15:00,116 --> 00:15:01,988 I'm not sure I can ever come back. 309 00:15:03,946 --> 00:15:04,904 I'm sorry. 310 00:15:11,867 --> 00:15:14,000 Rod is placed. Lock it in with set screws. 311 00:15:14,000 --> 00:15:15,740 Thank you. 312 00:15:15,740 --> 00:15:17,612 Jerome's still not back today? 313 00:15:17,612 --> 00:15:20,658 No. He's not sure he can come back at all. 314 00:15:20,658 --> 00:15:22,443 Too many memories. 315 00:15:22,443 --> 00:15:26,838 He's still in shock. Now tighten the instrumentation. 316 00:15:26,838 --> 00:15:28,666 At least Paul gets to know the end is coming and prepare, 317 00:15:28,666 --> 00:15:31,104 say his goodbyes. 318 00:15:31,104 --> 00:15:34,368 I don't think you can ever really be prepared. 319 00:15:34,368 --> 00:15:36,892 And I wouldn't want my loved ones to watch me suffer. 320 00:15:36,892 --> 00:15:38,459 Spine is stabilized. 321 00:15:38,459 --> 00:15:41,114 Continue with the endoscopic decompression. 322 00:15:41,114 --> 00:15:44,944 So you'd rather not know it's coming? 323 00:15:44,944 --> 00:15:47,511 I'll go to sleep one night, never wake up, cut to black. 324 00:15:50,558 --> 00:15:51,646 Hold up. 325 00:15:53,082 --> 00:15:56,042 There's a clean margin in the spinal column 326 00:15:56,042 --> 00:15:57,434 surrounding the entire length of the tumor. 327 00:15:57,434 --> 00:15:59,262 That wasn't visible in his previous imaging. 328 00:16:00,785 --> 00:16:02,091 The impact of his landing must have 329 00:16:02,091 --> 00:16:04,050 cut off blood flow to the tumor at its perimeter, 330 00:16:04,050 --> 00:16:06,313 caused it to shrink. 331 00:16:06,313 --> 00:16:08,228 I think this gives us room to do a cordectomy. 332 00:16:08,228 --> 00:16:09,838 We could remove his entire tumor. 333 00:16:09,838 --> 00:16:11,187 And take out the majority 334 00:16:11,187 --> 00:16:13,363 of his thoracic spinal cord with it. 335 00:16:13,363 --> 00:16:15,017 Would paralyze him from the T3 down, 336 00:16:15,017 --> 00:16:17,063 and his cancer will probably come back. 337 00:16:17,063 --> 00:16:19,413 But it'd give him a lot more time. 338 00:16:19,413 --> 00:16:22,024 Let's close him up, see what he wants to do. 339 00:16:22,024 --> 00:16:24,026 How much of his blood have we banked so far? 340 00:16:24,026 --> 00:16:26,289 Only two units, and if we draw more, 341 00:16:26,289 --> 00:16:27,943 he'll be too anemic for surgery. 342 00:16:27,943 --> 00:16:29,379 We found another in Australia, 343 00:16:29,379 --> 00:16:30,859 but it wouldn't get here until the end of the week. 344 00:16:30,859 --> 00:16:32,904 We can't wait that long. 345 00:16:32,904 --> 00:16:35,733 Naomi may be too unstable to survive the transplant. 346 00:16:35,733 --> 00:16:38,345 We'll have to make it work with the patient's own blood. 347 00:16:38,345 --> 00:16:41,087 We'll need to ligate every vessel twice before cutting. 348 00:16:41,087 --> 00:16:43,002 Be precise and meticulous. 349 00:16:43,002 --> 00:16:45,221 I really don't want Jesus' blood on my hands. 350 00:16:45,221 --> 00:16:47,093 Luckily, we will be double-gloved. 351 00:16:48,920 --> 00:16:50,531 Give 7,000 units of Epogen 352 00:16:50,531 --> 00:16:53,664 and 150 milligrams of iron to increase RBCs. 353 00:16:54,448 --> 00:16:55,579 Hi. 354 00:16:55,579 --> 00:16:57,712 Are you entering your baking era? 355 00:16:57,712 --> 00:17:00,019 Nope. They're for Joelle. 356 00:17:00,019 --> 00:17:02,108 But I have three reject batches I could bring you. 357 00:17:03,109 --> 00:17:05,502 - I'm good. - Okay. 358 00:17:05,502 --> 00:17:08,766 Why are you making muffins for Park and Morgan's nanny? 359 00:17:08,766 --> 00:17:11,247 Because soon she'll be ours. 360 00:17:11,247 --> 00:17:14,250 I've come up with some additional cost-saving measures 361 00:17:14,250 --> 00:17:15,599 so we can pay her a little bit more. 362 00:17:15,599 --> 00:17:20,126 Mmm. There were other candidates, 363 00:17:20,126 --> 00:17:23,259 many of them very well qualified and less expensive. 364 00:17:23,259 --> 00:17:25,740 Morgan stole our son's nanny. That cannot stand. 365 00:17:25,740 --> 00:17:26,828 Out of principle. 366 00:17:27,568 --> 00:17:29,004 What principle? 367 00:17:30,919 --> 00:17:33,661 If we get all of the tumor, which I think we can, 368 00:17:33,661 --> 00:17:36,577 we could extend your life by five to 10 years. 369 00:17:36,577 --> 00:17:37,839 Maybe more. 370 00:17:38,753 --> 00:17:40,972 But I'll be a quadriplegic. 371 00:17:40,972 --> 00:17:42,844 It's likely you'll maintain some use of your hands, 372 00:17:42,844 --> 00:17:44,541 unless the edema spreads upwards. 373 00:17:46,630 --> 00:17:49,024 No, no, no, we're sticking with our original plan. 374 00:17:49,024 --> 00:17:50,721 Just get me back on my feet again, okay? 375 00:17:50,721 --> 00:17:52,680 Dad, they said years. 376 00:17:52,680 --> 00:17:54,899 You'd still have all your mental faculties. 377 00:17:54,899 --> 00:17:56,205 And you'd have me to help. 378 00:17:58,555 --> 00:18:01,167 Can you get me some ice chips? My mouth is really dry. 379 00:18:04,257 --> 00:18:06,868 Just think about it, please. 380 00:18:20,925 --> 00:18:23,014 Eve drew this in kindergarten. 381 00:18:23,014 --> 00:18:25,408 I'm the tall one. She's the one with the hair. 382 00:18:27,149 --> 00:18:30,674 She told me that her dream was touching the sky with me. 383 00:18:30,674 --> 00:18:33,460 And I promised her that we would do that one day. 384 00:18:33,460 --> 00:18:36,854 And then her mom and me, we got a divorce, 385 00:18:36,854 --> 00:18:39,770 and I lost a lot of years with my daughter. 386 00:18:39,770 --> 00:18:42,208 Well, this surgery would give you a lot of years back. 387 00:18:44,558 --> 00:18:45,907 After all these years of being absent, 388 00:18:45,907 --> 00:18:49,519 I can't ask her to spend her 20s taking care of me. 389 00:18:51,086 --> 00:18:54,394 She should finish college, start her own life. 390 00:19:00,878 --> 00:19:05,753 Hi. This is Dr. Aaron Glassman again. 391 00:19:05,753 --> 00:19:07,711 No, okay. I don't understand the delay. 392 00:19:10,671 --> 00:19:14,675 Fine. Um, can you please have them call me back either way? 393 00:19:14,675 --> 00:19:16,633 Thank you. 394 00:19:19,941 --> 00:19:22,117 How you feeling? 395 00:19:22,117 --> 00:19:24,772 Mm. You gave me the good stuff, so... 396 00:19:24,772 --> 00:19:26,295 Yeah, well, guess what? 397 00:19:26,295 --> 00:19:28,515 After the surgery, you're not gonna need the good stuff, 398 00:19:28,515 --> 00:19:30,647 nor are you going to need to be telling stories 399 00:19:30,647 --> 00:19:32,649 about spilling pills into toilets. 400 00:19:32,649 --> 00:19:35,652 - It wasn't-- - Don't bother. 401 00:19:35,652 --> 00:19:38,655 You left the emergency contact blank on your pre-op form. 402 00:19:38,655 --> 00:19:40,353 You planning to off me on the table? 403 00:19:40,353 --> 00:19:42,703 Well, I'm not planning on it. 404 00:19:42,703 --> 00:19:44,008 But if something were to go wrong, 405 00:19:44,008 --> 00:19:46,054 I'm gonna need to contact your mom or your dad. 406 00:19:46,054 --> 00:19:48,926 Good luck. They kicked me out years ago, so... 407 00:19:50,667 --> 00:19:54,149 if you want someone who cares if I die, guess again. 408 00:19:55,933 --> 00:19:58,675 I'm gonna take the wild guess that they still care. 409 00:20:02,244 --> 00:20:03,376 You'd be wrong. 410 00:20:09,425 --> 00:20:12,515 Father, thank you for loving us so much, 411 00:20:12,515 --> 00:20:14,691 and we ask that you heal Ruth's back pain 412 00:20:14,691 --> 00:20:17,564 so she can get back to the pickleball court. 413 00:20:17,564 --> 00:20:19,740 Amen. Amen. 414 00:20:20,784 --> 00:20:22,830 The pain is gone! Thank you. 415 00:20:22,830 --> 00:20:25,224 I think that's your pain meds kicking in, Mrs. Wyatt. 416 00:20:26,094 --> 00:20:27,226 Let's go. 417 00:20:29,706 --> 00:20:31,926 I don't have time to be looking all over for you. 418 00:20:31,926 --> 00:20:34,929 I'm sorry. Helping people in pain is kind of my thing. 419 00:20:34,929 --> 00:20:36,800 No, it's my thing. I'm the doctor, 420 00:20:36,800 --> 00:20:39,412 and my patients don't need your snake oil. 421 00:20:39,412 --> 00:20:43,154 - I'm giving them comfort. - You're giving them false hope. 422 00:20:43,154 --> 00:20:46,506 It's okay if you're angry. He gets that a lot. 423 00:20:46,506 --> 00:20:48,377 I'm not angry. I just need you to stay put. 424 00:20:48,377 --> 00:20:50,510 I didn't mean right now. 425 00:20:50,510 --> 00:20:51,989 I just feel a little... 426 00:20:54,427 --> 00:20:55,732 I need help! 427 00:21:05,046 --> 00:21:07,048 We cannot do the kidney transplant 428 00:21:07,048 --> 00:21:09,093 until we know why he collapsed. 429 00:21:09,093 --> 00:21:10,704 He's hypertensive and tachycardic one moment 430 00:21:10,704 --> 00:21:12,575 and then stable the next. 431 00:21:12,575 --> 00:21:14,925 Could be carcinoid syndrome or renovascular hypertension. 432 00:21:14,925 --> 00:21:16,405 There are no suspicious masses. 433 00:21:16,405 --> 00:21:18,451 His renal arteries look normal. 434 00:21:18,451 --> 00:21:21,236 His labs rule out hyperthyroidism. 435 00:21:21,236 --> 00:21:23,325 Everything about this guy is crazy. 436 00:21:23,325 --> 00:21:27,808 Crazy is not a DSM-recognized diagnosis, but you are correct. 437 00:21:27,808 --> 00:21:29,897 His underlying condition must have psychiatric 438 00:21:29,897 --> 00:21:31,681 as well as physical symptoms. 439 00:21:47,044 --> 00:21:49,003 He has a pheochromocytoma. 440 00:21:50,439 --> 00:21:51,962 We need to surgically remove it. 441 00:21:51,962 --> 00:21:53,747 It could not be seen on the MRI, 442 00:21:53,747 --> 00:21:55,966 but it has been flooding his system with hormones. 443 00:21:55,966 --> 00:21:57,664 Once the pheo's out, we may find 444 00:21:57,664 --> 00:22:00,144 Jesus has left the building, taking both kidneys with him. 445 00:22:00,144 --> 00:22:03,060 If that happens, Naomi almost certainly dies. 446 00:22:03,060 --> 00:22:05,846 We could remove the pheo and the kidney at the same time. 447 00:22:05,846 --> 00:22:08,239 Given his blood type, every surgery is dangerous 448 00:22:08,239 --> 00:22:10,372 because of our limited supply of Rhnull blood. 449 00:22:10,372 --> 00:22:12,156 Ethically, there's no debate here, 450 00:22:12,156 --> 00:22:13,810 regardless of medical issues. 451 00:22:13,810 --> 00:22:16,030 We remove the pheo, then ask Jesus 452 00:22:16,030 --> 00:22:17,988 if he still wants to move forward with the donation. 453 00:22:17,988 --> 00:22:19,729 Prep him for surgery. 454 00:22:19,729 --> 00:22:21,296 You're trying to steal our nanny? 455 00:22:21,296 --> 00:22:24,560 Oh, Lea is trying to steal your nanny 456 00:22:24,560 --> 00:22:26,736 because Morgan stole her first. 457 00:22:26,736 --> 00:22:28,521 She didn't mention that part. 458 00:22:28,521 --> 00:22:30,479 Although, Joelle was not technically our nanny yet, 459 00:22:30,479 --> 00:22:32,046 but Lea is very passionate about this, 460 00:22:32,046 --> 00:22:33,830 and I'm choosing to support her. 461 00:22:33,830 --> 00:22:35,571 Yeah. Me, too. 462 00:22:35,571 --> 00:22:36,964 Oh, you're supporting Lea? 463 00:22:37,704 --> 00:22:39,445 No. Morgan. 464 00:22:39,445 --> 00:22:41,229 We need to do something before this escalates 465 00:22:41,229 --> 00:22:43,013 and we're ordered not to talk to each other anymore. 466 00:22:43,013 --> 00:22:45,973 We gotta sit down, the four of us, and work this out. 467 00:22:45,973 --> 00:22:48,279 Atrium Cafe. Tuesday, noon. 468 00:23:05,558 --> 00:23:07,211 Me again. 469 00:23:07,211 --> 00:23:08,517 You don't have to keep checking in. 470 00:23:09,736 --> 00:23:11,172 I, um... 471 00:23:11,172 --> 00:23:13,087 I need a favor. 472 00:23:13,087 --> 00:23:14,784 It's kind of a big one. 473 00:23:17,483 --> 00:23:20,137 Due respect, Doctor, the source of my divinity 474 00:23:20,137 --> 00:23:23,793 isn't just a pheo-whatever- you-call-it. 475 00:23:23,793 --> 00:23:25,404 Your BP and heart rate are stable. 476 00:23:25,404 --> 00:23:29,233 Our connection to God is not that easily severed. 477 00:23:29,233 --> 00:23:30,409 I think you know that. 478 00:23:30,409 --> 00:23:31,801 Why do you keep thinking you know me? 479 00:23:31,801 --> 00:23:33,934 You don't. You didn't know my dead friend. 480 00:23:33,934 --> 00:23:37,154 You don't even know who you are. 481 00:23:37,154 --> 00:23:38,765 I need to place an arterial line. 482 00:23:38,765 --> 00:23:40,331 I know you're grieving. 483 00:23:40,331 --> 00:23:42,116 - I don't want to talk about it. - And you can't understand 484 00:23:42,116 --> 00:23:44,161 how your friend's death could be part of God's plan. 485 00:23:44,161 --> 00:23:46,425 There is no plan. 486 00:23:46,425 --> 00:23:48,949 It's a lie, and it's cruel. 487 00:23:48,949 --> 00:23:51,473 And I used to believe in it so much. 488 00:23:51,473 --> 00:23:54,781 Every time I lost a patient, I would tell myself 489 00:23:54,781 --> 00:23:56,478 it's all a part of a bigger picture. 490 00:23:56,478 --> 00:24:00,264 I took comfort in believing you were watching out for us. 491 00:24:00,264 --> 00:24:01,483 Even in the midst of suffering, 492 00:24:01,483 --> 00:24:03,006 you were working things out for our good, 493 00:24:03,006 --> 00:24:04,878 but it is all a lie. 494 00:24:04,878 --> 00:24:08,098 My friend was murdered defending one of your children. 495 00:24:08,098 --> 00:24:10,318 You let him bleed out on the sidewalk all alone, 496 00:24:10,318 --> 00:24:12,929 and there was no one there to tell him how much he was loved. 497 00:24:17,412 --> 00:24:19,762 He knew. 498 00:24:19,762 --> 00:24:20,763 I promise. 499 00:24:23,070 --> 00:24:25,638 He knew. 500 00:24:29,859 --> 00:24:32,253 Hey. God will love you, 501 00:24:32,253 --> 00:24:33,733 no matter what you say to Him 502 00:24:33,733 --> 00:24:36,300 or about Him. 503 00:24:36,300 --> 00:24:37,911 You just need to keep talking. 504 00:24:43,482 --> 00:24:46,310 Okay, everyone, time to vote. We need your help. 505 00:24:46,310 --> 00:24:49,879 Which peak should we climb, Mission Peak or Mount Umunhum? 506 00:24:49,879 --> 00:24:51,881 Uh, Mission Peak is an easier hike, 507 00:24:51,881 --> 00:24:54,667 but Mount Umunhum has a better view of the sunset. 508 00:24:54,667 --> 00:24:56,930 I vote neither. 509 00:24:58,105 --> 00:24:59,410 I hope that wasn't a livestream. 510 00:25:00,499 --> 00:25:02,109 You're the disappearing nurse. 511 00:25:03,153 --> 00:25:05,416 Jerome Martel. 512 00:25:05,416 --> 00:25:07,767 I'm sorry about that. I, uh... 513 00:25:09,377 --> 00:25:13,642 I lost the love of my life recently, very suddenly. 514 00:25:13,642 --> 00:25:17,733 And seeing the two of you, you know... 515 00:25:17,733 --> 00:25:19,822 It must have struck a little close to home. 516 00:25:21,694 --> 00:25:25,872 I wish I had known my last day with him was my last day. 517 00:25:25,872 --> 00:25:27,743 Or my last month. 518 00:25:27,743 --> 00:25:30,398 So we could have made the most of that time. 519 00:25:30,398 --> 00:25:33,183 Are you here to talk me into the cordectomy? 520 00:25:34,837 --> 00:25:37,057 Asher and I made a plan 521 00:25:37,057 --> 00:25:42,584 to watch every Best Picture winner since 1928. 522 00:25:42,584 --> 00:25:46,196 We made it to The Godfather Part II. 523 00:25:46,196 --> 00:25:49,548 Asher fell asleep halfway through, as usual. 524 00:25:49,548 --> 00:25:52,376 He was snoring so loudly, I could hardly hear what Pacino was saying, 525 00:25:55,379 --> 00:25:58,252 I don't know what the right choice is for you and your family. 526 00:25:59,949 --> 00:26:02,996 But I know there is nothing I wouldn't give 527 00:26:02,996 --> 00:26:04,954 to sit by Asher's side 528 00:26:04,954 --> 00:26:07,566 and listen to him snore through The English Patient. 529 00:26:12,396 --> 00:26:15,095 Dad. We could watch every one 530 00:26:15,095 --> 00:26:18,359 of those 30 for 30 documentaries you like. 531 00:26:18,359 --> 00:26:20,361 Even the ones about hockey. 532 00:26:20,361 --> 00:26:23,799 Or we could start our own two-person true-crime book club. 533 00:26:23,799 --> 00:26:25,888 It wouldn't just be fun and games, Eve. 534 00:26:25,888 --> 00:26:27,020 You'd also be stuck. 535 00:26:27,020 --> 00:26:28,935 Not stuck. 536 00:26:28,935 --> 00:26:30,066 Honored. 537 00:26:31,720 --> 00:26:34,375 Sure, I'd need help, 538 00:26:34,375 --> 00:26:37,944 but I can't lose you after just getting you back. 539 00:26:37,944 --> 00:26:41,600 I want you to be there when I graduate from college. 540 00:26:41,600 --> 00:26:43,384 Maybe walk me down the aisle someday. 541 00:26:52,915 --> 00:26:54,656 Okay if I wheel you down? 542 00:26:57,006 --> 00:26:58,225 I'd love that. 543 00:27:10,324 --> 00:27:12,848 We removed the pheochromocytoma. 544 00:27:14,328 --> 00:27:16,635 Do you still believe you are Jesus? 545 00:27:21,465 --> 00:27:24,643 My name is, um... Is Carl. 546 00:27:26,775 --> 00:27:29,038 I remember everything, but... 547 00:27:29,038 --> 00:27:31,737 I know I'm not Jesus. 548 00:27:32,868 --> 00:27:34,609 Are you still willing to move forward 549 00:27:34,609 --> 00:27:36,219 with donating your kidney? 550 00:27:38,657 --> 00:27:40,310 I... 551 00:27:40,310 --> 00:27:41,877 I have no idea what to do. 552 00:27:43,574 --> 00:27:47,666 We now only have one remaining bag of Rhnull blood. 553 00:27:47,666 --> 00:27:49,189 That makes another surgery quite high-risk. 554 00:27:50,059 --> 00:27:52,018 Donating your kidney to Naomi 555 00:27:52,018 --> 00:27:54,585 would be a very kind thing to do. 556 00:27:57,719 --> 00:28:00,679 But as your surgeon, it is not medically advisable. 557 00:28:06,728 --> 00:28:07,773 I can't do it. 558 00:28:29,882 --> 00:28:31,405 We've discussed and would be willing... 559 00:28:31,405 --> 00:28:33,886 Reluctantly willing. 560 00:28:33,886 --> 00:28:37,759 ...to hire Joelle as a part-time nanny so we can all share her. 561 00:28:37,759 --> 00:28:39,282 Returning half of what you stole? 562 00:28:39,282 --> 00:28:40,806 What a cop-out. 563 00:28:40,806 --> 00:28:43,286 - Told you. She's totally unreasonable. - Excuse me? 564 00:28:43,286 --> 00:28:45,636 If you want to see unreasonable, let me hold up a mirror. 565 00:28:45,636 --> 00:28:47,203 Unless you already swiped that from my bag. 566 00:28:47,203 --> 00:28:49,118 I've seen you knock-off bag. There's nothing worth taking. 567 00:28:49,118 --> 00:28:51,294 Okay. Would you be willing to employ her 568 00:28:51,294 --> 00:28:53,035 on Tuesdays and Thursdays? 569 00:28:53,035 --> 00:28:54,123 And give you a 60/40 advantage? 570 00:28:54,123 --> 00:28:55,298 We're the ones who found her. 571 00:28:55,298 --> 00:28:56,386 We're the ones who hired her. 572 00:28:56,386 --> 00:28:57,823 You take Tuesdays and Thursdays. 573 00:28:57,823 --> 00:28:59,476 I'll throw in my wine. Deal? 574 00:28:59,476 --> 00:29:01,652 No deal, but I will give you the stack of resumes 575 00:29:01,652 --> 00:29:03,089 from the people we didn't hire. 576 00:29:03,089 --> 00:29:04,743 So we're supposed to just pick through your leftovers? 577 00:29:04,743 --> 00:29:06,832 You already did, except we were still eating her. 578 00:29:06,832 --> 00:29:08,703 I did not mean that the way it sounded. 579 00:29:08,703 --> 00:29:11,575 How about a 50/50 split, alternating weeks? 580 00:29:12,315 --> 00:29:13,882 I have a better idea. 581 00:29:18,539 --> 00:29:20,062 You're a genius. 582 00:29:20,062 --> 00:29:21,194 Savant. 583 00:29:25,676 --> 00:29:28,418 So, St. Bon's is now in the daycare business? 584 00:29:28,418 --> 00:29:30,812 You agreed. - No, I just didn't contradict you 585 00:29:30,812 --> 00:29:32,858 when you almost immediately said yes. 586 00:29:32,858 --> 00:29:34,468 I'll take more 4-0 for tackups. 587 00:29:34,468 --> 00:29:36,339 You're opposed to being family-friendly? 588 00:29:36,339 --> 00:29:38,211 I just didn't realize your mini strokes had turned you into 589 00:29:38,211 --> 00:29:39,386 such a softy. 590 00:29:40,735 --> 00:29:43,390 Between the daycare... and her. 591 00:29:43,390 --> 00:29:45,087 What about her? She's a patient, 592 00:29:45,087 --> 00:29:46,523 who I happen to be right about. 593 00:29:47,133 --> 00:29:48,134 Let's find out. 594 00:29:49,135 --> 00:29:51,093 Opening the arachnoid. 595 00:29:58,622 --> 00:30:00,886 Significant adhesions, 596 00:30:00,886 --> 00:30:04,367 fourth ventricular veil restricting CSF flow. 597 00:30:04,367 --> 00:30:06,108 You were right. Chiari Zero. 598 00:30:08,284 --> 00:30:10,199 This will only solve one of Hannah's issues, 599 00:30:10,199 --> 00:30:11,853 and arguably the easier one. 600 00:30:11,853 --> 00:30:13,855 Her addiction will still be a problem. 601 00:30:14,813 --> 00:30:16,858 Doesn't have to be yours. 602 00:30:17,859 --> 00:30:19,513 Watch your dissection. 603 00:30:36,182 --> 00:30:39,011 I've got your discharge papers and your ride. 604 00:30:41,056 --> 00:30:45,365 My, uh, emergency contact is my landlord. 605 00:30:49,499 --> 00:30:50,631 You want me to call him? 606 00:30:52,938 --> 00:30:54,896 I think my, um, 607 00:30:54,896 --> 00:30:56,637 brain tricked me into thinking I was 608 00:30:56,637 --> 00:30:59,205 the most significant person around because... 609 00:31:01,120 --> 00:31:02,861 I don't really matter to anyone. 610 00:31:07,691 --> 00:31:10,607 Your friend, what kind of man was he? 611 00:31:11,652 --> 00:31:13,480 Clever. 612 00:31:13,480 --> 00:31:16,396 Honest. 613 00:31:16,396 --> 00:31:18,702 Would make you laugh as much as he would 614 00:31:18,702 --> 00:31:20,139 call you out on your nonsense. 615 00:31:24,534 --> 00:31:25,884 And really brave. 616 00:31:29,539 --> 00:31:32,194 Maybe it wasn't a trick. 617 00:31:32,194 --> 00:31:35,850 Maybe your brain just showed you the type of person you could be. 618 00:31:39,506 --> 00:31:41,160 Maybe you came here for a reason. 619 00:31:43,162 --> 00:31:45,077 Yeah. 620 00:31:45,077 --> 00:31:46,730 I'd like to think so. 621 00:31:57,828 --> 00:31:59,526 Um, I'd like to donate my kidney. 622 00:32:09,840 --> 00:32:12,843 Sectioning the artery with a vascular stapler. 623 00:32:12,843 --> 00:32:15,846 Vitals holding steady. Kidney looks great. 624 00:32:15,846 --> 00:32:18,327 Ligating the renal vein. 625 00:32:18,327 --> 00:32:21,722 Removing the left kidney. 626 00:32:21,722 --> 00:32:23,898 Let's get this over to Naomi. 627 00:32:25,334 --> 00:32:27,032 The vein tore. He's hemorrhaging. 628 00:32:27,032 --> 00:32:28,163 Applying manual pressure. 629 00:32:28,163 --> 00:32:30,078 We need suction and Cooley clamp. 630 00:32:30,078 --> 00:32:32,211 His renal vein must have avulsed off the vena cava. 631 00:32:32,211 --> 00:32:34,169 We need to get vascular control. 632 00:32:34,169 --> 00:32:36,302 200 cc. That's the last of his banked blood. 633 00:32:36,302 --> 00:32:37,564 Very aware. 634 00:32:37,564 --> 00:32:39,305 Please, please, do not let this man die. 635 00:32:47,835 --> 00:32:48,923 Sutures aren't holding. 636 00:32:48,923 --> 00:32:50,620 Less than 100 cc of blood left. 637 00:32:50,620 --> 00:32:52,274 Can we ligate the vena cava? Tissue is too friable. 638 00:32:52,274 --> 00:32:54,015 That could cause complete renal failure. 639 00:32:54,015 --> 00:32:55,408 We should put in a graft. 640 00:32:55,408 --> 00:32:56,670 The walls are tearing. 641 00:32:56,670 --> 00:32:58,411 We need something to get vascular control now. 642 00:32:59,760 --> 00:33:01,196 A double-balloon occlusion. 643 00:33:01,196 --> 00:33:03,068 We can block it from above and below at the same time. 644 00:33:03,068 --> 00:33:04,634 And we could use the existing 645 00:33:04,634 --> 00:33:06,767 jugular central line to get access. 646 00:33:06,767 --> 00:33:08,247 Fluoroscopy. 647 00:33:10,945 --> 00:33:12,860 I'll take the graft. 648 00:33:12,860 --> 00:33:14,514 Lap sponges. 649 00:33:14,514 --> 00:33:17,343 Advancing the catheter to the SVC. 650 00:33:17,343 --> 00:33:19,214 Call out when he reaches the IVC. 651 00:33:22,000 --> 00:33:23,653 A little further. 652 00:33:27,353 --> 00:33:28,354 You're there. 653 00:33:32,010 --> 00:33:33,620 Inflating the balloons. 654 00:33:43,978 --> 00:33:46,111 BP and heart rate are stabilizing. 655 00:33:51,768 --> 00:33:53,031 Thank you. 656 00:33:59,559 --> 00:34:00,734 I'm not here to ask you to come back. 657 00:34:01,474 --> 00:34:02,562 Promise. 658 00:34:03,867 --> 00:34:05,173 I wrote a list. 659 00:34:05,869 --> 00:34:07,306 Yeah, come in. 660 00:34:07,306 --> 00:34:09,786 Anything anyone at St. Bon's could remember Asher 661 00:34:09,786 --> 00:34:11,005 ever saying he wanted to do. 662 00:34:17,142 --> 00:34:18,404 Save a cat in a tree. 663 00:34:20,754 --> 00:34:22,190 Learn Dothraki. 664 00:34:25,193 --> 00:34:26,673 Eat pasta in Italy. 665 00:34:29,154 --> 00:34:31,634 If you want, I thought maybe we could... 666 00:34:31,634 --> 00:34:32,679 do some of it together. 667 00:34:35,464 --> 00:34:36,900 Thanks. 668 00:34:36,900 --> 00:34:38,902 But, uh... 669 00:34:38,902 --> 00:34:41,079 well, these weren't at the top of Asher's list. 670 00:34:43,559 --> 00:34:47,085 He was really serious about making me get a matching tattoo. 671 00:34:47,085 --> 00:34:50,610 A big spoon for me, little spoon for him. 672 00:34:50,610 --> 00:34:52,525 Tried to talk me into it at least once a week. 673 00:34:55,441 --> 00:34:58,444 I said it was too silly for something so real. 674 00:35:04,798 --> 00:35:05,886 Thanks for this. 675 00:35:22,468 --> 00:35:23,512 Hey! 676 00:35:23,512 --> 00:35:24,948 Dr. Reznick around? 677 00:35:24,948 --> 00:35:27,429 No! And don't sneak up on people like that. 678 00:35:28,648 --> 00:35:29,823 I'm sorry. 679 00:35:29,823 --> 00:35:30,824 That lady is putting me through my paces. 680 00:35:32,521 --> 00:35:33,827 I almost miss surgery. 681 00:35:37,744 --> 00:35:40,790 When I lost my mom, 682 00:35:40,790 --> 00:35:44,098 my whole world stopped making sense. 683 00:35:44,098 --> 00:35:46,100 I looked to religion for answers. 684 00:35:46,100 --> 00:35:48,276 I'm still searching for what feels right, 685 00:35:48,276 --> 00:35:52,106 but I do know my mom's not just gone. 686 00:35:52,106 --> 00:35:53,890 And I try to find little ways 687 00:35:53,890 --> 00:35:55,544 to make her a part of my life as much as I can. 688 00:35:57,416 --> 00:35:59,722 There you are. The poop fridge shorted out. 689 00:35:59,722 --> 00:36:02,682 You've got 22 fecal samples to relocate ASAP. 690 00:36:02,682 --> 00:36:05,163 How big is your fridge at home? 691 00:36:12,953 --> 00:36:14,302 Hey. 692 00:36:21,222 --> 00:36:22,223 Okay. 693 00:36:23,877 --> 00:36:25,095 Follow this light. 694 00:36:28,490 --> 00:36:29,839 No more twitch in the eye. 695 00:36:30,666 --> 00:36:31,928 Let me see your hands. 696 00:36:31,928 --> 00:36:33,234 That's good, right? 697 00:36:33,234 --> 00:36:35,932 Yeah, just finger tapping. 698 00:36:35,932 --> 00:36:37,978 Both. 699 00:36:37,978 --> 00:36:39,240 Good. 700 00:36:39,240 --> 00:36:41,721 Grab my hands and make a nice, tight grip. 701 00:36:41,721 --> 00:36:43,723 Really tight, as hard as you can. Ow! 702 00:36:43,723 --> 00:36:44,854 Okay. 703 00:36:44,854 --> 00:36:46,465 Next you'll be pitching for the A's. 704 00:36:46,465 --> 00:36:48,293 God, no. 705 00:36:48,293 --> 00:36:49,381 Cubs or bust. 706 00:36:52,340 --> 00:36:54,255 Thank you for believing me. 707 00:36:58,303 --> 00:37:00,218 But, um... 708 00:37:00,218 --> 00:37:02,307 I'm... I'm still a little... 709 00:37:03,351 --> 00:37:05,048 Uncomfortable? That's normal, 710 00:37:05,048 --> 00:37:06,920 considering the surgery you've just been through. 711 00:37:08,748 --> 00:37:10,402 Could you give me something? 712 00:37:13,405 --> 00:37:14,971 Your morphine's maxed out. 713 00:37:17,887 --> 00:37:19,802 But you know what I can do? 714 00:37:19,802 --> 00:37:21,151 I can hang out for a little while, 715 00:37:21,151 --> 00:37:22,544 keep your mind off things. 716 00:37:22,544 --> 00:37:27,114 I can get a deck of cards. Gin Rummy or Blackjack? 717 00:37:28,594 --> 00:37:30,204 I don't wanna take your money. 718 00:37:31,423 --> 00:37:33,120 Ha. 719 00:37:33,120 --> 00:37:34,948 We could turn on the TV. 720 00:37:35,427 --> 00:37:36,471 Okay. 721 00:37:36,471 --> 00:37:38,560 But I'm choosing what we watch. 722 00:37:38,560 --> 00:37:40,258 Oh, I'm sorry. 723 00:37:41,520 --> 00:37:43,217 Excuse me. I'll be right back. 724 00:37:47,395 --> 00:37:49,397 Yes, it's Dr. Glassman. 725 00:37:50,398 --> 00:37:52,226 Yeah. 726 00:37:53,749 --> 00:37:55,447 And... And they're conclusive? 727 00:37:59,973 --> 00:38:03,716 Okay. Um, can you do me a favor and send them over? 728 00:38:03,716 --> 00:38:05,326 I'd like to take a look. 729 00:38:07,633 --> 00:38:09,852 Yeah. Um, thank you. 730 00:38:09,852 --> 00:38:13,247 ♪ The gears won't turn And the leaves won't grow ♪ 731 00:38:16,250 --> 00:38:20,254 - ♪ There's no place to run And no gasoline ♪ - Okay. 732 00:38:22,778 --> 00:38:26,695 ♪ Engine won't turn and the train won't leave ♪ 733 00:38:29,219 --> 00:38:33,006 ♪ Engines won't turn And the train won't leave ♪ 734 00:38:35,922 --> 00:38:40,230 ♪ Well, the way I feel Is the way I write ♪ 735 00:38:40,230 --> 00:38:43,277 Hey, guys, we are seconds away from crossing off 736 00:38:43,277 --> 00:38:45,323 our biggest bucket-list item yet. 737 00:38:45,323 --> 00:38:47,237 Thanks to the help of our fantastic doctors 738 00:38:47,237 --> 00:38:49,327 and a little bit of teamwork, 739 00:38:49,327 --> 00:38:52,765 we have arrived at the peak of Mount Umunhum! 740 00:38:52,765 --> 00:38:55,855 Okay. Everybody ready? 741 00:38:55,855 --> 00:39:00,599 Okay, three, two, one! 742 00:39:00,599 --> 00:39:02,731 We're touching the sky! 743 00:39:04,472 --> 00:39:08,084 - ♪ The way I feel Is the way I write ♪ - Whoo! Whoo! 744 00:39:10,043 --> 00:39:14,395 ♪ Nothing like the thoughts Of a man who lies ♪ 745 00:39:16,136 --> 00:39:19,052 ♪ There is a truth And it's on our side ♪ 746 00:39:21,228 --> 00:39:25,275 ♪ Dawn is coming Open your eyes ♪ 747 00:39:26,886 --> 00:39:30,759 ♪ Look into the sun As the new days rise ♪ 748 00:39:32,413 --> 00:39:35,938 ♪ And I will wait For you tonight ♪ 749 00:39:37,766 --> 00:39:42,989 ♪ You're here forever And you're by my side ♪ 750 00:39:42,989 --> 00:39:45,470 So, this patient I just had... 751 00:39:47,210 --> 00:39:49,561 He thought he was Jesus, 752 00:39:49,561 --> 00:39:52,607 real, actual Jesus. 753 00:39:52,607 --> 00:39:55,044 You would have loved it, or mocked it. 754 00:39:55,044 --> 00:39:57,786 Probably both. 755 00:39:57,786 --> 00:40:00,049 You know, when he said he was a carpenter from Nazareth, 756 00:40:00,049 --> 00:40:01,311 that's the thing... 757 00:40:03,792 --> 00:40:08,406 ♪ Look into the sun As the new days rise ♪ 758 00:40:09,798 --> 00:40:11,017 Hi, Joelle. 759 00:40:11,017 --> 00:40:13,454 - Hi! - Oh, my gosh. 760 00:40:13,454 --> 00:40:15,891 I've missed you so much! 761 00:40:15,891 --> 00:40:18,372 You have done a very nice job 762 00:40:18,372 --> 00:40:20,156 making this not feel like a conference room. 763 00:40:20,156 --> 00:40:21,767 Thank you. 764 00:40:21,767 --> 00:40:24,465 Steve was such a happy, easy baby. 765 00:40:24,465 --> 00:40:28,164 Oh, was he really? Oh, I'm so glad. 766 00:40:28,164 --> 00:40:30,079 No, he did great. 767 00:40:30,079 --> 00:40:32,473 He was the only one who didn't even cry at drop-off. 768 00:40:33,779 --> 00:40:35,041 - Really? - Mmm-hmm. 769 00:40:35,041 --> 00:40:36,738 Can't wait to see you tomorrow. 770 00:40:36,738 --> 00:40:38,305 - Okay, bye. - Bye. 771 00:40:40,220 --> 00:40:43,658 Oh, you did so good, peanut. 772 00:40:46,618 --> 00:40:50,143 What's wrong? 773 00:40:50,143 --> 00:40:53,538 She said Steve did not react when his parent left the room. 774 00:40:53,538 --> 00:40:56,584 Which means loves it here. 775 00:40:56,584 --> 00:41:00,632 Or it could be an early indication of autism.