Murphy, single-vehicle car crash incoming.
Two victims, husband and wife. You want in?
Yes, I would like that very much.
Motor-vehicle accident. The other victim's behind us.
41-year-old female, lacerations to her face,
contusions on her chest and abdomen.
She was behind the wheel when she lost consciousness.
She has 3 centimeters full-thickness scalp lac
extending to her hairline.
Heart rate's normal.
Possible internal bleeding. What are we doing, Dr. Browne?
- Fast ultrasound? - Get on it.
45-year-old male. Superficial abrasions to the neck.
Appears that he's dislocated his hip.
The affected limb is in position of flexion
and internally rotated.
We need to relocate the hip.
Do a Captain Morgan.
How are we doing?
There is a lot of free fluid in the recto-uterine space
and Morison's pouch from internal bleeding.
Let's get her into O.R. One.
When you're done, join us, Dr. Murphy.
Okay.
Where are they taking my wife?
She has internal bleeding,
so they are taking her to surgery.
Today is our 10-year anniversary.
Tell them not to let her die.
That woman is my everything. She's all I have.
We use a small tool called a laparoscope,
kind of like a metal straw.
We go in through here, here, and here,
everything gets tucked back inside, and we're done.
It only leaves a few small scars.
How long have you had a stiff neck?
Uh, a couple days.
Been feeling tired or have back pain?
A little bit of both, I guess.
Going to test your reflexes.
Left patellar reflex is minimally responsive.
- What's that mean? - We might have to postpone the surgery.
We're gonna run some tests.
If everything checks out and we figure out
why you have pain and fatigue, we'll operate.
Come here, bud.
Spleen and liver are fully packed.
Where's all this blood coming from? Suction.
- How's the hubby? - His hip has been relocated.
He asked me to tell you not to let her die.
She's his everything.
Duly noted.
Retract the stomach.
Can't find the bleed.
Hold on. The left Fallopian tube is swollen,
and there's a large defect in it. It's ruptured.
Our labs came back negative,
but Finn's fatigue and left-leg weakness
suggests a viral or bacterial infection.
Well, he hasn't had a fever.
Other than the stiff neck, he's been fine.
Are his vaccines up to date?
Your pediatrician didn't send us anything.
He's never been vaccinated.
But my niece came down with long-term intestinal problems
after getting a shot.
We did a lot of research.
Things have only gotten scarier since.
Not really.
Weakness and fever might mean polio.
If you guys traveled outside the U.S.
We don't travel.
And we reduce his exposure to infectious disease
by putting him in a public school,
where he's surrounded by vaccinated kids.
That's herd immunity.
By surrounding him with vaccinated kids,
you're tacitly admitting that vaccines work.
Oh, we're not saying they don't work.
It's just not worth the risk.
They save millions of lives. You're endangering your...
I get it. I've worked with other families
who feel the same way as you.
It comes down to personal choice.
Dr. Park, may I consult with you outside?
Excuse us.
They're gonna be here for a while.
If I gain their trust, I can work to change
their views from the inside.
They're part of a movement with social-media support
and bogus research to feed their beliefs.
You want to help? Send them away.
"Do no harm."
I'm not sending them home with a sick kid.
One of my best friends refused to vaccinate her 1-year-old boy.
I told her she was crazy.
Three pediatricians refused to take her on.
She was rejected so often
that she was finally considering vaccinations.
And then some idiot decided to "do no harm,"
that it was better that Carol's kid had a doctor than a vaccine.
A year later,
the kid contracted whooping cough.
A month after that, she was planning his funeral.
I'm sorry for your friend.
But we don't have a choice. He's already a patient.
Let's test him for polio.
Your wife is gonna be fine.
She had a ruptured Fallopian tube.
Mr. Williams, unfortunately,
we couldn't save the pregnancy.
The fertilized egg
implanted outside the uterus.
Pregnancy?
It was fairly early. She may not have told you,
may not have even known herself.
That can't be.
I had a vasectomy 10 years ago,
right before we got married.
...Captions by VITAC...
Synced & corrected by -robtor- www.addic7ed.com
I need to see my wife.
Mr. Williams, that's not possible.
She's, uh... She's sleeping. She needs to rest.
There's no way she was pregnant.
- You guys made a mistake. - No.
We didn't make a mistake.
She's not like that.
If she gets the wrong change for coffee,
she's driving back 20 minutes to make it right.
And the sex?
We haven't been this active since our honeymoon.
Maybe the vasectomy failed.
I'm sorry, but...
a vasectomy doesn't just fail after 10 years.
It is more likely she got pregnant
from someone who is not you.
Dr. Claire Browne is being courted
by other residency programs.
Heard it from the President of Kaiser San Jose.
He was surprised to hear that she was leaving. So was I.
Just 'cause she's taking meetings
doesn't mean she's leaving.
When I was a resident, if someone was willing to buy me food,
I would meet with them almost anywhere.
She's approaching them.
I don't like being blindsided, Marcus.
Well, this is news to me.
But I also didn't know I had to report human-resources issues
to the vice president of the foundation.
Why isn't she happy?
She went over Melendez's head,
and now he's freezing her out.
And I have no interest in getting in the middle of that.
You're the president. It's your call.
But I wonder how it would look
if St. Bonaventure lost two of its surgical residents
with diverse backgrounds in less than a year.
Is it polio?
Uh, we're still waiting on the results.
Yeah, I was talking to my colleague,
and I realized I owe you an apology.
I lied to you.
I had this good friend I grew up with.
She had a 1-year-old boy she didn't want to vaccinate.
She couldn't find a pediatrician.
Do you guys use alternative medicine...
homeopathic, herbs?
Homeopathic.
Oh, that's what Carol, my friend, did, too.
Unfortunately, I...
...guess they didn't work.
The boy came down with whooping cough.
The coughing got worse.
One night...
the boy just stopped breathing.
I know you know this stuff.
You know how dangerous these diseases are.
But it's different for me.
It's... different when you see a friend go through this.
Please reconsider.
Dr. Reznick?
Do you have the test results?
Finn is negative for polio.
But given the leg weakness and how the spine controls movement,
we'd like to do an MRI.
Thank you... for your advice,
and we are sorry for your friend,
but our opinion hasn't changed.
Any fatigue, skin problems?
No and no.
Difficulty swallowing?
No, and no dry mouth, no soreness of the jaw,
no lymphedema, no seizures.
Do you want to sit here and do my job?
I could.
Radiation's going fine.
Just a little nausea.
Is that why you forgot where you left your wallet?
Oh, stop! People forget where they put their wallets.
People do that. It was just a little...
memory lapse, a slip, nothing more.
Have you had any other memory slips recently?
Not that I remember.
No!
You're lying.
And you know that I know you are lying.
What do you think is gained by that?
I think I avoid you blowing out of proportion the fact
that I forgot where I parked my car the other day once,
and again, not unique to radiation.
I want to do mini-mental-status exam.
Not gonna happen.
Would you let your patients treat you this way?
- Yeah. - No.
- Yeah. - No!
Well, then again, you're not me.
Thank God!
If this is memory loss, it would impact your coordination,
also your ability to juggle multiple tasks.
You would need more in-home care,
- and your driving would... - I'm not gonna give up my car
because I might have misplaced my remote.
And I didn't misplace my remote.
I know where it is. It's on the coffee table
next to the National Geographic from June of last year.
Page 74, two-thirds of the way through an article on medicine
in Hawaii... Haiti.
Medicine in Haiti.
If anything changes, don't forget to tell me.
Ha ha.
- Thank you. - Thank you.
You stole my story.
It's a good story.
Stories don't change minds.
Stories are the only things that change minds.
We're compelled by fear more than reason.
What these people fear
is doing something that will hurt their child.
So they do nothing, thinking that inoculates them.
They won't change.
Care to wager on that?
I'll take your money.
Not money. Liquor. I like me some whiskey.
St. Elison 23 Year Bourbon.
Fine. You will owe me a 2002 Chateau Montpouillan...
the blue bottle, not the black.
Wow.
Never seen that before.
Our boy has two spinal cords.
It's called diastematomyelia.
It's a congenital disorder in which
part of the spinal cord is split in two.
Congenital? So he's had it since birth?
Why didn't anyone see it?
It's rare, and with no obvious symptoms,
doctors generally have no reason to look.
The problem is, when Finn hit puberty,
the split spinal cords rapidly stretched.
The two strands got tethered to his spinal canal,
which led to the weakness in his leg.
As he grows, he's put at risk for paraplegia.
And we can go in and untangle it.
But anytime you're dealing with the spinal cord,
things can get complicated.
What are the dangers?
He could become quadriplegic, but the fact
that he's presenting with weakness right now
makes me think that this is progressing rapidly.
I don't think we have a choice here.
Okay.
It's not possible.
Did you step out on me?
That's absurd. You're my everything.
What could I get from anyone else?
You could get pregnant.
I didn't have an affair.
Maybe one of Todd's swimmers got through.
I've heard it happens. It must have happened.
It's unlikely, but I suppose not impossible.
We... can test Todd's sperm count.
Uh, Dr. Park?
I had a long talk with my husband.
We want to vaccinate Finn.
That's great, Bethany. Your son will thank you.
We want you to do it as soon as possible.
U-Unless you can't because of the surgery.
Oh, it shouldn't be a problem.
We can start with the first round right away.
How much is a bottle of St. Elison 23 Year Bourbon?
$500 a bottle.
$500?
$500.
Park...
Mind if I join you?
Of course.
I know you haven't been pleased
with the way things have progressed with Dr. Melendez.
You pushed me to be more assertive,
and I'm not gonna apologize
for doing what I thought and still believe was right.
Enjoy your meal.
St. Bonaventure will soon be a surgical center of excellence.
We'll be able to select every unique and amazing surgery
to come through San Jose. It could open you up
to a whole new range of experiences.
I'd hate for you to miss out.
I would hate to miss out, too,
but when Melendez cut me from his service,
he cut my education in half.
He will take you back.
If I grovel.
I have no doubt that...
You haven't spoken to him, have you?
Why come to me first?
What, you figure I'm the path of least resistance?
I came to you first because you're a resident.
Even though you are valued,
you're still earning your place at this hospital.
If you care about your job,
you will speak to Melendez.
I have nothing to say.
Ow!
Yeah, but chicken pox feels even worse.
That's it.
- I need to pee. - Wait, you should let me help you.
Don't get up. Stay where you are.
I need a lift team! And have them bring a backboard!
I-I can't feel my leg, the left one.
- How about that? - No.
Can you wiggle your toes?
I-I'm trying.
Page Dr. Melendez! We need an O.R. now!
Hello.
Where's Todd?
He's in the cafeteria.
He's waiting for his sperm-count results.
I do love him.
You look very young for a doctor.
Oh, God, I'm sorry.
I didn't... I didn't mean to... W-Wait.
I was just thanking you for saving my life.
Todd's sperm count is zero.
Do I have to tell him
that his wife kissed me on the lips?
She was thanking me for saving her life.
Well, I helped save her life, too.
- Where's my kiss? - This isn't funny.
That kiss could be considered assault.
Oh, come on. If the genders were reversed,
we'd be having a serious conversation right now.
What about it, Murphy? You want to file a report?
Mm...
I'll have to think about that.
Until then, tell Todd about the test results.
You can keep the kiss to yourself.
Dr. Park, nice drilling off the laminae.
Dr. Reznick, carefully open the dura
in the midline overlying the cords.
We need to separate the cords from the midline dural sacs.
A $500 bottle of whiskey?
You should have checked before we agreed to...
He's losing his motor
- and sensory evoked potentials. - Stop.
We need to figure out a way to dissect the cleft
free from the split and remove it
without putting pressure on the spinal cords.
Suggestions?
We should use the laser to cut any tethering adhesions
- before removing the septum. - Very good.
Excuse me. I have your test results.
Okay.
Were you gonna leave me, too?
Not that I really care at this point...
W-What are you talking about? The doctors screwed up.
- W-We didn't. - Then the lab must have screwed up.
The bank? The bank, too?
It's all just a big conspiracy?
Our medical insurance was canceled,
so I started making some calls.
We have $400 left in savings.
Checking's empty.
The retirement account's drained.
I don't know. It must be identity theft.
- Dawn, stop lying to me. - I lost my debit card a few months ago.
Look me in the eyes and tell me you didn't cheat,
t-that you didn't take the money.
Oh, my God.
I'm so, so sorry.
H-How? W-Why?
I tried to stop,
but I just couldn't help myself.
Todd.
Toddy!
Why did you marry Todd?
Because...
I love him.
He's the best thing to come into my life.
He's...
I couldn't imagine living without him.
Why did you kiss me?
I don't know.
It was a mistake.
I know why you kissed me.
I'm not excusing her actions,
but the Deep Brain Stimulation surgery was a bold move.
Would you have gotten to where you are without a few bold moves?
I never broke protocol.
I looked for opportunities, and I took advantage of them.
And now you have another opportunity...
an opportunity to show leadership through forgiveness.
And more importantly, an opportunity to show leadership
through not looking like an ass.
Come on, Neil. This is like David and Goliath,
except David forgot his slingshot
and Goliath is beating the crap out of her.
Unless this is resolved,
you'll make it harder for me to make you Chief of Surgery.
Hell, it'll make it harder for me to go to bat for you
when even bigger issues come up.
I decided not to press legal charges
against our patient for kissing me.
She has a legal defense.
Her actions were caused by a medical condition.
Just now, she had an involuntary muscle movement in her hand.
- A spasm? That's all? - Yes.
That means the kissing and cheating
were caused by a neurological problem,
possibly a tumor.
It's also medically possible
that she's just a jerk that has a tic.
Yes, but Todd is the best thing to come into her life.
Okay?
Go test your theory.
Thank you.
Can you feel this?
- Yeah. - Good.
Now we have to do a very complicated, scientific test.
Can you wiggle your toes?
Good job.
Finn, your temperature's rising. How are you feeling?
I've got the chills.
Is this from the surgery? Or is it something else?
Hey, your heart rate's jumping, too.
His pressure's dropping fast.
What's... What's wrong?
Sorry, Shaun. I'm with Lim on this one.
We are not gonna find anything.
She was happy with Todd.
Todd says they had a good sex life.
But cheating is about more than sex.
Maybe her emotional needs weren't being met.
Maybe she was going through a personal crisis.
I left home with Steve when I wasn't happy.
Why doesn't she leave?
Money, fear, shame.
There are plenty of reasons why she'd rather stay.
She said kissing me was a mistake.
She had no reason to lie to me, Claire.
Shaun, I know you want to believe
there's another explanation,
but sometimes people, even the people you love and trust,
betray you.
Look. No tumors. The brain is clean.
It's sad.
The world is sad and very complicated.
I wish it wasn't.
The MRI scan shows
there is nothing wrong with your brain.
You are just a liar.
Everything was good.
These last few months with Todd,
it was like our honeymoon.
Then some client flirts with me.
Now here I am.
Shaun.
I'd like you to draw the face of a clock.
Please.
You do have a tumor.
There is definitely something.
I think we were just looking in the wrong place.
- Hey, Shaun. - Hello.
Can I buy you lunch?
No, I'm not hungry, and it's not my lunchtime,
and I have to get ready
- for an important MRI. - Wait, wait, wait.
- Goodbye. - Wait, wait, wait, wait.
Can I...
Can I talk to you for a second?
All right.
I had a little incident yesterday.
I may be experiencing some memory loss
- due to the radiation. - Yes,
memory loss is very common with radiation.
I can book you an MRI after
- I'm finished with my patient. - No, no, no, no.
No cognitive tests, not here.
There are plenty of other hospitals in San Jose
- that can test you. - No hospitals, Shaun.
No hospitals.
I...
I can administer these tests by myself, okay?
I just... I just need your help.
Come to my apartment tonight.
We will find out if you're losing your memory.
Goodbye.
Finn has a staph infection at the surgical site,
but we gave him oxygen and fluids.
He's stable and resting.
He will have to go back into surgery to wash out the wound.
I want to assure you this has nothing to do
with any side effects due to Finn's vaccination.
- His what? - His first round of vaccinations.
You vaccinated my son?
I asked Dr. Park to do it.
W-Without telling me?
I was scared.
I-If Finn got sick,
I-if he brought something home to the baby...
We talked about this. You promised.
Bethany.
The second MRI confirmed the tumor's in your chest,
not in your brain,
but it produces a protein that travels to the brain,
causing mental disorders, including loss of inhibitions.
The betrayal was medical, not personal.
Reason and intent matter.
You should hug her, kiss her.
She's going to have surgery,
which will be dangerous.
All that missing money,
it didn't go to hotels or... or weekend getaways.
I've been donating it...
animal shelters, Feed the Children.
Every time I saw an ad, I pulled out my wallet.
I couldn't help it.
You couldn't say no to... anything?
How many?
When we take the tumor out, there is a very good chance
her inhibitions will return to normal.
How many affairs?
Four.
Did, um...
Did you enjoy it?
In the moment.
But the minute it was over...
Mom and Dad haven't visited me together since yesterday.
Have they told you anything?
This has nothing to do with you,
if that's what you're thinking.
It's about the vaccination.
Dad didn't know?
So I'm not gonna get measles,
but my parents are gonna get divorced.
I'm sure once they start talking things...
Are you gonna talk to them?
I'm sorry. This is between them.
The vax thing you wouldn't let drop,
but this doesn't matter?
My mom's pregnant, and my dad's not talking to her,
and it's your fault.
Dr. Browne, I've been asked to speak to you.
You're an excellent doctor, and I respect your skills...
I'm sorry.
I should never have undermined your authority the way I did.
I was wrong.
I appreciate that.
But I don't mean it.
You've been sent here on an impossible mission.
Senior staff have basically ordered you to take me back.
So... if you don't take me back, you're screwed.
If you do take me back, you look weak.
I don't know what decision you made
or what you're about to say,
but if I tell you I am sorry, it gives you cover.
So, this is me giving you cover.
I'll see you tomorrow.
We got the tumor out. She's fine.
I'm glad you didn't leave.
I was afraid she would die.
B-But I don't think I can forgive her.
I'm not sure if "forgive" is even the right word.
You've never been attracted to other women?
Of course not.
You don't check anyone out at the beach,
see a girl in the street in tight jeans?
I check them out.
I don't jump them.
I don't even want to jump them.
Your wife acted on
every single temptation she had,
every single ugly, stupid temptation...
but she never left you.
The one thing you know for sure through all of that,
she was never even tempted to walk away from you.
She never stopped loving you.
You know, I knew this... couple.
They had a child.
They were happy and...
building a life.
One day, the... husband found out
that the wife hadn't been... honest.
It broke their trust.
And instead of... working it out,
they let the deception fester.
Eventually the husband moved out, moved away...
...barely sees his kid.
I don't need any more of your parables.
You and your stories are the reason I'm here.
You're here because you choose to be here.
Is that even true? That story?
No.
It's done?
Yes. The tumor has been resected.
Would you like to kiss me?
Maybe a little.
But I'm not going to.
That's a very good sign.
Measles kill. Broken homes don't.
Go to a bar, let off some steam.
I'm going to the range.
You have your own gun?
I have three.
Can I come?
Are you gonna talk?
No.
You pay for your own ammo.
- Hi, Shaun. - Hello.
No Lea?
She's out drinking with friends,
other friends.
I'm her friend, but I didn't want to go,
- so I'm watching Albert the fish. - Okay.
I brought some tests.
Where did I get my couch?
- What? - It's a memory test.
Hopkins Verbal Learning, COWA...
- these are memory tests. - Some of the questions are harder.
We are going to do this right.
Where did I get my couch?
Okay, fine.
You got your couch from the bus you lived in
with your brother.
Who gave me my bookshelf?
The town librarian, Jennifer.
And my lamp?
Do you know?
A teacher, Shannon.
No, that's wrong. Her name was Sheryl.
What kind of teacher was she?
Sheryl, Shannon... you never told me that.
- Yes, I did. - I'm pretty sure you did not.
Oh.
What's my brother's name?
Oh, come on, Shaun.
Really?
This is stupid. I know your brother's...
Your brother's name is Sam.
It's Steve.
You're losing your memory.