1 00:00:01,393 --> 00:00:03,560 -Previously on The Resident... -I think we should 2 00:00:03,562 --> 00:00:06,897 dig into Dr. Bosley's patient outcomes and... 3 00:00:06,899 --> 00:00:09,082 give Ms. Benesch a fair hearing. 4 00:00:09,084 --> 00:00:10,825 Let's just simmer down. 5 00:00:10,827 --> 00:00:12,368 Just watch 6 00:00:12,370 --> 00:00:13,920 and learn how we operate. 7 00:00:13,922 --> 00:00:16,015 I-I think I'm getting a pretty good sense of how you operate. 8 00:00:16,017 --> 00:00:18,258 Are you looking for a financial settlement? 9 00:00:18,260 --> 00:00:20,185 No. I'm looking for accountability. 10 00:00:20,187 --> 00:00:22,670 I did not have to end up like this. 11 00:00:22,672 --> 00:00:25,432 I don't want future patients of Dr. Bosley to, either. 12 00:00:25,434 --> 00:00:27,584 I want the board to do something. 13 00:00:27,586 --> 00:00:30,195 -Will they? -Honestly, probably not. 14 00:00:30,197 --> 00:00:33,240 But I will do something. 15 00:00:34,035 --> 00:00:36,410 (grunting) 16 00:00:44,286 --> 00:00:45,769 So what's happening in the world? 17 00:00:45,771 --> 00:00:47,437 -I'm not reading the news. -(grunting) 18 00:00:47,439 --> 00:00:49,214 I'm watching a video of a bulldog 19 00:00:49,216 --> 00:00:51,458 failing to eat its kibble. 20 00:00:51,460 --> 00:00:52,943 Okay. 21 00:00:52,945 --> 00:00:54,386 Slow news day. 22 00:00:55,222 --> 00:00:56,613 What's going on with your leg? 23 00:00:56,615 --> 00:00:58,724 Oh, I guess it slept in. 24 00:00:58,726 --> 00:00:59,892 (groans) 25 00:00:59,894 --> 00:01:01,543 Could be an MS flare-up. 26 00:01:01,545 --> 00:01:03,729 I'll email Dr. Greer, see if she can fit you in today. 27 00:01:03,731 --> 00:01:05,380 Yeah, well, early is better. 28 00:01:05,382 --> 00:01:07,124 I have a 10:00 with Abernathy, 29 00:01:07,126 --> 00:01:08,383 the head of the medical board, 30 00:01:08,385 --> 00:01:10,310 'cause I found more complaints against Bosley, 31 00:01:10,312 --> 00:01:12,796 the neurosurgeon who paralyzed Emily Benesch. 32 00:01:12,798 --> 00:01:15,299 Do you think you have enough to convince the board 33 00:01:15,301 --> 00:01:17,859 to look into Bosley now? 34 00:01:17,861 --> 00:01:20,153 I'm not gonna give 'em any choice. 35 00:01:20,155 --> 00:01:24,825 You know, this whole moral crusader thing 36 00:01:24,827 --> 00:01:26,476 looks good on you. 37 00:01:26,478 --> 00:01:27,477 It's very... 38 00:01:27,479 --> 00:01:28,995 super hero-y. 39 00:01:28,997 --> 00:01:30,480 You should see me in spandex. 40 00:01:30,482 --> 00:01:32,508 -Well, that's ruined it. (chuckles) -(chuckles) 41 00:01:34,578 --> 00:01:35,928 (indistinct chatter) 42 00:01:35,930 --> 00:01:37,321 Can I help you? 43 00:01:37,323 --> 00:01:38,764 You look familiar, but I can't place you. 44 00:01:38,766 --> 00:01:40,991 Are you gonna harass me every time I have an ER shift? 45 00:01:40,993 --> 00:01:43,844 -Yes. -You know, please look into your abandonment issues. 46 00:01:43,846 --> 00:01:46,012 You know my father left me at Yankee Stadium and got home 47 00:01:46,014 --> 00:01:48,348 with my brother before he realized I was missing. 48 00:01:48,350 --> 00:01:50,792 I'm sorry I triggered you, Irving. 49 00:01:50,794 --> 00:01:52,093 You don't care. Where's Leela? 50 00:01:52,095 --> 00:01:53,779 Sister day with Padma. 51 00:01:53,781 --> 00:01:55,355 Bonding over the gifting of eggs. 52 00:01:55,357 --> 00:01:56,949 Level-1 trauma coming in! 53 00:01:56,951 --> 00:01:59,042 Bay 11's ready. 54 00:01:59,845 --> 00:02:01,453 Eliza Brockton. 32-year-old female. 55 00:02:01,455 --> 00:02:03,530 Status post-fall from her sixth-floor apartment building. 56 00:02:03,532 --> 00:02:06,016 BP 120/68, tachy to 100, 57 00:02:06,018 --> 00:02:07,292 satting at 98%. 58 00:02:08,445 --> 00:02:10,295 Trauma survey. 59 00:02:11,281 --> 00:02:13,966 Pupils equal and reactive. 60 00:02:13,968 --> 00:02:15,450 DEVON: Airway's intact. 61 00:02:15,452 --> 00:02:18,211 -Good breath sounds bilaterally. -HUNDLEY: Pulse strong. 62 00:02:18,213 --> 00:02:20,547 Vitals stable. I'll get labs. 63 00:02:20,549 --> 00:02:23,367 I'll do a FAST exam and put in for a chest X-ray. 64 00:02:23,369 --> 00:02:24,626 Eliza, 65 00:02:24,628 --> 00:02:27,387 how did you fall from your apartment building? 66 00:02:27,389 --> 00:02:28,555 I-I was, um... 67 00:02:28,557 --> 00:02:30,816 I was hanging a-an orchid on my balcony, 68 00:02:30,818 --> 00:02:34,987 and I-I reached too far over the railing and I just... (sighs) 69 00:02:34,989 --> 00:02:36,488 lost my balance. 70 00:02:36,490 --> 00:02:39,491 Thank God the entry awning broke my fall. 71 00:02:39,493 --> 00:02:41,551 Well, we're gonna get that chest X-ray 72 00:02:41,553 --> 00:02:44,145 and CT scan to check for head trauma. 73 00:02:44,147 --> 00:02:45,389 We'll be back, okay? 74 00:02:45,391 --> 00:02:48,125 -Uh, okay. -All right, hang tight. 75 00:02:50,896 --> 00:02:53,730 You want to get her records and I'll arrange the CT? 76 00:02:53,732 --> 00:02:54,965 Yeah. 77 00:02:57,736 --> 00:02:59,595 (typing) 78 00:03:01,164 --> 00:03:02,330 What is it? 79 00:03:02,332 --> 00:03:04,165 Eliza's attempted suicide three times 80 00:03:04,167 --> 00:03:05,726 in the past six years. 81 00:03:07,262 --> 00:03:09,763 Let's get a psych consult down here. 82 00:03:09,765 --> 00:03:12,265 (dialing) 83 00:03:12,267 --> 00:03:13,609 Eliza. 84 00:03:17,923 --> 00:03:18,697 Hundley. 85 00:03:18,699 --> 00:03:19,940 My patient eloped from 11. 86 00:03:19,942 --> 00:03:21,107 Call the code. 87 00:03:21,109 --> 00:03:22,034 Excuse me. 88 00:03:22,945 --> 00:03:25,762 HUNDLEY: Attention, staff. Code Green. 89 00:03:25,764 --> 00:03:28,932 32-year-old Caucasian female. 90 00:03:28,934 --> 00:03:31,501 Dark hair, blue eyes. Code Green. 91 00:03:35,031 --> 00:03:36,773 Eliza! 92 00:03:36,775 --> 00:03:39,134 ♪ 93 00:03:46,376 --> 00:03:47,893 Eliza! 94 00:03:47,895 --> 00:03:49,377 Wait! 95 00:03:49,379 --> 00:03:52,606 ♪ 96 00:03:58,464 --> 00:04:00,447 Eliza! 97 00:04:06,914 --> 00:04:08,730 (horn honks) 98 00:04:08,732 --> 00:04:11,041 ♪ 99 00:04:28,160 --> 00:04:29,843 You all right? 100 00:04:29,845 --> 00:04:30,936 I'm fine. 101 00:04:30,938 --> 00:04:32,253 Eliza's stable. 102 00:04:32,255 --> 00:04:34,164 Scans were negative. BP was borderline, 103 00:04:34,166 --> 00:04:35,107 so we placed an A-line. 104 00:04:35,109 --> 00:04:36,608 And Psych is en route. 105 00:04:36,610 --> 00:04:39,927 That was a very brave thing you did, Dr. Pravesh. 106 00:04:39,929 --> 00:04:41,113 (chuckles) 107 00:04:41,115 --> 00:04:42,447 I'm just glad we got to her in time. 108 00:04:42,449 --> 00:04:43,991 Mm-hmm. 109 00:04:48,789 --> 00:04:50,539 We're good. 110 00:04:53,368 --> 00:04:54,501 So... 111 00:04:57,189 --> 00:04:59,113 I guess the truth is out. 112 00:04:59,115 --> 00:05:00,690 I don't want this anymore. 113 00:05:00,692 --> 00:05:04,285 And I wish you would just mind your own business and let me go. 114 00:05:04,287 --> 00:05:07,097 -You know we can't do that. -(sighs) 115 00:05:11,478 --> 00:05:13,537 This is Dr. Malco. 116 00:05:14,297 --> 00:05:16,982 She's from the psychiatry department. 117 00:05:16,984 --> 00:05:18,817 Hi, Eliza. 118 00:05:18,819 --> 00:05:20,544 I'm guessing you know the drill here. 119 00:05:20,546 --> 00:05:22,029 I'm gonna ask you a few questions. 120 00:05:22,823 --> 00:05:24,397 You have my file. 121 00:05:24,399 --> 00:05:26,399 So you could just read my old answers. 122 00:05:26,401 --> 00:05:29,745 My new answers are all the same. 123 00:05:30,814 --> 00:05:32,164 I'm out of words. 124 00:05:33,149 --> 00:05:36,242 I imagine that must be very difficult for a writer. 125 00:05:36,244 --> 00:05:37,627 To be out of words. 126 00:05:38,730 --> 00:05:41,064 I'm out of everything. 127 00:05:41,066 --> 00:05:42,899 I want you to know, 128 00:05:42,901 --> 00:05:46,678 both of your books have informed the way I treat depression. 129 00:05:46,680 --> 00:05:49,014 I'd like to return the favor. 130 00:05:49,666 --> 00:05:51,058 Do you have a gun? 131 00:05:53,095 --> 00:05:56,063 We're gonna keep you on a 36-hour hold. 132 00:06:04,031 --> 00:06:05,530 Dear merciful Father, 133 00:06:05,532 --> 00:06:08,592 we ask for Your blessings on Daisy. 134 00:06:08,594 --> 00:06:09,868 She needs You. 135 00:06:09,870 --> 00:06:14,764 We're asking that You grant her the patience to... 136 00:06:14,766 --> 00:06:17,191 help her with her affliction 137 00:06:17,193 --> 00:06:19,527 and the freedom from her pain. 138 00:06:19,529 --> 00:06:23,289 And lead her out the shadow of the valley 139 00:06:23,291 --> 00:06:27,052 so that we can heal her body and spirit. 140 00:06:27,054 --> 00:06:28,795 (chuckles softly) 141 00:06:29,781 --> 00:06:32,057 Now let's go get you a damn kidney, huh? (chuckles) 142 00:06:32,059 --> 00:06:33,800 (chuckling) 143 00:06:33,802 --> 00:06:36,144 -Amen. -Amen. 144 00:06:41,460 --> 00:06:44,294 -Ah... (grunts) -(laughs) 145 00:06:44,296 --> 00:06:46,963 Aaron, it is good to see you. 146 00:06:46,965 --> 00:06:48,465 Yeah, it's been a minute. 147 00:06:48,467 --> 00:06:51,317 You know we've had our own conversations about pain. 148 00:06:51,319 --> 00:06:52,302 Mm. 149 00:06:52,304 --> 00:06:54,304 How are you and Gigi holding up? 150 00:06:54,306 --> 00:06:56,063 Yeah, really well. 151 00:06:56,065 --> 00:06:58,250 Gigi's definitely my greatest achievement so far. 152 00:06:58,252 --> 00:07:00,252 You got that right. 153 00:07:00,254 --> 00:07:01,311 Yeah. 154 00:07:01,313 --> 00:07:03,588 Speaking of our past conversations, 155 00:07:03,590 --> 00:07:05,982 the last few days, I've... 156 00:07:05,984 --> 00:07:07,333 been... (exhales) 157 00:07:07,335 --> 00:07:09,928 back in the fresh grief of Nic's passing, 158 00:07:09,930 --> 00:07:12,413 I-I guess. I don't... 159 00:07:12,415 --> 00:07:14,916 Uh, I don't know what set it off. 160 00:07:14,918 --> 00:07:17,936 Ah, well, if it isn't Pastor Aaron, my favorite clergyman. 161 00:07:17,938 --> 00:07:20,922 AJ, my big bad Buddhist, you. 162 00:07:20,924 --> 00:07:22,590 -Hey. -How are you? 163 00:07:22,592 --> 00:07:23,758 How's your mother? 164 00:07:23,760 --> 00:07:27,170 She is as well as she can be. 165 00:07:27,172 --> 00:07:29,172 The cancer is progressing. 166 00:07:29,174 --> 00:07:31,432 I'm sorry to hear that. 167 00:07:31,434 --> 00:07:33,452 I-I'll definitely have to go see her. 168 00:07:33,454 --> 00:07:36,362 Well, you see, her palliative care is top-tier, right? 169 00:07:36,364 --> 00:07:39,291 But she's gonna need to transition 170 00:07:39,293 --> 00:07:41,201 to hospice sooner rather than later, 171 00:07:41,203 --> 00:07:43,353 and she is not keen on the idea. 172 00:07:43,355 --> 00:07:45,297 So I was thinking maybe you can help me 173 00:07:45,299 --> 00:07:47,874 have that conversation with her when it's time. 174 00:07:47,876 --> 00:07:48,967 I'll be happy to. 175 00:07:48,969 --> 00:07:50,210 Appreciate it, man. 176 00:07:50,212 --> 00:07:54,455 I have a favor of my own to ask you two. 177 00:07:54,457 --> 00:07:56,700 Yeah. Anything. 178 00:07:56,702 --> 00:08:00,645 Recently, I had a heart stent placed a few months back. 179 00:08:00,647 --> 00:08:03,540 A fit young dude like you? 180 00:08:03,542 --> 00:08:05,317 They found some blockage. Now, the doctor told me 181 00:08:05,319 --> 00:08:06,651 that I should be feeling better, 182 00:08:06,653 --> 00:08:09,229 but I've been having a lot of chest pain lately. 183 00:08:09,231 --> 00:08:12,991 Ah, say no more. AJ and I will take a look at you in the ER. 184 00:08:12,993 --> 00:08:14,493 Better safe than sorry. 185 00:08:14,495 --> 00:08:16,077 AUSTIN: Let's go now. 186 00:08:17,981 --> 00:08:19,480 Head scans are good. 187 00:08:19,482 --> 00:08:21,057 -Nothing to worry about. -Great. 188 00:08:21,059 --> 00:08:22,742 But the leg issue is a little MS flare-up. 189 00:08:22,744 --> 00:08:24,819 No biggie. This will happen from time to time. 190 00:08:24,821 --> 00:08:26,505 Well, I'm glad we checked, then. 191 00:08:26,507 --> 00:08:28,155 We'll put you on a short course of steroids 192 00:08:28,157 --> 00:08:29,323 that should improve your symptoms. 193 00:08:29,325 --> 00:08:30,900 In the meantime, take the pressure 194 00:08:30,902 --> 00:08:32,736 -off your leg with this. -BELL: Oh. 195 00:08:32,738 --> 00:08:35,830 (chuckles) No. That is... uh, won't be necessary. 196 00:08:35,832 --> 00:08:37,665 GREER: It's only for a few days. 197 00:08:37,667 --> 00:08:40,076 The last thing we want is for you to stumble 198 00:08:40,078 --> 00:08:41,578 -and hit your head. -Randolph, 199 00:08:41,580 --> 00:08:43,429 -take the cane. -BELL: No, it's... 200 00:08:43,431 --> 00:08:45,673 (stammers) It starts with a cane, and then it goes 201 00:08:45,675 --> 00:08:47,433 to adult diapers and a chairlift to get up the stairs. 202 00:08:47,435 --> 00:08:50,177 It's a concession to the disease, and I won't make it. 203 00:08:50,179 --> 00:08:52,030 Good Lord, Randolph. Typical man. 204 00:08:52,032 --> 00:08:54,424 You can dress it as bravery, but it's just vanity. 205 00:08:54,426 --> 00:08:57,427 Okay. Uh, I'd love to stick around 206 00:08:57,429 --> 00:08:59,095 and talk about canes and men, 207 00:08:59,097 --> 00:09:01,598 but... I have an important meeting to get to. 208 00:09:01,600 --> 00:09:02,999 So, Meghan, thank you. 209 00:09:07,363 --> 00:09:09,005 (sighs) 210 00:09:10,275 --> 00:09:11,716 I remember 211 00:09:11,718 --> 00:09:15,795 being at a birthday party when I was four or five years old. 212 00:09:15,797 --> 00:09:17,705 And... 213 00:09:17,707 --> 00:09:20,708 the birthday girl shrieked with joy 214 00:09:20,710 --> 00:09:24,971 when she unwrapped a doll from her parents. 215 00:09:24,973 --> 00:09:27,473 For the first time, I became distinctly aware 216 00:09:27,475 --> 00:09:32,478 that it was something that I had never... felt. 217 00:09:33,315 --> 00:09:34,631 Is there anything in your daily life 218 00:09:34,633 --> 00:09:37,284 that brings relief from the pain and dread? 219 00:09:38,895 --> 00:09:41,413 Periodically, when I'm writing. 220 00:09:41,415 --> 00:09:44,398 Are there any moments in your past where you... 221 00:09:44,400 --> 00:09:46,710 can recall feeling happy? 222 00:09:48,755 --> 00:09:50,371 This morning. 223 00:09:51,166 --> 00:09:52,924 When I felt the wind on my face 224 00:09:52,926 --> 00:09:57,012 as I fell to what should have been my death. 225 00:09:59,324 --> 00:10:03,417 My reservoir of hope... 226 00:10:03,419 --> 00:10:05,478 is empty. 227 00:10:10,927 --> 00:10:13,153 (exhales) 228 00:10:19,786 --> 00:10:23,437 Eliza has what we call treatment-resistant depression. 229 00:10:23,439 --> 00:10:26,124 Cognitive behavioral therapy, antidepressants, 230 00:10:26,126 --> 00:10:28,460 and ECT have all been ineffective. 231 00:10:28,462 --> 00:10:30,277 So, what do we do? 232 00:10:30,279 --> 00:10:32,021 We just keep her here 233 00:10:32,023 --> 00:10:33,781 for 34 hours and then just 234 00:10:33,783 --> 00:10:36,359 -let her walk out? -We don't have a lot of options. 235 00:10:36,361 --> 00:10:39,137 Sad to say, I have no beds free on the unit. 236 00:10:39,139 --> 00:10:41,306 Don't patients with 237 00:10:41,308 --> 00:10:43,383 treatment-resistant depression 238 00:10:43,385 --> 00:10:45,960 qualify for off-label deep brain stimulation? 239 00:10:45,962 --> 00:10:47,461 I've read 240 00:10:47,463 --> 00:10:49,296 some clinical trials on it, 241 00:10:49,298 --> 00:10:51,316 and I know Dr. Sutton has used it on patients 242 00:10:51,318 --> 00:10:53,652 with Parkinson's and even OCD. 243 00:10:53,654 --> 00:10:55,211 They do, 244 00:10:55,213 --> 00:10:57,155 but there's no guarantee it works. 245 00:10:58,566 --> 00:11:00,233 Well, in one trial, 246 00:11:00,235 --> 00:11:03,578 50% of patients saw some relief from their symptoms. 247 00:11:06,333 --> 00:11:10,418 Do you think Eliza would consider the procedure? 248 00:11:12,005 --> 00:11:15,064 All Eliza wants is to exit life. 249 00:11:15,066 --> 00:11:17,175 It'll be challenging 250 00:11:17,177 --> 00:11:19,569 to get her to agree to any treatment, 251 00:11:19,571 --> 00:11:21,495 much less one that requires holes drilled in her skull 252 00:11:21,497 --> 00:11:23,998 and electrodes placed in her brain. 253 00:11:24,000 --> 00:11:26,426 Well, if we do nothing, there is no doubt that she will try 254 00:11:26,428 --> 00:11:29,245 -to kill herself again. -No doubt. 255 00:11:29,247 --> 00:11:30,504 I'll talk to Dr. Sutton. 256 00:11:30,506 --> 00:11:33,191 See if she can discuss the procedure with Eliza. 257 00:11:42,018 --> 00:11:43,535 Dr. Sullivan didn't come in? 258 00:11:43,537 --> 00:11:44,761 She took the day off. 259 00:11:44,763 --> 00:11:45,945 We got Pravesh back instead. 260 00:11:45,947 --> 00:11:47,931 Who? 261 00:11:47,933 --> 00:11:49,432 (chuckles) 262 00:11:49,434 --> 00:11:52,285 Good thing we looked into your chest pain. You have EKG 263 00:11:52,287 --> 00:11:55,547 changes and labs consistent with an NSTEMI. 264 00:11:55,549 --> 00:11:57,364 It's a minor heart attack. 265 00:11:57,366 --> 00:11:59,533 AARON: What? A minor heart attack? 266 00:11:59,535 --> 00:12:01,611 -How is that possible? -AUSTIN: Take it easy, Aaron. 267 00:12:01,613 --> 00:12:03,871 All right, we're on it. We got you. 268 00:12:03,873 --> 00:12:05,465 Taking good care of yourself, right? 269 00:12:05,467 --> 00:12:07,467 -Yes. -AUSTIN: All right, well, 270 00:12:07,469 --> 00:12:09,561 explain to us how you ended up with a cardiac stent. 271 00:12:09,563 --> 00:12:13,398 Well, this cardiac clinic came to the church leaving flyers. 272 00:12:13,400 --> 00:12:15,400 They were offering heart screenings 273 00:12:15,402 --> 00:12:17,460 with no out-of-pocket with Medicaid. 274 00:12:17,462 --> 00:12:21,055 And, uh, now, my congregation 275 00:12:21,057 --> 00:12:22,389 relies on outreach, so 276 00:12:22,391 --> 00:12:24,484 I wanted to set an example to the flock, so I went. 277 00:12:24,486 --> 00:12:27,394 And what did the screening turn up? 278 00:12:27,396 --> 00:12:30,323 Cardiologist said that my... 279 00:12:30,325 --> 00:12:32,658 my labs and my tests were... 280 00:12:32,660 --> 00:12:33,918 "borderline" was the word, 281 00:12:33,920 --> 00:12:36,629 and that I needed a cath ASAP. 282 00:12:39,150 --> 00:12:41,334 Were you feeling any chest pain? 283 00:12:41,336 --> 00:12:43,410 No. No. 284 00:12:43,412 --> 00:12:45,597 He said that the cath was very important 285 00:12:45,599 --> 00:12:48,415 to screen for heart disease. Silent killer. 286 00:12:48,417 --> 00:12:52,687 Okay, but why did they stent you? 287 00:12:55,091 --> 00:12:57,424 Well, during the procedure, 288 00:12:57,426 --> 00:13:00,186 my heart was beating out of my chest. 289 00:13:00,188 --> 00:13:02,096 And the pain, 290 00:13:02,098 --> 00:13:04,340 I mean, it's very severe, but 291 00:13:04,342 --> 00:13:07,193 once they put in the stent, I had relief. 292 00:13:07,195 --> 00:13:09,120 You know, I'm a little achy and tired 293 00:13:09,122 --> 00:13:10,363 here and there, but for the most part, 294 00:13:10,365 --> 00:13:12,940 -I'm-I'm thankful. -(phone ringing) 295 00:13:13,868 --> 00:13:16,702 Chest pain usually comes before cardiac 296 00:13:16,704 --> 00:13:18,797 catheterization, not after. 297 00:13:18,799 --> 00:13:20,189 Excuse me, I need to take this. 298 00:13:20,191 --> 00:13:22,467 I hate to do this to you, brother, 299 00:13:22,469 --> 00:13:25,970 but we need to get you in our cath lab right away. 300 00:13:25,972 --> 00:13:29,715 And I promise you, you won't feel any pain with these hands. 301 00:13:29,717 --> 00:13:31,518 All right? 302 00:13:33,462 --> 00:13:35,462 We got you, man. 303 00:13:35,464 --> 00:13:37,798 Hey, Billie. 304 00:13:37,800 --> 00:13:39,542 -You got a sec? -What's up? 305 00:13:39,544 --> 00:13:41,394 So, I have a young woman in the ER, 306 00:13:41,396 --> 00:13:42,879 she's banged up pretty bad 307 00:13:42,881 --> 00:13:44,564 from two failed suicide attempts today. 308 00:13:44,566 --> 00:13:47,733 Yeah, I heard Superman flew in and saved her. 309 00:13:47,735 --> 00:13:51,329 Her name is Eliza Brockton. She's very smart, wily. 310 00:13:51,331 --> 00:13:54,057 She's a memoirist who wrote two best sellers 311 00:13:54,059 --> 00:13:55,224 about depression. 312 00:13:55,226 --> 00:13:56,984 Sure, yeah, I read the first one, 313 00:13:56,986 --> 00:13:58,394 The Lure of the Void. 314 00:13:58,396 --> 00:14:00,246 Right. 315 00:14:00,248 --> 00:14:02,732 So, I think she's a good candidate for DBS. 316 00:14:02,734 --> 00:14:06,511 Well, DBS is still experimental for depression. 317 00:14:06,513 --> 00:14:07,920 Does she meet the inclusion criteria? 318 00:14:07,922 --> 00:14:09,163 Yes. 319 00:14:09,165 --> 00:14:12,091 No improvement from CBT, SSRIs, or ECT. 320 00:14:12,093 --> 00:14:13,259 -(phone buzzes) -Okay. 321 00:14:13,261 --> 00:14:14,501 -I'll talk to her. -Thanks. 322 00:14:15,597 --> 00:14:17,747 It's Trevor. I've been trying to reach him for weeks. 323 00:14:17,749 --> 00:14:22,026 Take it. No, take it, and let him know that we miss him. 324 00:14:23,605 --> 00:14:26,105 Trevor, I'm so glad you finally called. 325 00:14:26,107 --> 00:14:28,591 -Are you okay? -Uh, yeah, yeah. 326 00:14:28,593 --> 00:14:30,426 I'm sorry it took so long to get back to you. Just... 327 00:14:30,428 --> 00:14:33,538 -dealing with a lot of stuff. -Of course. 328 00:14:33,540 --> 00:14:35,264 I can only imagine a horrible revelation like... 329 00:14:35,266 --> 00:14:36,708 Yeah. We don't have to, um... 330 00:14:38,194 --> 00:14:40,211 Look, there's some... there's some stuff 331 00:14:40,213 --> 00:14:42,380 I want to tell you in person. 332 00:14:42,382 --> 00:14:45,441 Okay. Sure. 333 00:14:45,443 --> 00:14:47,886 Just know, I've been worried about you. 334 00:14:47,888 --> 00:14:49,295 All of us here have. 335 00:14:49,297 --> 00:14:50,722 And I'm not sure if you're aware of this, 336 00:14:50,724 --> 00:14:53,616 but you're in danger of losing your residency. 337 00:14:53,618 --> 00:14:56,043 Yeah, I know. 338 00:14:56,045 --> 00:14:59,063 Uh, look, can we meet up tomorrow? I'll fill you in. 339 00:15:00,066 --> 00:15:01,715 Yeah, sure. That works. 340 00:15:01,717 --> 00:15:03,651 Cool. Thanks, Billie. 341 00:15:05,630 --> 00:15:06,738 (phone beeps) 342 00:15:09,317 --> 00:15:11,134 Phones in your locker while you're at the warehouse. 343 00:15:11,136 --> 00:15:12,151 Yeah, yeah, sorry. My bad. 344 00:15:12,153 --> 00:15:13,578 -You know that. -Yeah. 345 00:15:18,251 --> 00:15:20,643 What's with the limp? You okay, Randolph? 346 00:15:20,645 --> 00:15:23,454 Oh, I'm-I'm doing great. Thanks for your concern. 347 00:15:23,456 --> 00:15:25,831 I want to talk to you about Bosley. 348 00:15:25,833 --> 00:15:27,483 I don't get it. 349 00:15:27,485 --> 00:15:29,485 What is your beef with Dr. Bosley? 350 00:15:29,487 --> 00:15:32,505 -Is this personal? -I've never met the man. 351 00:15:32,507 --> 00:15:35,658 I told you last week, Dr. Elkins was looking 352 00:15:35,660 --> 00:15:37,160 -into the Emily Benesch case. -Well, you know... 353 00:15:37,162 --> 00:15:38,937 She didn't. 354 00:15:40,089 --> 00:15:42,256 These are five more complaints against Bosley 355 00:15:42,258 --> 00:15:44,350 for catastrophic outcomes that the board 356 00:15:44,352 --> 00:15:46,427 didn't look into either. 357 00:15:46,429 --> 00:15:47,928 (sighs) 358 00:15:47,930 --> 00:15:49,763 Look... 359 00:15:49,765 --> 00:15:51,524 I-I'm just not familiar with 360 00:15:51,526 --> 00:15:53,451 the details of these old complaints 361 00:15:53,453 --> 00:15:54,768 off the top of my head, 362 00:15:54,770 --> 00:15:57,029 but I can tell you that, if we made the decision 363 00:15:57,031 --> 00:15:58,864 not to investigate, 364 00:15:58,866 --> 00:16:00,792 we had good reasons. 365 00:16:00,794 --> 00:16:03,686 See, I can't imagine what those 366 00:16:03,688 --> 00:16:05,463 could possibly be. 367 00:16:05,465 --> 00:16:08,858 Randolph, you're a good man, and I like you. 368 00:16:08,860 --> 00:16:12,286 You can be a very valuable member of the medical board. 369 00:16:12,288 --> 00:16:14,455 That's what I'm trying to be. 370 00:16:14,457 --> 00:16:15,531 Well, typically, 371 00:16:15,533 --> 00:16:18,125 new members tend to stay on the sidelines 372 00:16:18,127 --> 00:16:19,702 for a period to see how things work 373 00:16:19,704 --> 00:16:22,296 before going full Norma Rae, 374 00:16:22,298 --> 00:16:24,540 you know what I mean? 375 00:16:24,542 --> 00:16:27,986 I'll see you at the board meeting this afternoon. 376 00:16:30,490 --> 00:16:33,216 All right, Aaron, I found the stent, 377 00:16:33,218 --> 00:16:35,718 and I also found the cause 378 00:16:35,720 --> 00:16:37,553 of your heart attack. 379 00:16:37,555 --> 00:16:40,573 Unfortunately, they're one and the same. 380 00:16:40,575 --> 00:16:42,500 Uh, what does that mean? 381 00:16:42,502 --> 00:16:45,319 The stent your doctors placed is actually blocking 382 00:16:45,321 --> 00:16:47,396 one of the other arteries in your heart. 383 00:16:47,398 --> 00:16:50,066 That's why you were feeling so much pain. 384 00:16:50,068 --> 00:16:52,493 AJ, the rest of his vessels are pristine. 385 00:16:52,495 --> 00:16:55,571 Cholesterol's low, no family history... 386 00:16:55,573 --> 00:16:57,573 CONRAD: And it looks like the stent was placed in the location 387 00:16:57,575 --> 00:17:00,426 of a coronary artery dissection. Are we thinking the same thing? 388 00:17:00,428 --> 00:17:02,411 AUSTIN: Yeah. It sickens me 389 00:17:02,413 --> 00:17:03,837 to say this, 390 00:17:03,839 --> 00:17:06,415 but you never should have had a cath in the first place. 391 00:17:06,417 --> 00:17:09,510 Worse, the cardiologist tore blood vessels 392 00:17:09,512 --> 00:17:12,363 when he put it in, which is why the procedure was so painful. 393 00:17:12,365 --> 00:17:15,033 I should prepare to see my maker. 394 00:17:15,035 --> 00:17:16,759 No need to pack your bags. 395 00:17:16,761 --> 00:17:19,537 You will get to your next great achievement. 396 00:17:21,766 --> 00:17:23,282 Aaron, 397 00:17:23,284 --> 00:17:25,710 what was the name of your cardiologist? 398 00:17:28,197 --> 00:17:29,672 (knock on door) 399 00:17:32,552 --> 00:17:33,367 Eliza, 400 00:17:33,369 --> 00:17:35,628 this is Dr. Billie Sutton, 401 00:17:35,630 --> 00:17:37,463 and she is a neurosurgeon, 402 00:17:37,465 --> 00:17:39,540 and I've asked her to come here and talk to you. 403 00:17:39,542 --> 00:17:40,633 Hi, Eliza. 404 00:17:40,635 --> 00:17:42,560 I've seen that expression 405 00:17:42,562 --> 00:17:44,062 on your face too many times. 406 00:17:44,064 --> 00:17:46,972 You have a plan to fix me, 407 00:17:46,974 --> 00:17:49,692 but I am unfixable. 408 00:17:51,479 --> 00:17:53,462 I don't want to go through this again. 409 00:17:53,464 --> 00:17:55,648 I-I get that. 410 00:17:55,650 --> 00:17:57,742 And, truth be told, my plan might not work. 411 00:17:57,744 --> 00:18:00,727 DEVON: The success rate of deep brain stimulation 412 00:18:00,729 --> 00:18:02,305 for depression is about 50%. 413 00:18:02,307 --> 00:18:04,248 That is a broad definition of success, 414 00:18:04,250 --> 00:18:07,810 from modest improvement to complete absence 415 00:18:07,812 --> 00:18:09,161 of symptoms. 416 00:18:09,163 --> 00:18:11,547 Deep brain stimulation? 417 00:18:13,484 --> 00:18:15,426 A small conductor, an electrode, 418 00:18:15,428 --> 00:18:18,337 is permanently placed in a specific region of the brain. 419 00:18:18,339 --> 00:18:21,173 The conductor carries a low-level impulse from a battery 420 00:18:21,175 --> 00:18:22,675 to the area of the brain that regulates mood. 421 00:18:22,677 --> 00:18:24,585 What could possibly go wrong? 422 00:18:24,587 --> 00:18:27,830 In very rare circumstances, a hemorrhage can occur. 423 00:18:29,016 --> 00:18:32,685 Wh-Which would conceivably turn me into a can of peas. 424 00:18:32,687 --> 00:18:36,430 Well, like I said, that outcome is very rare, 425 00:18:36,432 --> 00:18:37,598 and I'm very good at this. 426 00:18:37,600 --> 00:18:39,859 And here's the part you might like... 427 00:18:39,861 --> 00:18:41,360 Can't imagine what that would be. 428 00:18:41,362 --> 00:18:43,788 Well, first we have to scan your brain. 429 00:18:43,790 --> 00:18:46,457 Then, I give you a tour of the organ 430 00:18:46,459 --> 00:18:49,276 that's not only the source of your literary success, 431 00:18:49,278 --> 00:18:51,187 but the thing that wants you dead. 432 00:18:51,189 --> 00:18:53,464 I'll pull some strings to get you out 433 00:18:53,466 --> 00:18:56,134 -of the ER while you wait. -ELIZA: Mm. 434 00:18:57,971 --> 00:19:01,030 We'll be back. 435 00:19:01,032 --> 00:19:03,032 (door opens) 436 00:19:03,034 --> 00:19:04,550 (door closes) 437 00:19:04,552 --> 00:19:05,959 Aaron is stable, 438 00:19:05,961 --> 00:19:08,312 but I can't undo the injury his heart has sustained. 439 00:19:08,314 --> 00:19:11,207 Once a blood vessel's been torn, it can tear again. 440 00:19:11,209 --> 00:19:14,059 And an acute clot could form, 441 00:19:14,061 --> 00:19:15,820 cause him more heart attacks. 442 00:19:15,822 --> 00:19:17,730 His cardiac function has decreased 443 00:19:17,732 --> 00:19:19,398 to only a third of what it should be. 444 00:19:19,400 --> 00:19:21,975 -In time, it could improve. -It's all wrong, 445 00:19:21,977 --> 00:19:23,477 and the worst part is, 446 00:19:23,479 --> 00:19:26,238 the procedure was entirely unnecessary. 447 00:19:26,240 --> 00:19:28,724 Look, I got a quick errand I got to run. 448 00:19:28,726 --> 00:19:30,334 I'll be back as fast as I can. 449 00:19:30,336 --> 00:19:33,062 I'll hold the pastor in the ER, keep an eye on him. 450 00:19:33,064 --> 00:19:35,464 -Yeah, man. -I'll update you. 451 00:19:47,020 --> 00:19:48,835 This is the cerebrum... 452 00:19:48,837 --> 00:19:51,430 (machine beeps) 453 00:19:51,432 --> 00:19:53,098 ...where consciousness, emotion, perception, 454 00:19:53,100 --> 00:19:56,194 and memory are all integrated. 455 00:19:56,196 --> 00:19:58,362 Like any other part of the body, 456 00:19:58,364 --> 00:20:02,033 pathways of connections can be too strong or too weak, 457 00:20:02,035 --> 00:20:03,367 and when they are weak, we try 458 00:20:03,369 --> 00:20:04,760 to augment them with medications, 459 00:20:04,762 --> 00:20:06,595 you know, SSRIs, ECT... 460 00:20:06,597 --> 00:20:09,040 -But those didn't work. -Which is why we get 461 00:20:09,042 --> 00:20:10,541 to try something more intense. 462 00:20:10,543 --> 00:20:12,877 We would place electrodes 463 00:20:12,879 --> 00:20:15,120 here and here. 464 00:20:15,122 --> 00:20:17,606 Like a pacemaker for the brain 465 00:20:17,608 --> 00:20:19,291 instead of the heart. 466 00:20:19,293 --> 00:20:21,777 The electrodes stimulate Brodmann area 25, 467 00:20:21,779 --> 00:20:24,871 which is like the interstate highway of nerve connections, 468 00:20:24,873 --> 00:20:26,298 or white matter, 469 00:20:26,300 --> 00:20:28,284 and it's sitting right on top 470 00:20:28,286 --> 00:20:30,561 of a huge serotonin depot. 471 00:20:30,563 --> 00:20:33,898 It's like drilling for a well of happiness. 472 00:20:33,900 --> 00:20:37,293 If you like that image. 473 00:20:37,295 --> 00:20:40,887 Reminds me of those flimsy claws at arcades 474 00:20:40,889 --> 00:20:44,633 that kids dump their money into and try to grab a prize, 475 00:20:44,635 --> 00:20:46,577 but they never get one. 476 00:20:46,579 --> 00:20:50,706 Well, DBS has much higher odds of success than those claws. 477 00:20:52,643 --> 00:20:54,477 Define success. 478 00:20:54,479 --> 00:20:57,088 We banish the hell in your head 479 00:20:57,090 --> 00:20:58,981 but keep the heavenly talent. 480 00:20:58,983 --> 00:21:01,092 I won't wake up 481 00:21:01,094 --> 00:21:03,427 and be someone else, 482 00:21:03,429 --> 00:21:05,596 will I? 483 00:21:05,598 --> 00:21:08,516 Everyone facing DBS asks that question. 484 00:21:09,585 --> 00:21:11,686 Surely not everybody. 485 00:21:13,347 --> 00:21:15,422 Look, they say in Alcoholics Anonymous, 486 00:21:15,424 --> 00:21:17,424 if you sober up a horse thief, 487 00:21:17,426 --> 00:21:19,485 all you have is a sober horse thief. 488 00:21:20,929 --> 00:21:23,005 You will remain you, 489 00:21:23,007 --> 00:21:24,991 but a happy you. 490 00:21:27,695 --> 00:21:30,162 You're describing a stranger. 491 00:21:32,366 --> 00:21:34,366 AUSTIN: You know, I really appreciate you 492 00:21:34,368 --> 00:21:36,869 making time for me on such short notice, 493 00:21:36,871 --> 00:21:38,187 Dr. Pellington. 494 00:21:38,205 --> 00:21:39,688 Well, I'm glad we could make it work, Mr. Austin. 495 00:21:39,690 --> 00:21:42,300 Now, as you know, we took a picture of your heart 496 00:21:42,302 --> 00:21:45,044 a few minutes ago, I sure am glad we did. 497 00:21:45,046 --> 00:21:47,196 It revealed some extra beats. 498 00:21:47,198 --> 00:21:48,697 Now, we have a fancy term for that. 499 00:21:48,699 --> 00:21:51,033 It's called premature ventricular contractions, 500 00:21:51,035 --> 00:21:53,035 but the important thing is, 501 00:21:53,037 --> 00:21:54,537 it may have shown a blockage 502 00:21:54,539 --> 00:21:56,705 in your arteries that feed blood to your heart, 503 00:21:56,707 --> 00:21:58,965 and that's the first step to a heart attack. 504 00:21:58,967 --> 00:22:01,377 Whoa, a heart attack. 505 00:22:01,379 --> 00:22:03,896 (sighs) C-Can I take a look at that? 506 00:22:03,898 --> 00:22:06,306 -Oh, sure, sure. -Thanks. 507 00:22:06,308 --> 00:22:08,384 You are one lucky man 508 00:22:08,386 --> 00:22:10,569 because we can do a cardiac cath. 509 00:22:10,571 --> 00:22:11,996 That's a procedure 510 00:22:11,998 --> 00:22:14,165 where we can get a better view of those arteries, 511 00:22:14,167 --> 00:22:15,816 and if there is blockages, 512 00:22:15,818 --> 00:22:17,984 which I suspect there will be, 513 00:22:17,986 --> 00:22:20,563 we can open 'em right up. Any questions? 514 00:22:20,565 --> 00:22:22,915 Yeah, just one. 515 00:22:22,917 --> 00:22:26,068 Did you go into medicine intending to become a fraud? 516 00:22:26,070 --> 00:22:27,753 Excuse me? 517 00:22:27,755 --> 00:22:30,089 I'm a cardiothoracic surgeon 518 00:22:30,091 --> 00:22:32,016 at Chastain Park Memorial, 519 00:22:32,018 --> 00:22:34,093 and you and I both know that 520 00:22:34,095 --> 00:22:35,594 my EKG is normal. 521 00:22:35,596 --> 00:22:38,338 There is no medical reason to take me to cath, 522 00:22:38,340 --> 00:22:41,266 just like there wasn't for Pastor Aaron either. 523 00:22:41,268 --> 00:22:42,418 I could point to hundreds... 524 00:22:42,420 --> 00:22:45,270 Pastor Aaron is in our ICU 525 00:22:45,272 --> 00:22:47,365 right now as a result of the botched stent 526 00:22:47,367 --> 00:22:49,516 you put in when you dissected 527 00:22:49,518 --> 00:22:53,204 his LAD during an unnecessary cath. 528 00:22:53,206 --> 00:22:55,431 So, not only are you greedy, 529 00:22:55,433 --> 00:22:57,766 you are incompetent at best. 530 00:22:57,768 --> 00:23:00,285 I don't know what the hell you think you're getting at, 531 00:23:00,287 --> 00:23:02,028 but everything I did is legal. 532 00:23:02,030 --> 00:23:04,715 Legal? Really? 533 00:23:04,717 --> 00:23:08,260 You know, that's a pretty low bar for a doctor. 534 00:23:09,964 --> 00:23:11,055 I'll tell you what, 535 00:23:11,057 --> 00:23:13,949 Pellington, 536 00:23:13,951 --> 00:23:15,951 if my friend takes a turn for the worse, 537 00:23:15,953 --> 00:23:19,788 you will find yourself on the losing end of a lawsuit 538 00:23:19,790 --> 00:23:22,733 with me as the expert witness. 539 00:23:25,980 --> 00:23:27,980 Aaron. 540 00:23:27,982 --> 00:23:29,465 How you doing? 541 00:23:29,467 --> 00:23:31,617 I was just working on next week's sermon. 542 00:23:33,246 --> 00:23:35,246 You know, today's been all about me, 543 00:23:35,248 --> 00:23:37,489 and earlier you mentioned about being pulled back in 544 00:23:37,491 --> 00:23:40,400 the pain of your wife's death, before we got interrupted. 545 00:23:40,402 --> 00:23:42,494 And it will continue to be all about you. 546 00:23:42,496 --> 00:23:45,238 Numbers look good. Any chest pain? 547 00:23:45,240 --> 00:23:47,541 Ah, nothing significant. 548 00:23:48,428 --> 00:23:51,487 You and I are in the "you" business. 549 00:23:51,489 --> 00:23:54,247 -You let me do my job. -(chuckling) 550 00:23:54,249 --> 00:23:56,600 This resurgence of grief, 551 00:23:56,602 --> 00:23:59,328 have you had any big recent changes in your life? 552 00:23:59,330 --> 00:24:02,982 Crazy work stuff the past week. 553 00:24:04,669 --> 00:24:06,426 (exhales) Have you been 554 00:24:06,428 --> 00:24:08,487 stepping out with any women since Nic's death? 555 00:24:08,489 --> 00:24:12,691 Eh... one. Nothing serious. Potentially others. 556 00:24:12,693 --> 00:24:14,843 -They all come with complications. -Yeah. 557 00:24:14,845 --> 00:24:18,438 Yeah, and I'm sure that you had those complications with Nic. 558 00:24:18,440 --> 00:24:20,866 Yeah, but the baggage was mostly mine. 559 00:24:20,868 --> 00:24:21,959 (laughs) 560 00:24:21,961 --> 00:24:23,702 You know, my experience with 561 00:24:23,704 --> 00:24:27,022 counseling widowers is that guilt and loyalty 562 00:24:27,024 --> 00:24:30,092 can toss you back into the original grief. 563 00:24:31,954 --> 00:24:33,637 Maybe. 564 00:24:33,639 --> 00:24:35,473 Hey. 565 00:24:35,475 --> 00:24:36,807 If it's this woman, 566 00:24:36,809 --> 00:24:39,535 or if it's that woman, you deserve 567 00:24:39,537 --> 00:24:41,386 your next great romantic achievement. 568 00:24:41,388 --> 00:24:43,439 (heart monitor beeping rapidly) 569 00:24:44,633 --> 00:24:46,725 Patient's in V tach! I need a crash cart! 570 00:24:46,727 --> 00:24:48,986 (groans) 571 00:24:50,656 --> 00:24:54,399 He's pulseless. Now in V fib. 572 00:24:54,401 --> 00:24:57,495 We need to shock. Get the pads on. 573 00:25:03,394 --> 00:25:04,226 (grunts) 574 00:25:04,228 --> 00:25:06,319 Charging. And clear. 575 00:25:06,321 --> 00:25:09,064 Now. 576 00:25:09,066 --> 00:25:11,342 Still in V fib. 577 00:25:11,344 --> 00:25:13,427 Get me a bolus of amio and shock again. 578 00:25:16,073 --> 00:25:18,015 (Conrad grunts) 579 00:25:20,761 --> 00:25:22,002 Charging. 580 00:25:22,004 --> 00:25:24,230 Clear. And shock. 581 00:25:25,583 --> 00:25:26,598 (Aaron gasps) 582 00:25:26,600 --> 00:25:29,434 -He has a pulse. -HUNDLEY: Sinus rhythm. 583 00:25:29,436 --> 00:25:32,087 But if this happens again, he is not... 584 00:25:32,089 --> 00:25:34,347 When it happens again, he won't survive it. 585 00:25:34,349 --> 00:25:37,993 Let's get him to the ICU. I'll page AJ. 586 00:25:43,692 --> 00:25:46,210 -Hey, what's going on? -I got him out of V fib, but... 587 00:25:46,212 --> 00:25:49,421 Hey. Right here, I got you, brother. 588 00:25:53,219 --> 00:25:56,612 His left ventricle is barely contracting. 589 00:25:56,614 --> 00:25:58,964 Down to about 15%. He couldn't tolerate 590 00:25:58,966 --> 00:26:00,282 the refractory arrhythmia. 591 00:26:00,284 --> 00:26:02,208 We can't fix his coronary arteries 592 00:26:02,210 --> 00:26:04,544 with more stents. They're too damaged. 593 00:26:04,546 --> 00:26:07,456 I'm gonna have to take a vessel from his chest and go around it. 594 00:26:07,458 --> 00:26:11,460 From an unnecessary cath to open-heart surgery. 595 00:26:11,462 --> 00:26:13,462 (monitor beeps) 596 00:26:13,464 --> 00:26:15,480 (sighs) 597 00:26:15,482 --> 00:26:18,300 His systolic's dropping to the 60s. 598 00:26:18,302 --> 00:26:19,559 I need more pressure than that 599 00:26:19,561 --> 00:26:22,154 -to do surgery. -I'm maxed out on pressors. 600 00:26:22,156 --> 00:26:25,157 We're gonna have to put him on ECMO. 601 00:26:25,159 --> 00:26:28,143 Wh-What's going on, fellas? 602 00:26:28,145 --> 00:26:30,904 AJ needs to perform bypass surgery, 603 00:26:30,906 --> 00:26:32,238 so we're gonna put you on a machine 604 00:26:32,240 --> 00:26:33,665 that will take over for your heart, 605 00:26:33,667 --> 00:26:36,501 so your heart can survive the procedure, okay? 606 00:26:36,503 --> 00:26:39,988 If God wants me at His table right now, 607 00:26:39,990 --> 00:26:41,765 I have faith in Him. 608 00:26:41,767 --> 00:26:44,159 Have faith in me. 609 00:26:44,161 --> 00:26:46,753 I'm gonna do my best to make you late for that dinner. 610 00:26:46,755 --> 00:26:48,647 You hear me? 611 00:26:50,684 --> 00:26:54,445 I am glad to see that you agreed to the DBS. 612 00:26:54,447 --> 00:26:57,281 Of course, you'll be under psychiatric care 613 00:26:57,283 --> 00:26:59,599 for some time after the surgery, but... 614 00:26:59,601 --> 00:27:01,601 have you thought about 615 00:27:01,603 --> 00:27:03,120 what kind of support you're gonna need 616 00:27:03,122 --> 00:27:04,663 when you get back into your life? 617 00:27:06,959 --> 00:27:08,325 Well, if this works, 618 00:27:08,327 --> 00:27:11,186 I'll be happy, right? So... 619 00:27:11,188 --> 00:27:12,963 I won't need anything. 620 00:27:13,966 --> 00:27:15,207 I started reading your first book. 621 00:27:15,209 --> 00:27:18,385 Hmm. Enjoy it while you can. 622 00:27:19,788 --> 00:27:22,531 And that description of the conversation that you had 623 00:27:22,533 --> 00:27:25,291 with your therapist after your first suicide attempt... 624 00:27:25,293 --> 00:27:28,553 About falling in love with 625 00:27:28,555 --> 00:27:30,630 my depression. 626 00:27:30,632 --> 00:27:32,541 DEVON: Yeah. 627 00:27:32,543 --> 00:27:34,526 It's hard to conceive of that. 628 00:27:35,729 --> 00:27:38,638 Well, for most people, it's... 629 00:27:38,640 --> 00:27:40,640 impossible, which is... 630 00:27:40,642 --> 00:27:43,568 why this is all so futile. 631 00:27:43,570 --> 00:27:44,903 (monitor beeping) 632 00:27:44,905 --> 00:27:46,405 -Are you okay? -Yeah. 633 00:27:46,407 --> 00:27:48,999 Yeah, I'm just, I'm just tired. 634 00:27:49,985 --> 00:27:53,128 This is so weird. 635 00:27:55,582 --> 00:27:57,841 -Eliza? -Hmm? Yeah. 636 00:27:57,843 --> 00:27:59,426 Hey. 637 00:28:01,347 --> 00:28:04,181 My God, she pulled out her A-line! 638 00:28:04,183 --> 00:28:06,266 I need another set of hands in here! 639 00:28:07,261 --> 00:28:09,728 Eliza, I'm not letting you go. 640 00:28:10,856 --> 00:28:12,856 Please... 641 00:28:12,858 --> 00:28:14,983 give us a chance. 642 00:28:18,013 --> 00:28:21,699 Okay, so, remember, stay calm, avoid an accusatory tone. 643 00:28:21,701 --> 00:28:24,593 But just share your truth. 644 00:28:24,595 --> 00:28:26,428 Yeah. Okay. 645 00:28:26,430 --> 00:28:29,206 I'm nervous, but I can do that. 646 00:28:31,210 --> 00:28:32,935 I wouldn't put you in front of these people 647 00:28:32,937 --> 00:28:34,937 if I didn't think you could reach them. 648 00:28:34,939 --> 00:28:36,714 Okay. 649 00:28:36,716 --> 00:28:38,966 Okay. All right. Here we go. 650 00:28:48,060 --> 00:28:50,043 I'm gonna move that chair. 651 00:28:50,045 --> 00:28:52,521 Just the top of the table. 652 00:28:54,233 --> 00:28:55,899 Okay. 653 00:28:55,901 --> 00:28:58,126 ELKINS: Uh... 654 00:28:58,128 --> 00:28:59,570 Who is this woman, Dr. Bell? 655 00:28:59,572 --> 00:29:01,930 You didn't mention that you were bringing a guest this morning. 656 00:29:01,932 --> 00:29:03,298 BELL: This is Emily Benesch. 657 00:29:03,300 --> 00:29:06,468 She's gonna tell us her story, 658 00:29:06,470 --> 00:29:07,953 and we are going to listen. 659 00:29:09,397 --> 00:29:11,564 EMILY: The last time I walked on my own two feet, 660 00:29:11,566 --> 00:29:15,043 it was into Dr. Bosley's practice. 661 00:29:16,404 --> 00:29:17,996 The man I was engaged to marry 662 00:29:17,998 --> 00:29:20,424 left me after I was paralyzed. 663 00:29:25,765 --> 00:29:27,598 (exhales) 664 00:29:30,160 --> 00:29:32,995 I can't... (sighs) turn over in bed, 665 00:29:32,997 --> 00:29:35,163 reach a book on the shelf, 666 00:29:35,165 --> 00:29:36,999 get out of my house, into a car, 667 00:29:37,001 --> 00:29:41,019 through a store without pain and struggle. 668 00:29:41,021 --> 00:29:43,071 And why? 669 00:29:44,099 --> 00:29:46,099 Because no one stopped a man 670 00:29:46,101 --> 00:29:49,995 who should never have been operating to begin with. 671 00:29:51,198 --> 00:29:54,683 You sit in here and review his explanations. 672 00:29:54,685 --> 00:29:56,126 Accidents happen, 673 00:29:56,128 --> 00:29:58,545 but again and again? 674 00:30:00,115 --> 00:30:02,257 Who else will end up like me? 675 00:30:04,695 --> 00:30:07,787 Would you send your wife to him? 676 00:30:07,789 --> 00:30:10,198 Your son? 677 00:30:10,200 --> 00:30:12,050 Your father? 678 00:30:12,052 --> 00:30:14,311 Then why a stranger? 679 00:30:15,463 --> 00:30:18,798 I know that a very high percentage of doctors 680 00:30:18,800 --> 00:30:20,876 are-are competent 681 00:30:20,878 --> 00:30:22,635 and good people. 682 00:30:22,637 --> 00:30:25,564 And the few who ruin 683 00:30:25,566 --> 00:30:27,399 people's lives, 684 00:30:27,401 --> 00:30:30,977 they're-- are repeat offenders. 685 00:30:30,979 --> 00:30:33,038 Like Dr. Bosley. 686 00:30:34,166 --> 00:30:37,167 If a hundred good doctors do nothing 687 00:30:37,169 --> 00:30:39,728 about one bad one, 688 00:30:39,730 --> 00:30:42,256 then we've got 101 bad doctors. 689 00:30:44,751 --> 00:30:47,160 You owe it to yourselves. 690 00:30:47,162 --> 00:30:49,513 You owe it to me. 691 00:30:54,595 --> 00:30:56,728 Thank you, Emily. 692 00:30:58,506 --> 00:31:02,417 We'll pass this up to the complaint division and... 693 00:31:02,419 --> 00:31:05,270 discuss the status of the investigation 694 00:31:05,272 --> 00:31:08,699 on a weekly basis. 695 00:31:08,701 --> 00:31:10,492 Thank you. 696 00:31:24,458 --> 00:31:27,200 The ECMO's giving his heart some relief, 697 00:31:27,202 --> 00:31:29,702 but this is as strong as he's gonna get. 698 00:31:29,704 --> 00:31:32,038 If I don't operate now, there might not be 699 00:31:32,040 --> 00:31:34,540 -any heart muscle left to save. -Yeah, it's time. 700 00:31:34,542 --> 00:31:38,395 Let's hope he's strong enough to survive. 701 00:32:02,479 --> 00:32:05,330 All right, the first graft is complete. 702 00:32:05,332 --> 00:32:08,241 This LAD is gonna be a little tougher. 703 00:32:08,243 --> 00:32:09,968 4.0 Prolene to me. 704 00:32:15,267 --> 00:32:18,435 Suturing over the dissection. 705 00:32:19,496 --> 00:32:21,254 CHU: You're using both internal 706 00:32:21,256 --> 00:32:23,515 mammary arteries for grafts. 707 00:32:23,517 --> 00:32:25,609 Is there a risk of recurring heart disease? 708 00:32:25,611 --> 00:32:28,003 Oh, good question, Chu. 709 00:32:28,005 --> 00:32:30,739 Not in a man who doesn't actually have heart disease. 710 00:32:33,026 --> 00:32:35,527 Both anastomoses complete. 711 00:32:35,529 --> 00:32:37,204 Removing the clamp. 712 00:32:41,852 --> 00:32:44,461 CHU: Let me know when you're ready. 713 00:32:47,874 --> 00:32:51,117 I am in position. 714 00:32:51,119 --> 00:32:53,286 Let's hit the reset button 715 00:32:53,288 --> 00:32:56,381 on the good pastor's new and improved heart. 716 00:32:56,383 --> 00:32:58,058 -Starting with five joules. -(whirring) 717 00:33:03,131 --> 00:33:05,524 -CHU: Going up to ten. -(beeping) 718 00:33:07,060 --> 00:33:10,237 (whirring) 719 00:33:12,566 --> 00:33:14,974 (Austin sighs) 720 00:33:14,976 --> 00:33:17,077 Take it to 20. 721 00:33:18,831 --> 00:33:20,580 (beeping) 722 00:33:23,076 --> 00:33:25,460 (whirring) 723 00:33:29,566 --> 00:33:31,258 Come on. 724 00:33:33,995 --> 00:33:35,679 (sighs) 725 00:33:40,927 --> 00:33:43,261 BILLIE: I'm placing the electrode. 726 00:33:43,263 --> 00:33:46,081 Now, there are no pain receptors in the brain, 727 00:33:46,083 --> 00:33:47,858 so this won't hurt. 728 00:33:47,860 --> 00:33:49,192 That's ironic. 729 00:33:50,420 --> 00:33:52,362 BILLIE: Advancing the electrode. 730 00:33:52,364 --> 00:33:55,106 60 millimeters. 731 00:33:55,108 --> 00:33:58,535 78 millimeters. 732 00:34:01,765 --> 00:34:04,766 We're at the target region. 733 00:34:04,768 --> 00:34:06,451 Dr. Malco? 734 00:34:06,453 --> 00:34:07,544 Pass it over to me. 735 00:34:07,546 --> 00:34:11,456 For what it's worth, I feel no different. 736 00:34:11,458 --> 00:34:13,625 I... 737 00:34:13,627 --> 00:34:15,126 maybe feel worse, even. 738 00:34:15,128 --> 00:34:16,628 Perhaps because now 739 00:34:16,630 --> 00:34:19,205 my head is screwed into a metal frame. 740 00:34:19,207 --> 00:34:21,707 We haven't turned it on yet, Eliza. 741 00:34:21,709 --> 00:34:25,062 -That's what I'm about to do. -ELIZA: Oh. 742 00:34:25,064 --> 00:34:27,789 -(machine beeps) -Two volts. 743 00:34:27,791 --> 00:34:31,401 Eliza, rate your mood on a scale of zero to ten. 744 00:34:31,403 --> 00:34:32,736 Unchanged. 745 00:34:32,738 --> 00:34:35,964 Zero. 746 00:34:35,966 --> 00:34:39,725 Adjusting to four volts. 747 00:34:39,727 --> 00:34:42,537 And now? 748 00:34:44,899 --> 00:34:46,583 Nothing. 749 00:34:49,404 --> 00:34:52,047 -(machine beeps) -Six volts. 750 00:34:53,592 --> 00:34:55,634 Eliza, how about now? 751 00:34:57,078 --> 00:35:00,138 Eliza, are you okay? 752 00:35:02,935 --> 00:35:04,392 I'm... 753 00:35:05,345 --> 00:35:07,011 -I'm... -MALCO: Eliza, if we 754 00:35:07,013 --> 00:35:09,106 -went too far we can turn it back down. -ELIZA: No. 755 00:35:09,108 --> 00:35:12,091 No. Don't-don't-don't turn it back down. 756 00:35:12,093 --> 00:35:13,668 Don't-don't... 757 00:35:13,670 --> 00:35:16,095 Don't do anything. 758 00:35:16,097 --> 00:35:18,949 Tell us how you feel, Eliza. 759 00:35:18,951 --> 00:35:21,100 ELIZA: I feel calm? 760 00:35:21,102 --> 00:35:23,620 Everything... 761 00:35:23,622 --> 00:35:26,665 everything seems... brighter. 762 00:35:28,368 --> 00:35:30,702 (chuckles) 763 00:35:30,704 --> 00:35:33,355 Is...? 764 00:35:33,357 --> 00:35:36,133 Could this be... (chuckles) 765 00:35:36,135 --> 00:35:39,377 Could this be happiness? 766 00:35:39,379 --> 00:35:41,221 (chuckles) 767 00:35:51,507 --> 00:35:54,042 Well, against all odds, Aaron's alive 768 00:35:54,044 --> 00:35:55,894 with plenty more sermons to give. 769 00:35:55,896 --> 00:35:58,062 Yeah, well, it's a flawed victory. 770 00:35:58,064 --> 00:35:59,564 His heart is permanently damaged, 771 00:35:59,566 --> 00:36:01,491 and he'll spend the rest of his life exhausted. 772 00:36:01,493 --> 00:36:05,236 All because of unnecessary tests and useless procedures 773 00:36:05,238 --> 00:36:06,905 that were detrimental to his health. 774 00:36:06,907 --> 00:36:09,499 You know, I talked to Bell, now that he's on the medical board. 775 00:36:09,501 --> 00:36:13,061 Ah, let me guess. The system is so broken, 776 00:36:13,063 --> 00:36:15,063 Pellington won't face any ramifications. 777 00:36:15,065 --> 00:36:16,464 Bingo. 778 00:36:17,918 --> 00:36:20,418 There's literally nothing we can do. 779 00:36:20,420 --> 00:36:23,087 Maybe not, but there is always karma. 780 00:36:23,089 --> 00:36:24,664 So we'd like to think. 781 00:36:24,666 --> 00:36:28,351 ♪ Like the beating of life in my veins ♪ 782 00:36:28,353 --> 00:36:30,412 ♪ I know there's gonna be ♪ 783 00:36:30,414 --> 00:36:33,097 ♪ Some brighter days ♪ 784 00:36:33,099 --> 00:36:34,858 ♪ I know there's ♪ 785 00:36:34,860 --> 00:36:39,270 ♪ Gonna be some brighter days ♪ 786 00:36:39,272 --> 00:36:41,531 ♪ I swear that love will find ♪ 787 00:36:41,533 --> 00:36:43,849 ♪ You in your pain ♪ 788 00:36:43,851 --> 00:36:45,109 ♪ Ooh ♪ 789 00:36:45,111 --> 00:36:46,928 ♪ I feel it in me like ♪ 790 00:36:46,930 --> 00:36:50,765 ♪ The beating of life in my veins ♪ 791 00:36:50,767 --> 00:36:52,392 ♪ I know there's gonna be ♪ 792 00:36:52,394 --> 00:36:56,104 ♪ Some brighter days ♪ 793 00:36:56,106 --> 00:36:57,455 ♪ I know there's gonna be... ♪ 794 00:36:57,457 --> 00:37:01,092 -Are you okay? -Yeah, yeah, Nic has just... 795 00:37:02,054 --> 00:37:04,221 Nic has just been on my mind. 796 00:37:05,465 --> 00:37:07,465 And... 797 00:37:07,467 --> 00:37:09,375 and what we do, 798 00:37:09,377 --> 00:37:11,561 just... 799 00:37:11,563 --> 00:37:15,047 watching people slide to the very edge 800 00:37:15,049 --> 00:37:17,984 while we fight to save them. 801 00:37:19,387 --> 00:37:21,463 Yeah. 802 00:37:21,465 --> 00:37:25,224 Yeah, like we're surrounded by loss. 803 00:37:25,226 --> 00:37:28,578 Past, present, the future. 804 00:37:28,580 --> 00:37:31,498 Ours, other people's. 805 00:37:34,995 --> 00:37:37,145 Look, man, I'm preparing 806 00:37:37,147 --> 00:37:39,238 for my mother's passing. 807 00:37:39,240 --> 00:37:42,484 And when she does, I... 808 00:37:42,486 --> 00:37:44,261 I don't know what I'm gonna do. 809 00:37:44,263 --> 00:37:47,472 I know I'll never know another like her. 810 00:37:48,934 --> 00:37:50,492 No. 811 00:37:51,495 --> 00:37:54,688 There are some holes you just can't fill. 812 00:37:55,499 --> 00:37:56,681 Yeah. 813 00:37:56,833 --> 00:38:00,835 ♪ I know there's gonna be some brighter ♪ 814 00:38:00,837 --> 00:38:03,095 ♪ Days. ♪ 815 00:38:03,097 --> 00:38:04,447 (knock on door) 816 00:38:05,784 --> 00:38:07,117 (exhales) 817 00:38:07,119 --> 00:38:09,527 Go ahead, ask. 818 00:38:09,529 --> 00:38:11,204 How are you feeling? 819 00:38:12,124 --> 00:38:13,272 (laughs): Good. 820 00:38:13,274 --> 00:38:16,851 Weird. Um, hopeful. 821 00:38:16,853 --> 00:38:19,370 Scared. Bionic. 822 00:38:19,372 --> 00:38:21,631 I feel like I'm at one of those all-you-can-eat 823 00:38:21,633 --> 00:38:25,376 buffet restaurants, only it's for emotions. 824 00:38:25,378 --> 00:38:26,861 (chuckles) 825 00:38:26,863 --> 00:38:28,972 Sounds dizzying, 826 00:38:28,974 --> 00:38:30,640 but an improvement. 827 00:38:31,885 --> 00:38:34,886 Dr. Malco has a few options for psychiatric treatment centers, 828 00:38:34,888 --> 00:38:36,387 and they all accept your insurance, 829 00:38:36,389 --> 00:38:37,797 and they're gonna take you right away. 830 00:38:37,799 --> 00:38:40,542 BILLIE: You'll come back and see me in two weeks, 831 00:38:40,544 --> 00:38:43,236 and I'll adjust your stim level if necessary. 832 00:38:44,731 --> 00:38:47,215 Okay. 833 00:38:47,217 --> 00:38:49,492 Uh, thank you... 834 00:38:50,645 --> 00:38:52,662 ...for not letting me go. 835 00:38:53,890 --> 00:38:55,457 Of course. 836 00:39:05,569 --> 00:39:08,994 Days like this, I love being a doctor. 837 00:39:08,996 --> 00:39:11,639 -Best job in the world. -(chuckles) 838 00:39:19,265 --> 00:39:21,099 Bell. 839 00:39:21,101 --> 00:39:23,526 Bell, Bell, Bell. 840 00:39:23,528 --> 00:39:26,104 You know, I thought I had the deepest, 841 00:39:26,106 --> 00:39:27,697 highest-octane reservoir 842 00:39:27,699 --> 00:39:31,593 of ego, but, brother, your vanity makes mine blush. 843 00:39:31,595 --> 00:39:34,095 CONRAD: Randolph, you are my friend, 844 00:39:34,097 --> 00:39:36,539 but it's a good thing you don't have cancer 845 00:39:36,541 --> 00:39:38,433 because you are not a good enough friend 846 00:39:38,435 --> 00:39:40,025 for me to shave off this. I mean, this is like a silken 847 00:39:40,027 --> 00:39:43,438 -masterpiece up here. -AUSTIN: That it is, it is. -KIT: Ooh. 848 00:39:43,440 --> 00:39:45,006 So... 849 00:39:46,033 --> 00:39:48,009 What do you say? 850 00:39:49,888 --> 00:39:51,796 Okay, I will take this... 851 00:39:51,798 --> 00:39:53,890 walking stick, 852 00:39:53,892 --> 00:39:55,725 but not because I'm old or infirm, 853 00:39:55,727 --> 00:39:58,061 but because it's really cool. 854 00:39:58,063 --> 00:39:59,787 (laughter) 855 00:39:59,789 --> 00:40:02,649 -Thanks, guys. -You got it. 856 00:40:22,236 --> 00:40:24,087 Well, you look good. 857 00:40:25,757 --> 00:40:27,257 You okay? 858 00:40:27,259 --> 00:40:29,408 I am. 859 00:40:29,410 --> 00:40:31,052 I'm good. 860 00:40:39,846 --> 00:40:42,063 (Trevor sighs) 861 00:40:42,999 --> 00:40:44,691 So, what's going on? 862 00:40:45,852 --> 00:40:47,527 Okay, first... 863 00:40:49,189 --> 00:40:51,597 I'm not sure I want to be a doctor. 864 00:40:51,599 --> 00:40:55,285 I went into it for the wrong reasons. 865 00:40:56,680 --> 00:40:58,496 Why did you go into it? 866 00:41:03,870 --> 00:41:06,871 I wanted to be the person I thought you'd love enough 867 00:41:06,873 --> 00:41:09,299 to wish you'd kept me. 868 00:41:09,301 --> 00:41:12,193 Now I realize you were a child. 869 00:41:12,195 --> 00:41:14,286 That's why you couldn't keep me. 870 00:41:14,288 --> 00:41:17,098 I know we both suffered. 871 00:41:20,887 --> 00:41:23,813 Right now it feels like being a doctor 872 00:41:23,815 --> 00:41:25,648 won't give me what it gives you. 873 00:41:28,211 --> 00:41:31,062 The good news is, being an M.D. 874 00:41:31,064 --> 00:41:34,048 opens up a lot of opportunities. 875 00:41:34,050 --> 00:41:36,475 Yeah. I... 876 00:41:36,477 --> 00:41:39,496 got a job in research and development 877 00:41:39,498 --> 00:41:41,146 at a biotech start-up. 878 00:41:41,148 --> 00:41:43,983 Drug chemistry, my sweet spot. 879 00:41:43,985 --> 00:41:47,061 But I'm gonna do it, you know, by the rules. 880 00:41:47,063 --> 00:41:50,248 -(both chuckle) -Try to make a difference. 881 00:41:50,250 --> 00:41:53,176 I don't know. We'll see what happens. 882 00:41:55,588 --> 00:41:57,597 I'm happy for you, Trevor. 883 00:41:59,592 --> 00:42:02,060 And I'm very proud. 884 00:42:03,188 --> 00:42:05,170 Yeah, since Porter, 885 00:42:05,172 --> 00:42:07,415 since giving you away, I... 886 00:42:07,417 --> 00:42:09,526 It had been inconceivable to me 887 00:42:09,528 --> 00:42:12,529 that I could ever feel maternal towards anyone. 888 00:42:14,015 --> 00:42:15,990 I never wanted kids. 889 00:42:17,460 --> 00:42:18,943 But you forced me to meet you, 890 00:42:18,945 --> 00:42:21,112 and what had been inconceivable happened. 891 00:42:21,114 --> 00:42:24,432 Something opened up in me. No, these last couple 892 00:42:24,434 --> 00:42:27,602 of weeks, when I didn't know where you were, 893 00:42:27,604 --> 00:42:29,695 what you were doing... 894 00:42:29,697 --> 00:42:32,173 I was beside myself with worry. 895 00:42:34,535 --> 00:42:37,220 Which I suspect means I was feeling a little bit 896 00:42:37,222 --> 00:42:39,180 like a real mother. 897 00:42:46,064 --> 00:42:48,731 You are my son. 898 00:42:48,733 --> 00:42:51,526 Nothing can ever change that. 899 00:42:52,887 --> 00:42:54,571 And I love you. 900 00:42:54,573 --> 00:42:56,798 Captioning sponsored by 20th CENTURY FOX TELEVISION 901 00:42:56,800 --> 00:42:58,649 and TOYOTA. 902 00:42:58,651 --> 00:43:01,035 Captioned by Media Access Group at WGBH access.wgbh.org