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Previously on The Resident...
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I saw you pocket the pills.
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We're not having
an issue with that again.
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Your twins are in grave danger.
5
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Just do whatever you have to do.
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Please save my babies.
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Smaller one's heart rate
is climbing to 103.
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I want to see you tonight.
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And if this idiot
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becomes our new governor, we'll
have less than we ever had.
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- He's polling ahead.
-Yeah, I wish
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- I was there to help.
- No.
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You're exactly where
you need to be.
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I have some good news.
They're trying me
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00:00:32,991 --> 00:00:35,576
on a new anti-CD20 antibody,
16
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and I'm tolerating it
really well.
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State Assemblywoman
Camille Rogers
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is in a much tougher fight
than many expected.
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Opponent Mark Betz,
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the billionaire real estate
and finance entrepreneur,
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-is a first-time candidate for public
office. -Hey. I got your email.
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I'll have those OR numbers
to you by end of day.
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Thanks. I'm trying
to prepare for the worst,
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in case Betz becomes governor.
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- How's it looking?
- It's too close for my liking.
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How is that possible?
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Betz hasn't even held
public office.
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But he has millions to spend
on attack ads.
29
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So now half the state's gonna
reject an experienced woman
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who wants to give them
health care and education.
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Yeah, apparently,
that just doesn't resonate
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like "billionaire who wants
to slash social services."
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Who would actually cut funding
to public hospitals?
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Well, let's hope
we don't have to find out.
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Is everything okay otherwise?
36
00:01:19,871 --> 00:01:21,747
How's Randolph's treatment
going at the clinic?
37
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He's responding well.
38
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His-his team are...
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uh, encouraged.
I'm working on it.
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I worry about you
when I get emails at 3:00 a.m.
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Oh, it's just this election.
It's got me tied up in knots.
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All we can do is vote
and hope for the best, right?
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Can't worry
about things we can't control.
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Those are the things
that worry me the most.
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- Georgia's new voting laws
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have taken effect,
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leading to massive delays
throughout the state.
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I can be on time or I can do
my civic duty this morning,
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not both.
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Democracy needs you.
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We can cover.
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It's slow here anyway.
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Now, you know
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you shouldn't have said that
out loud, right?
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Relax.
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What?
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Unbelievable.
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Are you deaf?
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Quit checking your Bitcoin
and move the hell up.
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- Are you kidding me?!
- A line
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is a social contract
between citizens!
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We're all interdependent!
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Do you know what that means?!
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Hey, hey, hey, hey.
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We're all tired of waiting, but
you gotta dial it down, brother.
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I'm not your brother.
Go back to where you came from.
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Chill.
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Did you hear that?
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Came from Atlanta, gringo.
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Where are you from?
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Assault! You all saw that!
This man assaulted me!
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- Hey, you need to back off!
- Police! This man's assaulting me!
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I'm at St. Anthony of the Cross
Community Center.
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There are multiple injuries, a
cardiac arrest, a blunt trauma.
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We're gonna need some medics
here now!
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♪ ♪
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Hey. Any exit polls yet?
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Not yet. But they're thinking
it won't be decided tonight.
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Well, if you need a distraction,
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I could use your help
with a consult.
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I can clear something.
What's up?
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Well, I just got off the phone
with one of my trial patients,
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and he's having
severe back pain.
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He tends to be a minimizer,
so I know he's really suffering.
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Which trial is this?
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Multiple sclerosis.
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He's been doing pretty well
with the treatment,
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but the pain is bad enough that
he hasn't been able to walk.
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So maybe an MS flare.
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00:03:52,566 --> 00:03:53,816
But if he's not mobile...
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Then he can't be a part
of the trial any longer.
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Exactly. So I'm hoping
that we can help reverse it.
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Happy to take a look.
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How's the trial going otherwise?
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We're getting good results
with one of the treatments.
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Well-tolerated,
limited side effects.
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How does it compare
to the new anti-CD20 meds?
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Randolph's been responding well
to those.
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00:04:12,127 --> 00:04:14,295
Oh, that's good news. We haven't
been able to compare it
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with any other treatments yet.
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We need to expand the study.
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- Which means more funding.
- Yes.
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Another reason we're hoping
this election goes our way.
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I don't see your little sticker.
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Oh, I'm gonna hit the polls
at lunch.
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Yeah, make sure you do.
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All right. And we also got
your lavender essential oils
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and palo santo,
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which, if you ask me,
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looks like
an overpriced bundle of sticks.
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Oh. Padma, I'm so sorry...
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They only had
regular cheese puffs.
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Oh.
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That's okay.
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Look at you.
116
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Thought I could not get my hands
on some spicy cheesies?
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It's about the only thing
on the list I do understand.
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Thank you. You have no idea
what this means to me.
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- I think I do have an idea.
- You know,
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I tried this online recipe
for keto cheesies once.
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Never again.
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I'm gonna pretend
I didn't hear that.
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Uh, I got to go review
some pre-op echocardiograms.
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But, wait, I want to show
you this amazing documentary.
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Ah, the Himalayas are
gonna have to wait.
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I'm done with the Himalayas.
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It's ocean docs now.
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- Ocean docs?
- See, the thing about octopuses...
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Not "octopi," okay, only
pretentious people say that...
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00:05:21,821 --> 00:05:24,323
Is that they're supposedly
so intelligent and compassionate
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that scientists think they're
a lifeform from outer space.
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- "Scientists", huh?
- Mm-hmm, you have to see this one scene.
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Uh, look, I really got
to check it out later.
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I got to go. See you soon.
135
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Okay, wait, I'll send it to you.
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Morning, everyone.
137
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- Doctor Hawkins.
- Doctor Sullivan.
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Aw, they still call
each other "doctor" at work.
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00:05:46,388 --> 00:05:49,098
Very professional. We all know
you're dating, Doctors.
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Can't stay out of my ER, huh?
141
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You know how much
I love being surrounded
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by undifferentiated illness.
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Plus you keep slipping out
before I'm up.
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- Mm, a girl's got to vote.
- Uh-huh.
145
00:06:00,360 --> 00:06:02,945
Well, Gigi would love to share
146
00:06:02,946 --> 00:06:05,155
some Nutty Wheats with you
147
00:06:05,156 --> 00:06:07,116
whenever you're ready
to make the big leap.
148
00:06:07,117 --> 00:06:09,785
I was actually thinking
I'd introduce you both
149
00:06:09,786 --> 00:06:11,370
to Crispy Chuck tonight.
150
00:06:11,371 --> 00:06:13,205
- Your ex-boyfriend from high school?
- Mm, good one.
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00:06:13,206 --> 00:06:14,790
No, it's Crispy Chuck's
Chicken Truck.
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It's the best
fried chicken ever.
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You have to be on a secret list
to know about it.
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00:06:18,003 --> 00:06:19,878
Letting me
in on your chicken truck.
155
00:06:19,879 --> 00:06:21,630
Wow, well, this is, this is big.
156
00:06:21,631 --> 00:06:23,507
I'm glad you appreciate
the significance.
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00:06:23,508 --> 00:06:24,967
Sorry to interrupt this summit.
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00:06:24,968 --> 00:06:26,385
Hundley called the triage line.
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- Multiple trauma victims incoming.
From where?
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00:06:28,722 --> 00:06:30,598
There was an all-out brawl
at a polling station.
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00:06:30,599 --> 00:06:32,224
Democracy in action.
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00:06:32,225 --> 00:06:34,059
Let's put out
a page for back-up.
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I think I can beg off rounds,
help out for a bit.
164
00:06:37,063 --> 00:06:39,023
Knowing you,
you're gonna need it.
165
00:06:39,024 --> 00:06:40,733
Just try and keep up, all right?
166
00:06:40,734 --> 00:06:42,985
40s-ish female, head injury.
167
00:06:42,986 --> 00:06:45,195
- Possible concussion.
- Let's get her to Trauma 11.
168
00:06:45,196 --> 00:06:46,822
I'll get started
on her assessment.
169
00:06:46,823 --> 00:06:48,324
What was she struck with?
170
00:06:48,325 --> 00:06:50,159
One of those
folding chair-cane things.
171
00:06:50,160 --> 00:06:52,369
- Don't ask.
- All right, let's get heat stroke to Bay Four.
172
00:06:52,370 --> 00:06:54,121
Asthma attack to Bay One,
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00:06:54,122 --> 00:06:56,123
wrist injury to Bay Seven.
Hawkins?
174
00:06:56,124 --> 00:06:57,625
I'm reassigning you
to this periorbital
175
00:06:57,626 --> 00:06:58,959
hematoma, Trauma Ten.
176
00:06:58,960 --> 00:07:00,753
I'm on it. Jessica,
can you take that for me?
177
00:07:00,754 --> 00:07:02,755
- Cardiac arrest?
- We got a pulse back,
178
00:07:02,756 --> 00:07:04,006
- but he keeps going in and out.
- That one's for me.
179
00:07:04,007 --> 00:07:05,883
Thank you. Trauma Nine.
180
00:07:05,884 --> 00:07:08,010
Love the smell of napalm
in the morning.
181
00:07:08,011 --> 00:07:10,346
- What's his injury?
- I'm fine. I don't need any of this.
182
00:07:10,347 --> 00:07:13,057
- He got tackled, might have broken ribs.
- Hundley and I can take him.
183
00:07:13,058 --> 00:07:14,099
You're gonna have to find
a place in the hallway
184
00:07:14,100 --> 00:07:15,225
'cause we're
running out of space.
185
00:07:15,226 --> 00:07:16,602
- Yeah.
- Didn't I tell you never
186
00:07:16,603 --> 00:07:18,604
to say the S-L-O-W word
out loud?
187
00:07:18,605 --> 00:07:20,105
That's a made-up superstition.
188
00:07:20,106 --> 00:07:22,024
From a man who won't let
a sneeze go unblessed.
189
00:07:22,025 --> 00:07:23,817
Because that would be wrong.
190
00:07:23,818 --> 00:07:26,738
Any signs of concussion?
191
00:07:28,406 --> 00:07:30,532
Okay, ondansetron,
fluids and a stat
192
00:07:30,533 --> 00:07:31,909
CT for possible skull fracture.
193
00:07:31,910 --> 00:07:33,369
And a fresh gown for you.
194
00:07:33,370 --> 00:07:35,245
Thank you.
195
00:07:35,246 --> 00:07:36,955
How's the eye?
196
00:07:36,956 --> 00:07:38,916
Orbital fracture,
possible entrapment.
197
00:07:38,917 --> 00:07:41,085
Might be looking
at neurosurg and ophtho.
198
00:07:41,086 --> 00:07:44,004
And we have a possible
skull fracture in Trauma 11.
199
00:07:44,005 --> 00:07:46,590
- Yep.
- So let's get Dr. Sutton in here.
200
00:07:46,591 --> 00:07:49,176
Hawkins, can you tag team
this guy with me?
201
00:07:49,177 --> 00:07:51,220
- Sure.
- He got tackled.
202
00:07:51,221 --> 00:07:52,596
Has acute abdominal pain.
203
00:07:52,597 --> 00:07:54,181
Doesn't want imaging.
204
00:07:54,182 --> 00:07:56,100
Just wants to get out of here.
Says it's his IBS.
205
00:07:56,101 --> 00:07:59,061
- And he got it from the tackle?
- Yeah, I didn't push it.
206
00:07:59,062 --> 00:08:00,938
Mr. Mendez, this is Dr. Hawkins.
207
00:08:00,939 --> 00:08:02,940
How's it going?
208
00:08:02,941 --> 00:08:04,608
- Heard you took a bit of a tumble.
- But his lungs are clear.
209
00:08:04,609 --> 00:08:07,487
- Little angry dude lost it, I'm fine.
- Okay.
210
00:08:08,613 --> 00:08:11,115
Let's take a look at these ribs.
211
00:08:11,116 --> 00:08:13,075
Does that hurt?
212
00:08:13,076 --> 00:08:16,286
Told him I got IBS.
I always hurt.
213
00:08:16,287 --> 00:08:19,331
Well, I'm with Dr. Feldman,
we need to take some pictures,
214
00:08:19,332 --> 00:08:22,334
- make sure nothing's broken.
- Look, I got to get to work.
215
00:08:22,335 --> 00:08:23,627
The sooner we find out
what you need,
216
00:08:23,628 --> 00:08:25,045
the sooner you'll be
on your way.
217
00:08:25,046 --> 00:08:26,966
And we can give you
some medication for the pain.
218
00:08:29,050 --> 00:08:30,968
Fine.
219
00:08:30,969 --> 00:08:33,638
- Page me if his symptoms worsen.
- Thank you.
220
00:08:36,641 --> 00:08:39,017
- Betz is pulling ahead...
-I got the prior authorization
221
00:08:39,018 --> 00:08:41,270
filled out
for Mr. S's anticoagulation,
222
00:08:41,271 --> 00:08:43,480
so hopefully this time
he doesn't forget to take it.
223
00:08:43,481 --> 00:08:45,149
Most new interns hate paperwork.
224
00:08:45,150 --> 00:08:47,401
And you seem like
you actually like it.
225
00:08:47,402 --> 00:08:50,487
I mean, I won't lie, my family's
on me constantly, like,
226
00:08:50,488 --> 00:08:52,156
"When are you going to start
saving lives, Maya?
227
00:08:52,157 --> 00:08:53,615
"This is why we sent you
228
00:08:53,616 --> 00:08:55,284
to med school."
Of course, I don't mention
229
00:08:55,285 --> 00:08:57,411
I'm the one paying the loans.
230
00:08:57,412 --> 00:09:00,372
- Oh, immigrant parents.
Am I right?
231
00:09:00,373 --> 00:09:02,124
Oh.
232
00:09:02,125 --> 00:09:04,334
ER just paged out
a major code disaster.
233
00:09:04,335 --> 00:09:06,086
That means multiple injuries.
You want to see some action?
234
00:09:06,087 --> 00:09:08,505
- Bring it.
- Maybe now you'll have something to tell your parents.
235
00:09:08,506 --> 00:09:10,382
-¡Sí, mamá, mucha sangre hoy!
236
00:09:10,383 --> 00:09:12,718
Hey. Thanks for coming.
237
00:09:12,719 --> 00:09:14,386
Of course.
Possible skull fracture?
238
00:09:14,387 --> 00:09:16,680
Trauma 11, and an orbital
fracture in Ten.
239
00:09:16,681 --> 00:09:18,432
I'd start with the orbital.
240
00:09:18,433 --> 00:09:20,267
Skull can wait, GCS is 15.
241
00:09:20,268 --> 00:09:22,478
- Busy day.
- Yeah.
242
00:09:22,479 --> 00:09:24,062
Hey. I got your page.
243
00:09:24,063 --> 00:09:27,316
This is my intern, Maya Nuñez.
What can we do to help?
244
00:09:27,317 --> 00:09:29,902
I've got a sprained wrist
in Bay Seven.
245
00:09:29,903 --> 00:09:32,654
- That's it?
- Sorry?
246
00:09:32,655 --> 00:09:34,908
Guess we did miss all the fun.
247
00:09:36,618 --> 00:09:39,369
- Don't speak too soon.
- Get off me!
248
00:09:39,370 --> 00:09:41,246
I just need to make sure
nothing's broken.
249
00:09:41,247 --> 00:09:43,707
- Keep your hands off of me!
- Hey.
250
00:09:43,708 --> 00:09:45,751
- Hey, hey, hey.
- She's trying to take my eye out!
251
00:09:45,752 --> 00:09:48,128
It's okay, Stewart.
No one's trying to hurt you.
252
00:09:48,129 --> 00:09:51,341
- I want to make sure you leave here with functional vision.
- Stop! Stop!
253
00:09:55,303 --> 00:09:57,179
Help! Stop!
254
00:09:57,180 --> 00:10:00,057
Help! Let me go!
255
00:10:00,058 --> 00:10:01,767
- Let's get some restraints.
- Call 911!
256
00:10:01,768 --> 00:10:03,644
Get this lunatic out of here!
257
00:10:03,645 --> 00:10:05,854
- Hang on.
- Ow! Stop!
258
00:10:05,855 --> 00:10:07,397
He's a vet. I might have an idea
259
00:10:07,398 --> 00:10:09,400
of what's going on here.
260
00:10:15,992 --> 00:10:18,369
Thanks.
261
00:10:21,664 --> 00:10:24,291
Good news. CT scan shows
262
00:10:24,292 --> 00:10:26,585
your orbital bones
won't need surgery.
263
00:10:26,586 --> 00:10:29,171
- Great.
- Noticed your ink.
264
00:10:29,172 --> 00:10:32,342
I was Navy, too.
Corpsman in the Marines.
265
00:10:33,510 --> 00:10:35,720
15th Expeditionary,
3rd battalion.
266
00:10:36,679 --> 00:10:38,973
Oorah.
267
00:10:41,684 --> 00:10:43,811
How long you been out?
268
00:10:43,812 --> 00:10:46,438
12 years.
269
00:10:46,439 --> 00:10:49,191
It's pretty tough
in the Navy, man.
270
00:10:49,192 --> 00:10:52,069
I was a sonar tech at Bangor.
271
00:10:52,070 --> 00:10:54,989
Never deployed.
272
00:10:56,366 --> 00:10:58,617
So...
273
00:10:58,618 --> 00:11:01,119
what is going on, Stewart?
274
00:11:01,120 --> 00:11:03,288
You seem pretty on edge.
275
00:11:03,289 --> 00:11:05,749
I don't know.
276
00:11:05,750 --> 00:11:08,461
Sometimes I just lose it.
277
00:11:09,838 --> 00:11:12,923
I guess I'm getting old
and cranky like my dad.
278
00:11:12,924 --> 00:11:15,884
Well, I'd like to do some blood
work, check out at a few things.
279
00:11:15,885 --> 00:11:18,971
Can I call someone
to come pick you up?
280
00:11:18,972 --> 00:11:21,682
I'm staying with my sister.
281
00:11:21,683 --> 00:11:24,685
She's not gonna be happy
to hear from you.
282
00:11:24,686 --> 00:11:26,478
You let me worry about that.
283
00:11:26,479 --> 00:11:28,064
Be right back.
284
00:11:31,818 --> 00:11:32,985
Yeah?
285
00:11:32,986 --> 00:11:34,736
Ben, Jasper.
286
00:11:34,737 --> 00:11:36,738
- This is Dr. Voss.
- Hi.
287
00:11:36,739 --> 00:11:38,824
And she is one
of our orthopedic specialists.
288
00:11:38,825 --> 00:11:41,243
- Pleasure to meet you, Ben, Jasper.
- Nice to meet you.
289
00:11:41,244 --> 00:11:42,911
And I'm hoping that she can
help us figure out
290
00:11:42,912 --> 00:11:44,621
what's, uh, going on
with your back.
291
00:11:44,622 --> 00:11:47,541
So, Ben, how would you
compare your symptoms
292
00:11:47,542 --> 00:11:49,960
to your previous MS flare-ups?
293
00:11:49,961 --> 00:11:52,462
Oh, uh, this is
nothing like my MS.
294
00:11:52,463 --> 00:11:55,549
It came out of nowhere,
one morning, boom!
295
00:11:55,550 --> 00:11:57,384
Um, fire shooting down my legs.
296
00:11:57,385 --> 00:11:59,887
Yeah, he couldn't get out
of bed. Excruciating pain.
297
00:11:59,888 --> 00:12:02,180
And before this Ben was showing
some real promise
298
00:12:02,181 --> 00:12:03,682
in the clinical trial.
299
00:12:03,683 --> 00:12:05,475
Yeah, well, my triathlon days
are behind me,
300
00:12:05,476 --> 00:12:08,020
but, yeah, I was definitely
getting stronger.
301
00:12:08,021 --> 00:12:10,397
Of course we want
to keep you on that track.
302
00:12:10,398 --> 00:12:13,150
Any incidents you can recall
303
00:12:13,151 --> 00:12:14,443
that may have caused an injury?
304
00:12:14,444 --> 00:12:17,571
I haven't done anything crazy.
305
00:12:17,572 --> 00:12:19,031
He did help me clean out
the CD closet.
306
00:12:19,032 --> 00:12:20,866
Yeah, well, who keeps CDs?
307
00:12:20,867 --> 00:12:22,200
Not me anymore.
308
00:12:22,201 --> 00:12:23,869
Well, I'd like
to get some imaging.
309
00:12:23,870 --> 00:12:25,537
And I'm going to consult
310
00:12:25,538 --> 00:12:27,456
with our neurosurgeon,
Dr. Sutton.
311
00:12:27,457 --> 00:12:29,750
So there's a chance,
if this isn't my MS,
312
00:12:29,751 --> 00:12:31,877
I can get back in the trial?
313
00:12:31,878 --> 00:12:33,879
I see no reason to give up hope.
314
00:12:33,880 --> 00:12:36,633
- Yeah, we got to keep our star athlete, right?
- Yeah.
315
00:12:38,927 --> 00:12:41,136
Hey, I was just coming by to see
316
00:12:41,137 --> 00:12:43,055
if you still need
an extra set of hands.
317
00:12:43,056 --> 00:12:45,515
Uh, we just got a moment
to breathe, but thanks.
318
00:12:45,516 --> 00:12:47,935
- I think we have it handled.
- What the heck happened?
319
00:12:47,936 --> 00:12:49,978
People attacking each other
at a polling place?
320
00:12:49,979 --> 00:12:51,772
Mostly one crazy guy.
321
00:12:51,773 --> 00:12:53,565
Are you sure you weren't there?
322
00:12:53,566 --> 00:12:55,233
- The bump on your forehead.
- Oh!
323
00:12:55,234 --> 00:12:57,069
Yeah, I hit it on a cabinet.
324
00:12:57,070 --> 00:12:58,779
Doing too many things at once.
325
00:12:58,780 --> 00:13:00,405
Mr. Incredible in the OR,
326
00:13:00,406 --> 00:13:02,407
Mr. Magoo in the kitchen.
327
00:13:02,408 --> 00:13:05,369
Everything's fine, Kincaid.
328
00:13:05,370 --> 00:13:07,871
I didn't say anything.
329
00:13:07,872 --> 00:13:09,289
I know the look.
330
00:13:09,290 --> 00:13:10,999
You're sweet to worry, but...
331
00:13:11,000 --> 00:13:13,043
Look, Seattle was
a long time ago. I'm good.
332
00:13:13,044 --> 00:13:14,336
Promise.
333
00:13:14,337 --> 00:13:15,796
Okay.
334
00:13:15,797 --> 00:13:18,006
Ah.
335
00:13:18,007 --> 00:13:20,051
And if you're good...
336
00:13:23,930 --> 00:13:25,764
Hey, just checking to see
337
00:13:25,765 --> 00:13:27,224
if those head trauma pictures
came in.
338
00:13:27,225 --> 00:13:29,351
Yes, they did. No fracture.
339
00:13:29,352 --> 00:13:31,144
- Just a concussion.
- That was lucky.
340
00:13:31,145 --> 00:13:33,063
Oh, I've been meaning
to ask you,
341
00:13:33,064 --> 00:13:34,982
how's Gigi doing?
342
00:13:34,983 --> 00:13:36,608
No nightmares the past week.
343
00:13:36,609 --> 00:13:38,235
I'm hoping we're out
of the woods.
344
00:13:38,236 --> 00:13:39,945
- Thanks for asking.
- Must be so hard
345
00:13:39,946 --> 00:13:41,863
dealing with
all the parenting stuff alone.
346
00:13:41,864 --> 00:13:43,949
Believe me,
all I keep thinking about
347
00:13:43,950 --> 00:13:45,826
is how great Nic would have
been at dealing with this.
348
00:13:45,827 --> 00:13:47,369
Well, you're doing
an amazing job.
349
00:13:47,370 --> 00:13:48,996
Thank you.
350
00:13:48,997 --> 00:13:50,664
Gigi misses you.
351
00:13:50,665 --> 00:13:52,833
We should all do something
together again soon.
352
00:13:52,834 --> 00:13:54,584
That's okay.
353
00:13:54,585 --> 00:13:56,712
I'm sure your weekends are full.
354
00:13:56,713 --> 00:13:58,839
- Where's my cardiac patient?
- Left AMA.
355
00:13:58,840 --> 00:14:00,382
Said he had
to get back to the polls.
356
00:14:00,383 --> 00:14:02,718
Wow, that's
a dedicated voter for you.
357
00:14:02,719 --> 00:14:05,387
Here. Brought you a fresh one.
358
00:14:05,388 --> 00:14:08,306
- Mmm.
- Oh, no, we're good over here, thank you.
359
00:14:08,307 --> 00:14:09,641
Well, you're not
the one who had to tackle
360
00:14:09,642 --> 00:14:11,143
that Proud Boy in there.
361
00:14:11,144 --> 00:14:12,936
My hero.
362
00:14:12,937 --> 00:14:15,313
He's not still here, is he?
363
00:14:15,314 --> 00:14:17,315
- I'm just running a few tests.
- Right, because "jerky dude"
364
00:14:17,316 --> 00:14:18,984
is so hard to understand?
365
00:14:18,985 --> 00:14:20,819
I should get back.
366
00:14:20,820 --> 00:14:22,362
Hey, you know,
if you need to chill him out,
367
00:14:22,363 --> 00:14:24,031
I got some nature docs
from Padma.
368
00:14:24,032 --> 00:14:25,907
- Thought it was mountain climbing.
- That was last week.
369
00:14:25,908 --> 00:14:28,410
But seriously, though, there's
a cool one where this octopus
370
00:14:28,411 --> 00:14:30,829
thanks a guy after he saves
him from a sandbar.
371
00:14:30,830 --> 00:14:32,330
Excuse me,
372
00:14:32,331 --> 00:14:34,291
I'm here for my brother,
Stewart Mayer?
373
00:14:34,292 --> 00:14:36,293
Yeah, Emma, hi. I'm Dr. Hawkins.
374
00:14:36,294 --> 00:14:38,045
I left you a voice mail.
Do you have a minute?
375
00:14:38,046 --> 00:14:39,588
- Yeah.
- Great.
376
00:14:39,589 --> 00:14:42,007
A scalpel?
377
00:14:42,008 --> 00:14:45,260
Should he be
coming home with me?
378
00:14:45,261 --> 00:14:47,512
So this is, this is new,
379
00:14:47,513 --> 00:14:49,264
this level of volatility?
380
00:14:49,265 --> 00:14:52,559
Yeah, he's been on edge
ever since his wife left and...
381
00:14:52,560 --> 00:14:55,145
lately it's gotten pretty bad.
382
00:14:55,146 --> 00:14:57,731
But before that,
he was just an annoying
383
00:14:57,732 --> 00:15:00,650
- techbro mansplainer.
- Is he on any medication?
384
00:15:00,651 --> 00:15:02,820
Some over-the-counter stuff
when he had the flu?
385
00:15:04,155 --> 00:15:06,031
All right, I'm waiting
on a few test results.
386
00:15:06,032 --> 00:15:08,366
- You mind hanging out for a bit?
- Yeah, can I see him, actually?
387
00:15:08,367 --> 00:15:09,744
Yeah, sure.
388
00:15:15,208 --> 00:15:17,542
Anybody see this patient leave?
389
00:15:17,543 --> 00:15:20,546
Wait here,
I'll go check outside.
390
00:15:26,013 --> 00:15:27,638
Stewart?
391
00:15:27,639 --> 00:15:29,849
Stewart...
392
00:15:29,850 --> 00:15:32,561
I've been looking for you.
393
00:15:33,854 --> 00:15:36,482
Your sister's here. Why don't
we go inside and talk to her?
394
00:15:39,318 --> 00:15:41,235
Trying to quit, huh?
395
00:15:41,236 --> 00:15:43,321
Yeah, obviously not going well.
396
00:15:43,322 --> 00:15:45,406
Tried everything...
Hypnosis, pills.
397
00:15:45,407 --> 00:15:47,742
Nothing works.
398
00:15:47,743 --> 00:15:50,286
Taking medication
to help you quit?
399
00:15:50,287 --> 00:15:53,248
Yeah, why?
400
00:15:54,416 --> 00:15:56,125
Ben is 52.
401
00:15:56,126 --> 00:15:58,169
Former competitive athlete.
402
00:15:58,170 --> 00:16:00,379
Diagnosed with MS six years ago.
403
00:16:00,380 --> 00:16:02,048
Well, I can see
why he's in pain.
404
00:16:02,049 --> 00:16:04,050
He has a fracture at T11.
405
00:16:04,051 --> 00:16:05,802
Doesn't remember
any impact or trauma.
406
00:16:05,803 --> 00:16:09,180
With advanced MS and
this degree of osteoporosis,
407
00:16:09,181 --> 00:16:10,389
this could have happened
just moving
408
00:16:10,390 --> 00:16:11,849
from his bed to the wheelchair.
409
00:16:11,850 --> 00:16:14,560
He's responding really well
to Devon's clinical trial
410
00:16:14,561 --> 00:16:16,479
and is hoping to continue,
so how do we help him?
411
00:16:16,480 --> 00:16:18,022
Well, given his comorbidities,
412
00:16:18,023 --> 00:16:20,441
my suggestion would be
non-surgical management.
413
00:16:20,442 --> 00:16:23,236
Brace, pain control
and physical therapy.
414
00:16:23,237 --> 00:16:25,363
Which means
he doesn't walk again.
415
00:16:25,364 --> 00:16:29,700
{\an1}There's no guarantee surgery
would restore his mobility, Kit.
416
00:16:29,701 --> 00:16:32,286
I mean, there's a serious chance
he could end up with less.
417
00:16:32,287 --> 00:16:34,789
And a smaller chance
he doesn't survive at all.
418
00:16:34,790 --> 00:16:36,791
Risks we take
with every procedure.
419
00:16:36,792 --> 00:16:38,501
Ben is an athlete.
420
00:16:38,502 --> 00:16:40,586
He'll be highly motivated
421
00:16:40,587 --> 00:16:42,213
in his post-operative
physical therapy...
422
00:16:42,214 --> 00:16:44,590
Respectfully, Ben's motivation
won't matter if the procedure
423
00:16:44,591 --> 00:16:46,217
ends up paralyzing him,
or he ends up hopped up
424
00:16:46,218 --> 00:16:48,386
on pain medication
for the rest of his life.
425
00:16:48,387 --> 00:16:50,221
That's a real possibility.
426
00:16:50,222 --> 00:16:53,683
If there's hope for Ben
with this procedure,
427
00:16:53,684 --> 00:16:56,937
don't we owe it to him
to give him that chance?
428
00:16:58,522 --> 00:16:59,856
Let's present him
with the options
429
00:16:59,857 --> 00:17:00,940
and let him make the decision.
430
00:17:00,941 --> 00:17:03,943
I appreciate your caution.
431
00:17:03,944 --> 00:17:06,279
I will talk him
through the risks.
432
00:17:06,280 --> 00:17:07,947
Hey, Kit...
433
00:17:07,948 --> 00:17:09,615
Mm?
434
00:17:09,616 --> 00:17:12,785
I don't know what you and Bell
are going through, obviously,
435
00:17:12,786 --> 00:17:14,412
but I do know
that chronic disease
436
00:17:14,413 --> 00:17:16,581
is tough on caregivers, too.
437
00:17:16,582 --> 00:17:18,082
If there's any support
you need, I...
438
00:17:18,083 --> 00:17:20,293
Thank you, Billie.
You're very kind.
439
00:17:20,294 --> 00:17:22,086
But this is about Ben.
440
00:17:22,087 --> 00:17:23,630
I'm fine.
441
00:17:30,762 --> 00:17:32,555
Your brother was prescribed
medication
442
00:17:32,556 --> 00:17:34,682
to help him quit smoking...
Varenicline.
443
00:17:34,683 --> 00:17:36,434
One of the side effects?
444
00:17:36,435 --> 00:17:38,769
Aggression and mood swings.
445
00:17:38,770 --> 00:17:40,354
So anti-smoking medication
446
00:17:40,355 --> 00:17:42,398
is what was making him
act like a lunatic?
447
00:17:42,399 --> 00:17:43,941
I wouldn't say "lunatic..."
448
00:17:43,942 --> 00:17:45,401
Uh, I would.
449
00:17:45,402 --> 00:17:47,195
It's rare,
but it is in the warnings.
450
00:17:47,196 --> 00:17:48,863
I gave him
some nicotine patches.
451
00:17:48,864 --> 00:17:51,157
Things should go a lot smoother
once he's off the varenicline.
452
00:17:51,158 --> 00:17:52,450
I'm definitely getting off it.
453
00:17:52,451 --> 00:17:53,910
Yeah.
Maybe stay off Twitter, too.
454
00:17:53,911 --> 00:17:55,953
That can also cause
aggression and mood swings.
455
00:17:55,954 --> 00:17:58,206
Thank you very much,
Dr. Hawkins.
456
00:17:58,207 --> 00:17:59,999
You guys take care
of yourselves.
457
00:18:00,000 --> 00:18:01,792
Officer Carter, APD.
458
00:18:01,793 --> 00:18:04,338
I need to speak with
the gentleman in this video.
459
00:18:09,176 --> 00:18:10,343
Is he being charged?
460
00:18:10,344 --> 00:18:12,470
Excuse me, Officer.
461
00:18:12,471 --> 00:18:14,138
I was a witness in that incident
462
00:18:14,139 --> 00:18:15,514
and the person who started it
463
00:18:15,515 --> 00:18:17,433
is over there trying to leave.
464
00:18:17,434 --> 00:18:18,643
- That's right!
- Look, I don't care.
465
00:18:18,644 --> 00:18:19,644
I just need someone
to make a statement.
466
00:18:19,645 --> 00:18:21,270
I... I will...
467
00:18:21,271 --> 00:18:22,688
He's in respiratory distress!
468
00:18:22,689 --> 00:18:23,689
I want to...
469
00:18:23,690 --> 00:18:25,650
I want to press charges.
470
00:18:25,651 --> 00:18:27,610
You're not pressing anything.
471
00:18:27,611 --> 00:18:28,861
His lung is collapsing.
472
00:18:28,862 --> 00:18:29,987
All right. Give me
473
00:18:29,988 --> 00:18:32,449
a scalpel,
a chest tube and suture.
474
00:18:40,290 --> 00:18:43,209
Fractured rib here
punctured Enrique's lung.
475
00:18:43,210 --> 00:18:45,336
Must have happened when he got
agitated with the cop.
476
00:18:45,337 --> 00:18:47,421
Well, the chest tube is
on water seal
477
00:18:47,422 --> 00:18:49,757
and the lung is re-expanding,
so he should be good
478
00:18:49,758 --> 00:18:51,133
to check out of here tomorrow.
479
00:18:51,134 --> 00:18:52,593
Oh, geez.
480
00:18:52,594 --> 00:18:54,720
- What?
- Padma.
481
00:18:54,721 --> 00:18:56,639
I have entertained her
482
00:18:56,640 --> 00:18:58,474
nature docs, I have
483
00:18:58,475 --> 00:19:00,351
indulged in her aromatherapy,
484
00:19:00,352 --> 00:19:02,354
and now she's on to astrology.
485
00:19:05,274 --> 00:19:07,776
Hey. Look at this.
486
00:19:11,238 --> 00:19:12,738
Hmm.
487
00:19:12,739 --> 00:19:15,074
Looks like some kind of mass
in his ascending colon,
488
00:19:15,075 --> 00:19:17,660
causing partial
bowel obstruction.
489
00:19:17,661 --> 00:19:19,578
When I was doing
the abdominal exam, he said
490
00:19:19,579 --> 00:19:21,539
-he had IBS.
- Well, that's the catch-all phrase
491
00:19:21,540 --> 00:19:23,666
for unknown GI distress.
492
00:19:23,667 --> 00:19:25,418
Let's get him into surgery.
493
00:19:25,419 --> 00:19:27,461
He needs to remove that blockage
494
00:19:27,462 --> 00:19:29,213
before the bowel
loses blood flow.
495
00:19:29,214 --> 00:19:31,632
Let's scan the rest
of his abdomen.
496
00:19:31,633 --> 00:19:33,050
I guess it's good
he broke a rib today.
497
00:19:33,051 --> 00:19:35,679
Well, I'm sure Padma would
say it's in the stars.
498
00:19:36,847 --> 00:19:38,180
Enrique Mendez, 46.
499
00:19:38,181 --> 00:19:40,057
Imaging for a fractured rib
and collapsed lung
500
00:19:40,058 --> 00:19:41,684
revealed obstruction
with threatened bowel.
501
00:19:41,685 --> 00:19:43,144
Oh, looks like he could
perforate at any time.
502
00:19:43,145 --> 00:19:45,021
Yeah, we need to get
in there right away.
503
00:19:45,022 --> 00:19:46,647
- Is there a prognosis?
- Well, it's hard to say with those images.
504
00:19:46,648 --> 00:19:48,733
There's likely malignancy,
but we won't know
505
00:19:48,734 --> 00:19:50,776
until we get in
and see the extent
506
00:19:50,777 --> 00:19:52,278
of the location and the disease.
507
00:19:52,279 --> 00:19:53,821
And would you be all right
if I invited
508
00:19:53,822 --> 00:19:55,197
my intern to come observe?
509
00:19:55,198 --> 00:19:56,824
That depends.
She a Capricorn?
510
00:19:56,825 --> 00:19:58,242
Kidding.
511
00:19:58,243 --> 00:19:59,994
Your sister's killing me
with the astrology.
512
00:19:59,995 --> 00:20:01,787
- Oh, sorry.
- Sure, you can join us.
513
00:20:01,788 --> 00:20:04,040
Just buckle up.
Might be a long one.
514
00:20:04,041 --> 00:20:06,208
Thank you so much, Dr. Austin.
515
00:20:06,209 --> 00:20:08,462
And for the record,
I'm a-a Virgo.
516
00:20:11,048 --> 00:20:13,841
First bowel surgery!
517
00:20:13,842 --> 00:20:15,926
Here you see the fracture
518
00:20:15,927 --> 00:20:17,303
causing pressure on the spine.
519
00:20:17,304 --> 00:20:19,722
We're going to remove
this damaged piece of bone
520
00:20:19,723 --> 00:20:21,807
and use rods
to stabilize your spine.
521
00:20:21,808 --> 00:20:24,352
After some physical therapy,
you should be
522
00:20:24,353 --> 00:20:25,478
back to where you were before.
523
00:20:25,479 --> 00:20:27,772
So I'd be out of this chair.
524
00:20:27,773 --> 00:20:28,981
That's the hope.
525
00:20:28,982 --> 00:20:30,858
But what's the reality?
526
00:20:30,859 --> 00:20:33,069
Well, there are several
factors in our favor here.
527
00:20:33,070 --> 00:20:35,404
Ben's history with
competitive sport, for one.
528
00:20:35,405 --> 00:20:37,365
All that grit and determination
529
00:20:37,366 --> 00:20:39,241
will be essential
in your recovery.
530
00:20:39,242 --> 00:20:40,743
Nice to know
it's still good for something.
531
00:20:40,744 --> 00:20:43,245
- However, I would...
- And our chief surgeon
532
00:20:43,246 --> 00:20:45,915
here at Chastain is
a top-notch neurosurgeon.
533
00:20:45,916 --> 00:20:48,501
Dr. Sutton and I will
be operating together,
534
00:20:48,502 --> 00:20:51,504
so it's an ideal team
going into this.
535
00:20:51,505 --> 00:20:52,963
But it has to be said
536
00:20:52,964 --> 00:20:55,508
that there is no guarantee
that you would regain
537
00:20:55,509 --> 00:20:57,635
the mobility you had before.
538
00:20:57,636 --> 00:21:00,012
And we don't know that you'd be
able to continue with the trial.
539
00:21:00,013 --> 00:21:01,722
But if we don't do this surgery,
540
00:21:01,723 --> 00:21:04,642
I'm not getting out
of this chair again, right?
541
00:21:04,643 --> 00:21:07,311
- Nothing is certain.
- But with the progression
542
00:21:07,312 --> 00:21:09,897
of your MS, yes,
that is a likely scenario.
543
00:21:09,898 --> 00:21:13,192
Can we...
take some time to think?
544
00:21:13,193 --> 00:21:16,070
- Of course.
- I-I don't need time.
545
00:21:16,071 --> 00:21:18,114
- I want to do it.
- Ben,
546
00:21:18,115 --> 00:21:19,949
- I think we should talk about this.
- I...
547
00:21:19,950 --> 00:21:21,826
I want to complete the trial.
548
00:21:21,827 --> 00:21:24,036
We were getting good results.
I'm not ready to give in.
549
00:21:24,037 --> 00:21:26,747
I advise that you talk it over.
550
00:21:26,748 --> 00:21:30,085
But hold on to that spirit, Ben.
551
00:21:34,214 --> 00:21:37,299
- Can we talk?
- I like him, he's a fighter.
552
00:21:37,300 --> 00:21:38,634
I know.
553
00:21:38,635 --> 00:21:40,094
That's why I'm concerned.
554
00:21:40,095 --> 00:21:42,054
Every patient in every trial
555
00:21:42,055 --> 00:21:43,097
thinks they're gonna be
in the top five percent
556
00:21:43,098 --> 00:21:44,306
of the best patient outcome.
557
00:21:44,307 --> 00:21:45,766
And as we know, patients with
558
00:21:45,767 --> 00:21:47,768
good attitudes
often have better outcomes.
559
00:21:47,769 --> 00:21:49,562
But that's not enough.
560
00:21:49,563 --> 00:21:52,398
Look, Ben came to me thinking he
was going to play tennis again.
561
00:21:52,399 --> 00:21:54,650
I've done a lot
to manage his expectations.
562
00:21:54,651 --> 00:21:56,735
I don't believe I indicated
he'd be playing tennis.
563
00:21:56,736 --> 00:21:58,404
No, but I don't think
we've given him an accurate idea
564
00:21:58,405 --> 00:21:59,613
of the risks
that he's gonna take
565
00:21:59,614 --> 00:22:01,073
just to get back into the trial,
566
00:22:01,074 --> 00:22:04,618
when, statistically speaking,
it may not even help him.
567
00:22:04,619 --> 00:22:06,579
The thing about statistics,
Dr. Pravesh,
568
00:22:06,580 --> 00:22:08,205
is that people aren't numbers.
569
00:22:08,206 --> 00:22:10,916
Our job is
to illuminate pathways,
570
00:22:10,917 --> 00:22:12,501
warn of pitfalls,
571
00:22:12,502 --> 00:22:14,295
and follow
where the patient leads.
572
00:22:14,296 --> 00:22:15,838
Are you saying
I haven't done that?
573
00:22:15,839 --> 00:22:17,423
Of course not.
574
00:22:17,424 --> 00:22:18,674
I just hope we're ready
575
00:22:18,675 --> 00:22:20,634
to follow where he's leading,
because...
576
00:22:20,635 --> 00:22:22,220
I don't feel good about it.
577
00:22:32,566 --> 00:22:34,567
Okay, Mr. Mendez,
we need you to sign here
578
00:22:34,568 --> 00:22:36,027
and initial here.
All right?
579
00:22:47,247 --> 00:22:48,581
I need to go scrub in.
580
00:22:48,582 --> 00:22:49,957
Do you mind taking this
to the nurse in there?
581
00:22:49,958 --> 00:22:51,084
Of course.
582
00:23:41,468 --> 00:23:43,636
If this goes long,
you can wait in observation.
583
00:23:43,637 --> 00:23:45,304
No way.
I'm not missing anything.
584
00:23:45,305 --> 00:23:47,640
- This is a retractor.
- You can help me adjust it.
585
00:23:47,641 --> 00:23:49,975
Mobilize the omentum with me.
586
00:23:49,976 --> 00:23:52,604
Let's get a good look inside.
587
00:24:00,153 --> 00:24:01,737
What is it?
588
00:24:01,738 --> 00:24:03,239
All through here...
589
00:24:03,240 --> 00:24:06,493
Diffuse peritoneal
carcinomatosis.
590
00:24:08,411 --> 00:24:10,871
- S-So...
- It's metastasized.
591
00:24:10,872 --> 00:24:12,289
Everywhere.
592
00:24:12,290 --> 00:24:14,417
He's terminal.
593
00:24:18,338 --> 00:24:20,798
There's nothing you can do?
594
00:24:20,799 --> 00:24:23,050
Unfortunately, not when
the damage is this extensive.
595
00:24:23,051 --> 00:24:25,511
- It's beyond treatment.
- Let's close, please.
596
00:24:25,512 --> 00:24:27,096
Would you like
to practice closing?
597
00:24:27,097 --> 00:24:28,389
At least you can
work on your sutures.
598
00:24:28,390 --> 00:24:30,558
Can't you remove
some of the bowel,
599
00:24:30,559 --> 00:24:31,850
clear out the tumors?
600
00:24:31,851 --> 00:24:33,310
Help him live a little longer?
601
00:24:33,311 --> 00:24:34,895
Unfortunately,
we're beyond that.
602
00:24:34,896 --> 00:24:36,397
It happens sometimes.
603
00:24:36,398 --> 00:24:38,607
We open someone up and we see
something we can't fix.
604
00:24:38,608 --> 00:24:40,652
It's a peek and shriek.
605
00:24:41,945 --> 00:24:43,697
"Peek and shriek"?
606
00:24:46,032 --> 00:24:48,033
He's someone's father.
607
00:24:48,034 --> 00:24:49,702
I...
608
00:24:49,703 --> 00:24:51,620
I-I told him he was going
to go to sleep
609
00:24:51,621 --> 00:24:53,039
and-and wake up better.
610
00:24:54,583 --> 00:24:55,750
We have to do something.
611
00:24:58,420 --> 00:25:01,171
How can you just give up? I...
612
00:25:01,172 --> 00:25:03,967
I don't understand.
613
00:25:06,052 --> 00:25:08,345
I am so sorry, Dr. Austin,
614
00:25:08,346 --> 00:25:09,764
I will talk to her.
615
00:25:11,516 --> 00:25:14,269
You need to apologize to your
intern, Dr. Devi, not to me.
616
00:25:15,562 --> 00:25:16,895
Why?
617
00:25:16,896 --> 00:25:19,523
You referred to
this patient's inoperable cancer
618
00:25:19,524 --> 00:25:21,942
as a "peek and shriek."
I mean, you should know
619
00:25:21,943 --> 00:25:24,445
to use more discretion
in front of a new intern.
620
00:25:24,446 --> 00:25:26,572
Obviously I know
it sounded bad, but...
621
00:25:26,573 --> 00:25:29,908
I'm well aware
why we use these phrases.
622
00:25:29,909 --> 00:25:31,869
"Watering the cabbage patch."
623
00:25:31,870 --> 00:25:33,746
"Circling the drain."
624
00:25:33,747 --> 00:25:36,498
So we don't have to look this
horror in the face every day.
625
00:25:36,499 --> 00:25:39,209
- Exactly.
- But she doesn't know that.
626
00:25:39,210 --> 00:25:41,920
All she knows
is her mentor sounded like
627
00:25:41,921 --> 00:25:43,673
she didn't care
about this man at all.
628
00:25:45,675 --> 00:25:48,178
Now, help me close this fascia.
629
00:26:02,692 --> 00:26:04,276
Hey, Maya.
630
00:26:04,277 --> 00:26:05,779
Hey.
631
00:26:09,949 --> 00:26:11,367
Look, I know it may have sounded
632
00:26:11,368 --> 00:26:12,952
like I don't care
about Mr. Mendez.
633
00:26:16,247 --> 00:26:19,249
But sometimes we disconnect
from our patients
634
00:26:19,250 --> 00:26:21,126
when they can't hear us,
635
00:26:21,127 --> 00:26:23,462
because when we have to talk
to them and their families,
636
00:26:23,463 --> 00:26:25,631
it can get overwhelming.
637
00:26:25,632 --> 00:26:28,133
I know it sounds terrible,
638
00:26:28,134 --> 00:26:30,678
but it's just a way
of protecting yourself,
639
00:26:30,679 --> 00:26:32,638
so you don't get
compassion fatigue.
640
00:26:32,639 --> 00:26:36,226
And then you won't have what you
need when you really need it.
641
00:26:39,062 --> 00:26:40,605
Can I show you?
642
00:26:44,734 --> 00:26:48,487
As we explained, the surgery
was partially exploratory.
643
00:26:48,488 --> 00:26:49,780
And, unfortunately,
644
00:26:49,781 --> 00:26:51,532
the mass blocking
Enrique's lower intestine
645
00:26:51,533 --> 00:26:53,158
turned out to be malignant.
646
00:26:53,159 --> 00:26:54,661
You mean cancer?
647
00:26:56,663 --> 00:26:59,207
That's why you've
been having so much pain.
648
00:27:02,794 --> 00:27:04,962
With this type of cancer,
Mrs. Mendez,
649
00:27:04,963 --> 00:27:06,880
it's likely
it was already advanced
650
00:27:06,881 --> 00:27:09,174
by the time
he started having symptoms.
651
00:27:09,175 --> 00:27:11,510
So what do we do?
652
00:27:11,511 --> 00:27:14,179
Unfortunately,
the cancer has spread too much
653
00:27:14,180 --> 00:27:16,348
for us to remove it surgically.
654
00:27:16,349 --> 00:27:18,351
And what does that mean?
655
00:27:19,602 --> 00:27:22,187
An oncologist
will be here shortly
656
00:27:22,188 --> 00:27:24,022
to discuss a number of regimens
657
00:27:24,023 --> 00:27:26,525
that may be
of some benefit, but...
658
00:27:26,526 --> 00:27:29,696
as much as we hoped this was
something we could fix...
659
00:27:31,614 --> 00:27:33,950
it's likely
Enrique's time may be short.
660
00:27:34,909 --> 00:27:36,785
No.
661
00:27:36,786 --> 00:27:38,663
I'll give you two
some time to talk.
662
00:27:50,884 --> 00:27:52,593
Thank you for including me.
663
00:27:52,594 --> 00:27:54,179
I'm still learning, too.
664
00:28:02,063 --> 00:28:03,772
Rongeur, please.
665
00:28:03,773 --> 00:28:06,442
Another bone fragment.
666
00:28:06,443 --> 00:28:08,026
His bones are so brittle.
667
00:28:08,027 --> 00:28:11,572
Unexpected for a man
in his early fifties.
668
00:28:11,573 --> 00:28:12,865
Not for a man with advanced MS
669
00:28:12,866 --> 00:28:14,546
who's undergone years
of steroid treatment.
670
00:28:16,536 --> 00:28:17,912
Suction.
671
00:28:19,998 --> 00:28:22,040
I'm having trouble
with a bit of bone here.
672
00:28:22,041 --> 00:28:24,586
- It's dangerously close to the cord.
I know.
673
00:28:26,379 --> 00:28:29,673
I've almost got it...
674
00:28:29,674 --> 00:28:32,509
We've got a heart rate
in the 160s. Afib with RVR.
675
00:28:32,510 --> 00:28:34,178
- What's his pressure?
- Dropping.
676
00:28:34,179 --> 00:28:36,555
- MAPS in the 50s.
- His heart is failing.
677
00:28:36,556 --> 00:28:37,639
The steroids
from his MS treatment
678
00:28:37,640 --> 00:28:39,558
must have weakened his heart.
679
00:28:39,559 --> 00:28:41,351
- Bolus amiodarone. Now.
- 150 milligrams
680
00:28:41,352 --> 00:28:42,896
IV amio going in.
681
00:28:43,855 --> 00:28:45,272
I'm not sure how long
he's going to tolerate this.
682
00:28:45,273 --> 00:28:47,065
We're working
as quickly as we can.
683
00:28:47,066 --> 00:28:48,859
If we stop,
he doesn't walk again.
684
00:28:48,860 --> 00:28:50,486
We got a heart rate
in the 170s, team.
685
00:28:50,487 --> 00:28:53,322
- Might have to shock.
- Let's move.
686
00:28:53,323 --> 00:28:54,615
It's a race against time.
687
00:28:54,616 --> 00:28:56,701
We have to finish this surgery
before he codes.
688
00:29:02,165 --> 00:29:03,625
Padma?
689
00:29:08,588 --> 00:29:09,963
Padma?
690
00:29:09,964 --> 00:29:11,131
You okay?
691
00:29:11,132 --> 00:29:13,092
No.
692
00:29:16,763 --> 00:29:19,515
I can't feel them moving.
693
00:29:19,516 --> 00:29:21,099
Okay. Okay, okay.
694
00:29:21,100 --> 00:29:22,267
We'll just get you
into the bed first,
695
00:29:22,268 --> 00:29:23,348
let's get you into the bed.
696
00:29:33,613 --> 00:29:35,072
Let's just...
697
00:29:35,073 --> 00:29:37,450
take a listen, okay?
698
00:29:41,329 --> 00:29:42,789
Okay.
699
00:29:50,505 --> 00:29:51,965
There's a heartbeat.
700
00:29:53,174 --> 00:29:55,176
Okay?
701
00:30:02,892 --> 00:30:04,936
There's the other.
702
00:30:06,145 --> 00:30:08,273
They're fine.
703
00:30:12,151 --> 00:30:15,320
Do you want me to get an
ultrasound so you can see them?
704
00:30:15,321 --> 00:30:18,575
I was sure they were...
705
00:30:24,289 --> 00:30:26,290
That's perfectly normal.
706
00:30:26,291 --> 00:30:29,794
You just went through
a major surgery.
707
00:30:32,130 --> 00:30:34,214
It's not only that.
708
00:30:34,215 --> 00:30:35,799
It's like...
709
00:30:35,800 --> 00:30:37,259
all these
710
00:30:37,260 --> 00:30:41,638
shadows are hiding
that I never saw before,
711
00:30:41,639 --> 00:30:44,683
all these things
that can go wrong and...
712
00:30:44,684 --> 00:30:46,518
and destroy you
713
00:30:46,519 --> 00:30:49,772
and there's nothing
you can do about any of it.
714
00:30:52,483 --> 00:30:57,280
I think that's just called
being a parent.
715
00:31:00,617 --> 00:31:02,660
What am I doing?
716
00:31:05,121 --> 00:31:07,456
I've thought more
about Burning Man
717
00:31:07,457 --> 00:31:09,626
than becoming a mother.
718
00:31:12,754 --> 00:31:15,380
What if I'm terrible at it?
719
00:31:15,381 --> 00:31:17,424
What if...
720
00:31:17,425 --> 00:31:20,386
what if
I'm not ready for this at all?
721
00:31:22,263 --> 00:31:26,683
Well, the good news is,
722
00:31:26,684 --> 00:31:28,978
you're not doing
any of it alone.
723
00:31:30,563 --> 00:31:31,939
Hey.
724
00:31:31,940 --> 00:31:35,108
I'm right here.
For anything you need.
725
00:31:35,109 --> 00:31:37,403
Okay?
726
00:31:39,364 --> 00:31:40,865
Okay.
727
00:31:44,369 --> 00:31:47,162
My sister seems like
such a fearless, free spirit.
728
00:31:47,163 --> 00:31:49,456
And most of the time she is,
729
00:31:49,457 --> 00:31:52,251
but just like everybody else,
she has a breaking point.
730
00:31:53,252 --> 00:31:54,795
So all the essential oils
731
00:31:54,796 --> 00:31:57,047
and crystals
I was making fun of...
732
00:31:57,048 --> 00:31:58,715
They're her way of coping.
733
00:31:58,716 --> 00:32:00,634
She's terrified.
734
00:32:00,635 --> 00:32:03,011
Of course she is.
735
00:32:03,012 --> 00:32:05,556
All right, what does she need?
736
00:32:11,813 --> 00:32:15,732
- Head injury?
- Discharged. Just a minor concussion.
737
00:32:15,733 --> 00:32:17,359
How's Enrique?
738
00:32:17,360 --> 00:32:19,987
Eh, stabilizing in the ICU.
739
00:32:19,988 --> 00:32:21,780
Tough news.
740
00:32:21,781 --> 00:32:23,240
It's very tough.
741
00:32:23,241 --> 00:32:24,408
Well, you should get
to the polls.
742
00:32:24,409 --> 00:32:26,285
That's one thing we can fix.
743
00:32:29,998 --> 00:32:32,000
What?
744
00:32:33,459 --> 00:32:35,795
It was good being
in the trenches with you.
745
00:32:37,296 --> 00:32:39,007
You, too.
746
00:32:40,508 --> 00:32:42,134
So...
747
00:32:42,135 --> 00:32:45,471
should I bring by
some Crispy Chuck's?
748
00:32:46,431 --> 00:32:48,975
That sounds great.
749
00:33:15,376 --> 00:33:17,335
How's he doing?
750
00:33:17,336 --> 00:33:19,213
Stabilizing.
751
00:33:21,257 --> 00:33:24,135
I should have accounted
for the steroid treatments.
752
00:33:26,095 --> 00:33:29,015
It was hard to see
clearly on this one.
753
00:33:30,892 --> 00:33:32,935
MS is such a bastard.
754
00:33:36,064 --> 00:33:38,648
You think you're on a plateau
and then...
755
00:33:38,649 --> 00:33:40,193
it just crumbles.
756
00:33:41,194 --> 00:33:43,236
Things are developing
all the time, Kit.
757
00:33:43,237 --> 00:33:44,446
I know.
758
00:33:44,447 --> 00:33:47,532
Randolph's been doing better.
759
00:33:47,533 --> 00:33:49,701
But it's always there,
760
00:33:49,702 --> 00:33:53,163
like a sword hanging
over our heads.
761
00:33:53,164 --> 00:33:55,582
I think I'm handling it,
762
00:33:55,583 --> 00:34:01,088
or at least compartmentalizing.
763
00:34:01,089 --> 00:34:04,508
But, apparently...
764
00:34:04,509 --> 00:34:06,552
I'm scared.
765
00:34:10,640 --> 00:34:11,973
For what it's worth,
766
00:34:11,974 --> 00:34:13,934
you do a really good job
of keeping that a secret.
767
00:34:15,895 --> 00:34:17,772
I know.
768
00:34:21,818 --> 00:34:24,195
There really is hope, you know?
769
00:34:46,385 --> 00:34:48,637
Just the person I
was looking for.
770
00:34:48,638 --> 00:34:49,846
- Hey.
- I just wanted to check in,
771
00:34:49,847 --> 00:34:51,098
make sure you're okay.
772
00:34:51,099 --> 00:34:52,599
I'm fine. Why?
773
00:34:52,600 --> 00:34:55,102
The guy who lunged at you
in the ER?
774
00:34:55,103 --> 00:34:57,312
Oh. Uh, that feels like
a lifetime ago.
775
00:34:57,313 --> 00:34:59,481
I'm fine.
You're the one who tackled him.
776
00:34:59,482 --> 00:35:02,150
Turns out varenicline
was making him nuts.
777
00:35:02,151 --> 00:35:03,985
Huh. That's...
778
00:35:03,986 --> 00:35:05,237
oddly comforting?
779
00:35:05,238 --> 00:35:07,240
I know, right?
780
00:35:14,705 --> 00:35:16,916
And also, uh...
781
00:35:17,959 --> 00:35:20,253
I don't know how to say this.
782
00:35:23,840 --> 00:35:25,924
You were Nic's best friend,
783
00:35:25,925 --> 00:35:27,676
so every time I see you,
it's like Nic's watching me
784
00:35:27,677 --> 00:35:29,302
through you, or something.
785
00:35:29,303 --> 00:35:30,804
I don't know.
I know that sounds weird.
786
00:35:30,805 --> 00:35:32,347
Seriously,
you have to let that go.
787
00:35:32,348 --> 00:35:34,266
It makes me
second-guess everything.
788
00:35:34,267 --> 00:35:35,893
Like...
789
00:35:37,812 --> 00:35:40,523
Would Nic approve
of me with Cade?
790
00:35:47,780 --> 00:35:50,073
Like I said,
I just want you to be happy.
791
00:35:50,074 --> 00:35:51,617
Whoever you're with.
792
00:35:52,743 --> 00:35:54,829
So would Nic.
793
00:35:56,873 --> 00:35:59,584
Okay. Thank you. I just...
794
00:36:00,668 --> 00:36:03,296
I just had to get that
off my chest.
795
00:36:05,089 --> 00:36:08,300
You know everything
I went through with Nic
796
00:36:08,301 --> 00:36:10,218
better than anyone.
797
00:36:10,219 --> 00:36:12,805
No worries. You're all good.
798
00:36:22,565 --> 00:36:26,234
Um, you know what? I remembered
I forgot something.
799
00:36:26,235 --> 00:36:27,986
Okay.
800
00:36:27,987 --> 00:36:29,738
See you tomorrow.
801
00:36:29,739 --> 00:36:31,324
Yep.
802
00:36:32,867 --> 00:36:36,579
♪ You'll be okay ♪
803
00:36:38,080 --> 00:36:40,207
♪ Everything ♪
804
00:36:40,208 --> 00:36:42,501
Hello? You up?
805
00:36:44,086 --> 00:36:46,296
- Surprise!
- What...
806
00:36:46,297 --> 00:36:48,048
is this?
807
00:36:48,049 --> 00:36:50,175
♪ You'll be okay ♪
808
00:36:50,176 --> 00:36:51,176
No, you have to try it.
809
00:36:51,177 --> 00:36:53,387
You absolutely have to try it.
810
00:36:54,722 --> 00:36:56,264
♪ Everything ♪
811
00:36:56,265 --> 00:36:59,517
♪ Everything's okay ♪
812
00:36:59,518 --> 00:37:02,229
♪ ♪
813
00:37:02,230 --> 00:37:04,190
♪ Here ♪
814
00:37:05,483 --> 00:37:09,153
♪ You'll be okay ♪
815
00:37:10,529 --> 00:37:13,114
♪ Everything ♪
816
00:37:13,115 --> 00:37:16,661
♪ Everything's okay... ♪
817
00:37:18,454 --> 00:37:20,413
You made it.
818
00:37:20,414 --> 00:37:22,916
It was highly controversial
to get this to-go,
819
00:37:22,917 --> 00:37:25,877
but you're lucky I have an in
with Crispy Chuck.
820
00:37:25,878 --> 00:37:27,963
So he was your
high school boyfriend.
821
00:37:27,964 --> 00:37:30,882
- Mm.
- It's okay, you can be honest.
822
00:37:30,883 --> 00:37:32,634
Did I miss Gigi?
823
00:37:32,635 --> 00:37:34,512
Already in bed.
824
00:37:38,808 --> 00:37:40,767
But...
825
00:37:40,768 --> 00:37:42,328
you could see her
at breakfast tomorrow.
826
00:37:44,272 --> 00:37:45,772
That sounds nice.
827
00:37:45,773 --> 00:37:47,817
♪ ♪
828
00:37:51,737 --> 00:37:53,613
♪ Gimme all your love ♪
829
00:37:53,614 --> 00:37:57,575
♪ Gimme all your love,
gimme all your love ♪
830
00:37:57,576 --> 00:37:59,744
♪ Gimme all your love ♪
831
00:37:59,745 --> 00:38:02,038
♪ Gimme
all your love ♪
832
00:38:02,039 --> 00:38:04,291
♪ Gimme all your love ♪
833
00:38:04,292 --> 00:38:06,919
♪ ♪
834
00:38:16,512 --> 00:38:19,264
- They call it?
- Not yet.
835
00:38:19,265 --> 00:38:21,017
But the billionaire's ahead.
836
00:38:23,060 --> 00:38:25,979
I just wanted to say,
I know that was a rough surgery.
837
00:38:25,980 --> 00:38:27,522
- I hope I didn't...
- I put you
838
00:38:27,523 --> 00:38:29,190
in a very tight corner.
839
00:38:29,191 --> 00:38:32,193
You handled it
with skill and grace.
840
00:38:32,194 --> 00:38:34,238
Not sure how much grace.
841
00:38:36,157 --> 00:38:37,366
Do you want to go get a drink?
842
00:38:38,951 --> 00:38:40,702
I think I'd better
843
00:38:40,703 --> 00:38:42,412
try and figure out
844
00:38:42,413 --> 00:38:45,999
how Chastain is going to survive
without a third of its budget.
845
00:38:46,000 --> 00:38:49,587
We don't know if he's gonna win.
There's always hope.
846
00:38:51,505 --> 00:38:53,423
As we go to the gathering
847
00:38:53,424 --> 00:38:56,384
where Mark Betz is preparing
to speak to his supporters.
848
00:38:56,385 --> 00:38:58,970
Again, Mark Betz,
billionaire businessman
849
00:38:58,971 --> 00:39:01,097
and first-time candidate
for public office,
850
00:39:01,098 --> 00:39:02,474
is the new governor of Georgia.
851
00:39:02,475 --> 00:39:04,310
Boy, do I love Georgia!
852
00:39:09,857 --> 00:39:11,274
So much for hope.
853
00:39:11,275 --> 00:39:12,609
Hey, come on.
854
00:39:12,610 --> 00:39:14,277
We can't give up that easy.
855
00:39:14,278 --> 00:39:16,446
You know what?
856
00:39:16,447 --> 00:39:18,656
I think I do need that drink.
857
00:39:18,657 --> 00:39:19,824
Attagirl.
858
00:39:19,825 --> 00:39:21,117
I'll say one thing:
859
00:39:21,118 --> 00:39:24,996
that little, untested
real estate developer
860
00:39:24,997 --> 00:39:27,916
has no idea
who he's dealing with.
861
00:39:27,917 --> 00:39:29,334
Ooh, I like this Kit.
862
00:39:29,335 --> 00:39:31,753
Maybe all you needed
was a dragon to slay.
863
00:39:31,754 --> 00:39:33,588
Do me a favor:
No silver linings tonight.
864
00:39:33,589 --> 00:39:37,926
Just black clouds,
idiot billionaires and friends.
865
00:39:37,927 --> 00:39:39,678
Don't forget the bourbon.
866
00:39:43,849 --> 00:39:45,851
♪ ♪
867
00:40:04,453 --> 00:40:05,704
Hey.
868
00:40:06,914 --> 00:40:08,332
Hey.
869
00:40:11,377 --> 00:40:13,086
It's okay.
Go back to sleep.
870
00:40:13,087 --> 00:40:15,422
Mm, nope.
871
00:40:15,423 --> 00:40:18,134
Nope. I'm not going
to let you run away this time.
872
00:40:19,385 --> 00:40:20,760
What's going on?
873
00:40:20,761 --> 00:40:22,471
It's nothing.
874
00:40:23,639 --> 00:40:25,974
Just...
something is up with my dad
875
00:40:25,975 --> 00:40:28,059
and I thought I could put it
out of my mind, but...
876
00:40:28,060 --> 00:40:30,104
And why would
you want to do that?
877
00:40:43,576 --> 00:40:48,496
Back in Seattle,
he had this patient, Carmen.
878
00:40:48,497 --> 00:40:50,458
She had Edward's syndrome.
879
00:40:51,959 --> 00:40:55,254
So he operated on her maybe
six times over a few years.
880
00:40:56,505 --> 00:40:58,214
She was an amazing kid.
881
00:40:58,215 --> 00:41:02,011
Everyone loved her,
but my dad got really attached.
882
00:41:04,013 --> 00:41:07,682
So when she died,
he took it hard.
883
00:41:07,683 --> 00:41:10,978
Started drinking too much
and then...
884
00:41:13,939 --> 00:41:17,151
He started writing himself
prescriptions.
885
00:41:22,531 --> 00:41:24,366
Was he addicted?
886
00:41:26,368 --> 00:41:28,995
He always claimed
he had it under control.
887
00:41:28,996 --> 00:41:31,122
And he never hurt anyone.
888
00:41:31,123 --> 00:41:32,750
You know, just himself.
889
00:41:35,711 --> 00:41:38,589
So he operated
under the influence?
890
00:41:39,882 --> 00:41:41,175
I don't know.
891
00:41:42,510 --> 00:41:44,345
It's possible.
892
00:41:45,304 --> 00:41:47,305
But then he quit.
893
00:41:47,306 --> 00:41:49,140
All on his own.
894
00:41:49,141 --> 00:41:50,935
Cold turkey.
895
00:41:52,478 --> 00:41:53,853
That was five years ago.
896
00:41:53,854 --> 00:41:57,982
And ever since,
I've always been on the lookout
897
00:41:57,983 --> 00:42:00,819
for any kind of sign.
898
00:42:12,831 --> 00:42:14,792
What are you seeing?
899
00:42:16,669 --> 00:42:18,546
Maybe it's nothing.
900
00:42:19,505 --> 00:42:23,425
But... the other day,
I saw him take a pill.
901
00:42:24,927 --> 00:42:27,596
I don't know what it was,
I didn't ask.
902
00:42:28,597 --> 00:42:31,349
And then today, he-he had this
bruise on his forehead, and...
903
00:42:31,350 --> 00:42:34,019
He said it was nothing.
But he seemed jittery.
904
00:42:37,189 --> 00:42:40,525
Well...
905
00:42:40,526 --> 00:42:42,610
I don't pretend
to know him like you do.
906
00:42:42,611 --> 00:42:44,779
But...
907
00:42:44,780 --> 00:42:47,282
if he is using
while he's working,
908
00:42:47,283 --> 00:42:49,284
that's...
909
00:42:49,285 --> 00:42:51,119
that's a problem.
910
00:42:51,120 --> 00:42:53,497
To put it lightly.
911
00:42:55,874 --> 00:42:57,960
I know.
912
00:43:00,087 --> 00:43:01,714
Come here.
913
00:43:09,096 --> 00:43:12,096
Captioned by
Media Access Group at WGBH