1 00:00:16,494 --> 00:00:19,280 - How is Jacob today? - Same as yesterday. 2 00:01:46,367 --> 00:01:48,108 - Ava. 3 00:02:58,308 --> 00:02:59,831 How is Jacob today? 4 00:02:59,875 --> 00:03:03,270 - That's why I've been looking for you. 5 00:03:20,765 --> 00:03:24,334 Well, if it isn't my daily lifesaver. 6 00:03:24,378 --> 00:03:26,510 - Ah--oh, don't forget that tomorrow 7 00:03:26,554 --> 00:03:28,338 the daycare is closed until 10:00. 8 00:03:28,382 --> 00:03:29,513 - It is? 9 00:03:29,557 --> 00:03:32,255 Uh, how am I-- what am I gonna do? 10 00:03:32,299 --> 00:03:33,430 - Doesn't Luna have a babysitter? 11 00:03:33,474 --> 00:03:35,780 - Uh, you're looking at him. 12 00:03:35,824 --> 00:03:37,521 - Friends? 13 00:03:37,565 --> 00:03:38,870 Yeah, you're looking at him. 14 00:03:38,914 --> 00:03:40,829 - Sorry, Dr. Goodwin, but tomorrow's 15 00:03:40,872 --> 00:03:42,787 the "Breastfeeding Class for New Moms." 16 00:03:42,831 --> 00:03:44,615 - Right--whose idea was that? 17 00:03:44,659 --> 00:03:46,530 - Yours. - Yeah, it was mine. 18 00:03:46,574 --> 00:03:48,576 I knew that. Bye. 19 00:03:56,932 --> 00:04:00,849 - Hello? - Um, hi, this is, uh, 20 00:04:00,892 --> 00:04:02,677 Max Goodwin, not sure if you remember me. 21 00:04:02,720 --> 00:04:04,896 We met in the waiting room at New Amsterdam. 22 00:04:04,940 --> 00:04:07,072 - Mm. No, it doesn't ring a bell. 23 00:04:07,116 --> 00:04:10,859 - Oh, uh, okay. Sorry, nevermind. 24 00:04:10,902 --> 00:04:12,861 - I'm kidding, I'm kidding! 25 00:04:12,904 --> 00:04:14,732 How could I forget the doctor who snuck me in 26 00:04:14,776 --> 00:04:15,907 to my kid's surgery? 27 00:04:15,951 --> 00:04:18,083 - Yeah. Yeah, right. 28 00:04:18,127 --> 00:04:19,563 Um-- 29 00:04:19,607 --> 00:04:21,783 so, the reason I'm calling is that 30 00:04:21,826 --> 00:04:24,960 it appears Luna has an opening in her very busy schedule 31 00:04:25,003 --> 00:04:27,397 tomorrow morning and was wondering 32 00:04:27,441 --> 00:04:31,662 if Bobbi would like to play some competitive racquetball. 33 00:04:31,706 --> 00:04:33,751 - Oh, wow. Yeah, Bobbi would love that. 34 00:04:33,795 --> 00:04:35,536 She's been working on her backhand. 35 00:04:35,579 --> 00:04:37,102 - Good, okay, great. 36 00:04:37,146 --> 00:04:38,974 'Cause Luna has been practicing her topspin, so-- 37 00:04:39,017 --> 00:04:41,672 - Actually, we have this routine. 38 00:04:41,716 --> 00:04:43,326 We've been spending our mornings 39 00:04:43,370 --> 00:04:45,372 in Madison Square Park across from the dog run. 40 00:04:45,415 --> 00:04:47,069 Around 8:00 a.m.? 41 00:04:47,112 --> 00:04:50,333 - Uh, yeah--no, 8:00 a.m. is, uh, perfect. 42 00:04:50,377 --> 00:04:53,380 I will see you there-- we will see you there. 43 00:04:53,423 --> 00:04:55,643 - Okay. 44 00:04:58,167 --> 00:04:59,734 - Yeah. 45 00:04:59,777 --> 00:05:00,996 - It's not as though I haven't tried to tell him. 46 00:05:01,039 --> 00:05:02,780 - It's not that hard. 47 00:05:02,824 --> 00:05:04,782 You just say, "Max, Amy and I are moving to San Francisco." 48 00:05:04,826 --> 00:05:06,436 Boom. Done. 49 00:05:06,480 --> 00:05:08,090 Unless you were dragging your size 12's for a reason. 50 00:05:08,133 --> 00:05:09,700 - Woman... 51 00:05:09,744 --> 00:05:11,572 you are way off base. 52 00:05:11,615 --> 00:05:13,356 Am I? - Yeah. 53 00:05:13,400 --> 00:05:15,750 - Maybe you just prefer subway rats and dirty slush 54 00:05:15,793 --> 00:05:18,492 over wine country and winters that feel like spring. 55 00:05:18,535 --> 00:05:20,624 - Ah. - Thank you. 56 00:05:20,668 --> 00:05:22,409 - Oh, here we go. 57 00:05:22,452 --> 00:05:24,802 About to show you how bad I wanna go right here, right now. 58 00:05:24,846 --> 00:05:25,977 - All right, show me what you got. 59 00:05:26,021 --> 00:05:27,152 - All right, look. Yo, Max. 60 00:05:27,196 --> 00:05:28,893 Can I talk to you for a second? 61 00:05:28,937 --> 00:05:30,373 - Yeah, actually, you're just the man I wanted to see. 62 00:05:30,417 --> 00:05:31,809 Uh, can you cover for me tomorrow 63 00:05:31,853 --> 00:05:33,158 at the, uh, "Pharmacy Formulary Meeting"? 64 00:05:33,202 --> 00:05:34,421 - Look before we get into all that-- 65 00:05:34,464 --> 00:05:35,813 - I know it's boring, 66 00:05:35,857 --> 00:05:37,641 but I've been struggling with this whole 67 00:05:37,685 --> 00:05:40,427 single parenting thing, and, um, I have an opportunity 68 00:05:40,470 --> 00:05:42,690 to give Luna a playdate with this other little girl, 69 00:05:42,733 --> 00:05:44,735 and I just feel like I need some time to, you know, 70 00:05:44,779 --> 00:05:46,476 be a dad 71 00:05:46,520 --> 00:05:50,524 and try to give her everything Georgia would've wanted. 72 00:05:50,567 --> 00:05:52,830 - Max, I-- - He'll cover for you. 73 00:05:52,874 --> 00:05:55,006 He will cover for you. - Really? 74 00:05:55,050 --> 00:05:56,878 - You kidding? Go be a dad. 75 00:05:56,921 --> 00:05:58,401 - Yeah? Thank you. 76 00:05:58,445 --> 00:05:59,663 - Mm-hmm. - Amazing. I owe you, buddy. 77 00:05:59,707 --> 00:06:01,578 Big time. Thank you. 78 00:06:02,927 --> 00:06:06,670 - Yeah, okay, that was harder than it looked. 79 00:06:06,714 --> 00:06:07,845 - You're weak. 80 00:06:10,761 --> 00:06:12,937 - Morning. 81 00:06:12,981 --> 00:06:14,678 Yikes. Hey. 82 00:06:14,722 --> 00:06:16,680 Sounds like Ashley's trying to break her own record, huh? 83 00:06:16,724 --> 00:06:18,987 - Nonstop screaming for three days takes dedication. 84 00:06:19,030 --> 00:06:20,510 - Right. 85 00:06:20,554 --> 00:06:22,469 - I think she's determined to make a point. 86 00:06:22,512 --> 00:06:24,601 A thank you from Nelson's family. 87 00:06:24,645 --> 00:06:26,168 Isn't that so nice? - Aw, yeah. 88 00:06:26,211 --> 00:06:30,520 That is lovely. And out you go. 89 00:06:30,564 --> 00:06:32,566 Okay. 90 00:06:33,175 --> 00:06:34,829 - If you'd read the card, you'd know they were for 91 00:06:34,872 --> 00:06:36,439 the whole department. 92 00:06:36,483 --> 00:06:38,049 - I'm only making healthy choices now. 93 00:06:38,093 --> 00:06:41,705 For Martin, for my kids. Healthy choices, Gladys. 94 00:06:41,749 --> 00:06:42,880 Healthy choices! 95 00:06:44,621 --> 00:06:46,580 - Okay, do you know what? Just stop. 96 00:06:46,623 --> 00:06:49,496 Rodney, look at me. This is an emergency room. 97 00:06:49,539 --> 00:06:51,889 Every time you guys update the system this happens, 98 00:06:51,933 --> 00:06:53,195 and it's unacceptable. 99 00:06:53,238 --> 00:06:55,240 I need to be able to update patient files. 100 00:06:55,284 --> 00:06:56,894 I need to be able to check lab results. 101 00:06:56,938 --> 00:06:59,201 I need computers that recognize the letter "H". 102 00:06:59,244 --> 00:07:00,985 - I fixed the "H" thing. 103 00:07:01,029 --> 00:07:02,857 - Rodney. - Just give me another minute. 104 00:07:02,900 --> 00:07:04,902 - I put Louise Galena in Bay 28. 105 00:07:04,946 --> 00:07:07,557 She definitely has cellulitis and a severe fungal infection. 106 00:07:07,601 --> 00:07:09,080 - Okay, we're gonna need a Hematology consult. 107 00:07:09,124 --> 00:07:10,734 Let's page Sharpe. 108 00:07:10,778 --> 00:07:12,475 - Oh, uh, I wouldn't. It's all connected. 109 00:07:12,519 --> 00:07:13,781 Just to be safe. 110 00:07:13,824 --> 00:07:15,260 - Go and find Sharpe in person 111 00:07:15,304 --> 00:07:17,741 and drag her down here yourself, and you--yeah. 112 00:07:17,785 --> 00:07:19,003 - Almost got it! 113 00:07:19,961 --> 00:07:21,179 - Thank you. 114 00:07:21,223 --> 00:07:22,833 Thank you, thank you, thank you. 115 00:07:22,877 --> 00:07:24,531 It's very exciting. 116 00:07:24,574 --> 00:07:26,576 It is a Phase Two trial of a vascular endothelial 117 00:07:26,620 --> 00:07:28,491 growth factor receptor antagonist. 118 00:07:28,535 --> 00:07:29,710 - How many patients do you anticipate enrolling? 119 00:07:29,753 --> 00:07:31,059 - Funding covers up to 40. 120 00:07:31,102 --> 00:07:33,235 - And are there any demographic parameters? 121 00:07:33,278 --> 00:07:35,803 - Yes, I am looking for men and women age 40 to 65 122 00:07:35,846 --> 00:07:37,587 with naive tumors. 123 00:07:37,631 --> 00:07:40,111 Do any of you have patients fitting that criteria? 124 00:07:40,155 --> 00:07:41,591 Fabulous. Forward me their files, 125 00:07:41,635 --> 00:07:43,767 and we will get started on this bad boy. 126 00:07:45,160 --> 00:07:46,988 - Okay, now we have a lot to cover 127 00:07:47,031 --> 00:07:50,731 so let's start on page one. Using objective market and... 128 00:07:52,820 --> 00:07:54,082 - Louise, hi. I'm Dr. Sharpe. 129 00:07:54,125 --> 00:07:55,518 - Hi. 130 00:07:55,562 --> 00:07:56,780 - May I take a look at your arm? 131 00:07:56,824 --> 00:07:58,739 - Mm-hmm. - Now that's pretty. 132 00:07:58,782 --> 00:08:00,958 Is it a daisy? - Daylily. 133 00:08:01,002 --> 00:08:02,525 I like to grow them. 134 00:08:04,005 --> 00:08:05,833 - There's fabric around the infection sites. 135 00:08:05,876 --> 00:08:07,748 Do you know what it is? 136 00:08:07,791 --> 00:08:09,837 Pantyhose. 137 00:08:09,880 --> 00:08:12,535 Sometimes I try to hide my extra skin 138 00:08:12,579 --> 00:08:15,103 by wrapping them up. 139 00:08:15,146 --> 00:08:19,150 When I wear the right blouse, people don't stare so much. 140 00:08:19,194 --> 00:08:21,152 - They make compression sleeves for that 141 00:08:21,196 --> 00:08:24,199 that won't abrade your skin. - I can't afford those. 142 00:08:24,242 --> 00:08:27,158 I tried to leave it looser this time. 143 00:08:27,202 --> 00:08:29,987 - So this has happened before? - Yeah. 144 00:08:30,988 --> 00:08:33,295 - Okay, we're going to get you started on some anti-fungals. 145 00:08:33,338 --> 00:08:35,079 Have you feeling better straight away. 146 00:08:35,123 --> 00:08:37,821 - Know what would actually make me feel better? 147 00:08:37,865 --> 00:08:42,130 Taking my garden shears and slicing these things clean off. 148 00:08:46,830 --> 00:08:50,225 - We're gonna do everything that we can. 149 00:08:51,269 --> 00:08:52,793 Lauren. 150 00:08:52,836 --> 00:08:54,708 Louise Galena just mentioned self-harm. 151 00:08:55,839 --> 00:08:57,188 - Minister Reid. 152 00:08:57,232 --> 00:08:59,843 Brand new T-shirts, I see? Very bright. 153 00:08:59,887 --> 00:09:01,628 - Helps if people know why we're here, Max. 154 00:09:01,671 --> 00:09:03,238 - Yeah, didn't realize it was our turn again so soon. 155 00:09:03,281 --> 00:09:05,240 - You can always check our website to see our route. 156 00:09:05,283 --> 00:09:07,068 - Good to know. - What do you say? 157 00:09:07,111 --> 00:09:09,070 Have a little interfaith prayer with us today? 158 00:09:09,113 --> 00:09:10,854 We could use your help. - I think I'll, uh, 159 00:09:10,898 --> 00:09:12,682 stick to helping people the old fashioned way. 160 00:09:12,726 --> 00:09:14,336 - I think prayer's been around longer than medicine, 161 00:09:14,379 --> 00:09:16,294 my friend. 162 00:09:16,338 --> 00:09:17,905 - Dr. Goodwin. - Yeah? 163 00:09:17,948 --> 00:09:19,602 - You want me to clear these folks out of here? 164 00:09:19,646 --> 00:09:21,212 - Aw, no, it's fine, Joe. They're not hurting anybody. 165 00:09:21,256 --> 00:09:23,954 - You got that right. I heard after they showed up, 166 00:09:23,998 --> 00:09:26,783 some guy who was in a coma 14 years woke up. 167 00:09:29,656 --> 00:09:32,180 - I knew this day would come. 168 00:09:32,223 --> 00:09:35,096 After all these years, his eyes are finally open. 169 00:09:35,139 --> 00:09:37,185 And he's looking at me! 170 00:09:39,056 --> 00:09:42,059 He's squeezing my hand. I can feel him! 171 00:09:42,103 --> 00:09:44,714 - Those are reflexive actions of his brainstem. 172 00:09:44,758 --> 00:09:47,717 - I have been coming here for 14 years, 173 00:09:47,761 --> 00:09:49,371 sitting by his side, 174 00:09:49,414 --> 00:09:51,895 waiting for him to look at me. 175 00:09:51,939 --> 00:09:53,593 And he is. 176 00:09:59,207 --> 00:10:02,123 People have been known to wake up from comas, yes, 177 00:10:02,166 --> 00:10:04,299 but that's not Jacob. 178 00:10:04,342 --> 00:10:07,128 He remains in a persistent vegetative state. 179 00:10:08,303 --> 00:10:11,393 He's not in there, Annie. - How can you say that? 180 00:10:11,436 --> 00:10:13,917 I mean, how can you know? 181 00:10:13,961 --> 00:10:16,050 Truly? 182 00:10:16,093 --> 00:10:19,140 - This is the miracle I've been waiting for. 183 00:10:19,183 --> 00:10:20,837 My husband's back. 184 00:10:23,405 --> 00:10:26,843 And now you have to make him whole again. 185 00:10:31,456 --> 00:10:33,633 - Oh, keep the change. Thank you. 186 00:10:33,676 --> 00:10:35,243 Hello. 187 00:10:35,286 --> 00:10:37,593 So I see your prayer buddies have returned. 188 00:10:37,637 --> 00:10:39,682 - It does feel like they're here more often, doesn't it? 189 00:10:39,726 --> 00:10:40,857 Why? What's that smile? 190 00:10:40,901 --> 00:10:41,902 - What this thing? - Yeah. 191 00:10:41,945 --> 00:10:43,338 - It's nothing. 192 00:10:43,381 --> 00:10:44,731 They irk you, and I find it funny. 193 00:10:44,774 --> 00:10:46,602 - No, I think it's great they wanna help the sick, 194 00:10:46,646 --> 00:10:48,473 I just don't know how they're gonna do that from the lobby. 195 00:10:48,517 --> 00:10:50,650 - Although, I gotta say, right after they showed up 196 00:10:50,693 --> 00:10:52,608 my patient Ashley 197 00:10:52,652 --> 00:10:54,479 who's been screaming at the top of her lungs for three days 198 00:10:54,523 --> 00:10:56,264 miraculously stopped. - You don't seriously think 199 00:10:56,307 --> 00:10:58,440 it's from the praying, do you? - I don't ask questions. 200 00:10:58,483 --> 00:11:00,311 I just enjoy the silence. 201 00:11:00,355 --> 00:11:02,836 Which has allowed me, actually, to jot down a bunch of ideas 202 00:11:02,879 --> 00:11:04,707 for our Pharmacy Formulary meeting tomorrow. 203 00:11:04,751 --> 00:11:06,709 Spoiler alert: they're some winners. 204 00:11:06,753 --> 00:11:08,319 - Well, you'll be sharing them with Reynolds 205 00:11:08,363 --> 00:11:11,235 because I have a, um, playdate. 206 00:11:11,279 --> 00:11:12,541 - You have a playdate? 207 00:11:12,584 --> 00:11:14,369 - Luna and her new friend have a playdate. 208 00:11:14,412 --> 00:11:16,676 Her mother and I will just be there for supervision. 209 00:11:16,719 --> 00:11:18,460 You know, make sure nobody falls off a-- 210 00:11:18,503 --> 00:11:20,636 - Yes, Max Goodwin, I fully support this next step for you. 211 00:11:20,680 --> 00:11:21,768 This is good. - Not a step, not a step. 212 00:11:21,811 --> 00:11:23,813 Not stepping, just a playdate. 213 00:11:23,857 --> 00:11:25,641 - Yeah, but it's got the word "date" baked right into it. 214 00:11:25,685 --> 00:11:27,295 - I know, but play is the first word, 215 00:11:27,338 --> 00:11:28,949 so I don't think it's a date. - Semantics. 216 00:11:28,992 --> 00:11:30,733 - I don't think it's a date. - It's a date, it's a date. 217 00:11:30,777 --> 00:11:32,517 - I think it's just playing. - Boy, you do not stay 218 00:11:32,561 --> 00:11:34,345 in one place for long, do you? - Could've just paged me. 219 00:11:34,389 --> 00:11:36,696 - It's not really an option. We just admitted a 13-year-old 220 00:11:36,739 --> 00:11:38,436 who's presenting with symptoms of a heart attack. 221 00:11:38,480 --> 00:11:40,525 He checks all the CDC boxes, and you wanted to know if-- 222 00:11:40,569 --> 00:11:41,962 - When New Amsterdam got our first case. 223 00:11:42,005 --> 00:11:43,398 - Yeah, and Reynolds is with him right now. 224 00:11:43,441 --> 00:11:45,182 - Okay, thanks. 225 00:11:45,226 --> 00:11:47,576 - Jackson has extensive damage to both of his lungs. 226 00:11:47,619 --> 00:11:49,230 I'm going to have to perform 227 00:11:49,273 --> 00:11:50,666 what is called a "Bronchial-Alveolar Lavage" 228 00:11:50,710 --> 00:11:52,363 to determine the extent of his injuries. 229 00:11:52,407 --> 00:11:54,322 - So it's not a heart attack? 230 00:11:55,279 --> 00:11:57,325 - No, CDC is calling it "EVALI." 231 00:11:57,368 --> 00:11:58,848 - I've never heard of that. 232 00:11:58,892 --> 00:12:00,589 - That's because the disease is only a few months old. 233 00:12:00,632 --> 00:12:03,766 It stands for E-cigarette or Vaping Lung Injury. 234 00:12:03,810 --> 00:12:05,594 - Vaping? 235 00:12:05,637 --> 00:12:08,684 - He's an honor student. He's in all AP courses. 236 00:12:08,728 --> 00:12:10,860 Have you seen him smoking? - No, never. 237 00:12:10,904 --> 00:12:13,689 - Well, kids have become really good at hiding these things 238 00:12:13,733 --> 00:12:17,649 sometimes in, uh, plain sight. It's an epidemic. 239 00:12:17,693 --> 00:12:19,434 - Jack? 240 00:12:20,827 --> 00:12:22,393 - Will he be all right? 241 00:12:23,960 --> 00:12:27,659 - This is an unknown world, Mrs. Lowe. 242 00:12:28,486 --> 00:12:30,924 - Even now, your son is one of only hundreds of cases. 243 00:12:30,967 --> 00:12:34,231 But we are gonna do everything that we can. 244 00:12:37,321 --> 00:12:40,847 - Um, hi, Alice, this message is for Bobbi, actually. 245 00:12:40,890 --> 00:12:42,500 Unfortunately, 246 00:12:42,544 --> 00:12:44,415 Luna had something very important come up, 247 00:12:44,459 --> 00:12:48,550 and she can no longer make it to the playdate tomorrow, so-- 248 00:12:48,593 --> 00:12:51,422 uh, sorry for the short notice, I'm just--um, sorry. 249 00:12:51,466 --> 00:12:54,512 - Looks like you could use some positive vibes aimed your way. 250 00:12:56,036 --> 00:12:57,777 - I have no problem with you guys being here, 251 00:12:57,820 --> 00:12:59,474 but I also have a 13-year-old patient 252 00:12:59,517 --> 00:13:00,954 with a disease that has no known cure. 253 00:13:00,997 --> 00:13:02,694 So if you and your group really wanted to help out, 254 00:13:02,738 --> 00:13:04,435 you could try donating blood or volunteering. 255 00:13:04,479 --> 00:13:06,002 - Max, these people are donating. 256 00:13:06,046 --> 00:13:07,569 - You know what I mean. 257 00:13:07,612 --> 00:13:09,876 - But I don't think you know what I mean, hmm? 258 00:13:09,919 --> 00:13:13,880 I love science, medicine. I believe in them, 259 00:13:13,923 --> 00:13:17,971 but they can't explain what I appreciate most in this world. 260 00:13:18,014 --> 00:13:21,365 Love, music, heroism. 261 00:13:21,409 --> 00:13:26,588 So we throw our anchor past the senses into a deeper truth. 262 00:13:26,631 --> 00:13:27,937 The intangible. 263 00:13:29,112 --> 00:13:30,592 - Yeah, well, I guess when lives are at stake, 264 00:13:30,635 --> 00:13:32,333 I'm just more interested in the tangible. 265 00:13:32,376 --> 00:13:35,292 - Hey, Dr. G, did you hear? - Hear what? 266 00:13:35,336 --> 00:13:36,903 - They just told me I was in remission. 267 00:13:36,946 --> 00:13:39,557 What are the odds, huh? 268 00:13:42,082 --> 00:13:45,041 - Big Mike, that's amazing. - Give me some. 269 00:13:47,087 --> 00:13:50,525 You mind if I sit in? - No, man, please. 270 00:13:51,874 --> 00:13:53,702 - This is ridiculous. 271 00:13:53,745 --> 00:13:54,921 - Unbelievable. 272 00:14:04,626 --> 00:14:06,367 - Okay, okay, listen up. 273 00:14:06,410 --> 00:14:08,021 I mean, we have already cut screens 274 00:14:08,064 --> 00:14:09,500 from patient interactions. 275 00:14:09,544 --> 00:14:10,893 We don't need computers. 276 00:14:10,937 --> 00:14:13,940 All we need is our wits 277 00:14:13,983 --> 00:14:16,986 and some paper. 278 00:14:17,030 --> 00:14:18,901 All right, come on. 279 00:14:18,945 --> 00:14:21,077 Let's do this. 280 00:14:21,121 --> 00:14:23,079 - Since I can't email prescriptions to the pharmacy, 281 00:14:23,123 --> 00:14:25,081 how are discharged patients gonna get their meds? 282 00:14:25,125 --> 00:14:28,650 - You'll write them down. Maybe here on this pad. 283 00:14:28,693 --> 00:14:30,478 And what shall we call this amazing invention? 284 00:14:30,521 --> 00:14:31,958 This pad on which we write prescriptions? 285 00:14:34,656 --> 00:14:36,571 - Um, he's got abdominal pain. 286 00:14:36,614 --> 00:14:38,051 - And? 287 00:14:38,094 --> 00:14:40,009 - Usually the computer tells me what comes next 288 00:14:40,053 --> 00:14:41,881 after I type in the symptom. 289 00:14:41,924 --> 00:14:44,492 - Are you seriously telling me that one of my residents 290 00:14:44,535 --> 00:14:46,102 doesn't know what to do about a tummy ache? 291 00:14:52,717 --> 00:14:54,023 Okay, this is ridiculous. 292 00:14:54,067 --> 00:14:55,677 How is there not a single working pen 293 00:14:55,720 --> 00:14:57,940 in this entire building? - Here, try this one. 294 00:14:57,984 --> 00:14:59,681 - Incoming! 295 00:14:59,724 --> 00:15:00,900 - All right, now we're in business. 296 00:15:00,943 --> 00:15:02,684 Watch and learn. 297 00:15:02,727 --> 00:15:03,859 All right, fellas, what do we got? 298 00:15:03,903 --> 00:15:05,513 - 53-year-old male 299 00:15:05,556 --> 00:15:06,949 complaining of crushing substernal chest pain. 300 00:15:06,993 --> 00:15:08,777 - Okay, what's your name, sir? 301 00:15:08,820 --> 00:15:13,521 - Ikaika Namakaokealohahaunele. 302 00:15:14,826 --> 00:15:17,873 - With an "A" or an "E"? 303 00:15:17,917 --> 00:15:20,876 - Ever since I was a kid, I was big. 304 00:15:20,920 --> 00:15:26,012 By the time I was 20, I was about 375 pounds. 305 00:15:26,055 --> 00:15:28,014 I could barely walk. 306 00:15:28,057 --> 00:15:30,407 - That must've been frustrating. 307 00:15:30,451 --> 00:15:33,541 - People'd say I wasn't trying hard enough to lose the weight. 308 00:15:33,584 --> 00:15:35,717 That it was my fault I was so fat. 309 00:15:35,760 --> 00:15:37,414 - That's-- 310 00:15:37,458 --> 00:15:39,547 obesity is not a willpower issue. 311 00:15:39,590 --> 00:15:40,983 It's not. - Mm-hmm. 312 00:15:41,027 --> 00:15:45,553 I've, um, you know-- I've been there. 313 00:15:45,596 --> 00:15:46,771 - So you know. 314 00:15:48,251 --> 00:15:52,516 Then one of my doctors told me obesity was a disease. 315 00:15:52,560 --> 00:15:54,431 - Yeah. - And like any other disease, 316 00:15:54,475 --> 00:15:56,172 it could be treated. - Yeah, that's correct. 317 00:15:56,216 --> 00:15:58,696 - Well, I was ready to try damn near anything. 318 00:15:58,740 --> 00:16:01,743 So I started taking this medication, 319 00:16:01,786 --> 00:16:05,007 and I started losing weight, and I felt healthier. 320 00:16:05,051 --> 00:16:11,448 I really did, but they never told me about these skin flaps. 321 00:16:11,492 --> 00:16:13,015 Wasn't like I loved my body before, 322 00:16:13,059 --> 00:16:14,930 but at least it was my body. 323 00:16:14,974 --> 00:16:19,108 This makes me feel like I'm wearing an extra coat. 324 00:16:20,283 --> 00:16:23,678 People stare at me more now than they did when I was fat. 325 00:16:27,638 --> 00:16:30,163 - Louise, do you ever think about hurting yourself? 326 00:16:34,558 --> 00:16:36,473 - Hey, there are-- there are surgeries. 327 00:16:36,517 --> 00:16:37,692 You know that right? 328 00:16:37,735 --> 00:16:39,259 Where they remove the excess skin-- 329 00:16:39,302 --> 00:16:42,131 - It's all I think about, but it costs a fortune, 330 00:16:42,175 --> 00:16:47,093 and my insurance won't pay for it, so this is my life now. 331 00:16:47,136 --> 00:16:49,617 - No, no, that is not the case. I'm not giving up on you. 332 00:16:49,660 --> 00:16:52,837 Okay? Don't you either. 333 00:16:56,145 --> 00:16:58,104 - Helen, hey. - Hi. 334 00:16:58,147 --> 00:16:59,627 Did any of your patients 335 00:16:59,670 --> 00:17:01,107 get into Dr. Castro's Stage Two trial? 336 00:17:01,150 --> 00:17:02,804 - Only one. - Hm. 337 00:17:02,847 --> 00:17:05,067 Not a single one of my eligible patients got in. 338 00:17:05,111 --> 00:17:07,548 - None? - None of Dr. Shoji's either. 339 00:17:07,591 --> 00:17:09,593 Now if Dr. Castro's gotten government funding 340 00:17:09,637 --> 00:17:12,248 for 40 patients, where are they coming from? 341 00:17:18,559 --> 00:17:21,562 - I flew all the way from Chicago for this? 342 00:17:21,605 --> 00:17:23,129 - Sam, come on. - Sorry, it's just-- 343 00:17:23,172 --> 00:17:26,219 - Your father's still in there trying to talk to us. 344 00:17:26,262 --> 00:17:28,830 Trying to communicate with us. - But he's not. 345 00:17:30,049 --> 00:17:32,312 I mean, why can't you see that? He's gone. 346 00:17:32,355 --> 00:17:37,012 - Mom, we know how badly you want Dad to still be here. 347 00:17:37,056 --> 00:17:42,104 We miss him too, but these are just involuntary movements. 348 00:17:42,148 --> 00:17:43,671 - I mean, at this point 349 00:17:43,714 --> 00:17:44,846 we're all doing involuntary movements. 350 00:17:44,889 --> 00:17:46,021 - You haven't been here. 351 00:17:46,065 --> 00:17:48,676 Neither of you have been here enough 352 00:17:48,719 --> 00:17:50,243 to see that these are different. 353 00:17:52,593 --> 00:17:54,029 - Are these different? 354 00:17:55,726 --> 00:17:56,858 - No. 355 00:17:58,207 --> 00:18:02,037 - Does our father show any signs of--what is it? 356 00:18:02,081 --> 00:18:04,257 Higher brain function? 357 00:18:04,300 --> 00:18:06,563 - No. 358 00:18:06,607 --> 00:18:08,130 - And you told us 14 years ago 359 00:18:08,174 --> 00:18:09,871 that it takes more than a beating heart 360 00:18:09,914 --> 00:18:13,831 to declare someone alive, so is my father alive? 361 00:18:13,875 --> 00:18:16,312 - He has no cerebral cortical function, 362 00:18:16,356 --> 00:18:18,793 so I would have to say no. 363 00:18:20,229 --> 00:18:22,144 - You listen to him, Mom? Please? 364 00:18:22,188 --> 00:18:25,843 He told us this 14 years ago. He just said it again. 365 00:18:25,887 --> 00:18:27,193 How much longer do we have to be stuck 366 00:18:27,236 --> 00:18:30,065 at this never-ending wake? 367 00:18:33,329 --> 00:18:36,071 - Sam's right, Mom. 368 00:18:36,115 --> 00:18:38,726 - It looked so real. 369 00:18:40,162 --> 00:18:44,079 - We all want it to be real; it just isn't. 370 00:18:47,300 --> 00:18:53,219 - What would happen if we were to, uh... 371 00:18:57,397 --> 00:18:59,790 ...To let him go? 372 00:18:59,834 --> 00:19:04,055 - If we were to remove his, uh, feeding tube, 373 00:19:04,099 --> 00:19:06,319 his body would be deprived of nutrients, 374 00:19:06,362 --> 00:19:10,366 and within a few days his organs would start to fail, 375 00:19:10,410 --> 00:19:14,936 but I assure you that he would not experience 376 00:19:14,979 --> 00:19:16,764 any pain or suffering. 377 00:19:32,649 --> 00:19:34,608 - ...90. 378 00:19:34,651 --> 00:19:37,176 - 50 mils normal saline at 24 degrees standing by. 379 00:19:37,219 --> 00:19:39,700 - Initial BAL results show lipid laden macrophages 380 00:19:39,743 --> 00:19:41,528 consistent with hot chemical burns. 381 00:19:41,571 --> 00:19:44,226 Basically the same as chemical warfare. 382 00:19:44,270 --> 00:19:46,576 Any ideas? - Not off the top of my head. 383 00:19:46,620 --> 00:19:48,578 So let's see what the CDC recommends. 384 00:19:48,622 --> 00:19:50,232 - When's the last time you had to look up 385 00:19:50,276 --> 00:19:51,842 a treatment guideline? 386 00:19:51,886 --> 00:19:54,193 - I don't know. Not since I was an intern. 387 00:19:54,236 --> 00:19:55,585 All right, the, uh, CDC 388 00:19:55,629 --> 00:19:57,761 recommends this week, let's see here-- 389 00:19:57,805 --> 00:19:59,894 "vent settings with low tidal volumes and high P.E.E.P." 390 00:19:59,937 --> 00:20:01,591 - That's temporizing, at best. 391 00:20:01,635 --> 00:20:03,593 - Well, we're all flying blind here. 392 00:20:03,637 --> 00:20:06,727 Let me try to locate a, uh, PCSK9 modulator. 393 00:20:06,770 --> 00:20:08,816 A dose or two might knock down some of the inflammation. 394 00:20:08,859 --> 00:20:13,342 - Based on what evidence? - Like I said, flying blind. 395 00:20:17,868 --> 00:20:19,783 - He could hear us. 396 00:20:19,827 --> 00:20:22,830 He knew what we were talking about. 397 00:20:22,873 --> 00:20:26,312 He was begging for us to stop-- - Mom, please. 398 00:20:26,355 --> 00:20:29,793 - Annie, that was an expulsion of air over his vocal cords. 399 00:20:29,837 --> 00:20:32,622 Just a reflex, like his eye movements. 400 00:20:32,666 --> 00:20:38,193 - I can't believe I almost made the biggest mistake of my life. 401 00:20:38,846 --> 00:20:40,630 - Dr. Kapoor, 402 00:20:40,674 --> 00:20:43,807 how long could he live if she kept the feeding tube in? 403 00:20:43,851 --> 00:20:46,462 - Conservative guess? 404 00:20:46,506 --> 00:20:47,985 Another 20 years. 405 00:20:51,859 --> 00:20:54,557 - I can't do this another 20 years. 406 00:20:55,732 --> 00:20:57,821 I can't. 407 00:20:57,865 --> 00:20:59,867 Goodbye, Mom. - You're leaving? 408 00:20:59,910 --> 00:21:01,695 I don't-- I don't know what else to do. 409 00:21:01,738 --> 00:21:03,479 - He's my husband! 410 00:21:04,567 --> 00:21:07,701 - He was. He was your husband. 411 00:21:07,744 --> 00:21:09,485 And he was my father. 412 00:21:09,529 --> 00:21:11,922 I swear it's like you both died that day. 413 00:21:11,966 --> 00:21:13,315 - Sam, your mother has-- 414 00:21:13,359 --> 00:21:14,447 - She's tethered herself to this bed. 415 00:21:14,490 --> 00:21:15,839 Never leaving the borough. 416 00:21:15,883 --> 00:21:17,363 Never getting to know her grandchildren. 417 00:21:17,406 --> 00:21:18,973 14 years wasted and for what? 418 00:21:19,016 --> 00:21:22,281 - I'm not removing his feeding tube. 419 00:21:25,501 --> 00:21:28,591 - Yeah. Well... 420 00:21:36,469 --> 00:21:38,949 - Well, despite the chest pains and labored breathing, 421 00:21:38,993 --> 00:21:40,516 your EKG came back normal. 422 00:21:40,560 --> 00:21:41,996 So maybe there's an environmental cause? 423 00:21:42,039 --> 00:21:45,608 - What do you do for a living? 424 00:21:45,652 --> 00:21:47,741 - I work the L Train expansion. 425 00:21:47,784 --> 00:21:49,395 - Oh, so we're both in the Dark Ages. 426 00:21:50,613 --> 00:21:52,354 - You wear a mask in the tunnels? 427 00:21:52,398 --> 00:21:53,877 - Nah, I don't like the smell of my own breath. 428 00:21:53,921 --> 00:21:56,924 - You exercise? - Only if you count smoking. 429 00:21:56,967 --> 00:21:58,752 - All right, deep breath for me. 430 00:22:00,841 --> 00:22:03,583 - All right, this could be pulmonary edema. 431 00:22:03,626 --> 00:22:05,367 We're gonna get you on lasix, 432 00:22:05,411 --> 00:22:06,716 and then back to making questionable health choices 433 00:22:06,760 --> 00:22:07,761 in no time. 434 00:22:07,804 --> 00:22:09,589 - Hey, doc, just remember, 435 00:22:09,632 --> 00:22:11,895 if I drop dead, the L Train's only gonna take longer. 436 00:22:11,939 --> 00:22:13,636 - Duly noted. 437 00:22:18,815 --> 00:22:21,470 Where's his chart? - Whose chart? 438 00:22:21,514 --> 00:22:23,559 - Who's got Ikaika's chart? 439 00:22:23,603 --> 00:22:25,996 - Sorry, I was putting notes on it. 440 00:22:26,040 --> 00:22:29,739 - Is that a coffee stain? - ...while getting coffee. 441 00:22:29,783 --> 00:22:32,438 - Okay, new rule, people. 442 00:22:32,481 --> 00:22:36,398 The charts don't come with you. You come to the charts, okay? 443 00:22:36,442 --> 00:22:38,313 Give me that. 444 00:22:40,010 --> 00:22:42,012 - Valentina! 445 00:22:42,056 --> 00:22:44,537 I've, uh, I've been meaning to ask, 446 00:22:44,580 --> 00:22:46,756 how's enrollment going on your trial? 447 00:22:46,800 --> 00:22:48,018 - Great. Thanks. 448 00:22:48,062 --> 00:22:49,803 - You filled all 40 slots? 449 00:22:49,846 --> 00:22:51,631 - I'm only enrolling 15. 450 00:22:51,674 --> 00:22:53,981 - Isn't it our goal to help as many people as we can? 451 00:22:54,024 --> 00:22:56,462 - My goal is not to help 40 people right now, 452 00:22:56,505 --> 00:22:59,334 but to help millions later when we bring a new drug to market. 453 00:22:59,378 --> 00:23:01,423 - I just see people who are suffering now, 454 00:23:01,467 --> 00:23:03,599 and you can help them. That's why I brought you here. 455 00:23:03,643 --> 00:23:07,473 - Helen, you did not bring me here. 456 00:23:07,516 --> 00:23:09,475 And I don't appreciate your tone. 457 00:23:09,518 --> 00:23:11,738 In fact, now that I'm chair, 458 00:23:11,781 --> 00:23:14,567 I don't even have to have this conversation. 459 00:23:21,487 --> 00:23:23,445 - No. 460 00:23:23,489 --> 00:23:26,492 - Was not the answer I was hoping to hear. 461 00:23:26,535 --> 00:23:28,581 - We don't cover brachioplasties. 462 00:23:28,624 --> 00:23:29,930 They're cosmetic. 463 00:23:31,453 --> 00:23:32,454 - No. No, no, no. 464 00:23:32,498 --> 00:23:34,630 This, uh, this is not cosmetic. 465 00:23:34,674 --> 00:23:37,416 I mean, yes, technically it is cosmetic. 466 00:23:37,459 --> 00:23:39,156 You busted me, but, uh, Louise-- 467 00:23:39,200 --> 00:23:41,550 her skin leaves her with a whole host 468 00:23:41,594 --> 00:23:44,423 of very real psychological and physical problems. 469 00:23:44,466 --> 00:23:46,425 - Sorry. Her claim is rejected. 470 00:23:47,774 --> 00:23:50,124 - Hardball. I heard about you. 471 00:23:50,167 --> 00:23:52,822 I can play that game. May I? 472 00:23:52,866 --> 00:23:56,130 Why don't I reword Louise's diagnosis? 473 00:23:56,173 --> 00:24:02,049 "Louise Galena has Body Dysmorphic Disorder." 474 00:24:02,092 --> 00:24:06,401 And that one is in the DSM. 475 00:24:06,445 --> 00:24:07,620 So what do you say? 476 00:24:07,663 --> 00:24:10,057 You wanna try this dance one more time? 477 00:24:10,100 --> 00:24:12,494 - Mental illness is not justifiable reason 478 00:24:12,538 --> 00:24:14,017 for cosmetic surgery. 479 00:24:14,061 --> 00:24:17,499 If it were, they'd have to cover every sad person 480 00:24:17,543 --> 00:24:19,893 who thought a face lift could cure their depression. 481 00:24:19,936 --> 00:24:23,679 Brachioplasties are coded in the system as cosmetic, 482 00:24:23,723 --> 00:24:26,116 and there are no enhancements or modifiers 483 00:24:26,160 --> 00:24:27,857 that will ever change that. 484 00:24:27,901 --> 00:24:30,164 - But this is--this is a life or death situation, Larkin. 485 00:24:30,207 --> 00:24:32,688 It is. Louise is depressed. 486 00:24:32,732 --> 00:24:34,908 She's angry. She's struggling. 487 00:24:34,951 --> 00:24:37,824 She came to us for help, and we only cured her halfway. 488 00:24:37,867 --> 00:24:40,740 We left he with rolls of loose skin that chafe 489 00:24:40,783 --> 00:24:42,959 and give her necrotic infections. 490 00:24:43,003 --> 00:24:44,744 And you're telling me with all your knowhow, 491 00:24:44,787 --> 00:24:46,659 there's nothing we can do for her? 492 00:24:47,790 --> 00:24:50,097 - We can cover meds for the rashes. 493 00:24:53,970 --> 00:24:57,147 - Dr. Kapoor. Something's wrong with Jacob. 494 00:25:00,847 --> 00:25:03,719 I only had my eyes closed for a moment. 495 00:25:03,763 --> 00:25:05,939 And when I woke he was like this. 496 00:25:05,982 --> 00:25:07,723 You have to do something. You have to bring him back. 497 00:25:07,767 --> 00:25:09,769 - Annie, there is nothing I can do. 498 00:25:09,812 --> 00:25:13,729 - Surely there's something-- he was improving! 499 00:25:13,773 --> 00:25:15,035 - He wasn't. 500 00:25:15,078 --> 00:25:17,472 Whether his eyes are closed or open, 501 00:25:17,516 --> 00:25:19,692 whether he's squeezing your hand or sleeping, 502 00:25:19,735 --> 00:25:23,086 Jacob is not here. He never was. 503 00:25:25,611 --> 00:25:27,569 - He's all I have left. 504 00:25:32,095 --> 00:25:34,663 - Uh, got the modulator. Almost to you. 505 00:25:34,707 --> 00:25:36,578 - Jackson popped a lung. 506 00:25:36,622 --> 00:25:38,058 - The ventilator was supposed to keep him stabilized! 507 00:25:38,101 --> 00:25:40,582 - He was stable, and then he just crashed. 508 00:25:40,626 --> 00:25:42,236 I can't figure out what the hell changed. 509 00:25:46,980 --> 00:25:49,678 - Hey, uh, what happened to the prayer group? 510 00:25:49,722 --> 00:25:51,680 - They left, like, five minutes ago. 511 00:26:04,258 --> 00:26:05,999 - Oh, there you are. 512 00:26:06,042 --> 00:26:07,261 - I'm on my way out. Can it wait? 513 00:26:07,304 --> 00:26:08,567 - It's about Castro's clinical trial. 514 00:26:08,610 --> 00:26:10,220 I have some concerns. - So I've heard. 515 00:26:10,264 --> 00:26:11,439 - What do you mean? 516 00:26:11,482 --> 00:26:13,049 - Uh, Castro already came to me. 517 00:26:13,093 --> 00:26:14,355 Apparently she has some concerns with you. 518 00:26:14,398 --> 00:26:16,270 She has concerns with me? 519 00:26:16,313 --> 00:26:18,141 - Well, that you're having trouble accepting your new role 520 00:26:18,185 --> 00:26:20,100 in the department, and that you're overstepping her trial. 521 00:26:20,143 --> 00:26:22,102 - That's--all I did was point out 522 00:26:22,145 --> 00:26:24,495 that she's leaving 25 patient slots unfilled. 523 00:26:24,539 --> 00:26:26,628 That's 25 patients we could be helping, but we're not. 524 00:26:26,672 --> 00:26:28,587 - Well, I hear you, and I agree. 525 00:26:28,630 --> 00:26:31,328 - I should jolly well hope so. - But NIH is funding the trial. 526 00:26:31,372 --> 00:26:33,766 They're paying us, and Castro is in the driver's seat. 527 00:26:33,809 --> 00:26:37,465 - Okay, so we just stand by and watch her cherry-pick patients? 528 00:26:37,508 --> 00:26:39,075 - No, we stand by 529 00:26:39,119 --> 00:26:40,381 and let Castro run the trial the way she wants 530 00:26:40,424 --> 00:26:43,166 because those are the rules. 531 00:26:43,210 --> 00:26:44,646 - I'm certainly glad to know 532 00:26:44,690 --> 00:26:46,430 that we're all about following rules these days. 533 00:26:46,474 --> 00:26:48,345 - Helen, that's not what-- 534 00:27:00,531 --> 00:27:01,620 - May I? 535 00:27:11,542 --> 00:27:14,589 Your mother loves you very much. 536 00:27:14,633 --> 00:27:17,636 - She barely knows me. Or my kids. 537 00:27:18,854 --> 00:27:21,465 - She gave up everything after Dad's accident. 538 00:27:27,210 --> 00:27:29,212 My wife died several years ago... 539 00:27:31,650 --> 00:27:34,609 And I would have done anything to bring her back. 540 00:27:34,653 --> 00:27:38,221 I cannot imagine if she was still breathing 541 00:27:38,265 --> 00:27:40,702 in front of my very eyes. 542 00:27:40,746 --> 00:27:44,358 As a neurologist, I know your father is dead. 543 00:27:45,533 --> 00:27:48,318 His soul is gone. 544 00:27:48,362 --> 00:27:51,278 But even I would find it difficult to say good-bye. 545 00:27:53,236 --> 00:27:55,325 Your mother sees that... 546 00:27:56,500 --> 00:28:00,287 And she's trapped between life and death. 547 00:28:01,767 --> 00:28:04,683 She wants to move on. 548 00:28:04,726 --> 00:28:07,468 She wants to let go. 549 00:28:07,511 --> 00:28:09,513 - So why can't she? 550 00:28:12,647 --> 00:28:15,476 - Because she has pushed you both away. 551 00:28:16,782 --> 00:28:19,785 If she lets your father go, 552 00:28:19,828 --> 00:28:21,743 once and for all, 553 00:28:21,787 --> 00:28:24,615 she believes she will be truly alone. 554 00:28:39,326 --> 00:28:41,197 - We've reached a crossroads, Rodney. 555 00:28:41,241 --> 00:28:42,851 - Look, closing in. No, like, for real this time. 556 00:28:42,895 --> 00:28:44,766 - How close are we talking? - Four keystrokes. 557 00:28:44,810 --> 00:28:47,290 Just gotta pop in my ADMIN password, and we're home. 558 00:28:47,334 --> 00:28:48,814 Oh. 559 00:28:48,857 --> 00:28:50,685 - Oh, you are so lucky 560 00:28:50,729 --> 00:28:52,513 you're in an emergency room right now, Rodney. 561 00:28:52,556 --> 00:28:55,342 - Hey, help! I need help! 562 00:28:55,385 --> 00:28:57,779 - What is it? - I can't see. 563 00:28:57,823 --> 00:28:59,607 It's my right eye. I can't see anything! 564 00:28:59,650 --> 00:29:01,522 - Okay, okay, okay. 565 00:29:01,565 --> 00:29:03,829 Uh, we're gonna need a CT with contrast, and let's page-- 566 00:29:03,872 --> 00:29:06,353 no, no, run and find ophthalmology. 567 00:29:07,789 --> 00:29:09,312 - Mr. and Mrs. Lowe? 568 00:29:10,836 --> 00:29:13,186 So... 569 00:29:13,229 --> 00:29:15,492 your son's lungs have failed, 570 00:29:15,536 --> 00:29:19,322 and we had to put Jackson on heart-lung bypass. 571 00:29:19,366 --> 00:29:22,369 - Will he be okay? 572 00:29:22,412 --> 00:29:24,327 - Will he get... 573 00:29:24,371 --> 00:29:26,852 - We just don't know enough about the disease yet 574 00:29:26,895 --> 00:29:28,375 to make any kind of prediction. 575 00:29:28,418 --> 00:29:29,724 - Vaping's been around for years. 576 00:29:29,768 --> 00:29:31,291 How can you guys still not know? 577 00:29:31,334 --> 00:29:32,901 - The products are always changing. 578 00:29:32,945 --> 00:29:36,513 And they're not being tested; they're not being regulated. 579 00:29:36,557 --> 00:29:38,341 I mean, we're still learning 580 00:29:38,385 --> 00:29:41,344 what the chemicals are doing to his body and to his lungs. 581 00:29:42,998 --> 00:29:45,479 I'm sorry, I wish I had better news. 582 00:29:45,522 --> 00:29:47,655 - What are you saying? 583 00:29:47,698 --> 00:29:50,832 - I'm gonna do everything in my power to help your boy, 584 00:29:50,876 --> 00:29:54,705 but you need to be prepared for... 585 00:29:55,881 --> 00:29:57,273 - No. 586 00:29:59,362 --> 00:30:00,842 - It's-- - No! 587 00:30:08,937 --> 00:30:11,374 - Hey, uh, Mr. Reid. 588 00:30:11,418 --> 00:30:13,550 Uh, I checked the website. You're right, very thorough. 589 00:30:13,594 --> 00:30:15,509 - Max, what are you doing here? 590 00:30:15,552 --> 00:30:16,945 - Um, do you remember the teenager 591 00:30:16,989 --> 00:30:19,687 that I was telling you about? He's, uh-- 592 00:30:19,730 --> 00:30:22,646 let's say his situation has exceeded the limits 593 00:30:22,690 --> 00:30:26,999 of, uh, modern medicine, and he's just a kid. 594 00:30:27,042 --> 00:30:28,696 Uh, he made an honest mistake, 595 00:30:28,739 --> 00:30:32,874 and, uh, he's running out of time, so I thought... 596 00:30:34,484 --> 00:30:37,836 I thought maybe you guys could-- 597 00:30:37,879 --> 00:30:39,576 - Pray for him? 598 00:30:40,621 --> 00:30:43,842 - Put him in your minds, or whatever it is that you-- 599 00:30:45,582 --> 00:30:48,759 Um, his name is Jackson Lowe, 600 00:30:48,803 --> 00:30:51,414 and he could really use-- - A miracle. 601 00:30:52,807 --> 00:30:54,765 - If you have one to spare. 602 00:30:56,071 --> 00:30:59,292 - Max. Doesn't work that way. 603 00:31:00,423 --> 00:31:02,295 - Then why do you do it? 604 00:31:03,035 --> 00:31:04,732 I mean, why else do you come in my hospital? 605 00:31:04,775 --> 00:31:05,907 Why do you come here? 606 00:31:05,951 --> 00:31:07,909 - You know what miracles are? 607 00:31:07,953 --> 00:31:09,780 They're the word for the shoreline 608 00:31:09,824 --> 00:31:12,740 between what we understand and what we can't. 609 00:31:12,783 --> 00:31:14,960 - Then what is praying 610 00:31:15,003 --> 00:31:18,528 if not asking for some higher power to do something helpful, 611 00:31:18,572 --> 00:31:19,921 something useful? 612 00:31:19,965 --> 00:31:22,837 - When we do it right, prayer changes us. 613 00:31:22,881 --> 00:31:24,752 Not the other way around. 614 00:31:24,795 --> 00:31:27,755 Whether we're praying for forgiveness, or gratitude, 615 00:31:27,798 --> 00:31:30,018 or guidance, we're not looking out, Max. 616 00:31:30,062 --> 00:31:31,672 We're looking in. 617 00:31:31,715 --> 00:31:34,805 And if you can find that shoreline within yourself, 618 00:31:34,849 --> 00:31:37,765 I mean really find it, 619 00:31:37,808 --> 00:31:41,812 that's when you got a shot at one of your miracles. 620 00:31:59,352 --> 00:32:02,007 - Hey. Hi. 621 00:32:03,486 --> 00:32:05,445 - Sorry, I'm-- 622 00:32:05,488 --> 00:32:08,491 I usually save my violent outbursts 623 00:32:08,535 --> 00:32:09,971 for somewhere a little more private. 624 00:32:10,015 --> 00:32:11,799 - Hey, believe me, there are way worse things 625 00:32:11,842 --> 00:32:13,540 you can do alone in a stairwell. 626 00:32:13,583 --> 00:32:16,456 - All I was trying to do was help more people, 627 00:32:16,499 --> 00:32:18,632 and I'm the one who gets clobbered for it? 628 00:32:18,675 --> 00:32:20,982 - You get clobbered-- I'm sorry, by who? 629 00:32:21,026 --> 00:32:22,810 - Oh-- 630 00:32:22,853 --> 00:32:25,595 By the relentlessly unfair and stupid system we all live in. 631 00:32:25,639 --> 00:32:28,468 - Ah, that. 632 00:32:28,511 --> 00:32:30,687 - Yes, I'm very familiar with its work. 633 00:32:30,731 --> 00:32:33,995 Do you, um--do you remember the patient you referred to me? 634 00:32:34,039 --> 00:32:36,824 - Yeah, Louise Galena. - Galena, yeah. 635 00:32:36,867 --> 00:32:39,087 - So despite substantial 636 00:32:39,131 --> 00:32:40,741 physical and emotional suffering, 637 00:32:40,784 --> 00:32:42,569 insurance, in their infinite wisdom, 638 00:32:42,612 --> 00:32:45,485 has decided not to cover her skin removal surgery. 639 00:32:45,528 --> 00:32:47,748 They're calling it cosmetic. 640 00:32:47,791 --> 00:32:49,793 Cosmetic-- it's just, like-- 641 00:32:51,099 --> 00:32:52,840 If you had a breast cancer patient 642 00:32:52,883 --> 00:32:54,929 who needed a mastectomy, insurance would cover that 643 00:32:54,973 --> 00:32:56,670 plus the reconstructive surgery after it, yes? 644 00:32:56,713 --> 00:32:58,498 - Mm-hmm. - Yeah! 645 00:32:58,541 --> 00:33:00,717 Because with cancer, insurance pays to finish the job. 646 00:33:00,761 --> 00:33:03,111 But Louise has been just abandoned 647 00:33:03,155 --> 00:33:04,765 halfway through a treatment 648 00:33:04,808 --> 00:33:06,593 because even though obesity is a disease, 649 00:33:06,636 --> 00:33:08,029 it still isn't treated like one. 650 00:33:10,205 --> 00:33:11,728 - Then let's give her cancer. 651 00:33:11,772 --> 00:33:13,600 - What? 652 00:33:39,147 --> 00:33:40,453 Hello? 653 00:33:42,020 --> 00:33:43,630 Up there? 654 00:33:45,501 --> 00:33:49,157 I'm not really into this whole praying thing, but, uh... 655 00:33:51,116 --> 00:33:53,944 My parents did a lot of it when my sister was sick, and... 656 00:33:56,208 --> 00:33:59,167 Didn't do a lot of good, 657 00:33:59,211 --> 00:34:02,518 but... 658 00:34:02,562 --> 00:34:07,175 I could really use a miracle down here. 659 00:34:07,219 --> 00:34:09,264 And I know that's not how it works. 660 00:34:09,308 --> 00:34:11,005 Believe me. 661 00:34:12,224 --> 00:34:15,401 But of all the... 662 00:34:15,444 --> 00:34:17,185 chaos in the world, 663 00:34:17,229 --> 00:34:20,406 all the unfathomable, unspeakable things 664 00:34:20,449 --> 00:34:22,190 that happen to people... 665 00:34:25,150 --> 00:34:27,935 Can't one of them be good? 666 00:34:28,762 --> 00:34:32,026 I don't have anything to, um, 667 00:34:32,070 --> 00:34:36,944 bargain with, or offer except maybe this... 668 00:34:38,250 --> 00:34:41,209 Empty part of me that... 669 00:34:41,253 --> 00:34:44,430 I'm willing to fill up with something. 670 00:34:46,562 --> 00:34:48,129 New. 671 00:34:50,653 --> 00:34:53,265 Yeah, anyways. 672 00:34:54,570 --> 00:34:57,138 Jackson could really use your help. 673 00:34:57,182 --> 00:35:01,099 We're in OR 7 if you need specifics. 674 00:35:07,714 --> 00:35:10,325 There you go. Hang in there. 675 00:35:14,112 --> 00:35:15,548 - What are we missing? 676 00:35:15,591 --> 00:35:17,506 - Who has Ikaika's chart? 677 00:35:17,550 --> 00:35:19,987 - Something useful to add? - No. 678 00:35:20,030 --> 00:35:22,120 But he had some dizziness when I took him to the bathroom. 679 00:35:22,163 --> 00:35:23,599 - Whew, how about his pee, right? 680 00:35:23,643 --> 00:35:25,384 - What? - It stank. 681 00:35:25,427 --> 00:35:27,342 How'd you not notice that? - Glass houses, my friend. 682 00:35:27,386 --> 00:35:29,257 - Psh, no, my pee smells great. 683 00:35:29,301 --> 00:35:31,651 - No, I mean you didn't notice how swollen his neck was? 684 00:35:31,694 --> 00:35:34,480 I read your notes. You skipped right by it. 685 00:35:34,523 --> 00:35:36,482 - How would you even fit that in the notes? 686 00:35:36,525 --> 00:35:39,137 - It isn't a computer. You can write on the side. 687 00:35:39,180 --> 00:35:41,356 - He's an elephant. 688 00:35:41,400 --> 00:35:45,360 Let's get Ikaika on dialysis. It's nephrotic syndrome. 689 00:35:45,404 --> 00:35:47,710 - I think I speak for a few of us here when I ask, 690 00:35:47,754 --> 00:35:49,495 how is he an elephant? 691 00:35:49,538 --> 00:35:51,627 - Well, a bunch of blind people touching an elephant 692 00:35:51,671 --> 00:35:54,021 when asked, will all say it's something different. 693 00:35:54,064 --> 00:35:55,588 The person at the trunk will say it's a snake, 694 00:35:55,631 --> 00:35:57,677 the person at the leg will say it's a tree. 695 00:35:57,720 --> 00:35:59,722 Only by combining all of these observations 696 00:35:59,766 --> 00:36:01,289 do we see it's an elephant. 697 00:36:01,333 --> 00:36:03,291 Numb feet, swollen neck, foul-smelling urine. 698 00:36:03,335 --> 00:36:04,771 It's nephrotic syndrome. - Huh. 699 00:36:06,512 --> 00:36:08,688 - You had better get the L Train done on time, okay? 700 00:36:10,211 --> 00:36:11,734 - Okay, Dr. Bloom. 701 00:36:11,778 --> 00:36:13,388 That's it. Just gotta reboot the system 702 00:36:13,432 --> 00:36:14,694 and this whole place will be back online. 703 00:36:20,482 --> 00:36:23,746 - You know what? Take your time. 704 00:36:25,531 --> 00:36:28,447 - Oh, yeah, that definitely looks like 705 00:36:28,490 --> 00:36:32,277 a dysplastic nevi to me. And there's one. 706 00:36:32,320 --> 00:36:34,714 Yup, yup, that one's gonna work. 707 00:36:34,757 --> 00:36:36,411 - Ooh, that dot looks super cancery. 708 00:36:36,455 --> 00:36:38,283 - Maybe leave this bit to the oncologist. 709 00:36:38,326 --> 00:36:39,414 - Right. 710 00:36:39,458 --> 00:36:41,329 - Is this really gonna work? 711 00:36:41,373 --> 00:36:44,071 - Louise, patients with more than 100 moles 712 00:36:44,114 --> 00:36:46,682 are at far greater risk of developing severe melanoma. 713 00:36:46,726 --> 00:36:49,381 At this point, let's just say I've lost count. 714 00:36:49,424 --> 00:36:52,210 So I'm going to suggest we skip the biopsy entirely 715 00:36:52,253 --> 00:36:53,646 and have all of the skin removed. 716 00:36:53,689 --> 00:36:55,517 Just to be safe. 717 00:36:55,561 --> 00:36:57,780 - And there's definitely an insurance code for that. 718 00:36:59,347 --> 00:37:01,349 - Does that mean...? 719 00:37:01,393 --> 00:37:03,221 - Your procedure will be covered fully? 720 00:37:03,264 --> 00:37:04,352 Yeah. 721 00:37:05,745 --> 00:37:09,139 - I don't know what to say! 722 00:37:09,183 --> 00:37:10,793 Thank you! 723 00:37:10,837 --> 00:37:12,752 Ooh, thank you so much! 724 00:37:19,846 --> 00:37:21,239 - Annie? 725 00:37:23,719 --> 00:37:26,418 Tell her. It's okay. 726 00:37:28,420 --> 00:37:31,292 - We want you to be a part of our life. 727 00:37:32,293 --> 00:37:33,599 Your life. 728 00:37:34,643 --> 00:37:37,255 - We just want our mom back. 729 00:38:29,829 --> 00:38:34,312 - There are times when even we find ourselves surprised. 730 00:38:34,355 --> 00:38:36,226 - How did this happen? 731 00:38:36,270 --> 00:38:37,793 - Could be the experimental agent we used 732 00:38:37,837 --> 00:38:39,491 to reduce the inflammation. 733 00:38:39,534 --> 00:38:43,886 It could be his own body fighting back the damage. 734 00:38:43,930 --> 00:38:46,367 The CDC is still searching for treatments, 735 00:38:46,411 --> 00:38:48,935 and there are kids Jackson's age who haven't been so lucky. 736 00:38:50,240 --> 00:38:52,939 We may never know what helped your son turn the corner today, 737 00:38:52,982 --> 00:38:56,464 but sometimes you just take the win. 738 00:38:56,508 --> 00:38:58,423 Right, Max? 739 00:38:59,685 --> 00:39:01,556 - Amen to that. 740 00:39:05,255 --> 00:39:07,649 Uh, hey. - Hey. 741 00:39:07,693 --> 00:39:09,564 - Uh, sorry about earlier. - It's fine. 742 00:39:09,608 --> 00:39:11,436 - No, it's not, so I made up for it. 743 00:39:11,479 --> 00:39:13,351 - Well, I seem to have missed the making up for it part. 744 00:39:13,394 --> 00:39:15,483 - Yeah, well, I got a call from our Insurance Liaison 745 00:39:15,527 --> 00:39:17,659 about a patient who had 107 perfectly spaced, 746 00:39:17,703 --> 00:39:19,879 atypical moles spanning both arms, 747 00:39:19,922 --> 00:39:21,707 requiring reconstructive surgery. 748 00:39:21,750 --> 00:39:23,883 She thought that sounded a little suspect. 749 00:39:24,884 --> 00:39:26,451 - Did you approve it? 750 00:39:27,495 --> 00:39:28,801 - Sure did. 751 00:39:28,844 --> 00:39:31,630 Told her today was full of miracles. 752 00:39:35,938 --> 00:39:37,940 - I hear you're taking the morning off. 753 00:39:37,984 --> 00:39:41,248 - No, I canceled my thing. - What thing? 754 00:39:41,291 --> 00:39:43,729 - I accidentally accepted a date with a woman, 755 00:39:43,772 --> 00:39:45,034 and I am-- 756 00:39:45,078 --> 00:39:46,514 not ready for that. 757 00:39:46,558 --> 00:39:47,907 - Someone asked you on a date? 758 00:39:47,950 --> 00:39:49,430 - Yeah, well, she called it a playdate. 759 00:39:49,474 --> 00:39:50,692 It was for the baby. She's a mom. 760 00:39:50,736 --> 00:39:51,954 - Oh. 761 00:39:51,998 --> 00:39:53,695 Where was this supposed to take place? 762 00:39:53,739 --> 00:39:54,827 - Park. 763 00:39:54,870 --> 00:39:56,437 - What time? - 8:00 a.m. 764 00:39:56,481 --> 00:39:58,352 - Well, that doesn't really sound like a date. 765 00:39:58,396 --> 00:40:00,876 - To be fair, she didn't explicitly say it's not a date. 766 00:40:00,920 --> 00:40:02,661 - Then why did you think it was a date? 767 00:40:02,704 --> 00:40:06,491 - Because I have no idea what I'm doing. 768 00:40:09,755 --> 00:40:13,628 Max, doesn't Luna deserve to have a new friend? 769 00:40:16,022 --> 00:40:17,632 And don't you? 770 00:40:30,384 --> 00:40:31,951 - ♪ Dreamcatcher in the rearview mirror ♪ 771 00:40:31,994 --> 00:40:34,649 - Hi. 772 00:40:37,957 --> 00:40:39,828 - ♪ Hasn't caught a thing ♪ 773 00:40:39,872 --> 00:40:43,397 - Oh, look who's here. It's Luna. 774 00:40:43,441 --> 00:40:45,573 - Hi. Hi, Bobbi. 775 00:40:45,617 --> 00:40:47,445 - Hey. - Hi... 776 00:40:47,488 --> 00:40:49,882 - ♪ $20 in souvenirs 777 00:40:52,972 --> 00:40:57,585 ♪ Anything's worth trying 778 00:41:00,849 --> 00:41:06,768 ♪ To stay out of your nightmares ♪ 779 00:41:08,553 --> 00:41:13,079 ♪ Few hours in your dream last night ♪ 780 00:41:16,517 --> 00:41:20,826 ♪ Always end up dying 781 00:41:23,437 --> 00:41:28,790 ♪ You said because of course I did ♪ 782 00:41:31,967 --> 00:41:36,145 ♪ Oooh 783 00:41:40,019 --> 00:41:43,979 ♪ Ooooh