1 00:00:05,309 --> 00:00:07,311 - A-chugga-chugga-chugga- chugga-chugga-chugga- 2 00:00:07,355 --> 00:00:08,443 chugga-chugga-chugga-chugga. 3 00:00:08,486 --> 00:00:10,575 Choo-choo! 4 00:00:10,619 --> 00:00:12,664 Carrots are awesome. Daddy love carrots. 5 00:00:12,708 --> 00:00:14,623 All right, forget carrots. Carrots are lame. 6 00:00:14,666 --> 00:00:17,495 The pear patrol. ♪ Do, do, do, do, do 7 00:00:17,539 --> 00:00:19,541 ♪ Do, do, do 8 00:00:19,584 --> 00:00:21,543 You don't like the pear patrol? 9 00:00:21,586 --> 00:00:24,154 The banana boat, going for a ride across the waves, 10 00:00:24,198 --> 00:00:27,505 coming in flying... it's yummy, it's yummy. 11 00:00:27,549 --> 00:00:29,681 Please, please, please, eat the banana boat. 12 00:00:29,725 --> 00:00:30,769 It's not happening. It's not happening. 13 00:00:30,813 --> 00:00:33,598 We got the beets. 14 00:00:33,642 --> 00:00:35,383 Yeah, we're gonna drop the beets. 15 00:00:35,426 --> 00:00:37,428 We're gonna drop the beets right-- 16 00:00:37,472 --> 00:00:39,387 right in there. No? 17 00:00:39,430 --> 00:00:40,736 Oh, oh, okay. You wanna take it? 18 00:00:40,779 --> 00:00:42,607 Look at you. You gonna feed yourself? 19 00:01:02,410 --> 00:01:03,715 Oh-- 20 00:01:07,937 --> 00:01:10,200 - Morning. - Morning. 21 00:01:13,856 --> 00:01:16,250 So you know Evie's taken a job in San Francisco. 22 00:01:16,293 --> 00:01:18,730 - I do. - Yeah, and, um, 23 00:01:18,774 --> 00:01:21,864 seeing as we're, uh, gonna get married soon-- 24 00:01:21,907 --> 00:01:24,084 - Mm-hmm. You're leaving. 25 00:01:25,172 --> 00:01:26,390 - Yeah. - Yeah. 26 00:01:26,434 --> 00:01:30,220 Um, I really didn't have a choice here, Max. 27 00:01:30,264 --> 00:01:31,787 I'll help you fill the position, of course. 28 00:01:31,830 --> 00:01:33,876 You know, sort through resumes. 29 00:01:33,919 --> 00:01:36,096 - Not necessary. Congrats. 30 00:01:38,707 --> 00:01:40,491 - Tonight's the big night isn't it--dinner with mom? 31 00:01:40,535 --> 00:01:42,276 - Oh, God, thank you for the reminder. 32 00:01:42,319 --> 00:01:43,625 - You know why she reached out to you? 33 00:01:43,668 --> 00:01:45,235 - Well, because she is sober this week 34 00:01:45,279 --> 00:01:47,281 and wants to make amends for the thousandth time. 35 00:01:47,324 --> 00:01:49,326 I'm only going because I like the restaurant. 36 00:01:50,501 --> 00:01:52,590 Holland. 37 00:01:52,634 --> 00:01:54,810 - I know, I know. 38 00:01:54,853 --> 00:01:56,333 - I was really hoping 39 00:01:56,377 --> 00:01:58,466 I wouldn't see you back here again. 40 00:01:58,509 --> 00:02:00,250 - Yeah. 41 00:02:00,294 --> 00:02:03,427 Now I have to send you home. 42 00:02:05,212 --> 00:02:08,171 I just misjudged the dose. I'm not gonna OD again. 43 00:02:08,215 --> 00:02:10,434 - Can someone help us? - On it. 44 00:02:10,478 --> 00:02:12,436 - I'm already taking less than I was before, 45 00:02:12,480 --> 00:02:15,657 and I have a whole new plan. - Okay, we talked about this. 46 00:02:15,700 --> 00:02:19,748 Addiction is not something that you can tackle alone. 47 00:02:19,791 --> 00:02:22,446 You need support. 48 00:02:22,490 --> 00:02:24,579 Trust me. 49 00:02:25,884 --> 00:02:27,930 I know the dance all too well. 50 00:02:31,760 --> 00:02:33,631 Please. 51 00:02:37,505 --> 00:02:39,159 - Lauren? 52 00:02:43,946 --> 00:02:47,341 - Valentina? Do you have a minute to chat? 53 00:02:47,384 --> 00:02:49,343 - Sure, I'm just late for a meeting. 54 00:02:49,386 --> 00:02:51,649 - I saw Fatima Abassi yesterday. 55 00:02:51,693 --> 00:02:54,217 Her eyes were glazed. She mumbling to herself. 56 00:02:54,261 --> 00:02:56,524 I'm just curious if any other patients in your trial 57 00:02:56,567 --> 00:02:58,830 had these symptoms. - What are you suggesting? 58 00:02:58,874 --> 00:03:01,659 - Nothing. I'm just concerned. 59 00:03:01,703 --> 00:03:03,879 When she was receiving traditional chemotherapy-- 60 00:03:03,922 --> 00:03:05,315 - She's no longer your patient. 61 00:03:05,359 --> 00:03:07,665 - Understood. But I care about her-- 62 00:03:07,709 --> 00:03:10,581 - Under the guise of concern you're implying that 63 00:03:10,625 --> 00:03:12,496 I'm withholding my drug's side effects to protect my trial. 64 00:03:12,540 --> 00:03:14,281 Right? 65 00:03:14,324 --> 00:03:16,631 Stay in your lane. I have a department to run. 66 00:03:22,376 --> 00:03:24,769 - Altered mental state. Diaphoresis. 67 00:03:24,813 --> 00:03:26,858 I must say your husband's symptoms 68 00:03:26,902 --> 00:03:27,990 are rather confounding, 69 00:03:28,033 --> 00:03:29,731 but they are not from stroke or dementia. 70 00:03:29,774 --> 00:03:30,993 - Our tests have ruled out 71 00:03:31,036 --> 00:03:33,256 liver failure, diabetes, and drug ingestion. 72 00:03:33,300 --> 00:03:36,346 - He's never taken a drug in his life. 73 00:03:36,390 --> 00:03:39,523 - What about alcohol? - Joe doesn't drink. 74 00:03:39,567 --> 00:03:40,829 - Are you certain? 75 00:03:40,872 --> 00:03:43,658 Sweating, delirium-- could be alcohol withdrawal. 76 00:03:43,701 --> 00:03:45,616 - Yes. I'm certain. 77 00:03:45,660 --> 00:03:47,923 I've lived with the man over 40 years. 78 00:03:49,316 --> 00:03:50,752 - Okay, based on Joe's symptoms, 79 00:03:50,795 --> 00:03:53,363 I'd like to start him on high-dose benzos. 80 00:03:53,407 --> 00:03:56,845 And when he recovers, perhaps we will all know him better. 81 00:03:59,935 --> 00:04:01,502 - A sip? - No thanks. 82 00:04:01,545 --> 00:04:03,895 I just added something like that to my mulch pile. 83 00:04:03,939 --> 00:04:06,333 - Okay, well, you have no idea what you're missing. 84 00:04:06,376 --> 00:04:08,291 - That's supposed to cure your sugar cravings? 85 00:04:08,335 --> 00:04:09,901 - Yup, no more junk food for me, Gladys. 86 00:04:09,945 --> 00:04:11,686 My body deserves better. I deserve better. 87 00:04:11,729 --> 00:04:13,078 - Dr. Frome. - Who's gonna tell that 88 00:04:13,122 --> 00:04:14,471 to the pastry landfill in your desk? 89 00:04:14,515 --> 00:04:16,865 - You know, I'm sending in a hazmat crew today 90 00:04:16,908 --> 00:04:18,040 if you must know. - Mmm. 91 00:04:18,083 --> 00:04:19,781 Well, the cleanup will have to wait. 92 00:04:19,824 --> 00:04:21,086 There's a cute couple eager to see you. 93 00:04:21,130 --> 00:04:22,566 Dr. Steiner's referral. 94 00:04:22,610 --> 00:04:24,873 - Yes, the refreshing break that is couples counseling. 95 00:04:24,916 --> 00:04:26,091 See? 96 00:04:26,135 --> 00:04:28,442 Healthy choices are being rewarded Gladys. 97 00:04:28,485 --> 00:04:30,574 Take heed. 98 00:04:31,706 --> 00:04:33,447 Chris and Jenny, right? 99 00:04:33,490 --> 00:04:35,318 - Uh, yeah. 100 00:04:35,362 --> 00:04:36,972 Thanks for fitting us in. 101 00:04:37,015 --> 00:04:39,366 Dr. Steiner told us you were one of his favorite students. 102 00:04:40,018 --> 00:04:41,933 - One of? 103 00:04:41,977 --> 00:04:44,414 Well, if that isn't a blow. Jeez. 104 00:04:44,458 --> 00:04:47,678 And you two are both from Long Island, as well, right? 105 00:04:47,722 --> 00:04:50,333 - Yeah, we both grew up there. - Okeydoke. 106 00:04:50,377 --> 00:04:52,335 So what are we doing here today? 107 00:04:53,684 --> 00:04:56,339 - Uh, Jenny and I have been together for nine years, 108 00:04:56,383 --> 00:04:58,428 and we'd been planning on getting married 109 00:04:58,472 --> 00:05:00,082 at the end of the month, 110 00:05:00,125 --> 00:05:02,432 but we've been having some problems. 111 00:05:02,476 --> 00:05:06,001 - It happens. - We're fighting, all the time. 112 00:05:07,132 --> 00:05:08,612 We haven't had sex in over a month. 113 00:05:08,656 --> 00:05:10,092 We're not even living together right now. 114 00:05:10,135 --> 00:05:12,616 Jenny moved in with a friend. - I'm sorry--is this-- 115 00:05:12,660 --> 00:05:14,966 is this seriously what you're opening with? 116 00:05:15,010 --> 00:05:16,359 - Well, Jenny, 117 00:05:16,403 --> 00:05:18,709 what do you think he should be opening with? 118 00:05:20,494 --> 00:05:22,757 - We, um, we got a-- 119 00:05:22,800 --> 00:05:24,672 an early wedding present from my uncle. 120 00:05:24,715 --> 00:05:27,152 It was a--a DNA kit. 121 00:05:27,196 --> 00:05:30,765 One of those things that tells you how French you are, 122 00:05:30,808 --> 00:05:32,984 if you're related to George Washington--you know. 123 00:05:33,028 --> 00:05:35,465 Um... - Did you guys send it in? 124 00:05:37,946 --> 00:05:39,861 - We did. 125 00:05:40,731 --> 00:05:42,472 - And? 126 00:05:42,516 --> 00:05:43,995 - Well, we're not French. 127 00:05:45,519 --> 00:05:47,521 - We're brother and sister. 128 00:05:50,524 --> 00:05:52,874 - How can I help? - Are you aware that your ED 129 00:05:52,917 --> 00:05:55,572 just discharged another patient who overdosed on opiates? 130 00:05:55,616 --> 00:05:56,704 - No, but I'm not surprised. 131 00:05:56,747 --> 00:05:58,923 We're up to about ten a day now. 132 00:05:58,967 --> 00:06:00,838 - Do you know how much the opioid epidemic 133 00:06:00,882 --> 00:06:03,493 cost this country last year? - $500 billion. 134 00:06:03,537 --> 00:06:05,539 - 700 billion. 135 00:06:05,582 --> 00:06:08,150 We've seen a massive increase in patient overdoses, 136 00:06:08,193 --> 00:06:10,195 most of whom are simply treated and released, 137 00:06:10,239 --> 00:06:12,154 only to return days later if they're lucky. 138 00:06:12,197 --> 00:06:13,851 - And most of these folks are uninsured, 139 00:06:13,895 --> 00:06:15,853 so we're operating at a loss. Is that your issue? 140 00:06:15,897 --> 00:06:17,420 - It certainly is one of them. 141 00:06:17,464 --> 00:06:19,509 - Well, Karen, I assure you that we spend a lot of time 142 00:06:19,553 --> 00:06:21,685 talking to our patients about the dangers of opioids, 143 00:06:21,729 --> 00:06:24,079 but when you have massive pharmaceutical companies 144 00:06:24,122 --> 00:06:25,689 delivering a very different message-- 145 00:06:25,733 --> 00:06:26,995 - I know what they're delivering. 146 00:06:27,038 --> 00:06:28,518 - Then what have I done wrong? - Nothing. 147 00:06:28,562 --> 00:06:29,824 Which is precisely the problem. 148 00:06:29,867 --> 00:06:31,521 - I thought you wanted me to do nothing. 149 00:06:31,565 --> 00:06:32,783 - Not today. 150 00:06:32,827 --> 00:06:35,525 Today I want you to turn this epidemic around. 151 00:06:35,569 --> 00:06:36,918 All the crazy ideas, 152 00:06:36,961 --> 00:06:39,703 all the impulsive, rash tantrums you want to throw-- 153 00:06:39,747 --> 00:06:41,705 throw them, break the law, I don't care. 154 00:06:41,749 --> 00:06:44,752 You'll have my full, unwavering support. 155 00:06:44,795 --> 00:06:48,233 - Is this, um-- Are there--are there cameras? 156 00:06:48,277 --> 00:06:49,844 - Max. 157 00:06:49,887 --> 00:06:52,020 I want to see how much damage you can do. 158 00:06:54,762 --> 00:06:56,677 - Challenge accepted. 159 00:07:00,332 --> 00:07:04,032 - This is one dose, one pill, of the opiate oxycodone. 160 00:07:04,075 --> 00:07:06,164 The pharmacy asked me for a prescription, 161 00:07:06,208 --> 00:07:08,340 and seeing as how I was only looking for a visual aid, 162 00:07:08,384 --> 00:07:10,212 I didn't have one. 163 00:07:10,255 --> 00:07:13,215 So I had to drag our chairwoman here to the dispensary 164 00:07:13,258 --> 00:07:15,435 where we each had to sign wavers 165 00:07:15,478 --> 00:07:18,220 affirming our educational intent. 166 00:07:18,263 --> 00:07:21,441 But if I sold you this pill, or even just gave it to you, 167 00:07:21,484 --> 00:07:23,312 it's a loss of medical license for me 168 00:07:23,355 --> 00:07:26,184 and actual jail time for her. 169 00:07:27,403 --> 00:07:28,970 1%. 170 00:07:29,013 --> 00:07:31,059 That's how many doctors at New Amsterdam are in this room. 171 00:07:31,102 --> 00:07:35,019 Yet, you prescribe 79% of the opioids here. 172 00:07:35,063 --> 00:07:37,369 And given that we are hooking patients by the thousands 173 00:07:37,413 --> 00:07:40,416 on drugs that are a molecule away from black tar heroin, 174 00:07:40,460 --> 00:07:43,071 can anyone tell me why you all shouldn't be arrested? 175 00:07:46,248 --> 00:07:48,468 - You know they have a legitimate use. 176 00:07:48,511 --> 00:07:50,078 - Not at the levels you're prescribing them. 177 00:07:50,121 --> 00:07:51,471 - None of us prescribe them lightly. 178 00:07:51,514 --> 00:07:53,255 Standards of care suggest they're the best choice 179 00:07:53,298 --> 00:07:54,952 for our patients. - Not true. 180 00:07:54,996 --> 00:07:57,259 The SOC says they're the most efficient choice, 181 00:07:57,302 --> 00:07:58,521 and if you're looking to drop a few pounds 182 00:07:58,565 --> 00:08:00,741 amputation is pretty efficient too. 183 00:08:00,784 --> 00:08:02,351 - Our patients want them, Max. 184 00:08:02,394 --> 00:08:04,092 They ask for them by brand name. 185 00:08:04,135 --> 00:08:05,572 - They also do that with cigarettes. 186 00:08:05,615 --> 00:08:08,444 - And our funding is tied to patient satisfaction scores. 187 00:08:08,488 --> 00:08:11,012 - Well, it's kind of hard to be satisfied if you're dead. 188 00:08:11,055 --> 00:08:12,753 - Max. - Nope, this changes now. 189 00:08:12,796 --> 00:08:14,319 All right? Since you all prescribe 190 00:08:14,363 --> 00:08:16,365 79% of our opioids, 191 00:08:16,408 --> 00:08:20,717 I'm giving you one year to prescribe 79% less, 192 00:08:20,761 --> 00:08:24,634 and anyone who does not meet that mark will be fired. 193 00:08:30,727 --> 00:08:32,555 Thank you for coming. 194 00:08:38,126 --> 00:08:40,476 You may get some calls. 195 00:08:40,520 --> 00:08:42,391 - This is war, Max. 196 00:08:42,434 --> 00:08:45,220 And your solution is to berate our staff? 197 00:08:45,263 --> 00:08:48,310 - Yeah--and threaten. - Hell, I could've done that. 198 00:08:48,353 --> 00:08:51,487 I want a macro solution. I want the full Max. 199 00:08:51,531 --> 00:08:54,751 But that down there-- very disappointing. 200 00:08:57,188 --> 00:08:59,451 - What's wrong? - No pulse. 201 00:08:59,495 --> 00:09:01,497 - V-fib. All clear. 202 00:09:03,499 --> 00:09:05,370 - Still not there. - Going again. 203 00:09:05,414 --> 00:09:07,198 All clear. 204 00:09:09,679 --> 00:09:11,594 - He's back. - Thank God. 205 00:09:13,640 --> 00:09:17,339 - Vijay. - ST segment elevations. 206 00:09:17,382 --> 00:09:19,297 - Active ischemia. I'll page Reynolds. 207 00:09:23,737 --> 00:09:26,566 - I'm afraid I owe you an apology. 208 00:09:26,609 --> 00:09:29,786 Your husband is not going through alcohol withdrawal. 209 00:09:29,830 --> 00:09:33,050 He had a heart attack. - Before he got here? 210 00:09:33,094 --> 00:09:34,312 - No, just now. 211 00:09:34,356 --> 00:09:36,227 Which speaks to an underlying condition. 212 00:09:36,271 --> 00:09:38,186 - Meaning? 213 00:09:38,229 --> 00:09:40,144 - We have a far greater problem. 214 00:09:42,843 --> 00:09:45,802 - Approaching the right coronary artery. 215 00:09:45,846 --> 00:09:48,370 You see that narrowing? - Proximal section? 216 00:09:48,413 --> 00:09:51,068 - Yes, that blockage is causing his ischemia. 217 00:09:51,112 --> 00:09:52,504 So I'm just gonna put a stent in there, 218 00:09:52,548 --> 00:09:55,464 open up the artery, and he should be good to go. 219 00:09:55,507 --> 00:09:56,900 - What's that? 220 00:09:56,944 --> 00:09:59,686 In the left anterior. It also looks like a narrowing. 221 00:09:59,729 --> 00:10:03,080 - That's weird. That wasn't there a second ago. 222 00:10:03,124 --> 00:10:06,736 Okay, Lana, placing a second stent. 223 00:10:06,780 --> 00:10:10,784 - Floyd, another area's constricting in the circumflex. 224 00:10:10,827 --> 00:10:12,524 - The hell is going on? 225 00:10:12,568 --> 00:10:15,527 Every time I open up an artery, another one closes. 226 00:10:15,571 --> 00:10:18,530 - And if you stop? 227 00:10:18,574 --> 00:10:20,794 - He'll die. 228 00:10:22,752 --> 00:10:25,494 - So, you're situation, to put it mildly, 229 00:10:25,537 --> 00:10:28,105 is a little more complicated than most. 230 00:10:28,149 --> 00:10:30,630 You are half-siblings. 231 00:10:33,720 --> 00:10:35,286 All right, what about, um, 232 00:10:35,330 --> 00:10:36,592 let's start with a little context. 233 00:10:36,636 --> 00:10:38,768 How did you two meet? 234 00:10:38,812 --> 00:10:42,337 - It was the second day of freshmen year at NYU. 235 00:10:42,380 --> 00:10:44,600 I was in a philosophy class. 236 00:10:44,644 --> 00:10:45,906 Which I almost immediately realized 237 00:10:45,949 --> 00:10:47,690 was the worst decision I'd ever made... 238 00:10:49,823 --> 00:10:51,651 Until Jenny walked in. 239 00:10:53,261 --> 00:10:56,394 She was 20 minutes late, and when the professor apologized 240 00:10:56,438 --> 00:11:00,398 for having such an early class, she just said, "No problem." 241 00:11:04,664 --> 00:11:06,448 Then she sat down next to me. 242 00:11:06,491 --> 00:11:08,711 - How long before you two went out? 243 00:11:08,755 --> 00:11:12,149 - We got coffee after class. 244 00:11:12,193 --> 00:11:15,849 But immediately I knew we were meant to be together. 245 00:11:15,892 --> 00:11:18,460 Even before we both learned we were from Port Jeff. 246 00:11:18,503 --> 00:11:20,592 - Port Jefferson, that's a population of-- 247 00:11:20,636 --> 00:11:23,247 - 8,000. Pretty small. 248 00:11:23,291 --> 00:11:24,379 - Especially if both your mothers 249 00:11:24,422 --> 00:11:25,815 used anonymous sperm donors. 250 00:11:25,859 --> 00:11:27,512 - Right. 251 00:11:29,558 --> 00:11:31,603 Have you told your parents? - No. 252 00:11:31,647 --> 00:11:34,258 No, we haven't told anyone. We're not going to tell anyone. 253 00:11:34,302 --> 00:11:37,218 - Well, they are expecting us to get married in 16 days. 254 00:11:37,261 --> 00:11:39,220 - Right. 255 00:11:39,263 --> 00:11:40,787 Well, let me ask you this. 256 00:11:40,830 --> 00:11:44,399 What are you both hoping to get out of this session? 257 00:11:44,442 --> 00:11:46,270 - You know, processing this. 258 00:11:46,314 --> 00:11:48,490 Finding our way back to each other. 259 00:11:48,533 --> 00:11:52,407 - God, Chris, there's no finding our way back. 260 00:11:52,450 --> 00:11:54,757 We are--we're related. 261 00:11:57,542 --> 00:12:01,329 - Well, Chris, why do you think this can be fixed? 262 00:12:02,983 --> 00:12:05,637 Because the day I met Jenny was the best day of my life... 263 00:12:07,727 --> 00:12:09,859 And every day since has been better. 264 00:12:11,774 --> 00:12:13,602 Look, I know that this is insane, okay? 265 00:12:13,645 --> 00:12:15,169 Believe me. 266 00:12:15,212 --> 00:12:16,736 And I can understand why you can't see a way through it, 267 00:12:16,779 --> 00:12:20,565 but I can't imagine not going back to how we were. 268 00:12:20,609 --> 00:12:22,611 Not coming home to you-- 269 00:12:26,702 --> 00:12:28,965 If you think it's impossible, 270 00:12:29,009 --> 00:12:30,575 and you can look me in the eye and tell me right now 271 00:12:30,619 --> 00:12:31,794 that you don't love me anymore, 272 00:12:31,838 --> 00:12:33,753 then I will call off the wedding. 273 00:12:40,934 --> 00:12:42,936 - You know I love you... 274 00:12:45,808 --> 00:12:47,679 But love just isn't enough. 275 00:12:49,725 --> 00:12:51,727 It isn't enough, is it? 276 00:12:55,035 --> 00:12:58,429 - Hi, so, uh, I'm here to end the opioid epidemic. 277 00:12:58,473 --> 00:13:00,736 - Okay. 278 00:13:00,780 --> 00:13:02,651 - So half the ODs occur 279 00:13:02,694 --> 00:13:04,871 within three months of a visit to the emergency room, 280 00:13:04,914 --> 00:13:06,568 but if we prescribe suboxone-- 281 00:13:06,611 --> 00:13:08,788 - We could manage the symptoms of opioid withdrawal 282 00:13:08,831 --> 00:13:10,833 without the risk of fatality. - Exactly. 283 00:13:10,877 --> 00:13:13,009 - We'll need a Treatment Act Waiver by the DEA, 284 00:13:13,053 --> 00:13:15,316 and even then, each licensed doctor's only allowed 285 00:13:15,359 --> 00:13:17,622 to treat 30 patients at a time. - So who's all licensed? 286 00:13:17,666 --> 00:13:19,015 - You're looking at her. - Really? 287 00:13:19,059 --> 00:13:21,757 Well, that has to change. Today. 288 00:13:21,801 --> 00:13:23,106 - To get everyone licensed, 289 00:13:23,150 --> 00:13:24,455 they'll need to go on an all-day training course. 290 00:13:24,499 --> 00:13:26,414 - Sure, okay, grab all the doctors, attendings, 291 00:13:26,457 --> 00:13:27,937 and residents and have them take that test, 292 00:13:27,981 --> 00:13:29,852 and nobody comes back until they pass. 293 00:13:29,896 --> 00:13:31,593 - That would mean shutting down ED. 294 00:13:31,636 --> 00:13:33,421 - Yeah, so shut it down. 295 00:13:33,464 --> 00:13:34,944 - No, Max. - Yes. 296 00:13:34,988 --> 00:13:36,903 - You want me to call the department of public health, 297 00:13:36,946 --> 00:13:38,600 re-route all ambulances, 298 00:13:38,643 --> 00:13:39,862 suspend our Level I Trauma status, 299 00:13:39,906 --> 00:13:41,864 and potentially move a multitude of patients 300 00:13:41,908 --> 00:13:43,387 who are already being treated? 301 00:13:43,431 --> 00:13:44,867 - That's a great plan. - Max! 302 00:13:44,911 --> 00:13:46,913 That's unheard of. It would make the news! 303 00:13:46,956 --> 00:13:49,872 And Brantley-- - Will love it! Go! 304 00:13:54,877 --> 00:13:56,879 - A secret rendezvous on the pier? 305 00:13:56,923 --> 00:13:59,316 Are we catching up or practicing our spy craft? 306 00:13:59,360 --> 00:14:00,709 - Audra. 307 00:14:00,752 --> 00:14:03,886 I'm sorry for all the cloak and dagger, 308 00:14:03,930 --> 00:14:07,542 but I have a dilemma, and I'm afraid it is a secret. 309 00:14:07,585 --> 00:14:09,674 - What's up? - Um... 310 00:14:11,981 --> 00:14:14,897 - It involves the NIH trial that Castro's running 311 00:14:14,941 --> 00:14:16,246 out of New Amsterdam. 312 00:14:16,290 --> 00:14:18,858 - What's your dilemma? - I'm not entirely sure. 313 00:14:18,901 --> 00:14:20,816 Not yet. 314 00:14:20,860 --> 00:14:23,558 - Are you concerned there's been a protocol deviation? 315 00:14:23,601 --> 00:14:24,951 Because that could jeopardize 316 00:14:24,994 --> 00:14:27,344 all NIH funding at your hospital. 317 00:14:27,388 --> 00:14:29,738 We're talking hundreds of millions of dollars. 318 00:14:29,781 --> 00:14:32,828 - Which is why I needed to speak with you off the record 319 00:14:32,872 --> 00:14:34,656 without your NIH hat on. 320 00:14:34,699 --> 00:14:37,093 I don't have a lot of details. 321 00:14:37,137 --> 00:14:40,836 I'm simply trying to help one of my patients that's involved. 322 00:14:40,880 --> 00:14:43,926 Have you heard of any significant side effects 323 00:14:43,970 --> 00:14:46,102 from Castro's trial? 324 00:14:46,146 --> 00:14:48,148 - She hasn't reported anything, 325 00:14:48,191 --> 00:14:49,845 but she's supposed to document 326 00:14:49,889 --> 00:14:51,629 any adverse reactions immediately. 327 00:14:51,673 --> 00:14:54,458 Is your patient on the protocol or the placebo? 328 00:14:54,502 --> 00:14:56,504 - I don't know. - Well, you have to find out. 329 00:14:56,547 --> 00:14:58,071 It's the only way to verify. 330 00:14:58,114 --> 00:15:01,944 - But that would mean violating the double-blind. 331 00:15:01,988 --> 00:15:03,772 - You can Castro directly. 332 00:15:05,556 --> 00:15:07,645 Yeah, that would be, um--awkward. 333 00:15:07,689 --> 00:15:09,734 - Then go around her if you have to. 334 00:15:11,606 --> 00:15:12,868 You need to know if the patient 335 00:15:12,912 --> 00:15:14,696 is on the placebo or the drug. 336 00:15:14,739 --> 00:15:16,393 And if it's the drug-- 337 00:15:16,437 --> 00:15:18,395 - We have a bigger conversation. 338 00:15:22,573 --> 00:15:24,445 - Uh, not sure if you've heard, 339 00:15:24,488 --> 00:15:27,448 but both NPR and New York One are buzzing about us. 340 00:15:27,491 --> 00:15:29,058 - Because you shuttered the ED? - That's right. 341 00:15:29,102 --> 00:15:31,887 Both lead stories, both focused on the opioid epidemic. 342 00:15:31,931 --> 00:15:34,020 You know, we're gonna have more licensed suboxone doctors 343 00:15:34,063 --> 00:15:36,022 in this hospital than any other hospital in the country. 344 00:15:36,065 --> 00:15:37,849 - Wonderful. You want a cookie? 345 00:15:37,893 --> 00:15:38,938 - What? 346 00:15:38,981 --> 00:15:40,417 - I didn't ask you to raise awareness, 347 00:15:40,461 --> 00:15:41,766 I asked you to solve the problem. 348 00:15:41,810 --> 00:15:43,943 But instead you're handing out detox drugs 349 00:15:43,986 --> 00:15:45,118 while millions of people 350 00:15:45,161 --> 00:15:46,467 outside the hospital are suffering. 351 00:15:46,510 --> 00:15:47,598 - I don't work outside the hospital. 352 00:15:47,642 --> 00:15:49,035 - Yes, you do. When you want to. 353 00:15:49,078 --> 00:15:50,906 Blood pressure testing in barber shops? 354 00:15:50,950 --> 00:15:53,126 Chasing down insurance agents in their offices? 355 00:15:53,169 --> 00:15:56,172 Come on, Max! It's me you're talking to. 356 00:15:58,958 --> 00:16:01,917 People are dying. 357 00:16:05,225 --> 00:16:07,053 Do better. 358 00:16:15,975 --> 00:16:18,281 - Casey, Casey. Get him situated in Urology. 359 00:16:18,325 --> 00:16:19,979 Don't let them pawn him off. 360 00:16:22,068 --> 00:16:23,939 - Incoming! 361 00:16:23,983 --> 00:16:26,115 - Carolyn Werner, 20, fell in Times Square. 362 00:16:26,159 --> 00:16:27,551 Looks like a radial/ulna fracture. 363 00:16:27,595 --> 00:16:29,162 BP 120 over-- - Okay, let me stop you 364 00:16:29,205 --> 00:16:31,947 right there--she is stable with an isolated injury to the arm? 365 00:16:31,991 --> 00:16:33,209 - Yeah. - Turn her around 366 00:16:33,253 --> 00:16:34,950 and take her to Baptist. - Are you serious? 367 00:16:34,994 --> 00:16:36,952 - Uh, we thought dispatch was mistaken. 368 00:16:36,996 --> 00:16:39,694 - No. We are closed. 369 00:16:41,609 --> 00:16:43,567 - What the hell am I supposed to do with all these? 370 00:16:43,611 --> 00:16:45,743 I don't know, Dr. Skein. 371 00:16:45,787 --> 00:16:49,573 They are patients admitted to your care, so...tend to them? 372 00:16:49,617 --> 00:16:51,227 - 20 people? 373 00:16:51,271 --> 00:16:53,360 You've clogged every bed in my department with this--this-- 374 00:16:53,403 --> 00:16:54,622 uh, whatever you're doing. 375 00:16:54,665 --> 00:16:56,450 - We are trying to solve the opioid crisis. 376 00:16:56,493 --> 00:16:58,408 A crisis you helped cause. 377 00:16:58,452 --> 00:17:00,976 - I'm a dermatologist. 378 00:17:02,673 --> 00:17:07,417 - I will admit that your situation is difficult. 379 00:17:07,461 --> 00:17:10,507 Um, but is not my job to judge 380 00:17:10,551 --> 00:17:13,249 whether your relationship is right or wrong. 381 00:17:13,293 --> 00:17:15,034 What is very apparent to me 382 00:17:15,077 --> 00:17:17,645 is the love between you two is very real. 383 00:17:19,516 --> 00:17:21,736 And if you want, worth fighting for. 384 00:17:25,044 --> 00:17:27,437 There is one inconvertible truth. 385 00:17:27,481 --> 00:17:30,571 Biological children can never be an option. 386 00:17:30,614 --> 00:17:33,095 - You think kids are what we're worried about? 387 00:17:33,139 --> 00:17:35,097 I can't even look at him. 388 00:17:35,141 --> 00:17:37,099 - Because this new information 389 00:17:37,143 --> 00:17:39,275 has changed the way you see him? 390 00:17:39,319 --> 00:17:42,191 Well, good news there. 391 00:17:42,235 --> 00:17:44,106 Relationships can survive change. 392 00:17:44,150 --> 00:17:46,456 In fact, almost all of them have to. 393 00:17:46,500 --> 00:17:49,024 - This isn't like he's suddenly gained 20 pounds. 394 00:17:50,156 --> 00:17:53,681 - No, um-- Look, I get it. 395 00:17:53,724 --> 00:17:57,032 But life goes on, and you adjust. 396 00:17:57,076 --> 00:18:00,296 Relationships adjust too, or they end. 397 00:18:02,690 --> 00:18:05,823 If change is insurmountable in the heart, then that's it, 398 00:18:05,867 --> 00:18:07,173 show's over. 399 00:18:07,216 --> 00:18:10,045 But that is not the case with you two. 400 00:18:10,089 --> 00:18:11,351 Is it? 401 00:18:11,394 --> 00:18:14,049 So the real question becomes: 402 00:18:14,093 --> 00:18:16,182 can we change what's in your heads? 403 00:18:18,706 --> 00:18:20,229 - How? 404 00:18:21,839 --> 00:18:25,495 - Jenny, will you sit on the couch with Chris? 405 00:18:50,129 --> 00:18:51,391 - Good. 406 00:18:51,434 --> 00:18:54,437 Jenny, will you take Chris's hand? 407 00:19:04,230 --> 00:19:05,579 Jenny. 408 00:19:07,276 --> 00:19:08,843 - I can't. 409 00:19:08,886 --> 00:19:10,453 I can't. I can't. 410 00:19:10,497 --> 00:19:13,239 I'm sorry. 411 00:19:19,288 --> 00:19:20,898 - Floyd. 412 00:19:20,942 --> 00:19:22,378 His test level shows 413 00:19:22,422 --> 00:19:24,337 extremely high levels of creatinine kinase. 414 00:19:24,380 --> 00:19:26,426 It's already damaged his kidneys. 415 00:19:26,469 --> 00:19:28,167 - That means his muscles are breaking down. 416 00:19:28,210 --> 00:19:30,517 - Vasospasm, delirium, muscle breakdown-- 417 00:19:30,560 --> 00:19:33,433 it all adds up to one thing: decompression sickness. 418 00:19:33,476 --> 00:19:35,739 - The bends? 419 00:19:35,783 --> 00:19:39,221 - Joe has never gone scuba diving in his life. 420 00:19:39,265 --> 00:19:41,571 I tried to get him to go on our honeymoon, 421 00:19:41,615 --> 00:19:43,094 but he's afraid of the water. 422 00:19:43,138 --> 00:19:45,749 - That may be true, but I'm certain of this diagnosis. 423 00:19:45,793 --> 00:19:48,535 - You were certain before, but you were wrong. 424 00:19:48,578 --> 00:19:51,146 Joe doesn't drink, and he's not a water guy. 425 00:19:51,190 --> 00:19:55,716 Even on vacation, he is a good, decent, no nonsense, 426 00:19:55,759 --> 00:19:58,501 stay-in-the-room-and-watch-golf guy. 427 00:19:58,545 --> 00:20:00,242 - But with the symptoms exhibiting, 428 00:20:00,286 --> 00:20:02,766 if we do not put him in hyperbaric chamber right away, 429 00:20:02,810 --> 00:20:05,769 I'm afraid he will be a dead guy. 430 00:20:05,813 --> 00:20:07,597 - Who knows him better, Dr. Kapoor? 431 00:20:07,641 --> 00:20:09,469 His wife of 40 years or you? 432 00:20:17,477 --> 00:20:19,566 - Hi, I'm looking for Dr. Castro. 433 00:20:19,609 --> 00:20:22,264 - She'll be back in about 15 minutes. 434 00:20:22,308 --> 00:20:23,918 - Perfect. 435 00:21:01,434 --> 00:21:03,436 - Satisfied? 436 00:21:06,700 --> 00:21:08,789 I've tried to be the bigger person here. 437 00:21:08,832 --> 00:21:10,051 - Valentina-- 438 00:21:10,094 --> 00:21:11,922 - If you focused a bit more on the patient 439 00:21:11,966 --> 00:21:14,403 instead of trying to nail me to the wall, 440 00:21:14,447 --> 00:21:17,537 you might have noticed that Fatima has aggressive arthritis 441 00:21:17,580 --> 00:21:18,929 in her left wrist. 442 00:21:18,973 --> 00:21:21,323 It was caused by an enterobacter infection 443 00:21:21,367 --> 00:21:23,760 which then relisted as a thiamine deficiency. 444 00:21:23,804 --> 00:21:25,762 That's what led to her delirium. 445 00:21:25,806 --> 00:21:30,245 Not my drug. 446 00:21:30,289 --> 00:21:31,333 You're welcome. 447 00:21:37,861 --> 00:21:41,343 - Dr. Morris, I apologize that your hospital is overflowing, 448 00:21:41,387 --> 00:21:43,693 but I will see you very soon, okay? 449 00:21:43,737 --> 00:21:45,478 Uh, Max Goodwin. 450 00:21:45,521 --> 00:21:48,524 Dr. Farnum, yes, I, um, did close the ED 451 00:21:48,568 --> 00:21:50,831 and I look forward to explaining why shortly. 452 00:21:50,874 --> 00:21:52,354 Max Goodwin. - Hi. 453 00:21:52,398 --> 00:21:53,573 - Alice. 454 00:21:53,616 --> 00:21:54,965 - I'm sorry to bother you at work. 455 00:21:55,009 --> 00:21:56,271 Did you get my text? 456 00:21:56,315 --> 00:21:58,012 - Yeah, no--I did, I've been, um-- 457 00:21:58,055 --> 00:22:00,362 - I know you're busy, but are you free tonight? 458 00:22:00,406 --> 00:22:01,537 - Tonight? 459 00:22:01,581 --> 00:22:03,800 Uh. Tonight, tonight? 460 00:22:03,844 --> 00:22:07,021 - I got this gig, and I can't find a sitter. 461 00:22:07,064 --> 00:22:09,328 I hate asking. I feel terrible. 462 00:22:09,371 --> 00:22:10,981 - Oh, right. No, of course. 463 00:22:11,025 --> 00:22:12,418 Yes, I can. Yes. 464 00:22:12,461 --> 00:22:15,421 I thought--great. Yeah, Luna's gonna love that. 465 00:22:15,464 --> 00:22:17,379 - Thank you so much. - Sure, sure. 466 00:22:17,423 --> 00:22:18,946 Happy to help. - See you tonight. 467 00:22:37,530 --> 00:22:39,401 Everybody told me that it would be impossible 468 00:22:39,445 --> 00:22:41,403 to get the city's top medical directors 469 00:22:41,447 --> 00:22:43,927 together in one room, but then I reminded them 470 00:22:43,971 --> 00:22:47,453 how much medical directors enjoy a free lunch. 471 00:22:50,151 --> 00:22:52,501 Yeah, so, um... 472 00:22:52,545 --> 00:22:55,635 earlier today, I put New Amsterdam on diversion. 473 00:22:55,678 --> 00:22:57,767 I know that closing our ED 474 00:22:57,811 --> 00:23:01,031 caused problems for many of you. 475 00:23:01,075 --> 00:23:02,772 To those of you who are still annoyed, 476 00:23:02,816 --> 00:23:06,907 I just want to say it's about to get worse. 477 00:23:06,950 --> 00:23:12,434 This is how much money New Amsterdam spends on opioids 478 00:23:12,478 --> 00:23:15,568 every year, and every hospital network in the city 479 00:23:15,611 --> 00:23:17,787 is spending the same. Just the 15 of us, 480 00:23:17,831 --> 00:23:19,789 sitting here in this room 481 00:23:19,833 --> 00:23:22,923 are spending $1 billion a year 482 00:23:22,966 --> 00:23:25,795 on a product that we know is killing people. 483 00:23:25,839 --> 00:23:29,669 We're hospitals. Killing people should be 484 00:23:29,712 --> 00:23:33,020 pretty high on the list of things we try not to do. 485 00:23:33,063 --> 00:23:35,936 - Opioids work incredibly well. 486 00:23:35,979 --> 00:23:37,459 - That's right, Florence. They do work. 487 00:23:37,503 --> 00:23:40,593 But they also worked in 1996, and back then they worked 488 00:23:40,636 --> 00:23:43,117 without causing an international addiction crisis. 489 00:23:43,160 --> 00:23:44,640 That was before the Nylers 490 00:23:44,684 --> 00:23:47,121 started launching propaganda campaigns 491 00:23:47,164 --> 00:23:50,037 and buying off hospitals-- - Including yours. 492 00:23:50,080 --> 00:23:53,040 - That's right. Including mine. 493 00:23:53,083 --> 00:23:56,478 Raise your hand if your hospital has a Nyler Wing. 494 00:23:56,522 --> 00:23:59,002 I'm not saying that New Amsterdam 495 00:23:59,046 --> 00:24:00,482 is better than anyone else. 496 00:24:00,526 --> 00:24:04,660 I am saying it's time to return to ethical behavior. 497 00:24:04,704 --> 00:24:08,577 So instead of giving the Nylers 498 00:24:08,621 --> 00:24:10,492 another billion dollars this year, 499 00:24:10,536 --> 00:24:14,931 I'd like to propose a new number. 500 00:24:14,975 --> 00:24:17,847 I'm ready to cancel New Amsterdam's opioid contract 501 00:24:17,891 --> 00:24:19,632 right now, 502 00:24:19,675 --> 00:24:22,678 and I want you all to do the same. 503 00:24:22,722 --> 00:24:26,900 We have to hit them hard, we have to hit them together, 504 00:24:26,943 --> 00:24:29,642 and what we need is unity. 505 00:24:29,685 --> 00:24:32,471 - Unity is an anti-trust violation. 506 00:24:32,514 --> 00:24:34,908 - There is blood 507 00:24:34,951 --> 00:24:37,867 on all of our hands. 508 00:24:37,911 --> 00:24:40,043 I think it's time to wash it off. 509 00:24:42,089 --> 00:24:43,656 So who's with me? 510 00:24:51,794 --> 00:24:54,623 Florence? - Pass. 511 00:24:54,667 --> 00:24:56,756 - We could change things. Dr. Farnum! 512 00:25:01,108 --> 00:25:02,501 John. 513 00:25:15,383 --> 00:25:18,038 - Yes, well, can you-- can you expedite it? 514 00:25:18,081 --> 00:25:19,387 Yeah, I mean is there a fee that I can pay for a faster-- 515 00:25:19,430 --> 00:25:22,477 Mm-hmm. 516 00:25:22,521 --> 00:25:23,913 Okay, well call me back. 517 00:25:23,957 --> 00:25:25,088 Yep. Thank you. 518 00:25:25,132 --> 00:25:27,569 Our pacemaker supplier can't make shipment. 519 00:25:27,613 --> 00:25:29,484 No big deal, they're just people's hearts. 520 00:25:29,528 --> 00:25:31,138 Stents are being held up too. 521 00:25:31,181 --> 00:25:33,619 - Not to pile on, but several of my chemo drugs 522 00:25:33,662 --> 00:25:36,056 won't be coming in tomorrow. Or ever. 523 00:25:37,448 --> 00:25:38,667 - It's the Nylers. They're retaliating 524 00:25:38,711 --> 00:25:41,104 because I ripped up their opioid contract. 525 00:25:41,148 --> 00:25:43,324 - Their companies make more than just opioids, Max. 526 00:25:43,367 --> 00:25:45,065 Most of my drugs are under their patent. 527 00:25:45,108 --> 00:25:46,675 No one besides Nyler can make them. 528 00:25:46,719 --> 00:25:48,982 Look, I love that we're finally taking a stand against them, 529 00:25:49,025 --> 00:25:51,419 but this could jeopardize the lives of our patients. 530 00:25:52,725 --> 00:25:54,117 - Can someone please tell me 531 00:25:54,161 --> 00:25:58,034 why my supplier just killed my order for acne cream? 532 00:26:02,430 --> 00:26:03,649 - His wife said he's afraid of the water. 533 00:26:03,692 --> 00:26:05,389 - I know. 534 00:26:05,433 --> 00:26:07,304 - What if he has an endocrine disorder or something? 535 00:26:07,348 --> 00:26:10,656 I mean, isn't your whole thing about listening to the patient? 536 00:26:10,699 --> 00:26:12,658 - I am listening. 537 00:26:12,701 --> 00:26:14,485 To Joe. 538 00:26:14,529 --> 00:26:17,140 Despite everything his wife believes, 539 00:26:17,184 --> 00:26:21,014 his body's saying decompression sickness. 540 00:26:26,759 --> 00:26:29,762 - You better hope you're right. 541 00:26:29,805 --> 00:26:32,155 - Jenny, this is your DNA, 542 00:26:32,199 --> 00:26:34,636 and Christopher, this is your DNA. 543 00:26:36,116 --> 00:26:37,596 - They're the same. - Not quite. 544 00:26:37,639 --> 00:26:40,337 There's a .1% variant between the two of you, 545 00:26:40,381 --> 00:26:43,079 but yes, they are 98.5% identical. 546 00:26:44,472 --> 00:26:46,256 - What more do we need? 547 00:26:46,300 --> 00:26:49,346 - But this is my DNA. 548 00:26:50,652 --> 00:26:53,481 Also 98.5% identical to both of yours. 549 00:26:53,524 --> 00:26:56,702 Because that is the genetic similarity 550 00:26:56,745 --> 00:26:59,748 between any two human beings. 551 00:26:59,792 --> 00:27:03,578 Scientifically speaking, we are all very much the same. 552 00:27:05,624 --> 00:27:07,016 - Jenny... 553 00:27:08,714 --> 00:27:12,631 - What? I should carry a DNA chart 554 00:27:12,674 --> 00:27:14,371 to the market to explain to everybody 555 00:27:14,415 --> 00:27:16,678 why it's okay I'm married to my brother? 556 00:27:16,722 --> 00:27:19,159 - Why do you feel the need to explain anything to anyone? 557 00:27:19,202 --> 00:27:21,640 - Look, I'm sorry. I'm sorry, but there's just-- 558 00:27:21,683 --> 00:27:22,945 there's nothing that you're gonna say 559 00:27:22,989 --> 00:27:25,556 that's gonna make me forget who Chris really is. 560 00:27:25,600 --> 00:27:27,820 - Okay. 561 00:27:27,863 --> 00:27:30,039 Okay, fair enough. 562 00:27:34,087 --> 00:27:36,698 Is there anything that you could say? 563 00:27:41,181 --> 00:27:44,532 You were planning on being married in 16 days. 564 00:27:44,575 --> 00:27:46,403 You must've written your vows. 565 00:28:02,202 --> 00:28:03,682 Okay. Good. 566 00:28:11,777 --> 00:28:13,430 Chris. 567 00:28:14,780 --> 00:28:17,217 "As I sit here in our half-painted living room 568 00:28:17,260 --> 00:28:21,525 "that you promised to finish, listening to the, um, 569 00:28:21,569 --> 00:28:23,397 "Spin Doctors Album that we bought for $1.00 570 00:28:23,440 --> 00:28:26,182 "at a yard sale because the lady who sold it to us 571 00:28:26,226 --> 00:28:27,575 had no idea who they were..." 572 00:28:29,708 --> 00:28:31,710 "I can't believe how happy I am 573 00:28:31,753 --> 00:28:33,537 or how lucky I am..." 574 00:28:38,455 --> 00:28:40,327 "I never thought I would find somebody-- 575 00:28:40,370 --> 00:28:45,114 "Somebody who laughs at all my stupid duck jokes. 576 00:28:45,158 --> 00:28:48,465 "Or likes my grandma's baked spaghetti. 577 00:28:48,509 --> 00:28:50,772 Or picks up all of our bath towels all the time." 578 00:28:53,906 --> 00:28:57,561 "So of course I said yes when you asked me to marry you. 579 00:28:59,607 --> 00:29:02,741 "Nobody's ever loved me like you, 580 00:29:02,784 --> 00:29:04,786 and I've never wanted to be with anybody..." 581 00:29:09,965 --> 00:29:11,793 - Okay. Good. 582 00:29:11,837 --> 00:29:13,752 Jenny. 583 00:29:16,319 --> 00:29:18,191 Can you see that Chris? 584 00:29:25,851 --> 00:29:27,722 - The Chris you wrote those vows for. 585 00:29:33,684 --> 00:29:36,339 - That is the only Chris there is. 586 00:29:38,515 --> 00:29:39,778 And if you ever forget that, 587 00:29:39,821 --> 00:29:41,388 all you need to do is go back to those vows. 588 00:29:41,431 --> 00:29:42,868 Just like every other couple. 589 00:30:19,774 --> 00:30:21,863 - Feeling pretty whooped, huh? 590 00:30:23,778 --> 00:30:26,520 - The Nylers took you good. 591 00:30:26,563 --> 00:30:29,305 - That they did. 592 00:30:30,611 --> 00:30:32,265 Do you have their new contract? 593 00:30:36,312 --> 00:30:38,749 You know, I don't know what's worse. 594 00:30:38,793 --> 00:30:40,403 People addicted to their drugs, 595 00:30:40,447 --> 00:30:42,536 or the system addicted to their money. 596 00:30:49,760 --> 00:30:52,285 - Celeste. 597 00:30:52,328 --> 00:30:55,505 My little sister. - Hmm. 598 00:30:55,549 --> 00:31:01,685 - She had this stupid surgery, gum grafts of all things, 599 00:31:01,729 --> 00:31:05,385 but it hurt a lot, so they gave her Oxy. 600 00:31:11,391 --> 00:31:12,914 She's gone now. 601 00:31:14,655 --> 00:31:16,352 Two years. 602 00:31:19,965 --> 00:31:22,445 - May I? 603 00:31:52,649 --> 00:31:54,782 - Hey, we're closed. 604 00:31:54,825 --> 00:31:57,654 - I know, just taking an OD down to the morgue. 605 00:32:07,142 --> 00:32:08,970 - Oh, no. 606 00:32:09,014 --> 00:32:10,493 - You knew her? 607 00:32:50,185 --> 00:32:52,448 - It's a funny thing, you know, 608 00:32:52,492 --> 00:32:57,976 when you don't know anything. I mean, I knew I was with you. 609 00:32:58,019 --> 00:33:00,500 I just couldn't get the words out. 610 00:33:00,543 --> 00:33:03,024 - It's okay, honey. 611 00:33:03,068 --> 00:33:05,984 I'm just grateful that you're all right. 612 00:33:07,028 --> 00:33:10,075 - Now, your wife said you'd never been scuba diving before, 613 00:33:10,118 --> 00:33:11,293 but... 614 00:33:11,337 --> 00:33:13,121 - Since our anniversary's coming up, 615 00:33:13,165 --> 00:33:16,255 I wanted to surprise you by taking a few lessons. 616 00:33:16,298 --> 00:33:18,300 You wanted to go on our honeymoon, 617 00:33:18,344 --> 00:33:19,867 but I was too scared. 618 00:33:19,910 --> 00:33:21,477 I wanted to show you I could do it. 619 00:33:21,521 --> 00:33:24,002 - But you're not a water guy. 620 00:33:24,045 --> 00:33:26,961 Which is why I knew it would be a surprise. 621 00:33:27,005 --> 00:33:30,095 - I didn't think you could ever surprise me. 622 00:33:33,011 --> 00:33:35,187 - But you did. 623 00:33:41,062 --> 00:33:44,022 - So adorable. - Mmm. 624 00:33:44,065 --> 00:33:45,501 Aren't they? - Mmm. 625 00:33:45,545 --> 00:33:48,504 "Spiritualized" 626 00:34:04,346 --> 00:34:06,522 You don't own me. 627 00:34:12,485 --> 00:34:14,182 Mmm. 628 00:34:48,782 --> 00:34:51,132 - Oh. 629 00:34:55,223 --> 00:34:57,138 I wasn't sure if you were gonna come. 630 00:34:59,053 --> 00:35:01,055 I mean, not that I blame you. 631 00:35:02,622 --> 00:35:05,973 I'm sober now. - I don't wanna hear it, Mom. 632 00:35:07,279 --> 00:35:09,281 You wanna know my earliest memory? 633 00:35:10,586 --> 00:35:13,415 Was Dad's friend calling you an alcoholic. 634 00:35:14,634 --> 00:35:18,507 But Dad said no you weren't. No, you were a drunk. 635 00:35:18,551 --> 00:35:22,207 After that, I did everything I could to slow you down. 636 00:35:22,250 --> 00:35:25,688 The first time I got wasted, I was seven. 637 00:35:25,732 --> 00:35:27,342 - ♪ There's a lot of things that need to be done ♪ 638 00:35:27,386 --> 00:35:28,691 - I chugged half your martini 639 00:35:28,735 --> 00:35:32,434 thinking the more I drank, the less you could. 640 00:35:32,478 --> 00:35:34,001 You know what you did? 641 00:35:34,044 --> 00:35:37,004 You licked the glass, and you made yourself another. 642 00:35:37,047 --> 00:35:39,311 That night you shouted at me, not for being drunk-- 643 00:35:39,354 --> 00:35:40,616 for being sick on the rug. 644 00:35:40,660 --> 00:35:41,748 - ♪ Lord, I have a broken dream ♪ 645 00:35:41,791 --> 00:35:44,490 - Lauren-- - No, I am not done, Mom. 646 00:35:44,533 --> 00:35:48,450 I have spent years being angry at you. 647 00:35:48,494 --> 00:35:50,626 Hating you. 648 00:35:50,670 --> 00:35:53,194 Feeling sorry for you. 649 00:35:53,238 --> 00:35:54,761 Then doing it all over again. 650 00:35:54,804 --> 00:35:56,632 - ♪ There's a lot of things that I gotta do ♪ 651 00:35:56,676 --> 00:35:59,592 - And I don't know when it happened, 652 00:35:59,635 --> 00:36:02,160 but I can't really feel anything for you anymore. 653 00:36:02,203 --> 00:36:05,598 - ♪ Lord, I have a broken dream ♪ 654 00:36:05,641 --> 00:36:08,427 - I was a little kid. 655 00:36:08,470 --> 00:36:10,168 - ♪ And I'm wasted all the time ♪ 656 00:36:10,211 --> 00:36:12,126 - I was a little kid 657 00:36:12,170 --> 00:36:16,217 who was killing herself trying to get close you, 658 00:36:16,261 --> 00:36:20,221 and you were an adult, and you did not even try. 659 00:36:20,265 --> 00:36:23,093 So I am sad because I got cheated. 660 00:36:24,530 --> 00:36:26,401 And it sucks. 661 00:36:26,445 --> 00:36:28,751 It really sucks, because I didn't deserve it. 662 00:36:28,795 --> 00:36:32,233 - ♪ I've been told that this will heal ♪ 663 00:36:32,277 --> 00:36:33,408 - Oh, do you know what? 664 00:36:33,452 --> 00:36:35,367 Just tell me you're sorry so I can go. 665 00:36:38,239 --> 00:36:40,415 - I wish I could. 666 00:36:40,459 --> 00:36:42,852 I want to. 667 00:36:42,896 --> 00:36:45,203 I am sorry. 668 00:36:46,595 --> 00:36:48,380 That you feel so sad. 669 00:36:48,423 --> 00:36:50,382 - ♪ I have to keep it covered up with a smile ♪ 670 00:36:50,425 --> 00:36:54,690 - But, sweetheart, I--I just don't-- 671 00:36:54,734 --> 00:36:57,345 I don't remember any of that happening. 672 00:36:57,389 --> 00:37:00,653 - ♪ And I'll keep on moving on for a while ♪ 673 00:37:00,696 --> 00:37:06,180 ♪ Lord, I have a broken heart ♪ 674 00:37:10,880 --> 00:37:14,319 - Max. Yo, you got a sec? 675 00:37:14,362 --> 00:37:16,712 Look, I don't feel good about our conversation this morning. 676 00:37:16,756 --> 00:37:18,497 - Okay. - No, it's not okay. 677 00:37:18,540 --> 00:37:21,239 Look, I'm sorry I didn't tell you sooner, 678 00:37:21,282 --> 00:37:23,371 but you're just gonna ice me now? 679 00:37:23,415 --> 00:37:25,460 My fiancée moved to San Francisco. 680 00:37:25,504 --> 00:37:26,635 It's either her or this hospital. 681 00:37:26,679 --> 00:37:28,333 - Look, Floyd. 682 00:37:29,464 --> 00:37:34,295 I just can't lose anyone else this year. 683 00:38:30,003 --> 00:38:32,701 Dr. Brighton. 684 00:38:32,745 --> 00:38:34,703 - Did you ask people to do this? 685 00:38:38,228 --> 00:38:40,230 - No. - Mmm. 686 00:38:41,971 --> 00:38:43,364 Everyone's talking about 687 00:38:43,408 --> 00:38:45,584 how the Nylers retaliated against you 688 00:38:45,627 --> 00:38:47,194 and against your hospital. 689 00:38:47,237 --> 00:38:48,369 By shutting you out, 690 00:38:48,413 --> 00:38:50,806 this company put patients' lives at risk, 691 00:38:50,850 --> 00:38:53,331 and that's not business, it's a shakedown. 692 00:38:53,374 --> 00:38:55,898 A shakedown that could happen to any of us. 693 00:38:55,942 --> 00:38:58,205 - So what do you propose? 694 00:38:58,248 --> 00:39:00,294 - Unity. 695 00:39:51,998 --> 00:39:54,304 - This should counter the infection, Fatima. 696 00:39:54,348 --> 00:39:55,871 Alleviate all your symptoms. 697 00:39:55,915 --> 00:39:58,526 - Thank you for figuring out what was wrong. 698 00:39:58,570 --> 00:40:00,267 - Mmm. 699 00:40:00,310 --> 00:40:03,009 It wasn't me. Dr. Castro made the diagnosis. 700 00:40:04,532 --> 00:40:07,405 You're very fortunate to be in her trial. 701 00:40:07,448 --> 00:40:08,884 Hmm. 702 00:40:08,928 --> 00:40:11,757 - Okay. 703 00:40:19,808 --> 00:40:21,506 Lauren, call me as soon as you can. 704 00:40:21,549 --> 00:40:23,508 I was wrong about the side effects 705 00:40:23,551 --> 00:40:25,945 Castro's drug might be causing, but I was right about her. 706 00:40:25,988 --> 00:40:28,513 She altered her patients' numbers before treatment 707 00:40:28,556 --> 00:40:30,471 so their tumors would look worse 708 00:40:30,515 --> 00:40:32,386 so her drug will appear to be performing better 709 00:40:32,430 --> 00:40:35,345 than it actually is! Castro altered her trial. 710 00:40:42,831 --> 00:40:44,442 - Hey. - Hi. 711 00:40:44,485 --> 00:40:47,357 Wow, you look serious. 712 00:40:47,401 --> 00:40:49,490 - Yikes. 713 00:40:49,534 --> 00:40:51,318 That's not exactly what I was going for. 714 00:40:51,361 --> 00:40:54,756 - No, no, I meant-- I just meant you look great. 715 00:40:56,976 --> 00:40:58,456 Uh, come on in. 716 00:41:01,502 --> 00:41:02,590 Hey, how'd it go? 717 00:41:02,634 --> 00:41:04,810 - Really well, yeah. - Good. 718 00:41:04,853 --> 00:41:07,377 - Thanks for asking. - Hey, yeah, sure. 719 00:41:07,421 --> 00:41:09,771 - How're the babies? - They're exhausting. 720 00:41:09,815 --> 00:41:12,034 Adorable. - Sleeping? 721 00:41:12,078 --> 00:41:15,124 - Yes, sleeping. She, uh, 722 00:41:15,168 --> 00:41:16,909 jammed on this bad boy quite a bit. 723 00:41:18,911 --> 00:41:20,869 She loves this. - Yeah. 724 00:41:25,570 --> 00:41:28,442 - You--you have a... - Oh. 725 00:41:28,486 --> 00:41:29,748 - A sweet potato? - Oh. 726 00:41:29,791 --> 00:41:32,098 I think yam actually. 727 00:41:32,141 --> 00:41:33,969 - It's a good look for you. 728 00:41:34,013 --> 00:41:36,537 - Yeah, it's kind of becoming my go to. 729 00:41:36,581 --> 00:41:38,539 - There's more. 730 00:41:39,888 --> 00:41:41,107 Here. 731 00:41:45,459 --> 00:41:47,505 - Thanks.