1 00:00:17,997 --> 00:00:21,042 - * God rest you, merry gentlemen * 2 00:00:21,083 --> 00:00:24,795 * Let nothing you dismay * 3 00:00:24,837 --> 00:00:27,757 * For Jesus Christ, our savior * 4 00:00:27,798 --> 00:00:31,594 * Was born upon this day * 5 00:00:31,635 --> 00:00:35,514 * To save us all from Satan's power * 6 00:00:35,556 --> 00:00:37,933 * When we were gone astray * 7 00:00:37,975 --> 00:00:43,230 * Oh, tidings of comfort and joy * 8 00:00:43,272 --> 00:00:44,982 * Comfort and joy * 9 00:00:45,024 --> 00:00:51,280 * It is tidings of comfort and joy * 10 00:00:51,322 --> 00:00:55,117 [distant sirens wailing] 11 00:01:02,166 --> 00:01:05,378 [beeping softly] 12 00:01:15,596 --> 00:01:17,890 - Happy holidays, Mrs. Johnson. 13 00:01:17,932 --> 00:01:20,851 Or are you more of a "Merry Christmas" gal? 14 00:01:20,893 --> 00:01:22,061 I need to make sure 15 00:01:22,103 --> 00:01:24,355 you're getting the right blend of tequila. 16 00:01:26,273 --> 00:01:28,025 My name is Dr. Randall Kirby. 17 00:01:28,067 --> 00:01:29,985 I'm here because your doctor 18 00:01:30,027 --> 00:01:33,364 with the warm and fuzzy bedside manner couldn't make it. 19 00:01:35,157 --> 00:01:36,909 [sighs] 20 00:01:36,951 --> 00:01:40,371 Your husband, Tom, tells me that you're a fighter, so... 21 00:01:40,413 --> 00:01:42,873 if it's okay with you, I'm just gonna let her rip. 22 00:01:48,045 --> 00:01:51,424 You came in for a cervical surgery with Dr. Duntsch 23 00:01:51,465 --> 00:01:53,884 a few days ago to remove a disc. 24 00:01:53,926 --> 00:01:56,262 Do you remember that? 25 00:01:56,303 --> 00:01:57,888 Do you remember going home, 26 00:01:57,930 --> 00:01:59,932 telling your husband that you couldn't swallow, 27 00:01:59,974 --> 00:02:01,726 and then you got a fever? 28 00:02:03,519 --> 00:02:06,230 Well, you called Dr. Duntsch, 29 00:02:06,272 --> 00:02:09,233 who told you that everything was normal 30 00:02:09,275 --> 00:02:12,361 and that your fever was from the flu. 31 00:02:12,403 --> 00:02:15,197 Then he stopped taking your calls. 32 00:02:18,117 --> 00:02:20,369 Your fever wasn't from the flu. 33 00:02:20,411 --> 00:02:24,665 It was from an infection moving towards your heart. 34 00:02:24,707 --> 00:02:27,001 Now, we've had that PICC line pumping antibiotics 35 00:02:27,043 --> 00:02:30,421 into your superior vena cava since you got here. 36 00:02:30,463 --> 00:02:32,673 You've turned a corner, but now we need to deal 37 00:02:32,715 --> 00:02:35,885 with the other issues from Dr. Duntsch's surgery. 38 00:02:35,926 --> 00:02:39,013 That crazy straw coming out of your nose 39 00:02:39,055 --> 00:02:40,598 is draining stomach acid 40 00:02:40,639 --> 00:02:44,351 from a hole Duntsch cut in your esophagus. 41 00:02:44,393 --> 00:02:47,521 That's why you couldn't swallow. 42 00:02:47,563 --> 00:02:51,484 As for the surgery Duntsch was supposed to perform, 43 00:02:51,525 --> 00:02:53,527 he failed to remove the disc. 44 00:02:53,569 --> 00:02:56,864 He left it lodged in your spine. 45 00:02:56,906 --> 00:03:01,077 The hardware he was supposed to attach 46 00:03:01,118 --> 00:03:04,455 scattered in there like a bag of leftover screws 47 00:03:04,497 --> 00:03:06,665 from an IKEA bookshelf. 48 00:03:08,417 --> 00:03:10,503 - [exhales deeply] 49 00:03:14,673 --> 00:03:18,302 He sliced through a nerve to your vocal cord. 50 00:03:22,139 --> 00:03:24,058 We can't fix that. 51 00:03:24,100 --> 00:03:27,061 [dramatic music] 52 00:03:27,103 --> 00:03:29,772 * * 53 00:03:29,814 --> 00:03:32,066 This never should have happened. 54 00:03:32,108 --> 00:03:39,281 * * 55 00:03:42,368 --> 00:03:47,289 I apologize to you and to your family. 56 00:03:50,960 --> 00:03:54,505 I promise I will make sure this never happens to anyone else. 57 00:03:56,674 --> 00:04:00,678 Um, om wanted me to discuss a family matter with you. 58 00:04:02,346 --> 00:04:03,931 Your children are in town for the holidays, 59 00:04:03,973 --> 00:04:05,808 and you don't want them to visit. 60 00:04:05,850 --> 00:04:09,228 He's hoping that you would change your mind about that. 61 00:04:09,270 --> 00:04:16,360 * * 62 00:04:22,033 --> 00:04:24,493 I'll fend them off if you provide the stick. 63 00:04:28,164 --> 00:04:30,124 I'm so sorry. 64 00:04:30,166 --> 00:04:37,339 * * 65 00:04:46,182 --> 00:04:47,975 Hey, thanks for coming. 66 00:04:48,017 --> 00:04:51,771 It's, uh, nice to show a united front with these jackasses. 67 00:04:51,812 --> 00:04:55,149 [door opens] - Ah... 68 00:04:55,191 --> 00:04:57,985 Dr. Kirby. - Dr. Lockett. 69 00:04:58,027 --> 00:05:00,571 He's the CEO here. This is Dr. Robert Henderson. 70 00:05:00,613 --> 00:05:03,282 He's my crime-fighting partner in crime. 71 00:05:03,324 --> 00:05:05,368 - Yeah, uh... 72 00:05:05,409 --> 00:05:08,371 would you follow me, please? 73 00:05:11,332 --> 00:05:13,334 [clears throat] 74 00:05:13,376 --> 00:05:16,837 [distant siren wailing] 75 00:05:16,879 --> 00:05:19,715 Duntsch never operates here again. 76 00:05:19,757 --> 00:05:21,425 - Well, I guess we can call it a night, then. 77 00:05:21,467 --> 00:05:23,302 No harm, no foul. 78 00:05:23,344 --> 00:05:25,846 - How did you come to hire him? 79 00:05:25,888 --> 00:05:28,641 - We needed a neurosurgeon on staff 80 00:05:28,682 --> 00:05:31,352 and performed all due diligence. 81 00:05:31,394 --> 00:05:32,853 - You just missed that teeny-tiny detail 82 00:05:32,895 --> 00:05:34,689 about the two dead bodies at Dallas Medical 83 00:05:34,730 --> 00:05:36,107 and Baylor-Plano, but who's counting? 84 00:05:36,148 --> 00:05:38,025 - We inquired with the Texas Medical Board. 85 00:05:38,067 --> 00:05:40,027 We checked the National Practitioners Data Bank... 86 00:05:40,069 --> 00:05:41,070 - Continue. 87 00:05:41,112 --> 00:05:43,447 - To see if he was ever suspended. 88 00:05:43,489 --> 00:05:45,282 He wasn't, no complaints. [door closes] 89 00:05:45,324 --> 00:05:48,911 - So neither Baylor-Plano nor Dallas Medical reported him? 90 00:05:48,953 --> 00:05:50,287 - No. 91 00:05:50,329 --> 00:05:52,206 Look, had we known, we never would have hired him, 92 00:05:52,248 --> 00:05:53,749 plain and simple. 93 00:05:53,791 --> 00:05:56,627 [chuckles] He even came with a clean letter from Baylor. 94 00:05:56,669 --> 00:06:00,589 * * 95 00:06:00,631 --> 00:06:02,758 - "All investigations with respect to any areas 96 00:06:02,800 --> 00:06:05,052 "of concern regarding Christopher D. Duntsch, M.D. 97 00:06:05,094 --> 00:06:07,012 "have been closed. 98 00:06:07,054 --> 00:06:09,056 "As of this date, there have been no summary 99 00:06:09,098 --> 00:06:10,850 "or administrative restrictions or suspensions 100 00:06:10,891 --> 00:06:12,893 "of Dr. Duntsch's medical staff membership 101 00:06:12,935 --> 00:06:14,395 "or clinical privileges 102 00:06:14,437 --> 00:06:15,980 "during the time he has practiced 103 00:06:16,022 --> 00:06:19,775 at Baylor Medical Center at Plano." 104 00:06:19,817 --> 00:06:23,696 - Dr. Henderson, tell me... 105 00:06:23,738 --> 00:06:26,240 you're in my position. 106 00:06:26,282 --> 00:06:28,492 What would you have done? 107 00:06:32,621 --> 00:06:34,457 - They warned 'em-- 108 00:06:34,498 --> 00:06:37,251 this nurse, Preston's her name, she and some other somebody. 109 00:06:37,293 --> 00:06:38,586 - Who? - I don't know. 110 00:06:38,627 --> 00:06:39,962 A scrub tech. It doesn't matter. 111 00:06:40,004 --> 00:06:41,756 They warned the administration about Duntsch. 112 00:06:41,797 --> 00:06:42,923 They looked him up on the Internet. 113 00:06:42,965 --> 00:06:44,300 They found a ton of crap about him. 114 00:06:44,341 --> 00:06:45,426 I'm not talking good crap. 115 00:06:45,468 --> 00:06:46,761 I'm talking he's a crappy surgeon. 116 00:06:46,802 --> 00:06:48,220 - I get it. - Here's the kicker. 117 00:06:48,262 --> 00:06:49,388 When they went to show them 118 00:06:49,430 --> 00:06:51,182 what was on the Internet, it was all gone. 119 00:06:51,223 --> 00:06:53,642 Everything negative about him, completely wiped way. 120 00:06:53,684 --> 00:06:55,186 - Well, how does somebody do that? 121 00:06:55,227 --> 00:06:57,438 - I don't know--hacking's not really my area of expertise. 122 00:06:57,480 --> 00:07:00,441 The point is they warned them, and they blew it off. 123 00:07:00,483 --> 00:07:01,776 Due diligence. 124 00:07:01,817 --> 00:07:03,569 We're up against a citadel of bullshit here. 125 00:07:03,611 --> 00:07:05,154 Most ass-covering-- 126 00:07:05,196 --> 00:07:07,948 In fact, I should use this to wipe my ass. 127 00:07:07,990 --> 00:07:08,949 Definitely... 128 00:07:08,991 --> 00:07:10,326 both: Written by lawyers. - Yeah. 129 00:07:10,368 --> 00:07:12,620 - Are we completing each other's sentences now? 130 00:07:12,661 --> 00:07:15,623 - Ah... 131 00:07:15,664 --> 00:07:19,794 I'm going to see Amy Piel over at Baylor. 132 00:07:19,835 --> 00:07:23,339 You give me a ride? - Jag's right this way. 133 00:07:23,381 --> 00:07:30,513 * * 134 00:07:41,190 --> 00:07:44,110 [engine turning over] 135 00:07:44,151 --> 00:07:51,075 * * 136 00:07:57,456 --> 00:07:59,667 - So? 137 00:07:59,709 --> 00:08:02,128 - They're gonna grant me privileges to operate. 138 00:08:02,169 --> 00:08:05,923 - They're gonna grant, or they have granted? 139 00:08:05,965 --> 00:08:08,008 - [sighs] They are going to grant me privileges 140 00:08:08,050 --> 00:08:10,761 when they see my roster of patients. 141 00:08:13,055 --> 00:08:16,517 Don't--It's-- [scoffs] 142 00:08:16,559 --> 00:08:18,519 It's not a big deal, Wendy. 143 00:08:18,561 --> 00:08:20,312 I have a ton of patients. 144 00:08:20,354 --> 00:08:22,815 All I got to do is make a couple calls. 145 00:08:22,857 --> 00:08:24,483 - Well, that place looks like a Port-a-Potty. 146 00:08:24,525 --> 00:08:25,693 Not like Baylor. 147 00:08:25,735 --> 00:08:27,862 - Fuck Baylor. - Yeah, fuck Baylor. 148 00:08:27,903 --> 00:08:29,447 Fuck Dallas Medical. 149 00:08:29,488 --> 00:08:31,073 Fuck whatever that last one was, 150 00:08:31,115 --> 00:08:34,869 that Legacy Frisco place you were at for, like, two weeks. 151 00:08:34,910 --> 00:08:36,412 It's been quite the fucking year. 152 00:08:36,454 --> 00:08:38,956 - Can you just drive me to my clinic, please? 153 00:08:42,960 --> 00:08:44,962 - Where does it end, Chris? - Oh, my God. 154 00:08:45,004 --> 00:08:48,007 Wendy, I'm handling it, okay? 155 00:08:48,049 --> 00:08:49,759 You left me, remember that? 156 00:08:49,800 --> 00:08:51,552 - I don't feel sorry for you. 157 00:08:51,594 --> 00:08:53,220 Why don't you go fuck your nurse again? 158 00:08:53,262 --> 00:08:55,347 Maybe she'll make you feel better. 159 00:08:55,389 --> 00:08:56,724 - [sighs] 160 00:08:56,766 --> 00:08:58,601 - I'm driving your sorry ass around, 161 00:08:58,642 --> 00:09:02,813 not because I trust you or because I'm here for you... 162 00:09:02,855 --> 00:09:05,149 but because I can't let you mess things up for him. 163 00:09:08,444 --> 00:09:15,368 * * 164 00:09:35,638 --> 00:09:37,098 - Can I come by this weekend? 165 00:09:37,139 --> 00:09:39,683 - Why don't you make a call to your roster of patients? 166 00:09:39,725 --> 00:09:41,560 Then we'll talk. 167 00:09:41,602 --> 00:09:48,693 * * 168 00:10:01,455 --> 00:10:03,708 - It's from my dad. 169 00:10:03,749 --> 00:10:10,881 * * 170 00:10:18,806 --> 00:10:21,892 [keys jingling] 171 00:10:23,519 --> 00:10:25,730 [lock clicks] 172 00:10:25,771 --> 00:10:30,901 * * 173 00:10:36,866 --> 00:10:38,826 - Mrs. Demmings. 174 00:10:38,868 --> 00:10:41,370 How's that Scheuermann's kyphosis coming along? 175 00:10:41,412 --> 00:10:44,081 Is the tingling in your legs pretty consistent? 176 00:10:44,123 --> 00:10:46,834 - I can't stand long enough to hold my grandbabies now. 177 00:10:46,876 --> 00:10:48,919 - And it started in your teens? 178 00:10:48,961 --> 00:10:51,213 - Had no pain until two years ago. 179 00:10:53,466 --> 00:10:57,261 - The problem is these two vertebrae right here-- 180 00:10:57,303 --> 00:10:58,596 T7 and T8. 181 00:10:58,637 --> 00:11:00,973 - The ones sticking out. - Exactly right. 182 00:11:01,015 --> 00:11:02,975 It's actually the discs in between them. 183 00:11:03,017 --> 00:11:05,478 Spinal discs are like natural shock absorbers, 184 00:11:05,519 --> 00:11:06,896 and when they're healthy, 185 00:11:06,937 --> 00:11:08,898 they kind of have the consistency of rubber. 186 00:11:08,939 --> 00:11:11,025 But when they get diseased, they harden, 187 00:11:11,067 --> 00:11:12,818 and these two are pushing 188 00:11:12,860 --> 00:11:15,488 those vertebrae right into your spinal cord. 189 00:11:15,529 --> 00:11:18,657 - Every doctor I see said there's nothing they can do. 190 00:11:18,699 --> 00:11:20,743 - Well, you haven't seen me yet. 191 00:11:22,370 --> 00:11:24,830 - What are you saying? 192 00:11:24,872 --> 00:11:28,209 - Well, your preexisting kyphosis is an issue, 193 00:11:28,250 --> 00:11:30,086 but there are new ways-- - Surgery. 194 00:11:30,127 --> 00:11:32,797 - It's minimally invasive. 195 00:11:32,838 --> 00:11:34,965 A thoracoscopic anterior spinal fusion. 196 00:11:35,007 --> 00:11:38,135 We make a small incision, about the size of a dime. 197 00:11:38,177 --> 00:11:40,012 We go in there and pull out the bad discs, 198 00:11:40,054 --> 00:11:42,264 and then we fuse the vertebrae together with a plate. 199 00:11:42,306 --> 00:11:44,517 And that's it. 200 00:11:44,558 --> 00:11:45,768 - One surgery? 201 00:11:45,810 --> 00:11:47,853 - In and out in about two hours. 202 00:11:47,895 --> 00:11:49,814 You wake up--no pain, no tingling, 203 00:11:49,855 --> 00:11:51,232 and you're about a good inch taller. 204 00:11:51,273 --> 00:11:53,442 It--it straightens out the curvature of the spine. 205 00:11:53,484 --> 00:11:55,444 So the bad news is, you're gonna have to bend down 206 00:11:55,486 --> 00:11:57,113 a little bit lower to pick up those grandbabies. 207 00:11:57,154 --> 00:11:58,906 - Can I have a word with you? 208 00:11:58,948 --> 00:12:01,909 [hopeful music] 209 00:12:01,951 --> 00:12:03,411 * * 210 00:12:03,452 --> 00:12:05,079 I get that you're the golden boy around here, 211 00:12:05,121 --> 00:12:06,706 but you're a resident. 212 00:12:06,747 --> 00:12:08,708 These are not your patients, yet. 213 00:12:08,749 --> 00:12:10,918 - I'm just presenting her her options. 214 00:12:10,960 --> 00:12:12,336 - You gave her a fantasy. 215 00:12:12,378 --> 00:12:14,422 With her kyphosis, she's not a candidate. 216 00:12:14,463 --> 00:12:17,216 Raising her hopes is unethical and cruel. 217 00:12:17,258 --> 00:12:21,721 - I spent all night researching this. 218 00:12:21,762 --> 00:12:23,723 - You diagnosed her off of Google? 219 00:12:23,764 --> 00:12:25,057 - Just look at it. 220 00:12:25,099 --> 00:12:27,476 It's a case from NYU-- worse than hers. 221 00:12:29,520 --> 00:12:30,813 I can show you how to do it. 222 00:12:30,855 --> 00:12:32,189 Just look. 223 00:12:32,231 --> 00:12:36,068 Look, all anterior decompressing arthrodesis. 224 00:12:36,110 --> 00:12:38,070 See the end plate? - Mm-hmm. 225 00:12:38,112 --> 00:12:41,574 - See the retractor? You see the angle? 226 00:12:41,615 --> 00:12:44,577 [dramatic music] 227 00:12:44,618 --> 00:12:49,540 * * 228 00:12:49,582 --> 00:12:52,460 - When the presenting symptoms are pain, 229 00:12:52,501 --> 00:12:56,464 decreased mobility, headaches, and speech dysphasia, 230 00:12:56,505 --> 00:12:58,924 what would your differential diagnosis include? 231 00:12:58,966 --> 00:13:01,552 - Cervical stenosis? 232 00:13:01,594 --> 00:13:03,220 - Are you asking or stating? 233 00:13:03,262 --> 00:13:04,972 Either way, it's incorrect. 234 00:13:05,014 --> 00:13:08,100 Eventually... you'll want to decide 235 00:13:08,142 --> 00:13:10,102 if you're Semmes-Murphey fellows 236 00:13:10,144 --> 00:13:12,146 or Semmes-Murphey dropouts. 237 00:13:12,188 --> 00:13:14,648 - Dr. Skadden? Excuse me. - Christopher, yes. 238 00:13:14,690 --> 00:13:16,650 - Uh, um, I was-- 239 00:13:16,692 --> 00:13:19,195 - Wondering if I'd read your proposal on obtaining 240 00:13:19,236 --> 00:13:21,572 and culturing disc stem cells? 241 00:13:21,614 --> 00:13:23,115 - Yes. 242 00:13:23,157 --> 00:13:25,076 - Eliminates the need for extraction. 243 00:13:25,117 --> 00:13:27,620 Tons of potential. 244 00:13:27,661 --> 00:13:29,330 I'd love to read more, 245 00:13:29,372 --> 00:13:31,207 once you've fleshed out the research you cited. 246 00:13:31,248 --> 00:13:34,835 - Of course. Yes, sir. Thank you, Dr. Skadden. 247 00:13:34,877 --> 00:13:36,837 Chiari malformation. 248 00:13:38,089 --> 00:13:39,590 Speech dysphasia. 249 00:13:39,632 --> 00:13:42,259 It's likely related to pressure on the cerebellum. 250 00:13:42,301 --> 00:13:44,387 That would be my diagnosis. 251 00:13:46,847 --> 00:13:47,973 I'd really like to be considered 252 00:13:48,015 --> 00:13:49,266 for your fellowship program, sir. 253 00:13:49,308 --> 00:13:52,353 - [chuckles] 254 00:13:52,395 --> 00:13:55,648 If and when the time is right, Christopher. 255 00:13:55,690 --> 00:14:02,655 * * 256 00:14:02,697 --> 00:14:05,449 [rock music playing] 257 00:14:05,491 --> 00:14:09,036 [door closes] 258 00:14:09,078 --> 00:14:12,456 - Kayla, Kayla, hey, I got great news. 259 00:14:12,498 --> 00:14:16,210 Skadden read my proposal. 260 00:14:16,252 --> 00:14:18,254 Where are you going? - Don't worry about it. 261 00:14:20,715 --> 00:14:22,007 - Wait, are you leaving? 262 00:14:22,049 --> 00:14:24,093 - Don't play fucking dumb with me, Christopher. 263 00:14:24,135 --> 00:14:26,971 Oxy, Adderall--it's like a C-V-fucking-S in there, 264 00:14:27,012 --> 00:14:28,013 and your name's all over it. 265 00:14:28,055 --> 00:14:29,682 - The scrips? - Scrips. 266 00:14:29,724 --> 00:14:31,016 - They're for friends. 267 00:14:31,058 --> 00:14:32,435 They're all friends in there. It's no big deal. 268 00:14:32,476 --> 00:14:34,186 - Okay, well enjoy your friends. 269 00:14:34,228 --> 00:14:35,604 and whatever's left of your career, 270 00:14:35,646 --> 00:14:38,065 you stupid son of a bitch. 271 00:14:38,107 --> 00:14:41,527 [dog whimpers] 272 00:14:41,569 --> 00:14:45,865 * * 273 00:14:45,906 --> 00:14:47,616 - Oh, this man's a hero. 274 00:14:47,658 --> 00:14:49,827 Partied us under the table last night, 275 00:14:49,869 --> 00:14:51,245 then did his rounds, 276 00:14:51,287 --> 00:14:54,623 saving lives like Mother-fucking-Theresa. 277 00:14:56,333 --> 00:14:58,711 - What the fuck happened with Kayla? 278 00:14:58,753 --> 00:15:00,004 - Kayla's cool. 279 00:15:00,046 --> 00:15:01,422 Give her the night, she'll calm down. 280 00:15:01,464 --> 00:15:04,091 And if she does dump your dumb face, I'll talk to her, 281 00:15:04,133 --> 00:15:06,761 take care of everything, like always. 282 00:15:06,802 --> 00:15:08,554 You'd lose your big, ugly head 283 00:15:08,596 --> 00:15:11,390 if I didn't tighten the screws every morning, wouldn't you? 284 00:15:11,432 --> 00:15:12,475 [sniffs] 285 00:15:12,516 --> 00:15:14,810 - I'm the one with the big, ugly head? 286 00:15:14,852 --> 00:15:16,145 - Yeah. 287 00:15:17,438 --> 00:15:19,231 Oh! 288 00:15:19,273 --> 00:15:21,067 Duntsch on the offensive. 289 00:15:21,108 --> 00:15:24,195 Trying to reverse Summers with a Granby roll. 290 00:15:24,236 --> 00:15:26,072 But Summers dominates. 291 00:15:26,113 --> 00:15:29,367 Oh, he dominates. He dominates so hard. 292 00:15:29,408 --> 00:15:32,995 - Uncle! Uncle, uncle! [groans] 293 00:15:33,037 --> 00:15:34,997 Shit. 294 00:15:35,039 --> 00:15:38,626 * * 295 00:15:38,667 --> 00:15:41,504 Hey, Skadden said he'd take a look at that. 296 00:15:41,545 --> 00:15:43,756 You just got to come on down, and we'll do some imaging. 297 00:15:43,798 --> 00:15:45,007 Get you fixed up. 298 00:15:45,049 --> 00:15:49,387 * * 299 00:15:49,428 --> 00:15:51,222 [sniffs] 300 00:15:52,890 --> 00:15:55,434 Whew. 301 00:15:55,476 --> 00:15:56,852 I got to work. 302 00:15:56,894 --> 00:16:00,856 * * 303 00:16:00,898 --> 00:16:04,360 - [sighs] 304 00:16:04,402 --> 00:16:05,528 [sniffs] 305 00:16:10,157 --> 00:16:12,368 Have you seen my LSD blotter? 306 00:16:19,333 --> 00:16:21,168 How many hits did you take? 307 00:16:24,338 --> 00:16:25,715 Oh, I must be tripping hard, bro. 308 00:16:25,756 --> 00:16:27,633 The letters are all squiggly and shit. 309 00:16:27,675 --> 00:16:30,219 - No, it's Cyrillic. - It's psychedelic. 310 00:16:30,261 --> 00:16:32,430 Oh, stem cells. 311 00:16:32,471 --> 00:16:34,640 Is this for your PhD, Dr. Doctor? 312 00:16:34,682 --> 00:16:36,976 "Glioblastoma's the most prevalent 313 00:16:37,017 --> 00:16:38,936 malignant brain tumor." 314 00:16:38,978 --> 00:16:41,480 That's harsh. 315 00:16:41,522 --> 00:16:43,774 - The glioblastoma stem is so dominant 316 00:16:43,816 --> 00:16:46,610 that it takes normal cells, 317 00:16:46,652 --> 00:16:49,280 and it changes them into cancer cells. 318 00:16:49,321 --> 00:16:51,323 - It dominates. It dominates hard. 319 00:16:51,365 --> 00:16:53,117 - And everybody's trying to figure out 320 00:16:53,159 --> 00:16:54,744 how to stop glioblastoma. 321 00:16:54,785 --> 00:16:56,704 But what if... 322 00:16:56,746 --> 00:17:00,624 you could just program it to make healthy cells? 323 00:17:00,666 --> 00:17:03,419 - Then it--it wouldn't be cancer anymore. 324 00:17:03,461 --> 00:17:05,254 - Right. 325 00:17:05,296 --> 00:17:07,423 Exactly right. 326 00:17:07,465 --> 00:17:09,717 It can be whatever you want. 327 00:17:09,759 --> 00:17:13,137 A cell that takes over another cell 328 00:17:13,179 --> 00:17:15,222 to make something good. 329 00:17:15,264 --> 00:17:18,642 - A molecular biological Granby roll. 330 00:17:18,684 --> 00:17:21,395 - Yes. Yes. Yes. 331 00:17:21,437 --> 00:17:24,648 Stem cells you inject directly into a diseased disc, 332 00:17:24,690 --> 00:17:27,526 making a brand-new healthy baby spine. 333 00:17:27,568 --> 00:17:29,987 - Preach. - 50% of all spinal surgeries 334 00:17:30,029 --> 00:17:31,572 are to repair diseased discs. 335 00:17:31,614 --> 00:17:34,283 We're talking about a startup. - You're Dock Ellis. 336 00:17:34,325 --> 00:17:37,536 You're pitching a no-hitter. You're crushing it. 337 00:17:37,578 --> 00:17:38,871 [softly] I can be your guinea pig. 338 00:17:38,913 --> 00:17:40,081 - What? 339 00:17:40,122 --> 00:17:41,374 - Inject that shit into my neck, 340 00:17:41,415 --> 00:17:44,335 so I can grow a new baby neck with no pain. 341 00:17:44,377 --> 00:17:46,670 Pain's a pain, bro. 342 00:17:46,712 --> 00:17:53,511 * * 343 00:17:53,552 --> 00:17:56,013 That could be your slogan. 344 00:17:56,055 --> 00:18:03,145 * * 345 00:18:17,284 --> 00:18:20,496 - [groans] 346 00:18:20,538 --> 00:18:22,206 [sighs] 347 00:18:29,714 --> 00:18:31,632 [claps hands] 348 00:18:35,678 --> 00:18:37,179 [computer beeps] 349 00:18:37,221 --> 00:18:39,348 [exhales deeply] 350 00:18:42,268 --> 00:18:44,395 [computer beeps] 351 00:18:53,279 --> 00:18:56,407 [exhales sharply] [keys clacking] 352 00:18:56,449 --> 00:18:57,742 [computer beeps] [slams desk] 353 00:18:57,783 --> 00:18:59,952 Fuck. 354 00:18:59,994 --> 00:19:02,955 [tense music] 355 00:19:02,997 --> 00:19:07,251 * * 356 00:19:07,293 --> 00:19:08,961 [clears throat] 357 00:19:09,003 --> 00:19:11,005 * * 358 00:19:11,047 --> 00:19:12,923 [computer beeps] 359 00:19:12,965 --> 00:19:19,889 * * 360 00:19:39,700 --> 00:19:42,370 [exhales deeply] 361 00:19:42,411 --> 00:19:44,580 [exhales sharply] 362 00:19:44,622 --> 00:19:46,290 [key clacks, computer beeps] 363 00:19:46,332 --> 00:19:53,464 * * 364 00:20:46,308 --> 00:20:49,687 [sighs] 365 00:20:49,729 --> 00:20:55,735 * * 366 00:21:00,322 --> 00:21:02,408 [air hisses] 367 00:21:03,909 --> 00:21:05,286 Fuck! 368 00:21:05,327 --> 00:21:12,418 * * 369 00:21:46,327 --> 00:21:48,162 [sniffs] 370 00:21:48,204 --> 00:21:51,082 [melancholy music] 371 00:21:51,123 --> 00:21:58,297 * * 372 00:22:19,443 --> 00:22:21,237 Shit. 373 00:22:21,278 --> 00:22:28,411 * * 374 00:22:36,919 --> 00:22:38,796 [computer beeps] 375 00:22:38,838 --> 00:22:45,469 * * 376 00:22:47,930 --> 00:22:49,849 [knock at door] 377 00:22:52,351 --> 00:22:53,394 - Bob. - Hello. 378 00:22:53,436 --> 00:22:55,479 - What a surprise. - Hey, Amy. 379 00:22:55,521 --> 00:22:58,274 - Afternoon, Randy. 380 00:22:58,315 --> 00:23:00,735 So how can I help you? 381 00:23:02,028 --> 00:23:05,531 - Christopher Duntsch. - Oh, boy. 382 00:23:05,573 --> 00:23:08,492 - [chuckles] Well, that about sums it up. 383 00:23:08,534 --> 00:23:09,744 - He operated on a patient 384 00:23:09,785 --> 00:23:12,163 at Legacy Frisco a few days ago. 385 00:23:12,204 --> 00:23:13,831 - He left a hole in her esophagus, 386 00:23:13,873 --> 00:23:15,708 sliced through her vocal cord. 387 00:23:17,710 --> 00:23:20,713 - We parted ways with Dr. Duntsch almost a year ago. 388 00:23:20,755 --> 00:23:23,507 - Well, what can you tell us about this reference 389 00:23:23,549 --> 00:23:25,092 that you wrote for Dr. Duntsch? 390 00:23:25,134 --> 00:23:26,594 - I didn't write anything. 391 00:23:26,635 --> 00:23:28,429 - Well, whatever law firm you paid to write-- 392 00:23:28,471 --> 00:23:29,764 - And it isn't a reference letter. 393 00:23:29,805 --> 00:23:31,474 It's a letter stating there were no restrictions 394 00:23:31,515 --> 00:23:33,017 or suspensions of his privileges. 395 00:23:33,059 --> 00:23:35,144 - But it implies that there's nothing in this record 396 00:23:35,186 --> 00:23:37,646 to preclude him from working at other hospitals. 397 00:23:37,688 --> 00:23:39,190 He--he maimed people here. 398 00:23:39,231 --> 00:23:40,941 He killed Shelley Brennan 399 00:23:40,983 --> 00:23:43,152 by drilling through her vertebral artery. 400 00:23:43,194 --> 00:23:45,696 - He also did that to another patient at Dallas Medical. 401 00:23:45,738 --> 00:23:47,531 - Shouldn't that have precluded him 402 00:23:47,573 --> 00:23:49,408 from employment at other hospitals? 403 00:23:52,244 --> 00:23:54,830 - I have to be careful about what I say right now. 404 00:23:54,872 --> 00:23:56,707 - [scoffs] - Whoa. 405 00:23:56,749 --> 00:23:58,876 I feel like I'm in the fucking Twilight Zone here, 406 00:23:58,918 --> 00:24:02,421 like I'm staring at the face of a coverup. 407 00:24:02,463 --> 00:24:03,964 - That's offensive. 408 00:24:04,006 --> 00:24:05,758 - Oh, well, I'll make sure to pass on 409 00:24:05,800 --> 00:24:07,718 how offended you are to his other victims. 410 00:24:07,760 --> 00:24:10,221 - Facts were disputed in some of his surgeries here. 411 00:24:10,262 --> 00:24:11,680 - Surgeries? 412 00:24:11,722 --> 00:24:13,891 Yeah, I saw one of his "surgeries" here firsthand. 413 00:24:13,933 --> 00:24:15,476 - And yet somehow, Dr. Kirby, 414 00:24:15,518 --> 00:24:17,853 I didn't receive your complaint. 415 00:24:17,895 --> 00:24:20,106 Our letter for Dr. Duntsch 416 00:24:20,147 --> 00:24:22,692 is our fair and honest appraisal of his standing 417 00:24:22,733 --> 00:24:24,276 at this institution. 418 00:24:24,318 --> 00:24:25,903 - Was Duntsch ever suspended? 419 00:24:25,945 --> 00:24:28,114 Your letter indicates that he was under investigation, 420 00:24:28,155 --> 00:24:29,323 and since it's your policy 421 00:24:29,365 --> 00:24:31,826 to suspend any doctor under investigation, 422 00:24:31,867 --> 00:24:34,036 I assume that you followed through with your policy. 423 00:24:34,078 --> 00:24:36,580 - Yes, you're correct. We did. 424 00:24:36,622 --> 00:24:38,082 As I recall, it was 21 days. 425 00:24:38,124 --> 00:24:41,043 - [chuckles] Well, that's convenient. 426 00:24:41,085 --> 00:24:42,420 - Excuse me? 427 00:24:42,461 --> 00:24:43,796 - National Practitioner Data Bank. 428 00:24:43,838 --> 00:24:46,257 - That thing established by Congress... 429 00:24:46,298 --> 00:24:47,466 - I know. - To warn the public 430 00:24:47,508 --> 00:24:49,343 and other hospitals about bad doctors. 431 00:24:49,385 --> 00:24:50,970 - I know. - You only have to report 432 00:24:51,011 --> 00:24:53,764 the ones that are suspended for 30 days or more. 433 00:24:53,806 --> 00:24:55,433 - How come you didn't report Duntsch 434 00:24:55,474 --> 00:24:57,017 to the Texas Medical Board? 435 00:24:57,059 --> 00:25:00,438 [dramatic music] 436 00:25:00,479 --> 00:25:01,814 - I think we're done here. 437 00:25:01,856 --> 00:25:04,650 - Can I ask you a personal question? 438 00:25:04,692 --> 00:25:07,069 Would you let Duntsch operate on you? 439 00:25:07,111 --> 00:25:10,322 * * 440 00:25:10,364 --> 00:25:12,950 - Lies of omission do not make this institution 441 00:25:12,992 --> 00:25:16,162 any less complicit, Ms. Piel. 442 00:25:16,203 --> 00:25:18,330 - Nobody here is gonna help us. 443 00:25:18,372 --> 00:25:20,249 - I'm not sure what kind of help we're looking for. 444 00:25:20,291 --> 00:25:22,001 - Come on, we can be sitting in Skadden's office 445 00:25:22,043 --> 00:25:23,169 in a few hours. 446 00:25:23,210 --> 00:25:24,837 - We spoke to him already. - I know. 447 00:25:24,879 --> 00:25:26,297 - He says he doesn't know anything. 448 00:25:26,338 --> 00:25:27,631 - I know! 449 00:25:27,673 --> 00:25:29,467 Come on, waste some time with me. 450 00:25:29,508 --> 00:25:32,428 Maybe we'll find out U.T. turned out a fraud. 451 00:25:32,470 --> 00:25:36,766 * * 452 00:25:36,807 --> 00:25:39,852 [indistinct conversation in Russian] 453 00:25:49,862 --> 00:25:54,283 [door closes, conversation continues] 454 00:25:54,325 --> 00:25:55,701 - Hi, everybody. 455 00:25:55,743 --> 00:25:57,453 So sorry I'm late. 456 00:25:57,495 --> 00:25:59,080 Katya, Dr. Duntsch. 457 00:25:59,121 --> 00:26:01,332 Ilya, Dr. Duntsch. 458 00:26:01,374 --> 00:26:03,167 Welcome to DiscGenics. 459 00:26:03,209 --> 00:26:05,669 Thank you all so much for coming. 460 00:26:05,711 --> 00:26:08,130 That's for you. That's for you. 461 00:26:08,172 --> 00:26:09,298 For you, sir. 462 00:26:09,340 --> 00:26:12,093 And do you mind passing those around? 463 00:26:12,134 --> 00:26:15,596 I just need some vitamin C. Be right back. 464 00:26:16,889 --> 00:26:18,933 [indistinct conversation in Russian] 465 00:26:18,974 --> 00:26:20,768 - [sighs] 466 00:26:20,810 --> 00:26:22,937 [machine beeps] 467 00:26:24,855 --> 00:26:27,942 [conversation continues] 468 00:26:34,699 --> 00:26:36,367 Okay. [chuckles] 469 00:26:36,409 --> 00:26:38,744 Sorry about that. 470 00:26:38,786 --> 00:26:43,791 Now, let me tell you why you're all here. 471 00:26:43,833 --> 00:26:46,669 I'm hoping that you will continue to be interested 472 00:26:46,711 --> 00:26:48,546 in what it is that I'm trying to accomplish, 473 00:26:48,587 --> 00:26:50,506 maybe financially interested. 474 00:26:50,548 --> 00:26:51,757 - We already know. 475 00:26:51,799 --> 00:26:54,218 - Our work with osteosarcoma stem cells-- 476 00:26:54,260 --> 00:26:55,553 it's a simple deduction. 477 00:26:55,594 --> 00:26:58,305 You wish to research spinal cancer. 478 00:26:58,347 --> 00:26:59,724 - Nyet. [chuckles] 479 00:26:59,765 --> 00:27:01,934 Nothing so basic. 480 00:27:01,976 --> 00:27:04,228 I brought you here because of your cancer research. 481 00:27:04,270 --> 00:27:05,938 I practically memorized your paper 482 00:27:05,980 --> 00:27:08,232 on phenotypical heterogeneity of neural cells. 483 00:27:08,274 --> 00:27:10,901 But, look, we can all cure cancer another day. 484 00:27:10,943 --> 00:27:13,404 Right now your research can be exploited 485 00:27:13,446 --> 00:27:17,408 to create stem cells to grow new spinal discs. 486 00:27:17,450 --> 00:27:19,702 Eliminate the need for surgery. 487 00:27:19,744 --> 00:27:22,246 That's what we're doing here at DiscGenics. 488 00:27:22,288 --> 00:27:25,166 [both speaking Russian] 489 00:27:30,671 --> 00:27:34,133 - I question if you understand the most basic science. 490 00:27:37,094 --> 00:27:38,387 - Um... 491 00:27:38,429 --> 00:27:41,182 may I see that for one second? Thank you. 492 00:27:41,223 --> 00:27:46,020 Um, if you'll all turn to page... 493 00:27:46,062 --> 00:27:47,980 13. 494 00:27:48,022 --> 00:27:51,400 This is your work in spherical clone generation. 495 00:27:51,442 --> 00:27:54,945 You were able to demonstrate stem cell markers OCT 3/4, 496 00:27:54,987 --> 00:27:58,157 NANOG, and STAT3, unless I misunderstood. 497 00:27:58,199 --> 00:28:00,951 - That is correct. - Right, but unlike with STAT3, 498 00:28:00,993 --> 00:28:04,080 where there was robust expression in both spheres 499 00:28:04,121 --> 00:28:07,124 and adherent cultures, NANOG and OCT 3/4 500 00:28:07,166 --> 00:28:09,126 had more variable patterns of expression. 501 00:28:09,168 --> 00:28:13,047 Ergo, the key determinant in self-renewal and pluripotency 502 00:28:13,089 --> 00:28:17,426 for stem cells in embryonic settings are variable. 503 00:28:17,468 --> 00:28:20,137 Am I right? 504 00:28:20,179 --> 00:28:23,307 I'm right. So all I'm asking is that we take your work 505 00:28:23,349 --> 00:28:25,226 into stem cell self-renewal markers, 506 00:28:25,267 --> 00:28:28,771 and we use it to create a new cell therapy. 507 00:28:28,813 --> 00:28:30,815 We build stem cells 508 00:28:30,856 --> 00:28:34,068 to repair diseased spinal discs. 509 00:28:36,529 --> 00:28:38,489 Will you help me out? 510 00:28:38,531 --> 00:28:45,287 * * 511 00:28:45,329 --> 00:28:47,164 Well, what do you think? 512 00:28:47,206 --> 00:28:49,792 - Definitely intrigued. - [sighs] 513 00:28:49,834 --> 00:28:53,504 - Outside the obvious, how can I help? 514 00:28:53,546 --> 00:28:55,798 - Honestly... 515 00:28:55,840 --> 00:28:56,966 [sighs] 516 00:28:57,007 --> 00:28:59,301 My surgical reps are killing me. 517 00:28:59,343 --> 00:29:02,096 You know, there's only so many hours in the day. 518 00:29:03,556 --> 00:29:05,141 - You are an M.D./PhD. 519 00:29:05,182 --> 00:29:07,935 You have to be able to balance both. 520 00:29:07,977 --> 00:29:09,645 You look tired. 521 00:29:09,687 --> 00:29:12,106 - [sighs] Yeah. 522 00:29:12,148 --> 00:29:14,942 I'm burning the candle at both ends and the middle. 523 00:29:14,984 --> 00:29:18,863 * * 524 00:29:18,904 --> 00:29:20,990 - A little friendly word... 525 00:29:21,032 --> 00:29:23,492 if I had a future ahead of me as bright as yours, 526 00:29:23,534 --> 00:29:27,538 I would never want to be a minute late showing up for it. 527 00:29:27,580 --> 00:29:29,749 Okay? - Yes, sir. 528 00:29:31,751 --> 00:29:33,544 - I'm gonna go press some flesh. 529 00:29:33,586 --> 00:29:35,546 - [clears throat] 530 00:29:35,588 --> 00:29:42,470 * * 531 00:29:53,773 --> 00:29:55,858 [monitor beeping softly] 532 00:29:55,900 --> 00:29:57,276 - Today I will be performing 533 00:29:57,318 --> 00:30:00,613 an anterior cervical discectomy and fusion. 534 00:30:00,654 --> 00:30:04,075 The vertebral bodies are exposed, and so is the disc. 535 00:30:04,116 --> 00:30:06,994 Chris, I'm thinking DiscGenics is gonna need some more money. 536 00:30:07,036 --> 00:30:08,871 - What do you mean? 537 00:30:08,913 --> 00:30:10,956 - You should meet with some investment bankers. 538 00:30:10,998 --> 00:30:13,125 I am drilling directly into the disc 539 00:30:13,167 --> 00:30:17,713 until I encounter the posterior longitudinal ligament. 540 00:30:17,755 --> 00:30:20,007 Beyond that is the spinal cord. 541 00:30:20,049 --> 00:30:22,468 - Before I get the patent? - The PLL is pierced. 542 00:30:22,510 --> 00:30:25,763 Inside the diseased disc resembles crabmeat. 543 00:30:25,805 --> 00:30:29,558 I use a nerve hook to remove the disc 544 00:30:29,600 --> 00:30:31,894 and decompress the spinal cord. 545 00:30:31,936 --> 00:30:34,188 It's classic chicken-and-the-egg. 546 00:30:34,230 --> 00:30:36,565 Private equity is a lusty courtship. 547 00:30:36,607 --> 00:30:38,275 The spinal cord is the white, 548 00:30:38,317 --> 00:30:41,737 glossy structure with a juicy blood vessel on top, 549 00:30:41,779 --> 00:30:43,739 and that is the dura. 550 00:30:43,781 --> 00:30:45,574 Now, we tease out-- 551 00:30:45,616 --> 00:30:48,577 [tense music] 552 00:30:48,619 --> 00:30:52,123 * * 553 00:30:52,164 --> 00:30:55,584 We now tease out the disc. 554 00:30:55,626 --> 00:30:59,839 * * 555 00:30:59,880 --> 00:31:02,425 Dr. Duntsch has successfully removed the disc. 556 00:31:02,466 --> 00:31:04,009 Well done. 557 00:31:04,051 --> 00:31:06,595 Don't worry. You'll get your patent, Chris. 558 00:31:06,637 --> 00:31:09,557 And you and your company will make us obsolete. 559 00:31:09,598 --> 00:31:10,641 - [chuckles] 560 00:31:10,683 --> 00:31:12,435 - We now drill holes 561 00:31:12,476 --> 00:31:16,564 for the twin screws in the vertebra. 562 00:31:16,605 --> 00:31:18,399 You ready? 563 00:31:18,441 --> 00:31:21,235 * * 564 00:31:21,277 --> 00:31:23,154 [drill whirring] 565 00:31:25,740 --> 00:31:27,783 The only useful thing you learned at Harvard 566 00:31:27,825 --> 00:31:29,577 was how to name-drop the word Harvard 567 00:31:29,618 --> 00:31:30,995 into any given conversation. 568 00:31:31,037 --> 00:31:33,748 Oh, here are our two esteemed visitors 569 00:31:33,789 --> 00:31:35,124 I was telling you about-- 570 00:31:35,166 --> 00:31:37,293 Dr. Robert Henderson and Dr. Randall Kirby. 571 00:31:37,334 --> 00:31:39,462 It's a pleasure to make your acquaintance 572 00:31:39,503 --> 00:31:40,463 in the flesh, gentlemen. 573 00:31:40,504 --> 00:31:42,715 Dr. Kirby went to Rice University 574 00:31:42,757 --> 00:31:44,592 and Baylor College of Medicine. 575 00:31:44,633 --> 00:31:47,511 And Dr. Henderson... 576 00:31:47,553 --> 00:31:49,972 I'm so sorry. I-I'm completely forgetting. 577 00:31:50,014 --> 00:31:52,016 Uh, where did you get your M.D.? 578 00:31:52,058 --> 00:31:54,977 - University of Nebraska. - Yes. 579 00:31:55,019 --> 00:31:58,439 Right, right. Um, go, Corn Huskers. 580 00:31:58,481 --> 00:32:01,650 [chuckles] 581 00:32:01,692 --> 00:32:04,445 - Duntsch's friend, if you can believe he actually had one. 582 00:32:04,487 --> 00:32:06,655 - Turned him into a quadriplegic. 583 00:32:06,697 --> 00:32:08,157 As of today, he's closing in 584 00:32:08,199 --> 00:32:10,493 on two dozen botched surgeries-- 585 00:32:10,534 --> 00:32:12,787 holes that drilled through muscle, 586 00:32:12,828 --> 00:32:14,580 nerves severed, arteries. 587 00:32:14,622 --> 00:32:18,209 I mean, the guy can't define basic regional anatomy. 588 00:32:18,250 --> 00:32:20,086 - He approaches spinal surgery 589 00:32:20,127 --> 00:32:23,714 like a child playing with Tinkertoys. 590 00:32:23,756 --> 00:32:26,884 - This is not the Christopher Duntsch I knew. 591 00:32:28,886 --> 00:32:31,514 These things here, I... 592 00:32:31,555 --> 00:32:33,682 I never saw. 593 00:32:33,724 --> 00:32:35,059 I just can't explain it. 594 00:32:35,101 --> 00:32:36,560 - Well, perhaps you could help us unpack 595 00:32:36,602 --> 00:32:38,479 the reference you provided for Duntsch? 596 00:32:38,521 --> 00:32:40,481 - Of course. 597 00:32:40,523 --> 00:32:42,441 - He met all of his training hours? 598 00:32:42,483 --> 00:32:45,069 - Yes, though I-I can't speak to his--his residency. 599 00:32:45,111 --> 00:32:46,654 You'd have to check with them for that. 600 00:32:46,696 --> 00:32:48,531 - I'm sure you wouldn't have included him in your fellowship 601 00:32:48,572 --> 00:32:50,324 if you didn't think he was properly trained, correct? 602 00:32:50,366 --> 00:32:51,409 - Correct. 603 00:32:51,450 --> 00:32:53,452 - You oversaw his surgical reps here? 604 00:32:53,494 --> 00:32:54,495 - Yes. 605 00:32:54,537 --> 00:32:56,747 And if you were one of my fellows 606 00:32:56,789 --> 00:32:58,916 and I was watching 607 00:32:58,958 --> 00:33:01,335 and you did what you've shown me here, 608 00:33:01,377 --> 00:33:03,462 that would be the end of your fellowship. 609 00:33:03,504 --> 00:33:05,089 - Any drugs? 610 00:33:05,131 --> 00:33:06,340 - I never saw anything 611 00:33:06,382 --> 00:33:07,883 that would lead me to that conclusion. 612 00:33:07,925 --> 00:33:09,218 - Psychiatric issues? 613 00:33:09,260 --> 00:33:10,845 - He may have sought counseling. 614 00:33:10,886 --> 00:33:13,264 A lot of students do. 615 00:33:13,305 --> 00:33:16,267 I'm afraid that's really all I can help you with. 616 00:33:16,308 --> 00:33:19,270 - With all due respect, I have to disagree with you there. 617 00:33:19,311 --> 00:33:21,772 - His references are the bedrock to his bullshit. 618 00:33:21,814 --> 00:33:23,315 He can get credentialed anywhere. 619 00:33:23,357 --> 00:33:24,692 - You're in a unique position 620 00:33:24,734 --> 00:33:27,111 to tell them what you know about Dallas. 621 00:33:27,153 --> 00:33:29,905 - I did, on the form for Forest Park. 622 00:33:29,947 --> 00:33:31,949 I mentioned poor outcomes at Baylor. 623 00:33:31,991 --> 00:33:34,076 - But not Dallas Medical? - No, no. 624 00:33:34,118 --> 00:33:36,412 They wanted the form back immediately. 625 00:33:36,454 --> 00:33:39,749 So I checked the boxes as requested, 626 00:33:39,790 --> 00:33:42,084 stated that he was... 627 00:33:42,126 --> 00:33:45,087 satisfactory, which he was. 628 00:33:45,129 --> 00:33:47,173 - If it had been me, 629 00:33:47,214 --> 00:33:49,216 I would have done everything in my power to say, 630 00:33:49,258 --> 00:33:50,676 "No, I cannot recommend him." 631 00:33:50,718 --> 00:33:52,928 - I can read you the form for privileges, 632 00:33:52,970 --> 00:33:54,889 but it only relates to his time here. 633 00:33:54,930 --> 00:33:58,142 You're only allowed to attest to what you directly observe, 634 00:33:58,184 --> 00:34:00,728 that period of time the observation is made, 635 00:34:00,770 --> 00:34:02,438 and your role as observer-- 636 00:34:02,480 --> 00:34:04,690 what happened during his training. 637 00:34:07,318 --> 00:34:10,780 - What about the images we've provided you with? 638 00:34:10,821 --> 00:34:13,491 - Yeah. [sighs] 639 00:34:13,532 --> 00:34:15,284 Yeah, I'm sorry. 640 00:34:15,326 --> 00:34:18,788 I-I'm afraid I'd have to throw the ball back to Dallas. 641 00:34:18,829 --> 00:34:22,416 What happened, he did in Texas. 642 00:34:22,458 --> 00:34:24,126 Makes you think the hospitals there 643 00:34:24,168 --> 00:34:25,753 will take any surgeon with a pulse. 644 00:34:25,795 --> 00:34:27,463 [chuckles] 645 00:34:30,925 --> 00:34:33,135 I see why you're so upset-- 646 00:34:33,177 --> 00:34:36,013 these hospitals not reporting him, 647 00:34:36,055 --> 00:34:39,141 Not vetting him properly. 648 00:34:39,183 --> 00:34:42,937 But this is a Texas problem... 649 00:34:42,978 --> 00:34:45,648 not a Tennessee problem. 650 00:34:45,690 --> 00:34:48,984 [Dr. Kirby sighs] 651 00:34:49,026 --> 00:34:51,946 [phone receiver clatters] 652 00:34:51,987 --> 00:34:53,948 - [exhales sharply] 653 00:34:53,989 --> 00:34:57,618 [tense music] 654 00:34:57,660 --> 00:34:59,995 [clears throat] 655 00:35:00,037 --> 00:35:02,498 Hi, it's Christopher Duntsch. 656 00:35:02,540 --> 00:35:04,542 Dr. Christopher Duntsch calling. 657 00:35:04,583 --> 00:35:07,128 Uh, just following up on that exam you had 658 00:35:07,169 --> 00:35:08,671 a couple of months ago. 659 00:35:08,713 --> 00:35:10,965 I just wanted to see if you're still interested in surgery 660 00:35:11,006 --> 00:35:12,550 to correct all that pain. 661 00:35:12,591 --> 00:35:14,635 I'm still working out of Baylor-Plano, 662 00:35:14,677 --> 00:35:17,471 but I did actually start working at another hospital. 663 00:35:19,557 --> 00:35:21,767 I'm just following up. How's that neck pain? 664 00:35:21,809 --> 00:35:22,852 A tingling foot? 665 00:35:22,893 --> 00:35:24,979 The exam is free. 666 00:35:25,021 --> 00:35:27,898 * * 667 00:35:27,940 --> 00:35:30,026 You are interested. 668 00:35:30,067 --> 00:35:32,278 Oh, you moved. 669 00:35:32,319 --> 00:35:34,280 Out of state. 670 00:35:35,573 --> 00:35:38,826 You know, January is Spinal Health Awareness Month. 671 00:35:38,868 --> 00:35:40,578 Hello? 672 00:35:41,829 --> 00:35:43,873 Mrs. Bloom? 673 00:35:43,914 --> 00:35:45,666 He passed. 674 00:35:45,708 --> 00:35:49,253 * * 675 00:35:49,295 --> 00:35:51,297 I will say hi to Jerry for you. 676 00:35:51,338 --> 00:35:53,049 Kim is great. 677 00:35:53,090 --> 00:35:54,508 [chuckles] Yeah. 678 00:35:54,550 --> 00:35:57,261 No, she's great. 679 00:35:57,303 --> 00:36:00,473 Well, Jerry... 680 00:36:00,514 --> 00:36:02,808 moved on. 681 00:36:04,810 --> 00:36:06,145 That's a hairline fracture. 682 00:36:06,187 --> 00:36:08,147 You--you could be paralyzed if you don't correct it. 683 00:36:08,189 --> 00:36:12,318 * * 684 00:36:12,360 --> 00:36:14,570 Kim is great. 685 00:36:14,612 --> 00:36:15,738 [coughs] 686 00:36:15,780 --> 00:36:18,866 * * 687 00:36:18,908 --> 00:36:20,576 Yes. 688 00:36:20,618 --> 00:36:22,036 Yes, yes. 689 00:36:22,078 --> 00:36:25,831 I promise I'll never call back. 690 00:36:25,873 --> 00:36:32,296 * * 691 00:37:15,423 --> 00:37:17,383 - Dr. Duntsch? 692 00:37:19,135 --> 00:37:20,386 - [clears throat] 693 00:37:20,428 --> 00:37:22,054 - [chuckles] 694 00:37:22,096 --> 00:37:23,639 The Dr. Duntsch? 695 00:37:23,681 --> 00:37:25,391 - Can I help you? We're kind of closing up. 696 00:37:25,433 --> 00:37:27,476 - Uh, I'm Stan Novak. 697 00:37:27,518 --> 00:37:29,311 I, uh, found 'em in your door. 698 00:37:29,353 --> 00:37:31,772 - Oh, it's that damn office manager-- 699 00:37:31,814 --> 00:37:33,691 so scatterbrained. 700 00:37:37,528 --> 00:37:40,531 When did you hurt your neck? 701 00:37:40,573 --> 00:37:42,491 - Motorcycle crash six years ago. 702 00:37:42,533 --> 00:37:45,661 I've had five back surgeries. 703 00:37:45,703 --> 00:37:48,330 How'd you know it was my neck? - [chuckles] 704 00:37:48,372 --> 00:37:51,751 It's kind of what I do for a living. 705 00:37:51,792 --> 00:37:54,003 Let me guess... 706 00:37:54,045 --> 00:37:55,337 when the spasms happen, 707 00:37:55,379 --> 00:37:56,922 it feels like an electric shock? 708 00:37:56,964 --> 00:37:58,507 - Oh, any little thing sets 'em off. 709 00:37:58,549 --> 00:38:00,843 Sometimes hits me when I'm driving. 710 00:38:00,885 --> 00:38:02,344 I almost go off the road. 711 00:38:02,386 --> 00:38:04,805 - Yeah, that's Lhermitte's sign. 712 00:38:04,847 --> 00:38:07,349 We're looking at a cervical fusion. 713 00:38:07,391 --> 00:38:09,560 You got severe compression of the spinal cord, 714 00:38:09,602 --> 00:38:12,355 but if we decompress that, you'll have a full recovery. 715 00:38:12,396 --> 00:38:14,565 - [chuckles] 716 00:38:14,607 --> 00:38:17,360 I've seen so many doctors, but I wanted you. 717 00:38:17,401 --> 00:38:20,071 [chuckles] Saw your award video. 718 00:38:20,112 --> 00:38:23,240 - [clears throat] - Best Docs. 719 00:38:23,282 --> 00:38:26,285 [hopeful music plays, monitor beeping on phone] 720 00:38:26,327 --> 00:38:28,704 * * 721 00:38:28,746 --> 00:38:31,123 - Two reasons why patients normally present 722 00:38:31,165 --> 00:38:33,626 to their doctors for pain related to the spine-- 723 00:38:33,667 --> 00:38:36,712 the first is related to the peripheral nervous system. 724 00:38:36,754 --> 00:38:38,214 That's called radiculopathy. 725 00:38:38,255 --> 00:38:40,925 Now, that's normally associated with compression 726 00:38:40,966 --> 00:38:42,551 or degenerative changes 727 00:38:42,593 --> 00:38:44,970 to the spinal structure irritating the nerve, or-- 728 00:38:45,012 --> 00:38:48,057 - Award for best doctor in Texas, huh? 729 00:38:48,099 --> 00:38:50,059 - [chuckles] 730 00:38:50,101 --> 00:38:51,727 [clears throat] 731 00:38:51,769 --> 00:38:53,396 You caught me in the middle of an expansion. 732 00:38:53,437 --> 00:38:56,190 I'm a little short-staffed right now. 733 00:38:56,232 --> 00:38:58,859 - You can still do it, right? 734 00:38:58,901 --> 00:39:00,861 - I'm all booked up at Baylor, 735 00:39:00,903 --> 00:39:02,988 but I did just start at University General. 736 00:39:03,030 --> 00:39:05,866 I can squeeze you in there. 737 00:39:05,908 --> 00:39:07,868 - [chuckles] 738 00:39:07,910 --> 00:39:10,871 [tense music] 739 00:39:10,913 --> 00:39:12,498 * * 740 00:39:20,423 --> 00:39:21,674 - We get the process, Duntsch. 741 00:39:21,716 --> 00:39:23,884 - And we do like disruptive tech. 742 00:39:23,926 --> 00:39:25,553 - Then you're gonna love DiscGenics. 743 00:39:25,594 --> 00:39:27,012 - Oh, it's just that I was forced to take 744 00:39:27,054 --> 00:39:28,806 the "D to a C" program, in high-school biology, so-- 745 00:39:28,848 --> 00:39:30,433 - I put the fucking A in AP chem, 746 00:39:30,474 --> 00:39:31,892 and I still don't get what it does. 747 00:39:31,934 --> 00:39:33,310 - Okay, brass tacks-- 748 00:39:33,352 --> 00:39:34,729 I'm inventing 749 00:39:34,770 --> 00:39:37,064 an injectable fountain of youth for the spine. 750 00:39:37,106 --> 00:39:40,067 - Work for his wanker? - That's phase two. 751 00:39:40,109 --> 00:39:41,610 - Hey, there's hope. 752 00:39:41,652 --> 00:39:44,405 - Look, simply put, stem cells take over diseased cells 753 00:39:44,447 --> 00:39:46,240 in spinal discs and repair them. 754 00:39:46,282 --> 00:39:48,993 - How far along is it? 755 00:39:49,035 --> 00:39:51,787 - We're looking for partners right now to raise capital 756 00:39:51,829 --> 00:39:54,832 based on lead assets that we've already generated. 757 00:39:54,874 --> 00:39:56,584 I mean, look, I am developing a key process 758 00:39:56,625 --> 00:39:58,377 in the manipulation of stem cells, 759 00:39:58,419 --> 00:39:59,920 but, equally important, 760 00:39:59,962 --> 00:40:02,631 our competitors are going to need to use this step 761 00:40:02,673 --> 00:40:04,425 if they want to play in our space. 762 00:40:04,467 --> 00:40:07,053 We'll own it, and they'll have to pay. 763 00:40:07,094 --> 00:40:09,638 - And how'd you come up with the concept? 764 00:40:09,680 --> 00:40:12,641 - LSD. [laughter] 765 00:40:12,683 --> 00:40:14,310 - I knew it. - I knew it. 766 00:40:14,351 --> 00:40:17,188 - * Bass down low, bass, bass, bass down low * 767 00:40:17,229 --> 00:40:19,523 * B-bass, bass down low * 768 00:40:19,565 --> 00:40:21,609 * I-I-I like my beats fast... * 769 00:40:21,650 --> 00:40:25,112 - Whoa, whoa, whoa, hey, Make way for the king. 770 00:40:25,154 --> 00:40:27,448 Yo, what the fuck's a MISI? 771 00:40:27,490 --> 00:40:29,867 - Minimally Invasive Spine Institute-- 772 00:40:29,909 --> 00:40:31,160 M-I-S-I, MISI. 773 00:40:31,202 --> 00:40:34,038 - Minimally invasive spines are your jam, man. 774 00:40:34,080 --> 00:40:37,291 Too many choices. What are you gonna do? 775 00:40:37,333 --> 00:40:38,876 - What are we gonna do? 776 00:40:40,669 --> 00:40:42,171 I don't think you should sell anymore, you know? 777 00:40:42,213 --> 00:40:43,214 - Come on, man. 778 00:40:43,255 --> 00:40:45,257 It's no big deal. - No, no. 779 00:40:45,299 --> 00:40:47,093 Come with me. 780 00:40:47,134 --> 00:40:48,886 * * 781 00:40:48,928 --> 00:40:50,304 - Where? 782 00:40:50,346 --> 00:40:53,682 - I got job offers in Dallas, California, wherever. 783 00:40:53,724 --> 00:40:56,060 - What am I gonna do? - You already live with me. 784 00:40:56,102 --> 00:40:57,436 You drive me. 785 00:40:57,478 --> 00:40:59,146 We're best friends, right? 786 00:40:59,188 --> 00:41:01,315 - Goddamn right we are. 787 00:41:01,357 --> 00:41:03,901 Wherever you go, I'll work for you. 788 00:41:03,943 --> 00:41:08,489 Hey, how about director of marketing? 789 00:41:08,531 --> 00:41:10,866 Preach the empire of Duntsch. 790 00:41:10,908 --> 00:41:14,328 - * I like my beats fast and my bass down low * 791 00:41:14,370 --> 00:41:15,830 * Drop it to the floor * 792 00:41:15,871 --> 00:41:18,999 * Bass down low, bass, bass, bass down low * 793 00:41:19,041 --> 00:41:23,629 * I-I-I like my beats fast and my bass down low * 794 00:41:23,671 --> 00:41:26,006 * It's like one, two, three, okay * 795 00:41:26,048 --> 00:41:28,092 - Wait a second. 796 00:41:28,134 --> 00:41:29,844 - * Every day feel like my birthday * 797 00:41:29,885 --> 00:41:32,388 * And we sip champagne when we thirsty * 798 00:41:32,430 --> 00:41:34,682 - Evening. 799 00:41:34,724 --> 00:41:36,600 Just wanted to introduce myself. 800 00:41:36,642 --> 00:41:38,394 - Get out of here. - My name's Chris. 801 00:41:38,436 --> 00:41:40,229 What's yours? - I paid for this, Chris. 802 00:41:40,271 --> 00:41:41,689 Back the fuck off. 803 00:41:41,731 --> 00:41:43,399 - Touch my friend again, I'll break your spine, 804 00:41:43,441 --> 00:41:45,818 and you'll have to pay him to fix it. 805 00:41:45,860 --> 00:41:48,529 - So, what's your name? - Crystale. 806 00:41:48,571 --> 00:41:50,531 It's a little early for Halloween. 807 00:41:50,573 --> 00:41:52,033 - [chuckles] 808 00:41:52,074 --> 00:41:54,702 I like your costume better. - You gonna pay for it? 809 00:41:54,744 --> 00:41:57,204 - No, 'cause you are priceless. 810 00:41:57,246 --> 00:42:01,584 - Oh, if only I hadn't heard that line seven times tonight. 811 00:42:01,625 --> 00:42:03,961 - I bet you break a heart every time you say that. 812 00:42:04,003 --> 00:42:05,671 * * 813 00:42:05,713 --> 00:42:08,716 - If you're really a doctor, what kind are you. 814 00:42:08,758 --> 00:42:11,427 aside from being a cheap-ass one? 815 00:42:11,469 --> 00:42:14,638 - [scoffs] Well, Crystale, unless you're board certified 816 00:42:14,680 --> 00:42:16,432 in neurosurgery and molecular biology, 817 00:42:16,474 --> 00:42:19,268 I don't think I could explain it to you. 818 00:42:19,310 --> 00:42:21,979 - I'm board certified in knowing you're an asshole. 819 00:42:22,021 --> 00:42:23,105 - Hey! 820 00:42:23,147 --> 00:42:24,273 - My name's not "hey." 821 00:42:24,315 --> 00:42:26,859 - Well, it's not Crystale either. 822 00:42:26,901 --> 00:42:28,986 Look, I've had a crazy day. 823 00:42:29,028 --> 00:42:32,239 A bunch of dreams just came true all at once. 824 00:42:32,281 --> 00:42:34,075 Has that ever happened to you? 825 00:42:34,116 --> 00:42:36,869 - Dancing here is my trifecta of dreams come true. 826 00:42:36,911 --> 00:42:40,581 * * 827 00:42:40,623 --> 00:42:41,999 - Okay, so I'm an asshole, 828 00:42:42,041 --> 00:42:44,210 and I'm sorry for what I said earlier. 829 00:42:44,251 --> 00:42:45,753 - Pardon the interruption. 830 00:42:45,795 --> 00:42:48,547 Listen, bro, I don't need to be marketing director. 831 00:42:48,589 --> 00:42:50,716 Only title I want in your life is friend, 832 00:42:50,758 --> 00:42:52,676 and you can never fire me. 833 00:42:52,718 --> 00:42:54,470 I go where you go, 834 00:42:54,512 --> 00:42:56,430 but you do need a slogan for DiscGenics. 835 00:42:56,472 --> 00:42:58,808 - A slogan? I'll give it a whirl. 836 00:42:58,849 --> 00:43:01,769 - You don't know what it is. - Do you know what it is? 837 00:43:01,811 --> 00:43:03,896 - I don't need to. I'm good. 838 00:43:03,938 --> 00:43:06,399 * * 839 00:43:06,440 --> 00:43:08,943 - Holy shit. Done fucking deal. 840 00:43:08,984 --> 00:43:11,278 Fuck, yeah. Chris, you got to hear it. 841 00:43:11,320 --> 00:43:13,239 She's rock and roll. 842 00:43:13,280 --> 00:43:16,492 - * La, la, la, la-la, la-la * 843 00:43:16,534 --> 00:43:18,244 - Yes. 844 00:43:18,285 --> 00:43:21,038 - * La, la, la, la-la, la-la * 845 00:43:21,080 --> 00:43:23,290 * If you want to get with me * 846 00:43:23,332 --> 00:43:25,000 * There's some things you got to know * 847 00:43:25,042 --> 00:43:27,128 - * Drop it to the floor * - * Bass down low * 848 00:43:27,169 --> 00:43:29,547 * Bass, bass, bass, bass down low * 849 00:43:29,588 --> 00:43:33,634 * I-I-I like my beats fast and my bass down low * 850 00:43:33,676 --> 00:43:35,845 * B-b-bass down low * 851 00:43:35,886 --> 00:43:38,305 * Bass, bass, bass, bass down low * 852 00:43:38,347 --> 00:43:42,226 * I like my beats fast and my bass down low * 853 00:43:48,691 --> 00:43:51,652 [bird hooting in the distance] 854 00:43:51,694 --> 00:43:55,114 [classical music playing faintly] 855 00:43:55,156 --> 00:43:58,701 * * 856 00:43:58,743 --> 00:44:02,663 [distant dog barking] 857 00:44:02,705 --> 00:44:06,542 [doorbell rings] 858 00:44:13,340 --> 00:44:20,264 * * 859 00:44:22,767 --> 00:44:25,644 [distant dog barking] 860 00:44:25,686 --> 00:44:32,818 * * 861 00:44:41,577 --> 00:44:44,497 [volume increases] 862 00:44:44,538 --> 00:44:50,711 * * 863 00:44:50,753 --> 00:44:51,712 - [muffled] Bob! 864 00:44:51,754 --> 00:44:53,297 Hey! Come on! 865 00:44:53,339 --> 00:44:55,508 - No, no, no--oh. 866 00:44:55,549 --> 00:44:57,385 I came at a bad time, I'm sorry. 867 00:44:57,426 --> 00:44:59,845 - No, no, no! Come on. It's opera night, come on in. 868 00:44:59,887 --> 00:45:01,055 Come on. - Hey, look at this. 869 00:45:01,097 --> 00:45:03,140 * * 870 00:45:03,182 --> 00:45:05,726 He got another job. 871 00:45:05,768 --> 00:45:07,937 - [scoffs] University General Hospital. 872 00:45:07,978 --> 00:45:09,271 You know what? I went to med school 873 00:45:09,313 --> 00:45:10,856 with the owner of this place--Dr. Sasani. 874 00:45:10,898 --> 00:45:12,066 We should go there. 875 00:45:12,108 --> 00:45:13,859 - And do what exactly? - I don't know. 876 00:45:13,901 --> 00:45:14,902 We'll figure it out. 877 00:45:14,944 --> 00:45:17,363 We'll, uh, denounce him publicly. 878 00:45:17,405 --> 00:45:20,032 No more half measures, right? 879 00:45:20,074 --> 00:45:22,284 - Okay. - Come on. 880 00:45:22,326 --> 00:45:24,829 Jacqueline, look who's here! 881 00:45:24,870 --> 00:45:28,124 This is Dr. Bob Henderson. 882 00:45:28,165 --> 00:45:35,131 * *