1 00:00:03,699 --> 00:00:04,046 . 2 00:00:04,091 --> 00:00:05,657 - Told him I needed dialysis. 3 00:00:05,701 --> 00:00:06,919 Left it pretty vague. 4 00:00:06,963 --> 00:00:08,182 - It's a good thing you told him, though. 5 00:00:08,225 --> 00:00:10,793 Not just for his sake. 6 00:00:10,836 --> 00:00:13,013 - Hey, Grace. Over here. 7 00:00:13,056 --> 00:00:14,492 Word is she's single. 8 00:00:14,536 --> 00:00:16,494 - Maybe I could buy you a cup of coffee. 9 00:00:16,538 --> 00:00:19,671 - What about a drink instead? 10 00:00:19,715 --> 00:00:21,369 - We can help a lot more people 11 00:00:21,412 --> 00:00:23,849 with Jack's vision and money in our corner. 12 00:00:23,893 --> 00:00:27,157 - Dayton says from now on, 2.0 is for paying customers only. 13 00:00:27,201 --> 00:00:30,421 - When Jack wants something, he can be like a dog after a bone. 14 00:00:30,465 --> 00:00:34,556 - Yeah, well, that has been my impression as well. 15 00:00:34,599 --> 00:00:36,079 [laughter] 16 00:00:36,123 --> 00:00:37,341 - Ooh. 17 00:00:37,385 --> 00:00:38,777 Who are the flowers from? 18 00:00:45,436 --> 00:00:47,612 - Guess. 19 00:00:47,656 --> 00:00:49,614 - Oh, your not-so-secret admirer, 20 00:00:49,658 --> 00:00:51,790 Dr. George Thomas. 21 00:00:51,834 --> 00:00:53,531 Oh, orchids. 22 00:00:53,575 --> 00:00:55,098 The man's refined. - No. 23 00:00:55,142 --> 00:00:57,405 The man is persistent. 24 00:00:57,448 --> 00:01:00,321 - [laughs] Come on. 25 00:01:00,364 --> 00:01:01,539 Tell me you're not a little bit flattered. 26 00:01:01,583 --> 00:01:03,846 - Well, it's a bit much, don't you think? 27 00:01:03,889 --> 00:01:05,108 - I think George has a crush. 28 00:01:05,152 --> 00:01:07,241 - Well, I think he needs to take a hint. 29 00:01:07,284 --> 00:01:10,157 He's asked me out for drinks again. 30 00:01:10,200 --> 00:01:11,984 - Why won't you go? 31 00:01:12,028 --> 00:01:13,943 - He's on the board, Maggie. 32 00:01:13,986 --> 00:01:16,119 - You work here every day. 33 00:01:16,163 --> 00:01:17,381 Where else you supposed to meet somebody? 34 00:01:17,425 --> 00:01:19,818 - Well, I just think it's not a good idea 35 00:01:19,862 --> 00:01:22,995 to mix business with pleasure. - Fine. 36 00:01:23,039 --> 00:01:26,173 Sure, but when has that ever worked for anyone? 37 00:01:26,216 --> 00:01:27,913 I mean, take the ED, for example. 38 00:01:27,957 --> 00:01:29,914 You've got Ethan and April. 39 00:01:29,959 --> 00:01:31,830 You've got Will and Natalie. 40 00:01:31,874 --> 00:01:33,441 You've got Will and Hannah. 41 00:01:33,484 --> 00:01:35,747 You got Will and-- - Okay, all right. 42 00:01:35,791 --> 00:01:39,142 Spare me the update on Dr. Halstead's love life. 43 00:01:39,186 --> 00:01:40,404 - There could be... - Go to work. 44 00:01:40,448 --> 00:01:42,363 - Goodwin and-- - Bye. 45 00:01:42,406 --> 00:01:43,842 - [laughs] [door shuts] 46 00:01:47,281 --> 00:01:48,195 - I'm surprised you've got the guts 47 00:01:48,238 --> 00:01:49,152 to show your face this morning, 48 00:01:49,196 --> 00:01:51,023 305 to 146. 49 00:01:51,067 --> 00:01:53,461 - Glad to see last night's win didn't go to your head. 50 00:01:53,503 --> 00:01:54,853 Did you memorize our Scrabble scores? 51 00:01:54,896 --> 00:01:56,594 - Do you think it's some kind of record? 52 00:01:56,638 --> 00:01:59,249 Largest spread ever recorded. 53 00:01:59,293 --> 00:02:01,730 - Well, someone's extra snarky this morning. 54 00:02:01,773 --> 00:02:03,253 What's in that thermos? - Oh. 55 00:02:03,297 --> 00:02:05,168 Well, there were four shots of espresso. 56 00:02:05,212 --> 00:02:07,431 It's empty now. - Whoa. Where's the fire? 57 00:02:07,475 --> 00:02:09,781 - My pilot program launches today. 58 00:02:09,824 --> 00:02:12,567 - That's right. I totally forgot about the big day. 59 00:02:12,610 --> 00:02:15,439 The ED gets a technological facelift. 60 00:02:15,483 --> 00:02:18,094 - New software, diagnostic tools, 61 00:02:18,138 --> 00:02:20,270 system upgrades. 62 00:02:21,880 --> 00:02:24,318 Be honest. People are not gonna like all the changes, right? 63 00:02:24,361 --> 00:02:26,276 - They'll be resistant. - Of course they will be. 64 00:02:26,320 --> 00:02:28,713 - At first, but once they give it a shot... 65 00:02:28,757 --> 00:02:30,802 - They're gonna see the tech is gonna help them with their work 66 00:02:30,846 --> 00:02:32,804 and work better and work for them and not against them. 67 00:02:32,848 --> 00:02:35,590 And you can tell I've had four shots of espresso 68 00:02:35,633 --> 00:02:37,200 on an empty stomach. - Yes. 69 00:02:37,244 --> 00:02:39,289 Let's get you a muffin. - Yes, let's. 70 00:02:39,333 --> 00:02:41,291 - A blueberry muffin, chai latte. 71 00:02:41,335 --> 00:02:42,901 - Okay. Yeah, sure. 72 00:02:42,945 --> 00:02:44,468 - Grace? - Mm-hmm. 73 00:02:44,512 --> 00:02:46,862 - Grace. - Mm-hmm. Mm-hmm, yeah. 74 00:02:46,905 --> 00:02:49,560 [both inhale deeply, exhale] 75 00:02:49,603 --> 00:02:52,128 - Thanks. Come here. 76 00:02:52,172 --> 00:02:54,609 Hey, look. 77 00:02:54,652 --> 00:02:57,046 You've been helping me do my job better since you got here. 78 00:02:57,089 --> 00:02:59,266 Today's gonna go great. 79 00:02:59,309 --> 00:03:01,442 - Thank you. 80 00:03:05,272 --> 00:03:07,752 I... 81 00:03:07,796 --> 00:03:09,319 couldn't help it. 82 00:03:09,363 --> 00:03:11,495 - No need to help it. 83 00:03:13,541 --> 00:03:15,064 - That was a close one. - Thank you so much. 84 00:03:15,107 --> 00:03:16,283 I appreciate it. - Have a good day. 85 00:03:16,326 --> 00:03:18,459 - Lifesaver. 86 00:03:18,502 --> 00:03:20,591 - Hey, got your own personal valet now, hotshot? 87 00:03:20,635 --> 00:03:21,984 - Your son is a lifesaver. 88 00:03:22,027 --> 00:03:23,855 Apparently, my car was about to be towed, 89 00:03:23,899 --> 00:03:25,204 and he offered to move it for me. 90 00:03:25,248 --> 00:03:26,858 - That's the least he could do. 91 00:03:26,902 --> 00:03:28,077 - What do you mean? 92 00:03:28,120 --> 00:03:29,165 - You've take him under your wing. 93 00:03:29,209 --> 00:03:30,514 You set him up with a sponsor. 94 00:03:30,558 --> 00:03:33,517 You sent that valet gig his way. 95 00:03:33,561 --> 00:03:34,910 You've been a really positive influence. 96 00:03:34,953 --> 00:03:37,042 And now that I've laid it on thick, 97 00:03:37,086 --> 00:03:38,305 can I ask a favor? 98 00:03:38,348 --> 00:03:40,524 - Should've seen that coming. 99 00:03:40,567 --> 00:03:41,873 - I need an attending 100 00:03:41,917 --> 00:03:44,702 to cover for me next week at a department meeting, 101 00:03:44,746 --> 00:03:47,096 and you're the only one around here I trust. 102 00:03:47,139 --> 00:03:48,445 - What's going on? 103 00:03:48,489 --> 00:03:51,970 - So I'm being evaluated for the transplant list. 104 00:03:52,014 --> 00:03:53,406 Dr. Cameron feels it's time 105 00:03:53,450 --> 00:03:58,454 seeing as I'm officially in end stage renal disease. 106 00:04:01,415 --> 00:04:02,981 - Dean, I'm sorry. 107 00:04:03,025 --> 00:04:05,462 - And the kicker is, even if I get on the list, 108 00:04:05,506 --> 00:04:07,116 it might not be an easy match. 109 00:04:07,159 --> 00:04:10,728 I've got this high cPRA. 110 00:04:10,772 --> 00:04:12,687 - What about Sean? Isn't he getting tested? 111 00:04:12,730 --> 00:04:15,864 - Mm, no, that's not an option. 112 00:04:15,907 --> 00:04:17,560 - But he would be your best possible donor match. 113 00:04:17,605 --> 00:04:19,214 - Yeah, Sean needs to focus 114 00:04:19,259 --> 00:04:20,911 on his own health now, not mine. 115 00:04:20,956 --> 00:04:23,001 - Sean's coming up on one year of being sober. 116 00:04:23,045 --> 00:04:24,525 He's in a really good place. 117 00:04:24,568 --> 00:04:27,397 Donating could be a really positive experience for him. 118 00:04:27,441 --> 00:04:29,269 - I'm not taking my son's kidney, Hannah. 119 00:04:29,312 --> 00:04:30,922 - Dean-- - Incoming! 120 00:04:30,966 --> 00:04:32,750 Dr. Archer, you're with me. - Yeah. 121 00:04:32,794 --> 00:04:34,839 I'm right there. - It's your son. 122 00:04:34,883 --> 00:04:36,319 He should be given the opportunity to help 123 00:04:36,363 --> 00:04:37,451 if he wants to. 124 00:04:37,494 --> 00:04:38,756 - I don't mean to be patronizing, 125 00:04:38,800 --> 00:04:43,631 but you'll get it when you have a kid. 126 00:04:45,502 --> 00:04:47,330 - Going to T3. 127 00:04:47,374 --> 00:04:49,332 - Kurt Leger. 36-year-old male. 128 00:04:49,376 --> 00:04:50,725 Was ejected from his wheelchair. 129 00:04:50,768 --> 00:04:52,901 Fell down a flight of stairs. Vitals are stable. 130 00:04:52,944 --> 00:04:54,642 - My wheel got caught in an uneven tile. 131 00:04:54,685 --> 00:04:56,774 And I went flying. I'm okay, though, really. 132 00:04:56,818 --> 00:04:58,646 Just knocked the wind out of me. 133 00:04:58,689 --> 00:04:59,951 - How long you been in a wheelchair? 134 00:04:59,995 --> 00:05:01,257 - Huh? - How long 135 00:05:01,301 --> 00:05:02,563 have you been in a wheelchair? 136 00:05:02,606 --> 00:05:04,652 - Told us he's got a T-10 spinal cord injury. 137 00:05:04,695 --> 00:05:06,131 Got bucked off a horse in high school. 138 00:05:06,175 --> 00:05:07,524 - Is this a complete injury, Kurt, 139 00:05:07,568 --> 00:05:09,439 or is this paralysis from the waist down? 140 00:05:09,483 --> 00:05:10,788 - Waist down, yeah. - Okay. 141 00:05:10,832 --> 00:05:14,401 On my count. One, two, three. 142 00:05:14,444 --> 00:05:16,359 Oh, God. - Okay. 143 00:05:20,450 --> 00:05:22,496 - Okay. 144 00:05:24,628 --> 00:05:27,805 Okay, breath sounds clear bilaterally. 145 00:05:27,849 --> 00:05:29,981 Okay. Let's take this board out. 146 00:05:30,025 --> 00:05:32,419 - Kurt, we're gonna roll you over for just a moment, okay? 147 00:05:32,462 --> 00:05:34,464 - Okay. 148 00:05:34,508 --> 00:05:35,813 - All right. 149 00:05:37,946 --> 00:05:39,034 - [groaning] 150 00:05:43,908 --> 00:05:45,997 - All right, let's hold off on clearing C-spine just yet. 151 00:05:46,041 --> 00:05:48,522 Give him 100 of fentanyl. That'll help take the edge off. 152 00:05:48,565 --> 00:05:50,828 Okay. And we'll be back shortly. 153 00:05:50,872 --> 00:05:52,917 - [groaning] 154 00:05:52,961 --> 00:05:55,355 - You were pressing way below T-10. 155 00:05:55,398 --> 00:05:56,659 How could he feel that? 156 00:05:56,704 --> 00:05:58,967 - Well, no clue. Could be referred pain. 157 00:05:59,010 --> 00:06:00,664 We'll know more once we see imaging. 158 00:06:00,708 --> 00:06:03,885 - Has trauma ever reversed permanent paralysis? 159 00:06:03,928 --> 00:06:06,191 - What, from a complete spinal cord injury? No. 160 00:06:06,235 --> 00:06:07,236 No, never. No. 161 00:06:07,279 --> 00:06:10,195 [tense music] 162 00:06:10,239 --> 00:06:16,463 ♪ 163 00:06:21,381 --> 00:06:21,555 . 164 00:06:21,598 --> 00:06:22,904 - Hello. 165 00:06:22,947 --> 00:06:23,992 Good morning. - Oh. 166 00:06:24,035 --> 00:06:25,428 Hey there. - Hi. 167 00:06:25,472 --> 00:06:27,430 Please sit. 168 00:06:27,474 --> 00:06:29,214 Sit. - Okay. 169 00:06:29,258 --> 00:06:31,913 - I have news. Big news. 170 00:06:31,956 --> 00:06:33,915 - Oh, how exciting. 171 00:06:33,957 --> 00:06:36,047 - My coworker, Vanna... 172 00:06:36,091 --> 00:06:37,745 - She's moving to Florida to live with her daughter. 173 00:06:37,788 --> 00:06:39,007 - Yeah, you remember. 174 00:06:39,050 --> 00:06:40,225 - Yeah. - Good. 175 00:06:40,269 --> 00:06:43,707 Well, I might buy her house. 176 00:06:43,751 --> 00:06:45,927 - Wow. 177 00:06:45,970 --> 00:06:47,798 - Yeah. - Okay. 178 00:06:47,842 --> 00:06:50,584 - It is small, but it's just me. 179 00:06:50,627 --> 00:06:52,412 So it will be perfect. 180 00:06:54,065 --> 00:06:56,851 - And, I mean, that's great. - Yeah. 181 00:06:56,894 --> 00:06:59,288 - And you can afford it, I mean, obviously. 182 00:06:59,331 --> 00:07:02,683 - Well, I will have to use all of my savings 183 00:07:02,726 --> 00:07:04,119 for the downpayment 184 00:07:04,162 --> 00:07:07,122 and take out a mortgage, but I can do it. 185 00:07:07,165 --> 00:07:09,690 And Vanna is offering it to me off market 186 00:07:09,733 --> 00:07:11,561 for a very fair price. 187 00:07:11,605 --> 00:07:12,997 - Well, that's so exciting. 188 00:07:13,041 --> 00:07:14,564 You know it's a fair price because 189 00:07:14,608 --> 00:07:16,957 you looked at some comps in the neighborhood? 190 00:07:17,001 --> 00:07:18,916 - Comps? - Comparable properties. 191 00:07:18,960 --> 00:07:20,918 - Comps, yes. Well, no. 192 00:07:20,962 --> 00:07:23,660 I haven't yet, but I will. - No, not yet. 193 00:07:23,704 --> 00:07:26,184 Yeah. - And I trust Vanna. 194 00:07:27,795 --> 00:07:29,492 - Yeah. 195 00:07:29,536 --> 00:07:32,321 - You don't think this is a good idea. 196 00:07:32,364 --> 00:07:34,541 - Oh, gosh, I don't mean to give that impression at all. 197 00:07:34,584 --> 00:07:35,759 I don't. - Oh, okay. 198 00:07:35,803 --> 00:07:37,587 - I just think, you know, you have to be... 199 00:07:37,631 --> 00:07:40,503 I don't know, always when you make a big move like this, 200 00:07:40,547 --> 00:07:42,374 you gotta ask the question, is now the best time to buy? 201 00:07:42,418 --> 00:07:44,986 You know, and if you're gonna wipe out your savings 202 00:07:45,029 --> 00:07:46,335 for the downpayment, I mean, 203 00:07:46,378 --> 00:07:47,771 maintenance issues will come along. 204 00:07:47,815 --> 00:07:48,816 You might want to do a renovation. 205 00:07:48,859 --> 00:07:49,817 You just gotta make sure... 206 00:07:49,860 --> 00:07:51,383 Hey, look, I really-- 207 00:07:51,427 --> 00:07:53,037 I don't mean to be a downer about this at all. 208 00:07:53,081 --> 00:07:54,735 I really don't. - No, it's okay. 209 00:07:54,778 --> 00:07:56,867 There's a lot to think about. 210 00:07:56,911 --> 00:07:58,739 I'm still thinking about it. - Okay. 211 00:07:58,782 --> 00:08:01,306 You want to go somewhere and talk about it some more? 212 00:08:01,350 --> 00:08:02,786 Get a cup of coffee or something? 213 00:08:02,830 --> 00:08:04,919 - I can't. I have errands to run. 214 00:08:04,962 --> 00:08:06,747 And I will see you later, Daniel. 215 00:08:06,790 --> 00:08:08,662 - Okay. 216 00:08:08,705 --> 00:08:10,925 Hey, congrats. 217 00:08:10,968 --> 00:08:12,883 Congrats. 218 00:08:14,668 --> 00:08:17,758 - The new system automatically updates room availability 219 00:08:17,801 --> 00:08:19,716 and displays room assignments on all the monitors. 220 00:08:19,760 --> 00:08:21,196 Maggie, now you won't have someone asking you 221 00:08:21,239 --> 00:08:22,502 every two minutes, "Where am I going?" 222 00:08:22,545 --> 00:08:24,460 - No, that'll still happen. Okay, everybody. 223 00:08:24,504 --> 00:08:26,027 Let's get back to work. Thank you very much. 224 00:08:26,070 --> 00:08:27,289 - No, no, it won't happen because now 225 00:08:27,332 --> 00:08:28,595 they can just look at the monitors-- 226 00:08:28,638 --> 00:08:30,988 - I understand that they can, but will they? 227 00:08:31,032 --> 00:08:33,034 These folks are creatures of habit. 228 00:08:33,077 --> 00:08:35,950 - Well, it'll become habit over time. 229 00:08:35,993 --> 00:08:38,256 - Okay, well tell me more about these lights. 230 00:08:38,299 --> 00:08:40,955 Are they part of a room triage system? 231 00:08:40,998 --> 00:08:43,653 - So no, these are actually noise sensors. 232 00:08:43,697 --> 00:08:47,091 They monitor volume levels throughout the ED. 233 00:08:47,135 --> 00:08:48,615 When it gets too loud, they start flashing. 234 00:08:48,658 --> 00:08:50,878 - What happens when they do? 235 00:08:50,921 --> 00:08:52,880 Noise police just pops out? Oh. 236 00:08:52,923 --> 00:08:54,403 - Well, no. 237 00:08:54,446 --> 00:08:56,231 Hopefully it's a gentle reminder 238 00:08:56,274 --> 00:08:58,929 to anyone in the vicinity to lower their voice. 239 00:08:58,973 --> 00:09:00,409 - Yeah, I'm-- - Research shows 240 00:09:00,452 --> 00:09:03,020 that excessive noise in the emergency room 241 00:09:03,064 --> 00:09:04,369 increases patients' stress and anxiety, 242 00:09:04,413 --> 00:09:06,241 raises their cortisol levels. 243 00:09:06,284 --> 00:09:08,635 - Well, I'm for the reminder to the staff 244 00:09:08,678 --> 00:09:12,116 that they must keep unnecessary noise at a minimum. 245 00:09:12,160 --> 00:09:13,422 I mean, it's what I do every day. 246 00:09:13,465 --> 00:09:15,076 - Which you shouldn't have to. 247 00:09:15,119 --> 00:09:17,121 You got enough on your plate, Maggie. 248 00:09:17,165 --> 00:09:18,514 Adults should be able to self-monitor 249 00:09:18,558 --> 00:09:21,169 with a simple visual cue, right? 250 00:09:21,212 --> 00:09:24,085 - I guess, Grace. We'll see. 251 00:09:25,652 --> 00:09:27,392 [knocks at door] 252 00:09:27,436 --> 00:09:29,917 - Hello, Ms. Palmer. - It's Alicia. 253 00:09:29,960 --> 00:09:32,615 - Hi, Alicia. I'm Dr. Halstead. 254 00:09:32,659 --> 00:09:34,617 I see you've been experiencing frequent headaches lately. 255 00:09:34,661 --> 00:09:36,619 - Yeah, two to three a week for the last month. 256 00:09:36,663 --> 00:09:39,100 The one I'm currently having is the longest so far. 257 00:09:39,143 --> 00:09:41,885 Going on 29 hours. 258 00:09:41,929 --> 00:09:43,060 This should all be in my chart. 259 00:09:43,104 --> 00:09:44,627 I gave the nurse a record of my attacks. 260 00:09:44,671 --> 00:09:45,802 - Yes, I'm seeing that here. 261 00:09:45,846 --> 00:09:48,239 - And a list of conditions and diseases 262 00:09:48,283 --> 00:09:50,067 that include my symptoms. 263 00:09:50,111 --> 00:09:51,329 I'm obviously not a doctor. 264 00:09:51,373 --> 00:09:53,114 I'm not trying to insult your intelligence. 265 00:09:53,157 --> 00:09:54,637 - No offense taken. 266 00:09:54,681 --> 00:09:56,421 - I just read that people get misdiagnosed 267 00:09:56,465 --> 00:09:58,380 in the emergency room every year. 268 00:09:58,423 --> 00:10:01,209 - Well, I can tell you a misdiagnosis tends to happen 269 00:10:01,252 --> 00:10:03,472 when a patient's presentation is atypical. 270 00:10:03,515 --> 00:10:05,561 - Yes, that is what the article said. 271 00:10:05,605 --> 00:10:07,911 - But here at Med, we've actually got a new-- 272 00:10:07,955 --> 00:10:09,957 well, really new, like, as of today-- 273 00:10:10,000 --> 00:10:11,349 AI-based diagnostic tool 274 00:10:11,393 --> 00:10:13,177 that helps us make sure we don't miss anything. 275 00:10:13,221 --> 00:10:14,962 There's a lot more to it, but the gist is 276 00:10:15,005 --> 00:10:16,311 it creates a differential 277 00:10:16,354 --> 00:10:17,660 for the doctor to compare against their own. 278 00:10:17,704 --> 00:10:19,357 - Differential. That's the list of things 279 00:10:19,401 --> 00:10:21,011 that could be wrong with me, right? 280 00:10:21,055 --> 00:10:25,146 So it's like having a colleague double-check your work. 281 00:10:25,189 --> 00:10:27,235 - A colleague that scans 282 00:10:27,278 --> 00:10:29,498 every medical database and journal in an instant. 283 00:10:29,541 --> 00:10:32,501 - Okay, yeah. Let's definitely use the robot. 284 00:10:32,544 --> 00:10:34,503 - Well, because we're in the pilot phase still, 285 00:10:34,546 --> 00:10:35,896 I'm gonna need you to sign a consent form. 286 00:10:35,939 --> 00:10:36,984 I'll grab it and be right back. 287 00:10:37,027 --> 00:10:38,594 - Thanks. - All right. 288 00:10:40,422 --> 00:10:41,902 - I'm sorry I didn't put on the gown. 289 00:10:41,945 --> 00:10:43,512 I know I'm supposed to, 290 00:10:43,555 --> 00:10:46,994 but it would take me forever at the moment. 291 00:10:47,037 --> 00:10:48,691 - I'll cut you some slack. 292 00:10:48,735 --> 00:10:50,258 - I'm also kind of hoping this won't take long. 293 00:10:50,301 --> 00:10:53,391 Ryan has had perfect attendance all year. 294 00:10:53,435 --> 00:10:55,698 - Oh, well as an alumna of the perfect attendance club, 295 00:10:55,742 --> 00:10:58,701 I will do my best to get you both out the door. 296 00:10:58,745 --> 00:11:01,922 So, Sarah, you got dizzy driving to school today? 297 00:11:01,965 --> 00:11:02,966 - For, like, a few seconds. 298 00:11:03,010 --> 00:11:04,315 Yeah, I pulled over 299 00:11:04,359 --> 00:11:05,839 to study myself for a moment. 300 00:11:05,882 --> 00:11:07,188 And then I felt fine. 301 00:11:07,231 --> 00:11:09,538 But my worrywart over here 302 00:11:09,581 --> 00:11:11,845 begged me to turn around and come here. 303 00:11:11,888 --> 00:11:13,150 - She gets dizzy a lot. 304 00:11:13,194 --> 00:11:15,065 Sometimes she has trouble catching her breath. 305 00:11:15,109 --> 00:11:16,937 - Hmm. - I have to park on the street. 306 00:11:16,980 --> 00:11:18,721 I get a little winded sometimes 307 00:11:18,765 --> 00:11:20,854 walking from our apartment to the car. 308 00:11:20,897 --> 00:11:22,290 - Every day? 309 00:11:22,333 --> 00:11:25,206 - I tried to explain to Ryan it's normal. 310 00:11:25,249 --> 00:11:26,990 - Well, your ankles are swollen. 311 00:11:27,034 --> 00:11:30,733 And your breathing still seems a bit labored, even at rest. 312 00:11:30,777 --> 00:11:32,082 [phone chimes] - Yeah, I had swollen ankles 313 00:11:32,126 --> 00:11:33,693 and I was panting all the time 314 00:11:33,736 --> 00:11:35,129 when I was this big with Ryan too. 315 00:11:35,172 --> 00:11:36,347 Just ask my ex. 316 00:11:36,391 --> 00:11:38,915 Oh, wait. He's nowhere to be found. 317 00:11:38,959 --> 00:11:40,700 - Well, these all could be symptoms 318 00:11:40,743 --> 00:11:42,745 of third trimester pregnancy, I agree, 319 00:11:42,789 --> 00:11:44,878 but I'd still like to do a full workup just to be safe. 320 00:11:44,921 --> 00:11:47,358 - I've got an appointment with by OB on Monday. 321 00:11:47,402 --> 00:11:49,447 - I'd really prefer if we could just check you out now. 322 00:11:49,491 --> 00:11:52,494 - Mom, look at this text you got from Ms. Goto. 323 00:11:52,537 --> 00:11:55,236 It says as long as I get back before lunch is over, 324 00:11:55,279 --> 00:11:56,890 it won't mess up my record. 325 00:11:56,933 --> 00:12:00,763 So let the doctor run tests and stuff, please. 326 00:12:01,982 --> 00:12:03,113 - Okay, okay. 327 00:12:03,157 --> 00:12:05,289 Yes, run all the tests and stuff. 328 00:12:05,333 --> 00:12:08,075 Hey, I'm just fine. 329 00:12:08,118 --> 00:12:12,209 We'll make sure your baby sister is feeling good, okay? 330 00:12:12,253 --> 00:12:14,777 - Dr. Archer, Kurt Leger's scans are up. 331 00:12:14,821 --> 00:12:17,562 - Okay. 332 00:12:17,606 --> 00:12:22,089 Yeah, unstable burst fracture at T-12 from the fall today. 333 00:12:22,132 --> 00:12:24,439 - What? 334 00:12:24,482 --> 00:12:26,528 - Well, it isn't a medical miracle 335 00:12:26,571 --> 00:12:28,225 he's got feeling below T-10. 336 00:12:28,269 --> 00:12:30,445 - What do you mean? 337 00:12:30,488 --> 00:12:34,275 - Well, no evidence of prior trauma at the vertebrae. 338 00:12:38,105 --> 00:12:42,065 Yeah, this guy's not paralyzed. 339 00:12:42,109 --> 00:12:44,198 Kurt. 340 00:12:44,241 --> 00:12:46,330 Wanted to review your imaging. 341 00:12:52,728 --> 00:12:54,512 To start with, 342 00:12:54,556 --> 00:12:56,514 you don't have an injury at T-10. 343 00:12:57,864 --> 00:13:01,519 I'm guessing this isn't news to you. 344 00:13:02,433 --> 00:13:03,695 Do I need to repeat that? 345 00:13:03,739 --> 00:13:05,045 - I didn't think the scans would-- 346 00:13:05,088 --> 00:13:07,482 - What, blow your cover? 347 00:13:07,525 --> 00:13:09,658 Okay, but what's really pressing-- 348 00:13:09,701 --> 00:13:11,007 - I'm not trying to get disability benefits 349 00:13:11,051 --> 00:13:12,139 or better parking. 350 00:13:12,182 --> 00:13:13,488 That's not why. - Sure, sure. 351 00:13:13,531 --> 00:13:15,316 Of course, yeah. - I don't want you to think-- 352 00:13:15,359 --> 00:13:17,753 - Hey, it really doesn't matter what I think. 353 00:13:17,797 --> 00:13:19,581 What does matter: your tumble today 354 00:13:19,624 --> 00:13:21,975 caused an unstable burst fracture 355 00:13:22,018 --> 00:13:23,759 in your T-12 vertebrae, 356 00:13:23,803 --> 00:13:27,067 and that's gonna require surgery to fix. 357 00:13:27,110 --> 00:13:28,372 - And without surgery? 358 00:13:28,416 --> 00:13:30,897 - There really is not another option. 359 00:13:30,940 --> 00:13:32,507 If your fracture was stable, 360 00:13:32,550 --> 00:13:34,204 I would say you can try a brace. 361 00:13:34,248 --> 00:13:37,860 - No, no, I'm not asking about other options. 362 00:13:37,904 --> 00:13:40,515 If I don't treat this, what will happen? 363 00:13:40,558 --> 00:13:43,648 - You're gonna end up actually needing a wheelchair. 364 00:13:43,692 --> 00:13:45,781 You're gonna be looking at weeks in bed. 365 00:13:45,825 --> 00:13:46,913 Chronic back pain. 366 00:13:46,956 --> 00:13:49,002 Weakness in one or both of your legs. 367 00:13:49,045 --> 00:13:51,308 Numbness. 368 00:13:51,352 --> 00:13:53,789 Even paralysis. 369 00:13:58,054 --> 00:13:59,882 - I don't want the surgery. 370 00:14:06,367 --> 00:14:06,584 . 371 00:14:06,628 --> 00:14:08,586 - So I really appreciate you giving me access 372 00:14:08,630 --> 00:14:09,587 to your psychiatric records. 373 00:14:09,631 --> 00:14:10,980 It's very helpful. - Of course. 374 00:14:11,024 --> 00:14:12,112 - How about I just, you know, give you 375 00:14:12,155 --> 00:14:13,417 my understanding of what I read, 376 00:14:13,461 --> 00:14:15,898 and then you let me know if I missed anything. 377 00:14:15,942 --> 00:14:17,334 Does that sound okay? 378 00:14:18,858 --> 00:14:20,468 All right, so you were diagnosed 379 00:14:20,511 --> 00:14:24,254 with body integrity identity disorder eight years ago 380 00:14:24,298 --> 00:14:27,910 but experienced symptoms from early childhood. 381 00:14:27,954 --> 00:14:29,869 - Since I was at least five, yeah. 382 00:14:29,912 --> 00:14:32,610 - And for you, BIID presents itself 383 00:14:32,654 --> 00:14:36,745 in the form of a very strong desire to be paralyzed? 384 00:14:36,788 --> 00:14:39,095 - It's all I think about. 385 00:14:39,139 --> 00:14:42,403 It dominates every aspect of my life. 386 00:14:42,446 --> 00:14:44,405 - But it seems like 387 00:14:44,448 --> 00:14:47,190 a wheelchair gave you some relief. 388 00:14:47,234 --> 00:14:50,890 - Some, but I can still feel my legs. 389 00:14:50,933 --> 00:14:52,326 And for reasons I can't explain, 390 00:14:52,369 --> 00:14:54,545 that's an extremely distressing feeling. 391 00:14:55,851 --> 00:14:57,113 I've had therapists tell me it's due 392 00:14:57,157 --> 00:14:58,767 to repressed childhood trauma, 393 00:14:58,810 --> 00:15:02,336 neurologists who think it's a glitch in my cerebral cortex. 394 00:15:02,379 --> 00:15:05,687 A psychic told me it was linked to a past life. 395 00:15:05,730 --> 00:15:07,471 - Right. 396 00:15:07,515 --> 00:15:08,951 Yeah, I mean, I can see that you've tried 397 00:15:08,995 --> 00:15:10,997 a number of different therapeutic approaches here-- 398 00:15:11,040 --> 00:15:13,956 you know, kind of behavioral therapy, 399 00:15:14,000 --> 00:15:16,611 antidepressants, muscle relaxants. 400 00:15:16,654 --> 00:15:19,527 - Even hypnosis. 401 00:15:19,570 --> 00:15:21,529 Nothing's worked. 402 00:15:21,572 --> 00:15:24,532 - I wish I had something special in my toolkit for you, 403 00:15:24,575 --> 00:15:27,187 but, I mean, frankly, these are all the therapies 404 00:15:27,230 --> 00:15:29,972 I would recommend myself. 405 00:15:30,016 --> 00:15:32,844 Must be very frustrating for you. 406 00:15:32,888 --> 00:15:34,846 - Yeah. 407 00:15:34,890 --> 00:15:36,674 And honestly, 408 00:15:36,718 --> 00:15:40,026 today's the most hopeful I've felt in a really long time. 409 00:15:43,812 --> 00:15:46,684 - I want the tests. 410 00:15:46,728 --> 00:15:48,034 - Okay. 411 00:15:50,862 --> 00:15:54,605 Hey, Grace, you got a sec? - Hey. 412 00:15:54,649 --> 00:15:56,999 - So I don't know if there's, like, a formal suggestion box 413 00:15:57,043 --> 00:15:58,218 during this pilot phase. 414 00:15:58,261 --> 00:16:00,742 - I'm the suggestion box. What's up? 415 00:16:00,785 --> 00:16:01,917 - New software. 416 00:16:01,961 --> 00:16:03,919 It included giant cell arteritis 417 00:16:03,963 --> 00:16:05,051 in my patient's differential. 418 00:16:05,094 --> 00:16:06,226 - Your patient with the headaches. 419 00:16:06,269 --> 00:16:08,402 - Exactly. - GCA's pretty rare. 420 00:16:08,445 --> 00:16:12,449 It presents in 5 out of every 10,000 people, I think. 421 00:16:12,493 --> 00:16:15,670 - And testing for it requires a number of expensive labs. 422 00:16:15,713 --> 00:16:17,367 The patient's insurance is gonna cover it, 423 00:16:17,411 --> 00:16:20,153 but I don't like ordering unnecessary tests. 424 00:16:20,196 --> 00:16:22,285 I prefer to rule out horses before chasing zebras. 425 00:16:22,329 --> 00:16:24,287 - Of course, but you don't have to order the labs. 426 00:16:24,331 --> 00:16:26,594 A doctor can override any suggestion on the differential. 427 00:16:26,637 --> 00:16:29,031 - Right, but before the doctor can do that, 428 00:16:29,075 --> 00:16:30,685 the differential's automatically uploaded 429 00:16:30,728 --> 00:16:31,903 to the patient's chart. 430 00:16:31,947 --> 00:16:34,254 - Which the patient can view in real time 431 00:16:34,297 --> 00:16:35,951 by logging in to the online portal. 432 00:16:35,995 --> 00:16:37,170 - Which my patient did. 433 00:16:37,213 --> 00:16:38,432 And now, she's insisting 434 00:16:38,475 --> 00:16:40,347 I order all these unnecessary labs. 435 00:16:40,390 --> 00:16:43,437 - So your suggestion is to lose automatic upload, 436 00:16:43,480 --> 00:16:47,049 which we can't because when the patient signs the consent form, 437 00:16:47,093 --> 00:16:49,573 they're guaranteed access to the full results. 438 00:16:49,617 --> 00:16:51,010 - Ah, I see. 439 00:16:53,403 --> 00:16:56,624 Well, you know what? Better safe than sorry. 440 00:16:56,667 --> 00:16:58,104 Right? - Yeah. 441 00:16:58,147 --> 00:17:01,107 - Absolutely, and it'll ease the patient's mind too. 442 00:17:01,150 --> 00:17:02,673 - Well, let me know how it turns out. 443 00:17:07,461 --> 00:17:10,116 - Hello, Baylin. Remember me, Maggie? 444 00:17:10,159 --> 00:17:11,638 - Baylin drove himself to the ED 445 00:17:11,682 --> 00:17:13,597 because he feels like his heart is pounding. 446 00:17:13,641 --> 00:17:14,771 - I'm sorry to hear that. 447 00:17:14,816 --> 00:17:16,165 You want to take a walk with me, okay? 448 00:17:16,209 --> 00:17:17,688 We're going right down here to three. 449 00:17:17,732 --> 00:17:18,950 Thanks, Leah. 450 00:17:18,993 --> 00:17:21,648 - [panting] The CIA is following me. 451 00:17:21,692 --> 00:17:23,259 I think I saw one of them in the waiting area. 452 00:17:23,303 --> 00:17:24,434 But I can't be sure. 453 00:17:24,478 --> 00:17:25,914 He's always changing his appearance. 454 00:17:25,957 --> 00:17:27,655 - All right, I won't let anyone come into your room 455 00:17:27,698 --> 00:17:28,656 without your permission. 456 00:17:28,699 --> 00:17:29,918 Trini here 457 00:17:29,961 --> 00:17:31,528 is gonna help you get situated. 458 00:17:31,572 --> 00:17:32,703 - Hi, Baylin. 459 00:17:32,747 --> 00:17:34,009 Why don't you take a seat on the bed? 460 00:17:34,053 --> 00:17:35,445 I'll grab a gown. 461 00:17:37,795 --> 00:17:39,406 - Trini. - Yeah? 462 00:17:39,449 --> 00:17:42,278 - Baylin's a frequent flier with schizophrenia 463 00:17:42,322 --> 00:17:44,672 with a complex PTSD, and psych's backed up. 464 00:17:44,715 --> 00:17:46,195 - Got it. 465 00:17:46,239 --> 00:17:47,936 - Do you mind keeping him company for a bit? 466 00:17:47,979 --> 00:17:50,591 - Not at all. - Thank you. 467 00:17:50,634 --> 00:17:52,114 - Hi. 468 00:17:52,158 --> 00:17:55,161 - Hi, Sarah. This is Dr. Marcel. 469 00:17:55,204 --> 00:17:57,337 - Hi. - Hey, Sarah. 470 00:17:57,380 --> 00:18:00,122 - Um, I see surgery on your scrubs, Dr. Marcel, 471 00:18:00,166 --> 00:18:02,342 and it's making me nervous. 472 00:18:02,385 --> 00:18:04,866 - Well, I tend to have that effect on people. 473 00:18:04,909 --> 00:18:06,737 - Well, Sarah, before we go over your results, 474 00:18:06,781 --> 00:18:10,089 we were gonna see if Ryan here wanted to go to the rec room. 475 00:18:10,132 --> 00:18:13,266 There's all kinds of video games and snacks down there. 476 00:18:13,309 --> 00:18:14,484 - Yeah, that's a great idea. 477 00:18:14,528 --> 00:18:15,833 Why don't you check it out, kiddo? 478 00:18:15,877 --> 00:18:17,531 - No, I'm staying with you. 479 00:18:17,574 --> 00:18:20,360 - Ryan, this is a conversation between grown-ups. 480 00:18:20,403 --> 00:18:23,102 - I'll be quiet. I promise. 481 00:18:24,190 --> 00:18:25,713 - It's just us two. 482 00:18:25,756 --> 00:18:28,150 There's no keeping anything from him anyway. 483 00:18:28,194 --> 00:18:29,543 Go ahead. 484 00:18:31,284 --> 00:18:34,461 - Okay, so I asked Dr. Marcel to consult 485 00:18:34,504 --> 00:18:37,246 because your echocardiogram revealed you have a condition 486 00:18:37,290 --> 00:18:39,466 called peripartum cardiomyopathy, 487 00:18:39,509 --> 00:18:41,381 or PPCM. 488 00:18:41,424 --> 00:18:44,210 It's often missed, because as you experienced, 489 00:18:44,253 --> 00:18:46,212 it mimics the symptoms of pregnancy. 490 00:18:46,255 --> 00:18:49,345 So, Ryan, it's really good that you brought your mom in today. 491 00:18:49,389 --> 00:18:50,607 - Great job, buddy. 492 00:18:50,651 --> 00:18:52,914 - That's heart disease, isn't it? 493 00:18:52,957 --> 00:18:54,829 - It is. Yours is a very rare form 494 00:18:54,872 --> 00:18:57,440 that can occur at the end of pregnancy 495 00:18:57,484 --> 00:18:59,225 or shortly after giving birth. 496 00:18:59,268 --> 00:19:01,314 - Now, I reviewed your echo with Dr. Asher, 497 00:19:01,357 --> 00:19:03,098 and we can treat you with medicine. 498 00:19:03,142 --> 00:19:05,187 - Oh, thank goodness. 499 00:19:05,231 --> 00:19:06,536 - We will have to admit you overnight. 500 00:19:06,580 --> 00:19:08,234 - Wait. To the hospital? 501 00:19:08,277 --> 00:19:09,539 - We'll start you on medications 502 00:19:09,583 --> 00:19:10,932 to help your heart function better 503 00:19:10,975 --> 00:19:13,108 and get rid of any fluid that's causing discomfort. 504 00:19:13,152 --> 00:19:14,240 - If I'm just taking medication, 505 00:19:14,283 --> 00:19:15,850 why can't I do that at home? 506 00:19:15,893 --> 00:19:17,156 - Well, it's recommended 507 00:19:17,199 --> 00:19:18,766 that you stay in the hospital for monitoring 508 00:19:18,809 --> 00:19:20,028 and so you can rest, 509 00:19:20,071 --> 00:19:22,030 at least until the acute symptoms subside. 510 00:19:22,073 --> 00:19:23,423 - I can't. 511 00:19:23,466 --> 00:19:26,991 I don't have anyone to watch Ryan, and... 512 00:19:27,035 --> 00:19:29,037 I really can't afford a hospital stay right now. 513 00:19:29,080 --> 00:19:31,866 I'm saving up to send Ryan to private school next year. 514 00:19:31,909 --> 00:19:34,608 Speaking of, kiddo, we gotta get you to school. 515 00:19:34,651 --> 00:19:36,697 Lunch period is gonna be over soon. 516 00:19:36,740 --> 00:19:37,785 - Mom, I don't care. 517 00:19:37,828 --> 00:19:39,221 - What do you mean you don't care? 518 00:19:39,265 --> 00:19:40,962 This kid has perfect attendance. 519 00:19:41,005 --> 00:19:42,268 And if he keeps it up, 520 00:19:42,311 --> 00:19:44,052 he is gonna get an award at the end of the year. 521 00:19:44,095 --> 00:19:46,533 - Stop it, Mom! I don't care about the stupid award! 522 00:19:46,576 --> 00:19:48,926 - Hey, you don't speak to me like that. 523 00:19:49,884 --> 00:19:52,539 Just get me the prescription so I can leave. 524 00:19:52,582 --> 00:19:54,367 - I really can't recommend that. 525 00:19:54,410 --> 00:19:55,803 - I understand. 526 00:19:55,846 --> 00:19:58,806 Please get me the prescriptions. 527 00:20:03,985 --> 00:20:06,161 - I know we've had disagreements in the past 528 00:20:06,205 --> 00:20:07,206 around this topic, 529 00:20:07,249 --> 00:20:08,946 but this is a no-brainer. 530 00:20:08,990 --> 00:20:10,600 This guy wants to be paralyzed. 531 00:20:10,644 --> 00:20:12,254 How can he have decisional capacity? 532 00:20:12,298 --> 00:20:15,039 - Well, because like a vast majority of people with BIID, 533 00:20:15,083 --> 00:20:17,216 he's aware and oriented, right? 534 00:20:17,259 --> 00:20:19,000 He understands the risks of the surgery 535 00:20:19,043 --> 00:20:20,436 as well as the alternatives. 536 00:20:20,480 --> 00:20:22,264 You know, he's of sound mind. - Sound mind? 537 00:20:22,308 --> 00:20:25,485 What about the fact that he flung himself down the stairs? 538 00:20:25,528 --> 00:20:26,877 - No evidence that the fall was intentional. 539 00:20:26,921 --> 00:20:29,750 - Come on, man. How could there not be? 540 00:20:29,793 --> 00:20:31,186 - Well, according to the paramedics, 541 00:20:31,230 --> 00:20:32,318 there were several witnesses 542 00:20:32,361 --> 00:20:33,362 who confirmed it was an accident. 543 00:20:33,406 --> 00:20:34,798 Not to mention, 544 00:20:34,842 --> 00:20:37,323 no history of self-harm or reckless behavior. 545 00:20:37,366 --> 00:20:39,499 Actually was able to get ahold of his shrink 546 00:20:39,542 --> 00:20:41,631 who assured me he never even considered 547 00:20:41,675 --> 00:20:42,893 trying to paralyze himself. 548 00:20:42,937 --> 00:20:44,504 - Well, maybe he just never discussed it. 549 00:20:44,547 --> 00:20:45,722 - Dean. - Yeah? 550 00:20:45,766 --> 00:20:47,594 - Even if the fall were intentional, 551 00:20:47,637 --> 00:20:49,291 we still can't force a surgery on him. 552 00:20:49,335 --> 00:20:50,945 - No, but a court order could. 553 00:20:50,988 --> 00:20:52,860 - But we don't have the grounds to petition a judge, right? 554 00:20:52,903 --> 00:20:54,253 Because he competent. 555 00:20:54,296 --> 00:20:56,342 I don't like it either, okay? 556 00:20:56,385 --> 00:20:58,169 But he has the right to refuse the surgery. 557 00:20:58,213 --> 00:20:59,562 - Okay, all right. 558 00:20:59,606 --> 00:21:01,477 And once again, you're keeping my patients 559 00:21:01,521 --> 00:21:03,262 from getting the care they need. 560 00:21:05,612 --> 00:21:07,701 - Hey, so what gives? 561 00:21:07,744 --> 00:21:09,964 - What are you talking about? 562 00:21:10,007 --> 00:21:11,444 - You didn't see this impromptu board meeting 563 00:21:11,487 --> 00:21:13,533 added to your calendar? 564 00:21:13,576 --> 00:21:16,362 I mean, do you have any idea what this is about? 565 00:21:16,405 --> 00:21:18,842 - I didn't even know it was happening. 566 00:21:18,886 --> 00:21:20,714 - Okay, well, it's an impromptu meeting 567 00:21:20,757 --> 00:21:23,282 with the entire board, plus C-suite, okay? 568 00:21:23,325 --> 00:21:25,022 I mean, that can't be good. 569 00:21:25,066 --> 00:21:27,634 - Look, I don't like being blindsided either, 570 00:21:27,677 --> 00:21:29,026 but don't get all fatalistic. 571 00:21:29,070 --> 00:21:30,898 - Yeah, well, when I talked to Jack about it, 572 00:21:30,941 --> 00:21:33,944 he wouldn't share any details, and he told me not to worry. 573 00:21:33,988 --> 00:21:35,119 That makes me worry. 574 00:21:35,163 --> 00:21:37,252 - Well, you're in fairly regular contact 575 00:21:37,296 --> 00:21:38,993 with his lawyers, aren't you? 576 00:21:39,036 --> 00:21:42,431 Well, see if he has any significant filings in motion, 577 00:21:42,475 --> 00:21:45,260 and I'll put a call out to George. 578 00:21:45,304 --> 00:21:47,175 Maybe he has some intel. 579 00:21:47,218 --> 00:21:48,481 - George? 580 00:21:48,524 --> 00:21:52,093 - Yeah, Dr. Thomas, our newest board member. 581 00:21:52,136 --> 00:21:53,442 - Oh, yeah, I didn't realize 582 00:21:53,486 --> 00:21:55,357 that you and George were getting so chummy. 583 00:21:58,099 --> 00:22:01,363 I'll go find some other business to stick my nose into. 584 00:22:04,758 --> 00:22:07,021 [distant chatter] [machinery beeping] 585 00:22:07,064 --> 00:22:08,370 - Red light. 586 00:22:08,414 --> 00:22:09,589 [whimpers] 587 00:22:09,632 --> 00:22:11,025 Red light! The CIA's found me! 588 00:22:11,068 --> 00:22:12,766 The signals are moving! 589 00:22:12,809 --> 00:22:14,028 They're gonna be here any minute. 590 00:22:14,071 --> 00:22:15,421 - Let's get back in bed, okay? - Oh, no. 591 00:22:15,464 --> 00:22:16,639 They flash the red lights 592 00:22:16,683 --> 00:22:17,684 when they got you cornered like a rat. 593 00:22:17,727 --> 00:22:18,772 That's their signal to move in! 594 00:22:18,815 --> 00:22:20,077 - Maggie, I could use a hand. 595 00:22:20,121 --> 00:22:21,557 - No, no, no, no. - Baylin. 596 00:22:21,601 --> 00:22:22,732 Baylin, I need you to calm down. 597 00:22:22,776 --> 00:22:25,082 Breathe. Breathe. I need you to breathe. 598 00:22:25,126 --> 00:22:26,867 These light, I'm turning them off right now. 599 00:22:26,910 --> 00:22:28,347 I'm turning them off. - Yeah, I'm sorry! 600 00:22:28,390 --> 00:22:29,522 I have to go! - Baylin. 601 00:22:29,565 --> 00:22:30,827 - Baylin. Baylin. - They're gonna kill me! 602 00:22:30,871 --> 00:22:33,308 - Security, stop him from leaving right now. 603 00:22:33,352 --> 00:22:35,092 Page Dr. Charles. 604 00:22:35,136 --> 00:22:36,833 - Let me go! Let me go! 605 00:22:36,877 --> 00:22:38,269 [sobbing] 606 00:22:38,313 --> 00:22:40,707 I gotta go, please. 607 00:22:44,363 --> 00:22:44,537 . 608 00:22:44,580 --> 00:22:46,843 - Looks like our old buddy, Baylin, 609 00:22:46,887 --> 00:22:48,410 went off his meds a couple weeks ago. 610 00:22:48,454 --> 00:22:50,586 Good news: he's agreed to check into the psych ward 611 00:22:50,630 --> 00:22:52,675 for a couple of days until he gets back on regimen. 612 00:22:52,719 --> 00:22:53,763 - Great. 613 00:22:53,807 --> 00:22:55,809 - So these are what set him off? 614 00:22:55,852 --> 00:22:56,984 And why were they installed again? 615 00:22:57,027 --> 00:22:58,551 - To make patients more comfortable. 616 00:22:58,594 --> 00:23:01,858 - The genius of Jack Dayton. They got to go. 617 00:23:01,902 --> 00:23:03,512 - Mm-hmm. 618 00:23:05,471 --> 00:23:07,386 - Maggie, I heard what happened. 619 00:23:07,429 --> 00:23:09,866 - So you'll understand why I want the lights removed. 620 00:23:09,910 --> 00:23:11,520 - Red was a poor color choice. 621 00:23:11,564 --> 00:23:14,218 I'll reprogram the lights to something more neutral tonight. 622 00:23:14,262 --> 00:23:16,395 - I want them gone, please, Grace. 623 00:23:16,438 --> 00:23:18,701 Not reprogrammed. Just gone. 624 00:23:18,745 --> 00:23:20,964 - You agreed that monitoring noise levels in the ED 625 00:23:21,008 --> 00:23:22,313 is important for patient care. 626 00:23:22,357 --> 00:23:24,098 - And I do a damn good job of it. 627 00:23:24,141 --> 00:23:25,708 - I'm not suggesting that you're not. 628 00:23:25,752 --> 00:23:27,406 - I don't need any assistance. 629 00:23:29,756 --> 00:23:31,148 [knocks at door] 630 00:23:31,192 --> 00:23:33,977 - So good news. All your labs came back normal. 631 00:23:34,021 --> 00:23:35,675 Your ESR was mildly elevated, 632 00:23:35,718 --> 00:23:37,590 but that's nothing to be concerned about. 633 00:23:37,633 --> 00:23:39,200 - What is ESR? What does it test for? 634 00:23:39,243 --> 00:23:41,245 - Erythrocyte sedimentation rate. 635 00:23:41,289 --> 00:23:43,465 It measures inflammatory activity in the body. 636 00:23:43,509 --> 00:23:46,163 - And mine's elevated? - Mildly. 637 00:23:46,207 --> 00:23:47,861 And it can be elevated for a number of reasons. 638 00:23:47,904 --> 00:23:50,167 I mean, something like stubbing your toe will do it. 639 00:23:50,211 --> 00:23:51,908 - What if you have-- what is it called-- 640 00:23:51,952 --> 00:23:53,997 giant cell... - Arteritis. 641 00:23:54,041 --> 00:23:56,565 - Right. Would your ESR be elevated then? 642 00:23:56,609 --> 00:23:58,524 - Yes, but much higher than yours. 643 00:23:58,567 --> 00:23:59,612 - How much higher? 644 00:23:59,655 --> 00:24:01,396 - Off the top of my head, I believe, 645 00:24:01,440 --> 00:24:02,832 typically 50 or above. 646 00:24:02,876 --> 00:24:04,921 - And mine was 31. - Correct. 647 00:24:04,965 --> 00:24:09,099 - And you never see GCA in a patient with an ESR below 50? 648 00:24:09,143 --> 00:24:11,232 - There have been cases, similar ones, 649 00:24:11,275 --> 00:24:12,451 but those patients all had symptoms 650 00:24:12,494 --> 00:24:14,278 of the condition you do not have. 651 00:24:14,322 --> 00:24:17,412 Uh, it's far more likely you have a headache disorder. 652 00:24:17,456 --> 00:24:19,283 I suspect migraines or cluster headaches. 653 00:24:19,327 --> 00:24:20,763 I'd like to refer you to a specialist-- 654 00:24:20,807 --> 00:24:23,200 - Whoa, your system says here, if it is GCA, 655 00:24:23,244 --> 00:24:25,289 it should be treated right away to prevent... 656 00:24:25,333 --> 00:24:27,466 vision loss or a stroke? 657 00:24:27,509 --> 00:24:29,772 It could be weeks before I see a specialist. 658 00:24:29,816 --> 00:24:32,427 - Alicia, the gold standard for diagnosing GCA 659 00:24:32,471 --> 00:24:34,560 is a temporal artery biopsy. 660 00:24:34,603 --> 00:24:36,649 Neurosurgeon makes an incision above your temple 661 00:24:36,692 --> 00:24:37,954 and removes a piece of your blood vessel. 662 00:24:37,998 --> 00:24:39,608 - A surgeon? 663 00:24:39,652 --> 00:24:41,610 - Yes, we're talking about an actual procedure here. 664 00:24:41,654 --> 00:24:43,003 - But I'd be out for the whole thing. 665 00:24:43,046 --> 00:24:44,352 They put me to sleep, right? 666 00:24:44,395 --> 00:24:46,615 - No, it's only used with light sedation 667 00:24:46,659 --> 00:24:47,529 under local anesthetic. 668 00:24:47,573 --> 00:24:49,009 You'd be awake the whole time. 669 00:24:50,227 --> 00:24:52,142 Look, I know headaches are extremely frustrating 670 00:24:52,186 --> 00:24:53,448 and you want answers, but let's start 671 00:24:53,492 --> 00:24:55,058 with giving you some relief. 672 00:24:55,102 --> 00:24:57,147 I'm gonna put you on triptan. It's a class of drug used-- 673 00:24:57,191 --> 00:24:59,019 - I'm not gonna feel any relief 674 00:24:59,062 --> 00:25:02,631 until I know definitively this isn't GCA. 675 00:25:02,675 --> 00:25:04,981 - Alicia, it's just you have so few of the symptoms-- 676 00:25:05,025 --> 00:25:06,809 - You said misdiagnoses happen 677 00:25:06,853 --> 00:25:09,856 when a patient's presentation is atypical. 678 00:25:09,899 --> 00:25:13,033 I want the biopsy. 679 00:25:15,209 --> 00:25:17,124 - Sarah, I really wish you'd reconsider staying. 680 00:25:17,167 --> 00:25:18,429 - Just let me get him to school. 681 00:25:18,473 --> 00:25:20,475 If I have another spell, I'll come right back. 682 00:25:20,519 --> 00:25:21,955 Oh! [water breaks] 683 00:25:21,998 --> 00:25:23,739 Wait. Did my water just break? 684 00:25:23,783 --> 00:25:25,045 - Let me check. 685 00:25:26,263 --> 00:25:28,396 Yes, it did. Okay, it is time. 686 00:25:28,439 --> 00:25:30,572 - What? But it's so early. - You're 38 weeks. 687 00:25:30,616 --> 00:25:32,139 - Yeah. Ryan was two weeks late. 688 00:25:32,182 --> 00:25:33,575 - Every baby comes on their own timeline. 689 00:25:33,619 --> 00:25:35,185 Let's get you up to labor and delivery. 690 00:25:35,229 --> 00:25:37,318 - Wait. What about Ryan? My sister's in Michigan. 691 00:25:37,361 --> 00:25:39,189 It'll take her six hours to get here. 692 00:25:39,233 --> 00:25:41,670 - Mom, I want to stay with you. - No, you don't. 693 00:25:41,714 --> 00:25:43,846 A delivery room is no place for an 11-year-old boy. 694 00:25:43,890 --> 00:25:46,022 You'll be scarred for life. - If it's okay with Ryan, 695 00:25:46,066 --> 00:25:48,372 I don't mind hanging with him here at the hospital. 696 00:25:48,416 --> 00:25:49,809 I don't have anywhere to be. 697 00:25:49,852 --> 00:25:51,462 - No. No, I can't ask you to do that. 698 00:25:51,506 --> 00:25:53,769 - You didn't. I offered. 699 00:25:53,813 --> 00:25:55,554 - Thank you. - Yeah. 700 00:25:55,597 --> 00:25:57,947 - Hey, you listen to Dr. Marcel, okay? 701 00:25:57,991 --> 00:26:00,646 - Okay, ready? - Yeah. 702 00:26:01,908 --> 00:26:03,518 - All right, bud. 703 00:26:05,738 --> 00:26:06,869 - Bye. 704 00:26:06,913 --> 00:26:09,263 - Come on. 705 00:26:12,919 --> 00:26:14,877 - Dr. Archer, hi. 706 00:26:14,921 --> 00:26:17,532 - I know it's not my place... 707 00:26:19,708 --> 00:26:23,712 But you are giving something up that you cannot get back. 708 00:26:23,756 --> 00:26:25,366 - I understand that. 709 00:26:25,409 --> 00:26:27,194 - And if you change your mind down the road-- 710 00:26:27,237 --> 00:26:29,022 - I'm not gonna change my mind. 711 00:26:29,065 --> 00:26:30,632 - Hmm. 712 00:26:30,676 --> 00:26:32,982 When you lose control of your bladder for the first time, 713 00:26:33,026 --> 00:26:34,114 you'll feel differently. 714 00:26:34,157 --> 00:26:35,419 - Not to be disrespectful, 715 00:26:35,463 --> 00:26:37,247 but I went over all of this with Dr. Charles, 716 00:26:37,291 --> 00:26:38,771 and he was satisfied. 717 00:26:38,814 --> 00:26:40,903 - Because you told him what you knew he needed to hear. 718 00:26:40,947 --> 00:26:42,339 - Excuse me? - Oh. 719 00:26:42,383 --> 00:26:44,907 I think you knew exactly what you were doing today. 720 00:26:44,951 --> 00:26:47,736 - Dr. Archer, 721 00:26:47,780 --> 00:26:49,259 can I get a word, please? 722 00:26:57,790 --> 00:27:00,357 You think I don't know when I'm getting played by a patient? 723 00:27:00,401 --> 00:27:01,750 - It wasn't a comment on your skill. 724 00:27:01,794 --> 00:27:03,360 - Dean, what are you thinking, man? 725 00:27:03,404 --> 00:27:06,494 I need to remind you of all people that bullying a patient 726 00:27:06,537 --> 00:27:08,539 into a procedure might get you in real trouble? 727 00:27:08,583 --> 00:27:10,541 - Somebody needed to talk some sense into this... 728 00:27:10,585 --> 00:27:12,282 All right, this is an unprecedented situation. 729 00:27:12,326 --> 00:27:13,719 - No, it's not. - It absolutely is. 730 00:27:13,762 --> 00:27:15,590 Maybe some more opinions in the mix. 731 00:27:15,634 --> 00:27:17,287 - Oh, you want to get another psychiatrist to weigh in? 732 00:27:17,331 --> 00:27:18,985 - I think it'd be wise. - Great idea. 733 00:27:19,028 --> 00:27:20,464 - It would cover ourselves legally. 734 00:27:20,508 --> 00:27:22,815 - Whoa. You're getting loud, Doctors. 735 00:27:22,858 --> 00:27:23,946 - Dr. Kwon's on call. 736 00:27:23,990 --> 00:27:25,644 Say hi for me. 737 00:27:31,867 --> 00:27:33,869 - All right, lidocaine and a gram of cefazolin, please. 738 00:27:33,913 --> 00:27:35,784 Thank you. 739 00:27:35,828 --> 00:27:37,351 - What's that for again? 740 00:27:37,394 --> 00:27:40,180 - It's an antibiotic to prevent infection post-procedure. 741 00:27:40,223 --> 00:27:42,704 - Scalpel. All right, Alicia. 742 00:27:42,748 --> 00:27:43,836 You're gonna feel a little pressure 743 00:27:43,879 --> 00:27:44,967 as I make my incision, okay? 744 00:27:45,011 --> 00:27:46,490 Just breathe. 745 00:27:50,190 --> 00:27:51,713 - How you doing, Alicia? - Mm. 746 00:27:51,757 --> 00:27:53,628 Feels a little weird, but I'm okay. 747 00:27:55,369 --> 00:27:57,545 - All right. Not too much longer, Alicia. 748 00:27:57,588 --> 00:27:59,329 Almost to the vessel. 749 00:27:59,373 --> 00:28:01,418 - You're doing great. 750 00:28:01,462 --> 00:28:03,464 Yeah, biopsy's nearly complete. 751 00:28:03,507 --> 00:28:05,814 - Dr. Halstead, I-- 752 00:28:05,858 --> 00:28:07,947 I can't...swallow. 753 00:28:09,252 --> 00:28:11,428 Is this from the anesthesia? 754 00:28:11,472 --> 00:28:13,300 - No, it wouldn't affect your airway. 755 00:28:13,343 --> 00:28:14,562 Maybe you're just feeling a little nervous. 756 00:28:14,605 --> 00:28:16,216 Take a deep breath. - [wheezes] 757 00:28:16,259 --> 00:28:18,827 I can't. My throat is closing in. 758 00:28:18,871 --> 00:28:21,743 [machinery beeping rapidly] - Sats at 86%. 759 00:28:21,787 --> 00:28:23,832 - Epi one milligram IV. 125 solumedrol. 760 00:28:23,876 --> 00:28:25,616 - I can't...I can't... 761 00:28:25,660 --> 00:28:27,749 - Alicia, you're having an allergic reaction to something. 762 00:28:27,793 --> 00:28:29,533 There were no indications in her chart, right? 763 00:28:29,577 --> 00:28:31,710 - None, and she didn't mention any allergies. 764 00:28:31,753 --> 00:28:34,538 - [wheezing] 765 00:28:34,582 --> 00:28:37,019 - I need you to keep that on for me. 766 00:28:37,063 --> 00:28:39,021 Where's that epi? 767 00:28:39,065 --> 00:28:41,545 - It's right here. 768 00:28:41,589 --> 00:28:44,287 - Okay, Alicia, hang on. You're gonna be okay. 769 00:28:44,331 --> 00:28:46,246 You're gonna be okay. 770 00:28:53,035 --> 00:28:53,253 . 771 00:28:53,296 --> 00:28:55,037 - Hey. - Hey, I got your text. 772 00:28:55,081 --> 00:28:56,082 Sarah's baby is breech? - Mm? 773 00:28:56,125 --> 00:28:57,779 Just scanned her a few minutes ago. 774 00:28:57,823 --> 00:29:00,260 If it were up to me, we'd proceed with a vaginal delivery 775 00:29:00,303 --> 00:29:01,696 and use pipers to pull the head out. 776 00:29:01,740 --> 00:29:03,350 - But let me guess, Sarah wants to do a C-section 777 00:29:03,393 --> 00:29:04,873 because it's safer for the baby? 778 00:29:04,917 --> 00:29:06,527 - But far riskier for Sarah, as you know, 779 00:29:06,570 --> 00:29:07,789 given her heart condition. 780 00:29:07,833 --> 00:29:09,312 I hated to pull you out of the ED, 781 00:29:09,356 --> 00:29:10,792 but I could really use an extra set of hands in there. 782 00:29:10,836 --> 00:29:12,620 - Yeah, of course, I'll scrub and meet you in the OR. 783 00:29:12,663 --> 00:29:13,839 - Great. 784 00:29:15,144 --> 00:29:19,105 - I shouldn't have talked to her like that. 785 00:29:19,148 --> 00:29:21,585 - Well, the thing about moms is 786 00:29:21,629 --> 00:29:25,633 they have this funny way of knowing what's in our hearts, 787 00:29:25,676 --> 00:29:28,114 even when we don't say it 788 00:29:28,157 --> 00:29:30,072 or if we say something we don't mean. 789 00:29:31,595 --> 00:29:32,858 They know better. 790 00:29:32,901 --> 00:29:34,947 - Dr. Marcel, 791 00:29:34,990 --> 00:29:37,950 do you think I stress my mom out? 792 00:29:37,993 --> 00:29:41,127 I mean, she's always doing everything for me. 793 00:29:41,170 --> 00:29:43,303 Maybe that's why she's sick. 794 00:29:43,346 --> 00:29:45,348 - No way. 795 00:29:45,392 --> 00:29:47,133 Look, Ryan, 796 00:29:47,176 --> 00:29:48,830 there's not a lot of stuff we can say 797 00:29:48,874 --> 00:29:50,440 with complete certainty in medicine, 798 00:29:50,484 --> 00:29:53,095 but this I can say with total confidence: 799 00:29:53,139 --> 00:29:55,271 you did nothing to cause your mom's condition. 800 00:29:59,667 --> 00:30:04,063 Hey, you want to get something from the gift shop there? 801 00:30:04,106 --> 00:30:07,501 For your mom and baby sister? 802 00:30:07,544 --> 00:30:09,024 - My mom would like it 803 00:30:09,068 --> 00:30:12,114 if I wrote her a card telling her I'm sorry. 804 00:30:12,158 --> 00:30:14,203 - Okay, then let's go. 805 00:30:14,247 --> 00:30:16,205 Come on. 806 00:30:16,249 --> 00:30:18,991 - So turns out you're allergic to cefazolin. 807 00:30:19,034 --> 00:30:20,383 It's recorded in your chart now, 808 00:30:20,427 --> 00:30:21,994 but it's still something for you to be aware of. 809 00:30:22,037 --> 00:30:24,083 - Cefazolin. Cefazolin, cefazolin. 810 00:30:24,126 --> 00:30:25,345 Can you tell me how to spell that? 811 00:30:25,388 --> 00:30:27,129 - Sure. Let me know when you're ready. 812 00:30:30,089 --> 00:30:32,221 - You know what? Never mind. 813 00:30:32,265 --> 00:30:34,223 Maybe I shouldn't research everything. 814 00:30:34,267 --> 00:30:36,704 Clearly it doesn't always lead to the best decisions. 815 00:30:36,747 --> 00:30:39,707 - Hey, absolutely nothing wrong with wanting to be informed. 816 00:30:39,750 --> 00:30:41,143 You are your own best advocate. 817 00:30:41,187 --> 00:30:44,973 - Mm, I think-- I think my headache's gone. 818 00:30:45,017 --> 00:30:46,366 The medicine's working. 819 00:30:46,409 --> 00:30:48,063 - Excellent news. - Yeah. 820 00:30:48,107 --> 00:30:49,325 - Well, I'll let you get some rest. 821 00:30:49,369 --> 00:30:52,894 - Thank you, Dr. Halstead, for everything. 822 00:30:56,942 --> 00:30:59,205 - Hey. - What's up? 823 00:30:59,248 --> 00:31:01,816 - I heard what happened. Is your patient okay? 824 00:31:01,860 --> 00:31:03,426 - Yeah, she's gonna be fine. 825 00:31:03,470 --> 00:31:05,080 - And the biopsy? 826 00:31:05,124 --> 00:31:06,690 - Well, pathology won't get the results for at least a day, 827 00:31:06,734 --> 00:31:09,519 but Dr. Gordon said the vessel looked totally healthy. 828 00:31:09,563 --> 00:31:11,826 - What a waste of time and resources. 829 00:31:11,870 --> 00:31:13,219 If you want to join me, 830 00:31:13,262 --> 00:31:15,917 I'm planning on paying Goodwin a visit. 831 00:31:15,961 --> 00:31:17,397 - What do you mean? Why? 832 00:31:17,440 --> 00:31:20,095 - To let her know what a disaster these upgrades are 833 00:31:20,139 --> 00:31:21,705 before they get past the pilot phase. 834 00:31:21,749 --> 00:31:23,142 - Mags, come on. 835 00:31:23,185 --> 00:31:25,057 Don't you think that's overkill involving Goodwin? 836 00:31:25,100 --> 00:31:27,624 - Will, patient care has been compromised 837 00:31:27,668 --> 00:31:30,323 on multiple fronts today. - Not intentionally. 838 00:31:30,366 --> 00:31:32,325 And Grace, she's still working out the kinks. 839 00:31:32,368 --> 00:31:34,980 - Well, I'm not trying to sabotage Grace's efforts, 840 00:31:35,023 --> 00:31:36,590 but I'm also not gonna stand by 841 00:31:36,633 --> 00:31:39,332 while Dayton tries to automate us all out of a job. 842 00:31:44,424 --> 00:31:45,425 [knocks at door] 843 00:31:45,468 --> 00:31:46,774 - Yeah? 844 00:31:46,817 --> 00:31:48,950 - Yeah, uh... 845 00:31:48,994 --> 00:31:52,127 so Dr. Kwon agrees that Kurt has decisional capacity. 846 00:31:52,171 --> 00:31:53,520 - Got it. - Yeah. 847 00:31:53,563 --> 00:31:57,611 And he's signing the paperwork to leave AMA. 848 00:31:57,654 --> 00:32:00,048 - Appreciate the update. 849 00:32:01,920 --> 00:32:04,052 - So, uh... 850 00:32:04,096 --> 00:32:07,142 I'm tied to a dialysis machine most nights. 851 00:32:07,186 --> 00:32:09,710 And I'm currently being evaluated 852 00:32:09,753 --> 00:32:11,668 for the transplant list. 853 00:32:15,716 --> 00:32:17,805 - I didn't know you were... - That bad off? 854 00:32:17,848 --> 00:32:19,763 Yeah, me neither. 855 00:32:19,807 --> 00:32:23,028 Yeah, and once I'm on the transplant list, 856 00:32:23,071 --> 00:32:25,030 I need to be within a certain radius 857 00:32:25,073 --> 00:32:26,770 of the hospital at all times. 858 00:32:29,034 --> 00:32:32,907 But suddenly my life and my plans 859 00:32:32,951 --> 00:32:34,126 are being dictated by my health. 860 00:32:34,169 --> 00:32:35,649 And so, when I see this young guy, 861 00:32:35,692 --> 00:32:37,999 this picture of health, 862 00:32:38,043 --> 00:32:41,002 willingly giving it up, 863 00:32:41,046 --> 00:32:43,352 I made it personal, 864 00:32:43,396 --> 00:32:46,181 which you already probably knew that I was doing 865 00:32:46,225 --> 00:32:49,489 because you're excellent at what you do, Dan. 866 00:32:49,532 --> 00:32:51,752 And I shouldn't have implied otherwise. 867 00:32:53,972 --> 00:32:55,712 All right. 868 00:33:03,111 --> 00:33:04,417 - Hi. 869 00:33:04,460 --> 00:33:05,853 - Oh, hey. 870 00:33:05,896 --> 00:33:08,551 Um... 871 00:33:08,595 --> 00:33:11,641 Your assistant let me in. I hope you don't mind. 872 00:33:11,685 --> 00:33:14,122 - No, not at all, and thanks again for the flowers. 873 00:33:14,166 --> 00:33:17,038 They're lovely but really quite unnecessary. 874 00:33:17,082 --> 00:33:18,431 - Sure. - Thank you. 875 00:33:18,474 --> 00:33:20,650 - Mm-hmm. 876 00:33:20,694 --> 00:33:23,044 [clears throat] 877 00:33:23,088 --> 00:33:24,915 All right. 878 00:33:24,959 --> 00:33:27,744 I-I got your voicemail. 879 00:33:27,788 --> 00:33:29,659 - Well, you know you could've just called me. 880 00:33:29,703 --> 00:33:31,705 You didn't have to make the trip over. 881 00:33:31,748 --> 00:33:33,968 - Yeah. 882 00:33:34,012 --> 00:33:36,057 After hearing your message, 883 00:33:36,101 --> 00:33:38,712 I called Jack, and I asked him 884 00:33:38,755 --> 00:33:42,020 what this surprise board meeting was about. 885 00:33:42,063 --> 00:33:44,283 - All right. 886 00:33:46,589 --> 00:33:49,244 - Jack has a proposal on the table 887 00:33:49,288 --> 00:33:53,074 that would drastically change... 888 00:33:53,118 --> 00:33:55,076 Med's future. 889 00:33:57,165 --> 00:33:58,688 - Mm-hmm. 890 00:34:01,909 --> 00:34:04,259 - Okay. 891 00:34:04,303 --> 00:34:05,739 First arm out. 892 00:34:05,782 --> 00:34:07,349 - Towel. 893 00:34:09,656 --> 00:34:12,092 - Here she comes. 894 00:34:12,137 --> 00:34:14,530 And there she is. - [sobbing] 895 00:34:15,966 --> 00:34:17,446 - Okay. 896 00:34:19,534 --> 00:34:23,583 All right, you have a beautiful baby girl, Sarah. 897 00:34:23,626 --> 00:34:27,891 She is so excited to meet her mama. 898 00:34:27,935 --> 00:34:31,199 [machinery flatlining] 899 00:34:31,243 --> 00:34:33,810 - I can't find a pulse. Her heart stopped. 900 00:34:33,853 --> 00:34:36,465 - Pack her abdomen. I'll start compressions. 901 00:34:37,987 --> 00:34:39,293 Come on, Sarah. 902 00:34:39,338 --> 00:34:41,731 Stay with us. 903 00:34:41,775 --> 00:34:44,125 - Charge to 200. 904 00:34:44,168 --> 00:34:45,648 - Come on, Sarah. 905 00:34:48,824 --> 00:34:50,871 Come on. 906 00:34:50,914 --> 00:34:53,873 [pensive music] 907 00:34:53,917 --> 00:34:59,749 ♪ 908 00:35:20,030 --> 00:35:21,641 - Oh, man. 909 00:35:29,083 --> 00:35:29,257 . 910 00:35:29,301 --> 00:35:30,954 - How's Ryan's aunt? 911 00:35:30,998 --> 00:35:31,912 - She wanted to stay back in the nursery 912 00:35:31,955 --> 00:35:33,522 with the baby a bit longer. 913 00:35:33,566 --> 00:35:35,437 How's he doing? - Yeah. 914 00:35:35,481 --> 00:35:37,439 About what you'd expect. 915 00:35:37,483 --> 00:35:39,963 - Oh, poor kid. 916 00:35:40,007 --> 00:35:42,314 - His aunt and uncle seem really great. 917 00:35:42,357 --> 00:35:44,490 - Mm-hmm. - Gets along with his cousins. 918 00:35:44,533 --> 00:35:48,537 - Yeah, Ryan and his baby sister will be loved to pieces. 919 00:35:48,581 --> 00:35:52,715 His aunt made that very clear. 920 00:35:52,759 --> 00:35:54,848 - Hey, walk with me. 921 00:35:56,806 --> 00:35:59,896 You know you did everything you could, right? 922 00:35:59,940 --> 00:36:02,638 Sarah's heart was worse off than we thought. 923 00:36:02,682 --> 00:36:05,728 Nothing we could've done to change that. 924 00:36:05,772 --> 00:36:07,730 Sad truth. 925 00:36:07,774 --> 00:36:10,211 Only thing that would've made a difference 926 00:36:10,255 --> 00:36:13,258 is if Sarah had come in earlier 927 00:36:13,301 --> 00:36:16,217 when she first started experiencing symptoms. 928 00:36:19,220 --> 00:36:22,223 - You know, my sister, Elizabeth--Lizzy-- 929 00:36:22,267 --> 00:36:25,313 she, uh... 930 00:36:25,357 --> 00:36:28,490 She was Ryan's age when our mom died. 931 00:36:28,534 --> 00:36:30,884 - I didn't know you lost your mom as a kid. 932 00:36:30,927 --> 00:36:34,017 - Lizzy and Matt-- 933 00:36:34,061 --> 00:36:37,020 that's my brother-- 934 00:36:37,064 --> 00:36:40,894 they had it the toughest 935 00:36:40,937 --> 00:36:44,027 'cause they really remembered her. 936 00:36:44,071 --> 00:36:47,466 I never got to meet her. 937 00:36:49,032 --> 00:36:51,209 She died in childbirth with me. 938 00:36:52,993 --> 00:36:55,256 Aortic stenosis. - Mm. 939 00:36:55,300 --> 00:36:57,998 - Undiagnosed. 940 00:36:58,041 --> 00:36:59,869 - I'm sorry to hear that. 941 00:36:59,913 --> 00:37:01,697 - The doctor said that he thought 942 00:37:01,741 --> 00:37:03,873 she was suffering with symptoms during her pregnancy 943 00:37:03,917 --> 00:37:06,833 but she just downplayed it. 944 00:37:06,876 --> 00:37:08,226 Yeah, because like Sarah, 945 00:37:08,269 --> 00:37:11,968 she wanted to be the best mom that she could be. 946 00:37:12,012 --> 00:37:14,232 To her, that meant putting her kids first 947 00:37:14,275 --> 00:37:17,887 and herself last. 948 00:37:17,931 --> 00:37:21,064 Swallowing any pain or discomfort 949 00:37:21,108 --> 00:37:25,373 so that she wouldn't burden her kids. 950 00:37:25,417 --> 00:37:29,116 And still, to this day, I am so angry at her for it. 951 00:37:30,552 --> 00:37:35,514 I'm so angry because I never got to have my mom. 952 00:37:35,557 --> 00:37:37,951 I don't get to remember her. 953 00:37:40,083 --> 00:37:43,348 - It's okay. - [sobbing] 954 00:37:43,391 --> 00:37:46,307 - It's all right. 955 00:37:46,351 --> 00:37:47,830 It's okay. 956 00:37:51,007 --> 00:37:52,792 - Oh, hey, Lil. 957 00:37:52,835 --> 00:37:54,097 Liliana. 958 00:37:54,141 --> 00:37:57,405 - Oh, you're still here. - Yeah. 959 00:37:57,449 --> 00:38:02,192 I was actually--I was kind of hoping that I'd catch you. 960 00:38:02,236 --> 00:38:04,934 How's your day? - Fine. 961 00:38:06,980 --> 00:38:10,810 - You've given any more thought to Vanna's house? 962 00:38:10,853 --> 00:38:13,813 - Oh, yes. Maybe not the best idea. 963 00:38:13,856 --> 00:38:15,031 - Why? 'Cause of what I said? 964 00:38:15,075 --> 00:38:16,859 - You made some good points. 965 00:38:16,903 --> 00:38:18,252 - No. 966 00:38:18,296 --> 00:38:21,386 No, I made some self-interested points. 967 00:38:21,429 --> 00:38:24,563 - What do you mean self-interested? 968 00:38:24,606 --> 00:38:27,174 - You walked in here this morning all excited 969 00:38:27,217 --> 00:38:30,786 about a beautiful little house you'd found, right? 970 00:38:30,830 --> 00:38:32,048 Your dream house. 971 00:38:32,092 --> 00:38:35,574 And what I heard was 972 00:38:35,617 --> 00:38:39,491 that maybe you were planning a future that didn't-- 973 00:38:39,534 --> 00:38:44,365 you know, that didn't involve me, so... 974 00:38:44,409 --> 00:38:50,371 - Owning my own home has been a goal for a long, long time. 975 00:38:50,415 --> 00:38:53,635 And the reason that I feel ready now 976 00:38:53,679 --> 00:38:56,421 to take this leap of faith is-- 977 00:38:56,464 --> 00:38:59,946 is really all your fault, Daniel. 978 00:38:59,989 --> 00:39:01,991 Because of you, 979 00:39:02,035 --> 00:39:06,300 I now know I want to put down roots in Chicago. 980 00:39:07,693 --> 00:39:11,697 Despite its miserable winters. 981 00:39:11,740 --> 00:39:15,178 Remember, I'm from Poland. 982 00:39:15,222 --> 00:39:16,832 - Yeah. - [chuckles] 983 00:39:16,876 --> 00:39:18,530 [tender music] 984 00:39:18,573 --> 00:39:25,493 ♪ 985 00:39:29,497 --> 00:39:31,804 - Yes, it's Sharon Goodwin. [indistinct chatter] 986 00:39:31,847 --> 00:39:35,111 I'd appreciate it if you could get back to me tonight, 987 00:39:35,155 --> 00:39:36,765 if at all possible. 988 00:39:36,809 --> 00:39:39,681 Yes, I'll be up late. Thank you. 989 00:39:39,725 --> 00:39:41,074 - What's going on? 990 00:39:41,117 --> 00:39:42,510 - We're trying to reach every member of the board 991 00:39:42,554 --> 00:39:44,512 before Jack can get to them first. 992 00:39:44,556 --> 00:39:48,211 He wants to convert Med into a for-profit hospital. 993 00:39:48,255 --> 00:39:50,213 Turn it over to investors. 994 00:39:50,257 --> 00:39:53,173 - Can he do that? - Well, he can certainly try. 995 00:39:53,216 --> 00:39:56,263 He wants to put it to a board vote. 996 00:39:56,306 --> 00:39:58,613 - I mean, if Jack succeeds, there goes Med as we know it. 997 00:39:58,657 --> 00:40:01,703 Vital services that don't generate enough income cut. 998 00:40:01,747 --> 00:40:03,705 We're gonna have to discharge patients that can't pay. 999 00:40:03,749 --> 00:40:06,360 - Yeah, I know. That's why we're doing everything we can 1000 00:40:06,404 --> 00:40:08,928 to make sure he does not succeed. 1001 00:40:08,971 --> 00:40:10,930 Look, I need to make this next call. 1002 00:40:10,973 --> 00:40:12,453 Did you need something? - Oh, no. 1003 00:40:12,497 --> 00:40:13,889 No, it can wait. - You sure? 1004 00:40:13,933 --> 00:40:15,456 - Yeah. - All right. 1005 00:40:18,372 --> 00:40:20,200 Hello? [door shuts] 1006 00:40:22,985 --> 00:40:25,727 - Hey. Thanks for meeting me. 1007 00:40:25,771 --> 00:40:27,250 - Of course. 1008 00:40:30,602 --> 00:40:31,907 Rough day? 1009 00:40:31,951 --> 00:40:34,475 - Yeah, rough day. 1010 00:40:34,519 --> 00:40:36,434 - What's going on? 1011 00:40:38,784 --> 00:40:40,133 - I... 1012 00:40:42,396 --> 00:40:45,486 I need to tell you something. 1013 00:40:45,530 --> 00:40:47,662 - Okay. 1014 00:40:47,706 --> 00:40:49,229 - It's about your dad. 1015 00:40:49,272 --> 00:40:53,407 And he can't know that you learned this from me, but.... 1016 00:40:55,540 --> 00:40:58,456 Look, if it was my parent, I'd want to know, so... 1017 00:40:59,805 --> 00:41:01,459 - What is it? 1018 00:41:01,502 --> 00:41:03,112 - [sighs] 1019 00:41:03,156 --> 00:41:05,463 - Hannah, please. 1020 00:41:07,203 --> 00:41:09,423 - His health is getting worse. 1021 00:41:22,131 --> 00:41:22,349 . 1022 00:41:22,392 --> 00:41:25,091 [tense music] 1023 00:41:25,134 --> 00:41:32,272 ♪ 1024 00:41:51,596 --> 00:41:54,512 [wolf howls]