1 00:00:03,587 --> 00:00:07,758 Morning. Admissions percentage is out. Top colleges have dropped to record lows. 2 00:00:07,842 --> 00:00:12,513 -Thinking about going back to school? -No, I'm thinking about our son's future. 3 00:00:12,596 --> 00:00:15,641 As in starting a college fund for the peanut? 4 00:00:15,725 --> 00:00:20,855 No, I put the peanut on a wait list for prekindergarten at McClellan Hall. 5 00:00:20,938 --> 00:00:23,733 Isn't that a snobby private school in Menlo Park? 6 00:00:23,816 --> 00:00:27,945 It is one of the top three feeder schools for Stanford University. 7 00:00:28,028 --> 00:00:32,031 So you've decided he's going to college, and picked out which one. 8 00:00:32,116 --> 00:00:37,121 Given our son's genetic makeup, he will probably be very intelligent 9 00:00:37,204 --> 00:00:40,249 and will require a challenging academic curriculum. 10 00:00:40,332 --> 00:00:42,501 Or he may not even enjoy academics. 11 00:00:42,585 --> 00:00:44,754 What he ends up doing will be his call. 12 00:00:44,837 --> 00:00:49,550 Whatever prekindergarten he ends up attending will be our call, not his. 13 00:00:53,512 --> 00:00:55,765 No coffee. Glassy's still in his room? 14 00:00:56,015 --> 00:01:00,019 -I heard him leave at 6:14. -He's been so sad about losing his house. 15 00:01:00,853 --> 00:01:02,271 How can you tell? 16 00:01:03,230 --> 00:01:07,026 -Have you noticed how quiet he's been? -Yes, it's been nice. 17 00:01:07,943 --> 00:01:10,821 I guess he's just throwing himself into his work. 18 00:01:25,795 --> 00:01:28,088 Dr. Murphy, little help here. 19 00:01:32,718 --> 00:01:35,221 Give tetanus booster, clean with betadine. 20 00:01:35,304 --> 00:01:37,515 -Administer-- -We got that. It's… 21 00:01:37,598 --> 00:01:39,140 We wanted a second opinion. 22 00:01:39,390 --> 00:01:40,476 Victor did. 23 00:01:40,810 --> 00:01:43,771 Yeah, before these young pups take a saw to our son's foot, 24 00:01:43,854 --> 00:01:45,564 I'd like to talk to a supervisor. 25 00:01:45,648 --> 00:01:46,732 The nail's bent. 26 00:01:46,816 --> 00:01:48,484 I am their supervisor, 27 00:01:48,567 --> 00:01:52,279 and we need the saw to cut the nail, not his foot. 28 00:01:56,700 --> 00:01:58,118 Are you good, Ricky? 29 00:02:14,343 --> 00:02:17,930 You all know my angel for the past 11 years, Dr. Lim. 30 00:02:18,055 --> 00:02:20,891 Hey, Roses. And this is my resident, Dr. Jordan Allen. 31 00:02:21,016 --> 00:02:22,309 Hi. 32 00:02:22,935 --> 00:02:26,105 -"Roses"? -My website's called "More Than 65 Roses." 33 00:02:26,188 --> 00:02:29,191 It's what I called it when I was diagnosed at five. 34 00:02:29,275 --> 00:02:31,819 Sixty-five roses. Cystic fibrosis. 35 00:02:31,986 --> 00:02:36,198 -Okay. -And welcome to vlog number 458. 36 00:02:36,281 --> 00:02:38,284 Going out all around the world. 37 00:02:38,659 --> 00:02:42,621 -And what does DLT stand for? -That would be double lung transplant. 38 00:02:46,959 --> 00:02:48,377 Your new lungs just arrived. 39 00:03:09,690 --> 00:03:12,026 I never should've agreed to let him go. 40 00:03:12,109 --> 00:03:14,904 You didn't. You just stopped fighting with me about it. 41 00:03:16,363 --> 00:03:19,867 He's running a mild fever. 100.4. Go where? 42 00:03:19,950 --> 00:03:22,828 Church camping trip, less than an hour away. 43 00:03:22,912 --> 00:03:25,164 Camping can be very dangerous. 44 00:03:25,247 --> 00:03:26,582 Thank you, Dr. Murphy. 45 00:03:26,874 --> 00:03:29,335 I had my first fire-roasted s'more last summer, 46 00:03:29,418 --> 00:03:31,295 so it can also be very fun. 47 00:03:31,754 --> 00:03:33,088 Thank you, Dr. Wolke. 48 00:03:34,173 --> 00:03:35,591 Be careful, please. 49 00:03:35,966 --> 00:03:37,593 Victor, he's a doctor. 50 00:03:37,676 --> 00:03:40,471 -Just try to trust-- -Trust that things will work out. 51 00:03:40,554 --> 00:03:41,764 Yep. I know. 52 00:03:43,807 --> 00:03:46,518 You're a Warriors fan? You like Steph Curry? 53 00:03:47,269 --> 00:03:50,397 -I like Draymond. -A rebel. I like it. 54 00:03:54,610 --> 00:03:56,111 Look at this beast. 55 00:03:58,948 --> 00:04:00,074 Nice job, Ricky. 56 00:04:08,082 --> 00:04:10,292 His temperature just jumped two degrees. 57 00:04:10,376 --> 00:04:12,586 Get a CBC, blood cultures and CT of his foot 58 00:04:12,670 --> 00:04:15,422 to check for damage to the bones and muscles. 59 00:04:23,639 --> 00:04:25,933 Dr. Park. How kind of you to join me. 60 00:04:26,684 --> 00:04:27,726 You paged me. 61 00:04:27,851 --> 00:04:30,604 Have a seat. And, yes, they're Herman Miller. 62 00:04:31,480 --> 00:04:34,149 The cappuccino, mochaccino, expresso, latte… 63 00:04:34,525 --> 00:04:35,943 None of those are for you. 64 00:04:38,362 --> 00:04:39,655 Okay, I was wrong. 65 00:04:40,114 --> 00:04:42,032 This is the perfect job for you. 66 00:04:42,116 --> 00:04:44,534 Your first study has what, 800 patients? 67 00:04:44,868 --> 00:04:49,206 But since you've had four whole days to hire all the clinical trial nurses, 68 00:04:49,289 --> 00:04:50,707 it should be easy. 69 00:04:52,376 --> 00:04:55,254 I may be a little behind, may have 13 patients waiting, 70 00:04:55,337 --> 00:04:56,338 but I will handle it. 71 00:04:56,547 --> 00:04:57,923 With a lot of cappuccinos. 72 00:04:59,299 --> 00:05:00,801 Thanks for your support. 73 00:05:02,678 --> 00:05:04,722 Do you want me to give you a hand? 74 00:05:04,972 --> 00:05:07,391 I have 90 minutes before my next surgery. 75 00:05:08,267 --> 00:05:11,478 In exchange for unlimited use of your espresso machine. 76 00:05:12,980 --> 00:05:14,314 We'll see. 77 00:05:26,243 --> 00:05:27,369 Poor Ricky. 78 00:05:27,703 --> 00:05:30,080 He probably just has a minor infection. 79 00:05:30,706 --> 00:05:31,915 I meant the parents. 80 00:05:32,457 --> 00:05:35,419 Two very different schools of thought on child-rearing. 81 00:05:35,502 --> 00:05:38,464 It's hard on the marriage, but harder on the kid. 82 00:05:38,756 --> 00:05:41,842 Everyone has different opinions, Dr. Wolke. 83 00:05:41,925 --> 00:05:44,803 Which they need to sort out before having kids. 84 00:05:46,013 --> 00:05:49,141 My college roommate, Jewish, married a Catholic woman. 85 00:05:49,224 --> 00:05:51,143 They had three children quickly. 86 00:05:51,226 --> 00:05:53,896 Started fighting about parenting nonstop. 87 00:05:55,022 --> 00:05:57,983 My parents never fought about us. My dad didn't care. 88 00:05:58,067 --> 00:06:01,987 As long as Mom got me and my brother dressed and out in time for chores. 89 00:06:05,282 --> 00:06:09,036 No hematoma or abscess. No explanation for the fever. 90 00:06:09,787 --> 00:06:10,788 My neck. 91 00:06:11,246 --> 00:06:12,623 It really hurts. 92 00:06:13,874 --> 00:06:14,875 Okay. 93 00:06:20,297 --> 00:06:21,548 Hey, I got you. 94 00:06:24,843 --> 00:06:27,888 He has tick bites on his back. 95 00:06:34,645 --> 00:06:36,897 Pink, plump and spongy. 96 00:06:38,357 --> 00:06:39,650 What's that? 97 00:06:44,071 --> 00:06:45,155 Pneumonia? 98 00:06:46,156 --> 00:06:47,199 In both lungs. 99 00:07:01,046 --> 00:07:03,423 She's lucky if she has another week. 100 00:07:06,844 --> 00:07:08,637 Ex vivo lung profusion. 101 00:07:08,720 --> 00:07:11,265 Maybe we can make the lungs heal themselves. 102 00:07:12,307 --> 00:07:15,519 That's usually used in cases involving pulmonary edema. 103 00:07:18,605 --> 00:07:21,275 Get the lungs. Meet me in the procedure room. 104 00:07:25,696 --> 00:07:26,613 Tick bites? 105 00:07:26,697 --> 00:07:30,117 His fever, vomiting and sore neck could be neurological. 106 00:07:30,200 --> 00:07:31,410 It's in his brain? 107 00:07:31,493 --> 00:07:33,912 Possibly. The blood tests were inconclusive, 108 00:07:33,996 --> 00:07:37,166 so we'd like to do a lumbar puncture to check Ricky's CSF. 109 00:07:37,249 --> 00:07:40,002 This camp just keeps getting better and better. 110 00:07:40,085 --> 00:07:41,795 Can we not do this right now? 111 00:07:41,879 --> 00:07:45,549 -I want this to never happen again. -And I don't? 112 00:07:45,632 --> 00:07:47,843 I care about our son as much as you. 113 00:07:47,926 --> 00:07:51,013 And yet you keep prioritizing fun over safety. 114 00:07:51,096 --> 00:07:53,056 Yes, I care about fun. 115 00:07:53,140 --> 00:07:55,517 And socialization, self-esteem, self-expression-- 116 00:07:55,601 --> 00:07:58,228 None of which are as important as his safety. 117 00:07:59,897 --> 00:08:01,398 I can't do this anymore. 118 00:08:18,498 --> 00:08:20,667 After six, only one with a minor reaction. 119 00:08:20,751 --> 00:08:22,085 -You? -Me too. 120 00:08:22,169 --> 00:08:24,713 So we are 12 down, one to go. 121 00:08:27,257 --> 00:08:28,508 Mr. Riggs? 122 00:08:28,759 --> 00:08:30,052 Mr. Riggs? 123 00:08:34,431 --> 00:08:35,307 Sorry. 124 00:08:35,474 --> 00:08:36,933 I just drifted off. 125 00:08:37,601 --> 00:08:40,187 My fault for keeping you waiting so long. 126 00:08:41,520 --> 00:08:44,650 So, how are you feeling, aside from tired? 127 00:08:44,983 --> 00:08:46,026 Just a bit achy, 128 00:08:46,860 --> 00:08:49,613 especially my knees and elbows, hips. 129 00:08:49,947 --> 00:08:51,740 And some mild jaundice. 130 00:08:52,491 --> 00:08:54,618 Other than that, I feel pretty good. 131 00:09:00,916 --> 00:09:04,795 Hello. We should sort out our differences about child-raising. 132 00:09:04,878 --> 00:09:07,256 If this is about McClellan Hall, not a big deal. 133 00:09:07,339 --> 00:09:10,217 I've made a list of 37 other potential differences. 134 00:09:10,300 --> 00:09:13,804 I'd love to discuss them, but Andrews just approved new EMR software 135 00:09:13,887 --> 00:09:17,057 and wants me to run a beta test on it in the next 24 hours. 136 00:09:17,140 --> 00:09:18,642 -Have you talked to Glassy? -No. 137 00:09:18,725 --> 00:09:23,230 He didn't come to work today, but I got a text. He says that he is okay. 138 00:09:23,313 --> 00:09:24,189 Where is he? 139 00:10:08,734 --> 00:10:09,860 It is not over yet. 140 00:10:10,402 --> 00:10:13,655 Lungs are remarkably resilient organs 141 00:10:14,197 --> 00:10:15,615 when they are in a body. 142 00:10:16,116 --> 00:10:19,328 Which is why we have to convince them they still are. 143 00:10:19,494 --> 00:10:23,623 We give them a blood supply by hooking them up to a profusion machine, 144 00:10:23,707 --> 00:10:27,252 an air supply by hooking them up to a ventilator, 145 00:10:27,336 --> 00:10:29,546 IV drips to feed them antibiotics, 146 00:10:29,629 --> 00:10:32,674 and we might be able to con them back into viability. 147 00:10:32,799 --> 00:10:34,593 The next six hours are crucial. 148 00:10:35,719 --> 00:10:37,846 How will you know if they're viable? 149 00:10:38,055 --> 00:10:41,058 Our main indicator is a calculation called the P/F ratio. 150 00:10:41,141 --> 00:10:44,061 When that reaches at least 400 mm of mercury… 151 00:10:44,186 --> 00:10:45,812 those lungs are good to go. 152 00:10:48,607 --> 00:10:49,733 Mom, relax. 153 00:10:50,150 --> 00:10:51,151 It's Dr. L. 154 00:11:07,709 --> 00:11:10,253 Palpate to find the L3-4 interspace. 155 00:11:10,712 --> 00:11:13,799 Maybe Lea and I won't be able to sort out our differences 156 00:11:13,882 --> 00:11:16,927 about child-raising and become angry like Victor and Shelly. 157 00:11:17,010 --> 00:11:19,763 You and Lea are nothing like Victor and Shelly. 158 00:11:19,846 --> 00:11:23,892 They're from completely different worlds, have vastly different outlooks. 159 00:11:23,975 --> 00:11:27,437 Lea and I are very different too. Insert the spinal needle. 160 00:11:27,729 --> 00:11:29,731 Who knows if they love each other. 161 00:11:29,815 --> 00:11:33,985 You and Lea, I know you do, a lot, and that's all that matters. 162 00:11:34,069 --> 00:11:36,738 At least according to the Hallmark Channel. 163 00:11:37,572 --> 00:11:38,782 I'm in. 164 00:11:44,162 --> 00:11:47,457 The infection has elevated his intracranial pressure. 165 00:11:47,540 --> 00:11:49,584 Intubate and load him with levetiracetam 166 00:11:49,668 --> 00:11:51,795 and dexamethasone before his brain herniates. 167 00:12:00,637 --> 00:12:03,849 CSF confirming a very rare infection called naegleria fowleri. 168 00:12:03,932 --> 00:12:07,060 It's a brain-eating amoeba that's caused cerebral swelling. 169 00:12:07,185 --> 00:12:09,729 We need to put Ricky in a barbiturate-induced coma 170 00:12:09,813 --> 00:12:12,941 and surgically place a port into the center of his brain. 171 00:12:13,024 --> 00:12:16,695 Then we will flood it with antibiotics, which should reduce the edema. 172 00:12:16,778 --> 00:12:18,613 And he contracted this from a tick? 173 00:12:18,697 --> 00:12:22,117 No, it's contracted via contaminated water through the nose. 174 00:12:22,409 --> 00:12:24,953 So he got it from the swimming hole at camp. 175 00:12:25,287 --> 00:12:26,288 That's a good guess. 176 00:12:26,580 --> 00:12:29,416 Ricky's too anxious around water to put his head under, 177 00:12:29,499 --> 00:12:31,460 let alone get water up his nose. 178 00:12:31,877 --> 00:12:35,172 Naegleria fowleri has also been found in untreated swimming pools, 179 00:12:35,255 --> 00:12:37,549 -nasal rinses, water heaters-- -Nasal rinses? 180 00:12:38,508 --> 00:12:40,343 If unboiled tap water is used. 181 00:12:42,554 --> 00:12:45,307 I gave him a nasal rinse the morning he left for camp. 182 00:12:46,224 --> 00:12:47,476 He had a runny nose. 183 00:12:48,685 --> 00:12:50,562 That is a better guess. 184 00:12:56,860 --> 00:12:58,028 Excuse me. 185 00:13:06,244 --> 00:13:09,414 Riggs has fatigue, joint pain, impaired mental acuity, 186 00:13:09,498 --> 00:13:12,125 tachycardia and mild liver failure. 187 00:13:12,584 --> 00:13:14,920 -Thanks. -Maybe he has a pre-existing condition. 188 00:13:15,003 --> 00:13:16,463 He should have been eliminated 189 00:13:16,546 --> 00:13:18,673 by any remotely competent screening process. 190 00:13:18,757 --> 00:13:21,510 Those protocols were in place before you came on board. 191 00:13:21,593 --> 00:13:24,721 I'll remind the CRO of that when I tell them, on my first day, 192 00:13:24,804 --> 00:13:27,182 that their $4 million trial needs to be trashed. 193 00:13:27,265 --> 00:13:30,602 Save the doomsday predictions until after the blood panel results. 194 00:13:32,229 --> 00:13:33,855 Lab's on the way to the OR. 195 00:13:39,694 --> 00:13:43,114 -It hasn't been six hours yet, has it? -Six and a quarter. 196 00:14:10,892 --> 00:14:12,018 You want company? 197 00:14:15,021 --> 00:14:15,981 Thanks. 198 00:14:34,415 --> 00:14:35,959 Hello. Where is Victor? 199 00:14:37,669 --> 00:14:39,379 Beating himself up somewhere. 200 00:14:41,339 --> 00:14:42,382 I just… 201 00:14:43,258 --> 00:14:44,926 wish that made a difference. 202 00:14:46,761 --> 00:14:48,179 Do you love each other? 203 00:14:52,017 --> 00:14:53,059 Yeah. 204 00:14:54,227 --> 00:14:55,103 Of course. 205 00:14:55,770 --> 00:15:00,150 We've always been oil and water. That's how my dad describes us. 206 00:15:00,567 --> 00:15:03,486 Victor grew up in Belgrade. I grew up in Berkeley. 207 00:15:03,945 --> 00:15:07,532 Different religions and politics, socio-economic status. 208 00:15:09,117 --> 00:15:10,452 But when I got pregnant, 209 00:15:10,535 --> 00:15:13,622 we knew we had a lot of issues to work out. 210 00:15:14,247 --> 00:15:15,290 And we did. 211 00:15:16,833 --> 00:15:18,543 Then Ricky was born and… 212 00:15:20,837 --> 00:15:23,089 we suddenly started arguing over… 213 00:15:23,882 --> 00:15:25,634 When can he safely eat tree nuts? 214 00:15:26,926 --> 00:15:28,928 How high should he climb on the jungle gym? 215 00:15:29,012 --> 00:15:30,847 When can he stay with a babysitter? 216 00:15:31,306 --> 00:15:35,310 Those little things were the ones we could never work out. 217 00:15:36,936 --> 00:15:38,772 But, yes, we still love each other. 218 00:15:39,314 --> 00:15:40,440 It's just that… 219 00:15:41,858 --> 00:15:43,985 I'm not sure love is enough anymore. 220 00:15:48,114 --> 00:15:49,240 Still waiting. 221 00:15:50,075 --> 00:15:51,242 Still hoping. 222 00:15:52,118 --> 00:15:55,246 That's kind of what we do, isn't it, Roses? 223 00:15:57,915 --> 00:15:59,668 And the wait is over. 224 00:16:12,472 --> 00:16:13,515 I'm sorry. 225 00:16:19,437 --> 00:16:21,314 We've put you back on the list. 226 00:16:23,525 --> 00:16:24,901 You're at the very top. 227 00:16:29,739 --> 00:16:30,949 I deserved this. 228 00:16:33,535 --> 00:16:34,953 I wanted those lungs. 229 00:16:37,706 --> 00:16:39,207 I wanted someone to die. 230 00:16:39,833 --> 00:16:40,875 Brecca. 231 00:16:55,640 --> 00:16:57,434 Honey, should we finish? 232 00:16:59,894 --> 00:17:00,979 No. 233 00:17:17,454 --> 00:17:18,829 Hello, Dr. Glassman. 234 00:17:22,125 --> 00:17:23,334 Shaun. 235 00:17:24,127 --> 00:17:26,128 You might try knocking next time, 236 00:17:26,212 --> 00:17:28,631 although, you know, it might be a little tough. 237 00:17:33,553 --> 00:17:36,806 -What are you looking for? -You know… 238 00:17:38,057 --> 00:17:39,100 My life. 239 00:17:41,102 --> 00:17:42,228 Just my life. 240 00:17:59,662 --> 00:18:00,705 Not yet. 241 00:18:01,247 --> 00:18:03,583 I think I'm gonna keep at it for a bit. 242 00:18:07,962 --> 00:18:11,382 -Okay. -No, this is on me. You can head home. 243 00:18:13,551 --> 00:18:14,594 Thanks. 244 00:18:23,311 --> 00:18:26,564 I will miss your big screen LED TV. 245 00:18:27,482 --> 00:18:30,944 It was old and had a pixel line down the right side. 246 00:18:31,694 --> 00:18:33,321 Did you love Alana? 247 00:18:34,531 --> 00:18:35,532 What? 248 00:18:36,324 --> 00:18:38,368 Did I love Alana? Yeah, of course. 249 00:18:39,118 --> 00:18:40,745 Did you love Debbie? 250 00:18:42,622 --> 00:18:45,291 Yeah. I loved Debbie. Where is this going, Shaun? 251 00:18:45,375 --> 00:18:48,545 That wasn't enough for you to get over your differences. 252 00:18:48,628 --> 00:18:51,714 How do I know if love will be enough 253 00:18:51,798 --> 00:18:54,384 for me and Lea to get over our differences? 254 00:18:54,467 --> 00:18:55,885 You won't know. 255 00:18:55,969 --> 00:18:58,054 I mean, how can you know? You can't know. 256 00:18:59,180 --> 00:19:02,225 I do not like worrying about this. 257 00:19:02,308 --> 00:19:05,854 I mean, Lea had some doubts just a little while ago. 258 00:19:05,937 --> 00:19:07,689 -You both got over that. -Yes. 259 00:19:08,022 --> 00:19:10,900 -Because I was very supportive. -There you go. 260 00:19:11,025 --> 00:19:15,488 But differences about child-raising seem to be bigger than normal differences. 261 00:19:15,572 --> 00:19:18,616 Yeah. Having a child, I mean, that's big, that's huge. 262 00:19:18,700 --> 00:19:21,744 It's a shift. It shifts everything. Marriage, everything. 263 00:19:21,828 --> 00:19:24,414 I do not want a shift in our marriage. 264 00:19:25,206 --> 00:19:26,791 Maybe it'll shift for the better. 265 00:19:34,591 --> 00:19:35,967 Ardie's eye. 266 00:19:36,384 --> 00:19:39,971 First thing I ever bought Maddie was a stuffed aardvark. 267 00:19:46,144 --> 00:19:49,230 Back in the day, I performed a 21-hour surgery. 268 00:19:49,856 --> 00:19:53,109 I removed an astrocytoma from the medulla of the brain stem. 269 00:19:53,192 --> 00:19:55,028 It was heroic, it put me on the map. 270 00:19:55,111 --> 00:19:57,530 My elective surgeries were booked out for a year. 271 00:19:57,614 --> 00:20:00,575 I was in a zone, like playing scratch golf. 272 00:20:01,451 --> 00:20:03,912 And then Ilana got pregnant. 273 00:20:06,289 --> 00:20:09,667 She didn't want to stop work. Had a real estate thing, doing well. 274 00:20:09,751 --> 00:20:12,378 I didn't want to stop. I wanted to stay on the map. 275 00:20:13,630 --> 00:20:16,507 And then we brought Maddie home that first night. 276 00:20:19,135 --> 00:20:20,303 Everything changed. 277 00:20:26,976 --> 00:20:28,102 Go talk to Lea. 278 00:20:29,062 --> 00:20:30,104 I tried. 279 00:20:31,230 --> 00:20:34,567 She had to run a beta test on new EMR software. 280 00:20:35,151 --> 00:20:37,695 Then you'll have to wait until she's done. 281 00:21:04,138 --> 00:21:07,308 All I had on my DVR was a marathon of Shark Tank. 282 00:21:07,392 --> 00:21:10,728 Can't say I was in the mood to be staring at Mr. Wonderful's bald head. 283 00:21:10,812 --> 00:21:14,983 So why not entertain myself by watching some hot line perfusion action? 284 00:21:15,984 --> 00:21:17,527 I'm not one to kink shame. 285 00:21:17,735 --> 00:21:20,279 Coffee and cronuts, from Chaz's bakery. 286 00:21:20,655 --> 00:21:22,198 I'm happy for the company. 287 00:21:22,323 --> 00:21:24,701 Pneumi is not much of a conversationalist. 288 00:21:25,493 --> 00:21:27,203 -Pneumi? -My pet name for them. 289 00:21:27,286 --> 00:21:29,414 From the Greek word for lungs, pneumonas. 290 00:21:29,497 --> 00:21:31,582 I thought it was better than "Lungy." 291 00:21:31,666 --> 00:21:33,334 Yeah, I may be losing it. 292 00:21:33,418 --> 00:21:34,419 Cronut. 293 00:21:39,132 --> 00:21:41,009 -Any progress? -Negligible. 294 00:21:41,843 --> 00:21:46,055 I keep doing the same thing over and over, hoping for a different outcome. 295 00:21:46,139 --> 00:21:48,016 Yeah, I'm definitely losing it. 296 00:21:48,808 --> 00:21:50,268 Then do something different. 297 00:21:58,526 --> 00:21:59,444 Okay. 298 00:22:06,993 --> 00:22:10,288 Doubling up on antibiotics, and we can add steroids. 299 00:22:10,371 --> 00:22:15,251 This will either hammer out the infection or the lungs. 300 00:22:24,927 --> 00:22:28,681 -How's Glassy? -Very sore and very sooty. 301 00:22:35,063 --> 00:22:39,192 -We need to talk-- -About our 37 differences? 302 00:22:39,275 --> 00:22:40,610 I thought of two more. 303 00:22:42,403 --> 00:22:45,114 Shaun, as you know, I'm kind of busy right now, 304 00:22:45,239 --> 00:22:47,658 so you'll have to settle for me agreeing that, yes, 305 00:22:47,742 --> 00:22:49,118 we'll have many differences. 306 00:22:49,202 --> 00:22:51,788 But in time, we'll be able to work them out. 307 00:22:51,871 --> 00:22:53,831 That's what Victor and Shelly thought. 308 00:22:53,915 --> 00:22:56,292 And now they are talking about separating. 309 00:22:56,918 --> 00:22:59,253 I don't know who Victor and Shelly are. 310 00:23:00,046 --> 00:23:03,549 In any event, I have at least two more hours of work to do. 311 00:23:05,510 --> 00:23:06,427 Okay. 312 00:23:15,561 --> 00:23:17,396 You're waiting, aren't you? 313 00:23:17,480 --> 00:23:19,190 Yes, I am very patient. 314 00:23:20,066 --> 00:23:22,860 You are very patient and very understanding. 315 00:23:22,985 --> 00:23:25,321 And you were so good with me on our babymoon. 316 00:23:25,404 --> 00:23:27,865 If you could just channel some of that… 317 00:23:27,949 --> 00:23:30,493 On our babymoon, I thought love was enough. 318 00:23:34,247 --> 00:23:39,669 That's kind of a big thing to drop on me this late at night. 319 00:23:39,794 --> 00:23:42,421 You were too busy to discuss it in the morning. 320 00:23:42,505 --> 00:23:44,298 So I talked to Dr. Glassman about it, 321 00:23:44,382 --> 00:23:47,552 and he said having a child will shift our dynamics. 322 00:23:47,677 --> 00:23:49,929 If it does, we can talk about it then. 323 00:23:50,012 --> 00:23:53,641 If we can't talk about our dynamics now, how about our differences? 324 00:23:53,724 --> 00:23:54,725 Really? We have 39, 325 00:23:54,809 --> 00:23:57,395 so we need serious time, and I'm sure they'll keep 326 00:23:57,478 --> 00:24:00,273 because we're kind of committed to having a kid together, 327 00:24:00,356 --> 00:24:02,150 whether love is enough or not. 328 00:24:03,109 --> 00:24:05,361 Shaun, I'm way too tired 329 00:24:05,444 --> 00:24:09,198 to have a productive conversation about this right now. 330 00:24:09,282 --> 00:24:11,701 -Okay? -Okay. 331 00:24:41,272 --> 00:24:42,690 It's time to call it. 332 00:24:45,776 --> 00:24:49,238 I had half an hour left on my call when she first came into the ER. 333 00:24:49,864 --> 00:24:51,991 Coughing blood, vitals on the floor. 334 00:24:53,451 --> 00:24:54,660 When we opened her up, 335 00:24:54,744 --> 00:24:57,038 her lungs looked like a 70-year-old's. 336 00:24:57,121 --> 00:24:59,582 Didn't think she'd make it through the night. 337 00:24:59,665 --> 00:25:00,625 She was eight. 338 00:25:04,337 --> 00:25:07,590 I couldn't go home. And stayed with her that night. 339 00:25:09,217 --> 00:25:13,012 And then the next morning, she just opened her eyes, 340 00:25:13,095 --> 00:25:16,057 looked at me and told me she liked my French braid. 341 00:25:19,894 --> 00:25:21,229 Once I call it, 342 00:25:23,272 --> 00:25:25,775 I have to go up there and tell her I failed her. 343 00:25:34,951 --> 00:25:36,953 Got Riggs' latest test results. 344 00:25:37,036 --> 00:25:39,789 Turns out he did have a pre-existing condition. 345 00:25:39,872 --> 00:25:41,040 Hemochromatosis. 346 00:25:41,123 --> 00:25:43,501 So the jerk lied about it to get into the study? 347 00:25:45,127 --> 00:25:48,589 -That's the assumption? -He got 3,500 bucks to participate. 348 00:25:48,673 --> 00:25:51,968 I think it's a pretty sound assumption, but whether he lied or not, 349 00:25:52,051 --> 00:25:54,220 it means the screeners are incompetent. 350 00:25:54,303 --> 00:25:56,055 That's got to take a toll. 351 00:25:56,138 --> 00:25:58,140 Expecting the worst of everybody. 352 00:25:58,307 --> 00:26:01,227 I'd rather be pleasantly surprised than bitterly disappointed. 353 00:26:02,478 --> 00:26:06,107 And that's the world view you want to impart to your future child? 354 00:26:07,566 --> 00:26:09,318 Assume the worst of everyone? 355 00:26:18,494 --> 00:26:20,496 Help. We need help in here. 356 00:26:22,290 --> 00:26:25,584 -What's happening? -Add a milligram of lorazepam. 357 00:26:25,668 --> 00:26:28,129 -He's seizing. -Because his ICPs are in the 40s. 358 00:26:28,212 --> 00:26:29,964 Cerebral edema's gotten worse. 359 00:26:30,047 --> 00:26:32,967 If we don't open Ricky's skull immediately, he will die. 360 00:26:40,850 --> 00:26:43,477 Removing hemicranial skull flap. 361 00:26:44,020 --> 00:26:46,355 Performing wide dural opening. 362 00:26:51,819 --> 00:26:54,697 Look at the monitor. EEG's all over the place. 363 00:26:54,780 --> 00:26:55,990 He's still seizing. 364 00:26:56,073 --> 00:26:59,785 Place an additional EVD and increase propofol to burst suppress. 365 00:26:59,910 --> 00:27:01,162 But he's maxed out. 366 00:27:01,245 --> 00:27:03,080 Giving more propofol could kill him. 367 00:27:03,372 --> 00:27:06,417 If we don't, the seizures will definitely kill him. 368 00:27:06,500 --> 00:27:07,460 Okay. 369 00:27:14,216 --> 00:27:17,470 We can remove the damaged cortex in the left anterior temporal lobe, 370 00:27:17,553 --> 00:27:20,139 using pre-op imaging to guide us. 371 00:27:20,222 --> 00:27:22,433 Cut out part of his brain? That's extreme. 372 00:27:22,850 --> 00:27:25,186 That is the area that's causing the seizures. 373 00:27:25,311 --> 00:27:28,647 -Might be a tough sell to his parents. -Which is why you will help. 374 00:27:29,106 --> 00:27:32,651 Okay. Please keep him stabilized with eyes to the cortical surface. 375 00:27:39,450 --> 00:27:40,826 "The country flew past, 376 00:27:40,910 --> 00:27:44,580 as if they were seeing it from the windows of an express train. 377 00:27:44,705 --> 00:27:46,916 Faster and faster they raced, 378 00:27:48,042 --> 00:27:50,461 but no one got tired or out of breath." 379 00:27:53,130 --> 00:27:55,549 We can save the last chapter for later. 380 00:27:58,135 --> 00:27:59,303 There is no later. 381 00:28:08,729 --> 00:28:10,189 Where's Dr. L? 382 00:28:12,525 --> 00:28:15,069 She wasn't ready to give up on your lungs. 383 00:28:16,112 --> 00:28:17,488 There's still a chance? 384 00:28:20,825 --> 00:28:22,159 Dr. Lim thinks so. 385 00:28:27,915 --> 00:28:29,125 Let's finish. 386 00:28:42,763 --> 00:28:44,098 Chapter 16. 387 00:28:46,725 --> 00:28:48,894 "Farewell to the Shadowlands." 388 00:28:50,438 --> 00:28:52,648 We'd cut out a small piece of his cortex. 389 00:28:52,731 --> 00:28:54,525 It's already damaged by infection. 390 00:28:54,608 --> 00:28:58,362 Removing it may be the only way to keep him alive. 391 00:28:59,613 --> 00:29:01,740 But how would that affect him? 392 00:29:01,866 --> 00:29:06,203 There are areas of the brain that are significantly less essential than others. 393 00:29:06,412 --> 00:29:09,039 This part only impacts his speech and memory. 394 00:29:09,123 --> 00:29:10,833 Probably not long-term. 395 00:29:11,459 --> 00:29:15,963 So he might not be able to talk or know who we are? 396 00:29:16,046 --> 00:29:19,091 We wouldn't be able to fully assess him until he wakes up. 397 00:29:28,684 --> 00:29:31,061 Ricky's skull is opened. 398 00:29:36,650 --> 00:29:37,943 We should do it. 399 00:29:40,154 --> 00:29:42,364 This is a very good hospital. 400 00:29:42,490 --> 00:29:44,283 These are very smart doctors. 401 00:29:45,743 --> 00:29:48,204 And someone very wise once told me that 402 00:29:49,914 --> 00:29:52,708 sometimes you just have to trust things will work out. 403 00:29:59,215 --> 00:30:00,132 Okay. 404 00:30:26,784 --> 00:30:27,910 Hemochromatosis? 405 00:30:28,077 --> 00:30:30,204 You never noticed these symptoms until now? 406 00:30:30,287 --> 00:30:32,540 Joint pain, fatigue, mental fuzziness? 407 00:30:32,623 --> 00:30:34,166 I turn 58 next week. 408 00:30:34,250 --> 00:30:36,627 I haven't felt a day over 30 until now. 409 00:30:39,922 --> 00:30:42,758 It's very unlikely your hemochromatosis 410 00:30:42,841 --> 00:30:44,718 went from zero to 60 in a week. 411 00:30:47,471 --> 00:30:50,891 Is it possible you gave the screener someone else's blood? 412 00:30:52,101 --> 00:30:54,311 You think I cheated? For the money? 413 00:30:54,395 --> 00:30:56,355 No, Mr. Riggs. I'm just trying to-- 414 00:30:59,817 --> 00:31:02,069 You're a blood donor in the 20 gallon club? 415 00:31:02,194 --> 00:31:04,572 Yeah. Regular donor the last 30 years. 416 00:31:04,697 --> 00:31:06,615 When was the last time you donated? 417 00:31:06,740 --> 00:31:09,243 Two months ago, just before I started this trial. 418 00:31:09,368 --> 00:31:12,288 And you're not allowed to donate while you're in the trial. 419 00:31:12,371 --> 00:31:13,872 See, that's the downside. 420 00:31:13,956 --> 00:31:15,541 I actually enjoy those cookies. 421 00:31:17,626 --> 00:31:20,170 I'll make sure you get all the cookies you want. 422 00:31:31,056 --> 00:31:33,058 Don't you think it's time to come home? 423 00:31:34,226 --> 00:31:35,144 No. 424 00:31:37,896 --> 00:31:42,651 In that case, I wanted to make you something delicious like you've made us, 425 00:31:42,735 --> 00:31:46,113 but I'm not a very good cook and everything's closed, 426 00:31:46,196 --> 00:31:48,741 so I hope you like 427 00:31:48,824 --> 00:31:53,537 hot-dog-flavored potato chips and Nutty Buddys. 428 00:31:56,123 --> 00:31:57,249 Yeah. 429 00:32:00,419 --> 00:32:03,297 -Nail polish? -Father-daughter time. 430 00:32:04,298 --> 00:32:08,510 Maddie insisted that she paint my fingernails a sparkly rainbow color. 431 00:32:11,430 --> 00:32:15,351 And the next day, my first patient was very uncomfortable. 432 00:32:15,434 --> 00:32:18,729 That's when I realized I forgot to remove the nail polish. 433 00:32:20,272 --> 00:32:21,523 That's a nice memory. 434 00:32:23,651 --> 00:32:25,027 Sit. No, sit, sit, sit. 435 00:32:32,785 --> 00:32:33,827 So many memories. 436 00:32:36,038 --> 00:32:38,624 That Halloween Maddie wanted to go as a ham 437 00:32:38,707 --> 00:32:41,418 because we had just seen To Kill A Mockingbird. 438 00:32:41,543 --> 00:32:44,713 But she wanted the ham 439 00:32:44,797 --> 00:32:46,882 to be made out of an actual ham. 440 00:32:48,175 --> 00:32:52,137 And then one night the wind was blowing so hard it blew her bedroom door shut. 441 00:32:53,013 --> 00:32:56,892 She was convinced that her grandmother's ghost had come back to visit her. 442 00:32:58,227 --> 00:33:00,771 Wanted to sleep in our bed for the next two weeks. 443 00:33:04,858 --> 00:33:08,278 You didn't come here just to feed me junk food, did you? 444 00:33:09,780 --> 00:33:12,116 I thought you might need someone to talk to. 445 00:33:12,241 --> 00:33:13,534 I'm fine. 446 00:33:16,245 --> 00:33:17,913 I know someone you should talk to. 447 00:33:23,419 --> 00:33:26,672 I know. But this was easier. 448 00:33:38,225 --> 00:33:40,185 "Hot dog" should not be a flavor. 449 00:33:43,647 --> 00:33:46,734 "All their life in this world and all their adventures in Narnia 450 00:33:46,817 --> 00:33:49,361 had only been the cover on the title page. 451 00:33:49,445 --> 00:33:52,448 Now, at last, they were beginning chapter one 452 00:33:52,531 --> 00:33:56,785 of the great story which no one on Earth has read, 453 00:33:58,078 --> 00:33:59,580 which goes on forever, 454 00:34:01,540 --> 00:34:03,250 in which every chapter 455 00:34:04,084 --> 00:34:06,044 is better than the one before." 456 00:34:11,884 --> 00:34:14,303 Checking in. Need me to up your morphine? 457 00:34:15,344 --> 00:34:16,263 Couldn't hurt. 458 00:34:27,524 --> 00:34:30,194 Hey, I changed my mind 459 00:34:31,360 --> 00:34:32,987 about the vlog. 460 00:34:34,406 --> 00:34:35,699 Wonderful. 461 00:34:45,333 --> 00:34:46,793 Go for it. 462 00:34:50,922 --> 00:34:55,092 Hey, Roses. I'm back. 463 00:34:57,262 --> 00:34:59,932 The DLT didn't really work out, 464 00:35:00,015 --> 00:35:05,562 so this is gonna be my last update. 465 00:35:07,856 --> 00:35:12,236 I wasn't even going to do this, I was gonna flip off Dylan Thomas 466 00:35:12,319 --> 00:35:14,780 and go gently into that good night. 467 00:35:16,156 --> 00:35:17,741 But… 468 00:35:19,076 --> 00:35:21,328 I couldn't leave without saying goodbye. 469 00:35:23,163 --> 00:35:26,875 And that it's okay to be hurt. 470 00:35:28,544 --> 00:35:29,461 I am. 471 00:35:31,213 --> 00:35:33,006 That my life's been cut short. 472 00:35:35,050 --> 00:35:37,511 But the upside to all of this 473 00:35:39,096 --> 00:35:42,015 is that I feel something I never thought I would. 474 00:35:42,516 --> 00:35:43,767 It's gratitude. 475 00:35:46,812 --> 00:35:49,731 I'm grateful to my sweet mother. 476 00:35:52,025 --> 00:35:52,943 And… 477 00:35:55,028 --> 00:35:58,198 to the people who keep hope alive. 478 00:36:01,034 --> 00:36:03,245 Like Dr. L, and… 479 00:36:10,419 --> 00:36:11,420 Crash cart. 480 00:36:12,880 --> 00:36:14,506 She's in full respiratory failure. 481 00:36:15,799 --> 00:36:17,801 -We need to intubate her. -No. 482 00:36:20,470 --> 00:36:21,805 We need to let her go. 483 00:37:12,022 --> 00:37:14,858 Pneumi hit 402. Get Brecca to the OR. 484 00:37:16,860 --> 00:37:20,322 The lungs are good. We should intubate. 485 00:37:21,490 --> 00:37:22,574 Yes. 486 00:37:40,467 --> 00:37:42,844 -Ricky? -Dr. Murphy. 487 00:37:44,972 --> 00:37:47,891 Ricky? Can you hear us? 488 00:37:50,352 --> 00:37:51,269 Hello. 489 00:37:56,066 --> 00:37:58,777 Do you know where you are? 490 00:38:04,074 --> 00:38:06,535 Do you know your name? 491 00:38:22,592 --> 00:38:25,762 I'm Ricky Pavlovich. 492 00:38:25,846 --> 00:38:27,639 I'm in the hospital 493 00:38:27,723 --> 00:38:32,519 because I stepped on a rusty nail at church camp. 494 00:38:35,856 --> 00:38:38,775 But I would still like to go back there next year. 495 00:39:10,474 --> 00:39:11,725 Welcome home, Pneumi. 496 00:39:20,275 --> 00:39:21,902 Riggs is a lifelong blood donor. 497 00:39:23,528 --> 00:39:27,532 -Which totally eliminated his symptoms. -Until he started this trial. 498 00:39:27,616 --> 00:39:29,701 He's not allowed to donate till it's over. 499 00:39:29,785 --> 00:39:33,288 So there was nothing wrong with the protocols. Nobody was incompetent. 500 00:39:33,371 --> 00:39:35,665 And Riggs isn't a big, fat liar. 501 00:39:35,749 --> 00:39:38,460 In fact, he's a legit hero. 502 00:39:40,921 --> 00:39:43,340 Maybe my world view does need a little adjustment. 503 00:39:45,550 --> 00:39:46,843 I prefer Italian roast. 504 00:39:47,469 --> 00:39:48,386 Noted. 505 00:39:53,892 --> 00:39:55,727 Ready to take Pneumi for a test run? 506 00:39:58,230 --> 00:39:59,940 That's what she named your lungs. 507 00:40:00,857 --> 00:40:01,858 It was a weird night. 508 00:40:06,279 --> 00:40:07,614 Start small. 509 00:41:03,336 --> 00:41:04,421 Thanks for coming. 510 00:41:06,214 --> 00:41:07,257 We should talk. 511 00:41:23,356 --> 00:41:28,153 Number 39, dietary restrictions. 512 00:41:29,696 --> 00:41:31,615 Other than breast milk. 513 00:41:33,992 --> 00:41:35,493 I felt a kick! 514 00:41:41,416 --> 00:41:42,375 I felt… 515 00:41:43,627 --> 00:41:44,961 This is very exciting. 516 00:41:47,964 --> 00:41:48,882 Come here. 517 00:41:54,763 --> 00:41:56,765 Think of all of the new memories 518 00:41:57,891 --> 00:41:59,100 waiting to be made. 519 00:42:03,855 --> 00:42:06,316 Hey. Let's go home. 520 00:42:10,445 --> 00:42:13,698 Number 39, other than breast milk, 521 00:42:13,782 --> 00:42:18,161 I don't think that peanut should have any dairy products before six months. 522 00:42:18,245 --> 00:42:19,621 Easy-peasy. 523 00:42:19,704 --> 00:42:20,997 Number 38?