Dr. Larsen was in a car accident,
she has no recollection of the last eight years.
(AMY): Previously on Doc.
- Let me run Internal Medicine. - Back to your roots.
When you need time to work out things with Michael,
I accept it, but when the shoe's on the other foot...
When the shoe's on the other foot,
you have a hard time telling me the truth.
Delayed decisions on his care
have been hurting him a long time.
You don't have to tell me the system's broken.
How much prednisone does it take to get you through a shift?
You will flame out in weeks.
It's time for you to use your greatness
to pull the greatness out of others.
I'm going to miss you.
(COUGHING)
Sorry. This guy loves his sleep.
Oh, there he is. Hey, can I have a hug?
Oh my goodness, this is yummy.
Ethan was sorry to miss you, he had a really early meeting.
Well, Robbie's the main event, right?
What fabulous holiday have they cancelled school for this time?
It's Lunar New Year.
Oh, well.
(SPEAKING MANDARIN)
(SAMANTHA): Grandma's been all over the world.
You know, she could probably teach you to say hello
in 50 different languages.
67, but who's counting?
I should be back around six.
And thanks so much for doing this.
Are you kidding? The more time I get to spend
with this little man, the better.
Oh. Brought you donuts,
your dad said they're your favorite.
(ROBBIE): Thanks, Grandma.
(COUGHING)
Joan, you okay?
(COUGHING)
I'm fine.
(COUGHING AND WHEEZING)
(SAMANTHA): Robbie, why don't you go upstairs?
Oh my God.
- Grandma! - Joan?
Grandma!
(COUGHING)
Synced & corrected by -robtor- www.addic7ed.com
(INDISTINCT CHATTER)
(TENSE MUSIC)
Good morning, everyone.
(ALL): Morning.
This is going to be an adjustment for all of us.
Dr. Ridley certainly left some big shoes to fill,
and I know all these leadership changes the past year
have probably been unsteadying.
There are a lot of reasons why
I wanted to practice medicine again,
but I want to be very clear about the reason I asked
to sit in that chair.
The past year as your CMO,
I have seen what every person
standing in this room is capable of.
Dr. Miller.
(MICHAEL): Time and again, you have risen to the occasion.
(NURSE ON PHONE): We have a sixty-two year old female
in respiratory failure. Complications from chronic MDS.
I'm on my way down.
I'm not here just to lead you,
I want to join you, and help you do what you already do so well.
An issue, a problem, a suggestion,
my door will always be open.
Before we go, some congratulations are in order.
In two weeks, Dr. Maitra
and Dr. Larsen will succeed Dr. Heller
as Chief Residents,
as we welcome our new class of interns.
(APPLAUSE)
Uh, now, if you both
could hang back for a moment with Dr. Heller.
The rest of you, do good work.
I'd like our co-chiefs to shadow you
before you start your pediatric fellowship.
You can begin with Dr. Maitra this morning, and then alternate days.
- Yeah. Sounds like a plan. - Great.
It's quite a move.
Well, it was either this
or a leather jacket and a motorcycle.
(CELLPHONE MESSAGE)
Joan's in the ER.
Paramedic said she was extremely short of breath,
likely bilateral pleural effusions.
So is she hypoxic?
Oxygenations improved on the mask, but she's hypotensive.
Let's push Norepi MAP goal above 65.
No, Richard, that's not gonna work.
- I'm sorry? - She's on prednisone.
30 milligrams and she's tapered off, I read her chart.
No, her chart's wrong, she's on way more than that.
I've been using it to get through the surgery.
You knew about this?
How much has she been taking?
Double that.
Triple to get through the ex...
vivo with Javi.
My natural cortisol production's gotta be shot.
Okay. Lucy, 100 milligram bolus
of hydrocortisone before pressors.
And run a complete lab workup.
We're all here if you need anything, Joan.
Should I call Ethan?
He's on his way.
But Amy, I need you to remember,
I have a DNR.
Joan, no, we're nowhere near that.
(WHEEZING)
Shh.
Good morning, Dr. Walker.
Good morning to you, Walter. How's our rocket holding up?
Can't wait to launch it.
You think I can still leave today?
Gotta examine you first, can't let you out of here
till we're sure you're all better.
I really want to show the rocket to the kids at the house.
I bet. Looks like that thing might actually make it to space.
Do you ever launch rockets with your kids?
- I don't have any. - Really?
I thought about it when I was younger,
but decided to take a different path.
What do you mean?
Well, being a parent's a big commitment.
But that's also true for being a friend, a sister,
an aunt, especially a doctor.
Eventually, I figured if I gave my best
to all those other things, that'd be enough for me.
- You're a great doctor. - Hmm.
That she is, buddy. Sorry I'm late, how's he doing?
Well, breathing's much better. Let's look at those knees.
Oh. How long has your leg been moving like that?
Happens all the time with my RA.
It shouldn't be now, with the medication you're on.
- Yeah, I'll order a CT. - Well, that's bad.
Just need to see what's going on. We'll get it sorted out, though.
Time to find your social worker.
Again?
Atlantoaxial instability this severe will progress fast.
We have to operate now.
We don't have the go ahead from his proxy.
Well, his C1 and C2 are compressing his spinal cord.
What's everybody waiting for?
The social worker said he'd sign off on whatever we decide,
but he doesn't want to get in the weeds.
Well, that makes things tricky, cause we have two surgical routes.
High risk, high reward, open the neck, expose the vertebra,
place the corrective hardware directly.
But you're concerned about arterial or spinal cord trauma?
Not to mention stroke, infection, ventral cord damage.
Plus, he's still recovering from lung inflammation.
Definitely a concern.
And the second option is minimally invasive fusion?
Far less trauma and easier recovery.
But wouldn't we be relying on CT for navigation?
Which means less precision with the hardware?
Yeah, it may require going back in, in six months or a year.
And there's a high chance for a screw misplacement.
At the C1-C2 spinal cord, that could be severe.
Both have risks. It's your call, Gina.
(SOFT MUSIC)
Do the minimally invasive fusion.
I'll go explain to Walter.
So...
I've got full-blown leukemia.
May I see?
My belief is that the steroids
artificially raised your white blood cell count,
hiding the degree of marrow infiltration,
and I spoke to Dr. Rose, and he agrees.
Now, if this goes unchecked, decline will be rapid.
So, we'd like to start induction chemotherapy,
which could buy you a few extra months.
This shows a pancytopenic picture
without any sign of leukocytosis.
Yes. As I just said, the steroids are complicating things.
Her leukemia has an atypical presentation,
but we need to act fast before it progresses.
Or her presentation is atypical because it's not leukemia.
Amy.
Her counts are dropping across every line.
That looks like marrow failure, not marrow takeover.
You're reading too much into the blast count.
No, I'm looking at the facts in front of us.
She doesn't show cancer on a peripheral smear.
If this is pancytopenia, we could give platelets
and plasma to raise her levels.
Blast proliferation and dysplasia
are textbook signs of leukemia.
And delaying treatment because of wishful thinking
will cost you significant time.
Or, if he's wrong, the chemo will damage all your organs.
I believe this is Joan's decision.
Start the chemo.
I'll put the orders in.
You're brilliant, Amy,
and I know you don't want this to be true.
But I can't.
I can't lose any more time with my family.
Yeah.
Mom, any soreness in the incision?
Oh, it was routine surgery, I'm fine.
Where's John?
He's here, having a smoke.
Surprised you didn't go with him.
Believe me, if I thought I could get away with it.
Not on my watch.
Oh, I know, Dr. Larsen.
Not yet, Mom.
Speaking of which, you should get back to Minneapolis.
No, it's fine. Dr. Ridley is away for a couple of weeks,
so I finally get a little bit of breathing room.
Who's that?
I've mentioned her, like, six times.
Genius surgeon, Doctors Without Borders,
- utterly terrifying... - Alright. Her.
Everybody wants her to be their mentor
but she travels around so much,
I don't think she ever slows down enough to do that.
What do you even need a mentor for?
You want something, you get it.
Always been that way, barely even needed to push you.
Well, there were times I could have used some pushing.
Amy.
- Hey. - Hi.
I got here as fast as I could.
She's stable now.
She's pretty drowsy from the chemo meds.
Right. Okay.
Amy, Joan's co-ag panels came back.
She has DIC.
If we had pushed platelets like you wanted,
the runaway clotting could have caused a massive stroke.
I know how hard this is for you,
but you're gonna have to let me do my job.
Ethan. I'm Dr. Miller.
- Hi. - It's good to meet you.
So, rounds are done. What's next?
Well, your partner in crime's
sitting vigil for a friend in the ICU.
Have you checked in on her?
I didn't want to invade her space.
It's always better to extend yourself.
Trust me, she's gonna let you know if it's unwanted.
Oh, I'm sure she will.
So, as Chief Resident,
you've gotta be able to work with anyone.
Is there anybody else, anything you gotta get ahead of?
I don't know if you ever noticed,
but Liz kind of had a thing for TJ.
Yeah, she wasn't exactly subtle about it. Why, what's the problem?
I...
So, you and TJ?
Wow, okay.
I guess I missed that. How long has that been going on?
Not very, and you of all people don't get to judge.
I'm just not sure how everyone else will react.
Well, listen.
I mean, you can't control how people feel about you, okay?
All you can do is show everyone that you're gonna be there
for them when things get tough.
Ah, Dr. Hamda. Do you have a minute?
Of course, yeah. Come in, have a seat.
I know I should have said something sooner.
I think I was just too afraid
that no one was gonna take me seriously.
It's okay, Liz. What is it?
Dr. Miller.
What he did to me.
Everyone's just pretending like nothing happened,
but it was an abuse of power.
I appreciate your honesty, and I understand how you feel.
Not how I feel. It's what happened.
Nobody condones what Dr. Miller did,
but an agreement was reached.
- What agreement? - I'm afraid I can't discuss it.
So you won't tell me what happened?
It was a confidential settlement.
I'm sorry, Liz.
I guess this just proves why I never
should have bothered coming forward in the first place.
(TJ): CT confirms location, we're clear of the vertebral artery.
(DR. COSTA): Advancing cannula into position.
(CELLPHONE BUZZING)
Hey, babe.
Okay. So, I nearly had to sell my body for it,
but Spoon and Stable finally called me back.
They had a cancellation?
I told them it was our anniversary, and they said
they could squeeze us in at six.
Can you make that work?
Well, looks like I'm gonna have to.
No way we're missing out on those oysters.
So, there's a chance I may need to swing back here.
Oh no. Is it that boy you told me about?
Found a pretty serious issue with his spine,
he's in surgery now.
Oh honey, that's terrible.
Are the social workers being helpful?
Not really. I had to make the decision myself
about what surgery he should have.
Okay, I know it's not my lane,
and I love you for being the person who cares this much.
But the last time you got this invested in a case...
He has no one, Wendy.
I have no choice.
(ETHAN): Well, she told me about the prednisone,
that it landed her here a lot sooner than she would have otherwise.
Yeah. She is strong-willed.
That's what we love about her.
She probably felt like she had no choice.
You know, I, after I told her I didn't want to see her,
what else did she have besides work?
And now, Robbie may never even get to know her.
She knew that making things right with you was on her.
Not you.
All you can do now is be there for each other.
(DOOR OPENING)
(OMINOUS MUSIC)
What did you do?
She was fine. She was just fine an hour ago.
What did you do?
It's not their fault. She had a heart attack.
Nobody could have seen this coming.
Amy. Uh, how is Joan doing?
Um, she's stable for now. On chemo.
I'm sure this must be hard for you. If there's anything I can...
Something's escalating in there.
(EQUIPMENT BEEPING)
Her temperature's dropping.
Yeah, core temp can drop
after starting chemotherapy, it's normal.
But it can also be a sign of sepsis.
No, all of her cultures were negative.
Is that true?
Yes, of course that's true.
And you should know that Dr. Larsen
recommended a course of treatment earlier
that could have been catastrophic for your mother.
So, I don't think that it is a good idea
for friends to treat each other.
I admire your mom, but I can be objective,
and that's what she needs.
He's right.
Sorry, Ethan.
- Hey. - Hey.
Do you have any of Joan Ridley's blood left over?
Yeah, we should have some extra.
Can you run a beta-D-glucan?
All her cultures came back negative.
What are you looking for?
I want to rule out an invasive fungal infection.
Something in the endothelial tissue.
You got it.
And uh, when you're done,
can you get me the results directly?
Says Dr. Miller's assigned.
He is.
I need this, Carin. Please.
Sure.
(CELLPHONE RINGING)
Hey, how's it going?
Hey. I'm at the school, apparently Mia got into a fight.
Let me guess, with Logan?
I haven't had a chance to talk to her about it,
but figured we should do it together.
Can I bring her by the hospital?
Shouldn't take too long.
Yeah, yeah, of course. Um, yeah, I'm here.
She killed herself, Gina.
All those times I begged her to quit smoking.
Her blood pressure was through the roof,
it was only a matter of time.
You can't keep fixating on what could have gone differently. Okay?
All you can do now is start to process your pain.
What makes you think I haven't?
It's been a week and a half. You still haven't cried.
Crying won't fix anything.
I'm not saying force it, okay?
But just let yourself feel.
This is only gonna get worse
once you're an actual shrink, isn't it?
That's neuropsychiatrist, thank you very much.
I just need to focus on school.
And maybe that hot bartender from Stanton.
I'm serious, Amy.
You're in grief and mad at your mom.
You can't just push all that away.
- Why not? - Cause when it comes to feelings,
the piper has to get paid.
One way or another.
(CELLPHONE RINGING)
Hey.
Just checking on you. Joan's BP and O2 SATs are improving.
Chemo must be having an effect.
I guess Richard was right. About the leukemia.
At least we have a diagnosis. Where are you?
Uh, I'm in Radiology with another patient.
- I'll be back soon. - Okay.
We won't be mad, honey.
We just want you to tell us what happened.
Logan was throwing markers at me.
I thought we said when he did stuff like that,
you would tell the teacher.
I did. But he didn't stop.
So I took my chocolate pudding
and I dumped it on his head.
(GIGGLING)
Um, so, what happened?
You told the teacher and they didn't do anything about it?
They had him sit in the big chair.
What's the big chair?
It's a big, comfy chair in the corner,
where you sit and think about what you did.
So, like a timeout.
Okay, but uh, last week, when you won the spelling bee,
you said you got to sit in a big, comfy chair.
Yeah. You sit in it if you do something good.
But then, sometimes, you sit in it if you do something bad.
I want her out of that school, Rache. Okay?
There's the public school, there's the Hebrew school
we toured, I don't care which one.
I just think that she needs to be somewhere
with more boundaries and grit,
and fewer participation trophies and big chairs.
Okay.
- Okay what? - Okay, you're right.
I'm wrong. Let's move her.
Hold it, did you just tell me I was right about something?
(LAUGHTER)
And if you play your cards right,
it might even happen again.
I'll take her home?
Yeah, yeah.
Are you alright?
(SOBBING)
Yeah.
I'm just realizing how little power I have here.
What happened?
There's nothing to be done about it, Sonya.
No, no. I'm gonna be Chief Resident,
which means I can advocate.
(SIGHS)
(RICHARD): And this is unprofessional.
You were never going to test for this, Richard,
and it's positive.
You were not gonna listen to me.
Well, that was my call to make...
Do you wanna tell me what's going on here?
She ran a test behind my back.
That is hardly the headline here.
Joan has a Candida organ infection,
which he wouldn't have caught.
I'm assuming you're interested in treating this,
even though I was the one who found it.
Alright, alright. That's enough.
Clearly, the chemo lowered her immune response,
decrease the dosage for now and treat the infection.
But we are still on the right path here.
You know, I might be more inclined to hear you,
if you weren't so concerned with putting me in my place.
He was never gonna order the panel. Out of spite.
- If you needed backup... - Which is it, Michael?
I'm supposed to come to you because you want to help?
Or I'm not supposed to come to
you because I put you in a tough position,
because I've heard it both ways.
I am Chief now, of your department.
That's a lot different than running two floors up to talk to the CMO.
And by the way, you lied.
Told me you were in Radiology,
on our first day working together.
You're right. I'm sorry.
I'm, I'm uh...
Every time I look at Joan in that bed, all I see is...
Your mom.
(SIGHS)
I wish you'd been here for that.
I'm here now.
I know.
Try to hold on to that.
(MOANING)
- Oh, I think he's waking up. - Walter, can you hear me?
It hurts. Please, it hurts.
- Blood pressure's spiking. - Walter, try to breathe.
My neck, it hurts so bad!
Two milligrams IV morphine, stat.
Where in the neck?
Why can't I move my hands? What's happening?
It's okay, Walter. That can sometimes happen with swelling.
He lost his Babinski.
So, the spinal cord's not sending a signal?
Costa's running a CT to confirm,
but it seems the cord swelling is causing compression.
He's on morphine for the pain,
but he's got serious neurological deficits.
No movement below the neck.
The sooner we can get back in and operate, the better.
But his lungs are still inflamed from the RA.
He may not be able to take another round of anesthesia.
Dr. Costa's booked an OR for first thing in the morning.
Anything longer than that,
then he could have serious neurological issues permanently.
We should have been more aggressive.
We can't Monday morning quarterback.
The surgeon gave you two choices.
And I picked the safer one, because I was worried
Walter doesn't have the long term support
to go for what was really needed.
- It was a coin toss, Gina. - No, it wasn't.
You wanted to go for the other option.
So Costa waffled. It should not have been up to you.
No, it shouldn't have been.
So let me take this off your plate now.
Tell Costa I want Walter
in reverse Trendelenburg during the operation,
and to use lung protective ventilation with low tidal volume.
He may never walk again, Michael.
Induction chemo did a number on me.
Well, you're almost through the first dose.
But we found an invasive fungal infection,
presumptive Candida.
We're, we're treating it with antifungals.
Candida.
Must have seeded in my liver.
No, not the liver.
It's likely diffused endothelial,
given the high beta-D-glucan level.
Did you finish your homework?
Is your father, is your father home yet?
- Mom? - Joan? Look at me.
- What's wrong with her? - Ethan, step back.
(ETHAN): What's happening?
(AMY): She's seizing.
(RICHARD): Oxygen at 10 liters.
Altered mental status, it's gotta be neurological.
Increased ICP, her brain's swelling.
If she had leukemia, this wouldn't be happening.
- Not this fast. - You're right.
We're missing something.
Look, I know whatever decisions were made
about bringing Dr. Miller back are way above my pay grade,
but we can't just ask Liz to forget what happened
cause it'll make life easier for everyone else.
I'm going to talk to Richard once Joan is stabilized.
I'm sure he'll be willing to apologize to Liz.
His apology is gonna be hollow and meaningless.
And you should know, when Dr. Miller was Chief,
he tried to use me to find out mistakes Amy was making.
Look, I'm sorry you ended up in the middle of that.
But um, I know the board.
They'd rather find a way to get rid of Liz
than reopen this can of worms.
Well, they can try, but if Liz starts talking,
they're gonna get blowback from the nurses
and potentially the union.
Is uh, is that a threat?
It's a reality.
I'm just trying to do the right thing for her,
and protect the department, which is part of my job now.
She bears responsibility for her own decisions, Sonya.
As you said, she has a very strong union
she could have gone to when all this happened.
I think, maybe, you're expecting too much,
or not understanding the dynamic between an older man with power
and a young woman at the start of her career.
It's blaming the victim, and I don't think it'll be appreciated.
- I do hear you. - Well, good.
Because you started the day by saying your door was open,
but now it seems like you're closing it on Liz.
(SPEAKING SPANISH)
The MDS is late-stage,
but it's obscured by high steroid usage.
Pancytopenia, pleural effusions,
DIC, elevated beta-D-glucan,
and now cerebral edema, and she's getting worse.
Hey, just checked in on Joan. How you holding up?
I've been going toe to toe with Richard all day,
and now we're running out of time.
Who's this?
Um, he's a doctor in Madrid
who has a case study that might be relevant
and this translation app keeps glitching.
Um, I mean, I minored in Spanish,
we could see how rusty I am.
Okay.
(SPEAKING SPANISH)
Gracias. So, what he's saying
is that the symptoms were similar,
but his patient had dormant sarcoidosis,
so that was complicating the clinical picture.
But once they found that, everything else just fell into place.
So a patient with MDS like Joan
presented with these symptoms
because of a different chronic issue.
And it went undetected for years.
Okay, okay. Thanks.
Just remember you gotta find a way to work with Richard on this.
Your spinal tap came back negative
and a full neuro panel too.
Well, her procalcitonin is low,
even though she just had an infection.
I need total protein,
C-reactive protein and complement levels.
- How fast can you do that? - 20 minutes.
And if the results can go to me, since I'm her doctor,
that'd be appreciated.
We've got a high complement protein level,
and the prednisone must have dropped her immune surveillance,
which means that we're looking for something that's been there.
Possibly for years, like you said,
but that's been hiding in plain sight.
When Joan woke up,
and I told her about the Candida,
she asked if it seeded in her liver.
Well, that wouldn't be uncommon.
But the beta-D-glucan is so high,
the fungal load would be too large to be isolated to her liver.
Okay. We've been assuming that the elevated liver enzymes
are caused by the MDS and the prednisone,
but look at her blood work going back to 2016.
(RICHARD): Higher range of normal.
But low enough that nobody would flag it.
2016,
that's a long time for her to be carrying something.
Wait a minute. One of the last memories I have of her,
2016, she was in Ecuador.
And she got sick, and I told her that she should come back.
And she self-diagnosed,
she thought it was dysentery...
Which means she was drinking unfiltered water.
So, if it was a parasite,
she could have been sick while she was digesting it,
but by the time it migrated to her liver, she was fine.
Then she could have been fighting this quietly for years.
And the prednisone weakened her immune system,
and unleashed it on her.
I think we have a path now.
(TJ): He's losing sympathetic tone.
Surgery's set for 6:00 AM, can we up the steroids?
Too worried about his blood pressure.
Think we just have to stay the course
and hope that he's strong enough to hold on.
I appreciate what you said before.
Trying to let me off the hook.
You religious at all?
From time to time,
depending on how I'm feeling about the world.
I remember going to this sermon once.
The minister was talking about how it can be a form of hubris
to think that we can control things
that are out of our control.
Cause that's somebody else's domain?
(TJ): Doesn't mean it's easy to accept it.
But I think that's the idea, yeah.
I'll take that under advisement, Dr. Coleman.
Good.
Your wife's here.
(GASPS)
It's my anniversary and I forgot.
You go. I am all over this,
hourly exams, I will not go home.
I've been downstairs 15 minutes, tried calling you.
I'm sorry. There were problems with Walter's surgery,
he needs another one tomorrow.
Why don't we have dinner in your office tonight?
That way, if anything happens, you're close.
What did I do to deserve you?
I don't know.
I'm sure you'll find a way to make it up to me.
I'm thinking 400 milligrams albendazole.
I'd go 300,
given the ALT/AST,
and 20 of Ampho B to balance it out.
And 100 milligrams of cimetidine
to cut the renal toxicity.
It's a tightrope.
Any idea where Liz is?
Uh, let's see.
(PA SYSTEM): Code Blue, ICU. Code Blue, ICU.
Joan's coding.
(PA SYSTEM): Code Blue, ICU.
Code Blue, ICU.
(EQUIPMENT BEEPING)
No pulse.
He's in V-fib. Push one milligram Epi.
Get the defibrillator.
(DEFIBRILLATOR BEEP)
Ready?
Clear.
(EQUIPMENT BEEPING)
Restarting compressions.
Danny, Danny. Someone call 911.
(GINA): Charge to 50.
Clear.
(ECG LONG BEEP)
Pushing another milligram of Epi.
Fine V-fib, we're losing him.
Going up to 100. Give me the paddles.
- Ready. - Clear.
(EQUIPMENT BEEPING)
Looks like Sinus.
We have a pulse. He's back.
Page Dr. Costa, we can't wait on the surgery.
(SOFT MUSIC)
Cord is decompressed.
Screws are seated. Let's secure the rods.
Hey.
That must have been really difficult for you.
Yeah.
And a hell of a first day for Michael.
Oh, it hit pretty close to home.
How's it going in there?
Hardware's almost in place.
But even if it works,
no one's ever gonna adopt him.
Not when he needs this kind of support.
You're not thinking of doing something drastic?
Go and be with Joan.
Gina.
I care about him,
but I know what the boundaries are.
Now go, where you're needed.
(EQUIPMENT BEEPING)
But you've gotta quit smoking.
You know that's never gonna happen, honey.
I don't know how much more we can pump into her
before she starts shutting down.
Her body's so fragile.
The chemo didn't help with that.
She was only on it for eight hours.
The parasite is causing this,
that and the prednisone, it's not on you, Richard.
(SOMBER MUSIC)
(SIGHS)
Hey. It's okay, buddy.
Can I see?
Aww, she's gonna love this.
Is she gonna wake up soon?
I really hope so.
(EQUIPMENT BEEPING SLOWLY)
(CELLPHONE RINGING)
Hello?
(JOAN): Hi, Amy. It's Dr. Ridley.
Oh. Hi.
I hope it's not 2:00 AM there,
I stopped tracking time zone differences ages ago.
No, it's noon. Is there a problem?
I spoke with Dr. Kelly this morning,
he told me about your mother.
I'm just so sorry, Amy.
Thank you, Dr. Ridley.
And I respect your tenacity, already being back in the hospital,
but I just wanted to make sure you're taking care of yourself.
I think so.
It's...
It's been hard, obviously.
(JOAN): Your world shifted on its axis.
But you will come out the other side.
I just...
didn't even think you liked me.
(JOAN): Well, that's by design, my dear.
And now you know the truth.
Not only do I like you, I believe in you.
Thank you so much. I...
(JOAN): I know how bad this hurts right now,
but the best way that you can honor your mother
is to live a life with purpose.
You have greatness in you, Amy.
And I'll be there to help you find it.
(MURMURING)
Joan.
Hey. Can you hear me?
Can you get her son? He just went to get coffee.
Hey. It's okay.
Just go slow. Breathe.
- What happened? - You had cerebral edema.
No.
It's not leukemia. Not yet.
You had a parasite in your liver.
From Ecuador. Do you remember that?
You thought it was dysentery?
Oh my God.
Is that the one time in my life I misdiagnosed?
(LAUGHTER)
You haven't looked after yourself for a long time.
I know.
Promise me that stops now.
Ah.
Mom. Hey.
Hey.
(ETHAN): Thanks so much, Amy.
I'll order CBC and liver function tests.
The fact that she's conscious...
Yeah, we got her some more time.
I appreciate you finding a way to trust me today.
Yeah, it worked out today.
But I'm never gonna trust you, Richard.
Hey, Walter. Welcome back.
Did you fix my spine?
We need to run some tests over the next few days,
but it seems that way.
And I'll be able to walk again?
(GINA): It's gonna be a long recovery,
lots of physical therapy as your body adjusts
to the hardware in your spine.
But yes, you will.
And I'll have to miss the next adoption fair?
There'll be lots more. I promise.
Thank you, Dr. Walker.
Nobody ever cared the way you do.
(GINA): I am so sorry.
It's okay. We'll do a raincheck.
(SIGHS)
Sometimes, I wonder how you manage to leave it all
here when you come home.
It can be really hard.
Yeah.
(SIGHS)
Let's go get a drink, huh?
Yeah.
(SIGHS)
Hey. So, I spoke to Liz,
and told her if she wants to come forward to HR,
we would both have her back.
Thank you. Oh, and I'm sorry if I was too...
Sonya, speaking truth to power takes courage.
I should be thanking you.
Sorry, I didn't mean to interrupt.
Oh no, I was just leaving.
Actually, I was hoping to speak to you.
I just wanted to thank you for checking in earlier.
- Joan's improving. - I heard, that's great news.
So we're gonna do this thing? Together?
Well, it's what she wants.
She tends to get what she wants.
Yeah.
I saw Joan, she's spunky as ever.
Can't keep that lady down.
- Amen to that. - Yeah.
- (TJ): Goodnight, Jake. - Hey. Goodnight, man.
Hey, did you know about him and Sonya?
What about them?
- No. - Yeah.
(CHUCKLING)
I guess we set a good example.
(CHUCKLING)
I heard your family was here today.
Yeah. Um...
Mia, she got in trouble at school, it was,
er, I don't know, it was ridiculous.
Maybe you can tell me all about it on the way home?
Yeah, sure thing, Chief. I can do that.
It's Co-Chief.
Co-Chief. I'm sorry, that's just so awkward to say.
I know, tell me about it.
Co-Chief.
(♪ TAKE ME HOME BY BENSON BOONE PLAYING)
♪ Did that fancy college art school let you in? ♪
♪ Well damn it they'd be crazy ♪
♪ If they never saw in you ♪
♪ What I failed to see at 17 ♪
♪ I must've missed it too ♪
♪ Oh kiss me ♪
♪ Kiss me slowly ♪
♪ Like you did when we were young ♪
♪ And hold me like you know me ♪
♪ Like the old days ♪
♪ Take me home ♪
(THEME MUSIC)