1 00:00:01,200 --> 00:00:03,200 Mom! 2 00:00:03,720 --> 00:00:04,785 Mom? 3 00:00:06,723 --> 00:00:09,076 Next Tuesday's fine. 4 00:00:09,726 --> 00:00:10,726 - Let's do that. - Yeah. 5 00:00:10,760 --> 00:00:12,695 Keep him on the leash, honey. 6 00:00:12,729 --> 00:00:13,914 Thank you. 7 00:00:14,664 --> 00:00:16,083 Mom! 8 00:00:17,567 --> 00:00:18,867 Mom? 9 00:00:18,902 --> 00:00:20,769 Mom! 10 00:00:23,807 --> 00:00:25,307 It's okay, honey. 11 00:00:25,342 --> 00:00:27,876 It's okay. How can I help? 12 00:00:27,911 --> 00:00:30,157 I can't find my mom. 13 00:00:30,158 --> 00:00:32,159 - I don't know where she went. - It's okay. 14 00:00:32,193 --> 00:00:33,794 We'll find her. What's your name? 15 00:00:33,828 --> 00:00:35,758 - Luna. - Luna. 16 00:00:35,792 --> 00:00:37,197 That's a pretty name. 17 00:00:37,232 --> 00:00:40,000 What about your dad? Do you know where he is? 18 00:00:40,399 --> 00:00:41,969 I don't have a dad. 19 00:00:42,003 --> 00:00:43,971 My dad died. 20 00:02:03,255 --> 00:02:06,767 Synced & corrected by -robtor- www.addic7ed.com 21 00:02:06,794 --> 00:02:09,123 All right, I've got two infinity pools, 22 00:02:09,157 --> 00:02:11,392 I got a swim-up Jacuzzi, and this? 23 00:02:11,426 --> 00:02:13,293 This is where the Millennium Falcon lands. 24 00:02:13,328 --> 00:02:15,663 So... 25 00:02:15,697 --> 00:02:16,964 What? 26 00:02:16,998 --> 00:02:18,411 No, Jeffery, it's, uh... it's great. 27 00:02:18,446 --> 00:02:20,885 It's just, it's safe to say you followed the letter 28 00:02:20,919 --> 00:02:24,138 of the exercise and perhaps not the spirit. 29 00:02:24,172 --> 00:02:26,106 I mean, you said envision our futures, right? 30 00:02:26,141 --> 00:02:28,108 - Well, y'all, this is mine. - Yes, Jeffery. 31 00:02:28,143 --> 00:02:30,444 It's just, your future contains a few more 32 00:02:30,478 --> 00:02:32,446 two-piece bathing suits than I had anticipated. 33 00:02:32,480 --> 00:02:34,081 That's all. 34 00:02:34,115 --> 00:02:35,282 Can... can I go next, Dr. Frome? 35 00:02:35,316 --> 00:02:36,412 Yes, Avi, please. 36 00:02:36,446 --> 00:02:37,618 Talk us through your vision of your future. 37 00:02:37,652 --> 00:02:39,296 Jeffery, it's fantastic. 38 00:02:39,331 --> 00:02:41,255 Thanks. 39 00:02:41,289 --> 00:02:45,359 Okay, so right here is Parthenon in Athens. 40 00:02:45,393 --> 00:02:48,262 I'm gonna go after I learn some Greek, you know? 41 00:02:48,296 --> 00:02:49,363 So I can speak to the locals. 42 00:02:49,397 --> 00:02:51,510 I hate that everybody just assume that everybody's 43 00:02:51,544 --> 00:02:52,831 just gonna speak English, you know? 44 00:02:52,865 --> 00:02:53,967 That's smart. 45 00:02:54,002 --> 00:02:55,269 And this? 46 00:02:55,303 --> 00:02:57,705 This is Table Mountain in Cape Town. 47 00:02:57,739 --> 00:03:01,175 One day I'm gonna hike it. 48 00:03:01,209 --> 00:03:03,010 Right to the top. 49 00:03:03,044 --> 00:03:04,712 What drew you to Cape Town? 50 00:03:05,127 --> 00:03:09,049 I guess I just, you know, want to see the world. 51 00:03:09,423 --> 00:03:11,118 Go places I never been before. 52 00:03:11,152 --> 00:03:13,385 I mean, come on. Look at that view. 53 00:03:14,322 --> 00:03:16,156 - That's spectacular. - It's beautiful. 54 00:03:16,191 --> 00:03:18,692 It is, Avi. Fantastic, truly. 55 00:03:18,727 --> 00:03:21,028 Now, guys, it is more than fine 56 00:03:21,062 --> 00:03:22,362 to look forward to material things... 57 00:03:22,397 --> 00:03:24,364 - Yeah. - Yes. 58 00:03:24,399 --> 00:03:27,167 But... but sometimes 59 00:03:27,202 --> 00:03:29,636 goals are stronger when they affect who we are. 60 00:03:29,671 --> 00:03:31,505 You know what I mean? 61 00:03:31,539 --> 00:03:33,040 - Iggy. - Yes. 62 00:03:33,074 --> 00:03:35,175 - You have a visitor. - Ah. 63 00:03:35,210 --> 00:03:36,543 It's my new Jet Ski. 64 00:03:36,578 --> 00:03:39,567 Um, guys, keep filling out your vision boards. 65 00:03:39,601 --> 00:03:40,667 I will be right back. 66 00:03:40,701 --> 00:03:42,613 And Jeffrey, ease off the swimsuit models. 67 00:03:42,647 --> 00:03:44,969 Thank you. 68 00:03:45,003 --> 00:03:46,086 Hi. 69 00:03:46,121 --> 00:03:49,156 Tiara Dobbs. Avi Mantell's social worker. 70 00:03:49,190 --> 00:03:50,591 It's good to finally meet you in person. 71 00:03:50,625 --> 00:03:52,326 Yeah, likewise. 72 00:03:52,360 --> 00:03:54,561 So, um, what brings you down to our neck of the woods today? 73 00:03:54,596 --> 00:03:57,264 Avi's mother's been offered a job in Missouri... 74 00:03:57,298 --> 00:04:00,434 her hometown... and she can't pass it up, 75 00:04:00,468 --> 00:04:02,169 so she's gonna be moving back there next week. 76 00:04:02,203 --> 00:04:03,604 Oh, wow. 77 00:04:03,638 --> 00:04:06,106 With Avi, obviously. 78 00:04:06,141 --> 00:04:07,341 Yes. 79 00:04:07,375 --> 00:04:08,709 I reviewed Avi's case and it appears 80 00:04:08,743 --> 00:04:11,411 that he has made huge strides with you, 81 00:04:11,446 --> 00:04:13,714 so I can't think of any reason that he can't transfer 82 00:04:13,748 --> 00:04:16,083 from inpatient care to weekly visits 83 00:04:16,117 --> 00:04:17,417 with a local therapist. 84 00:04:17,452 --> 00:04:19,686 I just need you to sign off 85 00:04:19,721 --> 00:04:24,191 so I can begin Avi's official discharge procedure. 86 00:04:25,760 --> 00:04:28,395 Unless you don't agree. 87 00:04:28,429 --> 00:04:30,798 I did... I did have... 88 00:04:30,832 --> 00:04:33,400 a pretty huge breakthrough with him recently. 89 00:04:33,434 --> 00:04:35,035 Well, that's certainly good to hear. 90 00:04:35,069 --> 00:04:36,551 I know, it is. 91 00:04:37,305 --> 00:04:39,963 Yes, I think that Avi is ready for the next step. 92 00:04:39,998 --> 00:04:41,831 - Wonderful. - Okay. 93 00:04:41,865 --> 00:04:44,545 I'll tell Avi to pack his things. 94 00:04:44,579 --> 00:04:47,381 What is so funny? 95 00:04:47,415 --> 00:04:48,549 I've just discovered 96 00:04:48,583 --> 00:04:50,651 that New Amsterdam has a listing on Yelp. 97 00:04:50,685 --> 00:04:51,685 "Yelp"? 98 00:04:51,719 --> 00:04:53,453 Yeah, you know, where people post online reviews 99 00:04:53,488 --> 00:04:55,222 about places they love, things they hate, 100 00:04:55,256 --> 00:04:56,089 their experiences. 101 00:04:56,124 --> 00:04:59,259 Oh, like Facebook but on the internet. 102 00:04:59,294 --> 00:05:00,394 Uh... 103 00:05:00,428 --> 00:05:01,486 Yes, exactly. 104 00:05:01,521 --> 00:05:04,298 Listen to this: it was posted two minutes ago 105 00:05:04,332 --> 00:05:06,300 by @NancyPants. 106 00:05:06,334 --> 00:05:08,669 "The rooms at New Amsterdam are freezing, 107 00:05:08,703 --> 00:05:10,571 "the lights are horrifically bright, 108 00:05:10,605 --> 00:05:12,439 "and the only thing older than this mattress 109 00:05:12,473 --> 00:05:13,807 "is my bald doctor who can never seem 110 00:05:13,842 --> 00:05:15,108 "to find his glasses. 111 00:05:15,143 --> 00:05:16,777 One star." 112 00:05:16,811 --> 00:05:18,612 Let me see this. 113 00:05:20,381 --> 00:05:22,249 I know this patient. 114 00:05:22,283 --> 00:05:24,518 This is Nancy Nan. 115 00:05:24,552 --> 00:05:26,119 She's doing a sleep study with me. 116 00:05:26,154 --> 00:05:28,077 One star, Vijay. 117 00:05:28,111 --> 00:05:29,756 - Ouch. - One star? 118 00:05:29,791 --> 00:05:32,125 That's absurd. All she has to do is to sleep. 119 00:05:32,160 --> 00:05:34,294 I'm joking. Don't worry about it. 120 00:05:35,363 --> 00:05:36,597 40-plus years of practice 121 00:05:36,631 --> 00:05:38,632 and an expert in my field of study. 122 00:05:38,666 --> 00:05:41,802 I should be able to do better than one star. 123 00:05:41,836 --> 00:05:44,165 - We shall see about this. - Uh, Vijay. 124 00:05:44,199 --> 00:05:47,207 My phone and your glasses. 125 00:05:47,242 --> 00:05:48,475 Yeah. 126 00:05:57,218 --> 00:05:59,386 Nice cap, Williamsburg. 127 00:05:59,420 --> 00:06:01,288 When does your artisan pickle shop open up? 128 00:06:01,322 --> 00:06:04,291 - Proud of that one? - Mm, I'm proud of all of them. 129 00:06:04,325 --> 00:06:07,361 So, today's schedule isn't too terrible. 130 00:06:07,395 --> 00:06:10,117 Fist up: Quarterly Allocation Review Committee. 131 00:06:10,152 --> 00:06:11,698 - Pass. - Uh, you can't really pass. 132 00:06:11,733 --> 00:06:13,700 No? Watch me. I'm skipping that redundant meeting. 133 00:06:13,735 --> 00:06:14,937 What's next? 134 00:06:14,972 --> 00:06:17,304 Then there's a new pharma vendor show-and-tell. 135 00:06:17,338 --> 00:06:20,038 - Pass. - You... okay. 136 00:06:20,073 --> 00:06:22,209 Uh, the Board requested your presence 137 00:06:22,243 --> 00:06:24,311 at the Strategic Objective Luncheon in midtown. 138 00:06:24,345 --> 00:06:26,179 - Pass. Next? - Max... 139 00:06:26,214 --> 00:06:27,681 Pass. Next? 140 00:06:27,715 --> 00:06:29,093 Police commissioner called again. 141 00:06:29,127 --> 00:06:30,484 I'm guessing it has to do with what happened 142 00:06:30,518 --> 00:06:31,551 to Officer McNeil. 143 00:06:31,586 --> 00:06:33,043 Yeah, hard pass. 144 00:06:33,855 --> 00:06:35,136 - Max. - No. 145 00:06:35,171 --> 00:06:36,857 There's not a single essential meeting on that entire list. 146 00:06:36,891 --> 00:06:38,825 They're all just arbitrary, 147 00:06:38,860 --> 00:06:42,229 and I'm not wasting any more time on arbitrary. 148 00:06:42,263 --> 00:06:44,831 Well, what... well, now that you've cleared 149 00:06:44,866 --> 00:06:46,433 your entire schedule, what do you intend to do... 150 00:06:46,467 --> 00:06:47,901 I don't know, something that matters. 151 00:06:47,936 --> 00:06:49,569 You know, something worth my time. 152 00:06:49,604 --> 00:06:51,705 Maybe something life and death. 153 00:06:56,544 --> 00:06:58,245 What was that all about? 154 00:06:58,279 --> 00:06:59,947 He's in a mood. 155 00:07:01,316 --> 00:07:02,883 It's okay, honey. 156 00:07:02,917 --> 00:07:05,652 Whoa, whoa! 157 00:07:06,621 --> 00:07:08,522 Whoa, whoa, whoa! 158 00:07:10,205 --> 00:07:12,259 What the hell happened in here? 159 00:07:12,293 --> 00:07:14,628 You might want to ask him. 160 00:07:17,265 --> 00:07:18,732 Okay, I got this. 161 00:07:18,766 --> 00:07:21,248 - It just came out of nowhere. - It's okay. 162 00:07:21,282 --> 00:07:23,236 All right, let's go. 163 00:07:30,778 --> 00:07:32,946 That was your vision board, bud. 164 00:07:32,981 --> 00:07:35,582 - What's going on? - I'm not going nowhere! 165 00:07:35,616 --> 00:07:37,107 Avi... 166 00:07:37,819 --> 00:07:39,653 You're gonna do great today. 167 00:07:39,687 --> 00:07:42,556 I've been to plenty of morbidity and mortality conferences. 168 00:07:42,590 --> 00:07:44,101 Just never had to lead one. 169 00:07:44,135 --> 00:07:46,259 Well, you're my, uh, chief resident now. 170 00:07:46,294 --> 00:07:48,118 It comes with the job title. 171 00:07:49,035 --> 00:07:51,071 Been going over your case and it sounded just awful. 172 00:07:51,106 --> 00:07:53,633 Officer McNeil just bled out so fast. 173 00:07:53,668 --> 00:07:55,602 Yes. 174 00:07:55,636 --> 00:07:57,637 I'm sorry, Dr. Reynolds. 175 00:07:57,672 --> 00:07:59,639 So am I. 176 00:07:59,835 --> 00:08:01,736 Look, I just want you to know I'm not gonna throw you 177 00:08:01,770 --> 00:08:03,070 under the bus or anything during this discussion. 178 00:08:03,105 --> 00:08:05,773 No, no, no. Look, M&Ms aren't about blame, all right? 179 00:08:05,807 --> 00:08:06,807 They're a teaching tool. 180 00:08:06,842 --> 00:08:08,976 We come together to see if our actions contributed 181 00:08:09,011 --> 00:08:11,412 to the patient's death so we never repeat those mistakes. 182 00:08:11,446 --> 00:08:12,480 But that's just the thing. 183 00:08:12,514 --> 00:08:13,915 I've been preparing this for days. 184 00:08:13,949 --> 00:08:15,082 I haven't found any mistakes. 185 00:08:15,117 --> 00:08:16,751 Hey, that can happen too, all right? 186 00:08:16,785 --> 00:08:17,985 But we still study the case 187 00:08:18,020 --> 00:08:19,654 and we vow to do better the next time. 188 00:08:19,688 --> 00:08:20,761 That's it. 189 00:08:20,795 --> 00:08:23,463 Today's case is a white 40-year-old female 190 00:08:23,498 --> 00:08:24,825 trauma patient. 191 00:08:24,860 --> 00:08:26,727 She initially presented with... 192 00:08:32,454 --> 00:08:33,788 Go ahead. 193 00:08:36,499 --> 00:08:38,940 The patient presented with a fractured femur, 194 00:08:38,974 --> 00:08:40,808 cervical and thoracic abrasions... 195 00:08:40,842 --> 00:08:43,811 Was Officer McNeil on any medications? 196 00:08:47,683 --> 00:08:49,387 She was on... 197 00:08:49,885 --> 00:08:51,681 low-dose birth control. 198 00:08:53,822 --> 00:08:55,856 25 minutes post arrival... 199 00:08:55,891 --> 00:08:58,188 Did Officer McNeil have a history of heart disease? 200 00:08:59,661 --> 00:09:01,162 Uh... 201 00:09:02,497 --> 00:09:04,131 No, the patient did not. 202 00:09:04,166 --> 00:09:07,168 We all know you're talking about Officer McNeil, Dr. Nottingham. 203 00:09:07,202 --> 00:09:08,782 No need for anonymity. 204 00:09:09,571 --> 00:09:10,871 Okay. 205 00:09:10,906 --> 00:09:12,807 Um... 206 00:09:12,841 --> 00:09:15,843 25 minutes post arrival, Officer McNeil developed 207 00:09:15,877 --> 00:09:17,979 a pneumomediastinum, necessitating... 208 00:09:18,013 --> 00:09:20,548 Before the pneumomediastinum, were there any other signs 209 00:09:20,582 --> 00:09:23,150 in her vitals that could have predicted her eventual death? 210 00:09:23,185 --> 00:09:25,052 - Not that I'm aware of. - Hmm. 211 00:09:25,087 --> 00:09:26,520 What did Officer McNeil look like 212 00:09:26,555 --> 00:09:28,089 as she went into surgery? 213 00:09:28,123 --> 00:09:30,157 - I don't know. - You don't know? 214 00:09:33,528 --> 00:09:35,229 I wasn't there. 215 00:09:35,264 --> 00:09:36,935 You weren't there. 216 00:09:38,533 --> 00:09:41,235 Well, if we have any hope of getting some real answers today 217 00:09:41,270 --> 00:09:44,105 then we need someone presenting this case 218 00:09:44,139 --> 00:09:47,275 who was actually there. 219 00:09:50,946 --> 00:09:52,880 Dr. Reynolds? 220 00:09:52,914 --> 00:09:55,683 She was your patient, right? 221 00:09:57,819 --> 00:09:59,887 - Yes, she was. - Hmm. 222 00:09:59,921 --> 00:10:01,589 So you would have the most salient information 223 00:10:01,623 --> 00:10:03,090 on this case. 224 00:10:03,125 --> 00:10:05,672 I think Nottingham is providing an accurate case review. 225 00:10:06,728 --> 00:10:09,096 Hmm. Indeed. 226 00:10:09,131 --> 00:10:11,766 But, uh, to really get to the bottom of how she died, 227 00:10:11,800 --> 00:10:14,602 don't you think that you might be better qualified 228 00:10:14,636 --> 00:10:16,808 to lead this discussion? 229 00:10:17,773 --> 00:10:19,874 If it's not too much trouble. 230 00:10:26,082 --> 00:10:27,381 - Next slide. - Okay. 231 00:10:27,415 --> 00:10:29,581 Let's go to the chest x-ray first. 232 00:10:29,616 --> 00:10:30,651 Okay, good. 233 00:10:30,685 --> 00:10:31,852 - Next slide. - Okay. 234 00:10:31,886 --> 00:10:34,321 All right. 235 00:10:35,034 --> 00:10:37,904 So here we have Marie McNeil's chest x-ray. 236 00:10:37,929 --> 00:10:39,597 You will notice the mediastinum. 237 00:10:39,631 --> 00:10:41,999 It measured just over 9 centimeters in length. 238 00:10:42,033 --> 00:10:44,802 Now, Dr. Nottingham, can you give us the criteria 239 00:10:44,836 --> 00:10:46,065 for pathological widening? 240 00:10:46,099 --> 00:10:48,105 8 centimeters on a supine AP chest. 241 00:10:48,139 --> 00:10:49,173 Very good. 242 00:10:49,207 --> 00:10:51,327 We have met the criteria for pathological widening. 243 00:10:51,361 --> 00:10:54,512 If we take a closer look right about here... see that? 244 00:10:54,546 --> 00:10:55,928 Air bubbles. 245 00:10:55,962 --> 00:10:58,782 That's the cause for the widened mediastinum. 246 00:10:58,817 --> 00:11:01,485 Now, that's actually caused by tears in the esophagus 247 00:11:01,520 --> 00:11:04,021 called Boerhaave's syndrome, all right? 248 00:11:04,055 --> 00:11:05,823 And also of note: 249 00:11:05,857 --> 00:11:08,592 normal pulmonary parenchyma 250 00:11:08,627 --> 00:11:10,594 and normal cardiac silhouette. 251 00:11:10,629 --> 00:11:11,946 Next. 252 00:11:13,465 --> 00:11:15,783 Uh, wait, go back to the chest x-ray. 253 00:11:17,725 --> 00:11:20,371 You said cardiac silhouette was normal? 254 00:11:21,072 --> 00:11:22,457 Yes. 255 00:11:23,842 --> 00:11:26,477 But the chest x-ray is a rather blunt instrument 256 00:11:26,511 --> 00:11:28,712 for examining something as delicate as the human heart, 257 00:11:28,747 --> 00:11:30,147 wouldn't you say? 258 00:11:30,181 --> 00:11:32,508 So what other modalities did you use? 259 00:11:33,885 --> 00:11:36,453 An EKG and a transthoracic echocardiogram, 260 00:11:36,488 --> 00:11:37,788 both of which came back normal. 261 00:11:37,822 --> 00:11:39,957 Good. Can we see those? 262 00:11:45,163 --> 00:11:46,730 Uh, Dr. Nottingham didn't include them 263 00:11:46,765 --> 00:11:49,733 in today's presentation because they were normal. 264 00:11:49,768 --> 00:11:51,702 Well, I can't tell if they were normal 265 00:11:51,736 --> 00:11:54,371 if I can't see them for myself. 266 00:11:54,406 --> 00:11:56,874 Well, I don't have them here. 267 00:11:56,908 --> 00:11:58,112 No? 268 00:12:00,946 --> 00:12:04,081 The entire purpose of an M&M is to analyze the data 269 00:12:04,115 --> 00:12:06,684 to ensure that if mistakes were made 270 00:12:06,718 --> 00:12:08,586 those mistakes will not be made again. 271 00:12:08,620 --> 00:12:10,654 It is particularly difficult to analyze that data 272 00:12:10,689 --> 00:12:12,890 when that data isn't here. 273 00:12:12,924 --> 00:12:14,892 So why don't we take a brief recess 274 00:12:14,926 --> 00:12:16,560 to allow Dr. Reynolds to compile 275 00:12:16,595 --> 00:12:20,664 all the necessary cardiac data. 276 00:12:29,474 --> 00:12:32,876 Uh, why are you moving me? 277 00:12:32,911 --> 00:12:34,678 I honestly have no idea. 278 00:12:34,713 --> 00:12:36,847 To get better results on your sleep study 279 00:12:36,881 --> 00:12:39,683 we wish for you to, uh, have a warmer room 280 00:12:39,718 --> 00:12:43,087 with better lighting and much, much softer bed. 281 00:12:43,121 --> 00:12:44,755 Okay. 282 00:12:44,789 --> 00:12:46,123 - Oh! - Uh, hello. 283 00:12:46,157 --> 00:12:47,482 What's up with the lamp? 284 00:12:47,516 --> 00:12:50,094 Uh, we're moving this patient to a nicer room 285 00:12:50,128 --> 00:12:52,529 for some random reason. 286 00:12:52,564 --> 00:12:54,465 - What? - No. 287 00:12:54,499 --> 00:12:56,500 We have a reason. The reason is because we are trying 288 00:12:56,534 --> 00:12:59,770 to provide Ms. Nan with the most comfortable care here 289 00:12:59,804 --> 00:13:02,640 in the New Amsterdam because patient comes first. 290 00:13:02,674 --> 00:13:04,017 Right? 291 00:13:04,643 --> 00:13:05,776 Yes. 292 00:13:05,810 --> 00:13:07,478 Yes. 293 00:13:07,512 --> 00:13:09,780 Finally, someone who gets it. Thank you. 294 00:13:09,814 --> 00:13:11,215 - You are welcome. - Yeah. 295 00:13:11,249 --> 00:13:13,117 We gotta go the extra mile, you know? 296 00:13:13,151 --> 00:13:14,585 Our patients do come first. 297 00:13:14,619 --> 00:13:16,120 I mean, this is what I've been saying. 298 00:13:16,154 --> 00:13:17,788 You know, these people depend on us for care. 299 00:13:17,822 --> 00:13:19,923 They put their very lives in our hands. 300 00:13:20,450 --> 00:13:22,993 My boyfriend just hates my snoring. 301 00:13:23,028 --> 00:13:24,628 You know, we can do better. 302 00:13:24,663 --> 00:13:26,063 We can do better than just provide her 303 00:13:26,097 --> 00:13:27,985 - with comfortable care. - We can? 304 00:13:28,010 --> 00:13:31,836 Yeah. How would Ms. Nan like a stay in our Presidential Suite? 305 00:13:32,303 --> 00:13:35,646 I imagine she would like that very much. 306 00:13:35,680 --> 00:13:37,141 - Yes, thank you. - Mm, good. 307 00:13:37,175 --> 00:13:38,609 Okay. 308 00:13:38,643 --> 00:13:40,944 Come on, before he changes his mind. 309 00:13:42,714 --> 00:13:44,615 Hurry up. 310 00:13:51,289 --> 00:13:53,524 Why does she have to be here? 311 00:13:54,292 --> 00:13:57,494 Uh, Ms. Dobbs and I are both your advocates, Avi. 312 00:13:57,529 --> 00:13:59,830 - She's part of the team. - I don't have a team. 313 00:13:59,864 --> 00:14:01,298 You don't. You have an entire network. 314 00:14:01,332 --> 00:14:03,100 Me, Ms. Dobbs, your mother. 315 00:14:03,134 --> 00:14:05,502 The All Stars, man, you know? 316 00:14:05,537 --> 00:14:07,004 Everyone wants to see your transition 317 00:14:07,038 --> 00:14:08,772 to life outside of the hospital go smoothly. 318 00:14:08,807 --> 00:14:10,507 Too big of a freak to be in the real world 319 00:14:10,542 --> 00:14:11,608 with normal people. 320 00:14:11,643 --> 00:14:13,351 What is... what are you doing? Time out, time out. 321 00:14:13,385 --> 00:14:16,602 You know full well on this ward we don't use words like freak. 322 00:14:16,636 --> 00:14:19,016 "Real world," "normal"... whatever that is. 323 00:14:19,050 --> 00:14:21,985 All right? Those are day-one ground rules, Avi. 324 00:14:22,020 --> 00:14:23,387 Come on. 325 00:14:27,158 --> 00:14:29,860 I think you're breaking the rules on purpose. 326 00:14:29,894 --> 00:14:31,187 That's my theory. 327 00:14:32,664 --> 00:14:34,298 I think you're scared of what's to come. 328 00:14:34,332 --> 00:14:35,599 You're scared of these changes, 329 00:14:35,633 --> 00:14:37,868 so you think if you act out now you can get out in front of it 330 00:14:37,902 --> 00:14:39,862 and stop these changes from happening. 331 00:14:42,907 --> 00:14:44,492 Talk to us. 332 00:14:45,376 --> 00:14:47,211 When they kicked me out of school, 333 00:14:47,245 --> 00:14:48,979 I didn't care where they sent me. 334 00:14:49,013 --> 00:14:50,706 I didn't care about anything. 335 00:14:51,950 --> 00:14:53,543 It was like, whatever. 336 00:14:54,686 --> 00:14:55,795 But then... 337 00:14:58,757 --> 00:15:00,891 Things just got better here. 338 00:15:00,925 --> 00:15:02,301 That's right. 339 00:15:02,861 --> 00:15:05,229 Things were starting to make sense. 340 00:15:05,263 --> 00:15:06,730 I felt like I belonged here. 341 00:15:06,765 --> 00:15:09,066 But now that I'm starting to get the hang of it 342 00:15:09,100 --> 00:15:11,835 my mom is trying to ruin my life again. 343 00:15:13,738 --> 00:15:17,574 No one... no one is ruining your life, Avi. 344 00:15:17,609 --> 00:15:20,486 I... I don't even think anyone has that power. 345 00:15:20,912 --> 00:15:22,746 All right? You put in the work. 346 00:15:22,781 --> 00:15:25,074 You learned the tools. You can cope anywhere. 347 00:15:25,917 --> 00:15:27,702 Even Missouri. 348 00:15:28,753 --> 00:15:30,287 How do you know? 349 00:15:30,321 --> 00:15:32,540 Just listen to me, okay? 350 00:15:34,058 --> 00:15:35,751 'Cause I'm good at what I do. 351 00:15:36,394 --> 00:15:38,421 I can promise you this: 352 00:15:39,297 --> 00:15:40,923 you are ready. 353 00:15:44,636 --> 00:15:46,770 - He is not ready. - What? 354 00:15:46,805 --> 00:15:48,272 Were we both in the same session? 355 00:15:48,306 --> 00:15:50,307 Avi accused his mother... 356 00:15:50,341 --> 00:15:52,609 of ruining his life again. 357 00:15:52,644 --> 00:15:53,677 And? 358 00:15:53,711 --> 00:15:55,946 Avi was admitted for a serious outburst at school. 359 00:15:55,980 --> 00:15:57,714 Kids were teasing him over his learning disability, 360 00:15:57,749 --> 00:15:59,316 but it had nothing to do with his mother. 361 00:15:59,350 --> 00:16:00,504 What are you saying? 362 00:16:00,538 --> 00:16:02,252 I'm saying whatever's going on with him 363 00:16:02,287 --> 00:16:03,754 was triggered only once he learned he was leaving. 364 00:16:03,788 --> 00:16:05,956 Avi's mother can't just change her travel plans. 365 00:16:05,990 --> 00:16:08,358 Her new job is expecting her there on Monday. 366 00:16:09,928 --> 00:16:11,028 I need more time with him. 367 00:16:11,062 --> 00:16:15,332 Dr. Frome, his discharge paperwork has been filed. 368 00:16:15,366 --> 00:16:17,710 I know. I know. 369 00:16:18,203 --> 00:16:20,804 Just let me talk to him. 370 00:16:20,839 --> 00:16:22,272 Alone. 371 00:16:22,307 --> 00:16:24,007 Let me see if I can get through to him. 372 00:16:24,042 --> 00:16:25,635 That's it. 373 00:16:38,122 --> 00:16:39,941 Thank you. 374 00:16:40,825 --> 00:16:42,826 Oh, um, Dr. Kao? 375 00:16:42,861 --> 00:16:44,995 How do you spell your last name? 376 00:16:45,363 --> 00:16:48,131 Uh, K-A-O? 377 00:16:48,166 --> 00:16:51,001 "Dr. Agnes Kao..." 378 00:16:57,809 --> 00:17:00,277 Thomas Jefferson once stayed 379 00:17:00,311 --> 00:17:02,346 in our Presidential Suite. 380 00:17:02,380 --> 00:17:04,314 - Is that right? - Mm. 381 00:17:04,349 --> 00:17:06,116 This room has housed the architect 382 00:17:06,150 --> 00:17:08,094 of the Declaration of Independence. 383 00:17:08,720 --> 00:17:12,356 And now @NancyPants from Yelp. 384 00:17:12,390 --> 00:17:13,957 I know how this looks. 385 00:17:13,992 --> 00:17:15,859 Yeah, I feel like if you did 386 00:17:15,894 --> 00:17:17,327 we wouldn't be having this conversation. 387 00:17:17,362 --> 00:17:18,862 This was not my idea, I swear. 388 00:17:18,897 --> 00:17:20,864 - It was Max's. - Hold on. 389 00:17:20,899 --> 00:17:22,866 The ludicrous coddling of Nancy Nan... 390 00:17:22,901 --> 00:17:25,068 a woman who isn't even sick... came from Max? 391 00:17:25,103 --> 00:17:26,203 Yes. 392 00:17:26,237 --> 00:17:29,139 And if his error in judgment leads to an enhancement 393 00:17:29,173 --> 00:17:31,008 of my online status, 394 00:17:31,042 --> 00:17:34,044 well, this is just a happy coincidence. 395 00:17:34,078 --> 00:17:37,381 Did Max seem like himself to you? 396 00:17:37,415 --> 00:17:39,716 He seemed erratic. 397 00:17:39,751 --> 00:17:42,753 Annoyed, then excited, then distracted, 398 00:17:42,787 --> 00:17:43,921 all in quick succession. 399 00:17:43,955 --> 00:17:47,891 And if it was anyone but Max, I would have got worried. 400 00:17:49,394 --> 00:17:50,650 Should I be worried? 401 00:17:54,966 --> 00:17:58,001 Aww, she found the fizzy water. 402 00:18:10,281 --> 00:18:11,643 Brought everything I could find. 403 00:18:11,678 --> 00:18:13,917 Action logs, nursing notes, imaging studies. 404 00:18:13,952 --> 00:18:15,752 Oh, and here are those, uh, ultrasounds. 405 00:18:15,787 --> 00:18:17,515 Oh, good work. 406 00:18:17,550 --> 00:18:18,689 I'm sorry about this, Dr. Reynolds. 407 00:18:18,723 --> 00:18:20,090 I didn't really expect Dr. Goodman would want 408 00:18:20,124 --> 00:18:21,291 to see every last scan. 409 00:18:21,326 --> 00:18:22,292 It's not your fault. 410 00:18:22,327 --> 00:18:25,128 This, uh, level of due diligence is extreme. 411 00:18:25,163 --> 00:18:26,543 That's one way to put it. 412 00:18:26,577 --> 00:18:29,132 But my work on Officer McNeil was solid, you know? 413 00:18:29,167 --> 00:18:32,511 Our job now is just to present the case clearly. 414 00:18:33,596 --> 00:18:35,105 Hey, can we talk? 415 00:18:35,139 --> 00:18:36,940 I'll get these loaded onto the computer. 416 00:18:36,975 --> 00:18:37,975 Thanks. 417 00:18:39,110 --> 00:18:40,199 Hey. 418 00:18:40,233 --> 00:18:41,912 - I don't like this, Floyd. - It's fine. 419 00:18:41,946 --> 00:18:42,980 It doesn't feel fine. 420 00:18:43,014 --> 00:18:45,215 Feels like you're putting yourself on the line. 421 00:18:45,249 --> 00:18:48,218 Okay, these conferences are for internal use only. 422 00:18:48,252 --> 00:18:49,386 They're protected. 423 00:18:49,420 --> 00:18:50,420 But we both know that Max has been 424 00:18:50,455 --> 00:18:52,122 fielding calls on this one. 425 00:18:52,156 --> 00:18:54,157 From the mayor, the police commissioner. 426 00:18:54,192 --> 00:18:56,560 Board of Directors, malpractice department at HCC. 427 00:18:56,594 --> 00:18:57,627 Evie... 428 00:18:57,662 --> 00:18:59,563 There was a police officer that died on your table, 429 00:18:59,597 --> 00:19:00,831 under your knife. 430 00:19:00,865 --> 00:19:03,918 You know that they're gonna be looking for someone to blame. 431 00:19:12,143 --> 00:19:15,312 Hate to say it, but it sure feels like Max is trying 432 00:19:15,346 --> 00:19:17,723 to make sure that person is you. 433 00:19:18,316 --> 00:19:20,184 Dr. Reynolds? 434 00:19:21,119 --> 00:19:24,187 Are you actually ready? 435 00:19:32,197 --> 00:19:35,085 What we have here is the pre-op echocardiogram 436 00:19:35,110 --> 00:19:36,110 for Officer McNeil. 437 00:19:36,144 --> 00:19:38,045 Now, let's focus on where the rupture occurred. 438 00:19:38,080 --> 00:19:39,914 Here to here, all right? 439 00:19:39,948 --> 00:19:41,706 .34 centimeters 440 00:19:41,740 --> 00:19:44,251 at the thinnest width of the right ventricular wall. 441 00:19:44,286 --> 00:19:45,405 Normal. 442 00:19:45,440 --> 00:19:47,795 Also, normal valve function. 443 00:19:47,829 --> 00:19:49,890 Normal papillary musculature. 444 00:19:49,925 --> 00:19:54,228 And, as noted before, normal echo. 445 00:19:54,262 --> 00:19:55,678 Hmm. 446 00:19:56,898 --> 00:19:58,556 How about a second opinion? 447 00:19:59,134 --> 00:20:00,766 Dr. Jessup? 448 00:20:01,636 --> 00:20:05,005 Yes, it appears normal. 449 00:20:05,941 --> 00:20:07,375 How about you, Dr. Flores? 450 00:20:07,409 --> 00:20:08,943 Don't you think the right ventricular wall 451 00:20:08,977 --> 00:20:10,945 looks a little thin? 452 00:20:10,979 --> 00:20:12,713 Uh, no. 453 00:20:12,748 --> 00:20:16,350 It looks like a normal thickness to me. 454 00:20:17,293 --> 00:20:19,577 Is there anyone here who disagrees? 455 00:20:20,255 --> 00:20:21,789 Dr. Nottingham? 456 00:20:21,823 --> 00:20:23,290 I see what Dr. Reynolds sees. 457 00:20:23,325 --> 00:20:25,259 Normal ultrasound. 458 00:20:25,293 --> 00:20:28,262 Well, an ultrasound is just an approximate image 459 00:20:28,296 --> 00:20:29,397 of the real heart. 460 00:20:29,431 --> 00:20:33,033 But, fortunately for us, the real heart is still here 461 00:20:33,068 --> 00:20:34,869 down in pathology, so I think we should 462 00:20:34,903 --> 00:20:36,971 all take a trip down there 463 00:20:37,005 --> 00:20:38,806 and have a closer look for ourselves. 464 00:20:38,840 --> 00:20:40,107 You can't be serious. 465 00:20:40,142 --> 00:20:42,143 Oh, but I am serious. 466 00:20:42,177 --> 00:20:44,945 Once we examine the real heart, then we'll know 467 00:20:44,980 --> 00:20:47,815 if these readings were in fact, as you say, normal. 468 00:20:52,320 --> 00:20:53,754 Right now. Here we go. 469 00:20:53,789 --> 00:20:55,070 Everybody up. 470 00:21:00,162 --> 00:21:01,911 You know you can talk to me, right? 471 00:21:05,100 --> 00:21:06,749 It's just me and you. 472 00:21:07,469 --> 00:21:09,804 In here, just like before. 473 00:21:09,838 --> 00:21:12,072 It'll never be like it was before. 474 00:21:12,107 --> 00:21:13,908 Not where I'm going. 475 00:21:13,942 --> 00:21:15,925 - Okay, let's talk about that. - Let's not. 476 00:21:16,978 --> 00:21:19,470 Avi, I believe there is something in your life 477 00:21:20,015 --> 00:21:21,916 that really upsets you. 478 00:21:21,950 --> 00:21:25,419 Something you've worked very, very hard to lock away. 479 00:21:25,454 --> 00:21:27,087 And now, for some reason, 480 00:21:27,122 --> 00:21:29,690 that thing has snuck back around 481 00:21:29,724 --> 00:21:30,858 to the front of your mind. 482 00:21:30,892 --> 00:21:32,983 For some reason, that's all you can think about right now. 483 00:21:34,196 --> 00:21:35,362 You know I can help you. 484 00:21:35,397 --> 00:21:37,364 I can help you manage these emotions, 485 00:21:37,399 --> 00:21:38,866 but first you have to let me in. 486 00:21:38,900 --> 00:21:40,801 I don't want to move back there. 487 00:21:40,836 --> 00:21:43,037 - I hate it there. - You hate it in Missouri? 488 00:21:43,071 --> 00:21:44,138 Why do I have to go with her? 489 00:21:44,172 --> 00:21:45,773 Why can't she just go back there 490 00:21:45,807 --> 00:21:48,624 and do her dumb job there and I could stay here, right? 491 00:21:49,544 --> 00:21:51,168 Don't make me go. 492 00:21:51,636 --> 00:21:53,132 Does this have something to do with your mom? 493 00:21:53,167 --> 00:21:54,281 No! 494 00:21:54,316 --> 00:21:56,131 My mom doesn't know anything about it. 495 00:21:57,486 --> 00:21:58,968 Doesn't know anything about what? 496 00:22:00,188 --> 00:22:01,856 No, no, no. 497 00:22:01,890 --> 00:22:04,556 Avi, what doesn't she know about? 498 00:22:05,158 --> 00:22:06,227 You have to tell me. 499 00:22:06,261 --> 00:22:07,995 You gotta let me in so we can face it together. 500 00:22:08,029 --> 00:22:09,812 I don't want to face it! 501 00:22:10,079 --> 00:22:12,509 I want to stay here, but nobody cares about what I want! 502 00:22:12,534 --> 00:22:14,735 - That is not true. - It is true! 503 00:22:14,769 --> 00:22:17,471 If you cared about me at all you'd be on my side right now. 504 00:22:17,506 --> 00:22:20,074 You'd be on my side instead of working so hard 505 00:22:20,108 --> 00:22:22,510 to ship me off to Missouri! 506 00:22:31,786 --> 00:22:33,419 I can't go back. 507 00:22:41,296 --> 00:22:43,831 - Hi. - Have you got a minute? 508 00:22:43,865 --> 00:22:46,400 Well, despite this whimsical tableau 509 00:22:46,434 --> 00:22:47,568 I'm actually quite busy. 510 00:22:47,602 --> 00:22:50,504 - Tough case? - Understatement. 511 00:22:50,539 --> 00:22:53,374 But, you know, nothing fires up the brain 512 00:22:53,408 --> 00:22:56,494 like sugar and titanium dioxide. 513 00:22:56,529 --> 00:22:59,046 Well, before you slip into insulin shock, 514 00:22:59,080 --> 00:23:01,882 I... I want to get your professional opinion. 515 00:23:01,917 --> 00:23:03,250 About? 516 00:23:03,824 --> 00:23:05,534 About Max. 517 00:23:08,223 --> 00:23:11,125 You know, speculating on the boss's mental health 518 00:23:11,159 --> 00:23:12,964 is not my favorite thing. 519 00:23:12,999 --> 00:23:14,184 Nor mine, 520 00:23:14,219 --> 00:23:16,297 but if the medical director of New Amsterdam's ability 521 00:23:16,331 --> 00:23:17,464 to make decisions is compromised, 522 00:23:17,499 --> 00:23:19,366 then I need to know about it. 523 00:23:19,401 --> 00:23:22,102 Every cancer patient struggles, but in the past few days 524 00:23:22,137 --> 00:23:24,605 he has been exhibiting behavior that's erratic. 525 00:23:24,639 --> 00:23:27,207 Unstable, even angry. 526 00:23:27,242 --> 00:23:28,807 That's not Max. 527 00:23:29,311 --> 00:23:32,478 Well, I do, um... I have a theory but... 528 00:23:33,148 --> 00:23:34,481 I don't think you're gonna like it. 529 00:23:34,516 --> 00:23:35,814 Go on. 530 00:23:36,484 --> 00:23:38,052 It's you. 531 00:23:38,086 --> 00:23:39,443 Me? 532 00:23:40,121 --> 00:23:42,156 This all started once you passed him off 533 00:23:42,190 --> 00:23:43,989 to Dr. Stauton like a hot potato. 534 00:23:44,024 --> 00:23:45,092 That's irrelevant. 535 00:23:45,126 --> 00:23:46,704 Our treatment plans are almost identical. 536 00:23:46,738 --> 00:23:50,297 Yeah, but your relationships with Max are not, are they? 537 00:23:50,332 --> 00:23:51,999 Dr. Stauton is an excellent doctor. 538 00:23:52,033 --> 00:23:54,335 - Max knows that. - Yeah, and he respects her. 539 00:23:54,369 --> 00:23:57,304 But he believes in you. 540 00:23:59,307 --> 00:24:01,342 I need your help right away. 541 00:24:01,376 --> 00:24:03,010 - Hey. - Not now. 542 00:24:03,044 --> 00:24:05,312 Okay. 543 00:24:05,347 --> 00:24:06,480 This better be important. 544 00:24:06,514 --> 00:24:08,349 I am at the end of my rope now. 545 00:24:08,383 --> 00:24:10,618 I have a patient who, no matter the treatment, 546 00:24:10,652 --> 00:24:11,861 cannot be helped. 547 00:24:11,895 --> 00:24:13,926 Is this about your spinocerebellar degeneration patient? 548 00:24:13,960 --> 00:24:16,924 No, he's fine. It's about @NancyPants. 549 00:24:16,958 --> 00:24:19,093 I brought this on myself, didn't I? 550 00:24:19,127 --> 00:24:21,362 Look at this. 551 00:24:23,398 --> 00:24:26,533 "The 100-year-old doctor just tried to buy me off. 552 00:24:26,568 --> 00:24:28,435 "Pro tip: want a better review? 553 00:24:28,470 --> 00:24:30,638 "Don't give me the scratchiest sheets on the planet. 554 00:24:30,672 --> 00:24:32,006 One star." 555 00:24:32,040 --> 00:24:33,674 She is insufferable. 556 00:24:33,708 --> 00:24:35,542 Isn't she in the Presidential Suite? 557 00:24:35,577 --> 00:24:37,678 Yes, and she's still displeased. 558 00:24:37,712 --> 00:24:40,981 Wait, we use 600 thread-count Egyptian cotton in there. 559 00:24:41,016 --> 00:24:43,283 Nothing will ever be good enough for this woman. 560 00:24:43,318 --> 00:24:45,052 It's hard to believe she's a woman of fine taste 561 00:24:45,086 --> 00:24:47,121 given her screenname is @NancyPants. 562 00:24:47,155 --> 00:24:48,679 I don't know what more to do. 563 00:24:50,392 --> 00:24:52,159 Wait, what if she actually had 564 00:24:52,193 --> 00:24:53,639 incredibly sensitive skin? 565 00:24:53,673 --> 00:24:56,725 It has to be the most sensitive skin on this planet, 566 00:24:56,759 --> 00:24:58,147 or... 567 00:25:01,813 --> 00:25:04,114 - Oh, dear. - Exactly. 568 00:25:08,610 --> 00:25:11,345 - Max, we should talk. - Not really a good time. 569 00:25:15,216 --> 00:25:16,383 What is this? 570 00:25:16,418 --> 00:25:18,552 A fool's errand. 571 00:25:29,064 --> 00:25:30,497 If we look at the patient's heart, 572 00:25:30,532 --> 00:25:33,067 we see the chambers intact. 573 00:25:33,101 --> 00:25:34,558 Normal in appearance. 574 00:25:35,036 --> 00:25:38,605 But let's turn to the cardiac injury. 575 00:25:38,640 --> 00:25:42,042 Even after this dramatic free wall rupture, 576 00:25:42,077 --> 00:25:44,278 the actual cardiac tissue itself 577 00:25:44,312 --> 00:25:46,028 is amazingly normal. 578 00:25:46,062 --> 00:25:47,448 No thinning? 579 00:25:47,482 --> 00:25:49,516 - None. - No? 580 00:25:49,551 --> 00:25:53,287 No, uh, infiltrative process like amyloid or fibrosis? 581 00:25:53,321 --> 00:25:56,330 No, no abnormalities whatsoever. 582 00:25:56,758 --> 00:26:00,060 Dr. Reynolds, what about your, uh, mental state 583 00:26:00,095 --> 00:26:02,044 during the surgery? 584 00:26:03,131 --> 00:26:04,631 - Nothing of particular note. - Really? 585 00:26:04,666 --> 00:26:06,700 Because I know for a fact on that day 586 00:26:06,735 --> 00:26:08,602 that you were, uh, distracted. 587 00:26:08,636 --> 00:26:10,437 No, I was fine. 588 00:26:10,471 --> 00:26:12,439 If you recall, you spent the entire morning 589 00:26:12,474 --> 00:26:14,056 going over your budgets. 590 00:26:14,776 --> 00:26:16,710 It's unrelated and you know it. 591 00:26:16,745 --> 00:26:18,837 Not if it compromised your concentration during the surgery. 592 00:26:18,871 --> 00:26:20,748 You honestly believe I was still thinking about 593 00:26:20,782 --> 00:26:22,649 - your stupid budgets? - I don't know. You tell me, Floyd. 594 00:26:22,684 --> 00:26:24,454 - The woman died on your table. - You know what? 595 00:26:24,489 --> 00:26:25,817 That's it. 596 00:26:26,187 --> 00:26:28,489 This M&M is over. Everyone back to work. 597 00:26:28,523 --> 00:26:30,224 Now! 598 00:26:31,793 --> 00:26:34,061 Except for you. We got business. 599 00:26:37,688 --> 00:26:39,908 - You were way out of line. - Not if I'm right. 600 00:26:39,943 --> 00:26:42,057 Well, you're not right,f and that wasn't an M&M. 601 00:26:42,091 --> 00:26:43,663 That was a public shaming. 602 00:26:43,697 --> 00:26:45,627 I am only asking the tough questions. 603 00:26:45,661 --> 00:26:48,563 No, you are undermining my credibility at this hospital. 604 00:26:48,598 --> 00:26:51,066 In front of my staff. In front of my colleagues. 605 00:26:51,100 --> 00:26:53,301 Are you really making this patient's death about you? 606 00:26:53,336 --> 00:26:55,704 No, you made it about me when you brought up my mental state. 607 00:26:55,738 --> 00:26:57,806 The whole point of this exercise 608 00:26:57,840 --> 00:26:59,975 was to determine, once and for all, 609 00:27:00,009 --> 00:27:03,144 if Officer Marie McNeil's death was preventable. 610 00:27:03,179 --> 00:27:06,147 We have sifted through every notation, every scan, 611 00:27:06,182 --> 00:27:08,049 every piece of recorded imaging. 612 00:27:08,084 --> 00:27:10,785 Hell, 50 people just watched you poke and prod 613 00:27:10,820 --> 00:27:11,846 at the poor woman's heart. 614 00:27:11,881 --> 00:27:13,622 There's nothing else to investigate! 615 00:27:13,656 --> 00:27:14,956 - Then we start over! - Max. 616 00:27:14,991 --> 00:27:17,158 You are unbelievable, you know that? 617 00:27:17,193 --> 00:27:19,261 Yeah, no, we start over. We dig deeper. 618 00:27:19,295 --> 00:27:20,895 We keep looking until we find... 619 00:27:20,930 --> 00:27:22,897 No! 620 00:27:25,134 --> 00:27:26,545 What did you say? 621 00:27:27,837 --> 00:27:29,938 In what world do you think I'd stick around 622 00:27:29,972 --> 00:27:31,633 for more of this? 623 00:27:34,944 --> 00:27:39,114 I was so excited when you offered me chair. 624 00:27:39,148 --> 00:27:41,349 To build a department that... 625 00:27:41,384 --> 00:27:43,918 that we could both be proud of. 626 00:27:43,953 --> 00:27:46,421 An environment based on mutual respect. 627 00:27:46,455 --> 00:27:49,624 But in one afternoon you managed to tear it all down. 628 00:27:49,659 --> 00:27:51,626 In one afternoon you showed how little you trust me, 629 00:27:51,661 --> 00:27:53,697 and you did it in front of everyone. 630 00:28:01,003 --> 00:28:03,672 You can expect my resignation. 631 00:28:16,085 --> 00:28:18,820 Do you want to tell me what this is really about? 632 00:28:25,995 --> 00:28:28,330 You're not my doctor, remember? 633 00:28:34,704 --> 00:28:36,705 We must examine you right away. 634 00:28:36,739 --> 00:28:39,437 - I'm trying to sleep, here. - You're on your phone. 635 00:28:39,472 --> 00:28:40,845 That's how I get to sleep. 636 00:28:40,879 --> 00:28:42,877 Blue light disrupts the production of melatonin, 637 00:28:42,912 --> 00:28:44,479 but we'll talk about that later. 638 00:28:44,513 --> 00:28:46,348 Uh, do you mind showing me your legs, please? 639 00:28:46,382 --> 00:28:48,483 Um... 640 00:28:48,517 --> 00:28:50,085 Dr. Kapoor believes your discomfort 641 00:28:50,119 --> 00:28:51,922 has nothing to do with the sheets. 642 00:28:53,173 --> 00:28:55,156 O-okay, sure. 643 00:29:00,096 --> 00:29:01,681 Oh. 644 00:29:03,065 --> 00:29:05,066 How long have you had this rash? 645 00:29:05,101 --> 00:29:07,936 I've never noticed it before. 646 00:29:08,396 --> 00:29:09,871 Can I have that glass? 647 00:29:19,448 --> 00:29:22,050 The rash doesn't blanch under pressure. 648 00:29:22,084 --> 00:29:24,018 We must get her to the procedure room now. 649 00:29:24,053 --> 00:29:26,054 Wait, why? 650 00:29:26,088 --> 00:29:28,390 Ms. Nan, it appears you have contracted 651 00:29:28,424 --> 00:29:29,891 meningococcal meningitis. 652 00:29:29,925 --> 00:29:32,295 If we don't treat you now, you could die. 653 00:29:34,096 --> 00:29:36,269 I need a procedure room, stat. 654 00:29:48,010 --> 00:29:49,310 Dr. Sharpe. 655 00:29:49,345 --> 00:29:51,606 Something I can help you with? 656 00:29:53,983 --> 00:29:55,777 I need to talk to you... 657 00:29:56,452 --> 00:29:58,321 about Max. 658 00:29:59,989 --> 00:30:01,908 Somewhat irregular. 659 00:30:03,359 --> 00:30:04,828 I know. 660 00:30:06,529 --> 00:30:08,014 Come in. 661 00:30:17,039 --> 00:30:18,273 Hey, Avi. Hi. 662 00:30:18,307 --> 00:30:20,385 Yeah, come in. Come in. 663 00:30:21,510 --> 00:30:23,179 My mom's waiting. 664 00:30:24,447 --> 00:30:27,482 I just wanted to, you know... 665 00:30:29,018 --> 00:30:31,319 Say goodbye real quick. 666 00:30:31,353 --> 00:30:33,440 You have my number, you know. 667 00:30:33,956 --> 00:30:35,901 You can call me anytime. Anytime. 668 00:30:37,059 --> 00:30:38,445 Thank you... 669 00:30:39,195 --> 00:30:41,496 for, you know... 670 00:30:41,530 --> 00:30:43,331 trying to fix me. 671 00:30:43,365 --> 00:30:45,033 I know I let you down. 672 00:30:45,067 --> 00:30:47,329 - I'm really sorry for that, Doc. - You never let me down. 673 00:30:48,747 --> 00:30:50,271 But you couldn't fix me, so... 674 00:30:50,306 --> 00:30:52,106 Hey, stop, stop. Listen to me, listen to me. 675 00:30:52,141 --> 00:30:53,543 "Fixed"... 676 00:30:54,210 --> 00:30:55,510 that's not a thing. 677 00:30:55,544 --> 00:30:56,878 It doesn't exist. 678 00:30:56,912 --> 00:30:59,147 Nobody leaves this hospital fixed. 679 00:30:59,181 --> 00:31:00,281 Do you understand? 680 00:31:00,675 --> 00:31:03,985 My job is to give you the tools to get through the day. 681 00:31:06,355 --> 00:31:07,713 That's it. 682 00:31:12,161 --> 00:31:13,394 I wish I could just stay here. 683 00:31:13,429 --> 00:31:14,996 Hey, hey. 684 00:31:15,030 --> 00:31:16,965 You're gonna make it to Missouri. 685 00:31:16,999 --> 00:31:18,568 But that's just the beginning. 686 00:31:19,034 --> 00:31:20,902 Don't forget about Table Mountain. 687 00:31:20,936 --> 00:31:22,403 The Parthenon. 688 00:31:22,438 --> 00:31:23,838 Right? 689 00:31:23,873 --> 00:31:25,700 Gonna hike all the way to the top. 690 00:31:26,785 --> 00:31:28,543 Right to the top. 691 00:31:28,577 --> 00:31:30,345 Yeah. 692 00:31:34,884 --> 00:31:36,518 Use the tools. 693 00:31:36,920 --> 00:31:39,339 - Use the tools. - Every day. 694 00:31:40,222 --> 00:31:41,549 Every day. 695 00:31:42,625 --> 00:31:44,094 Come on. 696 00:31:46,228 --> 00:31:48,363 You're gonna be great. 697 00:31:51,100 --> 00:31:52,367 Avi. 698 00:31:52,401 --> 00:31:53,535 Hey. 699 00:31:54,084 --> 00:31:55,603 It's time to go. 700 00:32:00,943 --> 00:32:02,577 All right. 701 00:32:02,611 --> 00:32:05,213 Bye, Doc. Bye, Avi. 702 00:32:13,589 --> 00:32:16,357 Pulse ox 97, BP 100 over 60. 703 00:32:16,392 --> 00:32:18,893 When you feel the pop... 704 00:32:21,163 --> 00:32:23,133 You know you are in. 705 00:32:24,266 --> 00:32:27,201 - There. - HR normative range. 706 00:32:30,139 --> 00:32:32,440 - Nancy? - Here you go. 707 00:32:32,809 --> 00:32:34,275 You okay? 708 00:32:34,894 --> 00:32:37,412 Uh, I guess so. 709 00:32:37,446 --> 00:32:39,080 We are collecting the fluid 710 00:32:39,114 --> 00:32:43,117 to identify which bacteria is making you so sick. 711 00:32:43,152 --> 00:32:44,953 Additional LP tubes on the tray. 712 00:32:44,987 --> 00:32:48,089 I just came in for a simple sleep study. 713 00:32:52,595 --> 00:32:54,164 Nancy? 714 00:32:55,040 --> 00:32:57,565 - She's unresponsive. - Heart rate is up to 124. 715 00:32:57,600 --> 00:32:58,967 BP's down to 80 over 40. 716 00:32:59,001 --> 00:33:00,301 She's going into septic shock. 717 00:33:00,336 --> 00:33:01,569 Deliver to the lab. Hurry. 718 00:33:07,009 --> 00:33:09,110 Rapid response, procedure room number two. 719 00:33:12,147 --> 00:33:13,314 What the hell was that? 720 00:33:14,100 --> 00:33:17,285 I did everything in my power to save this patient's life. 721 00:33:17,319 --> 00:33:18,953 I did everything right, 722 00:33:18,988 --> 00:33:20,455 and now it's gonna bury my career? 723 00:33:20,489 --> 00:33:22,624 This doesn't need to land on you. 724 00:33:22,658 --> 00:33:25,760 Max was... I don't know what that was. 725 00:33:25,794 --> 00:33:27,428 Out of control. 726 00:33:27,463 --> 00:33:29,263 Insane. Tyrannical. 727 00:33:29,298 --> 00:33:31,532 Babe, you have legal recourse here. 728 00:33:31,567 --> 00:33:33,101 I have a friend at Adler & Morgan 729 00:33:33,135 --> 00:33:34,669 who would take on this case at the drop of a hat. 730 00:33:35,851 --> 00:33:37,123 Yeah? 731 00:33:39,174 --> 00:33:41,075 Not the best time. 732 00:33:43,254 --> 00:33:45,279 W-we should talk. 733 00:33:51,520 --> 00:33:52,972 Text me later. 734 00:34:00,403 --> 00:34:02,730 This better not be you defending him. 735 00:34:02,765 --> 00:34:04,165 Not after what he did. 736 00:34:04,199 --> 00:34:06,601 No, I... I can't defend that. 737 00:34:08,170 --> 00:34:09,781 - But, uh... - But? 738 00:34:10,439 --> 00:34:11,491 But? 739 00:34:13,993 --> 00:34:16,044 Max's cancer. 740 00:34:17,446 --> 00:34:21,549 It's not responding to chemo or radiation. 741 00:34:35,097 --> 00:34:36,516 How bad? 742 00:34:38,267 --> 00:34:39,565 It's bad. 743 00:34:45,641 --> 00:34:47,608 When did he find out? 744 00:34:47,643 --> 00:34:50,274 Stauton told him this morning. 745 00:35:08,305 --> 00:35:10,139 Got enough light on the keyhole? 746 00:35:10,173 --> 00:35:13,109 Passing through the cerebral cortex. 747 00:35:13,143 --> 00:35:16,478 The center of the infection is in the third ventricle. 748 00:35:16,512 --> 00:35:19,248 I don't think you'll be able to hit it. 749 00:35:19,282 --> 00:35:22,018 Keep looking at the CT. 750 00:35:23,954 --> 00:35:26,436 Go ahead and remove. 751 00:35:26,470 --> 00:35:29,143 4 centimeters to the lateral ventricle. 752 00:35:29,168 --> 00:35:30,669 You're too close. 753 00:35:30,703 --> 00:35:33,372 I can make it. 754 00:35:35,708 --> 00:35:38,076 If you clip that she'll never walk again. 755 00:35:38,111 --> 00:35:40,312 Just imagine that review. 756 00:35:42,015 --> 00:35:45,851 Advancing caudal to the corticospinal tract. 757 00:35:48,755 --> 00:35:50,173 You're clear. 758 00:35:51,090 --> 00:35:55,160 And I am into ventricle. 759 00:36:00,800 --> 00:36:03,101 Injecting... 760 00:36:03,136 --> 00:36:04,836 Cephillicam. 761 00:36:10,243 --> 00:36:14,212 Heart rate and blood pressure are stable. 762 00:36:22,088 --> 00:36:23,422 43 years ago, 763 00:36:23,456 --> 00:36:26,250 I made a decision to be a doctor. 764 00:36:27,260 --> 00:36:30,129 Dedicate my life to the service of others. 765 00:36:30,930 --> 00:36:34,132 It was never about reviews. 766 00:36:55,955 --> 00:36:57,923 - I heard. - Mm. 767 00:36:57,957 --> 00:37:00,076 Yeah, well, what can you do? 768 00:37:03,129 --> 00:37:06,565 I get why you pushed hard. 769 00:37:08,468 --> 00:37:10,378 I want answers too. 770 00:37:16,142 --> 00:37:18,636 How do we just accept that her death... 771 00:37:19,979 --> 00:37:23,982 or anyone's death, was random? 772 00:37:25,138 --> 00:37:26,672 Life, death. 773 00:37:26,697 --> 00:37:29,766 It can't be arbitrary. 774 00:37:29,989 --> 00:37:31,456 It's not. 775 00:37:31,491 --> 00:37:34,960 I just thought maybe there was something... 776 00:37:36,362 --> 00:37:37,963 That we missed. 777 00:37:37,997 --> 00:37:40,132 You know, maybe there was something 778 00:37:40,166 --> 00:37:41,957 that we could have done differently. 779 00:37:41,982 --> 00:37:45,455 Maybe... maybe I could have done a lot of things... 780 00:37:46,305 --> 00:37:47,749 differently. 781 00:37:48,641 --> 00:37:50,752 Sometimes you do everything right. 782 00:37:51,644 --> 00:37:52,962 You know? 783 00:37:54,047 --> 00:37:55,631 And get the same result. 784 00:37:56,649 --> 00:37:58,176 As though you've done nothing. 785 00:38:01,020 --> 00:38:04,156 I'm sorry, Floyd. 786 00:38:04,190 --> 00:38:06,191 I don't know... 787 00:38:06,225 --> 00:38:07,727 what else to say or how else to say it. 788 00:38:07,762 --> 00:38:08,978 I just... 789 00:38:09,529 --> 00:38:10,980 I don't know who that... 790 00:38:11,497 --> 00:38:14,199 who that was today. 791 00:38:15,868 --> 00:38:17,695 I mean, I look in the mirror and I... 792 00:38:18,404 --> 00:38:20,224 I don't even recognize that person. 793 00:38:23,376 --> 00:38:26,079 What's happening to you is not fair. 794 00:38:26,412 --> 00:38:28,346 There's no reason behind it. 795 00:38:28,381 --> 00:38:30,482 No answer that will make it better. 796 00:38:30,516 --> 00:38:31,650 I know. 797 00:38:31,684 --> 00:38:33,335 I just don't want my life... 798 00:38:37,123 --> 00:38:38,508 or my death... 799 00:38:40,093 --> 00:38:41,385 to be... 800 00:38:42,395 --> 00:38:43,721 arbitrary. 801 00:38:45,104 --> 00:38:46,155 Okay. 802 00:38:47,100 --> 00:38:50,019 Okay, well, the way I see it... 803 00:38:50,970 --> 00:38:52,938 you got a choice. 804 00:38:54,307 --> 00:38:56,484 You either let the randomness of this... 805 00:38:57,210 --> 00:38:58,653 beat you down... 806 00:38:59,278 --> 00:39:03,115 or you pick yourself up and you just keep fighting. 807 00:39:05,418 --> 00:39:07,227 Endings be damned. 808 00:39:18,931 --> 00:39:20,398 Hey. 809 00:39:20,433 --> 00:39:22,308 I know what you're gonna say. 810 00:39:25,438 --> 00:39:27,473 I like your hat. 811 00:39:36,791 --> 00:39:38,984 I have been sitting here all afternoon 812 00:39:39,018 --> 00:39:41,419 researching alternative options. 813 00:39:41,454 --> 00:39:44,589 Have you heard of the Norton-Simon model? 814 00:39:44,624 --> 00:39:47,259 - No. - It's called DDC. 815 00:39:47,293 --> 00:39:50,328 - Dose-dense chemo. - "Dose-dense"? 816 00:39:50,363 --> 00:39:52,097 Essentially, it's the same dose 817 00:39:52,131 --> 00:39:53,498 of cisplatin that you're on, 818 00:39:53,533 --> 00:39:56,434 but we would administer it twice as frequently. 819 00:39:56,469 --> 00:40:00,005 By amping up the quantity and frequency of your treatment 820 00:40:00,039 --> 00:40:04,109 we could interrupt the rapid growth phase 821 00:40:04,143 --> 00:40:06,311 of your malignant tumor cells. 822 00:40:07,986 --> 00:40:09,438 What's the catch? 823 00:40:10,516 --> 00:40:12,584 If you were experiencing side effects 824 00:40:12,618 --> 00:40:14,270 from your normal dose, 825 00:40:15,121 --> 00:40:16,755 DDC is the equivalent 826 00:40:16,789 --> 00:40:19,658 of napalming your internal organs. 827 00:40:19,692 --> 00:40:24,329 Essentially, it's a human scorched-earth policy. 828 00:40:26,291 --> 00:40:28,993 Take time to think it over. It's a big decision. 829 00:40:29,402 --> 00:40:33,004 So read that article, and then tomorrow... 830 00:40:33,039 --> 00:40:34,440 Can we start tonight? 831 00:40:37,677 --> 00:40:39,003 I wanna keep fighting. 832 00:40:41,419 --> 00:40:43,127 Endings be damned. 833 00:40:54,527 --> 00:40:57,229 Hey. Still here? 834 00:40:57,263 --> 00:40:59,497 I had a lot of paperwork to finish, 835 00:40:59,532 --> 00:41:01,533 given everything I saw today. 836 00:41:01,567 --> 00:41:03,301 Yeah, yeah. 837 00:41:03,336 --> 00:41:06,671 Yeah, days like today, they, uh... they hit hard, man. 838 00:41:07,707 --> 00:41:10,208 Don't always get the time you need with a patient, 839 00:41:10,243 --> 00:41:12,544 so we do what we can and we find solace 840 00:41:12,578 --> 00:41:15,180 in knowing that our contribution helped, 841 00:41:15,214 --> 00:41:16,681 if even just a little bit. 842 00:41:16,716 --> 00:41:20,018 Dr. Frome, I wasn't filling out paperwork 843 00:41:20,052 --> 00:41:21,979 - for Avi Mantell. - No? 844 00:41:22,004 --> 00:41:25,023 I was opening a formal investigation on you. 845 00:41:29,943 --> 00:41:31,069 I don't understand. 846 00:41:31,103 --> 00:41:32,597 What I witnessed today 847 00:41:32,632 --> 00:41:37,168 was a therapist actively and knowingly... 848 00:41:37,203 --> 00:41:41,172 forming non-therapeutic alliances with his patients. 849 00:41:41,207 --> 00:41:42,440 No, that's not right. 850 00:41:42,475 --> 00:41:44,843 The physical exchanges with Avi? 851 00:41:44,877 --> 00:41:47,846 The emotional boundaries? You overstepped with him. 852 00:41:47,880 --> 00:41:50,715 It crossed a line, Dr. Frome. 853 00:41:55,105 --> 00:41:57,164 This is my official report. 854 00:41:57,607 --> 00:41:59,627 I wanted you to hear it from me. 855 00:42:01,945 --> 00:42:03,504 I'm sorry... 856 00:42:04,247 --> 00:42:06,348 but our patients must come first. 857 00:42:07,274 --> 00:42:14,774 *CREDITS*