1 00:00:11,045 --> 00:00:13,041 Previously on Good Sam... 2 00:00:13,065 --> 00:00:15,046 You're supervising these doctors. 3 00:00:15,070 --> 00:00:18,286 You're above them in knowledge, rank and skill. 4 00:00:18,310 --> 00:00:19,630 Act like it. 5 00:00:19,654 --> 00:00:21,966 It's like undermining me as a sport for him. 6 00:00:21,990 --> 00:00:23,704 I think I'm gonna take the Cleveland offer, Caleb. 7 00:00:23,728 --> 00:00:24,963 You don't want to do that. 8 00:00:24,987 --> 00:00:27,572 Are you saying I should stay? 9 00:00:27,596 --> 00:00:30,341 - It's not about me. - Yeah. 10 00:00:33,969 --> 00:00:35,002 Dad! 11 00:00:38,039 --> 00:00:42,121 My father can never be replaced, but I vow to carry on his legacy 12 00:00:42,145 --> 00:00:43,521 to the best of my ability. 13 00:00:43,545 --> 00:00:44,889 You've earned this. 14 00:00:44,913 --> 00:00:47,082 And I say that as your chief medical officer, 15 00:00:47,716 --> 00:00:49,149 not your mother. 16 00:00:49,751 --> 00:00:51,496 - I'm Sam, by the way. - I'm Malcolm. 17 00:00:51,520 --> 00:00:53,698 Kingsley. I'm the new director of finance. 18 00:00:53,722 --> 00:00:55,433 - Sam! - Mom? 19 00:00:55,457 --> 00:00:56,534 It's your father. 20 00:00:56,558 --> 00:00:58,403 He's waking up. 21 00:00:58,427 --> 00:01:00,304 You were shot six months ago. 22 00:01:00,328 --> 00:01:02,206 How long... 23 00:01:02,230 --> 00:01:04,142 till I can work again? 24 00:01:04,166 --> 00:01:05,777 You have to be proctored. 25 00:01:05,801 --> 00:01:07,311 Oh, come on. 26 00:01:07,335 --> 00:01:08,413 It's state law. 27 00:01:08,437 --> 00:01:11,906 I'll do it. I'll supervise him. 28 00:01:12,774 --> 00:01:14,252 What, do you have company? 29 00:01:14,276 --> 00:01:16,120 I wanted to tell you. 30 00:01:16,144 --> 00:01:19,524 A resident, Griff? Sam's best friend. 31 00:01:19,548 --> 00:01:21,292 I've decided to continue proctoring you, 32 00:01:21,316 --> 00:01:22,460 if that's what you want. 33 00:01:22,484 --> 00:01:24,095 I want to be very clear. 34 00:01:24,119 --> 00:01:27,070 I am making this decision as a doctor. 35 00:01:27,689 --> 00:01:30,524 As your daughter, I'm calling it. 36 00:01:53,648 --> 00:01:54,849 Good morning, boss. 37 00:01:55,307 --> 00:01:56,761 Getting to work bright and early. 38 00:01:56,785 --> 00:01:58,919 Bright and early means arriving before the boss. 39 00:01:59,384 --> 00:02:00,719 Who says I won't? 40 00:03:11,026 --> 00:03:13,905 After you. 41 00:03:13,929 --> 00:03:15,339 Thank you. 42 00:03:45,427 --> 00:03:47,872 The point of proctorship is to ensure 43 00:03:47,896 --> 00:03:49,373 a surgeon's skills have not diminished 44 00:03:49,397 --> 00:03:51,075 during a leave of absence. 45 00:03:51,099 --> 00:03:53,050 The guidelines are rigorous. 46 00:03:54,970 --> 00:03:57,271 But then again, so is heart surgery. 47 00:03:59,574 --> 00:04:02,920 "A proctorship's successful conclusion is a win 48 00:04:02,944 --> 00:04:06,290 for the returning surgeon and the patients in his care." 49 00:04:06,314 --> 00:04:07,825 - It's all there. - Well, I want to start out 50 00:04:07,849 --> 00:04:09,260 on the right foot, and I want to make sure 51 00:04:09,284 --> 00:04:11,996 that the terms are clear and easy to follow. 52 00:04:12,736 --> 00:04:16,067 I just don't know that clarity is the issue, Sam. 53 00:04:16,091 --> 00:04:17,802 I mean, we're talking about your father. 54 00:04:17,826 --> 00:04:20,071 We're talking about my colleague. 55 00:04:20,095 --> 00:04:22,807 I am in as a doctor. Out as a daughter, remember? 56 00:04:22,831 --> 00:04:24,875 Good. So you've drawn your boundaries with your... 57 00:04:24,899 --> 00:04:27,645 colleague, but, um... 58 00:04:28,001 --> 00:04:29,246 What about Lex? 59 00:04:29,270 --> 00:04:31,716 Hmm? Have you, uh, have you talked to her? 60 00:04:31,740 --> 00:04:34,485 Uh... About work, yes. 61 00:04:34,509 --> 00:04:37,788 About having an affair with my father, no, not so much. 62 00:04:37,812 --> 00:04:39,090 But she's your best friend. 63 00:04:39,114 --> 00:04:40,791 I appreciate your concern. 64 00:04:40,815 --> 00:04:43,194 But right now, this department head 65 00:04:43,218 --> 00:04:45,997 needs her CMO more than your daughter needs her mother. 66 00:04:46,561 --> 00:04:49,300 I'm gonna get these guidelines to Dr. Griffith right away. 67 00:04:49,530 --> 00:04:50,597 Thank you. 68 00:04:52,661 --> 00:04:55,072 Hey, um, sorry to interrupt. 69 00:04:55,612 --> 00:04:57,308 Uh, year-end projections just came in. 70 00:04:57,332 --> 00:04:58,509 Thank you, Malcolm. 71 00:04:58,533 --> 00:05:00,134 I'd like to review those before tomorrow. 72 00:05:02,437 --> 00:05:03,981 Hi. 73 00:05:04,329 --> 00:05:06,150 Hi. 74 00:05:06,873 --> 00:05:09,576 I'll be, uh, in my office. 75 00:05:11,680 --> 00:05:14,025 So, what's tomorrow? 76 00:05:14,049 --> 00:05:15,660 Board meeting. 77 00:05:15,684 --> 00:05:16,961 Does that mean you're preparing 78 00:05:16,985 --> 00:05:18,729 for Mr. Byron Kingsley's arrival? 79 00:05:18,753 --> 00:05:21,699 - He is the chairman of the board. - So, tomorrow 80 00:05:21,723 --> 00:05:24,453 is Take Your Dad to Work day for both of us? 81 00:05:25,589 --> 00:05:26,837 Uh, yeah. 82 00:05:26,861 --> 00:05:29,674 Yeah, always puts me a little on edge when he comes in. 83 00:05:29,698 --> 00:05:31,676 Is there anything I can do to help? 84 00:05:32,804 --> 00:05:34,292 You could go to dinner with me tonight. 85 00:05:36,504 --> 00:05:37,915 Well... 86 00:05:37,939 --> 00:05:40,985 Dinner for me, uh, is usually takeout 87 00:05:41,009 --> 00:05:44,055 in the lab, awaiting test results. 88 00:05:44,079 --> 00:05:45,856 And for me it's takeout on the couch, 89 00:05:45,880 --> 00:05:47,258 watching Cupcake Wars. 90 00:05:47,282 --> 00:05:49,660 - You bake? - I watch other people bake. 91 00:05:49,684 --> 00:05:52,119 We should go out to dinner. 92 00:05:57,659 --> 00:05:58,836 Wow. 93 00:05:58,860 --> 00:06:00,337 Nice haircut, Donna. 94 00:06:00,361 --> 00:06:02,173 Thank you. Morning, doctors. 95 00:06:02,197 --> 00:06:03,474 What do you say, Donna? 96 00:06:03,498 --> 00:06:05,342 Is today the day we run away together? 97 00:06:05,366 --> 00:06:07,745 Try again next week when my wife's out of town. 98 00:06:07,769 --> 00:06:09,847 No one else thinks this is weird? 99 00:06:09,871 --> 00:06:11,882 Griff was our boss, and now he's, what, 100 00:06:11,906 --> 00:06:14,018 - a resident like us? - He's being supervised. 101 00:06:14,042 --> 00:06:15,686 It's how proctorship works. 102 00:06:15,710 --> 00:06:18,222 Lex, you agree, it's weird, right? 103 00:06:18,246 --> 00:06:20,691 It's only weird if you make it weird. 104 00:06:20,715 --> 00:06:21,826 How do I make it weird? 105 00:06:21,850 --> 00:06:23,861 You try too hard with him, Isan, 106 00:06:23,885 --> 00:06:24,995 and it always backfires. 107 00:06:25,019 --> 00:06:26,197 You end up tripping over your shoelaces, 108 00:06:26,221 --> 00:06:27,398 dropping your instruments. 109 00:06:27,422 --> 00:06:29,433 Cornering him in the men's room. 110 00:06:29,457 --> 00:06:31,669 I don't corner him in the men's room, Joey. 111 00:06:31,693 --> 00:06:34,105 No, you just told him a knock-knock joke at the urinal. 112 00:06:34,129 --> 00:06:36,273 I was making small talk. 113 00:06:36,297 --> 00:06:38,542 It's not my fault we're forced to pee next to each other. 114 00:06:38,566 --> 00:06:40,444 Women get their own private stalls. 115 00:06:40,468 --> 00:06:42,980 Oh, right. This is all because the world is unfair to men. 116 00:06:43,004 --> 00:06:45,382 - Morning, everyone. - Morning. 117 00:06:45,406 --> 00:06:47,651 Good morning. Thank you. Let's see. 118 00:06:48,183 --> 00:06:50,121 Eval for a mitral valve replacement. 119 00:06:50,145 --> 00:06:52,646 - Atrial fib. - Morning. 120 00:06:54,397 --> 00:06:55,359 Right on time. 121 00:06:55,383 --> 00:06:57,595 Consider that an accomplishment, do you? 122 00:06:57,619 --> 00:06:59,196 Well, given how far away my new parking spot is, 123 00:06:59,220 --> 00:07:00,648 - and then I have to... - What do we have? 124 00:07:00,672 --> 00:07:02,867 Patient with a lung mass needs VATS for biopsy. 125 00:07:02,891 --> 00:07:04,235 And what else? 126 00:07:04,259 --> 00:07:06,103 Ten-month-old with a persistent cough and a new murmur. 127 00:07:06,127 --> 00:07:07,738 Peds is asking for a consult. 128 00:07:07,762 --> 00:07:09,703 Uh, since when do we take pediatric cases? 129 00:07:09,727 --> 00:07:11,575 Oh, since I instituted a cross-departmental policy 130 00:07:11,599 --> 00:07:13,077 to integrate care, 131 00:07:13,101 --> 00:07:15,993 which has significantly improved patient satisfaction. 132 00:07:16,017 --> 00:07:17,414 What's next, a tonsillectomy? 133 00:07:17,438 --> 00:07:18,783 We are gonna start with the peds case. 134 00:07:18,807 --> 00:07:21,085 And Dr. Griffith will join us 135 00:07:21,109 --> 00:07:23,087 after he pages Dr. Chen in radiology. 136 00:07:23,111 --> 00:07:25,089 And why am I paging Dr. Chen? 137 00:07:25,113 --> 00:07:27,224 Well, I have a feeling he's looking for his white coat. 138 00:07:28,510 --> 00:07:30,761 Before you offer opinions on the cases I take, 139 00:07:30,785 --> 00:07:32,296 please make sure you've dressed yourself properly, 140 00:07:32,320 --> 00:07:34,062 Doctor. 141 00:07:35,095 --> 00:07:43,095 Synced & corrected by -robtor- www.addic7ed.com 142 00:07:47,836 --> 00:07:48,813 First, they said it was a cold, 143 00:07:48,837 --> 00:07:50,214 and then they sent us here. 144 00:07:50,720 --> 00:07:52,483 Nobody can tell us what's wrong. 145 00:07:52,507 --> 00:07:53,484 And his cough keeps getting worse. 146 00:07:53,508 --> 00:07:54,485 When did it start? 147 00:07:54,509 --> 00:07:56,253 Weeks ago. What, two, three? 148 00:07:56,277 --> 00:07:59,290 Ellie, for the last time, put on your shoes. 149 00:07:59,314 --> 00:08:01,258 How Bohemian. 150 00:08:01,282 --> 00:08:03,194 Is there any family history of heart problems? 151 00:08:03,218 --> 00:08:04,762 Not that I know of. 152 00:08:04,786 --> 00:08:05,796 Let's get a nebulizer 153 00:08:05,820 --> 00:08:07,097 with 2.5 milligrams 154 00:08:07,121 --> 00:08:08,833 - Of albuterol. - You got it. 155 00:08:08,857 --> 00:08:11,202 His heart muscle does appear to be inflamed, 156 00:08:11,226 --> 00:08:12,970 so I'd like to put him on an anti-inflammatory 157 00:08:12,994 --> 00:08:15,472 and do a breathing treatment to calm the cough. 158 00:08:15,496 --> 00:08:17,241 He's just been suffering so much. 159 00:08:17,265 --> 00:08:19,643 Let's also run a 12-lead EKG 160 00:08:19,667 --> 00:08:21,078 and do a bacterial culture. 161 00:08:21,102 --> 00:08:22,847 Well, it's most likely viral, so.., 162 00:08:22,871 --> 00:08:24,515 Well, given the abnormality in the X-ray, 163 00:08:24,539 --> 00:08:25,816 I would like to be sure. 164 00:08:25,840 --> 00:08:28,552 Let's give it back to Dr. Hamamura in peds. 165 00:08:28,576 --> 00:08:30,120 Those symptoms are basically... 166 00:08:30,144 --> 00:08:31,712 - Oh! - Ellie. 167 00:08:32,881 --> 00:08:35,392 Here you go. Ready? There we go. Sorry. 168 00:08:35,416 --> 00:08:37,328 The findings are nonspecific. 169 00:08:37,352 --> 00:08:39,797 Hence my desire for more diagnostic testing. 170 00:08:39,821 --> 00:08:42,366 We should have some answers, for you all very soon. 171 00:08:47,311 --> 00:08:48,739 How long are we gonna do this? 172 00:08:48,763 --> 00:08:50,241 You won't make eye contact with me, 173 00:08:50,265 --> 00:08:52,509 - you barely speak to me. - What do you want me to say, Lex? 174 00:08:52,533 --> 00:08:55,212 Whatever you need to say for us to get through this. 175 00:08:58,647 --> 00:09:00,751 We have always been straight with each other. 176 00:09:00,775 --> 00:09:03,652 That was before you slept with my father. 177 00:09:04,946 --> 00:09:06,557 I trusted you. 178 00:09:06,581 --> 00:09:10,227 I confided in you about him. 179 00:09:10,251 --> 00:09:12,863 - And this whole time, you... - No, not this whole time. 180 00:09:12,887 --> 00:09:16,033 I swear, it just started a few months before the shooting. 181 00:09:16,057 --> 00:09:18,035 The fact that it started at all. 182 00:09:18,059 --> 00:09:19,503 What is the drama with them? 183 00:09:19,918 --> 00:09:21,739 I don't know. Ask Lex. 184 00:09:21,763 --> 00:09:23,007 I did. 185 00:09:23,031 --> 00:09:24,742 She told me to go back to my hobbit hole, 186 00:09:24,766 --> 00:09:26,043 which makes no sense. 187 00:09:26,067 --> 00:09:27,444 What makes no sense? 188 00:09:27,468 --> 00:09:28,579 Well, hobbits are famously short, 189 00:09:28,603 --> 00:09:29,880 and they have hairy feet. 190 00:09:29,904 --> 00:09:31,382 I possess neither of those traits. 191 00:09:31,406 --> 00:09:33,017 You're more hobbit-y than I am. 192 00:09:33,041 --> 00:09:34,118 Wow, thank you. 193 00:09:34,142 --> 00:09:35,286 What's the holdup? 194 00:09:35,310 --> 00:09:37,060 - What are we talking about? - Oh. 195 00:09:37,812 --> 00:09:40,791 Uh, just... feet. 196 00:09:40,815 --> 00:09:42,393 My feet, uh, 197 00:09:42,417 --> 00:09:44,094 which are not hairy. 198 00:09:44,567 --> 00:09:46,163 Not that there's anything wr... 199 00:09:46,187 --> 00:09:47,498 I mean, you could have hairy feet, 200 00:09:47,522 --> 00:09:49,300 and that's a beautiful thing. 201 00:09:49,823 --> 00:09:51,068 Wow. 202 00:09:51,449 --> 00:09:52,736 I can't do this right now. 203 00:09:52,760 --> 00:09:54,305 Is that how it's gonna be from now on? 204 00:09:54,329 --> 00:09:56,063 This is how it's gonna be today. 205 00:09:59,749 --> 00:10:01,345 I've reviewed your chart, Mr. Morris. 206 00:10:01,369 --> 00:10:03,347 - Ted's fine. - Okay. 207 00:10:03,371 --> 00:10:04,748 How long have you had the palpitations 208 00:10:04,772 --> 00:10:06,417 - and the dizziness? - Um... 209 00:10:06,441 --> 00:10:08,742 A couple weeks, but it's-it's getting worse. 210 00:10:14,115 --> 00:10:15,793 That is a rapid heart rate. 211 00:10:15,817 --> 00:10:18,462 I'd like to revisit the dosages of your medications. 212 00:10:18,486 --> 00:10:19,496 I don't take them. 213 00:10:19,811 --> 00:10:20,965 I don't like pills. 214 00:10:20,989 --> 00:10:22,299 Besides, I, uh, 215 00:10:22,323 --> 00:10:23,934 I pretty much felt fine up until now, so... 216 00:10:23,958 --> 00:10:26,003 Says you almost passed out a couple times. 217 00:10:26,027 --> 00:10:27,304 That doesn't sound fine. 218 00:10:27,944 --> 00:10:29,807 Well, I'm just, I'm tired, you know. 219 00:10:29,831 --> 00:10:31,342 I'm-I'm not the greatest sleeper. 220 00:10:31,366 --> 00:10:33,177 Well, given your history of carotid artery disease, 221 00:10:33,201 --> 00:10:35,765 this could be a critical lesion that needs intervention. 222 00:10:35,789 --> 00:10:37,727 Exactly. I'd like to admit you. 223 00:10:38,121 --> 00:10:39,450 And-and stay here? 224 00:10:39,474 --> 00:10:41,018 - Yes. - Overnight? 225 00:10:41,042 --> 00:10:42,019 Yes. 226 00:10:42,667 --> 00:10:44,455 No way. 227 00:10:44,479 --> 00:10:46,023 Mr. Morris, you may need to have surgery. 228 00:10:46,047 --> 00:10:47,458 Yeah, you know what? I-It's fine. 229 00:10:47,482 --> 00:10:48,993 I can always come back tomorrow. 230 00:10:49,017 --> 00:10:50,127 I just, I just can't sleep here. 231 00:10:50,151 --> 00:10:51,628 Can't sleep at home, though, either. 232 00:10:51,652 --> 00:10:52,730 Can you? 233 00:10:52,754 --> 00:10:54,298 Given how many times you're woken up 234 00:10:54,322 --> 00:10:55,532 by your own snoring? 235 00:10:55,972 --> 00:10:57,468 How-how do you know I snore? 236 00:10:57,492 --> 00:10:59,970 Have you lost vision in an eye recently? 237 00:11:00,533 --> 00:11:02,000 Just for a minute or two? 238 00:11:02,771 --> 00:11:04,675 Yeah, yeah, but I thought it was a migraine. 239 00:11:04,699 --> 00:11:06,844 Hmm, well, it wasn't a migraine. 240 00:11:06,868 --> 00:11:08,078 It was a stroke. 241 00:11:09,194 --> 00:11:10,714 Well, a ministroke. 242 00:11:10,738 --> 00:11:13,384 Next time, it'll be a full cerebrovascular accident. 243 00:11:13,408 --> 00:11:17,187 We're talking, well, paralysis, speech problems, 244 00:11:17,211 --> 00:11:19,323 - brain damage. - Wait, I-I didn't... 245 00:11:19,347 --> 00:11:20,991 I didn't tell anybody about my eye. How do you... 246 00:11:21,015 --> 00:11:22,393 How-how do you know this? 247 00:11:22,916 --> 00:11:24,795 I've been doing this job a long time, Ted. 248 00:11:24,819 --> 00:11:28,010 Guys like you... Young, don't smoke, 249 00:11:28,034 --> 00:11:30,067 no diabetes, no hypertension, 250 00:11:30,091 --> 00:11:33,637 none of the typical risk factors for carotid artery disease... 251 00:11:33,661 --> 00:11:36,340 You all snore, and you're also stubborn, 252 00:11:36,364 --> 00:11:38,842 which means if you've experienced warning signs, 253 00:11:38,866 --> 00:11:40,577 you ignored them. 254 00:11:40,601 --> 00:11:41,845 It's why guys like you, 255 00:11:41,869 --> 00:11:43,914 who shouldn't even have this disease, 256 00:11:43,938 --> 00:11:45,572 usually end up dying from it. 257 00:11:47,321 --> 00:11:48,555 But, you know... 258 00:11:57,985 --> 00:11:59,630 Hey, Hamamura. 259 00:11:59,654 --> 00:12:01,632 We got a triple CABG later, you want it? 260 00:12:01,656 --> 00:12:04,401 Do I want your coronary artery bypass surgery? 261 00:12:04,425 --> 00:12:07,704 Yeah, you know, I thought since we were doing your job. 262 00:12:07,728 --> 00:12:11,602 Keeping that baby alive is, in fact, all of our jobs. 263 00:12:11,626 --> 00:12:13,310 And I'm happy to consult. 264 00:12:13,334 --> 00:12:14,501 I'll be in touch. 265 00:12:16,094 --> 00:12:17,648 Okay. 266 00:12:17,672 --> 00:12:20,451 Your proctorship requires that you comply with my directives, 267 00:12:20,475 --> 00:12:22,920 not question them. It's all in the guidelines I sent to you. 268 00:12:22,944 --> 00:12:24,788 Mm, about those guidelines... 269 00:12:24,812 --> 00:12:25,956 Surgeon's knots? 270 00:12:25,980 --> 00:12:28,459 Sim Lab? Isn't that a little remedial? 271 00:12:28,483 --> 00:12:30,260 They're standard benchmarks for evaluation. 272 00:12:30,284 --> 00:12:31,628 And we can't skip the baby steps? 273 00:12:31,652 --> 00:12:33,964 No, you can't skip basic skill assessments. 274 00:12:33,988 --> 00:12:35,799 I thought the goal was to get me back into surgery. 275 00:12:35,823 --> 00:12:38,091 It is, once you've proven basic competency. 276 00:12:39,427 --> 00:12:40,970 You're questioning my basic competency? 277 00:12:40,994 --> 00:12:44,241 I am saying that you have to 278 00:12:44,265 --> 00:12:46,410 follow the rules like everybody else. 279 00:12:46,434 --> 00:12:48,645 Studies show that even two weeks away from surgery 280 00:12:48,669 --> 00:12:50,714 diminishes performance, and that's for surgeons 281 00:12:50,738 --> 00:12:52,583 who weren't in a coma for six months. 282 00:12:52,607 --> 00:12:54,017 Accelerating your time line is 283 00:12:54,041 --> 00:12:56,353 just not in the patients' best interest. 284 00:12:56,377 --> 00:12:58,522 Which one of us just prevented a patient from walking out? 285 00:12:58,546 --> 00:13:01,024 You can't skip ahead without putting in the time. 286 00:13:01,048 --> 00:13:02,326 That's funny. 287 00:13:02,350 --> 00:13:04,428 I know a department head that did exactly that. 288 00:13:08,345 --> 00:13:10,300 Do you have an emergency contact, 289 00:13:10,324 --> 00:13:12,202 since you'll be staying here overnight? 290 00:13:12,226 --> 00:13:14,037 Yeah, my wife. 291 00:13:14,061 --> 00:13:16,039 Well, my ex-wife. 292 00:13:16,404 --> 00:13:18,775 Well, I only see an email address. 293 00:13:18,799 --> 00:13:21,345 Um, yeah, that's... I-I don't know her number. 294 00:13:21,369 --> 00:13:23,077 She, uh, she changed it when she left. 295 00:13:23,804 --> 00:13:26,350 Sounds like she'd maybe rather not be contacted. 296 00:13:27,375 --> 00:13:28,852 She's just mad, you know. 297 00:13:28,876 --> 00:13:30,254 It's just who she is. 298 00:13:31,379 --> 00:13:32,623 How-how long's it been? 299 00:13:32,921 --> 00:13:34,158 How long were we married? 300 00:13:34,182 --> 00:13:35,482 No, how long since she left? 301 00:13:36,484 --> 00:13:38,162 Um... 302 00:13:38,186 --> 00:13:39,963 About eight-eight years. 303 00:13:39,987 --> 00:13:41,021 Give or take. 304 00:13:43,324 --> 00:13:45,602 He doesn't take his meds for his heart condition. 305 00:13:45,626 --> 00:13:47,204 Doesn't realize his wife's not coming back. 306 00:13:47,228 --> 00:13:48,805 That's how denial works. 307 00:13:48,829 --> 00:13:51,041 You see what you want to see. You ignore what you don't. 308 00:13:51,856 --> 00:13:53,377 Where is she going? 309 00:13:53,401 --> 00:13:54,845 Well, if I had to guess, 310 00:13:54,869 --> 00:13:56,691 I'd say she's going out. 311 00:13:57,070 --> 00:13:58,182 With him. 312 00:13:58,738 --> 00:14:00,651 What, like a date? 313 00:14:00,675 --> 00:14:02,219 No. No way. 314 00:14:02,243 --> 00:14:03,921 Hey, Caleb. 315 00:14:03,945 --> 00:14:05,946 What's that you were saying about denial? 316 00:14:08,115 --> 00:14:09,359 I'm not saying 317 00:14:09,383 --> 00:14:10,561 that I wish my dad were 318 00:14:10,585 --> 00:14:11,818 still in a coma. 319 00:14:13,287 --> 00:14:15,899 You're thinking you have had better conversations 320 00:14:15,923 --> 00:14:17,167 on a first date. 321 00:14:18,793 --> 00:14:20,437 Actually, I am thinking about 322 00:14:20,461 --> 00:14:23,430 how beautiful you look right now. 323 00:14:25,900 --> 00:14:27,411 Well... 324 00:14:29,570 --> 00:14:31,014 I am, uh... 325 00:14:31,038 --> 00:14:33,183 better at taking vitals than taking compliments. 326 00:14:33,385 --> 00:14:34,529 Yeah. 327 00:14:34,554 --> 00:14:36,198 Thank you. 328 00:14:36,489 --> 00:14:38,069 You are welcome. 329 00:14:40,747 --> 00:14:41,791 Right this way. 330 00:14:42,532 --> 00:14:44,484 - Yeah. Mm. - Uh-huh. 331 00:14:45,720 --> 00:14:47,164 Okay. 332 00:14:47,188 --> 00:14:48,999 I needed this. 333 00:14:49,023 --> 00:14:52,769 To get out of the hospital, mentally and physically. 334 00:14:52,793 --> 00:14:55,973 And tonight, all I want to think about is... 335 00:14:55,997 --> 00:14:57,574 My dad. 336 00:14:57,598 --> 00:14:59,276 Sorry? 337 00:14:59,300 --> 00:15:01,111 My dad is here. 338 00:15:03,704 --> 00:15:05,882 And he's having dinner with my dad. 339 00:15:05,906 --> 00:15:08,418 The chairman of the board. 340 00:15:09,309 --> 00:15:10,954 He's trying to go over my head. 341 00:15:11,477 --> 00:15:13,513 Skip to the end of his proctorship. 342 00:15:30,036 --> 00:15:31,013 Hey. 343 00:15:31,037 --> 00:15:32,614 Hi. Ugh. 344 00:15:32,638 --> 00:15:34,817 I'm sorry again for bailing on you last night. 345 00:15:34,841 --> 00:15:36,952 And I am sorry for accidentally taking you out 346 00:15:36,976 --> 00:15:38,387 on the worst double date in history. 347 00:15:38,411 --> 00:15:40,322 It was a long night, 348 00:15:40,346 --> 00:15:42,280 but I am almost done here. 349 00:15:43,109 --> 00:15:44,220 What is all of this? 350 00:15:44,254 --> 00:15:46,289 This is every study I could find on the value 351 00:15:46,314 --> 00:15:47,825 of empirical assessments for surgeons 352 00:15:47,850 --> 00:15:49,639 - after an extended leave. - Hmm. 353 00:15:49,664 --> 00:15:52,467 Before my dad convinces the board to fast-track him, 354 00:15:52,492 --> 00:15:54,236 I just think they should see all the data. 355 00:15:54,260 --> 00:15:56,638 - This is a lot of data. - Yeah. 356 00:15:56,662 --> 00:15:58,240 Which I find to be very, um... 357 00:15:58,264 --> 00:15:59,942 What? Preachy? Pedantic? 358 00:15:59,966 --> 00:16:00,999 Sexy. 359 00:16:02,635 --> 00:16:04,179 Oh. 360 00:16:04,203 --> 00:16:06,215 Data is my love language. 361 00:16:06,908 --> 00:16:08,350 You and me both. 362 00:16:08,374 --> 00:16:10,185 My mom is gonna slip these 363 00:16:10,209 --> 00:16:11,754 to the board before the meeting. 364 00:16:11,778 --> 00:16:13,422 If they let my dad have his way and something goes wrong, 365 00:16:13,446 --> 00:16:14,623 they'll have blood on their hands. 366 00:16:14,647 --> 00:16:16,392 Oh, my God. Okay, you... 367 00:16:16,416 --> 00:16:18,060 You didn't put that in there, did you? 368 00:16:18,084 --> 00:16:19,604 Not in so many words. 369 00:16:19,628 --> 00:16:21,054 Good. 370 00:16:21,078 --> 00:16:23,098 'Cause I'm guessing that blood on their hands is not 371 00:16:23,122 --> 00:16:24,256 their love language. 372 00:16:26,177 --> 00:16:27,388 How are his vitals? 373 00:16:27,412 --> 00:16:29,457 Blood pressure 184/124. 374 00:16:29,481 --> 00:16:31,058 Heart rate in the 120s. 375 00:16:31,082 --> 00:16:32,860 Hmm. Let's increase his nicardipine drip 376 00:16:32,884 --> 00:16:34,095 and order a beta-blocker. 377 00:16:34,119 --> 00:16:35,730 Why haven't you done the surgery yet? 378 00:16:35,754 --> 00:16:38,199 You have to be medically optimized for surgery, 379 00:16:38,223 --> 00:16:39,300 and that can take some time, 380 00:16:39,324 --> 00:16:40,768 especially since you didn't take 381 00:16:40,792 --> 00:16:42,703 your prescribed anticoagulants. 382 00:16:42,727 --> 00:16:43,971 Can't you just do it? 383 00:16:43,995 --> 00:16:44,972 - Well, I... - Dr. Griffith can't 384 00:16:44,996 --> 00:16:46,240 perform surgery right now. 385 00:16:46,264 --> 00:16:48,075 - Why not? - He's undergoing proctorship. 386 00:16:48,099 --> 00:16:49,443 I'll be hands-on. 387 00:16:49,467 --> 00:16:50,578 I'll supervise the whole time. 388 00:16:50,602 --> 00:16:52,146 In a completely hands-off kind of way. 389 00:16:52,170 --> 00:16:53,814 Look, I just, I just want to get this over with. 390 00:16:53,838 --> 00:16:54,815 I understand. 391 00:16:54,839 --> 00:16:56,717 But there is a reason 392 00:16:56,741 --> 00:16:58,719 that we do things this way. 393 00:16:58,743 --> 00:17:00,087 We want to reduce your risk 394 00:17:00,111 --> 00:17:02,023 and increase your chances of success. 395 00:17:02,047 --> 00:17:03,424 And so, cutting corners 396 00:17:03,448 --> 00:17:05,359 or rushing the process 397 00:17:05,383 --> 00:17:07,261 would not be a good idea. 398 00:17:07,285 --> 00:17:09,597 No matter what the board says. 399 00:17:10,822 --> 00:17:12,967 There's the enlargement we saw on the X-ray. 400 00:17:12,991 --> 00:17:15,803 The muscle tissue in the left ventricle is very thick. 401 00:17:15,827 --> 00:17:17,138 The word is "hypertrophic." 402 00:17:17,162 --> 00:17:18,172 His heart muscle is enlarged, 403 00:17:18,196 --> 00:17:19,440 which can cause 404 00:17:19,464 --> 00:17:20,541 a fluid backup in his lungs. 405 00:17:20,565 --> 00:17:21,709 It might explain the... 406 00:17:23,535 --> 00:17:25,869 Page Respiratory for me now. 407 00:17:26,671 --> 00:17:28,449 Why don't we step outside, please? 408 00:17:28,473 --> 00:17:30,151 - Why? What's going on? - Let's go down to the cafe. 409 00:17:30,175 --> 00:17:31,953 What... 410 00:17:31,977 --> 00:17:33,187 - Baby's in V-tach. - What's wrong with him? 411 00:17:33,211 --> 00:17:35,356 - Crash cart! Cart! - What's wrong with him? 412 00:17:35,380 --> 00:17:36,624 Get me the pace pads, I need to shock him out of it. 413 00:17:36,648 --> 00:17:37,692 We need you to step outside. 414 00:17:37,716 --> 00:17:39,660 I'm not going. 415 00:17:41,152 --> 00:17:42,997 Spontaneously converted. 416 00:17:43,021 --> 00:17:44,665 Get him on an ACE inhibitor. 417 00:17:44,689 --> 00:17:46,267 I want an MRI as soon as anesthesia can do it. 418 00:17:46,291 --> 00:17:47,344 I don't understand. 419 00:17:47,368 --> 00:17:49,437 - He had an arrhythmia. - What caused that? 420 00:17:49,461 --> 00:17:50,861 That is what we're gonna find out. 421 00:18:06,845 --> 00:18:08,422 - Hey. - Hey. 422 00:18:08,779 --> 00:18:10,858 - Thanks for coming. - Well, you said 423 00:18:10,882 --> 00:18:13,027 that if I met you, you would stop texting me. 424 00:18:13,051 --> 00:18:14,660 Uh-uh-uh. 425 00:18:15,847 --> 00:18:17,592 Just so we are clear, 426 00:18:18,023 --> 00:18:19,834 whatever we used to do in here, 427 00:18:19,858 --> 00:18:21,936 we're not doing it now. 428 00:18:22,376 --> 00:18:24,438 You have to stop this. 429 00:18:24,462 --> 00:18:27,264 Don't you miss us? 430 00:18:29,034 --> 00:18:30,901 No. 431 00:18:33,071 --> 00:18:35,883 I'm past this. 432 00:18:35,907 --> 00:18:38,352 Okay? And you need to be, too. 433 00:18:38,376 --> 00:18:39,936 I'm trying. 434 00:18:39,961 --> 00:18:41,812 I need time. It's... 435 00:18:42,680 --> 00:18:45,883 It's been six months for you, not for me. 436 00:18:45,907 --> 00:18:48,252 It's been six months for everyone, Griff. 437 00:18:49,254 --> 00:18:50,831 You know, but you don't want to accept it 438 00:18:50,855 --> 00:18:53,000 because in your head, you're still there... 439 00:18:53,024 --> 00:18:54,735 Before you were shot, 440 00:18:54,759 --> 00:18:56,619 before Sam took over, before we broke up. 441 00:18:57,578 --> 00:18:59,407 It was good back then, though. 442 00:18:59,431 --> 00:19:00,875 Wasn't it? 443 00:19:00,899 --> 00:19:03,544 We cannot go back to the way it was. 444 00:19:03,709 --> 00:19:05,162 So... 445 00:19:05,186 --> 00:19:08,449 No more texting. No more calling. 446 00:19:08,473 --> 00:19:10,818 And no more looking at me the way you do. 447 00:19:10,842 --> 00:19:12,920 I like looking at you. 448 00:19:12,944 --> 00:19:14,555 Well, you need to quit. 449 00:19:14,579 --> 00:19:16,891 Look, it's in the past, 450 00:19:17,274 --> 00:19:19,508 and that's where it has to stay. 451 00:19:32,697 --> 00:19:34,008 What are you doing? 452 00:19:34,032 --> 00:19:36,010 - Uh, nothing. - Really? 453 00:19:36,034 --> 00:19:38,379 Because it looks like you were in the supply closet 454 00:19:38,403 --> 00:19:40,948 - racking up HR violations. - Well, technically, 455 00:19:40,972 --> 00:19:43,108 it's not a violation because I'm no longer a supervisor. 456 00:19:43,132 --> 00:19:44,194 Oh, my... 457 00:19:44,218 --> 00:19:46,454 Where am I supposed to have a private conversation? 458 00:19:46,478 --> 00:19:47,888 My office is occupied. 459 00:19:47,912 --> 00:19:49,924 It's not your office, and you are not in charge. 460 00:19:49,948 --> 00:19:52,674 Hey, why were you having dinner with Byron Kingsley last night? 461 00:19:52,698 --> 00:19:56,330 Because I needed to talk to him, and, again, no office. 462 00:19:56,762 --> 00:19:59,133 Do you know why Sam was given this job, Griff? 463 00:19:59,157 --> 00:20:00,401 Because I was in a coma? 464 00:20:00,425 --> 00:20:01,902 Because she was the best. 465 00:20:01,926 --> 00:20:03,137 A lot of people went up for that position. 466 00:20:03,161 --> 00:20:05,339 She was the best candidate. 467 00:20:05,363 --> 00:20:06,640 I'm sure she was, compared to them, 468 00:20:06,664 --> 00:20:07,975 but not compared to me. 469 00:20:07,999 --> 00:20:10,010 We both know I should be 470 00:20:10,034 --> 00:20:12,824 back in charge and back in surgery. 471 00:20:12,848 --> 00:20:14,715 You want to get back in surgery? 472 00:20:14,739 --> 00:20:16,984 Then get out of the closet 473 00:20:17,008 --> 00:20:19,320 and focus on your proctorship. 474 00:20:19,344 --> 00:20:21,055 Oh, I'm very focused. I'm on it. 475 00:20:21,079 --> 00:20:23,614 In fact, I got a meeting right now. 476 00:20:24,582 --> 00:20:28,329 What meeting? Proctees don't have meetings. 477 00:20:28,353 --> 00:20:30,171 Can't hear you. 478 00:20:31,589 --> 00:20:33,400 I don't get it. A ten-month-old 479 00:20:33,424 --> 00:20:34,835 with left ventricular hypertrophy, 480 00:20:34,859 --> 00:20:37,471 and his cough is getting worse despite the meds. 481 00:20:37,495 --> 00:20:39,306 Maybe it's because of the meds? 482 00:20:39,330 --> 00:20:40,708 Side effect of the ACE inhibitor. 483 00:20:40,732 --> 00:20:42,143 It's possible. We can switch him 484 00:20:42,167 --> 00:20:43,477 - to irbesartan. - Put him on irbesartan. 485 00:20:43,501 --> 00:20:44,845 Yeah, that thing. 486 00:20:44,869 --> 00:20:46,013 Sorry. Go ahead. 487 00:20:46,037 --> 00:20:47,448 And we'll put him on a diuretic 488 00:20:47,472 --> 00:20:49,183 to address the fluid built-up in him lungs. 489 00:20:53,578 --> 00:20:54,955 Whose phone is that? 490 00:20:54,979 --> 00:20:56,957 It's unprofessional. 491 00:21:00,752 --> 00:21:02,196 Oh. 492 00:21:03,827 --> 00:21:05,728 Here, hold that. 493 00:21:06,791 --> 00:21:08,502 It's me. 494 00:21:08,526 --> 00:21:12,072 And I have to take it. Excuse me. 495 00:21:15,266 --> 00:21:16,944 You tell her I say hi. 496 00:21:16,968 --> 00:21:19,513 Okay. I got to go. 497 00:21:20,262 --> 00:21:22,449 We have an infant undergoing diagnostic testing. 498 00:21:22,473 --> 00:21:24,351 You cannot take a phone call. 499 00:21:24,375 --> 00:21:26,053 - I understand. - I don't think you do. 500 00:21:26,077 --> 00:21:28,255 You are under my authority. 501 00:21:28,279 --> 00:21:30,391 I dictate how this proctorship proceeds, 502 00:21:30,415 --> 00:21:32,560 no matter how many members of the board you take to dinner. 503 00:21:32,584 --> 00:21:34,595 They concur. 504 00:21:34,619 --> 00:21:36,030 - Who is they? - The board. 505 00:21:36,054 --> 00:21:37,298 They just called. 506 00:21:37,322 --> 00:21:38,599 They agree with you on the time line. 507 00:21:38,623 --> 00:21:39,900 No fast-tracking. 508 00:21:39,924 --> 00:21:42,603 This proctorship ends when you say it ends. 509 00:21:42,627 --> 00:21:44,672 Oh. Well, 510 00:21:44,696 --> 00:21:45,940 good. 511 00:21:45,964 --> 00:21:47,508 They-they did also agree with me 512 00:21:47,532 --> 00:21:49,343 that when it ends, 513 00:21:50,126 --> 00:21:52,580 - I'll be reinstated as chief. - What? 514 00:21:53,045 --> 00:21:54,548 I get my job back. 515 00:21:54,572 --> 00:21:56,617 Things go back to how they were, 516 00:21:56,641 --> 00:21:58,352 and... 517 00:21:58,376 --> 00:22:00,054 how they ought to be. 518 00:22:16,252 --> 00:22:19,164 If I wasn't so angry, I'd be impressed. 519 00:22:19,188 --> 00:22:20,932 How did he do this? 520 00:22:20,956 --> 00:22:22,567 How could the board have agreed to it? 521 00:22:22,591 --> 00:22:24,403 - What did he say to them? - Yeah, I-I don't know. 522 00:22:24,427 --> 00:22:25,837 I wasn't there, but, uh... 523 00:22:25,861 --> 00:22:27,606 The chief medical officer doesn't get invited 524 00:22:27,630 --> 00:22:29,708 to board meetings, but he gets a seat at the table. 525 00:22:29,732 --> 00:22:31,576 He should never have been allowed 526 00:22:31,600 --> 00:22:32,944 in that room. 527 00:22:32,968 --> 00:22:34,246 But he was. 528 00:22:38,321 --> 00:22:40,299 What am I supposed to do now? 529 00:22:40,617 --> 00:22:42,895 You don't have to proctor him. 530 00:22:43,012 --> 00:22:44,656 He'll just find someone else to do it. 531 00:22:45,431 --> 00:22:47,059 Until you clear him, 532 00:22:47,083 --> 00:22:49,027 he answers to you. 533 00:22:49,051 --> 00:22:51,163 And then what? He gets his job back? 534 00:22:51,187 --> 00:22:52,698 No, he can't just get it back. 535 00:22:52,722 --> 00:22:54,232 They have to formally vote on it. 536 00:22:54,256 --> 00:22:55,767 Without hearing my side? 537 00:22:55,791 --> 00:22:57,669 They can't do that. I have to get in front of them. 538 00:22:57,693 --> 00:22:59,093 Well, they've already adjourned, but... 539 00:22:59,117 --> 00:23:02,040 Well, then I'll call an emergency meeting. 540 00:23:02,064 --> 00:23:04,399 If he found a way to get into that room, so can I. 541 00:23:11,607 --> 00:23:14,086 I am so much happier working for Sam. 542 00:23:14,110 --> 00:23:16,288 Griff getting his job back is not good for me. 543 00:23:16,312 --> 00:23:18,256 - You're right. He never liked you. - Have you seen Ted's labs? 544 00:23:18,280 --> 00:23:19,958 His blood sugar is through the roof. 545 00:23:19,982 --> 00:23:21,793 He's afebrile. Troponins are negative. 546 00:23:21,817 --> 00:23:23,061 Could just be a stress response. 547 00:23:23,085 --> 00:23:24,596 Or he's sneaking food in. 548 00:23:24,620 --> 00:23:25,694 They all do it. 549 00:23:25,718 --> 00:23:26,874 These delivery apps? 550 00:23:26,898 --> 00:23:29,901 Yesterday, I intercepted a Coney dog with fries. 551 00:23:29,925 --> 00:23:31,303 We need the evidence, Donna. 552 00:23:31,327 --> 00:23:32,404 I'm on it. 553 00:23:34,363 --> 00:23:36,074 Would you relax? 554 00:23:36,098 --> 00:23:38,143 Sam is still the boss. 555 00:23:38,167 --> 00:23:39,478 Just follow her lead. 556 00:23:39,502 --> 00:23:40,600 I agree. 557 00:23:40,624 --> 00:23:42,414 Because you're trying to get back together with her. 558 00:23:42,438 --> 00:23:43,682 Oh, that ship has sailed. 559 00:23:43,706 --> 00:23:45,617 Wrong, it hasn't sailed at all. 560 00:23:45,641 --> 00:23:48,220 I know that ship well. It's a very reliable vessel. 561 00:23:48,244 --> 00:23:50,489 You do know Sam is not a boat, right? 562 00:23:50,513 --> 00:23:52,391 - The relationship's the boat. - And it's still in the harbor. 563 00:23:52,415 --> 00:23:53,992 It's halfway to Fiji. 564 00:23:54,016 --> 00:23:56,628 Griff can't be our boss again. 565 00:23:56,652 --> 00:23:58,597 I think I'm having a panic attack. 566 00:23:58,621 --> 00:24:00,098 Lex, take my pulse. 567 00:24:00,122 --> 00:24:01,600 You've lost your damn mind. 568 00:24:01,624 --> 00:24:02,634 Look, 569 00:24:03,008 --> 00:24:04,669 we follow Sam. 570 00:24:04,819 --> 00:24:07,054 All right? Don't get caught up in Griff's game. 571 00:24:08,531 --> 00:24:09,898 Let's go. 572 00:24:12,334 --> 00:24:14,679 Okay, back to our pediatric case. 573 00:24:14,703 --> 00:24:16,548 MRI shows the muscle in the left ventricle 574 00:24:16,572 --> 00:24:17,816 is not only thick, it's filled 575 00:24:17,840 --> 00:24:19,684 with deep intertrabecular recesses. 576 00:24:19,708 --> 00:24:21,453 The myocardium looks like a sponge. 577 00:24:21,477 --> 00:24:23,622 It looks, I don't know, embryonic? 578 00:24:23,646 --> 00:24:25,524 Exactly, undeveloped cells that contribute 579 00:24:25,548 --> 00:24:26,892 nothing to the overall heart function. 580 00:24:26,916 --> 00:24:28,693 Dr. Shah, I'd like to follow up 581 00:24:28,717 --> 00:24:30,285 on this mitral valve replacement. 582 00:24:31,120 --> 00:24:33,698 - Follow up with me? - Yeah. 583 00:24:33,722 --> 00:24:35,200 I need you to get a PFT, 584 00:24:35,224 --> 00:24:36,368 please. 585 00:24:36,959 --> 00:24:38,837 Dr. Shah, stop right there. 586 00:24:38,861 --> 00:24:40,639 No one should be ordering tests for 587 00:24:40,663 --> 00:24:42,808 or taking cases from Dr. Griffith. 588 00:24:42,832 --> 00:24:44,142 The board's decision is not 589 00:24:44,166 --> 00:24:45,492 immediately effective. 590 00:24:45,516 --> 00:24:47,712 We are discussing this infant's treatment plan. 591 00:24:47,736 --> 00:24:50,015 Put him on the transplant list, prepare for a Berlin Heart. 592 00:24:50,039 --> 00:24:52,384 There, now can we talk about my thing? 593 00:24:52,408 --> 00:24:53,983 A transplant is not his only option. 594 00:24:54,007 --> 00:24:56,140 - This is a genetic disorder. - For which there is no cure. 595 00:24:56,164 --> 00:24:58,390 A lot of major academic institutions 596 00:24:58,414 --> 00:25:00,892 are making huge achievements in gene editing therapy. 597 00:25:00,916 --> 00:25:03,161 Which holds a lot of promise for the future, but not today. 598 00:25:03,185 --> 00:25:04,396 Not for this patient. 599 00:25:04,420 --> 00:25:05,831 Just because something is new 600 00:25:05,855 --> 00:25:07,966 and different does not automatically disqualify it 601 00:25:07,990 --> 00:25:09,468 - as a valid... - Huntington's. Sickle cell. 602 00:25:09,492 --> 00:25:11,303 Hemophilia. All caused by an alteration 603 00:25:11,327 --> 00:25:12,537 to a single nucleotide. 604 00:25:12,561 --> 00:25:14,206 - Mm-hmm. - How do we know which one? 605 00:25:14,230 --> 00:25:15,307 Dr. Costa. 606 00:25:15,331 --> 00:25:16,808 We mapped the genomes of patients 607 00:25:16,832 --> 00:25:19,077 with those diseases and found the common mutations. 608 00:25:19,101 --> 00:25:20,969 Which requires what? 609 00:25:23,004 --> 00:25:24,415 Dr. Shah? 610 00:25:24,440 --> 00:25:26,184 A big enough sample size 611 00:25:26,208 --> 00:25:27,953 of affected patients to draw comparisons. 612 00:25:27,977 --> 00:25:30,088 There are over 50 genes affecting heart development. 613 00:25:30,112 --> 00:25:31,423 Even if we mapped the baby's genome, 614 00:25:31,447 --> 00:25:33,291 even if we found the mutations, 615 00:25:33,315 --> 00:25:35,694 we would have no way of knowing which one caused the disease. 616 00:25:35,718 --> 00:25:39,030 A sample size of one is simply too small. 617 00:25:44,827 --> 00:25:46,238 What you got there, Ted? 618 00:25:46,262 --> 00:25:48,039 - Huh? Nothing. - Really? 619 00:25:48,063 --> 00:25:50,408 Because Donna says she saw some candy wrappers in here earlier. 620 00:25:50,432 --> 00:25:51,543 Gummy bears. 621 00:25:51,567 --> 00:25:52,711 Under the pillow. 622 00:25:52,735 --> 00:25:54,346 You can't eat before surgery, Ted, 623 00:25:54,370 --> 00:25:55,614 especially not candy. 624 00:25:55,638 --> 00:25:56,715 Why not? 625 00:25:56,739 --> 00:25:57,883 Because high blood sugar causes 626 00:25:57,907 --> 00:25:59,851 something called oxidative stress, 627 00:25:59,875 --> 00:26:01,186 which will damage your blood vessels 628 00:26:01,210 --> 00:26:02,587 and increase your risk of stroke. 629 00:26:02,611 --> 00:26:05,056 And risk of stroke is why you're here in the first place. 630 00:26:05,080 --> 00:26:06,558 But we can't do your procedure 631 00:26:06,582 --> 00:26:08,059 until you're medically optimized. 632 00:26:08,083 --> 00:26:09,528 What does that mean? 633 00:26:09,552 --> 00:26:12,297 That means you just delayed your surgery. 634 00:26:12,321 --> 00:26:13,798 You mean I got to stay here longer? 635 00:26:13,822 --> 00:26:15,033 Yep. 636 00:26:15,057 --> 00:26:16,735 Well, can I at least have a new nurse, then? 637 00:26:16,759 --> 00:26:18,326 No, Ted. 638 00:26:22,631 --> 00:26:24,576 We will monitor his heart. 639 00:26:24,600 --> 00:26:26,978 And there are medications that can help with his symptoms, 640 00:26:27,002 --> 00:26:30,081 but he will likely be on them, for the rest of his life. 641 00:26:30,105 --> 00:26:31,850 What do you think? 642 00:26:31,874 --> 00:26:33,618 - Uh... - There are potential treatment options 643 00:26:33,642 --> 00:26:34,953 that we would like to discuss. 644 00:26:34,977 --> 00:26:36,621 We want what's best for our kids, don't we? 645 00:26:36,645 --> 00:26:38,823 Sometimes, that means making difficult decisions 646 00:26:38,847 --> 00:26:41,293 that they just don't understand. 647 00:26:41,317 --> 00:26:42,527 - Thank you, Doctor. - Wait. 648 00:26:42,551 --> 00:26:44,362 Difficult decisions? What do you mean? 649 00:26:44,386 --> 00:26:45,864 Gene therapy is one of the options... 650 00:26:45,888 --> 00:26:47,388 He's gonna need a Berlin Heart. 651 00:26:49,358 --> 00:26:52,003 That looks like life support. 652 00:26:52,027 --> 00:26:53,738 It is heart support, 653 00:26:53,762 --> 00:26:55,607 but he'll be breathing 654 00:26:55,631 --> 00:26:57,175 on his own. 655 00:26:57,199 --> 00:26:58,743 It's just a stopgap measure 656 00:26:58,767 --> 00:27:01,012 while he awaits a heart transplant. 657 00:27:01,036 --> 00:27:02,681 A heart transplant? 658 00:27:04,506 --> 00:27:05,568 That was out of line. 659 00:27:05,592 --> 00:27:06,958 It's the next logical step. 660 00:27:06,982 --> 00:27:08,820 I have barely finished walking those parents 661 00:27:08,844 --> 00:27:10,789 through the diagnosis, and you are talking about 662 00:27:10,813 --> 00:27:12,591 plugging their child into a machine. 663 00:27:12,615 --> 00:27:15,143 It's a pediatric ventricular assist device, but yes. 664 00:27:15,167 --> 00:27:16,928 It's designed for end-stage heart failure. 665 00:27:16,952 --> 00:27:18,863 Now is not the time for that conversation. 666 00:27:18,887 --> 00:27:21,199 Given his rate of decompensation, it is precisely the time. 667 00:27:21,223 --> 00:27:22,467 In your opinion. 668 00:27:22,491 --> 00:27:24,169 In my experience, which we both know 669 00:27:24,193 --> 00:27:26,304 - vastly outweighs yours. - Yes, it does. 670 00:27:26,328 --> 00:27:28,673 And in this case, your approach is outdated. 671 00:27:28,697 --> 00:27:30,575 Look, space medicine is not gonna help that baby. 672 00:27:30,599 --> 00:27:33,345 Gene therapy has helped a lot of people. 673 00:27:33,369 --> 00:27:34,980 Look, Dad, I understand 674 00:27:35,004 --> 00:27:36,982 that you want to go back to a time where you were in charge 675 00:27:37,006 --> 00:27:38,383 and dinosaurs roamed the Earth. 676 00:27:38,407 --> 00:27:39,751 - Ouch. - But things change. 677 00:27:39,775 --> 00:27:41,019 Meteorites hit, 678 00:27:41,043 --> 00:27:42,854 and a species that fails to evolve 679 00:27:42,878 --> 00:27:44,556 renders itself extinct. 680 00:27:44,580 --> 00:27:46,324 Species evolve 681 00:27:46,348 --> 00:27:48,360 - by learning from experience. - Okay. 682 00:27:48,384 --> 00:27:49,761 I am not giving up on that baby. 683 00:27:49,785 --> 00:27:52,731 Those parents would give anything to help their child, 684 00:27:52,755 --> 00:27:54,633 which I know you can't relate to as a father. 685 00:27:54,657 --> 00:27:57,002 Wow. I thought we were talking as doctors. 686 00:27:57,326 --> 00:27:58,670 Are we getting personal now? 687 00:27:58,694 --> 00:28:00,338 Well, you make it hard not to. 688 00:28:00,362 --> 00:28:02,207 So, what are we talking about? 689 00:28:02,231 --> 00:28:04,376 The job? Lex? Or... 690 00:28:04,400 --> 00:28:07,746 We are talking about you and your ego 691 00:28:07,770 --> 00:28:10,815 making it impossible for me to do my job. 692 00:28:10,839 --> 00:28:12,550 I'm trying to help. I'm trying to help the patient. 693 00:28:12,574 --> 00:28:14,085 Trying to help you. 694 00:28:14,109 --> 00:28:15,353 - Trying to help the hospital. - You want to help the patient? 695 00:28:15,377 --> 00:28:17,378 Don't undermine my treatment strategy. 696 00:28:18,213 --> 00:28:19,257 And since you bought up Lex, 697 00:28:19,281 --> 00:28:20,225 the next time you want to help me, 698 00:28:20,249 --> 00:28:22,417 don't screw my best friend! 699 00:28:35,303 --> 00:28:36,790 Lex, I'm sorry. 700 00:28:36,814 --> 00:28:38,792 I don't want your apology any more than you want mine. 701 00:28:38,816 --> 00:28:40,461 It's not gonna change anything. 702 00:28:40,485 --> 00:28:42,329 I didn't mean to out you like that. 703 00:28:42,353 --> 00:28:45,098 I don't want to make this harder than it already is. 704 00:28:45,122 --> 00:28:46,823 Too late. 705 00:28:53,205 --> 00:28:55,806 I don't know what it's gonna take to make this better, 706 00:28:56,407 --> 00:28:58,535 but I know it's bigger than "sorry." 707 00:29:02,874 --> 00:29:04,685 Dr. Tucker, I need you to prepare 708 00:29:04,709 --> 00:29:05,953 a surgical consent form 709 00:29:05,977 --> 00:29:07,921 for putting a patient on a Berlin Heart. Here. 710 00:29:07,945 --> 00:29:09,590 For the pediatric case? 711 00:29:09,614 --> 00:29:11,291 Is there another patient in imminent need 712 00:29:11,315 --> 00:29:13,160 of an assist device? 713 00:29:13,184 --> 00:29:14,962 Is Dr. Griffith aware that we're moving forward... 714 00:29:14,986 --> 00:29:17,798 - It's a timely request, Doctor. - Right. 715 00:29:17,822 --> 00:29:19,189 I'm on it. 716 00:29:22,293 --> 00:29:24,605 What happened to "follow Sam's lead"? 717 00:29:24,629 --> 00:29:25,799 What was I supposed to do? 718 00:29:25,823 --> 00:29:28,208 Dr. Tucker, we have a problem. 719 00:29:28,232 --> 00:29:30,333 - No kidding. - It's Ted. 720 00:29:30,357 --> 00:29:32,813 Those were not ordinary gummy bears. 721 00:29:33,255 --> 00:29:34,515 Somebody call 911! 722 00:29:34,539 --> 00:29:35,883 What is going on? 723 00:29:35,907 --> 00:29:38,352 - I'm-I'm having a heart attack. - He was eating candy, 724 00:29:38,376 --> 00:29:40,254 again, when I checked on him this morning. 725 00:29:40,278 --> 00:29:42,155 This time, when I confiscated it, 726 00:29:42,179 --> 00:29:44,558 I took a better look at the container. 727 00:29:44,582 --> 00:29:47,594 Edible cannabis. He's stoned? 728 00:29:47,618 --> 00:29:50,364 Ah, rapid heart rate, disorientation... 729 00:29:50,388 --> 00:29:51,498 I'm dying, and-and... 730 00:29:51,522 --> 00:29:52,599 - she's trying to kill me. - And paranoia. 731 00:29:52,623 --> 00:29:53,767 Yeah, very stoned. 732 00:29:53,791 --> 00:29:55,502 How many of these did you eat? 733 00:29:55,526 --> 00:29:58,205 Dr. Trulie, he ate them all. 734 00:29:58,229 --> 00:29:59,673 Let's increase his maintenance fluids 735 00:29:59,697 --> 00:30:01,308 to help flush out his system. It'll be a while 736 00:30:01,332 --> 00:30:02,709 before anesthesia touches him. 737 00:30:02,733 --> 00:30:04,878 You just delayed your surgery again, Ted. 738 00:30:04,902 --> 00:30:06,403 Uh... 739 00:30:16,614 --> 00:30:19,082 I see that you got consent for the Berlin device. 740 00:30:20,451 --> 00:30:21,762 It was the right call. 741 00:30:21,786 --> 00:30:23,730 I just hope it doesn't come to that. 742 00:30:23,754 --> 00:30:25,666 Griff had me do it. 743 00:30:25,690 --> 00:30:29,236 Yeah, he can be very persuasive. Just ask the board. 744 00:30:29,260 --> 00:30:31,471 Have you tried talking to them 745 00:30:31,495 --> 00:30:33,240 - about his reinstatement? - Yeah. 746 00:30:33,264 --> 00:30:35,309 I've tried, but only department heads can call 747 00:30:35,333 --> 00:30:37,110 a meeting with the board, and apparently, 748 00:30:37,134 --> 00:30:39,313 in light of yesterday's decision, I'm interim head. 749 00:30:39,337 --> 00:30:40,948 - So... - Like I said, 750 00:30:40,972 --> 00:30:42,583 he can be very persuasive. 751 00:30:42,607 --> 00:30:46,119 Well, I-I, uh, did some research into pediatric gene therapy. 752 00:30:46,143 --> 00:30:48,789 So, Boston Children's has multiple trials 753 00:30:48,813 --> 00:30:50,657 trying to tackle congenital cardiac disorders. 754 00:30:50,681 --> 00:30:52,725 - I sent them an email. - Really? 755 00:30:52,749 --> 00:30:54,628 And if there are other patients out there 756 00:30:54,652 --> 00:30:55,829 who have his disease, 757 00:30:55,853 --> 00:30:57,264 it could get you the sample size you need. 758 00:30:57,288 --> 00:30:59,399 I really appreciate that. 759 00:30:59,423 --> 00:31:00,901 Even if it's a long shot, it's... 760 00:31:00,925 --> 00:31:02,202 Better than giving up. 761 00:31:06,163 --> 00:31:07,474 - Thank you, Caleb. - What can I say? 762 00:31:07,498 --> 00:31:09,376 I'm a sucker for the underdog. 763 00:31:11,135 --> 00:31:12,879 The baby. 764 00:31:12,903 --> 00:31:14,037 And Ted. 765 00:31:15,006 --> 00:31:16,750 Oxygen sats are dropping. 766 00:31:16,774 --> 00:31:18,251 Cardiac output is down. 767 00:31:18,275 --> 00:31:20,654 - We need to get him to the OR now. - What's happening? 768 00:31:20,678 --> 00:31:22,289 His heart is failing. 769 00:31:22,313 --> 00:31:23,757 We need to place him on the Berlin device now. 770 00:31:26,350 --> 00:31:28,328 What's going on with Ted? 771 00:31:28,352 --> 00:31:30,597 Started slurring his speech, said his face felt numb. 772 00:31:30,621 --> 00:31:32,065 Ischemic stroke. 773 00:31:32,089 --> 00:31:33,800 So much for medically optimizing him. 774 00:31:33,824 --> 00:31:35,302 How long has it been? 775 00:31:35,326 --> 00:31:36,370 Couple minutes. 776 00:31:36,394 --> 00:31:37,638 That's a lot of brain cells. 777 00:31:37,662 --> 00:31:38,805 I'm accessing 778 00:31:38,829 --> 00:31:39,940 the internal carotid artery right now. 779 00:31:46,804 --> 00:31:48,015 Shunt is in. 780 00:31:49,308 --> 00:31:51,118 Come on, Ted. 781 00:31:51,142 --> 00:31:53,153 Okay. 782 00:31:53,177 --> 00:31:55,278 Thank God. Let's clean this up. 783 00:31:56,313 --> 00:31:57,658 Make sure they give him the unfractionated heparin 784 00:31:57,682 --> 00:31:58,892 - immediately. - I know. 785 00:31:58,916 --> 00:32:00,961 Deterioration of the filling behavior may indicate 786 00:32:00,985 --> 00:32:02,696 hypovolemia, obstruction of the inflow cannula. 787 00:32:02,720 --> 00:32:04,598 - I know that, too. - Well, atrial cannulation 788 00:32:04,622 --> 00:32:06,466 definitely can be a lot harder than you anticipate. 789 00:32:06,490 --> 00:32:07,668 - Stop. - You have to get up... 790 00:32:07,692 --> 00:32:09,359 I cannot do this with you breathing down my neck. 791 00:32:09,860 --> 00:32:10,994 This is as far as you go. 792 00:32:16,499 --> 00:32:17,743 - Suction. - Suction. 793 00:32:17,767 --> 00:32:19,244 - Good, let's turn it. - Mm-hmm. 794 00:32:20,028 --> 00:32:21,395 15 blade. 795 00:32:26,411 --> 00:32:28,087 - I should be in there. - No, she can handle this. 796 00:32:28,111 --> 00:32:31,266 And you would've kicked yourself out for far less. 797 00:32:32,394 --> 00:32:33,461 Annular. 798 00:32:35,129 --> 00:32:36,606 All right. 799 00:32:43,099 --> 00:32:44,377 Dammit. It's not threading. 800 00:32:44,401 --> 00:32:45,947 I need to try again. 801 00:32:49,201 --> 00:32:50,249 Push it. 802 00:32:51,834 --> 00:32:53,920 - Decreasing cardiac output. - Perfusion pressures are dropping. 803 00:32:53,944 --> 00:32:55,254 I got to get this thing in before he codes. 804 00:32:55,278 --> 00:32:56,541 Should we call Dr. Griffith? 805 00:32:57,347 --> 00:33:00,504 Jodie, I am Dr. Griffith. 15 blade. 806 00:33:12,320 --> 00:33:14,265 Start bypass, Dr. Costa. 807 00:33:14,290 --> 00:33:16,324 Starting bypass. 808 00:33:17,234 --> 00:33:19,345 Low flow. 809 00:33:20,403 --> 00:33:22,315 Okay. 810 00:33:22,339 --> 00:33:23,316 There you go. 811 00:33:23,753 --> 00:33:24,986 You did it. 812 00:33:26,405 --> 00:33:28,087 That'll be all, Jodie. 813 00:33:28,111 --> 00:33:29,355 The procedure just started. 814 00:33:29,379 --> 00:33:31,326 Mm-hmm. Clamp. 815 00:33:35,080 --> 00:33:37,263 There you go. Clamp the aorta. 816 00:33:37,749 --> 00:33:39,932 Start cardioplegia. What's she waiting for? 817 00:33:39,956 --> 00:33:42,301 You can't keep doing this. 818 00:33:42,325 --> 00:33:44,704 You are sinking your relationship with her. 819 00:33:44,728 --> 00:33:46,706 I'm doing this for our relationship. 820 00:33:46,730 --> 00:33:48,107 Things will get better 821 00:33:48,131 --> 00:33:49,575 when the natural order is restored. 822 00:33:49,599 --> 00:33:50,610 Better for whom? 823 00:33:50,900 --> 00:33:52,133 For both of us. 824 00:33:53,348 --> 00:33:56,148 She's not ready for all this. 825 00:33:56,172 --> 00:33:58,284 She needs me more than she thinks. 826 00:33:58,308 --> 00:33:59,752 Not right now, she doesn't. 827 00:33:59,776 --> 00:34:01,821 And if you don't want to find yourself locked out 828 00:34:01,845 --> 00:34:03,723 of every surgery from now on, 829 00:34:03,747 --> 00:34:06,715 find a way to get on board with this proctorship. 830 00:34:11,074 --> 00:34:12,865 - Hey. - Hi. 831 00:34:12,889 --> 00:34:13,966 - You ready? - Yeah. 832 00:34:13,990 --> 00:34:16,202 How'd it go with the baby? He made it. 833 00:34:16,226 --> 00:34:17,603 It was... 834 00:34:17,627 --> 00:34:20,473 complicated, and we're still waiting for a transplant, 835 00:34:20,497 --> 00:34:22,375 but the procedure went well. 836 00:34:22,399 --> 00:34:24,143 And I did it without my dad. 837 00:34:24,167 --> 00:34:25,778 - Where was he? - I locked him out. 838 00:34:27,404 --> 00:34:29,282 You locked your father out of surgery? 839 00:34:29,306 --> 00:34:30,316 Yeah. 840 00:34:30,340 --> 00:34:31,617 He made me do it. 841 00:34:31,641 --> 00:34:33,452 - Oh. - He... 842 00:34:33,847 --> 00:34:35,588 - Mm-mm. We're doing it again. - Yes. 843 00:34:35,612 --> 00:34:37,156 - Yes, we are. - Is there no way for you and I 844 00:34:37,180 --> 00:34:39,292 to go on a date without our dads ruining it? 845 00:34:39,936 --> 00:34:42,361 No, there-there is... 846 00:34:43,023 --> 00:34:44,697 uh, if we start at the end. 847 00:34:55,365 --> 00:34:59,378 You know, I once read that a ten-second kiss can result 848 00:34:59,402 --> 00:35:01,704 in the transfer of 80 million microbes. 849 00:35:02,739 --> 00:35:05,718 Did you just tell me... dirty data? 850 00:35:05,742 --> 00:35:07,353 It gets dirtier. 851 00:35:09,083 --> 00:35:10,584 Come on. 852 00:35:34,074 --> 00:35:35,481 Hi. 853 00:35:35,505 --> 00:35:36,716 Were you guys here all night? 854 00:35:36,740 --> 00:35:38,217 Yeah, we didn't want to leave him alone 855 00:35:38,241 --> 00:35:39,452 his first night on the machine. 856 00:35:39,476 --> 00:35:40,453 I'm about to take Ellie home 857 00:35:40,477 --> 00:35:41,654 to get some sleep. 858 00:35:41,678 --> 00:35:43,556 Hey, can I help you with that? 859 00:35:43,580 --> 00:35:44,557 Come here. 860 00:35:45,043 --> 00:35:47,993 Where is the one for this foot? 861 00:36:00,559 --> 00:36:02,041 I need to run some tests on her. 862 00:36:02,065 --> 00:36:03,353 On Ellie? 863 00:36:04,634 --> 00:36:05,878 Peripheral edema. 864 00:36:05,902 --> 00:36:07,213 Due to reduced systolic function. 865 00:36:07,237 --> 00:36:08,347 Great minds. 866 00:36:08,371 --> 00:36:09,382 I presume you ordered a diuretic. 867 00:36:09,406 --> 00:36:10,616 And a vasodilator. 868 00:36:10,640 --> 00:36:12,418 - But what we really need is... - A DNA test. 869 00:36:12,442 --> 00:36:14,320 - What is going on? - The baby's sister. 870 00:36:14,344 --> 00:36:15,894 The reason she doesn't like to wear shoes. 871 00:36:15,918 --> 00:36:16,889 It's a symptom. 872 00:36:16,913 --> 00:36:18,324 Wait, of the same disease her brother has? 873 00:36:18,348 --> 00:36:20,092 Less severe, of course, but two siblings 874 00:36:20,116 --> 00:36:21,560 - with the same genetic disorder? - Yes. 875 00:36:21,584 --> 00:36:23,162 That's a sample size we can work with. 876 00:36:23,186 --> 00:36:24,397 We can map the genomes. 877 00:36:24,421 --> 00:36:26,232 - Find the mutations. - And fix it. 878 00:36:26,256 --> 00:36:28,567 - Well... - We need a DNA test right away. 879 00:36:28,591 --> 00:36:29,702 This could change If we're everything for them. 880 00:36:29,726 --> 00:36:30,836 Yeah. 881 00:36:30,860 --> 00:36:33,337 I was wrong to dismiss gene therapy 882 00:36:34,009 --> 00:36:35,777 and to undermine you. 883 00:36:35,801 --> 00:36:36,755 This is your department, 884 00:36:36,779 --> 00:36:38,644 and I am happy to respect that. 885 00:36:40,380 --> 00:36:41,508 Thank you. 886 00:36:41,533 --> 00:36:44,508 - For the next 87 days. - 87 days? 887 00:36:44,532 --> 00:36:47,291 Which is when the board will vote to reinstate me. 888 00:36:48,018 --> 00:36:49,996 Assuming I've proven my basic competency 889 00:36:50,020 --> 00:36:51,664 to your satisfaction. 890 00:36:51,688 --> 00:36:54,066 Which reminds me, I got, um... 891 00:36:54,362 --> 00:36:55,968 Surgeon's knots. 892 00:36:55,992 --> 00:36:57,303 Mm... 893 00:36:57,327 --> 00:36:58,561 Single knots. 894 00:36:59,003 --> 00:37:00,970 Double knots, and I even threw in some granny knots. 895 00:37:02,866 --> 00:37:05,378 So, I think that should check that off the list, 896 00:37:05,402 --> 00:37:07,303 - don't you? - Hmm. 897 00:37:22,512 --> 00:37:24,490 Well, despite how dicey you made things 898 00:37:24,515 --> 00:37:26,026 for the anesthesiologist, 899 00:37:26,051 --> 00:37:27,328 the surgery went well. 900 00:37:27,784 --> 00:37:29,128 I'm gonna be okay? 901 00:37:29,259 --> 00:37:30,865 Yeah. Your arteries look good. 902 00:37:30,889 --> 00:37:32,205 But, um... 903 00:37:32,229 --> 00:37:34,507 before I discharge you, I want to talk to you about 904 00:37:34,531 --> 00:37:36,065 your other disease. 905 00:37:38,314 --> 00:37:40,192 So, 906 00:37:40,437 --> 00:37:42,481 I took a closer look at your labs, 907 00:37:42,505 --> 00:37:45,718 and your liver enzymes are elevated. 908 00:37:45,742 --> 00:37:47,053 So? 909 00:37:47,290 --> 00:37:49,855 Is there any chance that... 910 00:37:49,879 --> 00:37:51,290 you don't take your medications 911 00:37:51,314 --> 00:37:53,115 because you can't drink alcohol on them? 912 00:37:53,716 --> 00:37:56,128 Okay. 913 00:37:56,393 --> 00:37:58,538 What are you saying? That-that I'm an alcoholic? 914 00:37:58,563 --> 00:38:00,140 I'm saying someone who chooses alcohol 915 00:38:00,165 --> 00:38:01,810 over life-saving meds, 916 00:38:01,835 --> 00:38:03,379 or who ingests marijuana 917 00:38:03,404 --> 00:38:04,748 while they're being prepped for surgery, 918 00:38:04,928 --> 00:38:07,361 or who burned so many bridges with his ex-wife 919 00:38:07,386 --> 00:38:08,797 that she won't even give him her number, 920 00:38:08,822 --> 00:38:10,132 might have another disease. 921 00:38:10,157 --> 00:38:12,602 But that's one that can be treated, too. 922 00:38:12,902 --> 00:38:14,651 This is a good rehab, 923 00:38:14,678 --> 00:38:16,378 and they've got nightly meetings. 924 00:38:18,241 --> 00:38:20,021 Yeah, I'm sure they're awesome. 925 00:38:20,045 --> 00:38:21,053 They are, 926 00:38:21,077 --> 00:38:22,492 actually. 927 00:38:23,279 --> 00:38:25,414 Take it from a fellow alcoholic. 928 00:38:26,750 --> 00:38:31,030 Listen, I know how hard it is to admit that you got a problem. 929 00:38:31,054 --> 00:38:34,300 And, uh, no one here even knows this, 930 00:38:35,171 --> 00:38:37,236 but I've been where you are. 931 00:38:37,260 --> 00:38:39,628 And it cost me someone I care about, too. 932 00:38:41,184 --> 00:38:43,096 But there's a solution. 933 00:39:01,351 --> 00:39:03,663 He's gonna make it. 934 00:39:03,687 --> 00:39:05,698 He has a long road ahead. 935 00:39:05,722 --> 00:39:08,204 Yeah, well, at least there's a road. 936 00:39:08,872 --> 00:39:10,970 Five years ago, his condition would've been 937 00:39:10,994 --> 00:39:11,995 a death sentence. 938 00:39:12,019 --> 00:39:12,968 Hmm. 939 00:39:12,992 --> 00:39:14,483 But he has a chance, 940 00:39:14,507 --> 00:39:17,376 because he has you for his doctor. 941 00:39:17,400 --> 00:39:18,978 And he only had you 942 00:39:19,002 --> 00:39:22,915 as his doctor because we have you as a leader. 943 00:39:23,678 --> 00:39:25,985 You think Hamamura would've brought that baby to Griff? 944 00:39:26,009 --> 00:39:27,586 I appreciate that, 945 00:39:27,610 --> 00:39:29,321 but I'm only an interim solution. 946 00:39:29,345 --> 00:39:30,923 Oh, so, you're telling me that we can change 947 00:39:30,947 --> 00:39:33,359 that baby's genetic code, 948 00:39:33,383 --> 00:39:35,428 but you can't change the board's mind? 949 00:39:35,857 --> 00:39:37,989 I can't even talk to them. 950 00:39:38,013 --> 00:39:40,700 - You have to be a department head. - Hmm. Right. 951 00:39:40,724 --> 00:39:43,490 If only you knew one who owed you a favor. 952 00:39:44,461 --> 00:39:47,262 You fought for that baby's future. 953 00:39:48,251 --> 00:39:50,586 Now go fight for yours. 954 00:39:54,830 --> 00:39:56,419 I know it's last-minute, 955 00:39:56,452 --> 00:39:58,730 but Dr. Griffith was there when I needed help. 956 00:39:59,631 --> 00:40:03,522 Calling this meeting was the least I could do to thank her. 957 00:40:03,546 --> 00:40:06,225 I know that you don't think the I'm right person 958 00:40:06,249 --> 00:40:07,827 for the position of chief. 959 00:40:07,851 --> 00:40:09,509 To be honest, neither did I. 960 00:40:09,533 --> 00:40:11,222 I thought I was gonna 961 00:40:11,246 --> 00:40:13,353 finish my fellowship and move on. 962 00:40:13,683 --> 00:40:15,695 I had an offer from the Cleveland Clinic. 963 00:40:16,059 --> 00:40:17,816 And then I thought, 964 00:40:17,926 --> 00:40:20,271 "I am good at this." 965 00:40:20,296 --> 00:40:21,907 Patients are thriving, 966 00:40:21,932 --> 00:40:23,738 and doctors are, too. 967 00:40:24,320 --> 00:40:27,132 They are happier than they were under my father, 968 00:40:27,403 --> 00:40:29,148 which means they are more effective. 969 00:40:29,172 --> 00:40:30,182 They are more efficient. 970 00:40:30,206 --> 00:40:31,704 They're more successful. 971 00:40:31,729 --> 00:40:34,041 There's a baby alive today to prove it. 972 00:40:34,377 --> 00:40:37,502 You all asked me to step in as chief. 973 00:40:37,654 --> 00:40:41,100 And now my father is awake, and you are asking me to step aside, 974 00:40:41,125 --> 00:40:43,675 and I can't do that. 975 00:40:43,746 --> 00:40:45,824 Which is why I'm not going anywhere. 976 00:40:46,122 --> 00:40:48,096 We are a better department, 977 00:40:48,458 --> 00:40:50,807 and we are better doctors, 978 00:40:51,294 --> 00:40:55,297 because I am a better chief. 979 00:41:05,742 --> 00:41:09,121 You know, the tyrannosaurus rex was a merciless predator, 980 00:41:09,145 --> 00:41:11,814 unrivaled by any creature of its age. 981 00:41:12,748 --> 00:41:14,326 I take this as a compliment. 982 00:41:14,351 --> 00:41:16,029 You should take it as a warning. 983 00:41:16,054 --> 00:41:17,398 Oh? 984 00:41:17,654 --> 00:41:19,252 I spoke with the board. 985 00:41:19,375 --> 00:41:22,621 They share my enthusiasm for this department's future, 986 00:41:22,646 --> 00:41:24,747 which means yours is not guaranteed. 987 00:41:25,949 --> 00:41:28,084 They're not just gonna hand you the reins at the end of this. 988 00:41:28,109 --> 00:41:29,476 They're gonna choose between us. 989 00:41:33,603 --> 00:41:36,311 May the best Dr. Griffith win? 990 00:41:37,240 --> 00:41:38,717 Is that what you want? 991 00:41:38,741 --> 00:41:40,986 You can be the T. Rex, Dad. 992 00:41:41,010 --> 00:41:42,901 I'm the meteorite. 993 00:41:43,179 --> 00:41:44,690 And I'm coming for you. 994 00:41:44,691 --> 00:41:46,691 CREDITS