1 00:00:01,007 --> 00:00:03,560 - Previously on The Resident... - I think we should 2 00:00:03,562 --> 00:00:06,897 dig into Dr. Bosley's patient outcomes and... 3 00:00:06,899 --> 00:00:09,082 give Ms. Benesch a fair hearing. 4 00:00:09,084 --> 00:00:10,825 Let's just simmer down. 5 00:00:10,827 --> 00:00:12,368 Just watch 6 00:00:12,370 --> 00:00:13,920 and learn how we operate. 7 00:00:13,922 --> 00:00:16,015 I-I think I'm getting a pretty good sense of how you operate. 8 00:00:16,017 --> 00:00:18,258 Are you looking for a financial settlement? 9 00:00:18,260 --> 00:00:20,185 No. I'm looking for accountability. 10 00:00:20,187 --> 00:00:22,670 I did not have to end up like this. 11 00:00:22,672 --> 00:00:25,432 I don't want future patients of Dr. Bosley to, either. 12 00:00:25,434 --> 00:00:27,584 I want the board to do something. 13 00:00:27,586 --> 00:00:30,195 - Will they? - Honestly, probably not. 14 00:00:30,197 --> 00:00:33,240 But I will do something. 15 00:00:43,957 --> 00:00:45,440 So what's happening in the world? 16 00:00:45,771 --> 00:00:47,437 I'm not reading the news. 17 00:00:47,439 --> 00:00:49,214 I'm watching a video of a bulldog 18 00:00:49,216 --> 00:00:51,458 failing to eat its kibble. 19 00:00:51,460 --> 00:00:52,943 Okay. 20 00:00:52,945 --> 00:00:54,386 Slow news day. 21 00:00:55,222 --> 00:00:56,613 What's going on with your leg? 22 00:00:56,615 --> 00:00:58,724 Oh, I guess it slept in. 23 00:00:59,894 --> 00:01:01,543 Could be an MS flare-up. 24 00:01:01,545 --> 00:01:03,729 I'll email Dr. Greer, see if she can fit you in today. 25 00:01:03,731 --> 00:01:05,380 Yeah, well, early is better. 26 00:01:05,382 --> 00:01:07,124 I have a 10:00 with Abernathy, 27 00:01:07,126 --> 00:01:08,383 the head of the medical board, 28 00:01:08,385 --> 00:01:10,310 'cause I found more complaints against Bosley, 29 00:01:10,312 --> 00:01:12,796 the neurosurgeon who paralyzed Emily Benesch. 30 00:01:12,798 --> 00:01:15,299 Do you think you have enough to convince the board 31 00:01:15,301 --> 00:01:17,859 to look into Bosley now? 32 00:01:17,861 --> 00:01:20,153 I'm not gonna give 'em any choice. 33 00:01:20,155 --> 00:01:24,825 You know, this whole moral crusader thing 34 00:01:24,827 --> 00:01:26,476 looks good on you. 35 00:01:26,501 --> 00:01:27,640 It's very... 36 00:01:27,665 --> 00:01:28,995 super hero-y. 37 00:01:28,997 --> 00:01:30,480 You should see me in spandex. 38 00:01:30,482 --> 00:01:33,322 Well, that's ruined it. 39 00:01:35,930 --> 00:01:37,321 Can I help you? 40 00:01:37,323 --> 00:01:38,764 You look familiar, but I can't place you. 41 00:01:38,766 --> 00:01:40,991 Are you gonna harass me every time I have an ER shift? 42 00:01:40,993 --> 00:01:42,037 Yes. 43 00:01:42,062 --> 00:01:43,844 You know, please look into your abandonment issues. 44 00:01:43,846 --> 00:01:46,012 You know my father left me at Yankee Stadium and got home 45 00:01:46,014 --> 00:01:48,348 with my brother before he realized I was missing. 46 00:01:48,350 --> 00:01:50,792 I'm sorry I triggered you, Irving. 47 00:01:50,794 --> 00:01:52,093 You don't care. Where's Leela? 48 00:01:52,095 --> 00:01:53,779 Sister day with Padma. 49 00:01:53,781 --> 00:01:55,355 Bonding over the gifting of eggs. 50 00:01:55,357 --> 00:01:56,949 Level-1 trauma coming in! 51 00:01:56,951 --> 00:01:59,042 Bay 11's ready. 52 00:01:59,845 --> 00:02:01,453 Eliza Brockton. 32-year-old female. 53 00:02:01,455 --> 00:02:03,530 Status post-fall from her sixth-floor apartment building. 54 00:02:03,532 --> 00:02:06,016 BP 120/68, tachy to 100, 55 00:02:06,018 --> 00:02:07,292 satting at 98%. 56 00:02:08,445 --> 00:02:10,295 Trauma survey. 57 00:02:11,281 --> 00:02:13,966 Pupils equal and reactive. 58 00:02:13,968 --> 00:02:15,450 Airway's intact. 59 00:02:15,452 --> 00:02:18,616 - Good breath sounds bilaterally. - Pulse strong. 60 00:02:18,641 --> 00:02:20,547 Vitals stable. I'll get labs. 61 00:02:20,549 --> 00:02:23,367 I'll do a FAST exam and put in for a chest X-ray. 62 00:02:23,369 --> 00:02:24,626 Eliza, 63 00:02:24,628 --> 00:02:27,387 how did you fall from your apartment building? 64 00:02:27,389 --> 00:02:28,555 I-I was, um... 65 00:02:28,557 --> 00:02:31,537 I was hanging a-an orchid on my balcony, 66 00:02:31,562 --> 00:02:34,987 and I-I reached too far over the railing and I just... 67 00:02:34,989 --> 00:02:36,488 lost my balance. 68 00:02:36,490 --> 00:02:39,983 Thank God the entry awning broke my fall. 69 00:02:40,008 --> 00:02:42,256 Well, we're gonna get that chest X-ray 70 00:02:42,281 --> 00:02:44,145 and CT scan to check for head trauma. 71 00:02:44,147 --> 00:02:45,389 We'll be back, okay? 72 00:02:45,391 --> 00:02:48,125 - Uh, okay. - All right, hang tight. 73 00:02:50,896 --> 00:02:53,730 You want to get her records and I'll arrange the CT? 74 00:02:53,732 --> 00:02:54,965 Yeah. 75 00:03:01,164 --> 00:03:02,330 What is it? 76 00:03:02,332 --> 00:03:04,165 Eliza's attempted suicide three times 77 00:03:04,167 --> 00:03:05,726 in the past six years. 78 00:03:07,262 --> 00:03:09,763 Let's get a psych consult down here. 79 00:03:12,267 --> 00:03:13,609 Eliza. 80 00:03:17,531 --> 00:03:18,697 Hundley. 81 00:03:18,699 --> 00:03:19,940 My patient eloped from 11. 82 00:03:19,942 --> 00:03:21,107 Call the code. 83 00:03:21,109 --> 00:03:22,109 Excuse me. 84 00:03:22,945 --> 00:03:25,762 Attention, staff. Code Green. 85 00:03:25,764 --> 00:03:28,932 32-year-old Caucasian female. 86 00:03:28,934 --> 00:03:31,501 Dark hair, blue eyes. Code Green. 87 00:03:35,031 --> 00:03:36,773 Eliza! 88 00:03:46,376 --> 00:03:47,893 Eliza! 89 00:03:47,895 --> 00:03:49,377 Wait! 90 00:03:58,464 --> 00:04:00,447 Eliza! 91 00:04:18,398 --> 00:04:22,212 - Synced and corrected by synk - - www.addic7ed.com - 92 00:04:28,160 --> 00:04:29,843 You all right? 93 00:04:29,845 --> 00:04:30,936 I'm fine. 94 00:04:30,938 --> 00:04:32,253 Eliza's stable. 95 00:04:32,255 --> 00:04:34,164 Scans were negative. BP was borderline, 96 00:04:34,166 --> 00:04:35,195 so we placed an A-line. 97 00:04:35,220 --> 00:04:36,608 And Psych is en route. 98 00:04:36,610 --> 00:04:39,927 That was a very brave thing you did, Dr. Pravesh. 99 00:04:41,115 --> 00:04:42,447 I'm just glad we got to her in time. 100 00:04:42,449 --> 00:04:43,991 Mm-hmm. 101 00:04:48,789 --> 00:04:50,539 We're good. 102 00:04:53,368 --> 00:04:54,501 So... 103 00:04:56,868 --> 00:04:58,792 I guess the truth is out. 104 00:04:59,115 --> 00:05:00,690 I don't want this anymore. 105 00:05:00,692 --> 00:05:04,285 And I wish you would just mind your own business and let me go. 106 00:05:04,287 --> 00:05:07,097 You know we can't do that. 107 00:05:11,478 --> 00:05:13,537 This is Dr. Malco. 108 00:05:14,297 --> 00:05:16,982 She's from the psychiatry department. 109 00:05:16,984 --> 00:05:18,817 Hi, Eliza. 110 00:05:18,819 --> 00:05:20,544 I'm guessing you know the drill here. 111 00:05:20,546 --> 00:05:22,426 I'm gonna ask you a few questions. 112 00:05:22,823 --> 00:05:24,397 You have my file. 113 00:05:24,399 --> 00:05:27,016 So you could just read my old answers. 114 00:05:27,041 --> 00:05:30,385 My new answers are all the same. 115 00:05:30,814 --> 00:05:32,164 I'm out of words. 116 00:05:33,149 --> 00:05:36,773 I imagine that must be very difficult for a writer. 117 00:05:36,798 --> 00:05:38,181 To be out of words. 118 00:05:38,730 --> 00:05:41,064 I'm out of everything. 119 00:05:41,501 --> 00:05:43,334 I want you to know, 120 00:05:43,359 --> 00:05:46,678 both of your books have informed the way I treat depression. 121 00:05:46,680 --> 00:05:49,014 I'd like to return the favor. 122 00:05:49,666 --> 00:05:51,058 Do you have a gun? 123 00:05:53,095 --> 00:05:56,063 We're gonna keep you on a 36-hour hold. 124 00:06:04,031 --> 00:06:05,530 Dear merciful Father, 125 00:06:05,532 --> 00:06:08,592 we ask for Your blessings on Daisy. 126 00:06:08,594 --> 00:06:09,868 She needs You. 127 00:06:09,870 --> 00:06:14,764 We're asking that You grant her the patience to... 128 00:06:14,766 --> 00:06:17,191 help her with her affliction 129 00:06:17,193 --> 00:06:19,527 and the freedom from her pain. 130 00:06:19,529 --> 00:06:23,289 And lead her out the shadow of the valley 131 00:06:23,291 --> 00:06:27,052 so that we can heal her body and spirit. 132 00:06:29,781 --> 00:06:32,057 Now let's go get you a damn kidney, huh? 133 00:06:33,802 --> 00:06:36,144 - Amen. - Amen. 134 00:06:41,460 --> 00:06:44,294 Ah... 135 00:06:44,296 --> 00:06:46,963 Aaron, it is good to see you. 136 00:06:46,965 --> 00:06:48,465 Yeah, it's been a minute. 137 00:06:48,467 --> 00:06:51,317 You know we've had our own conversations about pain. 138 00:06:51,319 --> 00:06:52,395 Mm. 139 00:06:52,420 --> 00:06:54,304 How are you and Gigi holding up? 140 00:06:54,306 --> 00:06:56,063 Yeah, really well. 141 00:06:56,065 --> 00:06:58,250 Gigi's definitely my greatest achievement so far. 142 00:06:58,252 --> 00:07:00,252 You got that right. 143 00:07:00,254 --> 00:07:01,311 Yeah. 144 00:07:01,313 --> 00:07:03,588 Speaking of our past conversations, 145 00:07:03,590 --> 00:07:05,982 the last few days, I've... 146 00:07:05,984 --> 00:07:07,333 been... 147 00:07:07,335 --> 00:07:09,928 back in the fresh grief of Nic's passing, 148 00:07:09,930 --> 00:07:12,413 I-I guess. I don't... 149 00:07:12,415 --> 00:07:14,916 Uh, I don't know what set it off. 150 00:07:14,918 --> 00:07:18,553 Ah, well, if it isn't Pastor Aaron, my favorite clergyman. 151 00:07:18,578 --> 00:07:20,922 AJ, my big bad Buddhist, you. 152 00:07:20,924 --> 00:07:22,590 - Hey. - How are you? 153 00:07:22,592 --> 00:07:23,758 How's your mother? 154 00:07:23,760 --> 00:07:27,170 She is as well as she can be. 155 00:07:27,172 --> 00:07:29,172 The cancer is progressing. 156 00:07:29,174 --> 00:07:31,432 I'm sorry to hear that. 157 00:07:32,035 --> 00:07:34,053 I-I'll definitely have to go see her. 158 00:07:34,078 --> 00:07:37,225 Well, you see, her palliative care is top-tier, right? 159 00:07:37,250 --> 00:07:39,291 But she's gonna need to transition 160 00:07:39,293 --> 00:07:41,827 to hospice sooner rather than later, 161 00:07:41,852 --> 00:07:43,353 and she is not keen on the idea. 162 00:07:43,355 --> 00:07:45,858 So I was thinking maybe you can help me 163 00:07:45,883 --> 00:07:47,874 have that conversation with her when it's time. 164 00:07:48,282 --> 00:07:49,373 I'll be happy to. 165 00:07:49,531 --> 00:07:50,772 Appreciate it, man. 166 00:07:50,797 --> 00:07:54,455 I have a favor of my own to ask you two. 167 00:07:54,457 --> 00:07:56,700 Yeah. Anything. 168 00:07:56,702 --> 00:08:01,459 Recently, I had a heart stent placed a few months back. 169 00:08:01,484 --> 00:08:03,540 A fit young dude like you? 170 00:08:03,542 --> 00:08:05,930 They found some blockage. Now, the doctor told me 171 00:08:05,955 --> 00:08:07,287 that I should be feeling better, 172 00:08:07,312 --> 00:08:09,756 but I've been having a lot of chest pain lately. 173 00:08:09,781 --> 00:08:12,991 Ah, say no more. AJ and I will take a look at you in the ER. 174 00:08:12,993 --> 00:08:14,493 Better safe than sorry. 175 00:08:14,495 --> 00:08:16,135 Let's go now. 176 00:08:18,422 --> 00:08:19,921 Head scans are good. 177 00:08:19,946 --> 00:08:21,401 - Nothing to worry about. - Great. 178 00:08:21,426 --> 00:08:23,354 But the leg issue is a little MS flare-up. 179 00:08:23,379 --> 00:08:25,284 No biggie. This will happen from time to time. 180 00:08:25,309 --> 00:08:26,846 Well, I'm glad we checked, then. 181 00:08:26,871 --> 00:08:28,000 We'll put you on a short course of 182 00:08:28,024 --> 00:08:29,979 steroids that should improve your symptoms. 183 00:08:30,004 --> 00:08:31,565 In the meantime, take the pressure 184 00:08:31,590 --> 00:08:33,463 - off your leg with this. - Oh. 185 00:08:33,488 --> 00:08:36,800 No. That is... uh, won't be necessary. 186 00:08:36,825 --> 00:08:38,658 It's only for a few days. 187 00:08:38,660 --> 00:08:41,069 The last thing we want is for you to stumble 188 00:08:41,071 --> 00:08:42,571 - and hit your head. - Randolph, 189 00:08:42,573 --> 00:08:44,422 - take the cane. - No, it's... 190 00:08:44,424 --> 00:08:46,175 It starts with a cane, and then it goes 191 00:08:46,200 --> 00:08:47,958 to adult diapers and a chairlift to get up the stairs. 192 00:08:47,960 --> 00:08:50,702 It's a concession to the disease, and I won't make it. 193 00:08:50,704 --> 00:08:52,555 Good Lord, Randolph. Typical man. 194 00:08:52,557 --> 00:08:54,949 You can dress it as bravery, but it's just vanity. 195 00:08:54,951 --> 00:08:57,952 Okay. Uh, I'd love to stick around 196 00:08:57,954 --> 00:08:59,620 and talk about canes and men, 197 00:08:59,622 --> 00:09:02,123 but... I have an important meeting to get to. 198 00:09:02,125 --> 00:09:03,524 So, Meghan, thank you. 199 00:09:10,800 --> 00:09:12,241 I remember 200 00:09:12,243 --> 00:09:16,320 being at a birthday party when I was four or five years old. 201 00:09:16,322 --> 00:09:18,230 And... 202 00:09:18,232 --> 00:09:21,233 the birthday girl shrieked with joy 203 00:09:21,235 --> 00:09:25,496 when she unwrapped a doll from her parents. 204 00:09:25,498 --> 00:09:27,998 For the first time, I became distinctly aware 205 00:09:28,000 --> 00:09:32,655 that it was something that I had never... felt. 206 00:09:33,840 --> 00:09:35,156 Is there anything in your daily life 207 00:09:35,158 --> 00:09:37,809 that brings relief from the pain and dread? 208 00:09:39,420 --> 00:09:41,938 Periodically, when I'm writing. 209 00:09:41,940 --> 00:09:44,923 Are there any moments in your past where you... 210 00:09:44,925 --> 00:09:47,235 can recall feeling happy? 211 00:09:49,280 --> 00:09:50,896 This morning. 212 00:09:51,691 --> 00:09:53,449 When I felt the wind on my face 213 00:09:53,451 --> 00:09:57,537 as I fell to what should have been my death. 214 00:09:59,849 --> 00:10:03,942 My reservoir of hope... 215 00:10:03,944 --> 00:10:06,003 is empty. 216 00:10:20,311 --> 00:10:23,962 Eliza has what we call treatment-resistant depression. 217 00:10:23,964 --> 00:10:26,649 Cognitive behavioral therapy, antidepressants, 218 00:10:26,651 --> 00:10:28,985 and ECT have all been ineffective. 219 00:10:28,987 --> 00:10:30,802 So, what do we do? 220 00:10:30,804 --> 00:10:32,546 We just keep her here 221 00:10:32,548 --> 00:10:34,306 for 34 hours and then just 222 00:10:34,308 --> 00:10:36,884 - let her walk out? - We don't have a lot of options. 223 00:10:36,886 --> 00:10:39,662 Sad to say, I have no beds free on the unit. 224 00:10:39,664 --> 00:10:41,831 Don't patients with 225 00:10:41,833 --> 00:10:43,908 treatment-resistant depression 226 00:10:43,910 --> 00:10:46,485 qualify for off-label deep brain stimulation? 227 00:10:46,487 --> 00:10:47,986 I've read 228 00:10:47,988 --> 00:10:49,821 some clinical trials on it, 229 00:10:49,823 --> 00:10:51,841 and I know Dr. Sutton has used it on patients 230 00:10:51,843 --> 00:10:54,177 with Parkinson's and even OCD. 231 00:10:54,179 --> 00:10:55,736 They do, 232 00:10:55,738 --> 00:10:57,698 but there's no guarantee it works. 233 00:10:59,091 --> 00:11:00,758 Well, in one trial, 234 00:11:00,760 --> 00:11:04,103 50% of patients saw some relief from their symptoms. 235 00:11:06,858 --> 00:11:10,943 Do you think Eliza would consider the procedure? 236 00:11:12,530 --> 00:11:15,589 All Eliza wants is to exit life. 237 00:11:15,591 --> 00:11:17,700 It'll be challenging 238 00:11:17,702 --> 00:11:20,094 to get her to agree to any treatment, 239 00:11:20,096 --> 00:11:22,020 much less one that requires holes drilled in her skull 240 00:11:22,022 --> 00:11:24,523 and electrodes placed in her brain. 241 00:11:24,525 --> 00:11:26,951 Well, if we do nothing, there is no doubt that she will try 242 00:11:26,953 --> 00:11:29,090 - to kill herself again. - No doubt. 243 00:11:29,115 --> 00:11:30,746 I'll talk to Dr. Sutton. 244 00:11:31,031 --> 00:11:33,716 See if she can discuss the procedure with Eliza. 245 00:11:42,152 --> 00:11:43,669 Dr. Sullivan didn't come in? 246 00:11:44,062 --> 00:11:45,286 She took the day off. 247 00:11:45,288 --> 00:11:46,815 We got Pravesh back instead. 248 00:11:46,840 --> 00:11:48,456 Who? 249 00:11:49,959 --> 00:11:52,810 Good thing we looked into your chest pain. You have EKG 250 00:11:52,812 --> 00:11:56,072 changes and labs consistent with an NSTEMI. 251 00:11:56,074 --> 00:11:58,190 It's a minor heart attack. 252 00:11:58,215 --> 00:12:00,058 What? A minor heart attack? 253 00:12:00,060 --> 00:12:02,136 - How is that possible? - Take it easy, Aaron. 254 00:12:02,138 --> 00:12:04,396 All right, we're on it. We got you. 255 00:12:04,398 --> 00:12:05,990 Taking good care of yourself, right? 256 00:12:05,992 --> 00:12:07,992 - Yes. - All right, well, 257 00:12:07,994 --> 00:12:10,596 explain to us how you ended up with a cardiac stent. 258 00:12:10,621 --> 00:12:13,923 Well, this cardiac clinic came to the church leaving flyers. 259 00:12:13,925 --> 00:12:15,925 They were offering heart screenings 260 00:12:15,927 --> 00:12:17,985 with no out-of-pocket with Medicaid. 261 00:12:17,987 --> 00:12:21,285 And, uh, now, my congregation 262 00:12:21,310 --> 00:12:22,914 relies on outreach, so 263 00:12:22,916 --> 00:12:25,009 I wanted to set an example to the flock, so I went. 264 00:12:25,011 --> 00:12:27,919 And what did the screening turn up? 265 00:12:27,921 --> 00:12:30,848 Cardiologist said that my... 266 00:12:30,850 --> 00:12:33,183 my labs and my tests were... 267 00:12:33,185 --> 00:12:34,443 "borderline" was the word, 268 00:12:34,445 --> 00:12:37,154 and that I needed a cath ASAP. 269 00:12:39,675 --> 00:12:41,621 Were you feeling any chest pain? 270 00:12:41,646 --> 00:12:43,720 No. No. 271 00:12:43,937 --> 00:12:46,122 He said that the cath was very important 272 00:12:46,124 --> 00:12:48,940 to screen for heart disease. Silent killer. 273 00:12:48,942 --> 00:12:53,212 Okay, but why did they stent you? 274 00:12:55,616 --> 00:12:57,949 Well, during the procedure, 275 00:12:57,951 --> 00:13:00,711 my heart was beating out of my chest. 276 00:13:00,713 --> 00:13:02,621 And the pain, 277 00:13:02,623 --> 00:13:04,865 I mean, it's very severe, but 278 00:13:04,867 --> 00:13:07,718 once they put in the stent, I had relief. 279 00:13:07,720 --> 00:13:09,645 You know, I'm a little achy and tired 280 00:13:09,647 --> 00:13:11,528 here and there, but for the most part, 281 00:13:11,553 --> 00:13:14,128 I'm-I'm thankful. 282 00:13:14,393 --> 00:13:17,227 Chest pain usually comes before cardiac 283 00:13:17,229 --> 00:13:19,322 catheterization, not after. 284 00:13:19,324 --> 00:13:21,440 Excuse me, I need to take this. 285 00:13:21,465 --> 00:13:23,448 I hate to do this to you, brother, 286 00:13:23,473 --> 00:13:26,495 but we need to get you in our cath lab right away. 287 00:13:26,497 --> 00:13:30,240 And I promise you, you won't feel any pain with these hands. 288 00:13:30,242 --> 00:13:32,043 All right? 289 00:13:33,987 --> 00:13:35,987 We got you, man. 290 00:13:35,989 --> 00:13:38,323 Hey, Billie. 291 00:13:38,325 --> 00:13:40,067 - You got a sec? - What's up? 292 00:13:40,069 --> 00:13:41,919 So, I have a young woman in the ER, 293 00:13:41,921 --> 00:13:43,404 she's banged up pretty bad 294 00:13:43,406 --> 00:13:45,869 from two failed suicide attempts today. 295 00:13:45,894 --> 00:13:48,258 Yeah, I heard Superman flew in and saved her. 296 00:13:48,260 --> 00:13:52,213 Her name is Eliza Brockton. She's very smart, wily. 297 00:13:52,238 --> 00:13:54,582 She's a memoirist who wrote two best sellers 298 00:13:54,584 --> 00:13:55,749 about depression. 299 00:13:55,751 --> 00:13:57,509 Sure, yeah, I read the first one, 300 00:13:57,511 --> 00:13:58,919 The Lure of the Void. 301 00:13:58,921 --> 00:14:00,771 Right. 302 00:14:00,773 --> 00:14:03,257 So, I think she's a good candidate for DBS. 303 00:14:03,259 --> 00:14:07,036 Well, DBS is still experimental for depression. 304 00:14:07,038 --> 00:14:08,635 Does she meet the inclusion criteria? 305 00:14:08,660 --> 00:14:09,688 Yes. 306 00:14:09,690 --> 00:14:12,616 No improvement from CBT, SSRIs, or ECT. 307 00:14:12,618 --> 00:14:13,784 Okay. 308 00:14:13,786 --> 00:14:15,586 - I'll talk to her. - Thanks. 309 00:14:16,122 --> 00:14:18,873 It's Trevor. I've been trying to reach him for weeks. 310 00:14:18,898 --> 00:14:23,175 Take it. No, take it, and let him know that we miss him. 311 00:14:24,130 --> 00:14:26,630 Trevor, I'm so glad you finally called. 312 00:14:26,632 --> 00:14:29,116 - Are you okay? - Uh, yeah, yeah. 313 00:14:29,118 --> 00:14:30,951 I'm sorry it took so long to get back to you. Just... 314 00:14:30,953 --> 00:14:34,063 - dealing with a lot of stuff. - Of course. 315 00:14:34,065 --> 00:14:35,789 I can only imagine a horrible revelation like... 316 00:14:35,791 --> 00:14:37,233 Yeah. We don't have to, um... 317 00:14:38,719 --> 00:14:40,736 Look, there's some... there's some stuff 318 00:14:40,738 --> 00:14:42,905 I want to tell you in person. 319 00:14:42,907 --> 00:14:45,966 Okay. Sure. 320 00:14:45,968 --> 00:14:48,411 Just know, I've been worried about you. 321 00:14:48,413 --> 00:14:49,820 All of us here have. 322 00:14:49,822 --> 00:14:51,247 And I'm not sure if you're aware of this, 323 00:14:51,249 --> 00:14:54,141 but you're in danger of losing your residency. 324 00:14:54,143 --> 00:14:56,568 Yeah, I know. 325 00:14:56,570 --> 00:14:59,588 Uh, look, can we meet up tomorrow? I'll fill you in. 326 00:15:00,591 --> 00:15:02,240 Yeah, sure. That works. 327 00:15:02,242 --> 00:15:04,176 Cool. Thanks, Billie. 328 00:15:09,842 --> 00:15:11,659 Phones in your locker while you're at the warehouse. 329 00:15:11,661 --> 00:15:12,676 Yeah, yeah, sorry. My bad. 330 00:15:12,678 --> 00:15:14,318 - You know that. - Yeah. 331 00:15:18,776 --> 00:15:21,168 What's with the limp? You okay, Randolph? 332 00:15:21,170 --> 00:15:23,979 Oh, I'm-I'm doing great. Thanks for your concern. 333 00:15:23,981 --> 00:15:26,356 I want to talk to you about Bosley. 334 00:15:26,766 --> 00:15:28,416 I don't get it. 335 00:15:28,441 --> 00:15:30,010 What is your beef with Dr. Bosley? 336 00:15:30,012 --> 00:15:33,030 - Is this personal? - I've never met the man. 337 00:15:33,032 --> 00:15:36,183 I told you last week, Dr. Elkins was looking 338 00:15:36,185 --> 00:15:37,685 - into the Emily Benesch case. - Well, you know... 339 00:15:37,687 --> 00:15:39,462 She didn't. 340 00:15:40,614 --> 00:15:42,781 These are five more complaints against Bosley 341 00:15:42,783 --> 00:15:44,875 for catastrophic outcomes that the board 342 00:15:44,877 --> 00:15:46,952 didn't look into either. 343 00:15:48,455 --> 00:15:50,288 Look... 344 00:15:50,290 --> 00:15:52,049 I-I'm just not familiar with 345 00:15:52,051 --> 00:15:53,976 the details of these old complaints 346 00:15:53,978 --> 00:15:55,293 off the top of my head, 347 00:15:55,295 --> 00:15:57,554 but I can tell you that, if we made the decision 348 00:15:57,556 --> 00:15:59,389 not to investigate, 349 00:15:59,391 --> 00:16:01,317 we had good reasons. 350 00:16:01,319 --> 00:16:04,211 See, I can't imagine what those 351 00:16:04,213 --> 00:16:05,988 could possibly be. 352 00:16:05,990 --> 00:16:09,383 Randolph, you're a good man, and I like you. 353 00:16:09,385 --> 00:16:12,811 You can be a very valuable member of the medical board. 354 00:16:12,813 --> 00:16:14,980 That's what I'm trying to be. 355 00:16:14,982 --> 00:16:16,056 Well, typically, 356 00:16:16,058 --> 00:16:18,650 new members tend to stay on the sidelines 357 00:16:18,652 --> 00:16:21,010 for a period to see how things work 358 00:16:21,035 --> 00:16:22,821 before going full Norma Rae, 359 00:16:22,823 --> 00:16:25,065 you know what I mean? 360 00:16:25,067 --> 00:16:28,511 I'll see you at the board meeting this afternoon. 361 00:16:31,690 --> 00:16:34,416 All right, Aaron, I found the stent, 362 00:16:34,441 --> 00:16:36,243 and I also found the cause 363 00:16:36,245 --> 00:16:38,078 of your heart attack. 364 00:16:38,080 --> 00:16:41,098 Unfortunately, they're one and the same. 365 00:16:41,100 --> 00:16:43,025 Uh, what does that mean? 366 00:16:43,027 --> 00:16:45,844 The stent your doctors placed is actually blocking 367 00:16:45,846 --> 00:16:47,921 one of the other arteries in your heart. 368 00:16:47,923 --> 00:16:50,591 That's why you were feeling so much pain. 369 00:16:50,593 --> 00:16:53,018 AJ, the rest of his vessels are pristine. 370 00:16:53,020 --> 00:16:56,377 Cholesterol's low, no family history... 371 00:16:56,402 --> 00:16:58,682 And it looks like the stent was placed in the location 372 00:16:58,707 --> 00:17:01,549 of a coronary artery dissection. Are we thinking the same thing? 373 00:17:01,574 --> 00:17:02,936 Yeah. It sickens me 374 00:17:02,938 --> 00:17:04,362 to say this, 375 00:17:04,364 --> 00:17:06,940 but you never should have had a cath in the first place. 376 00:17:06,942 --> 00:17:10,035 Worse, the cardiologist tore blood vessels 377 00:17:10,037 --> 00:17:12,888 when he put it in, which is why the procedure was so painful. 378 00:17:12,890 --> 00:17:15,558 I should prepare to see my maker. 379 00:17:15,560 --> 00:17:17,284 No need to pack your bags. 380 00:17:17,286 --> 00:17:20,062 You will get to your next great achievement. 381 00:17:22,291 --> 00:17:23,807 Aaron, 382 00:17:23,809 --> 00:17:26,235 what was the name of your cardiologist? 383 00:17:33,488 --> 00:17:34,689 Eliza, 384 00:17:34,714 --> 00:17:37,291 this is Dr. Billie Sutton, 385 00:17:37,316 --> 00:17:38,752 and she is a neurosurgeon, 386 00:17:38,777 --> 00:17:40,065 and I've asked her to come here and talk to you. 387 00:17:40,067 --> 00:17:41,158 Hi, Eliza. 388 00:17:41,731 --> 00:17:45,158 I've seen that expression on your face too many times. 389 00:17:45,183 --> 00:17:47,497 You have a plan to fix me, 390 00:17:47,499 --> 00:17:50,217 but I am unfixable. 391 00:17:52,004 --> 00:17:53,987 I don't want to go through this again. 392 00:17:53,989 --> 00:17:56,173 I-I get that. 393 00:17:56,893 --> 00:17:58,985 And, truth be told, my plan might not work. 394 00:17:59,378 --> 00:18:01,252 The success rate of deep brain stimulation 395 00:18:01,254 --> 00:18:02,830 for depression is about 50%. 396 00:18:02,832 --> 00:18:04,773 That is a broad definition of success, 397 00:18:04,775 --> 00:18:08,335 from modest improvement to complete absence 398 00:18:08,337 --> 00:18:09,686 of symptoms. 399 00:18:09,688 --> 00:18:12,072 Deep brain stimulation? 400 00:18:14,009 --> 00:18:16,619 A small conductor, an electrode, 401 00:18:16,644 --> 00:18:19,470 is permanently placed in a specific region of the brain. 402 00:18:19,495 --> 00:18:21,698 The conductor carries a low-level impulse from a battery 403 00:18:21,700 --> 00:18:24,041 to the area of the brain that regulates mood. 404 00:18:24,066 --> 00:18:25,820 What could possibly go wrong? 405 00:18:25,845 --> 00:18:29,088 In very rare circumstances, a hemorrhage can occur. 406 00:18:29,541 --> 00:18:34,291 Wh-Which would conceivably turn me into a can of peas. 407 00:18:34,316 --> 00:18:36,955 Well, like I said, that outcome is very rare, 408 00:18:36,980 --> 00:18:38,877 and I'm very good at this. 409 00:18:38,902 --> 00:18:40,759 And here's the part you might like... 410 00:18:40,784 --> 00:18:42,556 Can't imagine what that would be. 411 00:18:42,581 --> 00:18:44,313 Well, first we have to scan your brain. 412 00:18:44,315 --> 00:18:47,627 Then, I give you a tour of the organ 413 00:18:47,652 --> 00:18:49,801 that's not only the source of your literary success, 414 00:18:49,803 --> 00:18:51,712 but the thing that wants you dead. 415 00:18:51,714 --> 00:18:54,728 I'll pull some strings to get you out 416 00:18:54,753 --> 00:18:56,659 - of the ER while you wait. - Mm. 417 00:18:58,496 --> 00:19:01,555 We'll be back. 418 00:19:05,665 --> 00:19:07,072 Aaron is stable, 419 00:19:07,097 --> 00:19:09,681 but I can't undo the injury his heart has sustained. 420 00:19:09,706 --> 00:19:12,338 Once a blood vessel's been torn, it can tear again. 421 00:19:12,363 --> 00:19:14,584 And an acute clot could form, 422 00:19:14,586 --> 00:19:16,345 cause him more heart attacks. 423 00:19:16,370 --> 00:19:20,455 His cardiac function has decreased to only a third of what it should be. 424 00:19:20,480 --> 00:19:22,500 - In time, it could improve. - It's all wrong, 425 00:19:22,502 --> 00:19:24,002 and the worst part is, 426 00:19:24,004 --> 00:19:26,763 the procedure was entirely unnecessary. 427 00:19:26,765 --> 00:19:29,877 Look, I got a quick errand I got to run. 428 00:19:29,902 --> 00:19:31,392 I'll be back as fast as I can. 429 00:19:31,417 --> 00:19:34,063 I'll hold the pastor in the ER, keep an eye on him. 430 00:19:34,088 --> 00:19:36,488 - Yeah, man. - I'll update you. 431 00:19:47,545 --> 00:19:49,360 This is the cerebrum... 432 00:19:51,957 --> 00:19:54,127 ... where consciousness, emotion, perception, 433 00:19:54,152 --> 00:19:56,719 and memory are all integrated. 434 00:19:56,721 --> 00:19:59,494 Like any other part of the body, 435 00:19:59,519 --> 00:20:02,558 pathways of connections can be too strong or too weak, 436 00:20:02,560 --> 00:20:05,838 and when they are weak, we try to augment them with medications, 437 00:20:05,863 --> 00:20:07,877 you know, SSRIs, ECT... 438 00:20:07,902 --> 00:20:10,009 - But those didn't work. - Which is why we get 439 00:20:10,034 --> 00:20:11,619 to try something more intense. 440 00:20:11,644 --> 00:20:16,408 We would place electrodes here and here. 441 00:20:16,433 --> 00:20:19,816 Like a pacemaker for the brain instead of the heart. 442 00:20:19,818 --> 00:20:22,302 The electrodes stimulate Brodmann area 25, 443 00:20:22,327 --> 00:20:25,763 which is like the interstate highway of nerve connections, 444 00:20:25,788 --> 00:20:27,213 or white matter, 445 00:20:27,238 --> 00:20:31,086 and it's sitting right on top of a huge serotonin depot. 446 00:20:31,706 --> 00:20:35,041 It's like drilling for a well of happiness. 447 00:20:35,066 --> 00:20:37,818 If you like that image. 448 00:20:37,820 --> 00:20:41,822 Reminds me of those flimsy claws at arcades 449 00:20:41,847 --> 00:20:45,642 that kids dump their money into and try to grab a prize, 450 00:20:45,667 --> 00:20:48,687 but they never get one. 451 00:20:48,712 --> 00:20:52,839 Well, DBS has much higher odds of success than those claws. 452 00:20:53,168 --> 00:20:55,002 Define success. 453 00:20:55,004 --> 00:20:57,613 We banish the hell in your head 454 00:20:57,615 --> 00:20:59,506 but keep the heavenly talent. 455 00:20:59,508 --> 00:21:01,617 I won't wake up 456 00:21:01,619 --> 00:21:03,952 and be someone else, 457 00:21:03,954 --> 00:21:06,121 will I? 458 00:21:06,123 --> 00:21:09,041 Everyone facing DBS asks that question. 459 00:21:10,110 --> 00:21:12,211 Surely not everybody. 460 00:21:14,528 --> 00:21:16,603 Look, they say in Alcoholics Anonymous, 461 00:21:16,628 --> 00:21:17,949 if you sober up a horse thief, 462 00:21:17,951 --> 00:21:20,010 all you have is a sober horse thief. 463 00:21:21,454 --> 00:21:23,530 You will remain you, 464 00:21:23,532 --> 00:21:25,516 but a happy you. 465 00:21:28,220 --> 00:21:30,687 You're describing a stranger. 466 00:21:32,891 --> 00:21:35,439 You know, I really appreciate you 467 00:21:35,464 --> 00:21:38,712 making time for me on such short notice, Dr. Pellington. 468 00:21:38,730 --> 00:21:41,322 Well, I'm glad we could make it work, Mr. Austin. 469 00:21:41,347 --> 00:21:43,634 Now, as you know, we took a picture of your heart 470 00:21:43,659 --> 00:21:46,338 a few minutes ago, I sure am glad we did. 471 00:21:46,363 --> 00:21:48,259 It revealed some extra beats. 472 00:21:48,284 --> 00:21:49,861 Now, we have a fancy term for that. 473 00:21:49,886 --> 00:21:52,080 It's called premature ventricular contractions, 474 00:21:52,105 --> 00:21:53,560 but the important thing is, 475 00:21:53,562 --> 00:21:55,470 it may have shown a blockage 476 00:21:55,495 --> 00:21:58,072 in your arteries that feed blood to your heart, 477 00:21:58,143 --> 00:22:00,009 and that's the first step to a heart attack. 478 00:22:00,034 --> 00:22:01,902 Whoa, a heart attack. 479 00:22:01,904 --> 00:22:04,421 C-Can I take a look at that? 480 00:22:04,423 --> 00:22:06,831 - Oh, sure, sure. - Thanks. 481 00:22:06,856 --> 00:22:09,439 You are one lucky man 482 00:22:09,464 --> 00:22:12,048 because we can do a cardiac cath. 483 00:22:12,073 --> 00:22:15,353 That's a procedure where we can get a better view of those arteries, 484 00:22:15,378 --> 00:22:18,509 and if there is blockages, which I suspect there will be, 485 00:22:18,511 --> 00:22:21,088 we can open 'em right up. Any questions? 486 00:22:21,090 --> 00:22:23,440 Yeah, just one. 487 00:22:23,442 --> 00:22:27,130 Did you go into medicine intending to become a fraud? 488 00:22:27,155 --> 00:22:28,838 Excuse me? 489 00:22:28,863 --> 00:22:33,244 I'm a cardiothoracic surgeon at Chastain Park Memorial, 490 00:22:33,284 --> 00:22:36,822 and you and I both know that my EKG is normal. 491 00:22:36,847 --> 00:22:39,619 There is no medical reason to take me to cath, 492 00:22:39,644 --> 00:22:42,447 just like there wasn't for Pastor Aaron either. 493 00:22:42,472 --> 00:22:46,634 - I could point to hundreds... - Pastor Aaron is in our ICU 494 00:22:46,659 --> 00:22:50,978 right now as a result of the botched stent you put in when you dissected 495 00:22:51,003 --> 00:22:53,729 his LAD during an unnecessary cath. 496 00:22:54,551 --> 00:22:59,111 So, not only are you greedy, you are incompetent at best. 497 00:22:59,136 --> 00:23:01,236 I don't know what the hell you think you're getting at, 498 00:23:01,261 --> 00:23:03,002 but everything I did is legal. 499 00:23:03,027 --> 00:23:05,966 Legal? Really? 500 00:23:05,991 --> 00:23:09,534 You know, that's a pretty low bar for a doctor. 501 00:23:10,489 --> 00:23:14,474 I'll tell you what, Pellington, 502 00:23:15,306 --> 00:23:17,306 if my friend takes a turn for the worse, 503 00:23:17,331 --> 00:23:20,313 you will find yourself on the losing end of a lawsuit 504 00:23:20,315 --> 00:23:23,258 with me as the expert witness. 505 00:23:26,505 --> 00:23:28,505 Aaron. 506 00:23:28,507 --> 00:23:30,669 How you doing? 507 00:23:30,694 --> 00:23:32,844 I was just working on next week's sermon. 508 00:23:34,580 --> 00:23:36,580 You know, today's been all about me, 509 00:23:36,605 --> 00:23:38,814 and earlier you mentioned about being pulled back in 510 00:23:38,839 --> 00:23:42,072 the pain of your wife's death, before we got interrupted. 511 00:23:42,097 --> 00:23:44,213 And it will continue to be all about you. 512 00:23:44,238 --> 00:23:46,443 Numbers look good. Any chest pain? 513 00:23:46,468 --> 00:23:48,769 Ah, nothing significant. 514 00:23:48,953 --> 00:23:52,720 You and I are in the "you" business. 515 00:23:52,745 --> 00:23:54,772 You let me do my job. 516 00:23:55,612 --> 00:23:57,963 This resurgence of grief, 517 00:23:57,988 --> 00:24:00,517 have you had any big recent changes in your life? 518 00:24:00,542 --> 00:24:04,194 Crazy work stuff the past week. 519 00:24:05,659 --> 00:24:07,416 Have you been 520 00:24:07,441 --> 00:24:10,486 stepping out with any women since Nic's death? 521 00:24:10,511 --> 00:24:13,666 Eh... one. Nothing serious. Potentially others. 522 00:24:13,691 --> 00:24:15,908 - They all come with complications. - Yeah. 523 00:24:15,933 --> 00:24:19,564 Yeah, and I'm sure that you had those complications with Nic. 524 00:24:19,589 --> 00:24:23,603 Yeah, but the baggage was mostly mine. 525 00:24:23,628 --> 00:24:28,336 You know, my experience with counseling widowers is that guilt and loyalty 526 00:24:28,361 --> 00:24:31,429 can toss you back into the original grief. 527 00:24:32,479 --> 00:24:34,162 Maybe. 528 00:24:34,164 --> 00:24:35,998 Hey. 529 00:24:36,000 --> 00:24:37,963 If it's this woman, 530 00:24:37,988 --> 00:24:40,060 or if it's that woman, you deserve 531 00:24:40,062 --> 00:24:42,903 your next great romantic achievement. 532 00:24:46,626 --> 00:24:48,872 Patient's in V tach! I need a crash cart! 533 00:24:51,181 --> 00:24:54,924 He's pulseless. Now in V fib. 534 00:24:54,926 --> 00:24:58,020 We need to shock. Get the pads on. 535 00:25:05,825 --> 00:25:07,916 Charging. And clear. 536 00:25:07,941 --> 00:25:09,589 Now. 537 00:25:09,591 --> 00:25:11,867 Still in V fib. 538 00:25:11,869 --> 00:25:15,402 Get me a bolus of amio and shock again. 539 00:25:21,825 --> 00:25:23,066 Charging. 540 00:25:23,091 --> 00:25:25,317 Clear. And shock. 541 00:25:27,125 --> 00:25:31,173 - He has a pulse. - Sinus rhythm. 542 00:25:31,198 --> 00:25:32,612 But if this happens again, he is not... 543 00:25:32,637 --> 00:25:35,856 When it happens again, he won't survive it. 544 00:25:35,881 --> 00:25:39,525 Let's get him to the ICU. I'll page AJ. 545 00:25:44,217 --> 00:25:47,305 - Hey, what's going on? - I got him out of V fib, but... 546 00:25:47,330 --> 00:25:50,539 Hey. Right here, I got you, brother. 547 00:25:55,355 --> 00:25:57,822 His left ventricle is barely contracting. 548 00:25:57,863 --> 00:26:01,423 Down to about 15%. He couldn't tolerate the refractory arrhythmia. 549 00:26:01,448 --> 00:26:05,069 We can't fix his coronary arteries with more stents. They're too damaged. 550 00:26:05,071 --> 00:26:07,981 I'm gonna have to take a vessel from his chest and go around it. 551 00:26:07,983 --> 00:26:11,985 From an unnecessary cath to open-heart surgery. 552 00:26:16,007 --> 00:26:18,825 His systolic's dropping to the 60s. 553 00:26:18,827 --> 00:26:20,916 I need more pressure than that 554 00:26:20,941 --> 00:26:23,447 - to do surgery. - I'm maxed out on pressors. 555 00:26:24,315 --> 00:26:26,525 We're gonna have to put him on ECMO. 556 00:26:27,120 --> 00:26:29,502 Wh-What's going on, fellas? 557 00:26:29,527 --> 00:26:31,429 AJ needs to perform bypass surgery, 558 00:26:31,431 --> 00:26:35,181 so we're gonna put you on a machine that will take over for your heart, 559 00:26:35,206 --> 00:26:37,650 so your heart can survive the procedure, okay? 560 00:26:37,675 --> 00:26:40,970 If God wants me at His table right now, 561 00:26:40,995 --> 00:26:42,838 I have faith in Him. 562 00:26:42,863 --> 00:26:44,684 Have faith in me. 563 00:26:46,006 --> 00:26:48,598 I'm gonna do my best to make you late for that dinner. 564 00:26:48,623 --> 00:26:50,515 You hear me? 565 00:26:52,483 --> 00:26:56,244 I am glad to see that you agreed to the DBS. 566 00:26:56,269 --> 00:26:58,400 Of course, you'll be under psychiatric care 567 00:26:58,425 --> 00:27:00,124 for some time after the surgery, but... 568 00:27:00,126 --> 00:27:02,712 have you thought about 569 00:27:02,737 --> 00:27:04,254 what kind of support you're gonna need 570 00:27:04,279 --> 00:27:06,159 when you get back into your life? 571 00:27:07,484 --> 00:27:12,445 Well, if this works, I'll be happy, right? So... 572 00:27:12,470 --> 00:27:14,245 I won't need anything. 573 00:27:14,491 --> 00:27:16,974 I started reading your first book. 574 00:27:16,999 --> 00:27:20,175 Hmm. Enjoy it while you can. 575 00:27:21,477 --> 00:27:24,220 And that description of the conversation that you had 576 00:27:24,245 --> 00:27:27,017 with your therapist after your first suicide attempt... 577 00:27:27,042 --> 00:27:31,155 About falling in love with my depression. 578 00:27:31,157 --> 00:27:33,066 Yeah. 579 00:27:33,458 --> 00:27:35,441 It's hard to conceive of that. 580 00:27:36,254 --> 00:27:39,163 Well, for most people, it's... 581 00:27:39,165 --> 00:27:41,759 impossible, which is... 582 00:27:41,784 --> 00:27:44,985 why this is all so futile. 583 00:27:46,368 --> 00:27:47,868 - Are you okay? - Yeah. 584 00:27:47,893 --> 00:27:50,485 Yeah, I'm just, I'm just tired. 585 00:27:50,510 --> 00:27:54,214 This is so weird. 586 00:27:56,107 --> 00:27:59,264 - Eliza? - Hmm? Yeah. 587 00:27:59,289 --> 00:28:00,872 Hey. 588 00:28:02,819 --> 00:28:05,653 My God, she pulled out her A-line! 589 00:28:05,678 --> 00:28:07,761 I need another set of hands in here! 590 00:28:07,786 --> 00:28:11,198 Eliza, I'm not letting you go. 591 00:28:11,381 --> 00:28:13,381 Please... 592 00:28:13,383 --> 00:28:15,508 give us a chance. 593 00:28:19,480 --> 00:28:23,166 Okay, so, remember, stay calm, avoid an accusatory tone. 594 00:28:23,191 --> 00:28:25,118 But just share your truth. 595 00:28:25,173 --> 00:28:27,937 Yeah. Okay. 596 00:28:27,962 --> 00:28:30,738 I'm nervous, but I can do that. 597 00:28:31,735 --> 00:28:34,556 I wouldn't put you in front of these people 598 00:28:34,596 --> 00:28:36,665 if I didn't think you could reach them. 599 00:28:36,690 --> 00:28:38,465 Okay. 600 00:28:38,490 --> 00:28:40,740 Okay. All right. Here we go. 601 00:28:49,733 --> 00:28:51,716 I'm gonna move that chair. 602 00:28:51,741 --> 00:28:54,217 Just the top of the table. 603 00:28:54,758 --> 00:28:56,424 Okay. 604 00:28:56,426 --> 00:28:58,651 Uh... 605 00:28:58,653 --> 00:29:00,736 Who is this woman, Dr. Bell? 606 00:29:00,761 --> 00:29:03,228 You didn't mention that you were bringing a guest this morning. 607 00:29:03,253 --> 00:29:05,196 This is Emily Benesch. 608 00:29:05,221 --> 00:29:08,389 She's gonna tell us her story, 609 00:29:08,414 --> 00:29:09,897 and we are going to listen. 610 00:29:09,922 --> 00:29:13,402 The last time I walked on my own two feet, 611 00:29:13,427 --> 00:29:16,904 it was into Dr. Bosley's practice. 612 00:29:18,077 --> 00:29:19,982 The man I was engaged to marry 613 00:29:20,007 --> 00:29:22,433 left me after I was paralyzed. 614 00:29:30,685 --> 00:29:34,142 I can't... turn over in bed, 615 00:29:34,167 --> 00:29:36,322 reach a book on the shelf, 616 00:29:36,347 --> 00:29:38,533 get out of my house, into a car, 617 00:29:38,558 --> 00:29:42,524 through a store without pain and struggle. 618 00:29:42,549 --> 00:29:44,599 And why? 619 00:29:45,779 --> 00:29:47,779 Because no one stopped a man 620 00:29:47,804 --> 00:29:51,698 who should never have been operating to begin with. 621 00:29:52,684 --> 00:29:56,169 You sit in here and review his explanations. 622 00:29:56,389 --> 00:29:57,830 Accidents happen, 623 00:29:57,855 --> 00:30:00,615 but again and again? 624 00:30:01,459 --> 00:30:03,601 Who else will end up like me? 625 00:30:05,220 --> 00:30:08,312 Would you send your wife to him? 626 00:30:08,314 --> 00:30:10,723 Your son? 627 00:30:11,420 --> 00:30:13,270 Your father? 628 00:30:13,704 --> 00:30:15,963 Then why a stranger? 629 00:30:17,081 --> 00:30:20,416 I know that a very high percentage of doctors 630 00:30:20,441 --> 00:30:23,761 are-are competent and good people. 631 00:30:24,932 --> 00:30:28,673 And the few who ruin people's lives, 632 00:30:29,909 --> 00:30:32,400 they're... are repeat offenders. 633 00:30:32,425 --> 00:30:34,484 Like Dr. Bosley. 634 00:30:35,768 --> 00:30:38,769 If a hundred good doctors do nothing 635 00:30:38,794 --> 00:30:41,353 about one bad one, 636 00:30:41,378 --> 00:30:44,316 then we've got 101 bad doctors. 637 00:30:45,799 --> 00:30:48,208 You owe it to yourselves. 638 00:30:48,233 --> 00:30:50,584 You owe it to me. 639 00:30:56,064 --> 00:30:58,197 Thank you, Emily. 640 00:30:59,680 --> 00:31:03,591 We'll pass this up to the complaint division and... 641 00:31:03,616 --> 00:31:06,670 discuss the status of the investigation 642 00:31:06,695 --> 00:31:10,122 on a weekly basis. 643 00:31:10,147 --> 00:31:11,938 Thank you. 644 00:31:26,858 --> 00:31:28,544 The ECMO's giving his heart some relief, 645 00:31:28,569 --> 00:31:30,724 but this is as strong as he's gonna get. 646 00:31:30,749 --> 00:31:33,857 If I don't operate now, there might not be 647 00:31:33,882 --> 00:31:36,588 - any heart muscle left to save. - Yeah, it's time. 648 00:31:36,613 --> 00:31:40,466 Let's hope he's strong enough to survive. 649 00:32:03,684 --> 00:32:06,535 All right, the first graft is complete. 650 00:32:06,560 --> 00:32:09,469 This LAD is gonna be a little tougher. 651 00:32:09,494 --> 00:32:11,219 4.0 Prolene to me. 652 00:32:16,828 --> 00:32:19,996 Suturing over the dissection. 653 00:32:22,308 --> 00:32:24,857 You're using both internal mammary arteries for grafts. 654 00:32:24,882 --> 00:32:26,943 Is there a risk of recurring heart disease? 655 00:32:26,968 --> 00:32:29,645 Oh, good question, Chu. 656 00:32:29,670 --> 00:32:33,210 Not in a man who doesn't actually have heart disease. 657 00:32:34,792 --> 00:32:37,293 Both anastomoses complete. 658 00:32:37,318 --> 00:32:38,993 Removing the clamp. 659 00:32:42,377 --> 00:32:44,986 Let me know when you're ready. 660 00:32:48,399 --> 00:32:51,642 I am in position. 661 00:32:52,760 --> 00:32:54,927 Let's hit the reset button 662 00:32:54,952 --> 00:32:57,507 on the good pastor's new and improved heart. 663 00:32:57,892 --> 00:32:59,892 Starting with five joules. 664 00:33:05,147 --> 00:33:07,540 Going up to ten. 665 00:33:16,836 --> 00:33:18,937 Take it to 20. 666 00:33:31,333 --> 00:33:33,025 Come on. 667 00:33:42,609 --> 00:33:44,943 I'm placing the electrode. 668 00:33:46,148 --> 00:33:49,563 Now, there are no pain receptors in the brain, so this won't hurt. 669 00:33:49,588 --> 00:33:50,920 That's ironic. 670 00:33:52,295 --> 00:33:54,237 Advancing the electrode. 671 00:33:54,435 --> 00:33:57,177 60 millimeters. 672 00:33:57,202 --> 00:34:00,629 78 millimeters. 673 00:34:02,290 --> 00:34:05,291 We're at the target region. 674 00:34:06,421 --> 00:34:09,966 Dr. Malco? Pass it over to me. 675 00:34:09,991 --> 00:34:13,489 For what it's worth, I feel no different. 676 00:34:13,514 --> 00:34:17,263 I... maybe feel worse, even. 677 00:34:17,288 --> 00:34:21,232 Perhaps because now my head is screwed into a metal frame. 678 00:34:21,257 --> 00:34:23,802 We haven't turned it on yet, Eliza. 679 00:34:23,835 --> 00:34:26,677 - That's what I'm about to do. - Oh. 680 00:34:26,702 --> 00:34:29,419 Two volts. 681 00:34:29,444 --> 00:34:33,340 Eliza, rate your mood on a scale of zero to ten. 682 00:34:33,365 --> 00:34:34,698 Unchanged. 683 00:34:34,991 --> 00:34:36,489 Zero. 684 00:34:38,382 --> 00:34:41,296 Adjusting to four volts. 685 00:34:41,321 --> 00:34:44,131 And now? 686 00:34:46,447 --> 00:34:48,131 Nothing. 687 00:34:52,558 --> 00:34:55,201 Six volts. 688 00:34:55,390 --> 00:34:57,432 Eliza, how about now? 689 00:34:58,540 --> 00:35:01,600 Eliza, are you okay? 690 00:35:04,388 --> 00:35:05,845 I'm... 691 00:35:07,128 --> 00:35:08,794 - I'm... - Eliza, if we 692 00:35:08,819 --> 00:35:10,708 - went too far we can turn it back down. - No. 693 00:35:12,208 --> 00:35:14,068 No. Don't-don't-don't turn it back down. 694 00:35:14,093 --> 00:35:17,460 Don't-don't... Don't do anything. 695 00:35:18,507 --> 00:35:20,177 Tell us how you feel, Eliza. 696 00:35:20,757 --> 00:35:22,818 I feel calm? 697 00:35:22,843 --> 00:35:24,145 Everything... 698 00:35:25,475 --> 00:35:28,518 everything seems... brighter. 699 00:35:31,229 --> 00:35:33,880 Is...? 700 00:35:33,882 --> 00:35:36,658 Could this be... 701 00:35:36,660 --> 00:35:39,902 Could this be happiness? 702 00:35:52,032 --> 00:35:55,349 Well, against all odds, Aaron's alive 703 00:35:55,374 --> 00:35:57,646 with plenty more sermons to give. 704 00:35:57,671 --> 00:36:01,732 Yeah, well, it's a flawed victory. His heart is permanently damaged, 705 00:36:01,757 --> 00:36:03,818 and he'll spend the rest of his life exhausted. 706 00:36:03,843 --> 00:36:07,513 All because of unnecessary tests and useless procedures 707 00:36:07,538 --> 00:36:09,169 that were detrimental to his health. 708 00:36:09,194 --> 00:36:11,958 You know, I talked to Bell, now that he's on the medical board. 709 00:36:11,983 --> 00:36:14,969 Ah, let me guess. The system is so broken, 710 00:36:14,994 --> 00:36:16,994 Pellington won't face any ramifications. 711 00:36:17,019 --> 00:36:18,418 Bingo. 712 00:36:19,685 --> 00:36:22,185 There's literally nothing we can do. 713 00:36:22,210 --> 00:36:25,280 Maybe not, but there is always karma. 714 00:36:25,305 --> 00:36:26,880 So we'd like to think. 715 00:36:26,905 --> 00:36:30,575 ? Like the beating of life in my veins ? 716 00:36:30,600 --> 00:36:32,357 ? I know there's gonna be ? 717 00:36:32,382 --> 00:36:34,745 ? Some brighter days ? 718 00:36:34,770 --> 00:36:37,271 ? I know there's ? 719 00:36:37,296 --> 00:36:40,349 ? Gonna be some brighter days ? 720 00:36:40,374 --> 00:36:43,271 ? I swear that love will find ? 721 00:36:43,296 --> 00:36:45,488 ? You in your pain ? 722 00:36:45,513 --> 00:36:46,771 ? Ooh ? 723 00:36:46,796 --> 00:36:48,802 ? I feel it in me like ? 724 00:36:48,827 --> 00:36:52,665 ? The beating of life in my veins ? 725 00:36:52,690 --> 00:36:54,646 ? I know there's gonna be ? 726 00:36:54,671 --> 00:36:56,629 ? Some brighter days ? 727 00:36:56,654 --> 00:36:58,894 ? I know there's gonna be... ? 728 00:36:58,919 --> 00:37:02,554 - Are you okay? - Yeah, yeah, Nic has just... 729 00:37:03,798 --> 00:37:05,965 Nic has just been on my mind. 730 00:37:05,990 --> 00:37:07,990 And... 731 00:37:07,992 --> 00:37:11,216 and what we do, 732 00:37:11,241 --> 00:37:12,958 just... 733 00:37:13,733 --> 00:37:16,927 watching people slide to the very edge 734 00:37:16,952 --> 00:37:19,887 while we fight to save them. 735 00:37:19,912 --> 00:37:21,988 Yeah. 736 00:37:23,593 --> 00:37:28,154 Yeah, like we're surrounded by loss. 737 00:37:28,179 --> 00:37:30,493 Past, present, the future. 738 00:37:30,518 --> 00:37:33,436 Ours, other people's. 739 00:37:37,280 --> 00:37:40,575 Look, man, I'm preparing for my mother's passing. 740 00:37:41,654 --> 00:37:44,063 And when she does, I... 741 00:37:44,400 --> 00:37:46,175 I don't know what I'm gonna do. 742 00:37:46,225 --> 00:37:49,434 I know I'll never know another like her. 743 00:37:50,437 --> 00:37:51,995 No. 744 00:37:52,806 --> 00:37:55,999 There are some holes you just can't fill. 745 00:37:57,893 --> 00:37:59,075 Yeah. 746 00:37:59,100 --> 00:38:02,555 ? I know there's gonna be some brighter ? 747 00:38:02,580 --> 00:38:04,838 ? Days. ? 748 00:38:08,516 --> 00:38:10,924 Go ahead, ask. 749 00:38:10,949 --> 00:38:12,624 How are you feeling? 750 00:38:14,249 --> 00:38:15,833 Good. 751 00:38:15,858 --> 00:38:18,732 Weird. Um, hopeful. 752 00:38:18,757 --> 00:38:21,529 Scared. Bionic. 753 00:38:21,554 --> 00:38:24,036 I feel like I'm at one of those all-you-can-eat 754 00:38:24,061 --> 00:38:27,177 buffet restaurants, only it's for emotions. 755 00:38:28,327 --> 00:38:33,091 Sounds dizzying, but an improvement. 756 00:38:33,679 --> 00:38:36,789 Dr. Malco has a few options for psychiatric treatment centers, 757 00:38:36,814 --> 00:38:39,045 and they all accept your insurance, 758 00:38:39,070 --> 00:38:40,264 and they're gonna take you right away. 759 00:38:40,289 --> 00:38:42,514 You'll come back and see me in two weeks, 760 00:38:42,539 --> 00:38:45,231 and I'll adjust your stim level if necessary. 761 00:38:45,256 --> 00:38:47,740 Okay. 762 00:38:48,870 --> 00:38:51,145 Uh, thank you... 763 00:38:52,216 --> 00:38:54,233 ... for not letting me go. 764 00:38:54,415 --> 00:38:55,982 Of course. 765 00:39:07,031 --> 00:39:10,456 Days like this, I love being a doctor. 766 00:39:10,481 --> 00:39:13,124 Best job in the world. 767 00:39:20,906 --> 00:39:22,740 Bell. 768 00:39:22,765 --> 00:39:25,006 Bell, Bell, Bell. 769 00:39:25,828 --> 00:39:30,420 You know, I thought I had the deepest, highest-octane reservoir 770 00:39:30,445 --> 00:39:34,609 of ego, but, brother, your vanity makes mine blush. 771 00:39:34,811 --> 00:39:39,420 Randolph, you are my friend, but it's a good thing you don't have cancer 772 00:39:39,445 --> 00:39:40,756 because you are not a good enough friend 773 00:39:40,781 --> 00:39:42,795 for me to shave off this. I mean, this is like a silken 774 00:39:42,820 --> 00:39:45,558 - masterpiece up here. - That it is, it is. 775 00:39:45,583 --> 00:39:47,149 So... 776 00:39:47,635 --> 00:39:49,611 What do you say? 777 00:39:51,701 --> 00:39:55,515 Okay, I will take this... walking stick, 778 00:39:55,540 --> 00:39:57,373 but not because I'm old or infirm, 779 00:39:57,398 --> 00:40:00,030 but because it's really cool. 780 00:40:01,179 --> 00:40:03,915 - Thanks, guys. - You got it. 781 00:40:24,174 --> 00:40:26,025 Well, you look good. 782 00:40:27,438 --> 00:40:28,938 You okay? 783 00:40:28,963 --> 00:40:31,112 I am. 784 00:40:31,137 --> 00:40:32,779 I'm good. 785 00:40:45,221 --> 00:40:46,913 So, what's going on? 786 00:40:47,658 --> 00:40:49,333 Okay, first... 787 00:40:51,061 --> 00:40:53,469 I'm not sure I want to be a doctor. 788 00:40:53,494 --> 00:40:57,180 I went into it for the wrong reasons. 789 00:40:58,673 --> 00:41:00,489 Why did you go into it? 790 00:41:06,185 --> 00:41:09,186 I wanted to be the person I thought you'd love enough 791 00:41:09,211 --> 00:41:10,842 to wish you'd kept me. 792 00:41:10,867 --> 00:41:14,624 Now I realize you were a child. 793 00:41:14,649 --> 00:41:16,740 That's why you couldn't keep me. 794 00:41:16,976 --> 00:41:19,786 I know we both suffered. 795 00:41:22,786 --> 00:41:25,712 Right now it feels like being a doctor 796 00:41:25,737 --> 00:41:27,570 won't give me what it gives you. 797 00:41:30,625 --> 00:41:35,468 The good news is, being an M.D. opens up a lot of opportunities. 798 00:41:35,586 --> 00:41:38,412 Yeah. I... 799 00:41:38,437 --> 00:41:43,295 got a job in research and development at a biotech start-up. 800 00:41:43,320 --> 00:41:45,990 Drug chemistry, my sweet spot. 801 00:41:46,015 --> 00:41:49,678 But I'm gonna do it, you know, by the rules. 802 00:41:49,703 --> 00:41:52,468 Try to make a difference. 803 00:41:52,493 --> 00:41:55,419 I don't know. We'll see what happens. 804 00:41:57,847 --> 00:41:59,856 I'm happy for you, Trevor. 805 00:42:01,220 --> 00:42:03,688 And I'm very proud. 806 00:42:05,349 --> 00:42:09,576 Yeah, since Porter, since giving you away, I... 807 00:42:09,601 --> 00:42:11,998 It had been inconceivable to me 808 00:42:12,023 --> 00:42:14,515 that I could ever feel maternal towards anyone. 809 00:42:15,985 --> 00:42:17,960 I never wanted kids. 810 00:42:19,797 --> 00:42:21,280 But you forced me to meet you, 811 00:42:21,282 --> 00:42:23,449 and what had been inconceivable happened. 812 00:42:23,451 --> 00:42:26,769 Something opened up in me. No, these last couple 813 00:42:26,771 --> 00:42:29,939 of weeks, when I didn't know where you were, 814 00:42:29,941 --> 00:42:32,032 what you were doing... 815 00:42:32,034 --> 00:42:34,510 I was beside myself with worry. 816 00:42:36,872 --> 00:42:39,557 Which I suspect means I was feeling a little bit 817 00:42:39,559 --> 00:42:41,517 like a real mother. 818 00:42:48,401 --> 00:42:51,068 You are my son. 819 00:42:51,070 --> 00:42:53,863 Nothing can ever change that. 820 00:42:55,224 --> 00:42:56,908 And I love you. 821 00:43:03,305 --> 00:43:07,305 - Synced and corrected by synk - - www.addic7ed.com -