1 00:00:01,100 --> 00:00:02,615 Previously on The Resident... 2 00:00:02,620 --> 00:00:04,020 You're making out a will? 3 00:00:04,025 --> 00:00:05,345 I realized I don't have one. 4 00:00:05,859 --> 00:00:07,089 You are not going to die. 5 00:00:07,094 --> 00:00:08,190 You can't promise me that. 6 00:00:08,195 --> 00:00:10,759 Chastain is performing mandatory drug testing 7 00:00:10,764 --> 00:00:12,030 on all doctors today. 8 00:00:14,201 --> 00:00:15,731 Positive. 9 00:00:15,736 --> 00:00:17,600 This hospital-wide drug test. 10 00:00:17,605 --> 00:00:18,901 Did you name my father? 11 00:00:18,906 --> 00:00:20,669 And I didn't break that confidence. 12 00:00:20,674 --> 00:00:22,204 I don't need you to save me. 13 00:00:22,209 --> 00:00:24,076 Baby number one is out. 14 00:00:25,312 --> 00:00:27,376 Baby number two. 15 00:00:27,381 --> 00:00:29,501 The babies are in the NICU if you want to go see them. 16 00:00:31,018 --> 00:00:33,049 I've been taking Oxaprozin for my back. 17 00:00:33,054 --> 00:00:34,683 It causes a false positive. 18 00:00:34,688 --> 00:00:35,952 Kit's asked me to stop taking them. 19 00:00:35,956 --> 00:00:37,119 I'll test again in a week. 20 00:00:37,124 --> 00:00:38,390 Just wanted you to know. 21 00:00:42,128 --> 00:00:43,659 So, how about some weather? 22 00:00:43,664 --> 00:00:44,727 Joanne, you there with our weather today? 23 00:00:44,731 --> 00:00:46,161 I don't hear water running. 24 00:00:47,534 --> 00:00:50,999 Those teeth aren't gonna clean themselves. 25 00:00:51,004 --> 00:00:53,902 Giorgiana Grace. Chop-chop. We're gonna be late. 26 00:00:57,377 --> 00:00:59,274 Gigi? 27 00:01:04,284 --> 00:01:05,750 Hey. 28 00:01:07,020 --> 00:01:09,317 What's all that hacking up here? 29 00:01:09,322 --> 00:01:11,590 I feel sick. 30 00:01:12,726 --> 00:01:15,156 You're not warm. Tell me what hurts. 31 00:01:15,161 --> 00:01:17,292 I think I have a cold. 32 00:01:20,701 --> 00:01:22,931 Oh, no. 33 00:01:22,936 --> 00:01:24,967 That sounds much worse than a cold. 34 00:01:24,972 --> 00:01:28,903 It sounds like you have Ferris Bueller Syndrome. 35 00:01:28,908 --> 00:01:30,638 What's that? 36 00:01:30,643 --> 00:01:34,041 It is a very rare disease where little boys and girls 37 00:01:34,046 --> 00:01:38,179 fake sick so they don't have to go to school. 38 00:01:38,184 --> 00:01:41,752 Sounds pretty serious to me. 39 00:01:43,256 --> 00:01:45,620 This isn't about school, is it? 40 00:01:45,625 --> 00:01:47,822 Sounds like someone's worried about 41 00:01:47,827 --> 00:01:50,191 their belt ceremony tonight. 42 00:01:50,196 --> 00:01:53,461 I don't want to do tae kwon do anymore. 43 00:01:53,466 --> 00:01:55,630 But you love tae kwon do. And you've worked so hard. 44 00:01:55,635 --> 00:01:57,965 Don't you want to get that cool yellow stripe on your belt? 45 00:01:57,970 --> 00:02:01,469 You only move up if you break the board. 46 00:02:01,474 --> 00:02:04,104 I've seen you do that routine a hundred times. 47 00:02:04,109 --> 00:02:05,109 What's the problem? 48 00:02:05,114 --> 00:02:08,112 And I will be there cheering you on the whole time. 49 00:02:08,117 --> 00:02:09,781 Okay? 50 00:02:09,786 --> 00:02:12,251 I'm sorry, Daddy. I can't do it. 51 00:02:31,737 --> 00:02:33,100 Come on. 52 00:02:34,974 --> 00:02:37,007 Come on. 53 00:02:53,261 --> 00:03:00,761 - Synced and corrected by Firefly - - www.addic7ed.com - 54 00:03:18,183 --> 00:03:19,413 Morning, Tabitha. 55 00:03:19,418 --> 00:03:21,381 Ooh, love the hair. New highlights? 56 00:03:21,386 --> 00:03:23,150 - They are. - Mm. 57 00:03:23,155 --> 00:03:25,150 Funny, my husband didn't even notice. 58 00:03:25,155 --> 00:03:27,315 Sounds like your husband needs to get his eyes checked. 59 00:03:29,561 --> 00:03:31,625 Did something happen to your eyes? They're... 60 00:03:31,630 --> 00:03:32,662 black. 61 00:03:33,632 --> 00:03:36,162 Oh. Nothing. 62 00:03:36,167 --> 00:03:37,597 - Annual eye checkup. - Mm. 63 00:03:37,602 --> 00:03:40,099 That's what a few drops of tropicamide will do for you. 64 00:03:40,104 --> 00:03:41,434 Hmm. 65 00:03:41,439 --> 00:03:44,470 My cousin, his eyes used to be dilated like that. 66 00:03:44,475 --> 00:03:47,206 Turns out, he was in withdrawal at the time. 67 00:03:47,211 --> 00:03:49,075 You're not withdrawing from drugs now, 68 00:03:49,080 --> 00:03:50,209 are you, Dr. Sullivan? 69 00:03:50,214 --> 00:03:51,477 That's hilarious. 70 00:03:51,482 --> 00:03:52,813 You're hilarious. 71 00:03:52,817 --> 00:03:54,615 On that note, though, I-I do have 72 00:03:54,620 --> 00:03:57,150 an important operation that-that demands my attention 73 00:03:57,155 --> 00:03:58,251 this afternoon. I'm... 74 00:03:58,256 --> 00:03:59,452 I'm wondering if we can move 75 00:03:59,457 --> 00:04:01,187 that drug test up to earlier in the day. 76 00:04:01,192 --> 00:04:02,889 Ideally before noon? 77 00:04:02,894 --> 00:04:04,624 Oh, I'm sorry, Dr. Sullivan, 78 00:04:04,629 --> 00:04:06,794 but we outsource those tests to a third party company. 79 00:04:06,799 --> 00:04:09,199 They won't be here until your appointment at 4:00. 80 00:04:10,802 --> 00:04:12,799 That's a shame. 81 00:04:12,804 --> 00:04:15,434 But... I will make sure 82 00:04:15,439 --> 00:04:17,070 they're still here after your surgery. 83 00:04:17,075 --> 00:04:19,104 We will get you tested, Ian, don't you worry. 84 00:04:19,109 --> 00:04:21,143 - Thank you, Tabitha. - Mm-hmm. 85 00:04:22,279 --> 00:04:24,977 21-year-old woman with endocarditis 86 00:04:24,982 --> 00:04:26,645 in the setting of IV opiates. 87 00:04:26,650 --> 00:04:28,313 She's on broad spectrum antibiotics 88 00:04:28,318 --> 00:04:29,848 with stable hemodynamics. 89 00:04:29,853 --> 00:04:31,216 Diana, hi. 90 00:04:31,221 --> 00:04:34,022 I'm Dr. Sullivan. How are you feeling? 91 00:04:35,092 --> 00:04:36,588 My baby. 92 00:04:36,593 --> 00:04:38,857 Have you, have you seen, have you seen her? 93 00:04:38,862 --> 00:04:42,260 Diana gave birth to a baby girl late last night. 94 00:04:42,265 --> 00:04:43,996 What's your daughter's name? 95 00:04:44,001 --> 00:04:47,199 They won't let me see her. Is-is she okay? 96 00:04:47,204 --> 00:04:49,201 Looks like there's a Baby Jane Doe 97 00:04:49,206 --> 00:04:51,469 in the neonatal intensive care unit. 98 00:04:51,474 --> 00:04:53,308 I can pop by and check on her. 99 00:04:55,079 --> 00:04:57,445 It's my fault that she's suffering. 100 00:04:58,682 --> 00:05:01,979 Everybody told me that I would screw her up if I didn't stop. 101 00:05:01,984 --> 00:05:04,182 But I didn't. 102 00:05:04,187 --> 00:05:06,017 We'll get you a list of treatment centers 103 00:05:06,022 --> 00:05:08,055 once you're a little more stable. 104 00:05:09,658 --> 00:05:11,926 My baby needs her mama. 105 00:05:14,296 --> 00:05:15,993 I want to get clean. 106 00:05:15,998 --> 00:05:18,562 I believe you. 107 00:05:18,567 --> 00:05:22,333 But first we need to get this infection under control. 108 00:05:22,338 --> 00:05:24,571 We'll be back to check on you soon. 109 00:05:34,217 --> 00:05:37,148 Uh, let's do another blood culture on Diana. 110 00:05:37,153 --> 00:05:39,553 And run a CBC, ESR, and CRP. 111 00:05:40,990 --> 00:05:44,756 She's just so nice. And sad. 112 00:05:44,761 --> 00:05:47,991 - I feel bad for her. - So do I. 113 00:05:47,996 --> 00:05:50,293 But right now there are still drugs in her system. 114 00:05:50,298 --> 00:05:53,997 And once she starts withdrawal, Diana will not be as nice. 115 00:05:54,002 --> 00:05:55,699 You should prepare yourself for that. 116 00:05:55,704 --> 00:05:58,235 My uncle was the same way. 117 00:05:58,240 --> 00:05:59,903 He was a completely different person 118 00:05:59,908 --> 00:06:02,806 when he was trying to stop drinking. 119 00:06:02,811 --> 00:06:05,942 Addiction is a horrible disease. 120 00:06:05,947 --> 00:06:09,449 Sometimes fighting it can look just as ugly as feeding it. 121 00:06:13,054 --> 00:06:15,185 Is this about her nightmares again? 122 00:06:15,190 --> 00:06:17,220 Luckily, the nightmares seem to be a thing 123 00:06:17,225 --> 00:06:18,756 of the past. 124 00:06:18,761 --> 00:06:21,392 Gigi and I have a new challenge now. 125 00:06:21,397 --> 00:06:23,294 She needs some tough love. 126 00:06:23,299 --> 00:06:26,363 - So, can you cover for me? - Don't worry, man, I got you. 127 00:06:26,368 --> 00:06:27,931 You sure you don't mind? 128 00:06:27,936 --> 00:06:30,065 Well, it's either this or I'm washing cloth diapers 129 00:06:30,070 --> 00:06:31,768 to prep for the twins' homecoming. 130 00:06:31,773 --> 00:06:33,403 You're doing me a favor. 131 00:06:33,408 --> 00:06:35,337 All right. 132 00:06:35,342 --> 00:06:36,906 Thanks, man. I owe you. 133 00:06:36,911 --> 00:06:38,741 And tell Gigi I hope she feels better. 134 00:06:38,746 --> 00:06:40,943 - Will do. - Sorry, Daddy. 135 00:06:40,948 --> 00:06:43,149 Did I get you in trouble at work? 136 00:06:44,752 --> 00:06:46,816 No, you didn't. 137 00:06:46,821 --> 00:06:48,984 Uncle Devon's gonna cover for me. 138 00:06:48,989 --> 00:06:50,386 But don't think this means 139 00:06:50,391 --> 00:06:51,988 you're getting out of your belt ceremony. 140 00:06:51,992 --> 00:06:54,189 - But, Daddy... - No buts. 141 00:06:54,194 --> 00:06:55,825 Listen, we are gonna practice 142 00:06:55,830 --> 00:06:58,461 until you can do every single takedown in your sleep. 143 00:06:58,466 --> 00:06:59,796 Capisce? 144 00:06:59,801 --> 00:07:01,331 - Capisce. - All right. 145 00:07:01,336 --> 00:07:03,265 But you don't know tae kwon do. 146 00:07:03,270 --> 00:07:04,934 Well, then you better teach me. 147 00:07:04,939 --> 00:07:07,239 All right? Now let's go. 148 00:07:10,278 --> 00:07:11,608 What do you got for me, Feldman? 149 00:07:11,613 --> 00:07:13,742 34-year-old female with myasthenia gravis. 150 00:07:13,747 --> 00:07:15,578 Her parents brought her to the ED after finding her 151 00:07:15,582 --> 00:07:16,946 at the bottom of their staircase. 152 00:07:16,951 --> 00:07:19,114 Classic muscle weakness. Clearly an MG flare-up. 153 00:07:19,119 --> 00:07:21,683 But what caused the flare is your problem, not mine. 154 00:07:21,688 --> 00:07:24,085 This woman was diagnosed over six years ago. 155 00:07:24,090 --> 00:07:25,320 Myasthenia gravis is chronic, 156 00:07:25,325 --> 00:07:26,756 but she should be in remission by now. 157 00:07:26,760 --> 00:07:28,324 No, the treatments never worked. 158 00:07:28,328 --> 00:07:29,725 Her neuromuscular symptoms 159 00:07:29,730 --> 00:07:31,527 worsened to the point that she had to move back in 160 00:07:31,531 --> 00:07:33,562 - with her parents for full-time caretaking. - Hmm. 161 00:07:33,567 --> 00:07:35,831 Well, looks like I've got my work cut out for me. 162 00:07:35,836 --> 00:07:37,032 Yeah, you'll like Marty. 163 00:07:37,037 --> 00:07:39,001 She's a nerd. Like you. 164 00:07:39,006 --> 00:07:40,302 Then we can finally see 165 00:07:40,307 --> 00:07:42,341 if you can still hang with the real doctors. 166 00:07:46,713 --> 00:07:49,110 Attending to vocational counseling... 167 00:07:49,115 --> 00:07:50,479 Hi. 168 00:07:50,484 --> 00:07:53,848 I'm Dr. Pravesh. You must be Marty. 169 00:07:53,853 --> 00:07:57,121 Who is Marty? Why is Marty? 170 00:07:58,524 --> 00:08:00,654 I usually reserve my existential dread 171 00:08:00,659 --> 00:08:01,923 for the end of the day. 172 00:08:01,928 --> 00:08:04,325 But I think I can make an exception. 173 00:08:04,330 --> 00:08:06,527 I heard you took a little tumble. 174 00:08:06,532 --> 00:08:09,163 I didn't want to ask for help. 175 00:08:09,168 --> 00:08:12,200 When your 70-year-old parents have to get you to the bathroom 176 00:08:12,205 --> 00:08:15,369 every morning, you keep the requests to a minimum. 177 00:08:15,374 --> 00:08:16,770 At least when I'm in the hospital, 178 00:08:16,775 --> 00:08:18,639 they get a break from it all. 179 00:08:18,644 --> 00:08:20,877 Probably a nice break for you, too. 180 00:08:21,680 --> 00:08:23,511 Well, if I could help them out financially, 181 00:08:23,516 --> 00:08:24,879 I might feel a little bit better. 182 00:08:24,884 --> 00:08:26,580 But that's the one universal truth 183 00:08:26,585 --> 00:08:28,016 they don't tell you about. 184 00:08:28,021 --> 00:08:30,551 You can't get a job with a philosophy degree. 185 00:08:30,556 --> 00:08:32,953 Oh, it all makes sense. 186 00:08:32,958 --> 00:08:34,454 You're a truth seeker. 187 00:08:35,794 --> 00:08:37,791 Too bad the truth doesn't pay, huh? 188 00:08:38,296 --> 00:08:40,894 I'd like to get to the bottom of your myasthenia flare. 189 00:08:40,899 --> 00:08:42,295 So if you don't mind hanging out, 190 00:08:42,300 --> 00:08:44,631 I can admit you and run some tests, okay? 191 00:08:44,636 --> 00:08:47,700 Lucky for both of us, I got nowhere to be. 192 00:08:47,705 --> 00:08:49,702 I'll be back. 193 00:08:49,707 --> 00:08:50,940 All right. 194 00:08:52,977 --> 00:08:54,707 The twins look perfect. 195 00:08:54,712 --> 00:08:56,910 Healthy weight, strong heartbeats. 196 00:08:56,915 --> 00:08:59,279 I'd say this family can go home this afternoon. 197 00:08:59,284 --> 00:09:00,880 Ah, you hear that, Padma? 198 00:09:00,885 --> 00:09:03,349 We're finally breaking you guys out of here. 199 00:09:03,354 --> 00:09:05,885 That is music to my ears. Oh. 200 00:09:05,890 --> 00:09:07,455 I'll see you and the boys in a month. 201 00:09:07,459 --> 00:09:09,021 You need anything, you call. 202 00:09:09,026 --> 00:09:10,860 Thank you, Ian. 203 00:09:14,065 --> 00:09:16,896 Strong lungs on this one. 204 00:09:16,901 --> 00:09:18,230 She have a name? 205 00:09:18,235 --> 00:09:19,798 This is Jane. 206 00:09:19,803 --> 00:09:21,453 Well, that's what we're calling her. 207 00:09:21,458 --> 00:09:23,222 Typical NAS baby. She just... 208 00:09:23,574 --> 00:09:25,403 she can't get comfortable. 209 00:09:25,408 --> 00:09:26,772 Well, I'd be miserable, too, 210 00:09:26,777 --> 00:09:28,807 - if I was withdrawing from drugs. - Yeah. 211 00:09:28,812 --> 00:09:30,308 - May I? - Yes. 212 00:09:32,082 --> 00:09:36,181 I know it hurts, sweetie. Trust me, I know. 213 00:09:36,186 --> 00:09:37,449 Where's the mother? 214 00:09:37,454 --> 00:09:41,219 Admitted in ICU. Long-term heroin user. 215 00:09:41,224 --> 00:09:45,256 Although "mother" is not the word I would choose. 216 00:09:45,261 --> 00:09:47,025 Neural tube defect. 217 00:09:47,030 --> 00:09:49,661 Has anyone taken Jane for scans? 218 00:09:49,666 --> 00:09:51,430 Well, Dr. Lawrence said he would check her out 219 00:09:51,434 --> 00:09:52,998 after he got out of the OR. 220 00:09:53,003 --> 00:09:54,433 Unless you could take a look at her 221 00:09:54,437 --> 00:09:56,334 because I've had a really rough day today, 222 00:09:56,339 --> 00:09:58,669 and I just, I could really use your help. 223 00:10:00,342 --> 00:10:01,806 I'll be back for Jane. 224 00:10:01,811 --> 00:10:03,911 There's something I need to take care of. 225 00:10:12,788 --> 00:10:15,853 Dr. Sullivan, everything all right in there? 226 00:10:15,858 --> 00:10:18,755 All good, Susan. Out in a sec. 227 00:10:18,760 --> 00:10:20,858 Dr. Voss is out of the office today. 228 00:10:20,863 --> 00:10:22,493 She asked me to remind you about your follow-up 229 00:10:22,497 --> 00:10:23,893 this afternoon, the drug test. 230 00:10:23,898 --> 00:10:24,996 Yeah, of course. 231 00:10:25,001 --> 00:10:26,831 Drug test. Who could forget that? 232 00:10:26,836 --> 00:10:30,001 They'll be ready for you in the lab at 4:00. 233 00:10:30,006 --> 00:10:31,839 4:00. Can't wait. 234 00:10:34,143 --> 00:10:36,073 Oh, my God. 235 00:10:36,078 --> 00:10:39,112 Oh... Nine hours. 236 00:10:41,316 --> 00:10:43,914 Nine hours. 237 00:10:43,919 --> 00:10:45,882 Take your test, 238 00:10:45,887 --> 00:10:48,455 then all the pills you want. 239 00:10:51,700 --> 00:10:53,532 Less than a day old, and this little girl 240 00:10:53,537 --> 00:10:54,893 has already been through it all. 241 00:10:54,898 --> 00:10:57,695 Outside of her obvious spinal deformity, 242 00:10:57,700 --> 00:10:59,998 this is what concerns me the most. 243 00:11:00,003 --> 00:11:02,200 Proximity of her neural tissue to the skin. 244 00:11:02,205 --> 00:11:04,402 They're practically touching. 245 00:11:04,407 --> 00:11:06,604 Jane needs surgery, no doubt about that. 246 00:11:06,609 --> 00:11:08,406 Preferably sooner than later. 247 00:11:08,411 --> 00:11:12,109 I can book us an OR for noon, if that works for you. 248 00:11:12,114 --> 00:11:14,212 I-I'd rather do after 4:00. 249 00:11:14,217 --> 00:11:17,382 That gives us time to get an MRI under sedation. 250 00:11:17,387 --> 00:11:19,084 Well, the longer we wait, the more at-risk Jane is 251 00:11:19,088 --> 00:11:20,718 for a catastrophic CNS infection. 252 00:11:20,723 --> 00:11:22,723 Her immune system is way too fragile to fight that. 253 00:11:26,161 --> 00:11:28,259 Dr. Sullivan, are you feeling okay? 254 00:11:28,264 --> 00:11:30,728 It's like a sauna in here, don't you think? 255 00:11:31,834 --> 00:11:33,731 You know, you're right. 256 00:11:33,736 --> 00:11:35,466 Let's move forward with the surgery. 257 00:11:35,471 --> 00:11:38,005 I-I'll check my schedule. I'll get back to you. 258 00:11:43,145 --> 00:11:44,942 All right, on the count of three 259 00:11:44,947 --> 00:11:46,677 you can open your eyes. 260 00:11:46,682 --> 00:11:48,679 One... 261 00:11:48,684 --> 00:11:52,116 two... 262 00:11:52,121 --> 00:11:53,687 three. 263 00:11:56,124 --> 00:11:59,656 Grandmaster Hawkins' dojo is officially open. 264 00:11:59,661 --> 00:12:02,026 In Korea they call it a dojang. 265 00:12:02,031 --> 00:12:04,194 Yeah, well, my apologies to Korea. 266 00:12:04,199 --> 00:12:06,197 And you're not a grandmaster. 267 00:12:06,202 --> 00:12:09,837 We'll see about that. You ready? 268 00:12:14,376 --> 00:12:17,445 - Kamsahamnida. - Kamsahamnida. 269 00:12:22,951 --> 00:12:24,751 Protect yourself. 270 00:12:25,854 --> 00:12:28,419 - Kiai! - Kiai! 271 00:12:28,424 --> 00:12:30,023 Kiai... 272 00:12:31,593 --> 00:12:33,560 Now... 273 00:12:38,199 --> 00:12:40,997 Break the board, young Padawan. 274 00:12:41,002 --> 00:12:43,533 Kiai! 275 00:12:43,538 --> 00:12:45,369 Daddy, are you okay? 276 00:12:45,374 --> 00:12:47,003 Yeah, I'm fine. 277 00:12:47,008 --> 00:12:48,938 I'll get my nurse's kit. 278 00:12:56,300 --> 00:12:58,600 _ 279 00:13:02,523 --> 00:13:04,591 Artificial urine? 280 00:13:12,300 --> 00:13:14,597 Okay, that's more like it. 281 00:13:17,004 --> 00:13:19,404 Hey, you're running point on Baby Jane Doe 282 00:13:19,409 --> 00:13:22,408 - in the NICU, right? - I am, yeah. Who-Who's asking? 283 00:13:22,413 --> 00:13:24,239 The mother. She's in my ICU. 284 00:13:24,244 --> 00:13:25,674 I promised I'd give her an update. 285 00:13:25,679 --> 00:13:28,577 How about I come down and talk to her? 286 00:13:28,582 --> 00:13:30,879 Great. Okay. 287 00:13:30,884 --> 00:13:32,650 - See you down there. - All right. 288 00:13:42,996 --> 00:13:44,626 I don't get it. 289 00:13:44,631 --> 00:13:48,163 My, my baby's spinal cord is outside of her body? 290 00:13:48,168 --> 00:13:49,865 Not exactly. 291 00:13:49,870 --> 00:13:53,168 Uh, a neural tube defect occurs 292 00:13:53,173 --> 00:13:55,603 when the fetus doesn't get 293 00:13:55,608 --> 00:13:57,406 enough folic acid during pregnancy. 294 00:13:57,411 --> 00:13:59,474 And when this happens, 295 00:13:59,479 --> 00:14:03,245 the-the lower part of the spine can't grow properly. 296 00:14:03,250 --> 00:14:05,646 - Folic acid? What is that? - Mm. 297 00:14:05,651 --> 00:14:07,748 No one told me anything about any vitamins. 298 00:14:07,753 --> 00:14:08,754 Well, you know what, they might have 299 00:14:08,758 --> 00:14:10,798 if you'd shown up for a single prenatal appointment. 300 00:14:12,925 --> 00:14:15,656 What's important is that Dr. Sullivan is going to 301 00:14:15,661 --> 00:14:17,625 repair the sac of fluid on your daughter's back. 302 00:14:17,630 --> 00:14:19,226 Mm-hmm. 303 00:14:19,231 --> 00:14:21,495 And me and my baby can go home? 304 00:14:21,500 --> 00:14:24,332 We will talk timelines once both of you 305 00:14:24,337 --> 00:14:25,903 are back on your feet. 306 00:14:35,982 --> 00:14:37,611 What you should have told her is that no doctor 307 00:14:37,615 --> 00:14:39,085 in their right mind would send a child home 308 00:14:39,089 --> 00:14:41,014 with an active heroin addict. 309 00:14:41,019 --> 00:14:42,815 And who would that help? 310 00:14:42,820 --> 00:14:44,284 Diana is suffering, too. 311 00:14:44,289 --> 00:14:45,718 She knows she hurt her daughter. 312 00:14:45,723 --> 00:14:47,953 Oh, does she? I heard she was out in the parking lot 313 00:14:47,958 --> 00:14:49,490 shooting up before she came in to deliver. 314 00:14:49,494 --> 00:14:52,993 And I'm horrified by that, but both mom and daughter are here 315 00:14:52,998 --> 00:14:55,561 because they had virtually no access to prenatal care. 316 00:14:55,566 --> 00:14:57,197 She was set up to fail from the start. 317 00:14:57,202 --> 00:14:59,799 I don't think she is in there beating herself up 318 00:14:59,804 --> 00:15:01,469 over what happens, and if you think she is, 319 00:15:01,473 --> 00:15:04,040 you have no idea how addiction works. 320 00:15:08,612 --> 00:15:10,043 Ever since Bell left for Minnesota, 321 00:15:10,048 --> 00:15:11,543 I feel like I've been coasting. 322 00:15:11,548 --> 00:15:14,213 No other surgeon has let me cut. 323 00:15:14,218 --> 00:15:16,148 I really need a challenge. 324 00:15:16,153 --> 00:15:18,117 You've got this, babe. 325 00:15:18,622 --> 00:15:22,721 That blood panel has really got your attention. 326 00:15:22,726 --> 00:15:24,490 Should I be jealous? 327 00:15:24,495 --> 00:15:26,957 I'm sorry. 328 00:15:26,962 --> 00:15:28,492 None of this makes any sense. 329 00:15:28,497 --> 00:15:29,828 Marty's in her mid-30s. 330 00:15:29,833 --> 00:15:31,463 There's no reason her disease should have progressed 331 00:15:31,467 --> 00:15:33,464 to need full-time caretaking. 332 00:15:33,469 --> 00:15:37,368 A lot of myasthenia patients respond to plasma transfusions. 333 00:15:37,373 --> 00:15:40,939 Except she's receiving plasma every six months. 334 00:15:40,944 --> 00:15:43,174 It helps until it doesn't, as does prednisone, 335 00:15:43,179 --> 00:15:45,746 azathioprine, mycophenolate, rituximab. 336 00:15:51,421 --> 00:15:54,953 Unless... the reason none of her treatments have worked 337 00:15:54,958 --> 00:15:58,823 is... is because we're treating the wrong thing. 338 00:15:58,828 --> 00:16:00,790 And by the way, if you want to cut again, 339 00:16:00,795 --> 00:16:03,460 try working with Nolan. 340 00:16:03,465 --> 00:16:04,962 Okay. 341 00:16:04,967 --> 00:16:07,034 I have to go. 342 00:16:10,405 --> 00:16:13,070 Marty, I think it's time we take a step back. 343 00:16:13,075 --> 00:16:16,473 Reassess the basis of why you're here. 344 00:16:16,478 --> 00:16:18,776 - Now who's the existential one? - What I mean is, 345 00:16:18,781 --> 00:16:21,844 have you ever considered that your original diagnosis 346 00:16:21,849 --> 00:16:24,614 could be flawed? 347 00:16:24,619 --> 00:16:28,518 What, like I don't have myasthenia? 348 00:16:28,523 --> 00:16:30,353 On paper you fit all of the criteria 349 00:16:30,358 --> 00:16:31,388 for myasthenia gravis. 350 00:16:31,393 --> 00:16:33,791 Wait, if I don't have it, then what's wrong with me? 351 00:16:33,795 --> 00:16:35,027 I have no idea. 352 00:16:36,930 --> 00:16:38,226 I'm sorry, Marty, I... 353 00:16:38,231 --> 00:16:40,499 I don't mean to overwhelm you. 354 00:16:44,871 --> 00:16:49,238 I've just always been someone who questions everything. 355 00:16:49,243 --> 00:16:51,407 Whether there's a God 356 00:16:51,412 --> 00:16:54,513 or if time is an illusion or... 357 00:16:56,683 --> 00:17:00,819 But I never once thought to question my diagnosis. 358 00:17:03,657 --> 00:17:06,288 You want answers, and I want to give them to you. 359 00:17:06,293 --> 00:17:09,958 This means we have to run a few more tests. 360 00:17:09,963 --> 00:17:13,197 All right. Let's do it. 361 00:17:17,871 --> 00:17:19,621 Let's get security on standby. 362 00:17:19,626 --> 00:17:21,122 That is my baby in there. 363 00:17:21,127 --> 00:17:22,771 You cannot take her from me. 364 00:17:22,776 --> 00:17:24,973 I understand this is upsetting, but we have to do 365 00:17:24,978 --> 00:17:26,008 what's best for Jane. 366 00:17:26,013 --> 00:17:28,144 You think going to a foster home is better than 367 00:17:28,148 --> 00:17:29,848 her own mother?! 368 00:17:30,551 --> 00:17:32,413 - She needs me. - We'll make sure 369 00:17:32,418 --> 00:17:34,149 - CPS finds her a safe home. - No. 370 00:17:34,154 --> 00:17:35,750 This isn't permanent, okay? 371 00:17:35,755 --> 00:17:37,586 You can still make this right. 372 00:17:37,591 --> 00:17:38,687 It hurts. 373 00:17:38,692 --> 00:17:40,522 It all hurts! 374 00:17:40,527 --> 00:17:41,889 I know. I know, Diana, 375 00:17:41,894 --> 00:17:44,492 but you can still get clean. Okay? 376 00:17:44,497 --> 00:17:47,328 Diana? 377 00:17:47,333 --> 00:17:48,496 What's going on? 378 00:17:48,501 --> 00:17:51,366 She's in shock. Likely sepsis from the endocarditis. 379 00:17:51,371 --> 00:17:52,901 I need a norepi drip 380 00:17:52,906 --> 00:17:54,972 and an intubation kit in here now. 381 00:18:01,113 --> 00:18:02,677 Is she gonna be okay? 382 00:18:02,682 --> 00:18:04,946 Diana has a lot to make up for. 383 00:18:04,951 --> 00:18:06,984 We're not giving up on her just yet. 384 00:18:12,800 --> 00:18:15,545 Pupils are reactive. That's a good sign. 385 00:18:15,550 --> 00:18:18,348 BP is still low. The pressors aren't enough. 386 00:18:18,953 --> 00:18:20,687 Hand me that ultrasound. 387 00:18:27,529 --> 00:18:29,093 What is it? 388 00:18:29,098 --> 00:18:30,961 Diana has a splenomegaly. 389 00:18:30,966 --> 00:18:33,763 Why would her spleen be enlarged? 390 00:18:33,768 --> 00:18:35,232 It's hard to say for sure, 391 00:18:35,237 --> 00:18:37,495 so we need to get her to Imaging to confirm. 392 00:18:37,500 --> 00:18:39,998 We can't move her like this. She-she could crash again. 393 00:18:40,003 --> 00:18:42,300 She will eventually if we don't get a clearer picture 394 00:18:42,305 --> 00:18:43,501 of what's going on. 395 00:18:43,506 --> 00:18:46,740 Page Dr. Devi and tell her to meet us in CT. 396 00:18:51,500 --> 00:18:56,000 _ 397 00:18:56,751 --> 00:18:58,451 Scans are up. 398 00:19:03,959 --> 00:19:06,856 Well, the refractory fever makes more sense. 399 00:19:06,861 --> 00:19:09,459 I don't think I've ever seen a spleen with so many abscesses. 400 00:19:09,464 --> 00:19:11,995 The bacteria from her heart has metastasized into clots, 401 00:19:12,000 --> 00:19:13,763 moving from one organ to the next. 402 00:19:13,768 --> 00:19:16,199 A splenectomy might be her only option. 403 00:19:16,204 --> 00:19:19,336 - Will she even survive a surgery? - Maybe. 404 00:19:19,341 --> 00:19:20,703 Maybe not. 405 00:19:20,708 --> 00:19:22,038 Looking at these scans, 406 00:19:22,043 --> 00:19:24,507 I doubt she'll survive without it either. 407 00:19:24,512 --> 00:19:26,275 She's your patient. 408 00:19:26,280 --> 00:19:28,314 What do you want to do? 409 00:19:29,818 --> 00:19:32,652 You're right. Let's do the surgery. 410 00:19:36,825 --> 00:19:38,387 Thank you. 411 00:19:38,392 --> 00:19:39,756 Hey. 412 00:19:39,761 --> 00:19:42,158 Can you spare a second to pick your brain? 413 00:19:42,163 --> 00:19:44,694 - Shoot. - My patient, she's 34 414 00:19:44,699 --> 00:19:47,564 and diagnosed with myasthenia gravis years ago. 415 00:19:47,569 --> 00:19:48,798 That's a rough one. 416 00:19:48,803 --> 00:19:50,334 But at least the prognosis is decent. 417 00:19:50,339 --> 00:19:52,136 Except hers isn't, which is why I questioned 418 00:19:52,141 --> 00:19:53,672 if she was misdiagnosed. 419 00:19:53,677 --> 00:19:55,006 Okay, I hear you. 420 00:19:55,011 --> 00:19:56,544 Have you tested her yourself? 421 00:19:56,549 --> 00:19:58,195 Blood test, edrophonium test. 422 00:19:58,200 --> 00:19:59,895 All point back to myasthenia. 423 00:19:59,900 --> 00:20:01,998 None explain why her muscle weakness 424 00:20:02,003 --> 00:20:03,666 isn't responding to treatment. 425 00:20:03,671 --> 00:20:07,536 Well, maybe the weakness isn't coming from her muscles at all. 426 00:20:07,541 --> 00:20:10,606 If that's true, an electromyography could confirm. 427 00:20:10,611 --> 00:20:12,842 An EMG will tell you if your patient's weakness 428 00:20:12,847 --> 00:20:15,177 is coming from her muscles or her nerve cells. 429 00:20:15,182 --> 00:20:16,813 If it turns out to be a muscle issue, 430 00:20:16,818 --> 00:20:18,847 then she most likely has myasthenia gravis. 431 00:20:18,852 --> 00:20:21,716 But if the EMG proves the nerve cells are responsible, 432 00:20:21,721 --> 00:20:23,351 there's no way she has myasthenia. 433 00:20:23,356 --> 00:20:26,187 An EMG is an incredibly invasive procedure. 434 00:20:26,192 --> 00:20:28,823 Not to mention excruciatingly painful. 435 00:20:28,828 --> 00:20:31,059 Yes, but if the result is what I think it is, 436 00:20:31,064 --> 00:20:33,628 we could potentially cure her symptoms. 437 00:20:33,633 --> 00:20:34,996 You know, Devon, some people 438 00:20:35,001 --> 00:20:36,664 just don't respond to treatment. 439 00:20:36,669 --> 00:20:38,232 We never know why. 440 00:20:38,237 --> 00:20:40,568 Are you sure this is more than a hunch? 441 00:20:40,573 --> 00:20:42,403 My patient wants answers. 442 00:20:42,408 --> 00:20:45,339 She'll do whatever it takes to get them, and so will I. 443 00:20:45,344 --> 00:20:46,575 So, can you do it? 444 00:20:46,580 --> 00:20:48,144 I just hope, for your patient's sake, 445 00:20:48,148 --> 00:20:49,747 this is worth it. 446 00:20:57,622 --> 00:20:59,519 Are you waiting on Postmates, too? 447 00:20:59,524 --> 00:21:02,790 Yep. Should be here any minute. 448 00:21:02,795 --> 00:21:04,659 Hope it's not one of those ghost kitchens. 449 00:21:04,664 --> 00:21:07,762 I've had my fair share of pad thai that never showed up. 450 00:21:07,767 --> 00:21:10,765 Yeah, that-that won't be a problem. 451 00:21:18,611 --> 00:21:20,941 You got to be kidding me. 452 00:21:20,946 --> 00:21:23,547 Yeah, ghost kitchen strikes again. 453 00:21:27,319 --> 00:21:29,449 All right, this is gonna hurt, 454 00:21:29,454 --> 00:21:31,955 but then the worst part will be over. 455 00:21:39,631 --> 00:21:42,061 Why is Billie doing an EMG on our patient? 456 00:21:42,066 --> 00:21:44,495 You mean my patient, and this is the only way 457 00:21:44,500 --> 00:21:46,201 to pinpoint where Marty's weakness is coming from. 458 00:21:46,205 --> 00:21:47,403 We know where her weakness is from. 459 00:21:47,407 --> 00:21:49,804 She has myasthenia gravis. 460 00:21:49,809 --> 00:21:51,804 I'm not so sure about that. 461 00:21:51,809 --> 00:21:54,441 - My gut is telling me something else is going on. - Hold up. 462 00:21:54,446 --> 00:21:56,142 You're saying dozens of neurologists 463 00:21:56,147 --> 00:21:58,811 who've all diagnosed Marty with myasthenia are wrong, 464 00:21:58,816 --> 00:22:01,412 all because you have a Spidey-sense? 465 00:22:01,417 --> 00:22:04,650 I'm sure those doctors made the best diagnoses they could 466 00:22:04,655 --> 00:22:06,417 with the information they had, 467 00:22:06,422 --> 00:22:08,186 but the inefficacies of the treatments... 468 00:22:08,191 --> 00:22:09,755 This isn't about the treatments, Pravesh. 469 00:22:09,759 --> 00:22:10,990 This is about you treating a patient 470 00:22:10,994 --> 00:22:14,093 like one of your little science experiments. 471 00:22:14,098 --> 00:22:16,628 Look, I know you don't think I'm a real doctor anymore, 472 00:22:16,633 --> 00:22:19,701 but I am actually trying to help my patient. 473 00:22:21,238 --> 00:22:23,769 Does that look like it's helping, Devon? 474 00:22:24,574 --> 00:22:27,606 If you ask me, all your clinical trials 475 00:22:27,611 --> 00:22:30,276 have desensitized you to what real harm looks like. 476 00:22:30,281 --> 00:22:33,014 That right there. That's it. 477 00:22:40,000 --> 00:22:42,595 Let's check that balance, check that balance. Here we go. 478 00:22:42,600 --> 00:22:44,860 Okay, we go one, one. And two, two. 479 00:22:44,865 --> 00:22:46,895 That'd be three. Okay. 480 00:22:46,900 --> 00:22:48,297 Four! Four! Kick. 481 00:22:48,302 --> 00:22:49,865 Okay, here we go. 482 00:22:49,870 --> 00:22:52,201 - Kiai. Kiai. - Gigi. 483 00:22:55,675 --> 00:22:58,639 - Here we go. One. - Kiai! 484 00:22:58,644 --> 00:22:59,841 Again. One. One. Come on, right here. 485 00:22:59,845 --> 00:23:01,175 Ah! One more, one more. 486 00:23:01,180 --> 00:23:02,977 Ah, oh, God, you got me. 487 00:23:02,982 --> 00:23:05,012 Oh, God, you got me. You got me. 488 00:23:05,017 --> 00:23:06,747 - Kiai! Kiai! - Oh, God. 489 00:23:06,752 --> 00:23:08,716 Oh, so strong. I'll fight back. 490 00:23:08,721 --> 00:23:10,250 - I'm gonna fight back. - Kiai! Kiai! 491 00:23:10,255 --> 00:23:12,319 - I'm gonna fight back. - Kiai! 492 00:23:13,658 --> 00:23:16,157 Yeah, time-out, time-out. 493 00:23:16,162 --> 00:23:17,758 Phone call. 494 00:23:19,165 --> 00:23:20,895 Hurry back, Dad. 495 00:23:20,900 --> 00:23:24,264 We have more pummeling to do! 496 00:23:24,269 --> 00:23:25,502 Oh, boy. 497 00:23:28,074 --> 00:23:29,836 So, what, you gonna leave Chastain 498 00:23:29,841 --> 00:23:31,971 and become a karate instructor? 499 00:23:31,976 --> 00:23:33,373 Tae kwon do, technically. 500 00:23:33,378 --> 00:23:35,142 Turns out it's harder than it looks. 501 00:23:35,147 --> 00:23:36,375 Gigi did that to you? 502 00:23:36,380 --> 00:23:38,111 It wasn't my fault. 503 00:23:38,116 --> 00:23:41,447 The Popsicle-stick splint says otherwise. 504 00:23:41,452 --> 00:23:43,183 How are things going over there? 505 00:23:43,188 --> 00:23:45,251 How much time do you have? 506 00:23:45,256 --> 00:23:47,520 Talk to me. 507 00:23:47,525 --> 00:23:49,989 I have this patient who I thought for sure 508 00:23:49,994 --> 00:23:53,292 was misdiagnosed with myasthenia gravis... 509 00:23:53,297 --> 00:23:54,794 so I did an EMG. 510 00:23:54,799 --> 00:23:57,230 Okay. What did it tell you? 511 00:23:57,235 --> 00:23:59,132 Nothing. It only reconfirmed 512 00:23:59,137 --> 00:24:00,600 her original diagnosis. 513 00:24:00,605 --> 00:24:04,571 You know, I keep asking myself where the line is. 514 00:24:04,576 --> 00:24:07,773 How far do I push before what I thought 515 00:24:07,778 --> 00:24:10,976 was helping is actually harming someone? 516 00:24:10,981 --> 00:24:13,215 Trust your instincts. What's your gut say? 517 00:24:18,356 --> 00:24:19,652 That I got to keep digging. 518 00:24:19,657 --> 00:24:22,455 Then you have your answer. I should probably go. 519 00:24:22,460 --> 00:24:24,657 I've got time for about six more kicks to the chest 520 00:24:24,662 --> 00:24:26,495 before Gigi's ceremony tonight. 521 00:24:27,831 --> 00:24:29,595 Wait, hold on. Say that again. 522 00:24:29,600 --> 00:24:30,700 Say what? 523 00:24:30,705 --> 00:24:32,868 That I got about six more kicks to the chest 524 00:24:32,873 --> 00:24:34,470 before Gigi's ceremony? 525 00:24:34,475 --> 00:24:36,709 Keep digging, my friend. I got to go. 526 00:24:39,343 --> 00:24:42,641 Dr. Pravesh, I know I said I wanted answers, 527 00:24:42,646 --> 00:24:46,044 but I'm not sure how much more of this I can take. 528 00:24:46,049 --> 00:24:48,480 I know, Marty. This'll be the last thing. 529 00:24:48,485 --> 00:24:50,751 I promise. It'll be painless. 530 00:24:52,189 --> 00:24:54,555 I'll be back. 531 00:25:05,602 --> 00:25:07,900 Listen, I'm sorry I came on so strong, 532 00:25:08,305 --> 00:25:10,302 but I won't apologize for what I said. 533 00:25:10,307 --> 00:25:12,307 Neither will I. 534 00:25:13,843 --> 00:25:16,508 I want to hear you out, Devon. 535 00:25:16,513 --> 00:25:19,179 So tell me, what exactly is it you expect to find? 536 00:25:24,185 --> 00:25:25,386 That. 537 00:25:27,723 --> 00:25:29,687 You're kidding, right? 538 00:25:29,692 --> 00:25:31,923 You know if you do a full body scan of anyone, 539 00:25:31,928 --> 00:25:33,592 you're gonna find something somewhere. 540 00:25:33,597 --> 00:25:35,760 It's an incidentaloma. It doesn't prove anything. 541 00:25:35,765 --> 00:25:38,096 Not yet. But a biopsy will confirm 542 00:25:38,101 --> 00:25:40,532 that Marty has lung cancer. 543 00:25:40,537 --> 00:25:42,934 Years ago, a trial was conducted 544 00:25:42,939 --> 00:25:44,569 to study a small-cell lung cancer 545 00:25:44,574 --> 00:25:46,771 that was known to mimic neuromuscular symptoms. 546 00:25:46,776 --> 00:25:47,872 All right, so you're saying 547 00:25:47,877 --> 00:25:49,574 it could imitate myasthenia gravis. 548 00:25:49,579 --> 00:25:51,543 It's nearly indistinguishable. 549 00:25:52,047 --> 00:25:54,009 But it wouldn't respond to myasthenia treatment 550 00:25:54,014 --> 00:25:56,646 because it's not a neuromuscular disease at all. 551 00:25:56,651 --> 00:25:58,251 Well, I'll be damned. 552 00:25:59,621 --> 00:26:01,887 Looks like you're still a real doctor after all. 553 00:26:17,572 --> 00:26:19,102 Oh, there you are. 554 00:26:19,107 --> 00:26:21,304 Dr. Sutton's looking for you. 555 00:26:21,709 --> 00:26:23,739 You don't look good, Dr. Sullivan. 556 00:26:23,744 --> 00:26:26,141 Yeah, just a little heartburn. I-I must have eaten too fast. 557 00:26:26,146 --> 00:26:27,543 Okay, well, why don't you sit down? 558 00:26:27,547 --> 00:26:29,346 - You know, I can't, I got to get going. I'm good. - I can help you. 559 00:26:29,350 --> 00:26:30,847 - Okay. - Thank you. Thank you. 560 00:26:30,852 --> 00:26:32,882 Stay here. I'll get you some water. 561 00:26:32,887 --> 00:26:35,121 Everything's fine. 562 00:26:39,292 --> 00:26:40,889 They're taking Jane to the OR. 563 00:26:40,894 --> 00:26:43,259 - We have to go now. - Why? What happened? 564 00:26:43,264 --> 00:26:45,294 She's showing signs of encephalitis. 565 00:26:45,299 --> 00:26:47,299 It's now or never. 566 00:26:49,102 --> 00:26:51,165 All right, 3:55. I need ten minutes 567 00:26:51,170 --> 00:26:52,233 I'll meet you there. 568 00:26:52,238 --> 00:26:54,003 We don't have ten minutes, Ian, you know that. 569 00:26:54,007 --> 00:26:56,274 Okay, five minutes. Start without me. 570 00:27:03,749 --> 00:27:06,379 I have an appointment for Ian Sullivan, 4:00 p.m. 571 00:27:06,384 --> 00:27:07,882 Our technician is stuck in traffic, 572 00:27:07,887 --> 00:27:09,183 so we're running a little late. 573 00:27:09,188 --> 00:27:10,586 He's not here? No, that's not possible. 574 00:27:10,590 --> 00:27:12,453 I have a 4:00 p.m. It's 4:00 now. 575 00:27:12,458 --> 00:27:14,457 I'm sorry for the delay, but if you just take a seat... 576 00:27:14,461 --> 00:27:16,023 No, I'm not taking a seat. 577 00:27:16,028 --> 00:27:17,758 I've been waiting all day for the damn test. 578 00:27:17,763 --> 00:27:20,494 I have a newborn, a little girl waiting for me right now. 579 00:27:20,499 --> 00:27:21,929 Can we please do the test? 580 00:27:21,934 --> 00:27:23,934 You can fill this out while you wait. 581 00:27:41,620 --> 00:27:44,054 Will Dr. Sullivan be joining us? 582 00:28:08,847 --> 00:28:10,876 Okay, let's do this, please. 583 00:28:10,881 --> 00:28:13,012 - Just a few more minutes, sir. - I just need to pee in a cup. 584 00:28:13,016 --> 00:28:14,713 What could possibly take so long?! 585 00:28:14,718 --> 00:28:16,718 Just a few more minutes. 586 00:28:22,300 --> 00:28:24,400 _ 587 00:28:29,433 --> 00:28:31,500 Oh, screw this. 588 00:28:41,578 --> 00:28:43,374 Jane's vitals are starting to dip. 589 00:28:43,379 --> 00:28:45,910 - Should we wait, or... - No. 590 00:28:45,915 --> 00:28:47,448 Let's get started. 591 00:28:49,519 --> 00:28:51,519 Scalpel to me. 592 00:29:02,198 --> 00:29:04,028 Dad, we need to talk. 593 00:29:04,033 --> 00:29:07,097 I can't right now, dear, I've got to get going. 594 00:29:07,102 --> 00:29:09,500 Earlier with a patient, you were having trouble. 595 00:29:09,505 --> 00:29:12,002 You were forgetting things. And it's been weighing on me. 596 00:29:12,007 --> 00:29:14,772 I've got surgery now, Cade. I can't do this right now. Okay? 597 00:29:14,777 --> 00:29:16,707 I don't think you should be operating. 598 00:29:17,111 --> 00:29:18,908 This is exactly why I didn't want to tell you 599 00:29:18,913 --> 00:29:21,044 about the Oxaprozin. Anything I do now 600 00:29:21,049 --> 00:29:22,246 is gonna be under your little microscope. 601 00:29:22,250 --> 00:29:23,281 Well, can you really blame me. 602 00:29:23,285 --> 00:29:26,519 - I am worried about you. - Do not patronize me! 603 00:29:27,889 --> 00:29:29,653 Is that why you came in here? 604 00:29:29,658 --> 00:29:31,988 Comb through all my past. Okay, fine, let's to that, then. 605 00:29:31,993 --> 00:29:33,924 Okay, you're being irrational. Just calm down. 606 00:29:33,929 --> 00:29:35,025 Do you want me to admit it? 607 00:29:35,030 --> 00:29:36,193 I was a terrible father? 608 00:29:36,198 --> 00:29:37,762 That's what you tell all your friends, right? I... 609 00:29:37,766 --> 00:29:39,096 You tell them I was a deadbeat. 610 00:29:39,101 --> 00:29:41,066 - You had to raise yourself, right? - No, that's not fair. 611 00:29:41,070 --> 00:29:42,702 - I-I never meant that you... - You know, Cade, 612 00:29:42,706 --> 00:29:44,135 sometimes you are not the victim. 613 00:29:44,140 --> 00:29:45,637 Sometimes you are the problem. 614 00:29:45,642 --> 00:29:48,106 You make everyone around you feel like a failure, 615 00:29:48,111 --> 00:29:49,875 Miss High and Mighty. 616 00:29:49,880 --> 00:29:51,376 Do you have any idea 617 00:29:51,381 --> 00:29:53,582 what having a daughter like that does to a man? 618 00:29:55,584 --> 00:29:58,618 I'm sorry I'm such a disappointment to you, Ian. 619 00:30:25,000 --> 00:30:27,535 And that concludes time-out. 620 00:30:27,540 --> 00:30:29,824 Does anyone have any questions before we begin? 621 00:30:29,829 --> 00:30:34,395 Unrelated, but does anybody have a bidet that they can recommend? 622 00:30:34,400 --> 00:30:38,667 Dr. Nolan, we are ready to proceed with the splenectomy. 623 00:30:38,672 --> 00:30:40,801 Splenect-away, Dr. Devi. 624 00:30:40,806 --> 00:30:42,503 If you screw up, I'll scrub in. 625 00:30:42,508 --> 00:30:44,905 Just do me a favor and don't 626 00:30:44,910 --> 00:30:48,412 splat yourself all over the pavement. 627 00:30:49,548 --> 00:30:52,049 Looks like you're flying solo today, Dr. Devi. 628 00:30:55,554 --> 00:30:57,822 Scalpel. 629 00:31:04,763 --> 00:31:06,927 Oh. About time. 630 00:31:06,932 --> 00:31:08,562 Where the hell have you been? 631 00:31:14,740 --> 00:31:17,674 Vitals are dropping. Should we push more epinephrine? 632 00:31:20,313 --> 00:31:22,677 Look, I don't know what is going on with you, Ian, 633 00:31:22,682 --> 00:31:24,078 but pull it together. 634 00:31:24,083 --> 00:31:26,584 Jane needs you. 635 00:31:30,489 --> 00:31:32,522 Ian! 636 00:31:47,472 --> 00:31:49,769 - Fever's spiking. - Sepsis is worsening. 637 00:31:49,774 --> 00:31:51,204 We have to move fast. Clamps to me. 638 00:31:51,209 --> 00:31:53,607 Diana's going into A-fib. 639 00:31:53,612 --> 00:31:55,941 You hear those alarms, Devi? You tried, and you failed. 640 00:31:55,946 --> 00:31:57,745 - I am scrubbing in. - This was always a risk. 641 00:31:57,749 --> 00:31:59,247 Let me get her heart rate under control. 642 00:31:59,251 --> 00:32:01,848 She's too sick. Stop the surgery, cardiovert now. 643 00:32:01,853 --> 00:32:04,684 The only way through is to do the surgery. Stapler to me, now. 644 00:32:04,689 --> 00:32:07,220 If you do not get her rate down, she is going to... 645 00:32:07,225 --> 00:32:08,725 She's going to make it. 646 00:32:16,133 --> 00:32:18,164 Heart rate and temperature normalizing. 647 00:32:18,169 --> 00:32:19,966 Great work, Dr. Devi. 648 00:32:19,971 --> 00:32:23,036 See? You can get back 649 00:32:23,041 --> 00:32:24,607 to your bidet now. 650 00:32:27,344 --> 00:32:29,442 With pleasure. 651 00:32:35,552 --> 00:32:38,617 All right, carry your incision down into the meningeal sac. 652 00:32:38,622 --> 00:32:41,619 That's it. Mobilize the nerve roots. 653 00:32:41,624 --> 00:32:43,422 Dr. Sullivan, this is your specialty. 654 00:32:43,426 --> 00:32:45,156 Dr. Sutton can handle it. 655 00:32:45,161 --> 00:32:47,692 Okay, now use your sutures. 656 00:32:47,697 --> 00:32:51,332 Delicately fold the neural placode into the spine. 657 00:32:58,208 --> 00:33:02,040 I know my way around a spine, but not one this small. 658 00:33:02,045 --> 00:33:04,042 Jessica's right. You should take over. 659 00:33:04,047 --> 00:33:08,046 - You're doing fine. Just keep going. - I will. 660 00:33:08,051 --> 00:33:10,919 But if Jane dies on this table, it's on you. 661 00:33:18,628 --> 00:33:21,659 Okay. 7-0 Prolene to me, please. 662 00:33:21,664 --> 00:33:23,929 Better late than never, I suppose. 663 00:33:23,934 --> 00:33:26,198 See if you can get me some exposure here. 664 00:33:26,203 --> 00:33:29,400 Retract the skin edges, please. 665 00:33:31,208 --> 00:33:33,205 All right. 666 00:33:33,210 --> 00:33:35,673 - You see that little guy? - Mm-hmm. 667 00:33:35,678 --> 00:33:38,075 - The filum terminale? - It tethers the spine, 668 00:33:38,080 --> 00:33:41,146 as you know, but now we need to cut it, okay? 669 00:33:41,151 --> 00:33:42,680 Place back in the nerves 670 00:33:42,685 --> 00:33:45,116 and then close the dura and the fascia. 671 00:33:45,121 --> 00:33:47,154 You with me, Sutton? 672 00:33:48,490 --> 00:33:50,987 Lead the way. 673 00:33:50,992 --> 00:33:53,059 Ah. 674 00:33:59,601 --> 00:34:02,699 It's official. You don't have myasthenia gravis. 675 00:34:02,704 --> 00:34:05,269 But I have cancer. 676 00:34:05,274 --> 00:34:10,240 Yes. A paraneoplastic syndrome called Lambert-Eaton. 677 00:34:10,245 --> 00:34:12,776 It explains why your neuromuscular symptoms 678 00:34:12,781 --> 00:34:14,982 were worsening with the myasthenia treatment. 679 00:34:20,121 --> 00:34:24,220 Look, I know cancer is never good news. 680 00:34:24,225 --> 00:34:27,020 But now that we know what we're dealing with, we can fight it. 681 00:34:27,025 --> 00:34:29,055 And we happen to have excellent weapons 682 00:34:29,060 --> 00:34:31,124 against this particular type. 683 00:34:31,129 --> 00:34:33,527 I'm not going to lie to you, Marty. It's a long road ahead. 684 00:34:33,532 --> 00:34:36,196 But if we stay the path, in a few years, there's a chance 685 00:34:36,201 --> 00:34:39,236 that you can gain some of your independence back. 686 00:34:41,307 --> 00:34:44,040 You mean, I could move out of my parents' house? 687 00:34:47,044 --> 00:34:48,741 Take care of them for a change? 688 00:34:48,746 --> 00:34:50,810 The point is, you've had the wrong treatment 689 00:34:50,815 --> 00:34:52,512 for the wrong problem, 690 00:34:52,517 --> 00:34:54,680 and it was only going to get worse. 691 00:34:54,685 --> 00:34:56,319 Now there's hope. 692 00:35:03,828 --> 00:35:05,861 Thank you. 693 00:35:18,542 --> 00:35:22,408 Your training is complete, young Padawan. 694 00:35:22,413 --> 00:35:24,843 You ready to get that yellow stripe? 695 00:35:24,848 --> 00:35:27,079 In class last week, 696 00:35:27,084 --> 00:35:29,381 I couldn't break the board. 697 00:35:29,386 --> 00:35:31,583 And some of the kids laughed at me. 698 00:35:31,588 --> 00:35:33,052 That's not very nice. 699 00:35:33,057 --> 00:35:35,020 We all fail sometimes. That's how we learn. 700 00:35:35,025 --> 00:35:37,824 But you never fail at anything, Daddy. 701 00:35:37,829 --> 00:35:40,092 Oh, yes, I do. 702 00:35:40,097 --> 00:35:42,094 All the time. I just... 703 00:35:42,099 --> 00:35:43,863 I just don't give up. 704 00:35:43,868 --> 00:35:46,569 Remember when you thought you'd never sleep in this bed again? 705 00:35:47,938 --> 00:35:49,972 Because of all the nightmares? 706 00:35:51,842 --> 00:35:54,105 I remember. It was scary. 707 00:35:54,110 --> 00:35:56,908 Yeah, but now you sleep by yourself every night. 708 00:35:56,913 --> 00:36:00,448 Because you were brave enough to try again. 709 00:36:02,018 --> 00:36:04,950 It doesn't matter if you break some stupid board. 710 00:36:04,955 --> 00:36:07,819 What matters is that you keep trying. 711 00:36:07,824 --> 00:36:10,191 - Capisce? - Capisce. 712 00:36:17,701 --> 00:36:20,465 Jane will be okay. 713 00:36:20,470 --> 00:36:23,034 But that could've ended very badly. 714 00:36:23,039 --> 00:36:25,236 Thanks for holding down the fort. 715 00:36:25,241 --> 00:36:27,137 I shouldn't have had to. 716 00:36:27,142 --> 00:36:29,310 What happened back there, Ian? 717 00:36:30,313 --> 00:36:31,875 Well, long story short, 718 00:36:31,880 --> 00:36:34,912 I was sick and now I'm not. 719 00:36:34,917 --> 00:36:37,781 Well, someday, I want the long story. 720 00:36:37,786 --> 00:36:40,150 Because that can never happen again. 721 00:36:40,155 --> 00:36:41,652 It won't. 722 00:36:41,657 --> 00:36:43,087 I assure you. 723 00:36:43,092 --> 00:36:46,124 Dr. Sullivan, they're waiting for you in the lab. 724 00:36:46,129 --> 00:36:48,196 Of course. Be right there. 725 00:36:51,434 --> 00:36:53,467 See you tomorrow. 726 00:36:54,770 --> 00:36:56,804 See you tomorrow. 727 00:37:01,776 --> 00:37:03,709 Excuse me? 728 00:37:04,879 --> 00:37:06,479 Are you a doctor? 729 00:37:12,320 --> 00:37:15,184 The nurse said they were taking me for an MRI two hours ago. 730 00:37:15,189 --> 00:37:17,023 I'll see what I can find out. 731 00:37:26,734 --> 00:37:28,231 Tell me... 732 00:37:28,236 --> 00:37:30,634 Mr... Sanchez. 733 00:37:30,639 --> 00:37:32,735 Any history of liver disease? 734 00:37:32,740 --> 00:37:34,673 Kidney problems? 735 00:37:35,742 --> 00:37:37,506 - Any drug use? - No. 736 00:37:37,511 --> 00:37:39,107 Definitely not. 737 00:37:39,112 --> 00:37:41,546 Great. 738 00:37:43,550 --> 00:37:45,948 Ah. Your urinal's full. 739 00:37:45,953 --> 00:37:47,349 Here, you know what? 740 00:37:47,354 --> 00:37:49,021 Let me help you there. 741 00:37:54,795 --> 00:37:56,825 That's everything. 742 00:37:56,830 --> 00:37:59,228 Enjoy the rest of your evening, Dr. Sullivan. 743 00:37:59,233 --> 00:38:00,866 Oh, I certainly will. 744 00:38:15,800 --> 00:38:17,800 Where am I? 745 00:38:17,805 --> 00:38:20,502 You're in the hospital, Diana. 746 00:38:20,507 --> 00:38:21,904 You had your spleen removed. 747 00:38:21,909 --> 00:38:23,942 But you should be feeling better soon. 748 00:38:28,300 --> 00:38:30,333 Don't touch me! 749 00:38:36,774 --> 00:38:38,838 Where's my bag? 750 00:38:38,843 --> 00:38:41,074 Did someone take it? 751 00:38:41,079 --> 00:38:43,480 They seized it when you were admitted, remember? 752 00:38:45,317 --> 00:38:46,946 I need my bag. 753 00:38:46,951 --> 00:38:49,549 I want to... I want out of here. 754 00:38:49,554 --> 00:38:51,318 Your daughter's out of surgery. 755 00:38:51,323 --> 00:38:52,552 She's recovering now. 756 00:38:52,557 --> 00:38:55,154 Did you hear me? I want to go home. 757 00:38:55,159 --> 00:38:56,789 You're in withdrawal. 758 00:38:56,794 --> 00:38:58,591 You have a long road to getting clean. 759 00:38:58,596 --> 00:39:01,194 And until you are, you won't be getting Jane back. 760 00:39:01,199 --> 00:39:02,929 That's bull. 761 00:39:02,934 --> 00:39:04,130 A baby needs her mom. 762 00:39:04,135 --> 00:39:06,335 Not if her mother continues abusing drugs. 763 00:39:07,671 --> 00:39:09,268 And trust me, 764 00:39:09,273 --> 00:39:11,306 I know what that looks like. 765 00:39:12,610 --> 00:39:15,841 At every soccer game or piano recital, 766 00:39:15,846 --> 00:39:17,510 Jane will look out into the crowd. 767 00:39:17,515 --> 00:39:19,781 and see every parent there but hers. 768 00:39:20,751 --> 00:39:23,015 And she'll hate herself for it. 769 00:39:23,020 --> 00:39:25,451 She'll spend the rest of her life wondering why her mother 770 00:39:25,456 --> 00:39:28,457 chose a fix over a relationship with her daughter. 771 00:39:29,793 --> 00:39:32,191 - Get out. - She'll have a hard time trusting people, 772 00:39:32,196 --> 00:39:35,161 making friends, falling in love. 773 00:39:35,166 --> 00:39:37,262 Because how could she believe anyone could love her 774 00:39:37,267 --> 00:39:38,999 if her own mother doesn't? 775 00:39:40,303 --> 00:39:42,133 I'm begging you, don't do that to Jane. 776 00:39:42,138 --> 00:39:44,172 - She doesn't deserve it. - Evelyn. 777 00:39:48,511 --> 00:39:50,044 That's her name. 778 00:39:53,249 --> 00:39:54,916 Get some sleep. 779 00:40:42,798 --> 00:40:44,728 Champagne? 780 00:40:44,733 --> 00:40:46,129 What's the occasion? 781 00:40:46,134 --> 00:40:47,296 Well, let's see. 782 00:40:47,301 --> 00:40:49,832 Padma and the twins are in the new condo, 783 00:40:49,837 --> 00:40:52,135 safe and sound with AJ. 784 00:40:52,140 --> 00:40:54,871 Which means it's just the two of us tonight. 785 00:40:54,876 --> 00:40:56,339 I like it. 786 00:40:56,344 --> 00:40:59,408 And although karma did come for my neck 787 00:40:59,413 --> 00:41:02,245 when I stupidly asked the universe for a challenge, 788 00:41:02,250 --> 00:41:03,913 I rose to the occasion 789 00:41:03,918 --> 00:41:06,850 and I successfully completed my first solo surgery. 790 00:41:06,855 --> 00:41:08,084 No way. 791 00:41:08,089 --> 00:41:10,754 That's amazing, Leela. 792 00:41:10,759 --> 00:41:11,958 Cheers to that. 793 00:41:19,199 --> 00:41:20,829 So how'd it go with your patient? 794 00:41:20,834 --> 00:41:23,665 Just uncovered a six-year-long misdiagnosis 795 00:41:23,670 --> 00:41:25,434 and started her on a treatment to cure her cancer. 796 00:41:25,438 --> 00:41:26,635 So, no biggie. 797 00:41:26,640 --> 00:41:28,006 Wow. 798 00:41:29,009 --> 00:41:31,240 I think we're becoming a power couple. 799 00:41:57,069 --> 00:42:00,201 Jab. Straight. 800 00:42:00,206 --> 00:42:02,904 Kick. 801 00:42:02,909 --> 00:42:03,971 Bow. 802 00:42:05,377 --> 00:42:07,241 Good job. Have a seat. 803 00:42:07,246 --> 00:42:10,281 Gigi, stay where you are. 804 00:42:13,820 --> 00:42:15,252 Bow. 805 00:42:24,729 --> 00:42:25,959 Hit! 806 00:42:58,329 --> 00:43:00,259 Great job! Great job! 807 00:43:04,001 --> 00:43:06,131 Yeah! 808 00:43:06,136 --> 00:43:07,632 - Great job! - Gigi!