1 00:00:04,422 --> 00:00:06,524 - Morning. - Morning. 2 00:00:06,855 --> 00:00:09,904 Uh, do you want me to make you some coffee? 3 00:00:10,391 --> 00:00:12,925 No, I always get one from the cart at work, 4 00:00:12,994 --> 00:00:14,526 unless you're making some for yourself. 5 00:00:14,595 --> 00:00:17,365 Uh, no, actually, the cart sounds good, 6 00:00:17,390 --> 00:00:19,875 'cause I have no idea how to use this thing. 7 00:00:22,069 --> 00:00:25,078 Um, so... 8 00:00:25,260 --> 00:00:26,660 you wanna go straight to work, 9 00:00:26,685 --> 00:00:28,549 or do you need to stop by atour place first or... 10 00:00:28,574 --> 00:00:32,757 I think my fish will survive till I get home tonight. 11 00:00:33,080 --> 00:00:34,613 Though I could go feed them now, 12 00:00:34,656 --> 00:00:38,917 if you wanted to get a drink tonight after work. 13 00:00:38,986 --> 00:00:42,021 Yeah, sure. Uh... uh... 14 00:00:42,089 --> 00:00:43,522 What? 15 00:00:43,591 --> 00:00:47,292 Uh, I actually have plans tonight. 16 00:00:47,458 --> 00:00:50,226 - Plans? - But I can cancel them. 17 00:00:50,251 --> 00:00:51,759 Nope. 18 00:00:51,784 --> 00:00:54,151 Keep your plans. It's fine. 19 00:00:58,458 --> 00:01:01,225 Smooth. 20 00:01:04,602 --> 00:01:06,769 - Hey. - Hey. 21 00:01:07,001 --> 00:01:10,136 - How was the night shift? - Only got puked on twice. 22 00:01:10,197 --> 00:01:12,759 Then it was a good night. 23 00:01:12,784 --> 00:01:13,712 Bye, guys. See you tomorrow. 24 00:01:13,737 --> 00:01:15,095 - Bye. - Night. 25 00:01:15,120 --> 00:01:18,313 Have you contacted your sister yet about meeting up? 26 00:01:18,400 --> 00:01:20,467 Still working on it. 27 00:01:21,563 --> 00:01:22,973 It might actually be better for her 28 00:01:22,998 --> 00:01:25,009 if I keep a little distance. 29 00:01:25,520 --> 00:01:27,353 Better for her or for you? 30 00:01:27,422 --> 00:01:30,243 You know what would be good for me? 31 00:01:30,884 --> 00:01:33,891 Is dinner with you tonight. 32 00:01:34,195 --> 00:01:37,296 - Are you gonna shower first? - Depends on who's paying. 33 00:01:37,365 --> 00:01:39,056 Then it's definitely on me. 34 00:01:41,306 --> 00:01:43,540 - Later. - Bye. 35 00:01:45,490 --> 00:01:48,251 And now she's shivering and... and throwing up, 36 00:01:48,276 --> 00:01:50,216 and I-I don't know what to do. 37 00:01:50,515 --> 00:01:52,248 Deb, what's going on? 38 00:01:52,273 --> 00:01:53,763 Her homeless friend is nine months pregnant 39 00:01:53,788 --> 00:01:55,649 and has a fever. She needs to come in. 40 00:01:55,718 --> 00:01:58,181 - But she won't, right? - No. 41 00:01:58,206 --> 00:02:00,039 Would you come out and help her, please? 42 00:02:00,096 --> 00:02:01,727 Not when she's this far along. 43 00:02:01,752 --> 00:02:04,685 She needs to be monitored and have emergency measures nearby. 44 00:02:05,846 --> 00:02:07,990 Dr. Choi... 45 00:02:08,561 --> 00:02:10,418 Let me get some supplies. 46 00:02:11,397 --> 00:02:13,231 Hey, wait... hey... 47 00:02:13,299 --> 00:02:16,567 you're just gonna go treat a pregnant girl on the streets? 48 00:02:16,636 --> 00:02:18,402 I have met some of these kids. 49 00:02:18,471 --> 00:02:20,505 They're underage. They know that if they come in, 50 00:02:20,573 --> 00:02:23,474 - they'll get put in a system. - Yeah, but she's nine months. 51 00:02:23,543 --> 00:02:25,744 She's gonna have to come in eventually to have her baby. 52 00:02:25,769 --> 00:02:27,769 But she needs to be assessed now. 53 00:02:29,639 --> 00:02:32,740 - Nat, I could use your help. - Seriously? 54 00:02:37,807 --> 00:02:40,306 - Fine. - Thanks. 55 00:02:45,640 --> 00:02:48,121 Text babysitter. 56 00:02:48,215 --> 00:02:50,440 Cold pizza is Owen's favorite breakfast. 57 00:02:50,465 --> 00:02:52,708 There's some in the fridge. Tell him I love him. 58 00:02:53,040 --> 00:02:55,814 - Send. - I'll send your message. 59 00:03:08,740 --> 00:03:10,672 She's over here. 60 00:03:13,392 --> 00:03:14,864 Come on. Come on. 61 00:03:14,889 --> 00:03:16,699 I wrapped her up, but she's still shivering. 62 00:03:19,370 --> 00:03:21,099 Hey. 63 00:03:21,124 --> 00:03:22,489 Laura, I'm Dr. Manning. 64 00:03:22,514 --> 00:03:24,421 I'm gonna take your temperature, okay? 65 00:03:24,671 --> 00:03:26,044 Let me take a look. 66 00:03:29,269 --> 00:03:30,455 103. 67 00:03:30,846 --> 00:03:32,341 You most likely have an infection. 68 00:03:32,366 --> 00:03:34,039 It is very important that we treat it 69 00:03:34,064 --> 00:03:35,629 before you go into labor. 70 00:03:35,806 --> 00:03:38,141 Okay, but my... my water broke, what does that mean? 71 00:03:38,224 --> 00:03:41,542 - When did your water break? - Two days ago. 72 00:03:43,405 --> 00:03:50,410 - Synced and corrected by martythecrazy - - www.addic7ed.com - 73 00:03:51,857 --> 00:03:53,523 - Dr. Reese... 74 00:03:53,569 --> 00:03:55,336 How was your dinner with your dad? 75 00:03:55,373 --> 00:03:56,396 It was good. 76 00:03:56,428 --> 00:03:58,491 Uh, I mean, I'm glad we're talking again. 77 00:03:58,516 --> 00:04:01,223 He's funny, smart. 78 00:04:01,256 --> 00:04:03,165 You don't sound entirely convinced. 79 00:04:03,190 --> 00:04:05,850 Well, it's just kinda hard to look past the last 20 years. 80 00:04:05,875 --> 00:04:08,462 I know he wrote me those letters, but... 81 00:04:08,843 --> 00:04:11,811 there were other ways to contact me if he wanted. 82 00:04:13,049 --> 00:04:14,815 Makes me wonder. 83 00:04:14,884 --> 00:04:16,984 Well, you know what, I've always been 84 00:04:17,053 --> 00:04:18,686 immensely impressed with your instincts, 85 00:04:18,722 --> 00:04:22,157 so... no reason to stop listening to them now. 86 00:04:22,217 --> 00:04:24,369 Yeah, I guess so. 87 00:04:28,639 --> 00:04:31,057 - Courtney? - I've got Luke Wallis. 88 00:04:31,081 --> 00:04:33,374 Cystic fibrosis. No breath sounds on the right. 89 00:04:33,399 --> 00:04:36,121 Tachycardic with BP 122 over 66. 90 00:04:36,146 --> 00:04:37,735 - Satting at 86. - Oh, I know Luke. 91 00:04:37,760 --> 00:04:39,840 - How you doing, buddy? - Been better. 92 00:04:39,865 --> 00:04:40,988 He was just watching TV, 93 00:04:41,013 --> 00:04:42,275 and then suddenly, he couldn't breathe. 94 00:04:42,300 --> 00:04:43,923 Get a stat chest X-ray. 95 00:04:44,064 --> 00:04:45,987 Make it a CT. 96 00:04:46,594 --> 00:04:48,499 And get more information. 97 00:04:50,727 --> 00:04:53,599 On my count, one, two, three. 98 00:04:54,040 --> 00:04:55,887 There we go. 99 00:05:01,326 --> 00:05:03,125 Has his lung function been getting worse? 100 00:05:03,194 --> 00:05:05,628 He's been in the ICU three times in the last five months. 101 00:05:05,697 --> 00:05:06,863 Yeah, Dr. Rhodes has him at the top of 102 00:05:06,888 --> 00:05:10,175 the transplant list for lungs, but so far, nothing. 103 00:05:11,402 --> 00:05:12,861 He's got a pneumothorax on the right, 104 00:05:12,886 --> 00:05:14,167 significant rales on the left. 105 00:05:14,192 --> 00:05:17,305 Set me up for a 16 French chest tube. 106 00:05:17,411 --> 00:05:19,702 That's a little invasive. We can use a pigtail catheter. 107 00:05:19,727 --> 00:05:21,367 His lungs are too stiff. He needs a tube. 108 00:05:21,392 --> 00:05:23,193 Which will only cause additional trauma. 109 00:05:23,329 --> 00:05:25,192 It's bad, isn't it? 110 00:05:26,210 --> 00:05:29,313 The collapsed lung means that your lungs are so scarred 111 00:05:29,338 --> 00:05:31,702 that they can't hold together, so... 112 00:05:33,552 --> 00:05:35,084 Yeah, buddy, it's bad. 113 00:05:35,153 --> 00:05:37,875 Look, as soon as we get your lung re-inflated, 114 00:05:37,900 --> 00:05:40,267 I'm gonna sit down with you and your mom and your dad, 115 00:05:40,292 --> 00:05:42,717 and we're gonna talk about what comes next, okay? 116 00:05:44,360 --> 00:05:46,949 Chest tube, 16 French. Lidocaine? 117 00:05:49,064 --> 00:05:51,356 All right, buddy, you're gonna feel a little pinch, 118 00:05:51,381 --> 00:05:53,154 followed by some pressure, okay? 119 00:05:53,179 --> 00:05:55,283 There you go, buddy. 120 00:05:55,308 --> 00:05:56,767 You're okay, you're okay. 121 00:05:56,792 --> 00:05:58,632 You're doing great, pal. 122 00:06:04,135 --> 00:06:06,544 Mr. Thomas, I'm Dr. Halstead. 123 00:06:06,610 --> 00:06:08,777 I heard you had an incident at work today. 124 00:06:08,822 --> 00:06:11,325 Yeah, I guess I, uh, fell down. 125 00:06:12,153 --> 00:06:14,998 The EMS report says they found you unconscious. 126 00:06:15,685 --> 00:06:17,670 How long you been coughing up blood? 127 00:06:18,545 --> 00:06:21,633 A few weeks. 128 00:06:24,936 --> 00:06:27,473 Some wheezing and stridor. What's his weight? 129 00:06:27,567 --> 00:06:29,103 138. 130 00:06:29,431 --> 00:06:30,936 Doc, I appreciate your concern, 131 00:06:30,961 --> 00:06:33,061 but I'd just as soon go rest up at home. 132 00:06:33,440 --> 00:06:37,042 Yeah, I don't blame ya, but I fear if you go home, 133 00:06:37,067 --> 00:06:39,300 you may have a far worse event 134 00:06:39,325 --> 00:06:40,758 than whatever happened this morning. 135 00:06:40,873 --> 00:06:42,606 That's okay. 136 00:06:44,256 --> 00:06:46,522 Well, you're too dehydrated to walk out of here, 137 00:06:46,547 --> 00:06:48,108 so why don't you let me give you some fluids, 138 00:06:48,133 --> 00:06:48,991 we'll run some tests, 139 00:06:49,016 --> 00:06:51,249 and I promise I'll be back soon? 140 00:06:54,368 --> 00:06:55,954 All right. 141 00:07:00,989 --> 00:07:03,800 Syncope, weight loss, hemoptysis. 142 00:07:03,825 --> 00:07:05,570 He's got cancer, right? 143 00:07:05,626 --> 00:07:07,184 A lot of people are more afraid of 144 00:07:07,209 --> 00:07:09,563 getting the diagnosis than the actual treatment. 145 00:07:09,588 --> 00:07:11,688 Let's get a CBC with diff, EKG, 146 00:07:11,713 --> 00:07:13,322 chest X-ray, and CT. 147 00:07:13,382 --> 00:07:15,382 And then we can try and talk to him again. 148 00:07:23,712 --> 00:07:26,584 So, um, Robert Haywood is here 149 00:07:26,609 --> 00:07:28,126 for a thoracic P.E.T. scan? 150 00:07:28,151 --> 00:07:29,958 Uh, yeah, we're doing a full cardiac workup. 151 00:07:29,983 --> 00:07:31,937 You think you could add a... a head study of that for me? 152 00:07:31,962 --> 00:07:34,610 I just wanna make sure I'm not missing anything on my end. 153 00:07:34,648 --> 00:07:36,219 - Sure, no problem. - Thank you. 154 00:07:36,244 --> 00:07:37,764 Mm-hmm. 155 00:07:42,143 --> 00:07:44,030 Laura... 156 00:07:44,055 --> 00:07:45,787 your membranes ruptured prematurely, 157 00:07:45,812 --> 00:07:48,011 allowing an infection in your uterus. 158 00:07:48,036 --> 00:07:50,318 The longer we go without delivering this baby, 159 00:07:50,343 --> 00:07:52,195 the greater the danger you're both in. 160 00:07:52,220 --> 00:07:53,513 So deliver it then. 161 00:07:53,538 --> 00:07:55,033 We need to do it at the hospital. 162 00:07:55,058 --> 00:07:56,324 No, I told you, I'm not going. 163 00:07:56,349 --> 00:07:57,960 I understand that you don't want to, 164 00:07:57,985 --> 00:07:59,998 but this is a safety issue, okay? 165 00:08:00,023 --> 00:08:01,811 You need to think about your baby. 166 00:08:01,836 --> 00:08:03,010 I said no. 167 00:08:03,042 --> 00:08:05,061 If there are complications, if anything goes wrong... 168 00:08:05,086 --> 00:08:06,975 It's okay, we'll do it here. 169 00:08:09,270 --> 00:08:11,437 You're not seriously thinking about inducing her 170 00:08:11,462 --> 00:08:12,802 right here on the street? 171 00:08:12,827 --> 00:08:14,654 Women deliver outside the hospital all the time. 172 00:08:14,679 --> 00:08:15,851 Yeah, and some of them die. 173 00:08:15,876 --> 00:08:18,096 Listen, I don't like this either, but you heard her. 174 00:08:18,121 --> 00:08:19,382 She's gonna do this with or without us. 175 00:08:19,407 --> 00:08:21,966 And then what? A newborn can't survive out here. 176 00:08:21,991 --> 00:08:24,358 Nat, you don't have to do this, but I'm staying. 177 00:08:29,899 --> 00:08:31,432 I have good news. 178 00:08:31,457 --> 00:08:32,823 They found a pair of lungs in Kansas 179 00:08:32,848 --> 00:08:34,048 that are a perfect match. 180 00:08:34,073 --> 00:08:35,455 We're loading them onto a plane now. 181 00:08:35,480 --> 00:08:37,738 - Oh, my God. - You hear that, Luke? 182 00:08:37,763 --> 00:08:39,363 This is good news, buddy. 183 00:08:39,747 --> 00:08:42,065 Uh, I am gonna have a conversation with Dr. Bekker, 184 00:08:42,090 --> 00:08:44,257 and I'll be back in just a few minutes, okay? 185 00:08:46,725 --> 00:08:48,325 I'll start the transplant protocol. 186 00:08:48,350 --> 00:08:50,317 Hold on. 187 00:08:50,837 --> 00:08:53,812 - We have to put him on ECMO. - What? 188 00:08:53,837 --> 00:08:56,532 He's satting in the 80s and wearing down. 189 00:08:56,557 --> 00:08:59,539 His respiratory muscles are going to give out. 190 00:08:59,564 --> 00:09:01,443 But ECMO could introduce an infection. 191 00:09:01,468 --> 00:09:03,339 It's a partial contraindication to surgery. 192 00:09:03,364 --> 00:09:05,533 And Kansas is a two-hour flight. 193 00:09:05,557 --> 00:09:08,791 We have to keep him oxygenated till the lungs get here. 194 00:09:08,922 --> 00:09:10,989 Those lungs only last four hours. 195 00:09:11,014 --> 00:09:13,172 If anything goes wrong before they get here, 196 00:09:13,197 --> 00:09:14,610 and he's stuck on ECMO, 197 00:09:14,635 --> 00:09:16,396 we may not be able to get him off. 198 00:09:16,582 --> 00:09:17,911 He could die. 199 00:09:18,124 --> 00:09:20,422 Then we make sure that nothing goes wrong. 200 00:09:25,116 --> 00:09:26,682 Thank you. 201 00:09:26,751 --> 00:09:28,584 Mr. Thomas... 202 00:09:32,159 --> 00:09:35,037 We found a large growth in your larynx. 203 00:09:35,599 --> 00:09:37,956 It's almost certainly cancer. 204 00:09:39,432 --> 00:09:41,242 All right. 205 00:09:42,195 --> 00:09:43,395 Now, the good news is, 206 00:09:43,420 --> 00:09:45,298 we have an excellent oncology department, 207 00:09:45,323 --> 00:09:47,770 so I'd like to arrange for a biopsy and a consultation, 208 00:09:47,799 --> 00:09:50,132 so they can determine... It's okay. 209 00:09:50,550 --> 00:09:52,083 I'm not interested. 210 00:09:52,222 --> 00:09:54,389 Mr. Thomas, the sooner you begin treatment, 211 00:09:54,414 --> 00:09:56,342 the better your chances of survival. 212 00:09:56,504 --> 00:09:58,357 You don't understand. I'm... 213 00:09:59,026 --> 00:10:00,992 I'm ready to die. 214 00:10:05,252 --> 00:10:07,040 I know it's a lot of information, 215 00:10:07,141 --> 00:10:08,700 and it can seem overwhelming, but I... 216 00:10:08,725 --> 00:10:10,854 I said no. 217 00:10:14,931 --> 00:10:17,709 Can you tell me why you're so resistant to treatment? 218 00:10:19,589 --> 00:10:22,824 Because I've made it 56 years 219 00:10:22,927 --> 00:10:25,408 without molesting a child, 220 00:10:26,052 --> 00:10:28,712 and I can't stand it anymore. 221 00:10:29,447 --> 00:10:30,929 I'm sorry? 222 00:10:32,933 --> 00:10:35,078 I'm a pedophile... 223 00:10:36,491 --> 00:10:38,238 and I wanna die. 224 00:10:44,421 --> 00:10:46,554 Yeah? 225 00:10:46,830 --> 00:10:48,703 Have you seen this yet? 226 00:10:50,213 --> 00:10:51,512 A lawsuit? 227 00:10:51,537 --> 00:10:54,334 An indigent man's claiming an ambulance driver 228 00:10:54,359 --> 00:10:57,173 passed him over to bring in an insured patient instead. 229 00:10:57,198 --> 00:10:59,732 Seems the extra wait time cost this guy his leg. 230 00:10:59,757 --> 00:11:01,331 Oh, that's terrible. 231 00:11:01,590 --> 00:11:04,819 But isn't that the fault of the ambulance company? 232 00:11:04,870 --> 00:11:06,602 Apparently the ambulance driver was following 233 00:11:06,627 --> 00:11:08,527 our hospital's instructions. 234 00:11:08,886 --> 00:11:10,219 Now that's ridiculous. 235 00:11:10,244 --> 00:11:13,135 I never told anyone to pass up uninsured patients. 236 00:11:13,160 --> 00:11:15,948 No, but the claimant states 237 00:11:15,973 --> 00:11:20,872 that an E.D. charge nurse named Maggie Lockwood did. 238 00:11:23,386 --> 00:11:25,894 Give me some time to look into it. 239 00:11:28,061 --> 00:11:29,537 Try to relax, all right? 240 00:11:29,562 --> 00:11:31,647 Look at me, look at me, look at me. Take a deep breath. 241 00:11:37,406 --> 00:11:38,860 104. 242 00:11:38,884 --> 00:11:40,873 The antibiotics aren't working. 243 00:11:40,898 --> 00:11:42,098 We need a couple bags of Flagyl. 244 00:11:42,123 --> 00:11:43,920 - Ethan... - I need more drugs? 245 00:11:43,945 --> 00:11:46,570 Laura, what you need is to go to the hospital, okay? 246 00:11:46,595 --> 00:11:49,371 You're putting yourself and your baby at unnecessary risk. 247 00:11:49,396 --> 00:11:51,496 She can't. They'll put her back into foster care. 248 00:11:51,521 --> 00:11:53,976 I know it's not ideal, but this isn't just about you. 249 00:11:54,001 --> 00:11:56,599 Your baby's gonna need food and a roof over its head. 250 00:11:56,624 --> 00:11:58,237 Unless they keep 'em out in the yard, 251 00:11:58,262 --> 00:11:59,805 feed 'em whatever the dogs don't want. 252 00:11:59,830 --> 00:12:01,129 I'll talk to the social worker, 253 00:12:01,154 --> 00:12:02,921 make sure you find a good home. 254 00:12:03,214 --> 00:12:05,344 No one wants to adopt a 16-year-old. 255 00:12:05,369 --> 00:12:07,760 Even if you do get a good home in foster care, 256 00:12:07,785 --> 00:12:09,319 everyone keeps getting passed along, 257 00:12:09,344 --> 00:12:10,982 until you finally end up some place 258 00:12:11,007 --> 00:12:12,806 where they'd rather cash a check from the state 259 00:12:12,831 --> 00:12:14,382 than feed you. 260 00:12:14,407 --> 00:12:16,457 Yeah, they're the ones who keep you forever. 261 00:12:20,497 --> 00:12:22,507 Nat, we really need those antibiotics. 262 00:12:22,532 --> 00:12:24,917 Okay, I'll be back as soon as I can. 263 00:12:24,942 --> 00:12:26,275 Yeah. 264 00:12:26,300 --> 00:12:29,026 Okay, keep breathing, keep breathing. 265 00:12:29,051 --> 00:12:30,574 Okay? Keep breathing. 266 00:12:30,599 --> 00:12:32,379 - Just try to relax. - It's okay. 267 00:12:32,404 --> 00:12:33,904 Dr. Rhodes? 268 00:12:42,379 --> 00:12:43,961 What's wrong? 269 00:12:44,900 --> 00:12:47,341 Luke's LFTs are rising. 270 00:12:48,064 --> 00:12:49,247 What... what does that mean? 271 00:12:49,294 --> 00:12:53,230 It indicates that he might be in early liver failure. 272 00:12:53,324 --> 00:12:55,650 Unfortunately, if it progresses, 273 00:12:55,991 --> 00:12:58,813 it could prevent him from getting the lungs. 274 00:12:58,838 --> 00:12:59,764 Prevent him? 275 00:12:59,789 --> 00:13:02,284 Fortunately, we can still get him off the ECMO, 276 00:13:02,309 --> 00:13:03,781 while we try to reverse this trend. 277 00:13:03,806 --> 00:13:06,800 However, if we take him off of ECMO now, 278 00:13:07,202 --> 00:13:09,152 it decreases the odds that he survives 279 00:13:09,177 --> 00:13:10,427 until the lungs get here. 280 00:13:10,452 --> 00:13:13,452 I don't understand. Can't you agree on what to do? 281 00:13:13,637 --> 00:13:15,855 It's not a black and white situation. 282 00:13:19,350 --> 00:13:21,872 Uh, you've been treating him, Dr. Rhodes. 283 00:13:22,411 --> 00:13:24,010 What should we do? 284 00:13:27,441 --> 00:13:29,402 We should keep him on the ECMO. 285 00:13:29,762 --> 00:13:32,259 It's still our best chance that he gets those lungs. 286 00:13:33,216 --> 00:13:34,914 Okay. 287 00:13:35,411 --> 00:13:38,108 Yes. That's what we'll do. 288 00:13:38,133 --> 00:13:39,632 All right. 289 00:13:45,211 --> 00:13:47,089 You're being completely irresponsible. 290 00:13:47,114 --> 00:13:49,935 That kid is going to die if he doesn't get new lungs. 291 00:13:49,960 --> 00:13:52,273 Only if your ECMO doesn't kill him first. 292 00:13:52,426 --> 00:13:54,124 He's a snowball rolling down a hill, 293 00:13:54,149 --> 00:13:56,161 and this is our last chance to stop it. 294 00:14:04,660 --> 00:14:06,824 So what are we doing about Mr. Thomas? 295 00:14:07,475 --> 00:14:09,053 Psych's in there right now. 296 00:14:09,078 --> 00:14:10,912 As soon as they declare him incompetent, 297 00:14:10,937 --> 00:14:12,874 I'm gonna call Oncology down here to get started. 298 00:14:12,899 --> 00:14:14,498 Incompetent? 299 00:14:14,616 --> 00:14:17,865 Who cares? The man is a pedophile, okay? 300 00:14:17,890 --> 00:14:20,101 If he wants to die, why don't we just let him? 301 00:14:20,265 --> 00:14:22,784 April, we're going to stop him from dying, 302 00:14:22,809 --> 00:14:25,952 because he's our patient and because we can. 303 00:14:31,416 --> 00:14:33,020 Did you put him on a psych hold? 304 00:14:33,045 --> 00:14:34,754 Uh, I'm not ready to make that decision. 305 00:14:34,779 --> 00:14:36,674 Why? He's suicidal. 306 00:14:36,765 --> 00:14:39,180 He may want to die, but he is lucid 307 00:14:39,205 --> 00:14:41,762 and understands the consequences of his choices. 308 00:14:41,787 --> 00:14:43,563 He... he has a treatable condition. 309 00:14:43,588 --> 00:14:45,654 How lucid can he be if he's not letting us treat it? 310 00:14:45,919 --> 00:14:47,919 If he was depressed, you'd put him on a psych hold 311 00:14:47,944 --> 00:14:48,828 and try and treat his depression. 312 00:14:48,853 --> 00:14:50,597 You're not gonna do the same for pedophilia? 313 00:14:50,622 --> 00:14:53,151 I just don't know that much about pedophilia. 314 00:14:53,849 --> 00:14:56,443 Well, you better find out fast, because he's dying. 315 00:14:56,500 --> 00:14:59,561 Department charge nurse Maggie Lockwood, 316 00:14:59,586 --> 00:15:01,246 especially providing incentive. 317 00:15:01,271 --> 00:15:03,421 - I don't believe this. - All right, take it easy. 318 00:15:03,638 --> 00:15:05,220 What do you know about this patient? 319 00:15:05,245 --> 00:15:06,349 I don't. 320 00:15:06,374 --> 00:15:07,930 And I definitely never told any ambulance driver 321 00:15:07,955 --> 00:15:10,555 to make decisions based on insurance coverage. 322 00:15:10,580 --> 00:15:13,990 All right. This driver, John Gates, 323 00:15:14,015 --> 00:15:15,668 - do you know him? - Yeah, he's a jerk. 324 00:15:15,693 --> 00:15:18,668 Well, do me a favor: page me when he comes in. 325 00:15:18,693 --> 00:15:20,075 I wanna talk to him. 326 00:15:20,100 --> 00:15:22,770 Sure... if I don't kill him first. 327 00:15:24,575 --> 00:15:26,850 - I need a doctor in here. - Help him! 328 00:15:31,709 --> 00:15:34,362 - He's coagulopathic. - What does that mean? 329 00:15:34,387 --> 00:15:36,352 The combination of his poor liver function 330 00:15:36,377 --> 00:15:38,217 and the anticoagulants that we gave him 331 00:15:38,242 --> 00:15:40,075 has disrupted his ability to clot. 332 00:15:40,100 --> 00:15:41,113 Hang a bag of heparin. 333 00:15:41,138 --> 00:15:43,059 We thinned his blood for the ECMO, we had to, 334 00:15:43,084 --> 00:15:45,452 but his liver is failing more quickly than we expected. 335 00:15:45,477 --> 00:15:47,475 You did this, so take him off that machine! 336 00:15:47,500 --> 00:15:49,597 I am afraid that it is too late for that. 337 00:15:49,622 --> 00:15:51,022 Too late? 338 00:15:51,156 --> 00:15:52,623 Heparin's running. 339 00:15:52,648 --> 00:15:54,939 We're gonna try and reverse the bleeding now. 340 00:15:54,964 --> 00:15:56,972 Run the plasma now. 341 00:15:57,621 --> 00:15:59,145 Hold on that. 342 00:16:04,482 --> 00:16:06,073 Wait... 343 00:16:06,293 --> 00:16:09,395 A transfusion is going to increase his antibody count. 344 00:16:09,420 --> 00:16:10,719 His PRA's already at 50. 345 00:16:10,744 --> 00:16:12,566 If it hits 80, we can't use those lungs. 346 00:16:12,591 --> 00:16:14,606 You think I don't know that? We don't have a choice. 347 00:16:14,631 --> 00:16:15,812 We wouldn't be in this situation 348 00:16:15,837 --> 00:16:17,765 if you hadn't insisted on ECMO in the first place. 349 00:16:17,790 --> 00:16:18,998 You keep pointing out problems. 350 00:16:19,023 --> 00:16:20,429 What I need are solutions, so if you don't have any, 351 00:16:20,454 --> 00:16:22,750 just... just get out of my way, okay? 352 00:16:24,650 --> 00:16:26,357 Hang the bags. 353 00:16:33,718 --> 00:16:35,577 Dr. Halstead has a point. 354 00:16:35,602 --> 00:16:39,226 Is this man, this pedophile, really being rational? 355 00:16:39,515 --> 00:16:41,915 Funny enough, it sounds to me like he is. 356 00:16:41,984 --> 00:16:43,717 Uh, so we just have to, uh, stand by 357 00:16:43,742 --> 00:16:45,808 - and watch him kill himself? - Not treating your cancer 358 00:16:45,833 --> 00:16:47,802 is not the same thing as committing suicide. 359 00:16:47,827 --> 00:16:50,397 I mean, it's his decision. He's allowed to make it. 360 00:16:50,507 --> 00:16:52,966 More to the point, I think what he may be trying to do 361 00:16:52,991 --> 00:16:56,787 is looking for a way to... escape his urges. 362 00:16:57,187 --> 00:16:58,318 By dying. 363 00:16:58,343 --> 00:17:00,749 Dr. Reese, have you ever seen a pedophile's P.E.T. scan? 364 00:17:00,982 --> 00:17:02,765 The prefrontal cortex and the putamen, 365 00:17:02,790 --> 00:17:04,399 they... they light up. 366 00:17:04,424 --> 00:17:06,107 There's a very good chance that pedophilia 367 00:17:06,138 --> 00:17:09,280 could be genetically hardwired into the brain. 368 00:17:09,516 --> 00:17:11,821 There... there... there's nothing he can do about it? 369 00:17:11,846 --> 00:17:13,410 Well, yes and no. 370 00:17:13,435 --> 00:17:15,664 I mean, the thinking is, you can't change the hardware, 371 00:17:15,689 --> 00:17:17,311 but the software is another question, 372 00:17:17,336 --> 00:17:19,536 and it sounds to me like... Like that's what Mr. Thomas 373 00:17:19,560 --> 00:17:21,359 has been trying to do. 374 00:17:21,838 --> 00:17:23,687 If you look at it from his perspective, 375 00:17:23,712 --> 00:17:26,170 the whole thing seems quite rational. 376 00:17:30,115 --> 00:17:32,378 Hey, what are you doing here on your day off? 377 00:17:32,403 --> 00:17:35,037 - Don't ask. - Don't ask? 378 00:17:35,062 --> 00:17:36,612 I'm not crazy about what I'm doing, 379 00:17:36,637 --> 00:17:38,136 and I will tell you the whole thing later, 380 00:17:38,161 --> 00:17:42,099 but right now, I just need to get something and go. 381 00:17:43,323 --> 00:17:47,671 - I'll talk to you later. - Okay. 382 00:17:52,501 --> 00:17:53,900 Hey! 383 00:17:53,925 --> 00:17:55,831 Everyone out, please. 384 00:17:56,512 --> 00:17:58,436 You stay. 385 00:18:00,676 --> 00:18:02,242 John Gates, this is Sharon Goodwin, 386 00:18:02,267 --> 00:18:04,983 the Executive Director of Patient Services. 387 00:18:05,383 --> 00:18:07,124 You might stand up. 388 00:18:08,087 --> 00:18:10,159 Did you speak to anyone recently 389 00:18:10,184 --> 00:18:11,866 regarding a lawsuit? 390 00:18:11,891 --> 00:18:13,991 Yeah, lawyers asked me some questions. 391 00:18:14,060 --> 00:18:15,593 And what did you say? 392 00:18:15,661 --> 00:18:18,596 I said you guys only wanted patients with good insurance, 393 00:18:18,664 --> 00:18:20,883 so I brought you what you wanted. 394 00:18:21,413 --> 00:18:24,363 And where exactly did you get that idea? 395 00:18:25,584 --> 00:18:27,283 Look around. 396 00:18:27,352 --> 00:18:29,043 Excuse me? 397 00:18:29,328 --> 00:18:32,265 The TV. The pizza? 398 00:18:32,432 --> 00:18:34,276 Everyone knows this room's just a ploy 399 00:18:34,301 --> 00:18:36,562 to get us to bring in paying customers. 400 00:18:38,608 --> 00:18:40,605 Get out of here. 401 00:18:50,056 --> 00:18:53,024 Sharon... 402 00:18:55,648 --> 00:18:59,031 I never intended for him to leave people on the street. 403 00:18:59,496 --> 00:19:01,212 He's not the problem. 404 00:19:16,602 --> 00:19:18,435 Dr. Bekker... 405 00:19:19,772 --> 00:19:23,007 You disagree with Dr. Rhodes' treatment, don't you? 406 00:19:23,743 --> 00:19:26,143 It's a complicated situation. 407 00:19:27,270 --> 00:19:28,713 Okay. 408 00:19:29,882 --> 00:19:33,817 I know... how hard it must be 409 00:19:33,886 --> 00:19:36,453 watching him go through this. 410 00:19:36,522 --> 00:19:38,555 It is... 411 00:19:38,624 --> 00:19:41,558 And it has been for 12 years. 412 00:19:41,627 --> 00:19:43,594 We tried everything: 413 00:19:44,090 --> 00:19:46,724 modulator therapies, clinical trials. 414 00:19:46,749 --> 00:19:49,899 It's all we ever thought about, but nothing ever worked. 415 00:19:49,968 --> 00:19:52,969 After a while, we just wanted to let Luke be a kid, 416 00:19:53,038 --> 00:19:55,205 while he still had the chance. 417 00:19:56,575 --> 00:19:58,308 But now, I'm... 418 00:20:00,712 --> 00:20:03,046 Maybe there was more we could've done. 419 00:20:03,115 --> 00:20:06,349 Did we just let our little boy die? 420 00:20:08,920 --> 00:20:13,123 There are no right answers with cystic fibrosis. 421 00:20:13,191 --> 00:20:14,624 It's relentless 422 00:20:14,693 --> 00:20:17,687 and impervious to whatever we throw at it. 423 00:20:20,468 --> 00:20:23,366 But every decision you made for your son, 424 00:20:23,435 --> 00:20:25,669 you made out of love... 425 00:20:27,691 --> 00:20:30,180 And I believe that whenever you do something out of love, 426 00:20:30,205 --> 00:20:32,333 it can never really be wrong. 427 00:20:51,444 --> 00:20:53,368 Dr. Halstead! 428 00:20:57,639 --> 00:20:59,702 Sats are down to 78. 429 00:20:59,727 --> 00:21:02,189 Did you eat this morning? 430 00:21:02,214 --> 00:21:04,193 He might be obstructed. Laryngoscope on the gills. 431 00:21:04,218 --> 00:21:06,579 Give him a sublingual nitro and an amp of glucagon. 432 00:21:06,604 --> 00:21:08,537 The food must've gotten trapped by your tumor, 433 00:21:08,562 --> 00:21:09,787 and it's starting to block your airway. 434 00:21:09,812 --> 00:21:12,765 - I need to break it up. - Oh, please, don't. 435 00:21:12,790 --> 00:21:13,993 What about his DNR? 436 00:21:14,018 --> 00:21:16,055 I'm not tubing him, I'm just clearing his airway. 437 00:21:16,080 --> 00:21:19,084 Mr. Thomas, I am legally obligated to do this. 438 00:21:19,143 --> 00:21:20,651 It will only take a moment. 439 00:21:26,415 --> 00:21:27,834 Forceps? 440 00:21:31,576 --> 00:21:34,070 Almost there. Got it. 441 00:21:34,125 --> 00:21:36,426 That's it, Mr. Thomas. 442 00:21:36,451 --> 00:21:39,018 Take a few deep breaths... 443 00:21:39,043 --> 00:21:41,616 Deep breaths. 444 00:21:41,718 --> 00:21:43,584 God damn it. 445 00:21:43,609 --> 00:21:47,125 Why won't you people just let me die? 446 00:21:58,595 --> 00:22:01,471 Well, I don't see any tumors or signs of stroke. 447 00:22:01,765 --> 00:22:04,237 Robert Haywood, is he one of your prison patients? 448 00:22:04,427 --> 00:22:06,027 Um, no. Why? 449 00:22:06,052 --> 00:22:07,708 He's a criminal, right? 450 00:22:07,742 --> 00:22:09,419 Not that I know of. 451 00:22:10,106 --> 00:22:12,267 Decreased activity in the lower frontal lobe, 452 00:22:12,292 --> 00:22:14,413 significant reductions in the orbital prefrontal cortex, 453 00:22:14,438 --> 00:22:17,634 which is the regulator of morality and aggression. 454 00:22:18,121 --> 00:22:21,201 - Oh, psychopath. - Well, in my opinion, 455 00:22:21,226 --> 00:22:22,758 the best thing you can do for this patient 456 00:22:22,783 --> 00:22:24,768 is to put a pillow over his head. 457 00:22:30,962 --> 00:22:32,830 How's he doing? 458 00:22:33,596 --> 00:22:34,929 Not great. 459 00:22:35,135 --> 00:22:37,035 His larynx is still partially obstructed, 460 00:22:37,060 --> 00:22:39,795 and now I need ENT to come clear it out completely. 461 00:22:39,851 --> 00:22:41,422 Are you putting him on a hold? 462 00:22:42,588 --> 00:22:45,289 Dr. Charles believes he is rational. We can't. 463 00:22:45,357 --> 00:22:47,659 So that's that? 464 00:22:47,828 --> 00:22:50,395 - What, we just let him die? - Not necessarily. 465 00:22:50,420 --> 00:22:52,513 Since he is rational, 466 00:22:52,633 --> 00:22:54,566 maybe we can reason with him. 467 00:22:58,495 --> 00:23:01,563 Fine, as soon as he's cleaned up. 468 00:23:10,083 --> 00:23:12,993 Why are you fighting so hard for this guy? 469 00:23:16,114 --> 00:23:18,312 Because it's not my job to judge him. 470 00:23:28,215 --> 00:23:30,949 I just got the call. The lungs are ten minutes out. 471 00:23:31,018 --> 00:23:33,385 His cardiac output is down, urine too. 472 00:23:33,410 --> 00:23:35,195 He's in multi-organ failure. 473 00:23:35,220 --> 00:23:37,072 BP's 90 over 50. 474 00:23:37,097 --> 00:23:39,272 He's not going to be stable enough for surgery. 475 00:23:39,297 --> 00:23:40,826 This doesn't make any sense. 476 00:23:40,851 --> 00:23:42,918 Cystic fibrosis is a chronic disease. 477 00:23:42,988 --> 00:23:44,572 This is all happening too fast. 478 00:23:44,597 --> 00:23:46,112 Only since you put him on the ECMO. 479 00:23:48,038 --> 00:23:50,256 These are symptoms of under-perfusion. 480 00:23:50,281 --> 00:23:52,271 It shouldn't happen on ECMO. 481 00:23:52,833 --> 00:23:55,734 Unless the problem is with the ECMO itself. 482 00:23:57,492 --> 00:23:59,107 Let me see your readings. 483 00:24:01,447 --> 00:24:02,955 The flow rate's too slow. 484 00:24:03,483 --> 00:24:05,827 - How long's it been at 2.6? - Couple hours. 485 00:24:05,852 --> 00:24:08,811 - Did you interrogate the line? - Yeah, it was clean. 486 00:24:08,836 --> 00:24:10,117 You think it's the oxygenator? 487 00:24:10,142 --> 00:24:11,492 Let's find out. 488 00:24:11,517 --> 00:24:13,748 His sats are gonna drop. We gotta do this fast. 489 00:24:13,773 --> 00:24:15,702 Turn the FiO2 up to 100. 490 00:24:15,727 --> 00:24:18,164 - Shut down ECMO. - What? You're turning it off? 491 00:24:18,189 --> 00:24:19,503 I thought it was keeping him alive. 492 00:24:19,528 --> 00:24:20,742 Sats are down to 80. 493 00:24:20,767 --> 00:24:22,601 We think there might be a clot in the oxygenator. 494 00:24:22,626 --> 00:24:23,968 That would impede the blood flow enough 495 00:24:23,993 --> 00:24:25,032 to cause his organs to fail. 496 00:24:25,057 --> 00:24:26,474 75. 497 00:24:26,936 --> 00:24:30,137 - Set. - Set. 498 00:24:31,404 --> 00:24:33,040 Got it. 499 00:24:33,065 --> 00:24:35,089 It must've happened when we hung the plasma. 500 00:24:35,114 --> 00:24:36,461 ECMO back on. 501 00:24:40,986 --> 00:24:42,514 Flow rate's at 4. 502 00:24:44,882 --> 00:24:46,859 Sats are coming back up. 83... 503 00:24:46,884 --> 00:24:48,833 85... 504 00:24:48,858 --> 00:24:50,890 Is he gonna be okay? 505 00:24:51,754 --> 00:24:53,620 He's getting oxygen back to his organs. 506 00:24:53,645 --> 00:24:55,125 The failure should be reversible. 507 00:24:55,150 --> 00:24:56,469 Oh, thank God. 508 00:24:56,494 --> 00:24:59,492 Dr. Rhodes, Dr. Bekker... the lungs are here. 509 00:24:59,517 --> 00:25:01,985 All right, let's get him upstairs. Come on. 510 00:25:02,010 --> 00:25:03,543 You can still do the transplant? 511 00:25:03,568 --> 00:25:04,534 Yes. 512 00:25:04,559 --> 00:25:06,426 - Oh! - It's okay. 513 00:25:06,451 --> 00:25:08,259 Come on! 514 00:25:08,981 --> 00:25:11,061 All right, let's go. 515 00:25:11,086 --> 00:25:13,381 You got this! 516 00:25:13,498 --> 00:25:15,175 - Good job, Laura. Good job. - You're doing great. 517 00:25:15,200 --> 00:25:16,363 Nat, we've been pushing for 30. 518 00:25:16,388 --> 00:25:17,871 - Come on. - Keep pushing, keep pushing. 519 00:25:17,896 --> 00:25:18,914 - I can't. - There you go. 520 00:25:18,939 --> 00:25:20,681 You can do this, you can do this, okay? 521 00:25:20,706 --> 00:25:22,990 Push, push, push, push, push, push, push, push... 522 00:25:23,015 --> 00:25:24,746 Good job. There you go. 523 00:25:24,771 --> 00:25:26,316 There you go. 524 00:25:26,341 --> 00:25:27,791 All right, keep pushing, Laura. 525 00:25:27,816 --> 00:25:30,114 - You're doing great. Keep going. - Okay, I see the head. 526 00:25:30,139 --> 00:25:32,240 Push, push, push, push... 527 00:25:35,007 --> 00:25:36,610 Okay, here it comes. Here it comes. 528 00:25:36,635 --> 00:25:38,215 Is it out? 529 00:25:38,240 --> 00:25:39,765 Nat... 530 00:25:40,019 --> 00:25:42,634 - What's wrong? - Shoulder dystocia. 531 00:25:42,659 --> 00:25:44,027 The head is through the birth canal, 532 00:25:44,052 --> 00:25:45,912 but the shoulders are too big. It's stuck. 533 00:25:46,469 --> 00:25:47,935 Stuck? What do you mean stuck? 534 00:25:47,960 --> 00:25:49,252 Don't worry, we're gonna get it out, 535 00:25:49,277 --> 00:25:50,833 - but we need to hurry. - Call an ambulance. 536 00:25:50,858 --> 00:25:52,432 What? No, I'm not calling an ambulance. 537 00:25:52,457 --> 00:25:55,072 - Call an ambulance. - What are you... 538 00:25:55,097 --> 00:25:56,757 What are you doing? No, no, what's going on? 539 00:25:56,782 --> 00:25:57,978 - You're okay. - What are you doing? 540 00:25:58,003 --> 00:25:59,210 We're just gonna pick your leg up. 541 00:25:59,235 --> 00:26:01,195 You're gonna be fine. 542 00:26:02,026 --> 00:26:04,593 - What are those for? - An episiotomy. 543 00:26:04,618 --> 00:26:07,235 I need to cut a wider hole for the baby to come out. 544 00:26:07,260 --> 00:26:09,141 I'm sorry, but this is gonna hurt. 545 00:26:09,166 --> 00:26:10,903 Can't you numb her? 546 00:26:10,928 --> 00:26:12,964 Not with the head this close, not out here. 547 00:26:12,989 --> 00:26:15,028 I'll push harder. I... I'll get it to come out! 548 00:26:15,053 --> 00:26:17,287 Laura, we are past that right now, okay? 549 00:26:17,312 --> 00:26:19,629 I need you to just be strong for your baby. 550 00:26:19,654 --> 00:26:22,162 I can't... I can't... 551 00:26:22,187 --> 00:26:24,594 Laura, I promise you it will be worth it. 552 00:26:24,619 --> 00:26:26,371 Now, are you ready? Yes? 553 00:26:26,396 --> 00:26:27,809 Okay. 554 00:26:31,293 --> 00:26:33,443 All right, you got it. 555 00:26:33,468 --> 00:26:35,131 You got it. 556 00:26:37,725 --> 00:26:39,342 You did it! 557 00:26:39,366 --> 00:26:41,691 You did it. Great job, Laura. 558 00:26:46,619 --> 00:26:48,546 It's a beautiful girl. 559 00:26:50,677 --> 00:26:51,933 Hi. 560 00:26:54,231 --> 00:26:55,997 Hi. 561 00:26:58,379 --> 00:26:59,863 Hi. 562 00:27:01,768 --> 00:27:03,473 Hi. 563 00:27:13,539 --> 00:27:15,626 Pulmonary artery is cut. 564 00:27:15,836 --> 00:27:18,599 - Left lung is free. - Yep. 565 00:27:19,876 --> 00:27:21,818 Lungs are coming out. 566 00:27:21,843 --> 00:27:23,400 Keep the heart elevated. 567 00:27:23,425 --> 00:27:25,625 Okay. 568 00:27:26,000 --> 00:27:28,059 All right. 569 00:27:31,523 --> 00:27:34,190 Let's sew these new lungs in. 570 00:27:35,505 --> 00:27:37,472 Dr. Bekker's gonna take the lead. 571 00:27:37,541 --> 00:27:39,974 - Me? - Yes. 572 00:27:40,043 --> 00:27:44,078 - But he's your patient. - You are the better choice. 573 00:27:44,147 --> 00:27:45,580 Why would you say that? 574 00:27:45,605 --> 00:27:47,695 You've been fighting me tooth and nail all day. 575 00:27:47,720 --> 00:27:48,766 Your hands are smaller. 576 00:27:48,791 --> 00:27:51,064 It'll be easier for you to work in the confined space. 577 00:27:51,146 --> 00:27:52,752 I see. 578 00:27:52,777 --> 00:27:56,097 And is that the only reason? The size of my hands? 579 00:27:57,188 --> 00:27:59,588 Also, you are an excellent surgeon. 580 00:28:02,211 --> 00:28:03,411 All right. 581 00:28:04,376 --> 00:28:05,976 Stitch? 582 00:28:17,095 --> 00:28:19,429 My apologies, Sharon. This is my fault. 583 00:28:19,498 --> 00:28:20,864 The pizza room was my idea. 584 00:28:20,889 --> 00:28:22,717 No, Maggie, I was in full support of it, 585 00:28:22,742 --> 00:28:26,641 and never stopped to think about what we were encouraging. 586 00:28:37,516 --> 00:28:39,749 How are you feeling? 587 00:28:39,818 --> 00:28:42,786 Just let me go. 588 00:28:45,644 --> 00:28:47,807 Mr. Thomas, I can't begin to imagine 589 00:28:47,832 --> 00:28:49,431 what your life is like... 590 00:28:50,843 --> 00:28:53,313 But one thing I know is that it can't get better 591 00:28:53,338 --> 00:28:55,338 unless you let me help you. 592 00:28:56,112 --> 00:28:57,678 Now, I've talked to the oncologist... 593 00:28:57,703 --> 00:28:59,736 - Enough. - And we have a real chance 594 00:28:59,761 --> 00:29:01,577 at getting you into remission. 595 00:29:01,875 --> 00:29:05,677 Please, just take a few minutes to at least consider it. 596 00:29:10,933 --> 00:29:13,602 Mr. Thomas, can I ask you a question? 597 00:29:15,507 --> 00:29:17,553 You have a job, right? 598 00:29:17,578 --> 00:29:19,933 Coworkers, do you get along with some of them? 599 00:29:20,092 --> 00:29:22,975 Yeah. So? 600 00:29:23,000 --> 00:29:24,816 How about interests? 601 00:29:25,419 --> 00:29:28,480 Reading? Sports? 602 00:29:29,172 --> 00:29:30,810 What's your point? 603 00:29:30,835 --> 00:29:33,781 That you are not just a pedophile. 604 00:29:34,385 --> 00:29:36,624 There is more to you than that. 605 00:29:38,107 --> 00:29:39,406 And I understand that you have been 606 00:29:39,431 --> 00:29:41,558 challenged by your thoughts your entire life, 607 00:29:41,656 --> 00:29:43,328 but you have overcome them. 608 00:29:45,038 --> 00:29:47,349 Maybe this cancer is just another challenge, 609 00:29:47,374 --> 00:29:49,516 something that you can overcome as well, 610 00:29:49,541 --> 00:29:51,010 so you can get back to 611 00:29:51,035 --> 00:29:53,396 all of the parts of your life that you do like. 612 00:29:53,421 --> 00:29:55,601 Doctor, I have an itch... 613 00:29:56,491 --> 00:29:59,625 every second of every day. 614 00:29:59,694 --> 00:30:02,435 To scratch it would feel so good, 615 00:30:02,460 --> 00:30:05,035 but I don't, ever. 616 00:30:05,929 --> 00:30:08,633 Not scratching that itch 617 00:30:08,658 --> 00:30:11,669 is the worst hell that I can imagine, 618 00:30:12,662 --> 00:30:14,848 and cancer is gonna get me out of that hell. 619 00:30:17,027 --> 00:30:19,122 It isn't another challenge... 620 00:30:21,504 --> 00:30:24,285 Cancer is my reward. 621 00:30:30,890 --> 00:30:32,688 So, Bob, I know that we haven't 622 00:30:32,713 --> 00:30:34,273 known each other very long at all, 623 00:30:34,298 --> 00:30:36,058 but from what I've observed 624 00:30:36,083 --> 00:30:38,016 and our conversations, 625 00:30:38,085 --> 00:30:40,696 it's my opinion that you evident 626 00:30:40,721 --> 00:30:43,118 some of the hallmark characteristics 627 00:30:43,143 --> 00:30:45,243 of something known as 628 00:30:45,268 --> 00:30:47,437 Antisocial Personality Disorder. 629 00:30:47,493 --> 00:30:50,327 Huh. Interesting. 630 00:30:50,584 --> 00:30:53,093 That could explain a lot about my life. 631 00:30:53,248 --> 00:30:55,015 I mean, divorces, 632 00:30:55,255 --> 00:30:57,722 - problems with colleagues. - Right, right. 633 00:30:57,747 --> 00:30:59,732 Well, you should know that it's very manageable. I mean... 634 00:30:59,757 --> 00:31:01,882 No, I... I've got things handled. 635 00:31:01,907 --> 00:31:04,140 - I'm okay. - Are you, though? 636 00:31:04,320 --> 00:31:06,387 Because, very honestly, from what I've seen, 637 00:31:06,412 --> 00:31:09,680 that you aren't in fact always the best judge 638 00:31:09,705 --> 00:31:11,597 of your own self-interest. 639 00:31:11,926 --> 00:31:13,335 What do you mean? 640 00:31:13,393 --> 00:31:15,359 Well, you have significant heart disease, 641 00:31:15,384 --> 00:31:17,551 which, one way or the other, is gonna require 642 00:31:17,576 --> 00:31:19,309 serious long-term care. 643 00:31:19,569 --> 00:31:22,680 Your plan is to have your daughter provide that care, 644 00:31:22,705 --> 00:31:24,309 a daughter whose father 645 00:31:24,334 --> 00:31:27,882 has suddenly reappeared in her life after 20 years. 646 00:31:27,944 --> 00:31:30,421 I mean, she's gonna have trust issues, 647 00:31:30,446 --> 00:31:32,062 abandonment issues. 648 00:31:32,106 --> 00:31:33,842 What I'm saying is if you want this 649 00:31:33,867 --> 00:31:36,265 to work out with Sarah, it would be a really good idea 650 00:31:36,290 --> 00:31:39,558 to discuss this personality disorder. 651 00:31:39,603 --> 00:31:41,608 And why would that help me? 652 00:31:41,719 --> 00:31:44,006 Well, first of all, I think she'd appreciate your candor. 653 00:31:44,065 --> 00:31:46,443 She'd be comforted by your honesty. 654 00:31:46,499 --> 00:31:48,425 More importantly, it would shed a huge amount of light 655 00:31:48,450 --> 00:31:49,645 on... on her life, 656 00:31:49,670 --> 00:31:52,726 on what transpired between the two of you. 657 00:31:53,015 --> 00:31:55,180 I think, ultimately, she'd embrace your care, 658 00:31:55,205 --> 00:31:56,568 she'd throw herself into it, 659 00:31:56,593 --> 00:31:58,386 and that the time you spend together 660 00:31:58,600 --> 00:32:01,601 would just be much richer for the both of you. 661 00:32:01,959 --> 00:32:04,212 Or she could have the opposite reaction. 662 00:32:04,284 --> 00:32:07,140 Antisocial Personality Disorder? 663 00:32:07,165 --> 00:32:09,365 I mean, that's like saying I'm a psychopath. 664 00:32:09,390 --> 00:32:11,224 I mean, when people hear that word, 665 00:32:11,369 --> 00:32:13,893 they run in the opposite direction. 666 00:32:13,978 --> 00:32:16,940 Labels, semantics can be toxic. 667 00:32:17,263 --> 00:32:19,351 Whatever the case, all I'm saying is that 668 00:32:19,376 --> 00:32:22,288 I think it would be very much in your best interest 669 00:32:22,362 --> 00:32:24,929 to share this with your daughter. 670 00:32:32,492 --> 00:32:34,632 She's so happy. 671 00:32:35,035 --> 00:32:37,102 All she does is smile. 672 00:32:42,198 --> 00:32:43,932 Laura... 673 00:32:44,620 --> 00:32:46,917 we need to take you to the hospital. 674 00:32:49,807 --> 00:32:51,841 You said I could stay here. 675 00:32:51,909 --> 00:32:53,961 You could give birth out here, 676 00:32:54,422 --> 00:32:56,222 but it's not a safe place to keep her. 677 00:32:56,247 --> 00:32:58,651 It's too cold. She'll freeze. 678 00:32:59,257 --> 00:33:01,744 But if we come in, we'll have to go to foster care. 679 00:33:04,662 --> 00:33:07,633 She's too good for that. I won't let her. 680 00:33:07,664 --> 00:33:09,250 Laura... 681 00:33:09,530 --> 00:33:11,804 I'm sorry, but we don't have a choice. 682 00:33:23,414 --> 00:33:25,654 - Take her without me. - What? 683 00:33:28,380 --> 00:33:31,735 Babies with 16-year-old mothers go into foster care. 684 00:33:32,874 --> 00:33:34,373 But babies on their own... 685 00:33:35,970 --> 00:33:38,073 Get adopted into nice families. 686 00:33:40,546 --> 00:33:42,933 Laura, this is your baby. 687 00:33:43,417 --> 00:33:45,232 You'll never see her again. 688 00:33:47,043 --> 00:33:49,702 I know. 689 00:33:49,966 --> 00:33:51,794 You don't have to do this. 690 00:33:58,136 --> 00:34:00,583 You're gonna have a good life. 691 00:34:33,827 --> 00:34:35,428 Hey, thought you'd wanna know 692 00:34:35,453 --> 00:34:37,389 we're settling that case out of court. 693 00:34:37,414 --> 00:34:40,652 Yeah, I figured the hospital wouldn't want the bad press. 694 00:34:40,677 --> 00:34:42,904 We'll move on. Hopefully, it's just an isolated incident. 695 00:34:42,929 --> 00:34:44,167 It should be. 696 00:34:44,192 --> 00:34:46,747 It turns out the pizza room was the source of the problem, 697 00:34:46,772 --> 00:34:48,612 so I shut it down. 698 00:34:48,637 --> 00:34:51,576 - Wait, what? - I shut down the pizza room. 699 00:34:51,601 --> 00:34:54,635 No. No, no, no, the board's not gonna let you do that. 700 00:34:54,676 --> 00:34:57,539 Why not? It was influencing the decision-making 701 00:34:57,564 --> 00:34:59,147 of ambulance crews. 702 00:34:59,172 --> 00:35:01,552 And it's making this hospital a lot of money. 703 00:35:01,577 --> 00:35:04,178 The E.D. has shown a 14% increase in revenue 704 00:35:04,203 --> 00:35:06,697 - since it opened. - Are you serious? 705 00:35:06,722 --> 00:35:10,837 Sharon... the pizza room stays open. 706 00:35:18,057 --> 00:35:20,230 His obstruction must be eroding into the mucosa. 707 00:35:20,255 --> 00:35:21,547 Hang two units. 708 00:35:21,601 --> 00:35:23,097 Vic, you're losing too much blood. 709 00:35:23,122 --> 00:35:24,651 I need to cauterize the vessels. 710 00:35:24,676 --> 00:35:27,072 No... you don't. 711 00:35:27,243 --> 00:35:30,310 Hey, I'm sorry, but I don't have a choice. 712 00:35:30,335 --> 00:35:34,112 Yes... you do. 713 00:35:34,959 --> 00:35:36,626 Hanging the blood. 714 00:35:36,670 --> 00:35:38,445 Get me a cautery. 715 00:35:38,948 --> 00:35:41,230 - There's one in Trauma 3. - Okay. 716 00:36:06,525 --> 00:36:08,250 It won't be long. 717 00:36:31,814 --> 00:36:34,902 Time of death: 19:21. 718 00:36:47,830 --> 00:36:49,863 Hey, hey. 719 00:36:51,119 --> 00:36:53,931 How's it going, bud? How's it feel? 720 00:36:53,961 --> 00:36:56,695 Sore, but good. 721 00:36:56,720 --> 00:36:58,210 Good. 722 00:36:58,692 --> 00:37:00,887 Well, don't go anywhere, okay? 723 00:37:01,134 --> 00:37:04,202 I'm gonna be back to check on you in just a little bit. 724 00:37:09,578 --> 00:37:11,711 I have to admit, your way worked. 725 00:37:11,897 --> 00:37:14,197 - You got him to the finish line. - I think we both know 726 00:37:14,222 --> 00:37:17,143 that I couldn't have done this without you. 727 00:37:17,290 --> 00:37:20,258 Say, uh... 728 00:37:21,369 --> 00:37:23,440 I cancelled my plans. 729 00:37:23,531 --> 00:37:28,000 Um... what do you say we go get that drink? 730 00:37:31,973 --> 00:37:33,840 No. 731 00:37:34,943 --> 00:37:37,009 Last night was a mistake. 732 00:37:41,883 --> 00:37:43,383 I was wrong about Laura. 733 00:37:43,451 --> 00:37:45,379 I don't know if I could've done what she did. 734 00:37:45,404 --> 00:37:46,967 Those kids surprised me too. 735 00:37:46,992 --> 00:37:48,892 I just hate the thought of them out there, 736 00:37:48,929 --> 00:37:50,672 having to take care of themselves. 737 00:37:50,697 --> 00:37:52,058 Yeah. 738 00:37:52,301 --> 00:37:54,495 Oh, there's DCFS. 739 00:37:54,890 --> 00:37:57,277 - I got it. - Okay. 740 00:38:01,936 --> 00:38:04,583 Hey, I am so sorry about earlier. 741 00:38:05,144 --> 00:38:06,773 Oh, that's okay. 742 00:38:06,798 --> 00:38:08,698 It's just, I had the most awful, 743 00:38:08,723 --> 00:38:10,060 yet the most incredible day. 744 00:38:10,085 --> 00:38:11,352 There is this girl who lives at... 745 00:38:11,377 --> 00:38:14,219 Hey, Nat, I'm not really in the mood to talk right now. 746 00:38:14,252 --> 00:38:17,087 Oh, okay. Are you all right? 747 00:38:17,112 --> 00:38:20,050 Yeah, it's just... uh, don't ask. 748 00:38:30,315 --> 00:38:31,662 Hey. 749 00:38:33,722 --> 00:38:35,425 That patient... 750 00:38:36,031 --> 00:38:37,779 I judged him. 751 00:38:38,249 --> 00:38:41,777 I should've just... been his nurse. 752 00:38:42,233 --> 00:38:45,294 Sometimes it's really hard not to judge. 753 00:38:46,319 --> 00:38:47,936 I've been there. 754 00:38:49,811 --> 00:38:51,812 You mind if we, uh, 755 00:38:52,195 --> 00:38:54,314 take a rain check on dinner tonight? 756 00:38:54,357 --> 00:38:55,673 Sure. 757 00:39:03,828 --> 00:39:05,151 Hey there. 758 00:39:07,746 --> 00:39:09,176 Everything okay? 759 00:39:12,235 --> 00:39:13,641 No. 760 00:39:13,684 --> 00:39:16,712 No, I, um... I just had a long talk with my dad, 761 00:39:16,737 --> 00:39:19,824 and it turns out he has class III heart failure 762 00:39:19,849 --> 00:39:21,200 from cardiomyopathy. 763 00:39:21,344 --> 00:39:24,339 Oh, man. Very sorry to hear that. 764 00:39:24,474 --> 00:39:27,039 Yeah, you know, he said he wasn't gonna tell me. 765 00:39:27,360 --> 00:39:30,161 - Said he was afraid. - Afraid? 766 00:39:30,308 --> 00:39:32,074 That he just came back into my life, 767 00:39:32,099 --> 00:39:33,222 and now if he dies, 768 00:39:33,247 --> 00:39:35,380 he doesn't know what it might do to me. 769 00:39:35,865 --> 00:39:37,355 Said he worries he's giving me issues 770 00:39:37,380 --> 00:39:39,597 with abandonment and trust. 771 00:39:40,807 --> 00:39:44,106 Oh... wow, he said that, huh? 772 00:39:44,324 --> 00:39:47,377 Yeah, as sick as he is, he... he didn't wanna tell me. 773 00:39:49,864 --> 00:39:53,331 That is so... selfless. 774 00:39:55,855 --> 00:39:56,972 You were right. 775 00:39:56,997 --> 00:39:59,482 Maybe I need to look at things more from his perspective. 776 00:40:01,573 --> 00:40:02,748 Dr. Reese, did your... 777 00:40:02,773 --> 00:40:05,827 Did your father tell you anything else? 778 00:40:06,635 --> 00:40:08,585 No. Why? 779 00:40:08,610 --> 00:40:10,477 I'm just curious, you know. 780 00:40:10,502 --> 00:40:12,639 Nothing else? 781 00:40:12,664 --> 00:40:14,049 No. 782 00:40:28,903 --> 00:40:31,413 - Ethan. - Hey. 783 00:40:32,218 --> 00:40:34,509 Why are you here? 784 00:40:36,233 --> 00:40:38,661 I just wanted to see how you're doing. 785 00:40:39,382 --> 00:40:41,188 Oh. 786 00:40:43,276 --> 00:40:44,878 Maybe, I should've called. 787 00:40:46,602 --> 00:40:48,146 No, it's okay. 788 00:40:51,760 --> 00:40:53,215 Your hair's longer. 789 00:40:55,372 --> 00:40:56,604 Yeah. 790 00:40:56,861 --> 00:40:58,337 Yours is... 791 00:41:00,330 --> 00:41:02,000 Shorter. 792 00:41:09,626 --> 00:41:11,135 Okay if I come in? 793 00:41:13,949 --> 00:41:16,411 Yeah. Kay. 794 00:41:27,797 --> 00:41:35,015 - Synced and corrected by martythecrazy - - www.addic7ed.com -