1 00:00:04,745 --> 00:00:07,313 - Another "3-oh" Prolene. - Here. 2 00:00:09,416 --> 00:00:11,317 Homestretch, Peter. 3 00:00:11,352 --> 00:00:13,203 Just finishing up the aortic connection. 4 00:00:13,228 --> 00:00:14,761 Then we'll start you back up. 5 00:00:14,856 --> 00:00:17,089 Talking to the patient while they're out, 6 00:00:17,124 --> 00:00:18,490 that's a new one. 7 00:00:18,525 --> 00:00:20,659 - It's a nice touch. - Actually, not new. 8 00:00:20,694 --> 00:00:22,526 Just the first time you've noticed. 9 00:00:22,562 --> 00:00:24,406 Thought I'd made more of an impression on you. 10 00:00:24,431 --> 00:00:26,358 The way you can turn a compliment into a dig, 11 00:00:26,383 --> 00:00:28,599 it's quite the skill, Dr. Bekker. 12 00:00:28,623 --> 00:00:31,172 Don't be so sensitive, Dr. Rhodes. 13 00:00:31,859 --> 00:00:34,794 Okay, donor heart is fully attached. 14 00:00:34,829 --> 00:00:36,329 - All right. - Let's get the pacer leads on. 15 00:00:36,364 --> 00:00:38,331 Yes, doctor. 16 00:00:38,366 --> 00:00:42,302 - 100 beats per minute, Marty. - We're set. 17 00:00:42,337 --> 00:00:44,213 Okay then, turn it on. 18 00:00:46,886 --> 00:00:49,887 Excellent contractility in the left and right ventricles. 19 00:00:49,912 --> 00:00:51,754 - No distension. - Healthy color. 20 00:00:51,779 --> 00:00:53,412 Take off bypass? 21 00:00:53,447 --> 00:00:55,935 Looks like this one's going to take, Peter. 22 00:00:57,001 --> 00:00:59,301 There's no better sight, is there, Dr. Bekker? 23 00:00:59,326 --> 00:01:00,898 Can't argue with that. 24 00:01:04,646 --> 00:01:07,169 - No, no, no! - Losing color. It's cyanotic. 25 00:01:07,194 --> 00:01:08,861 Global contractility's way down. 26 00:01:08,896 --> 00:01:10,663 Left and right ventricles severely distended. 27 00:01:10,698 --> 00:01:12,131 Hyperacute rejection. 28 00:01:12,166 --> 00:01:14,500 Donor heart's failing. We need to get it out now. 29 00:01:14,535 --> 00:01:16,769 Damn it. Okay, back on bypass. 30 00:01:22,734 --> 00:01:28,555 - Synced and corrected by martythecrazy - - www.addic7ed.com - 31 00:01:29,216 --> 00:01:32,451 Okay, Peter obviously goes back on the transplant list, 32 00:01:32,486 --> 00:01:34,492 but for right now, I only see two options: 33 00:01:34,517 --> 00:01:37,218 - ECMO or an artificial heart. - ECMO's quick and easy. 34 00:01:37,243 --> 00:01:39,109 Peter's on bypass, so the cannulas are already in place. 35 00:01:39,134 --> 00:01:41,838 Downside, he'd be confined to the ICU and likely intubated. 36 00:01:41,863 --> 00:01:45,098 - I'm leaning artificial. - That is a huge surgery. 37 00:01:45,123 --> 00:01:47,289 Peter's already been on the table for over four hours. 38 00:01:47,314 --> 00:01:49,516 The risk of complications, especially stroke? 39 00:01:49,541 --> 00:01:51,937 But if all goes well, he could get out of bed, 40 00:01:51,962 --> 00:01:54,070 walk around, maybe even go home. 41 00:01:54,202 --> 00:01:56,380 Peter waited a year for his first donor heart, 42 00:01:56,405 --> 00:01:58,820 two and a half for the one that just failed. 43 00:01:58,885 --> 00:02:00,593 There's no telling how long the next will take. 44 00:02:00,618 --> 00:02:02,921 Then I guess you really only have one option. 45 00:02:06,318 --> 00:02:08,337 It's Peter's wife, Jane. 46 00:02:08,824 --> 00:02:11,265 Not the post-op conversation I was planning for. 47 00:02:11,406 --> 00:02:13,781 Dr. Rhodes, Dr. Halstead called from the E.D. 48 00:02:13,806 --> 00:02:14,805 while you were in surgery, 49 00:02:14,830 --> 00:02:16,601 asked that you find him the moment you're free. 50 00:02:16,626 --> 00:02:18,259 - Thank you. - Mm. 51 00:02:18,387 --> 00:02:21,498 It's Dan Kennet, my giant-cell myocarditis patient. 52 00:02:21,633 --> 00:02:23,770 - He's back. - Go. I've got this. 53 00:02:23,858 --> 00:02:25,224 All right. 54 00:02:26,934 --> 00:02:29,653 April, this thing tonight, how big we talking? 55 00:02:30,152 --> 00:02:32,503 It's my little cousin's 15th birthday, okay? 56 00:02:32,528 --> 00:02:33,862 It's gonna be some of her friends, 57 00:02:33,887 --> 00:02:36,188 a few family members, low-key. 58 00:02:36,223 --> 00:02:37,738 Yeah, right. You always say that. 59 00:02:37,763 --> 00:02:39,988 Then I get there and it's Carnival. 60 00:02:40,292 --> 00:02:41,659 In Brazilian culture, 61 00:02:41,684 --> 00:02:43,551 fifteen's a huge birthday for a girl. 62 00:02:43,576 --> 00:02:45,114 Baile De Debutante. 63 00:02:45,139 --> 00:02:47,237 - Uh, did you Google that? - Yeah. 64 00:02:47,262 --> 00:02:49,926 Okay, that's really cute. 65 00:02:50,098 --> 00:02:51,809 Oh, you're gonna bring your sister? 66 00:02:51,938 --> 00:02:53,426 I wasn't planning on it. 67 00:02:53,451 --> 00:02:54,601 Come on, you guys have been talking. 68 00:02:54,626 --> 00:02:56,136 Things are going well, right? 69 00:02:56,161 --> 00:02:59,628 Yeah, but Emily's always been kind of a wild card. 70 00:02:59,891 --> 00:03:01,313 I don't wanna spend the whole night worrying 71 00:03:01,338 --> 00:03:03,705 she'll do something to offend your family. 72 00:03:03,819 --> 00:03:05,486 Plus, she probably has a poker game. 73 00:03:05,511 --> 00:03:06,722 Lame. 74 00:03:06,747 --> 00:03:08,647 All right, I'm not gonna push. 75 00:03:08,672 --> 00:03:10,405 I'd really like to meet her, though. 76 00:03:10,430 --> 00:03:11,608 You will... 77 00:03:12,603 --> 00:03:13,986 one day. 78 00:03:15,313 --> 00:03:16,770 He fainted? 79 00:03:16,795 --> 00:03:18,033 Yeah, getting out of the shower. 80 00:03:18,058 --> 00:03:19,215 When I pressed for details, 81 00:03:19,240 --> 00:03:21,106 he confessed to being light-headed all week. 82 00:03:21,131 --> 00:03:22,004 Labs? 83 00:03:22,029 --> 00:03:23,825 Yeah, troponin's way too high. 84 00:03:23,850 --> 00:03:26,903 Left ventricular ejection fraction is 10%. 85 00:03:27,133 --> 00:03:28,793 I've been treating Dan for six months. 86 00:03:28,818 --> 00:03:31,086 Steroids, calcium channel blockers, 87 00:03:31,111 --> 00:03:32,683 ace inhibitors, beta blockers, 88 00:03:32,708 --> 00:03:35,715 no matter what I try, he just keeps getting worse. 89 00:03:35,740 --> 00:03:37,927 Where is he on the transplant list? 90 00:03:38,460 --> 00:03:39,929 Way too low. 91 00:03:40,459 --> 00:03:42,159 Don't let him give up. 92 00:03:47,184 --> 00:03:50,285 Aww. 93 00:03:50,321 --> 00:03:52,254 Hey, Dan. Hey, Sheila. 94 00:03:52,289 --> 00:03:55,012 Hey. We're back too soon. 95 00:03:58,285 --> 00:04:00,495 Listen, Dan, your heart is failing, 96 00:04:00,530 --> 00:04:03,431 so I'm going to adjust the meds that you're already on 97 00:04:03,466 --> 00:04:05,722 and add IV dobutamine. 98 00:04:06,292 --> 00:04:07,980 IV? 99 00:04:08,327 --> 00:04:11,043 Guess I'm not going home today, am I? 100 00:04:11,141 --> 00:04:13,675 Yeah, we've gotta get the inflammation 101 00:04:13,710 --> 00:04:15,543 of your heart muscle under control. 102 00:04:15,568 --> 00:04:17,883 How long in the ICU? 103 00:04:18,492 --> 00:04:20,723 I'm not sure, I'm sorry. 104 00:04:21,834 --> 00:04:23,634 Hey, little B. 105 00:04:23,826 --> 00:04:25,559 Hi. 106 00:04:25,584 --> 00:04:27,190 The hospital has a daycare center. 107 00:04:27,215 --> 00:04:29,168 - I can, uh, call... - No, no. 108 00:04:29,558 --> 00:04:33,590 Having them close keeps me... keeps my spirits up. 109 00:04:33,615 --> 00:04:36,348 Good. That's what we want. 110 00:04:36,846 --> 00:04:38,418 I'll see you guys soon, all right? 111 00:04:38,443 --> 00:04:39,738 All right. 112 00:04:43,611 --> 00:04:46,152 Hey, take it from the old guy, 113 00:04:46,382 --> 00:04:49,434 ease up or you get a bunch of these. 114 00:04:49,913 --> 00:04:51,840 What are you grinding on? 115 00:04:52,066 --> 00:04:54,871 My dad asked me to cosign on a loan. 116 00:04:55,303 --> 00:04:56,703 Huh. 117 00:04:56,728 --> 00:04:58,826 Northwestern offered him a tenure-track position. 118 00:04:58,851 --> 00:05:00,778 He's gonna buy a place in Chicago. 119 00:05:00,803 --> 00:05:03,567 - Isn't that great news? - Yeah. 120 00:05:04,410 --> 00:05:07,153 I can get through the most arcane medical jargon, 121 00:05:07,178 --> 00:05:09,387 but legalese? Impossible. 122 00:05:09,412 --> 00:05:10,969 I just wanna know what I'm signing. 123 00:05:10,994 --> 00:05:13,168 - Is that too much to ask? - Not at all. 124 00:05:13,359 --> 00:05:15,246 Cosigning a loan is a big deal. 125 00:05:15,271 --> 00:05:17,471 - Mm. - If the borrower defaults, 126 00:05:17,496 --> 00:05:20,246 you're on the hook for the money, right? 127 00:05:20,271 --> 00:05:21,676 Mm-hmm. 128 00:05:21,959 --> 00:05:24,626 Another little piece of advice from the old guy: 129 00:05:24,651 --> 00:05:26,517 finances and family, 130 00:05:26,542 --> 00:05:28,350 they don't always mix. 131 00:05:28,375 --> 00:05:30,854 Oh, no, Dr. Charles, my dad is good for the money. 132 00:05:30,879 --> 00:05:32,364 He just needs me to cosign 133 00:05:32,389 --> 00:05:36,309 because identity theft messed up his credit a few years ago. 134 00:05:38,074 --> 00:05:39,429 Huh. 135 00:05:39,454 --> 00:05:41,035 So when did your back start bothering you? 136 00:05:41,060 --> 00:05:43,052 Oh, it's been killing me since last night. 137 00:05:43,077 --> 00:05:45,487 Listen, I probably overdid it in my spin class. 138 00:05:45,512 --> 00:05:47,262 I've been working on my stamina. 139 00:05:47,287 --> 00:05:49,921 We're off to Italy tonight, bike trip through Tuscany... 140 00:05:49,946 --> 00:05:51,535 - Oh, yeah? - Our 30th anniversary. 141 00:05:51,560 --> 00:05:53,460 - Congratulations. - Thanks. 142 00:05:53,485 --> 00:05:56,903 All right, so let me know if you feel anything tender... 143 00:05:56,928 --> 00:05:58,684 - Okay. - Okay? 144 00:05:59,438 --> 00:06:02,715 The spinning, is that a new activity to prep for the trip? 145 00:06:02,740 --> 00:06:06,174 Um, yeah. And also, I've been trying to lose the... 146 00:06:06,199 --> 00:06:08,665 Twenty-ish pounds I gained over the winter. 147 00:06:08,690 --> 00:06:10,223 Obviously, it's not working. 148 00:06:10,259 --> 00:06:12,746 But muscle weighs more than fat, isn't that right? 149 00:06:12,771 --> 00:06:14,737 Don't answer that. 150 00:06:15,025 --> 00:06:17,025 Are you on any medications, Mrs. Davis? 151 00:06:17,060 --> 00:06:19,315 Yeah, I'm on hormone replacement therapy. 152 00:06:19,340 --> 00:06:20,809 I'm at high risk for osteoporosis, 153 00:06:20,834 --> 00:06:23,856 so I started the hormones after menopause. 154 00:06:24,123 --> 00:06:26,379 - No midline abnormalities. - Okay. 155 00:06:26,583 --> 00:06:29,465 Is, uh... do you have any burning with urination? 156 00:06:29,490 --> 00:06:31,505 Um, no, although lately, 157 00:06:31,530 --> 00:06:34,106 it does seem like I have to go every ten minutes. 158 00:06:34,131 --> 00:06:35,832 Our granddaughter just got out of diapers. 159 00:06:35,857 --> 00:06:37,934 I guess I'm on my way into them. 160 00:06:37,959 --> 00:06:40,538 Well, looks like it's just a muscle strain. 161 00:06:40,563 --> 00:06:41,473 Really? 162 00:06:41,498 --> 00:06:44,606 Yeah, a 10 of Flexeril and 800 of Ibuprofen. 163 00:06:44,631 --> 00:06:46,816 And, uh, I'll check back in an hour, 164 00:06:46,841 --> 00:06:47,809 see how you're feeling. 165 00:06:47,834 --> 00:06:49,661 - Thanks. - Yeah. 166 00:06:50,539 --> 00:06:52,497 - Muscle strain. - Mm. 167 00:06:53,746 --> 00:06:55,292 - Maggie... - Uh-huh? 168 00:06:55,317 --> 00:06:56,519 I need a doctor in the waiting room. 169 00:06:56,544 --> 00:06:58,375 Got it. Dr. Choi, we're up. 170 00:06:58,610 --> 00:07:00,003 LaShawn, hold onto this. 171 00:07:00,028 --> 00:07:01,547 - Be quiet, please! - Are you okay? 172 00:07:01,572 --> 00:07:03,676 Clear out, clear out. Here, here, here. 173 00:07:03,701 --> 00:07:05,868 Sir, take this chair and move it, please, thank you. 174 00:07:05,893 --> 00:07:07,996 She kept falling over onto the person next to her. 175 00:07:08,021 --> 00:07:08,926 I can't wake her up. 176 00:07:08,951 --> 00:07:10,785 Ma'am... ma'am, can you hear me? 177 00:07:11,125 --> 00:07:12,950 She's snoring, so she's protecting her airway. 178 00:07:12,975 --> 00:07:13,942 Able to breathe, good pulse. 179 00:07:13,967 --> 00:07:15,871 Who is she? Patient here to be seen? 180 00:07:15,896 --> 00:07:17,379 No idea, she never checked in with me. 181 00:07:17,404 --> 00:07:18,903 Anyone know who she is? 182 00:07:18,928 --> 00:07:20,403 Mags, see if there's an ID. 183 00:07:20,428 --> 00:07:22,379 Yeah. I got it. 184 00:07:22,404 --> 00:07:25,309 Illinois driver's license. Her name is Rachel Wexler. 185 00:07:25,334 --> 00:07:26,973 30 years old, lives in Evanston. 186 00:07:26,998 --> 00:07:28,090 - That's not close. - No. 187 00:07:28,115 --> 00:07:29,965 Don't know why she's here, but she's a patient now. 188 00:07:29,990 --> 00:07:31,582 All right, get ready to clear out. 189 00:07:31,607 --> 00:07:33,707 Move, people, move, move, move, move, move, move! 190 00:07:33,732 --> 00:07:35,059 Go, go, go, go, go, go, go, go! 191 00:07:35,084 --> 00:07:37,090 - Doris, Treatment Four. - What do we got? 192 00:07:37,115 --> 00:07:38,614 Fell asleep, now won't wake up. 193 00:07:38,639 --> 00:07:40,246 - OD? - That's my guess. 194 00:07:40,271 --> 00:07:41,832 A drop and dash, or maybe a last fling, 195 00:07:41,857 --> 00:07:43,153 before coming in to get treatment. 196 00:07:43,178 --> 00:07:44,978 - Doris, push 2 of Narcan. - Yep. 197 00:07:46,348 --> 00:07:47,914 Mags, any more info from her purse? 198 00:07:47,949 --> 00:07:50,230 Wallet, keys, makeup, gum, 199 00:07:50,255 --> 00:07:53,503 birth control pills, and cigarettes, nothing helpful. 200 00:07:53,528 --> 00:07:56,887 BP, 104 over 68, heartrate, 72, 201 00:07:56,912 --> 00:07:59,712 pulse ox, 99%, EKG, normal sinus rhythm. 202 00:07:59,737 --> 00:08:02,567 Not exactly OD vitals, Dr. Choi. 203 00:08:02,900 --> 00:08:05,253 - No response to Narcan. - I told you. 204 00:08:05,278 --> 00:08:07,737 Narcan only counteracts opiates. Must be a benzo. 205 00:08:07,762 --> 00:08:10,340 Push .4 of Flumazenil, and order a CBC, CMP, 206 00:08:10,365 --> 00:08:12,195 ammonia levels, arterial blood gas, BAC, 207 00:08:12,220 --> 00:08:13,809 and blood and urine tox screens. 208 00:08:13,927 --> 00:08:15,515 Maggie, she's wearing a wedding ring. 209 00:08:15,540 --> 00:08:17,160 Can you find a contact for a spouse? 210 00:08:17,185 --> 00:08:19,018 Would if I could, but no cell phone, 211 00:08:19,182 --> 00:08:22,465 but a charger, so I'm guessing she had one at some point. 212 00:08:22,490 --> 00:08:24,824 If she stumbled in here high, who knows where she lost it. 213 00:08:24,849 --> 00:08:26,347 Flumazenil's not working either. 214 00:08:26,372 --> 00:08:27,730 Okay, OD's out. 215 00:08:27,755 --> 00:08:30,028 Doris, add an HCG, 216 00:08:30,053 --> 00:08:32,262 a CT chest, spine, 217 00:08:32,287 --> 00:08:34,654 um, abdomen and pelvis to the test. 218 00:08:34,679 --> 00:08:35,441 Got it. 219 00:08:35,466 --> 00:08:37,121 Dr. Stohl, you're thinking injury? 220 00:08:37,255 --> 00:08:38,901 All I'm seeing is a scar on her right cheek, 221 00:08:38,926 --> 00:08:40,259 but it's old, clearly healed. 222 00:08:40,284 --> 00:08:41,363 Just because there's no bruising 223 00:08:41,388 --> 00:08:42,687 doesn't mean there's no trauma. 224 00:08:42,712 --> 00:08:44,441 You should know that, Dr. Choi. 225 00:08:50,870 --> 00:08:52,520 So, I took a second look at your echo, 226 00:08:52,545 --> 00:08:54,770 and I wanna start you on dexamethasone. 227 00:08:54,795 --> 00:08:57,277 It's another anti-inflammatory. 228 00:08:57,493 --> 00:09:00,594 Whatever you think is best, do it. 229 00:09:03,566 --> 00:09:06,589 - How'd it go? - Surgery went well. 230 00:09:06,614 --> 00:09:08,315 Peter's artificial heart is in. 231 00:09:08,350 --> 00:09:11,151 Let's hope it lasts until a donor heart becomes available. 232 00:09:11,186 --> 00:09:13,619 Peter's Status One on the transplant list. 233 00:09:13,655 --> 00:09:15,371 He's got a chance. 234 00:09:15,396 --> 00:09:17,167 My patient, Dan, he's Status Two. 235 00:09:17,192 --> 00:09:20,027 I am waiting for a call that's probably never gonna come. 236 00:09:20,052 --> 00:09:24,187 GCM's brutal but not usually discovered until autopsy. 237 00:09:24,305 --> 00:09:26,692 - You're way ahead of it. - I was. 238 00:09:26,837 --> 00:09:28,737 Now I'm just playing catch-up. 239 00:09:32,903 --> 00:09:35,241 23-year-old male. 240 00:09:35,266 --> 00:09:37,567 Went down on his motorcycle just outside Bloomington. 241 00:09:37,603 --> 00:09:39,687 - Wasn't wearing a helmet. - Massive brain hemorrhaging? 242 00:09:39,712 --> 00:09:41,241 Rural hospital's been working on him, 243 00:09:41,266 --> 00:09:43,033 but he's worse than they can handle. 244 00:09:43,058 --> 00:09:45,367 GCS, 3, down six hours already. 245 00:09:45,392 --> 00:09:48,125 Crap scans. Doubt we can do much better. 246 00:09:49,302 --> 00:09:50,871 You know what they call a motorcyclist 247 00:09:50,896 --> 00:09:52,554 riding without a helmet, don't you? 248 00:09:52,579 --> 00:09:53,984 One, two, three. 249 00:09:54,009 --> 00:09:56,176 An organ donor. 250 00:10:07,640 --> 00:10:09,262 Well, she's not catatonic. 251 00:10:09,287 --> 00:10:10,937 Whatever knocked her out, it's not psychiatric. 252 00:10:10,962 --> 00:10:13,070 - What'd her tox screens show? - Yeah, she's clean. 253 00:10:13,095 --> 00:10:15,655 Blood alcohol, arterial gases, and all other labs too. 254 00:10:15,680 --> 00:10:18,227 - Diabetic Ketoacidosis? - Blood sugar's normal. 255 00:10:18,252 --> 00:10:20,185 - Liver failure? - Ammonia level's normal. 256 00:10:20,210 --> 00:10:21,085 Tumor? 257 00:10:21,110 --> 00:10:23,277 Chest X-ray and all the CTs were clean. 258 00:10:23,302 --> 00:10:25,620 - The scar on her cheek? - Plate from an old fracture. 259 00:10:25,645 --> 00:10:27,680 No apparent connection to her unconsciousness. 260 00:10:27,705 --> 00:10:29,186 Just got off the phone with PD. 261 00:10:29,211 --> 00:10:30,787 Ruzek ran Rachel's name through the system. 262 00:10:30,812 --> 00:10:33,758 She got busted a few times: DUI and possession. 263 00:10:33,783 --> 00:10:35,999 And yet a clean tox and BAC. 264 00:10:36,135 --> 00:10:37,902 Hmm, the plot thickens. 265 00:10:38,047 --> 00:10:39,613 Good luck. 266 00:10:44,148 --> 00:10:45,514 Hey. 267 00:10:45,549 --> 00:10:47,123 Hi, Natalie. Just getting here? 268 00:10:47,148 --> 00:10:48,848 Yeah, remember, it was my turn 269 00:10:48,884 --> 00:10:51,117 to be volunteer mom at Owen's daycare class. 270 00:10:51,152 --> 00:10:52,819 Oh, right, yeah. 271 00:10:52,854 --> 00:10:54,353 Three hours and 20 toddlers, 272 00:10:54,389 --> 00:10:57,671 do you have any idea how many boogers that is? 273 00:10:57,985 --> 00:10:59,718 Ha, I'll bet. 274 00:10:59,895 --> 00:11:02,862 Okay... not my best material, 275 00:11:02,898 --> 00:11:04,937 but not even a courtesy laugh? 276 00:11:05,093 --> 00:11:08,127 - Are you okay? - Yeah, I'm just tired. 277 00:11:08,201 --> 00:11:10,963 - Are you sure? - No, yeah, I'm good. 278 00:11:11,781 --> 00:11:14,836 Dr. Manning, you're up. You're going to Treatment Two. 279 00:11:14,861 --> 00:11:16,953 Okay. Hey, I'll catch you later? 280 00:11:16,978 --> 00:11:19,023 Okay. 281 00:11:19,851 --> 00:11:22,093 Sam Covington, 27-year-old male. 282 00:11:22,118 --> 00:11:23,734 Hypotensive and tachypneic. 283 00:11:23,759 --> 00:11:25,648 Long-term care patient following a TBI. 284 00:11:25,673 --> 00:11:27,569 How long ago did he sustain the brain injury? 285 00:11:27,594 --> 00:11:29,992 Um, five years. It was a surfing accident. 286 00:11:30,024 --> 00:11:31,750 He was only 22. 287 00:11:31,775 --> 00:11:35,117 Just graduated from UCSD, magna cum laude. 288 00:11:35,142 --> 00:11:37,422 Mm, sorry, you don't need to know all that. 289 00:11:37,447 --> 00:11:39,109 Mom, I take it? 290 00:11:39,609 --> 00:11:42,142 All right, let's transfer him on my count. 291 00:11:42,167 --> 00:11:44,868 Ready, one, two, three. 292 00:11:53,720 --> 00:11:55,273 - Temp, 101.6. - Mm-kay. 293 00:12:00,645 --> 00:12:02,508 Congested on both sides. 294 00:12:02,770 --> 00:12:04,726 Mom, hey, I just got your message. 295 00:12:04,751 --> 00:12:06,093 Sorry, I was in class. What happened? 296 00:12:06,118 --> 00:12:07,148 Is-is Sam okay? 297 00:12:07,181 --> 00:12:09,078 Uh, your brother was breathing fast, 298 00:12:09,103 --> 00:12:10,669 and, um, he... 299 00:12:10,694 --> 00:12:13,133 He looked like he was in pain. 300 00:12:13,158 --> 00:12:15,475 Uh, let's get a CBC, CMP, ABG, 301 00:12:15,500 --> 00:12:17,008 a UA, and blood cultures, 302 00:12:17,033 --> 00:12:18,967 and begin sepsis protocol. 303 00:12:19,282 --> 00:12:20,715 Excuse me, sorry. 304 00:12:20,740 --> 00:12:22,840 - Start him on antibiotics. - That's a lot of tests. 305 00:12:22,865 --> 00:12:25,983 I understand, but since Sam can't tell us where it hurts, 306 00:12:26,008 --> 00:12:27,820 it's better to err on the side of caution. 307 00:12:27,845 --> 00:12:29,578 Okay? 308 00:12:53,472 --> 00:12:55,138 Take as much time with your son as you need. 309 00:12:55,163 --> 00:12:56,440 When you're ready, someone will come 310 00:12:56,465 --> 00:12:58,324 speak with you about organ donation. 311 00:13:04,236 --> 00:13:06,518 - What happened? - Motorcycle accident. 312 00:13:06,543 --> 00:13:08,291 Never had a chance. 313 00:13:14,512 --> 00:13:17,292 Soon as the immunotyping results are in, find me. 314 00:13:17,317 --> 00:13:18,682 Yeah, okay. 315 00:13:25,956 --> 00:13:28,987 - So, how we feeling? - Ugh, my back is better, 316 00:13:29,012 --> 00:13:30,793 but now I'm feeling really queasy. 317 00:13:30,818 --> 00:13:32,284 All of a sudden, it just hit her. 318 00:13:32,309 --> 00:13:34,206 - A reaction to the Flexeril? - Yeah, maybe. 319 00:13:34,231 --> 00:13:36,097 Um, can... can I take a look? 320 00:13:36,122 --> 00:13:38,081 Okay, uh-huh... 321 00:13:40,883 --> 00:13:42,743 Oh, gosh. 322 00:13:44,065 --> 00:13:45,744 Mm. 323 00:13:47,433 --> 00:13:49,283 - April, can I... - Sorry. 324 00:13:49,308 --> 00:13:53,109 Mm... can I get, um, 4 milligrams of Zofran? 325 00:13:53,134 --> 00:13:55,421 Uh, and if you'll excuse me, I'll... 326 00:13:55,730 --> 00:13:58,339 - I'll be right back. - Sorry. 327 00:13:58,364 --> 00:14:01,599 No, yes, it's, um... It's no... it's no problem. 328 00:14:03,866 --> 00:14:05,365 Sorry. 329 00:14:05,517 --> 00:14:08,081 - Oh, I'm so embarrassed. - Oh, he's fine. 330 00:14:08,106 --> 00:14:11,190 First-year resident, projectile vomit is a rite of passage. 331 00:14:11,234 --> 00:14:13,885 - I'll get you a gown. - Thank you. 332 00:14:14,253 --> 00:14:16,775 - Oh, my God. - Are you all right? 333 00:14:19,660 --> 00:14:21,293 Daniel, there you are. 334 00:14:21,318 --> 00:14:24,166 The next round of prospective transplant candidates. 335 00:14:24,191 --> 00:14:25,409 No rest for the wicked. 336 00:14:25,434 --> 00:14:28,382 Dr. Reese's father, Robert Haywood, is in this stack: 337 00:14:28,407 --> 00:14:30,498 Class Three heart failure. 338 00:14:31,121 --> 00:14:33,487 I hope he makes a strong candidate. 339 00:14:33,512 --> 00:14:35,504 You'll keep me in the loop? 340 00:14:36,641 --> 00:14:38,407 Uh, Daniel? 341 00:14:38,432 --> 00:14:40,581 Yes. Yes, of course. 342 00:14:40,606 --> 00:14:42,051 Could you excuse me? 343 00:14:44,440 --> 00:14:46,474 Dan? 344 00:14:46,506 --> 00:14:47,674 - Dan? - Daddy? 345 00:14:47,699 --> 00:14:50,145 Get the crash cart! Paddles now. 346 00:14:50,881 --> 00:14:52,446 Come here. 347 00:14:53,996 --> 00:14:55,328 Come... 348 00:14:55,353 --> 00:14:57,319 No pulse or breathing, He's in V-fib. 349 00:14:57,344 --> 00:15:00,111 Get on his chest. Charge to 200. 350 00:15:00,369 --> 00:15:02,472 Charged. 351 00:15:02,497 --> 00:15:05,190 All right, hold compressions. Clear! 352 00:15:08,081 --> 00:15:10,514 Charge again. Amp of epi. 353 00:15:10,539 --> 00:15:12,405 Epi's in. Charged. 354 00:15:12,430 --> 00:15:13,958 All right, clear! 355 00:15:15,555 --> 00:15:17,788 - He's hurting Daddy! - No, honey... 356 00:15:17,813 --> 00:15:19,469 Charge again. Amp of epi. 357 00:15:19,494 --> 00:15:20,979 - He's just trying to help. - Come on, Dan. 358 00:15:21,004 --> 00:15:23,362 - Beat, damn it. Come on. - Meds are in. 359 00:15:23,599 --> 00:15:25,636 - Charged. - Hold compressions. Clear. 360 00:15:32,423 --> 00:15:33,685 He's back. 361 00:15:36,654 --> 00:15:38,353 Thank you. 362 00:15:44,815 --> 00:15:47,189 So, I'm not getting on the transplant list? 363 00:15:47,214 --> 00:15:48,394 I didn't say that. 364 00:15:48,419 --> 00:15:51,579 I'm just making you aware that personality disorders 365 00:15:51,604 --> 00:15:53,876 can be a contraindication of transplant. 366 00:15:53,901 --> 00:15:56,628 You believe I have Antisocial Personality Disorder, 367 00:15:56,653 --> 00:15:59,072 but another psychiatrist might not. 368 00:15:59,097 --> 00:16:02,032 It's-it's a pretty gray area, wouldn't you say? 369 00:16:02,067 --> 00:16:03,627 Well, actually it isn't. 370 00:16:03,652 --> 00:16:05,619 Uh, take a look at this. 371 00:16:05,644 --> 00:16:08,946 This is a PET scan of your brain. 372 00:16:10,943 --> 00:16:12,575 Taken... 373 00:16:12,610 --> 00:16:15,995 when Dr. Rhodes was conducting his thoracic study? 374 00:16:16,944 --> 00:16:18,151 That's right. 375 00:16:21,425 --> 00:16:23,035 And this supports your diagnosis? 376 00:16:23,060 --> 00:16:25,261 - Mm. - Well... 377 00:16:25,286 --> 00:16:28,494 since you're bound by doctor-patient confidentiality, 378 00:16:28,519 --> 00:16:30,908 I just say we keep this to ourselves. 379 00:16:31,799 --> 00:16:33,431 I'm afraid that's not an option. 380 00:16:33,456 --> 00:16:35,757 Um, I am obliged 381 00:16:35,849 --> 00:16:38,816 to report my findings to the evaluation committee. 382 00:16:40,959 --> 00:16:43,457 I didn't realize you had such influence on the process, 383 00:16:43,482 --> 00:16:44,963 Dr. Charles. 384 00:16:48,679 --> 00:16:51,391 My heart meds. Do you have any water? 385 00:16:51,913 --> 00:16:53,430 Of course. 386 00:16:53,455 --> 00:16:55,417 Um, by the way, 387 00:16:55,442 --> 00:16:57,532 contraindication isn't absolute. 388 00:16:57,557 --> 00:17:00,091 I mean, taking positive steps to manage your disorder 389 00:17:00,116 --> 00:17:02,237 can go a long way to mitigating concerns. 390 00:17:02,262 --> 00:17:04,362 Well, I hope you have some suggestions. 391 00:17:04,387 --> 00:17:06,088 Well, what the committee's looking for 392 00:17:06,113 --> 00:17:08,128 - is self-sufficiency... - Mm-hmm? 393 00:17:08,153 --> 00:17:11,066 - Fiscal responsibility... - Fiscal responsibility? 394 00:17:11,530 --> 00:17:13,424 You wouldn't by any chance be referring to 395 00:17:13,449 --> 00:17:15,565 the loan I asked Sarah to cosign? 396 00:17:15,590 --> 00:17:17,858 Anything you can do to establish independence... 397 00:17:17,883 --> 00:17:21,207 Perhaps rescind the request. 398 00:17:22,052 --> 00:17:23,877 Would certainly count in your favor. 399 00:17:25,808 --> 00:17:27,239 I'm sorry, Bob, you know, 400 00:17:27,264 --> 00:17:29,285 they come up against us all the time. 401 00:17:29,467 --> 00:17:31,190 There are simply too many people 402 00:17:31,215 --> 00:17:33,511 waiting for too few organs. 403 00:17:34,389 --> 00:17:37,495 I really appreciate you giving me this advice. 404 00:17:42,635 --> 00:17:44,878 Hi. 405 00:17:44,903 --> 00:17:46,684 Dr. Manning, this is my sister, Lizzie. 406 00:17:46,709 --> 00:17:48,316 She just drove down from Racine. 407 00:17:48,341 --> 00:17:50,320 Nice to meet you. 408 00:17:50,726 --> 00:17:53,060 Uh, how long was I sleeping? 409 00:17:53,328 --> 00:17:55,697 Lizzie, whe... when did you get here? 410 00:17:55,722 --> 00:17:57,097 Just now, Mom. 411 00:17:57,122 --> 00:17:58,862 "Eddie would go"? Who's Eddie? 412 00:17:58,887 --> 00:18:00,353 Eddie Aikau: 413 00:18:00,378 --> 00:18:03,717 legendary big wave surfer and lifeguard at Waimea Bay. 414 00:18:03,742 --> 00:18:05,823 He'd charge waves no one else would dare. 415 00:18:05,848 --> 00:18:07,511 Sam's hero. 416 00:18:07,902 --> 00:18:10,803 So we got the results back from Sam's labs and X-rays. 417 00:18:10,828 --> 00:18:12,895 Um, I'm afraid he has pneumonia. 418 00:18:12,920 --> 00:18:14,694 The antibiotics should knock it out. 419 00:18:14,719 --> 00:18:16,941 Right now, we'd like to swap out Sam's trach tube 420 00:18:16,966 --> 00:18:18,230 so we can put him on the vent, 421 00:18:18,255 --> 00:18:20,432 you know, give his respiratory system a rest. 422 00:18:20,457 --> 00:18:21,976 Okay? 423 00:18:22,058 --> 00:18:24,204 No, no, it's okay. 424 00:18:24,229 --> 00:18:28,192 Honey, honey, it's okay. Just... she'll-she'll be gentle. 425 00:18:31,652 --> 00:18:33,417 Okay... 426 00:18:44,448 --> 00:18:47,583 Monique, pass me the new trach tube. 427 00:19:05,522 --> 00:19:09,565 Hey, that's, um, Rachel's husband, Jacob. 428 00:19:09,590 --> 00:19:11,790 - Where'd you find him? - He found us. 429 00:19:12,115 --> 00:19:13,683 He kept on calling her voice mail 430 00:19:13,708 --> 00:19:15,565 and finally used a "find my phone" app, 431 00:19:15,590 --> 00:19:17,003 which led him to the waiting room. 432 00:19:17,028 --> 00:19:18,828 Her phone was buried in the chair cushion. 433 00:19:18,948 --> 00:19:21,149 - Thanks, Mags. - Yeah. 434 00:19:25,179 --> 00:19:26,800 - Mr. Wexler... - Hey. 435 00:19:26,887 --> 00:19:28,636 I'm Dr. Choi. I've been treating your wife. 436 00:19:28,661 --> 00:19:30,095 What's wrong with her? 437 00:19:30,120 --> 00:19:32,113 Well, we don't know yet. 438 00:19:32,375 --> 00:19:34,174 All her tests have been negative, 439 00:19:34,199 --> 00:19:36,011 including the tox screen. 440 00:19:36,036 --> 00:19:38,261 But given your wife's drug history... 441 00:19:38,286 --> 00:19:40,323 - You think she overdosed? - She might have taken 442 00:19:40,348 --> 00:19:42,032 something that's beating the test, 443 00:19:42,057 --> 00:19:43,978 possibly a synthetic. 444 00:19:44,211 --> 00:19:46,690 Rachel was in a car accident a few years ago. 445 00:19:46,830 --> 00:19:48,525 Airbag broke her jaw 446 00:19:48,550 --> 00:19:50,193 and a bone in her cheek. 447 00:19:50,386 --> 00:19:52,686 The injuries healed, but the pain pills... 448 00:19:52,711 --> 00:19:54,034 After her last arrest, 449 00:19:54,059 --> 00:19:56,192 she promised that she'd stay clean. 450 00:19:58,152 --> 00:19:59,979 Here we go again. 451 00:20:25,903 --> 00:20:27,501 Meds alone aren't taking 452 00:20:27,526 --> 00:20:29,224 enough pressure off of Dan's heart, 453 00:20:29,322 --> 00:20:31,690 so I am going to put him on ECMO. 454 00:20:32,651 --> 00:20:34,393 Full support, so that his heart 455 00:20:34,418 --> 00:20:36,058 doesn't have to shoulder any load. 456 00:20:36,083 --> 00:20:38,729 When you first diagnosed the GCM, 457 00:20:38,754 --> 00:20:41,089 you said ECMO was a final option. 458 00:20:41,114 --> 00:20:42,648 Mm-hmm. 459 00:20:42,673 --> 00:20:45,038 I told myself... 460 00:20:47,340 --> 00:20:49,210 To make a plan, 461 00:20:49,959 --> 00:20:51,893 to prepare for this moment, 462 00:20:51,918 --> 00:20:53,818 but I couldn't do it. 463 00:20:57,141 --> 00:20:58,845 It felt like giving up. 464 00:20:58,992 --> 00:21:00,843 I promise you... 465 00:21:01,272 --> 00:21:03,178 that's not what's happening here. 466 00:21:03,995 --> 00:21:05,429 Okay? 467 00:21:24,558 --> 00:21:26,124 How's your TBI patient? 468 00:21:26,160 --> 00:21:27,759 Saw pneumonia on his chart. 469 00:21:27,794 --> 00:21:29,928 Pretty sure he got it from his trach tube. 470 00:21:29,963 --> 00:21:31,263 It was filthy. 471 00:21:31,298 --> 00:21:32,931 His mom's his caregiver. 472 00:21:32,966 --> 00:21:35,434 Looks like she hasn't been cleaning or suctioning it. 473 00:21:35,469 --> 00:21:38,025 - What, neglect? - No, I don't think so. 474 00:21:38,050 --> 00:21:41,041 All other areas, he was meticulously well-cared for. 475 00:21:41,066 --> 00:21:42,761 His nails are trimmed, his teeth are brushed, 476 00:21:42,786 --> 00:21:45,713 - skin is moisturized. - So Mom's burnt out. 477 00:21:45,738 --> 00:21:47,604 The first thing to slip was the tube? 478 00:21:47,639 --> 00:21:49,205 Ever since Sam's injury, 479 00:21:49,241 --> 00:21:52,034 she has devoted her entire life to caring for him. 480 00:21:52,059 --> 00:21:53,433 I'm not sure how to tell her 481 00:21:53,458 --> 00:21:55,774 that she may no longer be up to the task. 482 00:21:55,799 --> 00:21:57,264 You want some backup? 483 00:21:57,289 --> 00:21:59,944 No, I don't want her to feel ganged up on. 484 00:22:00,704 --> 00:22:02,571 I'll figure it out. 485 00:22:04,653 --> 00:22:06,286 Agh! 486 00:22:06,587 --> 00:22:08,554 So, the... the Zofran hasn't helped at all? 487 00:22:08,579 --> 00:22:11,147 No! And the cramps are unbearable. 488 00:22:11,172 --> 00:22:12,638 - So is her gas. - Hey! 489 00:22:12,663 --> 00:22:14,056 No fever, vitals are normal. 490 00:22:14,081 --> 00:22:16,684 All right, let's hang another liter of, uh, normal saline, 491 00:22:16,709 --> 00:22:20,544 and order a CBC, CMP, amylase, and lipase levels. 492 00:22:20,610 --> 00:22:21,670 Okay? 493 00:22:21,706 --> 00:22:24,438 Uh, this might be, uh, a stomach bug, 494 00:22:24,463 --> 00:22:25,899 - possibly kidney stones, okay? - Oh... 495 00:22:25,924 --> 00:22:27,089 I'm just gonna... I'm gonna p... 496 00:22:27,114 --> 00:22:28,095 I'm gonna press on your stomach. 497 00:22:28,120 --> 00:22:30,471 - Ah! Wait, I need a bathroom! - Okay. 498 00:22:30,496 --> 00:22:32,415 - Oh, okay. - I need a bathroom right now! 499 00:22:32,440 --> 00:22:33,836 - All right, come on, honey. - Okay, hold on a second. 500 00:22:33,861 --> 00:22:35,493 - We'll get you there. - Ahh! 501 00:22:35,518 --> 00:22:37,017 Oh! 502 00:22:37,042 --> 00:22:39,111 - What? - Whoa. 503 00:22:39,642 --> 00:22:42,712 - Sorry. - That's okay. 504 00:22:42,737 --> 00:22:44,118 Honey, let's get you back into bed. 505 00:22:44,143 --> 00:22:46,781 Oh, my God, no... I still need to go! 506 00:22:46,806 --> 00:22:48,829 - Okay, I'm gonna help you. - Really bad! 507 00:22:48,854 --> 00:22:50,626 - Come on. Come on, let's go. - Wait, wait, wait, no, no, no. 508 00:22:50,651 --> 00:22:52,583 That's not urine. 509 00:22:53,134 --> 00:22:55,690 Oh, okay. Let's... let's get you right back into bed. 510 00:22:55,715 --> 00:22:56,774 - Come on. - Wait, what... what's going on? 511 00:22:56,799 --> 00:22:57,946 I don't know what's happening. 512 00:22:57,971 --> 00:22:59,110 - Come on. - What's going on? 513 00:22:59,135 --> 00:23:01,368 Oh! Oh! Ow! 514 00:23:01,393 --> 00:23:02,813 - Come on. - Jeez. 515 00:23:04,629 --> 00:23:06,347 What are you doing? 516 00:23:06,372 --> 00:23:08,212 - What's going on? - Oh. 517 00:23:08,237 --> 00:23:10,622 - Yikes! - What is going on? 518 00:23:10,647 --> 00:23:12,899 - Really? Are you s... whoa! - Oh. 519 00:23:12,924 --> 00:23:14,371 - Okay, Mrs. Davis... - Yeah? 520 00:23:14,396 --> 00:23:16,470 You're gonna wanna push, but don't. 521 00:23:16,494 --> 00:23:18,429 There's no way. No, no, no. 522 00:23:18,454 --> 00:23:19,961 This... this is not possible. 523 00:23:19,986 --> 00:23:22,749 - Uh, what is going on? - Your wife is pregnant... 524 00:23:22,774 --> 00:23:24,079 And in labor. 525 00:23:24,104 --> 00:23:26,548 No, no, that c... That can't be true. 526 00:23:26,573 --> 00:23:28,837 I'm 55; I've been through menopause. 527 00:23:28,862 --> 00:23:31,649 I know this might be a shock, but this is happening. 528 00:23:31,674 --> 00:23:33,608 - I am positive. Page OB. - Okay. 529 00:23:33,633 --> 00:23:35,407 - I'll be right back, okay? - Uh... 530 00:23:35,432 --> 00:23:38,166 - Oh, my God! - Oh, my... 531 00:23:38,191 --> 00:23:40,125 What the hell, Connor? 532 00:23:40,150 --> 00:23:41,883 Not here. 533 00:23:44,482 --> 00:23:46,750 That motorcyclist is an HLA match 534 00:23:46,775 --> 00:23:48,241 to my patient, Peter, 535 00:23:48,266 --> 00:23:51,170 but suddenly, your GCM patient is above him 536 00:23:51,195 --> 00:23:52,661 on the transplant list? 537 00:23:52,686 --> 00:23:55,214 How did he come in this morning at Status Two 538 00:23:55,239 --> 00:23:58,040 and suddenly jump to the highest priority? 539 00:23:58,065 --> 00:24:01,063 - I had to put him on ECMO. - Before other meds? 540 00:24:01,159 --> 00:24:03,642 Milrinone? Monoclonal antibody therapy? 541 00:24:03,667 --> 00:24:05,235 They're just stop-gaps. 542 00:24:07,344 --> 00:24:10,036 Oh, you sneaky son of a bitch. 543 00:24:10,619 --> 00:24:12,797 ECMO trumps an artificial heart, 544 00:24:12,859 --> 00:24:15,017 puts your patient to the top of the list. 545 00:24:15,205 --> 00:24:17,238 You manipulated the system. 546 00:24:17,263 --> 00:24:18,962 I made an aggressive treatment decision. 547 00:24:18,987 --> 00:24:21,397 You're taking a heart that doesn't belong to you! 548 00:24:21,422 --> 00:24:24,493 I am fighting for one that's available! 549 00:24:24,518 --> 00:24:26,931 This isn't right... 550 00:24:27,583 --> 00:24:29,446 and it isn't over. 551 00:24:32,646 --> 00:24:35,281 The hospital can connect you with respite services, 552 00:24:35,306 --> 00:24:37,739 as well as caregiver support groups. 553 00:24:37,775 --> 00:24:39,993 You do not have to do this alone. 554 00:24:40,018 --> 00:24:41,985 And we can help out more, Mom. 555 00:24:42,602 --> 00:24:44,318 Catherine... 556 00:24:44,750 --> 00:24:46,749 no one is blaming you. 557 00:24:47,072 --> 00:24:50,841 You have done a tremendous job caring for Sam. 558 00:24:54,874 --> 00:24:57,024 I wasn't trying to hurt him. 559 00:24:57,049 --> 00:24:59,350 No, of course not. 560 00:24:59,375 --> 00:25:01,208 I thought that... 561 00:25:01,233 --> 00:25:04,211 he would go peacefully. 562 00:25:04,661 --> 00:25:08,454 Uh, I wasn't prepared to see him in pain. 563 00:25:10,458 --> 00:25:12,625 Mom, what are you talking about? 564 00:25:12,872 --> 00:25:16,242 Sam doesn't want this oblivion. 565 00:25:17,941 --> 00:25:21,454 I see it in his eyes every time he looks at me. 566 00:25:23,927 --> 00:25:27,649 The doctors say there is no meaning behind it... 567 00:25:27,674 --> 00:25:31,516 ...that... that he's not really looking at me. 568 00:25:31,949 --> 00:25:34,116 I know my son... 569 00:25:36,374 --> 00:25:38,805 And he wants this over. 570 00:25:39,236 --> 00:25:42,304 - He was begging me to help him. - Mom, stop talking. 571 00:25:42,329 --> 00:25:44,368 I should never have called 9-1-1. 572 00:25:44,594 --> 00:25:46,805 I should have just let him go, like I planned, 573 00:25:46,830 --> 00:25:48,330 like he wanted. 574 00:25:48,355 --> 00:25:50,155 I got scared. I panicked. 575 00:25:50,180 --> 00:25:51,916 Oh, my God, Mom, did you... 576 00:25:51,941 --> 00:25:54,875 Mom, please, don't say anything else. 577 00:25:54,900 --> 00:25:57,133 Sam, I'm sorry I let you down. 578 00:25:57,532 --> 00:25:59,735 I am so sorry, honey. 579 00:26:01,432 --> 00:26:04,259 We need to call a lawyer, now. 580 00:26:13,040 --> 00:26:15,070 First, you're treating my father, 581 00:26:15,095 --> 00:26:17,362 and now you're blackmailing him? 582 00:26:17,662 --> 00:26:19,429 - What? - You heard me. 583 00:26:19,454 --> 00:26:20,921 Look, I don't know what he told you... 584 00:26:20,946 --> 00:26:22,649 He said you're jealous of our relationship, 585 00:26:22,674 --> 00:26:25,642 that you have some twisted paternal feelings for me, 586 00:26:25,667 --> 00:26:27,203 that you threatened him, 587 00:26:27,228 --> 00:26:29,060 and said if he didn't stay away from me, 588 00:26:29,096 --> 00:26:31,135 you'd sabotage his chances of getting on the list. 589 00:26:31,160 --> 00:26:32,253 I threatened him? 590 00:26:32,278 --> 00:26:33,906 - Wh... sabotage? - Yes. 591 00:26:33,931 --> 00:26:36,167 I'm a shrink in a sweater vest, not a secret agent. 592 00:26:36,192 --> 00:26:37,230 Is it true? 593 00:26:37,255 --> 00:26:39,409 I can't disclose details of our conversation, 594 00:26:39,434 --> 00:26:42,548 but I assure you, all I did was lay out the facts 595 00:26:42,573 --> 00:26:43,966 as they pertain to his condition. 596 00:26:43,991 --> 00:26:45,355 What are you treating him for? 597 00:26:45,380 --> 00:26:46,535 I can't tell you that, Sarah. 598 00:26:46,560 --> 00:26:47,925 - He's my patient. - But he is my father. 599 00:26:47,950 --> 00:26:50,081 Who suddenly reappears after two decades 600 00:26:50,106 --> 00:26:51,989 of avoiding parental responsibility 601 00:26:52,014 --> 00:26:54,011 and alienating everyone in his life, 602 00:26:54,036 --> 00:26:55,535 who now presents himself as a victim 603 00:26:55,560 --> 00:26:57,949 in order to create an alliance with you. 604 00:26:58,197 --> 00:26:59,923 Think about what you know, Sarah. 605 00:26:59,948 --> 00:27:01,132 If he was your patient, 606 00:27:01,157 --> 00:27:02,943 what would be on your differential? 607 00:27:11,765 --> 00:27:13,397 What was that about? 608 00:27:13,422 --> 00:27:15,126 As you will read in my evaluation, 609 00:27:15,151 --> 00:27:16,616 her father, Dr. Haywood, 610 00:27:16,641 --> 00:27:18,548 has a particularly malignant form 611 00:27:18,573 --> 00:27:20,503 of Antisocial Personality Disorder. 612 00:27:20,528 --> 00:27:23,939 Are you serious? Is she in danger? 613 00:27:23,964 --> 00:27:26,097 Well, I haven't picked up any violent tendencies yet, 614 00:27:26,122 --> 00:27:28,550 but he's an extremely effective manipulator. 615 00:27:28,672 --> 00:27:30,493 Dr. Reese doesn't know? 616 00:27:30,518 --> 00:27:32,697 Well, I think she might be starting to figure it out 617 00:27:32,722 --> 00:27:35,729 on a clinical level, but emotionally, 618 00:27:36,059 --> 00:27:38,034 she's... she's not there yet. 619 00:27:40,453 --> 00:27:42,425 Ahh! 620 00:27:42,495 --> 00:27:45,713 Oh! This can't be real! This can't be real! 621 00:27:45,738 --> 00:27:47,778 - Where the hell is the OB? - They said five minutes. 622 00:27:47,803 --> 00:27:48,902 We can't wait. The baby's crowning. 623 00:27:48,927 --> 00:27:49,778 - What? - Tessa... 624 00:27:49,803 --> 00:27:51,169 - Yeah? - On three, 625 00:27:51,194 --> 00:27:52,270 - really big push, okay? - Okay. 626 00:27:52,295 --> 00:27:53,758 - All right, one... - Uh-huh? 627 00:27:53,783 --> 00:27:55,283 Two, three. 628 00:27:59,104 --> 00:28:00,933 Yeah, good, good. 629 00:28:00,958 --> 00:28:02,738 When did we go to Mark and Patti's cabin? 630 00:28:02,763 --> 00:28:04,379 - What? - Was that Fourth of July? 631 00:28:04,404 --> 00:28:05,550 What are you talking about? 632 00:28:05,575 --> 00:28:07,403 I'm just trying to figure out when this happened. 633 00:28:07,428 --> 00:28:10,301 Oh, God, Greg, how does that matter now? 634 00:28:10,326 --> 00:28:11,852 Mr. Davis, can you please help the nurse 635 00:28:11,877 --> 00:28:13,246 hold your wife's leg back? 636 00:28:13,271 --> 00:28:14,660 - All right, okay, yeah, yeah. - Thank you. Okay. 637 00:28:14,685 --> 00:28:15,715 Tessa, Tessa, look at me. Look at me, Tessa. 638 00:28:15,740 --> 00:28:17,090 Okay, Tessa, one more push, all right? 639 00:28:17,115 --> 00:28:18,114 - Okay. - You can do it, you can do it. 640 00:28:18,139 --> 00:28:19,905 - Yeah! - You can do it. 641 00:28:20,002 --> 00:28:21,332 - Ready? - Yeah! 642 00:28:21,356 --> 00:28:23,346 Go. 643 00:28:23,371 --> 00:28:25,653 You're doing great. You're almost there. 644 00:28:25,678 --> 00:28:27,896 - All right, all right. - Yes. 645 00:28:27,921 --> 00:28:29,121 - ...Oh! - Whoa. 646 00:28:29,146 --> 00:28:31,212 Okay, okay... 647 00:28:31,237 --> 00:28:33,035 This is crazy. 648 00:28:33,060 --> 00:28:35,738 - Does he look okay? - Oh, my... 649 00:28:35,763 --> 00:28:38,196 - It's a girl. Congratulations. - Oh! 650 00:28:38,221 --> 00:28:40,096 - Oh... - Congratulations to you both. 651 00:28:40,121 --> 00:28:42,554 Oh, my goodness. 652 00:28:42,589 --> 00:28:44,855 Oh, my gosh. 653 00:28:48,366 --> 00:28:50,386 Natalie, you can't sit on this. 654 00:28:50,411 --> 00:28:51,465 If I report it, 655 00:28:51,490 --> 00:28:54,121 Catherine will likely be removed as Sam's guardian. 656 00:28:54,146 --> 00:28:56,279 I wanna pull in social services. 657 00:28:56,304 --> 00:28:58,449 This goes beyond family counseling. 658 00:28:58,474 --> 00:29:00,307 It's a criminal matter. 659 00:29:03,148 --> 00:29:06,394 She intentionally stopped trach care to cause her son's death. 660 00:29:06,419 --> 00:29:08,473 To end his suffering. 661 00:29:08,498 --> 00:29:10,293 You know, she looked into moving to a state 662 00:29:10,318 --> 00:29:12,090 where assisted suicide is legal? 663 00:29:12,115 --> 00:29:14,285 But because Sam isn't terminal ill 664 00:29:14,310 --> 00:29:16,004 and can't express his wishes, he didn't qualify. 665 00:29:16,029 --> 00:29:17,621 Exactly, which means you can't be certain 666 00:29:17,646 --> 00:29:19,059 this is what he wants. 667 00:29:19,084 --> 00:29:22,328 No one knows what Sam wants more than his mother. 668 00:29:22,353 --> 00:29:24,352 Then she needs to go to court and make her case, 669 00:29:24,377 --> 00:29:26,440 petition a judge to get his feeding tube removed. 670 00:29:26,465 --> 00:29:28,965 Look, Natalie, I'm not arguing she's wrong, 671 00:29:28,990 --> 00:29:30,761 but what she did is illegal. 672 00:29:33,358 --> 00:29:34,863 You have to call the police. 673 00:29:34,888 --> 00:29:36,446 No. 674 00:29:37,316 --> 00:29:38,769 Then I will. 675 00:29:43,739 --> 00:29:47,306 Decerebrate posturing: rigid limbs, pointed toes. 676 00:29:48,407 --> 00:29:50,782 She's slipping deeper into unconsciousness. 677 00:29:50,807 --> 00:29:53,925 Dr. Stohl, Dr. Choi, we got something. 678 00:29:57,866 --> 00:29:59,853 Right after we discovered Rachel, 679 00:29:59,878 --> 00:30:02,457 I texted a pic of her license throughout the hospital. 680 00:30:02,482 --> 00:30:04,681 I just got a call from my friend from HR. 681 00:30:04,706 --> 00:30:06,683 She said she interviewed Rachel this morning 682 00:30:06,708 --> 00:30:08,008 for an admin job. 683 00:30:08,033 --> 00:30:10,441 She said she was alert and engaging. 684 00:30:11,455 --> 00:30:13,644 Alert and engaging? 685 00:30:14,829 --> 00:30:16,901 That doesn't sound like someone about to OD. 686 00:30:16,926 --> 00:30:18,278 All right, but if it's not drugs, 687 00:30:18,303 --> 00:30:19,936 - what the hell knocked her out? - You missed something. 688 00:30:19,961 --> 00:30:21,231 Recheck every test result, 689 00:30:21,256 --> 00:30:24,254 look for anything that might be mimicking something else. 690 00:30:25,019 --> 00:30:26,747 Her MRI. 691 00:30:29,265 --> 00:30:31,459 These two spots of diffusion restriction, 692 00:30:31,484 --> 00:30:34,025 radiology says they're from movement and mental artifact. 693 00:30:34,050 --> 00:30:36,517 The plate in her cheek. But what if that's wrong? 694 00:30:36,666 --> 00:30:38,517 This could be damage from a stroke, 695 00:30:38,542 --> 00:30:41,493 a clot that's knocked out the Reticular Activating System. 696 00:30:41,518 --> 00:30:43,151 - I don't... - Look, RES controls 697 00:30:43,176 --> 00:30:44,382 wake and sleep patterns. 698 00:30:44,407 --> 00:30:46,766 Easy, Quincy, that would take a huge clot. 699 00:30:46,791 --> 00:30:48,791 The damage would be far more extensive than this. 700 00:30:48,826 --> 00:30:51,126 Normally, yes, because most people have two vessels 701 00:30:51,151 --> 00:30:52,684 that provide blood flow to the area, 702 00:30:52,709 --> 00:30:55,134 - but some only have one. - The Artery of Percheron. 703 00:30:55,159 --> 00:30:56,525 If Rachel has this variant, 704 00:30:56,550 --> 00:30:58,377 a small clot in just the right area 705 00:30:58,402 --> 00:30:59,580 would take out the RAS. 706 00:30:59,605 --> 00:31:01,720 She's been out for about 4 1/2 hours. 707 00:31:01,745 --> 00:31:04,207 We missed the window to use tPA to bust the clot. 708 00:31:04,240 --> 00:31:05,773 Still may be able to reverse the damage 709 00:31:05,809 --> 00:31:08,494 - with local thrombolysis. - Okay, so get on it. 710 00:31:10,601 --> 00:31:12,861 This is not a debate, Dr. Rhodes. 711 00:31:12,886 --> 00:31:16,728 My patient's HLA is an ideal match to the donor. 712 00:31:16,753 --> 00:31:19,314 But his antibody levels are not. 713 00:31:19,355 --> 00:31:22,579 They're too high and suggest he'll reject the heart. 714 00:31:22,604 --> 00:31:26,454 So it slides to the next person on the transplant list, 715 00:31:26,479 --> 00:31:28,609 Dr. Bekker's, patient, Peter. 716 00:31:29,020 --> 00:31:30,423 I'm sorry. 717 00:31:35,785 --> 00:31:38,316 Without that heart, Dan doesn't stand a chance. 718 00:31:38,341 --> 00:31:40,941 - Neither does Peter. - No, actually, he does, 719 00:31:40,966 --> 00:31:43,000 because the artificial heart that you put in 720 00:31:43,025 --> 00:31:45,158 can last months, possibly even years. 721 00:31:45,183 --> 00:31:47,216 Dan doesn't have that kinda time. 722 00:31:47,241 --> 00:31:48,760 Peter, he's had two hearts already, 723 00:31:48,785 --> 00:31:49,994 and with each transplant, 724 00:31:50,019 --> 00:31:52,620 his chances of survival decrease. 725 00:31:52,645 --> 00:31:54,865 It is not fair that he gets a third heart 726 00:31:54,890 --> 00:31:56,289 before Dan even gets his first. 727 00:31:56,325 --> 00:31:58,268 There's no limit to the number of organs 728 00:31:58,293 --> 00:31:59,949 a person can receive, 729 00:32:00,308 --> 00:32:02,432 and it's impossible to compare patients in need. 730 00:32:02,457 --> 00:32:03,978 That's why there's a list, 731 00:32:04,003 --> 00:32:06,426 to crunch numbers and break ties. 732 00:32:09,732 --> 00:32:11,679 You're right. 733 00:32:11,959 --> 00:32:13,394 It's all about the numbers. 734 00:32:19,779 --> 00:32:21,227 Okay. 735 00:32:21,252 --> 00:32:23,651 No, no, right, uh, I understand. 736 00:32:24,036 --> 00:32:25,738 Okay, bye. 737 00:32:26,513 --> 00:32:28,207 I canceled our trip. 738 00:32:28,362 --> 00:32:30,894 They asked if I wanted to rebook for a later date. 739 00:32:30,919 --> 00:32:32,980 I said, "Sure, in about 18 years." 740 00:32:33,005 --> 00:32:34,004 Uh, what's that saying? 741 00:32:34,029 --> 00:32:35,888 "When we plan, God laughs"? 742 00:32:35,913 --> 00:32:38,467 Speaking of planning, we need diapers 743 00:32:38,492 --> 00:32:40,258 and a crib and a car seat 744 00:32:40,294 --> 00:32:42,093 and bottles and, uh, onesies 745 00:32:42,129 --> 00:32:44,129 and... and... and did I say diapers? 746 00:32:44,154 --> 00:32:46,285 - You did. - I ate sushi. 747 00:32:46,310 --> 00:32:48,457 I had the occasional glass of wine. 748 00:32:48,482 --> 00:32:50,512 I am happy to report 749 00:32:50,537 --> 00:32:53,503 that you have a completely healthy baby girl. 750 00:32:53,528 --> 00:32:54,832 Really? 751 00:32:54,857 --> 00:32:56,353 Aw. 752 00:32:56,625 --> 00:32:58,859 - Amazing. - Hey, you. Yes! 753 00:32:58,884 --> 00:33:00,965 - Hello! God! - Oh. 754 00:33:00,990 --> 00:33:02,366 Oh, holy cow, you weren't kidding. 755 00:33:02,391 --> 00:33:04,893 - No. - This is our son, Martin, 756 00:33:04,918 --> 00:33:07,738 and our daughter-in-law, Amy, and Haley, come here 757 00:33:07,763 --> 00:33:10,656 and meet your, um... aunt. 758 00:33:10,843 --> 00:33:12,441 How 'bout that, huh? 759 00:33:12,548 --> 00:33:14,113 We'll give you all some time. 760 00:33:14,138 --> 00:33:16,230 - Thanks. - Thanks very much. 761 00:33:16,816 --> 00:33:19,880 - I'll let you... - Right this way, guys. 762 00:33:24,861 --> 00:33:26,963 It's weird that Will was so adamant 763 00:33:26,988 --> 00:33:29,425 about calling the cops. 764 00:33:29,474 --> 00:33:30,717 What do you mean? 765 00:33:30,742 --> 00:33:33,324 Well, last week's patient, Vic Thomas, 766 00:33:33,349 --> 00:33:36,392 he had advanced-stage cancer, and he was refusing treatment. 767 00:33:36,442 --> 00:33:38,826 Will sent me out of the room to get a cautery, 768 00:33:38,851 --> 00:33:40,988 and when I came back, Vic was dead. 769 00:33:41,013 --> 00:33:44,292 I can't be certain, but I think Will let him die. 770 00:33:52,134 --> 00:33:54,450 What did you do? 771 00:33:54,684 --> 00:33:57,262 Oh, my God. He's not hooked up. 772 00:33:57,287 --> 00:33:58,644 I need some help here! 773 00:33:58,669 --> 00:34:00,332 Ma'am, I need you to step out. 774 00:34:00,357 --> 00:34:02,336 Right now, ma'am! 775 00:34:02,543 --> 00:34:05,212 - I love you, Sam. - Ma'am, please. 776 00:34:05,525 --> 00:34:07,091 No pulse. Bag him. 777 00:34:07,116 --> 00:34:08,582 I need you to step back from here, please. 778 00:34:08,607 --> 00:34:10,160 Step back, please. 779 00:34:14,800 --> 00:34:17,309 Quick look? 780 00:34:17,485 --> 00:34:20,119 - Asystole. - Milligram of epi. 781 00:34:30,122 --> 00:34:32,048 - Still no pulse. - Another milligram of epi. 782 00:34:32,073 --> 00:34:34,790 Please, don't hurt him. 783 00:34:35,659 --> 00:34:38,470 Just let him go. 784 00:34:56,327 --> 00:34:58,261 Time of death, 18:16. 785 00:35:14,884 --> 00:35:16,939 It did not have to get this messy. 786 00:35:16,964 --> 00:35:18,173 I had no choice, Natalie. 787 00:35:18,198 --> 00:35:20,476 When someone commits a crime, you have to report it. 788 00:35:20,501 --> 00:35:21,934 Except from when it's you? 789 00:35:21,970 --> 00:35:24,305 - What are you talking about? - Vic Thomas. 790 00:35:24,330 --> 00:35:26,196 You let him die. 791 00:35:26,232 --> 00:35:28,626 That's why you've been walking around like a ghost, right? 792 00:35:31,403 --> 00:35:33,237 I don't know what April told you, 793 00:35:33,272 --> 00:35:36,156 but Vic Thomas explicitly and repeatedly 794 00:35:36,181 --> 00:35:37,907 expressed his wishes to me, 795 00:35:37,932 --> 00:35:40,499 and there is a monumental difference between 796 00:35:40,524 --> 00:35:42,229 allowing someone to die naturally 797 00:35:42,261 --> 00:35:43,681 and intentionally causing their death. 798 00:35:43,706 --> 00:35:44,689 Well, if you did nothing wrong, 799 00:35:44,714 --> 00:35:46,064 then why keep it a secret? 800 00:35:46,089 --> 00:35:48,263 No, no, no, don't you dare compare what I did 801 00:35:48,288 --> 00:35:49,540 to what happened here today. 802 00:35:49,565 --> 00:35:51,461 Natalie, they murdered him. 803 00:35:51,486 --> 00:35:54,095 You backed them into a corner when you called the police. 804 00:35:54,120 --> 00:35:56,324 You forced that family into a decision! 805 00:36:00,179 --> 00:36:02,732 These are the results of Dan Kennet's latest 806 00:36:02,757 --> 00:36:04,705 panel reactive antibody test. 807 00:36:04,730 --> 00:36:07,431 His antibody levels were above 80, but now... 808 00:36:07,456 --> 00:36:09,431 They're within transplant criteria. 809 00:36:09,456 --> 00:36:11,751 Antibody levels don't just go down on their own that quickly. 810 00:36:11,776 --> 00:36:15,072 Uh, you can see for yourself. I had the lab run it twice. 811 00:36:19,528 --> 00:36:21,767 I'm sorry, Dr. Bekker. 812 00:36:21,792 --> 00:36:22,957 It's not my decision. 813 00:36:22,982 --> 00:36:25,369 Dan Kennet is at the top of the list. 814 00:36:25,394 --> 00:36:27,160 Assemble the transplant team, 815 00:36:27,185 --> 00:36:30,431 and notify Mr. Kennet and his family. 816 00:36:32,316 --> 00:36:34,777 Emergency plasmapheresis and IVIG. 817 00:36:35,429 --> 00:36:37,366 Didn't you? 818 00:36:38,130 --> 00:36:41,618 You made Dan look like a better candidate than he really is. 819 00:36:41,782 --> 00:36:43,994 Soon as he's off the plasmapheresis and IVIG, 820 00:36:44,019 --> 00:36:45,736 his antibody levels will shoot back up. 821 00:36:45,761 --> 00:36:47,213 Maybe, but the immunosuppressants 822 00:36:47,238 --> 00:36:48,595 that he's gonna be on post-transplant 823 00:36:48,620 --> 00:36:50,925 should ensure that his body doesn't reject the organ. 824 00:36:50,950 --> 00:36:53,149 - You got it all covered, huh? - Hey, look, 825 00:36:53,174 --> 00:36:55,202 I did what I had to for my patient. 826 00:36:55,227 --> 00:36:57,978 At the expense of mine! So do me a favor, okay, 827 00:36:58,003 --> 00:37:00,971 and save your self-righteous hero speech for someone else. 828 00:37:15,139 --> 00:37:17,439 - Will she wake up? - I'm hopeful. 829 00:37:17,464 --> 00:37:18,634 Interventional radiology 830 00:37:18,659 --> 00:37:20,725 was able to locate the clot and clear it. 831 00:37:20,954 --> 00:37:23,555 But she's so young. What caused the stroke? 832 00:37:23,580 --> 00:37:25,953 Deep vein blood clot. 833 00:37:26,024 --> 00:37:27,664 Cigarettes and birth control pills 834 00:37:27,689 --> 00:37:29,283 were found in Rachel's purse. 835 00:37:29,308 --> 00:37:31,220 Smoking on the pill can sometimes cause one. 836 00:37:31,245 --> 00:37:33,142 But how'd it get into her brain? 837 00:37:33,210 --> 00:37:36,512 A PFO, a hole in the heart. 838 00:37:36,570 --> 00:37:37,869 They're not uncommon. 839 00:37:37,894 --> 00:37:40,137 Most people don't even know they have them. 840 00:37:40,758 --> 00:37:42,424 Jacob? 841 00:37:42,475 --> 00:37:45,477 Oh, thank God, Rachel. 842 00:37:45,977 --> 00:37:48,696 - Where am I? - The hospital. 843 00:37:48,721 --> 00:37:52,056 Rachel... I'm Dr. Choi. 844 00:37:52,216 --> 00:37:53,983 Do you know what day it is? 845 00:37:55,675 --> 00:37:57,484 Tuesday. 846 00:37:57,817 --> 00:37:59,991 What's the last thing you remember? 847 00:38:00,870 --> 00:38:02,990 I sat down... 848 00:38:03,272 --> 00:38:05,439 to wait for my cab. 849 00:38:05,622 --> 00:38:07,554 I had a job interview. 850 00:38:07,579 --> 00:38:09,212 The nurse told me. 851 00:38:09,237 --> 00:38:12,002 That's where you've been going in the afternoons, isn't it? 852 00:38:12,184 --> 00:38:13,845 Looking for a job? 853 00:38:14,044 --> 00:38:15,911 Why didn't you tell me? 854 00:38:15,999 --> 00:38:18,508 I've messed up so many times before. 855 00:38:18,533 --> 00:38:22,368 To surprise you, show you that I really changed. 856 00:38:22,612 --> 00:38:25,009 So, it's really gonna happen today? 857 00:38:25,034 --> 00:38:26,567 Yes. 858 00:38:26,592 --> 00:38:28,959 You are getting a new heart. 859 00:38:31,018 --> 00:38:34,438 Uh... my antibody levels, 860 00:38:34,463 --> 00:38:36,657 like, I thought they were too high. 861 00:38:36,682 --> 00:38:38,649 They were, but now they're not. 862 00:38:38,847 --> 00:38:42,235 The emergency plasmapheresis and IVIG you're on now 863 00:38:42,260 --> 00:38:45,227 lowered your levels to within transplant criteria. 864 00:38:45,252 --> 00:38:48,251 Techs are gonna be by to prep you for surgery soon. 865 00:38:50,323 --> 00:38:52,792 Thank you, Dr. Rhodes. 866 00:38:54,513 --> 00:38:56,628 Of course. 867 00:38:56,984 --> 00:38:58,881 Thank you. 868 00:39:21,465 --> 00:39:23,531 It's all just legal mumbo jumbo. 869 00:39:27,886 --> 00:39:29,995 It's pretty boilerplate. 870 00:39:31,922 --> 00:39:33,543 Ah... 871 00:39:34,041 --> 00:39:35,407 Here. 872 00:39:42,358 --> 00:39:45,677 Um, Dad, I'm sorry, but I... I... I can't sign this. 873 00:39:58,641 --> 00:40:01,313 Yeah! Muah. 874 00:40:01,651 --> 00:40:04,517 Yeah! 875 00:40:08,976 --> 00:40:10,411 Yeah! 876 00:40:20,828 --> 00:40:22,629 Just some friends and family? 877 00:40:22,654 --> 00:40:25,239 You look so good in a suit. 878 00:40:25,264 --> 00:40:27,499 I cannot wait to tear it off later. 879 00:40:27,524 --> 00:40:30,221 April, this is my sister, Emily. 880 00:40:30,542 --> 00:40:33,741 Emily, my girlfriend, April. 881 00:40:33,766 --> 00:40:35,165 It's all good. 882 00:40:35,190 --> 00:40:37,960 I am so happy to finally meet you. 883 00:40:37,985 --> 00:40:39,811 Prazer em conhecê. 884 00:40:39,836 --> 00:40:42,835 Oh, get... Você falar Português? 885 00:40:42,860 --> 00:40:44,735 A little. I spent a year in Rio. 886 00:40:44,760 --> 00:40:47,585 Wow... 887 00:40:47,610 --> 00:40:49,076 Well, hello there. 888 00:40:49,202 --> 00:40:51,903 I am Noah. And you are? 889 00:40:51,928 --> 00:40:53,789 Emily. 890 00:40:53,814 --> 00:40:56,047 - Emily. - Ethan's sister. 891 00:40:56,072 --> 00:40:57,678 Right. 892 00:40:58,040 --> 00:40:59,754 Oh, really? 893 00:40:59,779 --> 00:41:02,346 Really? Well, you know, how about that? 894 00:41:02,371 --> 00:41:04,905 Yeah? You wanna join me on the dance floor? 895 00:41:04,930 --> 00:41:06,796 Sure. Think you can keep up? 896 00:41:06,863 --> 00:41:08,262 Oh, yeah? 897 00:41:08,287 --> 00:41:09,637 Oh, it's on. Vamos lá. 898 00:41:09,662 --> 00:41:12,097 Aww! 899 00:41:12,962 --> 00:41:15,038 Aww, she seems fun. 900 00:41:15,063 --> 00:41:17,101 I'm so glad you brought her. 901 00:41:17,891 --> 00:41:20,859 With Emily, I always expect to be disappointed. 902 00:41:21,234 --> 00:41:23,985 Thought I'd give her a chance to prove me wrong. 903 00:41:24,702 --> 00:41:25,984 But you... 904 00:41:26,759 --> 00:41:28,323 breathtaking. 905 00:41:28,348 --> 00:41:30,159 Come on, join me on the dance floor. 906 00:41:30,184 --> 00:41:31,660 - No. - Yes! 907 00:41:31,685 --> 00:41:33,405 - No! - Hey! 908 00:41:33,430 --> 00:41:35,194 No... 909 00:41:35,523 --> 00:41:37,787 And then faster. 910 00:41:37,812 --> 00:41:39,582 One, two, one, two. 911 00:41:46,718 --> 00:41:53,092 - Synced and corrected by martythecrazy - - www.addic7ed.com -