1 00:00:02,220 --> 00:00:05,722 Look, I know we haven't talk in a while but... 2 00:00:05,756 --> 00:00:08,450 I have to tell you this, and... 3 00:00:09,293 --> 00:00:11,761 I don't know, you might not like it. 4 00:00:14,398 --> 00:00:16,625 What do you get when you... 5 00:00:17,435 --> 00:00:19,169 cross an elephant 6 00:00:20,504 --> 00:00:22,238 with a rhino? 7 00:00:26,176 --> 00:00:28,244 Elephino. 8 00:00:30,080 --> 00:00:31,881 Yeah. 9 00:00:31,916 --> 00:00:34,184 That's my first dad joke. 10 00:00:36,187 --> 00:00:38,421 Did you just kick? 11 00:00:39,423 --> 00:00:41,275 Hi, Luna. 12 00:00:42,092 --> 00:00:43,159 You know... 13 00:00:43,194 --> 00:00:44,494 three months from now, 14 00:00:44,528 --> 00:00:46,162 we get to do this in person. 15 00:00:46,197 --> 00:00:47,363 It's pretty cool. 16 00:00:50,501 --> 00:00:52,469 Time for our song. 17 00:01:22,500 --> 00:01:23,833 How can I help? 18 00:01:23,868 --> 00:01:26,269 Uh, well, there's candy machines in the pediatric ward. 19 00:01:26,303 --> 00:01:28,104 You know what's not good for kids before 9:00 a.m.? 20 00:01:28,138 --> 00:01:30,273 Does it start with C and end with childhood obesity? 21 00:01:30,307 --> 00:01:32,041 - Yes. - Consider them gone. 22 00:01:32,076 --> 00:01:35,144 _ 23 00:01:35,659 --> 00:01:39,807 _ 24 00:01:39,808 --> 00:01:43,353 _ 25 00:01:44,010 --> 00:01:45,798 _ 26 00:01:45,823 --> 00:01:47,357 I'm hiring six new therapists 27 00:01:47,391 --> 00:01:49,559 with training in CBT and DBT. 28 00:01:49,593 --> 00:01:52,094 And I'm starting a patient advocacy division 29 00:01:52,129 --> 00:01:54,464 because when I say things like CBT and DBT, 30 00:01:54,498 --> 00:01:56,966 patients have no idea what I'm talking about. 31 00:01:57,001 --> 00:01:58,368 Will this cost more money? 32 00:01:58,402 --> 00:02:00,470 Yes, but... 33 00:02:00,504 --> 00:02:02,038 who's with me? 34 00:02:05,543 --> 00:02:07,510 Ooh, uh, we need to talk about my waiting room. 35 00:02:07,545 --> 00:02:09,012 Thought we got rid of your waiting room. 36 00:02:09,046 --> 00:02:10,246 Well, the plan was for nurses 37 00:02:10,281 --> 00:02:11,581 to move patients straight to beds. 38 00:02:11,615 --> 00:02:13,016 Okay, I'm not seeing a problem. 39 00:02:13,050 --> 00:02:14,083 The plan requires nurses. 40 00:02:14,118 --> 00:02:15,418 Got it. 41 00:02:15,452 --> 00:02:17,320 More nurses. 42 00:02:20,391 --> 00:02:25,561 _ 43 00:02:25,562 --> 00:02:29,190 _ 44 00:02:29,191 --> 00:02:35,931 _ 45 00:02:35,980 --> 00:02:40,242 _ 46 00:02:40,243 --> 00:02:42,201 _ 47 00:02:42,202 --> 00:02:43,889 _ 48 00:02:43,914 --> 00:02:46,781 Health care is the number one cause of bankruptcy in America. 49 00:02:46,815 --> 00:02:49,052 Wow, you really know how to bring things down, don't you? 50 00:02:49,086 --> 00:02:50,620 Patients should know that their... 51 00:02:50,654 --> 00:02:52,622 hospital bills are negotiable. 52 00:02:52,656 --> 00:02:54,787 We should revise our Patient Bill of Rights. 53 00:02:54,822 --> 00:02:57,360 Love that idea. Way to bring things back up again. 54 00:02:57,394 --> 00:02:58,628 Okay. 55 00:02:58,662 --> 00:03:00,930 We need to provide better care 56 00:03:00,965 --> 00:03:02,198 with fewer resources. 57 00:03:02,232 --> 00:03:05,201 But I need your help. 58 00:03:05,235 --> 00:03:07,713 I need your ideas. 59 00:03:09,173 --> 00:03:10,373 Okay, I'm just gonna do this 60 00:03:10,407 --> 00:03:11,874 until somebody speaks. 61 00:03:11,909 --> 00:03:14,911 Is this jogging anybody's... Anyone? 62 00:03:14,945 --> 00:03:16,312 I'm gonna go ahead, it's gonna become a robot now. 63 00:03:16,347 --> 00:03:17,647 It's just gonna go downhill from here. 64 00:03:17,681 --> 00:03:19,248 I'll just keep on doing this. 65 00:03:19,283 --> 00:03:21,217 Does anybody have anything, 66 00:03:21,251 --> 00:03:23,586 just one idea? 67 00:03:23,621 --> 00:03:25,655 What about group appointments? 68 00:03:25,689 --> 00:03:27,123 Thank God. 69 00:03:27,157 --> 00:03:29,926 Yes. Please, share. 70 00:03:29,960 --> 00:03:31,894 You give people with related issues 71 00:03:31,929 --> 00:03:33,630 like diabetes or high blood pressure 72 00:03:33,664 --> 00:03:35,498 - one shared appointment... - ? And I'm so glad 73 00:04:05,195 --> 00:04:06,629 Time to go to work. 74 00:04:06,664 --> 00:04:10,733 Synced & corrected by -robtor- www.addic7ed.com 75 00:04:11,669 --> 00:04:13,269 32-year-old woman collapsed 76 00:04:13,303 --> 00:04:15,605 with extreme shortness of breath and chest pain. 77 00:04:15,639 --> 00:04:18,107 Heart rate 140, respirations 34, 78 00:04:18,142 --> 00:04:19,442 BP 90 over 60. 79 00:04:19,476 --> 00:04:21,978 Took 100% O2 to keep her sats over 90. 80 00:04:22,012 --> 00:04:23,546 Where's Reynolds? Did anyone see what happened? 81 00:04:23,580 --> 00:04:26,115 I'm her father. We were at a fund-raiser. 82 00:04:26,150 --> 00:04:28,017 Jozette was accepting an award. 83 00:04:28,052 --> 00:04:29,619 Then she just shook and fell. 84 00:04:29,653 --> 00:04:31,287 We didn't know what to do. 85 00:04:31,321 --> 00:04:32,722 What you got? 86 00:04:32,756 --> 00:04:35,024 Holosystolic blowing murmur at the apex. 87 00:04:35,059 --> 00:04:36,359 What took you so long? 88 00:04:36,393 --> 00:04:37,727 Well, I'm the department chair now. 89 00:04:37,761 --> 00:04:39,962 - I've got stuff to do. - Like what? 90 00:04:39,997 --> 00:04:42,398 As soon as I figure that out, I'll let you know. 91 00:04:42,433 --> 00:04:44,500 You're right. Acute mitral regurgitation. 92 00:04:44,535 --> 00:04:46,636 - Trauma One. - Get a central line kit. 93 00:04:46,670 --> 00:04:48,471 Lisa, prepare me a Levo drip. 94 00:04:48,505 --> 00:04:50,640 Titrate to systolic at 90. 95 00:04:50,674 --> 00:04:52,475 On the count of three. 96 00:04:52,509 --> 00:04:54,243 One, two, three. 97 00:04:54,278 --> 00:04:55,611 Watch out. 98 00:04:59,366 --> 00:05:01,317 Yeah, oh, my gosh, my girls tested 99 00:05:01,351 --> 00:05:03,419 for their orange belts last night in karate. 100 00:05:03,454 --> 00:05:05,555 They're complete savages. I had no idea. 101 00:05:05,589 --> 00:05:07,056 I looked at... I took a video of it. 102 00:05:07,091 --> 00:05:09,192 Here. I'll show you. 103 00:05:09,226 --> 00:05:10,727 Or wait, did I email it to myself already? 104 00:05:10,761 --> 00:05:12,228 That's okay, I can imagine it. 105 00:05:12,262 --> 00:05:14,664 Oh, okay. Well, remind me to show it to you later, because it is 106 00:05:14,698 --> 00:05:16,999 intensely cute. 107 00:05:17,034 --> 00:05:19,335 Gosh, I'm always talking about my kids. What about you? 108 00:05:19,369 --> 00:05:22,071 - How come you never talk about yours? - I don't have any. 109 00:05:22,106 --> 00:05:23,606 Oh, I'm sorry, I just assumed that you... 110 00:05:23,640 --> 00:05:26,609 Life had other plans for me, and then it got too late. 111 00:05:26,643 --> 00:05:28,111 Okay, well... 112 00:05:28,145 --> 00:05:31,080 speaking of which, based on your extensive experience... 113 00:05:31,115 --> 00:05:32,682 You mean to say "old." 114 00:05:32,716 --> 00:05:34,784 Yes. Exactly. 115 00:05:34,818 --> 00:05:36,519 How long do you think this Max guy 116 00:05:36,553 --> 00:05:38,621 can shake things up before the dean steps in? 117 00:05:38,655 --> 00:05:40,590 Not long. Dean of medicine does not like 118 00:05:40,624 --> 00:05:42,091 things shaken up... 119 00:05:42,126 --> 00:05:44,127 based on my extensive experience. 120 00:05:44,161 --> 00:05:45,561 All right. 121 00:05:50,203 --> 00:05:52,068 Leo. Hi. 122 00:05:52,102 --> 00:05:54,103 How you doing? I'm Dr. Frome. 123 00:05:54,138 --> 00:05:55,371 But, uh, 124 00:05:55,405 --> 00:05:56,706 you can call me Iggy, all right? 125 00:05:56,740 --> 00:05:59,092 No need to be so formal. 126 00:06:01,578 --> 00:06:03,379 All right, so... 127 00:06:03,413 --> 00:06:05,214 I had a chat with your mom, 128 00:06:05,249 --> 00:06:06,315 and she told me that you're having a hard time 129 00:06:06,350 --> 00:06:07,717 staying awake 130 00:06:07,751 --> 00:06:09,418 and that, uh, you've been wetting the bed. 131 00:06:09,453 --> 00:06:11,254 Is that right? 132 00:06:11,288 --> 00:06:12,731 Okay. 133 00:06:13,123 --> 00:06:15,124 No big deal, you know? 134 00:06:15,159 --> 00:06:17,160 We can get to the bottom of this, easy-peasy. 135 00:06:17,194 --> 00:06:18,737 Okay? 136 00:06:23,467 --> 00:06:24,801 Let's see what we're looking at here. 137 00:06:24,835 --> 00:06:27,103 All right, says here you've been on... 138 00:06:27,137 --> 00:06:29,915 zotepine for the last few years? 139 00:06:30,641 --> 00:06:31,741 Is that right? 140 00:06:31,775 --> 00:06:33,609 Uh-huh. 141 00:06:33,644 --> 00:06:36,612 Did, uh, something happen at school? 142 00:06:36,647 --> 00:06:38,181 No? You sure about that? 143 00:06:38,215 --> 00:06:40,616 'Cause zotepine, my friend, that is... 144 00:06:40,651 --> 00:06:41,617 that's big-time. 145 00:06:41,652 --> 00:06:43,470 That is no joke. 146 00:06:44,288 --> 00:06:46,455 Nothing happened that you want to tell me about? 147 00:06:46,490 --> 00:06:48,291 No. 148 00:06:48,325 --> 00:06:50,459 Okay, cool. Fair enough. 149 00:06:50,494 --> 00:06:52,528 All right. They've also got you on... 150 00:06:52,563 --> 00:06:54,530 sertraline. 151 00:06:54,565 --> 00:06:56,233 Huh. 152 00:06:57,467 --> 00:06:58,868 Jeez. 153 00:06:59,653 --> 00:07:01,738 And zolpidem. 154 00:07:02,539 --> 00:07:05,741 Oh, my gosh, they have you on atomoxetine as well. 155 00:07:06,810 --> 00:07:08,878 Okay. I mean, uh... 156 00:07:08,912 --> 00:07:11,480 who needs breakfast, am I right? 157 00:07:11,515 --> 00:07:13,282 Fistful of pills like that every morning? 158 00:07:19,590 --> 00:07:22,291 Yeah. And I see that, um... 159 00:07:22,326 --> 00:07:23,793 You also... 160 00:07:23,827 --> 00:07:26,495 you lost your dad a few years back? 161 00:07:28,198 --> 00:07:30,333 Yeah. 162 00:07:30,367 --> 00:07:33,469 Yeah, that's really tough. I'm sorry. 163 00:07:36,406 --> 00:07:38,066 You know what, Leo? 164 00:07:39,543 --> 00:07:41,644 I want to try something different. 165 00:07:41,678 --> 00:07:44,380 Instead of adding more medication 166 00:07:44,414 --> 00:07:47,183 to your already impressive roster, 167 00:07:47,217 --> 00:07:49,518 why don't we try this for a plan? 168 00:07:49,553 --> 00:07:52,855 Let's take you off all of your medication. 169 00:07:59,930 --> 00:08:01,864 I just want to know how much this is gonna cost me. 170 00:08:01,899 --> 00:08:03,532 I'm sorry, but I can't tell you that. 171 00:08:03,567 --> 00:08:05,234 So I can compare prices on my Subaru 172 00:08:05,269 --> 00:08:06,669 and not on my wife's double bypass? 173 00:08:06,703 --> 00:08:08,537 You know, it's funny, Congress actually 174 00:08:08,572 --> 00:08:10,673 made it illegal for hospitals to disclose prices to you, 175 00:08:10,707 --> 00:08:11,941 so it's the only industry in America 176 00:08:11,975 --> 00:08:13,509 with a noncompete clause, but... 177 00:08:13,543 --> 00:08:16,212 call your congressperson. Resist! 178 00:08:17,247 --> 00:08:18,381 You're running late. 179 00:08:18,415 --> 00:08:19,749 - For what? - For everything. 180 00:08:19,783 --> 00:08:20,850 Dora, I'm educating patients. 181 00:08:20,884 --> 00:08:22,518 You're inciting riots. 182 00:08:22,552 --> 00:08:23,619 Dean of medicine called again. 183 00:08:23,654 --> 00:08:24,854 Pass. 184 00:08:24,888 --> 00:08:26,589 You can't keep ignoring him, Max. 185 00:08:26,623 --> 00:08:27,690 When you fire half the staff, 186 00:08:27,724 --> 00:08:29,292 disembowel an entire hospital, 187 00:08:29,326 --> 00:08:31,193 you have to expect your boss is gonna be on you... 188 00:08:31,228 --> 00:08:33,413 To what? Re-bowel it? 189 00:08:33,931 --> 00:08:35,364 Sounds gross, doesn't it? 190 00:08:35,399 --> 00:08:36,699 Max! 191 00:08:36,733 --> 00:08:38,367 Dr. Sharpe, back in the trenches. 192 00:08:38,402 --> 00:08:40,202 - How's reentry? - I wouldn't know. 193 00:08:40,237 --> 00:08:41,704 You didn't show up to your appointment this morning. 194 00:08:41,738 --> 00:08:42,939 Well, I had a department chair meeting. 195 00:08:42,973 --> 00:08:44,573 Which you missed, I believe. 196 00:08:44,608 --> 00:08:46,375 Because we had an appointment. 197 00:08:46,410 --> 00:08:47,610 What... how... did I forget something? 198 00:08:47,644 --> 00:08:48,811 No, no, just, uh, 199 00:08:48,845 --> 00:08:50,379 Dr. Sharpe and I have a little thing. 200 00:08:50,414 --> 00:08:51,747 Very, uh, informal. 201 00:08:51,782 --> 00:08:53,449 It's not informal. It's quite serious. 202 00:08:53,483 --> 00:08:54,884 - How serious? - Not very. 203 00:08:54,918 --> 00:08:55,885 I'm taking care of it. 204 00:08:55,919 --> 00:08:56,886 - Are you? - Mm-hmm. 205 00:08:56,920 --> 00:08:57,920 Have you eaten today? 206 00:08:57,955 --> 00:08:59,455 Does espresso count? 207 00:08:59,489 --> 00:09:00,823 Dora, would you mind getting him an apple? 208 00:09:00,857 --> 00:09:01,891 - An apple? - Mm. 209 00:09:01,925 --> 00:09:03,160 He'll be in my office. 210 00:09:03,194 --> 00:09:04,560 Uh, can't. I got a full schedule. 211 00:09:04,594 --> 00:09:06,395 Your 2:00 p.m. just canceled. 212 00:09:06,430 --> 00:09:07,797 Thank you, Dora. 213 00:09:07,831 --> 00:09:09,598 Thought you were getting me an apple. 214 00:09:12,369 --> 00:09:13,936 Max. You have can... 215 00:09:13,971 --> 00:09:15,471 We have 1,500 patients. 216 00:09:15,505 --> 00:09:17,640 I don't have time to be one of them. 217 00:09:17,674 --> 00:09:19,241 You better find the time 218 00:09:19,276 --> 00:09:21,444 before you run out of it. 219 00:09:25,323 --> 00:09:27,890 One of the valves that controls the flow of blood 220 00:09:27,924 --> 00:09:29,525 through Jozette's heart is broken, 221 00:09:29,559 --> 00:09:30,659 and blood is backing up into her lungs, 222 00:09:30,694 --> 00:09:32,495 which is why she can't breathe. 223 00:09:32,529 --> 00:09:35,398 But how could this happen? Jozette is strong. 224 00:09:35,432 --> 00:09:37,867 She's an aid worker for the people of Haiti. 225 00:09:37,901 --> 00:09:39,702 I have to get to Jean-Rabel. 226 00:09:39,736 --> 00:09:42,371 This week, a mudslide hit our village. 227 00:09:42,406 --> 00:09:44,907 So many people have died. 228 00:09:45,464 --> 00:09:47,032 That might explain what happened. 229 00:09:47,066 --> 00:09:48,433 You thinking Takotsubo syndrome? 230 00:09:48,467 --> 00:09:49,434 - Yeah. - Yeah. 231 00:09:49,468 --> 00:09:50,535 That sounds bad. 232 00:09:50,570 --> 00:09:53,271 Another name for it is, uh, broken heart syndrome. 233 00:09:53,306 --> 00:09:55,941 The mudslide may have caused Jozette so much grief 234 00:09:55,975 --> 00:09:58,076 that it actually made her heart beat so hard that 235 00:09:58,110 --> 00:10:00,178 it tore the muscles that hold it together. 236 00:10:00,212 --> 00:10:02,080 I hate to feel helpless. 237 00:10:02,114 --> 00:10:03,415 I'm sorry. 238 00:10:03,449 --> 00:10:04,950 Well, the good news is, 239 00:10:04,984 --> 00:10:06,851 I can fix a broken heart. 240 00:10:06,886 --> 00:10:08,353 Now, we're gonna get you prepped for surgery 241 00:10:08,387 --> 00:10:10,322 and get you home as fast as we can. 242 00:10:11,591 --> 00:10:14,893 First may we perform a Gad Ko? 243 00:10:14,927 --> 00:10:18,263 - I'm sorry, a what? - It's a protection ritual. 244 00:10:18,297 --> 00:10:21,099 We make a cut in the skin, rub in herbs. 245 00:10:21,133 --> 00:10:22,767 Oh, no, that's out of the question. 246 00:10:22,802 --> 00:10:25,437 Any cuts to the skin can introduce infection, so... 247 00:10:25,471 --> 00:10:27,939 Gad Ko attaches Lwa to me. 248 00:10:27,974 --> 00:10:29,941 Protects me from accidents. 249 00:10:29,976 --> 00:10:31,376 Okay, look, Jozette, 250 00:10:31,410 --> 00:10:33,211 there won't be any accidents, all right? 251 00:10:33,245 --> 00:10:34,813 Now, if you'll excuse me, 252 00:10:34,847 --> 00:10:37,082 I have to prep for surgery. 253 00:10:43,589 --> 00:10:44,923 It's true. 254 00:10:44,957 --> 00:10:47,422 He used to be energetic. 255 00:10:48,327 --> 00:10:49,828 - Silly. - Yeah. 256 00:10:49,862 --> 00:10:51,429 But you... you can't just 257 00:10:51,464 --> 00:10:53,565 take him off of all of his medications. 258 00:10:53,599 --> 00:10:55,834 Doesn't he need them? Honestly, I don't know. 259 00:10:55,868 --> 00:10:57,469 I don't know what he needs. He's on so many 260 00:10:57,503 --> 00:11:00,472 counterintuitive drugs, I can't see the real issue. 261 00:11:00,506 --> 00:11:02,440 I want to try behavioral therapy. 262 00:11:02,475 --> 00:11:03,575 Talk therapy. 263 00:11:03,609 --> 00:11:05,523 He had, um... 264 00:11:06,612 --> 00:11:09,447 outbursts at school... physical. 265 00:11:09,482 --> 00:11:11,149 And when the school psychiatrist 266 00:11:11,183 --> 00:11:13,351 started him on the zotepine, they completely stopped. 267 00:11:13,386 --> 00:11:15,820 That drug may have succeeded in curbing your son's behavior, 268 00:11:15,855 --> 00:11:18,256 but it did nothing to address the underlying issues. 269 00:11:18,290 --> 00:11:21,292 Zotepine also causes lethargy, apathy. 270 00:11:21,327 --> 00:11:22,994 So when he was prescribed a stimulant, 271 00:11:23,029 --> 00:11:24,462 that led to his sleep issues. 272 00:11:24,497 --> 00:11:25,997 And accelerated his weight gain, 273 00:11:26,032 --> 00:11:28,033 which developed into Type 2 diabetes. 274 00:11:28,067 --> 00:11:30,635 That's why he's wetting the bed. He has diabetes... 275 00:11:30,670 --> 00:11:33,009 because of the drugs that he's on. 276 00:11:34,073 --> 00:11:36,541 My God, I didn't... I didn't know. 277 00:11:36,575 --> 00:11:38,276 I mean, they told me that he needed them. 278 00:11:38,310 --> 00:11:39,644 I was just... I was trying to help him. 279 00:11:39,679 --> 00:11:41,725 Of course you were. That's what we all would have done. 280 00:11:41,759 --> 00:11:43,348 Yes, absolutely. 281 00:11:43,382 --> 00:11:45,550 I'm sorry, I just... 282 00:11:45,584 --> 00:11:47,774 Let me pull him off the meds. 283 00:11:48,387 --> 00:11:49,554 You know, let me talk to him. 284 00:11:49,588 --> 00:11:51,589 I really just want to talk to him. 285 00:11:56,195 --> 00:11:58,596 When was the last time you saw your son smile? 286 00:12:05,371 --> 00:12:07,205 Dora, are you stalking me? 287 00:12:07,239 --> 00:12:09,908 It's definitely beginning to feel that way, isn't it? 288 00:12:09,942 --> 00:12:10,975 Dr. Sharpe's office called. 289 00:12:11,010 --> 00:12:12,010 I got pulled into OB. 290 00:12:12,044 --> 00:12:14,646 Tell that to Dr. Sharpe. I got you an apple. 291 00:12:14,680 --> 00:12:16,514 You know, I'm really more of a Golden Russet kind of guy. 292 00:12:16,549 --> 00:12:18,016 Maybe keep that to yourself. 293 00:12:18,050 --> 00:12:19,317 What do you have against Golden Russets? 294 00:12:19,351 --> 00:12:20,518 Nothing, my issue is with people 295 00:12:20,553 --> 00:12:21,686 who can identify Golden Russets. 296 00:12:21,721 --> 00:12:23,254 - Dr. Reynolds. - What up? 297 00:12:23,289 --> 00:12:24,923 - Now eat the apple. - Got you an apple. 298 00:12:24,957 --> 00:12:27,092 Uh, also, I got a call from Jozette Pampil's family? 299 00:12:27,126 --> 00:12:28,359 Apparently they're upset that you won't let them 300 00:12:28,394 --> 00:12:30,395 perform some kind of protection ritual? 301 00:12:30,429 --> 00:12:31,996 - That's correct. - Even though they believe 302 00:12:32,031 --> 00:12:34,399 it's gonna help keep your patient safe from harm? 303 00:12:34,433 --> 00:12:36,501 You fired the entire cardiac surgical department 304 00:12:36,535 --> 00:12:38,203 because of the high infection rates, 305 00:12:38,237 --> 00:12:40,205 and now you want me to let a family member 306 00:12:40,239 --> 00:12:42,540 cut open my patient and put dirt in her wound? 307 00:12:42,575 --> 00:12:44,442 Well, a superficial wound with a sterile blade 308 00:12:44,477 --> 00:12:46,291 under your supervision. 309 00:12:47,113 --> 00:12:49,502 Is this my call, or are you overstepping me? 310 00:12:50,049 --> 00:12:51,549 - It's your call. - Good. 311 00:12:51,584 --> 00:12:54,986 Then no one's cutting open my patient but me, okay? 312 00:12:56,322 --> 00:12:57,922 - Hello. - She's ready to go. 313 00:12:57,957 --> 00:12:59,624 All right. Wow. 314 00:12:59,658 --> 00:13:02,360 Expeditions to the North Pole traveled lighter, huh? 315 00:13:09,168 --> 00:13:11,302 Looks like V-fib. 316 00:13:11,337 --> 00:13:14,038 - There's no pulse. - Defibrillator. 317 00:13:14,073 --> 00:13:15,607 200 joules. 318 00:13:19,645 --> 00:13:21,379 All clear. 319 00:13:28,654 --> 00:13:29,988 Okay, got her back. 320 00:13:30,022 --> 00:13:31,456 I'll back off the Levophed. 321 00:13:31,490 --> 00:13:32,757 That should stabilize her. 322 00:13:32,792 --> 00:13:35,260 - You're good? - Yeah. 323 00:13:37,096 --> 00:13:38,530 Whew. 324 00:13:42,201 --> 00:13:43,568 Back in V-fib! 325 00:13:46,172 --> 00:13:48,573 - I don't have a pulse. - Let's go 300. 326 00:13:51,210 --> 00:13:52,732 All clear. 327 00:13:58,184 --> 00:14:00,485 Okay, I got her back. 328 00:14:00,519 --> 00:14:01,829 What the hell? 329 00:14:04,557 --> 00:14:06,955 She's too unstable for transport. 330 00:14:07,726 --> 00:14:10,762 Maybe you should do the ritual. 331 00:14:14,033 --> 00:14:16,267 Because Leo is on multiple medications, 332 00:14:16,302 --> 00:14:17,635 we must devise a regimented detox program. 333 00:14:17,670 --> 00:14:18,913 Mm-hmm. 334 00:14:18,947 --> 00:14:20,505 The stimulant should leave his system overnight, 335 00:14:20,539 --> 00:14:22,473 but the psychoactive medication 336 00:14:22,508 --> 00:14:24,430 will require gradual tapering. 337 00:14:25,144 --> 00:14:26,344 What, you don't agree? 338 00:14:26,378 --> 00:14:28,346 No, no, I do. I do. 339 00:14:28,380 --> 00:14:30,548 Just, um, for whatever it's worth, 340 00:14:30,583 --> 00:14:32,050 I think you would have made a really good dad. 341 00:14:32,084 --> 00:14:33,351 No, I wouldn't have. 342 00:14:33,385 --> 00:14:35,019 Why do you say these crazy things? 343 00:14:35,054 --> 00:14:36,654 - A word, you two? - Let me ask you something. 344 00:14:36,689 --> 00:14:39,490 Don't you think Kapoor would have made, like, a totally rad dad? 345 00:14:39,525 --> 00:14:41,826 - Uh, Dr. Villarreal, this is... - Look at this dad face. 346 00:14:41,861 --> 00:14:44,239 This... hey! This is Dr. Kapoor, 347 00:14:44,274 --> 00:14:46,297 head of our neurology department, 348 00:14:46,332 --> 00:14:48,132 and this is Dr. Frome, head of our psych department. 349 00:14:48,167 --> 00:14:49,801 Gentlemen, this is Dr. Villarreal. 350 00:14:49,835 --> 00:14:52,704 She's the psychiatrist for all the public schools in Queens. 351 00:14:52,738 --> 00:14:54,572 Including Leo Chen's. 352 00:14:54,607 --> 00:14:56,541 His mother alerted me to the changes 353 00:14:56,575 --> 00:14:58,209 you're making to his treatment. 354 00:14:58,244 --> 00:15:00,678 Yes, we were just discussing his detox schedule. 355 00:15:00,713 --> 00:15:02,547 Well, you should know that if Leo Chen 356 00:15:02,581 --> 00:15:04,415 stops taking his medication, 357 00:15:04,450 --> 00:15:07,252 he'll no longer be admitted back into his school 358 00:15:07,286 --> 00:15:09,854 or, for that matter, any New York public school. 359 00:15:09,889 --> 00:15:12,757 I'm sorry, how can you force a child to take medication? 360 00:15:12,791 --> 00:15:14,626 Easy, it's the law. 361 00:15:16,729 --> 00:15:18,696 Prohibition on Mandatory Medication Amendment. 362 00:15:18,731 --> 00:15:20,565 It passed in 2004. 363 00:15:20,599 --> 00:15:21,943 It is illegal for public schools 364 00:15:21,977 --> 00:15:23,768 to force a student to take a controlled substance 365 00:15:23,802 --> 00:15:24,836 to attend class. 366 00:15:24,870 --> 00:15:26,271 Unless the mother signed 367 00:15:26,305 --> 00:15:27,739 an Individualized Education Plan 368 00:15:27,773 --> 00:15:29,207 agreeing to the medication. 369 00:15:29,241 --> 00:15:30,667 - She did? - It's right there. 370 00:15:30,702 --> 00:15:32,210 Not only are these medications 371 00:15:32,244 --> 00:15:33,544 causing Leo physical harm, but nobody has studied 372 00:15:33,579 --> 00:15:35,346 their long-term side effects, also. 373 00:15:35,381 --> 00:15:37,548 Well, the school board doesn't seem to agree with you. 374 00:15:37,583 --> 00:15:39,284 Max, I can get through to this kid, just not 375 00:15:39,318 --> 00:15:41,386 - with all the drugs in the way. - Okay, okay. 376 00:15:41,420 --> 00:15:43,121 You really feel that you can help this kid? 377 00:15:43,155 --> 00:15:44,756 - I do. - And you think you can 378 00:15:44,790 --> 00:15:47,525 - wean him off the drugs safely? - He does. 379 00:15:47,559 --> 00:15:49,394 - What? You gotta talk faster. - I do. 380 00:15:49,428 --> 00:15:51,529 Then present your evidence to a judge. 381 00:15:51,563 --> 00:15:54,184 If you believe this is the best thing for your patient, prove it. 382 00:15:54,218 --> 00:15:56,601 Take the New York public school system to court. 383 00:16:01,407 --> 00:16:03,141 This pacing wire should get her stable 384 00:16:03,175 --> 00:16:04,609 long enough to get her to the OR. 385 00:16:04,643 --> 00:16:06,778 Or you could do the ritual. 386 00:16:06,812 --> 00:16:09,280 If I believed in rituals, I would have become a shaman, 387 00:16:09,315 --> 00:16:10,787 not a surgeon. 388 00:16:11,417 --> 00:16:13,284 You're about to fix her heart valve. 389 00:16:13,319 --> 00:16:14,886 If I were you, I'd take all the help I could get. 390 00:16:14,920 --> 00:16:15,887 You know, 391 00:16:15,921 --> 00:16:17,388 if a patient feels like 392 00:16:17,423 --> 00:16:19,891 they've got to chant or knock on wood 393 00:16:19,925 --> 00:16:23,294 or get their prayer warrior to lay hands on them 394 00:16:23,329 --> 00:16:24,629 before I operate, then that means 395 00:16:24,663 --> 00:16:26,297 they don't trust me, you know? 396 00:16:26,332 --> 00:16:27,732 They don't have faith in my abilities. 397 00:16:31,337 --> 00:16:32,904 Normal paced rhythm with capture. 398 00:16:32,938 --> 00:16:35,873 See? Pacing wire is all the faith I need. 399 00:16:40,346 --> 00:16:42,919 O2 sats are falling! 400 00:16:42,959 --> 00:16:44,792 _ 401 00:16:44,817 --> 00:16:46,651 Jozette, I'm gonna sit you up so you can breathe. 402 00:16:50,356 --> 00:16:51,489 I hear rales. 403 00:16:51,523 --> 00:16:53,424 - Edema? - Backing up in her lungs 404 00:16:53,459 --> 00:16:55,159 because of that valve. 405 00:16:55,194 --> 00:16:57,595 - Here, toss me the furosemide. - I'm already on it. 406 00:17:00,299 --> 00:17:01,833 You know, that's gonna take a while to dry out her lungs. 407 00:17:01,867 --> 00:17:03,868 Well, I can't operate 408 00:17:03,902 --> 00:17:05,670 until I get this under control. 409 00:17:05,704 --> 00:17:07,205 So then maybe you do the ritual. 410 00:17:07,239 --> 00:17:08,653 Don't. 411 00:17:09,875 --> 00:17:11,642 Don't even say it. 412 00:17:14,246 --> 00:17:15,680 Okay, look, uh, 413 00:17:15,714 --> 00:17:17,482 the ritual isn't even about you 414 00:17:17,516 --> 00:17:19,717 or what you believe or your abilities. 415 00:17:19,752 --> 00:17:20,852 It's about her. 416 00:17:20,886 --> 00:17:22,887 It's about what she believes, what she needs. 417 00:17:22,921 --> 00:17:24,043 I mean... 418 00:17:24,150 --> 00:17:26,217 why can't you just give her that? 419 00:17:29,561 --> 00:17:30,728 So, Millie, 420 00:17:30,763 --> 00:17:31,863 I've read your file. 421 00:17:31,897 --> 00:17:33,831 Not so good, huh? 422 00:17:33,866 --> 00:17:36,367 Well, your chemotherapy hasn't been as effective 423 00:17:36,402 --> 00:17:37,999 as everyone hoped. 424 00:17:38,704 --> 00:17:41,472 Starting tomorrow, I'd like to put you on a different regimen. 425 00:17:45,244 --> 00:17:46,878 I wish I could offer better news. 426 00:17:46,912 --> 00:17:48,980 No. 427 00:17:49,014 --> 00:17:50,678 It's okay. 428 00:17:51,417 --> 00:17:54,432 Well, at least I got to meet you. 429 00:17:55,254 --> 00:17:56,487 Sorry? 430 00:17:56,522 --> 00:17:57,889 I've seen you on TV. 431 00:17:57,923 --> 00:17:59,390 Oh. 432 00:17:59,425 --> 00:18:02,226 If I had known I was gonna meet the real Dr. Helen today, 433 00:18:02,261 --> 00:18:04,028 I would have done my nails. 434 00:18:04,063 --> 00:18:06,277 Your nails look fine, Millie. 435 00:18:09,768 --> 00:18:11,282 No. 436 00:18:12,571 --> 00:18:14,744 None of me looks fine. 437 00:18:16,041 --> 00:18:19,749 I look like a cue ball. 438 00:18:20,612 --> 00:18:24,879 Like a little, shrunken, nubby-nailed cue ball. 439 00:18:25,717 --> 00:18:27,552 Hell, I tried to wear a wig. 440 00:18:27,586 --> 00:18:29,620 It just kept falling off. 441 00:18:29,655 --> 00:18:31,289 That was... 442 00:18:31,323 --> 00:18:33,424 embarrassing. 443 00:18:33,459 --> 00:18:35,893 Even my kids made fun of me... which I let them, 444 00:18:35,928 --> 00:18:37,862 because it blows off steam, and... 445 00:18:37,896 --> 00:18:40,064 I figured if... 446 00:18:40,099 --> 00:18:41,599 they were laughing, 447 00:18:41,633 --> 00:18:43,301 they wouldn't be thinking about me 448 00:18:43,335 --> 00:18:44,969 keeling over dead. 449 00:18:45,003 --> 00:18:46,377 I just wish 450 00:18:46,411 --> 00:18:48,806 everything didn't make me nauseous. 451 00:18:48,841 --> 00:18:51,642 Food makes me nauseous. 452 00:18:51,677 --> 00:18:54,979 At first, I thought, "Well, I just won't eat anything, 453 00:18:55,013 --> 00:18:57,915 so what could I throw up?" 454 00:18:57,950 --> 00:18:59,584 - I was wrong. - I'm sorry. 455 00:18:59,618 --> 00:19:01,586 Will you ex-excuse me? I need a moment. 456 00:19:09,995 --> 00:19:11,462 You okay, Dr. Helen? 457 00:19:11,497 --> 00:19:12,897 Yep, I just need, um... 458 00:19:12,931 --> 00:19:14,866 I just need my diary. 459 00:19:26,033 --> 00:19:28,192 Please tell me you're joking. 460 00:19:29,753 --> 00:19:31,393 Green Jell-O? 461 00:19:31,427 --> 00:19:33,700 Well, yeah, but... we make the food this bad on purpose 462 00:19:33,701 --> 00:19:35,602 so that nobody wants to stay. 463 00:19:35,636 --> 00:19:37,337 - Well, it's working. - Yeah. 464 00:19:37,371 --> 00:19:40,206 Tell you what. I have an apple. 465 00:19:41,875 --> 00:19:43,710 - What about you? - I'll be all right. 466 00:19:43,744 --> 00:19:45,445 How are you? 467 00:19:45,479 --> 00:19:46,846 Don't you have more important patients to see? 468 00:19:46,880 --> 00:19:49,682 - Nope. - Max. Go. 469 00:19:51,385 --> 00:19:54,621 Look, I just wanted to tell you that I'm not the same... 470 00:19:54,655 --> 00:19:57,724 as that last job. I can be here... 471 00:19:57,758 --> 00:19:59,425 for you, with you. 472 00:19:59,460 --> 00:20:01,527 Max. 473 00:20:01,562 --> 00:20:03,696 It's not just... 474 00:20:03,731 --> 00:20:06,532 Look, even when you were there, you weren't. 475 00:20:08,002 --> 00:20:09,369 I, um... 476 00:20:10,904 --> 00:20:12,093 Sorry, I have to... 477 00:20:12,127 --> 00:20:13,366 Go. 478 00:20:14,975 --> 00:20:16,657 But when you come back, 479 00:20:17,344 --> 00:20:19,612 let me in. 480 00:20:22,416 --> 00:20:23,616 Promise. 481 00:20:23,651 --> 00:20:24,984 Thank you for doing this. 482 00:20:25,019 --> 00:20:26,419 I had no idea this was even possible. 483 00:20:26,453 --> 00:20:27,887 Yeah, yeah. You know what? 484 00:20:27,921 --> 00:20:29,389 New Amsterdam was actually the first hospital 485 00:20:29,423 --> 00:20:31,257 to put a courtroom in the building 486 00:20:31,292 --> 00:20:34,260 so we could, um, advocate for our patients in real time, 487 00:20:34,295 --> 00:20:35,762 which is pretty neat. 488 00:20:35,796 --> 00:20:37,330 Leo, come on through here. 489 00:20:37,364 --> 00:20:39,499 You know, in the, uh, 1940s, 490 00:20:39,533 --> 00:20:41,668 uh, New York was having a bit of a mental health moment, 491 00:20:41,702 --> 00:20:43,403 if you will, and, um, 492 00:20:43,437 --> 00:20:45,305 this psych department was completely overworked 493 00:20:45,339 --> 00:20:46,973 and underfunded and... 494 00:20:47,007 --> 00:20:48,941 uh, exactly like it is today, 495 00:20:48,976 --> 00:20:50,009 come to think of it. 496 00:20:50,044 --> 00:20:51,010 Dr Frome! 497 00:20:51,045 --> 00:20:52,245 Oh, right, sorry. 498 00:20:52,279 --> 00:20:53,813 Time to shut up now. 499 00:20:53,847 --> 00:20:56,616 Mr. Bishop, as Dr. Frome already knows, 500 00:20:56,650 --> 00:20:58,985 I like to keep my court informal, 501 00:20:59,019 --> 00:21:00,653 so we're just going to jump in 502 00:21:00,688 --> 00:21:01,954 unless you have any objections. 503 00:21:01,989 --> 00:21:03,489 None, Your Honor. 504 00:21:03,524 --> 00:21:05,825 Dr. Kapoor, we'll start with you. 505 00:21:05,859 --> 00:21:07,427 I've read the file. 506 00:21:07,461 --> 00:21:08,928 You have a course of treatment 507 00:21:08,962 --> 00:21:10,363 you want me to rule on. 508 00:21:10,397 --> 00:21:13,566 I get that. Tell me why all this is necessary. 509 00:21:14,968 --> 00:21:16,801 Good morning, Your Honor. 510 00:21:17,471 --> 00:21:19,339 Leo Chen is only ten years old, 511 00:21:19,373 --> 00:21:20,973 and he's on four different medications, 512 00:21:21,008 --> 00:21:22,942 many with very damaging side effects. 513 00:21:22,976 --> 00:21:24,877 But none of the medications are actually 514 00:21:24,912 --> 00:21:26,779 treating his root problem. 515 00:21:26,814 --> 00:21:27,880 Which is what? 516 00:21:27,915 --> 00:21:29,549 Uh, we don't know. 517 00:21:29,583 --> 00:21:31,023 I mean... 518 00:21:31,985 --> 00:21:33,519 we won't until Dr. Frome 519 00:21:33,554 --> 00:21:35,555 can provide the therapy Leo needs. 520 00:21:35,589 --> 00:21:37,957 And you don't think that's possible while he's medicated? 521 00:21:37,991 --> 00:21:39,659 Overmedicated. 522 00:21:39,693 --> 00:21:41,794 I don't envy Dr. Villarreal's position. 523 00:21:41,829 --> 00:21:44,364 She's responsible for the mental health 524 00:21:44,398 --> 00:21:46,733 of more than 3,000 students. 525 00:21:46,767 --> 00:21:48,501 Prescribing medication is faster 526 00:21:48,535 --> 00:21:49,969 than painstakingly evaluating 527 00:21:50,003 --> 00:21:52,972 each individual student's needs. 528 00:21:53,006 --> 00:21:55,842 - That's quite an indictment. - It's not meant to be. 529 00:21:55,876 --> 00:21:58,411 It's simply the reality of the situation. 530 00:21:58,445 --> 00:22:00,580 There are too many children in the public school system 531 00:22:00,614 --> 00:22:02,482 in need of psychological help 532 00:22:02,516 --> 00:22:04,884 and not enough mental health professionals to help them. 533 00:22:04,918 --> 00:22:07,768 But you think you and Dr. Frome can. 534 00:22:09,022 --> 00:22:10,823 Yes. 535 00:22:10,858 --> 00:22:12,592 In a way that won't further endanger 536 00:22:12,626 --> 00:22:14,400 Leo's physical health. 537 00:22:15,028 --> 00:22:16,427 We shouldn't have to choose between 538 00:22:16,461 --> 00:22:18,831 the physical and mental well-being of our children. 539 00:22:22,536 --> 00:22:24,036 Thank you. 540 00:23:39,680 --> 00:23:40,847 All right. 541 00:23:40,881 --> 00:23:42,404 Let's get her to the OR. 542 00:23:51,792 --> 00:23:53,993 Let's go slow. 543 00:24:11,712 --> 00:24:12,979 The ritual worked. 544 00:24:13,013 --> 00:24:14,814 Just don't tell Bloom. 545 00:24:21,855 --> 00:24:23,155 Hey, how's it going? 546 00:24:23,190 --> 00:24:24,690 Oh, my gosh, so good. 547 00:24:24,725 --> 00:24:25,958 Kapoor nailed it, man. 548 00:24:25,993 --> 00:24:27,727 He was like a slow, bald ninja out there. 549 00:24:27,761 --> 00:24:28,794 Nice. 550 00:24:28,829 --> 00:24:30,029 Ready, Your Honor. 551 00:24:30,063 --> 00:24:32,965 Okay, let's start with... 552 00:24:33,000 --> 00:24:34,800 the treatment plan 553 00:24:34,835 --> 00:24:37,203 Dr. Kapoor lays out in Leo's file 554 00:24:37,237 --> 00:24:39,805 seems very reasonable. What's wrong with it? 555 00:24:39,840 --> 00:24:42,642 I'm sure it sounds reasonable, Your Honor, on paper. 556 00:24:42,676 --> 00:24:43,910 But I'm sorry, 557 00:24:43,944 --> 00:24:46,178 if Leo Chen is taken off his medications, 558 00:24:46,213 --> 00:24:48,648 he poses a significant threat 559 00:24:48,682 --> 00:24:50,182 to the rest of the student population. 560 00:24:50,217 --> 00:24:51,651 That's an exaggeration. 561 00:24:51,685 --> 00:24:53,152 If I may, Your Honor, 562 00:24:53,186 --> 00:24:54,820 this is video footage of an incident 563 00:24:54,855 --> 00:24:56,822 at school prior to Dr. Villarreal 564 00:24:56,857 --> 00:24:59,659 prescribing the medications in question. 565 00:25:31,925 --> 00:25:34,627 You're right about one thing, Dr. Kapoor. 566 00:25:34,661 --> 00:25:37,964 I am responsible for over 3,000 children, 567 00:25:37,998 --> 00:25:39,599 and I have to protect 568 00:25:39,633 --> 00:25:42,735 the physical well-being of them all. 569 00:25:53,733 --> 00:25:55,399 Hey. 570 00:25:55,434 --> 00:25:56,734 They told me there was a fight. 571 00:25:56,768 --> 00:25:58,436 But I have 572 00:25:58,470 --> 00:26:01,372 never seen that video before, 573 00:26:01,406 --> 00:26:02,873 and I just... I don't... 574 00:26:02,908 --> 00:26:04,742 I know. It's okay. 575 00:26:04,776 --> 00:26:06,107 I know this looks bad. 576 00:26:06,142 --> 00:26:08,350 I'm not sure "bad" is the right word to describe it. 577 00:26:08,384 --> 00:26:10,247 But what we saw on that tape 578 00:26:10,282 --> 00:26:11,615 was rage. 579 00:26:11,650 --> 00:26:13,617 Okay, and there's usually a reason for rage. 580 00:26:13,652 --> 00:26:15,720 It's, uh... it's situational. It's not chemical. 581 00:26:15,754 --> 00:26:17,260 How will you prove that? 582 00:26:17,261 --> 00:26:18,560 Well... 583 00:26:19,695 --> 00:26:21,663 just give me a second, okay? 584 00:26:21,697 --> 00:26:23,465 I'll be right back. 585 00:26:26,135 --> 00:26:27,502 So listen, Leo. 586 00:26:27,537 --> 00:26:29,371 Do you think maybe you could tell the judge 587 00:26:29,405 --> 00:26:31,540 what you felt that day? 588 00:26:31,574 --> 00:26:34,384 You know what I mean? You can tell her why you did what you did... 589 00:26:35,211 --> 00:26:36,478 in your own words. 590 00:26:44,487 --> 00:26:45,554 Okay. 591 00:26:45,588 --> 00:26:47,189 He can't. 592 00:26:47,223 --> 00:26:49,090 Not on all these meds. There's no way. 593 00:26:49,125 --> 00:26:50,625 There's just... there's no way. 594 00:26:50,660 --> 00:26:52,594 There may be one. 595 00:26:54,964 --> 00:26:57,299 "Thank whatever gods may be 596 00:26:57,333 --> 00:26:59,701 "for my unconquerable soul. 597 00:26:59,735 --> 00:27:02,971 "In the fell clutch of circumstance... 598 00:27:03,005 --> 00:27:05,307 I have not winced, nor cried aloud." 599 00:27:05,341 --> 00:27:07,475 I heard you did the ritual. 600 00:27:07,510 --> 00:27:09,377 I'm glad it helped. 601 00:27:11,314 --> 00:27:12,948 I'm pretty sure it was the Levophed, 602 00:27:12,982 --> 00:27:16,218 the pacing wire, and the furosemide that helped. 603 00:27:16,252 --> 00:27:18,503 How many times did you, uh, scrub each finger? 604 00:27:18,537 --> 00:27:21,289 - What? - How many times? 605 00:27:21,324 --> 00:27:23,158 - Ten. - Hmm. 606 00:27:23,192 --> 00:27:26,294 Why not 9 or, uh, 11? 607 00:27:26,329 --> 00:27:27,295 Superstition? 608 00:27:27,330 --> 00:27:28,589 Routine. 609 00:27:29,498 --> 00:27:32,050 What was that thing you were reciting earlier? 610 00:27:32,535 --> 00:27:34,102 "Invictus." 611 00:27:34,136 --> 00:27:36,304 Oh. Do you always recite "Invictus" 612 00:27:36,339 --> 00:27:37,890 while scrubbing in? 613 00:27:38,507 --> 00:27:40,308 I do. 614 00:27:40,343 --> 00:27:41,776 Kinda like a prayer. 615 00:27:41,811 --> 00:27:43,645 Mm. Habit. 616 00:27:43,679 --> 00:27:45,447 Ritual. 617 00:27:48,484 --> 00:27:50,252 Loosen up, Dr. Reynolds. 618 00:27:50,286 --> 00:27:52,738 Not everything's gonna go according to your plan. 619 00:28:00,730 --> 00:28:03,632 Or everyone. 620 00:28:09,538 --> 00:28:11,042 Wanna tell me what's going on? 621 00:28:11,076 --> 00:28:12,641 Rapid detox dialysis. 622 00:28:12,675 --> 00:28:13,775 I heard that. I can see that. 623 00:28:13,809 --> 00:28:15,143 And then I thought, 624 00:28:15,177 --> 00:28:16,344 "Surely they can't be crazy enough 625 00:28:16,379 --> 00:28:17,545 "to do something like that 626 00:28:17,580 --> 00:28:19,314 in the middle of court proceedings." 627 00:28:19,348 --> 00:28:20,715 It's the fastest way to get psychotropic drugs 628 00:28:20,750 --> 00:28:22,117 out of Leo's system. 629 00:28:22,151 --> 00:28:23,451 Right, but if we lose this case, 630 00:28:23,486 --> 00:28:25,387 they are not gonna let Leo back into school. 631 00:28:25,421 --> 00:28:26,966 You told us to put the patient first. 632 00:28:26,967 --> 00:28:28,401 That's what we are doing. Off these medications, 633 00:28:28,436 --> 00:28:29,969 Iggy will be able to work with him. 634 00:28:30,004 --> 00:28:31,971 Yeah, if he can't, do you have any idea 635 00:28:32,006 --> 00:28:35,275 the kind of liability you are opening this hospital up to? 636 00:28:35,309 --> 00:28:36,618 Oh, I see. 637 00:28:36,653 --> 00:28:37,977 What? 638 00:28:38,012 --> 00:28:39,512 It's about now the new medical director 639 00:28:39,547 --> 00:28:41,981 gets his first visit from the dean of medicine. 640 00:28:42,016 --> 00:28:43,583 Or did the dean already come? 641 00:28:43,617 --> 00:28:46,152 There you are. They need you in Hematology, 642 00:28:46,187 --> 00:28:47,954 and you owe Dr. Sharpe a call. 643 00:28:47,988 --> 00:28:49,489 So patient first or job first? 644 00:28:55,029 --> 00:28:56,896 I think we broke him. 645 00:29:09,243 --> 00:29:10,643 If you're looking for a hideout, 646 00:29:10,678 --> 00:29:12,312 this one's taken. 647 00:29:14,515 --> 00:29:16,483 Who are you running from? 648 00:29:16,517 --> 00:29:18,156 Patients. 649 00:29:19,386 --> 00:29:21,221 You? 650 00:29:21,255 --> 00:29:23,089 Doctors. 651 00:29:26,227 --> 00:29:28,128 One in particular. 652 00:29:32,533 --> 00:29:34,467 I shouldn't be here. 653 00:29:34,502 --> 00:29:36,383 Well, that makes two of us. 654 00:29:37,338 --> 00:29:40,640 I really didn't expect to care 655 00:29:40,674 --> 00:29:42,222 this much. 656 00:29:43,640 --> 00:29:45,945 That's exactly why you should be here. 657 00:29:50,184 --> 00:29:51,857 What about you? 658 00:29:52,686 --> 00:29:54,693 I made a promise... 659 00:29:56,457 --> 00:29:58,280 to my wife... 660 00:29:59,026 --> 00:30:00,627 that I would slow down. 661 00:30:02,296 --> 00:30:04,397 Before this, I ran a clinic in Chinatown, 662 00:30:04,431 --> 00:30:05,532 and it almost broke us. 663 00:30:05,566 --> 00:30:07,122 I mean, Georgia... 664 00:30:08,969 --> 00:30:11,585 Georgia couldn't go through that again. 665 00:30:12,273 --> 00:30:14,707 And I promised that... 666 00:30:14,742 --> 00:30:17,090 she wouldn't have to. 667 00:30:18,078 --> 00:30:21,648 I promised her that I would be there... 668 00:30:23,717 --> 00:30:26,052 So we could start a family. 669 00:30:28,122 --> 00:30:32,091 So I asked Georgia if she would slow down with me, 670 00:30:32,126 --> 00:30:33,359 to stop dancing, 671 00:30:33,394 --> 00:30:36,029 a career that she loved, 672 00:30:36,063 --> 00:30:39,666 that she's really, really good at. 673 00:30:41,769 --> 00:30:43,575 She did... 674 00:30:44,605 --> 00:30:46,244 for me... 675 00:30:47,641 --> 00:30:50,009 to be a mom, you know. 676 00:30:52,646 --> 00:30:54,647 So we got pregnant, and then 677 00:30:54,682 --> 00:30:56,421 I got the call 678 00:30:57,084 --> 00:30:59,174 about New Amsterdam. 679 00:31:01,021 --> 00:31:04,324 If Chinatown was K2, then New Amsterdam was... 680 00:31:04,358 --> 00:31:05,931 Everest. 681 00:31:08,262 --> 00:31:10,644 And who can resist climbing Everest? 682 00:31:11,532 --> 00:31:13,333 Lots of people. 683 00:31:13,367 --> 00:31:15,315 I wish I were one of them. 684 00:31:16,437 --> 00:31:20,006 But I said yes... 685 00:31:20,040 --> 00:31:22,475 without telling Georgia. 686 00:31:24,178 --> 00:31:25,867 She didn't like that. 687 00:31:27,681 --> 00:31:29,246 You betrayed her. 688 00:31:30,351 --> 00:31:33,486 But that doesn't mean that you don't belong here. 689 00:31:33,520 --> 00:31:36,795 I mean, the changes you've made are gonna help thousands of people. 690 00:31:38,025 --> 00:31:40,006 What about the one I married? 691 00:31:41,695 --> 00:31:43,329 Oh, Max. 692 00:31:43,364 --> 00:31:46,232 You haven't told her that you have cancer, have you? 693 00:31:48,068 --> 00:31:50,436 What are you waiting for? 694 00:31:50,471 --> 00:31:52,519 To not have cancer? 695 00:31:53,207 --> 00:31:56,276 You can't carry this load by yourself... 696 00:31:56,310 --> 00:31:58,611 not as a medical director, not as a patient, 697 00:31:58,646 --> 00:32:01,547 certainly not as a husband or father. 698 00:32:01,582 --> 00:32:04,183 You've been telling everyone, "Put the patient first," 699 00:32:04,218 --> 00:32:06,719 so why don't you take your own advice? 700 00:32:06,754 --> 00:32:09,389 Consider this your first appointment. 701 00:32:09,423 --> 00:32:10,723 And your first order of business 702 00:32:10,758 --> 00:32:13,874 is to tell your wife that you have cancer. 703 00:32:23,013 --> 00:32:24,586 Hey, John, how am I doing on my suction? 704 00:32:24,587 --> 00:32:25,661 ? 705 00:32:25,686 --> 00:32:26,781 - Good. - Okay. 706 00:32:26,816 --> 00:32:29,150 Okay, can you give me a 2-0 polyester on a stick? 707 00:32:32,021 --> 00:32:33,922 All right. 708 00:32:36,193 --> 00:32:37,685 There we go. 709 00:32:37,720 --> 00:32:38,960 Snip. 710 00:32:39,559 --> 00:32:40,893 That should hold nicely. 711 00:32:40,927 --> 00:32:42,261 That's the goal. 712 00:32:42,295 --> 00:32:43,863 Okay, go ahead and restore blood flow 713 00:32:43,897 --> 00:32:46,766 from the bypass machine through the heart. 714 00:32:46,800 --> 00:32:48,601 Unclamping the aorta... 715 00:32:49,075 --> 00:32:50,770 now. 716 00:32:53,121 --> 00:32:55,074 Hmm. 717 00:32:55,108 --> 00:32:56,375 Sutures holding. 718 00:32:56,410 --> 00:32:57,777 Blood flow should... 719 00:32:57,811 --> 00:32:59,879 stimulate the heart to start beating on its own. 720 00:32:59,913 --> 00:33:02,948 I'm not seeing anything on monitors. 721 00:33:02,983 --> 00:33:05,342 Okay, let's give it a little help. 722 00:33:07,761 --> 00:33:09,522 Okay, here we go. Charge to 20. 723 00:33:10,657 --> 00:33:12,949 Clear. 724 00:33:14,184 --> 00:33:15,795 No visible beat. 725 00:33:15,829 --> 00:33:17,687 Let's do it again. 726 00:33:18,532 --> 00:33:19,965 Clear. 727 00:33:23,003 --> 00:33:24,303 Still no heartbeat. 728 00:33:24,337 --> 00:33:25,805 Gonna need something stronger. 729 00:33:25,839 --> 00:33:27,573 Intracardiac high-dose EPI. 730 00:33:27,607 --> 00:33:28,974 Give me 10 mls and a syringe. 731 00:33:29,009 --> 00:33:31,010 - Dr. Reynolds. - I need it now, people. 732 00:33:37,851 --> 00:33:40,794 Leo, can you tell Judge Hayashi what you told me? 733 00:33:42,847 --> 00:33:44,214 It's okay. 734 00:33:44,239 --> 00:33:46,091 She's a friend. 735 00:33:46,446 --> 00:33:48,313 It was my fault. 736 00:33:51,077 --> 00:33:53,311 What was your fault, Leo? 737 00:33:55,221 --> 00:33:57,222 My dad died. 738 00:33:59,886 --> 00:34:01,286 My fault. 739 00:34:02,909 --> 00:34:05,026 Can you tell us the rest? 740 00:34:06,012 --> 00:34:08,113 We were going to Sheep's Meadow... 741 00:34:08,148 --> 00:34:10,031 in the park. 742 00:34:10,884 --> 00:34:13,201 That's where we went to build LEGOs. 743 00:34:14,554 --> 00:34:16,522 Then what happened? 744 00:34:16,556 --> 00:34:18,081 Forgot them... 745 00:34:18,692 --> 00:34:20,458 the LEGOs. 746 00:34:22,849 --> 00:34:25,383 So my dad went back to get them. 747 00:34:27,591 --> 00:34:29,635 And he didn't come back. 748 00:34:33,707 --> 00:34:36,842 And you live on a fifth-floor walk-up, right? 749 00:34:37,517 --> 00:34:40,713 Yeah, sometimes it was hard for his dad to walk all those stairs. 750 00:34:40,747 --> 00:34:42,715 He had asthma and a... 751 00:34:42,749 --> 00:34:43,983 heart condition. 752 00:34:44,017 --> 00:34:46,652 And that day when he reached the top, 753 00:34:47,068 --> 00:34:48,554 he had a heart attack. 754 00:34:48,901 --> 00:34:50,802 And Leo found him. 755 00:34:54,576 --> 00:34:56,428 And the video? 756 00:34:56,463 --> 00:34:59,532 Can you tell me what happened? 757 00:35:00,040 --> 00:35:01,708 Ryder... 758 00:35:02,569 --> 00:35:04,103 he always said I should be dead 759 00:35:04,137 --> 00:35:06,004 like my dad. 760 00:35:06,873 --> 00:35:08,674 That day, 761 00:35:08,708 --> 00:35:10,709 I finally... 762 00:35:10,744 --> 00:35:12,745 I had to make it stop. 763 00:35:19,119 --> 00:35:21,854 What are you proposing, Dr. Frome? 764 00:35:21,888 --> 00:35:23,055 Well... 765 00:35:23,089 --> 00:35:24,723 Leo needs to be able to process 766 00:35:24,758 --> 00:35:26,792 all this displaced guilt. 767 00:35:26,826 --> 00:35:28,093 And he can't do that when he's buried 768 00:35:28,128 --> 00:35:30,062 in a drug-induced haze. 769 00:35:30,096 --> 00:35:32,431 He needs to be able to feel. 770 00:35:32,465 --> 00:35:33,933 He needs to be able to talk to somebody. 771 00:35:35,669 --> 00:35:38,037 Let him talk to me. 772 00:35:38,071 --> 00:35:40,105 Let me help him. 773 00:35:45,245 --> 00:35:46,812 - Charged to 20. - Clear. 774 00:35:49,115 --> 00:35:50,883 - All right, paddles in place. - How long do we keep this up? 775 00:35:50,917 --> 00:35:53,919 Paddles in place! Nurse, loupes! 776 00:35:53,954 --> 00:35:55,788 - Charged to 20. - Clear! 777 00:35:59,025 --> 00:36:00,192 Still nothing. 778 00:36:01,828 --> 00:36:03,520 Dr. Reynolds. 779 00:36:04,497 --> 00:36:06,632 Do we call it? 780 00:36:16,009 --> 00:36:17,810 What are you doing? 781 00:36:17,844 --> 00:36:20,245 Trying cardiac massage. 782 00:36:21,047 --> 00:36:22,081 That's not going to work. 783 00:36:22,115 --> 00:36:24,124 All I need is one beat. 784 00:36:24,718 --> 00:36:25,818 Just one. 785 00:36:25,852 --> 00:36:27,252 Come on. 786 00:36:29,022 --> 00:36:30,990 Dr. Reynolds. 787 00:36:31,024 --> 00:36:32,091 Dr. Reynolds. 788 00:36:32,125 --> 00:36:34,526 Hold on, no. 789 00:36:34,561 --> 00:36:36,553 I think I feel something. 790 00:36:37,197 --> 00:36:39,164 I feel something. 791 00:36:39,199 --> 00:36:41,600 Are you sure? 792 00:36:50,176 --> 00:36:51,810 She's back. 793 00:36:54,881 --> 00:36:56,849 You did it. 794 00:37:14,768 --> 00:37:16,769 So... 795 00:37:20,940 --> 00:37:23,142 The Gad Ko worked. 796 00:39:11,684 --> 00:39:13,852 Please leave your message. 797 00:39:13,887 --> 00:39:15,454 _ 798 00:39:18,141 --> 00:39:20,141 _ 799 00:39:24,964 --> 00:39:27,682 I know it's been a long time. 800 00:39:28,835 --> 00:39:30,852 Too long. 801 00:39:32,445 --> 00:39:34,680 Please call back. 802 00:39:38,411 --> 00:39:40,412 I'm here. 803 00:39:42,415 --> 00:39:46,018 _ 804 00:40:08,783 --> 00:40:11,143 - Max. - Hi. 805 00:40:11,177 --> 00:40:13,011 How is she? 806 00:40:13,046 --> 00:40:15,247 Better, but I'm still concerned. 807 00:40:15,281 --> 00:40:18,750 She needs to be on bed rest until she stops spotting. 808 00:40:18,785 --> 00:40:20,352 Okay. 809 00:40:20,386 --> 00:40:23,856 She can't be put under any stress... 810 00:40:23,890 --> 00:40:25,357 physical or emotional. 811 00:40:25,391 --> 00:40:28,493 It could hurt her and the baby. 812 00:40:28,528 --> 00:40:30,536 Understand? 813 00:40:31,431 --> 00:40:33,232 Yeah. 814 00:40:54,487 --> 00:40:55,954 Hey. 815 00:40:59,459 --> 00:41:00,943 What's wrong? 816 00:41:12,238 --> 00:41:14,163 I, um... 817 00:41:16,109 --> 00:41:18,810 I... 818 00:41:18,845 --> 00:41:20,212 Hey. 819 00:41:20,246 --> 00:41:21,980 Remember? 820 00:41:22,015 --> 00:41:24,383 You promised... 821 00:41:24,417 --> 00:41:26,885 to let me in. 822 00:41:33,092 --> 00:41:37,129 Just tell me one thing. 823 00:41:37,163 --> 00:41:40,933 Just one true thing. 824 00:41:47,507 --> 00:41:50,409 I love you.