1 00:00:22,388 --> 00:00:24,955 It might sound extreme, but I'm pretty sure I'm in love. 2 00:00:24,955 --> 00:00:26,740 I thought you had three more nannies to interview. 3 00:00:26,740 --> 00:00:28,785 I do, but Joelle walked through the door, 4 00:00:28,785 --> 00:00:30,526 and Steve immediately stopped fussing. 5 00:00:30,526 --> 00:00:32,572 She held him the whole time. 6 00:00:32,572 --> 00:00:35,401 - Plus, she speaks Spanish. - Bilingual bonus. 7 00:00:35,401 --> 00:00:38,360 Right? And it will be so much easier to go back to work 8 00:00:38,360 --> 00:00:41,189 if I know Steve is happy without me. 9 00:00:41,189 --> 00:00:43,452 But Shaun has reservations. 10 00:00:43,452 --> 00:00:45,237 There's a whole process involving 11 00:00:45,237 --> 00:00:47,195 spreadsheets, ranked voting. 12 00:00:47,195 --> 00:00:49,632 Screw that. Good nannies are hard to find. 13 00:00:49,632 --> 00:00:51,852 You gotta pounce now. 14 00:00:51,852 --> 00:00:54,289 I can't just make that decision without Shaun. 15 00:00:56,291 --> 00:00:58,728 Your body is no longer tolerating the dialysis, 16 00:00:58,728 --> 00:01:01,122 and it is putting you at high risk for stroke or cardiac damage. 17 00:01:01,122 --> 00:01:04,952 We need to start you on continuous renal replacement therapy. 18 00:01:04,952 --> 00:01:07,084 "Continuous" meaning...? 19 00:01:07,084 --> 00:01:08,825 Your mom has to stay here 20 00:01:08,825 --> 00:01:11,698 until she receives a kidney transplant. 21 00:01:11,698 --> 00:01:14,657 I want you home, not living in a hospital for years. 22 00:01:14,657 --> 00:01:16,398 It won't be years. 23 00:01:16,398 --> 00:01:19,096 CRRT is usually only effective for about one week. 24 00:01:19,532 --> 00:01:21,229 And then? 25 00:01:22,099 --> 00:01:23,971 Complications will set in, 26 00:01:23,971 --> 00:01:25,581 and without a transplant, she will-- 27 00:01:25,581 --> 00:01:28,758 W-We're going to find a kidney. 28 00:01:28,758 --> 00:01:31,108 The last two donors weren't compatible. 29 00:01:31,108 --> 00:01:34,024 Suki. Let's try to stay positive. 30 00:01:34,024 --> 00:01:36,070 How? The video I posted last night 31 00:01:36,070 --> 00:01:38,986 asking for donors only has a few hundred views. 32 00:01:38,986 --> 00:01:41,206 I don't have enough followers. 33 00:01:41,206 --> 00:01:42,903 Come here, baby. 34 00:01:48,648 --> 00:01:51,564 You have such a good heart. 35 00:01:55,698 --> 00:01:58,919 We will place a catheter in your right jugular vein 36 00:01:58,919 --> 00:02:00,703 and start CRRT. 37 00:02:05,839 --> 00:02:08,058 Looking forward to my internal medicine rotation 38 00:02:08,058 --> 00:02:09,625 with you, Dr. Reznick. I really-- 39 00:02:09,625 --> 00:02:11,453 Each of the urine samples needs a dip test. 40 00:02:11,453 --> 00:02:13,368 Each of the stool samples in the poop fridge 41 00:02:13,368 --> 00:02:14,848 needs a fecal occult blood test. 42 00:02:14,848 --> 00:02:16,284 Okay. I don't know how to-- 43 00:02:16,284 --> 00:02:19,809 Dip the pee. Dab the poo. Send to the lab. 44 00:02:19,809 --> 00:02:21,594 It's not rocket science, MacGyver. 45 00:02:21,594 --> 00:02:25,119 But first, that little blond girl, Zelda, needs her TDAP vaccine. 46 00:02:25,119 --> 00:02:27,252 And be careful. She's a biter. 47 00:02:30,080 --> 00:02:32,953 - Excuse me. - Hey. 48 00:02:32,953 --> 00:02:35,390 I saw a video post about a patient here. 49 00:02:35,390 --> 00:02:37,305 Where do I go to donate my kidney? 50 00:02:55,628 --> 00:02:58,283 I was supposed to raise my legs and slide on my butt. 51 00:02:58,283 --> 00:02:59,980 Did you hear any cracking sounds? 52 00:02:59,980 --> 00:03:02,461 No. I didn't realize my leg was hurt until we were driving home 53 00:03:02,461 --> 00:03:04,376 and the adrenaline wore off. 54 00:03:04,376 --> 00:03:06,421 Did that say 1.6 million views? 55 00:03:06,421 --> 00:03:08,380 Turns out that when your tech-savvy daughter helps you 56 00:03:08,380 --> 00:03:11,252 with your bucket list, you end up an influencer. 57 00:03:11,252 --> 00:03:13,820 You've got a Grade 4 malignant spinal cord tumor. 58 00:03:13,820 --> 00:03:15,387 How long did they give you? 59 00:03:15,387 --> 00:03:18,694 About a year. 10 months ago. 60 00:03:18,694 --> 00:03:20,783 Which is why I took a break from college. 61 00:03:20,783 --> 00:03:22,089 Spend as much time with him as possible. 62 00:03:22,089 --> 00:03:23,438 Make videos. 63 00:03:23,438 --> 00:03:25,266 And memories. 64 00:03:25,266 --> 00:03:27,790 Let's get x-rays and a CT of the femur. 65 00:03:27,790 --> 00:03:30,315 Get you back on your feet as quick as possible. 66 00:03:30,315 --> 00:03:33,448 Okay, if you'll lie down, we'll get you down to radiology. 67 00:03:33,448 --> 00:03:35,145 Jerome, do you mind just unlocking that side? 68 00:03:36,756 --> 00:03:37,887 Sorry. I need to leave. 69 00:03:43,850 --> 00:03:46,896 Yes, hi. It's Aaron Glassman checking in on those images. 70 00:03:48,115 --> 00:03:49,203 Well, when... 71 00:03:49,203 --> 00:03:50,944 They were supposed to be ready today. 72 00:03:53,729 --> 00:03:57,994 Fine. Can you have them call me as soon asthey come in, please? 73 00:03:57,994 --> 00:03:59,126 Thank you. 74 00:04:03,870 --> 00:04:05,219 Hi. 75 00:04:05,959 --> 00:04:07,264 I'm Dr. Glassman. 76 00:04:08,396 --> 00:04:09,484 I can just tell you what's in there. 77 00:04:10,920 --> 00:04:13,793 World-stopping headaches. 78 00:04:13,793 --> 00:04:15,577 Over and over for the past three years. 79 00:04:15,577 --> 00:04:16,665 The only thing that helps is-- 80 00:04:16,665 --> 00:04:18,145 Oxycodone 20s. 81 00:04:18,580 --> 00:04:20,539 Yeah. 82 00:04:20,539 --> 00:04:22,367 And then, like a total klutz, this morning, 83 00:04:22,367 --> 00:04:27,110 I knocked my pill bottle off the sink, 84 00:04:27,110 --> 00:04:28,155 and they all fell into the toilet. 85 00:04:28,155 --> 00:04:29,243 Uh-huh. 86 00:04:31,506 --> 00:04:34,291 Your prescribing doctor is unreachable, 87 00:04:34,291 --> 00:04:36,076 and it says here you're drug-seeking. 88 00:04:37,904 --> 00:04:40,341 After three years of oxy and a revolving door of doctors, 89 00:04:40,341 --> 00:04:42,691 - that doesn't surprise me. - Forget it. 90 00:04:42,691 --> 00:04:44,824 I'll find another doctor. 91 00:04:47,348 --> 00:04:49,045 Like I said, total klutz. 92 00:04:49,045 --> 00:04:50,133 Hang on, hang on. 93 00:04:51,613 --> 00:04:53,528 - Sit. - I don't have to listen to you. 94 00:04:54,573 --> 00:04:58,272 I know. You don't. Please. Sit. 95 00:05:05,322 --> 00:05:08,500 Follow my finger. Look to your left. 96 00:05:08,500 --> 00:05:10,545 All the way to the right. 97 00:05:10,545 --> 00:05:12,591 You have a twitch in your eye. Did you know that? 98 00:05:13,156 --> 00:05:14,723 Is that a thing? 99 00:05:14,723 --> 00:05:16,595 It might be a thing. Tap your finger 100 00:05:16,595 --> 00:05:17,900 and your thumb together. 101 00:05:17,900 --> 00:05:19,336 There you go. 102 00:05:19,336 --> 00:05:21,513 All the way to your pinky and back. 103 00:05:22,905 --> 00:05:24,516 How about a partial refill? 104 00:05:24,516 --> 00:05:26,387 Tide me over? Just until my doc gets back. 105 00:05:26,387 --> 00:05:29,216 No pills, but I am going to order you 106 00:05:29,216 --> 00:05:31,827 a brain and spinal MRI. 107 00:05:36,571 --> 00:05:38,399 Any family history of kidney disease? 108 00:05:38,399 --> 00:05:40,880 Not that I know of. Mom's a saint, 109 00:05:40,880 --> 00:05:42,795 and I'm adopted on my father's side. 110 00:05:42,795 --> 00:05:45,319 Under name, you only put "Emmanuel." 111 00:05:45,319 --> 00:05:47,539 Yeah, that's what people call me. 112 00:05:47,539 --> 00:05:48,714 Like Beyonce. 113 00:05:48,714 --> 00:05:50,977 -Hmm. Okay. 114 00:05:50,977 --> 00:05:53,893 If the blood and tissue type match with our patient, 115 00:05:53,893 --> 00:05:55,590 we'll do a crossmatch test and we'll see-- 116 00:05:55,590 --> 00:05:57,026 Yeah, we'll match. 117 00:05:57,026 --> 00:05:58,680 Whenever I donate, they tell me I have golden blood. 118 00:05:59,507 --> 00:06:01,248 Rhnull? 119 00:06:01,248 --> 00:06:02,945 That's the rarest blood type on Earth. 120 00:06:02,945 --> 00:06:04,773 Only 100 cases. 121 00:06:04,773 --> 00:06:06,471 That makes you a universal blood donor. 122 00:06:06,471 --> 00:06:08,516 Birthplace just says Nazareth. 123 00:06:08,516 --> 00:06:10,170 Is that in Pennsylvania? 124 00:06:10,170 --> 00:06:11,388 No, the other one. 125 00:06:13,782 --> 00:06:16,959 If the blood type tests out, that's great news. 126 00:06:17,525 --> 00:06:18,787 Almost done here. 127 00:06:18,787 --> 00:06:21,007 Uh, you left occupation blank. 128 00:06:21,007 --> 00:06:23,183 I'm a carpenter by trade, 129 00:06:23,183 --> 00:06:25,620 but I really consider myself a teacher. 130 00:06:25,620 --> 00:06:27,579 - Dear Lord. - Yeah, I go by many names. 131 00:06:27,579 --> 00:06:29,537 Uh-huh. This man thinks he's Jesus. 132 00:06:31,713 --> 00:06:32,932 I've been sent here to help. 133 00:06:39,025 --> 00:06:41,201 EGFR and uACR are normal. 134 00:06:41,201 --> 00:06:43,377 Both kidneys are fully functional. 135 00:06:43,377 --> 00:06:44,813 He is an ideal donor. 136 00:06:44,813 --> 00:06:47,294 Except he's obviously crazy. He thinks he's Jesus. 137 00:06:47,294 --> 00:06:49,035 Technically, we can't prove he isn't. 138 00:06:49,035 --> 00:06:51,864 I mean, the Bible says Jesus will return to Earth someday. 139 00:06:51,864 --> 00:06:54,388 There's several examples of ordinary people 140 00:06:54,388 --> 00:06:56,912 becoming holy figures later on in life. 141 00:06:56,912 --> 00:06:59,480 Muhammed didn't receive his first revelation from God 142 00:06:59,480 --> 00:07:00,786 till he was 40. 143 00:07:02,048 --> 00:07:03,832 I minored in theology. 144 00:07:03,832 --> 00:07:05,878 He's certainly your patient's savior. 145 00:07:05,878 --> 00:07:08,010 Without him, she's dead in a week. 146 00:07:08,010 --> 00:07:11,318 It is possible we could find another donor, but unlikely. 147 00:07:11,318 --> 00:07:14,147 but that doesn't mean we should allow a delusional man 148 00:07:14,147 --> 00:07:15,931 to make life-altering decisions. 149 00:07:15,931 --> 00:07:18,020 And the surgery poses a bigger risk for him. 150 00:07:18,020 --> 00:07:21,067 We can only give him blood from another Rhnull donor, 151 00:07:21,067 --> 00:07:22,590 which is nearly impossible to find. 152 00:07:22,590 --> 00:07:24,418 Regardless, we should reach out to his family. 153 00:07:24,418 --> 00:07:25,637 Parents are dead. 154 00:07:25,637 --> 00:07:28,248 His emergency contact is his landlord. 155 00:07:28,248 --> 00:07:31,077 If he wants to save someone's life, I say we let him. 156 00:07:31,077 --> 00:07:34,950 UNOS policy says organ donation is contraindicated 157 00:07:34,950 --> 00:07:37,083 if there is inability to give informed consent 158 00:07:37,083 --> 00:07:39,955 due to impaired cognitive or intellectual capacity. 159 00:07:39,955 --> 00:07:43,655 That's not our call. We need a psych consult. 160 00:07:43,655 --> 00:07:45,178 Your patient is suffering 161 00:07:45,178 --> 00:07:48,355 from delusional disorder of grandiosity. 162 00:07:48,355 --> 00:07:50,357 However, he can reliably articulate 163 00:07:50,357 --> 00:07:52,098 that he understands the procedure. 164 00:07:52,098 --> 00:07:53,578 His driver's license indicates 165 00:07:53,578 --> 00:07:55,797 that he has been an organ donor for at least a decade. 166 00:07:55,797 --> 00:07:59,845 That suggests this decision is consistent with his values. 167 00:07:59,845 --> 00:08:01,977 He is completely competent to donate. 168 00:08:01,977 --> 00:08:03,152 Hallelujah. 169 00:08:07,417 --> 00:08:09,245 I don't know how you live over half a century 170 00:08:09,245 --> 00:08:10,595 without trying an oyster. 171 00:08:10,595 --> 00:08:13,728 Well, I always wanted to. I just... I don't know, 172 00:08:13,728 --> 00:08:16,383 I chickened out because they always look so goopy. 173 00:08:16,383 --> 00:08:17,819 Well, no more fear. 174 00:08:17,819 --> 00:08:18,820 Slurp away. 175 00:08:22,258 --> 00:08:25,087 Mmm. Wow. Mmm. 176 00:08:27,524 --> 00:08:29,004 Your femur's not fractured. 177 00:08:29,744 --> 00:08:31,180 Oh. Good. 178 00:08:31,180 --> 00:08:32,704 But the pain you're feeling is called 179 00:08:32,704 --> 00:08:35,576 referred neuropathic pain, from a fracture in your spine. 180 00:08:35,576 --> 00:08:37,273 It's compressing your spinal cord. 181 00:08:37,273 --> 00:08:39,058 Not good. 182 00:08:39,058 --> 00:08:41,016 The tumor has infiltrated and weakened your spinal column. 183 00:08:41,016 --> 00:08:43,758 It likely fractured when you hit the ground after skydiving. 184 00:08:45,673 --> 00:08:46,892 So how do we fix it? 185 00:08:46,892 --> 00:08:49,677 Open spinal stabilization and fusion surgery. 186 00:08:49,677 --> 00:08:52,027 We replace your fractured vertebrae with a cage 187 00:08:52,027 --> 00:08:54,813 and add bone grafts, screws, and rods for support. 188 00:08:54,813 --> 00:08:57,772 You should be back on your feet in about six weeks. 189 00:08:57,772 --> 00:08:59,905 That could be more than half the time we have left. 190 00:09:02,081 --> 00:09:04,736 There is another option with simpler surgery. 191 00:09:04,736 --> 00:09:07,826 No cage and no bone grafts, much shorter recovery time, 192 00:09:07,826 --> 00:09:10,437 but even a small bump could break it again. 193 00:09:11,612 --> 00:09:14,397 So I'll avoid small bumps. Let's do it. 194 00:09:14,397 --> 00:09:16,530 Dad, are you sure? 195 00:09:16,530 --> 00:09:17,923 We have a mountain to climb. 196 00:09:21,013 --> 00:09:22,667 We'll go get prepped. 197 00:09:25,104 --> 00:09:26,409 Come on, get your camera rolling. 198 00:09:26,409 --> 00:09:28,237 I got 11 more to go. 199 00:09:29,021 --> 00:09:30,544 Dad, you're so old. 200 00:09:30,544 --> 00:09:32,633 Cameras don't roll anymore. 201 00:09:36,245 --> 00:09:39,422 We still need to run an MRI on the potential donor 202 00:09:39,422 --> 00:09:41,947 to evaluate the kidney's structure. 203 00:09:41,947 --> 00:09:44,123 But the labs show he could be an excellent match. 204 00:09:47,604 --> 00:09:49,258 Your video worked. 205 00:09:49,258 --> 00:09:51,304 Turns out you don't need a million followers. 206 00:09:52,653 --> 00:09:54,873 Just one... who thinks he's Jesus. 207 00:09:56,091 --> 00:09:57,440 Hashtag blessed. 208 00:10:06,188 --> 00:10:09,322 I would like to hire Joelle as Steve's nanny. 209 00:10:09,322 --> 00:10:10,715 I worked it out. 210 00:10:10,715 --> 00:10:12,412 If we cut it down to two streaming services 211 00:10:12,412 --> 00:10:14,544 and I stop buying Steve so many cute outfits 212 00:10:14,544 --> 00:10:16,155 and we don't go on that trip this summer, 213 00:10:16,155 --> 00:10:17,678 we can afford her. 214 00:10:17,678 --> 00:10:21,029 - Whew. This is a very thorough spreadsheet. - Mmm-hmm. 215 00:10:21,029 --> 00:10:24,598 You clearly have strong feelings about this. 216 00:10:25,381 --> 00:10:27,819 We can hire Joelle. 217 00:10:27,819 --> 00:10:30,212 - Shaun! Yeah! - Okay. 218 00:10:30,212 --> 00:10:31,431 Okay, we should call her. 219 00:10:31,910 --> 00:10:32,954 Yes. 220 00:10:35,696 --> 00:10:37,132 Hello? 221 00:10:37,132 --> 00:10:39,787 Joelle, it's Lea and Shaun, and we are so, so excited 222 00:10:39,787 --> 00:10:42,050 because we would love to hire you. 223 00:10:43,095 --> 00:10:44,270 Oh. 224 00:10:46,402 --> 00:10:48,535 - You stole my nanny? - She wasn't your nanny. 225 00:10:48,535 --> 00:10:51,364 Yet. And you knew I wanted to hire her. 226 00:10:51,364 --> 00:10:54,323 I encouraged you to hire her on the spot. 227 00:10:54,323 --> 00:10:56,021 But you hemmed you hawed and you dilly-dallied 228 00:10:56,021 --> 00:10:58,284 and you spreadsheeted, so I took action. 229 00:10:58,284 --> 00:11:00,373 And outbid me. It's so gross. 230 00:11:00,373 --> 00:11:02,070 I told you that good nannies are hard to find. 231 00:11:02,070 --> 00:11:03,942 My current one is late half the time, 232 00:11:03,942 --> 00:11:05,508 and she costs more than Joelle. 233 00:11:05,508 --> 00:11:08,860 I wanted to close the deal, so I made an aggressive offer. 234 00:11:08,860 --> 00:11:10,078 I feel like I don't even know you. 235 00:11:12,994 --> 00:11:15,040 I'm finished with the perianal abscess. 236 00:11:15,040 --> 00:11:16,606 Great. Dressing change 237 00:11:16,606 --> 00:11:18,739 for a diabetic foot ulcer in 5 awaits. 238 00:11:20,219 --> 00:11:21,786 Nobody said wound care was glamorous. 239 00:11:24,571 --> 00:11:26,878 Joelle has experience with special-needs kids. 240 00:11:26,878 --> 00:11:28,357 And she's bilingual. 241 00:11:28,357 --> 00:11:30,620 I always wanted Eden to be bilingual, so... 242 00:11:30,620 --> 00:11:33,798 seriously, thanks. 243 00:11:33,798 --> 00:11:37,584 You're trying to replace my dream nanny with regifted wine? 244 00:11:37,584 --> 00:11:39,325 - I'm not evil. - Debatable. 245 00:11:45,026 --> 00:11:46,375 You barely even looked at it. 246 00:11:46,375 --> 00:11:48,029 Enough to see there's no tonsillar herniation, 247 00:11:48,029 --> 00:11:50,771 which is the main criteria for Chiari. 248 00:11:50,771 --> 00:11:53,121 That's why I said Chiari Zero. 249 00:11:53,121 --> 00:11:54,514 That's not a real diagnosis. 250 00:11:54,514 --> 00:11:57,256 It is real. It is controversial, but it's real. 251 00:11:57,256 --> 00:11:59,214 Moderate cervical syrinx, 252 00:11:59,214 --> 00:12:02,827 plus occipital headaches, plus dizziness, 253 00:12:02,827 --> 00:12:05,133 plus clumsiness with the finger tapping. 254 00:12:05,133 --> 00:12:07,483 All symptoms of Chiari malformation. 255 00:12:07,483 --> 00:12:09,094 And also symptoms of withdrawal. 256 00:12:09,094 --> 00:12:11,792 Not the fluid in her spinal cord. 257 00:12:11,792 --> 00:12:14,099 Too many doctors have just fed her pain medication 258 00:12:14,099 --> 00:12:16,231 or shooed her away altogether. 259 00:12:16,231 --> 00:12:17,450 Because she's an addict. 260 00:12:19,800 --> 00:12:23,630 And one who's around your daughter's age when she died. 261 00:12:27,025 --> 00:12:28,417 Wow. Okay. 262 00:12:29,679 --> 00:12:33,031 Hannah's pain is real. She's in actual pain. 263 00:12:33,031 --> 00:12:35,511 Or she's doctor-shopping for a sucker. 264 00:12:35,511 --> 00:12:37,296 Okay. So both can be true. 265 00:12:37,296 --> 00:12:39,428 She's not gonna be able to get over her addiction 266 00:12:39,428 --> 00:12:42,083 unless somebody addresses her pain. 267 00:12:47,132 --> 00:12:48,742 All right, fine. 268 00:12:48,742 --> 00:12:52,050 I don't know how this is not worthwhile. 269 00:12:52,050 --> 00:12:53,442 Leave the images. 270 00:13:09,284 --> 00:13:11,504 Jerome bailed less than an hour into his shift. 271 00:13:12,331 --> 00:13:13,898 I'm worried about him. 272 00:13:14,594 --> 00:13:15,769 He's going through it. 273 00:13:17,466 --> 00:13:19,207 I was thinking you might go talk to him after work? 274 00:13:22,776 --> 00:13:23,951 I can't right now. 275 00:13:24,734 --> 00:13:25,910 Yeah, no, of course. 276 00:13:29,696 --> 00:13:31,002 Anything I can do for you? 277 00:13:32,394 --> 00:13:35,006 Thanks. I've got an MRI. 278 00:13:38,357 --> 00:13:40,185 People are free to choose. 279 00:13:40,185 --> 00:13:42,970 God is simply aware of what those choices will be 280 00:13:42,970 --> 00:13:46,321 because He lives outside of time and space. 281 00:13:46,321 --> 00:13:47,801 Isaiah 57. 282 00:13:47,801 --> 00:13:49,759 Sorry to interrupt your sermon. 283 00:13:49,759 --> 00:13:50,935 Lie back. 284 00:13:52,675 --> 00:13:55,678 I know we just met, but I sense a... 285 00:13:55,678 --> 00:13:57,463 Like, a weight on you. 286 00:13:57,463 --> 00:14:00,945 A sadness. I'm fine. 287 00:14:00,945 --> 00:14:03,121 I'm guessing you were close to the young man who died. 288 00:14:05,775 --> 00:14:07,212 How do you know about him? 289 00:14:07,212 --> 00:14:09,605 Dr. Allen, he's tachycardic 290 00:14:09,605 --> 00:14:11,520 and his blood pressure's elevated, 178 over 112. 291 00:14:11,520 --> 00:14:13,261 Go get 20 milligrams labetalol. 292 00:14:14,871 --> 00:14:16,134 People like to tell me things. 293 00:14:16,134 --> 00:14:17,309 I like to listen. 294 00:14:17,309 --> 00:14:18,484 So you're nosy. 295 00:14:18,484 --> 00:14:21,313 Mmm. I'm friendly. 296 00:14:21,313 --> 00:14:23,445 Um, his vitals are normal again. 297 00:14:24,969 --> 00:14:27,928 Probably spiked due to anxiety, maybe from the machine. 298 00:14:27,928 --> 00:14:30,365 I'm not anxious. I'm enjoying our conversation. 299 00:14:30,365 --> 00:14:31,497 - Oh. 300 00:14:31,497 --> 00:14:33,107 Apparently, I'm the only one. 301 00:14:33,107 --> 00:14:35,501 Try to keep still and no talking during the MRI. 302 00:14:43,900 --> 00:14:45,337 Hi. 303 00:14:45,337 --> 00:14:47,469 Just checking in. 304 00:14:47,469 --> 00:14:50,690 I was thinking I could talk to Villanueva if you want, 305 00:14:50,690 --> 00:14:52,344 about getting you some more time off. 306 00:14:52,344 --> 00:14:55,216 Thanks, but I don't think a few more days or... 307 00:14:55,216 --> 00:14:56,696 weeks will make much of a difference. 308 00:15:00,221 --> 00:15:02,093 I'm not sure I can ever come back. 309 00:15:04,051 --> 00:15:05,009 I'm sorry. 310 00:15:11,972 --> 00:15:14,105 Rod is placed. Lock it in with set screws. 311 00:15:14,105 --> 00:15:15,845 Thank you. 312 00:15:15,845 --> 00:15:17,717 Jerome's still not back today? 313 00:15:17,717 --> 00:15:20,763 No. He's not sure he can come back at all. 314 00:15:20,763 --> 00:15:22,548 Too many memories. 315 00:15:22,548 --> 00:15:26,943 He's still in shock. Now tighten the instrumentation. 316 00:15:26,943 --> 00:15:28,771 At least Paul gets to know the end is coming and prepare, 317 00:15:28,771 --> 00:15:31,209 say his goodbyes. 318 00:15:31,209 --> 00:15:34,473 I don't think you can ever really be prepared. 319 00:15:34,473 --> 00:15:36,997 And I wouldn't want my loved ones to watch me suffer. 320 00:15:36,997 --> 00:15:38,564 Spine is stabilized. 321 00:15:38,564 --> 00:15:41,219 Continue with the endoscopic decompression. 322 00:15:41,219 --> 00:15:45,049 So you'd rather not know it's coming? 323 00:15:45,049 --> 00:15:47,616 I'll go to sleep one night, never wake up, cut to black. 324 00:15:50,663 --> 00:15:51,751 Hold up. 325 00:15:53,187 --> 00:15:56,147 There's a clean margin in the spinal column 326 00:15:56,147 --> 00:15:57,539 surrounding the entire length of the tumor. 327 00:15:57,539 --> 00:15:59,367 That wasn't visible in his previous imaging. 328 00:16:00,890 --> 00:16:02,196 The impact of his landing must have 329 00:16:02,196 --> 00:16:04,155 cut off blood flow to the tumor at its perimeter, 330 00:16:04,155 --> 00:16:06,418 caused it to shrink. 331 00:16:06,418 --> 00:16:08,333 I think this gives us room to do a cordectomy. 332 00:16:08,333 --> 00:16:09,943 We could remove his entire tumor. 333 00:16:09,943 --> 00:16:11,292 And take out the majority 334 00:16:11,292 --> 00:16:13,468 of his thoracic spinal cord with it. 335 00:16:13,468 --> 00:16:15,122 Would paralyze him from the T3 down, 336 00:16:15,122 --> 00:16:17,168 and his cancer will probably come back. 337 00:16:17,168 --> 00:16:19,518 But it'd give him a lot more time. 338 00:16:19,518 --> 00:16:22,129 Let's close him up, see what he wants to do. 339 00:16:22,129 --> 00:16:24,131 How much of his blood have we banked so far? 340 00:16:24,131 --> 00:16:26,394 Only two units, and if we draw more, 341 00:16:26,394 --> 00:16:28,048 he'll be too anemic for surgery. 342 00:16:28,048 --> 00:16:29,484 We found another in Australia, 343 00:16:29,484 --> 00:16:30,964 but it wouldn't get here until the end of the week. 344 00:16:30,964 --> 00:16:33,009 We can't wait that long. 345 00:16:33,009 --> 00:16:35,838 Naomi may be too unstable to survive the transplant. 346 00:16:35,838 --> 00:16:38,450 We'll have to make it work with the patient's own blood. 347 00:16:38,450 --> 00:16:41,192 We'll need to ligate every vessel twice before cutting. 348 00:16:41,192 --> 00:16:43,107 Be precise and meticulous. 349 00:16:43,107 --> 00:16:45,326 I really don't want Jesus' blood on my hands. 350 00:16:45,326 --> 00:16:47,198 Luckily, we will be double-gloved. 351 00:16:49,025 --> 00:16:50,636 Give 7,000 units of Epogen 352 00:16:50,636 --> 00:16:53,769 and 150 milligrams of iron to increase RBCs. 353 00:16:54,553 --> 00:16:55,684 Hi. 354 00:16:55,684 --> 00:16:57,817 Are you entering your baking era? 355 00:16:57,817 --> 00:17:00,124 Nope. They're for Joelle. 356 00:17:00,124 --> 00:17:02,213 But I have three reject batches I could bring you. 357 00:17:03,214 --> 00:17:05,607 - I'm good. - Okay. 358 00:17:05,607 --> 00:17:08,871 Why are you making muffins for Park and Morgan's nanny? 359 00:17:08,871 --> 00:17:11,352 Because soon she'll be ours. 360 00:17:11,352 --> 00:17:14,355 I've come up with some additional cost-saving measures 361 00:17:14,355 --> 00:17:15,704 so we can pay her a little bit more. 362 00:17:15,704 --> 00:17:20,231 Mmm. There were other candidates, 363 00:17:20,231 --> 00:17:23,364 many of them very well qualified and less expensive. 364 00:17:23,364 --> 00:17:25,845 Morgan stole our son's nanny. That cannot stand. 365 00:17:25,845 --> 00:17:26,933 Out of principle. 366 00:17:27,673 --> 00:17:29,109 What principle? 367 00:17:31,024 --> 00:17:33,766 If we get all of the tumor, which I think we can, 368 00:17:33,766 --> 00:17:36,682 we could extend your life by five to 10 years. 369 00:17:36,682 --> 00:17:37,944 Maybe more. 370 00:17:38,858 --> 00:17:41,077 But I'll be a quadriplegic. 371 00:17:41,077 --> 00:17:42,949 It's likely you'll maintain some use of your hands, 372 00:17:42,949 --> 00:17:44,646 unless the edema spreads upwards. 373 00:17:46,735 --> 00:17:49,129 No, no, no, we're sticking with our original plan. 374 00:17:49,129 --> 00:17:50,826 Just get me back on my feet again, okay? 375 00:17:50,826 --> 00:17:52,785 Dad, they said years. 376 00:17:52,785 --> 00:17:55,004 You'd still have all your mental faculties. 377 00:17:55,004 --> 00:17:56,310 And you'd have me to help. 378 00:17:58,660 --> 00:18:01,272 Can you get me some ice chips? My mouth is really dry. 379 00:18:04,362 --> 00:18:06,973 Just think about it, please. 380 00:18:21,030 --> 00:18:23,119 Eve drew this in kindergarten. 381 00:18:23,119 --> 00:18:25,513 I'm the tall one. She's the one with the hair. 382 00:18:27,254 --> 00:18:30,779 She told me that her dream was touching the sky with me. 383 00:18:30,779 --> 00:18:33,565 And I promised her that we would do that one day. 384 00:18:33,565 --> 00:18:36,959 And then her mom and me, we got a divorce, 385 00:18:36,959 --> 00:18:39,875 and I lost a lot of years with my daughter. 386 00:18:39,875 --> 00:18:42,313 Well, this surgery would give you a lot of years back. 387 00:18:44,663 --> 00:18:46,012 After all these years of being absent, 388 00:18:46,012 --> 00:18:49,624 I can't ask her to spend her 20s taking care of me. 389 00:18:51,191 --> 00:18:54,499 She should finish college, start her own life. 390 00:19:00,983 --> 00:19:05,858 Hi. This is Dr. Aaron Glassman again. 391 00:19:05,858 --> 00:19:07,816 No, okay. I don't understand the delay. 392 00:19:10,776 --> 00:19:14,780 Fine. Um, can you please have them call me back either way? 393 00:19:14,780 --> 00:19:16,738 Thank you. 394 00:19:20,046 --> 00:19:22,222 How you feeling? 395 00:19:22,222 --> 00:19:24,877 Mm. You gave me the good stuff, so... 396 00:19:24,877 --> 00:19:26,400 Yeah, well, guess what? 397 00:19:26,400 --> 00:19:28,620 After the surgery, you're not gonna need the good stuff, 398 00:19:28,620 --> 00:19:30,752 nor are you going to need to be telling stories 399 00:19:30,752 --> 00:19:32,754 about spilling pills into toilets. 400 00:19:32,754 --> 00:19:35,757 - It wasn't-- - Don't bother. 401 00:19:35,757 --> 00:19:38,760 You left the emergency contact blank on your pre-op form. 402 00:19:38,760 --> 00:19:40,458 You planning to off me on the table? 403 00:19:40,458 --> 00:19:42,808 Well, I'm not planning on it. 404 00:19:42,808 --> 00:19:44,113 But if something were to go wrong, 405 00:19:44,113 --> 00:19:46,159 I'm gonna need to contact your mom or your dad. 406 00:19:46,159 --> 00:19:49,031 Good luck. They kicked me out years ago, so... 407 00:19:50,772 --> 00:19:54,254 if you want someone who cares if I die, guess again. 408 00:19:56,038 --> 00:19:58,780 I'm gonna take the wild guess that they still care. 409 00:20:02,349 --> 00:20:03,481 You'd be wrong. 410 00:20:09,530 --> 00:20:12,620 Father, thank you for loving us so much, 411 00:20:12,620 --> 00:20:14,796 and we ask that you heal Ruth's back pain 412 00:20:14,796 --> 00:20:17,669 so she can get back to the pickleball court. 413 00:20:17,669 --> 00:20:19,845 - Amen. Amen. 414 00:20:20,889 --> 00:20:22,935 The pain is gone! Thank you. 415 00:20:22,935 --> 00:20:25,329 I think that's your pain meds kicking in, Mrs. Wyatt. 416 00:20:26,199 --> 00:20:27,331 Let's go. 417 00:20:29,811 --> 00:20:32,031 I don't have time to be looking all over for you. 418 00:20:32,031 --> 00:20:35,034 I'm sorry. Helping people in pain is kind of my thing. 419 00:20:35,034 --> 00:20:36,905 No, it's my thing. I'm the doctor, 420 00:20:36,905 --> 00:20:39,517 and my patients don't need your snake oil. 421 00:20:39,517 --> 00:20:43,259 - I'm giving them comfort. - You're giving them false hope. 422 00:20:43,259 --> 00:20:46,611 It's okay if you're angry. He gets that a lot. 423 00:20:46,611 --> 00:20:48,482 I'm not angry. I just need you to stay put. 424 00:20:48,482 --> 00:20:50,615 - I didn't mean right now. 425 00:20:50,615 --> 00:20:52,094 I just feel a little... 426 00:20:54,532 --> 00:20:55,837 I need help! 427 00:21:05,151 --> 00:21:07,153 We cannot do the kidney transplant 428 00:21:07,153 --> 00:21:09,198 until we know why he collapsed. 429 00:21:09,198 --> 00:21:10,809 He's hypertensive and tachycardic one moment 430 00:21:10,809 --> 00:21:12,680 and then stable the next. 431 00:21:12,680 --> 00:21:15,030 Could be carcinoid syndrome or renovascular hypertension. 432 00:21:15,030 --> 00:21:16,510 There are no suspicious masses. 433 00:21:16,510 --> 00:21:18,556 His renal arteries look normal. 434 00:21:18,556 --> 00:21:21,341 His labs rule out hyperthyroidism. 435 00:21:21,341 --> 00:21:23,430 Everything about this guy is crazy. 436 00:21:23,430 --> 00:21:27,913 Crazy is not a DSM-recognized diagnosis, but you are correct. 437 00:21:27,913 --> 00:21:30,002 His underlying condition must have psychiatric 438 00:21:30,002 --> 00:21:31,786 as well as physical symptoms. 439 00:21:47,149 --> 00:21:49,108 He has a pheochromocytoma. 440 00:21:50,544 --> 00:21:52,067 We need to surgically remove it. 441 00:21:52,067 --> 00:21:53,852 It could not be seen on the MRI, 442 00:21:53,852 --> 00:21:56,071 but it has been flooding his system with hormones. 443 00:21:56,071 --> 00:21:57,769 Once the pheo's out, we may find 444 00:21:57,769 --> 00:22:00,249 Jesus has left the building, taking both kidneys with him. 445 00:22:00,249 --> 00:22:03,165 If that happens, Naomi almost certainly dies. 446 00:22:03,165 --> 00:22:05,951 We could remove the pheo and the kidney at the same time. 447 00:22:05,951 --> 00:22:08,344 Given his blood type, every surgery is dangerous 448 00:22:08,344 --> 00:22:10,477 because of our limited supply of Rhnull blood. 449 00:22:10,477 --> 00:22:12,261 Ethically, there's no debate here, 450 00:22:12,261 --> 00:22:13,915 regardless of medical issues. 451 00:22:13,915 --> 00:22:16,135 We remove the pheo, then ask Jesus 452 00:22:16,135 --> 00:22:18,093 if he still wants to move forward with the donation. 453 00:22:18,093 --> 00:22:19,834 Prep him for surgery. 454 00:22:19,834 --> 00:22:21,401 You're trying to steal our nanny? 455 00:22:21,401 --> 00:22:24,665 Oh, Lea is trying to steal your nanny 456 00:22:24,665 --> 00:22:26,841 because Morgan stole her first. 457 00:22:26,841 --> 00:22:28,626 She didn't mention that part. 458 00:22:28,626 --> 00:22:30,584 Although, Joelle was not technically our nanny yet, 459 00:22:30,584 --> 00:22:32,151 but Lea is very passionate about this, 460 00:22:32,151 --> 00:22:33,935 and I'm choosing to support her. 461 00:22:33,935 --> 00:22:35,676 Yeah. Me, too. 462 00:22:35,676 --> 00:22:37,069 Oh, you're supporting Lea? 463 00:22:37,809 --> 00:22:39,550 No. Morgan. 464 00:22:39,550 --> 00:22:41,334 We need to do something before this escalates 465 00:22:41,334 --> 00:22:43,118 and we're ordered not to talk to each other anymore. 466 00:22:43,118 --> 00:22:46,078 We gotta sit down, the four of us, and work this out. 467 00:22:46,078 --> 00:22:48,384 Atrium Cafe. Tuesday, noon. 468 00:23:05,663 --> 00:23:07,316 Me again. 469 00:23:07,316 --> 00:23:08,622 You don't have to keep checking in. 470 00:23:09,841 --> 00:23:11,277 I, um... 471 00:23:11,277 --> 00:23:13,192 I need a favor. 472 00:23:13,192 --> 00:23:14,889 It's kind of a big one. 473 00:23:17,588 --> 00:23:20,242 Due respect, Doctor, the source of my divinity 474 00:23:20,242 --> 00:23:23,898 isn't just a pheo-whatever- you-call-it. 475 00:23:23,898 --> 00:23:25,509 Your BP and heart rate are stable. 476 00:23:25,509 --> 00:23:29,338 Our connection to God is not that easily severed. 477 00:23:29,338 --> 00:23:30,514 I think you know that. 478 00:23:30,514 --> 00:23:31,906 Why do you keep thinking you know me? 479 00:23:31,906 --> 00:23:34,039 You don't. You didn't know my dead friend. 480 00:23:34,039 --> 00:23:37,259 You don't even know who you are. 481 00:23:37,259 --> 00:23:38,870 I need to place an arterial line. 482 00:23:38,870 --> 00:23:40,436 I know you're grieving. 483 00:23:40,436 --> 00:23:42,221 - I don't want to talk about it. - And you can't understand 484 00:23:42,221 --> 00:23:44,266 how your friend's death could be part of God's plan. 485 00:23:44,266 --> 00:23:46,530 There is no plan. 486 00:23:46,530 --> 00:23:49,054 It's a lie, and it's cruel. 487 00:23:49,054 --> 00:23:51,578 And I used to believe in it so much. 488 00:23:51,578 --> 00:23:54,886 Every time I lost a patient, I would tell myself 489 00:23:54,886 --> 00:23:56,583 it's all a part of a bigger picture. 490 00:23:56,583 --> 00:24:00,369 I took comfort in believing you were watching out for us. 491 00:24:00,369 --> 00:24:01,588 Even in the midst of suffering, 492 00:24:01,588 --> 00:24:03,111 you were working things out for our good, 493 00:24:03,111 --> 00:24:04,983 but it is all a lie. 494 00:24:04,983 --> 00:24:08,203 My friend was murdered defending one of your children. 495 00:24:08,203 --> 00:24:10,423 You let him bleed out on the sidewalk all alone, 496 00:24:10,423 --> 00:24:13,034 and there was no one there to tell him how much he was loved. 497 00:24:17,517 --> 00:24:19,867 He knew. 498 00:24:19,867 --> 00:24:20,868 I promise. 499 00:24:23,175 --> 00:24:25,743 He knew. 500 00:24:29,964 --> 00:24:32,358 Hey. God will love you, 501 00:24:32,358 --> 00:24:33,838 no matter what you say to Him 502 00:24:33,838 --> 00:24:36,405 or about Him. 503 00:24:36,405 --> 00:24:38,016 You just need to keep talking. 504 00:24:43,587 --> 00:24:46,415 Okay, everyone, time to vote. We need your help. 505 00:24:46,415 --> 00:24:49,984 Which peak should we climb, Mission Peak or Mount Umunhum? 506 00:24:49,984 --> 00:24:51,986 Uh, Mission Peak is an easier hike, 507 00:24:51,986 --> 00:24:54,772 but Mount Umunhum has a better view of the sunset. 508 00:24:54,772 --> 00:24:57,035 I vote neither. 509 00:24:58,210 --> 00:24:59,515 I hope that wasn't a livestream. 510 00:25:00,604 --> 00:25:02,214 You're the disappearing nurse. 511 00:25:03,258 --> 00:25:05,521 Jerome Martel. 512 00:25:05,521 --> 00:25:07,872 I'm sorry about that. I, uh... 513 00:25:09,482 --> 00:25:13,747 I lost the love of my life recently, very suddenly. 514 00:25:13,747 --> 00:25:17,838 And seeing the two of you, you know... 515 00:25:17,838 --> 00:25:19,927 It must have struck a little close to home. 516 00:25:21,799 --> 00:25:25,977 I wish I had known my last day with him was my last day. 517 00:25:25,977 --> 00:25:27,848 Or my last month. 518 00:25:27,848 --> 00:25:30,503 So we could have made the most of that time. 519 00:25:30,503 --> 00:25:33,288 Are you here to talk me into the cordectomy? 520 00:25:34,942 --> 00:25:37,162 Asher and I made a plan 521 00:25:37,162 --> 00:25:42,689 to watch every Best Picture winner since 1928. 522 00:25:42,689 --> 00:25:46,301 We made it to The Godfather Part II. 523 00:25:46,301 --> 00:25:49,653 Asher fell asleep halfway through, as usual. 524 00:25:49,653 --> 00:25:52,481 He was snoring so loudly, I could hardly hear what Pacino was saying, 525 00:25:55,484 --> 00:25:58,357 I don't know what the right choice is for you and your family. 526 00:26:00,054 --> 00:26:03,101 But I know there is nothing I wouldn't give 527 00:26:03,101 --> 00:26:05,059 to sit by Asher's side 528 00:26:05,059 --> 00:26:07,671 and listen to him snore through The English Patient. 529 00:26:12,501 --> 00:26:15,200 Dad. We could watch every one 530 00:26:15,200 --> 00:26:18,464 of those 30 for 30 documentaries you like. 531 00:26:18,464 --> 00:26:20,466 Even the ones about hockey. 532 00:26:20,466 --> 00:26:23,904 Or we could start our own two-person true-crime book club. 533 00:26:23,904 --> 00:26:25,993 It wouldn't just be fun and games, Eve. 534 00:26:25,993 --> 00:26:27,125 You'd also be stuck. 535 00:26:27,125 --> 00:26:29,040 Not stuck. 536 00:26:29,040 --> 00:26:30,171 Honored. 537 00:26:31,825 --> 00:26:34,480 Sure, I'd need help, 538 00:26:34,480 --> 00:26:38,049 but I can't lose you after just getting you back. 539 00:26:38,049 --> 00:26:41,705 I want you to be there when I graduate from college. 540 00:26:41,705 --> 00:26:43,489 Maybe walk me down the aisle someday. 541 00:26:53,020 --> 00:26:54,761 Okay if I wheel you down? 542 00:26:57,111 --> 00:26:58,330 I'd love that. 543 00:27:10,429 --> 00:27:12,953 We removed the pheochromocytoma. 544 00:27:14,433 --> 00:27:16,740 Do you still believe you are Jesus? 545 00:27:21,570 --> 00:27:24,748 My name is, um... Is Carl. 546 00:27:26,880 --> 00:27:29,143 I remember everything, but... 547 00:27:29,143 --> 00:27:31,842 I know I'm not Jesus. 548 00:27:32,973 --> 00:27:34,714 Are you still willing to move forward 549 00:27:34,714 --> 00:27:36,324 with donating your kidney? 550 00:27:38,762 --> 00:27:40,415 I... 551 00:27:40,415 --> 00:27:41,982 I have no idea what to do. 552 00:27:43,679 --> 00:27:47,771 We now only have one remaining bag of Rhnull blood. 553 00:27:47,771 --> 00:27:49,294 That makes another surgery quite high-risk. 554 00:27:50,164 --> 00:27:52,123 Donating your kidney to Naomi 555 00:27:52,123 --> 00:27:54,690 would be a very kind thing to do. 556 00:27:57,824 --> 00:28:00,784 But as your surgeon, it is not medically advisable. 557 00:28:06,833 --> 00:28:07,878 I can't do it. 558 00:28:29,987 --> 00:28:31,510 We've discussed and would be willing... 559 00:28:31,510 --> 00:28:33,991 Reluctantly willing. 560 00:28:33,991 --> 00:28:37,864 ...to hire Joelle as a part-time nanny so we can all share her. 561 00:28:37,864 --> 00:28:39,387 Returning half of what you stole? 562 00:28:39,387 --> 00:28:40,911 What a cop-out. 563 00:28:40,911 --> 00:28:43,391 - Told you. She's totally unreasonable. - Excuse me? 564 00:28:43,391 --> 00:28:45,741 If you want to see unreasonable, let me hold up a mirror. 565 00:28:45,741 --> 00:28:47,308 Unless you already swiped that from my bag. 566 00:28:47,308 --> 00:28:49,223 I've seen you knock-off bag. There's nothing worth taking. 567 00:28:49,223 --> 00:28:51,399 Okay. Would you be willing to employ her 568 00:28:51,399 --> 00:28:53,140 on Tuesdays and Thursdays? 569 00:28:53,140 --> 00:28:54,228 And give you a 60/40 advantage? 570 00:28:54,228 --> 00:28:55,403 We're the ones who found her. 571 00:28:55,403 --> 00:28:56,491 We're the ones who hired her. 572 00:28:56,491 --> 00:28:57,928 You take Tuesdays and Thursdays. 573 00:28:57,928 --> 00:28:59,581 I'll throw in my wine. Deal? 574 00:28:59,581 --> 00:29:01,757 No deal, but I will give you the stack of resumes 575 00:29:01,757 --> 00:29:03,194 from the people we didn't hire. 576 00:29:03,194 --> 00:29:04,848 So we're supposed to just pick through your leftovers? 577 00:29:04,848 --> 00:29:06,937 You already did, except we were still eating her. 578 00:29:06,937 --> 00:29:08,808 I did not mean that the way it sounded. 579 00:29:08,808 --> 00:29:11,680 How about a 50/50 split, alternating weeks? 580 00:29:12,420 --> 00:29:13,987 I have a better idea. 581 00:29:18,644 --> 00:29:20,167 You're a genius. 582 00:29:20,167 --> 00:29:21,299 Savant. 583 00:29:25,781 --> 00:29:28,523 So, St. Bon's is now in the daycare business? 584 00:29:28,523 --> 00:29:30,917 You agreed. - No, I just didn't contradict you 585 00:29:30,917 --> 00:29:32,963 when you almost immediately said yes. 586 00:29:32,963 --> 00:29:34,573 I'll take more 4-0 for tackups. 587 00:29:34,573 --> 00:29:36,444 You're opposed to being family-friendly? 588 00:29:36,444 --> 00:29:38,316 I just didn't realize your mini strokes had turned you into 589 00:29:38,316 --> 00:29:39,491 such a softy. 590 00:29:40,840 --> 00:29:43,495 Between the daycare... and her. 591 00:29:43,495 --> 00:29:45,192 What about her? She's a patient, 592 00:29:45,192 --> 00:29:46,628 who I happen to be right about. 593 00:29:47,238 --> 00:29:48,239 Let's find out. 594 00:29:49,240 --> 00:29:51,198 Opening the arachnoid. 595 00:29:58,727 --> 00:30:00,991 Significant adhesions, 596 00:30:00,991 --> 00:30:04,472 fourth ventricular veil restricting CSF flow. 597 00:30:04,472 --> 00:30:06,213 You were right. Chiari Zero. 598 00:30:08,389 --> 00:30:10,304 This will only solve one of Hannah's issues, 599 00:30:10,304 --> 00:30:11,958 and arguably the easier one. 600 00:30:11,958 --> 00:30:13,960 Her addiction will still be a problem. 601 00:30:14,918 --> 00:30:16,963 Doesn't have to be yours. 602 00:30:17,964 --> 00:30:19,618 Watch your dissection. 603 00:30:36,287 --> 00:30:39,116 I've got your discharge papers and your ride. 604 00:30:41,161 --> 00:30:45,470 My, uh, emergency contact is my landlord. 605 00:30:49,604 --> 00:30:50,736 You want me to call him? 606 00:30:53,043 --> 00:30:55,001 I think my, um, 607 00:30:55,001 --> 00:30:56,742 brain tricked me into thinking I was 608 00:30:56,742 --> 00:30:59,310 the most significant person around because... 609 00:31:01,225 --> 00:31:02,966 I don't really matter to anyone. 610 00:31:07,796 --> 00:31:10,712 Your friend, what kind of man was he? 611 00:31:11,757 --> 00:31:13,585 Clever. 612 00:31:13,585 --> 00:31:16,501 Honest. 613 00:31:16,501 --> 00:31:18,807 Would make you laugh as much as he would 614 00:31:18,807 --> 00:31:20,244 call you out on your nonsense. 615 00:31:24,639 --> 00:31:25,989 And really brave. 616 00:31:29,644 --> 00:31:32,299 Maybe it wasn't a trick. 617 00:31:32,299 --> 00:31:35,955 Maybe your brain just showed you the type of person you could be. 618 00:31:39,611 --> 00:31:41,265 Maybe you came here for a reason. 619 00:31:43,267 --> 00:31:45,182 Yeah. 620 00:31:45,182 --> 00:31:46,835 I'd like to think so. 621 00:31:57,933 --> 00:31:59,631 Um, I'd like to donate my kidney. 622 00:32:09,945 --> 00:32:12,948 Sectioning the artery with a vascular stapler. 623 00:32:12,948 --> 00:32:15,951 Vitals holding steady. Kidney looks great. 624 00:32:15,951 --> 00:32:18,432 Ligating the renal vein. 625 00:32:18,432 --> 00:32:21,827 Removing the left kidney. 626 00:32:21,827 --> 00:32:24,003 Let's get this over to Naomi. 627 00:32:25,439 --> 00:32:27,137 The vein tore. He's hemorrhaging. 628 00:32:27,137 --> 00:32:28,268 Applying manual pressure. 629 00:32:28,268 --> 00:32:30,183 We need suction and Cooley clamp. 630 00:32:30,183 --> 00:32:32,316 His renal vein must have avulsed off the vena cava. 631 00:32:32,316 --> 00:32:34,274 We need to get vascular control. 632 00:32:34,274 --> 00:32:36,407 200 cc. That's the last of his banked blood. 633 00:32:36,407 --> 00:32:37,669 Very aware. 634 00:32:37,669 --> 00:32:39,410 Please, please, do not let this man die. 635 00:32:47,940 --> 00:32:49,028 Sutures aren't holding. 636 00:32:49,028 --> 00:32:50,725 Less than 100 cc of blood left. 637 00:32:50,725 --> 00:32:52,379 - Can we ligate the vena cava? Tissue is too friable. 638 00:32:52,379 --> 00:32:54,120 That could cause complete renal failure. 639 00:32:54,120 --> 00:32:55,513 We should put in a graft. 640 00:32:55,513 --> 00:32:56,775 The walls are tearing. 641 00:32:56,775 --> 00:32:58,516 We need something to get vascular control now. 642 00:32:59,865 --> 00:33:01,301 A double-balloon occlusion. 643 00:33:01,301 --> 00:33:03,173 We can block it from above and below at the same time. 644 00:33:03,173 --> 00:33:04,739 And we could use the existing 645 00:33:04,739 --> 00:33:06,872 jugular central line to get access. 646 00:33:06,872 --> 00:33:08,352 Fluoroscopy. 647 00:33:11,050 --> 00:33:12,965 I'll take the graft. 648 00:33:12,965 --> 00:33:14,619 Lap sponges. 649 00:33:14,619 --> 00:33:17,448 Advancing the catheter to the SVC. 650 00:33:17,448 --> 00:33:19,319 Call out when he reaches the IVC. 651 00:33:22,105 --> 00:33:23,758 A little further. 652 00:33:27,458 --> 00:33:28,459 You're there. 653 00:33:32,115 --> 00:33:33,725 Inflating the balloons. 654 00:33:44,083 --> 00:33:46,216 BP and heart rate are stabilizing. 655 00:33:51,873 --> 00:33:53,136 Thank you. 656 00:33:59,664 --> 00:34:00,839 I'm not here to ask you to come back. 657 00:34:01,579 --> 00:34:02,667 Promise. 658 00:34:03,972 --> 00:34:05,278 I wrote a list. 659 00:34:05,974 --> 00:34:07,411 Yeah, come in. 660 00:34:07,411 --> 00:34:09,891 Anything anyone at St. Bon's could remember Asher 661 00:34:09,891 --> 00:34:11,110 ever saying he wanted to do. 662 00:34:17,247 --> 00:34:18,509 Save a cat in a tree. 663 00:34:20,859 --> 00:34:22,295 Learn Dothraki. 664 00:34:25,298 --> 00:34:26,778 Eat pasta in Italy. 665 00:34:29,259 --> 00:34:31,739 If you want, I thought maybe we could... 666 00:34:31,739 --> 00:34:32,784 do some of it together. 667 00:34:35,569 --> 00:34:37,005 Thanks. 668 00:34:37,005 --> 00:34:39,007 But, uh... 669 00:34:39,007 --> 00:34:41,184 well, these weren't at the top of Asher's list. 670 00:34:43,664 --> 00:34:47,190 He was really serious about making me get a matching tattoo. 671 00:34:47,190 --> 00:34:50,715 A big spoon for me, little spoon for him. 672 00:34:50,715 --> 00:34:52,630 Tried to talk me into it at least once a week. 673 00:34:55,546 --> 00:34:58,549 I said it was too silly for something so real. 674 00:35:04,903 --> 00:35:05,991 Thanks for this. 675 00:35:22,573 --> 00:35:23,617 - Hey! 676 00:35:23,617 --> 00:35:25,053 Dr. Reznick around? 677 00:35:25,053 --> 00:35:27,534 No! And don't sneak up on people like that. 678 00:35:28,753 --> 00:35:29,928 I'm sorry. 679 00:35:29,928 --> 00:35:30,929 That lady is putting me through my paces. 680 00:35:32,626 --> 00:35:33,932 I almost miss surgery. 681 00:35:37,849 --> 00:35:40,895 When I lost my mom, 682 00:35:40,895 --> 00:35:44,203 my whole world stopped making sense. 683 00:35:44,203 --> 00:35:46,205 I looked to religion for answers. 684 00:35:46,205 --> 00:35:48,381 I'm still searching for what feels right, 685 00:35:48,381 --> 00:35:52,211 but I do know my mom's not just gone. 686 00:35:52,211 --> 00:35:53,995 And I try to find little ways 687 00:35:53,995 --> 00:35:55,649 to make her a part of my life as much as I can. 688 00:35:57,521 --> 00:35:59,827 There you are. The poop fridge shorted out. 689 00:35:59,827 --> 00:36:02,787 You've got 22 fecal samples to relocate ASAP. 690 00:36:02,787 --> 00:36:05,268 How big is your fridge at home? 691 00:36:13,058 --> 00:36:14,407 - Hey. 692 00:36:21,327 --> 00:36:22,328 Okay. 693 00:36:23,982 --> 00:36:25,200 Follow this light. 694 00:36:28,595 --> 00:36:29,944 No more twitch in the eye. 695 00:36:30,771 --> 00:36:32,033 Let me see your hands. 696 00:36:32,033 --> 00:36:33,339 That's good, right? 697 00:36:33,339 --> 00:36:36,037 Yeah, just finger tapping. 698 00:36:36,037 --> 00:36:38,083 Both. 699 00:36:38,083 --> 00:36:39,345 Good. 700 00:36:39,345 --> 00:36:41,826 Grab my hands and make a nice, tight grip. 701 00:36:41,826 --> 00:36:43,828 Really tight, as hard as you can. Ow! 702 00:36:43,828 --> 00:36:44,959 Okay. 703 00:36:44,959 --> 00:36:46,570 Next you'll be pitching for the A's. 704 00:36:46,570 --> 00:36:48,398 God, no. 705 00:36:48,398 --> 00:36:49,486 Cubs or bust. 706 00:36:52,445 --> 00:36:54,360 Thank you for believing me. 707 00:36:58,408 --> 00:37:00,323 But, um... 708 00:37:00,323 --> 00:37:02,412 I'm... I'm still a little... 709 00:37:03,456 --> 00:37:05,153 Uncomfortable? That's normal, 710 00:37:05,153 --> 00:37:07,025 considering the surgery you've just been through. 711 00:37:08,853 --> 00:37:10,507 Could you give me something? 712 00:37:13,510 --> 00:37:15,076 Your morphine's maxed out. 713 00:37:17,992 --> 00:37:19,907 But you know what I can do? 714 00:37:19,907 --> 00:37:21,256 I can hang out for a little while, 715 00:37:21,256 --> 00:37:22,649 keep your mind off things. 716 00:37:22,649 --> 00:37:27,219 I can get a deck of cards. Gin Rummy or Blackjack? 717 00:37:28,699 --> 00:37:30,309 I don't wanna take your money. 718 00:37:31,528 --> 00:37:33,225 Ha. 719 00:37:33,225 --> 00:37:35,053 We could turn on the TV. 720 00:37:35,532 --> 00:37:36,576 Okay. 721 00:37:36,576 --> 00:37:38,665 But I'm choosing what we watch. 722 00:37:38,665 --> 00:37:40,363 -Oh, I'm sorry. 723 00:37:41,625 --> 00:37:43,322 Excuse me. I'll be right back. 724 00:37:47,500 --> 00:37:49,502 Yes, it's Dr. Glassman. 725 00:37:50,503 --> 00:37:52,331 Yeah. 726 00:37:53,854 --> 00:37:55,552 And... And they're conclusive? 727 00:38:00,078 --> 00:38:03,821 Okay. Um, can you do me a favor and send them over? 728 00:38:03,821 --> 00:38:05,431 I'd like to take a look. 729 00:38:07,738 --> 00:38:09,957 Yeah. Um, thank you. 730 00:38:09,957 --> 00:38:13,352 ♪ The gears won't turn And the leaves won't grow ♪ 731 00:38:16,355 --> 00:38:20,359 - ♪ There's no place to run And no gasoline ♪ - Okay. 732 00:38:22,883 --> 00:38:26,800 ♪ Engine won't turn and the train won't leave ♪ 733 00:38:29,324 --> 00:38:33,111 ♪ Engines won't turn And the train won't leave ♪ 734 00:38:36,027 --> 00:38:40,335 ♪ Well, the way I feel Is the way I write ♪ 735 00:38:40,335 --> 00:38:43,382 Hey, guys, we are seconds away from crossing off 736 00:38:43,382 --> 00:38:45,428 our biggest bucket-list item yet. 737 00:38:45,428 --> 00:38:47,342 Thanks to the help of our fantastic doctors 738 00:38:47,342 --> 00:38:49,432 and a little bit of teamwork, 739 00:38:49,432 --> 00:38:52,870 we have arrived at the peak of Mount Umunhum! 740 00:38:52,870 --> 00:38:55,960 Okay. Everybody ready? 741 00:38:55,960 --> 00:39:00,704 Okay, three, two, one! 742 00:39:00,704 --> 00:39:02,836 We're touching the sky! 743 00:39:04,577 --> 00:39:08,189 - ♪ The way I feel Is the way I write ♪ - Whoo! Whoo! 744 00:39:10,148 --> 00:39:14,500 ♪ Nothing like the thoughts Of a man who lies ♪ 745 00:39:16,241 --> 00:39:19,157 ♪ There is a truth And it's on our side ♪ 746 00:39:21,333 --> 00:39:25,380 ♪ Dawn is coming Open your eyes ♪ 747 00:39:26,991 --> 00:39:30,864 ♪ Look into the sun As the new days rise ♪ 748 00:39:32,518 --> 00:39:36,043 ♪ And I will wait For you tonight ♪ 749 00:39:37,871 --> 00:39:43,094 ♪ You're here forever And you're by my side ♪ 750 00:39:43,094 --> 00:39:45,575 So, this patient I just had... 751 00:39:47,315 --> 00:39:49,666 He thought he was Jesus, 752 00:39:49,666 --> 00:39:52,712 real, actual Jesus. 753 00:39:52,712 --> 00:39:55,149 You would have loved it, or mocked it. 754 00:39:55,149 --> 00:39:57,891 Probably both. 755 00:39:57,891 --> 00:40:00,154 You know, when he said he was a carpenter from Nazareth, 756 00:40:00,154 --> 00:40:01,416 that's the thing... 757 00:40:03,897 --> 00:40:08,511 ♪ Look into the sun As the new days rise ♪ 758 00:40:09,903 --> 00:40:11,122 Hi, Joelle. 759 00:40:11,122 --> 00:40:13,559 - Hi! - Oh, my gosh. 760 00:40:13,559 --> 00:40:15,996 - I've missed you so much! 761 00:40:15,996 --> 00:40:18,477 You have done a very nice job 762 00:40:18,477 --> 00:40:20,261 making this not feel like a conference room. 763 00:40:20,261 --> 00:40:21,872 Thank you. 764 00:40:21,872 --> 00:40:24,570 Steve was such a happy, easy baby. 765 00:40:24,570 --> 00:40:28,269 Oh, was he really? Oh, I'm so glad. 766 00:40:28,269 --> 00:40:30,184 No, he did great. 767 00:40:30,184 --> 00:40:32,578 He was the only one who didn't even cry at drop-off. 768 00:40:33,884 --> 00:40:35,146 - Really? - Mmm-hmm. 769 00:40:35,146 --> 00:40:36,843 Can't wait to see you tomorrow. 770 00:40:36,843 --> 00:40:38,410 - Okay, bye. - Bye. 771 00:40:40,325 --> 00:40:43,763 Oh, you did so good, peanut. 772 00:40:46,723 --> 00:40:50,248 What's wrong? 773 00:40:50,248 --> 00:40:53,643 She said Steve did not react when his parent left the room. 774 00:40:53,643 --> 00:40:56,689 Which means loves it here. 775 00:40:56,689 --> 00:41:00,737 Or it could be an early indication of autism.