Brilliant Minds (2024) s02e02 Episode Script
The Contestant
1
You're the one ♪
So, Lauren, where are you from?
Ann Arbor.
- Ah. Wolverines!
- Yeah. Go, Blue!
[CHUCKLES]
Um, tell me something about you.
Any hidden talents
I should know about?
Uh, yes, actually.
I can guess any dog breed,
anytime, anywhere.
[LAUGHS]
Uh, that's impressive.
So, why are you here?
I've had some bad luck with guys.
O-One guy in particular.
And, um
Yeah, I'm I'm here
because I've always wanted
a family of my own.
Me, too.
How many kids do you want?
I, um
[ELECTRICITY BUZZING]
I'm sorry.
[BEEPING, MACHINERY WHIRRING]
Um
I think I've had enough, okay?
I-I want
Oh.
I want to get out.
[BREATHING QUICKLY]
Um, hey, unlock the door.
- I can't.
- I said let me out!
I'm done! Okay? I said I quit.
You can't keep me here!
I know my rights!
[BREATHES SHARPLY]
♪♪
[SHOUTING INDISTINCTLY]
Ah!
[GLASS SHATTERS]
Lauren! Lauren!
Love me, don't you think
of moving on ♪
I need you like no other ♪
Only one ♪
You're the one ♪
♪♪
♪♪
So, he left again.
[SIGHS]
Oh, Oliver.
[VOICE BREAKING] I'm so sorry.
You didn't know this time?
No.
At least he had
the decency to leave a note.
Carol would call that growth.
[SIREN WAILS IN DISTANCE]
Your father has always been impulsive.
- But this
- I should've expected it.
Leaving is what he does best.
You get one time to say,
"I told you so."
This is the last thing
I wanted to be right about.
But I can't say
I'm not somewhat relieved.
[SNIFFLES] You were
giving up so much for him.
And I don't want you to blame yourself.
[SCOFFS] I did everything I could.
He has to live with that, not me.
Honey, you're allowed to feel hurt.
I'm good, Mom.
You don't have to worry
about me anymore.
And you can finally live
your life unburdened by Dad.
And I can get back to the
patients who actually need me.
I think Carol would call that growth.
♪♪
[DOOR CLOSES]
Alison Whitaker sought me out
under false pretenses.
She used our therapy sessions
to pursue an unhealthy
preoccupation with my husband.
Once I became aware of the history,
I ended our relationship.
Ended your relationship with whom?
Miss Whitaker or your husband?
Both.
But did you not continue
to have formal sessions
with the patient on hospital premises
after you became aware of the conflict?
I immediately referred Alison
to another psychiatrist.
She refused and became
emotionally distressed.
Out of concern that
she may engage in self-harm,
we had two additional sessions.
But Miss Whitaker did self-harm,
so you weren't successful
in helping her.
Did you alert the medical board,
your supervisor,
or any other therapist
about your concerns?
- I did not.
- Isn't it likely, then,
that your failure
to establish clear boundaries
played a contributing role
in her attempted
No! Stop. Cut.
Time out.
Josh, what the hell?
You're supposed to be
helping me prepare,
not destabilizing me.
We've got 24 hours to get you ready.
These board hearings are no joke.
They will try to break you
just to cover their own asses.
I genuinely didn't think
that what I did was that wrong.
Have I been delusional
about this whole thing?
Your grip on reality
is stronger than most.
Are we referring to
our mutual friend, Wolf?
[SCOFFS]
How's that going?
Well, did you alert the medical board
- or the whole damn world
- [CHUCKLES]
that you may still have
feelings for each other?
You know Wolf.
Whatever he's feeling, it's
all going into his work.
Three. Two. One.
Since when do you do stroke codes?
Didn't I put your intern on that?
Well, it seemed like
Dr. Nash could use a hand,
and my schedule unexpectedly opened up.
- [DOOR OPENS]
- Lauren?
I'm looking for my sister,
Lauren Brooks.
Has anyone seen my sis
Oh, my God.
Hi. There you are.
LoLo! LoLo. Hi. What happened?
What are you doing here?
You're not supposed to be here.
What is she in for?
Head trauma? Seizure?
A show.
Claims she hurt herself escaping
from a reality TV set.
My guess is drugs or psych
probably both.
Either way, I'm turning over
that bed in an hour,
so don't do your whole
Phlebotomist to fourth
floor, Room 420, please.
I don't want you on it.
On what? What does that even mean?
Hi, I'm Dr. Wolf.
Did you know that foundation
can harbor facial bacteria?
It's best not to put that
on an open wound.
Would you mind taking it
out to our waiting area
while we get your sister patched up?
We'll come find you.
Okay. I'm gonna be right outside.
Just go.
Hi. I-I'm Lauren. Lauren B.
Nice to meet you.
Nurse Carter's on me to update the EHR.
I'll trade you for your rounds.
- Wolf needs us in the E.D.
- I don't want to go there.
- [CHUCKLES]
- It's full "Zero Dark Thirty,"
but with less Chastain and more Thorne.
And always so much yelling.
Why the yelling?!
Dana. You are stressing me out.
Fine. I'll go.
But you're helping me
with the EHR later.
Deal. Meet you down there?
Okay.
[PILLS RATTLING]
♪♪
You ladies need help in the E.D.?
I think we'll manage.
♪♪
Worse than LaGuardia
before the renovation.
Hey, there there's that guy again.
Frequent flyer.
Except there's never
anything wrong with him,
which I guess is sort of like
the loyalty point equivalent
of flying every day
from Newark to Allentown.
God, that's got to suck.
Patient Services to OR 2.
Patient Services to OR 2.
♪♪
Ow. That's painful.
I know these questions are
strange, Lauren,
but you're doing great.
Can you tell me
where you are right now?
I'd be worried if I couldn't.
[CHUCKLES]
We're at Bronx General, in the Bronx.
Are you taking any medication
that requires subcutaneous injections?
Insulin, blood thinners, GLP-1s?
No.
I-I told them
that I-I didn't want to be
on the show anymore,
but they wouldn't let me leave.
It may be helpful if we knew
which show you were on.
"Housewives"? "Next Gen"?
"Summer House"?
I would kill on "The Traitors."
Okay, um, why don't
we just focus right now
on how you feel?
And all of your initial labs
[SENSUAL MUSIC PLAYS]
Yeah, yeah, yeah ♪
appear normal.
Why are you putting on
your glasses like that?
Like what?
Like you're on a TV show.
Nurse Jeffers to Neonatal.
Nurse Jeffers to Neonatal.
[CHUCKLES]
This is still a part of it.
Of course, of course I knew, I knew,
Ohh. I knew that this wasn't
a real hospital.
I know all the tricks.
Okay, I know,
I know I'm still being filmed.
What makes you say that, Lauren?
Maybe the hidden cameras
that are all over the place.
There's one right there.
- In the stethoscope?
- Yes, there's one there
- and there
- [ELECTRICITY BUZZING]
and there.
[BUZZING CONTINUES]
- Um, Dr. Wolf, should we, uh
- Don't Don't act like
you don't know
what I'm talking about, okay?
I know. I know. I know what's going on.
- I know. I get it.
- Oh. Okay.
- I know.
- Uh, cut!
Let's, um, stop filming.
And, uh, let's put down all of our
- Props?
- props.
Um
Mm.
Let's just take five.
♪♪
I think our patient is experiencing
Truman Show syndrome.
This is actually a first for me.
These delusions can manifest
in various ways,
but in each case, the patient believes
that they are under some sort of
constant surveillance.
- Is there a specific trigger?
- It's usually meth.
My guess is meth, too.
Uh, weren't you on that
peripheral neuropathy?
Just finished up.
Thought I'd help out here.
[SPEAKING SOFTLY]
Can I be part of the Wolf pack?
When Lauren's feeling up to it,
we'll run a tox screen.
But I don't suspect drugs.
Sustained delusions can be caused
by environmental factors,
biochemical imbalances, even a mass.
Could be psychological.
Maybe she's a technophobe
whose conspiracy theories took over.
Of course, while
Truman Show syndrome is
a relatively new psychosis
named after some movie
about a detective
No, that was "Ace Ventura."
He was a pet detective.
A pet who solves crimes?
That's ludicrous.
Delusions associated
with new technologies
have a long history.
In the 1920s, people believed
radios could read their minds.
In the 14th century,
a revolution in glass production
led many people,
including King Charles VI of France,
to believe that they were made of glass
- and could shatter.
- Wow.
Seriously? This is what you do
in neuro all day?
Historical story time?
The patient came in off the street.
Nine times out of ten,
that's a history of psychosis.
This could be
an average Tuesday for her.
Not according to the sister.
We need to figure out
what triggered this.
And history can provide
a valuable context.
Why don't you play pet detective
after you give her anti-psychotics
and her delusion subsides?
I wouldn't want to force meds.
If she really was on a reality show,
some of them are
designed to break people
for entertainment
play mind games, withhold food.
Besides, everyone's on GLP-1s.
Hence the abdominal hematoma.
I've heard producers get bonuses
for pushing people to psychotic breaks.
That would account
for what we're seeing.
You three get with the patient,
see if she'll let you run some panels
so that we can start
eliminating etiologies.
Cardiac ICU to 2-4.
Hi, Lauren.
I'm glad to see your sister's
here with you.
We are just going to run a few tests.
- Okay?
- Yes.
I explained to her
we're not being filmed,
and this is all to help her.
Nice try.
Lo, just let the doctors work. Okay?
I cannot believe that you're
with them now.
I mean, I tried to keep you
out of this, Harper,
but you're just a part of it, too.
What are you supposed to be,
the concerned family member?
I am concerned
because you're making things up
- that don't make any sense.
- Uh-huh.
Where are you getting this?
Do any of these people
look real to you?
- They're actors.
- No, we're not actors.
Maybe not good ones.
I mean, that that broody guy
with the glasses from before?
He's what? He was the tortured genius
who cares too much about his patients?
- She got that right.
- Let me guess,
the only person
he can't heal is himself?
And you three are what? His protégés?
The interns?
That's the Type A brainy one.
- The comic relief.
- Hurtful.
And this guy is way too hot
to be a doctor,
so why is he here?
Oh, to be my love interest!
Forbidden romance with a patient!
- Spicy!
- Lauren, stop.
- [LAUGHS] No.
- These are your doctors.
I-I will not be humiliated on camera
for the whole world to see
and judge me, okay?
Nobody's judging you here.
Ma'am I am in pain. Okay?
I need real help,
from real doctors in a real hospital.
And if you're not going to give
me that, then you can
you can just get out.
- Lo, we need them to
- You, too, Harper.
If you're just gonna lie to me,
Harper, then leave.
[BREATHES SHARPLY]
Okay. Okay. I'm gonna be right back.
- Okay?
- Harper. Um
Can you think of any
recent stressors in her life?
I mean
she broke up
with her tech bro boyfriend,
but Lauren doesn't let that shake her.
She's always on top of everything.
Always.
I just I can't believe
this is happening.
You know what?
The E.D. has the best vending machines.
Why don't you go grab something
and take a seat?
Take care of yourself while
we take care of your sister.
- Respiratory to
- Respiratory to
Okay.
- Sorry.
- No, it's alright.
- [SNIFFLES]
- The waiting room is right here.
It'd be great to get some answers.
If only Lauren would let us do,
like, one teeny-tiny LP.
Maybe she'll let
her love interest do it.
Ha.
God, I always attract the crazy ones.
We don't use that word here.
It's dehumanizing and stigmatizing,
and it trivializes everything
we do on behalf of our patients.
Relax.
It's not like I said it to her face.
So, how are you holding up?
I'm fine.
[HORN HONKS IN DISTANCE]
[INDISTINCT CONVERSATIONS]
I lived without my dad
for 30 years, Carol.
I'm happy to go another 30
the same way.
It was a blip on the radar.
I am fine.
You said "fine" twice.
Should I do my thing
or just let you keep twisting reality?
The only reason that he came
back was to use me to fix him.
And when that didn't happen
fast enough, he left.
I am ready to get back to my real life
and the people
who actually deserve my time.
What's going on with the trial?
Oh, well
Josh put me through the wringer
this morning.
He went full Army general on me.
- So annoying.
- So annoying.
But also kinda hot?
Okay, I don't want to hear it.
Just keep me out of y'all's thing.
Obviously don't, but Josh was
so annoyingly right, Wolf.
You are an incredible doctor.
You made one mistake.
Who are these bureaucratic
pencil pushers to judge you?
Yeah, well
I think the only way to get my job back
is if I lie to the pencil pushers
about what happened.
It's my word against Alison's.
So if the system is wrong,
then you got to do
everything in your power
to make it right.
[SIREN CHIRPS]
Hey, Wolf.
You're gonna want to see this.
NYPD just sent it over.
- What is this?
- Your patient's reality show.
[VIDEO CLICKS, WHIRRING]
I've had some bad luck with guys.
Well, o-one guy in particular.
Yeah, I'm I'm here
because I've always wanted
a family of my own.
How many kids you want?
- Uh, I'm I'm sorry.
- I think I've had enough.
I-I-I want to get out.
Unlock the door.
I can't.
- I said let me out!
- Whoa!
She wasn't on a reality show.
- I know my rights, okay?!
- She was in a cab.
- You can't keep me here!
- Please, lady, calm down.
Her delusions have already
caused one violent episode.
Lauren!
- She needs meds, Wolf.
- Lauren!
I just want everyone
to stop watching me!
[PANTING]
- Oh!
- Get Security!
- [PANTING]
- [DOORS SLAMMING OPEN]
There she is! Ma'am!
- Lauren?
- She's headed for the West exit.
- On it.
- Hey!
- Lauren!
- Stop!
- Wait!
- L-Lauren, stop!
- Oh!
- Whoa!
Um
[BREATHING QUICKLY]
♪♪
♪♪
[ELECTRICITY BUZZING]
♪♪
[WHOOSHING, BEEPING]
[ECHOING] LoLo.
LoLo?
LoLo, hey.
- LoLo?
- [GASPS]
- [INDISTINCT CONVERSATIONS]
- Hey. It's okay.
[WHIMPERS]
Everything's okay.
[SNIFFLES, WHIMPERS]
- Just breathe. I know.
- [SPEAKING INDISTINCTLY]
Everything's okay.
- Ow!
- No. No.
- What are you doing?
- Following protocol.
It hurts. I don't want
Please, Harper, please! Harper, please!
No! That hurts. Please, Harper!
Please don't let them take me away!
[CRYING] Please! No!
Harper!
Social worker
[DOOR CREAKS]
♪♪
♪♪
- [WHIRRING]
- [BREATHING QUICKLY]
[SNIFFLES]
♪♪
We're supposed to help her get better.
Why can't we just take her to neuro?
She eloped during
a mental health crisis
and nearly harmed herself.
Despite Thorne's maddening
pursuit of expedience,
he is correct in protocol.
The seclusion room is a safety measure.
But it's making her worse.
She thought she was on camera,
being watched, and now she is.
Well, in psych terms, this
is a self-fulfilling prophecy.
Cool, cool. Thanks, Dr. Drew.
Okay, Thorne wants to wait and see
if psych comes out of hiding,
but Carol's replacement
is basically a potato with a clipboard.
Even if he shows up, he's just
going to force meds on Lauren.
And traumatize her even more.
On the flip side,
prolonged psychosis
is toxic for the brain.
Which is why she needs antipsychotics.
Her brain is on fire.
Wait, let's turn down the temperature,
psychologically and literally.
That's your solve? Blast the AC?
Dr. Dang is right.
Her brain is on fire.
The threat response in
her amygdala is on high alert.
We need to cool
her physiological response.
And then what?
Then we meet her where she is.
♪♪
Call 1980. Call 1980.
♪♪
♪♪
[DOOR CLOSES]
♪♪
♪♪
[WHISPERING] Um.
This, too?
♪♪
♪♪
You missed one.
Oh.
Good catch.
♪♪
[CHAIR THUMPS]
♪♪
[ELECTRICITY BUZZING]
♪♪
♪♪
It's Lauren Lauren B., right?
I'm Oliver.
Oliver W.
Okay, Oliver W.
Don't you hate
this constant surveillance?
It is tiring,
but the abundance
of particle board furniture
exhausts me more.
[BOTH CHUCKLE]
Yeah, I'll admit, I'm terrified
of what's on the other side of this.
So, what's your story?
Why haven't you found love yet?
Um, overworked doctor.
Too committed to my patients, I guess.
It's so hard.
And it just feels like everyone
is always judging you.
Like you're not the person
they want you to be,
or you you can't be
because you're, like
Mnh.
broken?
Can I let you in on a secret?
Mm.
I heard everyone watching
is rooting for you.
[CHUCKLES]
- Come on.
- No. It's true.
- You're the fan favorite.
- [CHUCKLES]
Everyone wants to see you win.
But you got to keep playing the game.
Even on this hospital set.
And cooperate with the doctors.
Take your meds.
Everyone wants to see you get better
on your terms.
Okay.
Yeah, I-I-I'll do it.
And for what it's worth,
I hope you find love, too.
♪♪
Hey, by the way,
I know you're not a real doctor.
[CHUCKLES]
You're right.
I just play one on TV.
[CHUCKLES]
♪♪
[DOOR CLOSES]
♪♪
[INDISTINCT CONVERSATIONS]
Hospital Transport to Vascular Imaging.
Hospital Transport to Vascular Imaging.
- Wolf.
- Nichols.
Hey.
Do you want to grab a drink tonight?
Sure.
♪♪
Anesthesia tech to E.R. 1.
Anesthesia tech to E.R.
So it's your assertion
that you did nothing wrong?
You discontinued treatment
of the patient
as soon as you discovered
the inappropriate relationship.
[HORN HONKS IN DISTANCE]
[INDISTINCT CONVERSATIONS IN DISTANCE]
♪♪
No.
I continued to treat her
for a short time after I knew.
As psychiatrists,
we're taught to maintain
a healthy emotional distance
from our clients,
but it's not always realistic.
Not when you've given a widow
a reason to get up in the morning
after her husband died.
Not when you've guided a family
through the hell of alcoholism
and watched them make it
to the other side.
Not when you've treated a young
girl with anorexia for years
and rejoice with her family
when she no longer wants to restrict.
I care deeply about my patients.
I see myself in them.
And they deserve a doctor
who will fight for them,
the way I fight
for the people in my own life.
I am committed to my patients,
and I have always done the best I can,
even when circumstances
get complicated.
If you fire me, you lose an employee.
They
They lose a hell of a lot more.
♪♪
[MURMURING]
♪♪
I'm very proud I got her
to take her meds willingly.
It's great to get the win.
I know the feeling.
[GLASSES CLINK]
[CHUCKLES]
♪♪
Thank you for celebrating with me.
I needed this.
I'm happy to be here.
♪♪
Wolf
What?
♪♪
Are you okay?
Why wouldn't I be okay? [SCOFFS]
Your dad
I know he just left.
I didn't know that you knew.
Carol told me.
I thought you asked me here
to maybe talk about it.
No, I don't want to talk about it.
I don't want to talk about him.
I want everything to go back to
the way it was before he came.
You told me you wanted to wait
until your house was in order.
Your dad just left,
and if I were to take a wild guess,
I-I don't think anything is in order.
You'd be guessing wrong.
Look, I can be your friend
through this.
But I don't deserve
to be jerked around.
[CELLPHONE VIBRATES]
Oh.
It's the hospital. I got to go.
Yeah. Yeah.
I'm sorry.
It's already forgotten.
♪♪
[SCREAMING]
Okay, she woke up like this.
You guys said it was all in her head,
but she's in real pain now.
We paged Dr. Wolf. He's on his way.
Is it alright
if I take a look at you, Lauren?
- Yes. [WHIMPERS]
- Alright ready.
We can't wait for Dr. Wolf.
Page the on-call. Get them here now.
- Copy that. Right away.
- Okay, I know.
[CRYING]
- [CELLPHONE VIBRATES]
- Charge nurse to ICU.
Charge nurse to ICU.
♪♪
- [CELLPHONE CHIMES]
- [SCOFFS]
[CELLPHONE VIBRATING]
♪♪
[ELEVATOR BELL DINGS]
A quick examination revealed
the patient's distended abdomen.
That, in combination with acute pain
and shallow breathing, suggests
- Internal bleeding?
- That's the working theory,
but I paged the critical response team.
There's got to be something
that we're missing.
That's great. Good work.
Ow! Ow! Ow! Ow! Ow! Ow! Ow! Ow! Ow!
- It's okay. Okay.
- You're gonna be okay, Lauren.
- Yeah.
- Here we go.
No, no, no, no, no, no, no, no, no, no.
- Hey, hey, hey.
- No!
I am so sorry. I-I don't know
how I didn't hear my phone.
- Ow! Ow! Ow! Ow! Ow! Ow!
- Not right now, Kinney.
What could have caused the bleed?
Ultrasound shows
free fluid in the lower pelvis.
Exact source is unclear,
but we're hoping IR
can stop the bleeding
and gives us more answers.
- Alright, let's go!
- No! [GROANS]
What's happening?
Is she going to be okay?
Uh, let's give them some space to work.
And I'll explain to you what I know.
Come with me.
I am such an idiot.
Far from.
This is the night shift.
Happens to the best of us.
Well, it doesn't happen to me.
Hm.
Maybe, um
take it easy on the benzos next time.
Orderly with wheelchair,
you're needed in the E.D.
Her ovaries are cystic and enlarged.
That hematoma Ericka found
on Lauren's abdomen?
I don't think it's from GLP-1s.
I think she's been injecting
herself with hormones for
In vitro fertilization,
which is why her ovaries
are so massively stimulated.
And that bleed's location
must be associated
with a recent egg retrieval.
But that still doesn't
entirely explain the psychosis.
I'm going to try the IVF lab now
that they're open
and see what they can tell me.
- Let me know.
- Yeah.
[INDISTINCT CONVERSATIONS]
Dr. Wolf, just a heads-up
I took care
of all your discharge summaries.
Well, it's good to see you awake.
- Everything okay?
- Yeah. Of course.
I just know how much you hate charting.
Also, I found a case I think
you might be interested in.
At minimum, he's schizophrenic,
but I think there is
something more going on.
As you can see, every physician's note
is just a copy-paste from the last.
Everyone just writes him off.
So, I am thinking we should
give him a fresh workup.
But this guy's in and out
of the E.D. every other day.
Isn't that all the more
reason we should help him?
Lauren B. has one break,
and it's all hands on deck.
I just think we're being very biased
about who should
and shouldn't receive care.
Listen, Ericka,
I appreciate your passion.
Truly, I do.
But no matter how hard we try to help,
some patients will always leave.
And that's their right.
We cannot force care
onto those who don't want it.
Medical Records, dial 1649.
1649 for Medical Records, please.
♪♪
I'm sorry I didn't tell you about IVF.
It's okay.
Just wish I'd known
so I could have helped.
Lauren's abdominal pain
was from a complication
- with the egg retrieval surgery.
- Mm.
Unfortunately, we were focused
on the psychological break,
which is a separate issue.
Lauren, can you explain
what you've been going through
- these past few weeks?
- Yeah.
Jake left,
but I always wanted
to be a mom, so I
I kept going. I did my research.
I picked a sperm donor.
I can't believe you're doing
all those injections
- by yourself.
- Yeah. It was so expensive.
And I-I had to bill so many hours,
I couldn't even sleep.
But I wanted to tell people
when it was a success.
You know, I
I didn't want them to judge me
or think that I was doing
it the "wrong way," but
[CHUCKLES]
Now everything is wrong, so
A big breakup,
going through the IVF process,
working too hard, not sleeping enough,
with huge hormonal fluctuations
that provokes
the worry, the stress,
and the tonnage of those elements
created a perfect storm
for a mental break for you.
You put enough pressure
on a bone, it will break.
The brain is just as fragile.
It can only take so much.
♪♪
Do you see something?
[VOICE BREAKING] Um
No, no.
It's nothing.
Do you think there's a camera there?
[VOICE BREAKING]
I don't I don't know.
I don't know.
- I
- [BREATHES DEEPLY]
I thought that this was better,
that this was fixed.
While her delusions aren't
real in a sense,
they are real to her.
She has memories of them.
We have to think of Lauren
coming out of this
like the sun rising after a heavy rain.
It'll take some time
for all of the water to dry,
but it will.
[KNOCK ON DOOR]
Good news from the fertility clinic
despite the complication,
the retrieval was a success.
Three embryos made it through
the fertilization process, Lauren.
That's a major silver lining.
Hey. That's amazing, LoLo.
Um, can someone
please tell the fertility clinic
that they can discard the embryos?
I'm not
I'm not interested in proceeding.
You went through hell
to get those, okay?
[CLEARS THROAT] I think it's best
if you go be with your family, Harper.
I've caused so much trouble.
Please, I can't.
I'm just gonna rest.
- No, no, please go.
- Okay.
You really don't need to be here.
♪♪
♪♪
[CRYING]
♪♪
I don't know how to help her.
Well, continued medication will help,
but this is the normal process.
She can be discharged soon
with support in place.
Yeah, but it's not normal.
I want to be there for her.
[BREATHES DEEPLY]
[VOICE BREAKING]
I have a toddler at home.
I'm due in eight weeks.
Hi, there.
- Hello?
- Amelia Fredrick.
I'm the clinical director
at Hudson Oaks Psychiatric Facility.
I got word that
we may need inpatient treatment.
Got word from whom?
We're always trying to help
out our busy city hospitals,
so I just happened to be
doing my rounds here today
in Bronx General.
What is this?
Please take our brochure.
I'm so sorry that your loved one
is dealing with
a mental-health episode.
It can be so hard,
especially on the family.
And you are clearly
about to be very, very busy.
- Boy? Girl?
- We don't want to know.
Oh, I love a surprise.
[CHUCKLING] There are so few
good surprises left in life.
[CHUCKLES LIGHTLY]
But there are no surprises
at Hudson Oaks.
And yet you managed to surprise me
in my hospital, on my floor.
So, there must be a couple.
You have so much to do here.
And that's where a facility
like ours comes in.
We can ease the burden on you.
And the patients love it.
It gives them a safe place
to be while they recover.
I don't know. Maybe
this is the right thing for her.
I just never thought we'd be
one of these families
[BREATHES DEEPLY]
dealing with something like this.
Thank you for all of these materials.
An inpatient facility might be
the right option for Lauren,
but you and I can review
all of this privately together.
You don't need to make
any decisions right now.
Okay.
Nurses' station
Third floor nurses' station.
It's time to make a decision.
If there's no new evidence
to present, let's take a vote.
All in favor of restoring
Dr. Pierce to her position?
All in favor of terminating
Dr. Pierce from her position?
♪♪
Looks like we're split.
Attending pediatrics to E.R.
Attending pediatrics to E.R.
[KNOCK ON DOOR]
So what's the verdict? [SIGHS]
Well
since you decided to heroically
tell the unvarnished truth
the jury was split.
[LIQUID POURING]
[SIGHS]
But
the decision is final.
I'm stepping down
as chief medical officer,
- effective immediately.
- What?
I told the board that I advised
you to continue treating Alison.
Head of Psych is yours if you accept.
No.
No, I'm not letting you do that.
Well, with all due deference,
I am well past the age where
anyone lets me do anything.
- [SIGHS]
- For most of my career,
I've been making the hard decisions
about what's right for this hospital.
And that's what I'm doing right now.
Muriel.
Bronx General needs you.
It needs you more.
And so does Oliver.
I'm leaving the hospital.
Not my son.
And look, he says that he's fine.
But you and I both
know that's not true.
And when he finally realizes that,
he's going to need you here, not me.
I don't know what to say.
Because we both know that I'm right.
I'm not going to wander off
into the wilderness.
I have been contemplating
retirement for a while now.
To tell you the truth, Carol
I'm tired.
And I'm ready.
Well
I think you've earned a break.
Ooh, honey, I hope so.
[CHUCKLES]
Welcome back, Dr. Pierce.
Thank you.
[GLASSES CLINK]
♪♪
What you're doing is very brave
and difficult, I know,
but it really is the right thing
for your family.
You're going to be a perfect fit
at Hudson Oaks,
and our team is perfectly equipped
to take care of people
with problems like yours.
Blood Donor Center to E.D.
Blood Donor Center to E.D.
What do you think, Lo?
I think it's
I think it's probably
best for everyone.
Yeah. Well, if you will just sign here,
then I can start getting
the transfer set up.
Lauren.
Whatever you decide, to stay or go,
this is up to you.
I know how difficult it can be
to feel like a burden
on the people you love the most,
and to feel like
everything would just be easier
if you were gone.
But that isn't always true.
Are you sure
that this is what you want?
I'm not I'm not sure.
♪♪
Tech specialist to the E.R.
Tech specialist to the E.R.
now, please.
Dr. Wolf filled me in, and I understand
you've discussed staying
in inpatient care
for the near future?
I don't know how I can return
to my life after this.
[CHUCKLING]
I certainly can't have kids.
I'm crazy.
I completely understand
why you feel that way,
but I wouldn't use
that word to describe you.
I had my psychotic episode
after I had a baby,
and I don't even consider myself crazy.
I didn't realize.
- I mean, you you seem so
- Just the same as you.
Just the same as anyone.
Inpatient care is the right
solution for some people.
But having a psychotic episode,
it's just like any other illness.
Lots of people have them,
and lots of people go on to
resume normal lives afterwards.
Like with any illness,
people can be susceptible
to certain vulnerabilities.
They can have headaches or nosebleeds.
It doesn't make you weak or flawed.
It makes you human.
We've both treated plenty of patients
and helped them get back to their lives
after something like this.
You could start by seeing me
twice a week,
staying on your medication,
and we would monitor how you're doing.
But there's no reason to believe
you have any type
of permanent psychosis.
But if things get bad again,
that's okay, too.
You'll now have the tools in place
to help you get through it.
That sounds good to me, LoLo.
- Scrub nurse to O.R. 5.
- [CHUCKLES]
Scrub nurse to O.R. 5.
♪♪
- Can I still freeze my embryos?
- Of course.
Many times, people who
have dealt with mental illness,
they make the fiercest protector
of their own children,
especially when they have the
right support system in place.
It's hard to predict
what will break a person.
Come on!
[WHIRRING]
I don't know why I can't let you go ♪
Whew!
That's the Dr. Pierce touch
we've been missing around here!
[LAUGHS] Thank you.
Oh, thank you.
This doesn't feel real yet. [CHUCKLES]
I honestly wasn't sure
I would be back here.
Well, uh, a friend in high
places told me it helped
that one of your patients
testified on your behalf.
What?
Who?
Alison.
She came forward,
said you saved her life.
Went a long way with the board.
But I thought she was the one
who reported me.
It wasn't Alison.
Triage nurse to main entrance.
Life is always throwing us for a loop.
So, we cling to the people
who make us feel whole,
hoping they can hold us together.
Oh, my God, give me that.
I can carry a plastic bag.
You've got enough on your hands.
My OB says it's
important to stay active.
Keep up on my workout routines.
[CHUCKLES] Okay, workout routines.
Chasing a 2-year-old
around New York City
is a workout in and of itself.
Okay? You'll see.
[ELECTRICITY BUZZING]
[ECHOING] LoLo, ready to go?
Paul's making that
lamb Bolognese that you like.
Mom, you do know that there are people
who will do this for you, right?
I'm supposed to trust strangers
with my most precious belongings?
[SCOFFS LIGHTLY]
Thank you.
For what?
For sticking around.
Especially
when he made it so hard for you.
So, it took me retiring
for you to say thanks
- after all these years?
- Oh, my God.
Mugwump, don't make a big deal of this.
I'm not.
Actually, I was thinking
it'll be nice to have you
as my mom and not my boss.
Oh.
I won't make excuses for your father.
He made huge mistakes,
and he was never the easiest man
to love.
But it devastated him,
seeing how his condition
affected his family.
It was so hard on you,
and it was hard on me.
But I can promise you
it was hardest on him.
I know.
He was alone.
♪♪
But everyone breaks.
And sometimes, what breaks you
has been lurking inside you all along,
waiting to shatter your world.
Dr. Wolf, are you alright?
Well, you'll remain with us here
for an observation period
under our care and supervision,
so that we can best determine
a treatment that's suited for you.
Hey, even those of us who give
care need care sometimes.
♪♪
Yeah.
Okay, just sign right here.
♪♪
[BREATHING DEEPLY]
♪♪
Go ahead, Wolf.
It's for the best.
♪♪
sync & corrections awaqeded
♪♪
♪♪
♪♪
♪♪
You're the one ♪
So, Lauren, where are you from?
Ann Arbor.
- Ah. Wolverines!
- Yeah. Go, Blue!
[CHUCKLES]
Um, tell me something about you.
Any hidden talents
I should know about?
Uh, yes, actually.
I can guess any dog breed,
anytime, anywhere.
[LAUGHS]
Uh, that's impressive.
So, why are you here?
I've had some bad luck with guys.
O-One guy in particular.
And, um
Yeah, I'm I'm here
because I've always wanted
a family of my own.
Me, too.
How many kids do you want?
I, um
[ELECTRICITY BUZZING]
I'm sorry.
[BEEPING, MACHINERY WHIRRING]
Um
I think I've had enough, okay?
I-I want
Oh.
I want to get out.
[BREATHING QUICKLY]
Um, hey, unlock the door.
- I can't.
- I said let me out!
I'm done! Okay? I said I quit.
You can't keep me here!
I know my rights!
[BREATHES SHARPLY]
♪♪
[SHOUTING INDISTINCTLY]
Ah!
[GLASS SHATTERS]
Lauren! Lauren!
Love me, don't you think
of moving on ♪
I need you like no other ♪
Only one ♪
You're the one ♪
♪♪
♪♪
So, he left again.
[SIGHS]
Oh, Oliver.
[VOICE BREAKING] I'm so sorry.
You didn't know this time?
No.
At least he had
the decency to leave a note.
Carol would call that growth.
[SIREN WAILS IN DISTANCE]
Your father has always been impulsive.
- But this
- I should've expected it.
Leaving is what he does best.
You get one time to say,
"I told you so."
This is the last thing
I wanted to be right about.
But I can't say
I'm not somewhat relieved.
[SNIFFLES] You were
giving up so much for him.
And I don't want you to blame yourself.
[SCOFFS] I did everything I could.
He has to live with that, not me.
Honey, you're allowed to feel hurt.
I'm good, Mom.
You don't have to worry
about me anymore.
And you can finally live
your life unburdened by Dad.
And I can get back to the
patients who actually need me.
I think Carol would call that growth.
♪♪
[DOOR CLOSES]
Alison Whitaker sought me out
under false pretenses.
She used our therapy sessions
to pursue an unhealthy
preoccupation with my husband.
Once I became aware of the history,
I ended our relationship.
Ended your relationship with whom?
Miss Whitaker or your husband?
Both.
But did you not continue
to have formal sessions
with the patient on hospital premises
after you became aware of the conflict?
I immediately referred Alison
to another psychiatrist.
She refused and became
emotionally distressed.
Out of concern that
she may engage in self-harm,
we had two additional sessions.
But Miss Whitaker did self-harm,
so you weren't successful
in helping her.
Did you alert the medical board,
your supervisor,
or any other therapist
about your concerns?
- I did not.
- Isn't it likely, then,
that your failure
to establish clear boundaries
played a contributing role
in her attempted
No! Stop. Cut.
Time out.
Josh, what the hell?
You're supposed to be
helping me prepare,
not destabilizing me.
We've got 24 hours to get you ready.
These board hearings are no joke.
They will try to break you
just to cover their own asses.
I genuinely didn't think
that what I did was that wrong.
Have I been delusional
about this whole thing?
Your grip on reality
is stronger than most.
Are we referring to
our mutual friend, Wolf?
[SCOFFS]
How's that going?
Well, did you alert the medical board
- or the whole damn world
- [CHUCKLES]
that you may still have
feelings for each other?
You know Wolf.
Whatever he's feeling, it's
all going into his work.
Three. Two. One.
Since when do you do stroke codes?
Didn't I put your intern on that?
Well, it seemed like
Dr. Nash could use a hand,
and my schedule unexpectedly opened up.
- [DOOR OPENS]
- Lauren?
I'm looking for my sister,
Lauren Brooks.
Has anyone seen my sis
Oh, my God.
Hi. There you are.
LoLo! LoLo. Hi. What happened?
What are you doing here?
You're not supposed to be here.
What is she in for?
Head trauma? Seizure?
A show.
Claims she hurt herself escaping
from a reality TV set.
My guess is drugs or psych
probably both.
Either way, I'm turning over
that bed in an hour,
so don't do your whole
Phlebotomist to fourth
floor, Room 420, please.
I don't want you on it.
On what? What does that even mean?
Hi, I'm Dr. Wolf.
Did you know that foundation
can harbor facial bacteria?
It's best not to put that
on an open wound.
Would you mind taking it
out to our waiting area
while we get your sister patched up?
We'll come find you.
Okay. I'm gonna be right outside.
Just go.
Hi. I-I'm Lauren. Lauren B.
Nice to meet you.
Nurse Carter's on me to update the EHR.
I'll trade you for your rounds.
- Wolf needs us in the E.D.
- I don't want to go there.
- [CHUCKLES]
- It's full "Zero Dark Thirty,"
but with less Chastain and more Thorne.
And always so much yelling.
Why the yelling?!
Dana. You are stressing me out.
Fine. I'll go.
But you're helping me
with the EHR later.
Deal. Meet you down there?
Okay.
[PILLS RATTLING]
♪♪
You ladies need help in the E.D.?
I think we'll manage.
♪♪
Worse than LaGuardia
before the renovation.
Hey, there there's that guy again.
Frequent flyer.
Except there's never
anything wrong with him,
which I guess is sort of like
the loyalty point equivalent
of flying every day
from Newark to Allentown.
God, that's got to suck.
Patient Services to OR 2.
Patient Services to OR 2.
♪♪
Ow. That's painful.
I know these questions are
strange, Lauren,
but you're doing great.
Can you tell me
where you are right now?
I'd be worried if I couldn't.
[CHUCKLES]
We're at Bronx General, in the Bronx.
Are you taking any medication
that requires subcutaneous injections?
Insulin, blood thinners, GLP-1s?
No.
I-I told them
that I-I didn't want to be
on the show anymore,
but they wouldn't let me leave.
It may be helpful if we knew
which show you were on.
"Housewives"? "Next Gen"?
"Summer House"?
I would kill on "The Traitors."
Okay, um, why don't
we just focus right now
on how you feel?
And all of your initial labs
[SENSUAL MUSIC PLAYS]
Yeah, yeah, yeah ♪
appear normal.
Why are you putting on
your glasses like that?
Like what?
Like you're on a TV show.
Nurse Jeffers to Neonatal.
Nurse Jeffers to Neonatal.
[CHUCKLES]
This is still a part of it.
Of course, of course I knew, I knew,
Ohh. I knew that this wasn't
a real hospital.
I know all the tricks.
Okay, I know,
I know I'm still being filmed.
What makes you say that, Lauren?
Maybe the hidden cameras
that are all over the place.
There's one right there.
- In the stethoscope?
- Yes, there's one there
- and there
- [ELECTRICITY BUZZING]
and there.
[BUZZING CONTINUES]
- Um, Dr. Wolf, should we, uh
- Don't Don't act like
you don't know
what I'm talking about, okay?
I know. I know. I know what's going on.
- I know. I get it.
- Oh. Okay.
- I know.
- Uh, cut!
Let's, um, stop filming.
And, uh, let's put down all of our
- Props?
- props.
Um
Mm.
Let's just take five.
♪♪
I think our patient is experiencing
Truman Show syndrome.
This is actually a first for me.
These delusions can manifest
in various ways,
but in each case, the patient believes
that they are under some sort of
constant surveillance.
- Is there a specific trigger?
- It's usually meth.
My guess is meth, too.
Uh, weren't you on that
peripheral neuropathy?
Just finished up.
Thought I'd help out here.
[SPEAKING SOFTLY]
Can I be part of the Wolf pack?
When Lauren's feeling up to it,
we'll run a tox screen.
But I don't suspect drugs.
Sustained delusions can be caused
by environmental factors,
biochemical imbalances, even a mass.
Could be psychological.
Maybe she's a technophobe
whose conspiracy theories took over.
Of course, while
Truman Show syndrome is
a relatively new psychosis
named after some movie
about a detective
No, that was "Ace Ventura."
He was a pet detective.
A pet who solves crimes?
That's ludicrous.
Delusions associated
with new technologies
have a long history.
In the 1920s, people believed
radios could read their minds.
In the 14th century,
a revolution in glass production
led many people,
including King Charles VI of France,
to believe that they were made of glass
- and could shatter.
- Wow.
Seriously? This is what you do
in neuro all day?
Historical story time?
The patient came in off the street.
Nine times out of ten,
that's a history of psychosis.
This could be
an average Tuesday for her.
Not according to the sister.
We need to figure out
what triggered this.
And history can provide
a valuable context.
Why don't you play pet detective
after you give her anti-psychotics
and her delusion subsides?
I wouldn't want to force meds.
If she really was on a reality show,
some of them are
designed to break people
for entertainment
play mind games, withhold food.
Besides, everyone's on GLP-1s.
Hence the abdominal hematoma.
I've heard producers get bonuses
for pushing people to psychotic breaks.
That would account
for what we're seeing.
You three get with the patient,
see if she'll let you run some panels
so that we can start
eliminating etiologies.
Cardiac ICU to 2-4.
Hi, Lauren.
I'm glad to see your sister's
here with you.
We are just going to run a few tests.
- Okay?
- Yes.
I explained to her
we're not being filmed,
and this is all to help her.
Nice try.
Lo, just let the doctors work. Okay?
I cannot believe that you're
with them now.
I mean, I tried to keep you
out of this, Harper,
but you're just a part of it, too.
What are you supposed to be,
the concerned family member?
I am concerned
because you're making things up
- that don't make any sense.
- Uh-huh.
Where are you getting this?
Do any of these people
look real to you?
- They're actors.
- No, we're not actors.
Maybe not good ones.
I mean, that that broody guy
with the glasses from before?
He's what? He was the tortured genius
who cares too much about his patients?
- She got that right.
- Let me guess,
the only person
he can't heal is himself?
And you three are what? His protégés?
The interns?
That's the Type A brainy one.
- The comic relief.
- Hurtful.
And this guy is way too hot
to be a doctor,
so why is he here?
Oh, to be my love interest!
Forbidden romance with a patient!
- Spicy!
- Lauren, stop.
- [LAUGHS] No.
- These are your doctors.
I-I will not be humiliated on camera
for the whole world to see
and judge me, okay?
Nobody's judging you here.
Ma'am I am in pain. Okay?
I need real help,
from real doctors in a real hospital.
And if you're not going to give
me that, then you can
you can just get out.
- Lo, we need them to
- You, too, Harper.
If you're just gonna lie to me,
Harper, then leave.
[BREATHES SHARPLY]
Okay. Okay. I'm gonna be right back.
- Okay?
- Harper. Um
Can you think of any
recent stressors in her life?
I mean
she broke up
with her tech bro boyfriend,
but Lauren doesn't let that shake her.
She's always on top of everything.
Always.
I just I can't believe
this is happening.
You know what?
The E.D. has the best vending machines.
Why don't you go grab something
and take a seat?
Take care of yourself while
we take care of your sister.
- Respiratory to
- Respiratory to
Okay.
- Sorry.
- No, it's alright.
- [SNIFFLES]
- The waiting room is right here.
It'd be great to get some answers.
If only Lauren would let us do,
like, one teeny-tiny LP.
Maybe she'll let
her love interest do it.
Ha.
God, I always attract the crazy ones.
We don't use that word here.
It's dehumanizing and stigmatizing,
and it trivializes everything
we do on behalf of our patients.
Relax.
It's not like I said it to her face.
So, how are you holding up?
I'm fine.
[HORN HONKS IN DISTANCE]
[INDISTINCT CONVERSATIONS]
I lived without my dad
for 30 years, Carol.
I'm happy to go another 30
the same way.
It was a blip on the radar.
I am fine.
You said "fine" twice.
Should I do my thing
or just let you keep twisting reality?
The only reason that he came
back was to use me to fix him.
And when that didn't happen
fast enough, he left.
I am ready to get back to my real life
and the people
who actually deserve my time.
What's going on with the trial?
Oh, well
Josh put me through the wringer
this morning.
He went full Army general on me.
- So annoying.
- So annoying.
But also kinda hot?
Okay, I don't want to hear it.
Just keep me out of y'all's thing.
Obviously don't, but Josh was
so annoyingly right, Wolf.
You are an incredible doctor.
You made one mistake.
Who are these bureaucratic
pencil pushers to judge you?
Yeah, well
I think the only way to get my job back
is if I lie to the pencil pushers
about what happened.
It's my word against Alison's.
So if the system is wrong,
then you got to do
everything in your power
to make it right.
[SIREN CHIRPS]
Hey, Wolf.
You're gonna want to see this.
NYPD just sent it over.
- What is this?
- Your patient's reality show.
[VIDEO CLICKS, WHIRRING]
I've had some bad luck with guys.
Well, o-one guy in particular.
Yeah, I'm I'm here
because I've always wanted
a family of my own.
How many kids you want?
- Uh, I'm I'm sorry.
- I think I've had enough.
I-I-I want to get out.
Unlock the door.
I can't.
- I said let me out!
- Whoa!
She wasn't on a reality show.
- I know my rights, okay?!
- She was in a cab.
- You can't keep me here!
- Please, lady, calm down.
Her delusions have already
caused one violent episode.
Lauren!
- She needs meds, Wolf.
- Lauren!
I just want everyone
to stop watching me!
[PANTING]
- Oh!
- Get Security!
- [PANTING]
- [DOORS SLAMMING OPEN]
There she is! Ma'am!
- Lauren?
- She's headed for the West exit.
- On it.
- Hey!
- Lauren!
- Stop!
- Wait!
- L-Lauren, stop!
- Oh!
- Whoa!
Um
[BREATHING QUICKLY]
♪♪
♪♪
[ELECTRICITY BUZZING]
♪♪
[WHOOSHING, BEEPING]
[ECHOING] LoLo.
LoLo?
LoLo, hey.
- LoLo?
- [GASPS]
- [INDISTINCT CONVERSATIONS]
- Hey. It's okay.
[WHIMPERS]
Everything's okay.
[SNIFFLES, WHIMPERS]
- Just breathe. I know.
- [SPEAKING INDISTINCTLY]
Everything's okay.
- Ow!
- No. No.
- What are you doing?
- Following protocol.
It hurts. I don't want
Please, Harper, please! Harper, please!
No! That hurts. Please, Harper!
Please don't let them take me away!
[CRYING] Please! No!
Harper!
Social worker
[DOOR CREAKS]
♪♪
♪♪
- [WHIRRING]
- [BREATHING QUICKLY]
[SNIFFLES]
♪♪
We're supposed to help her get better.
Why can't we just take her to neuro?
She eloped during
a mental health crisis
and nearly harmed herself.
Despite Thorne's maddening
pursuit of expedience,
he is correct in protocol.
The seclusion room is a safety measure.
But it's making her worse.
She thought she was on camera,
being watched, and now she is.
Well, in psych terms, this
is a self-fulfilling prophecy.
Cool, cool. Thanks, Dr. Drew.
Okay, Thorne wants to wait and see
if psych comes out of hiding,
but Carol's replacement
is basically a potato with a clipboard.
Even if he shows up, he's just
going to force meds on Lauren.
And traumatize her even more.
On the flip side,
prolonged psychosis
is toxic for the brain.
Which is why she needs antipsychotics.
Her brain is on fire.
Wait, let's turn down the temperature,
psychologically and literally.
That's your solve? Blast the AC?
Dr. Dang is right.
Her brain is on fire.
The threat response in
her amygdala is on high alert.
We need to cool
her physiological response.
And then what?
Then we meet her where she is.
♪♪
Call 1980. Call 1980.
♪♪
♪♪
[DOOR CLOSES]
♪♪
♪♪
[WHISPERING] Um.
This, too?
♪♪
♪♪
You missed one.
Oh.
Good catch.
♪♪
[CHAIR THUMPS]
♪♪
[ELECTRICITY BUZZING]
♪♪
♪♪
It's Lauren Lauren B., right?
I'm Oliver.
Oliver W.
Okay, Oliver W.
Don't you hate
this constant surveillance?
It is tiring,
but the abundance
of particle board furniture
exhausts me more.
[BOTH CHUCKLE]
Yeah, I'll admit, I'm terrified
of what's on the other side of this.
So, what's your story?
Why haven't you found love yet?
Um, overworked doctor.
Too committed to my patients, I guess.
It's so hard.
And it just feels like everyone
is always judging you.
Like you're not the person
they want you to be,
or you you can't be
because you're, like
Mnh.
broken?
Can I let you in on a secret?
Mm.
I heard everyone watching
is rooting for you.
[CHUCKLES]
- Come on.
- No. It's true.
- You're the fan favorite.
- [CHUCKLES]
Everyone wants to see you win.
But you got to keep playing the game.
Even on this hospital set.
And cooperate with the doctors.
Take your meds.
Everyone wants to see you get better
on your terms.
Okay.
Yeah, I-I-I'll do it.
And for what it's worth,
I hope you find love, too.
♪♪
Hey, by the way,
I know you're not a real doctor.
[CHUCKLES]
You're right.
I just play one on TV.
[CHUCKLES]
♪♪
[DOOR CLOSES]
♪♪
[INDISTINCT CONVERSATIONS]
Hospital Transport to Vascular Imaging.
Hospital Transport to Vascular Imaging.
- Wolf.
- Nichols.
Hey.
Do you want to grab a drink tonight?
Sure.
♪♪
Anesthesia tech to E.R. 1.
Anesthesia tech to E.R.
So it's your assertion
that you did nothing wrong?
You discontinued treatment
of the patient
as soon as you discovered
the inappropriate relationship.
[HORN HONKS IN DISTANCE]
[INDISTINCT CONVERSATIONS IN DISTANCE]
♪♪
No.
I continued to treat her
for a short time after I knew.
As psychiatrists,
we're taught to maintain
a healthy emotional distance
from our clients,
but it's not always realistic.
Not when you've given a widow
a reason to get up in the morning
after her husband died.
Not when you've guided a family
through the hell of alcoholism
and watched them make it
to the other side.
Not when you've treated a young
girl with anorexia for years
and rejoice with her family
when she no longer wants to restrict.
I care deeply about my patients.
I see myself in them.
And they deserve a doctor
who will fight for them,
the way I fight
for the people in my own life.
I am committed to my patients,
and I have always done the best I can,
even when circumstances
get complicated.
If you fire me, you lose an employee.
They
They lose a hell of a lot more.
♪♪
[MURMURING]
♪♪
I'm very proud I got her
to take her meds willingly.
It's great to get the win.
I know the feeling.
[GLASSES CLINK]
[CHUCKLES]
♪♪
Thank you for celebrating with me.
I needed this.
I'm happy to be here.
♪♪
Wolf
What?
♪♪
Are you okay?
Why wouldn't I be okay? [SCOFFS]
Your dad
I know he just left.
I didn't know that you knew.
Carol told me.
I thought you asked me here
to maybe talk about it.
No, I don't want to talk about it.
I don't want to talk about him.
I want everything to go back to
the way it was before he came.
You told me you wanted to wait
until your house was in order.
Your dad just left,
and if I were to take a wild guess,
I-I don't think anything is in order.
You'd be guessing wrong.
Look, I can be your friend
through this.
But I don't deserve
to be jerked around.
[CELLPHONE VIBRATES]
Oh.
It's the hospital. I got to go.
Yeah. Yeah.
I'm sorry.
It's already forgotten.
♪♪
[SCREAMING]
Okay, she woke up like this.
You guys said it was all in her head,
but she's in real pain now.
We paged Dr. Wolf. He's on his way.
Is it alright
if I take a look at you, Lauren?
- Yes. [WHIMPERS]
- Alright ready.
We can't wait for Dr. Wolf.
Page the on-call. Get them here now.
- Copy that. Right away.
- Okay, I know.
[CRYING]
- [CELLPHONE VIBRATES]
- Charge nurse to ICU.
Charge nurse to ICU.
♪♪
- [CELLPHONE CHIMES]
- [SCOFFS]
[CELLPHONE VIBRATING]
♪♪
[ELEVATOR BELL DINGS]
A quick examination revealed
the patient's distended abdomen.
That, in combination with acute pain
and shallow breathing, suggests
- Internal bleeding?
- That's the working theory,
but I paged the critical response team.
There's got to be something
that we're missing.
That's great. Good work.
Ow! Ow! Ow! Ow! Ow! Ow! Ow! Ow! Ow!
- It's okay. Okay.
- You're gonna be okay, Lauren.
- Yeah.
- Here we go.
No, no, no, no, no, no, no, no, no, no.
- Hey, hey, hey.
- No!
I am so sorry. I-I don't know
how I didn't hear my phone.
- Ow! Ow! Ow! Ow! Ow! Ow!
- Not right now, Kinney.
What could have caused the bleed?
Ultrasound shows
free fluid in the lower pelvis.
Exact source is unclear,
but we're hoping IR
can stop the bleeding
and gives us more answers.
- Alright, let's go!
- No! [GROANS]
What's happening?
Is she going to be okay?
Uh, let's give them some space to work.
And I'll explain to you what I know.
Come with me.
I am such an idiot.
Far from.
This is the night shift.
Happens to the best of us.
Well, it doesn't happen to me.
Hm.
Maybe, um
take it easy on the benzos next time.
Orderly with wheelchair,
you're needed in the E.D.
Her ovaries are cystic and enlarged.
That hematoma Ericka found
on Lauren's abdomen?
I don't think it's from GLP-1s.
I think she's been injecting
herself with hormones for
In vitro fertilization,
which is why her ovaries
are so massively stimulated.
And that bleed's location
must be associated
with a recent egg retrieval.
But that still doesn't
entirely explain the psychosis.
I'm going to try the IVF lab now
that they're open
and see what they can tell me.
- Let me know.
- Yeah.
[INDISTINCT CONVERSATIONS]
Dr. Wolf, just a heads-up
I took care
of all your discharge summaries.
Well, it's good to see you awake.
- Everything okay?
- Yeah. Of course.
I just know how much you hate charting.
Also, I found a case I think
you might be interested in.
At minimum, he's schizophrenic,
but I think there is
something more going on.
As you can see, every physician's note
is just a copy-paste from the last.
Everyone just writes him off.
So, I am thinking we should
give him a fresh workup.
But this guy's in and out
of the E.D. every other day.
Isn't that all the more
reason we should help him?
Lauren B. has one break,
and it's all hands on deck.
I just think we're being very biased
about who should
and shouldn't receive care.
Listen, Ericka,
I appreciate your passion.
Truly, I do.
But no matter how hard we try to help,
some patients will always leave.
And that's their right.
We cannot force care
onto those who don't want it.
Medical Records, dial 1649.
1649 for Medical Records, please.
♪♪
I'm sorry I didn't tell you about IVF.
It's okay.
Just wish I'd known
so I could have helped.
Lauren's abdominal pain
was from a complication
- with the egg retrieval surgery.
- Mm.
Unfortunately, we were focused
on the psychological break,
which is a separate issue.
Lauren, can you explain
what you've been going through
- these past few weeks?
- Yeah.
Jake left,
but I always wanted
to be a mom, so I
I kept going. I did my research.
I picked a sperm donor.
I can't believe you're doing
all those injections
- by yourself.
- Yeah. It was so expensive.
And I-I had to bill so many hours,
I couldn't even sleep.
But I wanted to tell people
when it was a success.
You know, I
I didn't want them to judge me
or think that I was doing
it the "wrong way," but
[CHUCKLES]
Now everything is wrong, so
A big breakup,
going through the IVF process,
working too hard, not sleeping enough,
with huge hormonal fluctuations
that provokes
the worry, the stress,
and the tonnage of those elements
created a perfect storm
for a mental break for you.
You put enough pressure
on a bone, it will break.
The brain is just as fragile.
It can only take so much.
♪♪
Do you see something?
[VOICE BREAKING] Um
No, no.
It's nothing.
Do you think there's a camera there?
[VOICE BREAKING]
I don't I don't know.
I don't know.
- I
- [BREATHES DEEPLY]
I thought that this was better,
that this was fixed.
While her delusions aren't
real in a sense,
they are real to her.
She has memories of them.
We have to think of Lauren
coming out of this
like the sun rising after a heavy rain.
It'll take some time
for all of the water to dry,
but it will.
[KNOCK ON DOOR]
Good news from the fertility clinic
despite the complication,
the retrieval was a success.
Three embryos made it through
the fertilization process, Lauren.
That's a major silver lining.
Hey. That's amazing, LoLo.
Um, can someone
please tell the fertility clinic
that they can discard the embryos?
I'm not
I'm not interested in proceeding.
You went through hell
to get those, okay?
[CLEARS THROAT] I think it's best
if you go be with your family, Harper.
I've caused so much trouble.
Please, I can't.
I'm just gonna rest.
- No, no, please go.
- Okay.
You really don't need to be here.
♪♪
♪♪
[CRYING]
♪♪
I don't know how to help her.
Well, continued medication will help,
but this is the normal process.
She can be discharged soon
with support in place.
Yeah, but it's not normal.
I want to be there for her.
[BREATHES DEEPLY]
[VOICE BREAKING]
I have a toddler at home.
I'm due in eight weeks.
Hi, there.
- Hello?
- Amelia Fredrick.
I'm the clinical director
at Hudson Oaks Psychiatric Facility.
I got word that
we may need inpatient treatment.
Got word from whom?
We're always trying to help
out our busy city hospitals,
so I just happened to be
doing my rounds here today
in Bronx General.
What is this?
Please take our brochure.
I'm so sorry that your loved one
is dealing with
a mental-health episode.
It can be so hard,
especially on the family.
And you are clearly
about to be very, very busy.
- Boy? Girl?
- We don't want to know.
Oh, I love a surprise.
[CHUCKLING] There are so few
good surprises left in life.
[CHUCKLES LIGHTLY]
But there are no surprises
at Hudson Oaks.
And yet you managed to surprise me
in my hospital, on my floor.
So, there must be a couple.
You have so much to do here.
And that's where a facility
like ours comes in.
We can ease the burden on you.
And the patients love it.
It gives them a safe place
to be while they recover.
I don't know. Maybe
this is the right thing for her.
I just never thought we'd be
one of these families
[BREATHES DEEPLY]
dealing with something like this.
Thank you for all of these materials.
An inpatient facility might be
the right option for Lauren,
but you and I can review
all of this privately together.
You don't need to make
any decisions right now.
Okay.
Nurses' station
Third floor nurses' station.
It's time to make a decision.
If there's no new evidence
to present, let's take a vote.
All in favor of restoring
Dr. Pierce to her position?
All in favor of terminating
Dr. Pierce from her position?
♪♪
Looks like we're split.
Attending pediatrics to E.R.
Attending pediatrics to E.R.
[KNOCK ON DOOR]
So what's the verdict? [SIGHS]
Well
since you decided to heroically
tell the unvarnished truth
the jury was split.
[LIQUID POURING]
[SIGHS]
But
the decision is final.
I'm stepping down
as chief medical officer,
- effective immediately.
- What?
I told the board that I advised
you to continue treating Alison.
Head of Psych is yours if you accept.
No.
No, I'm not letting you do that.
Well, with all due deference,
I am well past the age where
anyone lets me do anything.
- [SIGHS]
- For most of my career,
I've been making the hard decisions
about what's right for this hospital.
And that's what I'm doing right now.
Muriel.
Bronx General needs you.
It needs you more.
And so does Oliver.
I'm leaving the hospital.
Not my son.
And look, he says that he's fine.
But you and I both
know that's not true.
And when he finally realizes that,
he's going to need you here, not me.
I don't know what to say.
Because we both know that I'm right.
I'm not going to wander off
into the wilderness.
I have been contemplating
retirement for a while now.
To tell you the truth, Carol
I'm tired.
And I'm ready.
Well
I think you've earned a break.
Ooh, honey, I hope so.
[CHUCKLES]
Welcome back, Dr. Pierce.
Thank you.
[GLASSES CLINK]
♪♪
What you're doing is very brave
and difficult, I know,
but it really is the right thing
for your family.
You're going to be a perfect fit
at Hudson Oaks,
and our team is perfectly equipped
to take care of people
with problems like yours.
Blood Donor Center to E.D.
Blood Donor Center to E.D.
What do you think, Lo?
I think it's
I think it's probably
best for everyone.
Yeah. Well, if you will just sign here,
then I can start getting
the transfer set up.
Lauren.
Whatever you decide, to stay or go,
this is up to you.
I know how difficult it can be
to feel like a burden
on the people you love the most,
and to feel like
everything would just be easier
if you were gone.
But that isn't always true.
Are you sure
that this is what you want?
I'm not I'm not sure.
♪♪
Tech specialist to the E.R.
Tech specialist to the E.R.
now, please.
Dr. Wolf filled me in, and I understand
you've discussed staying
in inpatient care
for the near future?
I don't know how I can return
to my life after this.
[CHUCKLING]
I certainly can't have kids.
I'm crazy.
I completely understand
why you feel that way,
but I wouldn't use
that word to describe you.
I had my psychotic episode
after I had a baby,
and I don't even consider myself crazy.
I didn't realize.
- I mean, you you seem so
- Just the same as you.
Just the same as anyone.
Inpatient care is the right
solution for some people.
But having a psychotic episode,
it's just like any other illness.
Lots of people have them,
and lots of people go on to
resume normal lives afterwards.
Like with any illness,
people can be susceptible
to certain vulnerabilities.
They can have headaches or nosebleeds.
It doesn't make you weak or flawed.
It makes you human.
We've both treated plenty of patients
and helped them get back to their lives
after something like this.
You could start by seeing me
twice a week,
staying on your medication,
and we would monitor how you're doing.
But there's no reason to believe
you have any type
of permanent psychosis.
But if things get bad again,
that's okay, too.
You'll now have the tools in place
to help you get through it.
That sounds good to me, LoLo.
- Scrub nurse to O.R. 5.
- [CHUCKLES]
Scrub nurse to O.R. 5.
♪♪
- Can I still freeze my embryos?
- Of course.
Many times, people who
have dealt with mental illness,
they make the fiercest protector
of their own children,
especially when they have the
right support system in place.
It's hard to predict
what will break a person.
Come on!
[WHIRRING]
I don't know why I can't let you go ♪
Whew!
That's the Dr. Pierce touch
we've been missing around here!
[LAUGHS] Thank you.
Oh, thank you.
This doesn't feel real yet. [CHUCKLES]
I honestly wasn't sure
I would be back here.
Well, uh, a friend in high
places told me it helped
that one of your patients
testified on your behalf.
What?
Who?
Alison.
She came forward,
said you saved her life.
Went a long way with the board.
But I thought she was the one
who reported me.
It wasn't Alison.
Triage nurse to main entrance.
Life is always throwing us for a loop.
So, we cling to the people
who make us feel whole,
hoping they can hold us together.
Oh, my God, give me that.
I can carry a plastic bag.
You've got enough on your hands.
My OB says it's
important to stay active.
Keep up on my workout routines.
[CHUCKLES] Okay, workout routines.
Chasing a 2-year-old
around New York City
is a workout in and of itself.
Okay? You'll see.
[ELECTRICITY BUZZING]
[ECHOING] LoLo, ready to go?
Paul's making that
lamb Bolognese that you like.
Mom, you do know that there are people
who will do this for you, right?
I'm supposed to trust strangers
with my most precious belongings?
[SCOFFS LIGHTLY]
Thank you.
For what?
For sticking around.
Especially
when he made it so hard for you.
So, it took me retiring
for you to say thanks
- after all these years?
- Oh, my God.
Mugwump, don't make a big deal of this.
I'm not.
Actually, I was thinking
it'll be nice to have you
as my mom and not my boss.
Oh.
I won't make excuses for your father.
He made huge mistakes,
and he was never the easiest man
to love.
But it devastated him,
seeing how his condition
affected his family.
It was so hard on you,
and it was hard on me.
But I can promise you
it was hardest on him.
I know.
He was alone.
♪♪
But everyone breaks.
And sometimes, what breaks you
has been lurking inside you all along,
waiting to shatter your world.
Dr. Wolf, are you alright?
Well, you'll remain with us here
for an observation period
under our care and supervision,
so that we can best determine
a treatment that's suited for you.
Hey, even those of us who give
care need care sometimes.
♪♪
Yeah.
Okay, just sign right here.
♪♪
[BREATHING DEEPLY]
♪♪
Go ahead, Wolf.
It's for the best.
♪♪
sync & corrections awaqeded
♪♪
♪♪
♪♪
♪♪