Doc (US) (2025) s02e03 Episode Script
New Blood
(NARRATOR): Previously, on Doc.
Dr. Larsen was in a car accident.
She has no recollection
of the last eight years.
You almost got Jake and TJ killed,
because of the things
you didn't remember.
Your muscle was badly torn up
by the bullet.
You're lucky we could save the leg.
If the board know what you just did
You put our accreditation at risk.
Take your paternity leave now.
When you look at him,
all you see is the man who you
think let your son die.
You have no choice,
you have to leave him.
Would you maybe consider
being Chief of Internal Medicine
at the best hospital in Minneapolis?
(POP MUSIC)
- (DRIVER): So where ya headed?
- Pardon?
I saw you put
in the international terminal.
- You flying somewhere fun?
- Mexico City.
Oh nice. Business or pleasure?
- Bit of both. I'm a chef.
- Oh.
- No better food scene.
- Ain't that the truth.
Good dancing, too. My wife and
I went there for our 30th.
You imagine me in a salsa lesson?
Yeah, me neither.
- But happy wife, happy life.
- (STRESSFUL MUSIC)
(MUFFLED SPEECH)
You you okay?
- I'm fine, just drive. Please.
- You sure you're okay?
(VOMITING)
(COUGHING)
I think I need a hospital.
(MECHANICAL CLATTER)
- Anything?
- Nothing new.
So all you've got is cake,
wine, and flowers.
And Scotch.
Which Joan must have been drinking.
I remembered her at the dinner.
She was telling me to leave Michael.
And why am I hearing about this now?
I'm sorry. It should have been
the first thing I said
when I got here this morning, but I
know how you used to feel about her.
And I wanted to see if the TMS
would shake something loose,
give me some context.
The context is, she preferred
the version of you
that didn't have a life beyond medicine.
So I told you about this back then.
Nope. But I know how she thinks.
You really don't trust her, do you?
Never did. Never will.
But I know she's done
some good things for you.
She championed me.
I never thought you needed that.
Right.
(SIGHING) Same time tomorrow?
Depends. Still no side effects?
Little headache. Nothing worrisome.
(ENGINE ROARING)
(MELANCHOLIC MUSIC)
I had some memories.
Maybe I can remember me and us.
I know I can't ask you to wait.
Are you meditating or short-circuiting?
Nah, I just I didn't get
much sleep last night.
Well, buck up, soldier, first
day of basic training.
Yeah.
Let me get this straight.
You've had four days
to run blood work and nothing
to show for it.
Who are you, Elizabeth Holmes?
Wha Yesterday would be better
but, sure, end of day.
Everything okay?
Oh, I just like to bust a few
balls the first day,
let people know where they stand.
Okay, well, don't let me skip the line.
(LAUGHS) That's not why you're here.
I need a favour: with Dr. Coleman
out a few more weeks,
we could use a new intern.
You're gonna interview them
and select the best candidate.
Wait, so you're giving me
hiring privileges?
Dr. Larsen and Dr. Miller
didn't let their Chief Resident
- make decisions?
- Uh, no, no.
Not if they could help it.
Well, I believe in empowering people.
They're all qualified.
Figure out which one has a soul.
Hi!
- Dr. Heller.
- Dr. Larsen.
So that's going well, huh?
- You knew about us?
- Oh, you told me last year.
Oh! Per the HR briefing
I received yesterday, it
started up again post-accident?
It did. We're being
in a holding pattern now.
Well, the sequel is never as good.
And how is it with the TMS treatments?
Any more memories?
Just a few. Nothing really of substance.
Ah. Well, keep me posted on that.
So what do you think?
The decor is a work in progress, but
it beats mosquito nets in Kenya.
Yeah, I see you added some
not-so-local flavour.
- I know.
- Well, um, don't get too comfortable,
because that's
my seat you're keeping warm.
I'm relieved the accident
didn't curb your ambition.
Can you tell me how long
is this gonna take?
I'm supposed to be on a plane.
Oh, well, uh, your tests
and labs indicate
drug-induced hepatitis, which
is why you were vomiting blood.
We'll treat you with steroids,
but I'm gonna need
to see your ALT and ASTs come
down before I can discharge you.
- Okay, so, like, a few hours?
- Could be.
First of all, I want to figure
out what medication caused this.
So, you are taking Cladribine,
Baclofen, and Interferon BETA
for your MS?
I don't take those anymore.
Too many side effects.
I prefer to manage my day-to-day
symptoms with traditional remedies.
Like, ginkgo for fatigue.
Kava for anxiety.
Some golden seal and tryptophan.
Yeah, low-dose herbals
usually don't cause this.
Are you sure there isn't something else
- that you've been taking?
- Okay.
So, I've been getting
experimental stem cell
injections in Mexico.
I think you buried the lede.
I know it's just that can't
be what's causing this.
I've been on the protocol for 6 months.
I've never thrown up blood.
Well, sometimes
the reaction time can lag
No! Okay?
These injections aren't hurting
me, they've saved my life.
Dr. Walker? can you consult
on a patient with MS?
Apparently, she found
a drug trial in Mexico
through an ad on social media.
Mm. Let me see her scans.
This medical tourism thing is
Evolved quite a bit in the 8 years
you don't remember. You weren't a fan.
Yeah, it's everywhere.
I mean, I can't scroll my feed
without seeing a discount code
for IVF in the Czech Republic.
Or a plane full of men with
Turkish hair transplants.
My sister-in-law got her
Mommy Makeover in Sao Paulo.
Boob job, lipo,
and tummy tuck for four Gs.
What? That sounds too good to be true.
Yeah, double-D's for four Gs?
I'm texting my ex.
- (SCOFFS)
- (MONICA): Peter, you're a pig.
- (PETER): What?
- Okay. I know I should be skeptical,
but her scans look great, right?
Plaques are regressing.
And there's much less active
disease than a year ago.
I mean, you're telling me
that this is putting her MS
- into long-term remission?
- Looks that way.
Going home today, right?
PT says you're hitting
all your milestones.
Yeah, maybe they'll let me
graduate to the 10-pound weights.
- (CHUCKLING)
- Well, not with that attitude.
Sorry, it's just when
Dr. Agassi said it'd be a long
recovery, I don't think
I realized just how slow
it would feel.
(GRUNTING IN PAIN)
No. I don't need help!
I need this hunk of garbage
to do its freacking job!
See? This guy gets it.
- (CHUCKLING)
- Well, his name is Kevin Cross.
He lost his leg in Afghanistan
12 years ago.
- (GRUNTS)
- Maybe you should talk to him?
Why, 'cause we're both part
of the sad soldiers' club?
Well, I hate to break it to you,
but you got shot in a hospital.
Far as I can tell,
you're just a sad doctor.
Look, I can't even
help myself right now.
(KEVIN GRUNTING)
How am I supposed to help that guy?
(GRUNTING IN PAIN)
(SAD MUSIC)
We're treating her hepatitis,
but her ALT's and AST's
are still sky high.
I'm trying to figure out
what drug caused this.
What can you tell me about the treatment
you're doing in Mexico?
They're mesenchymal
stem cells. But we administer
intrathecally, so systemic
absorption is unlikely.
What about pretreatment meds?
A statin, amoxicillin-clavulanate,
ibuprofen. All standard doses.
Unless they weren't.
She's taking several
supplements, which could
disrupt her ability
- to metabolize the drugs.
- Well, there's our problem.
When do you think she can fly?
- I'd say end of the week.
- That's not gonna work.
Claire's due for an injection today.
If she doesn't receive it in 24 hours,
I have to discontinue her
from the study.
But if she doesn't get this treatment,
her disease will come roaring back.
The trial adheres to strict protocols.
If I violate that, I lose my funding.
I'm sorry. I wish
I could make an exception,
- but my hands are tied.
- Okay.
(SIGHING)
Dr. Wilson. Been a while.
Wow, looks like
an open casting call out there.
Yeah. Um, well, I gotta admit,
I was surprised to see you here.
If memory serves, last time we spoke,
you said you were too
triggered to work here.
(CHUCKLING)
For what it's worth, I don't
think it was the environment
I found challenging,
so much as the, uh, leadership.
But this new chief
has a great reputation,
and an impressive
list of publications, too.
Glad you approve.
No, I it's just I don't
think anyone would dispute
that Dr. Larsen could be difficult.
Well, due to her injuries,
she's back to being
an intern again, so that means
you would be rounding with her
as a colleague.
Do you think that'd be
a problem for you?
- (CHUCKLING)
- Dr. Larsen, an intern again?
Have you ever heard of the
term "schadenfreude," Dr. Wilson?
Because I'm not really sure
that's a look we want here.
But it was good to see you again,
and I'll be sure to send
Dr. Larsen your regards.
(SCOFFS)
- Hey, everything okay?
- Hi. Why are we whispering?
I don't want to wake my new boss.
Oh, my gosh, you're
on paternity leave already.
Yeah, I, uh, I was gonna
wait a few weeks
but then decided to just strike
while the iron was hot.
Well, I'm sorry to bother you.
(MICHAEL): It's okay. Don't be.
What's going on?
I need a chartered med flight
to Mexico City.
And I thought diapers were expensive.
What did Joan say?
Oh, um I haven't asked her yet.
I figured with something this big,
I should go right to the top.
Joan holds the purse strings
now; let me patch her in.
Yeah, of course.
(PHONE RINGING)
(MUFFLED): Michael.
Oh, okay.
(MICHAEL): Okay, we're all on.
We'll be paying with cash
or card for this med flight?
I get that this is an aggressive ask,
but the patient is a 37-year-old female
with relapsing remitting MS
and this is
You wanna send Claire Pinto
on a four-hour flight
with active hepatitis?
We've fixed her diathesis
issues, and she is a participat
in an experimental
stem cell therapy and
You want to fly her to Mexico
for experimental treatments?
I get that it's unusual, but
this doctor is the real deal.
Trained at Hopkins.
Awarded an R01 from the NIH
but moved his trials to Mexico.
You're talking about Rodriguez?
Oh, you know him?
(JOAN): Oh, brilliant mind.
Unconventional in the best way,
but his treatments flaunt the FDA
and would put
the whole hospital at risk.
- After the UNOS run-in
- (MICHAEL): She's right.
And if anything goes wrong
in-flight, we're liable.
But these treatments
are literally saving her.
(JOAN): That's a hard no.
I suggest you find a trial
this side of the border.
(BABY CRYING)
Look, uh, I gotta go.
I'm sorry it's not
what you wanted to hear
but you have your decision.
Okay.
(BABY FUSSING)
I've been on the job 3 hours,
and you're already going over my head?
Old habits die hard, I guess.
Look, I'm sure you feel
like you have a lot to prove
and so you wanna go the extra
mile for your patients.
But people get sick,
and we can't always offer them the moon.
Show Ms. Pinto how to make
peace with her disease
and with the limits of modern medicine.
Sometimes that's all we can do.
(MELANCHOLIC MUSIC)
(SIGHING)
She's your biggest fan.
Yeah, I'm still here.
He is my Chief Resident.
I can't just make a move
no matter how I feel about him.
(TENSE MUSIC)
Hey, you making a run for it?
Just headed back to my room after PT.
- Alone?
- Here, let me help you.
I got it, Julie. But thanks.
- Can I help you?
- TJ Coleman.
75th Ranger Regiment.
I hear you served too.
Is this the part where we do
the secret handshake?
No, brother, I just
came in here just to
Oh, oh. You saw my meltdown in PT,
and you thought I needed a pep talk.
You call it a meltdown;
I just call it a Tuesday.
Well, it sounds like
you've been here a while.
I work here. I mean,
when I don't look like this,
- I'm a doctor.
- What happened to your leg?
A guy came into the hospital with a gun.
- I tried to disarm him and
- (CHUCKLING)
- Why is that funny?
- Ranger. Doctor. Action figure.
And you've been in that
chair for what, a week?
So you thought you'd wheel
your bored ass down here
and find someone to fix
to take the edge off.
- I didn't mean to offend.
- No, no, no, no.
You just got a hero complex
and you figured
you'd work it out on me.
That's not what I was trying to do
You wanna help me?
Track down Dr. Brandt.
Okay, I've been waiting here for 3 hours
for a routine check-up.
Actually, you know, better yet,
you tell him the prosthetic
that he said would change
my life has been nothing
but trouble since the day I got it.
- It shouldn't be that way
- "With the right equipment,
people will barely notice."
That's what he said.
Turns out, it's the only
thing people notice!
I can't even get groceries
without someone thanking me
for my service. (GRUNTING)
How long has it looked like that?
Man, you can't take a hint, can you?
You know what, if you're not
gonna leave, then I will.
No, no, no!
Wait, wait, wait, wait, wait!
(SHOUTING IN PAIN)
Hey! I need a hand in here!
What are you doing?
This man has an AV fistula
that should've been dealt with
long ago. I need hydrogel
dressings, gauze, and
an elastic bandage.
Don't worry, brother.
You'll get some real help.
This isn't happening.
Just get me whatever
you need me to sign,
but I'm leaving and
getting on that plane.
The last time you went to the airport,
you threw up blood.
If that happens
when you're up in the air,
there'll be no way to stop the bleeding.
Well, that's a chance I'll take!
I understand that you think
that this treatment
is your only shot,
but Dr. Walker has found
two new possible therapies.
They've received FDA approval
for trials as early as next year.
And in the meantime, I I what?
I just go back to the way things were?
A year ago I couldn't feed
myself, much less anyone else!
I lost my restaurant, my livelihood
I'm sorry, Claire, but
you're in no condition
to leave this hospital.
And if you refuse to stay put,
I have no choice
than to place you
on a 72-hour psychiatric hold.
- Can she do that?
- Uh, she can and she will.
Well, so much for my body,
my choice, right?
You know, if I had terminal
cancer, the FDA would approve
an experimental treatment
in a heartbeat.
But because I have
a degenerative disease
that won't kill me tomorrow,
I'm not allowed to fight
for the life that I want!
No one is saying you can't fight for it.
- These other trials
- I don't want another trial!
I want the one that's working now!
We're trying to mitigate your risk!
No. No, what you're doing
is paternalistic.
And wrong.
And I think that you both know that.
Just go, please.
Get out!
(CALM MUSIC)
(INDISTINCT CHATTER)
The heart has beta one receptors.
The lungs have beta two.
So a cardio-selective approach
lets us treat the heart
without compromising pulmonary function.
Ah, Dr. Coleman.
I was looking for you earlier.
I hear you have been busy
catching Ortho's mistakes.
I like the hustle. Thank you.
- I do what I can.
- And how's the recovery?
Going home today, actually.
Just making sure they're holding
down the fort up here.
Well, I assure you,
the department's in good hands.
In fact, I'm bringing on a new
intern to lighten the load
while you're recovering.
So, take all the time you need.
We want you at full strength.
Hey, so, what do we think of her?
Too early to tell.
You got time for a consult?
Hi, Kevin, I'm Dr. Maitra.
It's a pleasure to meet you.
And thank you for your service.
Mind if I take a look at that leg?
Yeah. Your call.
The last guy who tried
got covered in blood.
(GROANS IN PAIN)
Does that hurt?
No, nothing compared to my prosthesis.
That thing rubs like hell.
Increased echogenicity
in the lateral quadrant
and loss of normal architecture.
(BEEPING)
- Thickening medially as well.
- Is that as bad as it sounds?
You ruptured an abnormal blood
vessel, which is unfortunately
a complication from an infection.
So I need more antibiotics.
Unfortunately,
it's too advanced for that.
Most likely, you'll need
a stump revision.
You mean you're gonna
take more of my leg.
Above the knee?
I'm sorry, man.
I mean, honestly, you know,
after winning the Weiss award,
I'm currently fielding multiple offers.
Like Yale. Hopkins.
So maybe you could tell me
what you think Westside
has to offer me?
You know what?
We're actually running short on time.
Sorry about that,
but why don't we do this?
How about if you have any
questions about the program,
you just shoot me an email.
Uh
I'm just gonna need a minute.
Naproxen? You feeling okay?
Oh, I'm fine. Just a tough day.
(SIGHS)
What was that look for?
Nothing.
Okay, come on.
You clearly want me to ask.
She told me that I don't belong here.
That this whole thing I'm doing
is misguided and narcissistic.
What? Sonya, why would she say that?
You know she's never liked me.
And, apparently,
she has a thing for you.
(LAUGHING)
Okay, you might wanna just
go easy on the medication.
I had another memory where
I heard her talking about it.
I guess I never told you?
Ah, no, no, and I kinda wish
you didn't tell me now.
You're my Chief Resident, right?
Don't you want to know
if one of your third years
- is trying to undermine
- You know I love you, right?
Hey, what, what, what is it?
What's wrong?
I just
remembered you telling me
you loved me
in in the parking garage?
Yeah, yeah, that that was
the day of your accident.
(SOFT MUSIC)
So, you're you're really
starting to have a lot of memories.
This is a pleasant surprise.
I figured you and Nora
could use a home-cooked meal,
judging by all the DoorDash
you've ordered this last week.
Hey, if you're gonna judge,
you can get your own account.
And pay for food myself?
Pretty sure that's child abuse.
- Is that who I think it is?
- Hey, how're you feeling?
Oh, I couldn't tell you. I'm too tired.
Is someone cooking?
Try and look a little less surprised
and I'll throw dessert in, too.
(LAUGHING)
Plus, I was hoping if I fed you,
maybe we could talk
about my senior project proposal?
Oh, my God. I forgot to read it.
Oh, that's my fault, sweetheart.
I had him pull
a double shift last night.
Lucky for Dad, bolognese takes time.
- And I brought a hard copy.
- I'm on it.
- What did Mom think?
- Um, she hasn't read it either.
She's been kinda busy with her TMS.
She's back to that?
- What's TMS?
- She didn't tell you?
She got a few memories back.
Uh. No. She didn't mention it. Of what?
I guess she got some
at the hospital with that cop,
and then some more a few days ago.
Something about a restaurant.
(BABY CRYING)
Ah, this round's on me.
Claire, I know you asked for privacy
but it's time to do your labs.
(TENSE MUSIC)
What the hell is going on?
I just wanted to help.
You had your injection
couriered from Mexico?
- And who is this?
- A friend.
And a nurse practitioner.
Have you ever performed
a lumbar puncture?
- I've assisted on several.
- Okay, put the needle down.
Step away from my patient
before I call security.
No. No, wait! Just close the
curtain and give us 10 minutes.
(SCOFFING)
You don't want to help me? Fine.
But do not get in the way
of the only hope
I have to hold my life together.
Claire, an improperly
administered injection
could leave you paralyzed!
It could kill you!
- I don't care!
- You stop this, I'll try
something else.
But I am not going back
to the way things were.
Do you understand me?
(SUSPENSEFUL MUSIC)
Give me the spinal needle.
So, before your clinical
rotations started,
you spent your summers doing
internships at NIH and Mayo?
Bit of an overachiever, huh?
I just did what I had to do.
I mean, I worked my ass off
for that med school scholarship,
but most of the people I'm up against
went to Harvard and Yale, right?
Yeah, is that why you got
here today 5 hours early?
- Too eager?
- No, no, never.
And it looks like you made
the most of Case Western.
Summa Cum Laude, Alpha Omega
Alpha, and a publication
in Circulation Journal?
Yeah, that's why I stayed
on a few extra months.
I was doing research
on aortic valve stenosis,
wanted to see it through.
Then when this position
opened up off cycle,
- it felt like kismet.
- Why is that?
Oh, well, my father used to work here.
He was an attending
in this department, actually.
I'm kind of following in his footsteps.
- Clark, as in Brian Clark?
- That's him, yeah.
Wow, okay, yeah.
I only met him a few times
but he always seemed like a great guy.
I was very sorry to hear that he passed.
Yeah, way too young.
(SIGHING)
Look, I know you've been here
since, like, 9 AM,
but if you can stay a little longer,
I'd love for you to meet Dr. Ridley.
- Wait, are you serious?
- Yeah.
Oh, my God, thank you!
Well, don't thank me quite yet.
I'm just the good cop.
(CHUCKLING)
(BEEP OF THE VENTILATOR)
- Have they started?
- No. No. Why?
- What's going on?
- Secondary labs came back.
His prothrombin time
is through the roof.
You operate now, he'll bleed out.
Why isn't his liver functioning?
This can't all be from the infection.
No, we must be missing something.
Can you track down the records
from his original amputation?
The name's Kevin Cross.
No, I heard you the first
time. I'm just not seeing it.
I don't think we ever treated him.
That can't be right.
Anyone injured in Afghanistan
would've went to Ramstein.
It would've been March 2013. A BKA.
I don't know what to tell you, man.
According to my records,
Kevin Cross was never here.
Sorry, I gotta go now.
(BEEPING)
120 over 81.
- That's good, right?
- No headache?
Vision changes?
Any numbness, tingling anywhere?
I'm fine, really.
Well, the good news is,
your transaminases
are levelling off.
I added a fresh frozen plasma
to help your clotting.
(MELANCHOLIC MUSIC)
Look, I'm sorry, okay?
I know that I put you in a bad position.
You did.
But I know what it's like
to have the life you want
taken away from you.
Thanks, Elias.
Hey.
How'd it go in there?
How did she take the news?
Oh, yeah. As well as can be expected.
But Dr. Walker has found
a group at NYU launching
an autologous stem cell trial
for MS patients.
- You're bleeding.
- Oh.
- (TENSE MUSIC)
- Oh, God.
Uh, excuse me.
- Amy? You okay?
- Uh
Found what we're looking for.
Turns out, Kevin wasn't in Afghanistan
- at the time of the accident.
- What?
- Why would he lie about that?
- Any number of reasons
why a soldier might not come
clean about where he was stationed.
Point is, his operation
wasn't in Germany.
It was in Georgia.
- And that matters because
- They also replaced his hip.
Now, the hip's asymptomatic,
but arthroplasties
can degenerate into metal on metal.
And 12 years ago, in Georgia,
they would've used
a cobalt alloy, not titanium.
Cobalt toxicity would explain
the fistula, infection, high PT.
- He has metallosis.
- Good catch, TJ.
I just hope we're not
too late to fix it.
- Got a minute?
- What can I do for you, Joan?
I wanted to talk to you about Amy and
the treatment protocol
you have her on.
I don't discuss my patients
or their treatment protocols.
Are you aware she's having nose bleeds?
And her ID badge scanned
the PYXIS for multiple doses
of naproxen today.
You're surveilling her PYXIS access?
It's my job to know
what's happening with my staff.
Not just be her friend.
Headaches and nosebleeds
aren't uncommon for TMS patients.
Well, they're not particularly
desirable in doctors.
She's doing what she needs to do.
Come on, let's get real.
I think we both know
that memory recovery
is a pipe dream at best. But at worst,
it'll make her emotional, irrational,
distracted.
So, if she's really trying
to get back to where she was,
you're not doing her any favours.
See there you go again. Acting
like you know what's best for her.
Well, guess what? It's not
up to you, and it never was.
You're the only one
who doesn't seem to get that.
(SUSPENSEFUL MUSIC)
Welcome back.
Dr. Brandt said the surgery went well.
Turns out your hip replacement
was the culprit,
but he fixed you up, and the necrosis
in the stump wasn't
as widespread as we feared.
Which means the revision was minimal.
Your knee's still intact.
Wait, really?
(CHUCKLING)
With physical therapy
and a new prosthetic,
you'll be good as new.
Let me change that for you.
You really think
this one'll be different?
Hate to be one of those annoying doctors
with their promises, but yeah, I do.
Then I guess I owe you an apology.
No, man.
I think maybe you were right about me.
My whole life, I've been
a man with a mission.
Son of cops.
Military. Med school.
Until last week.
You took a bullet on the job.
And became just another thing
my friends had to worry about.
Now I'm out of commission
for God knows how long.
And I keep replaying it in my mind.
Asking myself why I jumped that guy.
What it is I'm so desperate to prove.
I don't know.
Maybe I do have a hero complex.
I was just being bitter.
And I am the last person who
should make you doubt yourself.
My whole life I've been
a waste of space.
Pissed away my 20s.
Joined the military at 31,
hoping to find some purpose.
Never even made it out of Basic.
I mishandled a grenade,
blew my own leg off.
I wore the uniform for 6 weeks.
And what do I have to show for it?
It doesn't matter how long
you wore the uniform.
Most people are never
brave enough to put it on.
You remember that, next time
you feel anything other than proud.
I can try.
Hey.
You know what? Let me do this.
It's my turn, anyway.
Won't argue with that.
I'm sorry I haven't been
much help today.
- I wasn't expecting Katie
- I love having her here.
It's Amy being here I could do without.
Come on. I think that's unfair.
So that phone call you had earlier today
had nothing to do with her?
This should be our time, Michael.
I know. And it is.
I think we can both agree
her memories coming back
- must be destabilizing.
- For her or for you?
You should've seen the look
on your face when Katie told us.
What, I'm not allowed
to have complicated feelings
about my ex-wife remembering
the worst years of our lives?
Wow. So, now our marriage
is part of the "worst years"
- of your life.
- You know that's not
- what I meant
- Just tell me this:
what exactly are you afraid of?
'Cause I think that you're
scared that she'll remember
why she left you and then she
won't be pining after you anymore.
No, that's just not
And that scares the hell out of me.
Nora, honey, come here.
Hey.
I love you and I meant
what I said at the hospital.
I'm in this.
I know. Sorry.
I'm just I'm so tired.
(SNIFFLING)
(RAPID BEEPING)
Claire, have you been up and about?
Dr. Larsen. Uh, I haven't
I haven't left bed. Why?
Are you having chest pain?
How about palpitations, nausea?
No, I'm just a little dizzy, I guess.
Is something wrong?
Your heart's acting up a bit.
I'm gonna settle it down.
(TENSE MUSIC)
- Crash cart? What's going on?
- I could use your help in here.
Claire, this is Dr. Heller.
He's going to help stabilize
your rhythm and fix
that dizziness, okay?
Hey, Claire. How long have
you been feeling this way?
Um, just a few minutes.
I'm going to start propranolol.
Do you have any history
of heart problems?
No, none.
It's an odd complication from hepatitis.
It's not from her hepatitis.
I injected her with intrathecal
stem cells about an hour ago.
It's probably from
a fluid bolus in prep.
You gave her a non-FDA drug
treatment sent from Mexico?
Jesus
(MACHINE BEEPING)
Claire! She's V tach.
Charging to 200!
Clear.
(TENSE MUSIC)
(MACHINE BEEPING)
(EXHALES)
- Wait. I can I can explain
- Just stay with your patient.
Get a beta blocker drip going
and a full-loading dose
of amiodarone on board, and then
you monitor her blood pressure.
She's not out of the woods yet.
Neither are you.
Dad, you okay in here?
- Sh, sh, sh, sh.
- (BABY COOING)
Whatcha looking at?
Well, I was trying
to find that old mobile
we hung over the crib
with you and Danny.
Then I found this.
(SOFT MUSIC)
Simon looks like him, doesn't he?
You know, he does, a little.
- Except
- The eyes.
Those are all Nora.
Between you and me, I think
he's got Nora's lungs, too.
(LAUGHING)
I know how happy you are,
but I'm sure it's also really hard.
For you, too, right?
I guess Nora's kinda living
in a pretty big shadow.
I might've heard you arguing.
We're just running on empty. That's all.
Part of you still loves
Mom though, don't you?
- (SCOFFING)
- Part of me always will.
(SIGHING)
Guess I gave you quite the scare.
I'll say.
Your heart looks good now, though.
Is this gonna disqualify me
from the trial?
I spoke to Dr. Rodriguez
and he's agreed to keep you in
despite your latest setback.
That is twice that you saved my life.
I don't really know how to thank you.
She's hemodynamically stable
and normal sinus rhythm.
Good.
If you're all set here, I'd like a word?
(MELANCHOLIC MUSIC)
Just make the most of it, yeah?
So that's it? All's well that ends well?
You don't understand.
Those treatments were saving her life.
You were lecturing me earlier
about how I'm Chief Resident.
Tell me, how do you expect
someone in that position
to keep quiet about this?
Okay, then go report me to Joan!
I'm not gonna do that.
And you know that,
which is part of the problem.
Because you still love me.
I will never do that to you again.
(SOFT MUSIC)
I asked you to stop this.
I do remember that.
Sorry.
Okay, you don't look sorry.
No?
How do I look?
- You outta here?
- And not a second too soon.
Before you fly the coop,
Joan wants to see
the whole department.
She's calling an all-hands at 7 PM?
- (MURMURING IN AGREEMENT)
- Damn, this woman is no joke.
I'll help you with your stuff.
You knew, didn't you?
About Kevin?
So when I asked you why somebody
would lie about their injury
Wasn't my story to tell.
Well, for what it's worth,
I don't think you have a hero complex.
I think maybe you're just a hero.
I'll be damned.
Sonya Maitra has a soft side.
(CHUCKLING)
Don't tell me you're sneaking outta here
without saying goodbye.
Nah, new chief wouldn't allow that.
But hey, thanks for the nudge today.
I'm glad I talked to Kevin.
Yeah, well. I find, in my experience,
the best way to get out of a funk
is to be of service to someone else.
I don't know if I'd call it a "funk."
(SCOFFING)
- Please.
- What?
What matters is: Kevin's gonna be okay.
And I will, too.
Happy to hear it.
Do you need a ride home
tonight, after the meeting?
Headed that way.
Thanks, but my parents
are coming to get me.
Appreciate it though.
Yeah, anytime.
Florence Nightingale
never offered me a ride home.
(CHUCKLES)
(TENSE MUSIC)
Whatever it is, you're
strong enough to fight it,
and I'm here.
It's um, it's MDS,
so there's a good chance
it'll turn into leukemia.
(SOBBING)
Then we'll cross that bridge, okay?
I'm sorry.
I know it's not what you want
to hear right now but
if it gets bad and you
start to experience deficits,
you can't perform surgery any more.
That's a hell of a bedside
manner you got there.
Look, I'm just saying
that you can't operate
if your hand's shaking.
I would never do anything
to jeopardize a patient
and I don't need you to tell me that.
(AMY): You wanted to see us?
Yes, uh
(THROAT CLEARING)
I wanted to talk about
Claire Pinto's "spontaneous"
ventricular tachycardia earlier today.
She didn't tell you that either?
Well, it's a rare complication
of hepatitis.
Very rare.
More likely, it's an adverse
reaction to an intrathecal shot,
which happened to occur
just hours after a courier
signed in a package
from Mexico to Claire.
I think we all need to
stop assuming the worst.
Do you deny giving that woman the shot?
Let me put this plainly.
Your ex-husband is the CMO,
your boyfriend was your Chief Resident,
and your best friend
is your neurologist.
Which means you've been
given too wide a berth.
What you've accomplished since
your accident is remarkable.
But I've been reviewing your cases
and your behaviour is concerning.
You're reviewing my cases?
Yes, of course.
You know, I have always
taken pride in your success.
But you took advantage
of our friendship today.
And let's be clear, kiddo.
You're still auditioning.
Now, if you'll join me in the IMO,
I have a few announcements to make.
Nosebleeds? Naproxen?
An IT injection from Mexico?
Why am I hearing about that from Joan?
It was a pretty busy day with patients.
I was gonna tell you.
We need to slow down your treatments.
No, Gina, no. It's working!
I had two new memories today.
I'm not saying we stop.
But if we continue the TMS,
we do it my way!
Slow. Steady. No secrets. We clear?
Yeah.
(EXHALING)
(CALM MUSIC)
(KEYBOARD CLICKING)
(KATIE): You ready to go down to dinner?
I don't wanna jinx it, but
Simon says it looks pretty good.
I'll be right there.
(CALM MUSIC)
(INDISTINCT CHATTER)
I'm about to make your day.
My Dad's plans fell through
tonight, so he can't use
his floorside tickets
to the Timberwolves game.
Uh, that sounds great,
but I've I've got Mia.
Oh, I thought it was Rachel's, uh, turn.
- Never mind. Some other time.
- Yeah.
(JOAN): Okay! I think we have
a quorum. Let's get started.
First, I want to thank you all
for a great first day.
From what I've seen so far,
I can work with this.
We have a talented group, and
I'm excited to captain the ship.
I know that there has been some
disarray in this department,
and some issues with leadership,
but make no mistake:
I am here to make this the best
hospital in the country.
And that starts with
making each of you better.
With every patient every day,
we will be smarter,
more efficient, leaner and meaner.
In 2 months, there will be
an official evaluation.
Some of you will not survive it.
If that scares you, good.
It means you want this.
And for the best of the best,
fear is a motivator,
not a deterrent.
Now we will see
who rises to the challenge,
and who doesn't.
See you all tomorrow.
(TENSE MUSIC)
(THEME MUSIC)
Dr. Larsen was in a car accident.
She has no recollection
of the last eight years.
You almost got Jake and TJ killed,
because of the things
you didn't remember.
Your muscle was badly torn up
by the bullet.
You're lucky we could save the leg.
If the board know what you just did
You put our accreditation at risk.
Take your paternity leave now.
When you look at him,
all you see is the man who you
think let your son die.
You have no choice,
you have to leave him.
Would you maybe consider
being Chief of Internal Medicine
at the best hospital in Minneapolis?
(POP MUSIC)
- (DRIVER): So where ya headed?
- Pardon?
I saw you put
in the international terminal.
- You flying somewhere fun?
- Mexico City.
Oh nice. Business or pleasure?
- Bit of both. I'm a chef.
- Oh.
- No better food scene.
- Ain't that the truth.
Good dancing, too. My wife and
I went there for our 30th.
You imagine me in a salsa lesson?
Yeah, me neither.
- But happy wife, happy life.
- (STRESSFUL MUSIC)
(MUFFLED SPEECH)
You you okay?
- I'm fine, just drive. Please.
- You sure you're okay?
(VOMITING)
(COUGHING)
I think I need a hospital.
(MECHANICAL CLATTER)
- Anything?
- Nothing new.
So all you've got is cake,
wine, and flowers.
And Scotch.
Which Joan must have been drinking.
I remembered her at the dinner.
She was telling me to leave Michael.
And why am I hearing about this now?
I'm sorry. It should have been
the first thing I said
when I got here this morning, but I
know how you used to feel about her.
And I wanted to see if the TMS
would shake something loose,
give me some context.
The context is, she preferred
the version of you
that didn't have a life beyond medicine.
So I told you about this back then.
Nope. But I know how she thinks.
You really don't trust her, do you?
Never did. Never will.
But I know she's done
some good things for you.
She championed me.
I never thought you needed that.
Right.
(SIGHING) Same time tomorrow?
Depends. Still no side effects?
Little headache. Nothing worrisome.
(ENGINE ROARING)
(MELANCHOLIC MUSIC)
I had some memories.
Maybe I can remember me and us.
I know I can't ask you to wait.
Are you meditating or short-circuiting?
Nah, I just I didn't get
much sleep last night.
Well, buck up, soldier, first
day of basic training.
Yeah.
Let me get this straight.
You've had four days
to run blood work and nothing
to show for it.
Who are you, Elizabeth Holmes?
Wha Yesterday would be better
but, sure, end of day.
Everything okay?
Oh, I just like to bust a few
balls the first day,
let people know where they stand.
Okay, well, don't let me skip the line.
(LAUGHS) That's not why you're here.
I need a favour: with Dr. Coleman
out a few more weeks,
we could use a new intern.
You're gonna interview them
and select the best candidate.
Wait, so you're giving me
hiring privileges?
Dr. Larsen and Dr. Miller
didn't let their Chief Resident
- make decisions?
- Uh, no, no.
Not if they could help it.
Well, I believe in empowering people.
They're all qualified.
Figure out which one has a soul.
Hi!
- Dr. Heller.
- Dr. Larsen.
So that's going well, huh?
- You knew about us?
- Oh, you told me last year.
Oh! Per the HR briefing
I received yesterday, it
started up again post-accident?
It did. We're being
in a holding pattern now.
Well, the sequel is never as good.
And how is it with the TMS treatments?
Any more memories?
Just a few. Nothing really of substance.
Ah. Well, keep me posted on that.
So what do you think?
The decor is a work in progress, but
it beats mosquito nets in Kenya.
Yeah, I see you added some
not-so-local flavour.
- I know.
- Well, um, don't get too comfortable,
because that's
my seat you're keeping warm.
I'm relieved the accident
didn't curb your ambition.
Can you tell me how long
is this gonna take?
I'm supposed to be on a plane.
Oh, well, uh, your tests
and labs indicate
drug-induced hepatitis, which
is why you were vomiting blood.
We'll treat you with steroids,
but I'm gonna need
to see your ALT and ASTs come
down before I can discharge you.
- Okay, so, like, a few hours?
- Could be.
First of all, I want to figure
out what medication caused this.
So, you are taking Cladribine,
Baclofen, and Interferon BETA
for your MS?
I don't take those anymore.
Too many side effects.
I prefer to manage my day-to-day
symptoms with traditional remedies.
Like, ginkgo for fatigue.
Kava for anxiety.
Some golden seal and tryptophan.
Yeah, low-dose herbals
usually don't cause this.
Are you sure there isn't something else
- that you've been taking?
- Okay.
So, I've been getting
experimental stem cell
injections in Mexico.
I think you buried the lede.
I know it's just that can't
be what's causing this.
I've been on the protocol for 6 months.
I've never thrown up blood.
Well, sometimes
the reaction time can lag
No! Okay?
These injections aren't hurting
me, they've saved my life.
Dr. Walker? can you consult
on a patient with MS?
Apparently, she found
a drug trial in Mexico
through an ad on social media.
Mm. Let me see her scans.
This medical tourism thing is
Evolved quite a bit in the 8 years
you don't remember. You weren't a fan.
Yeah, it's everywhere.
I mean, I can't scroll my feed
without seeing a discount code
for IVF in the Czech Republic.
Or a plane full of men with
Turkish hair transplants.
My sister-in-law got her
Mommy Makeover in Sao Paulo.
Boob job, lipo,
and tummy tuck for four Gs.
What? That sounds too good to be true.
Yeah, double-D's for four Gs?
I'm texting my ex.
- (SCOFFS)
- (MONICA): Peter, you're a pig.
- (PETER): What?
- Okay. I know I should be skeptical,
but her scans look great, right?
Plaques are regressing.
And there's much less active
disease than a year ago.
I mean, you're telling me
that this is putting her MS
- into long-term remission?
- Looks that way.
Going home today, right?
PT says you're hitting
all your milestones.
Yeah, maybe they'll let me
graduate to the 10-pound weights.
- (CHUCKLING)
- Well, not with that attitude.
Sorry, it's just when
Dr. Agassi said it'd be a long
recovery, I don't think
I realized just how slow
it would feel.
(GRUNTING IN PAIN)
No. I don't need help!
I need this hunk of garbage
to do its freacking job!
See? This guy gets it.
- (CHUCKLING)
- Well, his name is Kevin Cross.
He lost his leg in Afghanistan
12 years ago.
- (GRUNTS)
- Maybe you should talk to him?
Why, 'cause we're both part
of the sad soldiers' club?
Well, I hate to break it to you,
but you got shot in a hospital.
Far as I can tell,
you're just a sad doctor.
Look, I can't even
help myself right now.
(KEVIN GRUNTING)
How am I supposed to help that guy?
(GRUNTING IN PAIN)
(SAD MUSIC)
We're treating her hepatitis,
but her ALT's and AST's
are still sky high.
I'm trying to figure out
what drug caused this.
What can you tell me about the treatment
you're doing in Mexico?
They're mesenchymal
stem cells. But we administer
intrathecally, so systemic
absorption is unlikely.
What about pretreatment meds?
A statin, amoxicillin-clavulanate,
ibuprofen. All standard doses.
Unless they weren't.
She's taking several
supplements, which could
disrupt her ability
- to metabolize the drugs.
- Well, there's our problem.
When do you think she can fly?
- I'd say end of the week.
- That's not gonna work.
Claire's due for an injection today.
If she doesn't receive it in 24 hours,
I have to discontinue her
from the study.
But if she doesn't get this treatment,
her disease will come roaring back.
The trial adheres to strict protocols.
If I violate that, I lose my funding.
I'm sorry. I wish
I could make an exception,
- but my hands are tied.
- Okay.
(SIGHING)
Dr. Wilson. Been a while.
Wow, looks like
an open casting call out there.
Yeah. Um, well, I gotta admit,
I was surprised to see you here.
If memory serves, last time we spoke,
you said you were too
triggered to work here.
(CHUCKLING)
For what it's worth, I don't
think it was the environment
I found challenging,
so much as the, uh, leadership.
But this new chief
has a great reputation,
and an impressive
list of publications, too.
Glad you approve.
No, I it's just I don't
think anyone would dispute
that Dr. Larsen could be difficult.
Well, due to her injuries,
she's back to being
an intern again, so that means
you would be rounding with her
as a colleague.
Do you think that'd be
a problem for you?
- (CHUCKLING)
- Dr. Larsen, an intern again?
Have you ever heard of the
term "schadenfreude," Dr. Wilson?
Because I'm not really sure
that's a look we want here.
But it was good to see you again,
and I'll be sure to send
Dr. Larsen your regards.
(SCOFFS)
- Hey, everything okay?
- Hi. Why are we whispering?
I don't want to wake my new boss.
Oh, my gosh, you're
on paternity leave already.
Yeah, I, uh, I was gonna
wait a few weeks
but then decided to just strike
while the iron was hot.
Well, I'm sorry to bother you.
(MICHAEL): It's okay. Don't be.
What's going on?
I need a chartered med flight
to Mexico City.
And I thought diapers were expensive.
What did Joan say?
Oh, um I haven't asked her yet.
I figured with something this big,
I should go right to the top.
Joan holds the purse strings
now; let me patch her in.
Yeah, of course.
(PHONE RINGING)
(MUFFLED): Michael.
Oh, okay.
(MICHAEL): Okay, we're all on.
We'll be paying with cash
or card for this med flight?
I get that this is an aggressive ask,
but the patient is a 37-year-old female
with relapsing remitting MS
and this is
You wanna send Claire Pinto
on a four-hour flight
with active hepatitis?
We've fixed her diathesis
issues, and she is a participat
in an experimental
stem cell therapy and
You want to fly her to Mexico
for experimental treatments?
I get that it's unusual, but
this doctor is the real deal.
Trained at Hopkins.
Awarded an R01 from the NIH
but moved his trials to Mexico.
You're talking about Rodriguez?
Oh, you know him?
(JOAN): Oh, brilliant mind.
Unconventional in the best way,
but his treatments flaunt the FDA
and would put
the whole hospital at risk.
- After the UNOS run-in
- (MICHAEL): She's right.
And if anything goes wrong
in-flight, we're liable.
But these treatments
are literally saving her.
(JOAN): That's a hard no.
I suggest you find a trial
this side of the border.
(BABY CRYING)
Look, uh, I gotta go.
I'm sorry it's not
what you wanted to hear
but you have your decision.
Okay.
(BABY FUSSING)
I've been on the job 3 hours,
and you're already going over my head?
Old habits die hard, I guess.
Look, I'm sure you feel
like you have a lot to prove
and so you wanna go the extra
mile for your patients.
But people get sick,
and we can't always offer them the moon.
Show Ms. Pinto how to make
peace with her disease
and with the limits of modern medicine.
Sometimes that's all we can do.
(MELANCHOLIC MUSIC)
(SIGHING)
She's your biggest fan.
Yeah, I'm still here.
He is my Chief Resident.
I can't just make a move
no matter how I feel about him.
(TENSE MUSIC)
Hey, you making a run for it?
Just headed back to my room after PT.
- Alone?
- Here, let me help you.
I got it, Julie. But thanks.
- Can I help you?
- TJ Coleman.
75th Ranger Regiment.
I hear you served too.
Is this the part where we do
the secret handshake?
No, brother, I just
came in here just to
Oh, oh. You saw my meltdown in PT,
and you thought I needed a pep talk.
You call it a meltdown;
I just call it a Tuesday.
Well, it sounds like
you've been here a while.
I work here. I mean,
when I don't look like this,
- I'm a doctor.
- What happened to your leg?
A guy came into the hospital with a gun.
- I tried to disarm him and
- (CHUCKLING)
- Why is that funny?
- Ranger. Doctor. Action figure.
And you've been in that
chair for what, a week?
So you thought you'd wheel
your bored ass down here
and find someone to fix
to take the edge off.
- I didn't mean to offend.
- No, no, no, no.
You just got a hero complex
and you figured
you'd work it out on me.
That's not what I was trying to do
You wanna help me?
Track down Dr. Brandt.
Okay, I've been waiting here for 3 hours
for a routine check-up.
Actually, you know, better yet,
you tell him the prosthetic
that he said would change
my life has been nothing
but trouble since the day I got it.
- It shouldn't be that way
- "With the right equipment,
people will barely notice."
That's what he said.
Turns out, it's the only
thing people notice!
I can't even get groceries
without someone thanking me
for my service. (GRUNTING)
How long has it looked like that?
Man, you can't take a hint, can you?
You know what, if you're not
gonna leave, then I will.
No, no, no!
Wait, wait, wait, wait, wait!
(SHOUTING IN PAIN)
Hey! I need a hand in here!
What are you doing?
This man has an AV fistula
that should've been dealt with
long ago. I need hydrogel
dressings, gauze, and
an elastic bandage.
Don't worry, brother.
You'll get some real help.
This isn't happening.
Just get me whatever
you need me to sign,
but I'm leaving and
getting on that plane.
The last time you went to the airport,
you threw up blood.
If that happens
when you're up in the air,
there'll be no way to stop the bleeding.
Well, that's a chance I'll take!
I understand that you think
that this treatment
is your only shot,
but Dr. Walker has found
two new possible therapies.
They've received FDA approval
for trials as early as next year.
And in the meantime, I I what?
I just go back to the way things were?
A year ago I couldn't feed
myself, much less anyone else!
I lost my restaurant, my livelihood
I'm sorry, Claire, but
you're in no condition
to leave this hospital.
And if you refuse to stay put,
I have no choice
than to place you
on a 72-hour psychiatric hold.
- Can she do that?
- Uh, she can and she will.
Well, so much for my body,
my choice, right?
You know, if I had terminal
cancer, the FDA would approve
an experimental treatment
in a heartbeat.
But because I have
a degenerative disease
that won't kill me tomorrow,
I'm not allowed to fight
for the life that I want!
No one is saying you can't fight for it.
- These other trials
- I don't want another trial!
I want the one that's working now!
We're trying to mitigate your risk!
No. No, what you're doing
is paternalistic.
And wrong.
And I think that you both know that.
Just go, please.
Get out!
(CALM MUSIC)
(INDISTINCT CHATTER)
The heart has beta one receptors.
The lungs have beta two.
So a cardio-selective approach
lets us treat the heart
without compromising pulmonary function.
Ah, Dr. Coleman.
I was looking for you earlier.
I hear you have been busy
catching Ortho's mistakes.
I like the hustle. Thank you.
- I do what I can.
- And how's the recovery?
Going home today, actually.
Just making sure they're holding
down the fort up here.
Well, I assure you,
the department's in good hands.
In fact, I'm bringing on a new
intern to lighten the load
while you're recovering.
So, take all the time you need.
We want you at full strength.
Hey, so, what do we think of her?
Too early to tell.
You got time for a consult?
Hi, Kevin, I'm Dr. Maitra.
It's a pleasure to meet you.
And thank you for your service.
Mind if I take a look at that leg?
Yeah. Your call.
The last guy who tried
got covered in blood.
(GROANS IN PAIN)
Does that hurt?
No, nothing compared to my prosthesis.
That thing rubs like hell.
Increased echogenicity
in the lateral quadrant
and loss of normal architecture.
(BEEPING)
- Thickening medially as well.
- Is that as bad as it sounds?
You ruptured an abnormal blood
vessel, which is unfortunately
a complication from an infection.
So I need more antibiotics.
Unfortunately,
it's too advanced for that.
Most likely, you'll need
a stump revision.
You mean you're gonna
take more of my leg.
Above the knee?
I'm sorry, man.
I mean, honestly, you know,
after winning the Weiss award,
I'm currently fielding multiple offers.
Like Yale. Hopkins.
So maybe you could tell me
what you think Westside
has to offer me?
You know what?
We're actually running short on time.
Sorry about that,
but why don't we do this?
How about if you have any
questions about the program,
you just shoot me an email.
Uh
I'm just gonna need a minute.
Naproxen? You feeling okay?
Oh, I'm fine. Just a tough day.
(SIGHS)
What was that look for?
Nothing.
Okay, come on.
You clearly want me to ask.
She told me that I don't belong here.
That this whole thing I'm doing
is misguided and narcissistic.
What? Sonya, why would she say that?
You know she's never liked me.
And, apparently,
she has a thing for you.
(LAUGHING)
Okay, you might wanna just
go easy on the medication.
I had another memory where
I heard her talking about it.
I guess I never told you?
Ah, no, no, and I kinda wish
you didn't tell me now.
You're my Chief Resident, right?
Don't you want to know
if one of your third years
- is trying to undermine
- You know I love you, right?
Hey, what, what, what is it?
What's wrong?
I just
remembered you telling me
you loved me
in in the parking garage?
Yeah, yeah, that that was
the day of your accident.
(SOFT MUSIC)
So, you're you're really
starting to have a lot of memories.
This is a pleasant surprise.
I figured you and Nora
could use a home-cooked meal,
judging by all the DoorDash
you've ordered this last week.
Hey, if you're gonna judge,
you can get your own account.
And pay for food myself?
Pretty sure that's child abuse.
- Is that who I think it is?
- Hey, how're you feeling?
Oh, I couldn't tell you. I'm too tired.
Is someone cooking?
Try and look a little less surprised
and I'll throw dessert in, too.
(LAUGHING)
Plus, I was hoping if I fed you,
maybe we could talk
about my senior project proposal?
Oh, my God. I forgot to read it.
Oh, that's my fault, sweetheart.
I had him pull
a double shift last night.
Lucky for Dad, bolognese takes time.
- And I brought a hard copy.
- I'm on it.
- What did Mom think?
- Um, she hasn't read it either.
She's been kinda busy with her TMS.
She's back to that?
- What's TMS?
- She didn't tell you?
She got a few memories back.
Uh. No. She didn't mention it. Of what?
I guess she got some
at the hospital with that cop,
and then some more a few days ago.
Something about a restaurant.
(BABY CRYING)
Ah, this round's on me.
Claire, I know you asked for privacy
but it's time to do your labs.
(TENSE MUSIC)
What the hell is going on?
I just wanted to help.
You had your injection
couriered from Mexico?
- And who is this?
- A friend.
And a nurse practitioner.
Have you ever performed
a lumbar puncture?
- I've assisted on several.
- Okay, put the needle down.
Step away from my patient
before I call security.
No. No, wait! Just close the
curtain and give us 10 minutes.
(SCOFFING)
You don't want to help me? Fine.
But do not get in the way
of the only hope
I have to hold my life together.
Claire, an improperly
administered injection
could leave you paralyzed!
It could kill you!
- I don't care!
- You stop this, I'll try
something else.
But I am not going back
to the way things were.
Do you understand me?
(SUSPENSEFUL MUSIC)
Give me the spinal needle.
So, before your clinical
rotations started,
you spent your summers doing
internships at NIH and Mayo?
Bit of an overachiever, huh?
I just did what I had to do.
I mean, I worked my ass off
for that med school scholarship,
but most of the people I'm up against
went to Harvard and Yale, right?
Yeah, is that why you got
here today 5 hours early?
- Too eager?
- No, no, never.
And it looks like you made
the most of Case Western.
Summa Cum Laude, Alpha Omega
Alpha, and a publication
in Circulation Journal?
Yeah, that's why I stayed
on a few extra months.
I was doing research
on aortic valve stenosis,
wanted to see it through.
Then when this position
opened up off cycle,
- it felt like kismet.
- Why is that?
Oh, well, my father used to work here.
He was an attending
in this department, actually.
I'm kind of following in his footsteps.
- Clark, as in Brian Clark?
- That's him, yeah.
Wow, okay, yeah.
I only met him a few times
but he always seemed like a great guy.
I was very sorry to hear that he passed.
Yeah, way too young.
(SIGHING)
Look, I know you've been here
since, like, 9 AM,
but if you can stay a little longer,
I'd love for you to meet Dr. Ridley.
- Wait, are you serious?
- Yeah.
Oh, my God, thank you!
Well, don't thank me quite yet.
I'm just the good cop.
(CHUCKLING)
(BEEP OF THE VENTILATOR)
- Have they started?
- No. No. Why?
- What's going on?
- Secondary labs came back.
His prothrombin time
is through the roof.
You operate now, he'll bleed out.
Why isn't his liver functioning?
This can't all be from the infection.
No, we must be missing something.
Can you track down the records
from his original amputation?
The name's Kevin Cross.
No, I heard you the first
time. I'm just not seeing it.
I don't think we ever treated him.
That can't be right.
Anyone injured in Afghanistan
would've went to Ramstein.
It would've been March 2013. A BKA.
I don't know what to tell you, man.
According to my records,
Kevin Cross was never here.
Sorry, I gotta go now.
(BEEPING)
120 over 81.
- That's good, right?
- No headache?
Vision changes?
Any numbness, tingling anywhere?
I'm fine, really.
Well, the good news is,
your transaminases
are levelling off.
I added a fresh frozen plasma
to help your clotting.
(MELANCHOLIC MUSIC)
Look, I'm sorry, okay?
I know that I put you in a bad position.
You did.
But I know what it's like
to have the life you want
taken away from you.
Thanks, Elias.
Hey.
How'd it go in there?
How did she take the news?
Oh, yeah. As well as can be expected.
But Dr. Walker has found
a group at NYU launching
an autologous stem cell trial
for MS patients.
- You're bleeding.
- Oh.
- (TENSE MUSIC)
- Oh, God.
Uh, excuse me.
- Amy? You okay?
- Uh
Found what we're looking for.
Turns out, Kevin wasn't in Afghanistan
- at the time of the accident.
- What?
- Why would he lie about that?
- Any number of reasons
why a soldier might not come
clean about where he was stationed.
Point is, his operation
wasn't in Germany.
It was in Georgia.
- And that matters because
- They also replaced his hip.
Now, the hip's asymptomatic,
but arthroplasties
can degenerate into metal on metal.
And 12 years ago, in Georgia,
they would've used
a cobalt alloy, not titanium.
Cobalt toxicity would explain
the fistula, infection, high PT.
- He has metallosis.
- Good catch, TJ.
I just hope we're not
too late to fix it.
- Got a minute?
- What can I do for you, Joan?
I wanted to talk to you about Amy and
the treatment protocol
you have her on.
I don't discuss my patients
or their treatment protocols.
Are you aware she's having nose bleeds?
And her ID badge scanned
the PYXIS for multiple doses
of naproxen today.
You're surveilling her PYXIS access?
It's my job to know
what's happening with my staff.
Not just be her friend.
Headaches and nosebleeds
aren't uncommon for TMS patients.
Well, they're not particularly
desirable in doctors.
She's doing what she needs to do.
Come on, let's get real.
I think we both know
that memory recovery
is a pipe dream at best. But at worst,
it'll make her emotional, irrational,
distracted.
So, if she's really trying
to get back to where she was,
you're not doing her any favours.
See there you go again. Acting
like you know what's best for her.
Well, guess what? It's not
up to you, and it never was.
You're the only one
who doesn't seem to get that.
(SUSPENSEFUL MUSIC)
Welcome back.
Dr. Brandt said the surgery went well.
Turns out your hip replacement
was the culprit,
but he fixed you up, and the necrosis
in the stump wasn't
as widespread as we feared.
Which means the revision was minimal.
Your knee's still intact.
Wait, really?
(CHUCKLING)
With physical therapy
and a new prosthetic,
you'll be good as new.
Let me change that for you.
You really think
this one'll be different?
Hate to be one of those annoying doctors
with their promises, but yeah, I do.
Then I guess I owe you an apology.
No, man.
I think maybe you were right about me.
My whole life, I've been
a man with a mission.
Son of cops.
Military. Med school.
Until last week.
You took a bullet on the job.
And became just another thing
my friends had to worry about.
Now I'm out of commission
for God knows how long.
And I keep replaying it in my mind.
Asking myself why I jumped that guy.
What it is I'm so desperate to prove.
I don't know.
Maybe I do have a hero complex.
I was just being bitter.
And I am the last person who
should make you doubt yourself.
My whole life I've been
a waste of space.
Pissed away my 20s.
Joined the military at 31,
hoping to find some purpose.
Never even made it out of Basic.
I mishandled a grenade,
blew my own leg off.
I wore the uniform for 6 weeks.
And what do I have to show for it?
It doesn't matter how long
you wore the uniform.
Most people are never
brave enough to put it on.
You remember that, next time
you feel anything other than proud.
I can try.
Hey.
You know what? Let me do this.
It's my turn, anyway.
Won't argue with that.
I'm sorry I haven't been
much help today.
- I wasn't expecting Katie
- I love having her here.
It's Amy being here I could do without.
Come on. I think that's unfair.
So that phone call you had earlier today
had nothing to do with her?
This should be our time, Michael.
I know. And it is.
I think we can both agree
her memories coming back
- must be destabilizing.
- For her or for you?
You should've seen the look
on your face when Katie told us.
What, I'm not allowed
to have complicated feelings
about my ex-wife remembering
the worst years of our lives?
Wow. So, now our marriage
is part of the "worst years"
- of your life.
- You know that's not
- what I meant
- Just tell me this:
what exactly are you afraid of?
'Cause I think that you're
scared that she'll remember
why she left you and then she
won't be pining after you anymore.
No, that's just not
And that scares the hell out of me.
Nora, honey, come here.
Hey.
I love you and I meant
what I said at the hospital.
I'm in this.
I know. Sorry.
I'm just I'm so tired.
(SNIFFLING)
(RAPID BEEPING)
Claire, have you been up and about?
Dr. Larsen. Uh, I haven't
I haven't left bed. Why?
Are you having chest pain?
How about palpitations, nausea?
No, I'm just a little dizzy, I guess.
Is something wrong?
Your heart's acting up a bit.
I'm gonna settle it down.
(TENSE MUSIC)
- Crash cart? What's going on?
- I could use your help in here.
Claire, this is Dr. Heller.
He's going to help stabilize
your rhythm and fix
that dizziness, okay?
Hey, Claire. How long have
you been feeling this way?
Um, just a few minutes.
I'm going to start propranolol.
Do you have any history
of heart problems?
No, none.
It's an odd complication from hepatitis.
It's not from her hepatitis.
I injected her with intrathecal
stem cells about an hour ago.
It's probably from
a fluid bolus in prep.
You gave her a non-FDA drug
treatment sent from Mexico?
Jesus
(MACHINE BEEPING)
Claire! She's V tach.
Charging to 200!
Clear.
(TENSE MUSIC)
(MACHINE BEEPING)
(EXHALES)
- Wait. I can I can explain
- Just stay with your patient.
Get a beta blocker drip going
and a full-loading dose
of amiodarone on board, and then
you monitor her blood pressure.
She's not out of the woods yet.
Neither are you.
Dad, you okay in here?
- Sh, sh, sh, sh.
- (BABY COOING)
Whatcha looking at?
Well, I was trying
to find that old mobile
we hung over the crib
with you and Danny.
Then I found this.
(SOFT MUSIC)
Simon looks like him, doesn't he?
You know, he does, a little.
- Except
- The eyes.
Those are all Nora.
Between you and me, I think
he's got Nora's lungs, too.
(LAUGHING)
I know how happy you are,
but I'm sure it's also really hard.
For you, too, right?
I guess Nora's kinda living
in a pretty big shadow.
I might've heard you arguing.
We're just running on empty. That's all.
Part of you still loves
Mom though, don't you?
- (SCOFFING)
- Part of me always will.
(SIGHING)
Guess I gave you quite the scare.
I'll say.
Your heart looks good now, though.
Is this gonna disqualify me
from the trial?
I spoke to Dr. Rodriguez
and he's agreed to keep you in
despite your latest setback.
That is twice that you saved my life.
I don't really know how to thank you.
She's hemodynamically stable
and normal sinus rhythm.
Good.
If you're all set here, I'd like a word?
(MELANCHOLIC MUSIC)
Just make the most of it, yeah?
So that's it? All's well that ends well?
You don't understand.
Those treatments were saving her life.
You were lecturing me earlier
about how I'm Chief Resident.
Tell me, how do you expect
someone in that position
to keep quiet about this?
Okay, then go report me to Joan!
I'm not gonna do that.
And you know that,
which is part of the problem.
Because you still love me.
I will never do that to you again.
(SOFT MUSIC)
I asked you to stop this.
I do remember that.
Sorry.
Okay, you don't look sorry.
No?
How do I look?
- You outta here?
- And not a second too soon.
Before you fly the coop,
Joan wants to see
the whole department.
She's calling an all-hands at 7 PM?
- (MURMURING IN AGREEMENT)
- Damn, this woman is no joke.
I'll help you with your stuff.
You knew, didn't you?
About Kevin?
So when I asked you why somebody
would lie about their injury
Wasn't my story to tell.
Well, for what it's worth,
I don't think you have a hero complex.
I think maybe you're just a hero.
I'll be damned.
Sonya Maitra has a soft side.
(CHUCKLING)
Don't tell me you're sneaking outta here
without saying goodbye.
Nah, new chief wouldn't allow that.
But hey, thanks for the nudge today.
I'm glad I talked to Kevin.
Yeah, well. I find, in my experience,
the best way to get out of a funk
is to be of service to someone else.
I don't know if I'd call it a "funk."
(SCOFFING)
- Please.
- What?
What matters is: Kevin's gonna be okay.
And I will, too.
Happy to hear it.
Do you need a ride home
tonight, after the meeting?
Headed that way.
Thanks, but my parents
are coming to get me.
Appreciate it though.
Yeah, anytime.
Florence Nightingale
never offered me a ride home.
(CHUCKLES)
(TENSE MUSIC)
Whatever it is, you're
strong enough to fight it,
and I'm here.
It's um, it's MDS,
so there's a good chance
it'll turn into leukemia.
(SOBBING)
Then we'll cross that bridge, okay?
I'm sorry.
I know it's not what you want
to hear right now but
if it gets bad and you
start to experience deficits,
you can't perform surgery any more.
That's a hell of a bedside
manner you got there.
Look, I'm just saying
that you can't operate
if your hand's shaking.
I would never do anything
to jeopardize a patient
and I don't need you to tell me that.
(AMY): You wanted to see us?
Yes, uh
(THROAT CLEARING)
I wanted to talk about
Claire Pinto's "spontaneous"
ventricular tachycardia earlier today.
She didn't tell you that either?
Well, it's a rare complication
of hepatitis.
Very rare.
More likely, it's an adverse
reaction to an intrathecal shot,
which happened to occur
just hours after a courier
signed in a package
from Mexico to Claire.
I think we all need to
stop assuming the worst.
Do you deny giving that woman the shot?
Let me put this plainly.
Your ex-husband is the CMO,
your boyfriend was your Chief Resident,
and your best friend
is your neurologist.
Which means you've been
given too wide a berth.
What you've accomplished since
your accident is remarkable.
But I've been reviewing your cases
and your behaviour is concerning.
You're reviewing my cases?
Yes, of course.
You know, I have always
taken pride in your success.
But you took advantage
of our friendship today.
And let's be clear, kiddo.
You're still auditioning.
Now, if you'll join me in the IMO,
I have a few announcements to make.
Nosebleeds? Naproxen?
An IT injection from Mexico?
Why am I hearing about that from Joan?
It was a pretty busy day with patients.
I was gonna tell you.
We need to slow down your treatments.
No, Gina, no. It's working!
I had two new memories today.
I'm not saying we stop.
But if we continue the TMS,
we do it my way!
Slow. Steady. No secrets. We clear?
Yeah.
(EXHALING)
(CALM MUSIC)
(KEYBOARD CLICKING)
(KATIE): You ready to go down to dinner?
I don't wanna jinx it, but
Simon says it looks pretty good.
I'll be right there.
(CALM MUSIC)
(INDISTINCT CHATTER)
I'm about to make your day.
My Dad's plans fell through
tonight, so he can't use
his floorside tickets
to the Timberwolves game.
Uh, that sounds great,
but I've I've got Mia.
Oh, I thought it was Rachel's, uh, turn.
- Never mind. Some other time.
- Yeah.
(JOAN): Okay! I think we have
a quorum. Let's get started.
First, I want to thank you all
for a great first day.
From what I've seen so far,
I can work with this.
We have a talented group, and
I'm excited to captain the ship.
I know that there has been some
disarray in this department,
and some issues with leadership,
but make no mistake:
I am here to make this the best
hospital in the country.
And that starts with
making each of you better.
With every patient every day,
we will be smarter,
more efficient, leaner and meaner.
In 2 months, there will be
an official evaluation.
Some of you will not survive it.
If that scares you, good.
It means you want this.
And for the best of the best,
fear is a motivator,
not a deterrent.
Now we will see
who rises to the challenge,
and who doesn't.
See you all tomorrow.
(TENSE MUSIC)
(THEME MUSIC)