Doc (US) (2025) s03e07 Episode Script

1
(GINA): Previously on Doc
- You having memory seizures?
- Intense memories.
Go ahead and start on these.
(DR. KUMARA): What's the status
of your transplant trial?
(BEN): I'll be bringing in some of my
New York people, including Sasha.
Didn't Dr. Larsen consult with
you on this a few years ago?
We've got a big problem here.
(BEN): She did, but she
wouldn't remember that.
One of my donors just dropped out.
Anything I can do?
You want me to put
in a good word with my father?
Nina's stepson is one
of our most promising interns.
Did you antagonize her?
Just so you know, Dr. Larsen
was down on the fourth floor.
I get the feeling
they didn't clue you in.
What the hell is going on down here?
(AMBIENT MUSIC)
You're here to finalize
your wedding registry?
Are these two not
the cutest frickin' thing
you've ever seen?
So when's the big day?
You know, I really think
we need a minute here.
Okay. Uh, but,
you're running out of time.
You're not like, worried for real?
Well, he is windsurfing
right now, and I'm here.
Yeah, well, he's a dude.
I gotta tell you,
the way he stormed out this morning,
I don't know if he's even coming back.
(PHONE VIBRATES)
- Hello?
- (GINA): Is this Kat Keating?
Yes.
This is Dr. Walker
calling from Westside Hospital.
You're the emergency contact
for Rob Landis?
Yes. Is something wrong?
I'm sorry to tell you,
but Rob was in an accident.
He was found unconscious
at White Bear Lake.
Um wait, um, what are you saying?
Unfortunately he's in a coma.
But he's gonna wake up, right?
He'll wake up, right?
(MRI KNOCKING)
(LOW MUSIC)
(HOSPITAL DIN) (MICHAEL): A granuloma.
- (DR. SCHERL): Forming around
- the bone fragment
and irritating the hippocampus.
Which is causing the memory seizures.
Most likely, yes.
I haven't had any since
I started taking the medication.
Well, okay, but
if the nodule keeps growing
It's likely the seizures will return,
and they could become incapacitating.
Well, I can't have you
performing procedures
until we understand
what we're dealing with.
And I'll have to read the board
in on all of this,
for everyone's protection.
As long as I can keep
seeing patients and diagnose.
Absolutely.
Well, I'm sorry, Amy.
I know this isn't
what you wanted to hear.
It's fine.
I'll get started on my rounds.
(SONYA): So, no procedures?
- (HOSPITAL DIN)
- I can farm them out
to specialists as they come up.
Are you all right?
Temporary speed bump.
But now reason for the interns
to know about it.
Just keep an eye out for Graham.
Still have no idea why he tried
to turn us against each other.
He's a spoiled brat who is used to
pushing boundaries
and getting his own way.
Mm. I'm afraid it's more than that.
I think he's a snake.
Go do your rounds, I will deal with him.
(TENSE MUSIC)
(HOSPITAL DIN)
Trouble in paradise?
Do you have your assignments, Claire?
I do. Just waiting for Dr. Barrett.
Go find her.
'Kay.
What's up?
I think it's important
you understand that Dr. Maitra
- and I are entirely in alignment.
- Glad to hear. Of course.
(CHUCKLES)
Good.
Dr. Park needs you in 618.
Great.
- And Graham?
- Yeah?
I'd think twice before
having your stepmother
interfere with our work here.
(HOSPITAL DIN)
Hey, uh, Dr. Larsen said
you needed me for something?
Perfect timing,
just about to start his enema.
- (PATIENT GROANING)
- Enema?
You'll probably need to flush it through
several times.
- Report back when it's clear.
- Mm-hmm.
(SLAP ON BACK)
- (HOSPITAL DIN)
- (GINA): I hate to say it,
but I agree with Michael.
At least in the short term.
I get it. I'm not pushing back, Gina.
Now, you asked for a consult?
29-year-old male.
He's had long-term life-supportive care.
Windsurfing accident four years ago.
Complete unresponsive state
until last week.
That's when I saw the first BP spike.
BP spike doesn't indicate
a change in cognitive status.
Second one was 10 minutes ago.
Both times they happened
when I was reading to him.
I assume you've done a coma
recovery scale periodically.
Every three months. Nothing.
But this week, there's this change.
So, now you're thinking
Emerging consciousness.
I want CMP, CBC, a full workup,
and then an fMRI.
It's a ten-point jump.
Humor me.
(RHYTHMIC MUSIC)
After six years of painstaking research,
we've reached the human phase
of our artificial heart trial.
Which represents hope
to thousands of people.
When this proves successful,
the people who receive
our artificial heart
will be tacking on years
to their lives, yes,
but the ultimate goal, our holy grail,
will be for this to last
long enough so that our patients
can live full lives without
ever relying on an organ donor.
Our sentinel cohort of three patients
will arrive on separate Medevacs
taking off in the next hour or two.
Each one has a different form
of end-stage heart failure.
Diverging symptoms,
diverging risk profiles.
Which is why they were chosen
after exhaustive reviews
by us and the IRB.
Now, those flights will likely
create further complications,
so Dr. Douglas and Heller
are on loan from Cardiology
to assist with managing them
and maintaining patient stability
in preparation for their surgeries.
The three-cohort mandate
stipulates one surgery per week.
If one of them crashes,
the whole enterprise comes
to a grinding halt.
Make no mistake.
This is gonna be a wild ride,
so I need everybody here,
everybody firing on all cylinders.
- (EQUIPMENT HISSING)
- (LABORED BREATHING)
Such a fuss over a little wheezing.
You know the asthma's
related to your EGPA.
So, like it or not,
you're gonna get the full workup.
I was supposed to see
my grandbabies today.
(WHEEZING)
(GASPS)
They're like actual little people now!
- (COUGHING, LAUGHING)
- They're beautiful.
Uh, any other symptoms flaring up?
Some numbness in my hands.
(WHEEZES)
- Pulmonary function test?
- Please.
Yeah.
So, we haven't talked about you.
I certainly hope
you have a boyfriend by now.
- Matter of fact, I do.
- (VERA GASPS)
- He's a doctor.
- Don't tell me.
- Dr. Heller?
- Uh, no. Dr. Coleman.
TJ?
You've met him. He works here.
Show me a photo.
Oh, I remember him.
Yeah?
- He's a good egg.
- Yes, he is. For sure.
What happened to
the Wicked Witch of Westside?
Uh, still haunting the halls?
- (MRI KNOCKING)
- Hi, Rob.
It's Dr. Walker,
I'm sure you know my voice by now.
I'm gonna ask you a few questions, okay?
If your answer's yes, I want you
- to think of swinging a hammer.
- (MRI KNOCKING)
If your answer's no,
I want you to think of what
your apartment looked like.
Do you live in California?
Hippocampal activation. That's a "no"!
Reading you loud and clear, Rob.
Do you live in Minnesota?
Motor area. Affirmative response.
Okay, how about your fiancée, Kat?
Motor, again, affirmative.
Okay, that is great, Rob.
Now, do you remember having an accident?
Nothing.
Do you remember having
a windsurfing accident?
That's a negative.
But, even if he's conscious,
that could be just a black-out area.
These could be random bold fluctuations.
We could be reading the tea leaves.
Darrin, how long to switch
to a vascular MRI?
15 minutes for the IV contrast.
Do it now.
You see this distorted vessel?
That's what's causing the BP spikes.
He's having an aneurysm.
(EXHALES)
(TENSE MUSIC)
So how are those study numbers looking?
I was right, wasn't I?
I thought they'd improve
once the post-op inflammation
No you didn't.
You're too smart for that.
You knew the study was flawed
long before I pointed it out.
You're the only one that noticed.
Elliot wants me to do a report
for the Institutional Review Board.
He wants a formal assessment.
I didn't know that.
Well, I guess you're gonna need
my help fixing the problem, then.
- (EQUIPMENT BEEPING)
- I feel like the bionic man
All these wires hanging off me.
(CHUCKLING)
He has been making that joke all day.
Wait 'till we get that
titanium heart into him.
Then he'll really be off
to see the wizard.
I think you might be mixing up
your pop culture references
there, Dr. Douglas, but yes,
he's right, we're gonna
take good care of you, okay?
Are the other patients here?
Not yet, but they're arriving today.
(COUGHS VIOLENTLY)
What's wrong?
(COUGHING VIOLENTLY)
So, he's got some fluid on his lungs,
probably just from the flight over.
- Nothing to worry about yet.
- Yet?
Babe, babe, just relax, okay?
They got a backup plan
for the backup plan.
Ain't that right, doc?
Of course.
We're gonna get it figured out.
So, he's fluid overloaded.
Probably just from
the low cabin oxygen pressure.
I'll get a nurse to draw a BNP.
Okay.
(SOFT MUSIC)
(MICHAEL): So, it's a sentinel bleed.
Needs to be treated
in the next few hours,
and I'm afraid
a surgical approach will invite
way too many complications.
Well, it'll be tricky,
but I think I can
manage it intravascularly.
I'm not sure we should do that.
It's a heroic measure
for someone with no quality of life.
So you want to wait for it
to rupture and let him die?
He's trapped in there,
and now he's presenting
with a natural cause of death,
we don't have to intervene.
I've been reading to him
every week for four years
and this is the first time
he's demonstrated consciousness
which means he could be coming
out of his unresponsive state.
It's much more likely this
activity is terminal lucidity.
Well, "much more likely"
isn't good enough for me.
There's no advanced directive?
No living will. No proxy, no DNR.
His parents died young.
He has a fiancée, but we haven't
heard from her in months.
Darrin, reload the fMRI.
What are you doing?
Hi, Rob, this is Dr. Larsen.
You've been in an unresponsive state
for four years and now
you have a brain aneurysm.
If we do nothing,
you will slip away peacefully and die.
If we operate,
it's likely that it won't help
wake you up and you might live
like this for years.
We believe that
the decision should be yours.
So, if you want to live,
think of swinging a hammer.
And if you want us to let you pass away,
think of your apartment.
(TENSE MUSIC)
Hippocampus.
If he can hear us,
he is saying that he wants to die.
Okay. Step aside, please.
Hi, Rob, it's Dr. Walker.
I want to ask you again.
Never mind, Rob,
we're gonna take care of you.
There's no way we're letting him
make this decision
when we have no idea
what his cognition level is.
Do the procedure.
We'll revisit the existential
part of this later.
So we restore his
physical health, and then what?
Debate euthanasia?
You know we're not doing that.
Get him to the procedure room.
I'll start prepping.
Transferring surgeon says Lewis
Pinachek's tucked in and en route.
And Sam?
Got here about 20 minutes ago.
Dr. Heller's dealing with some
fluid issues from the flight.
And this is Nancy Breyer. Excuse me.
Dr. Coleman.
- Ah, there she is!
- (BOTH LAUGHING)
Welcome to Westside.
I seriously cannot believe
you traded New York for this.
Can you manage to not be
a snob for five minutes?
It comes with the accent,
but I'll try to hide it
from your new gang
from Fargo, doncha know?
Oh, that's not bad for a Brit.
We just lost Ward.
What are you talking about?
I spoke to him last night.
Some surgeon at Methodist
sold him on a new med
that he says will keep him alive
until he gets a real heart.
Did you explain that our protocol
dictates a cohort of three,
which means our other two
patients can't move forward
Of course.
(SIGHS)
All right.
Get the files on all the alternates.
Need a backup here
in the next twelve hours.
Eliminate anyone
with overlapping symptoms
or a clinical picture to Lewis and Sam.
We need medical diversity.
Got it.
So, Vera's in
an assisted-living facility?
(HOSPITAL DIN) At her age?
Since she was 51.
It was a really difficult
transition for her, obviously.
You seem to know her really well.
She was my first patient as an intern.
I kept making mistakes,
and even when some of the other doctors
were hard on me she was
very kind and supportive,
which is not how it's supposed to be.
I was supposed to be there for her.
(ALERT SOUNDS)
Results are in.
(SOFT MUSIC)
Call the 6th floor.
Code team to Vera's room.
What's wrong?
She's about to go into cardiac arrest.
I think you might've, uh,
jumped the gun, Dr. Maitra.
Just get that EKG hooked up.
Vera, are you experiencing any
pain or tightness in your chest?
No, I just feel really nauseous.
I think you may be having
a heart attack.
That machine's gonna
tell us if I'm right.
- (VERA WHEEZING)
- (ELECTRONIC BEEPING)
Tombstones on the inferior leads.
You're right.
Multivessel disease.
Activate the cath lab
and call the shock team.
(DRAMATIC MUSIC)
(SNORING)
Oh, God, this is gross.
(PHONE RINGING)
Oh, hey Nina. Took you long enough.
Sorry I don't jump at your every whim.
Yeah, well, thanks to you,
I got a problem with both Chiefs now.
- Thanks to me?
- Yeah. Clearly you made a call
when I told you not to.
And now Larsen just threw it
back in my face.
(NINA): Oh, did she now?
Yeah, so what are
you gonna do to fix it?
Give me a beat. I'll get back to you.
So you haven't found a replacement yet?
It's a high-wire act,
but we're closing in
on several candidates.
Well, the IRB does not like surprises.
And putting a gun to their heads
at the 11th hour
after they've vetted
your candidates for weeks
is a recipe for disaster.
(EQUIPMENT BEEPING)
Who's that with Dr. Grant?
That is our hospital administrator.
There a problem?
Important day. Everyone wants
to make sure it runs smoothly.
(SOFT MUSIC)
- Got it. Thank you.
- (BEN): Okay, what do we got?
Richardson died last week.
We are down to the final four.
What about Frank Baldwin?
I thought his acute
hepatitis was under control.
Liver enzymes have spiked
to the thousands.
He's not stable enough to travel.
Dr. Heller just added
a nitro drip on Sam,
so we have to consider
his fluid overload
as an official complication now.
Which knocks out Deborah Palmer.
She's got the same profile.
We really need that level
of medical diversity?
That's the whole point.
No overlapping diagnoses.
I think Ivy Oringer's our best shot.
Diabetic, cardiomyopathy from Milwaukee.
That's the one.
Her sugars are out of whack.
I think we can manage it with continuous
glucose monitoring and titrated insulin.
I don't want to think, Sasha.
We commit, she gets too unstable,
they shut down the whole trial.
Come on, now.
(TENSE MUSIC)
We'll go in through the femoral artery,
guide a micro catheter up
into the aneurysm
and then pack it with platinum coils.
(PHONE REMINDER RINGS)
(LID POPS)
- Am I interrupting?
- I was just checking in, anyway.
- What's up?
- Uh, déja vu.
I need to borrow that
big brain of yours.
An issue with your trial?
Yeah. One of our patients dropped out.
But I have an alternate
I need moved from Milwaukee,
Ivy Oringer, but her sugars
are running in the high threes.
She's 34?
Yeah, and her mom's been
fighting like hell
to find a way to save her.
I'm hopeful this is it.
Yeah, her C peptides are a little high.
Yeah, I wasn't sure
what to make of that.
It's an upstream marker
of insulin resistance.
Put her on metformin
and ultra-rapid fiasp infusion.
That should get her through
the Medevac flight.
But she'll have a much
higher risk of hypoglycemia
once she lands.
How soon do you need her stabilized?
First surgery's supposed to be tomorrow,
but if I don't get
the alternate in place,
I can't move forward with the other two.
Check her CGM the moment she lands,
and give her a little dextrose IV.
Thanks.
- (SOFT MUSIC)
- (KEYBOARD CLICKING)
So what exactly is she working on?
She thinks the arteries
aren't compensating properly.
And I'm only hearing about this now?
The point is, she thinks
if we improve the flow
and block the vasoconstrictive response,
it'll solve the problem.
No, Ben, the point is you
didn't inform your partner
of some pretty crucial information.
'Cause I was trying to protect you.
For our presentation.
Well, now the cat's out of the bag.
- And I can't unknow what I know.
- Sasha. She's gonna solve it.
- (HOSPITAL DIN)
- They're in the mid-hundreds?
That's very encouraging.
All right. Let's talk then.
- Lewis.
- Hey.
You have no idea
how great it is to see you.
- (CHUCKLING)
- Private plane.
Felt like a rock star.
And you are.
Now, let's get you situated in our CCU,
and then we should be ready
to get things moving shortly.
Thank you.
So. Ivy Oringer's
numbers are stabilizing.
If they hold, she'll be flying
out in 20 minutes.
So someone came up with a new solution.
And that's what
internal medicine is for.
You went to Amy.
She's the best one here.
Did you come here for her?
I moved here because my sister is sick,
and I had a chance to run surgery.
Sure.
Just remember you're rolling
the dice with my career, too.
(DRAMATIC MUSIC)
(HOSPITAL DIN)
His numbers are fine.
Blood pressure's stabilized.
Completely.
Even when I read to him.
I love that you never give up on people.
It's one of the best things about you.
He was so vibrant.
Before the accident.
I mean, look at him.
Rock climbing, sky-diving
he loved it all.
(EXHALES SOFTLY)
(UPLIFTING MUSIC)
Amy!
He's tracking my movements.
He's awake!
- (ELECTRONIC BEEPING)
- (JAKE): Okay, Lewis,
we're just gonna run
baseline echo EKG labs.
I'm sure you've been through
this one too many times.
Poke and prod all you want.
I'm just grateful to have a chance here.
Well, I gotta confess,
I think we're all
pretty pumped to be here.
Hey, there was an EMT on the flight
said somebody dropped out of the trial.
Doesn't that affect us?
Of course it does, you're a cohort.
They can't operate on anybody
unless all three of you
are here and ready.
That was the problem
with that administrator.
All right, Sam. You already met Lewis?
Yeah.
Is it true? Someone quit the trial?
EMTs were talking on the Medevac.
You know how many people
wanted your spots?
We've already identified
an alternate who's en route.
So we are still on track? No delays?
No delays.
And it looks like Sam's fluids
are under control.
We got a litre off his lungs.
See? Told you.
That man's a miracle worker.
It's the guys who invented
the meds, but thank you,
I do appreciate the shout out.
Well, lungs are clear,
you're good to go.
(ALARMS BEEPING)
Doc, I'm feeling dizzy.
Heart block. Low heart rate.
One milligram Atropine.
- Pushing O2 to 50 percent.
- Still bradycardic.
We gotta get a pacer in him.
That doesn't sound great.
Well, it's all under control, Lewis.
We expected complications.
What is happening with him?
He's fine, Marie, we got this.
I don't know.
Yes, yes, Dr. Grant will be
in touch with instructions
on management during the transport.
I appreciate it.
You, too.
Oh! We finally got a replacement
for the dropout this morning.
Oh, really?
Yeah. She's got some sugar imbalances,
and we have to make sure
the flight doesn't destabilize
What if I had a patient
who fit the bill?
Is this Vera?
It is.
And you're sure you're not
reaching because it's her?
Just get me in front of Ben.
I won't embarrass you.
- (HOSPITAL DIN)
- It's good to have you back
in the land of the living.
Was I really like that for four years?
So you could hear all of that?
I was in and out, but
I heard enough.
Thank you for taking care of me.
Just doing my job.
- Why did I suddenly wake up?
- We're not sure exactly.
We noticed an aneurysm
developing on your brain
Right. I remember.
You asked me if you should fix it.
I'm glad that you didn't listen
when I told you to let me die.
Us too.
I'm gonna look into this blood work,
see if we can get to the bottom
of this miracle.
What about my fiancée?
What about Kat?
Did you ever meet her?
I was the one who called her
the day of your accident.
So, she was here?
Every day for a long time.
But then, she she stopped?
I haven't seen her for seven months.
Did she tell you about
the last time we saw each other?
About the fight?
She did.
And she left you a note
the last time she was here.
I'll give you a minute.
I, I, I can't.
My vision I can't read it.
Oh, that's to be expected.
It'll get better soon.
Can you?
Please?
(SOFT MUSIC)
"Dear Rob, I'm sitting here
next to you writing this,
"watching you like
I have been every day.
"I know that I loved you and I still do.
"But I'm stuck.
"Stuck in this room.
Stuck watching over you.
"Stuck with all this guilt
and pain and grief
"and I just don't think
I can handle it anymore."
Stop, stop.
I get it. Please.
Should I call her?
I know she'd want to see you.
- (RADIO MUSIC)
- (INDISTINCT CHATTER)
It's over.
It didn't work?
Everything I did to get here.
We could've saved so many lives.
There has to be a way.
We have a year or two
before human trials
(LAUGHS BITTERLY)
Human trials?
We'll never make it
to phase two with pigs.
They'll pull the funding
once they hear your assessment.
Then it'll be seen as an abject failure
and I'll never
put the pieces back again.
(ELECTRONIC BEEPING)
Is this gonna take me out of the trial?
This is what's gonna keep you in it.
Just try to relax.
Sure. Maybe some mindfulness
exercises, right Marie?
(CHUCKLES)
No, we are praying for you, Lewis.
Yeah. That's exactly
what I want to hear.
Hey, it's just a pace maker.
This man does it in his sleep.
You got that right, Sam.
Set rate at 70 beats per minute.
(PETER): Copy.
What about you, Dr. Heller?
You have any kids?
I do, in fact. One daughter.
What about you two?
19 and 22.
- Both girls in college.
- Smart. Just like their momma.
Nah he's plenty smart.
Just didn't get the same opportunities.
(BEN): They coming to watch
their dad make history?
Nah, I told them to, you know,
focus on their studies.
Come time for the surgery,
they can hop on a flight,
say their goodbyes.
Hey. You do not get
to joke around like that.
Listen to your wife, Sam.
- Oh, hey, I do.
- Yeah, except when you don't.
And we have capture.
Increase output.
You're gonna start feeling
better almost immediately.
(PETER): The rate's coming up.
Stabilizing.
(LEWIS MURMURS)
- (EQUIPMENT BEEPING)
- Amazing.
These things can be finicky.
We'll probably need to
adjust a bit later,
but we're in good shape now.
His fluid status is neutral.
He's stabilizing, too.
All right, people.
We are moving in the right direction!
Check in soon.
(EXHALES)
Ivy Oringer from Milwaukee.
Dr. Ben Grant.
Feels unreal to meet you.
We've been following this trial
since phase one.
Eight years she's been
on that transplant list.
Could never get a real heart.
Wow, you must be Mom.
It's so great to have you both here.
Great for you?
I feel like I won the Powerball.
Well, you're very brave
to volunteer for something
no one's ever done before.
But we still need to assess
your viability,
and then get you past
these pesky folks at the IRB.
Yeah, I understand.
I'm still tripping out
on the idea you're gonna be
taking out half my heart,
dumping it in the trash,
and then what,
inserting a shop-vac into me?
(TJ AND IV LAUGH)
You get used to her sense of humor.
It's actually more like a sump pump.
Don't tell anyone
we're essentially plumbers.
How's her sugar trending?
She's in the 130s. Holding steady.
- Excellent.
- (PHONE CHIMES)
No promises, Ivy,
but you're looking good.
Oh, Dr. Maitra's ready for you.
All her ducks are in a row.
- Back soon.
- (IVY MURMURS)
(DOOR OPENS)
- (DOOR CLOSES)
- Hey, it's gonna be okay, Ma.
(GASPS)
It's gonna be okay if they accept you.
- (EXHALES)
- Yeah.
Your mom's heart's really weak,
but we're not out of options yet.
I'll call you back in a bit.
Okay, Dr. Maitra. I'm all ears.
(HOSPITAL DIN)
(PHONE CHIMES)
(INTRIGUING MUSIC)
We have no definitive answer
as to why he woke up?
No, but vitals are holding,
coils stable in the brain,
perfusion is good,
EEG readings in normal range
But I think without an explanation,
we need to be careful.
I think we should slow-roll this.
Meaning sedate him?
Prevent any blood pressure spikes,
reduce any kind of stress,
neuroprotective meds
That's my position.
He's been immobilized for four years.
He needs stimulation,
socialization, neuro-rehab
(KAT): Dr. Walker?
Hi!
I can't believe it, I just
- I can't believe it.
- I know.
He's really awake?
Yes. He's awake and he's verbal.
Can I see him?
Of course.
(EMOTIONAL MUSIC)
Kat?
- Hi.
- Hi.
(WEEPING)
She has massive infarct,
bi-ventricular failure,
nothing left to revascularize.
Which means and LVAD
only solves half her problem.
And my heart solves all of it.
But unlike your other two patients
with low-output cardiac failure
and end-organ damage.
(CLEARS THROAT)
You understand how tenuous
each patient's condition is, yeah?
Of course.
And we discussed at great
length this morning
that this trial demands
medical diversity.
I understand that.
And Vera's heart failure
is autoimmune in origin, unlike
It is irrelevant where
the heart failure comes from.
What matters is what it is doing to her.
- (SIGHS)
- I'm not sure I follow.
Lewis has ascites
and orthopnea, correct?
Yes. Biventricular failure.
And biventricular failure is virtually
always a factor with patients
with autoimmune myocardial infarction.
Which will make Lewis and Vera's
post-op risk profiles
redundant.
- I guess I didn't realize
- You didn't realize?
Or you didn't do your research?
Because your girlfriend
gave you the idea.
You gonna tell me that wasn't a factor?
- (EXHALES)
- It won't happen again.
And I will speak to her and tell her
that we're going with Ivy.
No, I don't want you
anywhere near this conversation.
Not with her father's funding
on the line.
I mean, I told you
it's not like that with them.
Hey, I don't have the luxury of
taking your word for it right now.
And I will tell Dr. Maitra myself.
(ELEVATOR DING)
It's the wrong day to waste my time.
(HOSPITAL DIN)
I'd ask if you're okay,
but, how could you be?
I told him I met someone.
Okay.
He seemed relieved.
He smiled that goofy smile
and made a joke of it like
he always did with everything.
Guess we're both unstuck.
Then we said goodbye.
So what's keeping you here?
She's a lawyer now.
And she has a career and a life.
And a new guy.
I'm so sorry.
She was always
running circles around me.
And it made me act like a jackass.
- You were young.
- I was an idiot.
The day of the accident,
she was trying to start
our life together
and I stormed out to go windsurfing.
Who does that?
So what did you say to her today?
That even though we loved each other,
we wanted different lives.
The one thing I could do for her
was to let her go.
That doesn't sound like a jackass to me.
(CHUCKLES)
What if he's just doing the noble thing?
I don't know if I can believe
anything he's saying to me.
He didn't tell me one way or the other.
But, let me ask you something.
This new guy.
Do you love him?
I do. Yeah.
But I can feel part of me's
holding back.
No matter how hard I try,
there's a piece of me still
in that room with Rob.
So let's say he's setting you free.
When someone gives you a gift,
receive it.
Go. Start your life.
You've waited long enough.
Thank you, Dr. Walker.
For being here
when I couldn't be anymore.
And I'll be here for him now.
You can count on that.
(SOMBER MUSIC)
- (HOSPITAL DIN)
- (TENSE MUSIC)
Pressure's 88 over 52.
(MARIE): And he's feeling dizzy
and nauseous.
What happened?
Can you rewind 5 minutes for me?
Yeah, I just started to feel,
you know, kinda sick.
- And then he almost passed out.
- I didn't pass out, Marie.
I got a little light lightheaded.
Now, were you standing up
or were you sitting down
- when you started to feel dizzy?
- He was standing.
I stood up for a second.
You might just be dehydrated.
Let me listen to your lungs.
- You having any chest pain?
- No. No, not at all.
- (ELECTRONIC BEEPING)
- BP 82 over 50.
Okay, give me that I-stat, Julie.
Just gonna check
your electrolytes, okay.
- (ALARM SOUNDS)
- (TENSE MUSIC)
- Pacemaker malfunction.
- Okay, give me the magnet.
- Paging Dr. Douglas.
- 250 saline bolus for Sam.
- Stat, Julie!
- Going as fast as I can, Jake.
- What's the status here?
- Sam is dehydrated,
we might've overshot the diuretics.
Lewis is having a pacemaker malfunction.
It's not resetting. Give it to me.
- I'm right here, I got it.
- (ALARM BEEPING)
Dr. Heller.
(TWO BEEPS)
(SPUTTERS)
(CLEARS THROAT)
The hell just happened?
(MUSIC CALMS)
- (EXHALES)
- Pressure's rising.
110 over 70.
Well, that was interesting.
My God!
I don't know if my heart
can take any more of this.
(CHUCKLES)
(MUTTERS WEAKLY)
(VERA WEAKLY): So?
Am I getting that heart?
(WHIMPERING)
I'm so sorry, Vera.
I tried.
I really tried.
I know you did all you could.
(SOMBER MUSIC)
(AMY): I'm sorry I pushed
so hard this morning.
It is a miracle that he's alive,
and if it were up to me, he'd be gone.
Like you said, it was a miracle.
- (ALARM SOUNDS)
- (ROB GASPING)
- (ALARMS BLARE)
- He's crashing!
(INTENSE MUSIC)
(ALARMS BLARE)
(HOSPITAL DIN) (ELECTRONIC BEEPING)
Nothing.
He's braindead. (SIGHS)
We should've sedated him
like you wanted.
It was a catastrophic
intracranial hemorrhage.
It wouldn't have made
any difference, Gina.
This is collateral damage
from his original injury.
He signed an advance
directive an hour ago.
No heroic measures.
(AMY INHALES DEEPLY)
Today wasn't for nothing.
You gave him back his ability
to make his own choices.
(HOSPITAL DIN)
(INTRIGUING MUSIC)
Sounds like you had a day, Graham.
Yeah, yeah, you could say that.
(SIGHS)
Any thoughts?
I will suffer the consequences
of my choices
and you will not be influenced
by any hospital donors.
So you did learn something, then.
I, uh was tracking
your case with Rob.
I'm sorry, must've been rough.
You know that piece
of bone lodged in my brain?
An eight of an inch to the left,
and I'd be like him.
Guess we should be grateful
for what we have, huh?
Some people think I act like
I always know better.
But I don't.
I just go confidently
toward what I believe,
let the chips fall where they may,
and I admit when I'm wrong.
- For sure.
- I see some of that in you.
The thinking you know better part.
The thing is, I have earned that right.
You haven't.
Understood.
So, how about you pretend
that you don't know everything
and follow my lead for a while.
I'd welcome that.
Tomorrow's another day, then.
(SOFT MUSIC)
(HOSPITAL DIN)
(BEN): Dr. Heller.
Great work today.
Oh, thank you, but it was a team effort.
Humility can be a virtue,
but not when you're in
a horse race for funding
to keep your job.
Trust me when I say
I know what that's like.
I'll put in a good word with Dr. Matos.
I appreciate that.
(HOSPITAL DIN)
I heard Ivy cleared the IRB.
Barely.
- And I'm sorry about Vera.
- (SOFTLY): Yeah.
I know how much she means to you.
Maybe you can put in a good word
in case you need an alternate.
I wouldn't make her any promises.
I know, but, anything can happen, right?
Any kind of complication
can knock someone out
I can't do it, Sonya.
I've already extended myself
further than I should have.
Oh, well
well, it seems like
you have a late night.
Why don't I just see you at mine?
Sonya.
I know you tried.
(EXHALES)
(SOFT MUSIC)
(AMY): I can figure this out.
If we only had more time.
Yeah, well, we don't have time,
and now you're just torturing me.
What if we only sent
the August numbers to the IRB.
They don't know that you did
another round
in November, do they?
I could never ask you to lie for me.
You didn't.
Look, I know you've thought about it.
That's why you were nervous about me
even coming to the lab to begin with.
Yeah, thinking about it and doing it
are two very different things.
In my wildest fantasy
of breaking ethical boundaries
we've all lived by since med school,
it never involved anyone
sitting next to me.
There are ethical boundaries,
and then there are
bureaucratic burdens put on us
by corporate pencil-pushers
who don't understand what we do.
And that's a rationalization
you can live with?
A lie of omission
about the efficacy of a trial
on pigs versus the potential
to save thousands of lives
and usher in a ground-breaking
era of technology
that can be extrapolated
to every organ in the body?
I'm not gonna lose sleep
over that grand bargain.
You'd be risking your career.
You'd be risking your legacy.
And I think it's worth it.
Bypass machine, perfusionists on call,
all blood typed and crossed?
Of course. Done. Hours ago.
It's game day tomorrow.
(SOFT MUSIC)
Here we go.
[ ALL MY WARS BY MATT MAESON]
Well I'll be somebody ♪
In my own time ♪
I'll pull the wreckage ♪
Out from my mind ♪
I'm not afraid of myself no more ♪
(ELEVATOR DINGS)
I see the beauty ♪
In all my wars ♪
And I'll fight some more ♪
I'll face my crimes ♪
I'm walking straight ♪
On crooked lines ♪
Hey.
It's amazing how well
you're keeping it together.
- Well, I cried in the bathroom.
- Oh.
We can feel everything.
But we just can't burden
our patients with our feelings
or let them see when we're afraid.
And I'll be somebody ♪
In my own time ♪
I'll pull the wreckage
out from my mind ♪
I see the beauty ♪
In all my wars ♪
And I'll fight some more ♪
And I'll be somebody ♪
In my own time ♪
I'll pull the wreckage ♪
Out from my mind ♪
I see the beauty ♪
In all my wars ♪
and I'll fight some more ♪