Chicago Med (2015) s11e15 Episode Script
The Cost of Living
1
There's been some talk about
a "Nick of Time" reboot.
It's easy money.
I'm done with that part
of my life, you know?
Do you think I'll still
make it to our baby's delivery?
I do.
Oh, my God, the baby's kicking.
It's really happening, isn't it?
[CHUCKLING]
We're gonna have a baby girl.
What do you want?
- We just want to see
- I'm sick.
Secondary progressive MS.
Parents stole a lot of money from me.
Maybe there's just too much
water under that bridge.
[CHUCKLES] What are you doing here?
Still looking for company on
that trip to Brandywine Falls?
Are you guys ready?
[DRAMATIC MUSIC]
[VOCALIZING SOFTLY]
[SOFTLY] 99 bottles of beer ♪
Sorry, stuck in my head.
You take one down,
you pass it around ♪
BOTH: 98 bottles of beer on the wall ♪
Oh, didn't know you could sing.
Yeah, don't tell anybody.
[BELL RINGS]
Sharon.
- Hey, Dean.
- Morning.
Daniel, I wanted to go over
the admission sheets for the psych ward.
And I also thought I'd be nice
and grab you a coffee,
but it looks like
you beat me to the punch.
Don't you worry about it for a second.
This one's finished.
- That's so nice of you.
- [CHUCKLES]
Long night?
You know, I started to volunteer
at a suicide hotline a few weeks ago,
and my shift ended
at 2:00 a.m., but I'm fine.
Hey, I'm actually having
dinner with Howie tonight.
- Yeah?
- Burning the candle at both ends.
Those hotlines can be
emotionally draining, yeah?
Yeah, sure.
But after that little scare
with Anna last year,
I just get this knot
in my chest every now and then.
And, uh, being the guy
on the other end of the line,
I don't know, kind of helps.
Dr. Archer?
Got an EMS call that might
require several sets of hands.
Okay, let's go. [INTERCOM CHIMES]
Let me guess. Acupuncture?
Yeah. Gail Spinner, 43.
She was mid-session when
she fell off the table
and onto her back.
How are you doing, Gail?
You ever been in pain
in 500 goddamn places
at the same time?
- [GROANS]
- Ready? On my count.
Holy pincushion, Batman.
Let's be extra gentle here, please.
Ready? One, two, three.
[GROANS] I was on the table
and I just
I had this spasm.
Think the technician
put a needle in the wrong spot
or something and I just seized up
and tilted over onto the floor
and now I look like a damn porcupine.
Let's get pickups and hemostats.
Yeah, and also, uh,
give me 4 milligrams
of morphine, please.
Oh, easy there, tiger.
I don't like taking pain meds.
It's just this might be
an arduous process.
You may want something
to manage the discomfort.
Except it makes me constipated.
Like like, bad.
Like like an old cement mixer.
Very graphic.
[CHUCKLES] You're fun.
It's your call, but we can give you
something to help with the constipation.
[GROANS] What do you say, Chuck?
Should we let them fill me
with painkillers?
[MYSTERIOUS MUSIC]
Read that for me, sweetie.
Oh
"You may rely on it."
All right, let's go.
Load 'em in. [GROANS]
All right, yeah,
let's give her the morphine
and 100 of Colace.
And you may wanna loop
Dr. Charles into this.
Hey.
Thank you for meeting us
out here in the cold.
- Thank you.
- RV's a little big to get in by the ED.
I live to serve.
- Easy does it.
- How we doing here, family?
[SPUTTERS]
Well, we were on a weekend
trip to Cuyahoga Valley.
Which we should still be on.
Dad took a little fall,
twisted his ankle.
Damn black ice.
Figured with the MS and all,
we should be safe,
- come back early, get an X-ray.
- Not broken.
I know what it feels like
to break a bone.
James, stop acting like a cowboy.
- Sit.
- Take a load off, Mr. Frost.
[SCOFFS] Hell no. Ow!
- James.
- Dad all right.
You know, I didn't really
peg you as the outdoorsy type.
- I got layers.
- Huh.
Out of curiosity, what type
did you peg me as, though?
I don't know, kind of like a guy
who might be familiar with moisturizer.
- True.
- [CHUCKLES]
This is great.
I can hardly feel anything now.
I'll be back in a second.
Hey, what's what's going on, Jeremy?
Oh, we're not here for me this time.
I'm supposed to be induced next week,
but uh, my water broke. [CHUCKLES]
- Oh. That's exciting.
- Yeah. [COUGHS]
Dr. Asher?
Yep?
Hey, you two. Everything okay?
Esme was saying that
her water broke this morning.
I've been trying to reach my OB,
but her office hasn't connected
and I wasn't sure where to go, so.
And we're used to coming here.
I totally get it and
I am happy to get you sorted.
Let's get you up to L&D and into a bed.
And your OB is Dr. Rebecca Brown, right?
- Yeah.
- Worked with her a little.
She's great.
Uh, one of my patients
is looking a little rough,
so I'm gonna have him checked out.
- You got this?
- Yeah, sure thing.
Hope it goes okay upstairs.
[SOFT MUSIC]
♪
Outlook not so good.
♪
- Ow. That hurts a little.
- Sorry.
What happened to the man
who refused a wheelchair?
It'll be just a second.
You're doing great.
- I like you.
- [CHUCKLES SOFTLY]
X-ray up.
Thanks, Mike.
Okay.
All right, we got a hairline fracture.
You have a small break in
your ankle and some swelling.
You'll have a walking cast
for a few weeks,
but it should be fine.
You know, if you like Sudoku,
the "Tribune" has a word version
called Word Monster that's so great.
I play Word Monster every day.
A beautiful doctor who likes puzzles.
Are you single?
- Mom.
- Uh
I'm not, actually.
But I'll go get that walking boot.
What?
Nice that you got them a room together.
Well, he didn't wanna leave
his wife and given his state,
staying in that wheelchair
wasn't a long-term solution.
How's he looking?
Not good.
His blood pressure's dropping,
increased ascities.
He's tachypnic.
[SIGHS] The end's coming quickly.
Have you told him how long he has?
I didn't need to.
He's putting on a brave face
for his wife, but he knows.
Hey, I'll come by after my rounds, okay?
So there are three things
to consider with a job.
Quality of life, salary,
and passion for the work.
That said, this is your first job,
so you're probably
not getting any of those.
But that's okay, because you can go out,
get drunk with your coworkers.
[WHISPERS] Talk smack about your boss.
Jeremy. [CHUCKLES]
- Kidding.
- [CHUCKLES]
[WHISPERS] I'm not kidding.
But you're gonna do great,
because you're amazing and I love you.
[COUGHING]
Let's get that back on you.
So what, uh, what exactly was that?
Jeremy's been recording videos
the past couple of months
for their daughter to watch
at different points in her life.
This one was her first day
of work at a real job.
But I've also done
first day of kindergarten,
teaching her how to drive.
That did not go well. [ALL CHUCKLE]
I know I'm gonna be
missing all the milestones,
but, uh
I figured I'd pass on
a little fatherly advice.
[BEEPING]
What's that?
That is the baby's heart rate monitor.
Is something wrong?
The heart rate's dipping,
but that can happen,
so I need you to turn
onto your side, okay?
Here we go.
Okay, there we go.
We just needed to change position.
She she's okay now?
Yeah sometimes the heart rate drops
when the umbilical cord gets compressed,
so we'll keep an eye on it,
but nothing to worry about just yet.
[COUGHS]
[STEADY BEEPING]
[KNOCK AT DOOR]
Gail, I'm Dr. Charles.
I was hoping that we could have
a little chat. Is now a good time?
I've already missed "Price is Right,"
so why the hell not?
- Mind if I sit?
- Please.
So what is it that you would
like to discuss with me?
Well, I gotta be honest, my
curiosity is thoroughly piqued
by your Magic 8 Ball.
Chuck.
Oh, there's a name.
Yeah, well, it's the
only thing I can trust,
so I figured he deserved a name.
- Do you mind?
- Please.
I used to love these things
when I was a kid.
So Chuck helps you make
all your decisions?
No, just the ones
involving other people.
Why is that?
Well, they can't be trusted.
Look, I know people
think I'm out to lunch
making these big decisions
based on a child's toy.
It's just that
people don't see things
the way they are.
They weigh their options, do research,
consult with their friends
and family, and still,
they almost exclusively
make the wrong decision.
With Chuck here, I I
I leave it up to the universe.
There's no
there's no lies,
there's no m-misintentions,
no stress, just
fate.
I gotta say you're making a,
uh, pretty good case for Chuck.
[CHUCKLES]
And yet, I mean, he did, I assume,
help lead you to your
acupuncture adventure?
Yeah, the crazy thing is
the only reason why
I tried that in the first place
is to fix my back.
It's been so stiff lately.
Yeah, it says in your chart
that it was a back spasm that
made you fall off the table.
Can you tell me
a little bit more about that?
I mean, the spasms specifically?
Uh, it's like if you're half-asleep
and you have a nightmare,
but you jump in real life.
Yeah.
Okay.
What, does that mean something to you?
Um, I don't know.
It might.
It might.
Hey.
So I was just in with Gail Spinner,
you know, and I'm looking over
her chart.
Stiffness, sudden onset
of these myoclonic jerks,
I think we might be looking
at a neurological issue,
so I wanna do a couple tests.
Um, I don't know.
FMRI maybe, uh,
maybe an evoked potential.
Mm. Is Chuck on board with that plan?
Oh, silly me.
Yeah.
Reply hazy. Ask again later.
I'm sorry. [BOTH CHUCKLE]
I have to get back to you on that one.
- Hey, Doris.
- Mm?
I realized that you still
have my dad's insurance card.
Oh, yeah. Sorry, I'll grab it.
- Cool, thanks.
- Mm-hmm.
So a boyfriend, huh?
[CHUCKLES] Well, I wouldn't say that.
What would you say?
That I met a guy,
we had a few dates,
but so far, no red flags.
Okay. All right.
And just out of curiosity,
what would a red flag look like to you?
The usual, I guess.
Anyone 5'10", pediatricians.
- [CHUCKLES SOFTLY]
- Former child stars.
Smart. [CLATTERING AND GROANING]
Is that your dad's room?
Oh, my God.
Help, please!
What happened?
He was using the walker
to use the bathroom,
and his arms just gave out and he fell.
Dad, hey, hey, are you okay?
My arms. They're they're numb.
- What?
- Both of them?
- Yeah.
- What's happening?
I don't know.
I don't think it's from MS.
What?
James. James.
[TENSE MUSIC]
Spinal cord mass.
- So I don't have MS?
- No.
But a mass like this can present
in a nearly identical fashion.
A lot of doctors will see the lesion,
very common marker for MS,
and they'll make that same diagnosis.
Can't we just go in there
and cut it out?
Unfortunately, given the
location, that's not possible.
So there's nothing we can do?
There's one other option.
An immunotherapy drug, Heboxin.
It's had a lot of success
in shrinking and even
eliminating this kind of mass.
Well, that sounds good.
It is, but the drug
is in the trial phase
through the Mayo Clinic.
What happens if we don't treat it?
The mass will continue to grow
and will most likely be fatal.
How long?
Less than six months.
[SOMBER MUSIC]
Hey. It's okay.
All right? I'll talk to Ms. Goodwin.
She knows everyone.
I'll see if she can help get
you into that trial. All right?
Is this what they mean by active labor?
It can help expedite the process, yes.
- [PHONE BUZZES]
- [SIGHS]
What's wrong?
Uh, Dr. Brown won't be here for a while.
She's stuck in surgery.
But hey, don't worry, okay?
Till she gets here, I'm your girl.
I'm not going anywhere.
- Thank you.
- Mm-hmm.
Hey, I don't know that I have ever heard
how you and Jeremy first met.
Mm.
I was a temp at his office
for three days.
Mm-hmm?
My desk was next to the paper shredder
and he must have shred,
like, 200 documents.
[CHUCKLES]
I was convinced he was
a white-collar criminal.
[LAUGHTER]
But on my last day, he passed
me a note asking me out.
Aw, sweet.
I said no.
I wrote back I had a boyfriend.
Wait, the infamous Derrick Davenport?
- Good memory.
- Mm-hmm.
- [LAUGHS]
- So what did Jeremy do then?
[SIGHS] He wrote me
another letter saying,
"That's really gonna get
in the way of us dating."
- Bold.
- [LAUGHS]
The crazy thing is, even after
I broke up with Derrick,
I didn't go out with Jeremy for months.
Why not?
Because he said he knew
he was gonna marry me
after 20 minutes and I thought,
how could anyone be so sure?
- Mm, I get that.
- [SIGHS]
I shouldn't have doubted him.
All that time,
we could have been together.
[SOFT DRAMATIC MUSIC]
I'd give anything to have that back.
♪
[KNOCKING]
- Hey.
- It's me.
You don't have to put on a brave face.
Is it that obvious?
Is the morphine not working?
I don't know.
How long is it supposed to take
to kick in?
Not this long.
Could we try giving him
two milligrams Dilaudid?
[SIGHS] You know, I always
used to think I was so lucky.
Esme, the baby.
Things always just seemed to
to work out for me.
Now I'm starting to get nervous
that I might've used it all up.
Well, see if the Dilaudid helps.
Yeah.
And now, Gail, I want
you to imagine yourself
I imagine myself getting
the hell out of this machine.
Gail, you're doing great.
We're almost there.
Imagine yourself running
and feel your legs hitting the
ground, pushing you forward.
Okay.
So.
The overall pattern suggests
corticobasal degeneration.
What?
Theo, there's no no evidence
of cortical atrophy.
Not yet, but I see decreased
activation in the parietal lobe
and the motor cortex.
Minimal, maybe.
I mean, Theo, that's a death sentence.
- You know that, right?
- [SIGHS]
So, like, what are you seeing?
W-what are you looking at that I'm not?
I mean, how do you know?
Because I've created a profile
on how this disease presents
in early stages
using thousands of images
and tests from other patients.
And
that's what it looks like.
So that's it for me, then, huh?
I know it's really hard to hear.
And, um, I'm just so sorry.
Well, how does this
how does this happen?
How does it work,
this whole basal cell thing?
Well, it causes shrinking and atrophy
in portions of the brain over time.
But right now, it's only
affecting the motor pathways,
which is why you have
muscle spasms and weakness.
But the positive piece is
that because of the cutting-edge work
that Dr. Rabari does here at Gaffney,
we caught this much sooner
than we normally would have,
so we can immediately start treatments
that will hopefully slow
the progression of the disease.
Slow, not stop, not cure?
Unfortunately not.
Why is that? Why is there no cure?
Well, complicated question,
but fundamentally,
it's 'cause it's still exceedingly rare.
Though doctors, including myself,
are working on a cure, and
eventually we will find one.
The funding just isn't in place
for it to happen anytime soon.
Not fast enough to help me?
Right.
What if I were to chip in?
I'm sorry. I don't know what you mean.
What I'm saying is,
if I were to give you money,
can you find a cure?
That's incredibly generous of you,
but unfortunately, the funding required
for this kind of research is just
it's it's really quite substantial.
Well, I can give you 150 million.
Would that work?
[SUSPENSEFUL MUSIC]
- 150 million?
- Turns out she has it.
She won the Mighty Millions
Jackpot four years ago.
[CHUCKLING] Wow.
So you're telling me the woman
who uses a Magic 8 Ball
to make decisions
is worth a 1/4 billion?
Minus taxes.
Apparently, people just started coming
out of the woodwork trying
to get a piece of her winnings,
lying to her, trying to manipulate her.
And she says that that's when
she stopped trusting people
and started using the 8 ball.
Yeah, I can imagine.
And she's willing to just
give us her entire fortune?
Only if we can guarantee a cure.
And there is a cure.
Based on what evidence?
The success that we're
having targeting tau proteins
with monoclonal antibodies
combined with the work
that I'm spearheading
on biomarker development.
Both have shown significant success
in treating similar diseases.
Formidable points, right?
But anybody with advanced CBD
rarely has more than five years to live.
Right?
So I can't imagine any amount of money
generating a cure in that timeframe.
I can do it.
Theo, I know you believe that,
which is great,
but you don't know it, right?
You don't know it for sure.
Actually, I do.
Look at what they did with Huntington's.
Ms. Goodwin, I'm not someone
who overpromises,
but I am telling you
that I can find a cure in five years.
Look, I respect your confidence,
but I have found
anyone guaranteeing something
in medicine usually isn't
being completely honest,
either with the patient or themselves.
Okay, even if I can't
find a cure in five years,
which I can,
it would be morally reprehensible
to pass on this money.
How does that work?
Because there are other patients
outside of Gail to consider.
I understand your argument,
and it's not without merit.
But we need to be straight
with Ms. Spinner
and let the chips fall where they may.
[GROANS]
[PANTING]
Can't you give him something
for the pain?
We gave him 2 milligrams of Dilaudid,
but with his decreased kidney function,
anything more, he might stop breathing.
And even if you don't, it'll sedate you.
You'll be unconscious.
Well, if you knock me out,
could you wake me up again?
Probably not.
[SIGHS]
It's okay, it's okay.
No more meds.
I can handle it.
Can we do a C-section?
I'll speak with Dr. Asher.
- Can I have a word?
- Yeah.
All right, look. Uh
[SIGHS] You know,
I know what we said in there,
but maybe there's something
we can give Jeremy
that would help.
Like what?
Um, good dose of epi every ten minutes
just to get him through a little longer.
[SCOFFS] Are you insane?
You'd be coding him before he's dead.
Look, I followed you
down the rabbit hole
with the cytoreduction surgery,
but this is too far.
Yeah, but we can't have
come this whole way
only to watch him die minutes
before my daughter is born.
Your daughter?
His daughter, his daughter.
[APPREHENSIVE MUSIC]
I know that this is a brutal situation.
I do.
But at some point, we have
to let nature take its course.
♪
What would you do
if you won the lottery?
Easy.
Mississippi riverboat,
C-list celebrity boyfriend,
never-ending pasta pass at Olive Garden.
- Oh, yum.
- Yeah.
[BOTH CHUCKLE]
It's annoying, though, everyone
suddenly being so nice to that woman.
It's not like she's gonna
give someone a pile of money
for bringing her ice chips.
Oh, I don't know.
See this watch?
- Yeah.
- Patek Philippe.
Last year, a rich lady came
in here and she gave it to me,
and I didn't even have
to bring her ice chips.
Okay.
- I'll be right back.
- Mm-hmm.
- Dr. Frost.
- Hey.
I made some calls about
the drug trial for your father.
Great. Any luck?
Uh, unfortunately not.
You couldn't convince them
to make any space?
Well, we didn't actually
make it that far.
What do you mean?
The study requires
that participating patients
be diagnosed within the last 30 days.
Okay, well, my dad literally
got diagnosed today, so.
Actually, he didn't.
I requested his medical records
so I'd have them ready to send over.
Here. See for yourself.
[SOFT TENSE MUSIC]
[SIGHS]
♪
Y-you went to a doctor last year
that told you the same
exact thing that we did.
You've known about
the mass on your spinal cord
for four months.
♪
So so so what was that?
W-when Dr. Abrams was standing
here explaining it all to you,
w-was that just an act?
No. We didn't know for sure.
God. Did you know about
the clinical trial too?
W-was all of this a play
so that I would help you get into it?
Don't lie to me. Don't lie to me.
No.
My doctor said it might not be MS,
but also said I should
go see a specialist.
It wasn't fully clear.
So you're admitting that you lied.
That's not what I'm saying.
Then what the hell are you saying, Dad?
I was lying to myself.
I got scared
about the possibility
of a terminal diagnosis.
And it's what made him come
here to reconnect with you.
♪
What am I supposed to believe?
This is so expected
from the both of you, honestly.
You know, the only
the only surprising part
is that I fell for it again.
You got me.
♪
Okay, they'll call once they
get Esme set up in the OR.
Hey, don't look so serious.
I'm having a baby today. [CHUCKLES]
[COUGHS]
So, uh, how many of
those videos have you done?
A few dozen, maybe.
Wow.
I like the idea that she's gonna keep
making new memories with me.
I do wish I could really be there
for just one of them, though, you know?
[SIGHS] Steal it
from the future somehow.
Yeah.
Although, you know, maybe you could.
[CHUCKLES SOFTLY] What do you mean?
[PHONE RINGING]
[CHUCKLING] Hey, there she is.
Didn't realize this place
had turndown service.
Oh, I'll check back again soon.
Yeah, I'm gonna need you to not.
Thank you, though.
So you guys gonna take my money
and cure this thing or what?
If you would like to make a donation,
we will put every single penny
into finding a cure for CBD.
We will create a multi-team,
multi-front assault,
a global consortium of experts
with neurologists,
immunologists, geneticists
that will allow for
dozens of simultaneous
clinical trials for new drugs.
We will move at warp speed.
Ooh. And find a cure?
Eventually, yes, we will find a cure.
I know that.
But fast enough to save me, right?
Unfortunately, we cannot guarantee that.
Wait, you can't?
Look, if anybody's gonna do it,
it's gonna be Dr. Rabari and his team.
And as far as research timelines go,
they are close.
But are they close enough to help you?
We just can't in good
conscience promise you that.
I still urge you
to consider this donation.
You will save thousands
of lives in the future
and create a legacy for yourself.
Okay, I get it.
Look, you've got a lot
to think about, so um,
so why don't we give you a little time?
You know that's not how it works.
[SOMBER MUSIC]
Even though I appreciate your honesty,
I'm gonna have to lean on Chuck here.
I'm sorry, are you gonna
you're gonna let an 8 ball
decide if you give us $150 million?
Of course.
I can't chicken out now
just 'cause there's
a few more zeros involved.
All right, Chuck, this is a biggie.
Do I give all my money
to these men right here?
[SOFT SUSPENSEFUL MUSIC]
♪
You're really staring down
that cup of coffee.
Just trying to figure out
the right thing to do.
Everything's got a little complicated.
- How you feeling?
- Yeah.
I'd say my overriding emotion
is confusion.
Why is that?
When I found out that my dad
knew this wasn't MS,
I was sure it was some
kind of play to manipulate me.
And I got so angry.
And now?
I don't even know.
I mean, they've [SIGHS]
T-they've really hurt me
over the years, but
they're not criminal masterminds.
So maybe he was just in denial.
Maybe he is wanting to reconnect.
Seems like you have a little.
Yeah.
Yeah.
In the past week, it's
it's been nice.
[PENSIVE MUSIC]
But, um
if he doesn't get into that drug trial,
the only way that he can
get the medicine he needs
is to get it off-label, which
means insurance won't cover it.
It'll be expensive.
30 grand a month.
[SIGHS]
So yeah. Um [SNIFFLES]
Now I have to decide if I wanna
be back in the same position
I was 15 years ago, taking care
of them financially.
I'm sorry, but why exactly?
They're adults. Why does it
have to fall to you?
- Because they're in debt.
Because they make bad choices.
Because, uh
just always does.
You're a really good person.
You know that?
It doesn't always feel that way.
That's how you know it's true.
So what do you think I should do?
I'm not sure how
I could really answer that.
I mean, you just have to decide.
Do you believe in second chances?
H-how are you feeling?
Uh, honestly, pretty exposed.
She's doing great, Jeremy.
Okay, I just finished the bladder flap.
Bladder blade, please.
Uh, things are getting close.
[CHUCKLING] Yeah.
Can can you feel anything?
Not yet.
Getting ready to start the
transverse uterine incision.
Get the suction ready.
Okay, Esme, you're gonna
feel a little pressure now.
[SIGHS]
The nuchal cord's too tight.
[ALARM BEEPING]
- I can't deliver through.
- Wait, w-what does that mean?
It means we need to cut the cord now.
Clamp.
And scissor.
[TENSE MUSIC]
♪
Here we go. She's out.
Why can't I hear anything?
What's happening?
Is she okay?
Mouth and nose clear.
Still no respiration
and tone looks poor.
Transfer. Start PPV.
What's happening?
She needs more stimulation.
I'm sure they're doing
everything they can.
[COUGHING] Could somebody please tell me
what's going on?
Still unresponsive. Bag her.
- We need an airway. ET tube now.
- I got it.
Esme? Hello?
Esme, hello?
Hello!
[TENSE MUSIC]
Excuse me.
Get out of the way, please!
[TENSE MUSIC]
Baby's fine.
Baby's fine. She started breathing.
Mom's fine. We're okay.
Yeah? Okay.
You okay?
Yeah, just winded from running is all.
No, no, I-I mean emotionally.
I heard your convo with Kingston.
I should get back to Jeremy,
let him know the good news, yeah?
Of course.
I woke up today without $150 million,
and I will be going to sleep
without $150 million.
- [CHUCKLES]
- So nothing changed.
Then why does it feel like
I just got sucker-punched?
Hey, Sam, what would you do
if you won the lottery?
Oh, I have no interest
in winning the lottery.
No interest?
If wealth makes you more entitled,
can you imagine me with 150 million?
[CHUCKLES]
Hey, there's Howie.
Just gotta grab my stuff
and we're out of here.
All good.
I actually wanted to see you
because I have some news.
Oh, yeah? Everything okay?
[CHUCKLING] Eh, no.
Yeah, it's just, uh,
I have decided to step away
from my teaching position
at Porter University.
Wow.
Buddy, are you sure that this
is the right time to do that?
[SIGHS] Since Suzie died,
uh, it's just I I
my my head is just not quite in it.
My heart either.
Okay, well, you gotta
do what's right for you.
I mean, they must be devastated
over there, though, right?
No, they're okay, actually,
because I already found
the best possible replacement.
Oh, well that's good. Anybody I know?
Well, Danny, can anyone
really know themselves?
- Me?
- Yes.
Howie. No, no, no.
The med students you had here
are still raving.
You clearly have a knack for mentoring.
And you keep talking
about what comes next,
finding something new.
Look, I am deeply flattered, okay?
But I can't just, like,
bug out of here, you know,
drop everything and take off.
- I can't do that.
- Why not?
You have already given them
more than half your life.
And the ED is a young man's game.
You must have some kind of protégé
who's ready to take the reins.
Um, I don't know about that.
All right, look,
don't answer right away.
Just promise me
you'll think about it, okay?
Okay, I promise. Now, let's go.
Good.
Because I already
gave your name to the provost
and I told him you were very interested.
[LINE TRILLING]
[PHONE BUZZING]
- Frosty bear.
- Hey, what's up man?
- How you doing?
- Oh, you know, just chilling.
Listen.
I was thinking a little bit more about
what we talked about
last time you were here.
The, uh the "Nick of Time" reboot.
Oh, yeah?
Yeah. Uh
You think the offer's
still on the table?
I imagine it is.
They were pretty excited about the idea.
And you said they sounded
pretty motivated, right?
- To have me on it?
- Definitely.
I told you, without you, it was a no-go.
Okay.
Um
tell them I'm in.
Oh, hell yeah!
[LAUGHING] Let's go, baby!
[SOMBER MUSIC]
♪
- Hey.
- [CHUCKLES]
Who's that there?
This is your daughter, Daisy.
♪
Ready?
Hi.
Hi.
Hi, Daisy.
I'm your dad.
- She's so tiny.
- [COOING]
You did it. You did it, man.
Hey.
Oh, yeah. Shh.
[CHUCKLING] Oh.
[GASPS] Aw.
Do you mind grabbing my phone?
I just wanted to record one more thing.
Yeah, of course. Here.
Let me do it for you, okay?
Hi.
- [PHONE CHIMES]
- All right. Recording.
Could you play it now?
[SOFT MUSIC PLAYING]
You know, I spent all this time
making these videos for
the moments I'm gonna miss.
But Dr. Archer had an idea
that maybe there was a way
I could steal one from the future,
one we could experience together.
So this last one
[CHUCKLING] Yeah.
This last one I want you to play for her
on her wedding day.
It's our father/daughter dance.
Baby. [SNIFFLES]
Now I know all the wrong turns ♪
Daisy, you're getting married today,
and I am so sorry that I can't be there
to walk you down the aisle and
tell you how stunning you look.
But I want you to know that
more than anything,
I hope you found someone wonderful
to spend your singular
magical life with,
someone who goes all-out on the holidays
and leaves you love notes
around the house and
shares your passion
for beef jerky on road trips.
[CHUCKLES]
Someone who's thoughtful
about who they let in
and who they love.
Because once they love you,
they're in for good, all the way.
Forever.
Forever.
Yeah.
I hope you found that.
I am the luckiest ♪
♪
- How's Jeremy?
- [SIGHS]
Jeremy is sleeping.
Oh.
Dr. Kingston finally upped his meds.
That was, um
that was a really lovely idea, the um
the father/daughter dance.
Oh, yeah. Well.
[SIGHS]
After you told me you were pregnant,
I started doing the math.
I'm gonna be 65 when she's born.
I'm gonna be 83 when
she graduates high school.
And I can't imagine I'm
gonna be walking our daughter
down the aisle either.
You don't know that, Dean.
That's okay.
It's okay.
I was upset.
[SOFT DRAMATIC MUSIC]
But today I realized it's not
about what I'm gonna miss.
Because I'm gonna get
to raise a daughter with you.
How unlikely and miraculous is that?
It's pretty miraculous.
God, it makes you wonder, though.
- What's that?
- Just
you know, all these moments
in life are a gift.
What do you do with them?
I don't know. I guess
you don't waste them.
♪
Dean?
- You ready to go?
- Yeah, I'll be right there.
Nice work today.
You too.
♪
There's been some talk about
a "Nick of Time" reboot.
It's easy money.
I'm done with that part
of my life, you know?
Do you think I'll still
make it to our baby's delivery?
I do.
Oh, my God, the baby's kicking.
It's really happening, isn't it?
[CHUCKLING]
We're gonna have a baby girl.
What do you want?
- We just want to see
- I'm sick.
Secondary progressive MS.
Parents stole a lot of money from me.
Maybe there's just too much
water under that bridge.
[CHUCKLES] What are you doing here?
Still looking for company on
that trip to Brandywine Falls?
Are you guys ready?
[DRAMATIC MUSIC]
[VOCALIZING SOFTLY]
[SOFTLY] 99 bottles of beer ♪
Sorry, stuck in my head.
You take one down,
you pass it around ♪
BOTH: 98 bottles of beer on the wall ♪
Oh, didn't know you could sing.
Yeah, don't tell anybody.
[BELL RINGS]
Sharon.
- Hey, Dean.
- Morning.
Daniel, I wanted to go over
the admission sheets for the psych ward.
And I also thought I'd be nice
and grab you a coffee,
but it looks like
you beat me to the punch.
Don't you worry about it for a second.
This one's finished.
- That's so nice of you.
- [CHUCKLES]
Long night?
You know, I started to volunteer
at a suicide hotline a few weeks ago,
and my shift ended
at 2:00 a.m., but I'm fine.
Hey, I'm actually having
dinner with Howie tonight.
- Yeah?
- Burning the candle at both ends.
Those hotlines can be
emotionally draining, yeah?
Yeah, sure.
But after that little scare
with Anna last year,
I just get this knot
in my chest every now and then.
And, uh, being the guy
on the other end of the line,
I don't know, kind of helps.
Dr. Archer?
Got an EMS call that might
require several sets of hands.
Okay, let's go. [INTERCOM CHIMES]
Let me guess. Acupuncture?
Yeah. Gail Spinner, 43.
She was mid-session when
she fell off the table
and onto her back.
How are you doing, Gail?
You ever been in pain
in 500 goddamn places
at the same time?
- [GROANS]
- Ready? On my count.
Holy pincushion, Batman.
Let's be extra gentle here, please.
Ready? One, two, three.
[GROANS] I was on the table
and I just
I had this spasm.
Think the technician
put a needle in the wrong spot
or something and I just seized up
and tilted over onto the floor
and now I look like a damn porcupine.
Let's get pickups and hemostats.
Yeah, and also, uh,
give me 4 milligrams
of morphine, please.
Oh, easy there, tiger.
I don't like taking pain meds.
It's just this might be
an arduous process.
You may want something
to manage the discomfort.
Except it makes me constipated.
Like like, bad.
Like like an old cement mixer.
Very graphic.
[CHUCKLES] You're fun.
It's your call, but we can give you
something to help with the constipation.
[GROANS] What do you say, Chuck?
Should we let them fill me
with painkillers?
[MYSTERIOUS MUSIC]
Read that for me, sweetie.
Oh
"You may rely on it."
All right, let's go.
Load 'em in. [GROANS]
All right, yeah,
let's give her the morphine
and 100 of Colace.
And you may wanna loop
Dr. Charles into this.
Hey.
Thank you for meeting us
out here in the cold.
- Thank you.
- RV's a little big to get in by the ED.
I live to serve.
- Easy does it.
- How we doing here, family?
[SPUTTERS]
Well, we were on a weekend
trip to Cuyahoga Valley.
Which we should still be on.
Dad took a little fall,
twisted his ankle.
Damn black ice.
Figured with the MS and all,
we should be safe,
- come back early, get an X-ray.
- Not broken.
I know what it feels like
to break a bone.
James, stop acting like a cowboy.
- Sit.
- Take a load off, Mr. Frost.
[SCOFFS] Hell no. Ow!
- James.
- Dad all right.
You know, I didn't really
peg you as the outdoorsy type.
- I got layers.
- Huh.
Out of curiosity, what type
did you peg me as, though?
I don't know, kind of like a guy
who might be familiar with moisturizer.
- True.
- [CHUCKLES]
This is great.
I can hardly feel anything now.
I'll be back in a second.
Hey, what's what's going on, Jeremy?
Oh, we're not here for me this time.
I'm supposed to be induced next week,
but uh, my water broke. [CHUCKLES]
- Oh. That's exciting.
- Yeah. [COUGHS]
Dr. Asher?
Yep?
Hey, you two. Everything okay?
Esme was saying that
her water broke this morning.
I've been trying to reach my OB,
but her office hasn't connected
and I wasn't sure where to go, so.
And we're used to coming here.
I totally get it and
I am happy to get you sorted.
Let's get you up to L&D and into a bed.
And your OB is Dr. Rebecca Brown, right?
- Yeah.
- Worked with her a little.
She's great.
Uh, one of my patients
is looking a little rough,
so I'm gonna have him checked out.
- You got this?
- Yeah, sure thing.
Hope it goes okay upstairs.
[SOFT MUSIC]
♪
Outlook not so good.
♪
- Ow. That hurts a little.
- Sorry.
What happened to the man
who refused a wheelchair?
It'll be just a second.
You're doing great.
- I like you.
- [CHUCKLES SOFTLY]
X-ray up.
Thanks, Mike.
Okay.
All right, we got a hairline fracture.
You have a small break in
your ankle and some swelling.
You'll have a walking cast
for a few weeks,
but it should be fine.
You know, if you like Sudoku,
the "Tribune" has a word version
called Word Monster that's so great.
I play Word Monster every day.
A beautiful doctor who likes puzzles.
Are you single?
- Mom.
- Uh
I'm not, actually.
But I'll go get that walking boot.
What?
Nice that you got them a room together.
Well, he didn't wanna leave
his wife and given his state,
staying in that wheelchair
wasn't a long-term solution.
How's he looking?
Not good.
His blood pressure's dropping,
increased ascities.
He's tachypnic.
[SIGHS] The end's coming quickly.
Have you told him how long he has?
I didn't need to.
He's putting on a brave face
for his wife, but he knows.
Hey, I'll come by after my rounds, okay?
So there are three things
to consider with a job.
Quality of life, salary,
and passion for the work.
That said, this is your first job,
so you're probably
not getting any of those.
But that's okay, because you can go out,
get drunk with your coworkers.
[WHISPERS] Talk smack about your boss.
Jeremy. [CHUCKLES]
- Kidding.
- [CHUCKLES]
[WHISPERS] I'm not kidding.
But you're gonna do great,
because you're amazing and I love you.
[COUGHING]
Let's get that back on you.
So what, uh, what exactly was that?
Jeremy's been recording videos
the past couple of months
for their daughter to watch
at different points in her life.
This one was her first day
of work at a real job.
But I've also done
first day of kindergarten,
teaching her how to drive.
That did not go well. [ALL CHUCKLE]
I know I'm gonna be
missing all the milestones,
but, uh
I figured I'd pass on
a little fatherly advice.
[BEEPING]
What's that?
That is the baby's heart rate monitor.
Is something wrong?
The heart rate's dipping,
but that can happen,
so I need you to turn
onto your side, okay?
Here we go.
Okay, there we go.
We just needed to change position.
She she's okay now?
Yeah sometimes the heart rate drops
when the umbilical cord gets compressed,
so we'll keep an eye on it,
but nothing to worry about just yet.
[COUGHS]
[STEADY BEEPING]
[KNOCK AT DOOR]
Gail, I'm Dr. Charles.
I was hoping that we could have
a little chat. Is now a good time?
I've already missed "Price is Right,"
so why the hell not?
- Mind if I sit?
- Please.
So what is it that you would
like to discuss with me?
Well, I gotta be honest, my
curiosity is thoroughly piqued
by your Magic 8 Ball.
Chuck.
Oh, there's a name.
Yeah, well, it's the
only thing I can trust,
so I figured he deserved a name.
- Do you mind?
- Please.
I used to love these things
when I was a kid.
So Chuck helps you make
all your decisions?
No, just the ones
involving other people.
Why is that?
Well, they can't be trusted.
Look, I know people
think I'm out to lunch
making these big decisions
based on a child's toy.
It's just that
people don't see things
the way they are.
They weigh their options, do research,
consult with their friends
and family, and still,
they almost exclusively
make the wrong decision.
With Chuck here, I I
I leave it up to the universe.
There's no
there's no lies,
there's no m-misintentions,
no stress, just
fate.
I gotta say you're making a,
uh, pretty good case for Chuck.
[CHUCKLES]
And yet, I mean, he did, I assume,
help lead you to your
acupuncture adventure?
Yeah, the crazy thing is
the only reason why
I tried that in the first place
is to fix my back.
It's been so stiff lately.
Yeah, it says in your chart
that it was a back spasm that
made you fall off the table.
Can you tell me
a little bit more about that?
I mean, the spasms specifically?
Uh, it's like if you're half-asleep
and you have a nightmare,
but you jump in real life.
Yeah.
Okay.
What, does that mean something to you?
Um, I don't know.
It might.
It might.
Hey.
So I was just in with Gail Spinner,
you know, and I'm looking over
her chart.
Stiffness, sudden onset
of these myoclonic jerks,
I think we might be looking
at a neurological issue,
so I wanna do a couple tests.
Um, I don't know.
FMRI maybe, uh,
maybe an evoked potential.
Mm. Is Chuck on board with that plan?
Oh, silly me.
Yeah.
Reply hazy. Ask again later.
I'm sorry. [BOTH CHUCKLE]
I have to get back to you on that one.
- Hey, Doris.
- Mm?
I realized that you still
have my dad's insurance card.
Oh, yeah. Sorry, I'll grab it.
- Cool, thanks.
- Mm-hmm.
So a boyfriend, huh?
[CHUCKLES] Well, I wouldn't say that.
What would you say?
That I met a guy,
we had a few dates,
but so far, no red flags.
Okay. All right.
And just out of curiosity,
what would a red flag look like to you?
The usual, I guess.
Anyone 5'10", pediatricians.
- [CHUCKLES SOFTLY]
- Former child stars.
Smart. [CLATTERING AND GROANING]
Is that your dad's room?
Oh, my God.
Help, please!
What happened?
He was using the walker
to use the bathroom,
and his arms just gave out and he fell.
Dad, hey, hey, are you okay?
My arms. They're they're numb.
- What?
- Both of them?
- Yeah.
- What's happening?
I don't know.
I don't think it's from MS.
What?
James. James.
[TENSE MUSIC]
Spinal cord mass.
- So I don't have MS?
- No.
But a mass like this can present
in a nearly identical fashion.
A lot of doctors will see the lesion,
very common marker for MS,
and they'll make that same diagnosis.
Can't we just go in there
and cut it out?
Unfortunately, given the
location, that's not possible.
So there's nothing we can do?
There's one other option.
An immunotherapy drug, Heboxin.
It's had a lot of success
in shrinking and even
eliminating this kind of mass.
Well, that sounds good.
It is, but the drug
is in the trial phase
through the Mayo Clinic.
What happens if we don't treat it?
The mass will continue to grow
and will most likely be fatal.
How long?
Less than six months.
[SOMBER MUSIC]
Hey. It's okay.
All right? I'll talk to Ms. Goodwin.
She knows everyone.
I'll see if she can help get
you into that trial. All right?
Is this what they mean by active labor?
It can help expedite the process, yes.
- [PHONE BUZZES]
- [SIGHS]
What's wrong?
Uh, Dr. Brown won't be here for a while.
She's stuck in surgery.
But hey, don't worry, okay?
Till she gets here, I'm your girl.
I'm not going anywhere.
- Thank you.
- Mm-hmm.
Hey, I don't know that I have ever heard
how you and Jeremy first met.
Mm.
I was a temp at his office
for three days.
Mm-hmm?
My desk was next to the paper shredder
and he must have shred,
like, 200 documents.
[CHUCKLES]
I was convinced he was
a white-collar criminal.
[LAUGHTER]
But on my last day, he passed
me a note asking me out.
Aw, sweet.
I said no.
I wrote back I had a boyfriend.
Wait, the infamous Derrick Davenport?
- Good memory.
- Mm-hmm.
- [LAUGHS]
- So what did Jeremy do then?
[SIGHS] He wrote me
another letter saying,
"That's really gonna get
in the way of us dating."
- Bold.
- [LAUGHS]
The crazy thing is, even after
I broke up with Derrick,
I didn't go out with Jeremy for months.
Why not?
Because he said he knew
he was gonna marry me
after 20 minutes and I thought,
how could anyone be so sure?
- Mm, I get that.
- [SIGHS]
I shouldn't have doubted him.
All that time,
we could have been together.
[SOFT DRAMATIC MUSIC]
I'd give anything to have that back.
♪
[KNOCKING]
- Hey.
- It's me.
You don't have to put on a brave face.
Is it that obvious?
Is the morphine not working?
I don't know.
How long is it supposed to take
to kick in?
Not this long.
Could we try giving him
two milligrams Dilaudid?
[SIGHS] You know, I always
used to think I was so lucky.
Esme, the baby.
Things always just seemed to
to work out for me.
Now I'm starting to get nervous
that I might've used it all up.
Well, see if the Dilaudid helps.
Yeah.
And now, Gail, I want
you to imagine yourself
I imagine myself getting
the hell out of this machine.
Gail, you're doing great.
We're almost there.
Imagine yourself running
and feel your legs hitting the
ground, pushing you forward.
Okay.
So.
The overall pattern suggests
corticobasal degeneration.
What?
Theo, there's no no evidence
of cortical atrophy.
Not yet, but I see decreased
activation in the parietal lobe
and the motor cortex.
Minimal, maybe.
I mean, Theo, that's a death sentence.
- You know that, right?
- [SIGHS]
So, like, what are you seeing?
W-what are you looking at that I'm not?
I mean, how do you know?
Because I've created a profile
on how this disease presents
in early stages
using thousands of images
and tests from other patients.
And
that's what it looks like.
So that's it for me, then, huh?
I know it's really hard to hear.
And, um, I'm just so sorry.
Well, how does this
how does this happen?
How does it work,
this whole basal cell thing?
Well, it causes shrinking and atrophy
in portions of the brain over time.
But right now, it's only
affecting the motor pathways,
which is why you have
muscle spasms and weakness.
But the positive piece is
that because of the cutting-edge work
that Dr. Rabari does here at Gaffney,
we caught this much sooner
than we normally would have,
so we can immediately start treatments
that will hopefully slow
the progression of the disease.
Slow, not stop, not cure?
Unfortunately not.
Why is that? Why is there no cure?
Well, complicated question,
but fundamentally,
it's 'cause it's still exceedingly rare.
Though doctors, including myself,
are working on a cure, and
eventually we will find one.
The funding just isn't in place
for it to happen anytime soon.
Not fast enough to help me?
Right.
What if I were to chip in?
I'm sorry. I don't know what you mean.
What I'm saying is,
if I were to give you money,
can you find a cure?
That's incredibly generous of you,
but unfortunately, the funding required
for this kind of research is just
it's it's really quite substantial.
Well, I can give you 150 million.
Would that work?
[SUSPENSEFUL MUSIC]
- 150 million?
- Turns out she has it.
She won the Mighty Millions
Jackpot four years ago.
[CHUCKLING] Wow.
So you're telling me the woman
who uses a Magic 8 Ball
to make decisions
is worth a 1/4 billion?
Minus taxes.
Apparently, people just started coming
out of the woodwork trying
to get a piece of her winnings,
lying to her, trying to manipulate her.
And she says that that's when
she stopped trusting people
and started using the 8 ball.
Yeah, I can imagine.
And she's willing to just
give us her entire fortune?
Only if we can guarantee a cure.
And there is a cure.
Based on what evidence?
The success that we're
having targeting tau proteins
with monoclonal antibodies
combined with the work
that I'm spearheading
on biomarker development.
Both have shown significant success
in treating similar diseases.
Formidable points, right?
But anybody with advanced CBD
rarely has more than five years to live.
Right?
So I can't imagine any amount of money
generating a cure in that timeframe.
I can do it.
Theo, I know you believe that,
which is great,
but you don't know it, right?
You don't know it for sure.
Actually, I do.
Look at what they did with Huntington's.
Ms. Goodwin, I'm not someone
who overpromises,
but I am telling you
that I can find a cure in five years.
Look, I respect your confidence,
but I have found
anyone guaranteeing something
in medicine usually isn't
being completely honest,
either with the patient or themselves.
Okay, even if I can't
find a cure in five years,
which I can,
it would be morally reprehensible
to pass on this money.
How does that work?
Because there are other patients
outside of Gail to consider.
I understand your argument,
and it's not without merit.
But we need to be straight
with Ms. Spinner
and let the chips fall where they may.
[GROANS]
[PANTING]
Can't you give him something
for the pain?
We gave him 2 milligrams of Dilaudid,
but with his decreased kidney function,
anything more, he might stop breathing.
And even if you don't, it'll sedate you.
You'll be unconscious.
Well, if you knock me out,
could you wake me up again?
Probably not.
[SIGHS]
It's okay, it's okay.
No more meds.
I can handle it.
Can we do a C-section?
I'll speak with Dr. Asher.
- Can I have a word?
- Yeah.
All right, look. Uh
[SIGHS] You know,
I know what we said in there,
but maybe there's something
we can give Jeremy
that would help.
Like what?
Um, good dose of epi every ten minutes
just to get him through a little longer.
[SCOFFS] Are you insane?
You'd be coding him before he's dead.
Look, I followed you
down the rabbit hole
with the cytoreduction surgery,
but this is too far.
Yeah, but we can't have
come this whole way
only to watch him die minutes
before my daughter is born.
Your daughter?
His daughter, his daughter.
[APPREHENSIVE MUSIC]
I know that this is a brutal situation.
I do.
But at some point, we have
to let nature take its course.
♪
What would you do
if you won the lottery?
Easy.
Mississippi riverboat,
C-list celebrity boyfriend,
never-ending pasta pass at Olive Garden.
- Oh, yum.
- Yeah.
[BOTH CHUCKLE]
It's annoying, though, everyone
suddenly being so nice to that woman.
It's not like she's gonna
give someone a pile of money
for bringing her ice chips.
Oh, I don't know.
See this watch?
- Yeah.
- Patek Philippe.
Last year, a rich lady came
in here and she gave it to me,
and I didn't even have
to bring her ice chips.
Okay.
- I'll be right back.
- Mm-hmm.
- Dr. Frost.
- Hey.
I made some calls about
the drug trial for your father.
Great. Any luck?
Uh, unfortunately not.
You couldn't convince them
to make any space?
Well, we didn't actually
make it that far.
What do you mean?
The study requires
that participating patients
be diagnosed within the last 30 days.
Okay, well, my dad literally
got diagnosed today, so.
Actually, he didn't.
I requested his medical records
so I'd have them ready to send over.
Here. See for yourself.
[SOFT TENSE MUSIC]
[SIGHS]
♪
Y-you went to a doctor last year
that told you the same
exact thing that we did.
You've known about
the mass on your spinal cord
for four months.
♪
So so so what was that?
W-when Dr. Abrams was standing
here explaining it all to you,
w-was that just an act?
No. We didn't know for sure.
God. Did you know about
the clinical trial too?
W-was all of this a play
so that I would help you get into it?
Don't lie to me. Don't lie to me.
No.
My doctor said it might not be MS,
but also said I should
go see a specialist.
It wasn't fully clear.
So you're admitting that you lied.
That's not what I'm saying.
Then what the hell are you saying, Dad?
I was lying to myself.
I got scared
about the possibility
of a terminal diagnosis.
And it's what made him come
here to reconnect with you.
♪
What am I supposed to believe?
This is so expected
from the both of you, honestly.
You know, the only
the only surprising part
is that I fell for it again.
You got me.
♪
Okay, they'll call once they
get Esme set up in the OR.
Hey, don't look so serious.
I'm having a baby today. [CHUCKLES]
[COUGHS]
So, uh, how many of
those videos have you done?
A few dozen, maybe.
Wow.
I like the idea that she's gonna keep
making new memories with me.
I do wish I could really be there
for just one of them, though, you know?
[SIGHS] Steal it
from the future somehow.
Yeah.
Although, you know, maybe you could.
[CHUCKLES SOFTLY] What do you mean?
[PHONE RINGING]
[CHUCKLING] Hey, there she is.
Didn't realize this place
had turndown service.
Oh, I'll check back again soon.
Yeah, I'm gonna need you to not.
Thank you, though.
So you guys gonna take my money
and cure this thing or what?
If you would like to make a donation,
we will put every single penny
into finding a cure for CBD.
We will create a multi-team,
multi-front assault,
a global consortium of experts
with neurologists,
immunologists, geneticists
that will allow for
dozens of simultaneous
clinical trials for new drugs.
We will move at warp speed.
Ooh. And find a cure?
Eventually, yes, we will find a cure.
I know that.
But fast enough to save me, right?
Unfortunately, we cannot guarantee that.
Wait, you can't?
Look, if anybody's gonna do it,
it's gonna be Dr. Rabari and his team.
And as far as research timelines go,
they are close.
But are they close enough to help you?
We just can't in good
conscience promise you that.
I still urge you
to consider this donation.
You will save thousands
of lives in the future
and create a legacy for yourself.
Okay, I get it.
Look, you've got a lot
to think about, so um,
so why don't we give you a little time?
You know that's not how it works.
[SOMBER MUSIC]
Even though I appreciate your honesty,
I'm gonna have to lean on Chuck here.
I'm sorry, are you gonna
you're gonna let an 8 ball
decide if you give us $150 million?
Of course.
I can't chicken out now
just 'cause there's
a few more zeros involved.
All right, Chuck, this is a biggie.
Do I give all my money
to these men right here?
[SOFT SUSPENSEFUL MUSIC]
♪
You're really staring down
that cup of coffee.
Just trying to figure out
the right thing to do.
Everything's got a little complicated.
- How you feeling?
- Yeah.
I'd say my overriding emotion
is confusion.
Why is that?
When I found out that my dad
knew this wasn't MS,
I was sure it was some
kind of play to manipulate me.
And I got so angry.
And now?
I don't even know.
I mean, they've [SIGHS]
T-they've really hurt me
over the years, but
they're not criminal masterminds.
So maybe he was just in denial.
Maybe he is wanting to reconnect.
Seems like you have a little.
Yeah.
Yeah.
In the past week, it's
it's been nice.
[PENSIVE MUSIC]
But, um
if he doesn't get into that drug trial,
the only way that he can
get the medicine he needs
is to get it off-label, which
means insurance won't cover it.
It'll be expensive.
30 grand a month.
[SIGHS]
So yeah. Um [SNIFFLES]
Now I have to decide if I wanna
be back in the same position
I was 15 years ago, taking care
of them financially.
I'm sorry, but why exactly?
They're adults. Why does it
have to fall to you?
- Because they're in debt.
Because they make bad choices.
Because, uh
just always does.
You're a really good person.
You know that?
It doesn't always feel that way.
That's how you know it's true.
So what do you think I should do?
I'm not sure how
I could really answer that.
I mean, you just have to decide.
Do you believe in second chances?
H-how are you feeling?
Uh, honestly, pretty exposed.
She's doing great, Jeremy.
Okay, I just finished the bladder flap.
Bladder blade, please.
Uh, things are getting close.
[CHUCKLING] Yeah.
Can can you feel anything?
Not yet.
Getting ready to start the
transverse uterine incision.
Get the suction ready.
Okay, Esme, you're gonna
feel a little pressure now.
[SIGHS]
The nuchal cord's too tight.
[ALARM BEEPING]
- I can't deliver through.
- Wait, w-what does that mean?
It means we need to cut the cord now.
Clamp.
And scissor.
[TENSE MUSIC]
♪
Here we go. She's out.
Why can't I hear anything?
What's happening?
Is she okay?
Mouth and nose clear.
Still no respiration
and tone looks poor.
Transfer. Start PPV.
What's happening?
She needs more stimulation.
I'm sure they're doing
everything they can.
[COUGHING] Could somebody please tell me
what's going on?
Still unresponsive. Bag her.
- We need an airway. ET tube now.
- I got it.
Esme? Hello?
Esme, hello?
Hello!
[TENSE MUSIC]
Excuse me.
Get out of the way, please!
[TENSE MUSIC]
Baby's fine.
Baby's fine. She started breathing.
Mom's fine. We're okay.
Yeah? Okay.
You okay?
Yeah, just winded from running is all.
No, no, I-I mean emotionally.
I heard your convo with Kingston.
I should get back to Jeremy,
let him know the good news, yeah?
Of course.
I woke up today without $150 million,
and I will be going to sleep
without $150 million.
- [CHUCKLES]
- So nothing changed.
Then why does it feel like
I just got sucker-punched?
Hey, Sam, what would you do
if you won the lottery?
Oh, I have no interest
in winning the lottery.
No interest?
If wealth makes you more entitled,
can you imagine me with 150 million?
[CHUCKLES]
Hey, there's Howie.
Just gotta grab my stuff
and we're out of here.
All good.
I actually wanted to see you
because I have some news.
Oh, yeah? Everything okay?
[CHUCKLING] Eh, no.
Yeah, it's just, uh,
I have decided to step away
from my teaching position
at Porter University.
Wow.
Buddy, are you sure that this
is the right time to do that?
[SIGHS] Since Suzie died,
uh, it's just I I
my my head is just not quite in it.
My heart either.
Okay, well, you gotta
do what's right for you.
I mean, they must be devastated
over there, though, right?
No, they're okay, actually,
because I already found
the best possible replacement.
Oh, well that's good. Anybody I know?
Well, Danny, can anyone
really know themselves?
- Me?
- Yes.
Howie. No, no, no.
The med students you had here
are still raving.
You clearly have a knack for mentoring.
And you keep talking
about what comes next,
finding something new.
Look, I am deeply flattered, okay?
But I can't just, like,
bug out of here, you know,
drop everything and take off.
- I can't do that.
- Why not?
You have already given them
more than half your life.
And the ED is a young man's game.
You must have some kind of protégé
who's ready to take the reins.
Um, I don't know about that.
All right, look,
don't answer right away.
Just promise me
you'll think about it, okay?
Okay, I promise. Now, let's go.
Good.
Because I already
gave your name to the provost
and I told him you were very interested.
[LINE TRILLING]
[PHONE BUZZING]
- Frosty bear.
- Hey, what's up man?
- How you doing?
- Oh, you know, just chilling.
Listen.
I was thinking a little bit more about
what we talked about
last time you were here.
The, uh the "Nick of Time" reboot.
Oh, yeah?
Yeah. Uh
You think the offer's
still on the table?
I imagine it is.
They were pretty excited about the idea.
And you said they sounded
pretty motivated, right?
- To have me on it?
- Definitely.
I told you, without you, it was a no-go.
Okay.
Um
tell them I'm in.
Oh, hell yeah!
[LAUGHING] Let's go, baby!
[SOMBER MUSIC]
♪
- Hey.
- [CHUCKLES]
Who's that there?
This is your daughter, Daisy.
♪
Ready?
Hi.
Hi.
Hi, Daisy.
I'm your dad.
- She's so tiny.
- [COOING]
You did it. You did it, man.
Hey.
Oh, yeah. Shh.
[CHUCKLING] Oh.
[GASPS] Aw.
Do you mind grabbing my phone?
I just wanted to record one more thing.
Yeah, of course. Here.
Let me do it for you, okay?
Hi.
- [PHONE CHIMES]
- All right. Recording.
Could you play it now?
[SOFT MUSIC PLAYING]
You know, I spent all this time
making these videos for
the moments I'm gonna miss.
But Dr. Archer had an idea
that maybe there was a way
I could steal one from the future,
one we could experience together.
So this last one
[CHUCKLING] Yeah.
This last one I want you to play for her
on her wedding day.
It's our father/daughter dance.
Baby. [SNIFFLES]
Now I know all the wrong turns ♪
Daisy, you're getting married today,
and I am so sorry that I can't be there
to walk you down the aisle and
tell you how stunning you look.
But I want you to know that
more than anything,
I hope you found someone wonderful
to spend your singular
magical life with,
someone who goes all-out on the holidays
and leaves you love notes
around the house and
shares your passion
for beef jerky on road trips.
[CHUCKLES]
Someone who's thoughtful
about who they let in
and who they love.
Because once they love you,
they're in for good, all the way.
Forever.
Forever.
Yeah.
I hope you found that.
I am the luckiest ♪
♪
- How's Jeremy?
- [SIGHS]
Jeremy is sleeping.
Oh.
Dr. Kingston finally upped his meds.
That was, um
that was a really lovely idea, the um
the father/daughter dance.
Oh, yeah. Well.
[SIGHS]
After you told me you were pregnant,
I started doing the math.
I'm gonna be 65 when she's born.
I'm gonna be 83 when
she graduates high school.
And I can't imagine I'm
gonna be walking our daughter
down the aisle either.
You don't know that, Dean.
That's okay.
It's okay.
I was upset.
[SOFT DRAMATIC MUSIC]
But today I realized it's not
about what I'm gonna miss.
Because I'm gonna get
to raise a daughter with you.
How unlikely and miraculous is that?
It's pretty miraculous.
God, it makes you wonder, though.
- What's that?
- Just
you know, all these moments
in life are a gift.
What do you do with them?
I don't know. I guess
you don't waste them.
♪
Dean?
- You ready to go?
- Yeah, I'll be right there.
Nice work today.
You too.
♪