Chicago Med (2015) s11e19 Episode Script

1
I appreciate you filling in. Really.
You're back a little early.
I need a signature.
Well, hopefully you can tolerate
a power sharing agreement.
I'm sick.
I may not die today, but it's coming,
and there's nothing I can do to stop it.
This has gone from fun
to a little terrifying.
What's going on with you?
I don't want to die.
Are there any surgical
supplies in that medical kit?
[DRAMATIC MUSIC]
Her pulse is coming back up.
There's been some talk about
a "Nick of Time" reboot.
I'm done with that part
of my life, you know?
- It's easy money.
- We just want to see
I'm sick.
I have to decide if I want to
be back in the same position,
taking care of them financially.
I was thinking a little bit more about
the "Nick of Time" reboot.
- Oh, yeah?
Tell them I'm in.
Dr. Abrams came by earlier,
said there's still no shrinkage
to the spinal mass.
Well, it's only your second treatment.
It's off-label.
It needs time to take effect.
I know this hasn't been
easy for you, son,
signing up for the reboot
and looking after your old man.
What I'm trying to say is thank you.
It means the world to me to have you
back in our lives again.
I feel the same, Dad.
Hey. I saw you tried
to call me last night.
Oh, yeah, sorry.
That was it was nothing.
Yeah, well, I'm sorry I didn't pick up.
I was with Jennifer,
and I didn't notice it
till the morning.
What did you want to talk about?
I've been thinking
a lot about the baby shower
that everyone's throwing for me tomorrow.
- OK?
- I'd cancel it, but I'm nervous
that I'll just be disappointing everyone.
- What do you think?
- What do I think?
I think the only person's
disappointment you need
to worry about is your own.
You know, maybe mine.
- I'll cancel it.
- OK.
Thank you.
Oh, and hey, I'll try not to
call that late moving forward.
- So you think it went well?
- Well, which part?
You know, the EKG or the PF study
or the fMRI somebody threw in
at the last minute?
- Whose idea was that?
- Well, that came from legal.
My guess is trying to placate
the insurance company
carrying our malpractice policy.
You know what?
A lesser man might be insulted having
to take a battery of tests
to get his job back after
29 years of stellar service.
Yeah, well, I'm sure a lesser man would.
But seriously, any lingering
effects from the hemorrhage?
- Nope.
- I'm relieved.
Look, I don't want to freak you out,
but there is a small but very real chance
that I could, in fact, be, um, immortal.
[LAUGHTER]
You know, Daniel, I'm really
glad you decided to stay.
I'm not so sure I'd like
being here without you.
- Right back at you, old pal.
- [CHUCKLES]
- Morning.
- Morning.
I feel like we haven't had
a shift together in a while.
You are right. I make the schedule.
Hey, I was thinking maybe
we should grab dinner,
talk about the other night.
- Yeah, maybe.
- Hey, guys.
Some jackass just parked in
the middle of our ambo bay.
Oh. Excuse me.
- It's
- [GRUNTS]
Oh, use your abdominals. I
- Kip.
- Oh, Caity, good.
Here, hi. I need your help.
Uh, this is my colleague, Troy.
- Hey.
- Hey.
I just talked a customer
into a luxury vehicle upgrade.
Troy ran off to pull it around,
and he fell down the stairs.
He was acting kind of spacey,
so I drove him over here.
Yeah, did you hit your head, Troy?
I think so.
Mm-hmm. You should have
called an ambulance.
Hang tight, Troy, we'll get you a gurney.
Hey, jagoff, I got a pregnant patient
- whose water broke back here.
- You need to move your car.
It's not my car. It's one of my rentals.
- I got you, Matt.
- This is a hospital.
I will move it.
Hey, guys, I'm Dr. Asher. I'm an OB.
The medic said that your water broke?
I'm only at 36 weeks.
- This can't be happening.
- OK, it's OK.
Sometimes labor comes
earlier than expected.
Babies tend to call the shots.
And you're only a week
before being term, so
No. You don't understand.
If I go into labor, my baby will die.
[DRAMATIC MUSIC]
The good news is you're
only a half centimeter dilated
and contractions haven't begun yet, so
So I haven't started labor yet?
No, not yet.
[SIGHS] Thank God.
They told me that everything would get
infinitely more complicated
once contractions started.
All right, I think this is the best image
I'm going to be able to get.
OK, I can see that teratoma
now constricting the airway.
When was this first diagnosed?
Uh, during my anatomy scan
at about 20 weeks.
My OB didn't know what it was at first.
It's pretty rare for a fetus
to develop a teratoma at all,
never mind one compromising its airway.
We've been told that
she won't survive childbirth
- without an exit procedure.
- Exit procedure?
An ex-utero intrapartum treatment.
It's a specialized delivery
where you can stabilize
the baby's airway
while it's still attached
to the umbilical cord.
We had one scheduled up
at Mayo a week after next.
I was told that I still had
plenty of time to spare.
I I couldn't reach Dr. Shumaker.
They said they'd try and page her.
Is it possible to be medevacked
up to Rochester?
I wouldn't advise so
at this juncture, no.
Why?
You said that I hadn't started labor yet.
Breaking your water
indicates that contractions
- can begin at any moment.
- [SIGHS]
We can give you something
to help try to delay them.
OK.
- 20 of nifedipine?
- Make it 30.
In the meantime, I'll consult
with our pediatric surgery team
to see about performing
the procedure here.
Don't worry, we're going to
take good care of you, OK?
I was afraid you left.
I wanted to wish you good luck.
We don't say good luck in the biz.
We say break a leg.
Oh, well, I'm not sure I can say that
without violating
my Hippocratic oath, so
Yeah, right.
Seriously, though, how do you
feel about acting again?
- You excited?
- More like obligated.
You see, it was either do the reboot
or sell a kidney to pay
for my dad's treatment.
And I did a lot of drinking in undergrad,
so it's not a viable option for me.
Well, I'm sure you must
have had fun acting, right?
It had its moments.
[CHUCKLES]
OK, what's with the Cartier?
Oh, that. Um
it's a gift from Miranda.
The lady that delivered it
called it a tank watch.
Wow. It's classy.
Yeah, I don't know.
I don't really feel
comfortable accepting it.
You only helped save her life.
No, all I did was answer
the phone when it rang.
- Ms. Goodwin did all the work.
- Come on.
You should still accept it, OK?
You know what they say,
don't look a gift horse
- in the pericardium.
- What?
I don't know.
It sounded cooler in my head.
- [LAUGHS]
- I gotta run, OK?
- OK.
- Follow my finger.
Your CT looks rather unremarkable,
but you had pain in your neck when
Dr. Ripley put on your C-collar?
- Uh-huh.
- OK.
Oh, hey.
The parking garage was a trek and a half.
I'd like to send you up for an MRI
to rule out any ligamentous
injury, just to be safe.
Uh, does this qualify for workers' comp?
That is something you should
discuss with your supervisor.
So, Kip.
Or his supervisor.
But for now, just hang tight
till we get you that MRI.
OK.
I'll call and ask.
Whew, saving lives, man.
Such a rush. I get the appeal.
How long is medical school again?
- Considering med school?
- No, just ignore him, Mitch.
Oh, wait, wait, wait,
you're the infamous Dr. Mitch Ripley?
Well, I've heard so much about you.
Have you?
This is neither the time
nor the place, Kip.
Oh, crap. Sorry.
We, uh, still keeping this
a secret at work?
Nice to meet you, Kip.
I got another patient to get to.
Oh. Trouble in paradise?
Waiting room or your friend's
trauma room. I'm working.
[CHUCKLES] OK.
Dr. Ruiz, I'm just curious
why this patient
is being discharged, since it looks like
we gave him a milligram of
risperidone only an hour ago.
He appears to have
calmed down completely.
Hospital policy mandates that
we keep him under observation
for a minimum of three hours, right?
So what do you say
we split the difference
and check in on Mr. Abramowitz
in another hour?
- Uh
- That's on me, Daniel.
If you ask me,
we've been awfully conservative
with the potential drug interactions.
And in this case,
the confidence intervals
for the drug's efficacy
is basically the same
at three hours as it is at one hour,
save for the very rarest of edge cases.
OK.
And that time savings has really helped
- with bed turnover rate.
- That's great.
Only thing is, like,
I actually designed the policy
specifically to identify and, you know,
protect those outliers, those edge cases.
That was kind of the whole idea.
Got it.
I was just looking for ways
to be more efficient.
Which is great.
But let's keep Mr. Abramowitz here
for another hour, Dr. Ruiz,
and get another BP reading.
Yes, sir.
Theo, you know, um, look,
if you've had any other ideas
that you want to or
have been experimenting with
while I was away, let's get together,
- give them a look.
- Great.
I'll send you a list.
First off, I have to say,
I might be your guys' biggest fan.
Yeah, I mean, I literally
grew up on this show,
and now here I am, breaking bread
with Nick and Mac, the Time Team,
- back in action.
- Well, thank you.
And, hey, anything you need from us
to get this thing going?
Well, for starters,
we've got a big new concept
for the reboot that the studio
is really excited about.
Dude, you're going to love this.
We're going to be bringing in
a new set of best friends
to find the backpack,
tween girls this time,
McKenzie and Nicole.
Nicole's my daughter. Get it?
- Next-gen Nick and Mac?
- I got it, bro.
- [LAUGHS]
- All right.
Jonathan, we were thinking
you could be Nicole's fun uncle.
Wow.
And don't worry, we're going
to be totally flexible
working around your schedule.
Oh, I'm just doing the first episode,
but this really does all sound great.
- Oh, and there she is.
- Oh, I see them.
Surprise.
We got another original
cast member to sign on.
The fans are going to go crazy.
Hi. [CHUCKLES]
- Did you know about this?
- No, but this is great.
- It's just like old times, huh?
- Thank you.
Oh my goodness, Ainsley, come here.
- Hi, hi.
- Hi.
OK, sit down, everybody. Sit down.
[SOFT DRAMATIC MUSIC]
♪
So what did I miss?
♪
Dr. Asher, you wanted to speak
- with me about your patient?
- Yes.
I consulted with
our pediatric surgical team,
and it seems that our exit procedure
specialist is, unfortunately,
out of pocket today, so
I'd heard, but luckily I just arranged
to fly Dr. Shumaker down from Minnesota.
- She'll be here within the hour.
- That's good news.
Is she licensed to practice in Illinois?
Well, considering the circumstances,
we'd be more than happy to
grant her emergency privileges.
OK. I will let Giselle and Xander know.
Great.
Shouldn't you be back at work?
Oh, well, assistant manager
has its perks.
Mm.
Plus, I thought I'd stick around
until Troy got discharged
so I could drive him home.
OK.
And I want to know the deal
between you and Ripley.
It seemed like there was
some tension between you two.
I don't even know why
I told you about him.
It was hardly a thing, and it
might not even be that anymore.
You guys are perfect for each other.
He's a doctor. You're a doctor.
You could still date
and work 80 hours a week.
This conversation is over.
Look, I'm just saying,
I never thought that I
would settle down until I met Gemma.
Well, maybe you and I
are just different people.
How so?
Dr. Lenox, Dr. Ripley is asking for you.
My arms. My arms.
They feel like they're on fire.
He's been complaining of a
tingling and burning sensation.
Right here. Troy, squeeze my hands.
- [GROANS]
- His grip is weakening.
- Hey, what's going on?
- Out of the room, Kip.
I don't want to have
to tell you that again.
OK, OK, OK.
I think we might be looking
at a spinal cord injury.
Well, let's fold in Neurosurg.
OK.
[TENSE MUSIC]
♪
I looked online.
- It's very expensive.
- Indeed.
I gather it's a thank you
gift for having helped
save her life, and, well, I'm not sure
what I should do about it.
I mean, it's very pretty,
but for some reason, I
It doesn't sit right with you.
Mm-mm.
I was just doing my job.
And I don't want to seem rude
or ungrateful,
especially to a board member,
but I feel like
I should return it to Ms. Lewis.
Leave the watch with me.
I'll take care of it with Ms. Lewis.
You're sure it's no imposition?
More than sure.
So, Nicole, right?
She isn't sure what to make
of the backpack at first,
until a little talk
from Nana and Uncle Mac.
Oh, wait, Nana? That's frightening.
Tell me about it.
I'm going to be playing
the dad of a teenager.
[LAUGHTER]
Trust me, Ainsley, you'll be
the hottest nana on TV.
Stop.
But what I really wanted
to focus on moving forward
was the mother/son dynamic
you two have going.
Yeah, no, you're right, Angelica.
Jonathan and I have always
had great chemistry.
I'm sorry, you guys are trying to get
all of this just in the pilot?
Well, I figured since
we have Ainsley back,
there was more juice to squeeze there.
So Matt could pop in from time to time
- throughout the season?
- Exactly.
And it would mean a lot more money.
You know, I think this all sounds great.
I mean, our characters
obviously have a lot
to work through after all these years.
I
[SOFT DRAMATIC MUSIC]
Yeah, um, I don't think they do.
♪
No, don't go, Jonathan. I will go.
Please, hey, you stay. OK?
I, um I have to get back to the hospital.
Thank you for lunch.
♪
No, it's not the LVAD.
We're way past that.
Her heart is shot.
They can't keep the fluid
off of her lungs.
Look, I don't know. Um
Listen, we're at Gaffney.
If you wanted to say goodbye
Trini, call palliative care
and get a morphine drip
ready to transition
- to comfort care.
- Right away.
Things, uh, looking pretty bleak in here,
I guess, Deano?
Yeah, congestive heart failure.
I'm afraid the poor woman's
run out of road, as they say.
- Right.
- Yeah.
Not even on the transplant
list anymore, is she?
If I had a new heart to give her today,
it wouldn't matter.
Just doing all I can
to keep her comfortable.
You've got a lot of nerve.
Oh, that's right. You know each other.
Know each other?
He killed my sister,
decided that she wasn't worthy
enough to receive a heart while
she still had a chance to live.
Like, the prick thinks he's God.
Celia, listen, I know that there's
nothing I could say to make you believe
what I'm about to tell you,
but I am genuinely sorry
that it has come to this.
I truly am.
- You should go.
- No.
[SOMBER MUSIC]
Let him see what he's done.
♪
Yo, what was that all about?
I'm not doing the show anymore.
All right? I'm out.
You know this whole thing
falls apart if you walk.
- I'm sorry.
- Dude!
You're doing the reboot.
You're not doing the reboot.
Like, what is going on with you, man?
Hey, this might just be a game
for you, but this is my life.
Like, why are you jerking me around?
I cannot do this with Ainsley, all right?
Why? What the hell is
going on between you two?
- You really don't know?
- Know what?
I thought you guys were friends.
[SOMBER MUSIC]
Oh.
Yeah.
We were just kids then.
We were.
I was.
Why didn't you ever tell me?
She told me I needed to keep it a secret.
Look, Ian, I know what
this means for you,
and I'm sorry.
I really am.
But being back in there, seeing her, I
♪
It just brought me back to
right where when I was a kid.
♪
I can't do that to myself again.
It's OK.
I get it, man.
Hey, really.
- I'm sorry, man.
- No, come here.
- I'm sorry.
- It's OK. It's OK.
♪
I hear a little bundle of joy
sped up her time of arrival.
Thank God.
Dr. Shumaker, I know I messed up
not coming up to Rochester earlier.
Oh, it's OK, Giselle.
That's what helicopters are for, right?
You must be Dr. Asher. I'm Liza.
Hi.
I understand she's begun contractions?
Yes, we've begun talking
about possible ramifications.
Dr. Asher thinks it's too risky now.
- How dilated is she?
- Six centimeters.
But it's more the rate of change
that I'm concerned about.
It's not ideal, I agree, but
as long as we can start soon,
I'm confident I can still
perform the procedure,
if that's what you guys want.
Yes, that's what we want.
I'll have an OR staffed
and ready to go in ten.
- Did you eat today?
- Yeah.
If you look here at C5/C6,
you'll see what appears
to be enhanced cord signaling.
We're thinking central cord syndrome.
Yeah, that's what I'm seeing, as well.
You were right to bring us in,
though I'm a bit confused
- with the imagery here.
- How so?
I'm not sure you can
attribute much of this damage
to the fall this guy took.
See this here and here?
That looks more like damage
caused by excessive extension.
Did he come in immobilized?
No. No, he wasn't.
What dumbass EMT didn't know
enough to put a collar on him?
He was actually brought in by a civilian.
Well, unless this guy
wants to risk permanent loss
of function of both arms,
we'd recommend an anterior
cervical disk fusion.
All right, let me know when he's prepped.
I'll pop in to see what you all find.
Hey, is he going to be OK?
Troy had a little complication
from the fall he took,
and his spine is not
as stable as we'd hoped for.
So we're sending him up to surgery now.
Oh, man. Did I do something wrong?
No, no, you did good bringing him in.
There's a waiting room outside the OR.
You can hang out there.
OK.
OK, don't look at me like that.
Kip is very sensitive.
Sometimes he needs to be
protected from the truth.
That's my job.
I was just going to say that I think
you're being a good sister.
Time of death 17:23.
Sorry, Daniel.
I know this is a lot to process.
It was a tough call to make.
But still, it's a huge burden to place
on any one person's shoulders,
even someone as strong as yours.
You know what, I really appreciate you
saying that, Theo,
but, um, that was the job
that I signed up for.
But thank you.
I mean, as it stands today, maybe.
But that's why I keep
pushing fMRI so hard.
Do you realize how close we are
to a world where we can use
hard data to make these kinds
of painful decisions
objectively, instead of
relying on somebody's judgment?
- Are you serious?
- I'm dead serious.
You're honestly telling me
you think an fMRI
could determine whether Linda,
an addict with very shaky sobriety
who was probably going to relapse and,
in the process, probably reject
that heart, waste that organ,
you think a machine could make that call?
No, Theo. No.
Only a human being can make
that determination.
So why not me?
I think you're misunderstanding me.
Buddy, sometimes I honestly wonder
if you are in the right line of work.
[SOFT DRAMATIC MUSIC]
♪
So is this your first?
Exit procedure?
No, pregnancy.
Yes, actually.
For both.
I've got three kids myself.
The first one, I worked
all the way up until delivery.
The last two, though,
I took leave at about 30 weeks.
Between being on my feet
all day and the hormones,
it was just so hard.
I wasn't being fair to my patients.
♪
Is this about me trying to convince
Giselle not to do the surgery?
Because if it is, I'm afraid we might not
be on the same page
in regards to priorities.
What makes you think that?
I get that you're a miracle worker,
but my objective is to make
sure that Giselle survives.
So if that means clamping
the cord before she bleeds out,
even if you haven't finished
securing the baby's airway yet,
then so be it.
I will not let her die
on that table, understood?
Understood.
But just so you know, I've done 28 exits,
and I've never lost a patient.
I have no intention of
breaking that streak.
♪
[VITALS MONITORS BEEPING]
OK.
Pulling baby partially out.
All right, start the clock, Asha,
and push some nitro to keep
that uterus nice and soft.
The teratoma extends more
laterally than I expected.
I'll need to partially dissect the tumor
before I can intubate.
How long is that going to take?
Eight or nine minutes.
OK, I want BP and HR
updates every 20 seconds.
Roger that.
- Here.
- Oh.
Waiting's the worst part.
I shouldn't be worried, right?
No. No, no.
Your your sister's got this.
She's a rock star.
[CHUCKLES] Yeah.
She's good at that, helping people.
Not so good at love, though, right?
[CHUCKLES]
No comment.
Look, Caity'd probably kill me
if she heard me telling you this,
but, um, I wouldn't give up
on her just yet.
[CLEARS THROAT]
It feels sometimes like
that's what she wants.
No.
She cares about you. I can tell.
But expressing human emotion
just isn't really her thing.
- She's basically part robot.
- [CHUCKLES]
I feel like it's more of
a survival mechanism
for her than anything.
She was basically forced to
raise me when our parents died.
Someone had to keep it together.
Look, I'm the closest person in her life,
and even she keeps me at an arm's length.
I think that maybe she's still
trying to adjust to the fact
that a noose is no longer
hanging around her neck.
Noose?
Yeah, our mom's prion disease.
We made a pact to never get tested,
but after my health scare, you know.
Wait, your mom died of prion disease?
Yeah, 15 years ago. GSS.
I can't believe she never told you that.
[SOMBER MUSIC]
Oh, wait, yes I can.
Uh, anyway, don't worry.
She tested negative. We both did.
[SIGHS]
I cannot tell you
how much of a huge relief
it was when she told me
that she didn't have it.
♪
How'd it go?
Is Troy going to be
permanently paralyzed or?
No, no, Troy will make a full recovery.
Oh, my God.
- I have the best sister ever.
- Oh, you do.
You do. OK, put me down. Whoa.
Well, guess I'll tell
my boss the good news.
OK.
♪
Hand me a tonsil.
We're on pace. Making progress.
Time, Asha?
Six minutes, 23 seconds
since we performed the C-section.
[VITALS MACHINE DINGS]
HR just went up a tick. It's 114 now.
She could be bleeding somewhere.
I don't know. BP is still stable.
Her placenta is about to detach.
We're cutting the cord now.
Hang on just two minutes.
I can't establish an airway.
She doesn't have that.
We're cutting now. Scissors.
[TENSE MUSIC]
She's out.
Let's keep her head elevated
and move her
Let's get methergine and
oxytocin to stop the bleeding.
I wasn't finished yet.
I don't know if
I can establish an airway.
0-vicryl suture.
♪
I couldn't risk losing Mom.
I didn't have a choice.
♪
Airway cleared. Let's intubate.
♪
She's going to be OK, everybody.
Good work. Good work.
♪
Jonathan.
Honey, where were you?
Your producer's been calling.
She said that you just up and walked
in the middle of lunch,
that you're backing out of the reboot?
Yeah. That's true.
What are you doing?
You're just going to desert
your old friends, Ian, Ainsley?
Listen, I will find another
way to pay for the treatment,
I swear. Don't worry about it.
How?
Honey, will you go
get me another blanket?
Maybe give Jonathan and I a moment alone?
All right [CLEARS THROAT]
Listen to me.
I know that your mother can be a lot.
But what happened?
Were they not willing to work
around your schedule?
'Cause we can talk to
business affairs again.
No, Dad, it wasn't anything like that.
Well, then what?
Is it your new girlfriend?
Why would it have anything
to do with Naomi?
You're working with Ainsley again.
Women don't like it when
their new boy start
spending a lot of time with an ex.
[SOFT DRAMATIC MUSIC]
You knew about that?
Of course I did. I'm your dad.
♪
I was 16 years old.
It never occurred to you that maybe
you should be protecting me?
Protecting you?
You were a TV star having sex
with a beautiful woman.
What was I supposed to protect you from?
Yourself?
I was a kid.
We gave you a pretty damn good life.
No.
No, I gave you one.
I gave you both one.
Do you understand that?
Whose job was it, Dad? Hm?
Whose job was it to make sure
that we had the rent, the food,
that you had the nicest clothes
and were driving the nicest car, huh?
I was a kid forced to be a parent
to two blood-sucking vampires
that only ever cared
about what I could do for them, right?
Poor Jonathan, always the victim.
Oh, my God, you really
haven't changed at all,
have you?
The hell is that supposed to mean?
It means it's not my job
to take care of you!
Do you understand that?
It should have never been my job.
♪
It was your job to protect me
from an adult that was
taking advantage of me.
What are you talking about?
♪
Who was taking advantage of you?
♪
[SIGHS]
Dan.
How long have you been sitting there for?
Oh, just now.
I'm going to leave you in peace, OK?
Actually, um, I'd prefer the company.
Working a double shift tonight.
Otherwise, I'd probably be in a meeting.
Oh, man.
- Tough day, huh?
- Yeah.
What's going on?
I almost cost a couple their newborn.
Couldn't get control of my fear.
I was just gripping so tight,
trying not to let this woman
die on the table.
I don't know if I've ever told you this,
but my mom died having me.
And it's just crazy, the power
that it still has over me.
Oh, that's not crazy.
That's not crazy at all.
You know, from everything
that I've been told,
she's just this true miracle
of a person, you know?
Yeah.
And I keep thinking about
this one memory,
where I lost my tooth,
and I went into my dad's room
to show him 'cause,
you know, I was just so proud.
[CHUCKLES]
And there he was, just
sitting on the corner of his bed,
holding a framed photo
of my mom, sobbing.
And that sound is like nothing
that I've heard since.
He was just he was broken.
And I've never been able to fill the hole
that I left in him.
Patching that hole,
are you sure that that's your job?
It doesn't matter if it's my job 'cause
- he still blames me.
- I
I feel it.
I never met your dad.
I just have a really hard time
believing that.
He loves me as much as he can.
I think you've got to go have a chat.
Yeah.
Oh, I see that you and
Dr. Howard got my gifts.
We did.
And while we both agree that
these are a lovely gesture,
we just can't accept them.
Well, it's not because
of the ethics, is it?
Because I did have my guy
check with the AMA,
and apparently if it's
a gift given from beneficence
or appreciation, it's fine.
No, no, it's more than that.
These are very expensive, Miranda.
That's the point.
But they're not necessary,
and it just wouldn't feel right.
But thank you. Thank you.
I mean, truly.
I hope you understand.
How am I supposed to show
my gratitude, then?
By simply saying thank you.
That does not come easy to me.
So you'd rather spend $50k to avoid it?
I don't like to feel indebted to anyone.
Well, you're not indebted
to me, Miranda, or Dr. Howard.
- Not at all.
- You saved my life.
Well, that's because that's
what we're trained to do.
What, you were afraid
I'd hold this over your head?
I know it's cynical, but
I've seen it a million times.
I was going to fire you that day.
I know that.
But I would never leverage
your life for personal gain.
That's just not who I am.
Thank you, Sharon.
Genuinely.
You're welcome.
What's so important that you had me
drive out here at this hour?
I thought you were in labor.
I I need to clear the air
about something that's been bothering me
for most of my life.
OK.
I know that you blame me for Mom's death.
Look, I know your hormones
are exploding at this point.
Dad, that's not
that's not what this is about.
And I need to talk about this
before my baby's born.
What you need is rest, Hannah.
- So I'm going to leave
- No.
Because I parked in the red zone.
No, no, I want to talk about this now.
OK, there has always been
a space between us,
and I have felt it for
as long as I can remember.
And I know that you feel it, too,
so please don't deny it. Please.
Look, I know I have not been
the best father to you,
but there's no space.
OK.
Well, then, why are you always like this?
- Like what?
- Hesitant. Withdrawn.
You'd rather run away
than look me in the eye.
Look, I have been trying to get
your attention my whole life,
and I think it's because of Mom.
It's hard to look at you,
but not because I blame you.
How could I?
You were just a little tiny
baby coming into the world.
OK.
Then why?
Because you remind me so much of her.
Same kind eyes, same patient smile,
same little tilt of the head
when you ask a question.
[SOMBER MUSIC]
You play with your hair
when you're lost in thought.
♪
I didn't know that I did that.
Of course you do.
She's a part of you,
more so than Lizzy and Matt.
♪
I loved your mother so very much
that sometimes looking at you
just makes me miss her.
That's all.
I swear to you, Hannah,
I have never, ever
blamed you for what happened
to your mother.
Not once, Hannah.
Never.
And I'm so sorry if
I have ever made you feel
less loved or less important.
♪
But you're your own person, Hannah.
You're so much more fierce
than your mother was,
and tougher too.
God, she would be so damn proud of you.
[TENDER MUSIC]
♪
Well, thank you for telling me this.
♪
I've always wanted to be like her.
♪
And this makes me feel
closer to her somehow.
I wish she was here to tell you all this.
She was so excited to meet you.
We both were.
♪
[KNOCKING]
- Come in.
What's with all the cryptic texts?
We've got to work on
your emoji game, my friend.
Your evaluation results came back.
And?
Well, everything is fine,
except your fMRI scans
were flagged.
- Really?
- Yeah.
By, uh by who?
Let me guess, Theo Rabari.
I suppose. It doesn't say.
That's the most ridiculous
thing I ever heard.
You know, Sharon, he's actually
been making these weird moves
while I was away.
And I'm starting to think
call me crazy
that he actually wants my job.
It's like a joke.
You know what's got me worried?
Turnover for psych patients went up 27%
the first week Dr. Rabari
was running things.
Now, it didn't mean anything
to me at first,
but now I'm a little concerned
that a picture
is forming for the board.
Sharon, come on.
Of course the turnover number
is going to go up.
Theo doesn't think that,
you know, psychiatrists
and their patients even need to converse.
Oh, come on, you don't think he's
actually going to get away with this.
Look, this is the part
where you're supposed to say,
don't worry, Danny,
everything's going to be OK.
I wish I could, Daniel, but I think
we may have a fight on our hands.
[KNOCKING]
- Hey.
- Hi.
I was surprised you texted.
Well, maybe I misread the instructions
on the Orville Redenbacher,
and I didn't want it to go to waste.
And I heard that you're
really into "Gilmore Girls"?
I cannot confirm nor deny.
You're not, like, Team Jess or something?
[CHUCKLES]
It was nice meeting your brother today.
I'm so sorry about that.
And thank you for babysitting him.
Oh, it was good to
it was good to get to know him a bit.
He told me about your mom
and her prion disease.
Really.
Huh. What else did he tell you?
Oh, just that you
you both got screened, and you
told him you tested negative.
- Yeah.
- You know, I
I've been trying to figure out
what could possibly happen
to cause such a huge
change in your behavior.
And for a while, I thought
it was just because
you were so head over heels for me.
Now I think that was just my ego talking.
You tested positive, didn't you?
No.
No. Did you get that from Kip?
No.
I got it from you.
[SOFT DRAMATIC MUSIC]
"My brother's a little sensitive.
He needs to be protected sometimes."
You lied to him to protect him
from the truth, didn't you?
♪
Get out.
What?
Get out.
Caitlin, we need to this is something
we need to talk about.
Get out!
OK.
♪